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

    • Medicine
    • 4.5, 26 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

    Changes to chronic disease management in primary care

    Changes to chronic disease management in primary care

    Covid-19 has presented many challenges for GPs, not least the changes they have had to enact to ensure they are able to continue safe and effective management of patients with long terms health conditions. This week’s podcast features GP Dr Andrew Whittamore, Clinical Lead at the Asthma UK and British Lung Foundation Partnership and fellow GP Dr Minal Bakhai, National Clinical Director for Digital First Primary Care, who discuss the impact that the rapid introduction of tech and a more tech based approach in primary care has meant overall but also more crucially, how the opportunities presented by Covid have enabled them to offer increased flexibility and adaptability to meet patients’ needs - and to reach previously untapped patient populations.  
     
    Introductions (35 secs)
     
    Which of the changes has had the most beneficial effect? (1 min 1 sec)
     
    A total triage model of care (1 min 31 secs)
     
    Remote consultations in numbers (2 mins 12 secs)
     
    Using the wider workforce and rapid progress in other areas (3 mins 17 secs)
     
    Remote monitoring and the impact on management of long-term conditions (4 mins 10 secs)
     
    Andy’s experience from Portsdown Group Practice
     
    The opportunities presented by Covid (5 mins 54 secs)
     
    Was Covid the enabler for change or was this already the direction of travel? (6 mins 37 secs)
     
    The power of shared purpose and streamlining services (8 mins 24 secs)
     
    How has the shift to digital changed the management of patients with long term conditions? (8 mins 41 secs)
     
    The risks new ways of working may present to patients with asthma and other lung conditions (10 mins 32 secs)
     
    Asthma: the facts (and the ways digital transformation can improve outcomes) (11 mina 44 secs)
     
    What happens next? (14 mins 38 secs)
     
    Continuing the momentum at PCN level (17 mins 45 secs)
     
    The importance of being able to align primary care services to patient lifestyle and preference (18 mins 38 secs)
     
    Getting in touch and further information (19 mins 18 secs)
     
     
    Links for guidance and support in setting up a digital model:
     
    Advice on how to establish a 'total triage' model in general practice using online consultations
     
    Health Education England e-learning on remote total triage model in general practice
     
    Principles for safe video consulting during Covid-19
     
    Digital First Primary Care home page: https://www.england.nhs.uk/gp/digital-first-primary-care/
     
    Contact Digital First Primary Care: england.digitalfirstprimarycare@nhs.net
     
     
    Specific links related to management of asthma:
     
    Here is the link to all of the asthma uk publications
     
    Specifically digital asthma: reimagining primary care
     
    Minal mentioned this report looking at data sharing and technology exploring the attitudes of people with asthma  
     
    asthma.org.uk
     
    blf.org.uk

    • 21 min
    Podcast – Tracy Green & Kay Keane – Supporting the transformation of general practice through Covid and beyond

    Podcast – Tracy Green & Kay Keane – Supporting the transformation of general practice through Covid and beyond

    The landscape of primary care has altered significantly, and many of the changes practices have made to prioritise patients and protect their staff during the Covid crisis are here to stay. This week’s podcast features Practice Manager Kay Keane and QCS Head of Primary Care Tracy Green, who talk through their experiences of the pandemic, how they have worked together to support the implementation of Alvanley Family Practice’s new systems of working and their thoughts on where we go from here as life returns to the new normal.
    Introductions (36 secs)
     
    About Alvanley Family Practice and their practice manager, Kay (1 min 20 secs)
     
    ‘Feed the birds’ project (1 min 40 secs)
     
    Further innovation: group consultations (2 mins 57 secs)
     
    The advantages of Zoom (4 mins 2 secs)
     
    Tracy’s background and experience (4 mins 15 secs)
     
    What have been the biggest challenges for Alvanley? (5 mins 43 secs)
     
    Increased volume of work versus the need to do things differently (6 mins 42 secs)
     
    Changes to the operating model (7 mins 17 secs)
     
    Which new processes would Kay keep? (8 mins 5 secs)
     
    The effect of rapid changes on team dynamics (9 mins 22 secs)
     
    The loss of in-person contact (9 mins 54 secs)
     
    Has general practice changed for the long term? (10 mins 39 secs)
     
    Partnership working with local providers (11 mins 4 secs)
     
    Have we been boosted in some ways? (11 mins 37 secs)
     
    Maintaining momentum during a crisis (12 mins 41 secs)
     
    The QCS response to Covid (14 mins 5 secs)
     
    Who are QCS and what do they do? (16 mins 4 secs)
     
    Governance and general hints and tips (16 mins 59 secs)
     
    The QCS impact on an individual practice (17 mins 33 secs)
     
    Time for reflection (18 mins 6 secs)
     
    Managing the after effects of such a rapid period of change (19 mins 28 secs)
     
    Lessons learned from Tracy’s perspective (20 mins 34 secs)
     
    Further information (21 mins 18 secs)
     
     
    This week’s podcast has been sponsored by Quality Compliance Systems (QCS)
    QCS are offering a free trial to help support practices in embedding their new procedures and processes following the Covid crisis. To find out more, you can visit their website here
    Content can also be found via the QCS Facebook general practice discussion group:
    www.facebook.com/Alvanleyfamilypractice
     
    Additional support in relation to Covid-19 is here
     
     
     
     
     
     
     

    • 22 min
    Podcast – Steven Williams – The role of Pharmacists in General Practice

    Podcast – Steven Williams – The role of Pharmacists in General Practice

    With the focus shifting back towards the normality of day to day working, primary care now has scope to reconsider the opportunities presented by the Additional Roles Reimbursement Scheme in building workforce capacity and to establish further transformative working practices. This week’s spotlight is on the role of the pharmacist and we are fortunate to be joined by the experienced and progressive Steve Williams, who is a Clinical Pharmacist and network lead in his area of expertise based at Westbourne Medical Centre in Dorset. Here, Steve explains how his role fits both at practice and at network level - and gives his advice on making the best use of pharmacy professionals, and the additional roles more broadly, in general practice.
     
    Introductions (36 secs)
     
    Steve’s journey to becoming a PCN pharmacist (1 min 3 secs)
     
    Why a move into general practice? (2 mins 33 secs)
     
    Steve describes the transition from secondary to primary care (3 mins 15 secs)
     
    The key differences (3 mins 44 secs)
     
    What was the practice’s initial reaction to taking on a pharmacist? (4 mins 53 secs)
     
    Embedding new roles; advice on induction and adapting your structures (6 mins 23 secs)
     
    Maximising the impact from a network perspective (7 mins 18 secs)
     
    An opportunity for innovation (9 mins 59 secs)
     
    The role of a pharmacy technician and the skills they can offer (10 mins 50 secs)
     
    Future plans and further expansion (12 mins 17 secs)
     
    The influence of the DES on utilising new roles (13 mins 50 secs)
     
    How will the role of the pharmacist develop further? (15 mins 28 secs)
     
    Getting in touch (16 mins 42 secs)
     
    Steve is contactable via email, Twitter and through Westbourne Medical Centre:
    stevethechemist@onelesspill.com
    @stevechemist
    https://www.westbournemedical.com/
    @BayPcn
     
    The links for the supporting documents Steve references:
    Link re "Practice to PCN role – A Pharmacist’s journey" presentation for Dorset CCG PCN Development Event on Understanding and establishing Clinical Pharmacy in PCNs 15th January 2020  
    https://youtu.be/5O5WFcdZFDM 
     
    Structured medication reviews research at WMC
    Steve Williams, Lawrence D Brad. Impact of practice based clinical pharmacist led medication reviews on ambulatory patients with hyper polypharmacy. Br J Gen Pract 2018; 68 (suppl 1) https://doi.org/10.3399/bjgp18X697097
     
    Viewpoints on pharmacists in primary care published with GP Prescribing lead Dr Lawrence Brad 
    Williams SD, Hayes JM, Brad LD.  Clinical pharmacists in general practice: a necessity not a luxury? British Journal of General Practice. Br J Gen Pract 2018; 68 (667): 85. DOI: https://doi.org/10.3399/bjgp18X694697
    https://blogs.bmj.com/bmj/2018/06/26/time-pharmacist-support-general-practice-improve-medicines-optimisation/
    https://bjgplife.com/2020/06/17/clinical-pharmacists-within-primary-care-networks-another-driver-for-collaborative-general-practice/
     
    Useful documents / websites re pharmacy professionals working in primary care RPS Wales Multidisciplinary Teams (MDT) in General Practice
    https://www.rpharms.com/Portals/0/RPS%20document%20library/Open%20access/Wales/00215%202001-Welsh-MDT-English-AWD.pdf?ver=2020-02-07-140429-840
     
    PRESQIPP
    NHS funded not-for-profit organisation that supports quality, optimized prescribing for patients Virtual Professional Network for pharmacy starting April 2020 (membership required) 
    https://www.prescqipp.info/news/prescqipp-practice-plus/
     
    Primary Care Pharmacy Association (PCPA)
    https://www.pcpa.org.uk/ (membership required)
    https://pcpa.org.uk/assets/documents/Guide-for-GPs-considering-employing-pharmacist.pdf

    • 18 min
    Podcast – Dr Lorenz Kemper - Online long-term condition reviews using MedLink

    Podcast – Dr Lorenz Kemper - Online long-term condition reviews using MedLink

    We have been fortunate to have been able to share a number of best practice stories throughout the Covid-19 crisis and this week’s podcast is no exception. Ben is joined by Dr Lorenz Kemper, a GP who co-founded MedLink Solutions, a unique online platform which allows practices to remotely manage reviews of patients with long term conditions and chronic disease. Lorenz explains how the system was launched, how it works, and the impact it is having - allowing clinical teams to reach previously inactive patients, creating greater flexibility in management of clinical time and crucially, enabling practices to continue vital routine care for their patients safely.
    Introductions (36 secs)
    The challenge of remotely monitoring primary care’s ‘routine’ workload (47 secs)
    Who was involved in setting up MedLink? (1 min 27 secs)
    How the MedLink solution was designed (1 min 55 secs)
    The first patient cohort and system rollout (2 mins 35 secs)
    Reaching previously inactive patients (3 mins 8 secs)
    The mechanics of the solution and establishing patient contact (3 mins 47 secs)
    What about the patients who can’t be reached via MedLink? (4 mins 48 secs)
    Impact on practice workload and how the process is managed (5 min 30 secs)
    Capacity creation (6 mins 58 secs)
    What are the key benefits of MedLink? (7 mins 22 secs)
    How has MedLink been grown and extended beyond Lorenz’s practice? (8 mins 17 secs)
    The Covid effect (8 mins 55 secs)
    How flexible is the system? (9 mins 15 secs)
    The process for designing the review questionnaires (10 mins 5 secs)
    Patient and practice feedback (11 mins 26 secs)
    A gateway to safer and more flexible care in the current climate? (12 mins 25 secs)
    Future plans and further development (13 mins 41 secs)
    Getting in touch (15 mins)
     
    This week’s podcast has been sponsored by MedLink Solutions
    Medlink solutions are offering a 3-month free trial to help practices during COVID. To find out more simply visit their website or email Lorenz at info@medlinksolutions.co.uk

    • 16 min
    Podcast - Sovereign Health - Rapid change in response to Covid

    Podcast - Sovereign Health - Rapid change in response to Covid

    Covid has presented many challenges for practices and networks but many have risen to the challenge and found that, as a result, they have been able to accelerate many existing projects and are seeing hugely positive outcomes. Sovereign Health, made up of three practices based in Hampshire, are one example of a network who have enacted rapid change as a result of the crisis and are now at the point of considering what to keep, how to rebalance network versus local priorities and how to maintain momentum going forwards. Clinical Director Dr Tom Bertram, Network lead Amanda Gray and Nursing lead Laura Miller share their story of what they did, what they achieved and where they are now. .
    Introductions (39 secs)
    The first year as a primary care network (1 min 45 secs)
    Creation of a same day service (2 mins 1 sec)
    Amanda’s transition from practice manager to practice manager and network lead (3 mins 6 secs)
    When Covid happened (4 mins 17 secs)
    A ‘command and control’ approach (5 mins 1 sec)
    Mixing up the workforce; working by risk profile (5 mins 35 secs)
    The challenge of losing a practice’s identity (6 mins 53 secs)
    Staff reaction (admin and management) (7 mins 59 secs)
    Support for the wider teams, both clinical and non-clinical (8 mins 52 secs)
    What was the impact on the nursing teams and how did Laura manage this? (9 mins 43 secs)
    How do the nurses feel now? (11 mins 5 secs)
    Results from the staff survey (11 mins 31 secs)
    What other changes have been made? (12 mins 4 secs)
    A shared pharmacy service (12 mins 31 secs)
    The telephone hub (13 mins 25 secs)
    Single route access to the network (13 mins 41 secs)
    Patient feedback (14 mins 33 secs)
    Rebalancing network and practice priorities post Covid (15 mins 5 secs)
    Population health management (15 mins 54 secs)
    Juggling practice and network priorities as a local manager and network lead (16 mins 58 secs)
    Summarising the overall effect of Covid on the network (17 mins 54 secs)
    Getting in touch (19 mins 9 secs)
     
    Amanda Gray, Sovereign Health Network lead: amanda.gray2@nhs.net
    Dr Tom Bertram, Clinical Director, Sovereign Health Network: tom.bertram@nhs.net

    • 20 min
    Podcast - The Rapid Deployment of Online and Video Consultations across London

    Podcast - The Rapid Deployment of Online and Video Consultations across London

    The challenges presented by the Covid crisis have seen an acceleration of many existing transformation projects in general practice, particularly where use of tech and a move to a digital infrastructure is concerned. This week’s podcast features a panel of experts from the London region who bring a clinical, project and programme perspective on the hugely successful transition to online and video consultations and an insight into the brand-new NHS app. From triage and the creation of a digital front door to managing an incredibly rapid deployment, the importance of effective communication and the public response, here is how, in a few short weeks, they have enabled 91% of London practices to offer online consultations and 100% who now have the ability to deliver video consultations to support their patients.
    Introductions (36 secs)
    The challenge presented by Covid (2 mins 11 secs)
    How was the transition to online and video consultations enabled? (3 mins 17 secs)
    The deployment from a clinical perspective (5 mins 8 secs)
    Patient response (7 mins 30 secs)
    The NHS app (9 mins 19 secs)
    Rollout across the STP area (10 mins 57 secs)
    Why each London borough was managed differently (13 mins 44 secs)
    What has been the impact of both online and video consults? Has one proved more successful than the other? (14 mins 54 secs)
    Was hardware a critical success factor? (16 mins 33 secs)
    Future plans (18 mins 22 secs)
    Life after Covid? (19 mins 55 secs)
    What happens next from a practice point of view? (20 mins 48 secs)
    Getting in touch (22 mins 51 secs)
     
    If you would like to know more, you can contact the London Digital First Programme team and / or Emily, Sustainability and Transformation Partnership (STP) project lead for North Central London:
    Digital First Programme (London): england.londondtt@nhs.net
    STP lead: Emily.mitchell9@nhs.net

    • 23 min

Customer Reviews

4.5 out of 5
26 Ratings

26 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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