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    • Our mission
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22
feb
0

Episode 2: 5 Years to the End of General Practice?

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/White20paper20podcast20complete20mp3.mp3

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The tables are turned and Ben Gowland is interviewed about his latest White Paper, “Five Years to the End of General Practice?”.

The White Paper, which makes three recommendations designed to protect the future of General Practice, is underpinned by in-depth interviews with GPs and a survey of GPs across the country.

Show Notes

Ben begins to describe how he feels the urgency of the GP crisis has been underplayed (1min 03secs)

Does anyone really understand General Practice? (2mins 10secs)

Should GPs just “shut up and get on with it?” (3mins 10secs)

The true complexity of the problems (4mins)

A single top down solution won’t work (5mins 15secs)

The government haven’t yet got the answer – and seven day opening is not the solution (6mins 9secs)

The Ockham Healthcare recommendations (6mins 50secs)

Clinical leadership out of commissioning and into the integration agenda (8mins 30secs)

Is it the end for General Practice? (9mins 49secs)

What would the collapse of General Practice mean? (10mins 15secs)

Adequate resourcing for the NHS – with no strings attached (10mins 44secs)

9
feb
0

Episode 1: Dr Stewart Smith – rescuing general practice in St Austell

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Stewart20Smith20Complete.mp3

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How three GP practices in St Austell merged, took on a failing practice and revolutionised the way General Practice was provided in the town; all in less than a year.

Ben Gowland talks to GP Dr Stewart Smith from St Austell Healthcare about snatching victory from the jaws of defeat and the radical redesign of GP services which resulted.

Show notes

Stewart Smith describes how the largest practice in St Austell failed (1m 15sec)

The remaining practices attempt to stabilise the failing practice (2m 10sec)

The CQC produce a poor report on the failing practice (3m 25sec)

The remaining practices decide to merge (3m 48m)

How would operating at scale solve the problems? (4m 48sec)

Merging reduces pressure on the practices (6m 24sec)

The practice splits the provision of on-the-day care into an Acute Care Hub (7m 34sec)

Positive public reaction (8m 59sec)

Stewart describes how the Hub is staffed (9m 52sec)

How the GPs work in the Hub (11m 53sec)

Lessons learnt (12m 26sec)

Developing specialist admin roles (13m 47 sec)

Impact of the Hub on workload (15m 03sec)

Plans to extend the range of services (16m 18sec)

The impact of the Hub on recruitment (17m 25sec)

Change fatigue and consolidation (18m 11sec)

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