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Podcast – Ravi Tomar – Preparing your Practice for a Pandemic

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In the wake of the global coronavirus crisis, GP surgeries across the UK are facing the challenge of transforming working practice within a short space of time and reducing in-person consultations with their patients, whilst protecting their staff and maximising their capacity to deal with everyday demands alongside those presented by the pandemic. Dr Ravi Tomar was part of the transition at Portland Medical ahead of time and gives his advice for managing the changes and reflects on the key outcomes that they have experienced as a result.

Introductions (0:38)

The move towards telephone and ‘virtual’ triage (0:48)

Portland Medical: the stats (2:32)

Decreasing locum use (3:03)

Impact on face to face consultations (4:23)

Reducing face to face appointments as a result of Covid-19 (5:05)

Video consultation (6:09)

What tech is required? (6:58)

Telephone versus video consultations (7:36)

Video consults: lessons learned and practical advice (8:18)

Telephone to video consultation: managing an in-consult switch (10:37)

Covid-19 effect on day-to-day practice (11:20)

The system for managing Covid-19 at Portland Medical (12:06)

The ‘hot and cold’ model (13:16)

The role of other healthcare professionals and upskilling the workforce (14:50)

What are the significant outcomes as a result of the changes? (16:47)

Transition from old to new processes (18:18)

Patient feedback (19:51)

Final thoughts (20:17)

Getting in touch (20:17)

 

Preparedness update letter for general practice: 27 March 2020 here

Portland Medical website: https://www.portlandmedicalcentre.co.uk/

Dr Ravi Tomar is contactable via email: ravi.tomar@nhs.net

29
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Podcast – Tara Humphrey – Project Managing a Pandemic (Part 1)

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How do you prepare for an upcoming crisis which is anticipated, yet unpredictable? What steps should a practice and a network be taking to manage its response and resources, whilst safeguarding its people? Which issues should be tackled and what workstreams should be put in place now? Project Management expert, Tara Humphrey, who supports the development of Primary Care Networks and GP Federations, chats to Ben Gowland about her experiences so far and offers practical advice for maximising efficiency ahead of time.

Introductions (0:22)

The state of play locally (0:56)

What support is available now for practices? (1:30)

Practical considerations (2:17)

The importance of communication (3:46)

Site/s management (5:08)

What are the biggest challenges for practices and networks? (5:53)

Co-ordinating skills and expertise (8:35)

Managing communication effectively and supporting staff (8:59)

Leadership during a crisis (10:59)

The mood in general practice right now (14:26)

Next steps (16:37)

Supporting well-being (17:50)

 

NHS Confederation document (How CCGs can support PCNs and practices during the Covid-19 crisis) here

Find out more about Tara Humphrey:

23
mar
0

Podcast – Paul Gordon – Pensions UPDATED

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Following the release of the budget statement and the global challenges faced by the coronavirus pandemic, Paul Gordon, MacArthur Gordon Medical Specialist Financial Planner, re-joins Ben to talk through the changes and implications for the GP pension pot.

Introductions (0:20)

What has changed since January? (0:45)

The details of the changes (1:25)

The annual allowance issue (3:57)

Checking the status of the annual allowance (5:17)

Scheme Pays option (6:38)

Balancing pensions growth against workload demand (7:56)

If my income is unchanged, am I exempt from tax penalties? (10:02)

The challenge of monitoring in-year growth (11:41)

Advice for those considering retirement (14:08)

Information for employers (16:30)

The Covid-19 effect (17:28)

NHS v private pensions schemes (18:52)

What else should I be aware of right now? (19:45)

 

For access to an up to date pension statement: https://www.totalrewardstatements.nhs.uk/

To request annual allowance growth figures, call the Pensions Agency on 01253 774774

Scheme Pays Election form available here

16
mar
0

Podcast – Tim Sacks – A New Approach to Funding Primary Care

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This week’s podcast features Tim Sacks, Chief Operating Officer at East Leicestershire and Rutland CCG, who guides Ben through the prevalence-based contract they employ for funding general practice in his area. Does it work better than the more traditional, weighted capitation-based models, where are the challenges and can it be employed within a PCN?

Introductions (0:48)

Delegated commissioning (1:33)

GP contracts: weighted capitation versus prevalence (1:48)

How do you implement a new type of contract? (3:16)

Measuring the impact on investment (4:07)

The response from general practice so far (5:31)

How effectively can general practice respond to financial risk? (6:29)

Practice involvement in shaping new contracts (8:08)

PCNs and funding distribution (9:46)

Identifying the fairest and most appropriate funding model (11:38)

‘Proportionate universalism’ (12:38)

Do hybrid models work? (13:58)

Plans for the future (15:17)

Opportunities within a PCN framework (16:27)

Primary care commissioning in the future? (17:33)

The potential for PCNs to own their funding (19:36)

Getting in touch & further information (22:13)

https://eastleicestershireandrutlandccg.nhs.uk/

Tim is contactable via email: tim.sacks@eastleicestershireandrutlandccg.nhs.uk

9
mar
0

Podcast – Gary Hughes – The Practice Manager and the PCNs

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The spotlight is on Practice Managers and their crucial role in shaping and influencing new ways of working in a network-based world. Gary Hughes has a wealth of experience in this area and here shares his insights on the impact of the PCNs on practice managers, where the role evolves and fits within a wider network community and how practice managers really feel about the changes.

Introductions (0:42)

Gary’s own PCN and his involvement so far (0:54)

Bracknell mental health project pilot (01:42)

Embedding new processes; expectation versus reality (02:27)

What is the network impact on individual practices? (03:08)

Does the introduction of new roles herald a new era in general practice? (03:50)

Practice Managers and collaborative working (06:06)

Organisational leadership within a practice management role (07:19)

What do Practice Managers see that maybe GPs don’t? (09:02)

The Practice Management view of the PCNs (09:52)

The evolution of the Practice Manager role within networks (10:41)

What support might Practice Managers’ need to drive change? (11:46)

How does joint working really begin? (13:07)

The case for dedicated management support (14:53)

Advice on joined up working (15:30)

Keeping in touch (16:51)

You can contact Gary and keep up to date with his weekly blog via his LinkedIn profile here

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