4
jan
0

Podcast – Dr Zalan Alam – Innovative intermediate care

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There are generally more failures than success stories when it comes to launching and maintaining community based urgent care services across the country so what have the team in Rochdale done differently? To kick off the new year, Ben is joined by GP Dr Zalan Alam, Clinical Director for the hugely successful and pioneering Heywood, Middleton and Rochdale Intermediate Care Team who gives an inspiring insight into their five-year journey to date; from establishing their business case, to operating within a more flexible service specification, where they have grown and continually adapted, the lessons learned and their future aspirations in continuing to deliver a gold standard of care for their local population.

Introduction (0:34)

Zalan’s role and an overview of the service model (0:51)

Establishment of the service and some key factors in its success to date (1:56)

The business case (3:07)

A typical patient journey (4:58)

Capacity challenges? (6:29)

Impact of Covid (7:11)

Integrating social prescribers (8:50)

The five-year evolution of the service (9:50)

Lessons learned (11:30)

Zalan’s thoughts on integrated care (13:04)

Cultivating a shared vision (14:57)

An alternative approach to the service specification (15:33)

What’s next? (16:36)

Finding out more (18:14)

Heywood, Middleton & Rochdale’s Intermediate Care Team website

Contact points for the service as follows:

Dr Zalan Alam Clinical Director for Intermediate Tier Services

Wendy Antil Service Manager

Ruth Chamberlain Directorate Manager

The link to Zalan’s first podcast episode is here

14
dec
0

Podcast – Practice Index – Covid vaccination programme

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The publication of the enhanced service landed at the beginning of December and with it comes further, additional challenges for general practice and places us firmly in the spotlight of the current healthcare agenda. Our ever-popular Practice Index panel return and as well as providing an update following their last episode, they are this week joined by podcast favourite Dr Hussain Gandhi (Dr Gandalf) to consider the implications of and considerations required for the delivery of the Covid vaccination programme locally and nationally. How do we engage with a partially sceptical public? How will we fare balancing immunisations alongside business as usual? How delivery will be managed in practice? Whilst also not forgetting the management of finances and workforce planning…

Introductions (0:35)

An update on the establishment of a nationally recognised organisation for Practice Managers (0:46)

The Institute of General Practice Management contact points (2:22)

The panel’s reaction to the Enhanced Service publication (2:53)

Moving from practice to network wide delivery (3:56)

Robyn’s perspective (5:23)

Identification of a designated site for Nicola’s network area (6:31)

The plans for Nottingham City East (7:06)

What differences are there between the Enhanced Service and the original, local plan in Gandhi’s area? (7:55)

The challenges in summary (8:59)

Workforce organisation (10:28)

Nicola’s thoughts on staffing the enhanced service (11:59)

Managing a vaccination programme alongside business as usual (13:08)

Financial reimbursement in South Gloucestershire (13:46)

How Gandhi is handling the financial flow in his network (14:41)

Comms / engagement with the public – and managing concerns (15:47)

Recording appointments and immunisation numbers (18:10)

The process for vaccination clinics in practice (20:27)

eGP Learning and Practice Index resources (21:57)

 

For more information on The Institute of General Practice Management:

Twitter   Facebook   Email

Practice Index

Dr Gandalf’s eGP Learning podblast:

YouTube channel

7
dec
0

Podcast – Larry Koyama – Introducing First Contact Physiotherapists

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Amongst the host of new roles available to PCNs are First Contact Physiotherapists (FCPs); a service designed to signpost patients directly into a physiotherapy service and therefore saving valuable GP and GP referral to treatment times. As this is a relatively new concept for most, we speak this week to Larry Koyama, Head of FCP Implementation at the Chartered Society of Physiotherapy to get the lowdown on what an FCP actually is, what the role can offer in terms of supporting practice efficiency, the suggested models for successfully embedding FCPs in both an employment sense and in terms of integration within the wider network, the lessons learned so far and more.

Introduction (0:35)

The background to Larry’s role (0:46)

Making the case for First Contact Physiotherapists (1:34)

What is an FCP? (2:34)

What is the difference between a Physiotherapist and an FCP? (3:38)

Patient pathway and service access (4:28)

Crunching the numbers; caseload and appointment sizes (5:11)

FCPs per population size (5:52)

Lessons learned so far (6:51)

FCPs within the wider practice and network teams (8:19)

Optimising working experience within a network environment (10:03)

3 suggested employment models (12:37)

Exploring the implications of direct and indirect employment (14:21)

Current availability of FCPs (15:45)

Larry’s final thoughts on making the most of your FCP (16:46)

Finding out more (18:27)

 

There is a range of CSP FCP resources which can be found here

 

The link to the Phase 3 FCP evaluation data Larry refers to is here

30
nov
0

Podcast – James Gransby – Cashflow and Covid

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Has there ever been a year which has been more tough in terms of demand and output in general practice? Covid landed and with it a whole host of immediate and long-term issues which have all had a direct impact on practice and network cashflow. Our resident finance guru James Gransby of RSM UK is back this week to give his thoughts and his advice on available funding now, what may be up for grabs in future, where savings could be identified, whether general practice overall is thriving in spite of the pressure and most importantly, what to do if your financial position is already precarious.

 

Introduction (0:33)

Is it harder for practices to stay on top of finances now? (0:43)

What support is available from NHS England? (1:12)

The influence of individual CCGs (2:18)

Income protection (2:47)

Where is income being lost? (4:00)

Has the £150m Covid expansion funding really made a difference?  (4:46)

Practical and financial implications of taking on additional roles (6:02)

The pressure from two, large-scale immunisations programmes in one financial year (6:53)

Direct support from government (8:21)

James’s take on the overall financial impact of Covid (10:08)

What actions should we be taking right now? (11:31)

Advice for those who are struggling (12:52)

Utilising a PCN surplus (14:03)

How the additional roles can help from a network perspective (14:34)

Will there be any further opportunities to boost income at any point? (15:08)

Transformation of working process = savings? (16:14)

James’s final thoughts (17:29)

Further information, resources and getting in touch (17:56)

 

The COVID article can be found here and the Autumn version which also contains COVID tips (including Christmas gifts) can be requested from your local AISMA accountant or by emailing James at james.gransby@rsmuk.com

23
nov
0

Podcast – Hussain Gandhi – Life as a Clinical Director (revisited)

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Following our recent podcast featuring Dr Farzana Hussain, we catch up this week with Dr Hussain Gandhi, aka Dr Gandalf to his own eGPlearning Podblast listeners, to hear about how his year in post as Clinical Director for Nottingham City East PCN has gone, in the backdrop of all the challenges presented by Covid, the flu vaccination programme and the new PCN DES specs (to name but a few). Gandhi talks to Ben about his own reflections within his role, how his teams have fared, how they are dealing with increased pressure and their plans for the future which include expansion of the team and the services they can offer.

 

Introduction (0:31)

Sustaining the initial excitement of being Clinical Director despite a particularly gruelling year (0:45)

Relationship development within the network area (1:23)

Sink or swim? (2:49)

The explosion of tech in general practice (3:31)

Adoption of digital process and the impact on multi-disciplinary working and setting up new services (4:36)

How are Nottingham City East using the additional roles scheme? (6:17)

Gandhi’s thoughts on the network manager post and recognising the efforts of Practice Managers over the last 12 months (8:16)

The practicalities of employing a network manager / designing the role (9:42)

Progress on the additional clinical roles (10:27)

Time management (11:56)

Short and long-term strategies for employment of additional roles (12:26)

PCN DES specs (13:42)

Coping with an escalating workload (15:12)

The importance of saying “no” (16:04)

Main reflections and highlights from the last 12 months (16:41)

What happens next? (17:45)

The eGPlearning Podblast (19:08)

Finding out more (19:57)

 

The link to the eGPlearning YouTube channel is here

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