7
jun
0

Podcast – Sovereign Health Network – Rapid change in response to Covid

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Covid has presented many challenges for practices and networks but many have risen to this challenge and found that, as a result, they have been able to accelerate many existing projects and are seeing hugely positive outcomes. Sovereign Health Network, a PCN of three practices based in Hampshire, have enacted rapid change as a result of the crisis and are now at the point of considering what to keep, how to rebalance network versus local priorities and how to maintain momentum going forwards. Clinical Director Dr Tom Bertram, Network lead Amanda Gray and Nursing lead Laura Miller share their story of what they did, what they achieved and where they are now.

Introductions (0:39)

The first year as a primary care network (1:45)

Creation of a same day service (2:01)

Amanda’s transition from practice manager to practice manager and network lead (3:06)

When Covid happened (4:17)

A ‘command and control’ approach (5:01)

Mixing up the workforce; working by risk profile (5:35)

The challenge of losing a practice’s identity (6:53)

Staff reaction (admin and management) (7:59)

Support for the wider teams, both clinical and non-clinical (8:52)

What was the impact on the nursing teams and how did Laura manage this? (9:43)

How do the nurses feel now? (11:05)

Results from the staff survey (11:31)

What other changes have been made? (12:04)

A shared pharmacy service (12:31)

The telephone hub (13:25)

Single route access to the network (13:41)

Patient feedback (14:33)

Rebalancing network and practice priorities post Covid (15:05)

Population health management (15:54)

Juggling practice and network priorities as a local manager and network lead (16:58)

Summarising the overall effect of Covid on the network (17:54)

Getting in touch (19:09)

 

Amanda Gray, Sovereign Health Network lead: amanda.gray2@nhs.net

Dr Tom Bertram, Clinical Director, Sovereign Health Network: tom.bertram@nhs.net

31
may
0

Podcast – The Rapid Deployment of Online and Video Consultations across London

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The challenges presented by the Covid crisis have seen an acceleration of many existing transformation projects in general practice, particularly where use of tech and a move to a digital infrastructure is concerned. This week’s podcast features a panel of experts from the London region who bring a clinical, project and programme perspective on the hugely successful transition to online and video consultations and an insight into the brand-new NHS app. From triage and the creation of a digital front door to managing an incredibly rapid deployment, the importance of effective communication and the public response, here is how, in a few short weeks, they have enabled 95% of London practices to offer online consultations and 100% who now have the ability to deliver video consultations to support their patients.

Introductions (0:36)

The challenge presented by Covid (2:11)

How was the transition to online and video consultations enabled? (3:17)

The deployment from a clinical perspective (5:08)

Patient response (7:30)

The NHS app (9:19)

Rollout across the STP area (10:57)

Why each London borough was managed differently (13:44)

What has been the impact of both online and video consults? Has one proved more successful than the other? (14:54)

Was hardware a critical success factor? (16:33)

Future plans (18:22)

Life after Covid? (19:55)

What happens next from a practice point of view? (20:48)

Getting in touch (22:51)

If you would like to know more, you can contact the London Digital First Programme team and / or Emily, Sustainability and Transformation Partnership (STP) project lead for North Central London:

Digital First Programme (London): england.londondtt@nhs.net

STP lead: Emily.mitchell9@nhs.net

24
may
0

Podcast – Robert McCartney & Stephen Kemp – Establishing a Covid ‘hot’ site

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Robert McCartney and Stephen Kemp specialise in supporting and developing innovative and sustainable primary care services. Here, they take us through their experiences of setting up Covid ‘hot’ sites in the south Kent area, in response to the global pandemic; how the projects were mobilised, what the key consideration factors were and what they learned along the way.

Introductions (0:09)

The network set up (1:54)

When did planning for a ‘hot’ hub begin? (3:01)

Overcoming the logistical challenges (4:56)

From idea to go-live (6:12)

Staffing a ‘hot’ site (6:42)

The cost implications for a practice or network (8:23)

Activity levels so far (9:06)

Boosting the numbers (9:54)

Lessons learned (11:24)

Internal versus external spaces (12:24)

Can there be a centralised model? (14:20)

Planning for the future of Covid and its effects (15:39)

Getting in touch (17:19)

Robert’s email: rm@mccartneyhealth.co.uk

Stephen’s email: skemp@mccartneyhealth.co.uk

McCartney Healthcare Associates website here

Twitter: @McCartneyHealth

LinkedIn

17
may
0

Podcast – Justin Cumberlege – The need to know on the Network Contract Direct Enhanced Service (DES)

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With PCNs and practices facing the impending deadline for their decision on the Network Contract Directed Enhanced Service (DES) Contract Specification for2020/21, Ben talks to Justin Cumberlege, who specialises in providing legal advice to the primary care healthcare sector as a partner at Hempsons Solicitors. From the contract specifics, to the key considerations and the legal and practical implications in between, this week’s podcast offers a bitesize overview of what primary care should be mindful of before 31 May 2020.

Introductions (0:14)

How is this year’s network DES different? (0:38)

The challenges so far (1:41)

Publication timing (2:53)

What does sign up mean for practices and networks? What are the timescales? (4:26)

What if a practice does not want to be part of their PCN going forwards? (5:49)

Can the PCN configuration be changed at this point? (7:15)

The thorny issue of ‘expelling’ a practice from a network (7:46)

Justin’s highlights the key considerations for practices and networks, ahead of the sign-up deadline (8:15)

Reviewing the network agreement (9:35)

Requirements of collaboration (11:39)

The repercussions of breaching the contract (14:15)

Defining the difference between the PCN DES and the PMS agreement and GMS contract (17:23)

Focusing on the small print and implications of worst-case scenarios (18:18)

If practices sign up this year, what are the implications for opt out next year? (19:09)

Getting in touch (20:06)

Hempsons website here

Justin is contactable via email: j.cumberlege@hempsons.co.uk

10
may
0

Podcast – Tara Humphrey – Project Managing a Pandemic (Part 3)

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Tara Humphrey, our ‘almost’ resident Project Management expert supporting the development of Primary Care Networks and GP Federations, returns for a third episode in a series of podcasts covering the pandemic from a business and management perspective. This week Tara and Ben reflect on where they are up to in their own roles, within their own areas, with their focus shifting towards life after Covid and more traditional priorities – but with the added benefit and experience of the best practice that has taken place during recent times.

Introductions (0:14)

Drive through immunisations (1:14)

What has been happening in Tara’s world? (2:35)

Planning for life after Covid? (3:06)

Considering new priorities in a GP Federation schedule (4:06)

The Care Home challenge (4:56)

Modelling a new Care Home scheme (5:47)

Ben’s experiences of aligning care homes to practices and PCNs (6:46)

The network mindset (8:19)

Tara and Ben discuss the PCN DES more broadly (9:14)

Positive impacts as a result of the pandemic? (9:57)

Building on the positives; opportunities for further partnership working (11:01)

The theory of change and maintaining momentum (13:16)

Th effect of crisis working (14:43)

Learning lessons (15:27)

What’s next for Tara? (16:06)

…and for Ben? (16:58)

Find out more about Tara Humphrey:

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