28
jul
1

Podcast : Hugh Reeve – how introducing an online consultation system transformed our practice

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Hugh Reeve is a GP in Grange-Over-Sands in Cumbria. The practice wanted to improve the way they met patient demand and initially began to look at introducing an online consultation system. They soon concluded that this could not be simply about introducing a “bolt on” digital system and it quickly became a process that forced them to radically reconsider all aspects of their patient flow. In this episode Hugh explains how they went about transforming their practice, how the new system now works for GPs and patients with the resultant outcomes including the fact that only 40% of patient contacts are now face-to-face.

Why introduce an online consultation system? (0:59)

Improving continuity of care (1:49)

Researching the options (2:57)

The kind of system they didn’t want (4:00)

A much bigger task than choosing a system (4:44)

Improving the “flow” of patients (5:21)

How the system works for GPs (6:13)

Changing the way they work rather than “bolting on” a system (7:16)

Radically rethinking “flow” (8:03)

Only 40% of contacts are face-to-face (9:33)

Not just introducing online (10:05)

Establishing what capacity is needed (10:45)

Introducing the new system (11:19)

Patients using the system (12:07)

Not about workforce challenges (13:15)

A typical day for a GP in the practice (14:13)

The reaction of patients (18:45)

Pilot site for the Health Foundation Programme on Continuity of Care (19:39)

Hugh’s advice for others (22:03)

You can email Hugh at hugh.reeve@gp-a82053.nhs.uk

The askmyGP website is available here

7
jul
0

Podcast : Nick Sharples – progress with Social Prescribing Link Workers

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Today (8th July) is the first ever National Social Prescribing Link Worker Day! Organised by the National Association of Link Workers it aims “…to celebrate and showcase the contribution of social prescribing link workers in improving population health and wellbeing.” In support of this our podcast this week is the fifth in our series looking at Social Prescribing. Nick Sharples is Managing Partner at DNA Insight, a specialist training consultancy that is increasingly involved in training Social Prescribing Link Workers. In this episode he talks about the various models that are emerging for employing, recruiting and training Link Workers.

Nick describes his involvement in social prescribing (0:44)

Who employs the Link Workers? (1:53)

Reluctance to outsource the role (3:30)

Outsourcing the role (4:16)

Competition for Link Workers – three options for recruitment (5:36)

External recruitment (6:40)

Recruiting from within the practice (7:16)

Advantages of the options – building an appropriate model (7:54)

The provision of training (9:18)

Resources for training (10:28)

How much budget to put aside? (11:02)

Effective working with large scale – prioritising (11:58)

Average workload (13:13)

Managing a caseload (13:53)

A practical example from Scotland (15:32)

Sharing best practice – learning co-ordinators (16:33)

Finding out more (17:31)

The DNA Insight Social Prescribing pages are here

Nick has put together a list of useful resources below:

  • Twitter Social Prescribing Wednesday – @SocialPresHour – every other Wednesday and hosted/organised by Elemental
  • National Association of Link Workers www.connectlink.org Christiana Melam christiana@connectlink.org   Professional body representing Social Prescribers/Link Workers with lots of useful resources for Link Workers and those employing them.
30
jun
0

Podcast: Gerry Morrow – information sharing across practices

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Gerry Morrow was a full time GP for twenty years before he joined Clarity Informatics as their Medical Director. Clarity, (who describe themselves as “international leaders in healthcare solutions”) developed TeamNet “a web-based sharing and compliance platform for primary care”. In this podcast Gerry explains how TeamNet enables practices and other agencies to share information, how it is adaptable to individual circumstances and what the future might hold.

Show Notes

Gerry begins working with Clarity (0:54)

The importance of sharing information (1:20)

Clarity develops TeamNet as a natural extension of their business (1:53)

The benefits of sharing information through TeamNet (2:37)

Where does the information come from? (3:29)

The opportunities of practices moving into PCNs (4:15)

Transparency – sharing information and building trust (5:08)

How TeamNet works in practice (6:41)

Practices and community teams working together (7:39)

Structuring sharing with other agencies (8:53)

Controlling the flow of information (9:55)

Who uses TeamNet now? (11:16)

Two way communication with practices (11:46)

The future of information sharing – interoperability (12:45)

Sharing patient-identifiable data (13:37)

Future projects for Clarity (14:23)

Finding out more (15:06)

The Clarity TeamNet web pages are here

The email address is teamnet@clarity.co.uk

23
jun
1

Podcast : Mark Newbold – the big picture implications of PCNs

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Dr Mark Newbold is an experienced NHS doctor, manager and academic who, until recently, was Managing Director of the Birmingham super-practice, Our Health Partnership. In this wide-ranging discussion Ben and Mark focus on the bigger picture: the strategic implications of Primary Care Networks and the role of general practice in integrated care systems. They cover everything from leadership and influence to scale and accountability. Mark begins by describing the introduction of PCNs as “an NHS led…radical process of transformation”

Mark updates us on what he has been doing (1:06)

NHS-led transformation (1:39)

Moving from “institution” to “system” (2:43)

Bringing general practice into the system (3:18)

General practice is the foundation of integrated care (3:46)

Size, scale and influence (4:53)

The question of existing at-scale general practice (6:23)

Tiers of collaboration (7:36)

Geographic spread and the “offer” of working at-scale (9:47)

Differentiating the “offer” for member and non-member practices in an at-scale organisation (10:34)

The Clinical Director role (11:56)

The future for Community Trusts (12:44)

The balance of power between general practice and Community Trusts – emerging GP leaders (13:27)

PCNs – beginning of the end for independent general practice? (14:58)

A collective approach (16:06)

Evolving a new model of general practice (17:20)

The accountability of integrated care systems (18:04)

Taking a long term view (19:01)

A discussion forum for GPs (20:36)

The GP View website Mark mentions can be accessed here

Our previous podcasts with Mark on the setting up of Our Health Partnership can be found below:

Episode 13 – Our Health Partnership: The story so far

Episode 41 – Progress with a super-partnership

Episode 79 – The further adventures of a super-partnership

Episode 109 – Our Health Partnership – the story continues

16
jun
0

Katie Collin – VAT for Primary Care Networks explained

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This is the episode all about VAT. No, come back! It’s complex but vitally important stuff for PCNs and you’ll regret not listening… We are delighted to welcome Katie Collin, Client Services Partner at Ramsay Brown Chartered Accountant to explain it all. She covers who needs to be registered for VAT, what services incur VAT, Cost Sharing Groups and the VAT implications of the three models for PCNs. She has also produced a frequently asked questions document which you can access at the end of these Show Notes.

Show Notes

VAT – the hot topic of the moment (0:45)

Who has to be registered for VAT (1:04)

The three main reasons why a GP might be registered for VAT (1:47)

What services incur VAT – provision of services and staff (2:54)

Holding the contract and keeping control (5:12)

Other services – admin and back-office functions attract VAT (6:19)

Part of an overall contract – an example (6:58)

How does a Cost Sharing Group work? (8:23)

Members of a legal entity (9:16)

On-costs but not a management charge (10:23)

Is VAT chargeable on what PCNs are being asked to do? (11:13)

Employing a Link Worker (12:47)

The VAT implications for the three models for PCNs:

1 The Lead Practice Model (13:26)

Is the lead practice registered for VAT (15:28)

2 The Flat Model – the easiest model? (s16:38)

Liabilities of joint employment (17:45)

3 The Federation Model (18:26)

The big issues with federations (19:54)

The federation as a cost sharing group (20:36)

Core members/non-core members of networks (21:43)

Setting up a legal entity now – is it worth it? (23:06)

Employing staff and pensions (23:57)

Other things to consider (25:06)

Don’t go it alone (25:51)

Getting in touch and finding out more (26:20)

You can find Ramsay Brown’s “VAT and Primary Care Network FAQs” here

The Ramsay Brown website is here

Katie’s email address is katiecollin@ramsaybrown.com

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