Talking General Practice

Emma speaks to Dr Luke Sayers, a GP partner and the lead for clinical continuity of care at North Tyneside ICB, and Dr Tom Kennedy, a GP registrar and ICB clinical fellow about the importance of continuity of care.Luke and Tom explain why continuity is so vital for both patients and doctors, discussing the evidence that shows it improves patient safety and reduces mortality, as well as the positive impact it has on GP job satisfaction and retention.They discuss the misconception that focusing on continuity negatively impacts access, and they explain why the reverse is often true. They also set out practical steps practices can take to improve and measure continuity, including the use of micro-teams and personal lists, and how this way of working fits into the vision of a neighbourhood NHS.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksBuilding relational continuity of care in your practice - the poster Luke presented at the RCGP annual conference this yearWhat makes general practice work: the role of continuity in efficient and sustainable primary care - the BJGP paper by Professor Tom Marshall that Luke mentions in this episodeContinuity Counts website, which Tom mentions in this interviewValue of GP continuity risks 'slipping from collective memory' - story about the RCGP talk that Emma mentions (on GPonline) Hosted on Acast. See acast.com/privacy for more information.

The GPonline team discusses the key news stories affecting general practice'Nick, Emma and Kimberley look at what went on at last week's England LMCs conference, including the results of some key votes on balloting the profession on industrial action and the types of action GPs might take. They discuss whether GPs would vote in favour of such measures and some of the other key concerns raised at that conference.Nick explains how the GP workforce has changed over the last decade now we've reached the landmark point of having 10 years worth of GP workforce statistics.And Kimberley highlights this week's good news story which is about a practice in Glasgow whose staff entered this year's Great Scottish Run.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksLMCs demand ballot on action including 'full-day walkouts'GP leaders threaten mass resignation from practice contractsBoycott neighbourhoods unless they are GP-led, say LMCsLMCs back 'non-compliance' with online access contract requirementsGovernment accuses GPs of 'standing in the way of change'ARRS driving 'two-tier' GP job market and low pay, warn LMCsHow has the GP workforce changed after 10 years of promises?  Hosted on Acast. See acast.com/privacy for more information.

Emma speaks to Royal College of GPs veterans clinical champion Dr Emily Brookes, about the health needs of military veterans and their families, and what general practice can do to support these groups of patients.Emily talks about the specific health challenges veterans are more likely to face, from physical conditions like hearing loss and musculoskeletal issues to a higher prevalence of mental health conditions - and the common barriers that prevent veterans from seeking help.She explains how the RCGP's Veteran Friendly Accreditation scheme can help practices improve care for these patients and some of the services and support that is available to veterans.Emily has 20 years of experience as a military GP in both the Army and the RAF and she also talks about what these roles involved and why she followed this career path.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksRCGP veterans' health hubRCGP veterans elearning moduleBecome a veteran friendly accredited practiceOp COURAGEOp RESTOREFull list of resources and organisations that support veterans from gov.uk Hosted on Acast. See acast.com/privacy for more information.

Emma and Nick discuss the key news stories affecting general practice. They talk about how the GP contract change that requires practices to keep their online consultation systems on throughout core hours is affecting workload in general practice, as well as the increasingly bitter war of words between the government and the BMA about this issue.They look ahead to next week's England LMCs conference, where GP leaders will debate next steps on industrial action as a result of the dispute over online access.They also discuss the latest NHS planning guidance and what that means for GPs, some good news from Scotland on the GP contract there and Nick's recent analysis on how GP premises funding is being spent in England.This week's good news story is about practices delivering award-winning end of life care.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful links●     'No progress' on GP contract reform as BMA frozen out of Carr-Hill review●     Government plans new target for GPs to offer urgent patients same-day appointments●     GPs in Scotland end dispute as £531m funding deal agreed●     Practices forced to hire extra staff to manage online consultation workload●     LMCs to vote on major escalation of GP industrial action●     Most GP practices say £1.1bn contract has not eased financial pressure●     How are ICBs spending the £102m GP premises fund?●     GPs and practices recognised for providing outstanding end-of-life care●     RCGP/Marie Curie Daffodil standards - more details Hosted on Acast. See acast.com/privacy for more information.

Emma speaks to GP Dr Callum Leese about the importance of physical activity and how primary care professionals can promote it to their patients.Callum is a GP in Aberfeldy, Scotland, and also works at the University of Dundee, where his research focuses on physical activity promotion and implementation in primary care. He is also the Royal College of GPs co-lead for physical activity.In this conversation, Callum talks about his research, including work with the WHO looking at physical activity promotion in policy across Europe, and RCGP initiatives like the Active Practice Charter and parkrun practices and how these can benefit both patients and staff.He offers advice for GPs on how to raise the issue of physical activity in consultations and discusses the importance of tailoring exercise advice to patients with specific health conditions.He also talks about a fantastic initiative he's involved with, which is aiming for his home town of Aberfeldy to become the healthiest town in Scotland, and his work with the British Society of Lifestyle Medicine, where he leads the physical activity special interest group.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksRCGP physical activity hubRCGP parkrun practicesMoving Medicine - website from Faculty of Sports and Exercise MedicineBritish Society of Lifestyle MedicineCallum's Movement Prescription podcastAberfeldy healthiest town website Hosted on Acast. See acast.com/privacy for more information.

This week we look at the rapidly advancing field of genomics, which is becoming increasingly relevant to everyday primary care. Emma speaks to Dr Jude Hayward and Dr Imran Rafi, who are the Royal College of GPs' joint clinical representatives for genomics. Jude is a GP with an extended role in genomic medicine and Imran is a reader in primary care and genomics at St. George's University in London.Jude and Imran discuss the most significant changes genomics is set to bring over the next decade, including its potential use in predicting risk for common conditions, rise of pharmacogenomics and whether the government's 10-year plan's vision for the role of genomics is realistic.They also talk about some of the practical challenges facing GPs, such as how to handle patients presenting with results from direct-to-consumer genetic tests, the ethical considerations around data and consent, and the importance of ensuring advances in genomics help to narrow rather than widen health inequalities.And they also explore the opportunities for GPs to develop an extended role in this fascinating area of medicine.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksGeNotes - genomics notes for cliniciansGP with extended role in clinical genetics/genomics - RCGP frameworkRCGP eLearning - Genomics toolkitRCGP position statement on direct to consumer genomics testing Hosted on Acast. See acast.com/privacy for more information.

GPonline is the media partner for the RCGP annual conference and this is the second of two special episodes of Talking General Practice from the event Newport in Wales this week.In this episode we look at what health minister Stephen Kinnock said about overhauling the Carr-Hill formula and the BMA dispute over online consultations and what delegates thought about this. We also highlight what RCGP chair Professor Kamila Hawthorne had to say in her speech about primary care funding and GP retention.Emma talks to RCGP vice chairs Professor Margaret Ikpoh and Dr Thomas Patel-Campbell about the results of the college's latest member survey, the importance of investing in primary care and how the increase in anti-immigration and right-wing rhetoric is affecting GPs.She also speaks to RCGP Wales chair Dr Rowena Christmas about being the subject of a book that tells the story of rural general practice and the college's manifesto for next year's Senedd elections and talks to outgoing RCGP president Dr Richard Vautrey.Useful links●     Find all of GPonline's coverage from this week's conference at gponline.com/rcgp●     Health minister describes online consultation dispute as ‘phoney war'●     Government launches review of 'not fit for purpose' GP funding formula●     GPs face unsafe workload and fear neighbourhoods will make it worse, RCGP warnsSupported by SymproveThis episode of Talking General Practice has been supported by Symprove. Based on an external survey of 432 healthcare professionals, Symprove was the number one probiotic, recommended by gastroenterologists, dietitians and GPs. The unique water-based solution delivers live bacteria to the colon and is proven in randomised controlled trials by leading institutions. 92% of people report a benefit within 12 weeks in real-world.Healthcare professionals can trial Symprove for free. Visit professionals.symprove.com and sign up for a virtual meeting to hear more about the research behind Symprove and get your free 12-week pack. Hosted on Acast. See acast.com/privacy for more information.

Emma speaks to Royal College of GPs chair Professor Kamila Hawthorne ahead of the RCGP's annual conference in Newport in Wales, which starts on Thursday this week.GPonline is the media partner for the annual conference, and this is the first of two episodes that we'll be producing from the event.Kamila is nearing the end of her three years as RCGP chair and in this interview, she reflects on the highs and lows of her time in the post. She talks about the experiences of dealing with multiple health secretaries and navigating the contentious issue of physician assistants in general practice.She also discusses the government's 10-year health plan and what it could mean for general practice, her fears about the future of the partnership model, and what the RCGP wants to see in the new NHS workforce plan. And she explains why she believes there is still a bright future for general practice despite the challenges.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Read all of GPonline's coverage from the RCGP annual conference this week at https://www.gpponline.com/rcgp  Supported by SymproveThis episode of Talking General Practice has been supported by Symprove. Based on an external survey of 432 healthcare professionals, Symprove was the number one probiotic, recommended by gastroenterologists, dietitians and GPs. The unique water-based solution delivers live bacteria to the colon and is proven in randomised controlled trials by leading institutions. 92% of people report a benefit within 12 weeks in real-world.Healthcare professionals can trial Symprove for free. Visit professionals.symprove.com and sign up for a virtual meeting to hear more about the research behind Symprove and get your free 12-week pack. Hosted on Acast. See acast.com/privacy for more information.

This week Emma and NIck talk about the BMA's decision to re-enter dispute with the government in England, the online access plans that have led us to this point and what both the BMA and the government have to say about all of this. They also look at what re-entering dispute could mean for the profession.They talk about the upcoming NHS workforce plan, which is due to be published before the end of the year after the government launched a call for evidence. And they discuss the BMA's latest survey on the state of GP premises and what's required to fix the crumbling primary care estate.Our good news story this week is about a GP who has this week been attempting to break the record for running round the perimeter of Cornwall in an effort to raise money and awareness of early-onset dementia, which has affected her mum.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Complete our survey looking at online access and other issues affecting GPs here Useful linksDr Elsey Davis fundraising pageTrack Dr Davis's progressGPs are standing up for patient safety by declaring dispute, says BMAStreeting dismisses GP fears over online access as 'forces of conservatism'Government 'mystified' over GP stance on online accessMouldy, cracked and cramped: BMA poll exposes GP premises crisis Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Professor Brendan Delaney, a GP in London and Professor of Medical Informatics and Decision Making at Imperial College London. Brendan's research work covers artificial intelligence in medical diagnosis and learning health systems and he is a real expert in this field.Artificial intelligence is likely to have a huge impact across society and its role in healthcare is expected to grow exponentially in the coming years. But what will this mean in practice for GPs on the ground?In this conversation, Brendan talks about the research he is involved with that is looking at how AI can be used to support diagnosis in primary care. We also discuss whether developments in AI in medicine could de-skill doctors, the vital importance of medical device regulation when using these new tools, and the key issues of clinical liability and data security.Brendan also shares his thoughts on the government's vision for an AI-enabled NHS and how realistic this vision is as well as his hopes for how this new technology could shape general practice in the coming years. And he has advice for how GPs can prepare for a future where technology will play an even greater role in medicine.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksTransformer-based deep learning model for the diagnosis of suspected lung cancer in primary care based on electronic health record data - the study Brendan mentions in the interviewMore of Brendan's research workIX - Imperial College London's cross-department AI initiativeAI tools in general practice and liability - advice for GPsUsing AI transcribing software in general practice - medicolegal considerations Hosted on Acast. See acast.com/privacy for more information.

The GPonline team discusses the key news stories affecting general practice.This week Emma and Nick talk about the BMA special representative meeting on the government's 10-year plan, which happened last weekend. They look at what health and social care secretary Wes Streeting had to say, some of which enraged many of the GPs in attendance, as well as the key votes on motions about general practice and what BMA representatives had to say about the 10-year plan.They also discuss the roll out of neighbourhood health in England as the government announced the 43 sites that will form the first wave of its national programme to shift the NHS to this new way of working.And they look at a piece of work Nick has done over the past couple of weeks looking at the number of GPs the NHS in England needs over the coming years if it is to keep pace with the predicted population rise, including which parts of the country have the furthest to go to reach the levels required.Meanwhile Kimberley explains our good news story, which this week is about an initiative in Wales that is aiming to support women GPs into senior leadership roles.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful links●     Streeting dismisses GPs concerned over online access as 'laggards'●     BMA rejects 10-year plan and demands protection of GP model●     Can England double its GP workforce by 2040?●     Map: Which areas face the steepest GP recruitment challenge?●     Third of licensed GPs in England lost to NHS, study reveals Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Dr Helen Thomas, a GP in Hampshire and a member of the group Healthcare Professionals for Safer Screens.Helen has been involved with developing screening tools and training resources to help clinicians identify problematic smartphone use in young people which might be affecting their mental health.In this conversation Helen explains the evidence linking excessive screen time to worsening mental health outcomes, poor sleep, and developmental delays, and highlights the harmful content algorithms push to young users.She explains why it's vital for GPs to ask about device use when consulting with young people presenting with mental health issues and the screening tools and resources that can help clinicians do this.And she discusses the wider changes needed to tackle this issue, including what the government should be doing.This conversation includes discussion of self harm and suicide.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful links Health Professionals for Safer ScreensHealth Professionals for Safer Screens resources - including screening tool, health intervention information and training worldsHow TikTok harms boys and girls differently - the Guardian video that Emma mentions in this conversationDetails of Esther Ghey's campaign to ban smartphones in schools - from BBCJonathan Haidt's Let Grow movement, which Helen mentions in this conversation Hosted on Acast. See acast.com/privacy for more information.

The GPonline team discusses the latest news affecting general practice. This week Emma and Nick look at the latest GP earnings and expenses data and what it tells us about income for both partners and salaried GPs and regional variations across the UK.There's also a quick round up of some other data published last week on the GP workforce and practice workload.They also discuss the BMA's recent analysis of the 10-year health plan and look at some of the union's concerns with the plan - and whether some of those issues could lead GPs back into industrial dispute with the government.Our good news story this week is about the GP workforce in Scotland.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksGP income variation across England blamed on local funding gapsExperts question data showing double-digit GP partner income riseGeneral practice facing 'busiest summer ever' as appointments spiralNeighbourhood contracts must stop hospitals taking over GP patient lists, warns BMABMA preparing for return to GP industrial dispute as red lines ignoredScottish GP workforce reaches six-year highFor GPonline, GP Business, MIMS and MIMS Pharma practice and corporate subscribersSpecial report: The 10-year Health Plan Hosted on Acast. See acast.com/privacy for more information.

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.

This week Emma speaks to Dr Duncan Gooch, a GP in Derbyshire and the chair of the NHS Confederation's Primary Care Network, which represents at-scale primary care organisations. As well as being a GP partner, Duncan also has leadership roles in at-scale primary care organisations in his local area.In this conversation Duncan shares his thoughts on the what the 10-year health plan could mean for general practice. He discusses new contracts for neighborhood providers, how they could work alongside the GP contract and primary care networks, and why he believes they are not a threat to the partnership model.Duncan also offers his views on what practices can do to prepare for the move to neighborhood working, the role technology and data will play in how general practice works in the future, and how he believes working at scale can help GPs to have greater influence in their local healthcare systems and how at-scale organisations could evolve to take on some ICB functions in future.He also talks about addressing problems with GP premises and the importance of having thriving practices if you are to build a successful neighbourhood NHS.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. Useful linksNHS Confederation Primary Care NetworkThe 10-year health plan at a glanceNHS won't 'throw money' at neighbourhood health sites, officials warn10-year NHS plan unveils 'alternative' to GP partnership model Hosted on Acast. See acast.com/privacy for more information.

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.

Emma speaks to Lizzy Lloyd, chair of AISMA, the Association of Independent Specialist Medical Accountants, and a partner at the accountancy firm Larking Gowen.The financial pressures on general practice have been a major theme of the past few years, and in this episode, Lizzy discusses the impact this has had on practices. She talks about cash flow problems and the complexities of the GP contract and funding, as well as challenges around workforce and service charge issues.Lizzy offers invaluable advice for practices looking to secure their financial future, including the importance of effective budgeting, and maximising income streams. She also discusses ongoing issues with NHS pensions and what GPs can do to navigate this complicated area.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Read GPonline's coverage of the 10-year health plan hereUseful links● Association of Independent Specialist Medical Accountants● 10-year NHS plan will promise 'major changes' to GP funding formula● Government begins hunt for private premises investment ahead of 10-year plan● Extra £100m needed to deliver 4% GP pay rise● DDRB recommends new GP 'cost index' to help shape contract uplifts Hosted on Acast. See acast.com/privacy for more information.

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.

This week Emma and Nick discuss what the spending review had to say about the NHS and look ahead to what we know about the government's 10 Year Health Plan, which is expected to be published in the coming weeks.In this episode they talk about what that plan could mean for the future of general practice and the NHS in England, how the government might aim to meet its ambitions of creating a neighbourhood NHS and ‘bringing back the family doctor', and where a new GP contract could fit into all of this.Our good news story this week is about those GPs who received honours in the King's Birthday Honours last weekend.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksGPs recognised in King's birthday honoursNHS 10-year plan 'make or break' for general practiceGPs could run 'run local hospitals,' says Wes Streeting'GP-centric' 10-year NHS plan will protect partnerships10-year plan to overhaul GP incentives and 'completely reimagine' NHS Hosted on Acast. See acast.com/privacy for more information.

Emma speaks to Dr Caroline Taylor, chair of the National Association of Primary Care and a GP in Calderdale, West Yorkshire.The NAPC has been at the forefront of developing the neighbourhood approach to health and Caroline is a big advocate for this model. In this conversation, Caroline explains exactly what a neighbourhood is, how general practice should fit into this model and the benefits of this way of working for patients, GPs and practices, including increased job satisfaction.She also talks about how neighbourhood models could help shift care out of hospitals and into the community, the role of Community Health and Wellbeing Workers, a model the NAPC has been involved in rolling out nationally and the potential impact ICB cuts could have on developing neighbourhoods.Caroline also has some practical advice for GPs and others on how to get neighbourhood working off the ground in their area,This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksOn GPonline● 'GP-centric' 10-year NHS plan will protect partnerships● 10-year plan to overhaul GP incentives and 'completely reimagine' NHS● How community health and wellbeing workers could help general practice● ICBs are downsizing – what does this mean for primary care?National Association of Primary CareNAPC report on creating integrated neighbourhood teams Hosted on Acast. See acast.com/privacy for more information.

This week the GPonline team talks about the pay rise GPs and other doctors have received this year, what GPs think about this year's contract deal and the prospect of more strikes from resident doctors.And they look at what's happening in Northern Ireland after the government imposed the GP contract there.They also discuss the ongoing GP jobs crisis after the BMA raised fears that up to 1,000 GP registrars could find themselves struggling to get a job when they complete GP training this summer, what the union wants the government to do about it and some data on GP funding that shows why we are in this situation.Our good news story is about NHS England launching a 'world-first' vaccine programme for gonorrhoea this summer.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 linksWes Streeting: This year's pay deal is an investment to improve the NHSExtra £100m needed to deliver 4% Gp pay riseDDRB recommends new gp cost index to help shape contract upliftsUp to 1000 newly-qualified GPs face unemployment this summer, BMA warns StreetingPractice funding data reveals root cause of GP unemployment crisisFunding uplifts that match inflation top priority for GPs in new contractEngland launches ‘world-first' gonorrhoea vaccination programme Hosted on Acast. See acast.com/privacy for more information.

The government is expected to publish its 10-year Health Plan in June and neighbourhood health will form a key part of the plan.In an interview with the Telegraph last month health and social care secretary Wes Streeting highlighted a scheme from Brazil, that has been piloted in London, and involves community health and wellbeing workers providing outreach work. Could a model like this be part of neighbourhoods? There have been suggestions from several quarters that the scheme will be included in the 10-year plan.Talking General Practice spoke to doctors involved with this model back in 2023, so we thought it would be a good opportunity to revisit that now.So in this episode Emma speaks to Dr Matt Harris and Dr Connie Junghans-Minton about the initiative and how it is improving the use of health services among patients in London, which will hopefully result in better health outcomes.Matt, who's now a clinical reader in public health medicine at Imperial College London, saw the scheme in action first hand when he worked as a GP in Brazil, and it was his idea to bring the model to this country. He explains how the scheme works and why he thought it could help people in the UK. Meanwhile, Connie discusses how her practice introduced the initiative for some of their most deprived patients, and the impact it has had.Useful linksTelegraph story - NHS sent door-to-door to tackle sickness crisis Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Dr Caroline Watson, who is chair of the Royal College of GPs Secure Environments Group and has over a decade of experience working as a GP in prisons in England. Caroline is currently clinical director of Northamptonshire Healthcare NHS Trust Secure Services and works as a GP at HMP Bedford.Caroline explains how she got involved in working in secure environments, what working in these environments entails, and the challenges faced by GPs working in them. She also discusses the complexities of prescribing in prisons, the common health issues seen in prisoners, and the multidisciplinary teams that GPs work alongside.Caroline shares her insights into the rewarding aspects of working in secure environments and the role of the RCGP Secure Environments Group in championing improved healthcare for people in contact with the criminal justice system – and she offers some practical advice for GPs interested in this career path.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksRCGP Secure Environments Group Hosted on Acast. See acast.com/privacy for more information.

(Please note in this episode we mistakenly refer to a report on GP partner numbers as being produced by the Health Foundation. It was in fact produced by the Nuffield Trust)This week Emma and Nick discuss falling numbers of GP partners and what this could mean for the future of general practice.They talk about what went on at the UK LMCs conference last week, where the BMA launched a new report highlighting the value of a GP and there were debates on GP unemployment and the employer national insurance increase.And they look at the latest on plans to cut back ICBs, after an NHS England blueprint suggested this could mean some big changes for primary care.Our good news story this week is about a pilot in general practice in Manchester that is aiming to cut falls among older patientsThis episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksIn charts: How the loss of GP partners is acceleratingViewpoint: Is the partnership model really in decline?BMA dossier defines 'value of a GP' in push for fresh investmentLMCs hear harrowing stories of GPs impacted by unemployment crisisNational insurance hike is 'death sentence' for some GP practices, LMCs warnICBs told to 'merge functions' as blueprint outlines primary care shift Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Professor Dame Helen Stokes-Lampard, who is a GP and the national chief medical officer in New Zealand.Helen took on her new role as chief medical officer six months ago, however many UK doctors will know her from her previous roles as chair of the Royal College of GPs, a post she held from between 2016 and 2019 and as chair of the Academy of Medical Royal Colleges during the pandemic from 2020 to 2023. Before her move to New Zealand she was also a GP partner at a practice in Staffordshire, a professor of GP Education at the University of Birmingham and a member of the NHS England board.In this conversation Helen explains what prompted her to take such a big step in her career and move to the other side of the world, how the health system in New Zealand compares with the UK and what it's like working as a frontline GP there. She also talks about the emotional impact of leaving her practice - and her life - in the UK.Helen offers some practical tips to other GPs taking on leadership roles, and those considering moving to work in another country, based on her own experiences, and gives her view on the UK government's decision to scrap NHS England.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Visit GPonline for all the latest news affecting general practice and other resources to support GPs https://www.gponline.com Hosted on Acast. See acast.com/privacy for more information.

The GPonline team discusses the key news stories affecting general practice.This week Emma and Nick look at the new advice and guidance directed enhanced service, which will pay practices for GPs making use of local advice and guidance systems. Nick explains the huge variation of uptake of advice and guidance across England and what this could mean for practices delivering the enhanced service. You can find out about uptake in your local area in our story here https://www.gponline.com/will-gps-earn-advice-guidance-des/article/1915073They also talk about public sector pay reviews and whether the government is likely to agree to fund any recommendations for this year if they are over and above the 2.8% that has been planned for.And they discuss the state of GP premises and whether there is any chance that the government will stump up the money needed to improve premises in the coming years.Our good news story is an update on a story we discussed a couple of weeks ago about enhanced services in Lancashire and Cumbria.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. Useful linksWhere will GPs earn most from the advice and guidance DES?Kinnock warns of 'fiscal constraints' as government considers public sector pay risesNHS leaders demand capital funding boost for primary careGPs win £14m funding boost after LES boycott threat Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Dr Katie Bramall-Stainer, the chair of the BMA England GP committee, about what the future holds for general practiceKatie explains why this year's contract deal is the start of a long journey of recovery for general practice and the basis on which to create a more positive future for the profession.Now that the government has agreed to negotiate a completely new GP contract, Katie explains what her priorities will be in those contract negotiations and how the BMA will be making the case for greater investment in general practice.She talks about whether general practice should be directly reimbursed for staff costs, what should replace the Carr-Hill formula and whether it's now time to define what core services in general practice actually are.Katie also explains why GPs need to keep up the pressure in their area to secure better funding for local enhanced services, how she thinks neighbourhoods could impact on general practice and also why she feels more hopeful about the future than at any other point since she qualified as a GP.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksFull GPonline coverage of the 2025/26 GP contractDefine GP core services or risk unfunded work transfer from hospitals, LMCs to warnBMA guidance on the 2025/26 GP contractBMA safe working guidancePatients first – Why general practice is broken and how can we fix it - BMA manifesto Hosted on Acast. See acast.com/privacy for more information.

The GPonline team discusses the key news stories affecting general practice.This week the team looks at GP recruitment under the additional roles reimbursement scheme and what new figures tell us about how that initiative is working.They also talk about cuts to integrated care boards, what that could mean for general practice and how the financial constraints within the NHS are already impacting on funding for local services provided by GPs.Our good news story is about funding for research in GP practices.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksMap: Which areas have recruited the most ARRS GPs?Hundreds of PCNs yet to hire a single ARRS GPICB cuts 'could slow down move to neighbourhood NHS'200 practices could boycott LESs after ICB cut millions from funding offerWhat could ICB cuts mean for general practice? Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Professor Naomi Allen, chief scientist at UK Biobank, a biomedical database and research resource that contains data, information and biological samples from half a million UK participants.Naomi, who is also a professor of epidemiology at the University of Oxford, explains how UK Biobank was established, how it works, and the wealth of data it holds.Naomi also discusses the crucial role primary care data will play and explains how it will be incorporated into UK Biobank in the coming months.And she outlines some of the groundbreaking research that has already been conducted using UK Biobank data and how this could revolutionise patient care in general practice in the future.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksUK Biobank's websiteDetails on how to access UK Biobank data as a researcherInformation about UK Biobank and GP patient data Hosted on Acast. See acast.com/privacy for more information.

On this week's podcast Emma and Nick talk about how this year's GP contract will affect practices' finances and look at details of the advice and guidance enhanced service after final contract documents were published.Kimberley explains how collective action has helped one LMC secure a significant uplift to local enhanced service funding.And Nick talks through the results of this year's British Social Attitudes survey, which was widely reported and shows satisfaction with the NHS and general practice has continued to fall. He explains why these results don't tell the whole story of what's going on in general practice.Our good news story this week is about GP practices signing up to become parkrun practices.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksGP contract threatens ‘vast gaps' between practices and ARRS shortfall, expert warnsICB 'interface' groups to oversee expansion of advice and guidanceICB nearly triples LES budget after collective action and LMC talksGPs question major poll showing patient satisfaction at new lowLandmark for GPs as 2,000th practice joins parkrun scheme Hosted on Acast. See acast.com/privacy for more information.

This week's episode looks at GPs with extended roles and how they could help move services out of hospitals and into the community, reduce waiting times for patients and boost GP retention.Emma is speaking to Dr Charlie Andrews, a GP partner and a GP with an extended role in gastroenterology. Charlie is the driving force behind a programme in the south west of England that trains GPs with extended roles in gastroenterology. This has been the basis for a new framework for GPs with extended roles that has been endorsed by the Primary Care Gastroenterology Society and the British Society of Gastroenterology.Charlie explains how the training programme works and the potential for GPs with extended roles to improve referral pathways and tackle some of the challenges facing the NHS, including workforce issues. He also talks about why the framework should be used by ICBs to develop GPs with extended roles in gastroenterology across England and how it could provide a model for other clinical specialties to develop GPs with extended roles.Charlie is happy for anyone who wants to discuss the training programme or anything to do with GPwER in gastroenterology to contact him by email on charles.andrews@nhs.net. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksThe GPwER in gastroenterology frameworkRCGP information on GPwERs - including links to frameworks for some other specialties Hosted on Acast. See acast.com/privacy for more information.

This week Emma and Nick talk about the government agreeing to negotiate a completely new GP contract within the term of this parliament and what that could mean for the profession.They also discuss the government's decision to scrap NHS England and how it could affect general practice. And they look at the future of the GP partnership model after an influential health think tank, the Nuffield Trust, suggested that the government should develop alternative models for general practice.Our good news story this week is about patient access to general practice.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksGovernment commits to talks on major new GP contract to keep 2025/26 deal on trackWhat does NHS England's abolition mean for general practice?Two GPs named in revamped NHS executive teamGovernment 'should develop alternative GP models' amid rapid decline in partnersMap: Which areas are performing best on the government's GP access benchmark? Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Dr Iain Morrison, chair of the BMA Scotland GP committee Scotland, about the critical challenges facing general practice in Scotland.In this conversation Iain explains some of the challenges general practice in Scotland is facing as a result of problems with the 2018 GP contract, the impact of underfunding, and the growing crisis in the GP job market.He explains what needs to happen to address these issues and the prospect of GPs in Scotland taking industrial action in the coming year unless the government takes steps to increase funding – and discusses why GP practices should adopt the BMA safe working guidance.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksBMA safe workload guidance for GPs in Scotland'Devastated' practices lay off staff after five-figure premises cost hike - GPonline story about the premises problems facing practices in LothianGP practices in Scotland promised £10.5m to boost capacityScottish GPs call for national fix to help IMG doctors secure visasTwo thirds of Scottish GPs ready to disrupt services through industrial action Hosted on Acast. See acast.com/privacy for more information.

This week Emma and Nick look at the GP contract deal for England for 2025/26. They discuss what exactly is in the deal and what it means for GP practices in the year ahead, in particular what it could mean for practice finances and whether changes to the additional roles reimbursement scheme will address the GP jobs crisis. They also talk about what happens now with collective action and the BMA's push for more significant contract reform in the coming years.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksRead all of our GP contract coverage hereWhat's in the GP contract for 2025/26?Early-career GPs spell out how a new contract can secure their futureWhat does the pause in collective action really mean for GPs? Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Dr John Ford and GP Dr Liam Loftus from the Health Equity Evidence Centre at Queen Mary University in London about health inequalities and how frontline clinicians, system leaders and policymakers can make evidence-based decisions to tackle inequality in healthcare.John and Liam discuss how the Health Equity Evidence Centre is making the evidence on what works when it comes to addressing health inequalities more accessible.The centre uses machine learning to analyse the vast amount of research and literature that's available and the team at the centre turns that information into actionable insights for GPs, other frontline clinicians, healthcare managers and policymakers.John and Liam explain how this all works in practice, the resources they have available and how this can help GPs, practices and primary care networks in their day to day work. They also talk about projects they are currently working on, including how GP funding inequalities can be addressed, and how they hope to establish a solid evidence base for what works when it comes to tackling health inequalities.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksHealth Equity Evidence CentreOutdated GP funding formula leaves practices in deprived areas with 10% less fundingTalking General Practice episode with Dr Becks Fisher from the Nuffield Trust on - How can we make GP funding fairer? Hosted on Acast. See acast.com/privacy for more information.

This week the team talks about the GP jobs' crisis after the BMA held a virtual rally last week to help the union shape its plans for how to address the job shortage facing salaried and locum GPs. They also explain the findings from GPonline's own survey of locum GPs that shows the impact this has had on rates of pay and the finances and wellbeing of those doctors affected.And they discuss GP premises following a report published last week by the NHS Confederation that suggested NHS Property Services, which owns a significant number of GP premises, should be scrapped.Our good news story this week is about practices in the north West which have received extra funding to help them develop research hubs.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksBMA reveals 'vital' GP contract priorities that could solve jobs crisisMost locum GPs struggling to find work as jobs crisis devastates incomeRegistrars delaying GP qualification because they can't find jobs, says LMCNew GPs are being 'muscled out' of the NHS, warns registrars leaderGovernment should abolish NHSPS and pay off GP service charges, report suggestsGP practices share nearly £1m fund to expand research hubs Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to GP and researcher Dr Rebecca Payne about what general practice can learn from the research she's been involved with on remote patient care.In this conversation Rebecca talks about her research into patient safety in remote consultations, what GPs can do to ensure remote consultations are safe and lessons for practices about the systems that they need to have in place. She also talks about the wider implications of this research including what it means for training and education.Rebecca also explains her research into how the shift to remote care has impacted on quality in primary care, what this could mean for the future of general practice - and what she hopes policymakers will take from the findings.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksPatient safety in remote primary care encounters: multimethod qualitative study combining Safety I and Safety II analysis, published in BMJ Quality and SafetyTeaching patient safety in remote consultationsProject resources from the Remote by Default study including competencies for staff and advice for patientsHow to ensure safe remote consultations in your practice - from GPonline Hosted on Acast. See acast.com/privacy for more information.

In this week's episode the GPonline team discusses the future of the Targeted Enhanced Recruitment Scheme (TERS) – an initiative to attract GPs to underdoctored parts of England – amid fears it could be scrapped. They also look at what we know about the current GP contract negotiations in England and what could happen at next month's special LMCs conference, which now looks set to be a referendum on the deal for 2025/26.Plus, they talk about NHS England's planning guidance for the year ahead and what it had to say about general practice. Our good news story this week is about the contract deal that has been struck for general practice in Wales.This episode is presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksScheme to boost GP recruitment in underdoctored areas could be cut from AprilSpecial conference could push for industrial action or mass resignation threatGP anxiety 'rife' as partnerships face 2025/26 contract crunchGP access among priorities in 'reset year' for NHS as officials hint at new targets'Complacent' health officials lack ideas to save NHS, MPs warnGPs in Wales accept improved £52m contract boost for 2024/25 Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to Ruth Rankine, director of primary care at the NHS Confederation, about how to create a neighbourhood NHS and the role general practice will play.A key plank of the government's plans is a move towards a neighbourhood NHS with more care provided outside hospital and in the community, but what does this mean in practice? ICBs are already working to set up integrated neighbourhood teams, but as yet there is no clear definition of what these teams should look like.In this conversation Ruth explains how this work is going, how the NHS will need to change if it is going to deliver more services in primary care, and the importance of allowing local areas the flexibility to redesign care in a way that meets the needs of their population.She also talks about how the GP contract may need to change in future to deliver this vision, the important role primary care networks have to play and the opportunities to create new pathways involving GPs with extended roles.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksGP contract and funding reform key steps towards 'neighbourhood NHS'NHS Confederation Primary Care NetworkNHS Confederation report - The case for neighbourhood health and careWhat do GPs want from the 10-year NHS plan? Hosted on Acast. See acast.com/privacy for more information.

The government is aiming to create 1,000 new GP jobs through the additional roles reimbursement scheme (ARRS), but are they on track to hit this target before the end of March? Nick and Emma discuss what we know about how the scheme is going.They also talk about a report from the Nuffield Trust, which shows how the ARRS more widely has changed the make-up of the workforce in general practice and argues that the introduction of new roles to the NHS has not been backed by enough planning and support - particularly on issues such as training, regulation and supervision.And they discuss some of the problems the CQC is facing and how this is potentially impacting on GP practices.Our good news story is about a change in RCGP policy for exam resits for GP registrars who are disabled.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksSome PCNs yet to claim any ARRS GP funding, NHS England admitsGPs outnumbered almost 3:1 after 'stark' reshaping of workforce through ARRSLong waits for CQC reports 'risk damaging GP practices'GPs entitled to follow advice on PAs that could lead to redundancies, says BMATake part in our GP locum rates survey here https://surveys.haymarket.com/s3/Locum-rates-survey-2025 Hosted on Acast. See acast.com/privacy for more information.

If you do locum GP work complete our annual survey on GP locum rates here - you will be entered into a prize draw to win £250 of John Lewis vouchers.Is the NHS making best use of the locum GP workforce and how is the current crisis in the GP jobs market affecting locum GPs?This week Dr Richard Fieldhouse, chair of the National Association of Sessional GPs (NASGP), speaks to Emma about all things related to locum GPs. Around a third of GPs in England are not currently working in substantive posts in GP practices and many of these doctors will be working as locums. Richard set up the NASGP in 1998 to provide support to locum GPs and lobby policymakers on issues specific to locums. In this interview he explains how the current jobs market is affecting locum GPs and the rates they are receiving for work, what the NHS could do to make better use of locums and the value locums bring to general practice.He also talks about why being a locum is still a good career choice and offers some advice for GPs starting out as locums and for practices on how they can get the best from their locum GPs.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksNational Association of Sessional GPsGP job shortage forces locums to cut fees and take on private workHow to create a GP portfolio careerManchester University research Richard mentions in the podcastBecoming a GP locum: Setting your ratesBecoming a GP locum: Setting your termsBecoming a GP locum: Invoicing and expensesIf you do locum GP work complete our annual survey on GP locum rates here - you will be entered into a prize draw to win £250 of John Lewis vouchers. Hosted on Acast. See acast.com/privacy for more information.

Just before Christmas the government announced an £889m funding uplift for the GP contract in 2025/26 - Nick and Emma discuss whether that funding is enough to stabilise practices and what the government will be asking for in the next contract.They also talk about the government and NHS England's elective reform plan, which was unveiled this week and sets out steps to hit the 18-week referral to treatment target by the end of this parliament. The plan includes a number of measures involving GPs and primary care, so what does it all mean for general practice?Our good news story this week highlights those GPs recognised in the new year honours.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksWhat do we know about the 2025/26 GP contract?Is £889m the lifeline practices need to keep them afloat?Two-tier' job risk as practice nurses join ARRSGPs to be paid £20 per request in £80m advice and guidance planUnderstaffed GP practices 'not ready' to take on more work from hospitalsGPs recognised in 2025 New Year Honours Hosted on Acast. See acast.com/privacy for more information.

Emma speaks to GP Dr Tommy Perkins and accountant Andy Pow from Medics Money about the year ahead for general practice finance and how practices can ensure their business is in good shape.Medics Money has a website, podcast and a number of courses that provide doctors with education and support on all things to do with money, including personal finance and practice finance.Tommy is a GP partner who set up Medics Money with fellow GP Dr Ed Cantelo and Andy is a specialist medical accountant and has spent many years working with GP practices, supporting them with their accounts and their finances and now also works with Medics Money.In this conversation Andy and Tommy talk about the financial pressures practices will face this year including the rise in the national minimum wage rise and employers' national insurance contributions, as well as the importance of making sure local enhanced services are profitable for practices.They also talk about how the GP contract needs to change going forwards to ensure practices are more sustainable, problems with GP premises, offer some advice for GPs on their NHS pension, including for those affected by the McCloud remedy, and provide some general advice on finances in the year ahead.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksWhat does the McCloud judgment mean for my NHS pension from Medics MoneyMcCloud RPSS explained for doctors - remedial pension statement explainer on YouTubeMedics Money financial education for partners course Medics Money financial education for non partners From GPonlineGovernment unveils £889m GP funding boost for 2025/26Is £889m the lifeline practices need to keep them afloat? Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to chief executive of the National Academy for Social Prescribing Charlotte Osborn Forde and Dr Radha Modgil, a GP and TV and radio broadcaster, who is also an ambassador for the National Academy for Social Prescribing.In this conversation Charlotte and Radha explain some of the evidence to support the use of social prescribing, what works in projects on the ground and the important role GPs have to play within social prescribing.They also discuss some of the challenges facing social prescribing, what practices and PCNs can do to ensure their social prescribing initiatives are a success and how they would like to see social prescribing develop in the coming years as part of the government's 10-year plan for the NHS.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksFrom GPonline - The evidence to support the use of social prescribingFrom GPonline - The benefits of green prescribing in the NHSNASP report - The impact of social prescribing on health service use and costsNASP report - Building the economic case for social prescribingPreventing and Tackling Mental Ill Health through Green Social Prescribing Project - government evaluation Hosted on Acast. See acast.com/privacy for more information.

The GPonline team talks about some of the challenges the NHS could face this winter and what all this means for general practice.They also look at how the GP jobs crisis is affecting locum GPs - and discuss some worrying signs that the lack of detail on any support practices are likely to receive on employer's national insurance is having a devastating impact on some practices.And they talk about whether GPs in Wales and Scotland could be following their English counterparts and launching some form of industrial action in the push for a better GP contract.This week's good news story is about an ICB area in England that is bucking the trend and has seen a big fall in the number of patients per GP over the past two years and what they've done to achieve this.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 linksGP job shortage forces locums to cut fees and take on private workARRS jobs have not solved employment crisis for newly-qualified GPs, trainers warnGPs fear 'domino effect' as practice set to close over NI hikeTwo thirds of Scottish GPs ready to disrupt services through industrial actionWelsh GPs head for referendum after BMA rejects 2024/25 contract offerHow part of England bucked the national trend and grew its GP workforce Hosted on Acast. See acast.com/privacy for more information.

NHS England has estimated that practices spend around 10-20% of their time on 'lower-value administrative work and work generated by issues at the primary-secondary care interface', so what can we do to address this?This week Emma speaks to GP Dr Jonathan Griffiths the associate medical director for Primary Care at NHS Cheshire and Merseyside ICB about work he's been doing in his area to solve some of these challenges.In this conversation Jonathan explains some of the main problems that happen at the interface between primary and secondary care, how they are aiming to address these in Cheshire and Merseyside and the key things he's learned through doing this work.He also talks about why it is so important for the NHS to look at this as a system-wide issue and what the government and NHS England need to do centrally to help support local efforts to address these problems – as well as how this work applies to the interface with other sectors such as community services and mental health.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful links● NHS Cheshire and Merseyside Consensus on the Primary and Secondary Care Interface● RCGP Primary-Secondary Care Interface Guidance - which is based on work in Cheshire and Merseyside● Academy of Medical Royal Colleges publication - General practice and secondary care: Working better together - provides multiple examples of work that is aiming to improve working between primary and secondary care Hosted on Acast. See acast.com/privacy for more information.