15
jan
0

Episode 94: Suffolk GP Federation – sustaining general practice and improving patient care

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Suffolk GP Federation is a not-for-profit organisation owned by 58 GP practices and established in 2013. They deliver a number of services including cardiology and ultrasound and Suffolk GP+, which provides extra doctors’ appointments during extended hours. In this episode Ben talks to Chair and Medical Director Paul Driscoll and Chief Executive David Pannell. They explain what the federation does and how it works and look to the future with a super-partnership and a potential role in becoming the voice of general practice locally.

Show Notes

Paul, then David, introduce themselves and explain the main problems in Suffolk (53secs)

Where the federation came from (1min 44secs)

How the federation is funded (2min 28secs)

What the federation offered to the practices (3mins 09secs)

The roles of the federation (3mins 41secs)

Funding the management team (4mins 49secs)

350 staff and a turnover of £18m (5mins 09secs)

A community interest company (5mins 35secs)

Funding the work of the federation (5mins 49secs)

Defining success (6mins 44secs)

Engaging with the member practices (7mins 42secs)

The federation Board (8mins 30secs)

How do the practices view the federation? (8mins 51secs)

The direct provision of general practice (9mins 16secs)

Capital requirements not huge (10mins 25secs)

Using directly managed practices as a “test bed” (10mins 56secs)

Progress towards a super-partnership (12mins 18secs)

How does the model work? (13mins 29secs)

How do the federation and super-partnership interact (14mins 22secs)

Engagement in accountable care (14mins 47secs)

Representing general practice (15mins 40secs)

What have they learnt from the journey? (17mins 30secs)

A voice for general practice in the future? (19mins)

What next? (19mins 59secs)

Finding out more (20mins 59secs)

David can be contacted via david.pannell@suffolkfed.org.uk and their website is here

8
jan
0

Episode 93: Martin Ramsey – developing a super partnership

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Martin Ramsey is an accountant with MHA Macintyre Hudson, a firm of chartered accountants, tax and business advisers with a large presence in primary care. Martin has been involved in the development of Our Health Partnership (OHP), the Birmingham based super-practice whose progress we have been following on the General Practice Podcast. In this episode Martin talks about the process of establishing super-partnerships including the opportunities, the risks and the challenges.

Show Notes

Who are MHA Macintyre Hudson and what do they do (43secs)

Martin’s involvement in OHP (1min 17secs)

Merger and super-practice; the dividing line (1min 45secs)

The models of merger (2mins 49secs)

Who is the OHP model best for? (3mins 53secs)

The opportunities and challenges of super-partnerships (4mins 48secs)

The impact on staffing (5mins 55secs)

Reducing accountancy costs (6mins 54secs)

The risks of joining a super-partnerships (7mins 54secs)

Joint and several liability (8mins 48secs)

Mitigating those risks (9mins 21secs)

Lessons learnt from establishing super-partnerships (10mins 46secs)

Making it work; GP-led and wider engagement (11mins 36secs)

Length of the process (12mins 56secs)

The business plan (13mins 46secs)

Establishing a management team (14mins 45secs)

Finding support through the process (15mins 35secs)

The issues around property (16mins 21secs)

Contacting Martin (17mins 57secs)

Contact Martin at martin.ramsey@mhllp.co.uk

The MHA Macintyre Hudson website is available here

The three previous episodes with OHP are available here: Episode 13, Episode 41 and Episode 79.

18
dec
0
Leadership Strategy Vision Values

Episode 92: Claire Oatway – a new kind of practice management

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The Beacon Medical Group in Devon is no stranger to the General Practice Podcast. We’ve already featured its CEO and GP Partner Dr Jonathan Cope on a number of occasions – including in the very popular Episode 57 – A very modern practice. This week we talk to Claire Oatway who is the practice’s most senior management figure; Chief Operating Officer. In this podcast Claire explains how her role differs from that of the traditional practice manager and offers advice for others seeking to develop their role.

Show Notes

 

Claire’s public sector background (1min)

No experience of general practice (1min 30secs)

An introduction to the Beacon Medical Group (1min 40secs)

A lack of guidance surprises Claire (2mins 17 secs)

Claire’s developing role – strategy and change (3mins 16secs)

Claire’s role on the Board (5mins 12secs)

Very different to the traditional practice manager (5mins 57secs)

The skills to lead general practice (6mins 47secs)

From where will practice managers of the future come? (8mins 05secs)

A typical day (10mins 04secs)

A most inspiring manager (11mins 41secs)

Advice for others working in practice managements (12mins 53secs)

Practice managers creating room to plan and think (13mins 55secs)

Changing with the times (16mins 58secs)

The previous podcasts at Beacon Medical Practice with Dr Jonathan Cope can be found here and here.

Beacon’s website is here.

Message from Ockham Towers: A Merry Christmas and a Happy New Year to all our listeners. We’ll be back with a new episode on 8th January.

11
dec
0
Visionary

Episode 91: Mark Spencer – A visionary new model for general practice

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Mark Spencer is a GP from Fleetwood with what he describes as a portfolio career; as well as being a GP he is Medical Director of an urgent care provider, clinical lead for primary care transformation across his local STP and involved in NHS Collaborate – a primary care leaders network. In this episode Mark outlines his vision of a new model for general practice within a wider, collaborative primary care environment with the aim of empowering local communities. He also explains how NHS Collaborate can support primary care leaders who are engaged in making such change happen.

Show Notes

Mark’s portfolio career (53secs)

Mark reflects on the future for the current model of general practice (1mins 46secs)

Mark’s vision of a collaborative future for general practice working with other agencies (3mins 48secs)

Size allows for small enough teams but large enough skill mix (5mins)

Moving away from illness to wellness and hope (6mins 07secs)

Empowering communities (8mins 19secs)

A wider role for general practice (9mins 14secs)

How can general practice cope with this bigger role? (10mins 05secs)

A practical example of empowering a patient (11mins 12secs)

Enabling the scale of change that is needed (12mins 41secs)

A role for NHS Collaborate (14mins 38secs)

Taking risks to move from A to B (15mins 26secs)

NHS Collaborate offers support for “brave” leaders (16mins 29secs)

Finding out more (17mins 31secs)

The NHS Collaborate website is available here

You can contact Mark directly at mark.spencer1@nhs.net

4
dec
0
The Health Foundation

Episode 90: Anna Starling from The Health Foundation – Learning from the vanguards

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Anna Starling is a Policy Fellow at the Health Foundation (an independent charity committed to bringing about better health and health care for people in the UK). The Foundation has recently published a report called Some Assembly Required; Implementing New Models of Care which looks at the lessons being learnt by the vanguard sites in the new care models programme. As the author of the report Anna tells Ben about four of the key lessons that are emerging; from focussing on a specific population to having a shared understanding of the problem.

Show Notes

How the study came about (43secs)

Explaining the new models of care (1mins 28secs)

How permanent are the new models likely to be (2mins 28secs)

Capturing the learning (3mins 06secs)

Singling out the main lessons (4mins 15secs)

Initiating change – Lesson One: focus on a specific population (5mins 01secs)

Defining your population (6mins 54secs)

Focusing on smaller populations (7mins 49secs)

Lesson Two: Engage primary care from the beginning (8mins 56secs)

Who leads? (10mins 17secs)

How important is general practice operating at-scale? (11mins 23secs)

Relationships first, governance later (12mins 51secs)

Lesson Three: Go where the energy is (13mins 35secs)

Focus on making change happen (14mins 51secs)

Lesson Four: Work through a shared understanding of the problem (15mins 53secs)

Finding the full report (16mins 45secs)

The report is available for download here

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