Podcasts about pcn

This week Nick and Emma talk about list cleaning, after an analysis by Nick showed that 350,000 patients have been removed from GP practice lists, resulting in a loss of around £45m from practice funding. Nick explains why this happens and the impact it has on individual practices.They discuss GP contracts, looking at the first area in England that has agreed a local variation to PCN contracts, BMA fears about what neighbourhood and integrated health organisation contracts could mean for general practice and whether financial pressures on the current GP contract could make GPs back an alternative model.And they look at the impact successive governments' obsession with GP access has had, after a report from the House of Commons public accounts committee found that practices struggle to provide the care frail, older patients need because they are overwhelmed with targets linked to improving access.Our good news story this week is about an initiative in Greater Manchester that has helped cut hazardous prescribing.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful links'Aggressive' list-cleaning drive strips 350,000 patients from GP practices'We're overwhelmed' - practices swamped by scale of patient removalsGPs agree first local PCN contract variation in £10m neighbourhood dealHospital-led general practice 'likely' outcome of government NHS plans, warns BMANHS England has overloaded GPs with access targets, MPs warn Hosted on Acast. See acast.com/privacy for more information.

Tommy and Ed were invited to speak at the Association of Independent Specialist Medical Accountants (AISMA) Conference, then Tommy roamed around finding experts to interview in true Medics' Money style! AISMA chair Lizzie Lloyd highlights sessions on funding, tax and collaboration, advising doctors to focus on upcoming 2026/27 contract changes, budgeting and planning despite limited detail on the new GP scheme and “neighbourhoods.” Medics' Money legend Andy Pow says the conference focus is neighbourhoods but details remain unclear, notes major funding differences across the UK nations, flags Making Tax Digital, and warns uncertainty around the Carr-Hill formula and rising workload from advice-and-guidance and digital access without matching funding. Pete Farrier explains benchmarking, regional and practice-model variance, and improving finances via claims, effective PCN/federation working, and staffing/partnering. Sarah Edwards outlines AISMA's Next Gen/AISMA Academy training videos for medical accounts. Will Ellis of BW Healthcare Surveyors stresses that ~89% of practices are underpaid on notional rent, offers no-win-no-fee checks, and recommends reviewing every three years.00:00 Conference Intro01:27 Meet The AISMA Chair02:31 GP Contract Uncertainty04:04 Andy Pow On Funding06:32 Contracts Workload Pressures07:56 Benchmarking GP Performance09:43 Boosting Practice Earnings11:45 Private Work And Tax Planning13:49 AISMA Next Gen Academy16:51 Premises And Notional Rent19:28 Final TakeawaysWant the latest financial tips for doctors and exclusive invites? Join 71,000 doctors here https://www.medicsmoney.co.uk/join-medics-money/Want a free assessment of your finances? Click here https://medics-hnz5twj1.scoreapp.comWant to improve your finances fast? Then come on our coursehttps://www.medicsmoney.co.uk/medics-money-financial-wellbeing-course/Want to find out more about our other courses?www.medicsmoney.co.uk/coursesFollow us on InstagramFollow us on TwitterDisclaimer:The information provided in this content is for educational and informational purposes only and does not constitute financial advice. You should not rely on this content as a substitute for professional advice tailored to your specific financial situation. The value of your investments can go down as well as up. Past performance is not indicative of future results.

The proposed Single Neighbourhood Provider Contract could significantly reshape how services are commissioned and delivered at neighbourhood level, but with many details still to be confirmed, PCNs are being faced with important decisions now. In this episode, Ben Gowland is joined by Robert McCartney, Senior Associate at Hempsons, to discuss what we know so far about the SNP Contract, the growing focus on neighbourhood footprints, and how local PCN DES variations could provide opportunities for PCNs to begin implementing change without waiting for national guidance. They explore the practical steps PCNs can take to strengthen their position, including leadership, governance, incorporation, and service redesign. Robert shares why proactive PCNs may be best placed to influence the future of neighbourhood working, maintain control of local services, and demonstrate their ability to lead change across their communities. Introduction (0:08) What are PCNs and practices asking for support with right now? (0:41) Why are some PCNs preparing for the future while others are taking a wait-and-see approach? (1:25) What impact are funding changes having on PCNs and workforce planning? (2:46) What is the Single Neighbourhood Provider (SNP) Contract? (4:09) How could neighbourhood footprints affect PCN boundaries and membership? (6:01) Can multiple PCNs work together under a neighbourhood model? (7:44) Does collaboration increase the risk of another organisation holding the contract? (9:13) What do the new PCN DES local variations mean for practices? (10:39) Could local DES variations reduce the need for an SNP Contract? (11:11) What opportunities do local variations create for service redesign? (13:47) How do local variations differ from the SNP Contract? (14:50) What should PCNs be doing now to prepare for the future? (17:44) How can proactive leadership help PCNs retain influence and control? (19:58) What practical steps should PCNs take to implement neighbourhood working? (20:36) Do PCNs have the leadership and management capacity needed for change? (22:18) Is incorporation necessary to prepare for the SNP Contract? (23:55) When does setting up a company make sense for a PCN? (24:17) Can federations provide an alternative to incorporation? (26:20) How long does incorporation take and what are the common mistakes? (27:56) Visit the Hempsons website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Learn how to use AI to Buy Agencies:https://value.8figureagency.co/MNASystemized Sales (done-for-you sales teams): systemizedsales.comRevphlo.com (post-call sales attribution — works with GoHighLevel & HubSpot)Dylan on X: @sdrwhispererMost agencies are sitting on a goldmine and treating it like a junk drawer.That was the exact problem on the table. A giveaway funnel pulling 100+ emails a week. 300 to 500 comments a post on X. Newsletter readers. Ad clickers who never book. Five different lists, none of them talking to each other. A great setter could go to work on that data and print money — if anyone had organized it.So Jordan brought in Dylan Rich, founder of Systemized Sales. Dylan runs 10 sales teams at once, end to end — name, email, phone number all the way to contract signed and cash collected. In 15 years of sales and seven years working with agencies, this is the most sophisticated GoHighLevel pipeline either of them has seen. They build it live: UTM attribution per post, the "tattoo" rule for tags vs. custom fields, an action-based lead score that pings a setter the second a lead crosses 6 points, a speed-to-lead workflow with 73 million enrollments, and 57 smart lists ranked P1 through P5 so setters never waste a minute guessing who to call.Then Dylan opens up Revphlow — the post-call attribution tool that kills the EOD form forever and tells you your cash per call by traffic source, by closer, by calendar. If you run organic and paid traffic into a sales team, this is the playbook.What You'll LearnThe "tattoo" rule — when to use a tag (permanent) vs. a custom field (rewrites itself), and why getting this wrong wrecks your dataOne pipeline beats five — why segmented pipelines cap your granularity, and how custom fields + tags + stages stack to do the real workLead scoring that runs itself — assign points to actions (email open = 1, application = 3, call booked = 5), and auto-trigger a setter call at a score of 6Speed-to-lead you can actually measure — a workflow that timestamps every lead and counts only during setter working hours, so a Saturday opt-in doesn't blow up your numbers57 smart lists, ranked P1–P5 — how setters work the right leads in the right order and never run dry between fresh leadsAsk for the phone number — "if you won't give me your phone number, you won't give me your credit card," and why fewer, higher-quality leads winPost-call notes (PCN) — auto-dispositioned call notes pulled from the Zoom transcript that update pipeline stages for you, so closers stop skipping the EOD formCash per call by source — the metric that tells you which ads, threads, and posts to make more of (and which to kill)Chapters— Why scaling SDRs is the hardest (and most profitable) thing an agency can do — Who is Dylan Rich: 15 years in sales, done-for-you teams at Systemized Sales — The real problem: a giveaway funnel pulling 100+ emails a week, five siloed lists — How to organize intent leads so setters book more calls per hour — UTMs per post, the Zap into GoHighLevel, and tagging the first click— Live build: one pipeline + custom fields for granularity — Lead categories that follow a contact all the way down the funnel— Tags vs. custom fields: the "tattoo" concept explained — Lead scoring: assigning points to actions and triggering at 6 — The speed-to-lead workflow with 73 million enrollments— Keeping setters organized so they stop thinking and start dialing — 57 smart lists ranked P1–P5, built on filters, not vibes — Why you should ask for a phone number on every opt-in— "Can we blow your socks off?" — the Revphlow post-call attribution demo — PCN, Zoom + Fathom + Slack: clean dispositions on every call — Cash per call by source, by closer, by calendar — Where to find Revphlow and Systemized SalesGo AI-Native in the Next 90 DaysThis episode is the manual setup. The next level is making it run itself.8 Figure Agency installs AI-native systems into 7- and 8-figure marketing agencies — the kind that add $1M in annualized profit. Attribution that tags itself. Pipelines that update without a human touching them. Setters fed the highest-intent leads automatically. If you want your agency AI-native in the next 90 days, start here:→ 8figureagency.coWork With DylanDylan and the Systemized Sales team run your sales process end to end — they listen to your calls, audit your CRM, review your last 90 days of sales and marketing numbers, find your biggest constraint, and fix it.Systemized Sales (done-for-you sales teams): systemizedsales.comRevphlo.com (post-call sales attribution — works with GoHighLevel & HubSpot)Dylan on X: @sdrwhispererTools & Resources MentionedGoHighLevel — the CRM the whole pipeline is built inRevFlow / revphlo.com — post-call attribution and sales analyticsTypeform — opt-in forms (add a hidden UTM source field)Beehiiv — newsletter platform, with email opens webhooked back to GHL for lead scoringHYROS — marketing attribution into the callZoom + Fathom — call recording and transcripts feeding the PCNSlack — where post-call notes drop for closer confirmationVidalytics — VSL view trackingUTM Builder (utmbuilder.net) — Jordan's no-affiliation pick for building UTMs

This week Talking General Practice is looking at the National Neighbourhood Health Implementation Programme - or NNHIP. This is the NHS England and government programme to support the development of neighbourhood health with 43 pioneer sites across England leading the way to test how integrated neighbourhood teams and neighbourhood approaches can better support patients.To find out what this looks like on the frontline, Emma speaks to leaders from two of those pioneer sites. Dr Zalan Alam, a GP in Rochdale, discusses his work in intermediate care and the importance of building trust across care boundaries to tackle frailty and reduce unnecessary hospital admissions.Meanwhile, Rachel Stead, strategic PCN manager for South Sefton PCN, shares the success of their innovative adverse childhood experiences programme and highlights the need for infrastructure and funding to ensure neighbourhood working is sustainable for general practice.Zalan and Rachel discuss the reality of integrated working, what the future could hold, and why general practice must remain the cornerstone of any successful neighbourhood model.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina DeenUseful linksAs part of the MIMS Healthcare Network, GPonline has produced a new report for our subscribers on neighbourhood health - view the report here.National Neighbourhood Health Implementation Programme websiteSefton's adverse childhood experiences programmeCould new PCN rules make neighbourhood contracts redundant?MIMS Learning LiveMIMS Learning Live South is returning to London on Friday 12 June 2026, and tickets are free to book.This is your chance to boost your clinical know-how, connect with peers from across the UK, and gain fresh insights that can make a real difference in your patients' lives. This year's clinical programme covers issues including obesity management, paediatrics, women's health and cardiology.We're also running a GP Business hub stream aimed at GP partners, practice managers and PCN managers, which will cover practice finance, neighbourhood working, using AI in practice and how to meet the challenges of rising patient demand.Get your tickets here www.mimslearninglive.com/south Hosted on Acast. See acast.com/privacy for more information.

The GPonline team talks about collective action, after the BMA GP committee narrowly voted in favour of the move, what that action involves and what needs to happen to resolve the dispute.They look at the practice-level reimbursement scheme for GPs, how that is going to work and some of the issues and challenges the scheme could present.And they discuss some late changes to the network contract DES - the contract that governs how primary care networks work - which will allow ICBs to introduce local variations to help develop neighbourhoods and what that could all mean in practice.In our good news story this week, Emma reflects on a conference on tackling health inequalities she attended this week and the great work going on in many local communities.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 lays out collective action roadmap and escalation planWill GPs unite behind collective action?NHS Modernisation Bill to introduce single patient recordPractice-level GP reimbursement scheme limited to salaried GPsRestrictive GP contract changes 'will not boost access'Could new PCN rules make neighbourhood contracts redundant?PCNs should refuse contract variations if work is not properly funded, says BMA Hosted on Acast. See acast.com/privacy for more information.

Emma speaks to Dr John Ribchester, a GP partner at Whitstable Medical Practice in Kent, a practice that is frequently cited as a leading example of the ‘neighbourhood NHS' in action. The practice has spent years shifting services like diagnostics, day surgery, and urgent care out of hospital and into the community.John explains the journey his practice took to develop this model, including the financial risks involved in building GP-owned premises capable of housing consultant clinics, diagnostics and an urgent treatment centre and why he believes working as a single-practice PCN has helped them to do this.He also highlights some of the challenges the practice has faced along the way and the changes he thinks the government could introduce to make working in this way easier. And he offers some practical advice for GPs and primary care teams looking to create change from the ground up.As part of the MIMS Healthcare Network, GPonline has produced a new report for our subscribers on neighbourhood health - view the report here..This episode was produced by Czarina Deen.MIMS Learning LiveMIMS Learning Live South is returning to London on Friday 12 June 2026, and tickets are free to book.This is your chance to boost your clinical know-how, connect with peers from across the UK, and gain fresh insights that can make a real difference in your patients' lives. This year's clinical programme covers issues including obesity management, paediatrics, women's health and cardiology.We're also running a GP Business hub stream aimed at GP partners, practice managers and PCN managers, which will cover practice finance, neighbourhood working, using AI in practice and how to meet the challenges of rising patient demand.Get your tickets here www.mimslearninglive.com/south Hosted on Acast. See acast.com/privacy for more information.

Along with our regular monthly updates on policy, cereals, beef, sheep and milk, in this edition we also have a spotlight on the Agri-Environmental Climate Scheme (AECS). Time Stamps:00:44 News in Brief04:40 Policy Briefs – Scottish Suckler Beef Support Scheme 2025 payments, Groceries Code Adjudicator moves to Defra, Crofting and Scottish Land Cout Bill, Cairngorms National Park Fire Management Byelaw09:14 Cereals – Latest news and market update20:16 Beef – Latest news and market update26:53 Sheep – Latest news and market update31:30 Milk – Latest news and market update38:56 Sector focus –Agri-Environmental Climate Scheme (AECS)44:25 Further Interest – Slatted Sheep Housing Made Simple (article), Setting up a new grass ley for success (article), PCN and water scarcity (podcast). FAS Resources:Newsletters – Business & Policy Edition – Farm Advisory Serviceadvice@fas.scot Other Resources:Scottish Suckler Beef Support SchemeCrofting and Scottish Land Court BillCairngorms Fire Management ByelawRural Roundup PodcastAECS Scoring CriteriaThrill of the Hill podcast – Where Policy Meets Pasture: The Agri-Environment Climate Scheme with David BrownSlatted Sheep Housing Made Simple – articleSetting up a New Grass Ley for Success – articlePCN & Water Scarcity – CropCast Podcasthttps://www.fas.scot/article/the-journey-of-a-soil-sample/ Publications:Avian influenza (bird flu) outbreaks – latest updateMonthly UK statistics on cattle, sheep and pig slaughter and meat productionLabour Market Trends: April 2026 – gov.scotAfrican swine fever in Europe – latest updateThe Environment Strategy for ScotlandRural Support Plan Consultations:Installation and maintenance licences for heat networksCommunications from Revenue Scotland to taxpayers For more information, visit www.FAS.scotFacebook: @FASScot National Advice HubPhone: 0300 323 0161Email: advice@fas.scot

In this episode George Chalmers is joined by SAC Consultants Kerry Leslie & Gavin Prentice, to discuss results from PCN Action Scotland along with the new CREW water scarcity guidance.Welcome to Cropcast, your go to podcast for all the latest information on arable crops. Each month, SAC advisor, George Chalmers will be joined by a range of industry experts, bringing you timely updates to help you make decisions in the field.Producer George Gauley, Editor Cameron Waugh, Executive Producer Kirstyn Blackwood, in association with the Scottish Government.Timestamps01:42 Introduction to Kerry Leslie02:27 Who does PCN impact?03:32 What is PCN?06:08 What is the PCN yield penalty?09:43 How do we know if there is PCN in a field?12:27 Variety choice16:42 The impact of other crops on PCN18:40 The impact of ground keepers20:50 PCN Action Scotland24:50 Next steps for PCN action Scotland28:50 Introduction to Gavin Prentice31:19 Water scarcity project33:20 Key project outcomes34:40 Identifying water scarcity risks37:50 Easy wins for farmersRelated FAS ResourcesTechnical Note (TN30): Potato Cyst Nematodes (PCN)Planning for Water Scarcity - New Practical Guide for Farmers and Growers in Scotland | Helping farmers in ScotlandOther Related ResourcesPCN Action ScotlandCREW Planning for Water Scarcity:https://www.crew.ac.uk/news/arable-futures-new-guidance-supports-scottish-farmers-plan-water-scarcityPlanning for Water Scarcity: Practical guidance for Scottish farmers and growers | CREW | Scotland's Centre of Expertise for Waters

In this conversation, Dave Closson sits down with Sara Thompson (Director of Training & Communications at The Montana Institute) to unpack the mindset shift that changes prevention outcomes: moving from problem-saturated narratives to a “spirit first” approach that uncovers and grows what's already going right.They dig into Positive Community Norms (PCN) and the Science of the Positive, why misperceptions of the “norm” drive behavior, and how coalitions can start making practical shifts immediately, even before they have perfect data.In this episode, you'll learnWhy “raising awareness of the problem” can unintentionally amplify fear and misperceptionsWhat “Spirit First” means, and how it changes the way you engage a communityHow proximal norms (your immediate circle) shape what you think is “normal”A simple tabling-event question that instantly shifts the narrative toward strengthsWhere coalitions can start when data is limited (and how to build trust for better data later)How to measure whether a PCN campaign is working (awareness → perception → behavior)Resources mentionedThe Montana Institute

Emma and Nick discuss the results of the BMA referendum on the GP contract and what happens next, including whether GPs will take action and what health and social care secretary Wes Streeting has said about this.They talk about this year's GP contract deal after the DDRB recommended a 3.5% pay increase for GPs and practice staff and updated contract guidance for PCNs was published - highlighting some of the key challenges facing practices as the new financial year begins.Our good news story this week is about the annual British Social Attitudes survey, which showed satisfaction with general practice has risen to its highest point since 2021.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksGPs vote overwhelmingly to reject 2026/27 contractGPs could start collective action in April if contract talks failGP pay rise 'could fall short' amid rising inflationGovernment reveals details of 2026/27 GP contract fundingGPs already hired with PCN cash can move to new practice-level schemeLack of detail on new GP reimbursement scheme ‘completely unacceptable'Public satisfaction with general practice highest since 2021 Hosted on Acast. See acast.com/privacy for more information.

This week Emma speaks to the co-chairs of the BMA sessional GP committee Dr Amy Small and Dr Kim Rollinson about the jobs crisis and how they hope to better represent sessional GPs.In this conversation they discuss how the shortage of jobs is affecting locum and salaried GPs across the country and what needs to be done to address this issue.They explain what salaried GPs should look out for when signing contracts, and what GP partners can do to be good employers and ensure their staff and locum GPs feel valued. They also talk about the push towards a neighbourhood NHS and what that could mean for sessional GPs, as well as how the rise in portfolio working is helping many doctors manage the intense pressures associated with being a GP.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksBMA sessional GP committee websiteGPs in Scotland end dispute as £531m funding deal agreedRaid on PCN cash to fund practice-level recruitment as ARRS rules changed Hosted on Acast. See acast.com/privacy for more information.

Nick and Emma explain how the GP contract for 2026/27 in England is set to change, how it will impact on practices and what it means for the current dispute between the BMA and the government.In this episode they talk about what the contract changes mean for practice and PCN finances, and whether the funding increase will make a difference, or boost jobs available for GPs.They also look at a new requirement for same day access for urgent patients, plus changes to the QOF, additional roles reimbursement scheme and how practices are paid for advice and guidance.And they talk about the reaction to the deal and what happens next in the ongoing dispute with the government.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock, It was produced by Czarina Deen.Useful linksWhat's in the GP contract for 2026/27? - full details of all the changesContract uplift leaves practices 'treading water' and risks cashflow crisisGP contract funding to rise by £485m in 2026/27Raid on PCN cash to fund practice-level recruitment as ARRS rules changedNew targets on same-day access and obesity in 2026/27 GP contract Hosted on Acast. See acast.com/privacy for more information.

In the fifth episode of The Business of Healthcare Podcast – How It Got Commissioned series, Tara is joined by Dr Faris Al-Ramadani, GP Partner and former Primary Care Network Clinical Director, to explore how a locally developed mental health service moved from frontline problem to a working, commissionable model during the COVID-19 pandemic.   As demand for mental health support rapidly increased, general practice teams were seeing patients struggle to access timely care, with long waiting lists and practical barriers preventing many from engaging with existing services. Rather than waiting for a traditional commissioning process, Faris and colleagues identified an opportunity to use the resources already available within primary care to design a new approach.   The conversation explores how the PCN brought together trainee psychological therapists, digital tools and local partners to create a coordinated mental health hub, simplifying referral pathways and reducing friction for patients. By piloting solutions, learning through iteration and demonstrating measurable impact, the team developed a model that improved access while supporting wider system priorities.   Tara and Faris also discuss the realities of developing services without guaranteed funding, the importance of collaboration and stakeholder alignment, and what this experience tells us about the future of integrated neighbourhood working.   In this episode, they explore: Identifying unmet need through frontline clinical experience Developing services without traditional commissioning routes Using existing workforce and digital solutions to unlock capacity Building a coordinated hub model to simplify patient journeys The role of collaboration across primary care and system partners Learning through iteration and adapting when models don't work first time Demonstrating impact to support sustainability and future funding conversations   Connect with Faris Al-Ramadani via LinkedIn here.

Contact us and share your opinionSee more at https://medicsmoney.co.uk/Disclaimer: Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...⏰ Timecodes ⏰00:00 Intro00:38 Who are Medics Money?02:07 Finance of GP04:00 What's changing?08:15 Smarter GP income16:25 Understand GP finance20:50 Practice vs PCN finance25:27 GP NHS pensions33:35 GPs reduce your tax40:30 How Medics Money can help#primarycare #generalpractice Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Emma speaks to Patrick Denston about how GP practices can make the best use of new tech and what the next five years could hold.Patrick is a PCN digital transformation and change manager and a practice business manager based in Farnborough, Hampshire, as well as an NHS England AI peer ambassador.He has a proven track record of successfully introducing new technology into general practice. In this conversation, Patrick explains how his practice has moved away from manual, paper-based processes to embrace digital and AI tools and advanced data analytics.He discusses how these tools are helping to improve access and address other challenges in the practice and also shares some very practical advice for other practices looking to embrace new tech, including how to navigate the busy market of tech suppliers.Emma and Patrick also look ahead to the future of general practice, discussing the government's 10-year plan and how AI and data-led population health management could fundamentally change the way practices operate over the next five years.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksViewpoint: How can general practice make best use of AI?AI 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.

Dom Magwili is a prolific actor, writer, and educator who has graced his presence on stage and screen for years. Most importantly Dom has played a role in our lives when he guided Kat as  she was PCN coordinator at UCLA and gave Elaine a boost of confidence when she was an emcee for the...

Howdy do, Bonsai Buds! On this episode of Little Things, Evan and Carmen discuss the Plant Collections Network. The PCN is an amazing resource for public gardens to find guidelines on how to improve public garden spaces and even get accredited. If you are a curator or an aspiring curator, this is the episode for you!Check out the PCN here:https://members.publicgardens.org/plant-collections-network/Again thanks to our sponsors: Joshua Roth Tools, Underhill Bonsai, and Bonsai BarAlso, a massive thanks to our editor Matt O'Donnell. Thanks for editing every episode and meeting deadlines!Buy Joshua Roth tools on Underhill's online store:underhillbonsaistore.comBook classes at your favorite brewery:bonsaibar.com

Contact us and share your opinionJoin eGPlearning as we take a look at the NHS Medium Term Planning Framework. This document was published by NHS England on 24 October 25 and provides more detail on how DoH and NHSE will deliver on the aspirations outlined in the NHS 10 year plan.This summary will help you understand where your ICB, Place, PCN and Practice are being asked to focus over the next 4 years.The document covers how responsibilities for delivery will be distributed across different levels of within the system from the centre down to neighbourhoods and the layers in between, how aspirations will align with the three darzi shifts, and describes specific targets in the areas of; elective care, cancer and diagnostics, urgent and emergency care, primary care, community health services, mental health, learning disabilities and workforce.Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Current guidelines recommend universal collection of a vaginal-rectal swab for GBS colonization at 36-37 weeks and 6 days for the identification of patients who require intrapartum IV antibiotic coverage to prevent early onset neonatal GBS infection/sepsis. Recently, we had a patient in clinic whose GBS culture at 36 weeks was negative. Good right? Well, the patient was on amoxicillin at the time for pharyngitis. Did that course of oral PCN based therapy affect the GBS culture result? Should we believe that culture or could it be a false negative, demanding rescreen after therapy completion? There is currently a GAP here in the guidance. In this episode we will cover this controversial scenario, look at the data, and provide a real-world implementable approach to this case.1. Kim DD, Page SM, McKenna DS, Kim CM. Neonatal Group B Streptococcus Sepsis After Negative Screen in a Patient Taking Oral Antibiotics. Obstetrics and Gynecology. 2005;105(5 Pt 2):1259-61. doi:10.1097/01.AOG.0000159040.51773.bf.2. ACOG CO Number 797 (Replaces Committee Opinion No. 782, June 2019.); 20203. Mackay G, House MD, Bloch E, Wolfberg AJ. A GBS culture collected shortly after GBS prophylaxis may be inaccurate. J Matern Fetal Neonatal Med. 2012 Jun;25(6):736-8. doi: 10.3109/14767058.2011.596961. Epub 2011 Aug 1. PMID: 21801141.STRONG COFFEE PROMO: 20% Off Strong Coffee Company https://strongcoffeecompany.com/discount/CHAPANOSPINOBG

Vince Palamara, born and raised in Pittsburgh, PA, is considered to be the leading civilian literary Secret Service expert, having interviewed and corresponded with over 80 former Secret Service agents who guarded Presidents Franklin Roosevelt, Harry Truman, Dwight Eisenhower, John F Kennedy, Lyndon Johnson, Richard Nixon, Gerald Ford, Jimmy Carter, Ronald Reagan, George H.W. Bush, Bill Clinton, George W Bush, and Barack Obama. All told, Palamara has appeared in well over 60 books by various authors covering the Secret Service, various presidents, the CIA, and even Marilyn Monroe. Palamara has also appeared several times on The History Channel, C-SPAN, PCN, and various cable television outlets, not to mention quite a few radio programs. Vince Palamara is the author of 7 books: SURVIVOR'S GUILT: THE SECRET SERVICE AND THE FAILURE TO PROTECT PRESIDENT KENNEDY (2013), JFK: FROM PARKLAND TO BETHESDA- THE ULTIMATE KENNEDY ASSASSINATION COMPENDIUM (2015), THE NOT SO SECRET SERVICE- AGENCY TALES FROM FDR TO THE KENNEDY ASSASSINATION TO THE REAGAN ERA (2017), WHO'S WHO IN THE SECRET SERVICE: HISTORY'S MOST RENOWNED AGENTS (2018), HONEST ANSWERS ABOUT THE MURDER OF PRESIDENT JOHN F. KENNEDY: A NEW LOOK AT THE JFK ASSASSINATION (2021), THE PLOT TO KILL PRESIDENT KENNEDY IN CHICAGO & THE OTHER TRACES OF CONSPIRACY LEADING TO THE ASSASSINATION OF JFK – A VISUAL INVESTIGATION (2024), and PRESIDENT KENNEDY SHOULD HAVE SURVIVED DALLAS: THE SECRET SERVICE & THE JFK ASSASSINATION (2025). Want to watch: YouTube Meisterkhan Pod (Please Subscribe)

Today we pause for breath and recap on the big announcements and developments so far this year in General Practice and the NHS.This is a great summary to help you catch up with the big contract changes and announcements so far this year.Topics covered and more in depth eGPlearning resources…30/1/25 - Neighbourhood health guidelines 2025/26https://www.youtube.com/live/MhH60zzBIxEAnd 2025/26 NHS priorities and operational planning guidancehttps://www.youtube.com/live/7NKeYOp4TBU New GP contract 25-26https://www.youtube.com/live/5gAcCPTPE08 ICBs to reduce running costs by 50%NHS England abolishedhttps://www.youtube.com/live/JxO60Y7Hquw New PCN DES contracthttps://www.youtube.com/live/L8wWWy4-_tU New QOF guidanceAdvice & Guidance Enhanced Service SpecificationJoin us for the PCN plus conference on 23/4/25https://ockham.healthcare/pcn-plus-conference-the-future-of-pcns-2025/ Join us for the GP5T9 conference for GP educators on 26/4/25 https://events.ringcentral.com/events/gp5t9-7cdf6d94-83b6-4175-adf8-0abf2549b216/registration Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Subscribe and hear the latest EPIC episode. Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

In this episode, Matt & Lauren–who are definitely not lawyers–take on copyright law. We talk through what indie authors need to know about copyrighting their books in the US, why and how authors should register their work for copyright, and how fanfiction and generative AI may impact copyright in the future. Again: we are not attorneys.Dive Deeper

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.

Today we're diving into how nutrition intersects with the complicated world of pain. Today I have former guest and colleague Prof. Dr Deepak Ravindran to talk to us about how our immune system can impact our perception of pain, the different types of pain patients and how we can do better as medical professionals in the management of chronic pain.This topic covers IBS, pelvic pain, chronic cystitis, fibromyalgia, migraine, functional gut disorders, long covid and more. Pain cannot be explained by a singular pathway, and I think there is so much we could all learn from Deepak's insights on this topic.We discuss the different types of pain patients, how the immune system trains our responses to pain, how trauma in childhood can impact our responses to pain and why food plays a pivotal role.Deepak is Honorary Professor at Teesside University and has worked as an NHS Consultant in Pain management, he's author of the “Pain Free Mindset” a fantastic book that I recommend to both patients and medical colleagues. His new role is Director of Lifestyle Medicine for a primary care network (PCN) of GP practices in Reading, UK, working upstream to bring these insights early in the chain of pain management.We talk about the use of fasting, anti-inflammatory diets, the importance of gut supportive diets and key ingredients that could be useful for chronic pain sufferers.

Philadelphia is famous for its colonial and revolutionary buildings and artifacts, but Philadelphia existed long before the Liberty Bell was first rung, and its history extends well beyond the American Revolution.This book presents a comprehensive portrait of the city, from the region's original Lenape inhabitants to the myriad of residents in the twenty-first century. pcntv.com/donate pcntv.com/membership-signup pcntv.com

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.

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.

Cet épisode est un bonus de l'épisode précédent sur les démarrages de l'allaitement.On reste avec Céline BOURGANEUF, et on aborde spécifiquement le sujet des compléments de préparation commerciale pour nourrisson (PCN) / lait artificiel appelez le comme vous voulez.Ici on fait attention à ne pas appeler cela du lait « maternisé » car cela laisse entendre que cela peut se rapprocher du lait maternel et ce n'est pas le cas. Cet épisode n'est pas là pour vous dire que choisir, mais vous donner simplement la conduite à tenir si on vous en propose en maternité :Est-ce que je les accepte ?Quand est ce que je les accepte ?Est-ce grave si je les ai acceptés ?Que dois-je faire si je souhaite revenir à un allaitement exclusif ?Si vous n'avez pas écouté l'épisode précédent il me semble important de la faire en amont, ou juste après pour bien comprendre ce petit bonus qui méritait un titre à lui tout seul tant le sujet est récurrent en maternité. Belle écoute. Charlotte Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

This book provides a comprehensive examination of the Keystone State's formal and informal political institutions and players, past and present, and elucidates the place each holds in governing the commonwealth today. Covering a period of more than three hundred years, this volume presents a clear and succinct overview of the commonwealth's political history, culture, and geography. pcntv.com/donate pcntv.com/membership-signup pcntv.com

In 1918, Bethlehem Steel started the world's greatest industrial baseball league. Appealing to Major League Baseball players looking to avoid service in the Great War, teams employed "ringers" like Babe Ruth, Rogers Hornsby, and Shoeless Joe Jackson in what became scornfully known as "safe shelter" leagues. pcntv.com/donate pcntv.com/membership-signup pcntv.com

Beginning in the early 1990s, Pittsburgh's South Side neighborhood began to transform from the post-industrial morass it had been suffering for the last few decades. Artists began to rent empty apartments, what were once shot-and-a-beer bars became hip dive bars and entrepreneurs found inexpensive real estate to follow their visions. It was in this landscape that the Beehive Coffeehouse began to attract a new 90s alternative crowd. pcntv.com/donate pcntv.com/membership-signup pcntv.com

In 1917, at the start of World War I, among global war and a global pandemic, Harrisburgers stepped up and served. The city experienced tribulations as residents feared espionage, suspected foreigners and demanded loyalty. Hospitals struggled with the 1918 flu at their doorstep. Join author Rodney Ross as he charts the World War I era and the Harrisburg home front. pcntv.com/donate pcntv.com/membership-signup pcntv.com

GP partnership....valued! By Andrea Leadsome at least, sortahttps://www.pulsetoday.co.uk/news/politics/scrapping-gp-partnership-model-would-be-a-disaster-says-government/ Drug supplies woeshttps://www.pulsetoday.co.uk/news/clinical-areas/prescribing/nearly-half-of-patients-struggle-to-get-medicines-over-the-last-year/ When to stop GP online requests? The GPC respondhttps://www.pulsetoday.co.uk/news/contract/gpc-to-challenge-requirement-to-keep-gp-online-systems-switched-on-even-when-full/ GP Employment crisis 40+ GPs for one job: https://www.pulsetoday.co.uk/news/workforce/gp-salaried-roles-receive-over-40-applications-amid-employment-crisis/GPs travelling the country for locum work: https://www.pulsetoday.co.uk/news/workforce/gps-having-to-travel-from-cumbria-to-cornwall-to-secure-locum-shifts/New ways of PCN working?https://www.pulsetoday.co.uk/news/breaking-news/commissioners-and-pcns-to-pilot-new-ways-of-working-in-general-practice/ What is core GP?https://twitter.com/anish_k_patel/status/1755952672778101012GP triage course by eGPlearning and Dr Ed Pooley: Discount price: https://bit.ly/egptriage79 Boost your triage skills with our dynamic 5-session live webinar course, tailored for primary care clinicians. Led by Dr. Gandalf and Dr. Ed Pooley, this comprehensive training covers all facets of remote patient triage—digital, on-call, and more. Gain practical knowledge, exclusive tips, and direct access to our experts through open Q&A sessions. Elevate your ability to manage primary care challenges effec Learn how to use TPP SystmOne as a clinician in this comprehensive online course with a full money back guaratneeSign up by bit.ly/TPPS1Course Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

Join Andy and Gandhi as they debate this controversial topic and update you on other changes in General PracticeSick note reformhttps://www.dailymail.co.uk/news/arti... Part of a speech by PM about welfare reform…https://www.gov.uk/government/speeche... PM announcing this, not Health or DWP ministersAt centre for social justice - The Centre for Social Justice (CSJ) is an independent[1] centre-right[2] think tank based in the United Kingdom, co-founded in 2004 by Iain Duncan Smith, Tim Montgomerie, Mark Florman and Philippa Stroud.[3] Wikipediahttps://www.centreforsocialjustice.or...Part of Outpatient Recovery and Transformation Programme https://www.england.nhs.uk/outpatient...GP practices could face ‘£500,000 clawback' following PCN's collapsehttps://www.pulsetoday.co.uk/news/pra...Learn how to use TPP SystmOne as a clinician in this comprehensive online course with a full money back guaratneeSign up by bit.ly/TPPS1Course Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical systembit.ly/EMIScourse

This week, we discuss OpenTofu's response to Hashicorp, Salesforce potentially acquiring Informatica and the latest Kubernetes Market Size from IDC. Plus, when will Enterprise A.I. improve the DMV experience? Watch the YouTube Live Recording of Episode (https://www.youtube.com/watch?v=P7Yvt-NtjVc) 463 (https://www.youtube.com/watch?v=P7Yvt-NtjVc) Runner-up Titles The fun run was fun. You don't have to pay for this, just glue it together with a couple of bash scripts. The Phish are biting Everything's cool zone Words that rhyme with “acquisation” Maybe AI can find it The market for products that start with “K” I like hotdogs Don't do the values, just the fun facts Rundown An Interview with Google Cloud CEO Thomas Kurian About Google's Enterprise AI Strategy (https://stratechery.com/2024/an-interview-with-google-cloud-ceo-thomas-kurian-about-googles-enterprise-ai-strategy/) OpenTofu responds to Hashicorp Our Response to Hashicorp's Cease and Desist Letter | OpenTofu (https://opentofu.org/blog/our-response-to-hashicorps-cease-and-desist/) Matt Asay response Tweet (https://twitter.com/mjasay/status/1778454498664690108) Adam Jacob take (https://twitter.com/adamhjk/status/1778470920094691625) Salesforce in Advanced Talks to Buy Informatica (https://www.wsj.com/tech/salesforce-in-advanced-talks-to-buy-informatica-ba9ec09c?mod=tech_lead_story&utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosprorata&stream=top) 451 Research's kubernetes market-sizing ($2.85 billion in 2028) (https://clients.451research.com/reportaction/203924/Toc?ref=PCN%20email) Exclusive: API startup Noname Security nears $500M deal to sell itself to Akamai (https://techcrunch.com/2024/04/12/akamai-acquisition-talks-noname-security/) Relevant to your Interests Introducing Our Next Generation Infrastructure for AI | Meta (https://about.fb.com/news/2024/04/introducing-our-next-generation-infrastructure-for-ai/?utm_campaign=%5BREBRAND%5D+%5BTI-AM%5D+Th&utm_content=1095&utm_medium=email&utm_source=cio&utm_term=124) ISPs roll out mandatory broadband 'nutrition' labels that show speeds, fees and data allowances (https://www.engadget.com/isps-roll-out-mandatory-broadband-nutrition-labels-that-show-speeds-fees-and-data-allowances-103832369.html) How ZIRP benefited hyperscaler revenue (https://twitter.com/treiner5/status/1778403310871179678) Platformonomics - Follow the CAPEX: The Clown Car Race Checkered Flag (https://platformonomics.com/2024/04/follow-the-capex-the-clown-car-race-checkered-flag/) Splunk vs Cribl Lawsuit of Terms Violating Enterprise License (https://cybersecuritynews.com/splunk-vs-cribl-lawsuit/) It's easy to bash tech, but I've started taking robotaxis — and they're awesome (https://www.businessinsider.com/waymo-self-driving-robotaxi-cars-without-drivers-amazing-tech-review-2024-4) Citi slashes 110 apps: Next up... Data transformation (https://www.thestack.technology/citi-data-transformation-2024/) Microsoft Makes High-Stakes Play in Tech Cold War With Emirati A.I. Deal (https://www.nytimes.com/2024/04/16/technology/microsoft-g42-uae-ai.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosprorata&stream=top) Widely-Used PuTTY SSH Client Found Vulnerable to Key Recovery Attack (https://thehackernews.com/2024/04/widely-used-putty-ssh-client-found.html) Meta's Oversight Board probes explicit AI-generated images posted on Instagram and Facebook | TechCrunch (https://techcrunch.com/2024/04/16/metas-oversight-board-probes-explicit-ai-generated-images-posted-on-instagram-and-facebook/?_hsmi=302971940) New UK law targets “despicable individuals” who create AI sex deepfakes (https://arstechnica.com/information-technology/2024/04/uk-seeks-to-criminalize-creation-of-sexually-explicit-ai-deepfake-images-without-consent/?_hsmi=302971940) Third-party iPhone app store AltStore PAL is now live in Europe (https://www.theverge.com/24100464/altstore-pal-dma-eu-launch-delta-nintendo-emulator-clip-clipboard-manager) Linux Foundation leads the fight against fauxpen source (https://www.theregister.com/2024/04/12/linux_foundation_opinion/) Enterprise Nonsense How to setup your own Database as a Service (DBaaS) for RabbitMQ, MySQL, Postgres, Redis (https://youtu.be/FBvQRpZYSXw?si=BAtYDg4ImZDgYxea) Listener Feedback Amazon.com: Sink Soap Dispenser (https://www.amazon.com/dp/B07SJ8SQ6Q?ref=ppx_pop_mob_ap_share) Grip Case for Nintendo Switch Lite (https://www.amazon.com/gp/product/B08DVCCWXH/ref=ppx_yo_dt_b_search_asin_title?ie=UTF8&th=1) Andrew Shafer owns an All American Burger? (http://All> American Burger - Tucson, AZ) Conferences Open Source Summit North America (https://events.linuxfoundation.org/open-source-summit-north-america/), Seattle April 16-18. Matt's speaking. NDC Oslo (https://substack.com/redirect/8de3819c-db2b-47c8-bd7a-f0a40103de9e?j=eyJ1IjoiMmQ0byJ9.QKaKsDzwnXK5ipYhX0mLOvRP3vpk_3o2b5dd3FXmAkw), Coté speaking (https://substack.com/redirect/41e821af-36ba-4dbb-993c-20755d5f040a?j=eyJ1IjoiMmQ0byJ9.QKaKsDzwnXK5ipYhX0mLOvRP3vpk_3o2b5dd3FXmAkw), June 12th. DevOpsDays Amsterdam (https://devopsdays.org/events/2024-amsterdam/welcome/), June 19-21, 2024, Coté speaking. DevOpsDays Birmingham, August 19–21, 2024 (https://devopsdays.org/events/2024-birmingham-al/welcome/). SDT news & hype Join us in Slack (http://www.softwaredefinedtalk.com/slack). Get a SDT Sticker! Send your postal address to stickers@softwaredefinedtalk.com (mailto:stickers@softwaredefinedtalk.com) and we will send you free laptop stickers! Follow us: Twitch (https://www.twitch.tv/sdtpodcast), Twitter (https://twitter.com/softwaredeftalk), Instagram (https://www.instagram.com/softwaredefinedtalk/), Mastodon (https://hachyderm.io/@softwaredefinedtalk), BlueSky (https://bsky.app/profile/softwaredefinedtalk.com), LinkedIn (https://www.linkedin.com/company/software-defined-talk/), TikTok (https://www.tiktok.com/@softwaredefinedtalk), Threads (https://www.threads.net/@softwaredefinedtalk) and YouTube (https://www.youtube.com/channel/UCi3OJPV6h9tp-hbsGBLGsDQ/featured). Use the code SDT to get $20 off Coté's book, Digital WTF (https://leanpub.com/digitalwtf/c/sdt), so $5 total. Become a sponsor of Software Defined Talk (https://www.softwaredefinedtalk.com/ads)! Recommendations Brandon: Discovering the XZ Backdoor with Andres Freund / Oxide (https://oxide.computer/podcasts/oxide-and-friends/1843393) Civil War (https://www.rottentomatoes.com/m/civil_war_2024) Matt: Ostrich travel pillow (https://amzn.to/3Jm4ixF) H (https://www.heb.com/product-detail/optic-shop-pro-sleep-blindfold-sleeping-mask-each/6176002)- (https://www.heb.com/product-detail/optic-shop-pro-sleep-blindfold-sleeping-mask-each/6176002)E (https://www.heb.com/product-detail/optic-shop-pro-sleep-blindfold-sleeping-mask-each/6176002)- (https://www.heb.com/product-detail/optic-shop-pro-sleep-blindfold-sleeping-mask-each/6176002)B Pro-Sleep Mask (https://www.heb.com/product-detail/optic-shop-pro-sleep-blindfold-sleeping-mask-each/6176002) Coté: Continuity Camera (https://support.apple.com/en-us/102546), kibbeling (https://en.wikipedia.org/wiki/Kibbeling). Photo Credits Header (https://unsplash.com/photos/six-black-and-yellow-fishing-rod-in-boat-UivGzIDhVyw) Artwork (https://opentofu.org/blog/our-response-to-hashicorps-cease-and-desist/)

George Washington has frequently been criticized for his first military campaign, which sparked the French and Indian War. While his campaign failed to meet its objectives, Washington experienced his first taste of military command, dealing with situations that ultimately proved beyond his control, and learned lessons that made him into the man who led the Continental Army to victory in the Revolutionary War. pcntv.com/donate pcntv.com/membership-signup pcntv.com

Join Andy and Gandhi for the 2024 GP contract review in its complete form⏰ Timecodes ⏰00:00 Intro to FINAL GP contract02:28 GP contract 2024/2510:30 PCN DES 24/2514:37 PCN DES Service requirements16:55 PCN Finances 24/2520:00 PCN guidance documents part A33:30 eGPlearner comments and 100+ live41:05 PCN guidance documents part B45:18 CAIP for 24/2552:19 IIF 24/2556:00 more eGPlearner comments01:00:22 QoF 24/2501:08:38 Our thoughts01:19:30 More from eGPlearningTHC resource: https://www.thcprimarycare.co.uk/blogGP contract letter: https://www.england.nhs.uk/publicatio...Implementation letter GP contract 24/25: https://www.england.nhs.uk/publicatio...PCN DES letter: Join DrGandalf and the team from Medics Money for their New to GP partnership course and community which is an essential part of being a new GP partner.

Irving College was the first college to offer degrees in the arts and sciences to women and that two of its buildings still stand to this day. Named after famed author Washington Irving, this college for women was part of a nationwide trend in the nineteenth century to finally educate women, but a trend that was always fraught with opposition. pcntv.com/donate pcntv.com/membership-signup pcntv.com

Of the more than seventy sites associated with the Civil War era that the National Park Service manages, none hold more national appeal and recognition than Gettysburg National Military Park. In "On a Great Battlefield," Jennifer M. Murray chronicles the administration of the National Park Service and how it educates the public about the battle and the Civil War as a whole since it acquired the site in August 1933. pcntv.com/donate pcntv.com/membership-signup pcntv.com

Join Ben, Tara, Andy and Gandhi as we explore what is next for PCNs. We have no contract, but we have ideas, understanding and some opportunities too.Register for the PCN Plus conference Wed 17th April: https://bit.ly/PCNPLUS24L00:00 PCN plus team01:20 Agenda01:47 Video from GPC04:00 Contract negotiations15:43 1.9% uplift!23:30 eGPlearner comments24:40 PCN Plus conference: https://bit.l/PCNPLUS24L25:05 PCNs and GP funding27:21 Pharmacy First39:45 PCN roles demonstrating impact?45:00 Tara being right46:43 more eGPlearner comments47:20 Integrated working53:02 Gandhi's INT rant??54:30 Final INT thoughts56:00 PCN Plus conference: https://bit.l/PCNPLUS24LJoin DrGandalf and the team from Medics Money for their New to GP partnership course and community which is an essential part of being a new GP partner.

In this 274th episode I welcome Dr. Jonathan Kay (JK) to the show to discuss perioperative hypersensitivity reactions. We focus on the diagnosis and treatment of anaphylaxis and also discuss antibiotic allergies and how to deal with the ever present allergy to PCN. Our Sponsors:* Check out Factor 75 and use my code accrac50 for a great deal: https://www.factor75.com* Check out HelloFresh and use my code accracfree for a great deal: https://www.hellofresh.com/Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

We're joined by Imprint cofounder and Thrive General Partner Gaurav Ahuja to dive deeper into the modern payments ecosystem and Visa's current place within it. Gaurav was one of our research sources for the Visa episode, and we wanted to bring his insights to you all too. We discuss whether Visa really should be worried about eroding interchange fees, the impact of realtime payments systems, opportunities for startups and whether the Visa / Mastercard duopoly could really be overthrown. Tune in and enjoy!Links:https://www.federalreserve.gov/paymentsystems/files/Avg_IF_by_PCN.pdf

Rondalla. Kulintang. Bamboo poles. Gangsas. Sway balance. DANCE! We all are quite familiar with Philippine folk dances such as Pandanggo sa Ilaw, Vinta, Carinosa, Banga, and of course, Tinikling.  Whether we learned them through P.E. classes back in the Philippines, church festivals in the U.S., on college campuses at a PCN, or even on viral...

This week Kate, Mark, Gary and Henry discuss magnesium to prevent cerebral palsy, amoxicillin challenge in the primary care clinic for suspectec PCN non-allergy, new ACP guidance on colorectal cancer screening, and surgery for carotid disease.

The ACOG released Clinical Consensus #4 in August 2023, covering Urinary Track Infections in Pregnancy. Urinary tract infection (UTI) is one of the more common perinatal complications, affecting approximately 8% of pregnancies. These infections represent a spectrum, from asymptomatic bacteriuria, to symptomatic acute cystitis, to the most serious, pyelonephritis. In this episode we will summarize some the key points from this monograph, and we will tackle 3 common myths/misperceptions related to OB Pyelonephritis. Are most people who claim a PCN allergy truly allergic? Can an anaphylactic PCN response decrease over time? What antibiotic is recommended for OB Pyelo if patients do have a real anaphylactic PCN history? Can OB Pyelo present without fever? Listen in and find out.

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Diane: I was wondering if there is anything I can do for Trigeminal neuralgia?   Diane: How do you get rid of hemi facial spasm?   Talitha: Thank you for putting your podcast out there. It's led me to explore some new approaches to ongoing issues, and some of those new approaches are already working for me. My question: what would you suggest to prevent, or lessen the chances of getting cellulitis from a mosquito bite? Last summer, I started having a bigger reaction to mosquito bites, especially on my upper legs when bit through my clothing. I got large, red and hot circles 3-6 inches in diameter. Twice last year, those bites resulted in cellulitis requiring antibiotics. There are some aggressive mosquitos, and I use a number of ways to keep them away including yard treatments, environmental repellants and a lemon eucalyptus bug spray, but I get some bites anyway. I did the detox and will quarterly. Any other suggestions?   Matthew: Hi, I have asked a question concerning HIV last time. This time, I'd like to ask what I can do about an external anal abscess that came after I contracted syphilis. I don't know how long I had had the infection for because at the time I didn't have insurance and my physician (NP) told me he couldn't do any of my labs unless I paid up front, and at the time I didn't have the money. Once I found out after my insurance started, he did my regular labs, and stated my immune system continues to fight the HIV I contracted around 11/2021. He referred me to ID which was the same one for the HIV that he referred me too, which I don't have a good relationship with because they just want to push medications. MY NP listens to me and told me to go to health department which I was given PCN injections.   Elsa: Hi Dr. Cabral, I have been suffering from allergies and congestion for a long time now. I've been listening to your podcast for a while and have recently purchased the CBO protocol (for round two) and the mold protocol and am starting those now. With allergy medication I can usually get my sneezing and runny nose under control but I can never seem to get my congestion under control. I have tried GSE spray, Nasacort spray, and neti pot with citricidal drops and all of them irritate my nose like crazy- I sneeze a ton and my nose gets really inflamed and congested. I get really discouraged because I want to breathe through my nose and clear out any yeast or bacterial overgrowth there but can't put anything in my nose without it getting irritated. Why do you think this is? Any advice?   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/2696 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

We have a special extra podcast this week.  During the last AAHPM - HPNA meeting in Montréal, we went around asking attendees what one thing that they are most worried about and one thing they are most hopeful for when thinking about the future of our field.  We couldn't fit everyone's responses in but came up with the big themes for questions and edited them into this weeks podcast / YouTube video.  Eric and Alex   DISCLAIMER While we filmed in Montreal during the Annual Assembly, all opinions expressed in this podcast are independent of AAHPM and HPNA, or the Annual Assembly.  Furthermore, direction to external websites is not an endorsement from AAHPM or HPNA, or the Annual Assembly.  Palliative Care the Next Generation: How the Service May Grow and Evolve https://hospicenews.com/2023/04/14/palliative-care-the-next-generation-how-the-service-may-grow-and-evolve/ AccentCare, a portfolio company of private equity firm Advent International, is another example. The company has expanded its palliative care services through partnerships with hospitals and other managed care providers, according to AccentCare CEO Stephan Rodgers. “We've got a very large palliative care practice,” Rodgers told PCN. “What we've seen to make it really work is you either have to be in the hospital, where we've taken over palliative care in the hospital, or you have to be contracted with managed care and get it at some kind of risk, because community-based palliative care is very difficult to make operate right now from a profitable [perspective].”