28
oct
0

Podcast – Nick Rayner/Neil Macey – a super-practice in Suffolk

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Suffolk Primary Care is a super-practice incorporating twelve original practices with 33 partners covering 110,000 patients. Nick Rayner, their Executive Chair and Neil Macey, their co-Chief Medical Officer with responsibility for transformation talk to Ben about bringing the practices together. They explain the journey they followed, the benefits, what they are achieving together and how a solution has been found to the problem of property ownership.

Show Notes

Neil and Nick introduce themselves (0:58)

The journey to Suffolk Primary Care (1:39)

A single practice from May 2019 with partner groups (3:38)

From shadow form to a single entity with an executive team (4:25)

What we’re doing – employee staff record (5:41)

Provider support function – centralising admin functions (6:50)

Central finance function (7:18)

Complexity (7:40)

Keeping practices on board – trust and communication (8:05)

“Bottom-up” design of services (8:57)

Employing a Chief Executive (9:46)

Clinical services (10:35)

Long term conditions (11:17)

Introducing new roles and “growing our own” (11:52)

Maintaining flexibility with new roles (13:06)

The introduction of Primary Care Networks (14:16)

Becoming a PCN? (15:50)

Single CQC registration (16:45)

Sharing central services (17:17)

New income streams (17:40)

Recruitment and retention of partners (17:59)

A “property solution” (19:00)

The challenge of introducing the property solution (20:20)

Advice for practices in a similar situation (21:49)

Finding out more (23:11)

The Suffolk Primary Care website is here

Email Nick at Nicholas.rayner@nhs.net

Or Neil at Nmacey@nhs.net

20
oct
0

Podcast – Dustyn Saint – primary care pathways – an IT toolset available to all

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Dustyn Saint is a GP in Norfolk with an interest in IT from an early age. In 2017 he and an equally enthusiastic practice IT manager began to develop a set of tools on EMIS Web to be used in his own practice. But, from little acorns mighty oaks grew. Dustyn began to focus more of his energies on optimising EMIS and sharing his tools with other practices and this eventually led to the birth of Primary Care Pathways. In this episode Dustyn describes the journey to what is now an ever-evolving set of searches, templates, protocols and documents optimised for EMIS web and available to all.

Show Notes

Dustyn’s interest in IT (0:58)

Working with EMIS Web (2:00)

Making the system more useful for clinicians and patients (2:57)

GPs reaction to the changes (3:56)

Allocating Dustyn’s time (5:19)

Sharing the learning (6:26)

National interest (7:28)

The involvement of EMIS and not reinventing the wheel (8:50)

Doing it “properly” – a team of nine (9:45)

Uptake of other surgeries (10:56)

A separate limited company (11:21)

Developing the offering for practices (11:38)

The enhanced package – tailored training and support (13:36)

Feedback from practices (14:14)

Working with Primary Care Networks – new roles and metrics (15:49)

Is it critical to be on the same system? (18:26)

Advice for using IT in a network (19:55)

More information (21:10)

The website is available here

And Dustyn can be contacted at dustyn@primarycareit.co.uk

13
oct
0

Podcast – Karen Castille – executive coaching for clinical leaders

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Executive coaching can be defined as a professional relationship between an experienced coach and a client which is designed to enhance the client’s leadership capabilities. Dr Karen Castille is a skilled, qualified executive coach who has considerable experience of working with clinical leaders. In this episode she explains what coaching is, how it works and how it can benefit those in leadership roles. She also talks about self-coaching and her book “The Self-Coaching Workbook”.

Show Notes

Karen describes her career in leadership roles in the NHS (0:45)

Defining coaching “a structured conversation…to unlock potential” (1:23)

Coaching is ACE (2:06)

Often about “dealing with difficult people” (2:51)

Does coaching have any practical outcomes? (4:10)

The relationship between client and coach (5:31)

Achieving personal goals through coaching (6:33)

What can coaching achieve? (7:38)

A hypothetical example (8:22)

Developing a tangible plan (9:08)

The coaching process – is not therapy (9:56)

The advantages of coaching as a development opportunity (11:22)

Finding a coach (13:33)

How much does coaching cost? (14:23)

The length of a coaching session (14:57)

Getting coaching funded (15:31)

If you can’t access coaching – try self-coaching (16:14)

What is self-coaching? Why write a handbook? (17:02)

Self-coaching as a reasonable alternative or an addition to coaching (18:29)

Contact Karen and find the book (19:24)

You can contact Karen via email here

Karen’s website (where you can find The Self-Coaching Workbook) is here

The book is also available at Amazon here

29
sep
0

Podcast – Paul Deffley – working effectively across practices

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This is the second conversation between Ben and Paul Deffley, Hove GP and clinical director of Practice Unbound; a not-for-profit organisation devoted to “helping general practice work smarter”. In this episode Paul uses the example of a pathology delegation pilot to look at how practices can effectively work together across networks, how they can better manage change and, working at scale, deliver network solutions to collective problems.

Show Notes

Paul outlines his background and his positive view of PCNs (0:48)

An example of working together – a pilot for pathology delegation (2:55)

Tests not needing a clinical context (5:00)

Understanding the pathology activity – what’s safe to delegate (6:07)

Clinical variation in pathology requests – and reducing requesting patterns (7:20)

Managing the delegated requests – a non-clinical team approach (8:37)

Group consultations? Testing different ways of managing patients (9:16)

Overcoming the concerns about risk (9:47)

Understanding the fears (10:59)

Grouping routine tests (11:17)

Auditing the administrators (12:54)

The impact on GP workload – 90% of routine bloods are handled by the admin team (13:27)

Working smarter (14:05)

Clinical variation down (15:02)

Is this a legitimate use of PCN time and energy? (15:33)

PCNs looking at individual GP practice (16:49)

Establishing and maintaining trust (18:37)

The impact of networks on shared problems (19:47)

Making the most of development funding (20:47)

An end-to-end flow exercise (22:49)

Positive relationships (23:33)

Further information (24:20)

Practice Unbound’s web address is www.practiceunbound.org.uk

And Paul can be emailed directly at Pauldeffley@nhs.net

22
sep
0

Podcast – Charlotte Osborn Forde – social prescribing and the voluntary sector

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Charlotte Osborn Forde is the Chief Executive of Involve Kent, a large registered charity that delivers services to vulnerable people. It has developed a primary focus in recent years on social prescribing. In this episode Charlotte explains how the charity contracts with the NHS to deliver Link Workers. She talks about the results for patients and practices of using Link Workers including an increase of 66% of referred patients becoming more physically active. The scheme has delighted GPs with one saying that social prescribing has become “the most transformative thing” in his career.

Show Notes

Charlotte describes Involve Kent (0:38)

Early adoption of social prescribing (1:48)

Funding for the voluntary sector (3:04)

A joint bid with the CCG to work with GP practices (4:07)

Building a partnership with GPs (4:48)

The scale of the practices (5:38)

A Link Worker in each practice and their caseload (6:43)

Receiving referrals (7:37)

The early results – the ONS wellbeing measure (8:22)

Physical activity levels (9:53)

Levels of loneliness and health (11:06)

The impact on the practices – difficulties with the data (12:10)

Anecdotal reaction of practices (13:14)

Link workers working across practices (14:35)

Vital links to a proper infrastructure (15:41)

Working with PCNs (16:27)

Buying in the service (18:29)

Charlotte’s advice – find a local champion and follow the guidance (19:03)

Selecting the right Link Workers (20:25)

Key qualities for effective Link Workers (21:05)

The selection process (22:01)

Work with others (22:34)

System data (23:23)

For other podcasts on social prescribing visit our Podcast Index here

The Involve Kent website is here

They are on Twitter @InvolveKent

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