28
jun
0

Podcast – Tracy Green & Kay Keane – How Covid is Changing General Practice

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The landscape of primary care has altered significantly, and many of the changes practices have made to prioritise patients and protect their staff during the Covid crisis are here to stay. This week’s podcast features Practice Manager Kay Keane and QCS Head of Primary Care Tracy Green, who talk through their experiences of the pandemic, how they have worked together to support the implementation of Alvanley Family Practice’s new systems of working and their thoughts on where we go from here as life returns to the new normal.

Introductions (0:36)

About Alvanley Family Practice and their practice manager, Kay (1:20)

‘Feed the birds’ project (1:40)

Further innovation: group consultations (2:57)

The advantages of Zoom (4:02)

Tracy’s background and experience (4:15)

What have been the biggest challenges for Alvanley? (5:43)

Increased volume of work versus the need to do things differently (6:42)

Changes to the operating model (7:17)

Which new processes would Kay keep? (8:05)

The effect of rapid changes on team dynamics (9:22)

The loss of in-person contact (9:54)

Has general practice changed for the long term? (10:39)

Partnership working with local providers (11:04)

Have we been boosted in some ways? (11:37)

Maintaining momentum during a crisis (12:41)

The QCS response to Covid (14:05)

Who are QCS and what do they do? (16:04)

Governance and general hints and tips (16:59)

The QCS impact on an individual practice (17:33)

Time for reflection (18:06)

Managing the after effects of such a rapid period of change (19:28)

Lessons learned from Tracy’s perspective (20:34)

Further information (21:18)

This week’s podcast has been sponsored by Quality Compliance Systems (QCS)

QCS are offering a free trial to help support practices in embedding their new procedures and processes following the Covid crisis. To find out more, you can visit their website here

Content can also be found via the QCS Facebook general practice discussion group: www.facebook.com/Alvanleyfamilypractice

Additional support in relation to Covid-19 is here

21
jun
0

Podcast – Steven Williams – The role of Pharmacists in General Practice

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With the focus shifting back towards the normality of day to day working, primary care now has scope to reconsider the opportunities presented by the Additional Roles Reimbursement Scheme in building workforce capacity and to establish further transformative working practices. This week’s spotlight is on the role of the pharmacist and we are fortunate to be joined by the experienced and progressive Steve Williams, who is a Clinical Pharmacist and network lead in his area of expertise based at Westbourne Medical Centre in Dorset. Here, Steve explains how his role fits both at practice and at network level – and gives his advice on making the best use of pharmacy professionals, and the additional roles more broadly, in general practice.

Introductions (0:36)

Steve’s journey to becoming a PCN pharmacist (1:03)

Why a move into general practice? (2:33)

Steve describes the transition from secondary to primary care (3:15)

The key differences (3:44)

What was the practice’s initial reaction to taking on a pharmacist? (4:53)

Embedding new roles; advice on induction and adapting your structures (6:23)

Maximising the impact from a network perspective (7:18)

An opportunity for innovation (9:59)

The role of a pharmacy technician and the skills they can offer (10:50)

Future plans and further expansion (s12:17)

The influence of the DES on utilising new roles (13:50)

How will the role of the pharmacist develop further? (15:28)

Getting in touch (16:42)

Steve is contactable via email, Twitter and through Westbourne Medical Centre:

stevethechemist@onelesspill.com

@stevechemist

https://www.westbournemedical.com/

@BayPcn

The links for the supporting documents Steve references:

Link re “Practice to PCN role – A Pharmacist’s journey” presentation for Dorset CCG PCN Development Event on Understanding and establishing Clinical Pharmacy in PCNs 15th January 2020

https://youtu.be/5O5WFcdZFDM

Structured medication reviews research at WMC

Steve Williams, Lawrence D Brad. Impact of practice based clinical pharmacist led medication reviews on ambulatory patients with hyper polypharmacy. Br J Gen Pract 2018; 68 (suppl 1) https://doi.org/10.3399/bjgp18X697097

Viewpoints on pharmacists in primary care published with GP Prescribing lead Dr Lawrence Brad

Williams SD, Hayes JM, Brad LD.  Clinical pharmacists in general practice: a necessity not a luxury? British Journal of General Practice. Br J Gen Pract 2018; 68 (667): 85. DOI: https://doi.org/10.3399/bjgp18X694697

https://blogs.bmj.com/bmj/2018/06/26/time-pharmacist-support-general-practice-improve-medicines-optimisation/

https://bjgplife.com/2020/06/17/clinical-pharmacists-within-primary-care-networks-another-driver-for-collaborative-general-practice/

Useful documents / websites re pharmacy professionals working in primary care RPS Wales Multidisciplinary Teams (MDT) in General Practice

https://www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Wales/00215%202001-Welsh-MDT-English-AWD.pdf?ver=2020-02-07-140429-840

PRESQIPP

NHS funded not-for-profit organisation that supports quality, optimized prescribing for patients Virtual Professional Network for pharmacy starting April 2020 (membership required)

https://www.prescqipp.info/news/prescqipp-practice-plus/

Primary Care Pharmacy Association (PCPA)

https://www.pcpa.org.uk/ (membership required)

https://pcpa.org.uk/assets/documents/Guide-for-GPs-considering-employing-pharmacist.pdf

14
jun
0

Podcast – Dr Lorenz Kemper – Online long-term condition reviews using MedLink

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We have been fortunate to have been able to share a number of best practice stories throughout the Covid-19 crisis and this week’s podcast is no exception. Ben is joined by Dr Lorenz Kemper, a GP who co-founded MedLink Solutions, a unique online platform which allows practices to remotely manage reviews of patients with long term conditions and chronic disease. Lorenz explains how the system was launched, how it works, and the impact it is having – allowing clinical teams to reach previously inactive patients, creating greater flexibility in management of clinical time and crucially, enabling practices to continue vital routine care for their patients safely.

Introductions (0:36)

The challenge of remotely monitoring primary care’s ‘routine’ workload (0:47)

Who was involved in setting up MedLink? (1:27)

How the MedLink solution was designed (1:55)

The first patient cohort and system rollout (2:35)

Reaching previously inactive patients (3:08)

The mechanics of the solution and establishing patient contact (3:47)

What about the patients who can’t be reached via MedLink? (4:48)

Impact on practice workload and how the process is managed (5:30)

Capacity creation (6:58)

What are the key benefits of MedLink? (7:22)

How has MedLink been grown and extended beyond Lorenz’s practice? (8:17)

The Covid effect (8:55)

How flexible is the system? (9:15)

The process for designing the review questionnaires (10:05)

Patient and practice feedback (11:26)

A gateway to safer and more flexible care in the current climate? (12:25)

Future plans and further development (13:41)

Getting in touch (15:00)

This week’s podcast has been sponsored by MedLink Solutions

Medlink solutions are offering a 3-month free trial to help practices during COVID. To find out more simply visit their website or email Lorenz at info@medlinksolutions.co.uk

7
jun
0

Podcast – Sovereign Health Network – Rapid change in response to Covid

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Covid has presented many challenges for practices and networks but many have risen to this challenge and found that, as a result, they have been able to accelerate many existing projects and are seeing hugely positive outcomes. Sovereign Health Network, a PCN of three practices based in Hampshire, have enacted rapid change as a result of the crisis and are now at the point of considering what to keep, how to rebalance network versus local priorities and how to maintain momentum going forwards. Clinical Director Dr Tom Bertram, Network lead Amanda Gray and Nursing lead Laura Miller share their story of what they did, what they achieved and where they are now.

Introductions (0:39)

The first year as a primary care network (1:45)

Creation of a same day service (2:01)

Amanda’s transition from practice manager to practice manager and network lead (3:06)

When Covid happened (4:17)

A ‘command and control’ approach (5:01)

Mixing up the workforce; working by risk profile (5:35)

The challenge of losing a practice’s identity (6:53)

Staff reaction (admin and management) (7:59)

Support for the wider teams, both clinical and non-clinical (8:52)

What was the impact on the nursing teams and how did Laura manage this? (9:43)

How do the nurses feel now? (11:05)

Results from the staff survey (11:31)

What other changes have been made? (12:04)

A shared pharmacy service (12:31)

The telephone hub (13:25)

Single route access to the network (13:41)

Patient feedback (14:33)

Rebalancing network and practice priorities post Covid (15:05)

Population health management (15:54)

Juggling practice and network priorities as a local manager and network lead (16:58)

Summarising the overall effect of Covid on the network (17:54)

Getting in touch (19:09)

 

Amanda Gray, Sovereign Health Network lead: amanda.gray2@nhs.net

Dr Tom Bertram, Clinical Director, Sovereign Health Network: tom.bertram@nhs.net

31
may
0

Podcast – The Rapid Deployment of Online and Video Consultations across London

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The challenges presented by the Covid crisis have seen an acceleration of many existing transformation projects in general practice, particularly where use of tech and a move to a digital infrastructure is concerned. This week’s podcast features a panel of experts from the London region who bring a clinical, project and programme perspective on the hugely successful transition to online and video consultations and an insight into the brand-new NHS app. From triage and the creation of a digital front door to managing an incredibly rapid deployment, the importance of effective communication and the public response, here is how, in a few short weeks, they have enabled 95% of London practices to offer online consultations and 100% who now have the ability to deliver video consultations to support their patients.

Introductions (0:36)

The challenge presented by Covid (2:11)

How was the transition to online and video consultations enabled? (3:17)

The deployment from a clinical perspective (5:08)

Patient response (7:30)

The NHS app (9:19)

Rollout across the STP area (10:57)

Why each London borough was managed differently (13:44)

What has been the impact of both online and video consults? Has one proved more successful than the other? (14:54)

Was hardware a critical success factor? (16:33)

Future plans (18:22)

Life after Covid? (19:55)

What happens next from a practice point of view? (20:48)

Getting in touch (22:51)

If you would like to know more, you can contact the London Digital First Programme team and / or Emily, Sustainability and Transformation Partnership (STP) project lead for North Central London:

Digital First Programme (London): england.londondtt@nhs.net

STP lead: Emily.mitchell9@nhs.net

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