5
nov
0

Episode 134: Rachel Morris –GP burn-out, stress and resilience

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Rachel Morris is a GP, an executive coach and presenter with Red Whale; producers of the famous GP Update. In Episode 108 of the General Practice Podcast Rachel described two courses that Red Whale run to develop primary care leaders. In this episode she looks at GP resilience; what it is and how can you acquire it. She considers the causes of stress and burnout and points to a range of useful resources GPs can use to develop their personal resilience.

Details of these further resources are available at the bottom of these show notes

Show Notes

Rachel defines resilience (39secs)

The idea of developing better resilience (1min 10secs)

Is resilience genetic or learnt? (1mins 44secs)

Resilience as a skill (2mins 29secs)

The controllable causes of stress (2mins 56secs)

The value of conflict (3mins 47secs)

Teams are fundamental to managing stress… (5mins 05secs)

…but teams can be a cause of stress (5mins 50secs)

The value of the coffee break (6mins 21secs)

Burn-out – its signs and symptoms (8mins 47secs)

What to do if you recognise burn-out (10mins 27secs)

Tools available to strengthen resilience (11mins 30ecs)

Managing our inner chimp (12mins 44secs)

Managing or reducing stress (13mins 25secs)

When it works…an example (15mins 03secs)

Available resources (16mins 38secs)

Individual coaching (17mins 51secs)

Mindfulness (18mins 13secs)

A bespoke course (18mins 33secs)

Other resources (19mins 10secs)

Finding out more (20mins 13secs)

Resources mentioned in this episode:

Dr Steve Peters’ book “The Chimp Paradox” is available via Amazon here

Mark Williams book “Mindfulness – A Practical Guide to Finding Peace in a Frantic World” is available via Amazon here.

The eGPlearning podblast which reviews the mindfulness app “Headspace” can be found here

Our previous podcast with Paula Wright on GP Learning Groups can be found here

The Red Whale GP Update website is here

You can contact Rachel via her website at wildmonday.co.uk

29
oct
0

Episode 133: Steph Coughlin and Nina Griffith –a Primary Care Network based on neighbourhoods

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The Neighbourhood Development Programme in City and Hackney in London is a primary care network based around eight neighbourhoods with populations of between 30-50,000. The neighbourhoods are structured round GP practices with a bottom-up, clinically-led support network bringing together all local partners engaged in integrated health and social care. In this podcast Ben talks to Clinical Lead and local GP Dr Steph Coughlin and Nina Griffith who is the work stream director for Neighbourhoods. They describe how the network functions and how it is bringing together all constituent organisations to improve access, reduce duplication, improve integration and, in the medium term, change outcomes for patients.

Show Notes

Steph and Nina describe their roles in the programme (41secs)

Describing a neighbourhood (1min 26secs)

How the neighbourhood model impacts on the population (2mins 14secs)

The integrated care model (3mins 18secs)

History of integrated work in City and Hackney – focussing on relationships (4mins 47secs)

Focussing on improvement and joined up services (5mins 49secs)

Practical work streams – shared data about the neighbourhoods (6mins 52secs)

Pilots – adult community nursing, mental health support, adult social care & learning disabilities and complex patients (7mins 47secs)

Local focus on problems within neighbourhoods (8mins 38secs)

Enthusiasm across the system including residents (9mins 25secs)

Engaging residents in the programme – A Patients’ Panel (10mins 22secs)

Forming the Patients’ Panel, using PPGs (11mins 18secs)

Advice on building relationships across the system – the programme structure (12mins 44secs)

Neighbourhoods look different (14mins 28secs)

Trust and confidence (15mins 25secs)

Vision for the future of the model – seamless care and happier workforce (16mins 36secs)

Long term versus quick wins (18mins 13secs)

Finding out more (19mins 37secs)

Contact Nina via nina.griffith@nhs.net or Steph via stephaniecoughlin@nhs.net

22
oct
0

Episode 132: Alison Halliwell – a mental health service in general practice

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Alison Halliwell is a mental health practitioner leading a team in general practice in Fleetwood. The service Alison leads began in 2004 when 42% of patients were presenting to GPs with a mental health component to their illness. Fourteen years on and now only 8% of her GPs’ time is spent dealing with mental health issues. The service has won six national awards and Alison explains how it began, how it developed, how it runs and offers advice to other practices thinking of doing the same.

Show Notes

Alison describes the practices she supports (1mins 05secs)

Bringing mental health services and general practice together (1min 34secs)

The role originates as a job share (2mins 18secs)

Alison explains why she took the role (2mins 38secs)

The role evolves into Alison’s vision (3mins 07secs)

The team grows and allows speedy access (3mins 49secs)

Self-referrals (5mins 49secs)

Savings and investment in the service (6mins 14secs)

One team (6mins 51secs)

Ensuring consistency (7mins 22secs)

Reduction of demand on GPs (7mins 53secs)

The response from GPs (8mins 53secs)

Tools and strategies for patients (9mins 29secs)

Overcoming the obstacles (10mins 23secs)

The relationship with secondary care (11mins 20secs)

Recruiting mental health practitioners (12mins 01secs)

The level to recruit at (13mins 07secs)

Alison’s advice to others (13mins 25secs)

Supporting integration (14mins 39secs)

The ideal size of practice (15mins 18secs)

Varied specialisms (15mins 47secs)

Plans for the future (16mins 39secs)

Contacting Alison (17mins 37secs)

Alison’s email is Alison.halliwell@nhs.net

15
oct
0

Episode 131: Farzana Hussain – Quality Improvement: a way of life

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Farzana Hussain is a GP in the London Borough of Newham and a great advocate for quality improvement. For Farzana it is less a task and more like a way of life. In this podcast she explains why. She describes the three tools she has utilised in her own practice (The Change Model, Process Mapping and the PDSA Cycle) with some practical examples. She also explains the impact that building quality improvement into her day-to-day activities has had on the practice and on her.

Show Notes

Farzana talks about her role and the practice in Newham (45secs)

Working in a small practice (1min 32secs)

Farzana gets involved in quality improvement out of necessity (2mins 03secs)

The Dark Arts? What does quality improvement mean? (3mins 17secs)

The three tools (4mins 05secs)

  1. The Change Model… (4mins 22secs)

Applying the Change Model to online booking (5mins 36secs)

Starting with why change? (6mins 47secs)

  1. Process Mapping (7mins 27secs)

Colour-coding the process steps – a practical example (8mins 13secs)

How long does this take? (10mins 03secs)

  1. The PDSA (Plan-Do-Study-Act) Cycle – a practical example (11mins 19secs)

Flexibility of the Cycle (13mins 56secs)

Quality improvement becomes routine (15mins 25secs)

The impact of using the tools – spreading the burden (16mins 15secs)

Making savings (17mins 09secs)

A problem solving tool and a way of life (17mins 43secs)

Further information (18mins 54secs)

A set of free resources from the Institute for Healthcare Improvement can be found here

The website of the NHS sustainable improvement team can be found here

Search “A GPs Diary of Quality Improvement” in YouTube for a range of Farzana’s video diaries

8
oct
0

Episode 130: Andy Wilkins – a 10-15 year vision for person-centred healthcare – Part Two

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This is the concluding part of our discussion with Andy Wilkins, the co-author of a report called Beyond The Fog: A future for public healthcare. In the first part published last week (find it here) Andy described the trends that will influence the future of healthcare. In this episode he looks at the likely impact that the developments described in the first episode might have on the role of general practice and the wider community of health. He looks at areas already taking the first steps and explains more about how he hopes the final report will be used in shaping health policy and describing an inspiring vision for the future.

Show Notes

What will be the impact of developments like the Digital Health Coach on general practice (52secs)

Shifting work out of secondary care (1min 46secs)

Holistic care and expansion of the care in a community setting (2mins 24secs)

A shift from gatekeeper to leading on lifetime support (3mins 52secs)

A practical example in Boston (5mins 26secs)

The Primary Care Home model as a start (6mins 44secs)

Living with the burden of disease and prevention (7mins 16secs)

A vision of what could be possible in the future – the journey to transformation (8mins)

The Report as a provocation (10mins 21secs)

The Report and reaction to the Report (11mins 01secs)

Lobbying NHS England to get the ideas considered in the next Ten Year Plan (13mins 33secs)

Developing an inspiring vision for the future of general practice – being curious (15mins 18secs)

Mapping the future role of primary care (17mins 22secs)

Work from the Academy of Royal Colleges (18mins 19secs)

More information and the future of the Report (19mins 29secs)

You can find out more about Beyond The Fog here

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