Talking General Practice

Emma speaks to GP Dr Tommy Perkins and accountant Andy Pow from Medics Money about the year ahead for general practice finance and how practices can ensure their business is in good shape.

Medics Money has a website, podcast and a number of courses that provide doctors with education and support on all things to do with money, including personal finance and practice finance.

Tommy is a GP partner who set up Medics Money with fellow GP Dr Ed Cantelo and Andy is a specialist medical accountant and has spent many years working with GP practices, supporting them with their accounts and their finances and now also works with Medics Money.

In this conversation Andy and Tommy talk about the financial pressures practices will face this year including the rise in the national minimum wage rise and employers’ national insurance contributions, as well as the importance of making sure local enhanced services are profitable for practices.

They also talk about how the GP contract needs to change going forwards to ensure practices are more sustainable, problems with GP premises, offer some advice for GPs on their NHS pension, including for those affected by the McCloud remedy, and provide some general advice on finances in the year ahead.

This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

What does the McCloud judgment mean for my NHS pension from Medics Money

McCloud RPSS explained for doctors - remedial pension statement explainer on YouTube

Medics Money financial education for partners course 

Medics Money financial education for non partners 

From GPonline

Government unveils £889m GP funding boost for 2025/26

Is £889m the lifeline practices need to keep them afloat?

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This week Emma speaks to chief executive of the National Academy for Social Prescribing Charlotte Osborn Forde and Dr Radha Modgil, a GP and TV and radio broadcaster, who is also an ambassador for the National Academy for Social Prescribing.

In this conversation Charlotte and Radha explain some of the evidence to support the use of social prescribing, what works in projects on the ground and the important role GPs have to play within social prescribing.

They also discuss some of the challenges facing social prescribing, what practices and PCNs can do to ensure their social prescribing initiatives are a success and how they would like to see social prescribing develop in the coming years as part of the government’s 10-year plan for the NHS.

This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

From GPonline - The evidence to support the use of social prescribing

From GPonline - The benefits of green prescribing in the NHS

NASP report - The impact of social prescribing on health service use and costs

NASP report - Building the economic case for social prescribing

Preventing and Tackling Mental Ill Health through Green Social Prescribing Project - government evaluation

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The GPonline team talks about some of the challenges the NHS could face this winter and what all this means for general practice.

They also look at how the GP jobs crisis is affecting locum GPs - and discuss some worrying signs that the lack of detail on any support practices are likely to receive on employer’s national insurance is having a devastating impact on some practices.

And they talk about whether GPs in Wales and Scotland could be following their English counterparts and launching some form of industrial action in the push for a better GP contract.

This week’s good news story is about an ICB area in England that is bucking the trend and has seen a big fall in the number of patients per GP over the past two years and what they’ve done to achieve this.

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

GP job shortage forces locums to cut fees and take on private work

ARRS jobs have not solved employment crisis for newly-qualified GPs, trainers warn

GPs fear 'domino effect' as practice set to close over NI hike

Two thirds of Scottish GPs ready to disrupt services through industrial action

Welsh GPs head for referendum after BMA rejects 2024/25 contract offer

How part of England bucked the national trend and grew its GP workforce

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NHS England has estimated that practices spend around 10-20% of their time on 'lower-value administrative work and work generated by issues at the primary-secondary care interface', so what can we do to address this?

This week Emma speaks to GP Dr Jonathan Griffiths the associate medical director for Primary Care at NHS Cheshire and Merseyside ICB about work he’s been doing in his area to solve some of these challenges.

In this conversation Jonathan explains some of the main problems that happen at the interface between primary and secondary care, how they are aiming to address these in Cheshire and Merseyside and the key things he’s learned through doing this work.

He also talks about why it is so important for the NHS to look at this as a system-wide issue and what the government and NHS England need to do centrally to help support local efforts to address these problems – as well as how this work applies to the interface with other sectors such as community services and mental health.

This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

●     NHS Cheshire and Merseyside Consensus on the Primary and Secondary Care Interface

●     RCGP Primary-Secondary Care Interface Guidance - which is based on work in Cheshire and Merseyside

●     Academy of Medical Royal Colleges publication - General practice and secondary care: Working better together - provides multiple examples of work that is aiming to improve working between primary and secondary care

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This week Nick and Emma discuss whether GPs are likely to step up collective action after GPs at last week’s England LMCs conference voted in favour of balloting the profession on ‘more significant’ industrial action. GPs at the event also voted to hold a special conference on the impact that the rise in employers' national insurance contributions, and Nick and Emma explain what that might mean and how it could affect collective action.

They also discuss some of the other debates that were of interest from the conference - on the GP jobs crisis and integrated neighbourhood teams. And they talk about the latest data from GPonline’s GP Workforce Tracker and what that tells us about the state of the GP workforce in England.

This week’s good news story is about a report that sets out the evidence to support the use of social prescribing from the National Academy of Social Prescribing.

This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.

Useful links

GPs back call to ballot profession on 'more significant' industrial action

Budget threatens 'collapse' of general practice as LMCs back special conference

Practices could be forced to switch salaried GPs for locums to avoid NI costs

Where in England are patients per GP rising fastest?

GP Workforce Tracker: How does your ICB compare?

The evidence to support the use of social prescribing - from GPonline

National Academy for Social Prescribing report

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This week Emma speaks to Kent GP Dr Gaurav Gupta who is a member of the BMA England GP committee and the committee lead for premises.

In this conversation Gaurav talks about the terrible state of GP premises in England, how we’ve reached this point and why the government needs to invest in the primary care estate if it is serious about growing the workforce, improving the NHS and moving more care into the community.

He also explains what the new premises cost directions could mean for practices, the problems facing practices based in NHS Property Services buildings and why GP premises ownership should still have an important role in future plans for the primary care estate.

This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

BMA information on the recent NHS Property Services legal cases

One in three GPs say their premises and computers are not fit for purpose

GPs could have premises developments fully funded as new cost directions published

What do the Premises Costs Directions 2024 mean for practices? - from our sister site GP Business

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Emma and NIck discuss the fallout from the budget and what the increase in employer’s national insurance contributions will mean for GP practices, including looking at the results from our own survey on this issue.

They look ahead to next week’s England local medical committee conference and some of the topics that are up for debate and what they tell us about some of the key concerns facing the profession.

And they discuss salaried GP pay, after warnings that the GP jobs crisis is driving down levels of pay for salaried GPs.

This week’s good news story is about ONS survey data that suggests patient satisfaction with general practice is rising rapidly.

This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.

Useful links

Budget threatens to wipe out half of 2024/25 GP contract uplift

National insurance hike could cost 2m GP appointments, analysis finds

GP jobs crisis is driving down rates of pay, BMA warns

Patient satisfaction with general practice rising rapidly, ONS data suggest

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This week Emma speaks to GP Dr Becks Fisher who is director of policy and research at the health think tank the Nuffield Trust.

Becks has long been an advocate for overhauling GP funding so it better reflects deprivation and she explains why this is so important and how the government could go about doing this.

She also explains her views on the government’s plans to move care from hospitals to the community, create a neighbourhood NHS and incentivise continuity of care, discusses what the Nuffield Trust wants to see in the 10-year plan for the NHS, and offers advice to other GPs who might be interested in a career in policy work.

This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

How many more patients per GP are there in deprived areas?

Practices in deprived areas have 17% more patients per GP and more chronic illness

RCGP demands overhaul of 'all GP funding streams' to cut inequality

The Nuffield Trust

Next Generation GP

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This week the GPonline team looks at the GP workforce in England after latest figures show it has risen to a five-year high despite an ongoing jobs crisis that has left many GPs struggling to find work. They also discuss what’s happening with the GP additional roles reimbursement scheme jobs and why the RCGP is calling for a complete overhaul of the NHS long-term workforce plan.

And they talk about this week's budget and what it means for general practice and the NHS more widely.

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

GP workforce hits five-year high despite ongoing jobs crisis

Jobs crisis leaves GP on universal credit and registrars 'failing exams deliberately'

What do the emerging ARRS jobs for newly-qualified GPs look like?

Rip up NHS workforce plan and create bold GP retention strategy, demands RCGP

Budget risks 'pushing GPs towards the exit' as practice costs rise

Budget delivers real-terms NHS funding boost but higher costs for GP practices

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Emma speaks to GP Dr Simon Opher, who was elected as the Labour MP for Stroud in Gloucestershire in the general election in July this year. Simon was a GP in his constituency for 30 years before standing for parliament.

In this interview he talks about why he wanted to become an MP, what being an MP involves day to day and some of the challenges he’s faced in this new role – including going from being in one of the most trusted professions as a GP to the least trusted as a politician.

Simon also talks about what role he thinks general practice will play in Labour’s plans for a neighbourhood NHS, how he hopes general practice will improve over the course of this parliament and why he thinks the GP partnership model is the key to successful general practice.

And he explains why he sees standing up for general practice as central to his new job.

This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.

Useful links

Government opens public consultation to shape 10-year NHS plan

Government plans to ‘bulldoze bureaucracy’ to free up GP time

Labour’s new GP MP says primary care will be prioritised for any new NHS funding

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