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Episode 109: Mark Newbold – Our Health Partnership: The Story Continues

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Regular listeners will know Dr Mark Newbold well. He is the Managing Director of Our Health Partnership (OHP), the Birmingham and Shropshire based super-practice covering 38 practices and a population of over 340,000. We have been following the progress of OHP since we began the podcast and you can find the previous episodes here: Episode 79, Episode 41 and Episode 13. In this new episode, two years on from the formation of OHP, Mark describes how the partnership is developing, how practices are being engaged, the development of their seven localities, their major integration project and their approach to risk…and much more.

Show Notes

The establishment phase is over and the underpinning “twin pillars” are in place (39secs)

Bench-marking the performance of practices (1min 22secs)

Trade-offs in some loss of individual practice autonomy (2min 22secs)

Engaging the practices in the seven localities (3mins 58secs)

Videos of the Board Meetings (4mins 42secs)

Feedback from the Shropshire locality (5mins 16secs)

Their own project supported by OHP and working with non-OHP practices (6mins 10secs)

The impact of the physical distance (7mins 24secs)

Size and further growth (8mins 37secs)

Paying the subscription versus size (9mins 28secs)

Growth is steady (9mins 44secs)

The integration project (10mins 45secs)

Extended access (11mins 57secs)

Where is integration going? A collaborative of local providers (12mins 36secs)

Relationship with the CCG and the STP (14mins 08secs)

Transferring the resource (15mins 32secs)

Relationships with the non-OHP practices (16mins 27secs)

Keeping the benefits of OHP to the practices who buy in – possible franchise (16mins 51secs)

The net cost of membership of OHP (17mins 38secs)

A significant demand for virtual consultations (18mins 54secs)

Maintaining the value of the partnership model (20mins 23secs)

However, at-scale general practice is essential (21mins 34secs)

Managing risk and personal liability (22mins 37secs)

Managing the bigger risks (24mins 51secs)

Change through collaboration (26mins 36secs)

What’s next? (27mins 22secs)

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Episode 108: Rachel Morris – Developing GP leaders

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Rachel Morris is a GP who works for Red Whale (“one of the leading providers of primary care medical education in the UK”) In this podcast Rachel describes two courses that Red Whale run aimed at developing leadership skills in primary care leaders. The first is Lead. Manage. Thrive! – a very popular one day course in management skills for GPs. The second is a new course on Working At Scale. Rachel explains how and why the programmes were developed, who the training is aimed at and what the courses cover.

Show Notes

What is Red Whale and Rachel’s involvement (43secs)

Why “Red Whale”?! (1min 34secs)

The “Lead. Manage. Thrive!” Course – the essence of leadership training (1min 51secs)

What participants value most (3mins 29secs)

A taster in a day (4mins 36secs)

Who is the course aimed at? (5mins 11secs)

The training is not just for younger GPs (6mins 06secs)

What else is covered in the course? Managing conflict and managing upwards (7mins 24secs)

Constructive conflict (8mins 41secs)

Dealing with conflict in the training (9mins 35secs)

The new course on working at scale (10mins 21secs)

Is working at scale the future? – The “Four Horsemen of the Apocalypse” driving change (11mins 27secs)

Safety in numbers (13mins 21secs)

Red Whale’s three main options for working at scale (14mins 33secs)

Does size make a difference? (16mins 05secs)

Focussing on the “why” (16mins 54secs)

The difficult parts of working at scale (17mins 40secs)

The interpersonal elements (19mins 06secs)

Who is this “working at scale” course aimed at? (20mins 16secs)

Finding out more (20mins 50secs)

The Red Whale website is here

Information on the Lead. Manage. Thrive! Course is here

Information on the Working At Scale Course is here

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

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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

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

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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.

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Episode 105: Amer Sheikh – redesigning musculo-skeletal services

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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

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