James Gransby, Partner at RSM UK and medical financial expert, summarises the key considerations and implications for practices and new networks of their financial arrangements, particularly within the context of the new - and the since updated - draft primary care contract service specification.
Introductions (48 secs)
James’ initial thoughts on the formation of PCNs and their impact (1 min 22 secs)
Workforce implications (2 mins 15 secs)
How is the PCN’s money best held? Is there an ‘ideal’ financial model? (3 mins 51 secs)
The lead practice model (5 mins 21 secs)
Lessons learned so far, advice on setting up a new financial model - and all things VAT (6 mins 27 secs)
Let’s talk about pensions (7 mins 41 secs)
Clinical Director pay (9 mins 18 secs)
Check employment status for tax / HMRC (10 mins 4 secs)
Year End accounts (13 mins)
Showing a ‘surplus’ and how to manage a PCN ‘surplus’ (14 mins 21 secs)
Impact on practice finances as a result of PCNs (16 mins 15 secs)
Reflecting on the draft service specifications (the December 2019 version) (17 mins 37 secs)
General Practice sustainability in today’s world? (20 mins 10 secs)
James’ top tips for practices and networks (21 mins 55 secs)
Getting in touch (23 mins 10 secs)
The draft GP contract update – new reflections (23 mins 31 secs)
What differences do the changes in the draft contract make? (24 mins 19 secs)
Tax implications for contract incentives? (24 mins 55 secs)
HMRC updates discussed (26 mins 25 secs)
James is contactable at: james.gransby@rsmuk.com
Dr Riaz Jetha, GP Organisational and Leadership Development Consultant with Health Integration Partners, joins Ben on this week’s podcast to dissect and discuss the updates to the current GP contract agreement. Listen here for their analysis and interpretation of some of the key amendments and what they mean for primary care and primary care networks on a wider scale.
Introductions (9 seconds)
First impressions (57 secs)
PCN focus (1 min 29 secs)
Changes to the Additional Roles Reimbursement Scheme (1 min 50 secs)
Removal of employment liability within the roles reimbursement scheme (3 mins)
Which roles will have the most influence? (3 mins 21 secs)
Structuring new roles according to local need (4 mins 48 secs)
Support for PCNs in forming their structures and the funding timetable (5 mins 53 secs)
The impact of the draft service specification updates (7 mins 30 secs)
Changes in the ability to earn (8 mins 40 secs)
Renewing the burden + wider reaction to the service spec changes (9 mins 51 secs)
The Impact & Investment Fund (13 mins 12 secs)
Is the impact and investment funding more lucrative? Could this be a benchmark for the future? (14 mins 46 secs)
Breaking down the investment payments; cost per patient? (16 mins 9 secs)
Changes to imms and vaccs / QOF (16 mins 55 secs)
Increasing GP numbers (17 mins 55 secs)
Access improvement (19 mins 40 secs)
The Time to Care Programme and maintaining positive initiatives (20 mins 39 secs)
Current status of the contract update & draft service specification and Riaz’s final thoughts (21 mins 12 secs)
Riaz is contactable at: raiz.jetha@healthintegrationpartners.co.uk
Ben is joined by Wessex GP and Physical Activity Clinical Champion Dr Sarah Kay who outlines why physical activity is a key component in the health agenda of all providers, how to motivate patients and practices in enhancing their own health and wellbeing, why prevention is always better than cure and what support is available to enable everyone to feel the benefits.
Introductions (36 secs)
Physical Activity Clinical Champions: the facts (1 min 17 secs)
What are the aims of the role? (2 mins 9 secs)
The Moving Medicine website (2 mins 54 secs)
National guidelines on physical activity; where to find them and the information provided (3 mins 53 secs)
New areas of focus in management of physical activity (4 mins 59 secs)
Is general practice doing enough to promote physical wellbeing? (5 mins 42 secs)
Finding time to talk about physical activity during a restricted GP consult (7 mins 21 secs)
The potential for wider impact (8 mins 16 secs)
#parkrunPractice @parkrunUK and #GPparkrunPledge (9 mins 11 secs)
Wellbeing champions & best practice (11 mins 29 secs)
“Active Practice” resources (12 mins 5 secs)
PCNs and the health wellbeing agenda (13 mins 29 secs)
Support from the link workers (14 mins 31 secs)
How do I start the ball rolling in my area? What support is available? (15 mins 25 secs)
Where can I find my local clinical champion? (17 mins 21 secs)
Final word from Sarah (17 mins 42 secs)
Moving Medicine website
Public Health England: National guidelines on physical activity
RCGP Guidance
parkrunpractice
https://r1.dotdigital-pages.com/p/49LX-52M/parkrunpractice
Physical Activity & Lifestyle Toolkit
GP On-Call Bike
https://www.gponline.com/gps-offered-subsidised-bikes-home-visits-rcgp-scheme/article/1661079
https://www.wessexfaculty.co.uk/product-page/gp-on-call-bike
Where to find your local Physical Activity Clinical Champion
email: physicalactivity@phe.gov.uk