14
aug
0

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

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

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

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

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

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

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

24
jul
0

Episode 73: Nav Chana – The Primary Care Home

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

Dr Nav Chana is a GP and Chair of the National Association of Primary Care and, in this episode, he describes the Primary Care Home initiative from its origins and the drivers for its development, through its rapid growth to the impact being made on patient care and team morale. Nav outlines the four essential characteristics of a Primary Care Home and summarises the lessons learned so far.

Show Notes

The origins of the Primary Care Home (1min 19secs)

What drove the creation of the Primary Care Home? (2mins 19secs)

The growth of the model (3mins 37secs)

What is a Primary Care Home site? (4mins 31secs)

The elements of a Primary Care Home (5mins 07secs)

The four essential characteristics Number 1: Population health management (6mins 01secs)

What drives the enthusiasm of GPs to join? (6mins 47secs)

The four essential characteristics Number 2: Integrated systems (7mins 36secs)

The multi-professional “squad” (8mins 07secs)

Benefits to morale (8mins 57secs)

Finding the capacity to integrate (9mins 22secs)

Workload increased by poor communication (10mins 36secs)

Not just about scaling up (11mins 32secs)

Developing wider teams to support the Primary Care Home (11mins 54secs)

Does this require a single organisational “home” (13mins 12secs)

The four essential characteristics Number 3: Responsibility for the resources (14mins 02secs)

Taking on capitated budgets (15mins 27secs)

The four essential characteristics Number 4: Size (16mins 50secs)

The right population size; 30-50,000 (17mins 30secs)

The importance of engagement (18mins 46secs)

Access to data (19mins 14secs)

The impact of the model (20mins 12secs)

Finding out more (21mins 02secs)

More information from the NAPC on the Primary Care Home is available here

The three other episodes of the General Practice Podcast about the Primary Care Home are available here: Stewart Smith in Cornwall; Steve Kell in Notts and Jonathan Cope in Devon.

17
jul
0

Episode 72: Edwina Farrell – Leases – should you sign them?

Posted by PodcastNo Comments

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | Email | RSS

This week we have the second episode in our short season on GP premises. Ben is talking to Edwina
Farrell, a partner at Weightmans legal firm where she is a specialist in GP property and partnership
business matters. Our focus is on leases and landlords; why the current increase in lease disputes
and how to go about resolving them without necessarily taking legal action.

Show Notes

Why the rise in lease disputes? The birth of NHS Property Services (30 secs)

The different kinds of lease (1 mins 54 secs)

4,000 undocumented tenancies (2 mins 56 secs)

The inconsistent legacy of PCTs (3 mins 11 secs)

The source of disputes – confusion in the changeover (3 mins 47 secs)

Does rent reimbursement cover the service charge? (5 mins 55 secs)

What should a practice do if they have a problem? (6 mins 29 secs)

Approaching NHSPS (7 mins 56 secs)

Who is responsible for resolving the issues? (9 mins 39 secs)

Carefully analyse your historical position (11 mins 48 secs)

Involving the LMC (12 mins 26 secs)

Considering legal action (13 mins 30 secs)

Considerations prior to legal action (14 mins 06 secs)

The situation for those in LIFT buildings (15 mins 29 secs)

Can you do anything once you’ve signed your lease? (16 mins 50 secs)

Contacting Edwina (17 mins 37 secs)

Weightmans website is www.weightmans.com and Edwina’s email address is Edwina.farrell@weightmans.com

 

Page 79 of 96
1777879808196