28
jan
0

Episode 144: Matt Aiello – Physician Associates in Primary Care

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Matt Aiello is the national programme lead at Health Education England for Urgent and Emergency Care and for Physician Associates. In this episode we focus on the continuing introduction of the Physician Associate role into primary care. Matt explains how the profession is expanding supported by Health Education England, how the role supports general practice, how the recognition and regulation of the profession is being approached and offers some advice for practices wishing to appoint a PA.

Show Notes

Matt’s role at Health Education England (0:41)

Focus on general practice (1:38)

Focus on Physician Associates (1:57)

The roll out and growth of Physician Associates (2:20)

Developing the multi-professional team (4:05)

Antibodies to Physician Associates and overcoming them (5:18)

The benefits of the PA role (6:34)

Developing the role – PAs as partners in general practice (7:14)

The value of PAs – seeing is believing (8:01)

The Physician Associates Ambassador Programme (9:09)

A “horizontal profession” – with opportunities to develop (9:47)

Graduate preceptorships (11:02)

Why would I recruit a PA? Good communication (11:38)

Recognising and regulating the profession – a national licensing exam (13:14)

PAs to become prescribers? (14:53)

The future for PAs (15:30)

The role of Health Education England (16:52)

General practice developing multi-professional teams (17:15)

Advice for practices wanting to appoint a PA (18:26)

The role of at-scale general practice (19:23)

Finding out more (19:54)

The role of at-scale general practice (19:23)

The Health Education England web page on Physician Associates in Primary Care can be found here

The other podcasts we have recorded about Physician Associates can be found below:

Episode 40 – we talk to two Physician Associates about their role

Episode 43 – we talk to Jeannie Watkins from the Faculty of Physician Associates at the Royal College of Physicians

Episode 52– we talk to a GP about the value of the role in general practice

21
jan
0

Episode 143: Robin Miller – the transformation of primary care

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Robin Miller is a Senior Fellow at the Health Services Management Centre of the University of Birmingham. Robin is heavily involved in research into the transformation of primary care. In this episode he shares some of the lessons that have emerged from this research including a study of the Aspiring for Clinical Excellence programme developed by a CCG in Birmingham. He looks at what transformation means, how innovation can be encouraged, how practical is the expectation that transformation will save money and how GPs and CCGs need to change their mind-sets if transformation is going to work.

Show Notes

What do we mean by the “transformation of primary care”? (0:39)

The Aspiring to Clinical Excellence programme (1:17)

Trust model versus traditional “pay for performance” (2:31)

Freedom for local primary care to come up with answers (3:51)

£10 per patient and a competitive process for groups of practices (4:21)

Flexibility to innovate (5:51)

Resentment from those missing out (6:42)

Action learning sets of pioneers and the CCG (7:29)

Lessons learnt from the process (9:00)

Was this programme a success? (9:50)

Did it save money for investment into primary care? (10:46)

Transformation has to be sustained (12:08)

Wider lessons – changing the perception of the role of the GP (12:55)

Shift to multi-disciplinary teams with a leading practitioner (14:51)

Changing the GPs’ perceptions of themselves (15:55)

Funders also need to change their mind-set (17:08)

Local ownership is essential (18:50)

Motivation general practice to change – evidence with data (19:54)

Structured programmes with methodologies (21:22)

Accessing Robin’s research (23:53)

Robin can be emailed at r.s.miller@bham.ac.uk

The two papers Robin refers to in his podcast can be found here:

https://www.ijic.org/article/10.5334/ijic.3044/

https://www.emeraldinsight.com/doi/full/10.1108/JICA-03-2018-0023#_i7

14
jan
0

Episode 142: Marion Lynch and Alan Webb – developing future primary care leaders

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In this episode, Ben talks to two people behind an innovative initiative to develop the next generation of primary care leaders. The NHS@2030 programme was developed under the auspices of NHS England, the Thames Valley Strategic Clinical Network and the Thames Valley and Wessex Leadership Academy with the intention “…to grow individual confidence, courage and the conviction to transform care, and establish a system of continuous quality improvement for patients and primary care teams alike” In fact, the content of the programme was a co-production with its participants. To hear all about the programme and how this co-production process works, Ben talks to Marion Lynch from NHS England South and former CCG Chief Executive Alan Webb.

Show Notes

How did NHS@2030 come about? (0:56)

What would the NHS look like if we didn’t have GPs? (3:04)

Use futurist thinking to predict the role of the NHS in 2030 (4:15)

Who the programme is for? No prescribed content. Based on values. (5:22)

Preparing for the uncertain future of the NHS (6:59)

The programme is developed by the participants and their needs (7:56)

Overwhelming uptake onto the programme (9:26)

Building the programme (10:28)

Developing trust in the participants (11:22)

Individual focus turns to practical action groups (12:21)

The working groups – practical examples (13:19)

It isn’t a course – it’s building a community of leaders (14:54)

Plans for the future – tailoring the approach (16:16)

A course is not enough (18:02)

Finding out more…it really isn’t a course, Ben! (19:00)

The website Alan refers to can be found here

7
jan
0

Episode 141: John Tacchi – Primary Care Integration in Staffordshire

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John Tacchi is the Programme Director for Integration at North Staffordshire Combined Healthcare NHS Trust, a provider of mental health, social care and learning disability services in the West Midlands. In this episode John talks about his role leading the Trust’s Primary Care Integration Strategy which offers GP practices a range of benefits from full integration into the Trust to the provision of back office functions. John explains how the integration is working and the benefits that the new service driven model and locality working is delivering for GP teams and for the Trust.

Show Notes

 

John joins North Staffs Combined to do Primary Care Integration (0:52)

John explains the distinctive differences in the North Staffs model (01:59)

The GP partners hold the contracts and have a contract with the Trust for delivery (2:50)

Removing (or reducing) GP liability (3:58)

A service driven model to engage practices; a range of options (4:34)

The Trust’s relationship with the local federation of 76 practices (5:48)

The benefits of this model to GPs; a future for staff and eliminating “last man standing” (7:12)

Back office functions and moving from silos to a geographic focus (8:10)

What’s in it for the Trust? (10:00)

A plan for future opportunities; providing mental health services and integrated pathways (11:00)

Locality teams and integrated care teams (12:11)

How do you ensure this works and isn’t seen as a takeover? (12:57)

Reflecting on the journey; developing a new clinical model (14:44)

Providing mental health services in the integrated out of hospital offer (16:42)

New governance model at the same time as a “hot” and “cold” split (17:18)

Engaging the practice leadership team and developing new leadership roles (18:08)

Thinking big with a population focus (19:27)

The Combined Healthcare website is available here

17
dec
0

Episode 140: Terry Kemple – Sustainable general practice

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Terry Kemple was a past president of the RCGP and is now the RCGP’s representative for Sustainability and Climate Change. In this episode he talks to Ben about the Green Impact for Health Toolkit. The Toolkit enables general practices to plan and implement actions they can take to become more sustainable and covers areas such as health and well-being, water use, recycling and procurement. Terry describes the uses of the toolkit, the associated awards scheme and how practices can become involved.

Show Notes

Terry explains his current role at the RCGP (0:41)

Terry’s involvement in The Green Impact for Health Toolkit (0:56)

The origins of the toolkit through the NUS (1:33)

Adapting the scheme for GPs (2:34)

Examples of what practices can do (2:48)

Making a difference as an individual (3:24)

Saving money and being efficient (4:09)

Engaging the practice team (4:35)

Using the toolkit practically (5:06)

Allocating the awards (6:15)

The award itself (6:59)

“A sense of direction” rather than a chore (7:37)

Helping the whole community’s health (8:18)

A universal model with local choices (10:08)

General practice leading on making a difference locally (11:22)

Operating at-scale and the toolkit (12:14)

Getting started (13:11)

Promoting and adapting the Toolkit (14:23)

Contacting Terry (14:58)

The website Terry mentions is www.greenimpact.org.uk/giforhealth and the “test drive log-in” he mentions is gifh@greenimpact.org.uk and the Password is testtoolkit (all one word)

Terry’s email address is tk@elpmek.demon.co.uk

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