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9
may
0

Episode 13: Mark Newbold – Our Health Partnership – the story so far

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/MarkNewbold20Complete.mp3

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Our Health Partnership in Birmingham is the biggest GP partnership in the UK covering 32 practices, 150 partners and a population of 280,000. Ben talks to Managing Director Dr Mark Newbold in the second of our podcast series tracking the progress of OHP, and discovers how the partnership works, what the benefits are and what lessons have been learnt so far.

Show Notes

Progress in making Our Health Partnership the biggest GP partnership in the UK (34secs)

A single legal partnership – not a federation (1mins 35secs)

How does the model maintain the local feel (2mins 22secs)

The founding principles of Our Health Partnership (3mins 26secs)

Practices as profit centres (4mins 10secs)

Clusters of practices sharing functions (4mins 42secs)

What do the practices get from the “centre” (5mins 22secs)

The objectives of Our Health Partnership see below

Practices pay a levy but get much of it back in benefit (7mins 01secs)

Six months on – is it still a “grassroots movement”? (9mins 12secs)

A stronger voice for the practices – a challenge in Birmingham (10mins 34secs)

Large practices are the future – developing new models of care (11mins 48secs)

Practices need to be big enough to make it work (13mins 10secs)

What makes the model work? (14mins 26secs)

Developing from a shared vision (15mins 41secs)

The lessons learned – getting the fundamentals in place and being clear about the ethos (16mins 10secs)

The role of the CCG (16mins 52secs)

Who holds the contracts? (17mins 57secs)

How can interested practices contact Mark? (19mins 15secs)

The Our Health Partnership website can be found here

If you are interested in working with/meeting with Our Health Partnership, please complete the proforma available on their website here and send to MD@ourhealthpartnership.com

Mark can be contacted directly at marknewbold51@gmail.com

Our Health Partnership Objectives 2016/17

We will make life better for patients and partners by:

  1. Introducing a quality support offer, with provision of benchmarking data, to member practices to support quality improvement, and aid preparation for CQC inspections
  2. Collaborating on Local Enhanced Services including ACE delivery to develop standard OHP templates and to implement the ambulance triage system across our practices. We will develop a bid to access ACE funding in 2017/18 and continue this work further
  3. Exploring options for new ways of working, and staff development, in conjunction with HEWM, and share best practice within the ACE programme through training
  4. Developing a range of initiatives to support temporary staffing needs in practices:
  • A GP locum database and internal GP locum solution
  • An internal staffing bank to offer nursing, other clinical and administrative support
  • A salaried doctors pool to provide consistent high quality support to practices
  1. Developing a strategy for improving access to primary care, to include both increased use of technology and provision of a 7 day service

We will create efficiencies for our Partner Practices by:

  1. Introducing centralised payroll for all staff
  2. Implementing a centralised finance and banking facility utilising a single software system
  3. Providing a centralised legal facility
  4. Providing a centralised HR facility
  5. Introducing centralised procurement to offer the following to practices:
  • A procurement solution for consumables
  • Medical indemnity cover, practice insurance, and utility contracts at lower cost
  • Exploring options for greater efficiency in back office functions

We will ensure the sustainability of our organisation by:

  1. Developing a strong OHP brand, underpinned by a Communications Strategy
  2. Ensuring we grow by 20% in order to maintain efficiency and influence
  3. Remaining involved in the strategic development of GP at scale at local and national levels
  4. Continually improving our Board capability via a development programme

As an ambitious organisation, committed to primary care development, we will align our developmental objectives with those of NHS England, and take opportunities that arise, to ensure steady and sustainable growth in line with our vision

We will develop our organisation by:

  1. Working closely with primary care partners including BIG Practice to establish a strong and influential voice for general practice in the local health system
  2. Exploring the option of bidding, with a partner, for the Urgent Care Centre procurement
  3. Exploring business opportunities such as referral triage, subject to assessment of risk and benefit to OHP
  4. Contributing to research in relevant areas and rigorously evaluating our own progress
  5. Evaluating options for funded development including digital primary care advances, social prescribing and commercial partnerships
  6. Putting a detailed plan in place for developing into a Multispecialty Community Provider / Accountable Care Organisation
5
may
0

Bonus Episode: King’s Fund Report on General Practice

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/Beccy20Baird20complete.mp3

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The King’s Fund have today (5th May) published their report “Understanding Pressures in General Practice”. In a bonus episode of his popular podcast, Ben Gowland speaks to Beccy Baird, a Fellow in Health Policy and one of the authors of the report. What does the report tell us about the current state of General Practice – and will anyone listen?

Show Notes

The report is aimed at policy makers and aims to illuminate the current picture of General Practice (36secs)

The report is seeking to generate positive change (1mins 11secs)

Do the movers and shakers believe that the crisis exists? (1mins 36secs)

The report shows that activity has gone up more than was previously believed (2mins 02secs)

How do we explain the rise in activity? (2mins 47secs)

Should the amount of money GPs receive go up accordingly? (3mins 19secs)

Isn’t it all about funding? (3mins 39secs)

Is the new money announced in the GP Forward View sufficient? (4mins 18secs)

There has been a growth in the GP workforce – but not enough (4mins 59secs)

Solving the current recruitment crisis (5mins 45secs)

The impact of part-time working (6mins 37secs)

Part-time working to cope with the pressure (7mins 23secs)

What should we do about the crisis? (8mins 14secs)

Is working at greater scale the way forward? (9mins 06secs)

Is integration the way forward? (10mins 13secs)

Isn’t the lack of time for GPs the big barrier to change? (11mins 14secs)

Should CCGs be seconding their GP leaders into the development of General Practice? (12mins 14secs)

Does the GP Forward View solve the problems? (13mins 04secs)

What should an “average” Practice be doing now? (14mins 01secs)

What should Jeremy Hunt do now? (14mins 54secs)

3
may
0

Episode 12: The GP Forward View

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/GPFV20complete.mp3

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The recently published GP Forward View appears to present practices with a number of opportunities. What does a practice need to do to access a share of the £2.4bn available? Ben Gowland discusses the various “pots” of money that are being released and urges practices to prepare well in advance.

Show Notes

The GP Forward View – opportunity or threat? (54 secs)

What does the extra money mean for practices? (1min 35secs)

Recurrent money that practices can access (2mins 39secs)

7 day working not compulsory (3mins 08secs)

Is capital money available? (4mins 06secs)

Relaxing the rules on accessing capital (4mins 36secs)

Availability of non-recurrent money (5mins 25secs)

Practices need to pursue the right “pot” of money (5mins 55secs)

Investing in GPs suffering from burn-out (6mins 25secs)

Money for workforce and recruitment (6mins 39secs)

Introducing 5000 non-GPs to the workforce (7mins 09secs)

Extending the scheme to support recruitment of pharmacists (7mins 30secs)

£45m to introduce on-line consultations (8mins 08secs)

£30m to support access (8mins 40secs)

Are costs likely to go down as a result of the Forward View? (8mins 52secs)

Reducing the costs of bureaucracy (9mins 28secs)

Changing the frequency of CQC inspections (10mins 08secs)

The decisions practices need to be making now (10mins 37secs)

Getting more information (12mins 04secs)

Ockham Healthcare has a blog on the finances relating to the Forward View and his can be accessed here.

25
apr
0

Episode 11: John Tacchi – a BIG practice in Birmingham

Posted by Ben GowlandPodcastNo Comments
http://traffic.libsyn.com/ockham/John20Tacchi20Complete.mp3

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When 87 practices get together to work at a truly mammoth scale, what benefits can accrue? How does communication work and what problems can occur? Ben talks to John Tacchi, CEO of Birmingham Integrated General Practice (BIG Practice) and finds out whether BIG is beautiful.

Show Notes

John describes what BIG Practice is (49secs)

The difference between BIG and a federation (1min 16secs)

Super partnerships and how they form (2mins 10secs)

Single entity within a joined entity (2mins 57secs)

BIG is a company limited by shares (3mins 14secs)

One entity for your clinical business and one entity for the provider business (4mins)

How big is BIG? (5mins 36secs)

The relationship between BIG and Our Health Partnership, the “clinical business” in Birmingham (6mins 11secs)

How does the funding work? (6mins 46secs)

What is BIG taking on? (7mins 06secs)

Forming a buyer’s club (7mins 40secs)

Setting up a locum service (8mins 04secs)

Retaining GPs (9mins 15secs)

Links with commercial companies (9mins 41secs)

Savings from operating at scale (10mins 35secs)

Support for practices with challenges (11mins 19secs)

The end of the “single-hander”? (12mins 35secs)

How BIG focus on education and learning (13mins 14secs)

Building partnerships or supporting competition? (14mins 02secs)

The early lessons (14mins 56secs)

How do you engage 87 practices? (15mins 32secs)

More information and the videos mentioned in the podcast are available at www.bigpractice.co.uk

19
apr
2

Bonus Episode – The Reform Report on the Future of General Practice

Posted by Ben GowlandPodcast2 Comments
http://traffic.libsyn.com/ockham/Reform20complete.mp3

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Can fundamental change in General Practice be achieved by changing the contracting model? Will the use of other professionals achieve major efficiencies? Reform the public sector think tank believe so and have published “Who Cares; The Future of General Practice” to set out their “blue print for best practice”. In this bonus edition of our podcast, Ben Gowland talks to Alex Hitchcock, one of the report’s authors.

Show Notes

Alex explains the aims of the Reform report (44secs)

The report aims to set out a blue print for best practice (1min 06secs)

Reforms view of the problems in General Practice (1mins 40secs)

Do GPs feel the problems differently? (2mins 07secs)

Fundamentally changing the model (3mins 01secs)

Abandoning the target for 5000 new GPs (3mins 30secs)

Using other professions to plug the gap and make efficiencies (4mins 19secs)

How do you preserve continuity of care? (5mins 35secs)

How do you deliver the efficiencies? (7min 16secs)

Other professionals delivering appointments will achieve efficiencies (8mins 17 secs)

Creating new contracts to emphasise prevention (8mins 52 secs)

The Valencia model of integrated care (9mins 59secs)

The example of Lakeside in Corby delivering wider care (11mins 12secs)

Can change be delivered via contracting? (12mins 01secs)

A new role for commissioners? (12mins 37secs)

Are federations “old wine in new bottles”? (13mins 38secs)

How best can we deliver change? (15mins 16secs)

Private investment in primary care (16mins 06secs)

Does general practice have the capacity for change? (16mins 30secs)

Practice leadership from individuals with a business background (17mins 07secs)

The report is available from www.reform.co.uk (17mins 48secs)

 

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