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

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

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