Podcast – Practice Index – Navigating CQC Inspections with Confidence
In this week's episode, brought to you in partnership with Practice Index, we welcome back podcast regular Claire Houston and returning guest Kay Keane from Urban Village Medical Practice, a practice that recently achieved an Outstanding CQC rating. Together, they share practical advice and real experiences from the CQC inspection process, from innovative community services to managing the pressures of staff questionnaires and documentation. Kay offers a candid look at how preparation, teamwork, and a strong practice culture can make all the difference. Claire highlights how practices can use tools and resources from Practice Index to streamline compliance, boost confidence, and maintain readiness all year round. They also discuss how to turn inspection challenges into opportunities for growth, the importance of clear communication, and practical tips for approaching appeals calmly and effectively. Whether you're preparing for your first inspection or aiming to strengthen your next rating, this episode is full of valuable insight and encouragement for every practice team. Introduction (00:09) From good to outstanding.. CQC visits (01:36) Preparing in advance.. (04:44) Specifics of a CQC inspection (07:25) The inspection (08:39) Reaching for 'Outstanding' (14:06) Changes in the regime (14:29) Making inspectors feel welcome (16:19) The pressures.. (21:41) The feedback (22:20) The 'correct' way to appeal (28:02) Final thoughts and advice (30:19) Listen back to our episodes with the Urban Village Medical Practice; About Urban Village Urban Village Strategies to Support Homelessness 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.
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Podcast – Debbie Hipps – Innovations in Genomic Medicine and Its Impact on Care
This week, Dr. Debbie Hipps, a pioneering GP and primary care lead, joins Ben to explore how genomic medicine is transforming general practice. From enhancing risk assessments, family history evaluations, and cancer treatments to driving the NHS's shift from reactive to preventative care, Debbie highlights the urgent need for GPs and pharmacists to upskill in this fast-evolving field. We discuss practical tools like the Genomics Education Programme, real-world examples such as managing Lynch syndrome, and the broader challenges of integrating genomics into primary care, while looking ahead to a future of more precise, personalised treatments. Introduction (00:10) Genomic medicine (01:43) Genomics in the 10 year plan (02:28) How is genomic medicine being used in general practice now? (03:21) What makes something genomic medicine? (07:02) What genetic tests are available for patients? (07:53) Examples of practices who regularly use the testing.. (11:45) The near future.. (13:10) Staying up to date.. (16:13) Services across the UK.. (17:19) Resources (19:01) Can it make the shift from treatment to prevention.. (19:31) Access the RCGP Genomic Toolkit and Curriculum Guidance here. Access the Genomics Education Programme: Genomics in Primary Care here. Access the Genetic Test Ordering in Primary Care Resources here. Access the Genomic notes for clinicians here. Visit the Gateway C Course: The role of Genomics in Primary Care here. Visit the Futurelearn: the Future of Genetics in Medicine Online Course here. Download the Genomics information on an App here (Please note - only currently available for SE, NThames and East regions) North Thames GMSA Educational Resources can be accessed here. eLearning for Health Genomics in Healthcare is found here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.
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Podcast – Jonathan Griffiths & Bryony Kendall – Supporting Child Bereavement in General Practice
In this episode, Dr. Jonathan Griffiths and Dr. Bryony Kendall open up about one of the most sensitive challenges in general practice, supporting families through the loss of a child. They share the journey of creating a new framework for GPs, co-produced with bereaved parents and the Alder Centre, to help doctors provide compassionate and consistent care. The discussion highlights why child bereavement is often avoided in society, and how GPs can play a vital role in offering empathy, continuity, and support at such difficult times. They also explore the national child bereavement support document, its UK-wide relevance, and the importance of preparedness in general practice. They emphasise the privilege and responsibility of walking alongside grieving families, and the lessons this work brings to healthcare. A powerful and practical conversation for all healthcare providers seeking to offer comfort when it's needed most. Introduction (00:09) When a Child Dies Framework (00:48) Lack of support available.. (02:47) Discussions with practices (06:36) Three main areas (07:35) Tailoring the approach (12:24) Reactions to the framework so far.. (18:49) Where to access the document (21:40) Next steps.. (22:14) When a Child Dies: An NHS Cheshire and Merseyside Framework can be found here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.
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Podcast – Practice Index – Contracts, Costs & Care: Challenges Facing GP Practices
In this week's episode, brought to you in partnership with Practice Index, we welcome back podcast regulars Claire Houston & Robyn Clark to discuss the financial challenges currently facing general practice. Together they highlight how inadequate core contract funding and rising inflation are leaving practices unable to cover the real costs of staffing and operations. They also examine the upcoming October contract changes, considering how these may heighten patient expectations around appointments and access, while creating practical challenges for practices working across both digital and analogue systems. Finally, they reflect on the uncertainty surrounding the future of general practice, stressing the importance of safe staffing levels, staff wellbeing, and the urgent need for honest conversations with government about funding and expectations to secure the sustainability of primary care. Introduction (00:09) Practice Index (00:43) changes to the contract since it was first agreed.. (01:21) Funding.. (05:47) Have take home profits gone up in practice? (07:42) Uncertainty for practice, uncertainty for staff and insufficient funding.. (09:03) Increase in patient expectations (13:37) What's different from what was available on the 1st of April? (15:17) Do you think there's a chance the wording will get changed (18:41) What's your advice? (23:00) The new contract.. (25:21) 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.
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Podcast – Charlie Andrews – Bridging the Gap: GPs, Gastroenterology, and the Future of Patient Care
What if general practice could seamlessly connect with secondary care? In this episode, Ben speaks with Dr. Charlie Andrews, a GP at Somerset's Summer Valley Medical Group and a leading voice in gastroenterology. Charlie shares his journey and the inspiration behind pioneering specialised roles for GPs. He discusses his innovative training programme, supported by NHS England and the Southwest Endoscopy Training Academy, which empowers GPs to expand into areas like inflammatory bowel disease and endoscopy while collaborating with hospital specialists. Charlie also explores the challenges of recruiting and funding GPs for extended roles and explains the practical implementation guide that ensures smooth transitions and proper supervision. Join us for an insightful conversation about how collaboration, innovation, and passion are reshaping patient care, bridging the gap between primary and secondary care, and opening exciting new pathways for GPs across the UK. Introduction (0:09) Does anyone else offer the same training programme? (03:54) Joint working between General Practice & Secondary care.. (04:21) A two way learning.. (06:45) Referral and utilisation rates (07:23) Making it better for patients (08:01) The 10 year plan (08:46) The training programme (10:17) The placements (12:44) Funding (14:14) Learnings so far.. (15:53) Find out more.. (17:54) What does gastroenterology look like in 10 years time (20:17) Getting in touch (22:28) Access the GPwER framework document here. The GPwER course brochure can be found here. The training programme evaluation can be found here. Listen to Charlies educational podcast that he runs for the PCSG for primary care clinicians here. Contact Charlie directly via email here. For all enquiries about the Ockham podcast, please contact Ben Gowland here.
Ben Gowland talks to those making real change happen in healthcare, getting underneath what they did, how they managed to do it, and the challenges they faced along the way
UK