Talking General Practice

This week Emma and Nick look at the results of a court hearing involving NHS Property Services and what this means for practices located in buildings owned by the organisation.

They also talk about the findings from a new survey by the BMA into racism in the NHS and looking ahead to the BMA’s annual representative meeting in just over a week and the primary care motions that are up for debate. Finally, there’s some good news on fit notes and Jubilee honours.

This episode was presented by GPonline editor Emma Bower who is joined by news editor Nick Bostock. It was produced by Czarina Deen.

Useful links

●     We work in a 1950s tin-roof health centre': poll shows impact of NHS underfunding

●     GPs recognised in Queen's Jubilee honours

●     'Devastating' legal ruling threatens practice closures over £200m NHSPS service charges

●     Racism threatens to drive thousands of GPs out of their jobs, BMA poll suggests

●     GPs could withdraw from PCNs by 2023 under plan set for BMA debate

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This week on the podcast GPonline editor Emma Bower speaks to Dr Emma Wong, chair of the RCGP's First 5 committee. The committee represents newly qualified GPs in their first 5 years of practice within the college.

They talk about making the transition from training to independent practice, the support that's available to new GPs and Emma's decision to become a partner straight out of training - which is now becoming a more unusual career step.

Emma also explains why she thinks portfolio careers can benefit general practice and offers some practical advice to those about to qualify.

This episode was produced by Czarina Deen.

Useful links

RCGP information and resources for First 5 GPs

How to contact the RCGP First 5 committee

NHS Practitioner Health

Next Generation GP

Why general practice needs more young leaders - article on GPonline about the Next Generation GP scheme

Details of the New to Partnership Scheme

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This week Emma and Nick discuss the stocktake of primary care that has just been carried out on behalf of NHS England by GP Dr Claire Fuller. They look at what it had to say and what it could mean for general practice.

They also talk about general practice workforce figures and the government’s ongoing attempts to misrepresent the data.

And they look at what GPs really think about primary care networks and discuss some very real concerns about the future of the partnership model of general practice.

Finally there’s a bit of good news about primary care nursing.

This episode was presented by GPonline editor Emma Bower who was joined by our news editor Nick Bostock. It was produced by Czarina Deen.

Useful links:

What does the Fuller stocktake mean for general practice in England? (from GP Business)

what does fuller stocktake mean on general practice england

Government accused of 'misleading' claims on general practice workforce

NHS workforce fears as retirements surge to all-time high

Most GPs say PCNs have added to GP workload and bring little benefit to practices

PCNs are 'existential threat' to GP independent contractor model, BMA warns

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This week Emma speaks to Dr Euan Strachan-Orr, chair of the BMA’s GP trainee subcommittee and a third year GP trainee in Liverpool.

They talk about the results of a recent BMA survey of GP trainees that looked at their experiences of GP training and future career intentions. They also discuss the problems with the recorded consultation assessment - the exam that all trainees currently need to pass in order to become a GP – and how it needs to change.

And they talk about the visa challenges faced by international medical graduates who train as GPs in the UK, junior doctor pay and the importance of extra support for newly-qualified GPs who trained during the pandemic.

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

Useful links

●     Details of the BMA GP trainee subcommittee

●     Advice for GP trainees on GPonline

●     Tips on how to prepare for the recorded consultation assessment

●     Thousands of GP trainees face visa barrier to employment

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This week the team discusses what went on at last week’s conference of local medical committees UK conference. They look at dissatisfaction around representation of GPs within the BMA and round up some votes from the conference that set out what LMCs want to happen to tackle the current workload crisis.

They also talk about the results of a survey the BMA conducted among GP trainees and ask what it tells us about the future of the profession.

And they discuss the NHS pension and why the government’s failure to tackle the issues around the annual allowance could mean that more GPs end up being hit with punitive tax charges.

And there’s some good news about a free coaching programme for GPs and primary care staff.

This episode was presented by GPonline editor Emma Bower who is joined by our news editor Nick Bostock. It was produced by Czarina Deen.

Useful links

●     UK LMCs conference 2022: full coverage from GPonline

●     LMCs warn of 'existential threat' to GP partnership model

●     GPs demand contract with safe working limits but reject core hours cut

●     One in eight GP trainees do not plan to work in general practice, BMA poll shows

●     Rising number of GPs face pension tax penalty as inflation set to deepen workforce crisis

●     GPs tell how coaching helped them manage practices during COVID-19

●     'Looking After You Too' coaching

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This week Emma speaks to GPs Dr Tommy Perkins and Dr Ed Cantelo who set up the company Medics Money to help educate doctors about finance and ensure they had access to reliable financial information.

They talk about why they set up the company and Ed explains how he went from being a chartered accountant and tax adviser to a doctor.

They also discuss the problems surrounding the NHS pension, provide some practical financial tips for GPs at all stages of their career and Tommy explains why he thinks being a partner is still a great career choice.

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

Useful links

Medics Money website

Medics Money tax rebate guide

Medics Money podcast

From GPonline

Does GP partnership still make sense?

Rising number of GPs face pension tax penalty as inflation set to deepen workforce crisis

Pension records for nearly 20,000 GPs are 'in error', government admits

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In our fortnightly news review the team looks at the latest workforce and appointment statistics for general practice in England.

They also discuss what’s happening about specialist status for GPs and the latest developments in the Rebuild General Practice campaign. And they take a look ahead to what will be up for debate at next week’s UK LMCs conference and round off with a bit of good news about a gardening GP.

This episode was presented by GPonline editor Emma Bower who is joined by news editor Nick Bostock and senior reporter Luke Haynes. It was produced by Czarina Deen.

Useful links

●     GP appointments surge by 4m as NHS loses hundreds of GPs

●     Most GPs face work-related mental ill health as campaigners warn of suicide risk

●     Axed workforce amendment 'a missed opportunity' to save general practice, RCGP warns

●     Specialist status for GPs delayed as legislative timetable slips

●     How gardening can help improve wellbeing

●     BBC Two - Gardeners' World, 2022, Episode 8, Shahnaz Camatchee

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On the podcast this week GPonline’s senior reporter Luke Haynes speaks to Dr Amy Small, a GP in Lothian, Scotland, about her work with the Rebuild General Practice campaign.

The campaign is aiming to raise awareness of the crisis facing general practice. It’s also calling for a plan to tackle recruitment, reduce GP workload and deal with the other issues driving GPs out of the profession such as burnout.

Dr Small talks about her reasons for getting involved in the campaign, the impact negative media has had on the profession and her own experience of burnout, as well as what she thinks is needed to address the crisis. It was produced by Czarina Deen

Useful links

●     Rebuild General Practice

●     GPs unveil blueprint to rebuild general practice backed by former health secretary

●     GPs to demand core hours cut to 9-5 and new contract with workload limits

●     Vast majority of GPs face rising abuse and aggression from patients

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In our fortnightly news review the GPonline team looks at the demise of smaller GP practices and asks whether small practices are now a thing of the past. They talk about what plans for enhanced access, that will be introduced under this year’s network contract DES from October, mean for practices and PCNs. And they discuss what LMCs think about the BMA’s approach to GP contract negotiations. Finally there’s some good news about some new research on identifying sepsis in primary care.

This episode was presented by GPonline editor Emma Bower, who is joined by news editor Nick Bostock and senior reporter Luke Haynes. It was produced by Czarina Deen.

Useful links

●     'Soul of general practice' at risk as small practices decimated since 2015

●     12,000 GPs plan to quit within five years, major survey suggests

●     Underfunding will severely limit services GPs offer under PCN enhanced access

●     GPs want BMA action to stop 'slow death' of independent contractor model

●     Simple diagnostic model could help GPs spot sepsis earlier

●     BJGP research on sepsis identification

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This week Talking General Practice speaks to National Association of Primary Care (NAPC) president Dr Johnny Marshall.

The NAPC is the organisation behind the primary care home model, which it began developing in the early 2010s. Primary care networks, introduced as part of the 2019 GP contract, were based on the NAPC’s model.

In this podcast, GPonline senior reporter Luke Haynes speaks to Dr Marshall about the progress of PCNs, the limitations of the model to date, and where health leaders could make improvements.

This episode was produced by Czarina Deen.

Useful links

What is changing in the GP contract for 2022/23?

PCNs have become 'mini primary care trusts' with inadequate support

‘We’ve missed a real opportunity with PCNs’: top London GP leaves clinical director role

NAPC Primary Care Home model

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