6
jun
0

Podcast – East Merton PCN – Nurturing new roles

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In the second of our series of podcasts covering the experiences of those working in the new Primary Care additional roles, we meet the team from East Merton PCN. GPs Dr Annie Murphy and Dr Mohan Sekeram, talk to Ben about their approach to the employment of the new roles and how they have empowered and enabled their new team members to better support the needs of the patient population, whilst relieving pressure on existing practice staff. They are also joined by Health and Wellbeing Coach Caroline Haines and Paramedic Patricia Murphy who share their experiences of their respective roles so far. How they fit in alongside existing staff across practices and the wider network, how easily they have found the transition into primary care and most importantly, the impact and where they are seeing benefits when it comes to improving health outcomes for their patients.

Introductions (0:35)

East Merton PCN demographic and their approach to the recruitment of new roles (0:57)

Why population health management is key (3:12)

Integrating the roles at practice level (4:46)

Caroline tells us what attracted her to health and wellbeing coaching (6:34)

Caroline’s previous experiences and coming into Primary Care as a ‘newbie’ (7:13)

Where does Caroline feel she fits (practice versus PCN)? (8:03)

How the health and wellbeing coaching referral pathway works in practice (8:18)

Positive patient feedback (9:14)

Educating existing staff on health and wellbeing coaching (10:58)

Introducing Patricia, East Merton PCN paramedic 12:05)

Paramedic referral management (12:53)

Linking with other new roles (13:17)

Impact of additional roles on practice, network, and patients (13:55)

Support with overall workload (15:25)

Relieving pressure on GPs (16:23)

Planning for the future (18:15)

Measuring outcomes and patient outreach work (19:22)

Advice to others on embedding additional roles and getting the best from your new workforce (20:46)

 

If you have an ARRS success story and / or you are working within one of the additional roles and have a story to share, we’d love to feature you on the podcast! Do email Ben at ben@ockham.healthcare or get in touch via Twitter

30
may
0

Podcast – THC Primary Care – The Impact & Investment Fund Webinar

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It’s a podcast with a difference this week! Ben joins forces with Tara Humphrey of THC Primary Care to share the highlights of their recent webinar focusing on the Impact and Investment Fund, introduced very recently as part of the GP and Primary Care Network Contract Settlement. Within the session, Ben and Tara attempt to unpick what the funding means in practice, what value it can add and where the pitfalls may lie alongside how to incorporate the funding into existing financial models and PCN plans, and where the IIF fits within the wider primary care framework. Are the additional monies going to be of benefit or is it simply another burden to manage at a time when general practice is already stretched to the limit?

Welcome and intro from Tara (0:27)

Why a webinar on the impact and investment fund? (0:48)

Hello from Ben (1:55)

Lessons learned from round 1 (1:37)

Network versus practice approach (3:59)

Leveraging social prescribing referrals and the contribution of the ARRS teams (5:52)

Advice to managers and clinical leaders on leading the IIF approach (6:55)

Can the IIF play a useful part in realising the network vision? (9:37)

Ben’s initial thoughts on the updated guidance (10:28)

Opting out (11:14)

Summing up the session so far (12:54)

How might ICSs influence the IIF? (13:54)

The importance of robust financial planning (15:43)

What can the IIF achieve within the 5-year GP contract settlement period? (16:34)

Balancing workforce issues alongside workload pressures (18:00)

Budgeting for moving QOF targets (19:08)

Good, better, and best financial modelling (20:18)

Conclusions (21:46)

 

To connect with Tara and to access all the resources available on offer from THC Primary Care check out:

THC Primary Care’s wealth of information on PCN Managers starts here

Listen to The Business of Healthcare Podcast to get the latest insights into business and management behind the scenes in primary care.

Follow Tara on Twitter and on Linkedin

23
may
0

Podcast – Practice Index – Reacting to “that” NHSE letter…

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After the accompaniment of “that” letter from NHS England alongside the most recent Standard Operating Procedure, general practice has reacted. Anger, frustration, sadness, shock, and depression are all words permeating through the primary care world at the moment. With workload and demand at an all-time high and staffing numbers stagnating or in decline across many areas, and a (so far, highly successful) vaccination programme to deliver, the general feeling is that this is a slap in the face from central government and the mainstream media alike. There has also been a direct (and much darker) impact on the ground with cases of abuse from patients directed at staff on the rise. Against this depressing backdrop, our joint Practice Index, Practice Manager panel return and are joined by GP and Clinical Director Dr Hussain Gandhi, to reflect on the detail of the letter, the implications of it, the impact on digital evolution in primary care, workload, capacity, patient education and most importantly, how we move forward from here.

Introductions (0:45)

Nicola’s reaction the letter (1:19)

From Robyn’s perspective (2:02)

Gandhi’s view (2:46)

Why was the letter issued? (3:53)

Long term issues with access (4:49)

Diverting attention from the bigger, more long-term challenges (5:38)

The impact on staffing capacity (and turnover) (5:56)

Crunching the staffing numbers (6:36)

Effect on Whole Time Equivalents (WTE) and clinical sessions (7:29)

Can the additional roles make a positive difference? (8:36)

Patient education is key (9:29)

Digital evolution (10:13)

Signposting patients to the most appropriate care provider (11:20)

What happens now re. remote consultations? (12:35)

Online consultations; help or hindrance when considering total demand (14:29)

Balancing telephone, online and face to face consults (16:20)

Why is demand at an all-time high? (17:16)

Patient appreciation and understanding (19:19)

The impact of the NHSE letter for practices on the ground (19:57)

How do we respond? (22:12)

The Institute of General Practice Management (IGPM) view (22:45)

Final thoughts from Gandhi (23:26)

The IGPM are currently running a campaign to raise awareness of the abuse suffered by general practice staff right now. View and promote here: (short clip) and (long clip)

16
may
0

Podcast – Kosiwa Lokosu – Spotlight on the ARRS: Occupational Therapy

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In the first of a series of podcasts shining a spotlight on the ARRS new roles and those working in them, Ben is joined by Kosiwa Lokosu, an experienced Senior Occupational Therapist who has recently taken up her first post in primary care. Here, Kosiwa shares a fascinating and inspirational insight into her life as an OT before general practice, the recruitment process from her perspective, the integration of her team within the wider PCN, her work and her patients, and her advice for those considering setting up an OT service in their own areas (and the key considerations for this).

Introduction (0:43)

What led Kosiwa towards becoming an OT? (0:53)

Kosiwa’s experiences to date (1:38)

Starting in general practice (3:07)

PCN demographic (4:37)

Team structure (5:34)

Base and space (6:26)

Working across practices and referrals in (7:17)

Creation of a referral criteria (8:40)

Conclusion of treatment (9:14)

Referral quality and appropriateness (10:01)

OT caseload and division of time (11:18)

Clinical supervision budget (13:03)

Progressing the service (13:27)

Patient feedback (15:03)

A positive impact on general practice (16:09)

Linking with community mental health services (17:00)

Advice for those who are considering employing an OT (17:18)

The pros of a multi-disciplinary model (18:41)

Getting in touch (19:37)

To get in touch with Kosiwa, you can email her here or follow her on Twitter

Catch up with Kosiwa’s blog here

9
may
0

Podcast – Tara Humphrey – What makes a perfect PCN Manager?

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Although the role of PCN Manager is growing in importance, alongside the evolution of PCNs, there is still confusion and misconception about where a manager fits and what they can bring to the primary care table. Ben is joined this week by podcast veteran and management guru Tara Humphrey of THC Primary Care to dispel the myths and to explain precisely how and why a manager can be of benefit. What they can do to support the work of the Clinical Director and the wider management team in facing down some of the challenges, how they can remove pressure from existing staff, what makes a perfect PCN Manager, how to find them – and if you’re lucky enough to already have a manager in post, where resources and information can be found to support them in continuing to thrive.

Introduction (0:39)

What first sparked Tara’s interest in PCN management? (0:55)

What’s the general practice perception of PCN Managers right now? (1:49)

Tackling the workload (3:09)

What should the person spec for a PCN Manager look like? (4:06)

Is an NHS background necessarily required? (4:36)

How about experience in primary care? (5:49)

Practice Managers for PCN Manager (6:39)

Combining practice management with network management (7:17)

Where should we target recruitment of PCN Managers? (7:41)

The key challenges right now (8:36)

Learning the role and the remit it encompasses (9:22)

Understanding of PCN vision and objectives (10:34)

What’s on offer to a PCN Manager when the network is still developing? (11:41)

Dealing with disparate practices (12:03)

Why the Practice Manager and PCN Manager relationship is key (13:53)

Where a PCN Manager sits within the network hierarchy (14:30)

Supporting new ARRS team members (15:24)

A summary of the key challenges a PCN Manager might face when it comes to the ARRS (17:08)

How Tara and her team can help (18:55)

What’s available on THC Primary Care and signing up for the PCN Manager Masterclass  (19:57)

 

To connect with Tara and to access all the resources available on offer from THC Primary Care check out:

THC Primary Care’s wealth of information on PCN Managers,  starting here

Sign up to the THC Primary Care PCN Manager Masterclass here

Listen to The Business of Healthcare Podcast to get the latest insights into business and management behind the scenes in primary care.

Follow Tara on Twitter and on Linkedin

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