11
jun
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Episode 114: What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion

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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

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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

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

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