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Health & Fitness
Medicine

The General Practice Podcast

Updated about 16 hours ago

Health & Fitness
Medicine
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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

Read more

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

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Physician Associate episodes

By redhead48814 - May 21 2017
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I found this podcast as a means of learning about the Physician Associate role in the U.K. I am a Physician Assistant in the US, with hopes of moving to the U.K. While I haven't listened to all of the episodes, I found the episodes #40, 43, and 52 regarding Physician Associates to be extremely valuable. I appreciate the information given, as well as the interview with GP Joanna Munden regarding her PA and how the PA functions. Thank you, Ben, for a wonderful podcast! I will continue listening to all of your episodes!

iTunes Ratings

1 Ratings
Average Ratings
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Physician Associate episodes

By redhead48814 - May 21 2017
Read more
I found this podcast as a means of learning about the Physician Associate role in the U.K. I am a Physician Assistant in the US, with hopes of moving to the U.K. While I haven't listened to all of the episodes, I found the episodes #40, 43, and 52 regarding Physician Associates to be extremely valuable. I appreciate the information given, as well as the interview with GP Joanna Munden regarding her PA and how the PA functions. Thank you, Ben, for a wonderful podcast! I will continue listening to all of your episodes!
Cover image of The General Practice Podcast

The General Practice Podcast

Updated about 16 hours ago

Read more

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

Rank #1: Robert Varnam – developing PCNs and their clinical leaders

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Robert Varnam almost needs no introduction. He is a GP in Manchester and Head of General Practice Development at NHS England. He will be known to most people in general practice for his work around the national Time for Care Programme. In his second visit to the General Practice Podcast he talks to Ben about the development of Primary Care Networks and how the learning needs of PCN clinical leaders might be identified and met.

Show Notes

Robert describes the recent changes to his role – focussing on improvement (58secs)

The introduction of Primary Care Networks (1min 54secs)

Variations in the progress of PCNs (3mins 28secs)

How delivering “improvement” to general practice is impacted by PCNs (4mins 44secs)

Establishing the PCN – a collaborative opportunity (6mins 54secs)

Making the best use of the development resources available (8mins 32secs)

Networks using expert facilitation to support development (10mins 24secs)

Developing the PCN clinical directors – a collective approach to leadership (12mins 40secs)

The value of investing in leaders (14mins 30secs)

A network of networks (15mins 04secs)

Establishing the learning needs of clinical directors (15mins 44secs)

Working with peers (17mins 29secs)

Practical resources for networks (18mins 57secs)

Contacting Robert (20mins 05secs)

The website Source4Networks can be found here

Robert can be contacted directly at robert.varnam@nhs.net

The first podcast we ran with Robert can be accessed here

Oct 06 2019

21mins

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Rank #2: Paul Deffley – working effectively across practices

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This is the second conversation between Ben and Paul Deffley, Hove GP and clinical director of Practice Unbound; a not-for-profit organisation devoted to “helping general practice work smarter”. In this episode Paul uses the example of a pathology delegation pilot to look at how practices can effectively work together across networks, how they can better manage change and, working at scale, deliver network solutions to collective problems.

Show Notes

Paul outlines his background and his positive view of PCNs (48secs)

An example of working together – a pilot for pathology delegation (2min 55secs)

Tests not needing a clinical context (5mins)

Understanding the pathology activity – what’s safe to delegate (6mins 07secs)

Clinical variation in pathology requests – and reducing requesting patterns (7mins 20secs)

Managing the delegated requests – a non-clinical team approach (8mins 37secs)

Group consultations? Testing different ways of managing patients (9mins 16secs)

Overcoming the concerns about risk (9mins 47secs)

Understanding the fears (10mins 59secs)

Grouping routine tests (11mins 17secs)

Auditing the administrators (12mins 54secs)

The impact on GP workload – 90% of routine bloods are handled by the admin team (13mins 27secs)

Working smarter (14mins 05secs)

Clinical variation down (15mins 02secs)

Is this a legitimate use of PCN time and energy? (15mins 33secs)

PCNs looking at individual GP practice (16mins 49secs)

Establishing and maintaining trust (18mins 37secs)

The impact of networks on shared problems (19mins 47secs)

Making the most of development funding (20mins 47secs)

An end-to-end flow exercise (22mins 49secs)

Positive relationships (23mins 33secs)

Further information (24mins 20secs)

Practice Unbound’s web address is www.practiceunbound.org.uk

And Paul can be emailed directly at Pauldeffley@nhs.net

Sep 29 2019

25mins

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Rank #3: Ben Gowland – PCNs two months in – lessons so far

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The tables are turned again and in this week’s episode Ben is interviewed about the lessons we are learning about Primary Care Networks after two months of their existence. He discusses the role of PCNs and how they are perceived, the challenges they are facing and the issues they are focussing on, their approaches to the new roles, the weight of expectations and the lessons they might learn from the establishment of CCGs.

Show Notes

Is the role of PCNs any clearer? (33secs)

The problem of mismatched expectations (2min 07secs)

The rapid rise of PCNs – a tough start (3mins 30secs)

The Clinical Directors role as inspiring leaders – quick wins (5mins 06secs)

Unforeseen challenges – backwards to move forwards (6mins 27secs)

The role of federations with PCNs (7mins 09secs)

How can ensure the roles of federations and PCNs are clear and distinct (7mins 48secs)

The perceptions of the wider NHS (9mins 28secs)

Two roles for the clinical leaders (10mins 57secs)

Too many expectations placed on PCNs too soon (11mins 19secs)

Supporting a potentially fragile system (12mins 27secs)

Building the support on firm foundations (13mins 26secs)

Approaches to the appointment of new roles (14mins 54secs)

Addressing the 30% funding gap (15mins 45secs)

The challenge of the 30% funding gap (19mins 42secs)

Lessons from setting up the CCGs (17mins 33secs)

Prioritising building relationships and trust (18mins 36secs)

Ben’s advice – control your own agenda, focus on relationships and don’t reinvent the wheel (19mins 53secs)

Sep 01 2019

22mins

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Rank #4: Nick Sharples – progress with Social Prescribing Link Workers

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Today (8th July) is the first ever National Social Prescribing Link Worker Day! Organised by the National Association of Link Workers it aims “…to celebrate and showcase the contribution of social prescribing link workers in improving population health and wellbeing.” In support of this our podcast this week is the fifth in our series looking at Social Prescribing. Nick Sharples is Managing Partner at DNA Insight, a specialist training consultancy that is increasingly involved in training Social Prescribing Link Workers. In this episode he talks about the various models that are emerging for employing, recruiting and training Link Workers.

Show Notes

Nick describes his involvement in social prescribing (44secs)

Who employs the Link Workers? (1min 53secs)

Reluctance to outsource the role (3mins 30secs)

Outsourcing the role (4mins 16secs)

Competition for Link Workers – three options for recruitment (5mins 36secs)

External recruitment (6mins 40secs)

Recruiting from within the practice (7mins 16secs)

Advantages of the options – building an appropriate model (7mins 54secs)

The provision of training (9mins 18secs)

Resources for training (10mins 28secs)

How much budget to put aside? (11mins 02secs)

Effective working with large scale – prioritising (11mins 58secs)

Average workload (13mins 13secs)

Managing a caseload (13mins 53secs)

A practical example from Scotland (15mins 32secs)

Sharing best practice – learning co-ordinators (16mins 33secs)

Finding out more (17mins 31secs)

The DNA Insight Social Prescribing pages are here

Nick has put together a list of useful resources below:

  • Twitter Social Prescribing Wednesday - @SocialPresHour – every other Wednesday and hosted/organised by Elemental

  • National Association of Link Workers www.connectlink.org Christiana Melam christiana@connectlink.org   Professional body representing Social Prescribers/Link Workers with lots of useful resources for Link Workers and those employing them.

Jul 07 2019

19mins

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Rank #5: Clare Allcock – Accelerating collaboration in primary care

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In this podcast Clare Allcock outlines the four main areas on which nascent networks should be focussing if they want to accelerate their development. Clare works for Kaleidoscope Health and Care, an organisation devoted to facilitating collaborations that improve health and care. Prior to this she had a distinguished career in the NHS at local and national level; most recently heading up the primary care and community development team for three CCGs in Surrey and Sussex.

Jun 02 2019

19mins

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Rank #6: Minesh Patel – Learning from the Primary Care Home model

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Minesh Patel is the Chair of the National Association for Primary Care and he joins us this week to explain what lessons the NAPC’s Primary Care Home programme has for emerging Primary Care Networks (PCNs). He focuses on wide engagement, the multi-disciplinary team and leadership. He looks at the different challenges of voluntary and mandated networks and has some sound advice for the new Clinical Directors of PCNs.

May 26 2019

20mins

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Rank #7: Tara Humphrey – Introducing new roles to Primary Care Networks

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This week sees the return to the General Practice Podcast of Tara Humphrey, Managing Director of THC, a group of project managers who aim to influence and support positive change in primary care. With the introduction of new roles into Primary Care Networks many are asking detailed questions about how to guarantee successful implementation and ensure the people in the new roles are happy, effective and want to stay. In this episode Tara answers those questions.

May 19 2019

21mins

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Rank #8: Tom Howseman – better managing demand through pre-triage protocols

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Tom Howseman is a GP Partner in a large urban practice in Northampton. When their number of GP partners fell from twelve to six due to retirements and they couldn’t recruit they decided to adopt a more multi-disciplinary approach. Over the last two years they have introduced and refined a system of pre-triage protocols which enable reception staff to collect information from patients presenting on the day which is then helpful to the pre-triage clinicians in directing those patients to the appropriate member of the emergency care team. 20,000 additional appointments have been created through this system and in this episode Tom explains how they have done it.

Mar 25 2019

23mins

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Rank #9: Episode 147: Neha Shah and Colin Haw – the practical implications of establishing Primary Care Networks

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This week Ben is joined by Neha Shah, a Legal Director from Capsticks and Accountant Colin Haw from BHP Chartered Accountants. In this episode they discuss some of the legal, financial and governance issues facing general practice as it begins to establish Primary Care Networks. Specifically they consider how networks will be hosted and the implications for liability, choices around the organisational form, employment contracts, pensions and VAT.

Feb 18 2019

26mins

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Rank #10: Episode 144: Matt Aiello – Physician Associates in Primary Care

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Matt Aiello is the national programme lead at Health Education England for Urgent and Emergency Care and for Physician Associates. In this episode we focus on the continuing introduction of the Physician Associate role into primary care. Matt explains how the profession is expanding supported by Health Education England, how the role supports general practice, how the recognition and regulation of the profession is being approached and offers some advice for practices wishing to appoint a PA.

Jan 28 2019

21mins

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Rank #11: Episode 143: Robin Miller – the transformation of primary care

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Robin Miller is a Senior Fellow at the Health Services Management Centre of the University of Birmingham. Robin is heavily involved in research into the transformation of primary care. In this episode he shares some of the lessons that have emerged from this research including a study of the Aspiring for Clinical Excellence programme developed by a CCG in Birmingham. He looks at what transformation means, how innovation can be encouraged, how practical is the expectation that transformation will save money and how GPs and CCGs need to change their mind-sets if transformation is going to work.

Jan 21 2019

25mins

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Rank #12: Episode 142: Marion Lynch and Alan Webb – developing future primary care leaders

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In this episode Ben talks to two people behind an innovative initiative to develop the next generation of primary care leaders. The NHS@2030 programme was developed under the auspices of NHS England, the Thames Valley Strategic Clinical Network and the Thames Valley and Wessex Leadership Academy with the intention “…to grow individual confidence, courage and the conviction to transform care, and establish a system of continuous quality improvement for patients and primary care teams alike” In fact, the content of the programme was a co-production with its participants. To hear all about the programme and how this co-production process works, Ben talks to Marion Lynch from NHS England South and former CCG Chief Executive Alan Webb.

Jan 14 2019

21mins

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Rank #13: Episode 140: Terry Kemple - Sustainable general practice

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Terry Kemple was a past president of the RCGP and is now the RCGP’s representative for Sustainability and Climate Change. In this episode he talks to Ben about the Green Impact for Health Toolkit. The Toolkit enables general practices to plan and implement actions they can take to become more sustainable and covers areas such as health and well-being, water use, recycling and procurement. Terry describes the uses of the toolkit, the associated awards scheme and how practices can become involved.

Dec 17 2018

16mins

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Rank #14: Episode 134: Rachel Morris –GP burn-out, stress and resilience

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Rachel Morris is a GP, an executive coach and presenter with Red Whale; producers of the famous GP Update. In Episode 108 of the General Practice Podcast Rachel described two courses that Red Whale run to develop primary care leaders. In this episode she looks at GP resilience; what it is and how can you acquire it. She considers the causes of stress and burnout and points to a range of useful resources GPs can use to develop their personal resilience.

Nov 05 2018

21mins

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Rank #15: Episode 127: James Morrow – An innovative model for delivering and governing general practice

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James Morrow is the Chief Exec and Managing Partner of Granta Medical Practices in Sawston, Cambridge. In this episode James tells Ben how the benefits of increased scale have led to a new model for delivering core general practice which has improved access, eased recruitment and developed new and constructive dialogues with secondary care. He touches on the way the practices are involving staff in innovation and working with the local community. Looking to the future he describes a vision where the staff will share ownership of the practice through a Board of Trustees whilst also maintaining the independence of general practice.

Sep 10 2018

30mins

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Rank #16: Episode 125: Paula Wright – The retained GP scheme

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Regular listeners will remember Paula Wright from Episode 117 when she talked to Ben about GP learning groups. In this episode Paula (who is a GP in the North East of England and GP tutor for Newcastle, Health Education England – North East team) highlights the retained GP scheme, designed to keep GPs who are at risk of leaving, in the workforce. Paula explains how the scheme works, the financial support for both GPs and practices, the application process and much more.

Aug 27 2018

19mins

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Rank #17: Episode 122: What impact will millennials have on general practice in the future – an expert panel discussion

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Here is the first part of our fourth expert panel discussion. This time we are looking at what will be the impact of millennials on general practice. In this first part the panel considers what a millennial is, what is driving them to be different to the older generation and how the system might need to change to accommodate this new generation.

Part Two will follow next week.

This time Ben is joined by:

Surina Chibber: a GP and founder of My Locum Manager

Aisha Malik: a GP, social media strategist and founder of Doctors in Business

Mayur Vibhuti: a GP and Visiting Reader in Medical Leadership at Canterbury and Christchurch University

Aug 06 2018

26mins

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Rank #18: Episode 115: What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion (2)

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Part Two of our second panel discussion on the future infrastructure of general practice. Ben is joined by a panel of renowned national experts (see below) and in this part the panel discusses the importance of data and information systems, the value of greater integration, a focus on prevention and wellness and the need to prove the value of generalists.

Ben is joined by:

Vincent Buscemi: a health and social care lawyer and partner at Bevan Brittan

Jon Griffiths: GP and chair of NHS Vale Royal CCG

Jonathan Serjeant: GP and Director of Creative Partnerships at Here

Jeannie Watkins: President and Chair of the Professional Standards Sub-Committee at the Faculty of Physician Associates at the Royal College of Physicians

Jun 18 2018

31mins

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Rank #19: Episode 114: What will the infrastructure of general practice look like in 5 years’ time – an expert panel discussion

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This is the second in our series of panel discussions in which Ben is joined by a panel of renowned national experts. This time we discuss what the infrastructure of general practice will look like in five years’ time. In this first part the panel considers how the scale of general practice might change and, amongst other things, disruptive technologies, the future of the partnership model and the move to population health management.

Part Two will follow next week.

This time Ben is joined by:

Vincent Buscemi: a health and social care lawyer and partner at Bevan Brittan

Jon Griffiths: GP and chair of NHS Vale Royal CCG

Jonathan Serjeant: GP and Director of Creative Partnerships at Here

Jeannie Watkins: President and Chair of the Professional Standards Sub-Committee at the Faculty of Physician Associates at the Royal College of Physicians

Jun 11 2018

31mins

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Rank #20: Episode 89: Jenny Drury – A paramedic working in general practice

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This week Ben talks to Jenny Drury who is a paramedic who left the ambulance service following an injury and joined a GP practice as a care co-ordinator. In this podcast she explains to Ben how that non-clinical role led to her present role taking on home visits. Jenny describes the way the system works and the quantity and types of visits she undertakes as well as offering advice to practices and paramedics who might be contemplating the move.

Nov 27 2017

15mins

Play