8
oct
0

Episode 130: Andy Wilkins – a 10-15 year vision for person-centred healthcare – Part Two

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This is the concluding part of our discussion with Andy Wilkins, the co-author of a report called Beyond The Fog: A future for public healthcare. In the first part published last week (find it here) Andy described the trends that will influence the future of healthcare. In this episode he looks at the likely impact that the developments described in the first episode might have on the role of general practice and the wider community of health. He looks at areas already taking the first steps and explains more about how he hopes the final report will be used in shaping health policy and describing an inspiring vision for the future.

Show Notes

What will be the impact of developments like the Digital Health Coach on general practice (52secs)

Shifting work out of secondary care (1min 46secs)

Holistic care and expansion of the care in a community setting (2mins 24secs)

A shift from gatekeeper to leading on lifetime support (3mins 52secs)

A practical example in Boston (5mins 26secs)

The Primary Care Home model as a start (6mins 44secs)

Living with the burden of disease and prevention (7mins 16secs)

A vision of what could be possible in the future – the journey to transformation (8mins)

The Report as a provocation (10mins 21secs)

The Report and reaction to the Report (11mins 01secs)

Lobbying NHS England to get the ideas considered in the next Ten Year Plan (13mins 33secs)

Developing an inspiring vision for the future of general practice – being curious (15mins 18secs)

Mapping the future role of primary care (17mins 22secs)

Work from the Academy of Royal Colleges (18mins 19secs)

More information and the future of the Report (19mins 29secs)

You can find out more about Beyond The Fog here

24
sep
0

Episode 129: Andy Wilkins – a 10-15 year vision for person-centred healthcare – Part One

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Andy Wilkins is co-author of a new report called Beyond The Fog: A future for public healthcare which sets out to provide a provocative, ambitious vision for what healthcare might look like in 10 to 15 years’ time. In this fascinating and challenging episode (the first of two) Andy presents the six biggest trends (including technology, future society and systems biology) which he believes will influence changes in healthcare. He looks at the idea of “Always On” healthcare, based on a real-time view of patients and he explains the concept of a Digital Health Coach, effectively an Alexa for the future offering 24 hour advice and support to maintain an individual’s health. Part Two follows next week.

Show Notes

Andy explains how he became involved in healthcare (1min 01secs)

Becoming involved in the Royal Free Charity and this report (2min 07secs)

What the report sets out to achieve – making sense of future trends in healthcare (2mins 42secs)

The six biggest trends for the next ten to fifteen years:

1 – Future Society (4mins 40secs)

2 – Systems Biology (6mins 35secs)

3 – Personalised Medicine (8mins 01secs)

4 – Technology (8mins 09secs)

5 – Data (8mins 30secs)

6 – The Psychology of Health (8mins 40secs)

Making sense of it all by looking at the future patient (9mins 13secs)

The concept of “Always On” healthcare – a real-time view of patients (11mins 05secs)

Currently for 99% of the time a clinician is not involved (12mins 25secs)

Four future approaches:

1 – Prevention and holistic support (13mins 39secs)

2 – Intervening before illness manifests itself (15mins 38secs)

3 – Holistic management of disease (16mins 37secs)

4 – Enabling older people to remain independent (17mins 07secs)

Other principles – engaging the public, ownership of health, moving away from a clinical-only frame and a wider eco-system of “actors” (17mins 49secs)

Making sense of it all – the concept of a digital health coach (19mins 29secs)

Bringing all the new data together – a digital simulation of the individual (21mins 13secs)

A vision of what might be possible (22mins 55secs)

You can find out more about Beyond The Fog here

17
sep
0

Episode 128: Ceinwen Mannall – Education for clinical pharmacists in general practice

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In the third of our series of podcasts looking at pharmacists in general practice Ben talks to Ceinwen Mannall who is the national lead for Clinical Pharmacists in General Practice education at the Centre for Postgraduate Pharmacy Education (CPPE). In this episode she tells Ben about the training available to pharmacists moving into general practice, the impact and value that pharmacists have and tips for practices thinking of employing a clinical pharmacist.

Show Notes

Ceinwell introduces us to CPPE and her involvement in training pharmacists in general practice (56secs)

Wave One has finished and Wave Two starts (2min 39secs)

How the training works – induction, clinical teaching, clinical assessment skills and leadership (3mins 14secs)

The value of training to pharmacists in general practice (4mins 41secs)

The success factors to look out for (6mins 11secs)

The impact of pharmacists on general practice (7mins 59secs)

Pharmacists changing the service offering (8mins 28secs)

Educating practices on making the most of pharmacists (9mins 33secs)

Tips for practices – clarity about desired outcomes (10mins 21secs)

Managing expectations – cores skills and development needs (11mins 32secs)

Changing undergraduate training to reflect general practice work (13mins 13secs)

The lessons learnt from the programme – structuring the learning (14mins 21secs)

The Role Progression Handbook (15mins 41secs)

The way forward for clinical pharmacists in general practice – a pharmacist in every practice (16mins 25secs)

A consultant level pharmacist in general practice (18mins 15secs)

Making the training available outside of the scheme (18mins 55secs)

10
sep
0

Episode 127: James Morrow – An innovative model for delivering and governing general practice

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James Morrow is the Chief Exec and Managing Partner of Granta Medical Practices in Sawston, Cambridge. In this episode James tells Ben how the benefits of increased scale have led to a new model for delivering core general practice which has improved access, eased recruitment and developed new and constructive dialogues with secondary care. He touches on the way the practices are involving staff in innovation and working with the local community. Looking to the future he describes a vision where the staff will share ownership of the practice through a Board of Trustees whilst also maintaining the independence of general practice.

Show Notes

James explains the history of Granta Medical Practices (53secs)

Ten years ago the practices planned scenarios for the future and settled on working at scale (1min 45secs)

A joint management executive prior to merger (3mins 16secs)

A coalition of successful practices; avoiding the “numbers game”, silos and tribes (4mins 02secs)

The vision for the practices; what good looks like (5mins 25secs)

Team based continuity and “practice members” (6mins 01secs)

Streamlining the service – planned long term condition service and frail elderly service at no extra money (7mins 06secs)

Delivering core general practice, well and gaining a voice through scale (8mins 38secs)

Delivering more out-of-hospital services and shaping what happens in hospital (10mins 36secs)

The operating model – providing access (11mins 56secs)

The on-the-day-team (13mins 47secs)

A mean wait of five minutes (14mins 37secs)

Impact on secondary care (15mins 26secs)

The positive impact on GP recruitment and supporting innovation (16mins 08secs)

Working with the Parish Nurse on complex patients (19mins 36secs)

Engaging the community (21mins 32secs)

The partnership model and shaping the future (23mins 37secs)

A John Lewis & Partners-type model for the future governance of the practices – ownership by trustees (24mins 56secs)

What this will look like for employees (26mins 41secs)

A bonus for employees (27mins 22secs)

James sums up (28mins 29secs)

3
sep
0

Episode 126: Maneesh Juneja – The healthcare robots are coming!

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Imagine a world where a patient’s first contact with primary care is through a robot. Digital Health Futurist Maneesh Juneja believes that this is a likely scenario for general practice in the near future, if not an inevitable consequence of staff shortages and shifts in public expectation. In this episode he describes how near we are to developing and using “caring robots” and discusses some of the ethical issues as well as the barriers and benefits to digital health.

 

Show Notes

Maneesh explains his involvement in digital health (50secs)

The shift in power occasioned by advances in digital health (1min 44secs)

Will machines be caring for humans in the future? (2mins 40secs)

Machines versus people; necessity or choice? (3mins 42secs)

Is the technology available yet? (5mins 35secs)

Can machines ever be compassionate? (6mins 45secs)

Is the technology likely to become too intrusive (8mins 23secs)

How ready are we to engage with artificial intelligence? (9mins 55secs)

Where will future developments happen? The role of the UK in ethics (10mins 58secs)

The holding of data (11mins 49secs)

Owning our own data (12mins 58secs)

The accountability of robots (14mins 17secs)

The impact of the development of AI on general practice and the patient/clinician relationship (15mins 27secs)

Heading towards a relationship with machines in general practice (17mins 27secs)

General practice supporting patients to work with technology (18mins 32secs)

General practice thriving in the future (19mins 32secs)

General practice thriving in the future (20mins 31secs)

You can find Maneesh’s TEDX talk “You can’t care for patients, you’re not human!” here

Find out more at maneeshjuneja.com or contact him via twitter @maneeshjuneja

Maneesh is also happy to engage via Skype or LinkedIn

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