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Mark Spencer is a GP from Fleetwood with what he describes as a portfolio career; as well as being a GP he is Medical Director of an urgent care provider, clinical lead for primary care transformation across his local STP and involved in NHS Collaborate – a primary care leaders network. In this episode Mark outlines his vision of a new model for general practice within a wider, collaborative primary care environment with the aim of empowering local communities. He also explains how NHS Collaborate can support primary care leaders who are engaged in making such change happen.

Show Notes

Mark’s portfolio career (53secs)

Mark reflects on the future for the current model of general practice (1mins 46secs)

Mark’s vision of a collaborative future for general practice working with other agencies (3mins 48secs)

Size allows for small enough teams but large enough skill mix (5mins)

Moving away from illness to wellness and hope (6mins 07secs)

Empowering communities (8mins 19secs)

A wider role for general practice (9mins 14secs)

How can general practice cope with this bigger role? (10mins 05secs)

A practical example of empowering a patient (11mins 12secs)

Enabling the scale of change that is needed (12mins 41secs)

A role for NHS Collaborate (14mins 38secs)

Taking risks to move from A to B (15mins 26secs)

NHS Collaborate offers support for “brave” leaders (16mins 29secs)

Finding out more (17mins 31secs)

The NHS Collaborate website is available here

You can contact Mark directly at mark.spencer1@nhs.net

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Anna Starling is a Policy Fellow at the Health Foundation (an independent charity committed to bringing about better health and health care for people in the UK). The Foundation has recently published a report called Some Assembly Required; Implementing New Models of Care which looks at the lessons being learnt by the vanguard sites in the new care models programme. As the author of the report Anna tells Ben about four of the key lessons that are emerging; from focussing on a specific population to having a shared understanding of the problem.

Show Notes

How the study came about (43secs)

Explaining the new models of care (1mins 28secs)

How permanent are the new models likely to be (2mins 28secs)

Capturing the learning (3mins 06secs)

Singling out the main lessons (4mins 15secs)

Initiating change – Lesson One: focus on a specific population (5mins 01secs)

Defining your population (6mins 54secs)

Focusing on smaller populations (7mins 49secs)

Lesson Two: Engage primary care from the beginning (8mins 56secs)

Who leads? (10mins 17secs)

How important is general practice operating at-scale? (11mins 23secs)

Relationships first, governance later (12mins 51secs)

Lesson Three: Go where the energy is (13mins 35secs)

Focus on making change happen (14mins 51secs)

Lesson Four: Work through a shared understanding of the problem (15mins 53secs)

Finding the full report (16mins 45secs)

The report is available for download here

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Jonathan Serjeant is a GP and Director of Here, a Brighton-based company that developed a system of workflow optimisation (regular listeners will remember Jonathan talking about this in the very popular Episode 46). Jonathan is also a founder member of NHS Collaborate, a leadership network for primary care leaders. In this episode Jonathan explains what NHS Collaborate is and the impact that membership has had on him and his thinking around the future of general practice.

Show Notes

NHS Collaborate has three objectives (1min 7secs)

Five things are important (2mins 32secs)

Defining primary care leaders (3mins 28secs)

How NHS Collaborate has developed (3mins 59secs)

National coverage and growth (5mins)

Working with the NAPC Primary Care Home network and the RCGP (5mins 47secs)

What has been learnt (6mins 27secs)

What is generative listening? (7mins 50secs)

Have GPs really got time to do this? (8mins 57secs)

Practical uses for generative listening and its impact (10mins 28secs)

The future of general practice (12mins 16secs)

The Primary Care Home network (13mins 27secs)

Investing in relationship and team building (14mins 59secs)

Technological support for more efficient care (16mins 25secs)

Empowering patients changes the whole general practice model (17mins 32secs)

The big question for society (18mins 32secs)

Finding out more about NHS Collaborate (19mins 21secs)

A new model for federations (15mins 03secs)

The NHS Collaborate website can be found here.