22
oct
0

Episode 132: Alison Halliwell – a mental health service in general practice

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Alison Halliwell is a mental health practitioner leading a team in general practice in Fleetwood. The service Alison leads began in 2004 when 42% of patients were presenting to GPs with a mental health component to their illness. Fourteen years on and now only 8% of her GPs’ time is spent dealing with mental health issues. The service has won six national awards and Alison explains how it began, how it developed, how it runs and offers advice to other practices thinking of doing the same.

Show Notes

Alison describes the practices she supports (1mins 05secs)

Bringing mental health services and general practice together (1min 34secs)

The role originates as a job share (2mins 18secs)

Alison explains why she took the role (2mins 38secs)

The role evolves into Alison’s vision (3mins 07secs)

The team grows and allows speedy access (3mins 49secs)

Self-referrals (5mins 49secs)

Savings and investment in the service (6mins 14secs)

One team (6mins 51secs)

Ensuring consistency (7mins 22secs)

Reduction of demand on GPs (7mins 53secs)

The response from GPs (8mins 53secs)

Tools and strategies for patients (9mins 29secs)

Overcoming the obstacles (10mins 23secs)

The relationship with secondary care (11mins 20secs)

Recruiting mental health practitioners (12mins 01secs)

The level to recruit at (13mins 07secs)

Alison’s advice to others (13mins 25secs)

Supporting integration (14mins 39secs)

The ideal size of practice (15mins 18secs)

Varied specialisms (15mins 47secs)

Plans for the future (16mins 39secs)

Contacting Alison (17mins 37secs)

Alison’s email is Alison.halliwell@nhs.net

15
oct
0

Episode 131: Farzana Hussain – Quality Improvement: a way of life

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Farzana Hussain is a GP in the London Borough of Newham and a great advocate for quality improvement. For Farzana it is less a task and more like a way of life. In this podcast she explains why. She describes the three tools she has utilised in her own practice (The Change Model, Process Mapping and the PDSA Cycle) with some practical examples. She also explains the impact that building quality improvement into her day-to-day activities has had on the practice and on her.

Show Notes

Farzana talks about her role and the practice in Newham (45secs)

Working in a small practice (1min 32secs)

Farzana gets involved in quality improvement out of necessity (2mins 03secs)

The Dark Arts? What does quality improvement mean? (3mins 17secs)

The three tools (4mins 05secs)

  1. The Change Model… (4mins 22secs)

Applying the Change Model to online booking (5mins 36secs)

Starting with why change? (6mins 47secs)

  1. Process Mapping (7mins 27secs)

Colour-coding the process steps – a practical example (8mins 13secs)

How long does this take? (10mins 03secs)

  1. The PDSA (Plan-Do-Study-Act) Cycle – a practical example (11mins 19secs)

Flexibility of the Cycle (13mins 56secs)

Quality improvement becomes routine (15mins 25secs)

The impact of using the tools – spreading the burden (16mins 15secs)

Making savings (17mins 09secs)

A problem solving tool and a way of life (17mins 43secs)

Further information (18mins 54secs)

A set of free resources from the Institute for Healthcare Improvement can be found here

The website of the NHS sustainable improvement team can be found here

Search “A GPs Diary of Quality Improvement” in YouTube for a range of Farzana’s video diaries

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)

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