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The General Practice Podcast

Ben Gowland explores new ways of working in general practice. He talks to those making changes happen, gets underneath what they did, how they managed to do it, and the challenges they faced along the way.
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Now displaying: June, 2019
Jun 30, 2019

Gerry Morrow was a full time GP for twenty years before he joined Clarity Informatics as their Medical Director. Clarity, (who describe themselves as “international leaders in healthcare solutions”) developed TeamNet “a web-based sharing and compliance platform for primary care”. In this podcast Gerry explains how TeamNet enables practices and other agencies to share information, how it is adaptable to individual circumstances and what the future might hold.

Show Notes

Gerry begins working Clarity (54secs)

The importance of sharing information (1min 20secs)

Clarity develops TeamNet as a natural extension of their business (1mins 53secs)

The benefits of sharing information through TeamNet (2mins 37secs)

Where does the information come from? (3mins 29secs)

The opportunities of practices moving into PCNs (4mins 15secs)

Transparency – sharing information and building trust (5mins 08secs)

How TeamNet works in practice (6mins 41secs)

Practices and community teams working together (7mins 39secs)

Structuring sharing with other agencies (8mins 53secs)

Controlling the flow of information (9mins 55secs)

Who uses TeamNet now? (11mins 16secs)

Two way communication with practices (11mins 46secs)

The future of information sharing – interoperability (12mins 45secs)

Sharing patient-identifiable data (13mins 37secs)

Future projects for Clarity (14mins 23secs)

Finding out more (15mins 06secs)

The Clarity TeamNet web pages are here

The email address is teamnet@clarity.co.uk

Jun 23, 2019

Dr Mark Newbold is an experienced NHS doctor, manager and academic who, until recently, was Managing Director of the Birmingham super-practice, Our Health Partnership. In this wide-ranging discussion Ben and Mark focus on the bigger picture: the strategic implications of Primary Care Networks and the role of general practice in integrated care systems. They cover everything from leadership and influence to scale and accountability. Mark begins by describing the introduction of PCNs as “an NHS led…radical process of transformation

Show Notes

Mark updates us on what he has been doing (1min 06secs)

NHS-led transformation (1min 39secs)

Moving from “institution” to “system” (2mins 43secs)

Bringing general practice into the system (3mins 18secs)

General practice is the foundation of integrated care (3mins 46secs)

Size, scale and influence (4mins 53secs)

The question of existing at-scale general practice (6mins 23secs)

Tiers of collaboration (7mins 36secs)

Geographic spread and the “offer” of working at-scale (9mins 47secs)

Differentiating the “offer” for member and non-member practices in an at-scale organisation (10mins 34secs)

The Clinical Director role (11mins 56secs)

The future for Community Trusts (12mins 44secs)

The balance of power between general practice and Community Trusts – emerging GP leaders (13mins 27secs)

PCNs – beginning of the end for independent general practice? (14mins 58secs)

A collective approach (16mins 06secs)

Evolving a new model of general practice (17mins 20secs)

The accountability of integrated care systems (18mins 04secs)

Taking a long term view (19mins 01secs)

A discussion forum for GPs (20mins 36secs)

The GP View website Mark mentions can be accessed here

Our previous podcasts with Mark on the setting up of Our Health Partnership can be found below:

Episode 13 – Our Health Partnership: The story so far

Episode 41 – Progress with a super-partnership

Episode 79 – The further adventures of a super-partnership

Episode 109 – Our Health Partnership – the story continues

Jun 16, 2019

This is the episode all about VAT. No, come back! It’s complex but vitally important stuff for PCNs and you’ll regret not listening... We are delighted to welcome Katie Collin, Client Services Partner at Ramsay Brown Chartered Accountant to explain it all. She covers who needs to be registered for VAT, what services incur VAT, Cost Sharing Groups and the VAT implications of the three models for PCNs. She has also produced a frequently asked questions document which you can access at the end of these Show Notes.

Show Notes

VAT – the hot topic of the moment (45secs)

Who has to be registered for VAT (1min 04secs)

The three main reasons why a GP might be registered for VAT (1mins 47secs)

What services incur VAT – provision of services and staff (2mins 54secs)

Holding the contract and keeping control (5mins 12secs)

Other services – admin and back-office functions attract VAT (6mins 19secs)

Part of an overall contract – an example (6mins 58secs)

How does a Cost Sharing Group work? (8mins 23secs)

Members of a legal entity (9mins 16secs)

On-costs but not a management charge (10mins 23secs)

Is VAT chargeable on what PCNs are being asked to do? (11mins 13secs)

Employing a Link Worker (12mins 47secs)

The VAT implications for the three models for PCNs:

1 The Lead Practice Model (13mins 26secs)

Is the lead practice registered for VAT (15mins 28secs)

2 The Flat Model – the easiest model? (16mins 38secs)

Liabilities of joint employment (17mins 45secs)

3 The Federation Model (18mins 26secs)

The big issues with federations (19mins 54secs)

The federation as a cost sharing group (20mins 36secs)

Core members/non-core members of networks (21mins 43secs)

Setting up a legal entity now – is it worth it? (23mins 06secs)

Employing staff and pensions (23mins 57secs)

Other things to consider (25mins 06secs)

Don’t go it alone (25mins 51secs)

Getting in touch and finding out more (26mins 20secs)

You can find Ramsay Brown’s “VAT and Primary Care Network FAQs here

The Ramsay Brown website is here

Katie’s email address is katiecollin@ramsaybrown.com

Jun 9, 2019

Draft national guidance has been produced by NHS England to help Primary Care Networks introduce the role of Social Prescribing Link Worker. In this episode Social Prescribing enthusiast and GP, Dr Marie-Anne Essam, explains the value of the new guidance and takes Ben through a number of the elements it contains. They look at the Framework for Social Prescribing contained within the guidance, the salary for Link Workers and how their effectiveness and much more. The guidance will be published in its final form in the summer.

Jun 2, 2019

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.

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