Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

In this episode we hear about Northumbria Primary Care (NPC), a network of seven GP practices formed in 2015 across Northumberland and North Tyneside. The “twist” is that NPC is a wholly-owned subsidiary of Northumbria NHS Foundation Trust, the local acute trust, and that all the GPs are salaried. Ben is joined by NPC’s Medical Director Dr Nigel Twelves and Dr Lily Lamb, a GP and their Education Lead. Nigel and Lily explain how the model works, how it benefits patients and GPs and how the relationship with the acute trust has developed and is developing.

Show Notes

Northumbria Primary Care explained (1:04)

Practices coming together to share support (3:10)

GPs approach the acute trust (4:30)

Seven practices and 45,000 patients (4:56)

Huge geographical area (5:29)

Working in the new model (6:03)

The salaried model versus the partnership model (7:10)

Practices are individual entities with sub-contracts to Northumbria Primary Care (8:43)

Clinical and Management Executive to support governance (10:01)

The over-arching Board reporting to the parent company: the Foundation Trust (10:37)

What it feels like for GPs (11:43)

GP workload has reduced (12:43)

Workforce benefits of working with the Foundation Trust (14:17)

Minimising variance and adopting single models (15:39)

Working with secondary care consultants (16:57)

Has care to patients improved? (17:27)

Impact on GP recruitment and retention (19:31)

Is the model developing? (20:35)

Future aspirations and growth (22:22)

Finding out more (23:41)

The Northumbria Primary Care website is available here.

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

The Neighbourhood Development Programme in City and Hackney in London is a primary care network based around eight neighbourhoods with populations of between 30-50,000. The neighbourhoods are structured round GP practices with a bottom-up, clinically-led support network bringing together all local partners engaged in integrated health and social care. In this podcast Ben talks to Clinical Lead and local GP Dr Steph Coughlin and Nina Griffith who is the work stream director for Neighbourhoods. They describe how the network functions and how it is bringing together all constituent organisations to improve access, reduce duplication, improve integration and, in the medium term, change outcomes for patients.

Show Notes

Steph and Nina describe their roles in the programme (41secs)

Describing a neighbourhood (1min 26secs)

How the neighbourhood model impacts on the population (2mins 14secs)

The integrated care model (3mins 18secs)

History of integrated work in City and Hackney – focussing on relationships (4mins 47secs)

Focussing on improvement and joined up services (5mins 49secs)

Practical work streams – shared data about the neighbourhoods (6mins 52secs)

Pilots – adult community nursing, mental health support, adult social care & learning disabilities and complex patients (7mins 47secs)

Local focus on problems within neighbourhoods (8mins 38secs)

Enthusiasm across the system including residents (9mins 25secs)

Engaging residents in the programme – A Patients’ Panel (10mins 22secs)

Forming the Patients’ Panel, using PPGs (11mins 18secs)

Advice on building relationships across the system – the programme structure (12mins 44secs)

Neighbourhoods look different (14mins 28secs)

Trust and confidence (15mins 25secs)

Vision for the future of the model – seamless care and happier workforce (16mins 36secs)

Long term versus quick wins (18mins 13secs)

Finding out more (19mins 37secs)

Contact Nina via nina.griffith@nhs.net or Steph via stephaniecoughlin@nhs.net