21
mar
0

Episode 6: Dr Andrew Whittamore – the impact of mergers

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Episode Six:

Fascinating insights from a lead GP about what it meant for his practice as it got bigger through a series of mergers driven by a core set of values and a desire to improve population health. This week Ben talks to Dr Andy Whittamore, lead GP at the Portdown Group Practice in Portsmouth. In part two, next week, Ben hears from Mark Stubbings, the Business Partner at the same practice.

Show Notes

Andy begins to describe the journey towards the six-site, 40,000 practice they are today (55 secs)

Sharing resources leads to financial security (2mins 17secs)

Aiming to reduce the number of sites (2mins 57secs)

A fifteen-partner democracy? (3mins 37secs)

The size of the practice impacts on recruitment (4mins 30secs)

Scale allows partners to develop specialist interests (4mins 55secs)

Specialist GPs give additional support to the nurses and reduce referral and admission rates (5mins 30secs)

Do you have one team or six teams? (6mins 33secs)

Protecting the “Portsdown ethos” (7mins 07secs)

Reducing reliance on locums with a pool of salaried doctors (7mins 32secs)

Improving population health through scale (8mins 06secs)

Leading the local integration agenda (9mins 08secs)

Investing in technology and working with partners (9mins 26secs)

A common understanding to achieve merger (10mins 02secs)

The real and perceived barrier of culture (11mins 18secs)

The next stage – doubling size again (11mis 52secs)

How does being bigger benefit the practice? (12mins 59secs)

Using scale to develop effective partnerships (13mins 45secs)

Developing services with other practices (14mins 27secs)

Advice to practices considering a merger (15mins 08secs)

Resources to make a merger work? (15mins 52secs)

 

 

14
mar
0

Episode 5: Ravi Sharma – employing a clinical pharmacist

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Episode Five: Ravi Sharma

Should clinical pharmacists play an increased role in General Practice? Absolutely, according to Ravi Sharma, a senior primary care pharmacist in the South East. In this episode, Ravi explains to Ben the contribution clinical pharmacists can make to patient care and makes it clear that they shouldn’t be seen as yet another drain on GP time and resources.

Show Notes

Ravi explains how he began his career in GP Pharmacy (1min 14secs)

Exploring the business case for a GP pharmacist (2mins 19secs)

A mix of skills in General Practice (3mins 44secs)

Becoming a prescribing pharmacist with support from the practice (4mins 05mins)

Training a pharmacist (4mins 40secs)

The value of a prescribing pharmacist (5mins 11secs)

What can a GP pharmacist do? (5mins 37secs)

Resistance to a GP pharmacist? (6mins 42secs)

Does a GP pharmacist really reduce GP workload (7mins 13secs)

Can you afford a GP pharmacist? (8mins 05secs)

Taking advantage of a relative over supply of pharmacists (9mins 10secs)

A career in General Practice for pharmacists (9mins 58secs)

A national guide for recruiting a GP pharmacist (10mins 37secs)

The NHS England scheme to pilot clinical pharmacists in General Practice (11mins 14secs)

GP pharmacy working with community pharmacy (11mins 39secs)

Future models of care relying on effective integration (13mins 35secs)

Pharmacy partners in General Practice? (14mins 16secs)

 

 

7
mar
0

Episode 4: Sheinaz Stansfield – social prescribing

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Do GP practices have to sacrifice their values if they want to grow in size?  Not according to Sheinaz Stansfield who shares with Ben the remarkable story of how her Practice increased in size and used the power of social prescribing to positively impact on their patients’ lives.

This week Ben talks to Sheinaz Stansfield, Practice Manager at Oxford Terrace and Rawling Road Medical Group in Gateshead. The interview begins about achieving greater scale and how merging with another local practice secured their future. But when Sheinaz begins to explain the Practice’s approach to “social prescribing” we enter a world where a Christmas Lunch for vulnerable people and the organisation of a tea-dance become part of an even brighter future for the Practice and its patients.

Show Notes

Sheinaz describes the practice and its population (1min 07secs)

Using the introduction of “quality accounts” to develop the practice (1min 58secs)

The decision to get bigger (3mins 05secs)

Why bigger? (3mins 37secs)

Taking on eight care homes and beginning integrated working (4mins 10secs)

Merging with a struggling practice (6mins 40secs)

“Courting” the struggling practice (7mins 30secs)

Genuinely engaging the local population (8mins 10secs)

Being in hospital at Christmas inspires a new approach to identifying and supporting elderly and vulnerable patients (8mins 40secs)

Volunteers galvanised to organise a Christmas dinner (9mins 40secs)

The volunteers bring a wealth of expertise to the practice – for free (11mins 10secs)

The value added by the volunteers multiplies (12mins 30secs)

Any costs are balanced by the value they add (13mins 30secs)

What is social prescribing? (15mins 25secs)

Social prescribing and its impact on GPs (16mins 03secs)

The new approach attracts resource (16mins 10secs)

Launching the long-term conditions strategy…via a tea-dance (16mins 40secs)

Alternative resources for those with long-term conditions (18mins 30secs)

1
mar
0

Episode 3: Katie Slack – recruiting other professionals

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Episode Three:

Ben talks to Katie Slack, Practice Manager at Blue Dykes and Grassmoor Surgeries in Chesterfield about losing ten GPs over two year and how this crisis prompted them to employ other professionals and ultimately improve patient access, satisfaction and staff morale.

Show Notes

Katie describes the practice and how the recruitment crisis began (1min 16secs)

Initial efforts to cope with the crisis (2mins 23 secs)

Katie describes the local population (2mins 50secs)

Morale and reputation drop and retention suffers (3mins 21secs)

Access was “very poor” (4mins 09secs)

The decision to look at other professions – an Advance Nurse Practitioner (4mins 42secs)

Creating a role for the ANP (5mins 34secs)

Developing the ANPs (6mins 15secs)

Easily integrating ANPs into the Practice (6mins 50secs)

How many patients can the ANPs see? (7mins 30secs)

The ANPs don’t just do face-to-face appointments (8mins 22secs)

70% of home-visits are done by the ANPs (8mins 43secs)

Patients react well to the change (9mins 22secs)

How patient access has improved (9mins 50secs)

The ease of recruiting ANPs (11mins 08secs)

This is working, so let’s look at others professions (11mins 36secs)

Adapting the admin process to manage the new model (12mins 43secs)

The decision to employ a CPN (14mins 03secs)

The CQC are really impressed with the new model (14mins 50secs)

The partners “open up” via the new model (15mins 32secs)

The future for joint working with other practices (16mins 23secs)

Advice to other practices with recruitment problems (16mins 55secs)

22
feb
0

Episode 2: 5 Years to the End of General Practice?

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The tables are turned and Ben Gowland is interviewed about his latest White Paper, “Five Years to the End of General Practice?”.

The White Paper, which makes three recommendations designed to protect the future of General Practice, is underpinned by in-depth interviews with GPs and a survey of GPs across the country.

Show Notes

Ben begins to describe how he feels the urgency of the GP crisis has been underplayed (1min 03secs)

Does anyone really understand General Practice? (2mins 10secs)

Should GPs just “shut up and get on with it?” (3mins 10secs)

The true complexity of the problems (4mins)

A single top down solution won’t work (5mins 15secs)

The government haven’t yet got the answer – and seven day opening is not the solution (6mins 9secs)

The Ockham Healthcare recommendations (6mins 50secs)

Clinical leadership out of commissioning and into the integration agenda (8mins 30secs)

Is it the end for General Practice? (9mins 49secs)

What would the collapse of General Practice mean? (10mins 15secs)

Adequate resourcing for the NHS – with no strings attached (10mins 44secs)

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