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22
aug
0

Episode 28: Richard Fieldhouse – Challenging Questions on GP Locum Chambers

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/RFieldhouseQ26A20Complete.mp3

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In the final episode of our short series of podcasts on GP Locum Chambers, Ben talks to Richard Fieldhouse, Chairman of the National Association of Sessional GPs and one of the first GPs to set up a locum chambers. A number of challenging questions from listeners about locum GPs and chambers have arisen during our series of podcasts and Ben puts these more difficult questions to Richard.

Show Notes

Richard argues that we are wasteful in the use of locum GPs (1min 28secs)

Is the lack of continuity of care a problem? (3min 28secs)

A balance of partners, salaried and locums is needed (5mins 56secs)

Aren’t locums simply an expensive resource that we cannot afford (7mins 03secs)

The costs of agency locums (8mins 08secs)

Locums are expensive and don’t know what they are doing…aren’t they? (10mins 10secs)

Could all GPs end up in chambers? (13mins 46secs)

The future employment options for GPs in an MCP organisation (16mins 09secs)

Advice for areas that want to set up a local locum GP chambers (17mins 33secs)

Richard’s organisation, the National Association of Sessional GPs has a website that can be found here.

 

15
aug
0

Episode 27: Jenny Stone – On Practice Mergers

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Jenny20Stone20complete.mp3

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Ben talks to Jenny Stone, an accountant with a firm which has considerable experience in advising and supporting practices through mergers. She explains the steps that practices have to take and exposes some of the hidden difficulties that merging practices can experience.

Show Notes

Jenny outlines the experience of her company (55secs)

Considering a merger (1min 11secs)

The drivers for merger (2mins 05secs)

Are merged practices more profitable? (2mins 46secs)

What to focus on to achieve real financial benefits (3mins 14secs)

Taking steps to merge (4mins 08secs)

Options for practices with differing contracts (5mins 15secs)

Looking at the accounts early on (6mins 34secs)

Is profitability a deal breaker? (7mins 41secs)

Working with differing accountants (8mins 43secs)

TUPE – the next steps (9mins 31secs)

The role of practice managers (10mins 17secs)

The next steps and early stages of the merger (11mins 06secs)

Support for practices (12mins 25secs)

Transitional costs (12mins 59secs)

The costs of handing back the list (14mins 01secs)

Preparing for the worst (15mins 24secs)

Partners becoming more involved in the business (16mins 01secs)

Advice for partners – set a budget (16mins 58secs)

You can contact Jenny via info@ramsaybrown.co.uk (18mins 38secs)

10
aug
0

Bonus Episode: The MCP Contract Framework – Your 15 Minute Guide

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/MCP20Contract20Framework20complete.mp3

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The MCP contract framework is raising a number of questions in general practice. Ben thinks it has more important implications than the GP Forward View and is keen to explain why.

Show Notes

Ben explains the importance of the new MCP contract to general practice (46secs)

The MCP model explained (1min 19secs)

The voluntary contract isn’t a new general practice contract (2mins 19secs)

General practice needs to be operating at scale to access the contract (3mins 19secs)

Things practices can be doing now without taking on the contract (4mins 17secs)

The new contractual arrangements – three models (5mins 14secs)

Model One – A virtual MCP (5mins 30secs)

Model Two – Partially integrated (6mins 20secs)

Model Three – Fully integrated (7mins 13secs)

Can GPs own and run an MCP? (8mins 05secs)

Why this is not likely (8mins 43secs)

Options for GPs in an MCP (9mins 58secs)

What is in it for GPs? (11mins 01secs)

What are the timescales? (13mins 23secs)

Further questions (14mins 42secs)

If you’d like to discuss the implications of the new contract you can contact Ben via e-mail at ben@ockham.healthcare or on Twitter @BenXGowland

 

8
aug
0

Episode 26: Charlotte Hattersley – a locum with an idyllic career

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Charlotte20Hattersley20complete.mp3

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Ben talks to the third of our GPs working in locum chambers. Charlotte Hattersley has managed to develop the ideal life – a portfolio career in the English Lake District. She tells Ben how she has achieved this, how GP locum chambers have helped and how the common perception of locums is all wrong.

Show Notes

Charlotte explains her career as a partner and then as a locum (1mins 4secs)

Charlotte moves to the Lakes to improve her quality of life (1min 52secs)

The demands of partnership become too much – working as a locum (2mins 44secs)

A portfolio career (3mins 35secs)

GP locum chambers in Yorkshire help Charlotte out (4mins 14secs)

Setting up Cumbria locum chambers (4mins 48secs)

Being a locum is ideal for its flexibility (5mins 09secs)

Why not continue as a partner? (5mins 44secs)

The difference that a chambers makes (7mins 16secs)

The support of the chambers (8mins 08secs)

The benefits for practices (8mins 55secs)

Attracting locums to an area (10mins 12secs)

Partnership is so unattractive (11mins 24secs)

Establishing further chambers (12mins 30secs)

Using locums is not “bad” (14mins 07secs)

The negative perception of locums is unfair (15mins 03secs)

 

5
aug
0

Maureen Baker with Megan Stodel – Finances in the GP Forward View

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Maureen20and20Megan20Complete.mp3

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Ben talks to Maureen Baker, Chair of the RCGP and Megan Stodel, Senior Research Officer at the RCGP on the financial analysis they undertook on the GP Forward View. The discussion unpacks some of the headline financial commitments in the GPFV and tries to establish how much will be coming to who and when.

Show Notes

The RCGP undertakes a financial analysis of the GP Forward View (43secs)

A commitment of £2.4bn for general practice recurrently (2mins 15secs)

Why have cuts to the service at the same time as increasing funding (3mins 02secs)

How much of the increase will appear in the core contract? (4mins 24secs)

Ongoing discussions year-on-year (5mins 53secs)

Understanding the capital funding (6mins 36secs)

Even more money available from the transformation funds? (8mins 05secs)

GP ambassadors identified for each of the STP areas (11mins 14secs)

Will some of the money only be available to practices working at scale? (12mins 21secs)

Is there a risk in the MCP contract framework that general practice money might go to other services? (14mins 18secs)

The role of CCGs in developing general practice (15mins 23secs)

The impact of Brexit (16mins 29secs)

What more do we know about the allocation of funding since the GPFV was published? (18mins 05secs)

Finding the RCGP analysis – and questioning it (19mins 30secs)

The RCGP financial analysis of the GPFV can be found here

Page 83 of 90
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