5
dec
0

Episode 42: Amanda Brookes – Introducing “Leg Clubs”

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Leg Clubs are an innovative way of treating people with leg ulcers. Patients with leg problems become members of a club, which meets in a community setting and provides a mix of clinical interventions and social support. Amanda Brookes, an NHS manager from Wiltshire, has introduced a Leg Club into general practice and, in this podcast, explains to Ben how the club works and some of the astounding results they have delivered.

Show Notes

Amanda describes her route into primary care (47secs)

Amanda’s role in two large GP practices (1mins 15secs)

A business manager looking after enhanced services (1mins 46secs)

The Level 2 Leg Ulcer contract in West Wiltshire (2mins 12secs)

What is a Leg Club? (3mins 10secs)

Membership of the Leg Club – for life (3mins 59secs)

Clinical and social interventions (4mins 45secs)

Low mood and social isolation (5mins 11secs)

How it works in practice (7mins 02secs)

Drop-in was problematic to introduce (7mins 22secs)

Audit and call-backs (7mins 56secs)

No-one is forced to join (8mins 38secs)

Introduction of the Leg Club was driven by patient outcomes (9mins 01secs)

Moving from a district nurse model to primary care (10mins 11secs)

The impact of the Leg Club (10mins 28secs)

The social benefits (11mins 34secs)

What’s available at the Leg Club (12mins 47secs)

Identifying patients at risk of hospital admission (13mins 19secs)

Staffing with primary care nurses (14mins 07secs)

The patient journey (14mins 56secs)

Nurse-led (15mins 44secs)

Impact on practice nursing (16mins)

Freeing up GP time (17mins 03secs)

Where is the Leg Club run? (17mins 43secs)

How is it funded? (18mins 19secs)

The costs of setting up the Club (18mins 37secs)

The Lindsay Leg Club Foundation (19mins 29secs)

Contacting Amanda (20mins 14secs)

 

The Lindsay Leg Club Foundation web address is www.legclub.org

Contact Amanda via amanda.brookes@nhs.net

28
nov
0

Episode 41: Mark Newbold – Progress with a super partnership

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Mark Newbold is managing director of Our Health Partnership, a super partnership of 32 GP practices in Birmingham covering a population of 280,000. This is the third time we’ve checked in with Mark to talk about OHP’s progress and he tells Ben about their in-house locum system, quality support for practices, new locality structure and potential growth. Our first podcast with Mark can be accessed here and our second (from May 2016) can be accessed here.

Show Notes

One Year On (1min 37secs)

Making life better for patients and partners (2mins 12secs)

In-house locum system (2mins 34secs)

Using our own doctors (3mins 24secs)

A software partner (4mins 08secs)

The benefits of the system (4mins 48secs)

A devolved model (5mins 27secs)

A pool of salaried doctors (6mins 24secs)

Quality support for practices and CQC (7mins 11secs)

Developing a quality monitoring system (8mins 12secs)

Recruiting a quality officer through the savings (9mins 03secs)

Full support for OHP taking a larger role (9mins 34secs)

A “quality support offer” to struggling practices (10mins 23secs)

Spreading good practice (11mins 14secs)

Harder than in an Acute Trust! (11mins 58secs)

Working within the levy of £2 a patient (12mins 28secs)

Taking on other practices (13mins 36secs)

Expanding outside Birmingham (14mins 06secs)

A dozen practices want to join (15mins 11secs)

Size bringing efficiencies – merged accounts (16mins 27secs)

Single accounting was a founding principle (17mins 54secs)

Involving practice managers (18mins 27secs)

Is it still a “grass roots movement”? (19mins 03secs)

A system of localities to keep the Board in touch (19mins 35secs)

Advice for other practices (14mins 49secs)

Involving practice managers (18mins 27secs)

Transfer resource from the CCG? (21mins 11secs)

How have the changes in general practice affected OHP (23mins 05secs)

Engaging the LMCs (24mins 02secs)

“Bringing about the development of general practice into the new organisations” (25mins 24secs)

What will it look like on the ground? (26mins 12secs)

The MCP contract (27mins 19secs)

Collaborating with the community trust? (28mins 54secs)

Making more of the GPFV (29mins 31secs)

Looking to the future (30mins 46secs)

 

21
nov
0

Episode 40: Ria and Andy – Physician Associates

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Ria Agarwal and Andy King are both physician associates, a role which remains controversial in general practice. In our latest podcast we begin an occasional series about this role by talking to Ria and Andy about the scope of their role, their route into becoming PAs and their contribution to the practices in which they work.

Show Notes

Ria and Andy describe their daily role (1min 33secs)

Who triages the patients to the physician associates changes over time (3mins 57secs)

Is the PA role a drain on GPs? (4mins 49secs)

The prescribing role (6mins 04secs)

Autonomous and/or part of a team? (6mins 53secs)

The main benefits for the practice (7mins 52secs)

Home visiting (9mins 28secs)

Explaining the role to patients – “a bit like a doctor but isn’t a doctor” (9mins 59secs)

How it works in practice (6mins 23secs)

The route to being a PA – Andy (10mins 59secs)

The Physician Associates Diploma (11mins 51secs)

The route to being a PA – Ria (12mins 31secs)

Why choose general practice? (13mins 12secs)

Indemnity (14mins 05secs)

Advice to practices thinking about the PA role (14mins 47secs)

Expectations of the role and expansion (15mins 53secs)

Overcoming the challenges (17mins 35secs)

Developing trust is fundamental (18mins 43secs)

Advice for other practices (14mins 49secs)

Contact Ria for further information at riaagarwal19@googlemail.com

14
nov
1

Episode 39: Jennifer Skillen – Patient Participation

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Jennifer Skillen is the Chair of the Patient Participation Group at Romney House Surgery in Tetbury, Gloucestershire. Jennifer is introducing a range of technical solutions to the thorny issue of how to positively engage patients in general practice. She tells Ben about the “virtual” PPG and its impact on the surgery.

Show Notes

Jennifer describes her introduction to general practice (1min 14secs)

Why the “virtual” group became a solution (2mins 15secs)

Jennifer’s role (2mins 56secs)

A successful PPG blog (3mins 20secs)

The blog gives the practice a new way to communicate (3mins 36secs)

The blog address is romneyhouseppg.wordpress.com (4mins 38secs)

Blogging when things are important (4mins 27secs)

Setting up the “virtual” PPG using the Read code (4mins 45secs)

How it works in practice (6mins 23secs)

Three mouse clicks… (6mins 51secs)

The Romney House PPG Forum, Facebook & Twitter (7mins 39secs)

The benefits of using a multi-channel approach (8mins 16secs)

Real time feedback (8mins 56secs)

Immediate response from patients (9mins 51secs)

Making patient-led change – toys in the waiting room (10mins 46secs)

Three levels of patient engagement (12mins 10secs)

The future of patient engagement in the practice (12mins 59secs)

Developing trust is fundamental (13mins 53secs)

Advice for other practices (14mins 49secs)

Contacting Jennifer for more information romneyppg@cyberbarn.org.uk (15mins 42secs)

Twitter @romneyppg (16mins 19secs)

7
nov
0

Episode 38: Laura Sharpe – A Successful GP Confederation

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Laura Sharpe and Paula Beare work for the successful City and Hackney GP Confederation which is formed of 43 GP practices. In this podcast they explain to Ben how they gained GP commitment to the confederation, how the confederation operates and the ambitious plans they have for the future.

Show Notes

Laura explains how the confederation came about in spring 2014 (55secs)

A City and Hackney-wide organisation is mooted (1mins 33secs)

A history of close working dictates the size of the confederation (1secs 56secs)

Much of the development was based on trust (2mins 21secs)

Laura’s background of working in the boroughs developed trust (2mins 53secs)

Laura joins for a few months – two years ago (3mins 38secs)

Getting started (4mins 08secs)

Early contracts agreed with the confederation (4mins 37secs)

Commissioners made a strategic decision on standards and coverage (5mins 25secs)

Broaching performance management (6mins 25secs)

The practices pay a membership fee (7mins 41secs)

Modelling the pay-back (8mins 34secs)

Maintaining the enthusiasm (9mins 17secs)

Employing a “dream team” for support (9mins 59secs)

They “love the confederation” (11mins 26secs)

Focus on securing contracts or helping practices? (12mins 11secs)

Delivering the contracts (13mins 41secs)

Paula explains the size of the contracts (14mins 50secs)

The Board of the Community Interest Company (16mins 04secs)

Hugely ambitious dreams for the future (16mins 32secs)

A conference to share the learning (18mins 06secs)

How will the conference work (19mins 30secs)

Booking a place on the conference (20mins 29secs)

The conference website is www.gpconfederations.co.uk

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