Talking General Practice

This week Emma talks to Dr Andy Hilton, a GP partner and chief executive of Primary Care Sheffield a not-for-profit company, owned by the city's GP practices, which was recently highlighted in the 10-year health plan as an example of successful neighbourhood working.

In this conversation, Andy explains the origins of Primary Care Sheffield, how it has worked to support practices, and the wide range of services it now provides. He discusses the benefits of working at scale, not just for patients but also for practices and the wider health system, and how this approach can help to tackle health inequalities.

Andy also offers his thoughts on the move towards a neighbourhood NHS, why he general practice will be crucial to its success and the challenges that lie ahead, including estates and the demands of an ageing population. He provides valuable advice on how to work more collaboratively with other practices, PCNs and partners in the healthcare system.

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

Useful links

Primary Care Sheffield

The 10-year health plan at a glance

GPs pioneering neighbourhood model say it has eased workload

Dozens of 'neighbourhood health service' sites to launch from September

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In our news review Emma and Nick talk about the findings of the independent review into the use of physician associates in the NHS and what this means for their role in future.

They look at the results of the latest GP patient survey and what that tells us about how patients feel about general practice. And they discuss what happens next for neighbourhood health as more details emerge about the government plans for 42 sites that are set to push forward this agenda.

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

Useful links

●     Could the 10-year health plan derail rising GP patient satisfaction?

●     In charts: Which areas have the highest patient satisfaction with general practice?

●     Government backs Leng review and warns PAs should 'never replace doctors'

●     PAs urged to dispute job changes following Leng review

●     NHS won't 'throw money' at neighbourhood health sites, officials warn

●     10-year plan 'risky as hell' for general practice

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This week Emma speaks to Dr Duncan Gooch, a GP in Derbyshire and the chair of the NHS Confederation's Primary Care Network, which represents at-scale primary care organisations. As well as being a GP partner, Duncan also has leadership roles in at-scale primary care organisations in his local area.

In this conversation Duncan shares his thoughts on the what the 10-year health plan could mean for general practice. He discusses new contracts for neighborhood providers, how they could work alongside the GP contract and primary care networks, and why he believes they are not a threat to the partnership model.

Duncan also offers his views on what practices can do to prepare for the move to neighborhood working, the role technology and data will play in how general practice works in the future, and how he believes working at scale can help GPs to have greater influence in their local healthcare systems and how at-scale organisations could evolve to take on some ICB functions in future.

He also talks about addressing problems with GP premises and the importance of having thriving practices if you are to build a successful neighbourhood NHS.

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

Useful links

NHS Confederation Primary Care Network

The 10-year health plan at a glance

NHS won't 'throw money' at neighbourhood health sites, officials warn

10-year NHS plan unveils 'alternative' to GP partnership model

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In this week’s podcast the GPonline team looks in detail at the government’s 10-year health plan and what it means for general practice.

They talk about what the plan could mean for the future of the GP contract and the partnership model, the government’s plans for a neighbourhood NHS and what GPs think about the proposals. They also look at how the government plans to shift the NHS from analogue to digital and what this could mean for GPs and their teams.

Meanwhile, our good news story this week is about the national roll out of a programme to train GPs with an extended role in gastroenterology.

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

Find all our coverage of the 10-year health plan

The 10-year health plan at a glance

10-year plan threatens existing GP model and continuity of care, warns BMA

PCNs in talks over taking on neighbourhood GP contracts

Viewpoint: Failure to build 10-year plan around general practice is a serious mistake

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Emma speaks to Lizzy Lloyd, chair of AISMA, the Association of Independent Specialist Medical Accountants, and a partner at the accountancy firm Larking Gowen.

The financial pressures on general practice have been a major theme of the past few years, and in this episode, Lizzy discusses the impact this has had on practices. She talks about cash flow problems and the complexities of the GP contract and funding, as well as challenges around workforce and service charge issues.

Lizzy offers invaluable advice for practices looking to secure their financial future, including the importance of effective budgeting, and maximising income streams. She also discusses ongoing issues with NHS pensions and what GPs can do to navigate this complicated area.

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

Read GPonline’s coverage of the 10-year health plan here

Useful links

●     Association of Independent Specialist Medical Accountants

●     10-year NHS plan will promise 'major changes' to GP funding formula

●     Government begins hunt for private premises investment ahead of 10-year plan

●     Extra £100m needed to deliver 4% GP pay rise

●     DDRB recommends new GP 'cost index' to help shape contract uplifts

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This week Emma speaks to Dr Lisa Harrod-Rothwell, chief executive of Londonwide LMCs and a GP in Islington, North London. Londonwide LMCs represents local medical committees, GPs and practices in 27 of the capital’s 32 boroughs.

In this conversation, Lisa explains exactly what Londonwide LMCs does and some of the key challenges facing general practice in London, including workforce issues, premises problems and health inequalities.

She also talks about the London region of the NHS’s vision for a neighbourhood health service and the role Londonwide LMCs played in shaping that plan. Lisa explains the importance of general practice being at the table for planning discussions, the need for a function-first approach to service delivery, and the potential for a neighbourhood NHS to support and value general practice.

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

Useful links

Londonwide LMCs

PCNs could be forced to re-align with neighbourhoods under London health plan

Most London GP practices 'feel unable to deliver safe care'

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This week Emma and Nick discuss what the spending review had to say about the NHS and look ahead to what we know about the government’s 10 Year Health Plan, which is expected to be published in the coming weeks.

In this episode they talk about what that plan could mean for the future of general practice and the NHS in England, how the government might aim to meet its ambitions of creating a neighbourhood NHS and ‘bringing back the family doctor’, and where a new GP contract could fit into all of this.

Our good news story this week is about those GPs who received honours in the King’s Birthday Honours last weekend.

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

Useful links

GPs recognised in King's birthday honours

NHS 10-year plan 'make or break' for general practice

GPs could run 'run local hospitals,' says Wes Streeting

'GP-centric' 10-year NHS plan will protect partnerships

10-year plan to overhaul GP incentives and 'completely reimagine' NHS

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Emma speaks to Dr Caroline Taylor, chair of the National Association of Primary Care and a GP in Calderdale, West Yorkshire.

The NAPC has been at the forefront of developing the neighbourhood approach to health and Caroline is a big advocate for this model. In this conversation, Caroline explains exactly what a neighbourhood is, how general practice should fit into this model and the benefits of this way of working for patients, GPs and practices, including increased job satisfaction.

She also talks about how neighbourhood models could help shift care out of hospitals and into the community, the role of Community Health and Wellbeing Workers, a model the NAPC has been involved in rolling out nationally and the potential impact ICB cuts could have on developing neighbourhoods.

Caroline also has some practical advice for GPs and others on how to get neighbourhood working off the ground in their area,

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

Useful links

On GPonline

●     'GP-centric' 10-year NHS plan will protect partnerships

●     10-year plan to overhaul GP incentives and 'completely reimagine' NHS

●     How community health and wellbeing workers could help general practice

●     ICBs are downsizing – what does this mean for primary care?

National Association of Primary Care

NAPC report on creating integrated neighbourhood teams

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This week the GPonline team talks about the pay rise GPs and other doctors have received this year, what GPs think about this year’s contract deal and the prospect of more strikes from resident doctors.

And they look at what’s happening in Northern Ireland after the government imposed the GP contract there.

They also discuss the ongoing GP jobs crisis after the BMA raised fears that up to 1,000 GP registrars could find themselves struggling to get a job when they complete GP training this summer, what the union wants the government to do about it and some data on GP funding that shows why we are in this situation.

Our good news story is about NHS England launching a 'world-first' vaccine programme for gonorrhoea this summer.

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

Wes Streeting: This year's pay deal is an investment to improve the NHS

Extra £100m needed to deliver 4% Gp pay rise

DDRB recommends new gp cost index to help shape contract uplifts

Up to 1000 newly-qualified GPs face unemployment this summer, BMA warns Streeting

Practice funding data reveals root cause of GP unemployment crisis

Funding uplifts that match inflation top priority for GPs in new contract

England launches ‘world-first’ gonorrhoea vaccination programme

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The government is expected to publish its 10-year Health Plan in June and neighbourhood health will form a key part of the plan.

In an interview with the Telegraph last month health and social care secretary Wes Streeting highlighted a scheme from Brazil, that has been piloted in London, and involves community health and wellbeing workers providing outreach work. Could a model like this be part of neighbourhoods? There have been suggestions from several quarters that the scheme will be included in the 10-year plan.

Talking General Practice spoke to doctors involved with this model back in 2023, so we thought it would be a good opportunity to revisit that now.

So in this episode Emma speaks to Dr Matt Harris and Dr Connie Junghans-Minton about the initiative and how it is improving the use of health services among patients in London, which will hopefully result in better health outcomes.

Matt, who's now a clinical reader in public health medicine at Imperial College London, saw the scheme in action first hand when he worked as a GP in Brazil, and it was his idea to bring the model to this country. He explains how the scheme works and why he thought it could help people in the UK. Meanwhile, Connie discusses how her practice introduced the initiative for some of their most deprived patients, and the impact it has had.

Useful links

Telegraph story - NHS sent door-to-door to tackle sickness crisis

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