The General Practice Podcast

In this week's episode, brought to you in partnership with Practice Index, we welcome back Robyn Clark and introduce new guest Tracey Clarke to discuss the vital role of reception teams in general practice. They explore efforts to better support these teams, including the launch of a new campaign video, and highlight the importance of safeguarding staff wellbeing. The episode calls for action against patient aggression, the need to stand up for colleagues, and greater recognition of the crucial part receptionists play in patient care. It also touches on training opportunities, such as e-learning and masterclasses, to help reception staff thrive and innovate. Useful resources, including Zero Tolerance policies, Dealing with Abusive Patients policies, and more, can be found in the Practice Index Hub. Introduction (00:08)  What has IGPM been up to? (00:51) Influencing the 10 year plan.. (03:30) The new campaign (05:32)  80% of receptionists suffer abuse every day.. (08:49)  Where should the support come from? (11:18)  Zero tolerance (14:53)  How has the receptionist role changed? (16:36) Response to the new campaign (19:48)  How do practices get involved? (23:15)  Visit the Practice Index hub here. View Practice Index's bespoke, engaging courses here. Access the ‘Receptionists in General Practice Masterclass' here, or the ‘Learning Package' here. To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

With Pride Month just around the corner, join us for an insightful discussion with Alex Matheson, Director of Inclusion at the LGBT Foundation, as we explore the vital work being done to improve healthcare for LGBTQ+ communities. Alex shares their expertise on the comprehensive services offered by the foundation, including talking therapies, addiction recovery, and mental health support. Discover the origins and impact of the Pride in Practice program, a key initiative addressing health inequalities and barriers faced by LGBTQ+ individuals in accessing healthcare. Alex highlights the importance of understanding the unique needs of LGBTQ+ people and how systemic gaps in education contribute to misinformation and delayed healthcare access, ultimately affecting treatment outcomes. This conversation is an invitation to healthcare practices to engage with these initiatives and work towards more equitable healthcare for all. Introduction (00:09)  Funding.. (01:28) Are your services national? (02:02)  Pride in Practice (02:20)  Barriers the community experience (03:43)  General practice has become an important role.. (07:29)  Are staff also experiencing challenges? (08:55) Do figures break down to General Practice? (10:38) More about Pride in Practice.. (11:38) Common changes (15:06)  Monitoring the impact.. (17:45)  Which practices need ‘Pride in Practice' (20:15)  How to get involved/Getting in touch.. (22:30)  Visit the LGBT Foundation website here, or contact Alex directly via email here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This episode features Dr Rachel Morris discussing the impact of stress and burnout on GP partners and PCN Clinical Directors, with a focus on how maintaining job control can help reduce pressure. It also introduces a communication model rooted in empathy, curiosity, and the principle of "highest intent," offering strategies for improving workplace relationships. The importance of trust-building and direct, face-to-face communication is explored as a way to bridge gaps between practices and strengthen collaboration, drawing on Stephen Covey's principles to turn misunderstanding into teamwork. Join us as we explore how fostering these personal connections can help overcome common challenges, transforming tension into teamwork. Introduction (00:09)  The stress that leaders are facing.. (00:37) What can we control? (01:38)  Controlling leaders (03:28)  Avoiding difficult conversations (05:29) Advice for having difficult conversations (07:28) When is a problem too large to tackle? (18:34) Listening & understanding (21:45) Maintaining relationships within PCNs (24:42)  How & where to hear more from Rachel (28:26)  The Lead Generator for HiFIVE model handout can be found here. To attend ‘Work Well Live: Prevent Burnout, Boost Retention and Protect Your Time and Energy - A New Approach' click here. The replay of ‘FrogFest Virtual 2024 - This Time it's Awkward Recording' can be found here. Website - https://youarenotafrog.com/ Instagram - https://www.instagram.com/drrachelmorris/ LinkedIn - https://www.linkedin.com/in/dr-rachel-morris/ Facebook - https://www.facebook.com/DrRachelMorris YouTube - https://www.youtube.com/@youarenotafrog Our FREE Am I Stressed, Overwhelmed or Burnt Out Toolkit -  https://www.shapestoolkit.com/stressed-overwhelmed-burnout-toolkit For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome back Claire Houston and Ceri Chaplin to explore the major changes to the Quality and Outcomes Framework for the 2025/26 contract, and what they mean for general practice. The episode dives into the removal of income protected indicators and the Quality Improvement domain, marking a shift back to an outcomes driven framework. This change could bring increased financial pressure, making strategic budgeting and achievement planning more important than ever. Beyond QOF, they also discuss the wider challenge of promoting preventative care, with a focus on childhood immunisation targets and cardiovascular disease management. With public trust in vaccinations still recovering post-pandemic, practices will need to innovate to meet targets and boost patient engagement. Tune in for a practical and insightful look at how these updates could reshape the future of general practice. Introduction (00:08)  The main changes to QOF (00:36) Stepping back.. (01:49)  Reducing the admin for practices (02:20) Budgeting.. (03:10)  The risk for practices (04:30)  Are the targets achievable? (06:58)  Advice to practices (09:28)  Do PCNs have a role in this? (12:45)  Retirement of the quality improvement domain (17:28) The future for QOF (20:41)  A more local focus.. (22:33)  Where to find support.. (25:03)  Book your QOF achievement session below; QOF Changes 2025/26 (Tuesday 13th May) QOF Changes 2025/26 (Tuesday 20th May) To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode we welcome back Pete Woodward, from Cheadle Medical Practice. Over the past year, Pete has experienced a whirlwind of success, including winning the Practice Manager of the Year Award and stepping into the role of managing partner. He shares insights into the evolution of their innovative triage, The Human Touch, which continues to reduce call wait times and enhance patient satisfaction despite seasonal challenges. Pete's commitment to minor adjustments rather than sweeping changes has been pivotal in maintaining momentum and avoiding change fatigue, ensuring a seamless service delivery. Pete & Ben also explore the strategic side of managing a medical practice, focusing on financial planning. Finally, Pete shares the importance of communication and collaboration in healthcare management. Tune in to hear Pete's valuable experiences and insights as he continues to champion innovation and efficiency in healthcare. Introduction (00:08)  The Human Touch (01:16) How are the results looking now? (02:35)  Is winter affecting the results? (03:53) Updates to the system.. (04:36) Scaling up.. (05:34) Have the same results been achieved across other practices? (06:05)  Funding & finances (06:59)  Budgeting for the year (10:13)  Taking action sooner.. (11:10)  How is this managed in the practice? (12:55) Making a difference (15:03) Funding via PCNs (16:07)  Financial challenges within practices (17:45)  Financial benefits to be gained from scale (18:56) Getting in touch (23:25)  Listen to Pete's previous episode, The Human Touch, here. To contact Pete directly, please contact him by email here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Is the Future of General Practice Finally Looking Brighter? In this week's episode, brought to you in partnership with Practice Index, we welcome back Claire Houston, Robyn Clark, and James Gransby to discuss the newly agreed contract for general practice. After three years of imposed terms, the promise of an additional £889 million in funding offers a glimmer of hope. However, the episode delves into the reality that much of this funding may simply offset rising staffing costs and increased national insurance contributions, providing little genuine financial relief for GP partners. We explore the complexities and uncertainties these changes bring, emphasising the importance of clear contract planning to secure financial stability and better outcomes for both practices and patients. Introduction (00:08) An agreed contract (01:22)  Are practices feeling better? (02:28) Is it helping the underlying profitability? (06:59) The changes & impact for ARRS? (11:10)  More money for ARRS? (12:17)  What's your take on the impact? (12:35) Keeping the online consultation tool on.. (15:56) The GPC.. (18:40) NHS England is going to be abolished (20:12) Final thoughts.. (23:28)  To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This week, we welcome Ashleigh Perryman and Michael Norris from Gosport PCN to discuss their pioneering work in team-based pharmacy services across five GP practices. Leading a team of 10 pharmacists, 10 technicians, and 4 admin staff, they share how their centralised approach fosters collaboration and innovation. Learn how strategic staff deployment ensures comprehensive care, while specialisation and ongoing training enhance service offerings. Whether you're a healthcare professional or simply interested in forward-thinking healthcare strategies, this episode provides valuable insights into the evolving world of pharmacy services. Introduction (00:08) The team.. (01:42) Developing the team (02:47) Career progression within the team (03:31)  Equal Pharmacy Techs and Pharmacists (05:40)  Development for individuals (08:13) Turnover of pharmacists (09:27) The outcomes of the videos.. (13:35 Safety searches.. (13:59)  Most at risk patients being prioritised.. (15:22) How does it work across multiple practices? (15:34) Taking this to PCN management (18:15) Plans for the future.. (19:59)  Getting in touch (22:36) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome back Claire Houston and Tara Humphrey, Founder and CEO of THC Primary Care, to explore the transformative potential of the new Neighbourhood Health Guidelines. Ben, Claire, and Tara examine how these guidelines could reshape healthcare delivery at the neighbourhood level, particularly their impact on general practices and Primary Care Networks (PCNs). They discuss the intersection of PCNs and emerging neighbourhood structures, highlighting the potential shift toward integrated care that involves community and social services. The conversation underscores the ongoing importance of access to general practice in maintaining patient wellbeing, especially as life expectancy continues to rise. This episode also sets the stage for future discussions on NHS developments, including insights from upcoming announcements such as the 10-year plan and next year's GP contract. Introduction (00:08) Neighbourhoods (00:44) The impact on general practice & PCN's.. (02:38)  Six core components (04:01)  Creating an infrastructure (06:46) Will we see pressure from local areas for PCNs to change boundaries? (11:21) Could local arguments start to emerge? (13:15) Funding.. (17:40) Freedom to local areas (21:20) Can practices and PCNs influence development? (25:24)  To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Unlock the secrets to revolutionising general practice with Ruth Rankine from the NHS Confederation, as she guides us through the intricate web of healthcare innovation and policy shaping. Learn how Ruth's pivotal role empowers her to engage with key stakeholders to drive transformative changes across the healthcare landscape. Discover the unique position of the NHS Confederation compared to the General Practitioners Committee, with a focus that extends beyond individual practices to embrace a diverse array of primary care providers. Ruth offers a candid look at the current landscape of general practice, highlighting the dynamic challenges and opportunities healthcare providers face amidst evolving governmental policies. With a focus on strategic co-production, community infrastructure, and organisational development, this episode offers valuable insights into the future of primary care and the path towards creating a resilient healthcare system. Introduction (00:09) A day in Ruth's life.. (01:18)  Influencing on behalf of members (02:37)  The difference between you & the GPC? (03:53) The current situation for General Practice (05:02)  What does the government want from General Practice? (07:20) General Practice & Neighbourhood teams.. (11:46) Coordination of organisations.. (14:03) How will collaborations work for local systems? (16:59) Do collaborations exist everywhere? (21:08)  Next steps.. (23:03)  Getting in touch.. (25:13) Visit the NHS Confederation website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome back Claire Houston, Kay Keane, and Hussain Gandhi. Together, they delve into the significant changes in advice and guidance funding for general practice, introduced as part of the government's new Elective Recovery Plan. With a focus on patient choice and the new £20 funding per advice and guidance request for GPs, they examine whether this fee truly reflects the work involved. They also discuss the potential shift in workload from secondary to primary care and what this means for practices. Additionally, the conversation touches on the evolving role of digital healthcare and its varied impact across regions, highlighting the importance of clear contractual details to ensure fair compensation for GPs. Tune in for an insightful discussion to help practices navigate these changes and prepare for the future of healthcare. Introduction (00:08)  The recovery plan (00:53) Advice and guidance (02:15) Existing funding (05:31) How advice and guidance requests work.. (07:35)  Additional money (11:36) Other elements (13:13) Patient-initiated follow-ups (14:10)  Is advice and guidance coming off the ‘list' (21:11) The details.. (22:29)  How to prepare.. (23:11) Visit the Practice Index Hub directly, here. To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

We're pleased to kick off the new year with a returning guest, Lorenz Kemper, Co-founder and Director of Medlink Solutions. Since his last appearance during the pandemic in 2020, Medlink has achieved remarkable growth and innovation in transforming general practice operations across the UK. In this episode, Lorenz discusses how Medlink has expanded its client base and unveiled an automated recall system integrated with EMIS Web. This breakthrough reduces administrative workloads, increases clinical capacity, and absorbs communication costs, resulting in significant savings and improved efficiency for practices. Join us to explore how these advancements are reshaping the way practices manage enhanced services. Introduction (00:08)  Peak of the pandemic.. (01:38) What's happened since then? (02:05)  How do you manage health checks remotely.. (02:47) Is this practice focused? (03:41) What does MedLink do? (05:30) How have practices found this system? (10:02) Providing patients with options.. (12:42) What's included for each practice? (13:26) Future plans.. (14:27) Development of neighbourhood teams (15:24) Working with secondary care.. (18:01) Finding out more.. (18:48)  You can visit the MedLink website here. You can listen back to Lorenz' & Ben's previous episode ‘Online long-term condition reviews using MedLink' here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome back Claire Houston & Kay Keane, they explore the financial challenges that general practices are facing in light of recent budget changes. Practices are grappling with significant costs, and the fear of potential staff reductions looms large. They highlight the ongoing financial strain on practices, emphasising the gap between headline funding figures and the real growth in income. They reflect on the emotional and practical struggles faced by healthcare workers amidst rising operational costs. The lack of clear communication from governing bodies only adds to the difficulty of managing budgets effectively. This episode paints a vivid picture of the challenging landscape that general practices navigate while striving to maintain service standards. Introduction (00:09)  The impact on practices (02:51)  Finances for practices (04:22)  Is there time? (07:41) Is it going to get resolved.. (09:10) IGPMs reaction (12:03) Collective action (14:15) A difficult period.. (16:43)  How do you see it playing out? (22:02) The salary calculator (23:32)  To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.  

Join Ben in this solo episode as he explores the rapidly changing landscape of general practice and primary care networks. With the five year contract ending in March, is general practice facing significant financial challenges and an uncertain future? Ben explores the potential shift towards a neighbourhood based model of healthcare integration. As Primary Care Networks take a backseat, the focus shifts to integrated neighbourhood teams, designed to deliver seamless, holistic care. He also discusses the implications for Integrated Care Boards and the critical need for strong organisational infrastructure to support this transformation. Listen in as Ben navigates the challenges and opportunities, pondering what the future holds for general practice.. The changing landscape for primary care networks and for GP practices (0:09) Contract limbo situation (0:22)  The Fuller Report (02:08) Integrated neighborhood teams (03:49) The Darzi report.. (06:09) GP contracts needs to have some major reform (07:14) Think tank.. (08:00) ‘Working Better Together in Neighbourhoods' Report (08:54) The job of ICB's (10:48) PCNs.. (11:31) Introduction of neighbourhoods (12:57) What does all this mean? (14:20) Relationships in your local area (17:14) Taking on leadership roles for cross organisational working.. (18:11) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This week, Ben is joined by former colleague, Adrian McCourt, to explore groundbreaking innovations in general practice health services. Adrian shares his transformative work from the past three years, focusing on how addressing social determinants of health can enhance healthcare outcomes. He highlights the challenges and impacts of tackling issues like housing, finances, and social networks, particularly for frail patients who experience frequent hospital readmissions. The episode concludes with Adrian offering practical advice on implementing these innovations in various settings, providing a roadmap for those looking to pursue similar initiatives. Don't miss this opportunity to gain valuable insights into driving innovation in general practice. Introduction (00:09)  How did the project come about? (00:46) Social determinants.. (02:04) Influences.. (02:21) Population health management (03:41) Making a difference.. (05:04) Seeing a difference.. (08:57)  Demonstrating the difference.. (10:34) The costs involved (14:24) The future.. (18:36)  Getting in touch.. (22:02) Visit Sodexo's website here, or get in touch with Adrian via email here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Primary care leader Dr Tom Holdsworth returns to the podcast, bringing his wealth of experience from Sheffield's dynamic healthcare scene. This episode uncovers how his team embraced an NHS England pilot with a mix of enthusiasm and cautious optimism, aiming to revolutionise data accuracy and effectiveness in primary care. Eager to innovate, Tom explores strategic approaches to data collection and capacity building, he sheds light on the importance of establishing consistent baselines and the potential for debunking myths around general practice funding through transparent data. Our conversation also paves the way for a richer understanding of frailty care expansion and the integration of neighbourhood teams to enhance emergency services coordination. Looking ahead, they delve into the promising future of the GP programme, with plans for new staff appointments and expanded capacity. Join us as we anticipate the transformative impact this will have on patient care and eagerly await future outcomes. Introduction (00:09)  Tom's roles.. (00:23)  The focus.. (02:01) The NHS England PCN Pilot Scheme.. (02:58)  10% increase in capacity.. (07:31) The impact of data overtime.. (09:03) Investing in General Practice (10:29)  The future of the pilot.. (17:33) Support throughout the pilot (18:41)  Results from the pilot.. (19:51) Listen to Tom's previous episode here - ‘Supporting frailty in Sheffield'. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Could the future of rural healthcare be at risk? Join us as we welcome Nicola Davies, Matthew Isom & Ed Kennedy to discuss the pressing challenges confronting dispensing practices in rural areas. These practices, crucial for providing medication to patients living far from pharmacies, are battling rising drug costs and inadequate reimbursements.  Hear how once profitable operations are now facing financial strain, threatening essential healthcare services for communities who depend on them. Tune in to understand why national level resolutions are crucial to preventing health inequalities and preserving essential services for rural communities. Introduction (00:08) The 1.6kilometre rule.. (01:34)  Challenges dispensing practices are facing.. (02:10)  A third are operating at a loss.. (05:42)  Does dispensing activity subsidise core service delivery? (07:51)  Reports.. (19:06)  What needs to change? (20:58) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben as he explores the new primary care patient safety strategy released in September, with expert Laura Marshall, Co-Founder L&L Consultancy Group and senior associate at Oliver and Company. This episode uncovers the strategy's potential to revolutionise patient safety in general practice and addresses the challenges and opportunities it presents.  Ben & Laura highlight the need for a different culture where staff can report incidents without fear of blame. By fostering trust and confidence through effective communication of outcomes and changes, they aim to encourage comprehensive reporting and learning within general practices. Don't miss Laura's enthusiasm and willingness to engage with listeners for more in-depth discussions on these crucial topics. Introduction (00:09)  Patient Safety Strategy (00:37) Not reporting issues.. (01:13) Learning, not blaming (04:41) How to implement these changes? (07:02) Who does this fall on? (08:14) What difference will practices see? (10:22) Overcoming the fear.. (11:41) Feedback on reporting.. (15:19) Implementing this into practices (16:51)  Additional resources? (19:11) What will be different? (20:24)  The CQC (21:57)  Getting in touch.. (24:47) Contact Laura directly via email here, or find Laura on LinkedIn here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome James Gransby and Ceri Chaplin. They join Ben to discuss the implications of the recent budget on general practice, sharing concerns about how these changes could significantly impact practice finances. They highlight the projected cost increase for employing someone on minimum wage next year, illustrating the financial pressures facing GP practices. The episode further explores the funding challenges general practice managers face, focusing on the gap between rising staff salaries and insufficient funding. The episode emphasises the need for more clarity and planning to ensure primary care can effectively manage resources amidst these financial uncertainties. If you'd like to come to Guidelines Live (free for practice management staff), simply click here and ensure you select 'Practice Management' in the profession field. Alternatively, you can email info@practiceindex.co.uk to secure your ticket. Introduction (00:08)  The budget (00:50) The two big changes.. (01:48) The changes to the National Living Wage? (03:15) Impact on practices (03:45) Another rise, unfunded or underfunded? (04:08) Calculations about the impact on practices. (04:37) Has general practice been caught in the crossfire? (05:26) The offset.. (06:35)  The partnership model.. (08:39)  What are the other impacts from the budget? (10:37)  Could partners leave sooner? (12:30) Practice premises upgrade.. (13:37)  The future is looking promising.. (14:37) The local community (15:20)  Key takeaways (17:33) Advice & final thoughts.. (20:53)  To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben as he brings together pensions expert Paul Gordon and accountant James Gransby to explore the recent changes in NHS pensions. They discuss the aftermath of the age discrimination case and its consequences following the government's loss, which has resulted in revised pension statements for many NHS members. The discussion delves into the complexities of NHS pension figures and annual allowance returns, highlighting the challenges faced by both individuals and practices. They emphasise the importance of using medical specialist accountants to ensure accuracy in submissions. Join Paul and James for this dynamic discussion and how to prepare yourself with the knowledge to tackle these pension challenges, and those dreaded brown envelopes, with confidence. To join the session Paul & James are running at 8am on the 31st October, the invite can be accessed here. Meeting ID: 372 708 777 60 Passcode: UHL7CW Introduction (00:09)  The update (00:57)  Updated statements (02:09) Making a choice.. (04:00) Rollback? (05:12) Why is it not available on the website? (06:28)  The brown envelope (07:29)  What do you need to do? (08:37) January deadline.. (10:48) What's happened since the brown envelope delivery? (11:28) Changing schemes.. (15:31) Summary.. (16:30) The inside scoop.. (18:01)  Budget breakfast & how to attend (24:11)  The HMRC tool mentioned by James, ‘Calculate your public service pension adjustment', can be accessed here.  To contact James directly, his email can be found here, or visit James' bio on the Azets website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben this week, with guest Joe McManners, a GP in Oxford, as they explore the challenges and potential solutions for enhancing primary and community care within the NHS. They tackle the provocative notion that a sudden influx of funding into primary care might not yield the desired outcomes without the necessary structures and capacity. Drawing insights from the Darcy report, they discuss the persistent issues plaguing the NHS and the historical difficulties of transitioning resources from hospital care to community-based care. They also explore the ongoing debate within general practice about expanding services versus adhering to current boundaries. Tune in for a discussion that underscores the need for stability and long-term planning in the evolving landscape of primary care. Introduction (00:09)  The Health Service Journal (00:53) Going back to the 90s.. (02:34) What's needed to make it different this time? (03:54) Examples of this approach working (06:12) Capacity in the community (07:45)  Future structures? (09:38)  What do we mean by a neighbourhood? (10:44)  Integral structures.. (13:20)  Capital investment.. (14:27) Policy agenda (16:47) New government, new investments? (19:31)  What do we need to see in the next year? (20:45)  The future of PCNs.. (22:16) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome back Claire Houston. Ben & Claire discuss the challenges PCNs face with the tight timelines and ambiguous guidance surrounding the new additional role reimbursement scheme for GPs. Claire shares her perspective on the recruitment hurdles, including stringent criteria, funding constraints, and the lack of clarity about funding beyond the initial six months. Tune in for an enlightening discussion on these pressing issues and potential pathways to sustainability in primary care. Introduction (00:08)  Underspend on the additional role reimbursement scheme (00:57)  Introduction of the new additional role reimbursement scheme.. (01:50) Funding beyond March (03:17) Separate pot from the additional role reimbursement scheme (05:55)  Assurances by NHS England (07:08)  The numbers.. (08:43) Where is additional money coming from? (09:43) Providing support to the new GPs (11:30) Where to place additional role staff.. (13:58) Other stand outs about the new PCN Des.. (15:41) PCN's position.. (16:53) Using unspent ARRS money.. (20:26) To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben as he explores the critical intersection of healthcare and environmental sustainability with Dr Fran Cundill, a dedicated GP from North Sheffield and the chair of South Yorkshire Greener Practice. In their conversation, Fran shares her inspiring journey of spearheading sustainability initiatives across four PCNs. Discover how she crafted tailored green plans for each PCN, focusing on priorities like energy cost reduction, clinical de-prescribing, and green prescribing. Fran also candidly discusses the challenges and successes encountered along the way, emphasising the importance of integrating sustainability into daily healthcare practices. Fran shares her focus on a targeted initiative aimed at improving asthma care within a PCN. This initiative has not only garnered positive reception but also resulted in environmental benefits. Hear about the successful implementation of an asthma project within a PCN, and the role of key stakeholders in driving the project's success.. Introduction (00:08) Environmental sustainability work (01:36)  Turning the brief into specifics.. (02:53) Working with each PCN.. (03:52)  The biggest impacts (04:40) The asthma project (06:33)  Signing the practices up.. (08:32) Setting targets (09:05)  What changes were made? (10:14) The overall impact.. (12:06) The future.. (12:59)  Key takeaways.. (14:11) Finding support (15:49) What's next for Fran? (17:38) Visit the Greener Practice website here, the toolkit here, and the Centre for Sustainable Healthcare website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben for an engaging conversation with Amy Sissons, business partner and head of innovation at Qualitas Consortium, and Dr Naomi Bennett, GP partner and graduate of the Pathway for Partnership programme. Together, they explore how the Pathway for Partnership programme empowers both new and experienced GP partners to enhance their leadership abilities and drive practice transformation. Discover how the programme instils the confidence to challenge norms, enabling data-driven decisions and improving patient care. The discussion also covers the programme's positive impact on practice operations and its role in addressing NHS pressures. Introduction (0:08) Pathway for Partnership Programme.. (03:36) Partners.. (05:01) New partnership scheme (05:16) How does it work in practice? (06:26) How did you hear about the programme? (08:12 Becoming a GP Partner (09:16)  What were the things then you kind of found most useful? (09:56) Overall impact on the practice, staff & patients.. (12:22) Patient Participation Group (15:33) Development after the programme (17:09) Top tips for a new partner.. (18:58) Find out more.. (20:55) Visit the Qualitas Consortium uk website here, or visit their facebook, Twitter or Linkedin. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

For the sixth year running, we welcome back Hussain Gandhi, to reflect on the transformative journey of PCNs since their launch in 2019. Ben & Gandhi discuss the evolution of managing Additional Roles Reimbursement Scheme roles, highlighting the transition from rapid growth and role definition to achieving stability and effectiveness within the workforce. They explore the power of collective action within PCNs, showcasing how diverse roles like health and wellbeing coaches, pharmacists, and care coordinators collaborate to enhance patient care. They discuss the importance of community partnerships in addressing broader health issues and reflect on the impact of recent governmental initiatives on general practice. Gandhi provides a critical analysis of potential future reforms and the need for targeted changes to support the sustainability and effectiveness of general practice in the UK. Listen in for a discussion that offers both a retrospective and forward looking perspective on the future of general practice. Introduction (0:09) 2019 to now.. (00:30) Does it feel different this year? (01:45) How do you stop that from happening? (02:52) Specific teams within the ARS group (03:22)  Getting the balance right.. (04:46) Has the balance changed? (05:43)  Gandhi's thoughts on GPs being added to the additional roles scheme (06:50) Could GPs take on a leadership role? (08:28) Population management (09:52) Community hub.. (12:19) Collective action.. (14:38) The right approach (16:59) The new government (19:07) How do you predict things are going to play out over the next few years? (20:48) PCN Plus conference (23:50) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben this week as he explores the cutting-edge implementation of autonomous patient triage in general practice with esteemed guests, Jake Kennerson, at The Groves Medical Centre and Elango Vijaykumar, at NHS Surrey Heartlands. Over the course of this episode, Jake and Elango share their experiences with Rapid Health, a revolutionary triage tool that has transformed their practices. They describe how the system has allowed for seamless online appointment booking, significantly reducing the need for traditional phone based systems. Listen in as they reflect on the significant impact of these changes and share best practices for continued success in implementing these innovative solutions in general practice. Introduction (00:08) Rapid Health (01:08)  How's it going.. (04:02) Autonomous patient triage.. (05:20)  Refining the process (07:33) Statistics.. (08:59)  Clinical governances & patient safety.. (12:14)  Patient reaction so far.. (14:22) Impact on practices.(18:30)  Capacity concerns (21:02)  Advice for others.. (23:18) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Should GPs be added to the Additional Role Reimbursement Scheme? Join Ben & Tara Humphrey from THC Primary Care, as they dissect the details of the new funding scheme specifically allocated for GPs and its potential impact on PCNs. Tara shares her insights on learning from past experiences, avoiding resource dilution, and the practicalities of financial feasibility. Together, they look at the recent funds allocation by NHS England for hiring more GPs, debating the most effective distribution of this funding, and providing practical advice on making the most of this opportunity despite its potential limitations. Don't miss this thought-provoking discussion on the evolving landscape of GP roles in PCNs. Introduction (00:09)  Additional Role Reimbursement Scheme.. (00:39)  Making decisions.. (02:46)  Making the most of the Additional Role Reimbursement Scheme (03:56)  One GP per PCN? (04:59)  How to get the most value out of the GPs? (06:43) Is a new service required? (08:22)  A focal point for this new role.. (09:01)  Impact GP's could have to the additional role teams? (09:59)  Sharing resources.. (10:54) Restrictions for GPs.. (11:51) Releasing information.. (13:43) How can we offer people any security (16:03)  Price competition (18:03) Preparation for PCNs.. (20:53)  Getting in touch.. (22:20)  To contact Tara directly, visit her LinkedIn here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben for his first episode back as he talks with Adrian Down & Darren Altus, as they explore the fascinating journey of K2 Healthcare. They focus on the strategic approach to healthcare model implementation, emphasising the importance of tailoring funding and structure around a predefined model. Explore the methods of measuring success, the feedback loop from clinicians, and the long term impact of sustained interventions. They also discuss the challenges of managing multiple PCNs and the role of federations in the future of healthcare delivery. To wrap up the episode, they highlight the need for PCNs to think beyond traditional roles and engage in integrated community partnerships, balancing collaborative efforts with maintaining individuality. Join Ben, Adrian & Darren for an insightful conversation on the future developments in the neighbourhood team model and much more. Introduction (00:09)  The Federation - K2 (02:51)  Pre PCN.. (04:04) Funding.. (05:08) What was the impact of PCNs on your federation? (06:28)  Tension between federations.. (09:22) K2 & PCNs.. (10:37) Keeping contact with practices.. (12:59) Integrated neighbourhood teams (14:47)  Measuring success (16:58) Seeing the results.. (18:45) Involvement in pilots.. (19:34)  How do you see the role of federations in the future? (20:38)  Getting in touch.. (22:47) Contact Adrian via email here, & Darren here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben as he explores the evolving role of pharmacists in general practice, with special guests Ruhina Kassam & Mahmud Mamayusupov from Clinical Pharmacist Solutions. They share insights on the push for pharmacists to become prescribers, emphasising the importance of this shift to meet increasing healthcare demands. Ruhina & Mahmud introduce the DPP Finder service, designed to connect pharmacists with designated prescribing practitioners, facilitating the required practice hours for their prescribing qualification. They also discuss the balance between community pharmacy and PCN pharmacists, improvements in workforce distribution, and the Pharmacy First scheme. Don't miss this insightful discussion that highlights the significant developments and opportunities in the pharmacy profession. Introduction (00:09) Updates from Clinical Pharmacist Solutions.. (00:29)  Becoming advanced practitioners.. (01:16)  Do pharmacists want to become prescribing pharmacists? (03:15)  The scheme.. (04:13) Pharmacists in their own practice (06:34) Mentorship.. (07:08)  90 hours.. (08:56) Is the scheme funded? (09:40) Limits to the prescribing qualification.. (11:33) Additional qualifications (13:09) Specialist vs general approach (13:40) Thoughts on the way that pharmacists are being used in general practice and by PCNs? (14:07) Quality of supervision offered via PCNs.. (15:58) Turnover of pharmacists.. (16:57) Impact on community pharmacy.. (20:32)  Pharmacy First (21:16)  Getting in touch.. (23:01) Visit the DPP Connect website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us as we welcome Judy Oliver and Charlotte Cummings from Oliver and Company to discuss the fascinating journey and evolution of integrated neighbourhood teams. Judy and Charlotte share invaluable insights on customising the program to bring together community services, social care, general practice, mental health, and the voluntary sector, emphasising the critical importance of strong inter-professional relationships to deliver seamless, patient-centred care.  Finally,  Judy and Charlotte shed light on the role of expert facilitation and coaching in enhancing team dynamics and outcomes, emphasising the importance of continuous improvement in fostering successful integrated teams in general practice. Don't miss this insightful conversation on creating cohesive, cross-organisational healthcare teams that truly make a difference. Introduction (00:09)  Integrated neighbourhood team (02:56) The core design of integrated neighbourhood teams (05:01)  What should they look like? (07:05) PCNs & GP practises role.. (12:13)  Moving ahead (15:03)  Is a mindset shift needed? (18:59)  The next few years.. (22:16)  Getting in touch (23:33) Visit the website for ‘Oliver and Company' here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome Adrian Down, the managing partner at Caythorpe & Ancaster Medical Practice. Adrian shares his fascinating journey from a high-paying role in a multinational firm to becoming a practice manager in general practice. He reflects on his transition and discusses the dynamics of equality within his practice partnership. Adrian and Ben explore the challenges faced by non-GP professionals in general practice partnerships and shed light on the value of the partnership model in maintaining the effectiveness and accessibility of general practice. Discover how Adrian's passion for helping people has sustained him in this role and how his partnership model has remained effective over time. Introduction (00:08)  An equal voice.. (01:47) Has being a practice manager matched your expectations? (02:35)  Then and now (03:16)  Has the model evolved over time? (04:42) Status inequality between non-gp partners and gp partners (05:54) Guidance for non-gp partners (07:29) National LMC conference (08:58)  Feedback & next steps.. (12:51)  Working with the IGPM (14:40) Information or resources (16:05)  Contact Adrian via email here. To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.  

Join us this week as Ben welcomes Dr. Steph Cook and Dr. Jennifer Greenlaw to discuss the groundbreaking concept of women's health hubs. Steph and Jennifer are both experienced GPs with a focus on women's health, and share their innovative work in Liverpool and Manchester. Discover how these hubs bring together existing services to provide comprehensive care, reducing the need for multiple appointments and learn about the impact of the Women's Health Strategy. They also explore the success and feedback from women accessing contraceptive services, highlighting the popularity of convenient options like Saturday clinics. Understand the logistics of providing these services, including self-referral processes, short wait times, and the flexibility of primary care networks. Tune in to hear how the Women's Health Strategy is bringing renewed focus to these essential services and improving access, experience, and outcomes for women, especially those in underserved populations. Introduction (00:09)  Women's Health Hubs (01:30) Single locations? (03:27)  Women's Health Strategy (04:28)  Funding.. (05:31)  General practice & PCNs.. (06:25) Making that shift for Women's health (08:49) Feedback from women.. (11:05)  Payments for services.. (12:03) Support from the ICB's (17:41) Top tips.. (21:04) Accessing the toolkit (21:50) Getting in touch.. (22:55)  Access ‘The Women's Health Hub Toolkit' here. Contact Steph by email here & Jennifer here. Listen to a previous episode introducing ‘Urban Village Medical Practice' here and learn their Innovative Strategies to Support Homelessness here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Robert McCartney, an associate at Hemsons, is back again, as they explore his recent work on PCNs and integrated neighbourhood teams. Robert shares his insights into the complexities of creating legal constructs for these collaborations, emphasising the importance of contractual agreements with community services and third parties like pharmacies and charities.  Ben & Robert also touch on the broader landscape of how PCNs are evolving and the impact this has on healthcare delivery and collaboration. In this episode, they focus on the recent updates to the premises cost directions, which govern funding and access to funds for GP premises. These changes include the potential for 100% improvement grants and funding for land purchases, offering some relief to practices facing financial pressures due to increased demand and the influx of PCN staff. They look at the implications of these updates, such as the expanded ability for commissioners to use a broader range of valuers, the impact on VAT negotiations, and practical steps practices should take to navigate these new directions effectively. Introduction (00:09)  Finding ways of developing new services together (00:37) Contractual agreement.. (01:11) The premises cost directions (01:48)  Why now? (02:53) What are the main changes in the new updates? (03:53) Carrying out necessary extensions.. (05:53)  What's the catch? (06:48) 18 year commitment (08:06)  Last man standing (09:14) But the money isn't there.. (09:46) How to get better access to the funds.. (11:25) Other changes.. (12:06)  Further guidance.. (13:17) Freedom for practices.. (13:54) PCNs.. (15:27) VAT implications.. (16:19)  Next steps.. (17:18) Is this positive? (18:29) Getting in touch.. (19:37) Contact Robert via email here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us in this enlightening episode as we reconnect with Dr. Donal Collins, to explore innovative approaches to managing type 2 diabetes. Through shared decision-making, whether it's dietary changes or new medications, we discuss how managing insulin and energy intake can shrink fat cells and reduce inflammation. Donal & Ben explore the strategic decision-making required at various levels—individual practices, PCNs, and integrated care boards, to implement these changes effectively. This conversation touches on the challenges of demonstrating long-term cost benefits of proactive care., so tune in for a comprehensive discussion on the future of managing chronic diseases. Introduction (00:09) Treatment for type 2 diabetes (01:32)  Impact of current treatment.. (05:26) Why is it something we've never been able to achieve? (09:04) Making the effort.. (10:39)  Where is the right place for these conversations? (12:29)  Introduction of new roles (13:32)  Where do you think this best sits?(15:29)  The science of change.. (18:21) Getting in touch.. (20:57)  Listen to Donal & Bens previous episode here. Contact Donal Collins via email here, via twitter here or access his linkedin here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us for an insightful conversation with Dr Christian Hornung, who wears many hats in the realm of primary care. Listen in as we explore a strategic energy savings initiative that began within a PCN and blossomed into a national success story. With the help of an energy consultant, healthcare practices, pharmacies, charities, and private hospitals have achieved significant financial savings.  Christian shares the straightforward process that maximises benefits for all members. This episode also provides practical steps for practices to join the energy-saving initiative and highlights the potential for immediate and future savings, bringing a ray of optimism during challenging times.  Don't miss out on this transformative discussion that promises to inspire and energise your practice. Introduction (00:08)  Energy.. (00:43) Building links between the practice & pharmacy.. (05:06) Energy Co-op Limited (06:11)  Negotiating discount.. (07:28) Paying the Energy Consultant.. (08:53) Annual savings..  (09:23) The start… (10:03) Scaling up.. (10:36) Creating a business.. (11:01) How has it grown.. (12:05) Are you open? (12:21) Signing up (12:39)  Developing in the future.. (13:45) NHS England.. (14:29) Lower individual bill costs.. (14:57) Growing the business.. (15:26) What's the catch? (16:33) Getting in touch.. (17:00) Visit the ‘Energy Cooperative' website here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben this week, as we celebrate the 400th episode of the General Practice Podcast, by tackling the intricate landscape of the 2024-2025 period for general practices. In this solo episode, Ben discusses the challenges brought on by the continuation of the five-year GP contract with added cuts, addressing issues such as below-inflation pay growth and heightened cost pressures.  Listen in as Ben examines the dynamics between PCNs and their member practices, offering insights into navigating financial pressures while maintaining independence. Discover three potential paths practices can take: maintaining strict boundaries, merging to become as large as the PCN, or adopting a hybrid model.  This episode emphasises the importance of trust and transparency, so stay tuned for a discussion on how collective efforts can help navigate the anticipated challenges of the upcoming year in general practice. Celebrating 400 episodes (00:09)  Navigating 2024-2025 (01:09) Contract changes.. (02:30) PCN DES (03:31) The end of PCNs? (04:01) Referendum on the contract.. (04:59) Mass Resignations (05:40) PCN core functions (06:36) Relationship between PCNs & practices (08:19) The 3 choices.. (09:29) The hybrid model.. (11:19) How can we work together (16:58) Financial pressures (17:52) Supporting each other.. (18:07) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, we welcome back the insightful Robyn Clark and Kay Keane, who share their pioneering experiences with the ‘Right Care, First Time' campaign.  This episode brings to light the complex skills required of modern patient services teams, the critical need for recognition and appropriate compensation for their work, and how their evolution is instrumental in guiding patients to the right care. Join us for this enlightening conversation that's bound to reshape your perspective on the ever-changing landscape of general practice. Right Care, First Time (00:09)  The thinking behind the campaign.. (01:13)  Modern General Practice (02:35)  Who is the campaign targeted at? (03:44) Getting the message across.. (04:30)  Acceptance of new roles.. (05:49) Funding.. (09:07)  Targeting specific needs.. (09:49)  A more flexible pot? (12:54)  Trust within PCN's (15:00)  NHS England Care Navigation Training.. (17:13)  Building the confidence of the public.. (19:29)  Feedback following the video.. (21:45)  Where can I access the video? (22:02)  What does industrial action look like for General Practice? (22:56)  To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben is joined, once again by Dr. Neil Modha, a mastermind in revolutionising patient care through innovative practices and strategic partnerships. As the GP partner of Thistlemoor Medical Centre. Neil discusses the fine art of managing workload and curbing GP burnout by staying ahead of the curve with bespoke roles designed to meet patient demands. Neil offers a sneak peek into the promising future of GP and pharmacy collaborations. Ben & Neil also look into the financial challenges and opportunities for community pharmacies, contemplating the evolution of the GP partnership model amidst current contractual changes.  Introduction (00:09)  Latest achievements.. (00:20) Thistlemoor turns 30! (01:14)  What makes Thistlemoor different? (01:50) Additional roles.. (03:28) Recent changes to roles.. (05:16)  Consultations in the pharmacy.. (08:25) Learnings so far.. (10:33)  Creating effective partnerships.. (11:54) Bring the practice and pharmacy together (14:17)  Thoughts on the GP Partnership model? (17:00) A difficult year ahead.. (18:54)  What's next? (20:06) .  Taking a risk.. (23:12) Getting in touch.. (25:59) You can listen to Episode 116: Neil Modha – An innovative model for general practice here. Find Neil on LinkedIn, Twitter & email, you can also visit Thistlemoor Medical Centre on twitter & their website. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben is joined by George Gavriel & Bobby Pozzoni-Child, from the Bucks GP Provider Alliance. Their engaging discussion looks at the crucial role of collaboration with the ICB to amplify the GP provider voice and underscores the value of place-based leadership groups as emphasised in the Fuller stock take. Discover the intricate structure of Bucks' GP, the interplay of its practices, PCNs, and the local federation, and learn how challenges are navigated to align these entities.Tune in for a conversation that's at the heart of transforming patient care and healthcare leadership at the local level.. Introduction (00:08) Bucks GP Provider Alliance (00:40) Place-wide federation (01:38)  Bobby's role.. (03:18) Other staff.. (04:11) Bringing together the leaders (06:02)  Do practices understand the system and how it works? (07:12) Objectives of the GP Provider alliance.. (09:25) How long have you been going? (11:19)  What are your main achievements so far? (11:51)  Annual report.. (13:47) Funding.. (14:24)  Benefits to the ICB of having you guys in place? (16:45) Support for practices.. (18:40) Biggest learning so far.. (21:10) To find out more contact Bobby via email here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode, we delve into highlights from the second annual PCN Plus live conference, where Ben teamed up with Tara Humphrey, Dr. Andy Foster, and Dr. Hussain Gandhi on Wednesday 17th April. Tune in as they explore life beyond primary care networks, the evolving role of PCNs, and their significant influence on the healthcare landscape. Introduction (00:08)  What have been the main impacts of primary care networks? (00:40)  What will come in the next contract? (04:43) How should PCNs be preparing to deliver integrated neighbourhood teams? (10:35)  Should GPs be included in ARS roles? (15:30) For all enquiries about the Ockham podcast, please contact Ben Gowland here.

We are joined, once again, by Dr Nigel Fraser, Dr Mike Hearne, and Conor Price. This week they discuss how Herefordshire has taken significant strides in influencing integrated care board decisions through data sharing and analytics, highlighting the critical role of Primary Care Analytics in the evolution of local data systems.  Hear about the national landscape of general practice data analytics and its impact on healthcare strategies from our guests. They bring to the table discussions on the need for a unified voice in the sector, the challenges in translating complex activities into actionable insights, and the role primary care analysts play in this domain. The episode wraps up with a look at the strategic enhancement of data analytics in primary care. Don't miss part 2 of this insightful discussion on revolutionising general practice and promoting innovation across the nation. Introduction (00:09) Data in General Practice (02:03)  The importance of sharing data (03:32) Controls.. (04:36)  Primary Care Analytics.. (05:02)  Primary Care Analytics forum.. (07:54)  General Practice influence (08:53) Skills gap within General Practice (10:04) Working together.. (11:08)  Measuring what's important (13:09) Supporting other areas.. (13:59) Influencing at a ICB level (17:20)  Getting in touch.. (18:37)  Starting a National movement.. (19:00) Final thoughts (19:37) Contact Conor Price via email here & visit the Primary Care Analytics website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us as we explore the advancements in general practice data and analytics, as Ben sits down with Dr Nigel Fraser, Dr Mike Hearne, and Conor Price. They share their invaluable insights on the early initiatives of data sharing using EMIS and the importance of establishing trust among practices. Together, they unravel the complexities of standardising data to enhance collaborative healthcare and reflect on the journey from the initial phases to the sophisticated state of data utilisation today. Listen in as they tackle the significant strides made in healthcare data management and the importance of standardised coding templates, the trust required in data sharing, and the role of mobile healthcare in addressing critical issues. They also discuss the creation of robust data management teams and the strategic deployment of data to advocate for primary care investments, all while recognising the undeniable power of data in steering healthcare improvements and fortifying practice support within the larger system.. Introduction (00:08) Primary Care Analytics (01:57) Comparing apples with apples (04:02)  LMC's perspective.. (05:07)  The pro's of providing the data.. (05:54) The developments & benefits.. (07:06) Using the data right (11:34)  Producing information.. (14:23)  Data analyst & beyond.. (16:55) What does the data look like now? (18:36) How does the data help? (21:28)  How to get in touch (23:02) Contact Conor Price via email here & visit the Primary Care Analytics website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

With general practice at a crossroads, Practice Index podcast regulars Robyn Clark and Claire Houston join Ben to assess the financial hurdles presented within the latest GP contract. The 2% funding increase is a drop in the ocean against towering inflation and the uptick in the national living wage could well see a situation whereby practices are unable to hire or replace departing staff, calling into question, once again, the issue of sustainability. We consider newer directives linked to capacity and access such as telephony, online consultations, and care navigation systems and probe the effectiveness of the Integrated Care Board payments - and the Quality and Outcomes Framework - questioning their impact on an already stretched thin resource pool. Don't miss this episode for a frank and insightful examination of the state of general practice right now, with our expert practice management panel guiding the conversation. Introduction (00.:09) Welcoming the panel (00:39) Funding implications (00:52) An unrealistic uplift against the economic reality (02:12) Impact on practices (03:06) Government response and continuing uncertainty (03:48) Complications with budget-setting (05:38) Advice from Clare when planning ahead (06:49) Debating the QOF changes (07:53) Changes related to vaccs and imms (09:46) Scrapping the IIF in favour of capacity and access (10:32) Achieving the 30% (12:33) National extraction of demand data (14:25) A new “registration solution” (17:03) Merging the PCN DES spec and ARRS (17:55) The future of general practice taskforce (20:48) GP referendum (21:55) Final thoughts (23:47) The importance of standing together (24:40) To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Listen in as we welcome back experts James Gransby from RSM UK and Robert McCartney from Hempsons for an insightful analysis of the upcoming 24/25 GP contract changes and the associated financial pressures. They tackle the stark realities practices are facing, including the modest wage increases and low inflation rate adjustments set against a backdrop of historical underfunding. They examine potential cost savings, opportunities for service expansion, and the balance between growth and maintaining a strong practice culture. Join us to also highlight the success of organic mergers and the concept of 'soft mergers' as a means to foster collaboration while preserving individual practice identity. Introduction (00:09)  Reactions to the 24/25 contract.. (00:33) Percentages used.. (01:42) What's new? (03:31)  Continuity of care (04:37) Financial pressure on individual practices (05:35)  Section 96 (06:24) Point of no return.. (07:01) Funding during COVID.. (07:40)  Do practices need to merge? (08:54) Economies of scale.. (14:15)  The need for a plan.. (15:10)   When does it become too big? (16:40) Thinking about a merger? (19:01)  Merging organically.. (21:05)  Soft merging (23:12) Getting in touch.. (23:52)  Contact Robert via email here & James via email here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben welcomes back podcast favourite, Sheinaz Stansfield, Quality Improvement Lead for Oxford Terrace and Rawling Road Medical Group. Sheinaz joins Ben to share her pioneering methods for workforce redesign in General Practice, which include a thorough examination of patient demand and the utilisation of tools to distinguish between activity and demand. Their discussion also looks into how to integrate new roles into healthcare teams, highlights the benefits of mentorship for unique roles, and the significant impact this can have on enhancing patient experiences and alleviating the pressure on clinicians. Join us and learn from Sheinaz's tales of transformation, where a focus on demand and capacity has the power to revolutionise primary care.. Introduction (00:09)  Workforce redesign (00:39)  Measuring demand (01:56) Findings & surprises.. (02:36) Is demand greater than capacity? (04:04)  Increasing capacity.. (05:28)  Changing your workforce.. (07:58) Identifying additional roles your Practice needs.. (09:19) Workforce redesign principles.. (10:16)  Additional roles becoming part of the PCN.. (12:27) Do you have a divide? (15:20)  Impacts on the GPs.. (16:15)  Key takeaways for listeners.. (17:05) Advice.. (19:06)  Previous examples.. (20:56)  Making the most of an individual's skills.. (22:14)  Resources.. (23:06) Listen to Ben & Sheinaz's previous podcast episodes below: Sheinaz Stansfield – social prescribing Sheinaz Stansfield – Releasing time for care in Gateshead Sheinaz Stansfield – The role of the frailty nurse in general practice Sheinaz Stansfield – Better Health For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Unlock the secrets to compassionate healthcare as we join forces with Kay Keane, Shaun Jackson and Katherine Scott from Urban Village Medical Practice, to discuss primary care's pivotal role in supporting the homeless community. Together, they navigate the complex definition of homelessness, the responsibilities of local authorities, and how healthcare providers can assist individuals in this challenging system. This discussion is just the beginning of a series aimed at guiding practices in providing care to those experiencing homelessness. Discover the importance of using the practice's address for correspondence and learn how to maintain continuity of care for this population. This episode is designed to raise awareness and equip healthcare providers with the tools needed to offer empathetic and effective support to patients experiencing homelessness, a testament to the compassion and innovation that earned Urban Village Medical Practice its esteemed award. Introduction (00:08) What can we do to help people who are experiencing homelessness (00:52) The plan.. (01:49) Katherine's role.. (02:36) What is homelessness? (03:32) Why is it such an important issue for Primary Care? (04:53)  Support on offer.. (06:36) Recognise the population (07:52) Other organisations.. (10:22)  Noticing a difference.. (11:15)  What can practices do? (12:30)  Have the conversation with patients.. (15:55)  Getting it right.. (17:47) Additional roles (19:26)  Homeless patients interacting with health services.. (20:48) Supporting the patients.. (24:08) Getting in touch.. (26:52)  Urban Village Medical Practice website & to find out more contact Kay Keane here.  Listen to the previous episode from Urban Village here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode, brought to you in partnership with Practice Index, Kay Keane and Claire Houston join Ben for a candid discussion on the financial challenges practices are facing. At the heart of their discussion lies the tension between the escalating costs of running a practice, including the forthcoming minimum wage hike, and the proposed 1.9% budget increase. Kay, Claire and Ben reflect on the squeeze this puts on profits and how it's driving a potential shift in the structure of General Practice. They look into the hard choices that lie ahead, and consider the implications of relying on additional roles over traditional GP-led models. They discuss what practices can do in face of such a financially challenging environment, and offer practical tips for those who are struggling. Tune in to hear more about the creative strategies practices are employing to navigate funding challenges and how this might shape the future of General Practice. Introduction (00:09) Practice finances (00:50) Claire's thoughts.. (01:58)  The 1.9% offer (03:54) Claire & Kay's thoughts regarding the offer? (04:38)  How are Practices make ends meet? (07:13)  What kind of uplift in income is possible for Practices? (09:46)  PCN income.. (12:32)  The challenges.. (14:22) Working together.. (16:08)  Additional roles.. (16:51)  Making savings by increasing size.. (22:52)  Resources & information.. (25:08)  To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Tim Rigg & Jessie Teggin join Ben to discuss ‘Out in the Field', a provider of retreats for NHS staff. This episode looks into the transformative journey of healthcare staff towards holistic wellbeing, Jessie and Tim share information about the unique retreats that are aimed at nurturing the wellbeing of healthcare professionals, empowering them to unwind, rejuvenate, along with creating stronger connections within their teams. Join us to learn more about the retreats, and how NHS staff are embracing them.. Introduction (00:09) Out in the field (01:21)  Forest bathing (05:30)  Why did you decide on retreats for your primary care team? (08:53) Staff's thoughts.. (12:51)  How did the retreat run? (14:18)  What difference did it make to staff.. (18:27)  Are there more sessions to come? (21:02)  Jessie's thoughts on the day.. (21:38)  How to find out more.. (24:45)  Visit the ‘Out in the Field' website here & ‘The Quadrangle' here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Andy and Gandhi from eGPLearning and Tara Humphrey for something different this week, as our very own Ben joined eGPLearning's live discussion to explore what is next for PCNs. They look into the future of General Practice, GP contract negotiations and the evolution of patient care. They navigate through the challenges of recruitment, resource allocation, and a modest funding uplift set against rising inflation. They also share information for the upcoming live event in Nottingham, where success stories and the resilience of healthcare professionals will take centre stage. Introduction to PCN Plus (00:09) Introduction (00:31) The latest video from Katie.. (01:41) Contract negotiations.. (03:35) GPs in ARRS roles (06:37) Comments from live listeners (11:34) 1.9% uplift (12:24) Further comments from live listeners.. (18:37) Joining the PCN Plus conference (20:38) Listen to the full live streamed episode of ‘What is next for PCNs with PCN Plus' here. Register for the PCN Plus conference on Wednesday 17th April here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode of the podcast, we look into the world of total triage with Pete Woodward, from Cheadle Medical Practice. Join us as we learn how tailored questionnaires and advanced triage tools have led to a significant leap in diagnosis accuracy and patient satisfaction. Discover the secrets behind their efficient triage process, The Human Touch, which not only heightened patient contentment but also optimised the staff's schedule, ensuring availability for urgent cases. This episode is packed with valuable information, tune in to transform your understanding of patient care and triage in the modern medical environment.   Introduction (00:09)   Pete's role.. (00:35)    The Human Touch (00:47)    Struggling with demand (01:40)    Face to face demand (02:07)    What changes were made? (02:55)    What came next.. (03:49)    Creating a model.. (04:26)   Identifying areas.. (05:33)    Patient questionnaires.. (06:17)   Next steps.. (06:45)    The role of the reception team.. (07:29)   Decision pathway (08:30)    Impact of the changes.. (08:41)   Reduction of phone calls (09:17)    How long did it take to see a reduction? (09:46)   Patient feedback (10:16)    Hurdles the practice overcame.. (10:45)    Creating capacity (11:48)   Protecting appointments (13:54)    The situation now.. (14:43)    Reacting to changes (15:38)    What's next? (16:14)    Supporting other practices (17:22)    Advice for getting people onboard.. (19:57)    Contacting Pete (21:02)    More about ‘The Human Touch' (21:51)   To contact Pete directly, please contact him by email here.  For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us this week to discuss  the new CQC revamped Practice Inspection Framework,  brought to you in partnership with Practice Index, with panel regular Robyn Clark & manager partner of a GP practice in North London, Rathai Thevananth. This essential episode of our podcast provides a comprehensive breakdown of the significant changes affecting healthcare practices. Gain an in-depth understanding of the new quality statements and learn how the updated numerical scoring system will enhance self-assessment and benchmarking for your practice. With Rathai's insights, we look into how you can prepare for a CQC visit, we also share practical strategies to achieve and maintain excellence. From organising documentation to analysing patient feedback and improving accountability, this episode is packed with actionable advice to ensure your healthcare practice not only meets but exceeds inspection standards. Introduction (00:09)  New CQC framework.. (01:35)  The biggest difference? (02:16) Making it easier for practices.. (02:42) Is there a change to the ratings? (03:24)  Final scoring (03:53)  Robyn's thoughts.. (04:31) Evidence required.. (05:55) How is the rollout going? (06:58)  Robyn's practice visit.. (08:20) Feedback so far.. (10:20) Frequency of visits (11:12) Tips for the CQC inspection (12:08) Common struggle areas.. (14:04)  Common mistakes.. (15:57)  Organisation.. (17:23) Does Robyn feel ready? (18:34)  What makes a practice ‘outstanding'? (20:01) Best places to get information.. (21:02) Further recommendations (21:37)  To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.