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25
feb
0

Episode 148: Nikki Kanani – the new GP contract & where the new money will be invested

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Nikki_Kanani_1_Complete.mp3

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Ben’s special guest this week is Dr Nikki Kanani, one of the chief architects of the new GP contract. Nikki is a GP in south-east London and is currently Director of Primary Care for NHS England. This is the first of two discussions with Nikki and in this part, she explains the role of primary care networks in general practice and looks in detail at the funding behind the new contract. She explains how the money will be delivered and what it will be made available for including 20,000 new staff, support for clinical leadership and investment in innovation. The second part of the discussion will be published next week.

Show Notes

Are primary care networks the “game changer” in the new contract? (1:19)

Networks and the role of the individual practice (2:27)

Why were networks established? (3:14)

The resources being made available for general practice (4:16)

Almost £1bn in the core contract by 2023/24 plus £1.8bn for networks (4:55)

State-backed indemnity scheme (5:30)

Funding for IT (6:08)

QOFF (6:27)

The network element of the funding (6:46)

Funding for 20,000 more staff (7:14)

Do the staff exist to be recruited? (8:50)

The network funding – what else will it buy? (10:00)

Detail of the funding – staffing, admin and support, GP clinical leadership, improving access, the investment and impact fund, money for development (10:38)

How hard was it to get this deal agreed? Common aspirations with less direction and guidance (15:02)

What to do now – grasp the opportunity (17:20)

Part Two will be published on Monday 4th March 2019.

18
feb
0

Episode 147: Neha Shah and Colin Haw – the practical implications of establishing Primary Care Networks

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http://traffic.libsyn.com/ockham/Neha_Shah_and_Colin_Haw_Complete.mp3

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This week Ben is joined by Neha Shah, a Legal Director from Capsticks and Accountant Colin Haw from BHP Chartered Accountants. In this episode they discuss some of the legal, financial and governance issues facing general practice as it begins to establish Primary Care Networks. Specifically they consider how networks will be hosted and the implications for liability, choices around the organisational form, employment contracts, pensions and VAT.

Show Notes

Neha and Colin explain their recent experience of developing primary care (0:54)

The main issues raised are related to the “people” and their relationships (2:11)

Trust is the key and starting with the “why” (4:10)

The implications of the introduction of mandatory networks (4:54)

Resolving the problem of practices who don’t want to join (6:08)

How will the Networks be hosted? (7:18)

Sub-contracting (8:53)

What is the best option for hosting and how will the money flow? (9:34)

Limiting liability (11:14)

How will it work financially? Limited Company or Community Interest Company? (12:43)

The issues against establishing Community Interest Company (14:03)

More flexibility through a Limited Company (14:57)

Employing the staff – who holds the employment contracts (15:24)

Holding NHS pensions (16:20)

Complexity around employment contracts and the DES (16:53)

The role of the federation (17:41)

VAT for non-NHS bodies and the “turnover limit” (18:30)

Security of income and longer term contracts (19:51)

The VAT turnover limit in detail (20:18)

Doesn’t apply to clinical work (21:11)

VAT difficulties and shared hubs (21:38)

Advice for practices and federations now (22:09)

Everyone down the pub! (23:14)

Move quickly or miss out and know your area (23:57)

Finding out more (24:43)

Capsticks website is available here

BHP website is available here

 

11
feb
0

Episode 146: Ross Dyer Smith – online consultations (at-scale)

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http://traffic.libsyn.com/ockham/Ross_Dyer_Smith_Complete.mp3

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Ross Dyer Smith is a GP Partner with the Hurley Group, a former Darzi Fellow, an expert in online consultations and developer of the GP eHub. He is also an NHS Digital Academy Fellow. In this podcast he talks about how online consultations work, how potential problems can be avoided and the benefits they deliver to GPs and patients. He also explains how the GP eHub operates and how it facilitates online consultations at-scale.

Show Notes

Ross describes the eHub (0:53)

Ross’ experience of e-consultations (1:25)

Online consultations at scale (2:53)

The development of the eHub (3:34)

Ross’ role (4:37)

The patients of the eHub (5:28)

How the eHub operates (5:48)

Describing an online consultation and how it works (6:29)

Overcoming the potential problems associated with an online consultation (8:52)

The impact on workload (11:15)

The benefits of online consultation for the GP (11:52)

Selling the eHub to other practices (13:09)

The impact of the eHub (15:32)

The GPs working in the eHub (17:01)

The impact on GP recruitment (17:47)

The reaction of patients (18:18)

The eHub and Primary Care Networks (19:31)

Top tips for practices (20:57)

Further information (22:35)

The eConsult website can be found here

Ross’ e-mail address is ross.dyer-smith@nhs.net

4
feb
0

Episode 145: Ben Gowland – the new GP contract

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/New_GP_Contract_Complete.mp3

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Something different this week; the tables are turned with Ben Gowland in the hot seat explaining the importance of the new GP contract. Ben, presenter of the General Practice Podcast and Principal Consultant for Ockham Healthcare, explains why the new GP contract is a huge opportunity and gives him optimism for the future. He describes the way that the additional £2.8bn attached to the contract will flow, how primary care networks will be developed and how they will be staffed. He also gives practical advice to practices about what they should be doing now, in preparation for the year ahead.

Show Notes

How significant is the new GP contract? (0:43)

More impactful than the GP Forward View and the most important GP document since the 2004 contract (1:44)

A five year contract with £2.8bn attached – and most of it going direct into general practice (2:24)

Tackling financial problems; indemnity and pensions (4:05)

Moving away from individual practices to networks; a restructure of general practice (4:54)

Networks of GPs to facilitate integration (6:12)

Appointments available to 111 – no practice is an island (7:08)

Why are these networks different to the Primary Care Home for instance (8:05)

Money is coming to support networks and for non-GP clinical staff (9:00)

The networks will be responsible for delivering services (10:09)

Where are these extra staff coming from? (10:58)

The process for establishing networks (12:24)

Decisions by the end of April (13:36)

Practices who don’t wish to take part will lose the money (14:35)

What should practices be doing now? (15:34)

Optimism for the future (16:37)

If you’d like to contact Ben email him ben@ockham.healthcare

28
jan
0

Episode 144: Matt Aiello – Physician Associates in Primary Care

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Matt_Aiello_Complete.mp3

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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

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