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Dr Mark Newbold is an experienced NHS doctor, manager and academic who, until recently, was Managing Director of the Birmingham super-practice, Our Health Partnership. In this wide-ranging discussion Ben and Mark focus on the bigger picture: the strategic implications of Primary Care Networks and the role of general practice in integrated care systems. They cover everything from leadership and influence to scale and accountability. Mark begins by describing the introduction of PCNs as “an NHS led…radical process of transformation”

Mark updates us on what he has been doing (1:06)

NHS-led transformation (1:39)

Moving from “institution” to “system” (2:43)

Bringing general practice into the system (3:18)

General practice is the foundation of integrated care (3:46)

Size, scale and influence (4:53)

The question of existing at-scale general practice (6:23)

Tiers of collaboration (7:36)

Geographic spread and the “offer” of working at-scale (9:47)

Differentiating the “offer” for member and non-member practices in an at-scale organisation (10:34)

The Clinical Director role (11:56)

The future for Community Trusts (12:44)

The balance of power between general practice and Community Trusts – emerging GP leaders (13:27)

PCNs – beginning of the end for independent general practice? (14:58)

A collective approach (16:06)

Evolving a new model of general practice (17:20)

The accountability of integrated care systems (18:04)

Taking a long term view (19:01)

A discussion forum for GPs (20:36)

The GP View website Mark mentions can be accessed here

Our previous podcasts with Mark on the setting up of Our Health Partnership can be found below:

Episode 13 – Our Health Partnership: The story so far

Episode 41 – Progress with a super-partnership

Episode 79 – The further adventures of a super-partnership

Episode 109 – Our Health Partnership – the story continues