12
mar
0

Episode 102: How technology is shaping the future of general practice – an expert panel discussion

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In this, the first in a series of expert panel discussions, five nationally renowned practitioners with an interest in new technology look at how technology is shaping the future of general practice. In Part One of the discussion the panel considers virtual consultations and the impact of digital technologies. Part Two will follow in a few weeks.

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 Atul’s colleague 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

Are the days of face-to-face consultations over? (1min 54secs)

Atul responds (2min 16secs)

What’s the impact on workload? (3min 41secs)

Maneesh responds (3mins 50secs)

What about the lack of evidence? (4mins 41secs)

Keith responds (5mins 04secs)

Will it just add to workload? (6mins 28secs)

Jim responds (6mins 35secs)

Could patient demand for new interventions reshape general practice if GPs don’t offer them? (7mins 51secs)

Atul responds (8mins 39secs)

Online consultations to manage chronic disease (10mins 43secs)

Keith responds (10mins 56secs)

Sandeep responds (13mins 33secs)

Will virtual appointments adversely impact on the relationship with patients? (14mins 41secs)

Jim responds (14mins 50secs)

Where will a patient go if there is poor access and virtual consultations aren’t offered? (16mins 12secs)

Maneesh responds (16mins 22secs)

Moving on to digital technology – what are the opportunities (18mins 12secs)

Keith responds (18mins 36secs)

Could new technology change the power dynamic between patient and doctor? (20mins 15secs)

Maneesh responds (20mins 26secs)

Shift to wellness (22mins 48secs)

Sandeep suggests the physician will always retain a degree of power (23mins 09secs)

Jim suggests the aim should be to shift the power to the patient (24mins 10secs)

Keith doesn’t a healthcare professional will always be necessary (26mins 04secs)

What kind of technology is now available to GPs? (27mins 37secs)

Sandeep responds with an example (28mins 03secs)

Jim continues with further examples (28mins 51secs)

Keith continues with an example of a portable ECG (30mins 41secs)

What’s likely to be the impact of these technologies? (32mins 49secs)

Keith responds (33mins 14secs)

Atul responds – the GP record (34mins 23secs)

Who owns the records? (37mins 14secs)

Maneesh responds (37 mins 28secs)

Who owns the records? (37mins 14secs)

Maneesh responds (37 mins 28secs)

What might this mean for the role of the GP? (39mins 32secs)

Jim responds (39mins 37secs)

Part Two, which will follow in a few weeks, will include discussion around virtual and augmented reality, artificial intelligence and the power of digital communities. If you’d like to be alerted when we publish Part Two and indeed to be told about all of our new episodes and our general practice blog, then why not sign up to our weekly newsletter here.

5
mar
0

Episode 101: Surina Chibber – perspectives of a millennial GP

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Although she has been a GP for less than four years, Surina Chibber has developed an enviable portfolio career including the formation of a successful business: My Locum Manager. In this episode she describes how she developed her business and what it does. She also gives her perspectives on what new GPs are looking for, on how the general practice model might need to change to meet these needs and what she would like to see from general practice in five years’ time.

Show Notes

One of the country’s “rising stars” (46secs)

Surina’s story begins – aiming for a varied career – businesswoman, educator, writer (1min 08secs)

Rationale for her portfolio career (2min 39secs)

Chasing the ideal rather than running away (3mins 51secs)

Setting up My Locum Manager – practical experience of being a locum (4mins 59secs)

Keeping a book of challenges (6mins 17secs)

A call from the accountant sparks an idea (6mins 53secs)

Who uses My Locum Manager? (7mins 52secs)

Surprises about the users (8mins 27secs)

A growth in the use of the site (9mins 43secs)

What do new GPs want? (11mins 06secs)

Changing mind-set of new GPs (12mins 16secs)

How will the practice model have to change? (13mins 12secs)

The existing structure can work well (14mins 26secs)

Aspirations for general practice in five years’ time (15mins 27secs)

Finding out more (16mins 59secs)

The resources Surina mentions can be found here

Their Facebook page can be found here

And Surina is on Twitter @dr_surina

19
feb
0

Episode 99: Amit Bhargarva – focussing on wellness and minimising hospital admissions

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GP Dr Amit Bhargava has been involved in commissioning in Crawley, West Sussex for many years. Recent statistics (from NHS England in October 2017) show that Crawley has the lowest rate of emergency admissions in the country. In this episode Amit tells Ben about how Crawley has approached tackling health inequalities, the role for general practice and the partnerships they have developed with the local authority, the community and third sector providers. He goes on to describe the “social prescription offer” made to patients and how the community is beginning to focus on wellness.

Show Notes

Amit’s journey into commissioning (53secs)

Amit briefly describes Crawley (1min 10secs)

Beginning to tackle health inequalities (2min 20secs)

Working with local government: squash and curries (3mins 04secs)

The role for general practice (4mins 47secs)

Getting the community and the third sector providers engaged (5mins 37secs)

What does the “social prescription offer” look like now? (6mins 26secs)

How it works (7mins 49secs)

Isn’t this just more work for GPs? (9mins 03secs)

A focus on wellness rather than illness (11mins 13secs)

The science of wellness (12mins 39secs)

Managing the wellness of people the GP doesn’t see… (14mins 15secs)

Signposting to other information (14mins 53secs)

Where should other areas start? (15mins 50secs)

12
feb
0

Episode 98: The Reform Think-Tank – reinvigorating the primary care estate

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Reform is an independent think-tank aiming to improve the way public services are delivered. They have recently published a report called “A design diagnosis: reinvigorating the primary care estate” and, in this episode, Ben talks to two of the authors of that report, Maisie Borrows and Daniel El-Gamry about their findings, the role of STPs in development of the estate, concerns about funding and some of the key lessons they have learnt.

Show Notes

What is Reform? (45secs)

Why get engaged in the primary care estate? (1min 24secs)

The research (2min 16secs)

Common themes from the research (3mins 07secs)

The recommendations from the report (4mins 27secs)

Should notional rent be linked to utilisation of space? (6mins 33secs)

Who funds the additional estate? (7mins 41secs)

Bigger buildings or more flexibility? (9mins 20secs)

What is the role of STPs in relation to estate? (10mins 36secs)

Is primary care estate too difficult for STPs to engage? (12mins 35secs)

Who pays the additional revenue costs? (14mins 37secs)

The key lessons? (16mins 54secs)

Accessing the report and further information (17mins 37secs)

The report can be found here

If you want to tweet Reform their handle is @reformthinktank

Maisie can be emailed maisie.borrows@reform.uk and Daniel at daniel.elgamry@reform.uk

Ben mentions our short series of podcasts on the primary care estate. They can found with links below:

Episode 71: Paul Conlan – Should GPs own premises? …and other questions

Episode 72: Edwina Farrell – Leases – should you sign them?

Episode 78: Ian Crompton – Are GP premises still a good investment?

Episode 81: John Pilcher – Capital for primary care estate development

 

 

5
feb
0

Episode 97: Louise Greenwood – support and appraisal for practice managers

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Louise Greenwood is responsible for training and education at Wessex LMCS; an umbrella body covering LMCs across a large swathe of south-central England. In this podcast Louise tells Ben about the activities that have been put in place to support practice managers in the area including a new appraisal system that strengthens PM appraisal and provides productive and motivating time for the appraisees (and their appraisers) whilst also identifying learning needs and allowing planning for the future.

Show Notes

What area is covered by Wessex LMCs? (37secs)

An umbrella body (1min 04secs)

The team working in Wessex (1min 23secs)

Support for PMs comes via Scotland (1mins 38secs)

Previous experience of appraisals (2mins 56secs)

Isolated, stuck in the middle, difficult role… (3mins 48secs)

PMs appraising PMs (4mins 35secs)

Learning needs analysis (5mins 35secs)

Covering the strategic role (5mins 54secs)

The appraisers (6mins 24secs)

Recruiting the appraisers (6mins 49secs)

Choosing the appraisers (7mins 19secs)

Sharing personal details (8mins 02secs)

Who sees the results? (9mins 08secs)

Informal feedback (9mins 40secs)

Will this help PM turnover? (10mins 11secs)

What learning needs have been identified? (11mins 23secs)

Meeting the learning needs in Wessex (12mins 42secs)

How is the programme funded? (13mins 53secs)

PM money from the GPFV (14mins 37secs)

Sharing the information from Wessex (15mins 20secs)

Contacting Louise (16mins 27secs)

The Wessex LMCs website is www.wessexlmcs.com

Contact Louise louise.greenwood@wessexlmcs.org.uk

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