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As ever, here at Ockham, we are fortunate to have been able to have taken some time out from business as usual to put our feet up and properly digest, review, and summarise the recent Fuller report publication on integrated Primary Care (and what this might look like in the context of the wider Integrated Care world). As with everything, our conclusions are our own and having spoken to our allies over at THC Primary Care, it’s clear that the report can be interpreted in many different ways, depending on who you are, where you sit, what your remit is and how prepared you may (or may not) be feeling ahead of the upcoming transition. In this week’s episode, Ben and THC Primary Care founder and MD, and PCN Management expert Tara Humphrey discuss their key takeaways from the stocktake and what they both feel general practice should be doing right now to ready themselves for integrated primary care, and ICSs beyond.

Introduction (0:09)

Setting the scene…. our differing perspectives (0:19)

Tara and Ben’s initial thoughts (0:29)

What’s missing? (0:45)

Ben’s concerns (1:17)

What would Ben liked to have seen within the report? (2:54)

Shaping the debate (4:46)

A threat to the PCN model as we know it? (5:52)

Tara’s views and getting the most out of a larger network infrastructure (8:03)

Readying general practice, as it stands (9:21)

Acknowledgement of existing constraints and what this means going into an ICS environment (9:58)

Do the recommendations within the report pose a risk to the PCN management structure? (11:06)

General Practice influence at an ICS level (12:44)

The importance of a united primary care voice (14:27)

Time pressures and maintaining influence as a GP leader (15:15)

What should we be doing right now in preparation? (16:55)

Tara’s predictions ahead of the transition (17:47)

Recommendations from Ben (18:53)

Tara advises (19:53)

Navigation of bureaucracy versus responsive decision-making (20:43)

We need you! (21:45)

Next steps for integrating primary care: Fuller stocktake report (final report) is available here.

There is still plenty to discuss where the report is concerned and absolutely no way to cover it all this 22-minute podcast instalment. We are keen to hear views and even better, feature representatives from across general practice on the podcast to discuss the transition into the integrated care, what this feels like from your part of the world and your own take on the Fuller Report. So if you (or your team) are interested in taking part, please contact Ben at ben@ockham.healthcare or get in touch via Twitter.