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For our special 75th episode of the General Practice Podcast we return to the subject of our very first episode; Stewart Smith from St Austell Healthcare. In Episode 1 Stewart described the evolution of St Austell Healthcare including the rescue of a failing practice by its neighbouring practices. Eighteen months on and Stewart reflects on progress including their multi-disciplinary team model and governance arrangements. He extols the benefits of the Primary Care Home and discusses the challenges and benefits of working at scale.

Show Notes

Stewart summarises the growth of St Austell Healthcare (36secs)

Dealing with the problem of GP recruitment (2mins 26secs)

The multi-disciplinary team approach (3mins 07secs)

Developing a new way of working (4mins 04secs)

Auditing work on medication (4mins 44secs)

Improving quality via an MDT – and home visiting (5mins 32secs)

The acute care hub (6mins 21secs)

Introducing new roles into the practice (7mins 05secs)

Training and support for new roles (7mins 39secs)

The challenges and benefits of working at scale (8mins 26secs)

Stronger external relationships (9mins 41secs)

Improved management and governance (10mins 32secs)

An Executive Board meets fortnightly (11mins 37secs)

Thirteen partners working harmoniously (12mins 05secs)

Business development and opportunities (12mins 45secs)

Social prescribing team (13mins 35secs)

The Primary Care Home model (14mins 08secs)

Working towards capitated budgets (15mins 21secs)

Employing an integration manager (15mins 59secs)

Employing a mental health worker (16mins 36secs)

Rationalising premises (18mins 31secs)

Not all “plain sailing” (19mins 46secs)

Find all the previous episodes of the General Practice Podcast, ordered by theme, here

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