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Increasing GP cynicism about the Government’s Forward View is understandable, argues Ben Gowland in his latest audioblog and, without a clear financial plan, the criticisms can only increase.
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Nigel Grinstead is one of the UK’s foremost experts on General Practice operating at scale. He has been involved in most of the country’s largest and most successful GP partnerships. In this episode of our podcast he talks to Ben about the benefits and challenges of General Practice at scale and launches the new Provider Exchange website.
Show Notes
Nigel explains his transition from British Airways to the NHS and thence to General Practice (54secs)
Future-proofing new models of care in General Practice (1min 54secs)
The history of practices working at scale (3mins 46secs)
Operating at scale through mergers is only one answer (5mins 25secs)
To be a successful provider company you need to work at scale and have mature commissioners (7mins 06secs)
We need to liberate clinical leaders and reform CCGs (9mins 07secs)
Should GPs focus on provision? (10mins 47secs)
What support is available for GPs wanting to work at scale? (11mins 34secs)
Advice for practices facing recruitment and workload challenges (13mins 03secs)
Lessons from the places where it has gone wrong (14mins 33secs)
The role of practice management (16mins 41secs)
Establishing a provider network – Provider Exchange (17mins 54secs)
The role of Provider Exchange (19mins 10 secs)
Visit and use Provider Exchange (19mins 56secs)
The Provider Exchange website is at www.providerexchange.co.uk
Nigel can be contacted on 07710915934
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Dr Steve Kell was, until April this year, chair of Bassetlaw CCG and national co-chair of NHS Clinical Commissioners. In this podcast he explains to Ben why he has given up both of these roles and gone back to being a full-time GP. In particular, he talks about the exciting work his practice is undertaking as part of a pilot site for the Primary Care Home.
Show Notes
Steve explains his reasons for giving up the two non-core roles (1min 16secs)
A gap in primary care commissioning led Steve back to being a GP (2mins 20secs)
More time in the practice to develop General Practice (3mins 43secs)
Crucial role for GPs in clinical commissioning (4mins 06secs)
Is enough priority given nationally to the problems in General Practice? (4mins 58secs)
The Primary Care Home model (6secs 08secs)
The three main aims of the project (6mins 48secs)
The model in practice – the value of employing a pharmacist (7mins 23secs)
The demand for the pharmacist and how it started (8mins 27secs)
Advice to practices considering employing a pharmacist (9mins 17secs)
The model in practice – giving a home in practice to community staff (10mins 30secs)
Making co-location work – building a joint approach (11mins 16secs)
Developing the primary care team model (12mins 09secs)
Focussing on efficiencies (12mins 58secs)
How might the funding work in the future? (14mins 23secs)
The future direction of the Primary Care Home (15mins 12secs)
The general practice role in this development (15mins 41secs)
How does the Primary Care Home differ from the multi-specialty community provider model (13mins 26secs)
The model can address the problems facing general practice (16mins 54secs)
Making general practice more attractive for GPs (18mins 03secs)
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Continuing our mini-series of podcasts looking at other professional roles in General Practice, Ben talks to Dr Neil Langridge who is a Consultant Physiotherapist in a GP practice. He tells Ben about his work and the positive impact that it has had on patients and the GP workload.
Show Notes
Neil explains how he came to be a physiotherapist in General Practice (38secs)
The development of physiotherapists in General Practice (1mins 05secs)
Neil is a “First Contact” practitioner (1mins 40secs)
How does a consultant physiotherapist in a General Practice operate? (1mins 53secs)
Onward referrals to other professionals are very low (3mins 04secs)
A range of models are available (3secs 29secs)
The impact that a consultant physiotherapist can have (4mins 19secs)
How many patients does Neil see? (5mins 31secs)
What has been the impact on the workload for GPs? (6mins 16secs)
Where do you see the benefits? (7mins 10 secs)
It is different than self-referral to physiotherapy (7mins 30secs)
How independent is the physiotherapist? (8mins 23secs)
Plans for the future of Neil’s role in the local Primary Care Centre (9mins 18secs)
Additional funding from Health Education England to allow evaluation of the competencies (10mins 14secs)
How will physiotherapy work in General Practice in the future? (10mins 42secs)
How the role is funded now and in the future (11mins 53secs)
Maximising the benefits of a finite resource (12mins 27secs)
Neil achieves a better understanding of the GP role (13mins 26secs)
The patients are good at triaging themselves (14mins 29secs)
Demand is high but patients will wait (15mins 12secs)
Ensuring a future supply of physiotherapists (15mins 38secs)
Will physiotherapists move to work in a GP practice? (16mins 29secs)
Advice to practices who might be interested in working with a physiotherapy (17mins 13secs)
Neil suggests interested parties should contact the Chartered Society of Physiotherapy. Their website is available here. Neil can be contacted at neil.langridge@southernhealth.nhs.uk
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In the second of his audio blogs, Ben Gowland argues that General Practice really needs help in navigating a route through the post-GP Forward View world. Read more of Ben’s blogs on our website at https://ockham.healthcare/category/the-general-practice-blog/ Let us know what you think of the audio blogs at ben@ockham.healthcare