28
may
0

Episode 112: Andy and Gandhi – the impact of technology on primary care

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Dr Hussein Gandhi (aka Dr Gandalf) and Dr Andy Foster are two GPs who run the eGPLearning Podblast. The Podblast explores new resources for primary care health tech, current news and covers regular interviews with health tech innovators. In this episode Ben asks Andy and Gandhi what impact they think technology is having on general practice; both now and in the future.

Show Notes

How the Podblast came about (51secs)

The Podblast is aimed at primary care workers, mainly GPs (1min 44secs)

What’s the most useful current technology? (2mins 34secs)

The biggest likely impact of technology on general practice – signposting (4mins 34secs)

The value of current gadgets – and the new systems (5mins 43secs)

Practices and technology – “wake up and get with the programme” (7mins 32secs)

Finding time to innovate (9mins 12secs)

The threat of the new big players in the market (10mins 16secs)

The involvement of the private sector and the views of patients (11mins 49secs)

Technology shaping the future of general practice – the frustrations of legacy systems (14mins 33secs)

The impact of the millennials (16mins 47secs)

Aspirations for the future (17mins 48secs)

Finding the podcast (19mins 47secs)

The eGPLearning Podblast is available on iTunes and You Tube

Dr Gandhi runs www.egplearning.co.uk and is on Twitter @drgandalf52

Dr Foster has a blog www.avoidingpuddles.com and is on Twitter @drawfoster

21
may
0

Episode 111: Ishani Patel – Technology to mobilise the general practice workforce

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Ishani Patel is a GP partner in North West London and co-founder of Lantum a company formed “to help healthcare professionals unlock the complexity of staffing in today’s healthcare system” and part of the NHS Innovation Accelerator. Lantum have created a technological platform to support workforce mobilisation which is delivering a number of benefits including reducing agency spend, saving managers around four hours a week, improving fill-rate and even extending GP careers. In this episode Ishani explains, amongst other things, how the platform works, how it supports at-scale working and how it is likely to develop in the future.

Show Notes

What is Lantum? (59secs)

Helping to manage the workforce and helping individuals to manage their workload (1min 34secs)

A bit of the history and Ishani’s involvement (2mins 11secs)

A technological solution (3mins 04secs)

How it works and the benefits for practices (3mins 23secs)

The benefits for individual GPs (4mins 15secs)

How has the model developed? Working with a federation (4mins 40secs)

Working with the Our Health Partnership super-practice (6mins 03secs)

Not just a solution for GPs – expanding the platform (7mins 48secs)

Enabling at-scale working (8mins 23secs)

Dependent on cohesion (9mins 16secs)

Working with federations (9mins 56secs)

Overcoming reticence in pooling locums (10mins 30secs)

Does this technological solution mainly appeal to younger GPs (12mins 10secs)

Is this the death of the partnership model? (13mins 28secs)

No, but it does drive at-scale working (15mins 21secs)

Working with the NHS (16mins 20secs)

Innovating with independent general practice (17mins 48secs)

What are the biggest likely changes for general practice? (19mins 13secs)

The future for Lantum (21mins 03secs)

Finding out more (22mins 04secs)

Find out more by contacting Ishani via Linkedin or Twitter @drishanipatel or visit the Lantum website at www.lantum.com

14
may
0

Episode 110: Vincent Buscemi – from partnership to limited company; why and how?

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Vincent Buscemi is a health and social care lawyer and a partner at Bevan Brittan, a leading commercial law firm. Vincent has wide experience of advising independent and public sector organisations on a wide range of issues including powers, decision-making and governance arrangements. In this episode Vincent takes Ben through the fine detail of setting up limited companies, forming “back-office” hubs and avoiding the potential pitfalls of both.

Show Notes

Vincent moves to the UK from the US 25 years ago and gets involved in primary care (51secs)

Vincent’s experience in the new models of care vanguards (1min 38secs)

What is an incorporated identity? (3min 17secs)

Achieving economies of scale (5mins 21secs)

Can limited companies hold GP contracts? (6mins 55secs)

“Qualifying companies” (8mins 03secs)

Why isn’t this happening so much now? NHS England’s involvement (8mins 55secs)

Potential for a legal challenge (10mins 17secs)

Scale influences NHSE’s view (11mins 55secs)

Start at a local level – and early (13mins 11secs)

Reticence to fait accompli and the policy book (14mins 25secs)

Downsides to check for – paying VAT and pension arrangements (16mins 07secs)

Sub-contracting from core contracts leads to a pension issue… (17mins 23secs)

…and a tax issue. Cost sharing groups (19mins 44secs)

Get the financial advisor in the room as soon as possible (21mins 29secs)

Isn’t a merger a far easier alternative? (23mins 09secs)

Pre-existing and prior liabilities (24mins 20secs)

How is the corporate infrastructure of general practice likely to change? (25mins 23secs)

Getting in touch with Vincent (27mins 23secs)

Contacting Vincent: Telephone 03701943016 or e-mail Vincent.buscemi@bevanbrittan.com

7
may
0

Episode 109: Mark Newbold – Our Health Partnership: The Story Continues

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Regular listeners will know Dr Mark Newbold well. He is the Managing Director of Our Health Partnership (OHP), the Birmingham and Shropshire based super-practice covering 38 practices and a population of over 340,000. We have been following the progress of OHP since we began the podcast and you can find the previous episodes here: Episode 79, Episode 41 and Episode 13. In this new episode, two years on from the formation of OHP, Mark describes how the partnership is developing, how practices are being engaged, the development of their seven localities, their major integration project and their approach to risk…and much more.

Show Notes

The establishment phase is over and the underpinning “twin pillars” are in place (39secs)

Bench-marking the performance of practices (1min 22secs)

Trade-offs in some loss of individual practice autonomy (2min 22secs)

Engaging the practices in the seven localities (3mins 58secs)

Videos of the Board Meetings (4mins 42secs)

Feedback from the Shropshire locality (5mins 16secs)

Their own project supported by OHP and working with non-OHP practices (6mins 10secs)

The impact of the physical distance (7mins 24secs)

Size and further growth (8mins 37secs)

Paying the subscription versus size (9mins 28secs)

Growth is steady (9mins 44secs)

The integration project (10mins 45secs)

Extended access (11mins 57secs)

Where is integration going? A collaborative of local providers (12mins 36secs)

Relationship with the CCG and the STP (14mins 08secs)

Transferring the resource (15mins 32secs)

Relationships with the non-OHP practices (16mins 27secs)

Keeping the benefits of OHP to the practices who buy in – possible franchise (16mins 51secs)

The net cost of membership of OHP (17mins 38secs)

A significant demand for virtual consultations (18mins 54secs)

Maintaining the value of the partnership model (20mins 23secs)

However, at-scale general practice is essential (21mins 34secs)

Managing risk and personal liability (22mins 37secs)

Managing the bigger risks (24mins 51secs)

Change through collaboration (26mins 36secs)

What’s next? (27mins 22secs)

30
apr
0

Episode 108: Rachel Morris – Developing GP leaders

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Rachel Morris is a GP who works for Red Whale (“one of the leading providers of primary care medical education in the UK”) In this podcast Rachel describes two courses that Red Whale run aimed at developing leadership skills in primary care leaders. The first is Lead. Manage. Thrive! – a very popular one day course in management skills for GPs. The second is a new course on Working At Scale. Rachel explains how and why the programmes were developed, who the training is aimed at and what the courses cover.

Show Notes

What is Red Whale and Rachel’s involvement (43secs)

Why “Red Whale”?! (1min 34secs)

The “Lead. Manage. Thrive!” Course – the essence of leadership training (1min 51secs)

What participants value most (3mins 29secs)

A taster in a day (4mins 36secs)

Who is the course aimed at? (5mins 11secs)

The training is not just for younger GPs (6mins 06secs)

What else is covered in the course? Managing conflict and managing upwards (7mins 24secs)

Constructive conflict (8mins 41secs)

Dealing with conflict in the training (9mins 35secs)

The new course on working at scale (10mins 21secs)

Is working at scale the future? – The “Four Horsemen of the Apocalypse” driving change (11mins 27secs)

Safety in numbers (13mins 21secs)

Red Whale’s three main options for working at scale (14mins 33secs)

Does size make a difference? (16mins 05secs)

Focussing on the “why” (16mins 54secs)

The difficult parts of working at scale (17mins 40secs)

The interpersonal elements (19mins 06secs)

Who is this “working at scale” course aimed at? (20mins 16secs)

Finding out more (20mins 50secs)

The Red Whale website is here

Information on the Lead. Manage. Thrive! Course is here

Information on the Working At Scale Course is here

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