2
dec
0

Podcast – Innovation in General Practice: Lessons from a duty system overhaul

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Joining Ben this week is Dr Paul Bennett, a GP Partner in Portchester, who describes the revolutionary new approach to managing the duty system within his practice; how it works, how the system has been implemented, the impact on managing demand and most importantly, the benefits felt by both staff and patients alike.

Show Notes

Welcome and introduction (0:38)

What triggered the changes? (0:57)

Could a triage system work? What was the appetite for change? (1:26)

Kick-off and implementation (2:34)

The role of the Healthcare Support Worker (3:10)

GP involvement and “stress-testing” the new system (4:30)

How is the new working day structured? (5:24)

Room setup and crunching the (patient) numbers (6:07)

What’s happening right now? The positive effects (7:25)

More decisions + more patients = reduced fatigue? (8:19)

Perceived drawbacks versus positive reality (9:46)

Impact, experiences & training for Healthcare Support Workers (11:14)

Patient feedback (12:30)

Where does they go from here? Plans for the future (14:23)

What does the rota look like? (15:05)

Could the system work at PCN level? (16:00)

Getting in touch (18:04)

The importance of shared experiences and learning (18:48)

Paul is contactable at: paul.bennett5@nhs.net

25
nov
0

Podcast – Population Health Management: When Harry met Shashi

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Joining Ben on the Ockham sofa this week are Dr Shashi Khandavalli, Clinical Director for Chorley Central PCN and Harry Evans, Senior Programme Manager at NHS England and Improvement, who discuss all things Population Health Management; what it is, how it is key in meeting the health needs of a local population, the importance of working in partnership with local stakeholders and a story involving bins which underpins this key workstream.

Show Notes

What is Population Health Management (PHM)? (1:10)

Populations and individuals (1:45)

Understanding the health of local populations and identifying their needs (2:37)

The importance of using data (3:15)

Shashi and Harry tell us how they became involved with PHM (3:38)

#datasaveslives (4:29)

Establishing strong relationships with key partners (5:18)

A strategic approach (6:00)

How to get started? (6:20)

“Don’t wait for perfect to get in the way of good enough” (6:45)

Data sampling to target area of need and to enable strategic intervention (7:10)

Breaking down the barrier of skepticism and working partnership to identify positive outcomes or ‘the bin theory’ (8:09)

The role of social prescribers and link workers and the structural approach (10:15)

How are interventions made? (11:17)

Lessons learned (12:30)

10% data 90% culture (14:17)

Engaging local partners and building relationships (14:48)

The role of open meetings and who to involve (15:12)

PCN core skills (15:35)

Establishing, harnessing and understanding your vision (16:25)

“Activation day” (17:06)

What happens next? (17:31)

PHM programme rollout and support from NHS England & Improvement (17:45)

PHM platform access details (19:26)

Chorley PCN next steps (19:42)

Getting in touch (21:55)

Harry is contactable @harryaevans or at harry.evans2@nhs.net

Shashi is @kshashi79 or shashidhar.khandavalli@nhs.net

The NHSE/I PHM Academy is available here. It contains information and learning about population health management from the PHM development programme and other sources. Please email england.phmsupport@nhs.net to be signed up for access.

This blog that Shashi wrote is hot off the press..

18
nov
0

Podcast – Hussain Gandhi – challenges for a new PCN Clinical Director

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In this week’s podcast, Ben chats to Dr Hussain Gandhi (known to one and all through his eGPLearning Podblast as Gandhi) about life as a new PCN Clinical Director; the challenges versus the outcomes, his goals and aspirations, the importance of collaborative working and the role of technology within general practice.

Show Notes

How Clinical Directorship happened (0:46)

Impact of PCN formation (1:20)

Notts City East: the stats (1:55)

The journey to becoming Clinical Director (2:15)

Balancing clinical sessions and the role of Clinical Director (2:55)

Gandhi outlines the aims and objectives of his role (3:25)

The challenges! (4:09)

Focus on collaborative working (4:32)

The process of engagement & PCN open meetings (5:10)

What is the PCN vision? (5:45)

Blue sky thinking (6:03)

The first few months as Clinical Director (6:28)

Laying the groundwork for PCN formation (6:40)

The role of social prescribing and clinical pharmacists (7:05)

What are the demands on a Clinical Director? (7:45)

Time management and the pressure of deadlines (8:00)

What have been the key lessons learned so far? (8:47)

Technology within PCNs (9:20)

Staying in touch: group chat and instant messaging (10:20)

The role of video conferencing (11:28)

Are we using technology enough in general practice? Are PCNs a platform to develop tech further? (16:12)

PCN goals moving forwards (18:16)

Getting in touch (20:40)

Gandhi’s website can be found here

On all social media platforms he can be found at eGPLearning

On Twitter at here

On Facebook here

For the podcast look for the eGPLearning Podblast

On Spotify here

Itunes here

Google Podcasts here

11
nov
0

Podcast – Rachel Morris & Ben Gowland – making change happen in general practice

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Rachel Morris “starred” in two of our most popular podcasts and through her work on GP resilience, she was inspired to set up her own “You Are Not A Frog” podcast. In a recent edition of that podcast, she interviewed our own Ben Gowland to discuss ways in which general practice can effectively introduce change, particularly against a background of resistance.

Show Notes

Ben explains how his career progressed to setting up Ockham Healthcare (0:52)

How Ockham Healthcare developed its unique offering (2:02)

Working with at-scale general practice – a means to an end (2:47)

The goals for working at scale (3:37)

Making a difference – Time for Care (4:29)

Difficulties in implementing the high impact changes (5:36)

Change is difficult so how do we approach it? (7:01)

Introducing pharmacists – a practical example (7:32)

Resistance to change – a systematic approach (9:15)

The problem is obvious why we need to change? Isn’t it? (11:25)

The system and what you can control (12:22)

Overcoming the emotional response (13:28)

Picking the changes you pursue – small or large (14:34)

Ockham Healthcare’s role in supporting joint working (16:39)

Influencing without hierarchical “power” – a practice’s relationship with the PCN (17:56)

What’s the one big thing a PCN should be doing? (19:43)

Expect resistance – dealing with your “No Nos” (21:02)

Becoming positive about change (22:17)

Contacting Ben (23:28)

Ben is available on email ben@ockham.healthcare

He is on Twitter @benxgowland

The Ockham website is here

The You Are Not a Frog podcast is available in a number of places including here

4
nov
0

Podcast – Farzana Hussain – a new PCN clinical director on the rewards and the challenges

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Farzana Hussain has been a GP for 18 years. Three months ago she was successful in becoming the Clinical Director of a new Primary Care Network in Newham comprising seven practices serving 65,000 patients. In this podcast she explains how she has met this new challenge; the approach she has taken, the aims of her PCN and the support she has received. She talks about how difficult and how rewarding (and how exciting) the new role can be.

Show Notes

Farzana explains how she became a PCN clinical director (54secs0:54)

The PCN is formed (2:09)

The joy of the first 100 days (2:53)

Early conversations with other stakeholders (4:52)

Strengthening the practices (6:11)

What will success in the role look like? (7:27)

True collaborative working (7:59)

Aligning the seven practices (9:04)

Time for the practices (10:22)

Communication and governance of the network (10:54)

Aiming for an inclusive group (12:40)

Involving other partners in the network (13:35)

The most difficult aspects of the role (14:24)

Managing time (15:19)

Getting support as a leader (16:16)

Distributive leadership (17:52)

Is there enough support available? Setting up a CD support group (18:12)

The nature of a support group for new leaders (19:04)

Contacting Farzana (20:31)

Contact Farzana on farzana.hussain@nhs.net

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