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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: November, 2019
Nov 25, 2019

Episode 184 – Shashi Khandavalli & Harry Evans – Population Health Management

Joining Ben on the Ockham sofa this week are Dr Shashi Khandavalli, Clinical Director for Chorley Central PCN and Harry Evans, Senior Programme Manager at NHS England and Improvement, who discuss all things Population Health Management; what it is, how it is key in meeting the health needs of your local population, the importance of working in partnership with local stakeholders and a story involving bins which underpins this key workstream.

Show Notes

What is Population Health Management (PHM)? (1 min 10 secs)

Populations, not individuals (1 min 45 secs)

Understanding the health of local populations and identifying their needs (2 mins 37 secs)

The importance of using data (3 mins 15 secs)

Shashi and Harry tell us how they became involved with PHM (3 mins 38 secs)

#datasaveslives (4 mins 29 secs)

Establishing strong relationships with key partners (5 mins 18 secs)

A strategic approach (6 mins)

How to get started? (6 mins 20 secs)

“Don’t wait for perfect to get in the way of good enough” (6 mins 45 secs)

Data sampling to target area of need and to enable strategic intervention (7 mins 10 secs)

Breaking down the barrier of scepticism and working partnership to identify positive outcomes or ‘the bin theory’ (8 mins 9 secs)

The role of social prescribers and link workers and the structural approach (10 mins 15 secs)

How are interventions made? (11 mins 17 secs)

Lessons learned (12 mins 30 secs)

10% data 90% culture (14 mins 17 secs)

Engaging local partners and building relationships (14 mins 48 secs)

The role of open meetings and who to involve (15 mins 12 secs)

PCN core skills (15 mins 35 secs)

Establishing, harnessing and understanding your vision (16 mins 25 secs)

“Activation day” (17 mins 6 secs)

What happens next? (17 mins 31 secs)

PHM programme rollout and support from NHS England & Improvement (17 mins 45 secs)

PHM platform access details (19 mins 26 secs)

Chorley PCN next steps (19 mins 42 secs)

Getting in touch (21 mins 55 secs)

Harry is contactable @harryaevans or at harry.evans2@nhs.net

Shashi is @kshashi79 or shashidar.khandivalli@nhs.net

The NHSE/I PHM Academy is available here. It contains information and learning about population health management from the PHM development programme and other sources. Please email england.STGPHM@nhs.net to be signed up for access.

This blog that Shashi wrote is hot off the press..

Nov 18, 2019

In this week’s podcast, Ben chats to Dr Hussain Gandhi (known to one and all through his eGPLearning Podblast as Gandhi) about life as a new PCN Clinical Director; the challenges versus the outcomes, his goals and aspirations, the importance of collaborative working and the role of technology within general practice.

Show Notes

How Clinical Directorship happened (46 secs)

Impact of PCN formation (1min 20secs)

Notts City East: the stats (1min 55secs)

The journey to becoming Clinical Director (2mins 15secs)

Balancing clinical sessions and the role of Clinical Director (2mins 55secs)

Gandhi outlines the aims and objectives of his role (3mins 25secs)

The challenges! (4mins 9secs)

Focus on collaborative working (4mins 32secs)

The process of engagement & PCN open meetings (5mins 10secs)

What is the PCN vision? (5mins 45secs)

Blue sky thinking (6mins 3secs)

The first few months as Clinical Director (6mins 28secs)

Laying the groundwork for PCN formation (6mins 40secs)

The role of social prescribing and clinical pharmacists (7mins 5secs)

What are the demands on a Clinical Director? (7mins 45secs)

Time management and the pressure of deadlines (8mins)

What have been the key lessons learned so far? (8mins 47secs)

Technology within PCNs (9ins 20secs)

Staying in touch: group chat and instant messaging (10mins 20secs)

The role of video conferencing (11mins 28secs)

Are we using technology enough in general practice? Are PCNs a platform to develop tech further? (16mins 12 sec)

PCN goals moving forwards (18mins 16secs)

Getting in touch (20mins 40secs)

Gandhi’s website can be found here

On all social media platforms he can be found at eGPLearning

For the podcast look for the eGPLearning Podblast

 

Nov 11, 2019

Rachel Morris “starred” in two of our most popular podcasts and through her work on GP resilience she was inspired to set up her own “You Are Not A Frog” podcast. In a recent edition of that podcast she interviewed our own Ben Gowland to discuss ways in which general practice can effectively introduce change, particularly against a background of resistance.

Show Notes

Ben explains how his career progressed to setting up Ockham Healthcare (52secs)

How Ockham Healthcare developed its unique offering (2min 02secs)

Working with at-scale general practice – a means to an end (2mins 47secs)

The goals for working at scale (3mins 37secs)

Making a difference – Time for Care (4mins 29secs)

Difficulties in implementing the high impact changes (5mins 36secs)

Change is difficult so how do we approach it? (7mins 01secs)

Introducing pharmacists – a practical example (7mins 32secs)

Resistance to change - a systematic approach (9mins 15secs)

The problem is obvious why we need to change? Isn’t it? (11mins 25secs)

The system and what you can control (12mins 22secs)

Overcoming the emotional response (13mins 28secs)

Picking the changes you pursue – small or large (14mins 34secs)

Ockham Healthcare’s role in supporting joint working (16mins 39secs)

Influencing without hierarchical “power” – a practice’s relationship with the PCN (17mins 56secs)

What’s the one big thing a PCN should be doing? (19mins 43secs)

Expect resistance – dealing with your “No Nos” (21mins 02secs)

Becoming positive about change (22mins 17secs)

Contacting Ben (23mins 28secs)

Ben is available on email ben@ockhamhealthcare

He is on Twitter @benxgowland

The Ockham website is here

The You Are Not a Frog podcast is available in a number of places including here

Nov 4, 2019

Farzana Hussain has been a GP for 18 years. Three months ago she was successful in becoming the Clinical Director of a new Primary Care Network in Newham comprising seven practices serving 65,000 patients. In this podcast she explains how she has met this new challenge; the approach she has taken, the aims of her PCN and the support she has received. She talks about how difficult and how rewarding (and how exciting) the new role can be.

Show Notes

Farzana explains how she became a PCN clinical director (54secs)

The PCN is formed (2min 09secs)

The joy of the first 100 days (2mins 53secs)

Early conversations with other stakeholders (4mins 52secs)

Strengthening the practices (6mins 11secs)

What will success in the role look like? (7mins 27secs)

True collaborative working (7mins 59secs)

Aligning the seven practices (9mins 04secs)

Time for the practices (10mins 22secs)

Communication and governance of the network (10mins 54secs)

Aiming for an inclusive group (12mins 40secs)

Involving other partners in the network (13mins 35secs)

The most difficult aspects of the role (14mins 24secs)

Managing time (15mins 19secs)

Getting support as a leader (16mins 16secs)

Distributive leadership (17mins 52secs)

Is there enough support available? Setting up a CD support group (18mins 12secs)

The nature of a support group for new leaders (19mins 04secs)

Contacting Farzana (20mins 31secs)

Contact Farzana on farzana.hussain@nhs.net

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