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James Morrow is the Chief Exec and Managing Partner of Granta Medical Practices in Sawston, Cambridge. In this episode James tells Ben how the benefits of increased scale have led to a new model for delivering core general practice which has improved access, eased recruitment and developed new and constructive dialogues with secondary care. He touches on the way the practices are involving staff in innovation and working with the local community. Looking to the future he describes a vision where the staff will share ownership of the practice through a Board of Trustees whilst also maintaining the independence of general practice.

Show Notes

James explains the history of Granta Medical Practices (53secs)

Ten years ago the practices planned scenarios for the future and settled on working at scale (1min 45secs)

A joint management executive prior to merger (3mins 16secs)

A coalition of successful practices; avoiding the “numbers game”, silos and tribes (4mins 02secs)

The vision for the practices; what good looks like (5mins 25secs)

Team based continuity and “practice members” (6mins 01secs)

Streamlining the service – planned long term condition service and frail elderly service at no extra money (7mins 06secs)

Delivering core general practice, well and gaining a voice through scale (8mins 38secs)

Delivering more out-of-hospital services and shaping what happens in hospital (10mins 36secs)

The operating model – providing access (11mins 56secs)

The on-the-day-team (13mins 47secs)

A mean wait of five minutes (14mins 37secs)

Impact on secondary care (15mins 26secs)

The positive impact on GP recruitment and supporting innovation (16mins 08secs)

Working with the Parish Nurse on complex patients (19mins 36secs)

Engaging the community (21mins 32secs)

The partnership model and shaping the future (23mins 37secs)

A John Lewis & Partners-type model for the future governance of the practices – ownership by trustees (24mins 56secs)

What this will look like for employees (26mins 41secs)

A bonus for employees (27mins 22secs)

James sums up (28mins 29secs)