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

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

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