2
jul
0

Episode 117: Paula Wright – GP Learning Groups

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

Paula Wright is a GP in the North East of England and GP tutor for Newcastle, Health Education England – North East team. In this podcast Paula explains the origins and value of GP Learning Groups; what they are, how they work and how they can be set up locally.

Show Notes

Paula explains how she became involved in learning groups (31secs)

The history of the groups (1min 11secs)

What they are and how they work (2mins 19secs)

Paula’s experience of setting up a group (3mins 27secs)

The groups impact on Paula (3mins 57secs)

Keeping GPs up to date (4mins 19secs)

Numbers in the group and sustainability (5mins 25secs)

The size of the living room dictates the size of group (6mins 02secs)

Membership of the group (7mins 15secs)

The time commitment (8mins 57secs)

The key benefits of the groups including peer support, developing leadership skills etc (9mins 34secs)

The key challenges in running successful groups (12mins 22secs)

How widespread are the groups and promoting the groups (13mins 53secs)

Building resilience in GPs (15mins 17secs)

The national approach (or lack of it) to the groups (16mins 03secs)

Finding out more information (17mins 24secs)

Setting up your own group (18mins 03secs)

The website of the North East Sessional GP Group is here

The article in the BMJ Paula refers to is available here (login required)

25
jun
0

Episode 116: Neil Modha – An innovative model for general practice

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

In this episode Ben visits Thistlemoor Medical Centre in Peterborough to talk to Dr Neil Modha about their fascinating and innovative model for running what they call Open Access in general practice. Their system developed in response to a shortage of GPs and a high migrant population that do not have English as a first language. Using Healthcare Assistants from the local community to take histories and translate for the GPs, the model means that on some days 300 patients can be seen in the practice and has meant that admissions into hospital are some of the lowest in the area.

Show Notes

From 700 patients to 24,000 in ten years (44secs)

Explaining the growth – Eastern European migrants (1min 13secs)

Issues for local general practice (1mins 47secs)

Explaining the clinical model – adding value through the right people at the right time (2mins 13secs)

Open Access for all – 300 patients on Mondays and Fridays (3mins 04secs)

80% of patients don’t have English as their first language (3mins 44secs)

Healthcare Assistants take the history and do the observations (4mins 09secs)

Planning with the patient and booking follow ups (5mins 10secs)

Happening in parallel (5mins 41secs)

Similar system to medical students (6mins 15secs)

Clinical governance behind the model (7mins 13secs)

Why did the model develop in this way? (7mins 57secs)

What does it feel like for the GPs? (9mins 17secs)

Developing the rest of the team (10mins 28secs)

The workforce profile (11mins 01secs)

Establishing the credibility of the model (12mins 28secs)

The impact of the model on admissions (13mins 41secs)

Using local people (14mins 49secs)

CQC outstanding rating (15mins 23secs)

Growing for the future (17mins 04secs)

Offering services across Peterborough (17mins 46secs)

Training others and the pharmacy gatekeepers (18mins 44secs)

Functional alignment (19mins 44secs)

Is the model replicable? (20mins 56secs)

Where should other practices start? (22mins 42secs)

Looking through other perspectives (23mins 24secs)

Finding out more (24mins 27secs)

Two things of which Neil is most proud (25mins 24secs)

The practice website is here

The evaluation report into the use of Healthcare Assistants from the University of Sheffield is available here

18
jun
0

Episode 115: What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion (2)

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

Part Two of our second panel discussion on the future infrastructure of general practice. Ben is joined by a panel of renowned national experts (see below) and in this part the panel discusses the importance of data and information systems, the value of greater integration, a focus on prevention and wellness and the need to prove the value of generalists.

Ben is joined by:

Vincent Buscemi: a health and social care lawyer and partner at Bevan Brittan

Jon Griffiths: GP and chair of NHS Vale Royal CCG

Jonathan Serjeant: GP and Director of Creative Partnerships at Here

Jeannie Watkins: President and Chair of the Professional Standards Sub-Committee at the Faculty of Physician Associates at the Royal College of Physicians

Show Notes

Jonathan discusses the importance of data to general practice (56secs)

Ben introduces the idea of data set that the public produces themselves and whether this might change the relationship with, and the role of, general practice (2min 25secs)

Jonathan responds about the value of this data and the engagement of clinicians with this data (3mins 08secs)

Jon responds on the idea of patient-centred care and the shift to wellness and how this changes the likely workforce (4mins 41secs)

Jon talks about the idea of general practice working better as part of the wider system (6mins 43secs)

Vincent talks about greater investment in prevention (7mins 25secs)

Ben queries whether shifts in funding will happen now when they haven’t in the past (9mins 32secs)

Vincent suggests what needs to change (10mins 01secs)

Vincent points out how the data fits in (11mins 20secs)

Jeannie pleads for the preventative agenda to have a higher profile and how this might be sustained (12mins 09secs)

Jon suggests the flow of funding needs to change through an integrated system (14mins 05secs)

Jonathan feels the funding is going the wrong way and that general practice can’t prove its own value (15mins 42secs)

Ben asks how this might work and Jonathan responds that better information systems are key (17mins 32secs)

Jon talks about the challenge of demonstrating the value of the generalist (19mins 42secs)

Ben asks whether this can be achieved and Jon responds that it must happen and that access to the specialist cannot be seen as the “gold standard” (21mins 12secs)

Jonathan argues for change and the potential for general practice – which will mean being more vulnerable (22mins 19secs)

Ben asks what has been missed and what the key take away messages should be for practices now (23mins 29secs)

Vincent argues that general practice needs a strong, unified voice (24mins 28secs)

Jeannie talks about sustaining and promoting primary care successes (26mins 30secs)

Jon lists the things he feels general practice must do including engaging and “not being dinosaurs” (28mins 10secs)

Jonathan looks at the question from an individual’s perspective and argues for vulnerability and disruption (28mins 47secs)

Ben thanks the panel and sums up (30mins 02secs)

11
jun
0

Episode 114: What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

This is the second in our series of panel discussions in which Ben is joined by a panel of renowned national experts. This time we discuss what the infrastructure of general practice will look like in five years’ time. In this first part the panel considers how the scale of general practice might change and, amongst other things, disruptive technologies, the future of the partnership model and the move to population health management.

Part Two will follow next week.

This time Ben is joined by:

Vincent Buscemi: a health and social care lawyer and partner at Bevan Brittan

Jon Griffiths: GP and chair of NHS Vale Royal CCG

Jonathan Serjeant: GP and Director of Creative Partnerships at Here

Jeannie Watkins: President and Chair of the Professional Standards Sub-Committee at the Faculty of Physician Associates at the Royal College of Physicians

Show Notes

Ben asks the panel to identify the current trends in infrastructure and which of the might build into the future (1min 13secs)

Jon begins by identifying collaboration and scale as a current trend (1min 46secs)

Vincent further identifies vertical integration and the end of the partnership model (2mins 48secs)

Vincent believes this will become mainstream in the future (4mins 20secs)

Jonathan believes changing communication with patients, the expanded workforce, new metrics and social prescribing are current trends (5mins 28secs)

Jon questions the death of the partnership model (7mins 05secs)

Vincent responds with an example of a new sub-contracting model for GMS (7mins 48secs)

Jeannie looks at who is providing care in the new models (9mins 31secs)

Ben asks about the role of disruptive technology (10mins 08secs)

Jonathan suggests staying close to the new technology (10mins 34secs)

Ben asks whether the new technology should become part of core general practice and Jonathan responds (12mins 38secs)

Jon agrees and suggests we need to adapt and embrace the new technology (13mins 42secs)

Ben asks how this impacts on the size of general practice and Jon responds (14mins 33secs)

Vincent agrees but suggests that the NHS infrastructure is behind the curve (16mins 04secs)

Jonathan focusses on how technology might benefit patients and urges a new way of commissioning (18mins 10secs)

Ben challenges the “learned helplessness” of general practice (19mins 42secs)

Jonathan comes back (20mins 41secs)

Jeannie identifies the challenge of finite resource (21mins 23secs)

Jon loops this back to size and general practice innovation (22mins 20secs)

Ben asks what the ideal characteristics of general practice might be (23mins 35secs)

Vincent responds: one size doesn’t fit all (24mins 03secs)

Vincent introduces the idea of population health management (25mins 13secs)

Ben reintroduces the idea of size coupled with independence (26mins 35secs)

Vincent on “hand-to-hand combat” (27mins 36secs)

Jonathan looks to the future of integrated care systems (29mins 15secs)

4
jun
0

Episode 113: Aisha Malik – Using social media in general practice

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

Aisha Malik is a sessional GP in Manchester and a social media strategist for doctors and healthcare organisations. She is the founder of Doctors in Business, an organisation which aims to get doctors more visible online. In this episode she explains how a traumatic early experience in general practice (which saw her practice rated as one of the worst in the country by the CQC) eventually led to an interest in the ways that social media can influence patient behaviour and contribute to practice success.

Show Notes

Aisha’s story – becoming a GP in a struggling practice and inspection by the CQC (40secs)

The inspection ends really badly and the media descend (2min 41secs)

Tackling the media (3mins 18secs)

Support for Aisha (4mins 44secs)

The response from patients (5mins 53secs)

Turning round a failing practice (6mins 46secs)

Changing the structure and becoming “Good” (8mins 09secs)

Aisha’s approach to change (9mins 31secs)

Becoming involved with social media (10mins 51secs)

Using social media with patients (12mins 58secs)

Simple digital marketing techniques to influence behaviours (14mins 18secs)

Avoiding mistakes (15mins 33secs)

Leveraging the trust that exists within the practice (15mins 57secs)

A practical example – a simple You Tube video (17mins 15secs)

Finding out more (18mins 27secs)

Aisha is on Twitter @DocAishaMalik and her Doctors in Business website is available here

Page 64 of 89
1626364656689