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This is the second part of our panel discussion looking at how the new models of care will impact on and change general practice (Part One is available here). In this final part of the podcast the panel consider what is motivating general practice to adopt the new models of care, about shifting the balance between secondary and primary care, how working at scale will impact and achieving a greater voice for general practice within the system.

Our fourth panel discussion on Millennial GPs will follow in a few weeks’ time.

This time Ben is joined by:

Nav Chana: GP and chair of the National Association of Primary Care

Nick Hicks: Ex-GP and CEO of COBIC an independent consultancy focussing on outcomes-based health and care

Tracey Vell: GP, Chief Executive of Manchester LMC and Associate Lead for Primary and Community Care in the Greater Manchester Health and Social Care Partnership

Show Notes

Ben asks about the motivation for the primary care home model; is it the crisis in general practice or something more positive? (1min 07secs)

Nav outlines the varying motivations for adopting the model (1min 59secs)

Tracey identifies the crisis across the whole NHS as a motivation for change (3mins 31secs)

Nick agrees but paints an optimistic picture for general practice (4mins 45secs)

Tracey believes that independent contractor status will enable general practice to lead change (6mins 17secs)

Nav believes empowering general practice is the key (7mins 45secs)

Nick suggests giving secondary care teams population health goals (9mins 06secs)

Nav agrees and suggests this is a principal of the primary care home model (10mins 37secs)

Tracey describes how the Manchester system enables just this concept (11mins 40secs)

Nick is excited by the concept and talks about the Christie Hospital and how the system might change to improve cancer outcomes (14mins 25secs)

Tracey responds and gives a practical example of how this might be achieved by considering the integration of the whole patient pathway (15mins 45secs)

Ben asks what practices need to be doing now to implement this kind of change – and how working at scale might facilitate this (17mins 41secs)

Nav suggests that size depends on what you are trying to do and how this links to money (18mins 57secs)

Tracey suggests a range of sizes is best and explains how this works in Manchester (20mins 28secs)

Ben introduces the idea of general practice gaining a stronger voice as a provider (22mins 18secs)

Tracey suggests that gaining a voice depends on how much GP wants to be part of the solution – but to be aware of tokenism – she describes the Manchester answer (23mins 12secs)

Nav says it depends on what the “voice” is for and cautions that bureaucracy doesn’t get in the way (25mins 41secs)

Tracey explains that the Manchester system has reduced bureacracy (27mins 06secs)

Ben asks for final reflections (28mins 32secs)

Nick talks about how technology might impact, about population health and shared accountability (29mins 06secs)

Nav says integrated workforce models and team based care will also impact (30mins 57secs)

Ben concludes and thanks the panel (32mins 30secs)

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

This is the third in our series of panel discussions in which Ben is joined by a panel of renowned national experts. This time we discuss how the new models of care will impact on and change general practice. In this first part the panel considers the impact so far of the Five Year Forward View, closer integration of general practice with the rest of the system, what GPs should be doing now and whether choosing to lessen the independence of general practice would be a good or bad thing.

Part Two will follow next week.

This time Ben is joined by:

Nav Chana: GP and chair of the National Association of Primary Care

Nick Hicks: Ex-GP and CEO of COBIC an independent consultancy focussing on outcomes-based health and care

Tracey Vell: GP, Chief Executive of Manchester LMC and Associate Lead for Primary and Community Care in the Greater Manchester Health and Social Care Partnership

Show Notes

Ben asks the panel what they feel about the impact of the Five Year Forward View (1min 20secs)

Nick feels that the impact has not been as great as intended (1min 42secs)

Nav outlines the development of the primary care home model (2mins 47secs)

Tracey identifies how the 5YFV has impacted on the changes in Greater Manchester (4mins 16secs)

Population Hubs in Greater Manchester (6mins 07secs)

Ben talks about the development of new organisations and softer partnerships (6mins 51secs)

Tracey talks about culture change and outcomes (7mins 36secs)

Ben asks about integration with the rest of the system (9mins 08secs)

Nav talks about the Primary Care Home giving providers a seat at the table (9mins 31secs)

Tracey is concerned about “providers” often meaning secondary care (10mins 57secs)

Achieve a good balance rather than defaulting to secondary care (12mins 22secs)

Nick talks about the lessening isolation of general practice by teams focussing on outcomes (13mins 10secs)

Ben is concerned that the voice of general practice is still not being heard (14mins 37secs)

Nav talks about closer alignment and its impact (15mins 22secs)

Tracey talks about the harm to general practice caused by MCP contracting issues (16mins 59secs)

Nick talks about the learning coming from the vanguards and promising contracting relationships (18mins 47secs)

Ben asks about how the new models of care will be to the future of general practice (21mins 39secs)

Tracey talks about the way things are developing in Manchester (22mins 10secs)

Ben asks what the best strategy is for GPs now (23mins 17secs)

Tracey says that ignoring the changes is not an option – and what her local GPs are getting out of change (23mins 41secs)

Nav says collaboration is becoming essential and improving the lives of clinicians (25mins 35secs)

Nick gives an example of how one area is dealing with the future by looking outwardly (27mins 24secs)

Ben asks Nick whether this level of collaboration will become mainstream general practice (29mins 12secs)

Nick responds about the range of partnership models which will need to exist (29mins 53secs)

Tracey believes the confidence of general practice and political change will influence future partnerships – and how the equal status of primary and secondary providers needs to be assured (30mins 30secs)

Nav says the evidence is that Primary Care Home units are more easily attracting more staff – particularly the millennials (32mins 45secs)

Ben asks about the movement of general practice from independence towards the core NHS (34mins 22secs)

Tracey responds that GP independence will still be important and losing it would be dangerous because of the loss of additional work (35mins 10secs)

Nick responds that the solutions will not come from the centre but will be developed bottom-up and that losing independence would be unwise (37mins 50secs)