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How three GP practices in St Austell merged, took on a failing practice and revolutionised the way General Practice was provided in the town; all in less than a year.

Ben Gowland talks to GP Dr Stewart Smith from St Austell Healthcare about snatching victory from the jaws of defeat and the radical redesign of GP services which resulted.

Show notes

Stewart Smith describes how the largest practice in St Austell failed (1m 15sec)

The remaining practices attempt to stabilise the failing practice (2m 10sec)

The CQC produce a poor report on the failing practice (3m 25sec)

The remaining practices decide to merge (3m 48m)

How would operating at scale solve the problems? (4m 48sec)

Merging reduces pressure on the practices (6m 24sec)

The practice splits the provision of on-the-day care into an Acute Care Hub (7m 34sec)

Positive public reaction (8m 59sec)

Stewart describes how the Hub is staffed (9m 52sec)

How the GPs work in the Hub (11m 53sec)

Lessons learnt (12m 26sec)

Developing specialist admin roles (13m 47 sec)

Impact of the Hub on workload (15m 03sec)

Plans to extend the range of services (16m 18sec)

The impact of the Hub on recruitment (17m 25sec)

Change fatigue and consolidation (18m 11sec)