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Podcast – Practice Index – QOF explained…

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A brand-new year for the Quality and Outcomes Framework (QOF) has already begun so what do practices, and networks, need to be aware of, to ensure they are informed and ahead of the game, almost one month in? Our monthly Practice Index Practice Manager panel return and Nicola, Robyn and Ben are this time joined by Claire Houston, Practice Index’s expert on all things QOF, to highlight where there are major changes, what the changes mean in real terms, what general practice should be on top of now, the impact on patients (and primary care teams) – and most importantly, how to ensure you stand the best chance of meeting the targets set for 2021 / 22.

Introductions (0:29)

More about Claire (0:51)

QOF for next year, the headlines (1:19)

Moving flu vaccs from QOF into the Investment and Impact Fund (IIF), what does mean in real terms for practices? (1:50)

Discussing the thresholds (3:21)

Network versus practice targets (3:53)

IIF funding distribution (4:37)

Significant changes to vaccs and imms more widely (5:09)

The effect on patient choice (6:53)

Clarity on vaccine targets (network and practice) (8:38)

What happens if you don’t meet your QOF target/s? (8:59)

Getting a head start (11:29)

The importance of coding correctly (12:02)

What else is new? (12:41)

The difficulty of onward referral/s (13:52)

Management of serious mental illness (15:20)

Patients in remission (15:59)

Nicola and Robyn reflect on the changes (16:45)

Core standards related to vaccs and imms (18:10)

Claire’s advice, in summary (18:51)

Final thoughts (20:03)

Getting in touch (20:21)

The Practice Index website can be found here

For all enquiries, please contact James Dillon here

Here is the link to the Resilient Team Academy website which contains information on the current, discounted offer and how to apply.

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Podcast – The Physician Associate Podcast with James Catton – Ben’s Guide to General Practice

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Up and coming, The Physician Associate Podcast, is a brand-new resource for Physician Associates both newly qualified and established, to access a wealth of information, opinion and all the latest news relevant to the PA world. Host James Catton is this week joined by our very own Ben Gowland, who has taken time out from recording The General Practice podcast, to give new listeners a much-needed overview of and insight into general practice right now. How general practice works within the wider healthcare ecosystem, when and why Primary Care Networks were born, the financial model, partnerships and the New to Partnership Scheme, and most importantly, all the need to knows for a PA considering a career in general practice.

Introduction (0:59)

Setting the scene (1:15)

Where general practice sits within the wider NHS (2:09)

Recent changes and the birth of PCNs (3:01)

The Additional Roles Reimbursement Scheme (3:58)

Challenges facing PCNs (4:50)

James’ view of practice versus PCN placement (6:26)

The importance of knowing where you stand before applying for a role (6:52)

Getting the most out of having a PA and being a PA in a PCN (7:34)

What is GP partnership and the business model explained (10:18)

Financial challenges (11:34)

The New to Partnership Scheme (12:26)

Why have numbers of partnerships fallen in recent years? (13:32)

Out of hours services in general practice (15:38)

Quality and Outcomes Framework (QOF) explained (17:58)

Predicting the future (19:06)

Further information and getting in touch (23:04)

Here is the link to Rachel Morris’s Resilient Team Academy website (which Ben refers to) and which contains information on the resources available, the current discounted offer– and how to join up.

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Podcast – Nicky Turner & Rachel Morris – Maximising the effectiveness of a Clinical Director.

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Staff across general practice are currently feeling the impact of the enormous increase in workload as a result of the pandemic and business as usual spectacularly colliding but what is life like at the top of a PCN right now? How are the Clinical Directors bearing the additional burden, managing the demands from their own workloads, and finding adequate time to support and grow new, integrated teams across their network? In this week’s podcast, we welcome back GP and executive coach Rachel Morris who offers her usual brand of practical, innovative, and accessible solutions for managing team stress and individual pressure. Rachel is joined by Dr Nicky Turner, Clinical Director for The Chalfont PCN in Buckinghamshire, who shares her experiences in the role and where her own support systems exist. Together, our panel explore where the challenges lie right now, what can be done to preserve and promote team and personal resilience – and finally how and why listeners to the podcast should access further support of their own and resources from Rachel’s Resilient Team Academy

Introductions (0:39)

Nicky’s PCN demographic (0:55)

What are the main challenges Nicky faces in her role right now? (1:16)

Is the issue of workload the main factor or is it wider than that? (1:43)

Working across practices within a PCN (2:09)

Managing people and change (3:12)

The impact of the Additional Roles Reimbursement Scheme (ARRS) (4:13)

Rachel’s view on the pressure Clinical Directors are under (4:42)

What is helpful in terms of support? (5:21)

Nicky’s perspective on reducing stress and being more effective (6:16)

Actively seeking support (7:01)

The Drama Triangle (7:43)

Are softer skills really beneficial? (9:36)

Tailoring resilience training for different leaders (10:19)

Finding support in difference places (11:41)

The Resilient Team Academy (12:05)

Building a stronger team (13:39)

Planning for team engagement, post Covid (14:30)

Embedding ARRS staff (15:29)

Lessons learned from others’ experiences…what will get from joining The Resilient Team Academy? (17:27)

Constructive conflict (18:53)

The issues of virtual meetings and the impact on building great team relations (19:48)

Final words from Rachel (19:59)

 

Here is the link to the Resilient Team Academy website which contains information on the resources available, the current discounted offer– and how to join up.

22
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Podcast – Practice Index – Forecasting the next financial year.

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As the new financial year and all its uncertainties looms, our joint Practice Index / Ockham Healthcare panel return to discuss their predictions and the preparations they have in place. Podcast regulars Robyn Clark and Nicola Davies are this week joined by RSM Partner and our resident finance expert James Gransby to talk all things QOF, enhanced services and the contractual requirements for 2021/22. Where are the pressure points? Can we continue to manage business as usual alongside the Covid vaccination drive? Will our core service once again expand to include the vaccinations year on year? How do we juggle this and what can we expect to receive by way of funding? Are we simply going to break even or can primary care profit from the increased workload? Life after Covid potentially starts here…

Introductions (0:33)

How does life in general practice right now compare to that of a ‘normal’ March? (0:49)

Planning for QOF next year (1:47)

Is it possible for networks to manage business as usual alongside the enhanced service? (2:59)

What networks should be considering when it comes to finance in the new year (4:44)

Covid vaccinations to become core practice? (6:08)

The implications of a year-round vaccine drive (7:42)

Budget 2021 in summary and what it means for primary care (8:38)

Contract considerations, outside of QOF (10:48)

Implementing the Additional Roles Reimbursement Scheme in practice (11:55)

Mitigating the risk of high staff turnover (14:43)

Are PCN structures fit for future? (16:35)

Utilising the £1.50 (17:33)

An alternative way of thinking (18:40)

Embedding mental health workers (19:39)

James’s final thoughts ()

The Practice Index website can be found here

For all enquiries, please contact James Dillon here

15
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Podcast – Rachel Morris – How to keep on, keeping on

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We are all aware of the pressure on general practice which has ramped up considerably since the vaccine drive began back in December but with no let up in sight and in fact, with pressure increasing across primary care going forwards, how do we maintain our current resilience and productivity levels whilst succumbing to the stress and even worse, the very real threat of burn out? Luckily GP and Executive Coach turned trainer Dr Rachel Morris is our featured guest this week and offers her thoughts, and some really practical advice, to ensure the burden of responsibility can be shared and managed more constructively, to preserve and promote the wellbeing of a team (and its individuals) during what many are finding to be the most stressful period of their working lives to date.

Introduction (0:29)

Where are we at right now? (1:05)

How do we maintain current momentum? (2:19)

Why you should be taking time off despite increasing pressure (4:18)

Taking a leap of faith (5:54)

Assuming the role of the rescuer (6:45)

Managing tensions and moving forwards (7:45)

Communication is key (9:33)

Building trust (10:08)

Where some PCNs have become disjointed (10:54)

Network challenges (11:39)

The Five Dysfunctions of a Team – Patrick Lencioni (12:17)

The importance of constructive conflict (12:50)

The transition of good working relationships to business as usual (15:21)

Mining for conflict to enable teams to function well (16:22)

The impact of the virtual environment (17:39)

Finding out more (19:09)

The Resilient Team Academy (20:24)

A list of the resources Rachel has mentioned:

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