The General Practice Podcast
Ben Gowland explores new ways of working in general practice. He talks to those making changes happen, gets underneath what they did, how they managed to do it, and the challenges they faced along the way.
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Podcast – Practice Index – Contracts, Costs & Care: Challenges Facing GP Practices
09/08/2025
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, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Charlie Andrews – Bridging the Gap: GPs, Gastroenterology, and the Future of Patient Care
08/24/2025
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 . The GPwER course brochure can be found The training programme evaluation can be found . Listen to Charlies educational podcast that he runs for the PCSG for primary care clinicians . Contact Charlie directly via email . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Andy Pow – Funding, Contracts & the Future: 10 Year NHS Plan
08/10/2025
Podcast – Andy Pow – Funding, Contracts & the Future: 10 Year NHS Plan
In this episode, Ben explores the NHS's 10 year plan through the lens of general practice funding. Joined by finance expert Andy Pow, they unpack the major shifts proposed in the plan, including resource movement from acute care to community services and the ambitious productivity expectations placed on general practice. Andy shares his insights on the feasibility of these changes and the implications of emerging GP contracts, such as single and multi-neighborhood provider models, which could fundamentally reshape funding and delivery structures. The discussion also touches on governance challenges, potential cultural friction, and the risk of small practices being sidelined by larger entities. This episode offers a deep dive into how general practice must evolve to remain central in a shifting healthcare landscape. Introduction (0:08) The 10 year plan (00:50) No new cash.. (01:52) Do you think that is an opportunity for general practice? (02:30) A move away from funding for general practice being primarily via the core contract? (03:51) PCN DES (05:17) Where is the money to go into the core general practice contract? (06:12) The two new contracts.. (07:53) Can PCNs take on the contracts?? (09:23) ICBs are being encouraged to get a range of potential providers for these contracts.. (11:18) What are you signing up for?. (12:40) Full circle.. (14:25) How important is it that General Practice holds these contracts? (15:50) How do we be proactive and not act like victims to all of this? (17:24) A risk or an opportunity for General Practice? (19:18) What's your advice? (21:08) Getting in touch.. (22:34) Visit the Pow and Thomas website . To find Andy Pow on socials, visit his X profile , Bluesky & Linkedin . To find Power and Thomas on socials, visit their X profile , Bluesky & Linkedin . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Transforming General Practice: 10 Year NHS Plan
07/27/2025
Podcast – Practice Index – Transforming General Practice: 10 Year NHS Plan
What does the future hold for general practice in our communities? In this week’s episode, brought to you in partnership with Practice Index, we welcome back Adrian Down & Ceri Chaplin to unpack the NHS’s ambitious 10 year plan to shift care from hospitals into local settings, with a focus on digital transformation and preventative strategies. With a blend of optimism and realism, Adrian and Ceri explore what these changes mean for small, independent practices, particularly in rural areas, sharing contrasting experiences and hopes for the neighbourhood health service model. They delve into the feasibility of single and multi-neighbourhood provider contracts, the evolving role of PCNs, and the future of the partnership model. Throughout the conversation, they highlight the need for local voices in shaping national implementation, using examples from regions like Hereford to demonstrate how innovation can work hand in hand with the core values of general practice. Introduction (00:09) Are you excited about the vision? (01:45) Are neighbourhoods a threat? (03:50) What is a neighbourhood? (07:01) General Practice has a voice.. (08:33) The importance of having a good structure.. (10:54) Is it realistic? (12:33) New contracts (17:13) Concerns.. (18:48) The Neighbourhood Health Implementation Programme (21:40) To visit the Practice Index website, or contact James Dillon . Access the ‘Change Management Masterclass’ . Visit the ‘An Introduction to Managing Change’ class . Browse all the bespoke courses for GP practice staff . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Katie Bramall-Stainer & Alice Benton – From Vision to Action: 10 Year NHS Plan
07/13/2025
Podcast – Katie Bramall-Stainer & Alice Benton – From Vision to Action: 10 Year NHS Plan
In this episode, healthcare leaders Katie Bramall-Stainer & Alice Benton unpack the newly published 10-year NHS plan, highlighting the vital yet often overlooked role of practicing professionals in shaping effective policy. They explore the transformative potential of tools like the NHS app and AI, the real world challenges facing GPs, and the shifting balance of resources from hospitals to community care. With a strong focus on funding transparency, integration, and the importance of GP voices in decision making, this conversation is a timely call for healthcare professionals to stay engaged, informed, and proactive in shaping the future of general practice. Introduction (0:08) The 10 year plan (00:39) The front door of the NHS (03:39) The core contract (12:38) The heart of the system (15:19) The direction of travel (18:49) What’s your advice? (22:23) For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Ben Gowland – Fit for the Future: 10 Year NHS Plan
07/07/2025
Podcast – Ben Gowland – Fit for the Future: 10 Year NHS Plan
In this solo episode, Ben examines the newly published 10-Year NHS Plan, Fit for the Future, and its implications for general practice as the NHS shifts towards a neighbourhood health service model. He discusses how digital platforms like the NHS app are reshaping patient access, moving general practice away from its traditional front-door role. The episode highlights opportunities for growth and investment, the organisational changes needed to realise them, and the risks to established models of care. Ben also explores how neighbourhood services could reduce reliance on hospitals and how new contracts may drive larger-scale operations. Future episodes will feature experts to delve even deeper into these changes.. The 10 year plan (0:09) Major changes to the way the NHS operates (02:06) The new role for General Practice.. (04:24) Segmented neighbourhood populations (05:19) What does it actually mean by a neighbourhood? (06:24) Analogue to digital.. (07:20) General Practice will be a part of neighbourhood health (08:53) Two new contracts for General Practice (10:46) So what about money? (14:00) Delivery over the next 3 to 4 years (14:35) What to think about now? (15:44) Finally.. (16:51) For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Vicky Maskill & Adam Davies - Transforming Healthcare with Pure Unity Health
06/22/2025
Podcast - Vicky Maskill & Adam Davies - Transforming Healthcare with Pure Unity Health
Join us this week as we explore the transformative journey of Pure Unity Health with our insightful guests, Vicky Maskill and Adam Davies. Discover how Pure Unity Health has grown into a leading provider of first contact physiotherapy services across the UK. Vicky and Adam share their experiences of delivering high quality services and maintaining robust data reporting, while highlighting the importance of building strong relationships with PCNs. The conversation also explores their innovative health coaching initiatives, including the integration of pain cafes and community based coaching through PCNs. Plus, they discuss new QOF targets around cardiovascular disease, and the vital role of behaviour change and lifestyle coaching in improving patient care and supporting NHS preventative strategies. Introduction (00:09) Pure Unity Health (00:59) What have you learnt from working with PCNs? (02:09) How can you supply physiotherapists when PCNs are struggling to recruit themselves? (04:38) Third party providers (06:25) How it works in practice.. (12:33) Locally owned.. (14:30) Helping PCNs and practices with new QOF targets (17:58) Getting in touch.. (20:33) Visit the Pure Unity Health website . Contact Vicky directly . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Redefining Receptionist Roles in Healthcare
06/08/2025
Podcast – Practice Index – Redefining Receptionist Roles in Healthcare
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 View Practice Index’s bespoke, engaging courses . Access the ‘Receptionists in General Practice Masterclass’ , or the ‘Learning Package’ . To visit the Practice Index website, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Alex Matheson - Building an Inclusive Future in LGBTQ+ Health
05/25/2025
Podcast - Alex Matheson - Building an Inclusive Future in LGBTQ+ Health
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 , or contact Alex directly via email . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Rachel Morris - Conquering Stress and Enhancing Communication
05/11/2025
Podcast - Rachel Morris - Conquering Stress and Enhancing Communication
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 . To attend ‘Work Well Live: Prevent Burnout, Boost Retention and Protect Your Time and Energy - A New Approach’ click . The replay of ‘FrogFest Virtual 2024 - This Time it's Awkward Recording’ can be found . Website - Instagram - LinkedIn - Facebook - YouTube - Our FREE Am I Stressed, Overwhelmed or Burnt Out Toolkit - For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Strategies for the 25/26 Quality and Outcomes Framework
04/27/2025
Podcast – Practice Index – Strategies for the 25/26 Quality and Outcomes Framework
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; To visit the Practice Index website, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Pete Woodward - Balancing Innovation and Financial Strategy
04/06/2025
Podcast - Pete Woodward - Balancing Innovation and Financial Strategy
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, . To contact Pete directly, please contact him by email . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Insights into the newly Agreed Contract
03/24/2025
Podcast – Practice Index – Insights into the newly Agreed Contract
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, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Ashleigh Perryman & Michael Norris - Revolutionising Pharmacy: Team-Based Care & Innovation
03/10/2025
Podcast - Ashleigh Perryman & Michael Norris - Revolutionising Pharmacy: Team-Based Care & Innovation
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 .
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Podcast – Practice Index – Challenges and Opportunities in Modern Primary Care Networks
02/24/2025
Podcast – Practice Index – Challenges and Opportunities in Modern Primary Care Networks
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, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Ruth Rankine - Collaborative Innovations in General Practice
02/10/2025
Podcast - Ruth Rankine - Collaborative Innovations in General Practice
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 . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Exploring Changes in Advice and Guidance Funding in General Practice
01/27/2025
Podcast – Practice Index – Exploring Changes in Advice and Guidance Funding in General Practice
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, . To visit the Practice Index website, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Lorenz Kemper - Medlink's Automated Recall with Online reviews
01/13/2025
Podcast - Lorenz Kemper - Medlink's Automated Recall with Online reviews
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 . You can listen back to Lorenz’ & Ben’s previous episode ‘Online long-term condition reviews using MedLink’ . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Tackling Financial Hurdles in Primary Care
12/16/2024
Podcast – Practice Index – Tackling Financial Hurdles in Primary Care
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, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Ben Gowland – The Changing Landscape of Primary Care Networks and GP Practices
12/09/2024
Podcast – Ben Gowland – The Changing Landscape of Primary Care Networks and GP Practices
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 .
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Podcast – Adrian McCourt – A New Approach to Tackling Health Challenges
12/02/2024
Podcast – Adrian McCourt – A New Approach to Tackling Health Challenges
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 , or get in touch with Adrian via email . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Tom Holdsworth – The NHS England PCN Pilot Scheme: One PCN's Experience So Far
11/25/2024
Podcast – Tom Holdsworth – The NHS England PCN Pilot Scheme: One PCN's Experience So Far
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) For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Nicola Davies, Matthew Isom & Ed Kennedy – Sustaining Rural Healthcare: Challenges and Solutions for Dispensing Practices
11/18/2024
Podcast – Nicola Davies, Matthew Isom & Ed Kennedy – Sustaining Rural Healthcare: Challenges and Solutions for Dispensing Practices
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 .
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Podcast – Laura Marshall – Transforming Patient Safety in General Practice: Insights and Innovations
11/11/2024
Podcast – Laura Marshall – Transforming Patient Safety in General Practice: Insights and Innovations
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 , or find Laura on LinkedIn . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – The Impact of Budget Changes on General Practices
11/04/2024
Podcast – Practice Index – The Impact of Budget Changes on General Practices
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 and ensure you select 'Practice Management' in the profession field. Alternatively, you can email 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, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Paul Gordon & James Gransby – Making Sense of Changes in NHS Pension Schemes
10/28/2024
Podcast – Paul Gordon & James Gransby – Making Sense of Changes in NHS Pension Schemes
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 . 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 . To contact James directly, his email can be found , or visit James’ bio on the Azets website . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Joe McManners – Enhancing Primary and Community Care within the NHS
10/20/2024
Podcast – Joe McManners – Enhancing Primary and Community Care within the NHS
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 .
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Podcast – Practice Index – New GP Reimbursement Scheme
10/13/2024
Podcast – Practice Index – New GP Reimbursement Scheme
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, or contact James Dillon . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast - Fran Cundill - Reinventing Asthma Care through Sustainability
10/06/2024
Podcast - Fran Cundill - Reinventing Asthma Care through Sustainability
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 , the toolkit , and the Centre for Sustainable Healthcare website . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Amy Sissons & Naomi Bennett – Pathway for Partnership Shaping the Future of General Practice
09/29/2024
Podcast – Amy Sissons & Naomi Bennett – Pathway for Partnership Shaping the Future of General Practice
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 , or visit their , or . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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