100 episodes

Ben Gowland talks to those making real change happen in healthcare, getting underneath what they did, how they managed to do it, and the challenges they faced along the way

The General Practice Podcast Ben Gowland

    • Health & Fitness
    • 4.4 • 32 Ratings

Ben Gowland talks to those making real change happen in healthcare, getting underneath what they did, how they managed to do it, and the challenges they faced along the way

    Podcast - Jonathan Griffiths - Primary Secondary Interface

    Podcast - Jonathan Griffiths - Primary Secondary Interface

    In another episode documenting general practice preparations for integrated care, we welcome back Dr Jon Griffiths, GP Advisor for Cheshire and Merseyside Health and Care Partnership, NHS North West Leadership Academy board member, RCGP Mersey Faculty Board deputy council rep and Cheshire LMC member. As part of his GP Advisor role, Jon has worked with colleagues across Cheshire and Merseyside to produce a consensus document focused on the Primary and Secondary Care Interface and improving cohesion and clinical pathways between these two key areas of healthcare. Based on a set of guiding principles and with the aim of establishing a common architecture of good quality, patient-centred communication within the new integrated care systems, Jon talks to Ben about the input from both primary and secondary care, striking a balance between meeting the needs of the wider system and more local requirements, and the key milestones for both sectors when embedding a truly successful system of integrated care.
    What is Jonathan’s role and remit right now? (23 secs)
    Responsibilities of the ICS GP Advisor (59 secs)
    Myth-busting (3 mins 41 secs)
    Primary Care views of secondary care (5 mins 25 secs)
    Reaction from the secondary care consultants (8 mins 30 secs)
    …and the secondary care ask of general practice (10 mins 45 secs)
    Establishing mutual benefit (13 mins 14 secs)
    Building consistency across primary care (14 mins 41 secs)
    Where does the real opportunity for truly integrated care lie and how do we strike a balance between real-time need and the PCN DES requirements? (15 mins 31 secs)
    What is needed to enable a strong and united primary and secondary care interface? (17 mins 7 secs)
    Life after CCGs (19 mins 37 secs)
    Strengthening GP representation (21 min 12 secs)
    Accessing the consensus (22 mins 7 secs)
     
    The Consensus document is available within the Cheshire and Merseyside Health and Care Partnership website here.
     

    • 22 min
    Podcast - Tara Humphrey - Fuller Report

    Podcast - Tara Humphrey - Fuller Report

    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 (9 secs)
    Setting the scene…. our differing perspectives (19 secs)
    Tara and Ben’s initial thoughts (29 secs)
    What’s missing? (45 secs)
    Ben’s concerns (1 min 17 secs)
    What would Ben liked to have seen within the report? (2 mins 54 secs)
    Shaping the debate (4 mins 46 secs)
    A threat to the PCN model as we know it? (5 mins 52 secs)
    Tara’s views and getting the most out of a larger network infrastructure (8 mins 3 secs)
    Readying general practice, as it stands (9 mins 21 secs)
    Acknowledgement of existing constraints and what this means going into an ICS environment (9 mins 58 secs)
    Do the recommendations within the report pose a risk to the PCN management structure? (11 mins 6 secs)
    General Practice influence at an ICS level (12 mins 44 secs)
    The importance of a united primary care voice (14 mins 27 secs)
    Time pressures and maintaining influence as a GP leader (15 mins 15 secs)
    What should we be doing right now in preparation? (16 mins 55 secs)
    Tara’s predictions ahead of the transition (17 mins 47 secs)
    Recommendations from Ben (18 mins 53 secs)
    Tara advises (19 mins 53 secs)
    Navigation of bureaucracy versus responsive decision-making (20 mins 43 secs)
    We need you! (21 mins 45 secs)
     
    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.
     

    • 22 min
    Podcast - Rachel Morris - The importance of saying No

    Podcast - Rachel Morris - The importance of saying No

    We are in full countdown to ICS mode here on the podcast and in recognition of the existing issues of workload, pressures, and targets - and of the upcoming challenges General Practice is facing as we transition into the new, larger scale networks, we felt it was about time we welcomed back Dr Rachel Morris, GP, executive trainer, coach and all-round leadership and resilience expert. This week’s podcast offers a wealth of practical advice and insight into how and why we should be saying no, how to stick to your guns (and not fall victim to external pressures and pushback), why a long-term approach will always win out and how to stop, take stock and adopt a more strategic forward view during this period of high stress, unpredictability and unprecedented levels of patient demand.
     
    Introduction (9 secs)
    Why has the importance of saying “no” become so relevant recently? (19 secs)
    Working out what and where your boundaries are (2 mins 6 secs)
    Engagement and decision making when setting boundaries (2 mins 41 secs)
    Should we benchmark the PCN DES?  (3 mins 12 secs)
    A case in point: Investment and Impact Fund (3 mins 50 secs)
    Identifying our top priorities? (4 mins 27 secs)
    What is achievable and what’s not? Managing system pressures (5 mins 42 secs)
    Practical measures for dealing with pushback (7 mins 11 secs)
    Pressures of conformity in the new world? (8 mins 53 secs)
    The importance of taking a long-term approach (10 mins 59 secs)
    Moving from firefighting to forward view (11 mins 54 secs)
    Applying the same principles for the Additional Roles Reimbursement Scheme (12 mins 56 secs)
    When ARRS strategies fail and why (14 mins 6 secs)
    “I’m choosing to…..so that…..” (15 mins 12 secs)
    Maintaining a strong narrative (15 mins 34 secs)
    Do the same strategies work from an individual perspective? (16 mins 9 secs)
    The concept of ‘air cover’ and truly having each other’s backs (17 mins 45 secs)
    Why proactive engagement matters (19 mins 1 secs)
    ….and ensuring there is accountability (20 mins 13 secs)
    Finding out more / access to resources (21 mins 32 secs)
     
    You can access the free mini video series on helping your team to set boundaries, say “no” powerfully and prioritise time and energy here
    Rachel’s incredibly popular ‘You are not a frog’ podcast can be found here

    • 22 min
    Podcast - Onyi Okonkwo & Mohammed Sattar - Journey to GP Partnership

    Podcast - Onyi Okonkwo & Mohammed Sattar - Journey to GP Partnership

    Going into partnership and realising success as a GP Partner can be a difficult enough landscape to navigate but when you are from a black, Asian, or other minority ethnic background, simply finding the opportunity to apply and establish yourself within a partnership can be a challenge in itself, for a variety of reasons. In this week’s episode, Ben welcomes Drs Onyi Okonkwo and Mo Sattar, who provide insight into the barriers and issues both they, and colleagues within the black, Asian and minority ethnic (BAME) GP network have faced (and continue to face) - and share their personal reflections from their respective journeys into senior partnership whilst offering practical advice for those considering taking on partnership on what to expect, how best to prepare and why a difference in culture shouldn’t be a hinderance to achieving success.
    Introductions (15 secs)
    A meeting of minds (40 secs)
    Going into GP Partnership – Onyi’s story (1 min 35 secs)
    Mo’s journey to partnership (2 mins 43 secs)
    Transitional challenges (3 mins 37 secs)
    Making the jump from salaried GP into partnership (5 mins 17 secs)
    Dealing with a steep learning curve – advice from Mo (5 mins 59 secs)
    Mo’s lessons learned (7 mins 49 secs)
    Being propelled into senior partnership (8 mins 30 secs)
    Access to formal support (10 mins 25 secs)
    The benefit of coaching and mentoring (11 mins 13 secs)
    Clinical versus management (13 mins 25 secs)
    Issues facing GPs from a BAME background – from Mo’s perspective (14 mins 47 secs)
    Onyi’s view (17 mins 12 secs)
    Advice from Onyi for BAME GPs considering going into partnership (20 mins 52 secs)
    A final word from Mo (22 mins 14 secs)
     

    • 23 min
    Podcast - Katie and Esther - Expanding nursing role

    Podcast - Katie and Esther - Expanding nursing role

    With patient demand at an all-time high, coupled with a steady increase in relevant funding and the issue of estates, we are having to think ever more creatively when it comes to workforce planning. When Haywards Heath Villages PCN detected that additional support was needed in improving patient outcomes for cancer and the uptake of cancer screenings, the Cancer Nurse Assessor role was born. On this week’s podcast, we talk to Dr Katie Spensley, PCN Clinical Director, and Esther Walker, Cancer Nurse Assessor, about Esther’s approach to the role, her learnings so far, working alongside the ARRS staff, her aims for the future both short and long term, the positive outcomes she is seeing and why she is already a hugely well valued member of the Haywards Heath Villages PCN team.
    Introduction (9 secs)
    Haywards Heath Villages PCN (21 secs)
    The creation of the Cancer Nurse Assessor role (31 secs)
    Funding streams (1 min 28 secs)
    Esther’s background (2 mins 22 secs)
    How does the role work in practice? (3 mins 56 secs)
    Auditing the existing service (6 mins 29 secs)
    What are Esther’s key objectives? (8 mins 50 secs)
    The impact of the role on the PCN- and individual practices (10 mins 25 secs)
    Long term plans; for Esther, the service, and the wider workforce (12 mins 39 secs)
    Balancing resources against patient needs (14 mins 3 secs)
    Esther’s reflections on the PCN transition (14 mins 31 secs)
    Interfacing with the ARRS teams (16 mins 43 secs)
    Development of staffing going forwards (18 mins 37 secs)
    Lessons learned (20 mins 4 secs)
    Finding out more / getting in touch (22 mins 33 secs)
     
    Katie is very happy to speak to anyone wanting to learn more about the Cancer Nurse Assessor role and is contactable here.
    If you would like to know more about the innovation within Hayward’s Heath Villages PCN, you can also contact their local federation, Alliance for Better Care (who have also recently featured on the podcast). Their website (which contains all the relevant information and contact points) can be found here.

    • 23 min
    Podcast - Practice Index - The Gender Identity Toolkit

    Podcast - Practice Index - The Gender Identity Toolkit

    Up until now, there has been a disparate and distinct lack of easily accessible information available to the lesbian, gay, bisexual, trans and non-binary community on the practical processes and implications of changing title and gender marker. There have been many reports of misunderstanding and in some cases mistreatment, in the absence of clear guidance on entitlement and expectation; coupled with a widespread lack of knowledge and advice available to staff on the ground in general practice. Luckily, with the colliding of Pride in Practice, Indigo Gender Service, The Institute of General Practice Management and Practice Index worlds, a team of representatives from each have put their heads together, spent time gathering all the available information, experiences and knowledge, and together, Aimee, Luke, Kay, Ali and their colleagues have taken time out to talk us through what is already an invaluable resource; The Gender Identity Toolkit for General Practice.
     
    Introduction (9 secs)
     
    Our panel members (31 secs)
     
    Meeting Aimee and the role of Pride in Practice (54 secs)
     
    Dr Luke Wookey tells us more about Indigo Gender Service (1 min 58 secs)
     
    Why was the toolkit created? (2 mins 51 secs)
     
    The process of centralising knowledge and guidance (4 mins 11 secs)
     
    The importance of information gathering and sharing, and a collective approach (4 mins 49 secs)
     
    Confusion around records management and establishment of clear guidelines (5 mins 34 secs)
     
    Existing barriers felt by the trans and non-binary community (6 mins 19 secs)
     
    Bureaucracy, misunderstanding and a lack of knowledge on all sides (7 mins 23 secs)
     
    How to get the most from the toolkit (8 mins 36 secs)
     
    Summarising the process for changing title and gender marker (9 mins 14 secs)
     
    The implications for screening and having access to a lead professional within the practice (12 mins 5 secs)
     
    Bringing all the information together (13 mins 55 secs)
     
    What difference will the toolkit make? (14 mins 14 secs)
     
    A working example of the impact of Pride in Practice (14 mins 54 secs)
     
    Ensuring the policy is adopted at a local level (16 mins 17 secs)
     
    Applying the policy within daily practice (17 mins 47 secs)
     
    Ensuring there isn’t a ‘one size fits all’ approach (18 mins 42 secs)
     
    Implications of records migration (19 mins 22 secs)
     
    The training on offer from Pride in Practice (20 mins 48 secs)
     
    Accessing the toolkit – and other resources (22 mins 27 secs)
     
     
     
    The Practice Index website link to the toolkit (and the relevant discussion forums) is here
    You can also access the toolkit via the IGPM website here
    Pride in Practice’s website can be found here. If you are interested in learning more about the training on offer, please get in touch here
    The link to the Indigo Gender Service website is here
    Indigo Gender Service also have a dedicated email for healthcare professionals to get in touch which is indigo.advice@nhs.net - or you can contact Luke directly at lukewookey@nhs.net  
    Luke has recently featured on another podcast with Primary Care Knowledge Boost around trans health which may also provide some additional useful information for primary care teams.
    Kay is contactable on Twitter, if you have any further queries
    The Gender Identity Toolkit Launch webinar is available on the IGPM YouTube channel now
    For all enquiries about the Practice Index / Ockham podcast, please contact James Dillon here or Ben Gowland here

    • 23 min

Customer Reviews

4.4 out of 5
32 Ratings

32 Ratings

DrLScott ,

Great GP learning resource

Fantastic resource for GPs as well as PMs and other leaders in primary care. Well informed speakers. All relevant subjects. Manageable length podcasts for squeezing a bit the week!

UKGPMother ,

Useful resource

Excellent source of information, particularly around new PCNs

thathathrustra ,

Your good

Your good

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