20
nov
0
Cobic

Episode 88: Nick Hicks – Accountable Care

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Nick Hicks has been a GP and a Chief Executive and Director of Public Health for a PCT. He is now CEO of an independent consultancy called COBIC focussing on outcomes-based health and care. In this podcast Nick describes how the experience of working directly with communities to discuss their health outcomes led to the formation of COBIC. He describes a system of outcome-based contracting that creates the conditions for innovation and outlines for Ben the fundamentals of accountable care.

Show Notes

Nick describes the frustrations that led to forming COBIC (49secs)

The old way of contracting (1mins 50secs)

The public want outcomes (2mins 16secs)

A new way of contracting (3mins 11secs)

The name COBIC (4mins 30 secs)

Creating the conditions for innovation (4mins 40secs)

Is this accountable care? (6mins 22secs)

How will this work in the future – more strategic commissioning and collaborative providers (7mins 16secs)

Setting outcomes – the five areas communities want (9mins 50secs)

The national outcomes framework (11mins 09secs)

Is population size relevant? (11mins 45secs)

How do we avoid money being the driver? (12mins 52secs)

Accountable care systems and the public (13mins 44secs)

Is accountable care inevitable? Should we prepare now? (15mins 23secs)

What should practices be doing now? (16mins 44secs)

Contacting Nick (18mins 45secs)

You can contact Nick at Nicholas.Hicks@cobic.co.uk

The COBIC website is available here.

13
nov
0

Episode 87: Jonathan Serjeant – NHS Collaborate and perspectives on the future

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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.

6
nov
2

Episode 86: Ben Gowland – The Future of Federations

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In this audio-essay Ben looks at the likely future for GP federations. Driven by significant changes in general practice and the NHS, federations are taking on new roles and the once clear blue water separating federations from individual practices is beginning to muddy. Using soundbites from previous episodes of the podcast, Ben puts forward an argument that describes a positive future but, at the same time, questions the fundamental model of independent general practice.

Show Notes

Ben introduces the topic (8secs)

Recent research by the Nuffield Trust (24secs)

Two changes driving an increase in federations (1mins 06secs)

The nature of federations is changing (2mins 56secs)

The three things that federations are now doing (3mins 27secs)

The relationship between practices and federations is changing (5mins 12secs)

Federations adding value to practices (5mins 43secs)

How much overlap should there be? (6mins 59secs)

A view from Rebecca Rosen of the Nuffield Trust (7mins 19secs)

Not necessarily either/or… (8mins 58secs)

A view from New Zealand with Helen Parker (9mins 58secs)

How important is independent general practice? (10mins 51secs)

Federations as a mechanism for maintaining the sustainability of general practice – a view from Mark Newbold (11mins 54secs)

What kind of independence and autonomy matters most? (13mins 13secs)

Summarising the changing role (13mins 52secs)

A new model for federations (15mins 03secs)

16
oct
0

Episode 85: Simon Cartwright – Research at a GP practice level

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Simon Cartwright is a GP in Faringdon, Oxfordshire. Simon’s practice is heavily involved in research and, in this podcast, he explains to Ben how the practice began that involvement and how it has developed. He talks about the value that being a researching practice can bring both in terms of additional income and improvements in the quality of care. He also looks to the future and a recently formed federation of researching practices who are, between them, recruiting a Trials Manager.

Show Notes

Simon’s practice (44secs)

Getting involved in research as a practice – humble beginnings (1mins 12secs)

Incremental change – developing infrastructure (2mins 17secs)

Funding for the infrastructure (3mins 37secs)

A variety of research studies (4mins 24secs)

The motivation to get involved (5mins 32secs)

Impact on the quality of care (7mins 22secs)

Patient involvement in research (8mins 08secs)

What funding is available for research (9mins 30secs)

Payment for studies (10mins 41secs)

Relationship with research bodies (12mins 02secs)

Commercial studies (13mins 23secs)

The role of the lead GP (13mins 49secs)

A federation employing a trials manager (14mins 41secs)

Other federations exist (15mins 14secs)

Why a separate federation? (16mins 09secs)

Does research aid recruitment? (18mins 27secs)

Diversification is attractive to young GPs (19mins 26secs)

How will research develop in the future? (19mins 57secs)

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

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