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

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)

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