2
oct
0

Podcast – Paul Bennett – Managing Patient Demand

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We last spoke with GP Dr Paul Bennett way back in December 2019 BC (before Covid) when his Porchester based surgery was in the process of trialling new and innovative ways of meeting and managing patient demand. Fast forward to almost three years later; post pandemic, within a rapidly evolving general practice landscape, and with the pressure to provide more appointments at an all-time high, Paul and his team have had to adapt and improve their previous strategies, to offset the needs of their patient population against decreasing numbers of medical professionals. In this week’s podcast instalment, Paul talks Ben through the new systems they have embedded to manage the challenge of capacity and demand, and why he feels that in Porchester, they are able to offer a safer, more streamlined, and equitable service.

Introduction (0:10)

What’s been happening since we last spoke to Paul? (0:47)

How does the ‘pod’ system work? (2:05)

The role of the Care Navigator (2:25)

eConsult platforms and eForm creation (2:44)

Breaking down the two components of demand (3:34)

Managing patient access (4:38)

Allocation of a designated pod team (55:30)

Management of those requiring urgent treatment (6:05)

Transferring patients from routine to urgent care pathways (8:22)

The red flag form (9:19)

Forms for more specific conditions and concerns (10:04)

Aligning the process within the wider network (11:40)

Managing triage, decision-making and proactively signposting patients (1:04)

Development of the case managers and the pod team skill mix (13:09)

Positive impacts and lessons learned (14:44)

Measuring outcomes (15:53)

What have been the main issues or problems? (16:26)

Reaction from the doctors to newer ways of working (17:18)

Next steps (19:09)

Finding out more and getting in touch (20 mins 37 secs20:37)

 

If you’d like to learn more about the systems in place at Westlands Medical Centre, Paul’s is contactable here.

25
sep
0

Podcast – Livi – Increasing doctor numbers

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In the latest of our Livi-sponsored podcast episodes, Ben speaks to Dr Harriet Bradley, GP, and Medical Director at Livi, and Dan Kane, GP Federation Chief Executive Officer at Northampton General Practice Alliance, about the widespread shortage of GPs across the country, and how Livi are working with local systems to support them in meeting patient demand and increasing capacity. Harriet talks to us about the Livi ethos, their work and how they operate as a service and also, from the perspective of local practices and networks, Dan is able to offer valuable insight into the impact that employment of Livi’s services has made on them in not only increasing the availability of doctors but as to how the service has been received by primary care staff and the benefits felt by the patients they serve.

Introductions (1:04)

Meeting Livi’s Harriet Bradley (1:20)

Meeting Dan Kane, Northampton General Practice Alliance’s CEO (1:49)

The relationship between Livi and GPA (2:15)

How does the service work in practice and how are the Livi GPs embedded within existing local systems? (3:24)

Tailored support models for each individual area (4:22)

The response from practices (5:34)

Support at federation level (7:26)

Building trust and effective communication channels (8:30)

Dan fills us in on the GPA journey with Livi and why they decided to use their services (9:36)

How do local GPs feel about Livi? (10:40)

Getting buy-in from the get-go (11:50)

Integration with EMIS and SystmOne (12:57)

Building up the reserves of doctor capacity from Livi’s perspective (14:21)

IT access and requirements (15:26)

Funding and payment to Livi (15:58)

Who typically commissions Livi’s services? (16:55)

What’s next for Dan and GPA? (17:37)

What are Livi’s aims and aspirations, going forwards? (19:05)

Advice from Dan on key considerations and what works (20:01)

Getting in touch with Livi and finding out more (21:39)

 

To find out more information about Livi, their services and how to get in touch, check out their website here.

19
sep
0

Podcast – Practice Index – The Cost of Living Crisis and General Practice

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With the nights now beginning to draw in, the reality of the cost-of-living crisis is looming large over general practice. With charges for heating, lighting, and overall maintenance of our premises going up, coupled with the impact of inflation on pay, the promised staff pay rises and the difficulty of balancing the books ever more challenging, and with all the usual winter pressures now around the corner…something has got to give. Our ever-popular Practice Index panel members, and Institute of General Practice Management (IGPM) directors, Robyn, and Nicola, return to discuss their own concerns, the approaches they are taking in their own practice areas, and share their thoughts about the key considerations for primary care, as a whole.

Introduction (0:09)

What has Nicola been up to since our last conversation? (0:22)

And what’s keeping Robyn busy right now? (0:43)

What are the challenges of the cost-of-living crisis at practice level? (0:59)

Balancing staff pay rises (2:35)

Maintenance of buildings and services and rising utilities costs (4:37)

Travelling, home visits, and fuel charges (5:25)

Staff turnover (6:39)

Patient health and wellbeing and the potential for a further increase in demand (8:03)

Implications for GP Partners (9:47)

Sustainability of the practice as a business (11:43)

Is there any support available? (13:04)

Action from the Institute of General Practice Management (14:02)

Making the primary care voice heard (15:14)

 

For all enquiries about the Practice Index / Ockham podcast, please contact James Dillon here or Ben Gowland here

11
sep
0

Podcast – Maddie Baker-Woods and Paul Little – Integrated Neighbourhood Teams

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Integrated Care Systems are here and with them, the advent of new ways of working and yet more healthcare terminology! Integrated Neighbourhood Teams (INTs) may be an original concept to many of us in general practice but in Suffolk and North East Essex, they have been in existence for a little bit longer. In this week’s podcast episode, sponsored by Livi, we are privileged to be joined by Maddie Baker-Woods, Director of Ipswich and East Suffolk Alliance at Suffolk and North East Essex Integrated Care Board, and Paul Little, Director for Integrated Health and Care at Suffolk County Council and East Suffolk and North Essex Foundation Trust, who explain how their own, established network of INTs work, how the teams interact with PCNs and primary care more widely, the challenges, and rewards, they have encountered on their own journey – and why localised care is key to meeting the needs of individual population areas, rather than a more widespread approach.

Introduction (0:09)

Meeting Maddie and Paul (1:06)

Maddie’s role (1:16)

All about Paul (2:09)

Building Integrated Neighbourhood Teams (3:00)

Organising services and a locality-based model (4:33)

Balancing relationships between integrated neighbourhoods and primary care networks (6:53)

Overcoming barriers (7:24)

Working with constraints and challenges (8:30)

How does general practice feed into the integrated neighbourhood teams? (9:08)

Accountability (10:48)

A place-based versus organisational (top down) approach (12:55)

The influence of local demographic (14:28)

Positive outcomes (15:42)

Helping people to be as independently functioning as possible (17:44)

Advice from Paul for others embarking on the same journey (18:51)

Maddie’s top tips (20:45)

Estates and co-location (21:06)

Where general practice should be prioritising their efforts (21:30)

Finding out more (24:14)

 

To learn more about the work of NHS Suffolk and North East Essex Integrated Care Board, check out their website here.

This podcast episode is sponsored by Livi, the first digital healthcare provider to be rated Outstanding by the CQC. Further information about Livi and what’s on offer can be found here.

4
sep
0

Podcast – Naj Seedat – Calling all new Partners (and those who think they’d like to be)!

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This week heralds the start of the new term and a return to weekly podcasts, and we are incredibly privileged to be joined by Dr Naj Seedat; GP Principal and Partner at a large practice in Ilford, northeast London, LMC Board member, GP appraiser and one of the founding fathers of his local GP federation. In this episode, Naj and Ben discuss the challenges faced by those new to GP partnership; the key considerations for those debating whether or not to make the leap into partnership, the experiences of both old hands and those who are just starting out, partnership in the context of the ever evolving primary care landscape, the rewards of partnership and why the New to General Practice Partnership Programme Naj and Ben are launching can be instrumental in shaping and supporting the journey to partnership, and beyond.

Introduction (0:09)

A bit about Naj (0:17)

What’s life in partnership like right now? (0:38)

Is partnership still an attractive prospect whilst nationalism of general practice is being mooted? (2:24)

Working autonomously (4:23)

Transition to partnership and how the programme can help (6:15)

Navigating the Human Resources minefield (9:03)

Managing finance (10:31)

Monitoring practice performance and local KPIs (13:34)

Understanding how to best manage your business and benchmarking progress (15:51)

The external environment / Integrated Care Systems (16:35)

Signing up to cohort three of the New to Partnership Programme (17:57)

It’s not just for GPs! (18:30)

Access to resources and knowledge (19:25)

The next cohort of the New to General Practice Partnership training programme begins on Tuesday 11 October. To find out more and to grab one of the remaining spaces, please follow this link.

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