4
jul
0

Episode 21: Berge Balian – Greater collaboration between acute and primary care

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Can GP practices work in closer collaboration with the local Acute Trust and yet not lose their independence? Ben talks to Dr Berge Balian, a long-standing GP who was appointed Associate Medical Director for Primary Care at Yeovil District Hospital and is one of the clinical leaders for a Primary and Acute Care System (PACS) model. He tells Ben how GP and hospital services have come together, how GPs were convinced to support this new model and how the whole system has benefited.

Show Notes

Berge has been a GP for 20 years with an interest in local GP politics (1mins 12secs)

The local hospital recruits a GP onto their Board (1mins 57secs)

An application for Vanguard status looking at closer integration between acute and primary care (2mins 25secs)

Getting GP colleagues on board (2mins 42secs)

Collaborative working doesn’t mean more work for General Practice (4mins 17secs)

Sharing a vision (5mins 10 secs)

Developing the vision as if you were starting from scratch (6mins 06secs)

Radical changes to the way General Practice is configured around population health (7mins 12secs)

Integrating health and social care across Yeovil (8mins 40secs)

GPs do not feel threatened (9mins 28secs)

Practices look at merging with the hospital (10mins 06secs)

Symphony Healthcare Services (SHS) is established as an “operational organisation” (11mins 05secs)

Contracting arrangements (12mins 06secs)

SHS is owned by the Trust but is arms-length and led by GPs (12mins 43secs)

What motivates the practices to join? (13mins 37secs)

The three pillars of integration (14mins 39secs)

Enhanced Primary Care and appointing 54 Health Coaches (15mins 54secs)

New clinical roles in surgeries (17mins 16secs)

Developing the programme in the future – the voice of primary care (18mins 14secs)

Increased investment in primary care (19mins 45secs)

Three bits of advice for other parties (21mins 38secs)

27
jun
0

Episode 20: Richard Fieldhouse – Locum GP Chambers

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One in four GPs is a locum. A local locum GP chambers can be incredibly effective in recruiting and retaining locum GPs into an area and in this podcast we hear from Richard Fieldhouse, a locum GP who developed the first Locum GP Chambers and helped set up the National Association of Sessional GPs. He tells Ben what a Chambers is, how it works and how it benefits practices and sessional GPs.

This is the first in a short series of podcasts devoted to locum GP chambers; how they work and how they benefit the GPs who join them. In future episodes we will be hearing three very different GP stories from locum GPs and in the final episode we discuss the pros and the cons of chambers. You can contribute to this final episode by sending your questions to Ben at ben@ockham.healthcare

Show Notes

Richard explains the history of his decision to become a locum GP for 20 years (1mins 07secs)

The isolation of being a locum in an established practice turns Richard on to the idea of locum GP chambers (2mins 17secs)

The creation of the NASGP or National Association of Sessional GPs (3mins 11secs)

A groups of locums get together and develop the detail of a GP locum chambers (4mins 21secs)

How a GP locum chambers operates (4mins 55secs)

The model expands and rolls out across the country (6mins 03secs)

The chambers have a local focus (6mins 35secs)

The size of a living room dictates the size of the chambers! (7mins 06secs)

The number of practices covered by a chambers (7mins 22secs)

The benefits to practices of using a locum chambers (7mins 36secs)

Having a chambers attracts and retains GPs (8mins 48secs)

Chambers only work if the locums have control (9mins 51secs)

How the locum GPs set the charges (10mins 25secs)

The difference between chambers and a pool of salaried GPs (11mins 09secs)

CCGs and federations can support setting up a chambers (11mins 50secs)

Interested parties can contact Richard via e-mail at Richard.fieldhouse@pallantmedical.org.uk or via the Pallant Medical Chambers website at www.pallantmedical.org.uk (13mins 43secs)

Chambers can ensure the more effective use of locums (14mins 06secs)

Ben outlines the rest of the series of podcasts on GP locum chambers (15mins 44secs)

20
jun
0

Episode 19: Nigel Grinstead – lessons from operating at scale

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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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