9
oct
0

Episode 84: Nick Hughes – A federation within a PACS vanguard

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Nick Hughes is GP Director of Salus Medical Services. Salus is a GP federation formed by 23 practices in Farnham and North East Hampshire. The federation is a member of the “Happy, Healthy, at Home” vanguard, one of NHS England’s Primary and Acute Care Systems (PACS). The vision of the vanguard is “…that local people are supported to improve their own health and wellbeing and that when people are ill or need help, they receive the best possible joined up care.” Nick explains what it means to work in general practice as part of a PACS.

Show Notes

What is Salus Medical Services? (55secs)

How the federation was formed (1mins 30secs)

Why the federation exists (2mins 39secs)

Too many ideas – forming the federation (3mins 16secs)

Governance of the federation and funding (4mins 24secs)

What might be done differently? (4mins 55secs)

Taking on new services (5mins 49secs)

Introducing skill mix (7mins 18secs)

The PACS vanguard (8mins 04secs)

The relationship with the acute hospital (8mins 38secs)

Concerns about the takeover of general practice (9mins 27secs)

The problems in general practice (10mins 23secs)

Using PACS to “solve” the problems (11mins 18secs)

Working in localities (12mins 10secs)

Transforming local general practice (13mins 29secs)

What is the federation doing? (14mins 29secs)

The new skill mix and enhanced integrated care (15mins 12secs)

Who employs the new staff? (16mins 05secs)

A stronger voice for general practice (17mins 10secs)

Management structure (18mins 34secs)

The main lessons of the journey (19mins 03secs)

Finding out more information (20mins 14secs)

Find out more about Salus via their website here

Find out more about the General Podcast LIVE event here

2
oct
0

Episode 83: Mark Harmon – E-consultations

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Mark Harmon is a medic and the Strategic Director of eConsult, “…the only online consultation tool created by GPs, for GPs” Mark explains how the system was developed, how it works in practice and the material benefits it is delivering for practices and patients. He talks costs & evaluation and describes a not-to-distant future where the whole urgent care system might be using this technology.

Show Notes

EConsult is developed to solve a problem with demand in general practice (1min 18secs)

Are computers set to replace doctors? (1mins 56secs)

How widespread is eConsult as a solution? (2mins 23secs)

How does it work? (2mins 49secs)

Options other than seeing a GP (3mins 33secs)

Starting consultations online (4mins 15secs)

Reducing demand on GPs time (5mins 09secs)

Works as a planned part of daily routine (6mins 03secs)

Better pre-history (6mins 52secs)

60-80% of eConsults don’t need to result in an appointment (7mins 33secs)

Awareness relies on reception and admin team (7mins 57secs)

Material impact on practices (8mins 38secs)

Some practices have 25-30% patients using the system (9mins 14secs)

DNA rates fall too (10mins 21secs)

Patient feedback – 87% like it (10mins 29secs)

Are certain groups disadvantaged? (11mins 18secs)

Buying the system (12mins 02secs)

Rolling the system out through CCGs with GPFV money (12mins 39secs)

Federations using the system (13mins 42secs)

Potential coverage (13mins 57secs)

A glimpse of the future – urgent care systems adopting eConsults (15mins)

A pilot in Bexley – electronic triage (16mins 08secs)

How the system might work in Bexley (17mins 09secs)

Doesn’t the NHS kill technology? (18mins 19secs)

Further information (19mins 48secs)

Find out more via the eConsult website here

25
sep
0

Episode 82: Phil Evans – Research in general practice

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As well as being a GP in Devon, Phil Evans is Associate Professor of General Practice and Primary Care at the University of Exeter and the national specialty lead for primary care with the National Institute for Health Research (NIHR) Clinical Research network (see more here). He talks to Ben in this week’s episode about the changing role of research in general practice including the role at-scale general practice can play in research, about working with industry and what makes a research-ready practice.

Show Notes

The role of general practice in research (57secs)

Primary care research networks (2mins 02secs)

The growing extent of research in general practice (3mins 15secs)

Incentivising research (4mins 28secs)

Practices embracing research (5mins 21secs)

The RCGP’s “Research Ready” programme (6mins 47secs)

The future role of research (8mins 18secs)

Good will – or proper reimbursement? (9mins 09secs)

What’s the role of at-scale general practice in research? (10mins 23secs)

Federations doing commercial research (12mins 13secs)

The best way to approach getting involved in research (12mins 51secs)

General practice and industry research (14mins 05secs)

The genomics revolution and the future (15mins 53secs)

Promoting research (16mins 39secs)

Innovations (17mins 42secs)

Finding out more (18mins 49secs)

Find out more on the NIHR website here

18
sep
0

Episode 81: John Pilcher – Capital for primary care estate development

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This is the fourth podcast in our short series about GP premises. This week Ben talks to John Pilcher from GPI, a primary care premises developer. John talks to Ben about the capital available for primary care estate development including capital money made available by the NHS Estates Fund and that from third party developers. He explains the differences between third party investment and PFI and talks about actions being taken to shorten the length of leases.

Show Notes

GPI is a third-party primary care premises developer (39secs)

Investor/develop/owner of primary care premises (55secs)

The drivers creating demand for new primary care estate (1mins 35secs)

The traditional model may no longer be appropriate (2mins 47secs)

The challenge of investing in new estate (3mins 34secs)

Is the NHS providing sufficient capital? (5mins 02secs)

Real-life, practical issues for GPs (6mins 47secs)

Where else can the capital come from? (8mins 19secs)

No capital – invest revenue (9mins 37secs)

Other routes – including third party development (10mins 25secs)

£3.3bn available for 750 new primary care buildings? (11mins 35secs)

How close is this to PFI? (13mins 28secs)

Rents dictated by the District Valuer (17mins 07secs)

Concerns about the length of leases (18mins 05secs)

Learning more (19mins 44secs)

Contacting John (20mins 32secs)

John can be contacted at john.pilcher@gpgroup.co.uk

GPI’s website is available at www.gpgroup.co.uk

The other three episodes in this series are:

Episode 1: Paul Conlan from GP Surveyors

Episode 2: Edwina Farrell from Weightmans

Episode 3: Ian Crompton from Lloyds Banking Group

11
sep
0

Episode 80: Three questions that determine the future of general practice

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In this special edition of the podcast, celebrating our eightieth episode, Ben goes back through the archives and selects expert opinion from previous podcast interviewees to help him answer three questions which, he believes, will determine the future of general practice. The questions relate to GP independence, optimum scale and the role of federations. He uses clips from diverse speakers including Mark Newbold, Nav Chana, Tracey Vell, Jonathan Cope and others to suggest ways in which general practice might change over the next ten years.

Show Notes

Ben explains the rationale for this podcast (8secs)

Will general practice actually change? (31secs)

Three key questions to consider (1mins)

  1. Will general practice remain independent? (1mins 26secs)

Practices giving up their independence – views from Tracey Vell and Berge Balian (2mins 11secs)

Retaining independence – views from Mark Newbold (4mins 15secs)

What do the GPs of the future want – views from Nish Manek (6mins 09secs)

Independence may go or not (7mins 27secs)

  1. At what scale will general practice operate? (8mins)

Views from Mark Newbold (8mins 14secs)

Is bigger better? – views from Rebecca Rosen (9mins 4secs)

Smaller scale – views from Nav Chana (10mins 18secs)

Scale dictated by sustainability and localisation (11mins 3secs)

  1. How will the roles of federations develop? (12mins 03secs)

Federation or merger – views from Rebecca Rosen (12mins 38secs)

A federation’s hope for the future – views of Laura Sharpe (13mins 58secs)

Federations as accountable care organisations – views from Chris Ash (15mins 53secs)

General practice in accountable care organisations – views from Tracey Vell (17mins 12secs)

The role of a super-practice in accountable care – views from Mark Newbold (18mins 39secs)

Integral role of federations (19mins 23secs)

What will the future for general practice be? (19mins 37secs)

Finding out more (21mins 20secs)

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