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Vincent Buscemi is a health and social care lawyer and a partner at Bevan Brittan, a leading commercial law firm. Vincent has wide experience of advising independent and public sector organisations on a wide range of issues including powers, decision-making and governance arrangements. In this episode Vincent takes Ben through the fine detail of setting up limited companies, forming “back-office” hubs and avoiding the potential pitfalls of both.

Show Notes

Vincent moves to the UK from the US 25 years ago and gets involved in primary care (51secs)

Vincent’s experience in the new models of care vanguards (1min 38secs)

What is an incorporated identity? (3min 17secs)

Achieving economies of scale (5mins 21secs)

Can limited companies hold GP contracts? (6mins 55secs)

“Qualifying companies” (8mins 03secs)

Why isn’t this happening so much now? NHS England’s involvement (8mins 55secs)

Potential for a legal challenge (10mins 17secs)

Scale influences NHSE’s view (11mins 55secs)

Start at a local level – and early (13mins 11secs)

Reticence to fait accompli and the policy book (14mins 25secs)

Downsides to check for – paying VAT and pension arrangements (16mins 07secs)

Sub-contracting from core contracts leads to a pension issue… (17mins 23secs)

…and a tax issue. Cost sharing groups (19mins 44secs)

Get the financial advisor in the room as soon as possible (21mins 29secs)

Isn’t a merger a far easier alternative? (23mins 09secs)

Pre-existing and prior liabilities (24mins 20secs)

How is the corporate infrastructure of general practice likely to change? (25mins 23secs)

Getting in touch with Vincent (27mins 23secs)

Contacting Vincent: Telephone 03701943016 or e-mail Vincent.buscemi@bevanbrittan.com

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Phil Coates is a practice management consultant and an expert on the new General Data Protection Regulation which comes into force on 25^th May 2018. In this podcast Phil explains how the GDPR will impact on general practices and what practices should be doing now to prepare. He covers the new roles required by the regulation and offers a number of places where practices can find additional support.

Show Notes

What is GDPR? (45secs)

Organisations need to review all their data handling (1min 48secs)

Why is 25^th May important? (2min 14secs)

Impact on GP practices (3mins 14secs)

What should practices be doing now? (4mins 39secs)

Undertaking a data mapping exercise (5mins 27secs)

Whose personal data is being processed? What? When? And where? (7mins 01secs)

How does this link with consent? (8mins 50secs)

Implied consent and objection (10mins 03secs)

Explicit consent and third party requests (11mins 10secs)

Can practices charge a fee for access to data? (11mins 47secs)

Guidance awaited from the BMA (12mins 32secs)

When practices can and can’t charge (12mins 49secs)

Data Controller and Data Processor (13mins 41secs)

The Data Protection Officer (14mins 56secs)

Approaches to the Data Controller role (16mins 20secs)

Is additional training required? Where can we get additional information from? (17mins 40secs)

Additional information is available from the following places:

The Information Governance Alliance

The Information Commissioners Office

EU GDPR Website

BMA Website

On the Practice Index site you’ll find the following links:

GDPR eLearning course in the Hub

GDPR: What’s available?

GDPR policy

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Judith Harvey writes regularly for the National Association of Sessional GPs newsletter and other GP publications. Her articles have now been gathered into a recently published book; Perspectives. Judith’s interests range from the Cuban health system (she founded the charity Cuba Medical Link to enable students to travel to Cuba for their electives) to self-prescribing by GPs and from her own experiences with concussion to the social pressure put on potential organ donors. Ben talks to Judith about her life, her career and her writing.

Show Notes

Judith’s progress from GP to published author (53secs)

From partner to sessional GP (1min 36secs)

Contributing to the NASGP newsletter (2min 17secs)

Writing about drugs following a visit to Columbia (3mins 29secs)

Just say “no” doesn’t work (3mins 58secs)

Reaction to the articles (5mins)

“Prescribing for Shrimps” – medication and the environment (5mins 27secs)

Judith’s experience of concussion (6mins 42secs)

Three months recovery (7mins 33secs)

Admiration for the Cuban health system (8mins 18secs)

Setting up Cuban Medical Link (8mins 58secs)

Could we learn from Cuba? (9mins 52secs)

Training of junior doctors (11mins 18secs)

Giving up or stopping? – moving on from medicine (11mins 46secs)

Advice for GPs just starting out (13mins 34secs)

Buying Judith’s book (14mins 06secs)

You can purchase Judith’s book from Amazon here.

Ben’s review of Perspectives by Judith Harvey can be found here.