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Medicine

The General Practice Podcast

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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

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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

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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
1
0
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0
0

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 1 day 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

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This means that the episode rankings aren't working properly. Please revisit us at a later time to get the best episodes of this podcast!

Rank #1: Charlotte Osborn Forde – social prescribing and the voluntary sector

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Charlotte Osborn Forde is the Chief Executive of Involve Kent, a large registered charity that delivers services to vulnerable people. It has developed a primary focus in recent years on social prescribing. In this episode Charlotte explains how the charity contracts with the NHS to deliver Link Workers. She talks about the results for patients and practices of using Link Workers including an increase of 66% of referred patients becoming more physically active. The scheme has delighted GPs with one saying that social prescribing has become “the most transformative thing” in his career.

Show Notes

Charlotte describes Involve Kent (38secs)

Early adoption of social prescribing (1min 48secs)

Funding for the voluntary sector (3mins 04secs)

A joint bid with the CCG to work with GP practices (4mins 07secs)

Building a partnership with GPs (4mins 48secs)

The scale of the practices (5mins 38secs)

A Link Worker in each practice and their caseload (6mins 43secs)

Receiving referrals (7mins 37secs)

The early results – the ONS wellbeing measure (8mins 22secs)

Physical activity levels (9mins 53secs)

Levels of loneliness and health (11mins 06secs)

The impact on the practices – difficulties with the data (12mins 10secs)

Anecdotal reaction of practices (13mins 14secs)

Link workers working across practices (14mins 35secs)

Vital links to a proper infrastructure (15mins 41secs)

Working with PCNs (16mins 27secs)

Buying in the service (18mins 29secs)

Charlotte’s advice – find a local champion and follow the guidance (19mins 03secs)

Selecting the right Link Workers (20mins 25secs)

Key qualities for effective Link Workers (21mins 05secs)

The selection process (22mins 01secs)

Work with others (22mins 34secs)

System data (23mins 23secs)

For other podcasts on social prescribing visit our Podcast Index here

The Involve Kent website is here

They are on Twitter @InvolveKent

Sep 22 2019
25 mins
Play

Rank #2: Neil Modha – the journey to whole system working

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Neil Modha, Peterborough GP, joins us again this week to talk about his experience in whole system working. In the Cambridgeshire and Peterborough area all the local providers have come together in Provider Alliances, funded by pooled resources. In this podcast Neil explains how this works, how primary care is engaged and describes two practical examples. He also offers useful advice to new Clinical Leaders who are starting out on this journey.

Show Notes

The PCN “landscape” in Neil’s area (40secs)

What are “Provider Alliances” (1min 34secs)

Two provider alliances focussed on the main hospitals (2mins 54secs)

Primary Care’s involvement (3mins 30secs)

Engagement at practice level – using the PCNs (5mins 02secs)

Ensuring everyone gets a voice (6mins 35secs)

The Innovation Academy (7mins 36secs)

Joint working – an opportunity or a burden? (8mins 19secs)

Focussing on the local population – services closer to home (9mins 26secs)

Working with other providers is key (11mins 26secs)

Integrated case management (11mins 53secs)

Focus on specific projects to build relationships (13mins 20secs)

Advice for new clinical leaders (14mins 14secs)

Developing new leaders (16mins 22secs)

The role of federations in the wider system (18mins 10secs)

Top tips in getting started – focusing on a tangible change (20mins 02secs)

Neil’s other podcasts with us are available as follows:

An innovative model for general practice

Pharmacists and PCNs – a GP’s perspective

The podcast we recorded with Neil’s colleague James Morrow can be accessed below:

An innovative model for delivering and governing general practice

Sep 15 2019
22 mins
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Rank #3: Liz Phillips – an advocate for partnership and primary care improvement

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For twelve and a half years Liz Phillips was a salaried GP with a portfolio career and then, during a Primary Care Improvement event in London, she had a revelation. She decided then and there to become a GP partner, with a focus on quality improvement. In this episode she describes her journey, the work she has begun with her new practice and the benefits the quality improvement process is delivering. She also explains how partnership has exceeded her expectations and changed her life.

Show Notes

Liz decides to move from salaried GP with a portfolio career to become a partner (46secs)

The Primary Care Improvement community (1min 37secs)

A moment of revelation (2mins 05secs)

A quality improvement project in the practice pushes Liz to consider partnership (2mins 33secs)

Ethos and shared purpose is a driver (3mins 54secs)

Liz’s new practice (4mins 26secs)

Partnership brings joy and satisfaction (4mins 43secs)

Quality improvement and the new practice (5mins 08secs)

Establishing a shared purpose in the practice (6mins 19secs)

Don’t assume you know people’s “why” (7mins 58secs)

A weekend away as a practice (9mins)

The value of the process (10mins 06secs)

An upward spiral (10mins 38secs)

Joint conversations take time (11mins 41secs)

Compassionate leadership (12mins 34secs)

Knowing yourself (13mins 27secs)

Building relationships at work (13mins 43secs)

Introducing a well-being pilot the in the practice (14mins 26secs)

The benefits of the pilot (15mins 24secs)

Difference in the first six months (16mins 09secs)

A more confident practice (17mins 39secs)

Being in a Primary Care Network and sustaining partnerships (18mins 20secs)

The reality of being a partner (19mins 24secs)

Advice to current partners – be brave and do something different (20mins 50secs)

Advice to prospective partners (21mins 47secs)

Sep 08 2019
23 mins
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Rank #4: 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
22 mins
Play

Rank #5: Hala Abusin – Pharmacists and PCNs 4 – PCNs and community pharmacies

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In this fourth episode of our short series on pharmacy and PCNs, Ben talks to Community Pharmacist Hala Abusin about the impact of the planned increase in pharmacists in general practice. They discuss the role and value of community pharmacy and the opportunities and challenges for community pharmacists collaborating with both GP pharmacists and hospital pharmacists.

Show Notes

Hala describes her progress to her current position (48secs)

The role of and value of community pharmacy (2min 14secs)

Extending the role of community pharmacy – a practical example (3mins 34secs)

Community pharmacy view of pharmacists in general practice (6mins 37secs)

Sharing new ways of working (7mins 44secs)

The new five year contract for community pharmacy (8mins 17secs)

Community pharmacies working with PCNs (9mins 47secs)

Engaging community pharmacists (10mins 44secs)

Preparing to work with PCNs (11mins 41secs)

Pharmacists working together across organisations (13mins 23secs)

The differences between clinical and community pharmacists (14mins 09secs)

The challenges of collaboration (15mins 28secs)

The Community Pharmacy Consultation Service and other opportunities where community pharmacies can help (17mins 22secs)

Finding out more (18mins 43secs)

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

Planning to build a team of pharmacists (20mins 50secs)

The relationship between GP and community pharmacists (22mins 27secs)

Finding out more (23mins 39secs)

Hala has provided some useful links for those looking for more information:

Details about the Joint Pain Advice project are available here and here

The Primary Care Pharmacy Network briefing on PCNs for pharmacists can be downloaded here

The PSNC guidance for supporting community pharmacists to engage with PCNs can be downloaded here

An article from Chemist and Druggist on the opportunity for community pharmacy in PCNs is available here

And the Community Pharmacy Contractual Framework can be downloaded here

Aug 25 2019
21 mins
Play

Rank #6: Paul Deffley – Pharmacists and PCNs 3 – pharmacists across multiple practices

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This is the third in our short series of podcasts on Pharmacists and PCNs. In this episode Ben talks to Paul Deffley, a GP partner in Hove who is also a Clinical Director of Practice Unbound, a not-for-profit organisation based in Brighton which aims to help general practice “work smarter”. Paul has considerable experience of working with pharmacists and introducing them into networks of practices. He explains the three key steps practices should take to successfully implement a pharmacist and discusses the challenges for them working across multiple practices.

Show Notes

Paul explains what Practice Unbound is (56secs)

Paul is also the clinical champion for GP workload at the RCGP (1min 43secs)

The outcomes of Paul’s work on workload (2mins 49secs)

Paul’s experience of working with pharmacists (3mins 13secs)

A new pharmacy-led service (4mins 09secs)

Building pharmacists into the team (5mins 09secs)

Logistics – induction and starting work (6mins 00secs)

Activity – work and workload (7mins 17secs)

Impact – transition, managing uncertainty and measurement (8mins 50secs)

Variation of impact and visibility (11mins 45secs)

Developing the data dashboard (13mins 45secs)

The challenge of working across multiple practices (14mins 24secs)

Introducing the pharmacist (15mins 58secs)

The issues of using a “host” practice model (18mins 05secs)

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

Planning to build a team of pharmacists (20mins 50secs)

The relationship between GP and community pharmacists (22mins 27secs)

Finding out more (23mins 39secs)

Resources are available on the Practice Unbound website here

You can sign up to the Practice Unbound Newsletter here

Paul is on Twitter @deffley_paul

He is also on LinkedIn: https://www.linkedin.com/in/paul-deffley-17a7a8136/

The Practice Unbound Twitter handle is @PracticeUnbound

The previous episode Ben mentioned with Paul’s colleague Jonathan Serjeant on delegating clinical correspondence is available here

Aug 18 2019
25 mins
Play

Rank #7: Neil Modha – Pharmacists and PCNs 2 – a GP practice perspective

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This is the second in our short series of podcasts on Pharmacists and PCNs and this week we talk to Peterborough GP, Neil Modha. Neil (who’s innovative approach we covered in this previous episode) has gone from employing one to three pharmacists in just over a year. He explains why and how they have proven invaluable in everything from self-care, shared care drug monitoring and document management to audits and chronic disease management.

Show Notes

Neil reminds us how his practice operates (44secs)

From one to three pharmacists – how they help (1min 39secs)

The journey of introducing a pharmacist (2mins 32secs)

What are pharmacists doing in Neil’s practice (3mins 41secs)

Pharmacists and self-care prescribing (4mins 19secs)

The outcome of self-care prescribing (5mins 10secs)

Signposting to self-manage conditions (6mins 08secs)

Shared care drug monitoring (6mins 50secs)

How the rapid growth in pharmacists took place (7mins 50secs)

The impact on the practice (9mins 16secs)

How productive are pharmacists? (10mins 23secs)

The financial benefits (11mins 54secs)

Impact on the drug budget (12mins 53secs)

A vision for the future (13mins 23secs)

How does the pharmacist work in the federation/PCN? (14mins 36secs)

“Home” practice or not? (16mins 23secs)

Advice for other practices thinking of employing a pharmacist (16mins 59secs)

The challenge of the 30% gap in funding (18mins 06secs)

What’s next for Neil’s practice? (19mins 12secs)

What’s next for Neil’s practice? (21mins 35secs)

Neil’s practice website can be found here

His email address is neil.modha1@nhs.net

Our previous podcast with Neil is available on our website here

Aug 11 2019
22 mins
Play

Rank #8: Hala Jawad – Pharmacists and PCNs 1 – a GP Pharmacist perspective

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All PCNs have the opportunity to recruit clinical pharmacists into general practice and this week we begin a four part series of podcasts to support that recruitment. We begin, in Episode One, by talking to GP Pharmacist Hala Jawad. Hala discusses the role of a pharmacist within general practice, the way a pharmacist can work within a PCN and how a PCN can make themselves more attractive to pharmacists.

Show Notes

Hala was the first “Pharma Face” and is known as “The Brighton Titan” (55secs)

She moved from running a restaurant to becoming a pharmacist (2min 02secs)

Getting involved with general practice (2mins 47secs)

Trying GP out for a week (3mins 48secs)

The benefits of working in a practice (5mins 01secs)

Learning in general practice (6mins 31secs)

The role of a pharmacist in GP (7mins 32secs)

Support for pharmacists (8mins 30secs)

Pharmacists in PCNs (9mins 39secs)

Advice to make an appointment successful (10mins 41secs)

Overcoming isolation (11mins 51secs)

How attractive is working in GP to a pharmacist? (12mins 42secs)

What makes one role more attractive than another? (14mins 15secs)

How will the pharmacist/GP relationship develop? (15mins 51secs)

Contacting Hala (16mins 44secs)

Hala can be found on Twitter - @jawad_hala

She is also on Facebook and LinkedIn

Her Ask Hala public website is here and her You Tube channel is here

Aug 04 2019
19 mins
Play

Rank #9: Hugh Reeve – how introducing an online consultation system transformed our practice

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Hugh Reeve is a GP in Grange-Over-Sands in Cumbria. The practice wanted to improve the way they met patient demand and initially began to look at introducing an online consultation system. They soon concluded that this could not be simply about introducing a “bolt on” digital system and it quickly became a process that forced them to radically reconsider all aspects of their patient flow. In this episode Hugh explains how they went about transforming their practice, how the new system now works for GPs and patients with the resultant outcomes including the fact that only 40% of patient contacts are now face-to-face.

Show Notes

Why introduce an online consultation system? (59secs)

Improving continuity of care (1min 49secs)

Researching the options (2mins 57secs)

The kind of system they didn’t want (4mins)

A much bigger task than choosing a system (4mins 44secs)

Improving the “flow” of patients (5mins 21secs)

How the system works for GPs (6mins 13secs)

Changing the way they work rather than “bolting on” a system (7mins 16secs)

Radically rethinking “flow” (8mins 03secs)

Only 40% of contacts are face-to-face (9mins 33secs)

Not just introducing online (10mins 05secs)

Establishing what capacity is needed (10mins 45secs)

Introducing the new system (11mins 19secs)

Patients using the system (12mins 07secs)

Not about workforce challenges (13mins 15secs)

A typical day for a GP in the practice (14mins 13secs)

The reaction of patients (18mins 45secs)

Pilot site for the Health Foundation Programme on Continuity of Care (19mins 39secs)

Hugh’s advice for others (22mins 03secs)

You can email Hugh at hugh.reeve@gp-a82053.nhs.uk

The askMyGP website is available here

Jul 28 2019
24 mins
Play

Rank #10: 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
19 mins
Play

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