28
aug
0
GP Premises Podcast

Episode 78: Ian Crompton – Are GP premises still a good investment?

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This week is the third in our short series about GP premises. Ben talks to Ian Crompton, the Head of Healthcare Banking at Lloyds Banking Group. Ian describes the relationship that the bank has developed with GP practices and a range of specific issues relating to premises including the concept of “last man standing”, the options for new partners and the difference between owner/occupied and investment properties. He gives his views on the formation of property companies and ways in which GPs can protect themselves and their investment.

Show Notes

Ian establishes a healthcare division in Lloyds Bank (43secs)

The scale of the operation (1min 27secs)

GPs and the bank (1mins 52secs)

What happens when a practice needs more money (2mins 45secs)

The banks view on GP property (4mins)

Are premises still a good investment? (5mins 02secs)

The fear of “last man standing” (6mins 42secs)

New partners and buying in to property (7mins 39secs)

The banks view on lending against property (10mins 28secs)

Valuation and security (11mins 44secs)

Owner/occupied and investment properties (12mins 28secs)

Complicated arrangements – get a lease (14mins 18secs)

Property companies (16mins 17secs)

Meetings with accountants, lawyers, valuers and the bank (18mins 59secs)

Getting in touch with Ian directly (20mins 14secs)

Ian’s mobile number is 07802 750707

The bank’s website is www.lloydsbank.com/healthcare

21
aug
0

Episode 77: The Future of General Practice

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We’re seventy-six episodes of the podcast in and adding together all the information we’ve gleaned from numerous case studies, a picture begins to emerge of what the future for general practice might look like. In this episode we look at some of the unique insights we’ve gained about what might make general practice stable and sustainable for the future. At the same time we launch our first ever conference. To be held next March, “The Future of General Practice” brings together a matchless array of previous podcast guests in a riveting programme of discussions, “live podcast” chats and presentations. Find out more here. A generous discount on the ticket price is available for subscribers to our weekly newsletter. If you don’t subscribe and you want to receive our podcast and blog every week then subscribe here.

Show Notes

Ben introduces the Potentate of the Podcast (09secs)

The origins of the general practice podcast (35secs)

Our first Podcast Live event – a uniquely interactive conference (1mins 40secs)

The principles of the General Practice Podcast made flesh (2mins 38secs)

The Future of General Practice (3mins 02secs)

Introducing some of the speakers: Mark Newbold (4mins 19secs)

Mark Newbold on working at scale (4mins 45secs)

Introducing some of the speakers: Tracey Vell (5mins 55secs)

Tracey Vell on the new models of care (6mins 30secs)

Introducing some of the speakers: Steve Kell (7mins 49secs)

Steve Kell on the primary care home (8mins 25secs)

Introducing some of the speakers: Jonathan Cope (9mins 45secs)

Jonathan Cope on the lessons learnt (10mins 13secs)

Introducing some of the speakers: Nav Chana (11mins 19secs)

Nav Chana on shaping healthcare for the future (12mins 02secs)

The event is aimed at anyone interested in the future of general practice (13mins 05secs)

More information available on our website here (13mins 42secs)

Discount on ticket price for subscribers – subscribe here (14mins 15secs)

Future episodes of the podcast (15mins 00secs)

Getting in touch with us (15mins 56secs)

Email Ben with ideas for future episodes at ben@ockham.healthcare

 

14
aug
0

Episode 76: Sheinaz Stansfield – Releasing time for care in Gateshead

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Sheinaz Stansfield is Practice Manager at Oxford Terrace and Rawling Road in Gateshead, a practice that has implemented all ten high impact changes from the GP Forward View. What has this meant for GPs and patients? Sheinaz takes Ben through each of the ten changes and explains how they were implemented and the impact they have had.

Show Notes

Starting at number 10; developing expertise (1min 08secs)

Introducing active signposting (2mins 30secs)

Auditing long term conditions – the year of care approach (4mins 03secs)

Impact of active signposting on patients (5mins 09secs)

Developing partnership working (6mins 13secs)

Introducing group consultations (7mins)

Group consultations for Type 1 diabetes (7mins 53secs)

How are they run? (8mins 36secs)

Number of group consultations (9mins 10secs)

Productive workflows – GP mail (9mins 59secs)

Personal productivity – headsets (10mins 48secs)

Developing the team – looking at risk stratification and population need (11mins 52secs)

Reducing home visits and supporting carers (12mins 39secs)

Supporting self-care (13mins 50secs)

The development of social prescribing (14mins 55secs)

Reducing DNAs (15mins 35secs)

What difference have the ten changes made? (16mins 39secs)

Continuous quality improvement and measurement (17mins 38secs)

Support from NHS England (18mins 37secs)

Accessing the support (19mins 25secs)

Is this the future of general practice? (19mins 42secs)

Our previous podcast with Sheinaz can be found here. Ben mentions our previous podcast with Jonathan Serjeant on Workflow Optimisation. This is Episode 46 and can be found here. He also mentions Episode 62 with Nick Sharples on Active Signposting and that can found here. All of our previous episodes, including a number on introducing new roles to general practice, can be found via our Podcast Index here.

Sheinaz mentions the NHS England website on the releasing time for care programme and that can be found here

7
aug
0

Episode 75: Stewart Smith – Progress in St Austell

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For our special 75th episode of the General Practice Podcast we return to the subject of our very first episode; Stewart Smith from St Austell Healthcare. In Episode 1 Stewart described the evolution of St Austell Healthcare including the rescue of a failing practice by its neighbouring practices. Eighteen months on and Stewart reflects on progress including their multi-disciplinary team model and governance arrangements. He extols the benefits of the Primary Care Home and discusses the challenges and benefits of working at scale.

Show Notes

Stewart summarises the growth of St Austell Healthcare (36secs)

Dealing with the problem of GP recruitment (2mins 26secs)

The multi-disciplinary team approach (3mins 07secs)

Developing a new way of working (4mins 04secs)

Auditing work on medication (4mins 44secs)

Improving quality via an MDT – and home visiting (5mins 32secs)

The acute care hub (6mins 21secs)

Introducing new roles into the practice (7mins 05secs)

Training and support for new roles (7mins 39secs)

The challenges and benefits of working at scale (8mins 26secs)

Stronger external relationships (9mins 41secs)

Improved management and governance (10mins 32secs)

An Executive Board meets fortnightly (11mins 37secs)

Thirteen partners working harmoniously (12mins 05secs)

Business development and opportunities (12mins 45secs)

Social prescribing team (13mins 35secs)

The Primary Care Home model (14mins 08secs)

Working towards capitated budgets (15mins 21secs)

Employing an integration manager (15mins 59secs)

Employing a mental health worker (16mins 36secs)

Rationalising premises (18mins 31secs)

Not all “plain sailing” (19mins 46secs)

Find all the previous episodes of the General Practice Podcast, ordered by theme, here

Never miss a new episode and receive our weekly blog by subscribing to our weekly e-mail on the home page of our website here

31
jul
0

Episode 74: Jim Forrer – Technology and General Practice

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This week we talk to Exmouth GP Jim Forrer. As well as chairing a GP federation, Jim is part of the NHS Clinical Entrepreneurship programme and has a passion for new technologies. He talks to Ben about the fourteen technological projects currently taking place in his federation and, more generally, about the ways technology can support general practice and whether technology will ever replace GPs. And then he tells some cheese jokes…

Show Notes

The NHS Clinical Entrepreneur programme (44secs)

The “Future GP” idea (1mins 34secs)

Harvesting the benefits of new technology (2mins 30secs)

Jim’s vision (3mins 05secs)

A “hackathon” in Beirut (4mins 40secs)

A big idea: videoing consultations (6mins 20secs)

Working with a multinational team (7mins 25secs)

Implementing new technology into a federation (8mins 45secs)

Fourteen projects supported by The Estates and Technology Fund (9mins 27secs)

The projects (10mins 17secs)

Making the technology real (11mins 19secs)

Implementing the projects over the federation (12mins 26secs)

Can technology transform general practice? (14mins 23secs)

Where technology should be helping (15mins 24secs)

Which comes first; form or function? (17mins 02secs)

GP “unwillingness” to take on new technologies (18mins 27secs)

Learning from Jim’s experience (20mins 43secs)

Contacting Jim (21mins 30secs)

The cheese jokes… (21mins 52secs)

Jim is on Twitter @jimforrer and he can be contacted via email at jimforrer@nhs.net

If you want to see the pitch Jim mentions on You Tube you can find it here

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