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The dust has certainly not settled on the very recent NHS England publication on improving access for patients and supporting general practice and in the latest of our joint Practice Index / Ockham Healthcare podcast series, our ‘fab four’ react. Our now infamous panel of Practice Management extraordinaires and Institute of General Practice Management founders and directors, Nicola Davies, Robyn Clark, Kay Keane and Jo Wadey, talk to Ben about what’s been set out within the document and how they feel about it, following an outcry from IGPM members and primary care colleagues alike. From the risks posed by the way the funding has been set out, to an apparent lack of understanding about the reality on the ground right now, where this leaves the sector and how general practice could be better supported, the quartet tell us why the latest guidance falls so far short and share their concerns about what the future holds for a primary care which is already at crisis level.

Introduction (0:25)

Initial reactions (0:46)

Key concerns (1:14)

Performance based funding (1:40)

A lack of understanding about what’s happening on the ground (2:52)

The contradiction of improved access and promotion of remote consultations (4:13)

How should practices respond? (6:28)

Are there any useful takeaways from the publication? (8:17)

Onus on commissioners (9:42)

The risk of perverse incentivisation (10:15)

How can general practice be better supported right now? (11:00)

IGPM response (11:27)

Feedback from individual practice managers (12:52)

An undeliverable expectation? (13:21)

A sign of things to come? (15:33)

The IGPM one year on and what is happening next (17:19)

Practice Index’s website can be found here

For more information and to sign up to become a member of the IGPM, please find the website here

For all enquiries, please contact James Dillon here or Ben Gowland here