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 – Sian Stanley – Can General Practice Lead System Transformation?
05/18/2026
Podcast – Sian Stanley – Can General Practice Lead System Transformation?
In this episode of the General Practice Podcast, Ben is joined by Dr Sian Stanley, GP Partner, PCN Clinical Director and Health System Transformation Leader to explore how general practice can play a central role in reshaping urgent and community care. Sian shares the story behind a GP-led urgent treatment centre collaborative in West Essex, bringing together primary care, community services, the acute trust and wider system partners to redesign patient flow and reinvest savings back into local services. This is a fascinating discussion about practical system leadership, collaboration, and the future role of general practice in NHS transformation. Introduction (0:09) Tell us about your roles (0:23) Tell us about the urgent treatment centre and why it’s unusual for primary care to lead it (1:38) How does the funding and profit-sharing work within the collaborative? (3:27) Is the hospital involved in the collaborative? (4:42) How does making “left shift” tangible help bring practices on board? (6:15) Is it difficult balancing system leadership with representing practices? (7:16) How do you reassure practices and keep them engaged? (7:50) What is the relationship with the acute trust and how has it developed? (10:04) What impact has the loss of ICB funding had on these roles? (11:28) How do you see the provider collaborative developing? (12:23) Is there nervousness about acute trusts becoming too powerful in community care? (13:47) How do you stop general practice becoming an extension of the acute trust? (15:01) How are you tackling the “substitution effect” around hospital admissions? (17:55) Are you starting to see shared savings models work in practice? (21:14) How did you build influence and get a voice at the table? (23:48) Closing reflections (26:24) For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – The GP Contract & What It Means for Practices
04/27/2026
Podcast – Practice Index – The GP Contract & What It Means for Practices
In this week’s episode, brought to you in partnership with Practice Index, we welcome back podcast regulars Claire Houston & Robyn Clark to unpack the realities of the 2026/27 GP contract and what it means for general practice. Claire & Robyn share practical insights into how practices are managing rising expenses, the limitations of current funding allocations, and the increasing challenge of balancing demand with limited resources. They also reflect on wider system issues, including the sustainability of general practice, the risks of shifting workload without adequate funding, and the growing tension between policy expectations and operational reality. Introduction & Sponsor (0:09) Immediate Impact of Contract Changes (2:00) Capacity & Access Funding Changes (9:30) Barriers to Recruitment & Delivery (10:30) Advice & Guidance Changes (17:16) Referral Management & System Pressures (19:09) QOF & Childhood Immunisations Update (24:23) Support Available via Practice Index (26:42) 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 – Sarah Coope – Managing Conflict in General Practice: A Practical Framework for Leaders
04/12/2026
Podcast – Sarah Coope – Managing Conflict in General Practice: A Practical Framework for Leaders
In this week's episode, Ben is joined by Dr Sarah Coope, former GP, mediator and CEO of Wild Monday, to explore one of the most challenging aspects of working in general practice - conflict. Sarah shares why conflict is both inevitable and, when handled well, a positive force within teams, particularly in high-pressure environments like general practice and PCNs. The conversation explores why unresolved conflict is so common, how workload and system complexity contribute, and why avoiding difficult conversations can often make things worse. The episode also highlights the emotional toll of conflict, the importance of psychological and emotional safety, and why one-to-one conversations are often more effective than large group discussions. Finally, Sarah discusses the support available for leaders, including coaching, peer networks and structured development programmes. Introduction (0:07) Why conflict is common in general practice (1:15) The impact of pressure, workload and system complexity (2:27) Avoiding conflict and why it can be harmful (4:02) The emotional toll of conflict (5:14) Handling personal conflict and strong emotions (8:50) Expressing how situations feel (11:00) One-to-one vs group conversations (12:36) Structuring the conversation: HiFIVE model (13:50) Challenging assumptions and narratives (15:05) The final part.. (20:06) Summarising the HIGH5 framework (22:43) Supporting leaders with conflict (23:03) Visit the Wild Monday website . Access the HiFive model . The Shapes Academy Toolkit can be found . Access the How To Lead Without Rescuing webinar . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Tara Humphrey – From Networks to Neighbourhoods
03/23/2026
Podcast – Tara Humphrey – From Networks to Neighbourhoods
Ben recently joined Tara Humphrey from THC Primary Care on The Business of Healthcare Podcast, to explore what lies ahead for primary care, the importance of strong relationships in leadership, and what recent GP contract developments mean for Primary Care Networks and neighbourhood-focused approaches. Interested in hearing more from Ben and Tara? Join them at PCN Plus LIVE 2026 on Wednesday 22nd April 2026, where they’ll be focusing on how deeper collaboration, locally driven innovation, and bold thinking can shape the future of healthcare delivery. Visit the website to learn more or secure your place. Introduction (00:55) "Make it easy to work with you" (05:28) Being intentional vs organic in networking (07:56) Writing emails that get responses (09:56) The GP Contract: first reactions (11:41) Are PCNs at risk? (19:10) Moving from discussion to action (24:19) PCN Plus Live 2026 (25:19) For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Breaking Down the 2026/27 GP Contract
03/09/2026
Podcast – Practice Index – Breaking Down the 2026/27 GP Contract
In this week’s episode, brought to you in partnership with Practice Index, we welcome back to the podcast Peter Maynard, Executive Partner at Horfield Health Centre and Ceri Chaplin, Managing Partner at Hereford Medical Group. Following the publication of the 2026/27 GP contract, they discuss the headline changes and what they could mean for general practice. While the announcement highlights new investment, the reality for practices may be more complex, with funding pressures, operational changes and unanswered questions about how the proposals will work in practice. The conversation explores the implications for practice finances, workforce recruitment, PCNs, advice and guidance, performance management and quality frameworks, alongside the practical challenges managers face when implementing national policy locally. As always, the details still need to emerge, but this episode provides an early perspective on the potential risks, opportunities and uncertainties facing general practice over the next year. Introduction (00:49) Initial reactions to the GP Contract (01:17) Funding and the headline investment (03:10) Capacity and Access funding changes (06:39) Changes to ARRS funding (09:44) The future of PCNs and neighbourhood working (11:12) Advice and Guidance becoming core work (13:44) Increased expectations and performance management (17:58) QOF changes and obesity management (21:10) Childhood immunisation targets (22:57) What happens next? (24:31) 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 – Freddie Charrington – From Problem to Platform: Building 'Dispensary Market'
02/23/2026
Podcast – Freddie Charrington – From Problem to Platform: Building 'Dispensary Market'
In this week's episode, Ben is joined by Dr Freddie Charrington, GP Partner at Phoenix Health Group in Tetbury, to discuss the growing financial challenges facing dispensing practices, and how the practice transformed its dispensary from near break-even to sustainable profitability. Freddie shares how he unexpectedly became dispensary lead soon after becoming a partner and was tasked with determining whether the service should continue at all. Working alongside his dispensary team, family members and a data scientist, Freddie developed ‘Dispensary Market’, a tool that compares drug prices across multiple wholesalers, helping practices make smarter purchasing decisions. Freddie also explains how the tool has expanded beyond his own practice, remaining free for GP practices while helping improve both profitability and medication availability across dispensing sites. Introduction (0:08) Freddie’s background and becoming dispensary lead (0:20) Why dispensing practices are under financial pressure (1:21) Rural challenges and workforce pressures (2:27) Discovering the true dispensary finances (3:07) Identifying purchasing inefficiencies and drug margins (4:01) From spreadsheets to building a solution (4:45) Developing Dispensary Market (5:27) Expanding wholesalers and improving margins (6:30) Implementing change with the dispensary team (7:21) How the platform works in practice (8:24) Why drug prices change constantly (9:24) Real-time pricing and system design (10:10) Early results and product evolution (10:44) Lessons in change management and user adoption (11:44) Rolling out to other practices (13:23) Keeping the platform free for GP practices (14:43) What is ‘Dispensary Market’ and how to access it (15:08) Uptake and current usage (16:11) Balancing GP work and running the platform (16:21) Supply chain benefits and stock availability (17:06) Closing reflections (18:10) Check out the ‘Dispensary Market’ website . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Why Appraisals Matter in General Practice
02/09/2026
Podcast – Practice Index – Why Appraisals Matter in General Practice
In this week’s episode, brought to you in partnership with Practice Index, we welcome back podcast regulars Claire Houston & Robyn Clark to explore why appraisals are a vital part of staff development in general practice, and how to make them meaningful rather than just a tick-box exercise. They discuss whether ‘appraisal season’ is helpful or whether reviews should be spread throughout the year, how to structure objectives so they align with wider practice goals, and why appraisals should never contain surprises. The conversation covers practical tips on preparation, 360° feedback, handling difficult conversations, and setting SMART objectives that genuinely support both individual growth and organisational strategy. The episode also explores the unique challenge of appraising practice managers, the benefits of a four point scoring system, and how digital tools like the Appraisals Manager within the Practice Index Hub can streamline the entire appraisal cycle, from scheduling and documentation to tracking objectives and progress. Introduction (0:09) Practice Index Appraisals Manager: what it offers (00:35) Is there such a thing as ‘appraisal season’? (01:25) Why appraisals should never contain surprises (02:15) Formal appraisals (03:10) Aligning individual objectives with practice strategy (04:00) Setting meaningful objectives (and how many to set) (06:30) Using SMART objectives effectively (08:30) The importance of preparation and pre-appraisal questionnaires (10:30) 360° feedback and gathering wider perspectives (11:30) Avoiding difficult conversations, and why you shouldn’t (13:45) A practical structure for giving constructive feedback (14:45) Rethinking scoring: why move from five points to four? (16:50) Documenting objectives and tracking progress digitally (18:20) Who appraises the practice manager? (19:15) Using the IGPM appraisal toolkit (20:30) Accessing the HR package and Appraisals Manager in the Hub (23:30) Episode summary and close (24:30) Book an HR Package demo To access the IGPM Appraisal Toolkit, 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 – Catherine Pope – Access to General Practice: What Works, What Lasts, and Why
01/19/2026
Podcast – Catherine Pope – Access to General Practice: What Works, What Lasts, and Why
In this episode, Ben is joined by Catherine Pope, Professor of Medical Sociology at Nuffield Department of Primary Care Health Sciences, to explore how access to general practice really works in practice and what happens to appointment systems over time. Drawing on over 30 years of research and findings from a recent study, the discussion examines the sustainability of different access models, the legacy of initiatives such as Advanced Access, and why practices continually adapt systems to manage demand. The episode explores the limitations of top-down, standardised and digital first solutions, the impact of access systems on patients, reception teams and clinicians, and why variation is often necessary to meet the needs of local populations. The conversation also highlights patient experiences of navigating access, the risks of diversion and looping between services, creative approaches such as the ‘Phones and Ladders’ game to illustrate access challenges, and the case for more patient-centred, locally adaptable models that prioritise need, continuity and sustainable general practice. Introduction (00:08) Your recent study on access to general practice (01:00) Did you find that practices were able to sustain the benefits of new access systems? (04:04) Have practices managed to stick with the changes they made over time? (09:41) Does this impact sustainability, because eventually people stop doing it? (13:39) ‘Phones and Ladders’ (15:30) Should access start with local population needs? (19:28) Are current access outcome measures too crude if they focus only on waiting times? (22:05) If people want to access the research or learn more, where can they find it? (24:33) Visit the ‘General Practice: Innovation, impact and sustainable change’ research . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Dr Zalan Alam – How Rochdale Is Implementing the National Neighbourhood Programme
01/05/2026
Podcast – Dr Zalan Alam – How Rochdale Is Implementing the National Neighbourhood Programme
In the first episode of 2026, Ben is joined by Dr Zalan Alam, General Practitioner, Director of Medical Education and GP Partner, to explore Rochdale’s selection as a site for the National Neighbourhood Health Implementation Programme (NNHIP) and what this means in practice for general practice and PCNs. The discussion focuses on improving patient journeys, particularly for frail patients and those in the last year or 1,000 days of life, by strengthening connectivity between primary care, community services, hospices, ambulance services and acute trusts, using standardised frailty assessments, shared care plans and tools such as the Greater Manchester Care Record. The episode also covers targeted neighbourhood working in Rochdale South, the importance of peer leadership and measurable impact for frontline practices, and what comes next as the programme moves from planning into delivery, with an emphasis on locally adaptable models rather than a one-size-fits-all approach. Introduction (00:08) Why Rochdale was selected for NHIP (00:29) Population, PCNs and deprivation (01:22) How the programme is structured (02:42) Early priorities and patient journey focus (03:35) Targeting Rochdale South as a proof of concept (05:33) Connectivity gaps and ‘lightbulb moments’ (06:25) How neighbourhood working operates in practice (07:03) Standardising care plans and frailty pathways (08:40) Using data to identify priority cohorts (10:07) Shared tools, shared vision (12:01) Impact on PCNs and general practice (14:09) System-level integration and why it works in Rochdale (16:12) Moving from planning to delivery (17:42) Measuring impact and managing expectations (18:40) Learning from other NHIP sites (19:13) Reflections & next steps (20:26) Listen to Zalan's previous podcasts ‘Innovative intermediate care’ and ‘Integration working in practice’ . Contact Zalan via email . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Judy Oliver – The Role of the Voluntary Sector in General Practice
12/15/2025
Podcast – Judy Oliver – The Role of the Voluntary Sector in General Practice
In this episode, Ben is joined by Judy Oliver from Oliver & Company to discuss the role of the voluntary, community and social enterprise (VCSE) sector in healthcare and general practice. Judy explains why the voluntary sector is essential yet often misunderstood. She explores how social prescribing and asset mapping can better connect patients with non-clinical support, highlights successful collaborative models such as the Bromley by Bow Centre, and discusses the challenges VCSE organisations face around funding and visibility. The conversation focuses on practical ways PCNs and practices can work more effectively with local voluntary groups, move towards neighbourhood-based care, and take simple next steps to build meaningful partnerships that improve patient outcomes. Introduction (00:08) The Voluntary Sector in General Practice (00:22) What does VCSE mean? (02:23) Does it deliver real benefit? (03:21) How have PCNs worked with the voluntary sector? (05:22) How to find what’s available in your area (07:40) Finding the right people (10:22) From PCNs to neighbourhood working (15:01) Next steps (18:18) Getting in touch (19:47) Visit the Oliver & Company website , or contact Judy via email , or Charlotte . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Budget Changes Unpacked
12/01/2025
Podcast – Practice Index – Budget Changes Unpacked
In this week’s episode, brought to you in partnership with Practice Index, we’re joined by Claire Houston from Practice Index, Paul Gordon from Atomos, and James Gransby from Azets to break down what the latest budget really means for general practice. We explore how tools like the salary calculator and benchmarking manager can support smarter decision making as practices respond to rising costs. They also look closely at how these budget changes affect personal finances, from the withdrawal of personal allowances for high earners to the long term impact of frozen tax thresholds. With insights on NHS pensions, future tax considerations, and the importance of revisiting financial plans, this episode offers straightforward guidance to help practice teams and individuals stay confident, informed, and financially resilient. The Budget (00:08) Benchmarking Manager (02:28) Reactions to the budget (03:30) What should people be doing differently now? (07:55) NHS Pension (09:09) What will be different? (10:58) Increase in the National Living Wage (14:27) The Carr-Hill formula (16:31) The timeframe (19:25) Other changes.. (20:34) ISA changes.. (21:37) Final thoughts.. (24:16) To book your free Benchmarking Manager demo, or to access the Salary Calculator, login . 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 – Why PCNs Should Lead the Way with Neighborhood Meetings
11/17/2025
Podcast – Ben Gowland – Why PCNs Should Lead the Way with Neighborhood Meetings
In this solo episode, Ben explores how PCNs can transform their role within the local healthcare system by taking the lead in organising neighborhood meetings. Moving beyond the limits of bilateral conversations, Ben explains how these gatherings can unite stakeholders, such as ambulance trusts and mental health services, to drive collaboration, set shared priorities, and influence the direction of neighborhood healthcare planning before formal mandates take shape. With practical advice on starting small, building trust, and fostering genuine partnership, this episode offers tips for PCNs ready to step up as proactive leaders shaping the future of their communities. Introduction (00:09) Neighbourhood meetings (00:30) Convening the neighbourhood meeting.. (02:24) Why does Ben think it’s a good idea? (03:14) Argument against.. (10:00) How do I convene a neighbourhood? (14:00) Key takeaways (20:20) For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Dr Hannan Chaudery – How GP Triage Is Transforming Patient Access in the NHS
11/03/2025
Podcast – Dr Hannan Chaudery – How GP Triage Is Transforming Patient Access in the NHS
Can AI truly transform how patients access healthcare? In this episode, Ben is joined by Dr Hannan Chaudery, Chief Technology Officer of GP Triage, to explore how autonomous AI is reshaping patient care across the NHS. Hannan explains how GP Triage’s innovative system prioritises appointments based on clinical urgency, easing the pressure on receptionists and clinicians while improving patient outcomes. With the NHS now requiring online consultations, GP Triage’s AI powered triage is leading the way in managing surging demand efficiently and effectively, and adapting seamlessly to the needs of each individual practice. Introduction (00:08) Autonomous AI triage (00:18) Are requirements increasing demand? (01:08) More about Dr Hannan Chaudery.. (02:02) More about GP Triage Ltd.. (02:58) The tools learning (05:42) The risks.. (06:35) Your tool doesn’t make mistakes? (07:59) Giving patients the choice (08:53) Evolving your tool over time (12:29) The accuracy of the tool (13:26) Coverage in England and beyond.. (14:48) Implementing change.. (15:40) How do you define success? (17:34) Online vs telephone (20:22) How it all works and what it costs.. (22:00) What's next? (24:31) Visit the GP Triage website . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Practice Index – Navigating CQC Inspections with Confidence
10/20/2025
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; 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 – Debbie Hipps – Innovations in Genomic Medicine and Its Impact on Care
10/05/2025
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 . Access the Genomics Education Programme: Genomics in Primary Care . Access the Genetic Test Ordering in Primary Care Resources . Access the Genomic notes for clinicians . Visit the Gateway C Course: The role of Genomics in Primary Care . Visit the Futurelearn: the Future of Genetics in Medicine Online Course . Download the Genomics information on an App (Please note - only currently available for SE, NThames and East regions) North Thames GMSA Educational Resources can be accessed . eLearning for Health Genomics in Healthcare is found . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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Podcast – Jonathan Griffiths & Bryony Kendall – Supporting Child Bereavement in General Practice
09/21/2025
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 . For all enquiries about the Ockham podcast, please contact Ben Gowland .
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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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