14
jan
0

Episode 142: Marion Lynch and Alan Webb – developing future primary care leaders

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In this episode, Ben talks to two people behind an innovative initiative to develop the next generation of primary care leaders. The NHS@2030 programme was developed under the auspices of NHS England, the Thames Valley Strategic Clinical Network and the Thames Valley and Wessex Leadership Academy with the intention “…to grow individual confidence, courage and the conviction to transform care, and establish a system of continuous quality improvement for patients and primary care teams alike” In fact, the content of the programme was a co-production with its participants. To hear all about the programme and how this co-production process works, Ben talks to Marion Lynch from NHS England South and former CCG Chief Executive Alan Webb.

Show Notes

How did NHS@2030 come about? (0:56)

What would the NHS look like if we didn’t have GPs? (3:04)

Use futurist thinking to predict the role of the NHS in 2030 (4:15)

Who the programme is for? No prescribed content. Based on values. (5:22)

Preparing for the uncertain future of the NHS (6:59)

The programme is developed by the participants and their needs (7:56)

Overwhelming uptake onto the programme (9:26)

Building the programme (10:28)

Developing trust in the participants (11:22)

Individual focus turns to practical action groups (12:21)

The working groups – practical examples (13:19)

It isn’t a course – it’s building a community of leaders (14:54)

Plans for the future – tailoring the approach (16:16)

A course is not enough (18:02)

Finding out more…it really isn’t a course, Ben! (19:00)

The website Alan refers to can be found here

7
jan
0

Episode 141: John Tacchi – Primary Care Integration in Staffordshire

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John Tacchi is the Programme Director for Integration at North Staffordshire Combined Healthcare NHS Trust, a provider of mental health, social care and learning disability services in the West Midlands. In this episode John talks about his role leading the Trust’s Primary Care Integration Strategy which offers GP practices a range of benefits from full integration into the Trust to the provision of back office functions. John explains how the integration is working and the benefits that the new service driven model and locality working is delivering for GP teams and for the Trust.

Show Notes

 

John joins North Staffs Combined to do Primary Care Integration (0:52)

John explains the distinctive differences in the North Staffs model (01:59)

The GP partners hold the contracts and have a contract with the Trust for delivery (2:50)

Removing (or reducing) GP liability (3:58)

A service driven model to engage practices; a range of options (4:34)

The Trust’s relationship with the local federation of 76 practices (5:48)

The benefits of this model to GPs; a future for staff and eliminating “last man standing” (7:12)

Back office functions and moving from silos to a geographic focus (8:10)

What’s in it for the Trust? (10:00)

A plan for future opportunities; providing mental health services and integrated pathways (11:00)

Locality teams and integrated care teams (12:11)

How do you ensure this works and isn’t seen as a takeover? (12:57)

Reflecting on the journey; developing a new clinical model (14:44)

Providing mental health services in the integrated out of hospital offer (16:42)

New governance model at the same time as a “hot” and “cold” split (17:18)

Engaging the practice leadership team and developing new leadership roles (18:08)

Thinking big with a population focus (19:27)

The Combined Healthcare website is available here

17
dec
0

Episode 140: Terry Kemple – Sustainable general practice

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Terry Kemple was a past president of the RCGP and is now the RCGP’s representative for Sustainability and Climate Change. In this episode he talks to Ben about the Green Impact for Health Toolkit. The Toolkit enables general practices to plan and implement actions they can take to become more sustainable and covers areas such as health and well-being, water use, recycling and procurement. Terry describes the uses of the toolkit, the associated awards scheme and how practices can become involved.

Show Notes

Terry explains his current role at the RCGP (0:41)

Terry’s involvement in The Green Impact for Health Toolkit (0:56)

The origins of the toolkit through the NUS (1:33)

Adapting the scheme for GPs (2:34)

Examples of what practices can do (2:48)

Making a difference as an individual (3:24)

Saving money and being efficient (4:09)

Engaging the practice team (4:35)

Using the toolkit practically (5:06)

Allocating the awards (6:15)

The award itself (6:59)

“A sense of direction” rather than a chore (7:37)

Helping the whole community’s health (8:18)

A universal model with local choices (10:08)

General practice leading on making a difference locally (11:22)

Operating at-scale and the toolkit (12:14)

Getting started (13:11)

Promoting and adapting the Toolkit (14:23)

Contacting Terry (14:58)

The website Terry mentions is www.greenimpact.org.uk/giforhealth and the “test drive log-in” he mentions is gifh@greenimpact.org.uk and the Password is testtoolkit (all one word)

Terry’s email address is tk@elpmek.demon.co.uk

10
dec
0

Episode 139: Andrew Sixsmith – a new approach to workforce development

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Andy Sixsmith is a GP in West Yorkshire and is involved in workforce development through NHS England and the West Yorkshire and Harrogate Health and Care Partnership (WYHP). In this episode Andy also talks to Ben about his recent decision to join a practice in the Modality super-partnership. In terms of workforce development he talks about the challenges currently being faced and the plan put in place by WYHP (including the formation of four Primary Care Training Hubs) and about the early impact that this new approach is having.

Show Notes

Andy explains his roles (0:41)

Joining Modality (1:10)

The transition from independent medical practice to Modality (2:01)

The challenges in workforce development – what Andy would say to a new GP (2:37)

Improved skill mix to make general practice more attractive (3:55)

Supporting sessional GPs to join the permanent workforce (4:49)

Action in West Yorkshire and Harrogate (7:26)

Creating a local solution (8:22)

Primary Care Training Hubs (9:08)

Federations and workforce development (9:47)

Early stages of focussed support for practice needs (11:19)

Personal example of the benefits of skill mix (12:42)

Integrating the funding from myriad sources (13:55)

The beginnings of a positive impact (15:22)

Finding out more (16:43)

Andy is on Twitter @andysixsmith

He can be contacted via email a.sixsmith@nhs.net

The West Yorkshire and Harrogate Health and Care Partnership website is available here

3
dec
0

Episode 138: Jake Lee – One Care: a large, successful federation in the south west

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Jake Lee is GP Medical Director of One Care, a federation of 82 practices in Bristol, North Somerset and South Gloucestershire. Formed in 2014 on the back of a bid for the Prime Minister’s Challenge Fund they have grown to serve 1 million patients. In this podcast Jake tells Ben the story of that growth, the relationship that has been developed with and across practices, how the federation works and about the many projects they have successfully delivered.

Show Notes

The formation of One Care in 2014 (0:44)

The number of practices involved (1:30)

The original bid to the Prime Minister’s Challenge Fund to improve access (1:48)

Three original aspects to the bid; centralised telephony, shared patient record and an intranet (2:28)

Delivering the three aspects…and more (3:08)

The benefits of shared telephony (4:46)

A practical example (5:56)

The intranet solution (7:01)

Implementing ideas from the practices – mental health nurses (8:05)

Evaluating e-consult (9:57)

How were these developments funded? (11:00)

Two waves of funding to 2017 (12:05)

Holding the improved access contract – a partnership with practices (13:01)

A practical example – a third party physiotherapy service (14:58)

Practices allowed to be small but benefit from being large (16:24)

The role of the federation in co-ordinating the GP provider “voice” (17:23)

One Care Ltd owned by practices (18:31)

Funding GP representation – the governance structure (19:40)

Finding out more (21:21)

The One Care website is here

Contact One Care at enquiries@onecare.org.uk

They are also available on Twitter @onecaretweets

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