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Dr Anne Smalldridge is the GP Lead for REACHE North West which is the Refugee and Asylum Seeking Centre for Healthcare Education. REACHE supports refugee health professionals who live in the North West and in this podcast Anne explains to Ben how the organisation was formed, how it operates and what impact it has on the lives of refugee and asylum seeking doctors, nurses and other health professionals.
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Mergers expert Robert McCartney returns to us for a second podcast. In Episode 49 Robert looked at the challenges around arranging successful mergers between two practices. In this episode he and Ben discuss the “bigger picture” i.e. merging at a scale that sees general practice operating over a population of 30 to 50,000. They discuss the arbitrariness (or otherwise) of this number and provide some practical advice for practices wanting to operate within networks or localities.
Show Notes
“Ending the days of the Wild West of general practice…” The end of the small business model? (1min 07secs)
Where has the magic number of 30-50,000 come from? (2mins 02secs)
Form should follow function (3mins 04secs)
Smaller scale (50,000) feels easier to make change (3mins 56secs)
Does everyone have to get bigger? Or is it optional? (5mins 44secs)
If national investment decisions are encouraging locality working… (7mins 03secs)
…what are the options for practices? (8mins 55secs)
Where trust exists why wouldn’t you merge? (9mins 45secs)
A productive framework for discussions between practices (11mins 19secs)
Options for legal processes and formalities (12mins 55secs)
The governance around practices working together (14mins 02secs)
How might joint working solve our existing problems? – putting a toe in the water to build trust (16mins 04secs)
The end of the independent contractor model? (18mins 20secs)
Advice and support from Robert rm@mccartneyhealth.co.uk (21mins 21secs)
If this podcast has whetted your appetite for further information then you might like to read Ben’s blog about NHS England’s review of the Five Year Forward View
A link to the House of Lord’s report on NHS Sustainability is here
A link to the NAPC Primary Care Home report is here
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Jonathan Cope was, last November, named as GP of the Year by Pulse magazine. It’s not difficult to see why. He is a GP Partner and CEO of the Beacon Medical Group in Devon. In this fascinating podcast (his third for Ockham Healthcare) Jonathan describes a range of initiatives within this very forward thinking practice; from the Primary Care Home to the introduction of a mental health service and from closer relationships with community services to the successful recruitment of specialist GPs…and much more!
Show Notes
National award was “humbling” (1min 36secs)
The formation of and development of Beacon Medical (1min 49secs)
Jonathan summarises the introduction of the hot/cold split and new roles (2min 23secs)
Developing allied health professionals (4mins 16secs)
Ensuring a balance of skills (5mins 23secs)
Expanding capacity (6mins 05secs)
Developing a new mental health service (7mins 07secs)
A Liaison Psychiatrist in the practice (8mins 25secs)
Achieving a “less fraught” working life (9mins 02secs)
Physiotherapy service delivery on site (10mins 30secs)
In-house dermatology and orthopaedic services (11mins 03secs)
Reductions in secondary care activity (12mins 13secs)
Recruiting and developing specialist GPs (12mins 34secs)
Reputation and recruitment – “an attractive model” (13mins 28secs)
The Primary Care Home and its impact (14mins 55secs)
Closer relationships with community services – virtual wards etc. (16mins 21secs)
Aiming for a single team (17mins 26secs)
Heading towards an accountable care organisation? (18mins 34secs)
Joint objectives matter more than organisational form (20mins)
The biggest lessons from all this work? (20mins 50secs)
What is the future likely to hold? (22mins 28secs)
Can a practice be too big? (23mins 43secs)
Sensible growth in recognisable communities (25mins 11secs)
You can listen to Jonathan’s two previous podcasts with Ben here and here.
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Dr Mayur Vibhuti is a GP and Director of Medical Education at the IMH Group. In this podcast he talks to Ben about the clinical leadership programme IMH have developed with Keele University which is tailored specifically to the new generation of GPs. He also talks about the NHS orientation programme that IMH have developed for European GPs hoping to practice in the UK. They also look at the “generation gap” between older GPs and millennial GPs and how this might be bridged.
Show Notes
How Mayur got involved in training GPs (1min 22secs)
Catering for the new generation of GPs (2min 08secs)
Clinical supervision does not just mean supervising GPs (3min 08secs)
Developing a clinical leadership programme with Keele University (3mins 42secs)
A supportive mentorship programme (4mins 31secs)
The difference between teaching GPs and teaching AHPs (5mins 18secs)
It is difficult for GPs to let go (6mins 36secs)
Aiming for multi-disciplinary training (7mins 37secs)
Supporting new GPs joining the NHS from abroad (8mins 25secs)
An NHS orientation course (9mins 30secs)
40% were failing the assessment (10mins 46secs)
National interest in the course (11mins 21secs)
The impact of Brexit on GP recruitment (11mins 47secs)
The development of GP training in recent years (12mins 41secs)
Adapting to the millennial GPs (13mins 26secs)
A move away from hierarchical groups; and the “generation gap” (14mins 08secs)
What the new generation of GPs want (15mins 07secs)
How general practice needs to change (16mins 09secs)
Making contact with Mayur (16mins 41secs)
Mayur is on Twitter @mayurvibhuti
The IMH website is available at www.imhgroup.net
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In this podcast Tara Humphrey, an independent consultant, tells us everything we need to know about Community Education Provider Networks (CEPNs). She describes these as “…virtual, nimble, innovative training networks to help promote, sustain and develop the general practice workforce” She tells Ben how they work and how successful they have been in supporting the creation of a culture of multi-professional learning in general practice.
Show Notes
Why are CEPNs important? (59secs)
What have CEPNs achieved? (2min 06secs)
Sustaining the general practice workforce – upskilling (3min 08secs)
Most are looking at the wider workforce… (3mins 36secs)
…although some will look at trainee GPs too (3mins 56secs)
CEPNs introducing new roles (4mins 30secs)
Why haven’t we heard of them? (5mins 21secs)
Health Education England are rolling them out but they are led by primary care (6mins 35secs)
Nearly everywhere has one (7mins 34secs)
Accessing your local support (7mins 55secs)
Are they funded? (8mins 35secs)
How will they be sustained? (9mins 03secs)
Creating a culture of multi-professional learning in general practice (10mins)
Led by a multi-professional Board (11mins 11secs)
Some successes (12mins 24secs)
Where do they fit in the local primary care architecture? (13mins 03secs)
Finding out more (13mins 58secs)
Free resources available (14mins 34secs)
If you are based in Kent, Surrey, Sussex or London you can contact Tara directly at tarahumphreyconsulting@outlook.com
A range of useful free resources is available at www.tarahumphreyconsulting.co.uk