11
oct
0

Podcast – Jess Hollingsworth & Nick Sharples – Digital Group Consultations

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Group consultations are a relatively new concept in primary care, but one GP has taken this a step further and in the wake of the pandemic, has introduced digital group consultations at her practice. Dr Jess Hollingsworth of Linthorpe Surgery in Middlesbrough, in partnership with podcast favourite Nick Sharples of DNA Insight, saw that there was a need to better support patients recovering from Covid. Together, they decided that giving patients access to an online consultation, in the company of other individuals also struggling with the long term impact of the virus, might offer some much needed insight into its effects, whilst giving them a safe route of access to an individual consultation and to a potential network of support going forwards. Here, they talk to Ben about how the idea came about, the preparation that is required, how the consultation works in practice and what the impact has been overall on the patients that have taken part.

Introductions (0:34)

Making the transition to virtual group consultations (0:29)

The definition of a digital group consultation and its structure (1:29)

Timings and patient consult allocation (2:25)

Which patient group/s were targeted and why? (2:53)

What preparation is required? (3:21)

The role of the facilitator (4:07)

Governance and consent (4:46)

Recommended group size and numbers (5:56)

A group consultation in practice (7:21)

After care (8:26)

How social prescribing link workers can help (9:40)

Patient feedback (10:30)

Reflections from a practice perspective (11:40)

Technical challenges (12:34)

Which online platform works best and why? (13:19)

Lessons learned (14:36)

Advice from Nick for practices who are in setting up a digital group consultation (15:43)

The Personalised Care Institute and the support and training on offer (17:12)

Where can I find out more about virtual group consultations? (18:28)

Further support for patients recovering from Covid-19 (19:14)

 

A link to the case study on Linthorpe Surgery’s digital group consultation pilot (which Nick references) can be found here

4
oct
0

Podcast – Rebecca Farrington – A GP with a difference

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We are proud of the many inspirational stories that are shared and the fascinating people who feature on our podcast and none more so than this week’s guest, GP Rebecca Farrington. Rebecca works within an almost truly unique role as a GP with a special interest in asylum seeker mental health, within a specialist hub in Salford, Greater Manchester. The challenges faced by asylum seekers and refugees within the UK cannot be underestimated and the impact on mental health and wellbeing is significant. Here, Rebecca talks to Ben about these challenges in more detail, the dynamics of her role, the difficulties Covid has presented and how other providers can ensure the best care for this particularly vulnerable population, in their own areas of the country.

 

Introduction (0:29)

Rebecca’s journey (0:41)

How ‘typical’ is Rebecca’s role (2:25)

Life as a GP with a special interest and the model of care (2:41)

Are there other support frameworks for refugees and asylum seekers? (4:12)

The challenges faced by those seeking asylum in the UK (6:05)

How can GPs provide a better service? (7:01)

Why specialist health services make such a big difference (07:50)

The impact of Covid (10:07)

Doing things differently post Covid (12:16)

Advice and support on reaching out to the vulnerable populations in your area (13:08)

The importance of high-quality interpretation (15:35)

 

More information on the vital work and the services offered by Rebecca and her team (and Rebecca as a practitioner) can be found as follows:

BMJ article/interview

HEE career story

BJGP article

University of Manchester blog

27
sep
0

Podcast – Tara Dawson – Life as a PCN Manager

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It’s an exciting week because we are so pleased to introduce our first PCN Manager to feature on the Ockham podcast! Tara Dawson, PCN Manager for the Lytham St Annes network, takes us through her journey to becoming PCN Manager, her experiences, her achievements, the key relationships she has formed. She has also filled us in on what she hopes to achieve going forwards and more broadly, why having a manager is instrumental in establishing the setup of the network, driving the key commitments and priorities – and managing  the wellbeing of the relationships between practice and PCN.

 

Introduction (0:30)

All about Tara and how she became a PCN Manager (0:47)

Has Tara’s prior experience helped? (2:07)

Organisational setup (2:58)

Incorporated status and NHS pensions implications (3:54)

Managing the incorporation process (4:56)

What does a typical working week look like for Tara? (6:21)

Recruitment and staffing (7:28)

The relationship between PCN Manager and Clinical Director (8:38)

Has having a PCN Manager in post allowed the Clinical Directors to drive the clinical priorities? (9:43)

The PCN demographic and practice engagement (10:57)

PCN Managers and Practice Managers (13:05)

The best things about being a PCN Manager (14:55)

Support network (15:53)

The forward view (17:05)

Lessons learned so far (17:53)

Following up in a year (19:52)

Getting in touch (20:24)

Tara is contactable at: tara.dawson1@nhs.net

20
sep
0

Podcast – Practice Index – How practices stay profitable

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It’s all about profitability on this week’s podcast. In the second of our Practice Index panels, Practice Managers Robyn Clark and Nicola Davies return and are this time joined by financial expert James Gransby to talk through the current pressures on practice income, particularly during this period of uncertainty. However they have also shared with us their practical advice for managing finances at a local level; how to maximise income, how to avoid commonly made mistakes, where to access the most up to date toolkits and resources to support good financial management and why some practices may operate differently but can be equally profitable.

Introduction (0:43)

Is GP income down overall? (1:06)

How do some practices maintain profitability whilst others are experiencing a drop in their income? (2:43)

Maximising income (Nicola’s approach) (3:40)

Robyn outlines the factors influencing profitability at her practice (5:27)

The importance of claiming income and checking you have been paid (6:39)

Common mistakes that practices are making (7:02)

The disparity in claim eligibility and the benefit of experience (8:18)

PCSE portal (10:38)

Dealing with the fallout of PCSE issues (10:55)

What is the decision-making process when presented with the opportunity of a new enhanced service? (11:34)

Why could an enhanced service prove profitable for one practice and not for another? (12:44)

What opportunities might practices be missing out on? (14:24)

The reasons why practices operate differently but can be equally profitable (16:43)

Final pay controls, pensions, and tax implications (19:14)

Robyn, Nicola, and James’ closing words of wisdom (20:25)

This is the blog James mentioned

Information about Practice’s Index’s PPA Toolkit can be found here

Another resource which has been really popular from AISMA and PI is here

Contact details for the panel are as follows:

13
sep
0

Podcast – James Gransby – PCNs incorporated…

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So much has changed since the formation of PCNs at the beginning of last year in terms of availability of funding and staff and the governance of how we run our networks. As a result, many partnerships, practices, and networks are reconsidering their financial models and specifically, whether incorporation could prove more lucrative in the long run. This week’s podcast features our (almost) resident financial expert, James Gransby, Partner at RSM, who has waded through the reams of guidance and jargon to explain in simple terms what the pros and cons of PCN incorporation are likely to be; what are our options, what we need to watch out for and where the hidden benefits may lie.

Introduction (0:36)

What does incorporation mean and is this the direction of travel for PCNs? (0:55)

Why PCNs may choose to change their financial model at this stage (1:38)

VAT implications broadly (2:11)

Incorporation pros (3:17)

Setting up a PCN as a separate entity (4:19)

NHS pensions (5:07)

CQC registration (6:38)

What are the other governance obligations an incorporated body would have to meet? 7:02)

VAT and staffing setup (8:11)

Tax benefits? (9:26)

Impact and Investment Fund monies (10:49)

Should a PCN incorporate itself or use a local, already incorporated, federation? (11:28)

Will overall funding increases lead to a greater number of limited companies? (12:33)

A PCN in the open market… (14:08)

…versus as an NHS organisation (14:55)

GP practices and incorporation (15:36)

PMS agreements and GMS contracts (18:12)

Getting in touch (18:58)

James is contactable via email at: james.gransby@rsmuk.com

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