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23
apr
0

Episode 107: Phil Coates – The new General Data Protection Regulation (GDPR)

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Phil20Coates20Complete.mp3

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Phil Coates is a practice management consultant and an expert on the new General Data Protection Regulation which comes into force on 25th May 2018. In this podcast Phil explains how the GDPR will impact on general practices and what practices should be doing now to prepare. He covers the new roles required by the regulation and offers a number of places where practices can find additional support.

Show Notes

What is GDPR? (45secs)

Organisations need to review all their data handling (1min 48secs)

Why is 25th May important? (2min 14secs)

Impact on GP practices (3mins 14secs)

What should practices be doing now? (4mins 39secs)

Undertaking a data mapping exercise (5mins 27secs)

Whose personal data is being processed? What? When? And where? (7mins 01secs)

How does this link with consent? (8mins 50secs)

Implied consent and objection (10mins 03secs)

Explicit consent and third party requests (11mins 10secs)

Can practices charge a fee for access to data? (11mins 47secs)

Guidance awaited from the BMA (12mins 32secs)

When practices can and can’t charge (12mins 49secs)

Data Controller and Data Processor (13mins 41secs)

The Data Protection Officer (14mins 56secs)

Approaches to the Data Controller role (16mins 20secs)

Is additional training required? Where can we get additional information from? (17mins 40secs)

Additional information is available from the following places:

The Information Governance Alliance

The Information Commissioners Office

EU GDPR Website

BMA Website

On the Practice Index site you’ll find the following links:

GDPR eLearning course in the Hub

GDPR: What’s available?

GDPR policy

16
apr
0

Episode 106: Judith Harvey – GP turned author and her perspectives on medical practice

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Judith20Harvey20Complete.mp3

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Judith Harvey writes regularly for the National Association of Sessional GPs newsletter and other GP publications. Her articles have now been gathered into a recently published book; Perspectives. Judith’s interests range from the Cuban health system (she founded the charity Cuba Medical Link to enable students to travel to Cuba for their electives) to self-prescribing by GPs and from her own experiences with concussion to the social pressure put on potential organ donors. Ben talks to Judith about her life, her career and her writing.

Show Notes

Judith’s progress from GP to published author (53secs)

From partner to sessional GP (1min 36secs)

Contributing to the NASGP newsletter (2min 17secs)

Writing about drugs following a visit to Columbia (3mins 29secs)

Just say “no” doesn’t work (3mins 58secs)

Reaction to the articles (5mins)

“Prescribing for Shrimps” – medication and the environment (5mins 27secs)

Judith’s experience of concussion (6mins 42secs)

Three months recovery (7mins 33secs)

Admiration for the Cuban health system (8mins 18secs)

Setting up Cuban Medical Link (8mins 58secs)

Could we learn from Cuba? (9mins 52secs)

Training of junior doctors (11mins 18secs)

Giving up or stopping? – moving on from medicine (11mins 46secs)

Advice for GPs just starting out (13mins 34secs)

Buying Judith’s book (14mins 06secs)

You can purchase Judith’s book from Amazon here.

Ben’s review of Perspectives by Judith Harvey can be found here.

9
apr
0

Episode 105: Amer Sheikh – redesigning musculo-skeletal services

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Amer20Sheikh20Complete.mp3

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Amer Sheikh is the musculo-skeletal clinical lead for North West Surrey CCG and Surrey Heartlands STP. He also runs a musculo-skeletal and chronic pain course for Red Whale (of GP-Update fame). In this podcast he describes how, in North West Surrey, they were able to introduce a new model of musculo-skeletal care by putting more resources into the start of the patient journey and so reduce delays and the need for surgery.

Show Notes

Amer’s involvement in musculo-skeletal care (50secs)

The big challenge of musculo-skeletal care – the Right Care data gives Surrey pause for thought (1min 46secs)

Sharing the data with the local Acute Trust who challenge the data (2min 35secs)

Chances of surgery were high but outcomes were marginal (3mins 31secs)

Resistance to change (4mins 24secs)

Going to procurement delivers confrontation (4mins 52secs)

Acknowledging there was a better clinical model (5mins 23secs)

The service is threatened, or is it? (6mins 29secs)

Protecting the trauma service (7mins 02secs)

Developing a new model collaboratively (7mins 18secs)

The new model – a common point of entry and paper triage by an inter-disciplinary team (8mins 26secs)

Reducing the length of the process (9mins 12secs)

Forestalling chronic pain (10mins 03secs)

An unacceptable year-long process causes physical and psychological changes (11mins 02secs)

More resource up front pays dividends down the line (11mins 41secs)

Straining the Trust’s finances (13mins 05secs)

Can this change be achieved through an integrated care model? (14mins 19secs)

Further developing the model (15mins 20secs)

Advice for other areas thinking of changing their model (16mins 32secs)

Finding out more and contacting Amer (17mins 25secs)

Musculo-skeletal and chronic pain training course for GPs (17mins 48secs)

E-mail Amer: Amer.sheikh@nhs.net

The NHS England report on this work is available here

Details of the MSK course with Red Whale are available here

26
mar
0

Episode 104: How technology is shaping the future of general practice – Part Two

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Tech20220Complete.mp3

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We follow up Episode 102 with the second part of our panel discussion on technology. Five nationally renowned practitioners with an interest in new technology look at how technology is shaping the future of general practice. In this final part of the discussion they focus their discussions on virtual and augmented reality, some of the ethical issues and how practices should be preparing now for the digital future.

Joining Ben Gowland on the panel are (in order of appearance):

Atul Kumar-Beurg – for three days a week Atul works for eConsult WebGP (an online consultation platform providing on-line triage for general practice) and spends two days a week doing clinical work. We spoke to Mark Harmon from eConsult in Episode 83 of the General Practice Podcast. https://econsult.net/

Maneesh Juneja – Maneesh is a digital health futurist exploring emerging technologies in healthcare. We spoke to Maneesh in Episode 10 of the General Practice Podcast. www.maneeshjuneja.com

Keith Grimes – a GP, Digital Health consultant and founder of VR Doctors (a Facebook group). As a clinical GP Keith works two days a week at a walk-in centre, one day a week in a visiting service caring for more complex patients and the rest of the time as The VR Doctor looking at immersive technology in healthcare. http://www.drgrimes.co.uk/

Jim Forrer – Jim is an Exmouth GP who leads a programme within his federation (as part of NHS England’s Estates and Technology Fund) looking to introduce more technology into general practice. We spoke to Jim in Episode 74 of the General Practice Podcast. jimforrer@nhs.net

Sandeep Kapur – a GP who works part-time in the NHS and also as Chief Medical Officer for Qured, a private medical organisation, helping to develop their home visiting service in London. We spoke to Sandeep in Episode 96 of the General Practice Podcast. sandeep@qured.com

Show Notes

Will virtual reality and augmented reality impact on general practice? (1min 19secs)

Keith responds – five possible uses (1min 32secs)

Jim’s perspective (4min 04secs)

How far away are prescriptions for virtual reality? (5mins 33secs)

Keith responds (5mins 41secs)

Atul responds – assistance in consultations (7mins 20secs)

Jim responds – the use of YouTube in consultations (9mins 45secs)

Keith continues – Google glass and beyond in augmented reality (11mins 43secs)

Sandeep responds – Virtual reality as a GP education tool (13mins 39secs)

What have we missed that might impact on the future? (14mins 45secs)

Atul responds – sensitive information – who owns it? (15mins 04secs)

What should practices be doing now to get ready? (16mins 47secs)

Atul responds – getting use to the idea of shared responsibility (16mins 56secs)

Jim responds – the power of shared digital communities (17mins 45secs)

Jim continues – a digital space to enhance general practice (18mins 31secs)

Jim continues – getting ready for the future (20mins 05secs)

Keith responds – artificial intelligence – augmenting clinical and patient intelligence – genomics (21mins 29secs)

Keith continues – driving a greater skill mix (22mins 45secs)

Keith continues – get competent in popular media platforms (23mins 24secs)

Maneesh responds – maintaining and growing trust in the new era (23mins 34secs)

Maneesh continues – maintaining humanity (25mins 45secs)

Sandeep responds – the four steps to adopting new technology (27mins 09secs)

Future panel discussions (28mins 25secs)

19
mar
0

Episode 103: William Bird – Physical activity as a route to greater wellbeing

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/William20Bird20Complete.mp3

Podcast: Play in new window | Download

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William Bird is a GP from Reading and is the CEO and founder of Intelligent Health (“…dedicated to increasing physical activity and improving the health of communities around the world”). In this podcast he explains to Ben how his career has been focussed on encouraging physical activity as a means of improving health and happiness. He talks Ben through a number of schemes including Health Walks, the Green Gym and Beat the Street. He finishes by eloquently summarising how he believes we could, as a race of hunter-gatherers, shift the focus from illness to wellbeing.

Show Notes

William has his own Wikipedia entry (54secs)

William becomes a GP as the result of a tragedy (1min 15secs)

The beginning of his interest in wellness (1min 57secs)

Health walks (2mins 36secs)

The origin and development of health walks (2mins 59secs)

Volunteers lead the walks (4mins 37secs)

The walks go national (5mins 10secs)

The ideal community size (5mins 48secs)

Setting up the Green Gym (6mins 58secs)

Combining conservation work with wellbeing (8mins 18secs)

The roll of Intelligent Health (9mins 26secs)

Beat the Street (10mins 03secs)

Points mean prizes (and wellbeing) (11mins 03secs)

Successful increases in activity (11mins 58secs)

Coverage of Beat the Street (12mins 56secs)

The process of establishing a Beat the Street game (13mins 54secs)

Funding the games (15mins 06secs)

Making the shift to wellness – wrong to solely focus on the frequent flyers (16mins 21secs)

Early diagnosis is more important (18mins)

William plugs his book! The Oxford Textbook of Nature and Public Health (18mins 23secs)

A summary of where we should be going… avoiding stress becoming ill health (18mins 50secs)

Impulsive behaviour of hunter-gatherers (19mins 58secs)

The social determinants (20mins 38secs)

The big three causes of disease (21mins 35secs)

Focussing much earlier on wellbeing (22mins 28secs)

Finding out more (23mins 02secs)

The Intelligent Health website is www.intelligenthealth.co.uk

Contact William: William.bird@intelligenthealth.co.uk

William’s Book is available on Amazon here

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