8
nov
0

Podcast – Farzana Hussain – Year 2 as a Clinical Director and beyond…

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This week heralds the return of inspirational GP Dr Farzana Hussain, who runs The Project Surgery in Plaistow, east London, is Clinical Director of her local PCN and 2019’s GP of the Year, amongst other key roles where she champions innovation and quality improvement in primary care. Farzana is back to share her thoughts on the last year in her role as Clinical Director and what comes next for her Newham PCN. From the additional roles reimbursement scheme (ARRS) rollout, to going back to basics and defining local objectives, readying teams, and staff, for the move towards integrated care and the associated shift in her priorities, leading on an emotive and truly rewarding local project and attempting to redress the health inequalities balance, the pace of work continues to be unrelenting and 2022 looks set to be equally challenging. Listen here as Ben takes time to explore Farzana’s hopes, frustrations, achievements and aims in our latest podcast episode.

Introduction (0:10)

An overview of the last year (0:30)

The challenges of the ARRS (1:47)

Why shared purpose is so important (2:53)

Preparing for integrated care systems (4:24)

Farzana’s view on the change in PCN deliverables (5:19)

Identifying priority areas (7:12)

Juggling practice and PCN priorities (8:26)

The Newham knife crime project (11:24)

The role of the Youth Link Worker and partnering with local community groups (13:36)

Levelling up the health inequalities imbalance (14:54)

What’s next for Farzana? (15:40)

Feeling the benefit of the additional roles (17:03)

Can we take control of the ICS agenda? (19:08)

1
nov
0

Podcast – Hussain Gandhi – Life as a Clinical Director (Part 3)

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“Dr Gandalf”, GP, eGPlearning podblast founder, and Ockham podcast favourite, is back with another fascinating insight into his most recent year as Clinical Director for Nottingham City East PCN. In this third instalment documenting the journey in his ‘day’ job, Gandhi and Ben discuss the highlights of recent times, including the recruitment and expansion of a safeguarding care coordination service, how Nottingham East have embedded wider ARRS staff, the impact of the updated GP contracts within the network and on the patient population, preparations for the new world of integrated care in 2022 and what’s next on the agenda for Gandhi as he reflects on his achievements to date and why he remains as passionate as ever about his role.

Introduction (0:10)

On how life is, right now (0:37)

Practice vs PCN priorities (1:04)

Maintaining individual identities within a wider network (2:11)

The Safeguarding Care Coordinator (3:20)

Recruitment of other additional roles (4:23)

Exploring the relationship between additional roles staff and the wider workforce (5:39)

Accommodating and integrating the ARRS teams (7:16)

The challenges presented by the new primary care contracts (7:58)

Gandhi’s view of the health inequalities risk presented by existing contractual targets (9:38)

How can we respond to contractual targets in practice? (10:46)

Reaction to the recent NHSE publication (12:00)

Preparations for Integrated Care Systems (ICSs) (14:52)

Where does the Clinical Director post sit in context with the LMCs and the development of the ICSs? (16:43)

Looking ahead… (17:49)

The best bits of clinical directorship (19:25)

 

The link to the eGPlearning YouTube channel is here

24
oct
0

Podcast – Practice Index – The Improved Access publication…debriefed.

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The dust has certainly not settled on the very recent NHS England publication on improving access for patients and supporting general practice and in the latest of our joint Practice Index / Ockham Healthcare podcast series, our ‘fab four’ react. Our now infamous panel of Practice Management extraordinaires and Institute of General Practice Management founders and directors, Nicola Davies, Robyn Clark, Kay Keane and Jo Wadey, talk to Ben about what’s been set out within the document and how they feel about it, following an outcry from IGPM members and primary care colleagues alike. From the risks posed by the way the funding has been set out, to an apparent lack of understanding about the reality on the ground right now, where this leaves the sector and how general practice could be better supported, the quartet tell us why the latest guidance falls so far short and share their concerns about what the future holds for a primary care which is already at crisis level.

Introduction (0:25)

Initial reactions (0:46)

Key concerns (1:14)

Performance based funding (1:40)

A lack of understanding about what’s happening on the ground (2:52)

The contradiction of improved access and promotion of remote consultations (4:13)

How should practices respond? (6:28)

Are there any useful takeaways from the publication? (8:17)

Onus on commissioners (9:42)

The risk of perverse incentivisation (10:15)

How can general practice be better supported right now? (11:00)

IGPM response (11:27)

Feedback from individual practice managers (12:52)

An undeliverable expectation? (13:21)

A sign of things to come? (15:33)

The IGPM one year on and what is happening next (17:19)

 

Practice Index’s website can be found here

For more information and to sign up to become a member of the IGPM, please find the website here

For all enquiries, please contact James Dillon here or Ben Gowland here

17
oct
0

Podcast – Connect Health – Why First Contact Physiotherapy should feature in your service…

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With almost twelve months experience of delivering a first contact physiotherapy (FCP) service across three PCNs in South Tyneside, Connect Health can attest to their worth. In fact, the service has been so well received that the PCN are on a mission to double the numbers of physios across their area, going forwards. In this week’s episode we meet South Tyneside Clinical Director, Federation lead and GP Dr Anji Curry and Connect Health’s MSK Clinical Service Manager and Physiotherapy Advanced Practitioner Hal Brace, who talk to Ben about their journey so far; what first contact practitioners can bring to a PCN in terms of easing the workload burden and early intervention, the different models for recruitment, the importance of care navigation in supporting and complementing the FCP service, and why every team should consider inclusion of these vital roles within the context of the Additional Roles Reimbursement Scheme (ARRS) funding available.

Introducing Anji (0:22)

All about Hal (0:40)

The South Tyneside PCN area (0:54)

Adopting an innovative approach to the ARRS funding (1:20)

PCN demographic (2:30)

A background to the FCP service and how the service has grown over time (2:44)

Partnering with Connect Health and the recruitment process for the FCPs (4:58)

How does the FCP service work in practice? (6:05)

The FCP spread across the PCN areas (8:15)

What have been the biggest challenges so far? (10:38)

Managing waiting times and clinic schedules (13:12)

Winning over more reluctant colleagues (14:06)

The relationship between the PCNs and Connect Health (15:32)

Why data measures and audits are key (17:10)

Planning for the future (18:01)

Advice and top tips from Hal and from Anji (19:03)

 

If you would like further information and / or would like to get in touch with the team at Connect Health, please visit their website here

10
oct
0

Podcast – University of Nottingham Health Service – Why Wellbeing Matters…

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Picking back up on our series of podcasts about making the best use of the Additional Roles Reimbursement Scheme, this week Ben meets a multi-skilled, multidisciplinary team of professionals who are all working towards achieving better mental health outcomes for the students, staff and young people based in and around the University of Nottingham campus. The wellbeing team, led by GP DR Matt Litchfield, consists of Stuart Keeling, Mental Health Nurse Practitioner, Amy Smith, Occupational Therapist and Emma Swearman, Health and Wellbeing Coach. Based at Cripps Health Centre, the four each give us an insight into their backgrounds and their current roles, what they can offer to better the lives of their patients, both individually and as a collective, the enormous growth of the service over a relatively short time span and the wider impact they are having at practice level and to the benefit of the local healthcare sector, more widely.

 

Introducing Matt, Stuart, Amy & Emma (0:09)

The practice, PCN and local population (0:29)

Where the wellbeing team began (1:16)

Stuart’s background and the growth of the Mental Health Nurse Practitioner role within the wellbeing team (2:17)

Appointment structure (5:31)

Amy’s input as an Occupational Therapist (OT) and what OTs can bring to a mental health service (6:39)

The transition of OTs into primary care (8:32)

Emma as a Health and Wellbeing Coach (10:06)

How does Emma’s role work in practice? (11:26)

Community health and wellbeing groups (12:18)

Measuring success (13:00)

Team management structure and supervision (15:11)

The impact of the team on the wider practice and patients (16:25)

Meeting patient needs (17:59)

The importance of early intervention and the benefit to the wider healthcare partners (18:22)

Employment of the mental health practitioner in partnership with local providers (19:31)

Planning for the future (20:54)

Getting in touch (22:37)

 

If you have any specific questions, or you’d like to learn more about the inspiring work of the University of Nottingham wellbeing team, please contact Matthew or Stuart.

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