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“Dr Gandalf”, GP, eGPlearning podblast founder, and Ockham podcast favourite, is back with another fascinating insight into his most recent year as Clinical Director for Nottingham City East PCN. In this third instalment documenting the journey in his ‘day’ job, Gandhi and Ben discuss the highlights of recent times, including the recruitment and expansion of a safeguarding care coordination service, how Nottingham East have embedded wider ARRS staff, the impact of the updated GP contracts within the network and on the patient population, preparations for the new world of integrated care in 2022 and what’s next on the agenda for Gandhi as he reflects on his achievements to date and why he remains as passionate as ever about his role.

Introduction (0:10)

On how life is, right now (0:37)

Practice vs PCN priorities (1:04)

Maintaining individual identities within a wider network (2:11)

The Safeguarding Care Coordinator (3:20)

Recruitment of other additional roles (4:23)

Exploring the relationship between additional roles staff and the wider workforce (5:39)

Accommodating and integrating the ARRS teams (7:16)

The challenges presented by the new primary care contracts (7:58)

Gandhi’s view of the health inequalities risk presented by existing contractual targets (9:38)

How can we respond to contractual targets in practice? (10:46)

Reaction to the recent NHSE publication (12:00)

Preparations for Integrated Care Systems (ICSs) (14:52)

Where does the Clinical Director post sit in context with the LMCs and the development of the ICSs? (16:43)

Looking ahead… (17:49)

The best bits of clinical directorship (19:25)

The link to the eGPlearning YouTube channel is here