Talking General Practice

GPonline.com

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Brought to you by GPonline.com, this weekly podcast discusses the latest news from the world of UK general practice and talks to GPs and others about the big issues affecting primary care. We're also aiming to highlight some positive stories and inspiring people along the way.

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132 episodes

Taking a different approach to GP retention

This week Emma talks to GP Dr Lucy Henshall and healthcare consultant and former practice manager Penny Flack about their initiative Welcome Back to Work, which helps support GPs back into the workplace if they’ve had less than two years away. In this conversation they explain how Welcome Back to Work helps GPs, the importance of tailoring support to individual doctors, and why we need a much more flexible approach to GP retention than is currently available. They also talk about what GP practices can do to support GPs returning to work and those who may need more flexibility in the way that they work - and the benefits for both employers and doctors of doing this. And how they hope their approach could be scaled up to work across local healthcare systems – or even nationally – to help ensure experienced GPs are not lost to the NHS. Lucy and Penny primarily work in Suffolk but they also work with GPs in other parts of the country as well. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen USEFUL LINKS Welcome Back to Work website https://www.welcomebacktowork.co.uk/ * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

35m
Mar 29
Defining physician associate roles, a GP Uber driver, Welsh GPs near industrial action

Emma and Nick discuss the debate that’s raging about the use of physician associates in the NHS after the BMA issued new guidance on the tasks PAs should and shouldn’t be doing and the RCGP updated its red lines on the use of PAs in general practice. They also talk again about the struggles GPs are facing finding work as the financial pressures in general practice continue to bite, as well as the results of a new BMA survey of GP registrars about their future career intentions. And they look at what happened at the Welsh LMCs conference recently where GPs called for the BMA to move towards industrial action by GPs in Wales - and also what’s going on in England as we head towards the end of the referendum on the GP contract there. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. USEFUL LINKS Physician associates must never see undifferentiated patients, BMA safety advice warns https://www.gponline.com/physician-associates-undifferentiated-patients-bma-safety-advice-warns/article/1864101 RCGP expands 'red lines' on use of physician associates in general practice https://www.gponline.com/rcgp-expands-red-lines-use-physician-associates-general-practice/article/1864562 NHS promises clear safety advice for GPs on physician associate role https://www.gponline.com/nhs-promises-clear-safety-advice-gps-physician-associate-role/article/1864931 Qualified GP driving for Uber amid chronic shortage of jobs https://www.gponline.com/qualified-gp-driving-uber-amid-chronic-shortage-jobs/article/1865374 Just two in five GP registrars plan to work in UK general practice, devastating poll reveals https://www.gponline.com/just-two-five-gp-registrars-plan-work-uk-general-practice-devastating-poll-reveals/article/1865190 Welsh LMCs push for industrial action as ministers warned not to 'devalue general practice' https://www.gponline.com/welsh-lmcs-push-industrial-action-ministers-warned-not-devalue-general-practice/article/1864735 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

31m
Mar 22
Dr Katie Bramall-Stainer on the GP contract and the fight for a better deal for general practice

Emma talks to BMA England GP committee chair Dr Katie Bramall-Stainer about the impact the GP contract for 2024/25 will have, the BMA’s referendum on the deal and what happens next. GPs in England are facing the third consecutive contract imposition and a deal that will deliver just a 1.9% uplift to funding in 2024/25. The BMA last week launched a referendum on the contract and we’re entering a crucial period for the profession that could see GPs head towards industrial action later this year. In this interview Dr Bramall-Stainer explains why she thinks the deal represents an ideological dismantling of NHS general practice, how it could harm practices and patients, and what happened during this year’s contract negotiations. She also talks about what she hopes the referendum will achieve and what happens next, how the BMA’s safe working guidance could help practices in the coming months and how working in partnership with patients could help convince ministers of the need for further investment in general practice ahead of the general election. This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen. USEFUL LINKS GP concerns have been 'ignored' but referendum offers chance to speak up, says BMA https://www.gponline.com/gp-concerns-ignored-referendum-offers-chance-speak-up-says-bma/article/1864455 BMA reveals forms of industrial action GPs could take this year https://www.gponline.com/bma-reveals-forms-industrial-action-gps-year/article/1864173 What is in the GP contract for 2024/25? https://www.gponline.com/gp-contract-2024-25/article/1863251 GP business model 'non-viable' under 2024/25 contract, warns BMA https://www.gponline.com/gp-business-model-non-viable-2024-25-contract-warns-bma/article/1863321 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

38m
Mar 15
GP contract 2024/25 - are GPs in England heading for industrial action?

This week the GPonline team discusses the GP contract for England for 2024/25.  They look at how the contract deal will affect practice finances, as well as some of the other changes it will bring. They also talk about the human impact of underfunding in general practice, which has seen some unemployed locum GPs being forced to use food banks as well as and practices having to cut back services because of funding constraints. They also look at what happens next after the BMA launched its referendum on the deal this week and ask whether GPs in England are heading for industrial action and what that might look like. Our good news story is about plans for same-day access hubs in North West London being shelved. This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostcock and senior reporter Kimberley Hackett. It was produced by Czarina Deen. USEFUL LINKS GPs asked to vote on 2024/25 contract as BMA launches yes/no referendum https://www.gponline.com/gps-asked-vote-2024-25-contract-bma-launches-yes-no-referendum/article/1864177 BMA reveals forms of industrial action GPs could take this year https://www.gponline.com/bma-reveals-forms-industrial-action-gps-year/article/1864173 Unemployed locum GPs relying on food banks, BMA council member warns https://www.gponline.com/unemployed-locum-gps-relying-food-banks-bma-council-member-warns/article/1863344 Outstanding practice forced to scale back services due to 'spiralling' costs https://www.gponline.com/outstanding-practice-forced-scale-back-services-due-spiralling-costs/article/1863557 What is in the GP contract for 2024/25? https://www.gponline.com/gp-contract-2024-25/article/1863251 ICB backs down on same-day access plan after GP and patient outcry https://www.gponline.com/icb-backs-down-same-day-access-plan-gp-patient-outcry/article/1864036 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

40m
Mar 08
Making the case for an NHS budget refocused on primary care

This week Emma speaks to Beccy Baird, senior fellow at health think tank the King’s Fund. Beccy is the lead author of a report the King’s Fund published in Feburary called . The report looks at what needs to happen to ensure a greater share of NHS funding goes to primary care and community services and we build an NHS that is focused on communities rather than hospitals. The report says that the government's failure to invest in primary care ranks as one of the most significant and long-running failures of NHS policy over the past 30 years. In this interview Beccy explains why we need an NHS that is focused around primary care and community services and why, despite so many policies advocating this shift over the years, this has not happened. She also explains how she thinks we can make that move in future and what needs to happen at a national and local level to make it a reality. This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen. USEFUL LINKS You can find the full King’s Fund report here https://www.kingsfund.org.uk/insight-and-analysis/press-releases/radical-refocusing-primary-community-services. Register for or subscribe to GPonline here https://www.gponline.com/subscribe. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

31m
Mar 01
Visa sponsor shortage threatens GP workforce, locum GPs struggle to find work, record appointments

This week the GPonline team looks at the visa challenges facing international medical graduate (IMG) GPs in training and how this could drive them out of the NHS. They also talk about the difficulties locum GPs in England are facing finding work, why this is happening, and how it is affecting rates of pay following a recent survey carried out by GPonline and our sister site GP Business. And they discuss appointment data and patient data for the whole of 2023 and how general practice fared over those 12 months. This week’s good news story is about how a practice has used patient feedback and effective communication about the work they are doing to deliver a massive fall in complaints. This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen. USEFUL LINKS NHS risks losing thousands of new GPs because of visa sponsor shortfall https://www.gponline.com/nhs-risks-losing-thousands-new-gps-visa-sponsor-shortfall/article/1862214 IMG doctors lift the lid on why a generation of GPs may slip away from the NHS https://www.gponline.com/img-doctors-lift-lid-why-generation-gps-may-slip-away-nhs/article/1862146 How GP practices can become skilled worker visa sponsors https://www.gponline.com/gp-practices-become-skilled-worker-visa-sponsors/article/1862260 More than half of locum GPs in England are struggling to find work https://www.gponline.com/half-locum-gps-england-struggling-find-work/article/1860903 GP locum rates fall slightly in England but rise in rest of UK https://www.gponline.com/gp-locum-rates-fall-slightly-england-rise-rest-uk/article/1860955 Practices delivered 'an extra month and a half' of appointments last year https://www.gponline.com/practices-delivered-an-extra-month-half-appointments-last-year/article/1861564 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

29m
Feb 23
Why can’t I see my GP? Writing a book about the GP crisis

Emma speaks to GP and author Dr Ellen Welch about her latest book Why Can’t I See My GP? which was published this month. The book looks at the current state of general practice, why we have reached this point, and puts forward ideas on what needs to be done to address the problems. Along with her own views the book includes personal accounts from GPs and others about their experiences. In this interview Ellen discusses the process of writing the book and why she chose this topic, what she learned during the process of writing it and what she thinks needs to happen to address the current crisis facing general practice. The Doctors Association UK is sending a copy of the book to every MP to raise the alarm about the state of primary care and Ellen also talks about what she hopes this will achieve. This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen. USEFUL LINKS ●     Why Can’t I See My GP (Amazon link) https://www.amazon.co.uk/Why-Cant-See-My-GP/dp/1915279461 ●     Viewpoint: Patients and GPs are unhappy with access to general practice, what's the solution? https://www.gponline.com/viewpoint-patients-gps-unhappy-access-general-practice-whats-solution/article/1714961 (from GPonline) * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

20m
Feb 16
What does the 2024/25 contract offer mean for general practice?

Last week the BMA rejected a contract offer for practices in England that would deliver a 1.9% uplift in funding. In this episode of Talking General Practice the GPonline team looks at what we know about the deal that’s currently on the table. They discuss what a 1.9% funding uplift would mean for practices, what the BMA, grassroots GPs and Labour think about the deal, and what happens next – including whether industrial action could be on the cards. In other news, they look at what’s going on with regulation of physician’s associates and the ongoing debate about their use in the NHS. And this week’s good news is about Northern Ireland. This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen. USEFUL LINKS What do we know about the 2024/25 GP contract offer? https://www.gponline.com/know-2024-25-gp-contract-offer/article/1860244 'Insulting' 1.9% uplift threatens £50,000 black hole per average practice https://www.gponline.com/insulting-19-uplift-threatens-50000-black-hole-per-average-practice/article/1859979 Labour says 1.9% GP contract offer ‘devaluing general practice' https://www.gponline.com/labour-says-19-gp-contract-offer-devaluing-general-practice/article/1860486 Dr Katie Bramall-Stainer: It's time to stop ignoring reality - GPs need more funding https://www.gponline.com/dr-katie-bramall-stainer-its-time-stop-ignoring-reality-gps-need-funding/article/1860498 Most doctors say working with physician associates has increased workload https://www.gponline.com/doctors-say-working-physician-associates-increased-workload/article/1860073 Lords set for full debate on physician associates after pressure from doctors https://www.gponline.com/lords-set-full-debate-physician-associates-pressure-doctors/article/1860491 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

28m
Feb 09
Why good practice managers are more crucial than ever

Robyn Clark is a managing partner in a practice in Gloucestershire and a founder and director of the Institute of General Practice Management. On this episode of Talking General Practice she talks to Emma about the challenges facing practice managers in the current climate, what needs to be done to cut bureaucracy in general practice – including how the QOF needs to change – and what practice managers are hoping to see from the next GP contract. Robyn also explains the current financial pressures facing GP practices, and discusses what NHS England and GP partners should be doing to support managers and recognise the vital role they play. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. USEFUL LINKS Institute of General Practice Management https://igpm.org.uk/ From GPonline Viewpoint: Investment in practice managers is a step towards saving general practice https://www.gponline.com/viewpoint-investment-practice-managers-step-towards-saving-general-practice/article/1849945 Accreditation for practice managers https://www.gponline.com/new-accreditation-programme-practice-managers/article/1792184 Find out more about our website GP Business and how to subscribe here https://www.gpbusiness.co.uk/subscribe. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

34m
Feb 02
GP funding cuts, problems at the primary care interface, measles concern

In this week’s podcast the team discusses GP funding after analysis by the Liberal Democrats showed a real-terms fall in practice funding during the past four years. Meanwhile, government figures have also shown that the share of NHS funding going to primary care has fallen to an eight-year low. They also talk about problems at the primary care interface - the interface between practices and other parts of the NHS, including hospitals, community services and mental health services – and how it is wasting millions of GP appointments every year. And they look at the latest on measles and MMR vaccine uptake after the UK Health Security Agency last week declared a national incident because of rising cases of measles. Our good news story this week is about the Friends and Family Test. This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen. USEFUL LINKS ●     Which ICB areas have seen the largest drops in real-terms GP funding? https://www.gponline.com/icb-areas-seen-largest-drops-real-terms-gp-funding/article/1858480 ●     RCGP warning as primary care share of NHS funding hits eight-year low https://www.gponline.com/rcgp-warning-primary-care-share-nhs-funding-hits-eight-year-low/article/1857325 ●     Solving NHS 'interface' chaos could save 6m GP appointments a year https://www.gponline.com/solving-nhs-interface-chaos-save-6m-gp-appointments-year/article/1857687 ●     NHS England launches catch-up MMR campaign amid rising measles cases https://www.gponline.com/nhs-england-launches-catch-up-mmr-campaign-amid-rising-measles-cases/article/1858317 ●     GPs told to wear PPE when seeing suspected measles cases https://www.gponline.com/gps-told-wear-ppe-when-seeing-suspected-measles-cases/article/1858293 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

22m
Jan 26
How can we tackle racism in medicine - with Dr Chaand Nagpaul

Talking General Practice speaks to former BMA chair Dr Chaand Nagpaul about the extent of the problem of racism in the medical profession and what we can do to address this. Dr Nagpaul is a London GP, a former chair of the BMA GP committee, and in 2017 he became the first person from an ethnic minority to chair the British Medical Association - a post he held until 2022. While he was chair the BMA set up a national forum for racial and ethnic equality - the first time it had such a group. It also conducted a landmark survey in 2022 to establish the scale of the issue of racism across the medical profession and how it affects doctors’ wellbeing and their careers. In this conversation Dr Nagpaul explains some of the key findings from that survey and what he believes the NHS and the medical profession need to do to tackle racism. He also talks about the impact racism has on doctors and how it affects patient care, how we can address differential attainment in medical exams and disparities in GMC referrals, as well as the importance of having more leaders in medicine from different ethnic groups. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. USEFUL LINKS BMA FREE (forum for racial and ethnic equality) https://www.bma.org.uk/about-us/equality-diversity-and-inclusion/edi/bma-free BMA racism in medicine survey https://www.bma.org.uk/media/5746/bma-racism-in-medicine-survey-report-15-june-2022.pdf BMA - delivering racial equality in medicine https://www.bma.org.uk/advice-and-support/equality-and-diversity-guidance/race-equality-in-medicine/delivering-racial-equality-in-medicine * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

42m
Jan 19
GPs face redundancy, GP partners continue to fall, retention schemes scrapped

In our regular news review Emma and Nick discuss a practice in Surrey that is set to make three salaried GPs redundant, and what this tells us about changes in primary care They also talk about the GP workforce, in particular the falling number of GP partners and the impact this might have, and NHS England’s decision to scrap two key GP retention schemes. Our good news story this week highlights those GPs and others from the world of primary care who received New Year Honours. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. Useful links ●     Practice makes salaried GPs redundant as model shifts to additional roles https://www.gponline.com/practice-makes-salaried-gps-redundant-model-shifts-additional-roles/article/1856825 ●     GP partners' income down 20% in a year, BMA poll reveals https://www.gponline.com/gp-partners-income-down-20-year-bma-poll-reveals/article/1857009 ●     Small increase in GP workforce during past year but partners still falling https://www.gponline.com/small-increase-gp-workforce-during-past-year-partners-falling/article/1856397 ●     Which ICB areas have the biggest shortages of GP partners? https://www.gponline.com/icb-areas-biggest-shortages-gp-partners/article/1851914 ●     RCGP condemns 'disappointing' decision to scrap GP retention schemes https://www.gponline.com/rcgp-condemns-disappointing-decision-scrap-gp-retention-schemes/article/1856930 ●     GPs recognised in New Year Honours https://www.gponline.com/gps-recognised-new-year-honours/article/1852039 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

32m
Jan 12
BONUS EPISODE: Understanding cow’s milk allergy in infants - sponsored by Reckitt/Mead Johnson Nutrition

In this bonus episode Talking General Practice speaks to Dr Helen Evans-Howells, about how GPs can manage infants presenting with the signs of cow’s milk allergy. Alongside working as a GP and an allergy specialist, Helen also runs the peanut immunotherapy clinic in Southampton Children’s Hospital and is chair of the charity Anaphylaxis UK’s Clinical and Scientific Panel. In this episode Helen explains the key symptoms of milk allergy, the different types of formula that can be used, and when infants may need a referral. She also talks about when to do a rechallenge and reintroduce cow’s milk and how to advise parents on weaning. Using insights from her own experience Helen has lots of practical advice for GPs and other healthcare professionals on managing the allergy and how they can best support parents. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. This podcast is sponsored by Reckitt/Mead Johnson Nutrition.   ABOUT RECKITT At Reckitt we exist to protect, heal and nurture in the relentless pursuit of a cleaner and healthier world. This purpose drives everything we do as a company – inspiring us to improve people’s lives, through better hygiene, health and nutrition.  Every day we are fighting to make access to the highest quality hygiene, wellness and nourishment a right and not a privilege. USEFUL LINKS The MIMS Learning Cows Milk Allergy in Practice webinar series is here https://www.mimslearning.co.uk/pages/cows-milk-allergy-in-practice. The 2022 series provides 3 hours of CPD and covers: ●     When is an allergy not an allergy? How to make the history matter - presented by GP and allergy specialist Dr Helen Evans-Howells ●     Why is my baby still crying? A GP’s guide to common infant feeding conditions - presented by specialist paediatric dietitian Bianca Parau ●     When, why, how? Demystifying hypoallergenic formulas, presented by specialist paediatric dietitian in allergy Andrea Moreno In addition the 2023 series of webinars is also available on demand via the link above. Helen mentioned the following guidance in this conversation: ●     The Milk Allergy in Primary Care (MAP) Guideline 2019 https://gpifn.org.uk/imap/ ●     BSACI cow’s milk allergy guidance https://www.bsaci.org/guidelines/bsaci-guidelines/cows-milk-allergy/ * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

27m
Jan 09
General practice finance in 2024 - what GPs need to know

Happy new year! This week Emma is talking to GP partner Dr Tommy Perkins and specialist medical accountant Andy Pow from Medics Money, about the financial year ahead for general practice. Tommy and Andy talk about the current financial pressures GP practices are under, how GP partner income has changed, and the sort of uplift practices might need from this year’s GP contract to help address the shortfalls they’ve experienced in recent years. They also offer lots of useful advice on how practices can start the new year on a sound financial footing, explain what upcoming tax changes will mean for all GPs, and the importance of better financial training for GPs as general practice becomes increasingly complex. This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen. USEFUL LINKS GP BUSINESS Our website GP Business provides practical advice for GP partners and practice managers to help them run their business more effectively. More details here https://www.gpbusiness.co.uk/subscribe.   FROM MEDICS MONEY Medics Money GP partnership course https://www.medicsmoney.co.uk/gp-partnership-programme/ Medics Money GP registrar Business for GPs course https://www.medicsmoney.co.uk/business-for-gps-course/ Medics Money podcast https://www.medicsmoney.co.uk/medical-accounting-blog/ Find a good accountant for doctors (from Medics Money) https://www.medicsmoney.co.uk/medical-accountant/ Find a good independent financial adviser for doctors (from Medics Money) https://www.medicsmoney.co.uk/medical-financial-advisor/   * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

36m
Jan 05
2023 in review - highlights from our interviews

This week we’re bringing you some highlights from our top interviews of 2023 - and we’ve had some really fantastic guests this year. In this episode you’ll hear from BMA GP committee for England chair Dr Katie Bramall-Stainer, Royal College of GPs chair Professor Kamila Hawthorne, NHS England director for health inequalities Professor Bola Owolabi, RCGP Wales chair Dr Rowena Christmas and all-round general practice expert and fellow podcast host Ben Gowland. And between them they’ll be talking about GP contract negotiations, continuity of care, what we can do to retain more GPs, influencing politicians in the run up to next year’s general election, the difference healthcare professionals can make on health inequalities, and the future of primary care networks. Thanks to everyone who’s taken part in Talking General Practice during 2023 - and happy new year to all of our listeners! Don’t forget you can listen to the full versions of all these interviews - and interviews with lots of other brilliant people from the world of primary care by searching in our podcast feed or on our website at GPonline.com/podcast https://www.gponline.com/podcast * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

35m
Dec 29, 2023
Is this the end of the QOF, the impact of an ageing GP workforce, looking ahead to 2024

This week Emma and Nick look at what happens next for the quality and outcomes framework after the government launched its consultation on the future of incentive payments in general practice. They talk about what the consultation is asking and whether this could mean the end of the QOF? And they discuss an ageing GP workforce and what it means for the stability of GP practices in some parts of England. They also look ahead to next year and some of the key news stories that are likely to be important in 2024. Our good news story this week is about a Christmas delivery to a practice in Shropshire. Merry Christmas to all of our listeners. USEFUL LINKS Government QOF consultation asks if continuity and access should be incentivised https://www.gponline.com/government-qof-consultation-asks-continuity-access-incentivised/article/1851120 Hundreds of practices on the brink as half their GPs are over retirement age https://www.gponline.com/hundreds-practices-brink-half-gps-retirement-age/article/1850519 Which ICBs have most GP practices at risk from an ageing workforce? https://www.gponline.com/icbs-gp-practices-risk-ageing-workforce/article/1851045 Patient safety fears as one in three practice nurses near retirement https://www.gponline.com/patient-safety-fears-one-three-practice-nurses-near-retirement/article/1850432 GP practice staff moved to tears as patients deliver Christmas tree gift https://www.gponline.com/gp-practice-staff-moved-tears-patients-deliver-christmas-tree-gift/article/1851165   * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

25m
Dec 22, 2023
Supporting international medical graduate GPs and GP registrars

This week Emma speaks to Dr Sylvia Kama-Kieghe, a GP from Sheffield who is vice chair of the RCGP South Yorkshire and North Trent Faculty and a chair of the RCGP Northern Faculties International Medical Graduate steering group. They talk about the challenges that international medical graduates - or IMG - GPs face and what the NHS and general practice can do to support them. Around half of the doctors who enter GP training each year are now IMGs, which means they received their initial medical qualification outside the UK. Sylvia herself qualified as a doctor in Nigeria. In this episode she talks about her own move to the UK in 2004, and some of the difficulties IMG doctors face in the UK, including racism, long-standing problems related to visas and the challenges of practising medicine in a completely different country and culture. She also explains why the RCGP Northern Faculties IMG steering group was set up and what it is hoping to achieve, and offers some practical advice on how practices can best support IMG doctors. It was produced by Czarina Deen USEFUL LINKS IMG group on the RCGP members’ forum https://forum.rcgp.org.uk/c/img/38 E-learning for health’s guide to induction for IMG doctors https://www.e-lfh.org.uk/wp-content/uploads/2022/06/Welcoming-and-Valuing-International-Medical-Graduates-A-guide-to-induction-for-IMGs-WEB.pdf RCGP overseas doctors guide https://www.rcgp.org.uk/your-career/overseas-doctors-guide BMA guide on becoming a tier 2 sponsor for GP practices https://www.bma.org.uk/media/4350/bma-visa-sponsorship-for-gps-practices-july-2021.pdf NHS guide for IMG doctors https://www.nhsemployers.org/news/working-and-training-nhs-guide-international-medical-graduates Most regions of Health Education England will have information for IMG doctors working in their area , including: Yorkshire and the Humber https://yorksandhumberdeanery.nhs.uk/learner_support/support-international-medical-graduates/resources-and-useful-links-imgs - you can find the IMG guidebook that Sylvia mentioned in the podcast here East of England https://heeoe.hee.nhs.uk/medical-training/want-train-east-england/international-medical-graduates London https://london.hee.nhs.uk/induction-package-international-medical-graduates-home North West https://www.nwpgmd.nhs.uk/careers_advice/careers/international_doctors South West https://www.peninsuladeanery.nhs.uk/about-us/international-medical-graduates/ Information from Health Education Scotland https://www.scotlanddeanery.nhs.scot/international-medical-graduates/ Information from Health Education and Improvement Wales https://heiw.nhs.wales/support/professional-support-unit/support-available/international-medical-graduates-img/ * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

36m
Dec 15, 2023
Where next for the GP contract, plus Labour’s plan for neighbourhood health centres

This week Emma and Nick look at what we know about what the BMA in England might be looking to achieve in contract negotiations, how the current deal that’s on the table for consultants could affect talks, and whether continuity should be a contractual requirement. They also discuss Labour’s plan for neighbourhood health centres and what the party might want them to achieve. Our good news story this week is about a British GP's success Down Under. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. USEFUL LINKS What questions is the BMA asking GPs to shape its vision for general practice? https://www.gponline.com/questions-bma-asking-gps-shape-its-vision-general-practice/article/1849828 Next GP contract 'must signal hope', GP committee chair warns https://www.gponline.com/next-gp-contract-must-signal-hope-gp-committee-chair-warns/article/1848732 Government must match consultants' pay offer in new contract for GPs https://www.gponline.com/government-match-consultants-pay-offer-new-contract-gps/article/1849197 Labour plans neighbourhood walk-in GP centres open seven days a week https://www.gponline.com/labour-plans-neighbourhood-walk-in-gp-centres-open-seven-days-week/article/1849825 New contract that enforces continuity would make GPs and patients safer, says watchdog https://www.gponline.com/new-contract-enforces-continuity-gps-patients-safer-says-watchdog/article/1849452 GP conquers 'Everest of competitive mullet growing' https://www.gponline.com/gp-conquers-everest-competitive-mullet-growing/article/1849974 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

37m
Dec 08, 2023
Supporting neurodivergent doctors and staff in general practice

Emma talks to GPs Dr Beckie Akroyd and Dr Catherine Bell about neurodiversity in the medical profession and what general practice can do to better support doctors and other staff who are neurodivergent. Beckie is the GP Lead for Autistic Doctors International, a support and advocacy organisation, and until recently Catherine was an Equality, Diversity and Inclusion Fellow for Derbyshire’s GP Task Force focusing on supporting neurodivergent staff working in general practice. Beckie and Catherine talk about their own experiences of being neurodivergent, the challenges neurodivergent doctors can face, including stigma, and why it is important that we frame neurodiversity positively and focus on what people can do rather than what they can’t. Beckie and Catherine also have lots of practical tips for practices on how they can support neurodivergent staff and advice for anyone listening who may be neurodivergent about how to approach conversations with your employer and places to get additional support. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. USEFUL LINKS Autistic Doctors International https://autisticdoctorsinternational.com/ Access to Work support https://www.gov.uk/access-to-work Society of Occupational Medicine: Evaluating and supporting neurodifferences at work https://www.som.org.uk/evaluating-and-supporting-neurodifferences-work Catherine’s article on neurodiversity in the general practice workforce https://journals.sagepub.com/doi/abs/10.1177/17557380231179742 - available for RCGP members Acas - Neurodiversity at work https://www.acas.org.uk/neurodiversity-at-work-report Beckie and Catherine’s full Linktree https://linktr.ee/ndrcgp with links to all the resources they recommended during their talk at the RCGP conference. * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

34m
Dec 01, 2023
Where are patients per GP rising fastest, impact of minimum wage rise, GP premises funding

Emma and Nick look at the current state of the GP workforce and changes over the past year. We’ve just undertaken a major update of GPonline’s GP Workforce Tracker, which we launched a year ago, and Nick talks through some of the key findings from that work. They talk about the uplift to the minimum wage that is due to happen in April and what this will mean for practice, and discuss GP premises, in particular some of the problems relating to funding reaching practices when there are housing developments in their area. And, following the recent cabinet reshuffle, they look at the arrival of a new secretary of state at the Department of Health and Social Care and what this could mean in the months ahead. Our good news story is about NHS England’s pledge to eliminate cervical cancer by 2040. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. USEFUL LINKS GPonline’s GP Workforce Tracker https://www.gponline.com/gpinsight_workforce Where in England are patients per GP rising fastest? https://www.gponline.com/england-patients-per-gp-rising-fastest/article/1848214 GPs fear practice closures as minimum wage hike threatens major rise in costs https://www.gponline.com/gps-fear-practice-closures-minimum-wage-hike-threatens-major-rise-costs/article/1848527 Chancellor to investigate delays in GP premises funding from housing development https://www.gponline.com/chancellor-investigate-delays-gp-premises-funding-housing-development/article/1847685 Who is new health and social care secretary Victoria Atkins? https://www.gponline.com/new-health-social-care-secretary-victoria-atkins/article/1847455 NHS England sets target to eliminate cervical cancer https://www.gponline.com/nhs-england-sets-target-eliminate-cervical-cancer/cancer/article/1847682 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

30m
Nov 24, 2023
Improving early cancer diagnosis

Emma speaks to Dr Sarah Taylor and Dr Rebecca Leon, who are GPs with a special interest in cancer, about early cancer diagnosis. Both Sarah and Rebecca have portfolio careers and one of their roles is as GP leads at GatewayC, an organisation backed by the NHS in England and Wales and leading cancer charities that is aiming to boost early cancer diagnosis. As part of this work they host the GPs Talk Cancer podcast. In this conversation Sarah and Rebecca explain how the pandemic and the current backlog of care have impacted on cancer diagnosis and treatment, whether the NHS can hit ambitious targets on early cancer diagnosis, and what recent changes to national targets mean. We also talk about inequalities in early cancer diagnosis, new tests to detect cancer early, and the importance of screening. Rebecca and Sarah also have some practical advice based on their own experiences and conversations with experts that can help GPs ensure they don’t miss a cancer diagnosis. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. USEFUL LINKS ●     GatewayC https://www.gatewayc.org.uk/ ●     GPs Talk Cancer podcast https://www.gatewayc.org.uk/podcast/ ●     The NHS Galleri trial https://www.nhs-galleri.org/ * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

37m
Nov 17, 2023
Physician associate concerns, RCGP definition of a GP, LMCs to debate GP contract changes

This week on the podcast Emma and Nick talk about physician associates after the BMA GP committee in England voted in favour of a strongly worded motion that called for an immediate freeze on recruiting these roles in general practice. They also look at plans for regulating PAs by the GMC, which is also causing concern in the medical profession. They also discuss the RCGP’s new definition of what a GP is, and they look ahead to the England local medical committee conference at the end of this month and some of the motions relating to the GP contract that are up for debate. Our good news story this week is about prescribing of DOACs in primary care and the impact this has had on stroke prevention. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. USEFUL LINKS                                                 BMA demands halt to 'increasing trend' of PAs substituting GPs https://www.gponline.com/bma-demands-halt-increasing-trend-pas-substituting-gps/article/1846333 ​​Doctors warn GMC plans to regulate physician associates are 'unsafe' https://www.gponline.com/doctors-warn-gmc-plans-regulate-physician-associates-unsafe/article/1846127 Supervising physician associates – what GPs need to know https://www.gponline.com/supervising-physician-associates-%E2%80%93-gps-need-know/article/1846573 - advice from the MDU GPs are 'consultants in general practice', says RCGP https://www.gponline.com/gps-consultants-general-practice-says-rcgp/article/1846548 GP prescribing shift has stopped thousands of strokes, says NHS chief https://www.gponline.com/gp-prescribing-shift-stopped-thousands-strokes-says-nhs-chief/cv-thromboembolic-disorders/atrial-fibrillation/article/1846109 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

30m
Nov 10, 2023
How health creation can help GP practices tackle inequalities

Emma speaks to Surrey GPs Dr Gillian Orrow, Dr Tabassum Siddiqui and Dr Richard Wright, about how a programme called Growing Health Together, which Gillian co-founded, is helping general practice and other partners in the local health system to tackle health inequalities. One of the key aims of Growing Health Together is to create a more sustainable health and care system, by reducing demand in primary and secondary care through health creation, prevention, and early intervention. It is based on the idea of health creation and this episode looks at what health creation is, some of the local schemes that Growing Health Together has helped to establish and how this is all benefiting local people. Gillian, Tabassum and Richard also explain how this work fits in with what their primary care networks are trying to achieve and the value of GPs having funded time to spend in their local communities to help understand the challenges some of their patients face and work out solutions that can help. This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen. USEFUL LINKS Growing Health Together https://growinghealthtogether.org/ The YouTube video explaining some of the work Growing Health Together is doing is here - https://www.youtube.com/watch?v=FfW5cjpvklU * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

29m
Nov 03, 2023
RCGP plan to save general practice, where next for the GP contract, online access to records

Emma and Nick reflect on last week’s RCGP annual conference, in particular the details of the college’s manifesto to save general practice and the Labour party’s reaction to it. They look ahead to what might happen to the GP contract in England as we come towards the end of the current five-year deal, as well as discuss pay rises for practice nurses and the collapse of contract talks in Wales. And they look at online access to patient records, a contractual requirement in England that comes into effect next week, and some of the concerns around this. Our good news story this week is about patient satisfaction with access to general practice. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. USEFUL LINKS Read all the news from the RCGP conference here https://www.gponline.com/rcgp General practice could see 'new contract for a generation' from 2028 https://www.gponline.com/general-practice-new-contract-generation-2028/article/1840664 ARRS model should be 'turned on its head', says BMA GP leader https://www.gponline.com/arrs-model-turned-its-head-says-bma-gp-leader/article/1840946 Unions warn not all GP practices can afford 6% staff pay rise https://www.gponline.com/unions-warn-not-gp-practices-afford-6-staff-pay-rise/article/1845049 General practice in Wales 'at risk of collapse' after contract talks break down https://www.gponline.com/general-practice-wales-at-risk-collapse-contract-talks-break-down/article/1845100 Remote access to GP records risks domestic abuse survivors' safety, BMA warns https://www.gponline.com/remote-access-gp-records-risks-domestic-abuse-survivors-safety-bma-warns/article/1844935 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

34m
Oct 27, 2023
RCGP chair Professor Kamila Hawthorne

Talking General Practice speaks to RCGP chair Professor Kamila Hawthorne ahead of the college’s annual conference in Glasgow this week. In this conversation Professor Hawthorne explains what needs to be done to help tackle spiralling workload in general practice, how we can retain more GPs in the workforce and what changes could happen in the short term to help turn the current situation in general practice around. She also talks about how the college hopes to influence political parties in the run up to the next general election, whether the RCGP’s new exam will help tackle differential attainment and why, despite all of the current challenges, general practice is still a great place to work. GPONLINE AT THE RCGP ANNUAL CONFERENCE The college will be launching a manifesto for general practice at its conference and you will be able to read more about this on GPonline on Thursday morning. GPonline is delighted to once again be the college’s media partner for the RCGP annual conference, which takes place on 19 and 20 October. We’ll be in Glasgow reporting all the news from the conference - visit www.gponline.com/rcgp https://www.gponline.com/rcgp This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. USEFUL LINKS ●     GPs seeing cases of malnutrition and rickets as cost-of-living crisis hits patient health https://www.gponline.com/gps-seeing-cases-malnutrition-rickets-cost-of-living-crisis-hits-patient-health/article/1838490 ●     No extra funding for general practice as government unveils £200m winter support https://www.gponline.com/no-extra-funding-general-practice-government-unveils-200m-winter-support/article/1837252 ●     An introduction to the simulated consultation assessment (SCA) https://www.gponline.com/introduction-simulated-consultation-assessment-sca/article/1832919 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

28m
Oct 18, 2023
Have golden hellos revived GP partnerships, GP funding across the UK, flu vaccination

Emma and Nick look at the New to Partnership Scheme – a three-year initiative that aimed to boost the number of partners in England – and ask, has it actually worked? They discuss what’s going on with funding for general practice across the UK and what the uplifts agreed for 2023/24 mean for practices. And they talk about the latest appointment data for general practice in England and what it tells us about the pressure practices are under as we head towards winter. This week’s good news story is about flu vaccination. This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. USEFUL LINKS ●     Golden hello scheme brings in almost 3,000 new GP partners https://www.gponline.com/golden-hello-scheme-brings-almost-3000-new-gp-partners/article/1839431 ●     What impact have 'golden hello' payments had on GP partnerships? https://www.gponline.com/impact-golden-hello-payments-gp-partnerships/article/1840106 ●     Cashflow warning as 6% uplift money delayed until November https://www.gponline.com/cashflow-warning-6-uplift-money-delayed-until-november/article/1840031 ●     Northern Ireland GP funding slashed despite 'absolute crisis' https://www.gponline.com/northern-ireland-gp-funding-slashed-despite-absolute-crisis/article/1839918 ●     'Disappointing' uplift falls short of 6% pay rise promised to GPs in Scotland https://www.gponline.com/disappointing-uplift-falls-short-6-pay-rise-promised-gps-scotland/article/1838548 ●     Dispensing practices face cashflow crisis as 'yo-yoing' fees fall sharply https://www.gponline.com/dispensing-practices-face-cashflow-crisis-yo-yoing-fees-fall-sharply/article/1839581 ●     GP practices delivering 150,000 extra appointments per day compared with 2019 https://www.gponline.com/gp-practices-delivering-150000-extra-appointments-per-day-compared-2019/article/1838924 ●     Flu vaccination prevented 25,000 hospitalisations last year https://www.gponline.com/flu-vaccination-prevented-25000-hospitalisations-last-year/infections-and-infestations/influenza/article/1839261 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

24m
Oct 13, 2023
BONUS EPISODE: Tackling stigma in diabetes - sponsored by Abbott

Talking General Practice speaks to Professor Deborah Christie, professor of paediatric and adolescent psychology and consultant clinical psychologist at University College Hospital London, about stigma in diabetes. Deborah has published over 200 peer reviewed papers and chapters and a bestselling book called Psychosocial Aspects of Diabetes in Children, Adolescents and Families. She’s also involved with global healthcare company Abbott’s Let’s Change Perspective campaign, which is aiming to confront unconscious bias and reduce stigma around diabetes. In this conversation Deborah explains what diabetes stigma is and the impact it can have on patients, the role healthcare professionals in primary care can play in reducing stigma and how GPs can effectively communicate with patients to help improve outcomes. Along with insights from her own experience she also has lots of practical advice for GPs and other healthcare professionals on how they can best support their patients. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.   ABOUT ABBOTT Abbott is a global healthcare leader that helps people live more fully at all stages of life. They have a portfolio of life-changing technologies spanning the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. USEFUL LINKS ●     Let’s Change Perspective ●     Diabetes UK https://www.diabetes.org.uk/ ●     JDRF https://jdrf.org.uk/ The following are links to social media accounts Deborah mentioned during this interview: ●     Diabetic Health Coach on Instagram https://www.instagram.com/diabetic_health_coach_/?hl=en ●     Heather Jackson on Instagram https://www.instagram.com/hkjacks84/ ●     Diabetic Dad UK on X https://twitter.com/DiabeticDadUK (formerly Twitter) * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

25m
Oct 10, 2023
How can general practice adopt greener ways of working?

Emma speaks to London GP and co-chair of Greener Practice, a UK primary care network focused on sustainability, Dr Tamsin Ellis. Along with her Greener Practice role, Tamsin is also a GP associate at the Centre for Sustainable Healthcare, an organisation that develops knowledge and resources to help the NHS and other health systems to reach net zero. In this conversation Tamsin discusses some practical steps that practices and clinicians can take to help tackle the climate crisis, including how sustainability and greener approaches can come into play in patient consultations, and the benefits this can bring to practices, GPs, staff and patients. She also explains some of the resources Greener Practice and others have to help GPs, why it’s important that general practice engages with sustainability, and how getting involved in this work can make your practice a better place to work and improve staff wellbeing. This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen. USEFUL LINKS These are some of the organisations and resources that Tamsin mentions during this interview: ●     Greener Practice https://www.greenerpractice.co.uk/ ●     Centre for Sustainable Healthcare https://sustainablehealthcare.org.uk/ ●     UK Health Alliance on Climate Change https://ukhealthalliance.org/ ●     Greener Practice asthma toolkit https://www.greenerpractice.co.uk/high-quality-and-low-carbon-asthma-care/ ●     See Sustainability https://seesustainability.co.uk/ ●     Frome Medical Practice and its work on sustainability https://www.fromemedicalpractice.co.uk/sustainability ●     Outrage and Optimism podcast https://www.outrageandoptimism.org/       * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

33m
Oct 06, 2023
Spotting GP contract trends, the future of physician associates, cost-of-living impact on patient health

This week Emma and Nick look at some interesting tenders for GP contracts that have been put out for integrated care boards and what they might tell us about the possible direction of travel for general practice and how GP services could be commissioned in future. They discuss physician associates and what role they have to play in the NHS after the BMA published a position statement saying it currently opposes government plans to expand their use. And they talk about how the cost of living crisis is affecting patients and practices after an alarming RCGP survey found that GPs are seeing patients with diseases that should be confined to history including malnutrition and rickets. This week’s good news story is about a survey from the Rebuild General Practice campaign showing how much the general public values general practice. This episode was presented by GPonline’s editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. USEFUL LINKS ●     PCN to take on GMS practice contract in landmark move for general practice https://www.gponline.com/pcn-gms-practice-contract-landmark-move-general-practice/article/1838467 ●     GP 'engineering' fears as small practice contracts offered on branch-only basis https://www.gponline.com/gp-engineering-fears-small-practice-contracts-offered-branch-only-basis/article/1838120 ●     BMA to oppose expansion of physician associate roles amid safety concerns https://www.gponline.com/bma-oppose-expansion-physician-associate-roles-amid-safety-concerns/article/1837868 ●     GPs seeing cases of malnutrition and rickets as cost-of-living crisis hits patient health https://www.gponline.com/gps-seeing-cases-malnutrition-rickets-cost-of-living-crisis-hits-patient-health/article/1838490 ●     Patients back continuity of care and more GP funding, poll shows https://www.gponline.com/patients-back-continuity-care-gp-funding-poll-shows/article/1838698 * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

23m
Sep 29, 2023
How making your practice a better place to work can improve patient care

This week Emma speaks to Dr Ben Allen, a GP partner at Birley Health Centre in Sheffield. Over the past few years Ben has invested huge amounts of time and effort to make his practice a better place to work. He’s found that by focusing on staff and improving the organisational culture, the practice has seen huge improvements across the board. Along with having a happier workforce with improved morale and staff retention, the practice has also improved continuity and access and seen patient satisfaction scores rising at a time when nationally they are falling. Ben explains how his practice managed to achieve all of this and has advice for any GPs or practice managers thinking of embarking on a similar journey. This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.  USEFUL LINKS Follow Ben on X (formerly Twitter) https://twitter.com/BenAllenGP Ben’s blog https://medium.com/@BenAllenGP USEFUL READING Ben mentions several leadership and organisational change books that he found particularly helpful during this process. These are some his favourites. ●     The Advantage by Patrick Lencioni ●     The Five Dysfunctions of a Team by Patrick Lencioni ●     Reinventing Organisations by Frédéric Laloux ●     Time to Think by Nancy Kline ●     Start With Why by Simon Sinek ●     Daring Greatly by Brené Brown ●     The 7 Habits of Highly Effective People by Stephen R Covey ●     Good to Great by Jim Collins ●     The Coaching Habit by Michael Bungay Stainer ●     Built to Last by James C Collins and Jerry I Porras ●     Who by Geoff Smart and Randy Street ●     Radical Candor by Kim Scott * Hosted on Acast. See acast.com/privacy https://acast.com/privacy for more information.

32m
Sep 22, 2023