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

15
sep
0

Podcast – Neil Modha – the journey to whole system working

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Neil Modha, Peterborough GP, joins us again this week to talk about his experience in whole system working. In the Cambridgeshire and Peterborough area all the local providers have come together in Provider Alliances, funded by pooled resources. In this podcast Neil explains how this works, how primary care is engaged and describes two practical examples. He also offers useful advice to new Clinical Leaders who are starting out on this journey.

Show Notes

The PCN “landscape” in Neil’s area (0:40)

What are “Provider Alliances” (1:34)

Two provider alliances focussed on the main hospitals (2:54)

Primary Care’s involvement (3:30)

Engagement at practice level – using the PCNs (5:02)

Ensuring everyone gets a voice (6:35)

The Innovation Academy (7:36)

Joint working – an opportunity or a burden? (8:19)

Focussing on the local population – services closer to home (9:26)

Working with other providers is key (11:26)

Integrated case management (11:53)

Focus on specific projects to build relationships (13:20)

Advice for new clinical leaders (14:14)

Developing new leaders (16:22)

The role of federations in the wider system (18:10)

Top tips in getting started – focusing on a tangible change (20:02)

Neil’s other podcasts with us are available as follows:

An innovative model for general practice

Pharmacists and PCNs – a GP’s perspective

The podcast we recorded with Neil’s colleague James Morrow can be accessed below:

An innovative model for delivering and governing general practice

8
sep
0

Podcast – Liz Phillips – an advocate for partnership and primary care improvement

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For twelve and a half years Liz Phillips was a salaried GP with a portfolio career and then, during a Primary Care Improvement event in London, she had a revelation. She decided then and there to become a GP partner, with a focus on quality improvement. In this episode she describes her journey, the work she has begun with her new practice and the benefits the quality improvement process is delivering. She also explains how partnership has exceeded her expectations and changed her life.

Show Notes

Liz decides to move from salaried GP with a portfolio career to become a partner (0:46)

The Primary Care Improvement community (1:37)

A moment of revelation (2:05)

A quality improvement project in the practice pushes Liz to consider partnership (2:33)

Ethos and shared purpose is a driver (3:54)

Liz’s new practice (4:26)

Partnership brings joy and satisfaction (4:43)

Quality improvement and the new practice (5:08)

Establishing a shared purpose in the practice (6:19)

Don’t assume you know people’s “why” (7:58)

A weekend away as a practice (9:00)

The value of the process (10:06)

An upward spiral (10:38)

Joint conversations take time (11:41)

Compassionate leadership (12:34)

Knowing yourself (13:27)

Building relationships at work (13:43)

Introducing a well-being pilot the in the practice (14:26)

The benefits of the pilot (15:24)

Difference in the first six months (16:09)

A more confident practice (17:39)

Being in a Primary Care Network and sustaining partnerships (18:20)

The reality of being a partner (19:24)

Advice to current partners – be brave and do something different (20:50)

Advice to prospective partners (21:47)

1
sep
0

Podcast – Ben Gowland – PCNs two months in – lessons so far

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The tables are turned again and in this week’s episode Ben is interviewed about the lessons we are learning about Primary Care Networks after two months of their existence. He discusses the role of PCNs and how they are perceived, the challenges they are facing and the issues they are focussing on, their approaches to the new roles, the weight of expectations and the lessons they might learn from the establishment of CCGs.

Show Notes

Is the role of PCNs any clearer? (0:33)

The problem of mismatched expectations (2:07)

The rapid rise of PCNs – a tough start (3:30)

The Clinical Directors role as inspiring leaders – quick wins (5:06)

Unforeseen challenges – backwards to move forwards (6:27)

The role of federations with PCNs (7:09)

How can ensure the roles of federations and PCNs are clear and distinct (7:48)

The perceptions of the wider NHS (9:28)

Two roles for the clinical leaders (10:57)

Too many expectations placed on PCNs too soon (11:19)

Supporting a potentially fragile system (12:27)

Building the support on firm foundations (13:26)

Approaches to the appointment of new roles (14:54)

Addressing the 30% funding gap (15:45)

The challenge of the 30% funding gap (19:42)

Lessons from setting up the CCGs (17:33)

Prioritising building relationships and trust (18:36)

Ben’s advice – control your own agenda, focus on relationships and don’t reinvent the wheel (19:53)

25
aug
0

Podcast : Hala Abusin – Pharmacists and PCNs 4 – PCNs and community pharmacies

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In this fourth episode of our short series on pharmacy and PCNs, Ben talks to Community Pharmacist Hala Abusin about the impact of the planned increase in pharmacists in general practice. They discuss the role and value of community pharmacy and the opportunities and challenges for community pharmacists collaborating with both GP pharmacists and hospital pharmacists.

Hala describes her progress to her current position (0:48)

The role of and value of community pharmacy (2:14)

Extending the role of community pharmacy – a practical example (3:34)

Community pharmacy view of pharmacists in general practice (6:37)

Sharing new ways of working (7:44)

The new five year contract for community pharmacy (8:17)

Community pharmacies working with PCNs (9:47)

Engaging community pharmacists (10:44)

Preparing to work with PCNs (11:41)

Pharmacists working together across organisations (13:23)

The differences between clinical and community pharmacists (14:09)

The challenges of collaboration (15:28)

The Community Pharmacy Consultation Service and other opportunities where community pharmacies can help (17:22)

Finding out more (18:43)

The challenge of the 30% funding gap (19:42)

Planning to build a team of pharmacists (20:50)

The relationship between GP and community pharmacists (22:27)

Finding out more (23:39)

Hala has provided some useful links for those looking for more information:

Details about the Joint Pain Advice project are available here and here

The Primary Care Pharmacy Network briefing on PCNs for pharmacists can be downloaded here

The PSNC guidance for supporting community pharmacists to engage with PCNs can be downloaded here

An article from Chemist and Druggist on the opportunity for community pharmacy in PCNs is available here

And the Community Pharmacy Contractual Framework can be downloaded here

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