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

27
aug
0

Episode 125: Paula Wright – The retained GP scheme

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Regular listeners will remember Paula Wright from Episode 117 when she talked to Ben about GP learning groups. In this episode Paula (who is a GP in the North East of England and GP tutor for Newcastle, Health Education England – North East team) highlights the retained GP scheme, designed to keep GPs who are at risk of leaving, in the workforce. Paula explains how the scheme works, the financial support for both GPs and practices, the application process and much more.

Show Notes

Paula explains her involvement in the scheme (1min 02secs)

The retained GP scheme explained (1min 33secs)

Creating posts specific to individuals who might otherwise leave (2mins 42secs)

Financial support for both GPs and practices (3mins 58secs)

Making it worthwhile for practices (5mins 22secs)

Making it worthwhile for GPs (6mins 05secs)

The eligibility criteria (7mins 01secs)

Defining “at risk of leaving” (7mins 48secs)

The application process (8mins 57secs)

Could practices be generally “approved” to take retained GPs? (9mins 39secs)

No additional GP locum work (11mins 15secs)

Building an effective job plan (12mins 11secs)

Individual job plans including mentoring time and CPD (13mins 56secs)

Is there the potential for resentment towards retained GPs (15mins 19secs)

Finding out more (16mins 20secs)

Ben explains more about the flexibility of the scheme (17mins 36secs)

The NHS England guidance on the scheme can be found here

The Retention Scheme FAQs can be found here

The BMA guidance for the scheme can be found here

Paula’s YouTube video on the scheme can be found here

20
aug
0

Episode 124: Nick Sharples– Social prescribing

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Social prescribing is one of the Ten High Impact Changes from the GP Forward View. But what is it? How does it work and who can benefit? In this week’s podcast Ben speaks with Nick Sharples from training consultancy DNA Insight. Nick explains how his involvement in social prescribing evolved from his company’s focus on active signposting (listen to our previous podcast with Nick here). He also explains the three factors which will enable social prescribing to work best, how it is likely to evolve and much more.

Show Notes

Nick explains how he developed an interest in social prescribing as a step on from care navigation (44secs)

How social prescribing works (1min 27secs)

The services available to which patients can be guided (2mins 16secs)

The language around social prescribing (3mins 08secs)

The evidence around social prescribing (4mins 42secs)

What makes it work well – the three critical success factors (5mins 46secs)

Different models of social prescribing (7mins 24secs)

How social prescribers work with patients (9mins)

Integrating social prescribing services and making savings (10mins 07secs)

Concerns of the voluntary sector (11mins 56secs)

How will social prescribing evolve? (12mins 54secs)

Social prescribing and population sizes (14mins 05secs)

Funding social prescribing (15mins 25secs)

The services Nick’s company offers (16mins 40secs)

Finding out more (17mins 39secs)

Nick’s website is available at www.dnainsight.co.uk

13
aug
0

Episode 123: What impact will millennials have on general practice in the future – an expert panel discussion – Part 2

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Here is the second part of our expert panel discussion considering the impact of millennials on general practice. In this part the panel considers the impact of the differing needs of millennial patients, how disruption and innovation will continue to influence and whether, ultimately, millennials pose an opportunity or a threat.

If you missed Part One you can find it here.

The panel consists of:

Surina Chibber: a GP and founder of My Locum Manager

Aisha Malik: a GP, social media strategist and founder of Doctors in Business

Mayur Vibhuti: a GP and Visiting Reader in Medical Leadership at Canterbury and Christchurch University

Show Notes

Ben continues the discussion by opening it out to consider millennial patients (1min 03secs)

Mayur responds on the unmet needs of millennial patients and how GP at Hand filled one of those needs and how the GP crisis affects this (2min 02secs)

Aisha wants to preserve the GP/patient relationship (3mins 49secs)

Surina considers where investment needs to take place to encourage further innovation (4mins 45secs)

Ben doubts that general practice will be able to control disruption (6mins 15secs)

Surina feels that disruption is a good thing but the pace of change in the NHS will hold things back (6mins 44secs)

Aisha fears that the NHS cannot keep up with the pace of innovation and that external bodies will drive it (8mins 04secs)

Mayur considers the increasing pace of change and the fate of those that will resist it (8mins 41secs)

Ben asks whether millennials are an opportunity or a threat and suggests that general practice is in the best place to make change happen (11mins 14secs)

Mayur sees the opportunities but believes new and old doctors should mentor each other (12mins 37secs)

Surina sees technology as a great opportunity but must be done in the right way (13mins 56secs)

Aisha feels that general practice must continue to grow and that necessity will be the Mother of invention (14mins 54secs)

Ben sums up (15mins 40secs)

 

 

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