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Podcast – Nicky Turner & Rachel Morris – Maximising the effectiveness of a Clinical Director.

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Staff across general practice are currently feeling the impact of the enormous increase in workload as a result of the pandemic and business as usual spectacularly colliding but what is life like at the top of a PCN right now? How are the Clinical Directors bearing the additional burden, managing the demands from their own workloads, and finding adequate time to support and grow new, integrated teams across their network? In this week’s podcast, we welcome back GP and executive coach Rachel Morris who offers her usual brand of practical, innovative, and accessible solutions for managing team stress and individual pressure. Rachel is joined by Dr Nicky Turner, Clinical Director for The Chalfont PCN in Buckinghamshire, who shares her experiences in the role and where her own support systems exist. Together, our panel explore where the challenges lie right now, what can be done to preserve and promote team and personal resilience – and finally how and why listeners to the podcast should access further support of their own and resources from Rachel’s Resilient Team Academy

Introductions (0:39)

Nicky’s PCN demographic (0:55)

What are the main challenges Nicky faces in her role right now? (1:16)

Is the issue of workload the main factor or is it wider than that? (1:43)

Working across practices within a PCN (2:09)

Managing people and change (3:12)

The impact of the Additional Roles Reimbursement Scheme (ARRS) (4:13)

Rachel’s view on the pressure Clinical Directors are under (4:42)

What is helpful in terms of support? (5:21)

Nicky’s perspective on reducing stress and being more effective (6:16)

Actively seeking support (7:01)

The Drama Triangle (7:43)

Are softer skills really beneficial? (9:36)

Tailoring resilience training for different leaders (10:19)

Finding support in difference places (11:41)

The Resilient Team Academy (12:05)

Building a stronger team (13:39)

Planning for team engagement, post Covid (14:30)

Embedding ARRS staff (15:29)

Lessons learned from others’ experiences…what will get from joining The Resilient Team Academy? (17:27)

Constructive conflict (18:53)

The issues of virtual meetings and the impact on building great team relations (19:48)

Final words from Rachel (19:59)

 

Here is the link to the Resilient Team Academy website which contains information on the resources available, the current discounted offer– and how to join up.

22
mar
0

Podcast – Practice Index – Forecasting the next financial year.

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As the new financial year and all its uncertainties looms, our joint Practice Index / Ockham Healthcare panel return to discuss their predictions and the preparations they have in place. Podcast regulars Robyn Clark and Nicola Davies are this week joined by RSM Partner and our resident finance expert James Gransby to talk all things QOF, enhanced services and the contractual requirements for 2021/22. Where are the pressure points? Can we continue to manage business as usual alongside the Covid vaccination drive? Will our core service once again expand to include the vaccinations year on year? How do we juggle this and what can we expect to receive by way of funding? Are we simply going to break even or can primary care profit from the increased workload? Life after Covid potentially starts here…

Introductions (0:33)

How does life in general practice right now compare to that of a ‘normal’ March? (0:49)

Planning for QOF next year (1:47)

Is it possible for networks to manage business as usual alongside the enhanced service? (2:59)

What networks should be considering when it comes to finance in the new year (4:44)

Covid vaccinations to become core practice? (6:08)

The implications of a year-round vaccine drive (7:42)

Budget 2021 in summary and what it means for primary care (8:38)

Contract considerations, outside of QOF (10:48)

Implementing the Additional Roles Reimbursement Scheme in practice (11:55)

Mitigating the risk of high staff turnover (14:43)

Are PCN structures fit for future? (16:35)

Utilising the £1.50 (17:33)

An alternative way of thinking (18:40)

Embedding mental health workers (19:39)

James’s final thoughts ()

The Practice Index website can be found here

For all enquiries, please contact James Dillon here

15
mar
0

Podcast – Rachel Morris – How to keep on, keeping on

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We are all aware of the pressure on general practice which has ramped up considerably since the vaccine drive began back in December but with no let up in sight and in fact, with pressure increasing across primary care going forwards, how do we maintain our current resilience and productivity levels whilst succumbing to the stress and even worse, the very real threat of burn out? Luckily GP and Executive Coach turned trainer Dr Rachel Morris is our featured guest this week and offers her thoughts, and some really practical advice, to ensure the burden of responsibility can be shared and managed more constructively, to preserve and promote the wellbeing of a team (and its individuals) during what many are finding to be the most stressful period of their working lives to date.

Introduction (0:29)

Where are we at right now? (1:05)

How do we maintain current momentum? (2:19)

Why you should be taking time off despite increasing pressure (4:18)

Taking a leap of faith (5:54)

Assuming the role of the rescuer (6:45)

Managing tensions and moving forwards (7:45)

Communication is key (9:33)

Building trust (10:08)

Where some PCNs have become disjointed (10:54)

Network challenges (11:39)

The Five Dysfunctions of a Team – Patrick Lencioni (12:17)

The importance of constructive conflict (12:50)

The transition of good working relationships to business as usual (15:21)

Mining for conflict to enable teams to function well (16:22)

The impact of the virtual environment (17:39)

Finding out more (19:09)

The Resilient Team Academy (20:24)

A list of the resources Rachel has mentioned:

8
mar
0

Podcast – Matthew Hammerton & Rachel Dominey – Digital readiness in general practice

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The evolution of technology in general practice has been accelerated over the last 12 months but how ready were we, and are we, for further digital transformation? What are the factors that influence our willingness to embrace new ways of working and what are the barriers to progression? This was the focus of GP and Digital Fellow Dr Matt Hammerton’s recent report on digital readiness within his local integrated health partnership, a report conducted in conjunction with Wessex Academic Health Science Network (AHSN), with the support of WAHSN’s Associate Director Rachel Dominey. This week’s podcast offers a fascinating overview of the report’s findings and outcomes and includes practical advice and recommendations on readying practices and networks for the next stage of the digital journey.

Introductions (0:45)

The reasons for undertaking the study (0:57)

The reality of the tech available versus what is being used (1:42)

Defining digital readiness (2:08)

Which areas of general practice does the report cover? (3:06)

Rachel describes her role at the AHSN (3:34)

How did the study work in practice? (5:03)

Recording the acceleration of tech use during the pandemic (5:45)

The difference in results, pre and post Covid-19 (6:48)

Does digital readiness depend on the tech we are using? (7:17)

Is the ability to embrace new technology more important than how the tech itself works? (8:33)

The AccuRx effect (9:17)

Does a more bespoke technology increase our willingness to use it? (9:57)

Other key factors impacting digital readiness (12:53)

Some recommendations (14:06)

The non-clinical profile (16:00)

Patient age impact and influence (16:38)

The risk of practices and networks falling behind (17:28)

Further outcomes, recommendations, and advice (18:33)

Taking forward the recommendations from the AHSN’s perspective (19:58)

The link to the digital readiness report is here

1
mar
1

Podcast – Rachel Binks – Digital consultations for care homes

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Telehealth is a tool which can be used in a variety of ways; to support and enhance existing systems or to introduce a completely new way of working. Whilst telehealth is a relatively new concept in many areas, in others it is a more long-term feature of the health ecosystem.  In West Yorkshire, Immedicare offer a 24/7 digital care service to support primary care providers with the management of care home patients. Having been established for over 10 years, they know only too well what works, what does not and crucially how to realise the benefits of telehealth; enabling rapid triage and response around the clock, reducing secondary care admissions and relieving pressure on care home staff, local practices and PCNs. Rachel Binks, Nurse Practitioner for Digital and Acute Care at Airedale NHS Foundation Trust, joins Ben this week to fill us in on the Immedicare journey and why they have been instrumental in improving health outcomes for their care home patients.

Introduction (0:34)

How did the concept first come about? (0:46)

The Immedicare journey (1:26)

Enabling a 24/7 service (2:11)

800 care homes and counting (3:43)

How does the service work in practice? (4:32)

What is the contractual basis of the service and where does it fit with local providers? (5:12)

Managing a broad spectrum of conditions and health concerns (7:13)

The importance of building and maintaining relationships (7:56)

The Immedicare clinical workforce (9:27)

Making the service viable (10:15)

Balancing relationships with local PCNs and practices (11:16)

Multi-disciplinary team meetings (12:59)

What has been the impact of the service? (13:36)

Technical limitations? (14:16)

Reducing community care visits and admissions (14:50)

Aligning with new PCN services and staff teams (15:51)

Feedback from the care homes (16:42)

Financial and contractual setup (17:14)

What’s next as far as developing the service is concerned? (18:23)

Finding out more (19:17)

Immedicare website is here

Rachel is happy to discuss any aspect of the service on offer from Immedicare or telehealth more broadly. Her email address is here

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