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Ben’s special guest for the second week is Dr Nikki Kanani, Director of Primary Care for NHS England. You can listen to the first episode here. In this second part she addresses the concerns of podcast listeners about primary care networks including population size, hosting of the networks and the role of federations. She looks at how clinical leaders should be identified and focuses in detail on the timetable from March 2019 onwards and what practices should be doing now to guarantee success.

Show Notes

Questions from listeners – Why a 30-50,000 population for networks? (0:40)

Degrees of flexibility with population size (2:10)

Agreement required from CCG and the LMC (3:02)

Can one practice be a network? (3:32)

Resolving disagreements over scale and coverage (4:13)

Who hosts the networks? (5:22)

What does this mean for federations? Is it the end? (7:04)

Being part of a network and a federation…the roles (8:16)

Clinical leaders – should they move from CCGs to networks? (9:32)

Genuine “bottom-up” leadership (10:46)

Building a new style of leadership (11:42)

Up to the practices who leads them (12:45)

Critical success factors – start with consolidating your relationships (13:12)

The timetable from March 2019 (14:49)

Hope and optimism… (15:58)

More information – What’s App group and NHS England website (17:08)

Nikki’s commitment to the process (18:33)

The NHS England Website is here

The contact Nikki mentions is england.pcn@nhs.net

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Ben’s special guest this week is Dr Nikki Kanani, one of the chief architects of the new GP contract. Nikki is a GP in south-east London and is currently Director of Primary Care for NHS England. This is the first of two discussions with Nikki and in this part, she explains the role of primary care networks in general practice and looks in detail at the funding behind the new contract. She explains how the money will be delivered and what it will be made available for including 20,000 new staff, support for clinical leadership and investment in innovation. The second part of the discussion will be published next week.

Show Notes

Are primary care networks the “game changer” in the new contract? (1:19)

Networks and the role of the individual practice (2:27)

Why were networks established? (3:14)

The resources being made available for general practice (4:16)

Almost £1bn in the core contract by 2023/24 plus £1.8bn for networks (4:55)

State-backed indemnity scheme (5:30)

Funding for IT (6:08)

QOFF (6:27)

The network element of the funding (6:46)

Funding for 20,000 more staff (7:14)

Do the staff exist to be recruited? (8:50)

The network funding – what else will it buy? (10:00)

Detail of the funding – staffing, admin and support, GP clinical leadership, improving access, the investment and impact fund, money for development (10:38)

How hard was it to get this deal agreed? Common aspirations with less direction and guidance (15:02)

What to do now – grasp the opportunity (17:20)

Part Two will be published on Monday 4^th March 2019.

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Something different this week; the tables are turned with Ben Gowland in the hot seat explaining the importance of the new GP contract. Ben, presenter of the General Practice Podcast and Principal Consultant for Ockham Healthcare, explains why the new GP contract is a huge opportunity and gives him optimism for the future. He describes the way that the additional £2.8bn attached to the contract will flow, how primary care networks will be developed and how they will be staffed. He also gives practical advice to practices about what they should be doing now, in preparation for the year ahead.

Show Notes

How significant is the new GP contract? (0:43)

More impactful than the GP Forward View and the most important GP document since the 2004 contract (1:44)

A five year contract with £2.8bn attached – and most of it going direct into general practice (2:24)

Tackling financial problems; indemnity and pensions (4:05)

Moving away from individual practices to networks; a restructure of general practice (4:54)

Networks of GPs to facilitate integration (6:12)

Appointments available to 111 – no practice is an island (7:08)

Why are these networks different to the Primary Care Home for instance (8:05)

Money is coming to support networks and for non-GP clinical staff (9:00)

The networks will be responsible for delivering services (10:09)

Where are these extra staff coming from? (10:58)

The process for establishing networks (12:24)

Decisions by the end of April (13:36)

Practices who don’t wish to take part will lose the money (14:35)

What should practices be doing now? (15:34)

Optimism for the future (16:37)

If you’d like to contact Ben email him ben@ockham.healthcare