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

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 - Paul Gordon - How do you solve a problem like a GP pension?

    Podcast - Paul Gordon - How do you solve a problem like a GP pension?

    • 21 min
    Podcast - PCNS – Where are we now?

    Podcast - PCNS – Where are we now?

    Following on from last week’s theme, Ben asks Dr Nav Chana and Dr Tracey Vell for their views on the problems and the progress of PCNs. What are their experiences of PCNs? What are the perceptions of the new models of care across general practice? Where do the threats and opportunities lie?
    Introductions (46 secs)
    Tracey and Nav’s personal experiences of PCNs summed up (1 min 15 secs)
    Working together; impact on structure and investment opportunities (2 mins 45 secs)
    What’s happening in Nav’s PCN (3 mins 47 secs)
    Are PCNs too inward looking from a general practice perspective? (5 mins 48 secs)
    The impact of change and using change as a mechanism for improvement (7 mins)
    The PCN paradox (8 mins 14 secs)
    Tracey: where practices can use PCNs to focus on their priorities (9 mins 20 secs)
    The challenges of linear development (10 mins 15 secs)
    The Maturity Matrix (11 mins 34 secs)
    How do we support enable innovative working in PCNs from the start? (12 mins 14 secs)
    Plug in now to integrated care systems and why not to wait (13 mins 24 secs)
    Benefits at practice level from working within a network (15 mins 16 secs)
    …and the challenges (16 mins 33 secs)
    The current perception of PCNs (16 mins 54 secs)
    A threat to command and control? (18 mins 47 secs)
    Working at scale = larger resources (21 mins)
    Integration of PCNs within the wider healthcare system (22 mins 4 secs)
    Population Health Management as a tool for building a successful PCN (23 mins 1 sec)
    NAPC resources and case studies (24 mins 7 secs)
    Greater Manchester GP Excellence Programme (25 mins 9 secs)
     
    The links for both the NAPC’s material and the Greater Manchester GP Excellence programme:
    https://napc.co.uk
    https://gpexcellencegm.org.uk   
     
     

    • 26 min
    Podcast – Becky Malby - Six months in the life of PCNs

    Podcast – Becky Malby - Six months in the life of PCNs

    In our first podcast of the new decade, Ben chats to PCN guru Becky Malby, Professor of Health Systems Innovation at London South Bank University, about the introduction and progress of network-based working. Listen for her take on their establishment, on the critical success factors and navigating the minefield of structural challenges versus meeting local population need.
     
    Introductions (31 secs)
    Becky’s take on the first few months since PCN formation (47 secs)
    Difficulty of contracting versus meeting complex needs (1 min 18 secs)
    Importance of collaboration (2 mins 2 secs)
    A crystal-clear purpose is key to a successful PCN (3 mins 2 secs)
    Change should happen at practice as well as at network level (3 mins 45 secs)
    How to reach agreement on purpose (4 mins 29 secs)
    Data analysis and the gateway to collaboration and collaborative working (4 mins 55 secs)
    What is the relationship between the network and its practices? (6 mins 5 secs)
    PCN priorities: three main aims (7 mins 11 secs)
    How setting network priorities can achieve local goals (8 mins 29 secs)
    Defining PCN membership (9 mins 30 secs)
    How do practices hurdle barriers to reciprocal working? (10 mins 8 secs)
    “Strategy is measured by the speed of trust” and why talking matters (11 mins 28 secs)
    Contractual requirements and where these fit with holistic vision (12 mins 38 secs)
    Introduction of new roles into new network models (13 ins 29 secs)
    Management of time, capacity and funding; striking a balance (15 mins 15 secs)
    Just say “no” (17 mins 23 secs)
    Further information (19 mins 35 secs)
     
    For Becky’s podcast and access to the resources she mentions, head to:
    www.beckymalby.wordpress.com
    www.source4networks.org.uk

    • 21 min
    The link to increased consulting capacity? Social Prescribing, link workers and PCNs

    The link to increased consulting capacity? Social Prescribing, link workers and PCNs

    In our final podcast of 2019, Ben talks to David Cowan, Care Navigation Lead at Conexus Healthcare, about how care navigation and the newly introduced link worker roles can assist in easing the pressure on PCNs. What are the key elements of the link worker role, where do link workers sit within existing staffing frameworks and how can they make the biggest impact?
    David explains his journey to becoming Care Navigation Lead (1 min 3 secs)
    What does David’s role involve now and how is it structured? (2 mins 2 secs)
    “As well as, not instead of”; the importance of care navigation complimenting social prescribing (3 mins)
    “Patients with a social need should not have to see a GP to access social prescribing support” (5 mins 8 secs)
    NHS England key elements of the social prescribing role (5 mins 35 secs)
    Starting from scratch; how to best implement social prescribing roles within a PCN (5 mins 54 secs)
    How care navigation works and maximising its effectiveness (7 mins 5 secs)
    Referral criteria & training requirements for existing practice staff (8 mins 43 secs)
    Building relationships on a practice by practice basis (11 mins 22 secs)
    Ben and David explore the challenges faced by a newly placed link worker and the training they require (12 mins 8 secs)
    “Micro-commissioning” the link worker / travel agency analogy (13 mins 40 secs)
    From a PCN perspective: What level of experience and expertise can be expected of a new link worker? (15 mins 12 secs)
    How do you measure the impact of a link worker? (16 mins 31 secs)
    Getting in touch (18 mins 10 secs)
     
    For more information on the social prescribing qualifications and training David mentions head to https://conexus-healthcare.org/social-prescribing-qualification-training/
    To get in touch with David and Conexus Healthcare:
    contact@conexus-healthcare.org
    or via Twitter:
    @HealthyDaveC or @ConexusHealthUK
     
     
     
     

    • 20 min
    Innovation in General Practice: (Time) saving begins at home

    Innovation in General Practice: (Time) saving begins at home

    Dr Paul Bennett is back on the Ockham sofa for a second week to discuss his practice’s revolutionary new approach to home visiting. Borne partly from a a technical constraint, Paul describes how the project was started, who has been involved and how it has evolved into more than an atypical Skype consultation.
    Welcome and introduction (40 secs)
    The constraints enabling change (58 secs)
    The role of nurses within the new model (2 mins 45 secs)
    Keeping the technology simple (3 mins 20 secs)
    The difference between moving to Skype consulting and a fully transformative approach (4 mins)
    GP consultations in the new world and the logistical setup (4 mins 45 secs)
    A whole team approach (6 mins 26 secs)
    The role of tech: challenges and benefits (7 mins 7 secs)
    Crunching the numbers (8 mins 22 secs)
    What has been the impact on the practice and its GPs? (9 mins 47 secs)
    What’s stopped the rollout progressing further? (10 mins 23 secs)
    Patient feedback and a case in point (10 mins 38 secs)
    Could this work across a wider Primary Care Network? (12 mins 25 secs)
    Paramedic involvement (13 mins 30 secs)
    Virtual consulting with nursing homes? (14 mins 19 secs)
    Just do it! (16 mins 58 secs)
    Getting in touch (17 mins 45 secs)
    The importance of sharing best practice and learning (18 mins 19 secs)
     
    Paul is contactable at: paul.bennett5@nhs.net

    • 19 min
    Innovation in General Practice: Lessons from a duty system overhaul

    Innovation in General Practice: Lessons from a duty system overhaul

    Joining Ben this week is Dr Paul Bennett, a GP Partner in Portchester, who describes the revolutionary new approach to managing the duty system within his practice; how it works, how the system has been implemented, the impact on managing demand and most importantly, the benefits felt by both staff and patients alike.
    Show Notes
    Welcome and introduction (38 secs)
    What triggered the changes? (57 secs)
    Could a triage system work? What was the appetite for change? (1 min 26 secs)
    Kick-off and implementation (2 mins 34 secs)
    The role of the Healthcare Support Worker (3 mins 10 secs)
    GP involvement and “stress-testing” the new system (4 mins 30 secs)
    How is the new working day structured? (5 mins 24 secs)
    Room setup and crunching the (patient) numbers (6 mins 7 secs)
    What’s happening right now? The positive effects (7 mins 25 secs)
    More decisions + more patients = reduced fatigue? (8 mins 19 secs)
    Perceived drawbacks versus positive reality (9 mins 46 secs)
    Impact, experiences & training for Healthcare Support Workers (11 mins 14 secs)
    Patient feedback (12 mins 30 secs)
    Where does they go from here? Plans for the future (14 mins 23 secs)
    What does the rota look like? (15 mins 5 secs)
    Could the system work at PCN level? (16 mins)
    Getting in touch (18 mins 4 secs)
    The importance of shared experiences and learning (18 mins 48 secs)
     
    Paul is contactable at: paul.bennett5@nhs.net

    • 19 min

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