Talking General Practice

This week Emma speaks to Adrian Down, who is the managing partner of a practice in Lincolnshire and a director of the Institute of General Practice Management (IGPM).Adrian discusses the vital role of the practice manager and the work the IGPM is doing to give managers a stronger voice and create clear standards through its accreditation scheme.He talks about the challenges facing practice managers, including the risk of burnout, and what needs to happen to address these issues, as well as the government’s 10-year health plan and what the move towards neighbourhood working will mean for practices and the pivotal role managers will play in making it a success.Adrian also explains what the IGPM wants to see from the new GP contract to ensure it provides realistic funding and recognises the contribution of the entire general practice team, including the growing number of non-GP partners.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksInstitute of General Practice ManagementGPonline’s coverage of the 10-year health plan Hosted on Acast. See acast.com/privacy for more information.

This week the GPonline team discusses health and social care secretary Wes Streeting’s letter to the profession and asks whether what he had to say addressed the BMA’s ‘red lines’ to avert further industrial action by the profession. They also look at the latest update to this year’s GP contract and what that means for staff and GP pay.There’s an update on physician associate roles after their union - United Medical Associate Professionals (UMAPs) launched a legal bid for an injunction to prevent changes to the role following the Leng review.And they talk about the jobs crisis facing newly-qualified GPs as well as the stresses and pressures facing GPs further along in their career and what this all means for the future of the profession.Our good news story this week is about patient satisfaction with GP access.This episode was presented by GPonline’s editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen.Useful links Streeting sets date for talks to 'retain and reform' practice-based GP contractPA union loses legal bid for injunction to prevent Leng reformsGPs 'walking tightrope' as NHS issues advice on changing PA rolesJob crisis 'fragmenting' working lives of newly-qualified GPsHow do you fix general practice? It's the workforce, stupidHow has patients' experience of GP services changed over the past year?  Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Dr Richard West, a GP partner in a dispensing practice in Suffolk and chair of the Dispensing Doctors’ Association.Dispensing practices are a vital lifeline for patients in rural areas, but they are facing a host of challenges that are threatening their viability. In this conversation, Richard explains the crucial role these practices play and the immense pressures they are under.Richard talks through the complexities of dispensing practice funding, highlighting how out-of-date fee scales and unreimbursed drug costs are affecting practices and what the Dispensing Doctors’ Association is campaigning for to ensure these essential services survive.He also discusses what needs to change in the GP contract to support dispensing practices, the impact drug shortages have on staff and patients and the need to ensure that ways of working envisaged in the 10 year plan are designed to work for rural populations.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksDispensing Doctors’ AssociationDispensing Doctors’ Association RAMP UP campaignMIMS - Drug shortages - live trackerMPs demand major review as UK medicine shortages now 'daily reality' Hosted on Acast. See acast.com/privacy for more information.

This week Emma and Nick talk about how adding GPs to the additional roles reimbursement scheme has impacted on the workforce in different parts of the country. They look at what the government has to say about the ARRS and asking whether it is painting an accurate picture of the current state of the GP workforce in England.They also discuss what the BMA wants the government to do to avert a jobs crisis for newly qualified GPs this summer. This formed part of a series of red lines that it said the government had to deliver to avoid further industrial dispute by the profession, and Emma and Nick explain what these are and what has led the BMA to make these demands.Our good news story this week is about some more data from an innovative fruit and veg prescription project that’s running in East London.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful links●     Is the ARRS widening GP workforce inequality?●     Opaque GP workforce data spark call for 'honesty'●     BMA sets red lines for government to avert industrial dispute with GPs●     10-year plan could unlock more GP funding or lead to salaried service, says BMA●     Karin Smyth: ARRS GPs can help turn the tide of pressure on practices●     Alexandra Rose CharityFor more analysis of key data affecting general practice visit our GP Insight section Hosted on Acast. See acast.com/privacy for more information.

This week Emma talks to Dr Andy Hilton, a GP partner and chief executive of Primary Care Sheffield a not-for-profit company, owned by the city's GP practices, which was recently highlighted in the 10-year health plan as an example of successful neighbourhood working.In this conversation, Andy explains the origins of Primary Care Sheffield, how it has worked to support practices, and the wide range of services it now provides. He discusses the benefits of working at scale, not just for patients but also for practices and the wider health system, and how this approach can help to tackle health inequalities.Andy also offers his thoughts on the move towards a neighbourhood NHS, why he general practice will be crucial to its success and the challenges that lie ahead, including estates and the demands of an ageing population. He provides valuable advice on how to work more collaboratively with other practices, PCNs and partners in the healthcare system.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksPrimary Care SheffieldThe 10-year health plan at a glanceGPs pioneering neighbourhood model say it has eased workloadDozens of 'neighbourhood health service' sites to launch from September Hosted on Acast. See acast.com/privacy for more information.

In our news review Emma and Nick talk about the findings of the independent review into the use of physician associates in the NHS and what this means for their role in future.They look at the results of the latest GP patient survey and what that tells us about how patients feel about general practice. And they discuss what happens next for neighbourhood health as more details emerge about the government plans for 42 sites that are set to push forward this agenda.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful links●     Could the 10-year health plan derail rising GP patient satisfaction?●     In charts: Which areas have the highest patient satisfaction with general practice?●     Government backs Leng review and warns PAs should 'never replace doctors'●     PAs urged to dispute job changes following Leng review●     NHS won't 'throw money' at neighbourhood health sites, officials warn●     10-year plan 'risky as hell' for general practice  Hosted on Acast. See acast.com/privacy for more information.

Dr. Duncan Gooch, a GP in Derbyshire and chair of the NHS Confederation's Primary Care Network, discusses the future of general practice. He shares insights on the transformative potential of new contracts for neighborhood providers and how they can coexist with traditional GP partnerships. Duncan emphasizes the critical role of technology and data in enhancing healthcare delivery. He also highlights the importance of addressing infrastructure challenges and fostering community engagement to bolster a successful neighborhood NHS.

In this week’s podcast the GPonline team looks in detail at the government’s 10-year health plan and what it means for general practice.They talk about what the plan could mean for the future of the GP contract and the partnership model, the government’s plans for a neighbourhood NHS and what GPs think about the proposals. They also look at how the government plans to shift the NHS from analogue to digital and what this could mean for GPs and their teams.Meanwhile, our good news story this week is about the national roll out of a programme to train GPs with an extended role in gastroenterology.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksFind all our coverage of the 10-year health planThe 10-year health plan at a glance10-year plan threatens existing GP model and continuity of care, warns BMAPCNs in talks over taking on neighbourhood GP contractsViewpoint: Failure to build 10-year plan around general practice is a serious mistake Hosted on Acast. See acast.com/privacy for more information.

In this lively discussion, Lizzy Lloyd, Chair of AISMA and partner at Larking Gowen, dives into the pressing financial challenges facing general practices today. She tackles cash flow issues, the complexities of GP contracts, and the impact of NHS pensions. Lizzy shares invaluable budgeting tips and innovative strategies for maximizing income streams. With insights on navigating funding hurdles and succession planning, this conversation is packed with practical advice for GP practices aiming for financial stability.

This week Emma speaks to Dr Lisa Harrod-Rothwell, chief executive of Londonwide LMCs and a GP in Islington, North London. Londonwide LMCs represents local medical committees, GPs and practices in 27 of the capital’s 32 boroughs.In this conversation, Lisa explains exactly what Londonwide LMCs does and some of the key challenges facing general practice in London, including workforce issues, premises problems and health inequalities.She also talks about the London region of the NHS’s vision for a neighbourhood health service and the role Londonwide LMCs played in shaping that plan. Lisa explains the importance of general practice being at the table for planning discussions, the need for a function-first approach to service delivery, and the potential for a neighbourhood NHS to support and value general practice.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksLondonwide LMCsPCNs could be forced to re-align with neighbourhoods under London health planMost London GP practices 'feel unable to deliver safe care' Hosted on Acast. See acast.com/privacy for more information.