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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!

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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!

Episodes of:

Cover image of The General Practice Podcast

The General Practice Podcast

Updated 2 days ago

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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

Karen Castille – executive coaching for clinical leaders

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Executive coaching can be defined as a professional relationship between an experienced coach and a client which is designed to enhance the client’s leadership capabilities. Dr Karen Castille is a skilled, qualified executive coach who has considerable experience of working with clinical leaders. In this episode she explains what coaching is, how it works and how it can benefit those in leadership roles. She also talks about self-coaching and her book “The Self-Coaching Workbook”.

Show Notes

Karen describes her career in leadership roles in the NHS (45secs)

Defining coaching “a structured conversation…to unlock potential” (1min 23secs)

Coaching is ACE (2mins 06secs)

Often about “dealing with difficult people” (2mins 51secs)

Does coaching have any practical outcomes? (4mins 10secs)

The relationship between client and coach (5mins 31secs)

Achieving personal goals through coaching (6mins 33secs)

What can coaching achieve? (7mins 38secs)

A hypothetical example (8mins 22secs)

Developing a tangible plan (9mins 08secs)

The coaching process – is not therapy (9mins 56secs)

The advantages of coaching as a development opportunity (11mins 22secs)

Finding a coach (13mins 33secs)

How much does coaching cost? (14mins 23secs)

The length of a coaching session (14mins 57secs)

Getting coaching funded (15mins 31secs)

If you can’t access coaching - try self-coaching (16mins 14secs)

What is self-coaching? Why write a handbook? (17mins 02secs)

Self-coaching as a reasonable alternative or an addition to coaching (18mins 29secs)

Contact Karen and find the book (19mins 24secs)

You can contact Karen via email here

Karen’s website (where you can find The Self-Coaching Workbook) is here

The book is also available at Amazon here

Oct 13 2019

20mins

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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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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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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

25mins

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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

22mins

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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

23mins

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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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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

21mins

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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

25mins

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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

22mins

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