Talking General Practice

• Do PAs have a role in the NHS, patient satisfaction, next steps for neighbourhood health

  In our news review Emma and Nick talk about the findings of the independent review into the use of physician associates in the NHS and what this means for their role in future.They look at the results of the latest GP patient survey and what that tells us about how patients feel about general practice. And they discuss what happens next for neighbourhood health as more details emerge about the government plans for 42 sites that are set to push forward this agenda.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful links● Could the 10-year health plan derail rising GP patient satisfaction?● In charts: Which areas have the highest patient satisfaction with general practice?● Government backs Leng review and warns PAs should 'never replace doctors'● PAs urged to dispute job changes following Leng review● NHS won't 'throw money' at neighbourhood health sites, officials warn● 10-year plan 'risky as hell' for general practice Hosted on Acast. See acast.com/privacy for more information.

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• How can existing at-scale models help GPs prepare for a neighbourhood NHS?

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

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• What does the 10-year health plan mean for general practice?

  In this week’s podcast the GPonline team looks in detail at the government’s 10-year health plan and what it means for general practice.They talk about what the plan could mean for the future of the GP contract and the partnership model, the government’s plans for a neighbourhood NHS and what GPs think about the proposals. They also look at how the government plans to shift the NHS from analogue to digital and what this could mean for GPs and their teams.Meanwhile, our good news story this week is about the national roll out of a programme to train GPs with an extended role in gastroenterology.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksFind all our coverage of the 10-year health planThe 10-year health plan at a glance10-year plan threatens existing GP model and continuity of care, warns BMAPCNs in talks over taking on neighbourhood GP contractsViewpoint: Failure to build 10-year plan around general practice is a serious mistake Hosted on Acast. See acast.com/privacy for more information.

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• Understanding the financial pressures facing general practice

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

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• Shaping the future for GPs in London

  This week Emma speaks to Dr Lisa Harrod-Rothwell, chief executive of Londonwide LMCs and a GP in Islington, North London. Londonwide LMCs represents local medical committees, GPs and practices in 27 of the capital’s 32 boroughs.In this conversation, Lisa explains exactly what Londonwide LMCs does and some of the key challenges facing general practice in London, including workforce issues, premises problems and health inequalities.She also talks about the London region of the NHS’s vision for a neighbourhood health service and the role Londonwide LMCs played in shaping that plan. Lisa explains the importance of general practice being at the table for planning discussions, the need for a function-first approach to service delivery, and the potential for a neighbourhood NHS to support and value general practice.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksLondonwide LMCsPCNs could be forced to re-align with neighbourhoods under London health planMost London GP practices 'feel unable to deliver safe care' Hosted on Acast. See acast.com/privacy for more information.

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