Talking General Practice

<p>Emma is joined by a very special guest Professor Sir David Haslam to discuss his book <em>Side Effects: How Our Healthcare Lost Its Way and How We Fix It</em>.</p><br><p>Along with being a GP for over 35 years Sir David has held a number of senior posts including being both chair and president of the Royal College of GPs, president of the BMA and chair of the National Institute for Health and Care Excellence (NICE), a post he held from 2013 to 2019.</p><br><p>His book, which was published last year, explores what good healthcare should achieve and how we can create a system that is affordable, fair and provides good quality care.</p><br><p>This interview, which was recorded in October 2022, looks at some of the really important themes raised in the book, including why the cost of healthcare will always continue to rise, why we need to better value primary care and public health, tackling health inequalities, over-medicalisation and whether we have our priorities right when it comes to end-of-life care.</p><br><p>Produced by Czarina Deen</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.gponline.com/nhs-75-primary-care-focused-reboot-save-nhs/article/1828944" rel="noopener noreferrer" target="_blank">NHS at 75: Primary care-focused 'reboot' can save NHS</a></p><p>●     <a href="https://www.amazon.co.uk/Books-DAVID-HASLAM/s?rh=n%3A266239%2Cp_27%3ADAVID+HASLAM" rel="noopener noreferrer" target="_blank"><em>Side Effects: How Our Healthcare Lost Its Way and How We Fix It</em> on Amazon</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Dr Katie Bramall-Stainer was elected chair of BMA England’s GP committee just over a week ago and she speaks to Talking General Practice in her first interview in her new role.</p><br><p>Dr Bramall-Stainer takes on the top GP job at the BMA in England at a crucial time for the profession. The five-year GP contract comes to an end in April 2024 and this year’s contract negotiations between the BMA, the government and NHS England will hammer out what happens next.</p><br><p>General practice is in the midst of an extreme workload and workforce crisis and the profession will be looking for changes that will go some way to addressing both of these challenges and making a difference to their day to day working lives.</p><br><p>In this conversation Dr Bramall-Stainer discusses what her key priorities will be, weighs up the chances of GPs taking industrial action in the coming months, as well as how GP funding needs to change.</p><br><p>She also talks about her thoughts about the future of the independent contractor model, her experience of publicly calling out sexism at the BMA a couple of years ago and how having MS has shaped how she approaches her role as a GP and a GP leader.</p><br><p>This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.gponline.com/top-priorities-new-bma-gp-committee-chair/article/1832370" rel="noopener noreferrer" target="_blank">What are the top priorities for the new BMA GP committee chair?</a></p><p>●     <a href="https://www.gponline.com/gps-despair-nhs-england-slashes-covid-19-jab-fee/article/1832494" rel="noopener noreferrer" target="_blank">GPs 'despair' as NHS England slashes COVID-19 jab fee</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Last week the Health Foundation think tank published new research projecting patterns of illness in England over the next two decades. It predicted that by 2040 the number of people with major illness will rise by more than a third, which clearly has huge implications for general practice over the next two decades.</p><br><p>In this episode of Talking General Practice, Emma speaks to Toby Watt, the lead economist at the Health Foundation’s REAL Centre and the lead author of the report setting out the research’s findings.</p><br><p>This conversation highlights what the report had to say about patterns of illness and why more people will be living for longer with a major condition, how this will affect workload in general practice and what it means for the GP workforce, and what the government will have to consider to meet this challenge.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>From GPonline:</p><p>●     <a href="https://www.gponline.com/practices-face-massive-rise-demand-ageing-fuels-wave-chronic-illness/article/1831126" rel="noopener noreferrer" target="_blank">Practices face massive rise in demand as ageing fuels wave of chronic illness</a></p><p>●     <a href="https://www.gponline.com/ageing-population-piling-pressure-general-practice/article/1819631" rel="noopener noreferrer" target="_blank">How an ageing population is piling pressure on general practice</a></p><br><p>Health Foundation reports:</p><br><p>●     <a href="https://www.health.org.uk/publications/health-in-2040" rel="noopener noreferrer" target="_blank">Health in 2040: projected patterns of illness in England</a></p><p>●     <a href="https://www.health.org.uk/publications/reports/projections-general-practice-workforce-in-england" rel="noopener noreferrer" target="_blank">Projections: General practice workforce in England</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to GP partner Dr Tommy Perkins and specialist medical accountant Andy Pow from Medics Money about GP partnerships and why they are still a good option despite all the doom and gloom out there.</p><br><p>In this conversation Tommy and Andy discuss how partnerships are changing with more non-GPs taking on the role, what to consider if you’re thinking about becoming a partner, how to make partnerships more sustainable in what is a very challenging time, take a quick detour into pensions - with some useful advice for all GPs - and also discuss challenges around premises.</p><br><p>This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.medicsmoney.co.uk/gp-partnership-programme/" rel="noopener noreferrer" target="_blank">Medics Money new to partnership course</a></p><p>●     <a href="https://www.medicsmoney.co.uk/nhs-pension-guide/" rel="noopener noreferrer" target="_blank">The pensions guide mentioned in the episode</a></p><p>●     <a href="https://www.medicsmoney.co.uk/seven-tips-to-make-gp-partnership-sustainable-in-2023/" rel="noopener noreferrer" target="_blank">7 tips to make partnership sustainable in 2023</a></p><p>●     <a href="https://link.chtbl.com/MedicsMoneypod" rel="noopener noreferrer" target="_blank">Medics Money podcast</a></p><p>●     <a href="https://www.youtube.com/watch?v=9Q3O34IapOE&pp=ygUebWVkaWNzIG1vbmV5IG5ocyBwZW5zaW9uIHZpZGVv" rel="noopener noreferrer" target="_blank">Medics Money YouTube video showing how to use PCSE portal mentioned in episode</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma and Nick discuss last week’s pay announcement for junior doctors, salaried GPs and consultants and ask what it means for GP practices, the current strikes and the wider NHS.</p><br><p>They also talk about a new national system for reporting pressure in general practice that has been set up to help overwhelmed practices negotiate extra support and look at the results from the latest GP patient survey.</p><br><p>This week’s good news story looks at an initiative in Cumbria that is helping an underdoctored area plug workforce gaps by using a bank of GPs working remotely.</p><br><p>This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/government-uplift-gp-contract-cover-6-pay-rise-practice-staff/article/1830063" rel="noopener noreferrer" target="_blank">Government to uplift GP contract to cover 6% pay rise for all practice staff</a></p><p>●     <a href="https://www.gponline.com/bma-rejects-6-pay-deal-strikes-set-continue/article/1830046" rel="noopener noreferrer" target="_blank">BMA rejects 6% pay deal with strikes set to continue</a></p><p>●     <a href="https://www.gponline.com/first-national-gp-alert-state-report-reveals-unsustainable-pressure-practices/article/1830083" rel="noopener noreferrer" target="_blank">First national 'GP alert state' report reveals unsustainable pressure on practices</a></p><p>●     <a href="https://www.gponline.com/areas-highest-patient-satisfaction-general-practice/article/1829935" rel="noopener noreferrer" target="_blank">Which areas have the highest patient satisfaction with general practice?</a></p><p>●     <a href="https://www.gponline.com/gp-patient-survey-suggests-satisfaction-stabilising-sharp-drop-last-year/article/1829891" rel="noopener noreferrer" target="_blank">GP patient survey suggests satisfaction stabilising after sharp drop last year</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week Emma is speaking to BMA Wales GP committee chair Dr Gareth Oelmann.</p><br><p>At the end of June BMA Wales launched a new ‘Save Our Surgeries’ campaign, which comes at what the BMA warns is a 'defining moment' for general practice.</p><br><p>The campaign sets out the worrying state of general practice – and calls on the Welsh government to put in place an urgent rescue package. So how can we save general practice?</p><p>In this conversation Gareth sets out the challenges facing general practice in Wales, and what the BMA is calling for. He also explains why GP partnerships are worth saving, why the share of NHS funding that goes to general practice needs to increase after well over a decade of serious decline, and upcoming changes to the GP contract in Wales.</p><p>This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.bma.org.uk/advice-and-support/nhs-delivery-and-workforce/pressures/wales-save-our-surgeries-campaign" rel="noopener noreferrer" target="_blank">BMA Wales Save our Surgeries campaign</a></p><p>●     <a href="https://www.gponline.com/welsh-gps-issue-sos-call-spiralling-crisis-threatens-patient-safety/article/1827982" rel="noopener noreferrer" target="_blank">Welsh GPs issue 'SOS' call as spiralling crisis threatens patient safety</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>In this week’s news review, Emma and Nick look at the NHS workforce plan and discuss what it says, what it doesn’t say, and whether it will actually work.</p><br><p>They also talk about some of the debates from this week’s BMA annual representative meeting including a vote of no confidence in the GMC and some other motions of interest. And they look at a BMA report on long COVID in the medical profession and the devastating impact the condition has had on some doctors.</p><br><p>This week’s good news story is about the RCGP at last weekend’s Pride.</p><br><p>This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.gponline.com/does-nhs-workforce-plan-mean-general-practice/article/1828486" rel="noopener noreferrer" target="_blank">What does the NHS workforce plan mean for general practice?</a></p><p>●     <a href="https://www.gponline.com/nhs-heading-15000-gp-shortfall-sunak-says-retention-not-just-pay/article/1828498" rel="noopener noreferrer" target="_blank">NHS heading for 15,000-GP shortfall as Sunak says retention 'not just about pay'</a></p><p>●     <a href="https://www.gponline.com/doctors-will-strike-long-takes-warns-bma-chair/article/1828615" rel="noopener noreferrer" target="_blank">Doctors will 'strike for as long as it takes', warns BMA chair</a></p><p>●     <a href="https://www.gponline.com/doctors-vote-no-confidence-gmc-mpts-demand-new-leadership/article/1828746" rel="noopener noreferrer" target="_blank">Doctors vote 'no confidence' in GMC and MPTS and demand new leadership</a></p><p>●     <a href="https://www.gponline.com/doctors-long-covid-left-penniless-one-five-unable-work/article/1828715" rel="noopener noreferrer" target="_blank">Doctors with long COVID left 'penniless' as one in five unable to work</a></p><p>●     <a href="https://www.gponline.com/rcgp-takes-part-londons-pride-parade/article/1828842" rel="noopener noreferrer" target="_blank">RCGP takes part in London's Pride parade</a></p><p><strong> </strong></p><p><strong>The NHS at 75</strong></p><p>●     <a href="https://www.gponline.com/nhs-75-gps-account-start-nhs/article/1485095" rel="noopener noreferrer" target="_blank">NHS at 75: A GP's account of the start of the NHS</a></p><p>●     <a href="https://www.gponline.com/nhs-75-i-dread-telling-people-im-gp-need-government-values-us/article/1828827" rel="noopener noreferrer" target="_blank">NHS at 75: I dread telling people I'm a GP - we need a government that values us</a></p><p>●     <a href="https://www.gponline.com/nhs-75-primary-care-focused-reboot-save-nhs/article/1828944" rel="noopener noreferrer" target="_blank">NHS at 75: Primary care-focused 'reboot' can save NHS</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to GP and academic Dr Ben Brown from the University of Manchester whose research looks at how AI and machine learning could support healthcare professionals and patients.</p><br><p>Ben is currently involved in developing a new AI system that helps support triage of GP online consultations and was this year’s winner of the Society for Academic Primary Care’s award for outstanding early career research.</p><br><p>Both the government and the Labour Party have touted AI as a possible solution to the NHS’s workforce challenges, arguing it could free up clinicians so they can spend more time with patients. Reports suggest that the long-awaited NHS Workforce plan, which is due to be published imminently, will have a big focus on the role that new technology and AI in particular will play in the NHS over the next 10 years.</p><br><p>In this conversation Ben explains exactly what AI is, how it is being used currently in the NHS and its potential for the future. He also discusses how AI could help GPs and their teams manage their workloads, and what a GP consultation could look like in future, when AI is more established.</p><br><p>This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.</p><br><p>Useful links</p><br><p>More information on the system Ben is developing called <a href="https://www.patchs.ai/" rel="noopener noreferrer" target="_blank">PATCHS</a></p><br><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week Emma and Nick discuss the government’s long-awaited NHS workforce plan, when it might be published and what general practice will be hoping to see in it.</p><br><p>They look at the results from a recent GPonline about inappropriate transfer of work from secondary to primary care and what needs to be done to address this.</p><br><p>And they talk about a motion up for debate at next month’s BMA annual representative meeting where delegates will call for a no confidence vote in the GMC – as well as some of the other issues relevant to general practice that will be debated at the meeting.</p><br><p>This week’s good news story highlights some of the GPs who received honours in the King’s birthday honours list last weekend.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deeen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/complex-funding-questions-holding-nhs-workforce-plan-barclay-admits/article/1827117" rel="noopener noreferrer" target="_blank">'Complex' funding questions holding up NHS workforce plan, Barclay admits</a></p><p>●     <a href="https://www.gponline.com/racism-shrinking-nhs-workforce-warns-former-bma-chair/article/1826629" rel="noopener noreferrer" target="_blank">Racism is shrinking the NHS workforce, warns former BMA chair</a></p><p>●     <a href="https://www.gponline.com/gps-call-action-work-transfer-hospitals-tackle-workload-crisis/article/1827035" rel="noopener noreferrer" target="_blank">GPs call for action on work transfer from hospitals to tackle workload crisis</a></p><p>●     <a href="https://www.gponline.com/gmc-faces-no-confidence-vote-bma-annual-meeting/article/1825921" rel="noopener noreferrer" target="_blank">GMC faces 'no confidence' vote at BMA annual meeting</a></p><p>●     <a href="https://www.gponline.com/health-leaders-demand-action-five-year-old-pledge-strip-gmc-appeal-powers/article/1825874" rel="noopener noreferrer" target="_blank">Health leaders demand action on five-year-old pledge to strip GMC of appeal powers</a></p><p>●     <a href="https://www.gponline.com/gps-among-receive-honours-kings-birthday-list/article/1826792" rel="noopener noreferrer" target="_blank">GPs among those to receive honours in King's birthday list</a></p><br><p><br></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to Christiana Melam, the chief executive of the National Association of Link Workers, who explains how social prescribing can help practices and GPs to meet demand and better support their patients.</p><br><p>Christiana explains why it is so important that the NHS looks at changing the way that it works, given that the current model is not meeting the needs of patients, highlighting the key role that social prescribing can play in prevention and addressing health inequalities.</p><br><p>The National Association of Link Workers also trains care navigators and Christiana also talks about what the recent access recovery plan had to say about care navigation and what this means for practices and their reception teams.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.nalw.org.uk/education-standards/" rel="noopener noreferrer" target="_blank">National Association of Link Workers - Education standards</a></p><p>●     <a href="https://socialprescribingacademy.org.uk/read-the-evidence/" rel="noopener noreferrer" target="_blank">National Academy for Social Prescribing - evidence to support the use of social prescribing</a></p><p>●     <a href="https://www.nalw.org.uk/wp-content/uploads/2023/05/Exploring-Social-Prescribing-Referrals-_-impact-on-Information_-Advice-and-Guidance-Services_Research-Report.pdf" rel="noopener noreferrer" target="_blank">National Association of Link Workers report - Exploring social prescribing referrals & impact on Information, advice and guidance Services</a></p><p>●     <a href="https://www.nalw.org.uk/wp-content/uploads/2022/05/The-Role-of-PPGs-in-Social-Prescribing.pdf" rel="noopener noreferrer" target="_blank">National Association of Link Workers report - The role of PPGs in social prescribing</a></p><p>●     <a href="https://www.cqc.org.uk/guidance-providers/gps/gp-mythbusters/gp-mythbuster-106-primary-care-first-contact-practitioners-fcps" rel="noopener noreferrer" target="_blank">GP mythbuster 106: Primary care first contact practitioners (FCPs) - Care Quality Commission (cqc.org.uk)</a></p><p>●     <a href="https://www.nalw.org.uk/packages/" rel="noopener noreferrer" target="_blank">Tailored Primary Care Workforce Development and Wellbeing Packages from NALW</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week the GPonline team talks about a call for emergency funding to support general practice across the UK as practices struggle to deal with rising costs – and look at what these financial pressures mean for GP partner income.</p><br><p>They also discuss the state of general practice in Northern Ireland and Scotland after some dire warnings from the BMA in each of those countries.</p><br><p>And look at the latest workforce and appointment data for general practice and the ARRS in England.</p><br><p>In better news, a new blood test for cancer that could help diagnose people much earlier is the podcast’s good news story for this week.</p><br><p>This episode was presented by GPonline editor Emma Bower, news editor Nick Bostock and senior reporter Eleanor Philpotts. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p><a href="https://www.gponline.com/gp-partner-income-down-15-year-soaring-costs-hit-drawings/article/1825436" rel="noopener noreferrer" target="_blank">GP partner income 'down 15% in a year' as soaring costs hit drawings</a></p><p><a href="https://www.gponline.com/one-three-gp-practices-northern-ireland-faced-serious-closure-risk-past-18-months/article/1824881" rel="noopener noreferrer" target="_blank">One in three GP practices in Northern Ireland faced serious closure risk in past 18 months</a></p><p><a href="https://www.gponline.com/one-ten-scottish-practices-close-lists-face-unsustainable-pressure/article/1824057" rel="noopener noreferrer" target="_blank">One in ten Scottish practices close lists in face of 'unsustainable' pressure</a></p><p><a href="https://www.gponline.com/proportion-gps-aged-55-rising-workforce-shrinks/article/1824496" rel="noopener noreferrer" target="_blank">Proportion of GPs aged over 55 rising as workforce shrinks</a></p><p><a href="https://www.gponline.com/government-right-claim-its-26000-additional-roles-target-met/article/1825137" rel="noopener noreferrer" target="_blank">Is the government right to claim its 26,000 additional roles target has been met?</a></p><p><a href="https://www.gponline.com/blood-test-multiple-cancers-diagnose-two-thirds-cases-study-suggests/article/1825245" rel="noopener noreferrer" target="_blank">Blood test for multiple cancers can diagnose two-thirds of cases, study suggests</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to Dr Matt Harris and GP Dr Connie Junghans Minton about an initiative involving community health and wellbeing workers that has been adopted in Connie’s practice in London and is also being rolled out to practices in other parts of the country.</p><br><p>It is based on a long-running scheme from Brazil, where evidence shows it has made a significant difference in terms of public health measures and health outcomes. Community health and wellbeing workers have already had some impressive results in the short time they have been working in London.</p><br><p>Matt, who is now a clinical senior lecturer 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.</p><br><p>In this interview, he explains how the scheme works and how it can help GPs. Meanwhile Connie, who is also senior clinical fellow in primary care at Imperial College, discusses how her practice introduced community health and wellbeing workers for some of their most deprived patients and results from the initial pilot.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen</p><br><p><strong>Useful links</strong></p><br><p>Information on the community health and wellbeing worker programme is <a href="https://napc.co.uk/community-health-and-wellbeing-worker-programme/" rel="noopener noreferrer" target="_blank">on the NAPC website here</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>The team talks about safe working limits and the number of GPs we need in England to ensure doctors are working within those safe levels. They discuss some of the key debates from the UK LMCs conference that took place last week, including full GP pay restoration and whether we should have SAS doctors in general practice. And they look at the state of GP premises.</p><br><p>This week’s good news story is about a primary care transformation project within a PCN that improved patient outcomes, at the same time as delivering cost-savings.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p>Useful links</p><p>●     <a href="https://www.gponline.com/1-5-people-england-without-gp-practices-stuck-safe-limit/article/1823054" rel="noopener noreferrer" target="_blank">1 in 5 people in England would be without a GP if practices stuck to 'safe limit'</a></p><p>●     <a href="https://www.gponline.com/icb-areas-severe-gp-shortages/article/1823925" rel="noopener noreferrer" target="_blank">Which ICB areas have the most severe GP shortages?</a></p><p>●     <a href="https://www.gponline.com/uk-lmcs-conference-2023-full-coverage/article/1823128" rel="noopener noreferrer" target="_blank">UK LMCs conference 2023: full coverage</a></p><p>●     <a href="https://www.gponline.com/junior-doctors-england-hold-three-day-strike-june/article/1823754" rel="noopener noreferrer" target="_blank">Junior doctors in England to hold three-day strike in June</a></p><p>●     <a href="https://www.gponline.com/gps-block-drafty-windows-tape-four-10-work-unfit-premises/article/1823156" rel="noopener noreferrer" target="_blank">GPs block drafty windows with tape as four in 10 work in unfit premises</a></p><p>●     <a href="https://improvement.kssahsn.net/our-work/transforming-primary-care/" rel="noopener noreferrer" target="_blank">Evaluation of the Foundry Healthcare Lewes’ primary care transformation project</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to Dr Elaine Lockhart, chair of the Royal College of Psychiatrists Children and Young People’s Faculty and a consultant with the learning disability child and adolescent mental health service in Glasgow.</p><p> </p><p>In this conversation Elaine explains some of the problems that children and young people of different ages may present with, and what the possible long-term consequences of the pandemic could be.</p><p> </p><p>She also discusses the shortage of specialist services, which result in long waits for children needing support, and what this means for GPs and primary care, as well as what needs to happen in both the shorter and longer term to address this problem. And she talks about the impact social media can have on children and young people’s wellbeing.</p><p> </p><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><p> </p><p> </p><p><strong>Useful links</strong></p><p>·      <a href="https://www.rcpsych.ac.uk/members/your-faculties/child-adolescent-psychiatry" rel="noopener noreferrer" target="_blank">Royal College of Psychiatrists children and young people’s faculty</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week the team looks at the government and NHS England’s joint recovery plan for access to primary care, as well as changes to the GP contract around patient access that come into effect next week. They discuss what this all means for practices and patients and whether it will actually make a difference.</p><br><p>They also discuss whether the BMA is likely to ballot GPs on taking industrial action following this year’s contract imposition - and what GPs on the ground think about this.</p><br><p>Finally our good news story is about patient campaigns to save local GP surgeries.</p><br><p>This episode was presented by GPonline’s editor Emma Bower, news editor Nick Bostock and senior reporter Eleanor Philpotts. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/gp-access-recovery-plan-key-points/article/1822204" rel="noopener noreferrer" target="_blank">GP access recovery plan - key points</a></p><p>●     <a href="https://www.gponline.com/four-month-visa-extension-newly-qualified-img-gps-training-places-expand/article/1822130" rel="noopener noreferrer" target="_blank">Four-month visa extension for newly-qualified IMG GPs as training places to expand</a></p><p>●     <a href="https://www.gponline.com/primary-care-role-sas-doctors-not-viable-bma-paper-warns/article/1822311" rel="noopener noreferrer" target="_blank">Primary care role for SAS doctors 'not viable', BMA paper warns</a></p><p>●     <a href="https://www.gponline.com/access-overhaul-will-swamp-practices-trap-patients-loop-111-gps-fear/article/1821799" rel="noopener noreferrer" target="_blank">Access overhaul will swamp practices and trap patients in loop with 111, GPs fear</a></p><p>●     <a href="https://www.gponline.com/gp-leaders-contract-talks-government-industrial-action-vote/article/1822234" rel="noopener noreferrer" target="_blank">GP leaders in contract talks with government after industrial action vote</a></p><p>●     <a href="https://www.gponline.com/lmcs-debate-salaried-gp-workload-cap-debt-cancellation-trainees/article/1821607" rel="noopener noreferrer" target="_blank">LMCs debate salaried GP workload cap and debt cancellation for trainees</a></p><p>●     <a href="https://www.gponline.com/patients-across-uk-campaigning-save-local-gp-services/article/1820318" rel="noopener noreferrer" target="_blank">Patients across the UK are campaigning to save local GP services</a></p><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to specialist medical accountant Laurence Slavin, the senior partner at Ramsay Brown chartered accountants, which specialises in the finances of GPs and practices.</p><br><p>In this conversation Laurence explains how rising inflation has affected practices, the financial implications of the 2023/24 GP contract and why he thinks the government’s plan to get high-earning GPs to publicly declare their income is a really bad idea.</p><br><p>Emma and Laurence also talk about some of the problems GPs are facing with pensions, including some of the challenges when dealing with Primary Care Support England.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.googleadservices.com/pagead/aclk?sa=L&ai=DChcSEwinlIjPr9b-AhUWxu0KHSO8ABsYABAAGgJkZw&ohost=www.google.com&cid=CAESbeD2IxQ6Smaw9uwSET4nn9QSU9FHfljnLtt9zFYjMWaLSCgdkVF37o8KCjENCb5r4F1P_rw-Ci6iISUgp8WGXy5XmPIByRD2cmYNkxTjd3K2j0BeaRgRWnEMe-gLva6LXADjdeuD6EtvKZNJ510&sig=AOD64_1G5XUkcVqzjPefxdGJVJ6JUB0SEw&q&adurl&ved=2ahUKEwiazoDPr9b-AhWaUsAKHVNHCmoQ0Qx6BAgJEAE" rel="noopener noreferrer" target="_blank">Ramsay Brown</a></p><p>●     <a href="https://www.gpbusiness.co.uk/" rel="noopener noreferrer" target="_blank">GP Business</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week the team looks at Labour’s plans for how it will reform primary care if it wins the next general election.</p><br><p>They talk about a report on retention of staff in general practice by Londonwide LMCs and how staff shortages are threatening the future of practices. And they discuss what impact an ageing population is having on workload in general practice.</p><br><p>Finally our good news story this week is about diabetes.</p><br><p>This episode was presented by GPonline editor Emma Bower, news editor Nick Bostock and senior reporter Eleanor Philpotts. It was produced by Czarina Deen.</p><br><p>Useful links</p><p>●     <a href="https://www.gponline.com/labour-rules-nationalising-practices-says-gp-model-in-decline/article/1820417" rel="noopener noreferrer" target="_blank">Labour rules out nationalising practices but says GP model 'in decline'</a></p><p>●     <a href="https://www.gponline.com/government-failure-publish-nhs-workforce-plan-unforgiveable-says-labour/article/1820433" rel="noopener noreferrer" target="_blank">Government failure to publish NHS workforce plan ‘unforgiveable’, says Labour</a></p><p>●     <a href="https://www.gponline.com/nhs-gp-role-untenable-significant-majority-warns-lmc/article/1820152" rel="noopener noreferrer" target="_blank">NHS GP role 'untenable for significant majority', warns LMC</a></p><p>●     <a href="https://www.gponline.com/ageing-population-piling-pressure-general-practice/article/1819631" rel="noopener noreferrer" target="_blank">How an ageing population is piling pressure on general practice</a></p><p>●     <a href="https://www.gponline.com/nhs-low-calorie-diet-type-2-diabetes-extend-across-england/diabetes/type-2-diabetes/article/1820772" rel="noopener noreferrer" target="_blank">NHS low calorie diet for type 2 diabetes to extend across England</a></p><br><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to GP Dr Aisha Awan who is director of REACHE North West - the Refugee and Asylum Seekers Centre for Healthcare Professionals Education.</p><br><p>REACHE has helped hundreds of healthcare professionals to return to clinical roles in the NHS after being forced to flee their own country.</p><br><p>In this conversation Aisha explains how REACHE supports these clinicians to become registered in the UK, why this work is so important and some of the challenges that healthcare professionals who are refugees or asylum seekers face during this process. She also shares some inspiring stories of some of the doctors REACHE has supported in recent years.</p><br><p>For more information on the programme visit<strong> </strong><a href="https://www.reache.org.uk/" rel="noopener noreferrer" target="_blank">REACHE North West</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week Emma talks to Jake Beech, from health think tank the Health Foundation. Jake co-authored a report published last month, which analysed the findings of the latest Commonwealth Fund survey of 10,000 GPs in 10 high income countries.</p><br><p>In this conversation Jake explains how general practice in the UK compares with other countries on issues such as job satisfaction, workload, personal wellbeing of GPs, how care is delivered and how general practice works with other services. He also discusses some of the wider implications of the survey’s findings.</p><br><p><strong>Useful links</strong></p><br><p>The Health Foundation’s report <em>Stressed and overworked. What the Commonwealth Fund’s 2022 International Health Policy Survey of Primary Care Physicians in 10 Countries means for the UK </em><a href="https://www.health.org.uk/publications/reports/stressed-and-overworked" rel="noopener noreferrer" target="_blank">can be found here.</a></p><br><p><a href="https://www.gponline.com/extreme-pressure-leaves-uk-gps-among-stressed-least-satisfied/article/1817255" rel="noopener noreferrer" target="_blank">Extreme pressure leaves UK GPs among most stressed and least satisfied</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>In a special news episode of the podcast the team looks at the findings of an independent review of integrated care systems, which was commissioned by the government and led by former Labour health secretary Patricia Hewitt. </p><br><p>The final report from the review was published this week and Emma and Nick look at what it had to say about primary care – including some recommendations that could see a major change to GP contracts – and what it could mean for general practice in the future. They also look at some of the wider findings about changes that need to happen to help improve outcomes and patient care.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><br></p><ul><li><a href="https://www.gponline.com/gp-contract-a-barrier-innovation-needs-major-overhaul-says-hewitt-review/article/1818659" rel="noopener noreferrer" target="_blank">GP contract 'a barrier to innovation' and needs major overhaul, says Hewitt review</a></li><li><a href="https://www.gponline.com/struggling-gp-practices-bought-out-replaced-says-hewitt-review/article/1818660" rel="noopener noreferrer" target="_blank">Struggling GP practices should be 'bought out' and replaced, says Hewitt review</a></li><li><a href="https://www.gponline.com/companies-strong-arm-gps-selling-practices-hewitt-plan-warns-bma/article/1818759" rel="noopener noreferrer" target="_blank">Companies could 'strong-arm' GPs into selling practices under Hewitt plan, warns BMA</a></li><li><a href="https://www.gov.uk/government/publications/the-hewitt-review-an-independent-review-of-integrated-care-systems" rel="noopener noreferrer" target="_blank">Hewitt Review: an independent review of integrated care systems</a></li></ul><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week the team looks at whether GPs will be prepared to take industrial action following the imposition of a contract for the second year in a row – and what action the profession could be balloted on taking in the coming months.</p><br><p>They discuss the results of the latest annual British Social Attitudes survey, which assesses public satisfaction with the NHS.</p><br><p>And, as junior doctors step up pressure on the government to improve their pay by announcing a four-day strike, they talk about what this could mean for the NHS, as well as what is happening with the pay offer for other NHS staff.</p><br><p>Finally there’s some good news on COVID vaccination and long COVID.</p><br><p>This episode was presented by GPonline editor Emma Bower, who is joined by our news editor Nick Bostock and senior reporter Eleanor Philpotts. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/bma-ballot-trigger-nationwide-shut-down-gp-practices-24-hours/article/1817318" rel="noopener noreferrer" target="_blank">BMA ballot could trigger nationwide shut down of GP practices for 24 hours</a></p><p>●     <a href="https://www.gponline.com/treasury-set-claw-back-millions-general-practice-despite-soaring-costs/article/1817379" rel="noopener noreferrer" target="_blank">Treasury set to claw back millions from general practice despite soaring costs</a></p><p>●     <a href="https://www.gponline.com/vast-majority-gps-ready-industrial-action-lmc-poll-suggests/article/1817843" rel="noopener noreferrer" target="_blank">Vast majority of GPs ready for industrial action, LMC poll suggests</a></p><p>●     <a href="https://www.gponline.com/gpinsight_workforce" rel="noopener noreferrer" target="_blank">GP Insight workforce tracker</a></p><p>●     <a href="https://www.gponline.com/wake-up-call-government-nhs-gp-satisfaction-hit-all-time-low/article/1818004" rel="noopener noreferrer" target="_blank">'Wake-up call' for government as NHS and GP satisfaction hit all-time low</a></p><p>●     <a href="https://www.gponline.com/vaccination-halves-risk-developing-long-covid-study-finds/article/1817394" rel="noopener noreferrer" target="_blank">Vaccination halves risk of developing long COVID, study finds</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p><strong>Warning: This episode contains discussions about death and suicide</strong></p><br><p>In a special episode Emma looks at the issue of assisted dying and asks whether it should be legalised - and if it was, how could it work?</p><br><p>Later this year a bill will be introduced to the Scottish parliament that could see assisted dying legalised. In England the House of Commons health and social care committee is running an inquiry on the issue.</p><br><p>The Scottish bill is being put forward by Lib Dem member of Scottish parliament Liam McArthur. This is the third attempt to legalise assisted dying in Scotland since 1999, so could the law change this time?</p><br><p>Emma speaks to Scottish GPs on both sides of the debate about assisted dying.</p><br><p>She talks to Liam McArthur about why he is introducing the bill and its chances of success - and to GP Dr Sandesh Gulhane, a Conservative member of Scottish parliament who chaired a medical advisory group that produced a report on how assisted dying should work.</p><br><p>She also meets Dr Catherine Forest, a family doctor from California where assisted dying has been legal since 2016. Dr Forest was involved with work that helped pave the way for legalising assisted dying and and now supports patients and their families through the process of assisted dying. She also speaks very movingly about her husband Will, who chose an assisted death in 2021.</p><br><p>And we look at what a change of law could mean from patients’ point of view by talking to Jackie Roberts, who lives in Edinburgh and has incurable breast cancer, and Professor Kevin Yuill, a representative from Not Dead Yet, a group of disability activists that campaigns against assisted dying.</p><br><p>This episode was produced by Czarina Deen.</p><br><p><strong>Sources</strong></p><ul><li><a href="https://rb.gy/koxhth" rel="noopener noreferrer" target="_blank">Proposed Assisted Dying for Terminally Ill Adults (Scotland) Bill</a></li><li><a href="https://rb.gy/t3wgu2" rel="noopener noreferrer" target="_blank">Medical Advisory Group Report on the assisted dying bill</a></li><li><a href="https://rb.gy/cj2hju" rel="noopener noreferrer" target="_blank">Proposed Assisted Dying for Terminally Ill Adults (Scotland) Bill - summary of consultation responses</a></li><li><a href="https://rb.gy/pjcc3v" rel="noopener noreferrer" target="_blank">YouGov survey on assisted dying</a></li><li><a href="https://rb.gy/ng7y0a" rel="noopener noreferrer" target="_blank">BMA survey of members on assisted dying</a> from February 2020</li><li><a href="https://rb.gy/1ytemy" rel="noopener noreferrer" target="_blank">RCGP rejects change in stance on assisted dying</a> - from GPonline</li><li><a href="https://rb.gy/hdhirq" rel="noopener noreferrer" target="_blank">Regional Euthanasia Review Committee from the Netherlands annual reports</a> - showing the proportion of people who died by euthanasia.</li><li><a href="https://rb.gy/ent0fq" rel="noopener noreferrer" target="_blank">Dignitas report </a>showing accompanied suicides per year and country of residence</li><li><a href="https://rb.gy/vhlhmm" rel="noopener noreferrer" target="_blank">Third annual report on Medical Assistance in Dying in Canada 2021</a></li><li><a href="https://rb.gy/hicgi4" rel="noopener noreferrer" target="_blank">Oregon Death with Dignity Act 2021 data summary</a></li><li><a href="https://rb.gy/u4bsir" rel="noopener noreferrer" target="_blank">Dignity in Dying’s Last Resort report</a> </li><li><a href="https://rb.gy/jglzrx" rel="noopener noreferrer" target="_blank">ONS suicide report</a></li><li><a href="https://rb.gy/cyhj9n" rel="noopener noreferrer" target="_blank">Are Canadians being driven to assisted suicide by poverty or healthcare crisis?</a> The Guardian</li><li><a href="https://rb.gy/ef1qdr" rel="noopener noreferrer" target="_blank">Cost estimates for Medical Assistance in Dying</a></li></ul> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style=&apos

<p>This week Emma and Nick are talking about the GP contract changes in England for 2023/24, which have been imposed on practices for the second year in a row after the government and the BMA failed to reach an agreement. They look at what the changes are, the implications for general practice and what could happen next.</p><br><p>They also discuss this week’s unprecedented junior doctors’ strike, and speak to doctors who were out on the picket lines, and they look at what this week’s Budget means for doctors’ pensions and the NHS as a whole.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.gponline.com/changing-gp-contract-2023-24/article/1815511" rel="noopener noreferrer" target="_blank">What is changing in the GP contract for 2023/24?</a></p><p>●     <a href="https://www.gponline.com/imposed-contract-threatens-irreparable-damage-general-practice/article/1815528" rel="noopener noreferrer" target="_blank">Imposed contract threatens 'irreparable' damage to general practice</a></p><p>●     <a href="https://www.gponline.com/whack-a-mole-access-targets-will-force-gps-bring-waiting-lists-appointments/article/1815704" rel="noopener noreferrer" target="_blank">'Whack-a-mole' access targets will force GPs to bring in waiting lists for appointments</a></p><p>●     <a href="https://www.gponline.com/qof-streamlined-2024-onwards-nhs-england-says/article/1815676" rel="noopener noreferrer" target="_blank">QOF could be 'streamlined' from 2024 onwards, NHS England says</a></p><p>●     <a href="https://www.gponline.com/industrial-action-option-gps-urge-bma-move-fast/article/1816515" rel="noopener noreferrer" target="_blank">'Industrial action is the only option': GPs urge BMA to move fast</a></p><p>●     <a href="https://www.gponline.com/big-win-retention-doctors-budget-overhauls-punitive-pension-tax-rules/article/1816577" rel="noopener noreferrer" target="_blank">'Big win' for retention of doctors as Budget overhauls punitive pension tax rules</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to Ben Gowland, director and founder of think tank and consultancy Ockham Healthcare and host of the General Practice Podcast.</p><p> </p><p>Ben does a lot of work with primary care networks (PCNs) across England and in this conversation we look at what the future holds for PCNs as we enter the final year of the five-year GP contract that led to their introduction in 2019.</p><p>Ben explains why he thinks it's so important that practices engage with their PCN and the opportunities he believes PCNs provides practices. We also talk about what integrated care systems and the Fuller report could mean for PCNs and why it's important for general practices to work together to have the biggest possible influence in their local area.</p><p>This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.</p><p><strong>Useful links</strong></p><p>●     <a href="https://ockham.healthcare/" rel="noopener noreferrer" target="_blank">Ockham Healthcare</a></p><p>●     <a href="https://ockham.healthcare/category/podcasts/" rel="noopener noreferrer" target="_blank">General Practice Podcast</a></p><p>●     <a href="https://www.gponline.com/icb-draft-contract-spells-plan-move-enhanced-services-worth-millions-away-practices/article/1812984" rel="noopener noreferrer" target="_blank">ICB draft contract spells out plan to move enhanced services worth millions away from practices</a></p><p>●     <a href="https://www.gponline.com/gp-crisis-driving-rise-partnership-pcn-disputes/article/1813853" rel="noopener noreferrer" target="_blank">GP crisis driving rise in partnership and PCN disputes</a></p><p>●     <a href="https://www.gponline.com/top-10-challenges-facing-pcn-clinical-directors/article/1753454" rel="noopener noreferrer" target="_blank">Top 10 challenges facing PCN clinical directors</a></p><p> </p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week the team talks about ongoing GP contract negotiations in England for next year and asks whether the contract for 2023/24 could be imposed.</p><br><p>They discuss a rise in partnership and PCN disputes and what might be behind this trend as well as the latest on this month’s junior doctor strikes.</p><br><p>They also look at the government’s record on the NHS, including how it’s handling the care backlog and discuss GP workforce statistics after they passed a pretty grim milestone last month.</p><br><p>Our good news story this week is about a local patient campaign that’s forced an integrated care board to U-turn on its plans for a large provider to take over a small practice in Lancashire.</p><br><p>Produced by Czarina Deen</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.gponline.com/gp-contract-overhaul-funding-frameworks-worth-25bn-year/article/1813933" rel="noopener noreferrer" target="_blank">GP contract could overhaul funding frameworks worth £2.5bn a year</a></p><p>●     <a href="https://www.gponline.com/nhs-in-full-blown-crisis-recovery-plan-falls-short-mps-warn/article/1814860" rel="noopener noreferrer" target="_blank">NHS 'in full-blown crisis' as recovery plan falls short, MPs warn</a></p><p>●     <a href="https://www.gponline.com/grim-milestone-passed-steady-decline-gp-workforce/article/1814432" rel="noopener noreferrer" target="_blank">'Grim milestone' passed in steady decline of GP workforce</a></p><p>●     <a href="https://www.gponline.com/why-gp-trainees-will-join-junior-doctor-strikes-thousands/article/1814312" rel="noopener noreferrer" target="_blank">Why GP trainees will join junior doctor strikes in their thousands</a></p><p>●     <a href="https://www.gponline.com/victory-campaign-save-local-gp-icb-u-turn-practice-takeover/article/1814208" rel="noopener noreferrer" target="_blank">Victory for campaign to save local GP after ICB U-turn on practice takeover</a></p><p> </p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to Dr Rowena Christmas, chair of RCGP Wales and a GP in the Wye Valley on the Welsh/English border.</p><br><p>Rowena has been heavily involved in the college’s work over the past couple of years on relationship-based care - or continuity of care - and in this conversation she explains why she feels this is so important and how GPs and practices can embed this in the way that they work.</p><br><p>She also talks about recruitment and retention of GPs and what’s happening in Wales, the impact recent NHS pressures have had on GPs and her priorities over the next two years as chair of the college in Wales.</p><br><p>This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.</p><br><p>Useful links</p><br><p>·      <a href="https://www.gponline.com/gp-access-debate-shift-emphasise-quality-speed-warns-rcgp/article/1791516" rel="noopener noreferrer" target="_blank">GP access debate must shift to emphasise quality as well as speed, warns RCGP</a></p><p>·      <a href="https://www.rcgp.org.uk/representing-you/policy-areas/relationship-based-care#:~:text=Fit%20for%20the%20future%3A%20relationship%2Dbased%20care%20(June%202022)&text=General%20practice%20teams%20must%20be,the%20value%20that%20they%20bring." rel="noopener noreferrer" target="_blank">The RCGP's report on relationship-based care</a></p><p>·      <a href="https://www.rcgp.org.uk/membership/wales" rel="noopener noreferrer" target="_blank">RCGP Wales</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>In our fortnightly news review the team looks at what we know about GP contract negotiations in England for 2023/24 after the BMA rejected NHS England’s ‘insulting’ offer.</p><br><p>They discuss an integrated care board’s plans to commission all GP enhanced services via primary care networks and what the wider implications of this could be. And they talk about the findings of the GMC’s latest review on bias in its processes.</p><br><p>The good news story for this week is about a community in Cornwall that is going to extra lengths to find a new GP to join their local practice.</p><br><p>This episode was presented by GPonline editor Emma Bower, news editor Nick Bostock and senior reporter Eleanor Philpotts. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/gps-reject-insulting-contract-bma-issues-stark-warning-death-general-practice/article/1812205" rel="noopener noreferrer" target="_blank">GPs reject 'insulting' contract as BMA issues stark warning over 'death of general practice'</a></p><p>●     <a href="https://www.gponline.com/nhs-backs-21-salaried-gp-pay-rise-april-contract-talks-continue/article/1812379" rel="noopener noreferrer" target="_blank">NHS backs 2.1% salaried GP pay rise from April as contract talks continue</a></p><p>●     <a href="https://www.gponline.com/icb-draft-contract-spells-plan-move-enhanced-services-worth-millions-away-practices/article/1812984" rel="noopener noreferrer" target="_blank">ICB draft contract spells out plan to move enhanced services worth millions away from practices</a></p><p>●     <a href="https://www.gponline.com/gps-dont-believe-integrated-care-systems-will-improve-patient-care/article/1813466" rel="noopener noreferrer" target="_blank">GPs don't believe integrated care systems will improve patient care</a></p><p>●     <a href="https://www.gponline.com/cornish-community-creates-music-video-bid-recruit-new-gp/article/1813458" rel="noopener noreferrer" target="_blank">Cornish community creates music video in bid to recruit new GP</a></p><p>●     <a href="https://vimeo.com/798544671/e543ab5066" rel="noopener noreferrer" target="_blank">Link to Ain’t Got No Doctor</a></p><p>●     <a href="https://www.lostwithielneedsadoctor.org/" rel="noopener noreferrer" target="_blank">Lostwithiel Needs A Doctor website</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to NHS England’s director of healthcare inequalities and Midlands GP Professor Bola Owolabi about how to reduce inequity in healthcare.</p><br><p>Bola talks about how she became interested in health inequalities, her vision for tackling inequity and she makes the economic argument for why we must address health disparities.</p><br><p>Bola also explains NHS England’s CORE20PLUS5 approach to tackling inequalities, how this provides a framework for primary care networks to focus their efforts when it comes to improving population health, and why she believes this could ultimately make a big difference to patients and communities.</p><br><p>This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/" rel="noopener noreferrer" target="_blank">CORE20PLUS5 for adults</a></p><p>●     <a href="https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/core20plus5-cyp/" rel="noopener noreferrer" target="_blank">CORE20PLUS5 for children</a></p><p>●     <a href="https://www.e-lfh.org.uk/programmes/health-inequalities/" rel="noopener noreferrer" target="_blank">CORE20PLUS5 e-learning for health modules</a></p><p>●     <a href="https://elearning.rcgp.org.uk/course/view.php?id=459" rel="noopener noreferrer" target="_blank">The RCGP’s health inequalities hub</a></p><p><a href="https://www.england.nhs.uk/about/equality/equality-hub/national-healthcare-inequalities-improvement-programme/core20plus5/evidence-for-the-five-clinical-priorities/" rel="noopener noreferrer" target="_blank">Evidence for NHS England’s five clinical priorities</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>GPonline launched its new GP Insight data tool this week and our first project is a GP workforce tracker. On the podcast this week Nick and Emma look at some of the data in the tracker and what this tells us about the GP workforce in different parts of England.</p><br><p>They also talk about a recently published study that highlights the impact that poor GP retention has on patients and the wider NHS and discuss the government’s latest plans for the NHS and what’s going on with the current wave of strikes.</p><br><p>Finally, our senior reporter Ellie joins us to tell us about a good news story involving a long-serving GP who overcame a severe COVID infection and inspired a local folk band to write a song about him.</p><br><p>This episode was presented by GPonline editor Emma Bower, news editor Nick Bostock and senior reporter Ellie Philpotts. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/gpinsight_workforce" rel="noopener noreferrer" target="_blank">GP Insight Workforce Tracker</a></p><p>●     <a href="https://www.gponline.com/introducing-gp-insight/article/1810942" rel="noopener noreferrer" target="_blank">Introducing GP Insight</a></p><p>●     <a href="https://www.gponline.com/gps-care-800-patients-underdoctored-areas/article/1809375" rel="noopener noreferrer" target="_blank">GPs care for up to 800 more patients each in underdoctored areas</a></p><p>●     <a href="https://www.gponline.com/england-patients-per-gp-rising-fastest/article/1809890" rel="noopener noreferrer" target="_blank">Where in England are patients per GP rising fastest?</a></p><p>●     <a href="https://www.gponline.com/gp-partners-decline-almost-every-part-england/article/1812117" rel="noopener noreferrer" target="_blank">GP partners in decline in almost every part of England</a></p><p>●     <a href="https://www.gponline.com/professor-kamila-hawthorne-general-practice-breaking-point-%E2%80%93-government-act/article/1811675" rel="noopener noreferrer" target="_blank">Professor Kamila Hawthorne: General practice is at breaking point – the government must act</a></p><p>●     <a href="https://www.gponline.com/doctor-boro-gp-survived-covid-19-inspires-folk-song/article/1809932" rel="noopener noreferrer" target="_blank">Doctor Boro': GP who survived COVID-19 inspires folk song</a></p><p>●     <a href="https://youtu.be/GVNvLaNfniA" rel="noopener noreferrer" target="_blank">Doctor Boro’ on YouTube</a></p><br><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>The BMA is currently balloting junior doctor members on whether to take industrial action, which could see them stage a three-day walkout in March.</p><br><p>This week Emma speaks to chair of the BMA’s GP trainee committee Dr David Smith about why junior doctors have reached this point.</p><br><p>David explains why the BMA is pushing for full pay restoration for junior doctors and the impact that falling levels of pay have had on the profession.</p><br><p>He also talks about how the current ballot works and what happens if it is successful, what GP trainees need to know about taking industrial action and how GPs can support their junior doctors if they do go on strike.</p><br><p>This episode is presented by GPonline editor Emma Bower and was produced by Czarina Deen.</p><br><p>Useful links</p><p>●     <a href="https://www.bma.org.uk/our-campaigns/junior-doctor-campaigns/pay/junior-doctors-strike-doctors-guide-to-industrial-action-2023" rel="noopener noreferrer" target="_blank">BMA junior doctor guide to strike action</a></p><p>●     <a href="https://www.bma.org.uk/our-campaigns/junior-doctor-campaigns/pay/pay-restoration" rel="noopener noreferrer" target="_blank">Pay restoration for junior doctors</a> - full details of the industrial action ballot and other information relating to the pay restoration campaign from the BMA</p><p>●     <a href="https://bmastrikefund.raisely.com/" rel="noopener noreferrer" target="_blank">Donate to the BMA’s strike fund here</a></p><br><p>Related stories on GPonline</p><br><p>●     <a href="https://www.gponline.com/bma-urges-junior-doctors-back-strikes-health-secretary-meeting/article/1810014" rel="noopener noreferrer" target="_blank">BMA urges junior doctors to back strikes after health secretary meeting</a></p><p>●     <a href="https://www.gponline.com/junior-doctors-struggling-pay-bills-poll-reveals-impact-26-real-terms-pay-cut/article/1808515" rel="noopener noreferrer" target="_blank">Junior doctors struggling to pay bills as poll reveals impact of 26% real-terms pay cut</a></p><p>●     <a href="https://www.gponline.com/gps-back-junior-doctors-industrial-action-nurses-set-strike-dates/article/1806339" rel="noopener noreferrer" target="_blank">GPs back junior doctors over industrial action</a></p><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma and Nick talk about Labour’s plans for the NHS and general practice more specifically, which have not gone down well with a lot of GPs.</p><br><p>They also discuss plans to speed up patient discharges from hospitals and what this could mean for general practice as well as the RCGP’s new exam for GP trainees, which could be in place by the end of 2023.</p><br><p>Our good news story this week takes a look at the latest data from England’s Friends and Family Test.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><strong> </strong></p><p>●     <a href="https://www.gponline.com/gps-hit-misguided-labour-plans-self-referral-practice-reform/article/1810279" rel="noopener noreferrer" target="_blank">GPs hit out at 'misguided' Labour plans for self-referral and practice reform</a></p><p>●     <a href="https://www.gponline.com/gp-partnerships-cost-effective-part-nhs-gps-tell-labour/article/1810086" rel="noopener noreferrer" target="_blank">GP partnerships are the most cost-effective part of the NHS, GPs tell Labour</a></p><p>●     <a href="https://www.gponline.com/vast-majority-patients-report-positive-gp-experience-despite-soaring-pressure/article/1810283" rel="noopener noreferrer" target="_blank">Vast majority of patients report positive GP experience despite soaring pressure</a></p><p>●     <a href="https://www.gponline.com/new-gp-exam-replace-rca-end-2023-says-rcgp/article/1809912" rel="noopener noreferrer" target="_blank">New GP exam to replace RCA by end of 2023, says RCGP</a></p><p>●     <a href="https://www.gponline.com/patients-discharged-early-rush-free-hospital-beds-gps-warn/article/1809732" rel="noopener noreferrer" target="_blank">Patients being discharged too early in rush to free up hospital beds, GPs warn</a></p><br><p><br></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Kent GP Dr Chris Newman is one of the co-founders of Doctors for Extinction Rebellion, a group of healthcare professionals that campaigns for action on climate change. As part of his involvement in the group Chris has taken part in direct action and last year was arrested and charged under public order laws following a protest in central London.</p><br><p>In this conversation Emma talks to Chris about why he set up Doctors for Extinction Rebellion - which is in the process of changing its name to Health for Extinction Rebellion - and his experience of being arrested and appearing in court on charges.</p><br><p>Chris also explains why education on climate change for all NHS staff is so important and his own push to educate people in his community about the importance of taking steps to address climate change - however small.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful resources</strong></p><p>●     <a href="https://www.doctorsforxr.com/" rel="noopener noreferrer" target="_blank">Doctors for Extinction Rebellion</a></p><p>●     <a href="https://www.thelancet.com/countdown-health-climate" rel="noopener noreferrer" target="_blank">The Lancet Countdown on health and climate change</a></p><p>●     <a href="https://www.un.org/en/climatechange/reports?gclid=Cj0KCQiAtvSdBhD0ARIsAPf8oNks5DE8N5unNr35g_i8RhkTQ9prfK8Vqbyz08N-4mc26UgqeptbS6QaAtdAEALw_wcB" rel="noopener noreferrer" target="_blank">UN Climate Change reports</a></p><p>●     <a href="https://www.ipcc.ch/" rel="noopener noreferrer" target="_blank">Intergovernmental Panel on Climate Change</a></p><p>●     <a href="https://climatefresk.org/" rel="noopener noreferrer" target="_blank">Climate FRESK</a></p><p>●     <a href="https://takethejump.org/" rel="noopener noreferrer" target="_blank">Take the Jump</a></p><br><p>Other useful information from GPonline</p><p>●     <a href="https://www.gponline.com/five-steps-sustainable-primary-care/article/1803489" rel="noopener noreferrer" target="_blank">Five steps to sustainable primary care</a></p><p>●     <a href="https://www.gponline.com/gp-practices-more-ambitious-tackling-climate-change/article/1791792" rel="noopener noreferrer" target="_blank">GP practices can be 'more ambitious' on tackling <strong>climate</strong> <strong>change</strong></a></p><p>●     <a href="https://www.gponline.com/5-ways-gps-help-patients-affected-air-pollution/respiratory-system/article/1732175" rel="noopener noreferrer" target="_blank">5 ways GPs can help patients affected by air pollution</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>With the NHS facing unprecedented pressure and horrendous stories emerging about the impact this has had on both patients and staff, we look at what the crisis means for general practice, what representative organisations want the government to do and what steps might need to be taken to help GP practices cope.</p><br><p>We also discuss industrial action - in particular the BMA ballot of junior doctors, which gets underway on Monday 9 January - and we look at the latest GP workforce data and some results from our recent survey that highlight how hard GPs had to work during 2022.</p><br><p>In our good news section we highlight the GPs – and an advanced nurse practitioner – who received awards in the New Year Honours.</p><br><p><strong>Your good news stories</strong></p><p>Things are really tough in general practice, but we are always keen to highlight positive news and the good work that is going on in primary care on both the podcast and GPonline.com.</p><br><p>If you are up to anything in your practice or working life that you think deserves attention - or you would like to give a shout out to an individual, practice or other organisation or group that you think is making a real difference, then please do get in touch. You can email us at <a href="mailto:[email protected]" rel="noopener noreferrer" target="_blank">[email protected]</a>.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/sunak-urged-recall-parliament-broken-nhs-leaves-gps-driving-patients-hospital/article/1809179" rel="noopener noreferrer" target="_blank">Sunak urged to recall parliament as 'broken NHS' leaves GPs driving patients to hospital</a></p><p>●     <a href="https://www.gponline.com/nhs-intolerable-pressure-flu-covid-19-strep-deepen-crisis/article/1809060" rel="noopener noreferrer" target="_blank">NHS under 'intolerable' pressure as flu, COVID-19 and strep A deepen crisis</a></p><p>●     <a href="https://www.gponline.com/gps-exceed-safe-limit-appointments-every-working-day-poll-reveals/article/1808958" rel="noopener noreferrer" target="_blank">Most GPs exceed safe limit for appointments every working day, poll reveals</a></p><p>●     <a href="https://www.gponline.com/decline-gp-workforce-accelerates-workload-continues-surge/article/1808923" rel="noopener noreferrer" target="_blank">Decline in GP workforce accelerates as workload continues to surge</a></p><p>●     <a href="https://www.gponline.com/gps-among-recognised-new-year-honours/article/1809070" rel="noopener noreferrer" target="_blank">GPs among those recognised in New Year Honours</a></p><br><p><br></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week the team looks at record levels of drug shortages, the latest on group A strep and how it is affecting GPs and their teams and talk about the GP workforce in the most deprived parts of England.</p><br><p>They also discuss why many practices are facing a precarious future because of the lack of GP partners and how inflation and the cost of living crisis is affecting GP practices – and there’s a good news story on long COVID.</p><br><p>Talking General Practice will be back in January 2023. Merry Christmas and happy new year from the team.</p><br><p>This episode is presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.mims.co.uk/drug-shortages-live-tracker/article/1581516" rel="noopener noreferrer" target="_blank">MIMS drug shortages tracker</a></p><p>●     <a href="https://www.england.nhs.uk/publication/group-a-streptococcus-communications-to-clinicians/" rel="noopener noreferrer" target="_blank">NHS England and UKHSA guidance on group A strep in children</a></p><p>●     <a href="https://www.gponline.com/shortage-protocol-antibiotics-imminent-penicillin-prescriptions-soar/article/1808314" rel="noopener noreferrer" target="_blank">Shortage protocol for antibiotics imminent as penicillin prescriptions soar</a></p><p>●     <a href="https://www.gponline.com/nine-10-gps-say-cost-of-living-crisis-destabilised-practice-finances/article/1808166" rel="noopener noreferrer" target="_blank">Nine in 10 GPs say cost-of-living crisis has destabilised practice finances</a></p><p>●     <a href="https://www.gponline.com/nhs-bosses-ask-gps-cover-striking-ambulance-workers/article/1808115" rel="noopener noreferrer" target="_blank">NHS bosses ask GPs to cover for striking ambulance workers</a></p><p>●     <a href="https://www.gponline.com/drug-shortages-hit-new-peak-add-pressure-gp-practices/article/1807917" rel="noopener noreferrer" target="_blank">Drug shortages hit new peak and add to pressure on GP practices</a></p><p>●     <a href="https://onlinelibrary.wiley.com/doi/10.1002/jmv.28373" rel="noopener noreferrer" target="_blank">Study on pacing and long COVID</a></p><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma speaks to Dr Ellen Fallows a GP in Northamptonshire and vice president of the British Society of Lifestyle Medicine about what lifestyle medicine is and how it can help GPs to improve patient outcomes.</p><br><p>During this conversation Ellen explains how GPs can make use of lifestyle medicine in a 10-minute consultation, some of the evidence that supports the use of this approach to help improve outcomes for patients and how lifestyle medicine can help GPs tackle health inequalities.</p><br><p>This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://bslm.org.uk/" rel="noopener noreferrer" target="_blank">British Society of Lifestyle Medicine</a></p><p>●     <a href="https://www.gponline.com/viewpoint-lifestyle-medicine-help-gps-tackle-health-inequalities/article/1736364" rel="noopener noreferrer" target="_blank">How lifestyle medicine can help GPs tackle health inequalities</a></p><p>●     <a href="https://www.directclinicaltrial.org.uk/" rel="noopener noreferrer" target="_blank">Diabetes DIRECT trial</a></p><p>●     <a href="https://foodandmoodcentre.com.au/" rel="noopener noreferrer" target="_blank">The Food Mood Centre in Australia</a>, Ellen mentions some research coming out from here during the interview</p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week Emma speaks to Professor Aruna Garcea, a GP partner and primary care network clinical director in Leicester. Aruna is chair of the NHS Confederation’s primary care network advisory group and she also sits on her integrated care system as a representative clinical director.</p><br><p>In this conversation Aruna explains the impact PCNs have had already, what makes a strong PCN and some of the key challenges networks have faced. We also talk about the introduction of integrated care systems and what these could mean for PCNs and practices as well as how PCNs can work effectively to support GP practices.</p><br><p>This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.gponline.com/gps-fear-funding-cuts-sidelining-lmcs-ics-model-beds/article/1806583" rel="noopener noreferrer" target="_blank">GPs fear funding cuts and sidelining of LMCs as ICS model beds in</a></p><p>●     <a href="https://www.gponline.com/gp-expansion-hamstrung-outdated-premises-warn-primary-care-leaders/article/1804480" rel="noopener noreferrer" target="_blank">GP expansion hamstrung by outdated premises, warn primary care leaders</a></p><p>●     <a href="https://www.gponline.com/pcns-evolve-integrated-neighbourhood-teams-says-fuller-review/article/1787806" rel="noopener noreferrer" target="_blank">PCNs should evolve into 'integrated neighbourhood teams', says Fuller review</a></p><p>●     <a href="https://www.gpbusiness.co.uk/article/1788415/does-fuller-stocktake-mean-general-practice-england" rel="noopener noreferrer" target="_blank">What does the Fuller stocktake mean for general practice in England?</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>In our regular news review Emma and Nick look at what the BMA, GPs and NHS England might want from a new contract deal in England.</p><br><p>The current five-year deal comes to an end in March 2024, and this week English LMCs will be gathering in London to set out a vision for what they want the BMA to push for in upcoming contract negotiations that will decide what happens next.</p><br><p>Emma and Nick look at what we already know about the BMA’s priorities for negotiations, some of the other things LMCs will be discussing, including options of last resort if a contract agreement can’t be reached, and what could happen around primary care networks.</p><br><p>Elsewhere they also look at what has been up for debate at the separate England LMCs conference that took place on Thursday - including motions around the GP workforce, safety in general practice and the impact of integrated care systems.</p><br><p>And they talk about the latest general practice appointment data for England published this week, which for the first time will include details of appointments at individual practices.</p><br><p>Finally, there’s some good news about fruit and veg in London.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><ul><li><a href="https://www.gponline.com/england-lmcs-conference-2022-full-coverage/article/1806208" rel="noopener noreferrer" target="_blank">Full coverage of England LMCs conference 2022</a></li><li><a href="https://www.gponline.com/practice-level-appointments-data-threatens-unfair-pressure-gps/article/1806042" rel="noopener noreferrer" target="_blank">How practice-level appointments data threatens unfair pressure on GPs</a></li><li><a href="https://www.gponline.com/gp-contract-based-item-service-payments-benefit-general-practice/article/1736409" rel="noopener noreferrer" target="_blank">Would a GP contract based on item of service payments benefit general practice?</a></li><li><a href="https://www.gponline.com/forms-industrial-action-gps-take/article/1793521" rel="noopener noreferrer" target="_blank">What forms of industrial action could GPs take?</a></li><li><a href="https://www.gponline.com/doctors-tell-bma-pull-gp-practices-pcns-2023/article/1791428" rel="noopener noreferrer" target="_blank">Doctors tell BMA to pull GP practices out of PCNs by 2023</a></li><li><a href="https://www.gponline.com/practice-level-appointments-data-threatens-unfair-pressure-gps/article/1806042" rel="noopener noreferrer" target="_blank">How practice-level appointments data threatens unfair pressure on GPs</a></li></ul><p><br></p><p><strong>Good news</strong></p><p>We are always keen to highlight positive news and the good work that is going on in general practice. If you are up to anything in your practice or working life that you think deserves attention - or you would like to give a shout out to an individual, practice or other organisation that is making a difference to patient care or your local community, then do get in touch. You can email us at <a href="mailto:[email protected]" rel="noopener noreferrer" target="_blank">[email protected]</a>.</p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week Emma speaks to new RCGP chair Professor Kamila Hawthorne. Professor Hawthorne takes over as college chair from Professor Martin Marshall this week – on 19 November – so this is one of her first interviews in the role.</p><br><p>Professor Hawthorne has been a GP for 34 years and practises in South Wales. She is a professor and head of graduate entry medicine at the University of Swansea - a role she has been seconded from for her three-year term as RCGP chair - and also a Bevan commissioner.</p><br><p>She has been heavily involved with the college for many years and was vice chair from 2015 to 2018 when she was responsible for professional development.</p><br><p>During this conversation Professor Hawthorne explains why she decided to become a GP, what her key priorities will be in her first year as chair in her first year in the post and what she hopes to achieve over her full three-year term.</p><br><p>With a background in medical education she also talks about how she feels medical education needs to change to develop the doctors of the future, one of her research areas of interest - health inequalities - and whether she feels positive about the future of the profession.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p><a href="https://www.gponline.com/home-office-look-umbrella-bodies-sponsoring-img-gps-remain-uk/article/1804567" rel="noopener noreferrer" target="_blank">Home Office to look at 'umbrella bodies' sponsoring IMG GPs to remain in UK</a></p><p><a href="https://www.rcgp.org.uk/" rel="noopener noreferrer" target="_blank">Royal College of GPs website</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Today on the podcast we’re looking at personalised care and health coaching and how they could help practices and PCNs to improve health outcomes and population health in their patch.</p><p>Emma is talking to Sheffield GP Dr Ollie Hart, who is also clinical director of a primary care network in the city.</p><br><p>Ollie has been heavily involved in promoting and developing patient-centred care in Sheffield. In partnership with another GP he also runs a business called Peak Health Coaching, which trains healthcare professionals in coaching and person-centred care and is one of the Personalised Care Institute’s approved training providers.</p><br><p>During this conversation Ollie explains:</p><p>●     What personalised care is</p><p>●     What patient activation is and how to understand patient activation measures</p><p>●     How coaching can help patients</p><p>●     The benefits of patient-centred care for GPs</p><p>●     Using coaching as part of a multidisciplinary team</p><br><p>Ollie is a global health and wellbeing ambassador for parkrun so he also explains the benefits of becoming a ‘parkrun practice’.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     Personalised Care Institute</p><p>●     Ollie’s company Peak Health Coaching</p><p>●     How shared decision making can help GPs better meet patients' needs</p><p>●     Becoming a parkrun practice</p><br><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>On our regular news round-up Emma and Nick look at the review into how the GMC handled the case of Dr Manjula Arora – the GP who served a month’s suspension over a claim she had been promised a laptop – and the GMC’s response to the findings.</p><br><p>They talk about what’s going on with patient access to their prospective records online after a week of confusion that’s seen the 1 November deadline when IT suppliers were due to turn on this functionality for all of their practices missed.</p><br><p>And they look at reimbursement for locum GPs to cover sick leave, and why a huge gap between the level of reimbursement practices receive and the actual cost of locum cover means GP partners with burnout are being forced to consider returning to their job before they feel ready.</p><br><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Get involved</strong></p><p>We are always keen to highlight positive news and the good work that is going on in general practice on both the podcast and GPonline.com. If you are up to anything in your practice or working life that you think deserves attention - or you would like to give a shout out to an individual, practice or other organisation or group that you think is making a real difference to patient care or your local community, then please do get in touch. Email us at <a href="mailto:[email protected]" rel="noopener noreferrer" target="_blank">[email protected]</a>.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/gmc-missed-multiple-opportunities-stop-gps-needless-suspension/article/1803927" rel="noopener noreferrer" target="_blank">GMC missed 'multiple opportunities' to stop GP's needless suspension</a></p><p>●     <a href="https://www.gponline.com/arora-laptop-case-become-gmc-never-event-warns-doctor-leading-official-review/article/1803417" rel="noopener noreferrer" target="_blank">Arora laptop case must become GMC 'never event', warns doctor leading official review</a></p><p>●     <a href="https://www.gponline.com/practices-handed-temporary-opt-out-deadline-patient-access-records/article/1803943" rel="noopener noreferrer" target="_blank">Practices handed temporary opt-out deadline for patient access to records</a></p><p>●     <a href="https://www.gponline.com/financial-trap-force-gp-partners-work-burnout/article/1803804" rel="noopener noreferrer" target="_blank">Financial trap could force GP partners to work through burnout</a></p><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Emma is joined by a very special guest Professor Sir David Haslam to discuss his new book <em>Side Effects: How Our Healthcare Lost Its Way and How We Fix It</em>.</p><br><p>Along with being a GP for over 35 years Sir David has held a number of senior posts including being both chair and president of the Royal College of GPs, president of the BMA and chair of the National Institute for Health and Care Excellence (NICE), a post he held from 2013 to 2019.</p><br><p>His new book explores what good healthcare should achieve and how we can create a system that is affordable, fair and provides good quality care.</p><br><p>This interview looks at some of the really important themes raised in the book, including why the cost of healthcare will always continue to rise, why we need to better value primary care and public health, tackling health inequalities, over-medicalisation and whether we have our priorities right when it comes to end-of-life care.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p><a href="https://www.amazon.co.uk/Books-DAVID-HASLAM/s?rh=n%3A266239%2Cp_27%3ADAVID+HASLAM" rel="noopener noreferrer" target="_blank"><em>Side Effects: How Our Healthcare Lost Its Way and How We Fix It</em> on Amazon</a></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week on the podcast Nick and Emma look at the final report from the House of Commons Health and Social Care committee’s investigation into the future of general practice and explain its findings and key recommendations. They also discuss the former chair of that committee – Jeremy Hunt’s – appointment as chancellor.</p><br><p>Emma highlights a really important interview from GPonline with Chris Milligan, the husband of GP Dr Gail Milligan who took her own life earlier this year.</p><br><p>They also talk about recommendations from the GMC that could increase the number of doctors that are able to work in general practice, and the RCGP’s latest push to get the Home Office to resolve the visa problems affecting international medical graduate GP trainees.</p><br><p>Finally, there’s a good news story about a GP from Glasgow who has written a book with his three young daughters to help educate children about the human body and raise money for local charities.</p><br><p>This episode was presented by GPonline’s editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p>Useful links</p><p>●     <a href="https://www.gponline.com/gp-wife-worked-herself-death-%E2%80%93-something-needs-change/article/1802504" rel="noopener noreferrer" target="_blank">My GP wife worked herself to death – something needs to change</a></p><p>●     <a href="https://www.gponline.com/gps-access-help-support-struggling-cope/article/1453723" rel="noopener noreferrer" target="_blank">Where can GPs access help and support if they are struggling to cope?</a></p><p>●     <a href="https://www.gponline.com/general-practice-systemically-toxic-mps-warn-devastating-report-gp-crisis/article/1802599" rel="noopener noreferrer" target="_blank">General practice is 'systemically toxic', MPs warn in devastating report on GP crisis</a></p><p>●     <a href="https://www.gponline.com/gmc-backs-overhaul-widen-pool-doctors-able-work-primary-care/article/1802377" rel="noopener noreferrer" target="_blank">GMC backs overhaul to widen pool of doctors able to work in primary care</a></p><p>●     <a href="https://www.gponline.com/4300-gps-sign-rcgp-letter-calling-home-office-resolve-img-visa-problems/article/1802365" rel="noopener noreferrer" target="_blank">Over 4,300 GPs sign RCGP letter calling on Home Office to resolve IMG visa problems</a></p><p><a href="https://www.gponline.com/scottish-gp-writes-childrens-anatomy-book-collaboration-three-daughters/article/1802591" rel="noopener noreferrer" target="_blank">Scottish GP writes children's anatomy book in collaboration with his three daughters</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week Emma is speaking to Dr Devina Maru and Dr Liam Loftus who are both GP trainees and co-founders of The BIg GP Consultation.</p><br><p>Devina and Liam set up The Big GP Consultation as a platform for GP trainees and early career GPs to discuss their vision for general practice – and to come up with ideas and solutions for how to address some of the many challenges facing the profession both now and in the future.</p><br><p>In this interview they explain why they set up the initiative, changes they would like to see to GP training and general practice, how new GPs could be better supported and how they’re hoping to get more engagement with the project to ensure the ideas that they have come up with become a reality.</p><br><p>This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p><strong> </strong></p><p>●     <a href="https://thebiggpconsultation.co.uk/" rel="noopener noreferrer" target="_blank">The Big GP Consultation website</a></p><p>●     The Big GP Consultation can be found on Twitter <a href="https://twitter.com/biggpconsult" rel="noopener noreferrer" target="_blank">@BigGPConsult</a></p><p>●     <a href="https://www.gponline.com/gp-trainees-set-vision-lift-general-practice-crisis/article/1797481" rel="noopener noreferrer" target="_blank">GP trainees set out vision to lift general practice from crisis</a></p><p>●     <a href="https://www.gponline.com/does-positive-future-general-practice-look-%E2%80%93-view-next-generation/article/1798211" rel="noopener noreferrer" target="_blank">What does a positive future for general practice look like – a view from the next generation</a></p><p> </p><br><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week on the podcast Emma and Nick are talking about some new figures showing there has been a surge in vacant GP posts in London, which has left half of the capital’s practices operating with fewer doctors than they need when demand is at an all time high.</p><p>They also discuss what the RCGP believes needs to happen to boost GP retention and what the latest NHS appointments data tells us about levels of workload in general practice in England. Plus they look at NHS England’s plans to help boost capacity this winter and the BMA’s decision to ballot junior doctors on industrial action.</p><p>This episode was presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><p>●     <a href="https://www.gponline.com/london-faces-growing-gp-workforce-gap-workload-continues-soar/article/1801114" rel="noopener noreferrer" target="_blank">London faces growing GP workforce gap as workload continues to soar</a></p><p>●     <a href="https://www.gponline.com/government-urgent-action-gp-retention-says-rcgp/article/1800587" rel="noopener noreferrer" target="_blank">Government must take 'urgent action' on GP retention, says RCGP</a></p><p>●     <a href="https://www.gponline.com/gp-workload-far-beyond-pre-pandemic-level-winter-pressure-looms/article/1800551" rel="noopener noreferrer" target="_blank">GP workload far beyond pre-pandemic level as winter pressure looms</a></p><p>●     <a href="https://www.gponline.com/coffey-targets-rapid-gp-access-face-to-face-appointments/article/1801119" rel="noopener noreferrer" target="_blank">Coffey targets rapid GP access over face-to-face appointments</a></p><p>●     <a href="https://www.gponline.com/nhs-sets-priorities-extra-gp-funding-winter/article/1800244" rel="noopener noreferrer" target="_blank">NHS sets out priorities for extra GP funding this winter</a></p><p>●     <a href="https://www.gponline.com/junior-doctors-balloted-industrial-action-early-january/article/1800831" rel="noopener noreferrer" target="_blank">PCN contract overhaul defers two-week appointment target until April 2023</a></p><p>●     <a href="https://www.gponline.com/junior-doctors-balloted-industrial-action-early-january/article/1800831" rel="noopener noreferrer" target="_blank">Junior doctors to be balloted on industrial action in early January</a></p><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week on the podcast Emma speaks to Dr Helen Garr, the medical director of NHS Practitioner Health, the NHS service that looks after doctors and dentists - and also other NHS staff - who are experiencing mental ill health.</p><br><p>In this conversation Emma and Helen talk about the impact that pressures on the NHS are having on doctors’ wellbeing and how this is affecting GPs in particular.</p><br><p>Helen also explains what doctors and other NHS staff can do if they are suffering from burnout, how to prevent burnout, what people can do if they are worried about a colleague and how NHS Practitioner Health supports doctors who seek help from the service.</p><br><p>She also outlines how she thinks the NHS could change to help ensure better mental health for doctors and other staff.</p><p><em> </em></p><p><em>Trigger warning: This episode includes a discussion about suicide and the issue of suicide in the medical profession.</em></p><br><p>There is lots of practical and useful advice in this conversation, so we’ve included some time stamps below if you want to go back and listen to bits again, or find specific things on your first listen.</p><br><p>●     2.07 Helen explains the increase in the number of GPs coming to NHS Practitioner Health and the conditions they are presenting with.</p><p>●     4.41 Helen discusses suicide in doctors and explains why doctors are at higher risk of suicide.</p><p>●     11.12 The impact of a doctor’s suicide on colleagues and what people should do if they are concerned about a colleague’s mental health.</p><p>●     15.16 Steps practices can take to make the working environment more supportive.</p><p>●     17.55 Warning signs of burnout.</p><p>●     21.36 What to do if you are burnt out.</p><p>●     24.55 What can you do to prevent burn out.</p><p>●     30.10 How the NHS needs to change to better support doctors and staff.</p><p>●     33.37 What happens when a doctor contacts NHS Practitioner Health and how the service can help.</p><p>●     39.11 How staff other than doctors can access NHS Practitioner Health.</p><br><p><strong>Useful resources</strong></p><p>●     <a href="https://www.practitionerhealth.nhs.uk/" rel="noopener noreferrer" target="_blank">NHS Practitioner Health</a></p><p>●     <a href="https://www.england.nhs.uk/supporting-our-nhs-people/support-now/looking-after-you-confidential-coaching-and-support-for-the-primary-care-workforce/looking-after-you-too/" rel="noopener noreferrer" target="_blank">Looking After You Too</a> (NHS England’s free coaching programme for primary care staff)</p><p>●     <a href="https://www.gponline.com/gps-access-help-support-struggling-cope/article/1453723" rel="noopener noreferrer" target="_blank">Where can GPs get help and support if they are struggling to cope? </a>(Free access article on GPonline that contains a list of all organisations that offer support to doctors experiencing mental ill health)</p><p>●     <a href="https://wellbeingandcoping.net/" rel="noopener noreferrer" target="_blank">Wellbeing and Coping</a> (website Helen refers to in the interview as ‘wellbeing and doing’)</p><p>●     <a href="https://www.gponline.com/gps-tell-coaching-helped-manage-practices-during-covid-19/article/1752062" rel="noopener noreferrer" target="_blank">GPs tell how coaching helped them manage practices during COVID-19</a> (article on GPonline about the Looking After You Too programme)</p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week the team discusses the government’s latest push to improve access in general practice and some of the problems with the plans. They look at a groundbreaking new system that is being piloted in Devon, which will see work paused for practices facing extreme workload pressures. GP leaders have suggested the system could be rolled out nationwide within a year.</p><p>And they talk about what plans to cap energy costs could mean for practices and what doctors say the government needs to do to address the workload and workforce crises in general practice.</p><p>This episode is presented by GPonline editor Emma Bower and news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/practices-face-two-week-access-target-300-fewer-gps-last-year/article/1799599" rel="noopener noreferrer" target="_blank">Practices face two-week access target with 300 fewer GPs than last year</a></p><p>●     <a href="https://www.gponline.com/government-unveils-two-week-access-target-gp-appointments/article/1799584" rel="noopener noreferrer" target="_blank">Government unveils two-week access target for GP appointments</a></p><p>●     <a href="https://www.gponline.com/gps-agree-groundbreaking-system-pause-work-practices-facing-extreme-pressure/article/1799055" rel="noopener noreferrer" target="_blank">GPs agree groundbreaking system to pause work for practices facing extreme pressure</a></p><p>●     <a href="https://www.gponline.com/practices-energy-costs-slashed-government-unveils-business-price-cap/article/1799449" rel="noopener noreferrer" target="_blank">Practices could see energy costs slashed as government unveils business price cap</a></p><p>●     <a href="https://www.gponline.com/search/articles?headlinesOnly=False#:~:text=%27This%20job%20is%20making%20us%20ill%27%3A%20Coffey%20told%2016m%20patients%20could%20lose%20their%20GP" rel="noopener noreferrer" target="_blank">'This job is making us ill': Coffey told 16m patients could lose their GP</a></p><p> </p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>This week Emma speaks with Dr Veronica Grant, a GP in Derbyshire who was until recently the RCGP clinical champion for veterans health, about the healthcare needs of veterans and steps practices can take to better support veterans and military families.</p><br><p>This is an interview that was recorded in November 2021.</p><br><p>Since we recorded our last podcast we have seen the very sad news about the death of Queen Elizabeth.</p><br><p>As the former head of the armed forces, the Queen is of particular significance to those who are members of the services and veterans.</p><br><p>NHS England this week wrote to NHS services and highlighted that the death of the Queen had the potential to trigger mental health issues within the armed forces community. NHS England asked services to familiarise themselves with referral pathways to Op COURAGE, the Veterans Mental Health and Wellbeing Service that is available across England for serving personnel due to leave the military, reservists and veterans.</p><br><p>At GPonline we thought it would be particularly useful for those in primary care to hear our interview with Veronica again in light of this. As well as talking about how GPs and practices can support veterans and military families, Veronica also explains a bit more about Op COURAGE and how the service works.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://elearning.rcgp.org.uk/mod/book/view.php?id=12533&chapterid=284" rel="noopener noreferrer" target="_blank">RCGP veterans’ healthcare toolkit learning</a></p><p>●     <a href="https://elearning.rcgp.org.uk/mod/book/view.php?id=12533&chapterid=285" rel="noopener noreferrer" target="_blank">Veteran friendly practice accreditation</a></p><p>●     <a href="https://www.nhs.uk/nhs-services/armed-forces-community/mental-health/veterans-reservists/" rel="noopener noreferrer" target="_blank">Information about Op COURAGE</a></p><br><p><br></p><br><p><br></p><br><p><br></p><br><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Our regular news review is back. This week Emma and Nick talk about soaring energy costs and rising inflation and the impact these could have on GP practices</p><br><p>They also look at what new prime minister Liz Truss and new health and social care secretary Therese Coffey could mean for general practice – and whether the government could prevent a possible crisis in the health service this winter.</p><br><p>And in our regular good news spot they highlight an initiative from a group of GP trainees that puts forward a blueprint for tackling the crisis in general practice.</p><br><p>This episode is presented by GPonline editor Emma Bower who is joined by our news editor Nick Bostock. It was produced by Czarina Deen.</p><br><p><strong>Useful links</strong></p><br><p>●     <a href="https://www.gponline.com/practices-cut-staff-stop-covid-19-jabs-hand-back-contracts-energy-bills-rocket/article/1797241" rel="noopener noreferrer" target="_blank">Practices could cut staff, stop COVID-19 jabs or hand back contracts as energy bills rocket</a></p><p>●     <a href="https://www.gponline.com/gp-practices-being-mugged-profits-set-slump-third/article/1797952" rel="noopener noreferrer" target="_blank">GP practices 'being mugged' as profits set to slump by a third</a></p><p>●     <a href="https://www.gponline.com/does-liz-truss-premiership-mean-general-practice/article/1797990" rel="noopener noreferrer" target="_blank">What does a Liz Truss premiership mean for general practice?</a></p><p>●     <a href="https://www.gponline.com/therese-coffey-rules-gp-visit-fees-promises-stand-patients-access/article/1798178" rel="noopener noreferrer" target="_blank">Therese Coffey rules out GP visit fees and promises to 'stand up for patients' on access</a></p><p>●     <a href="https://www.gponline.com/nine-ten-gps-fear-practice-will-struggle-cope-winter/article/1796077" rel="noopener noreferrer" target="_blank">Nine in ten GPs fear their practice will struggle to cope this winter</a></p><p>●     <a href="https://www.gponline.com/gp-trainees-set-vision-lift-general-practice-crisis/article/1797481" rel="noopener noreferrer" target="_blank">GP trainees set out vision to lift general practice from crisis</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Throughout August we’ve been showcasing some of the best interviews from series one of the podcast.</p><br><p>This week Emma talks to Dr Rebecca Rosen, a GP in London and senior fellow at health think tank the Nuffield Trust, about continuity of care, the evidence to support it and steps practices can take to embed continuity of care in the way they work. This interview was recorded in October 2021.</p><br><p>Since this was recorded we’ve written quite a lot about continuity of care on GPonline. The House of Commons Health and Social Care Committee is currently running an inquiry into the future of general practice and the benefits of continuity of care and what the NHS can do to promote continuity have been one of its themes. Dr Rosen gave evidence to the committee about the work she’s done in her practice.</p><br><p>The RCGP has also stepped up efforts to promote what it calls relationship-based care and highlight its importance in general practice. The college has produced a new report looking at what’s needed to help practices deliver relationship-based care and continuity (link below).</p><br><p>This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p>Series 3 of Talking General Practice begins on 9 September.</p><br><p><strong>Useful links</strong></p><br><p><a href="https://www.rcgp.org.uk/policy/general-practice-covid-19-power-of-relationships/" rel="noopener noreferrer" target="_blank">RCGP work on relationship-based care</a></p><p><a href="https://www.gponline.com/gp-access-debate-shift-emphasise-quality-speed-warns-rcgp/article/1791516" rel="noopener noreferrer" target="_blank">GP crisis endangering continuity and quality of patient care, warns RCGP chair</a></p><p><a href="https://www.gponline.com/gp-access-debate-shift-emphasise-quality-speed-warns-rcgp/article/1791516" rel="noopener noreferrer" target="_blank">GP access debate must shift to emphasise quality as well as speed, warns RCGP</a></p><p><a href="https://www.nuffieldtrust.org.uk/research/improving-access-and-continuity-in-general-practice" rel="noopener noreferrer" target="_blank">Improving access and continuity in general practice</a> - a 2018 Nuffield Trust report</p><br><p><br></p><p><br></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>

<p>Throughout August we’re showcasing some of the best interviews from series one of the podcast.</p><br><p>This week Emma speaks with Dr Carey Lunan, a GP in Edinburgh and chair of the Deep End GP Group in Scotland, and Dr David Blane a GP in Glasgow and clinical research fellow in General Practice, University of Glasgow, who is the academic lead of the Deep End GP Group, in an interview that was recorded in August 2021.</p><p> </p><p>The Deep End Group covers the 100 most deprived practices in Scotland and the discussion highlights what the group is doing to tackle health inequalities, the impact of COVID-19 and what other practices can learn from their work.</p><p> </p><p>This episode is presented by GPonline editor Emma Bower. It was produced by Czarina Deen.</p><br><p>Series 3 of Talking General Practice begins on 9 September.</p><p> </p><p><strong>Useful links</strong></p><br><p>MIMS Learning free health inequalities webinar featuring Dr Carey Lunan <a href="https://www.mimslearning.co.uk/courses/health-inequalities-in-primary-care" rel="noopener noreferrer" target="_blank">https://www.mimslearning.co.uk/courses/health-inequalities-in-primary-care</a></p><br><p>The Deep End Project <a href="https://www.gla.ac.uk/researchinstitutes/healthwellbeing/research/generalpractice/deepend/" rel="noopener noreferrer" target="_blank">https://www.gla.ac.uk/researchinstitutes/healthwellbeing/research/generalpractice/deepend/</a></p><br><p>Fair Health <a href="https://fairhealth.org.uk/" rel="noopener noreferrer" target="_blank">https://fairhealth.org.uk/</a></p><br><p><a href="https://www.gponline.com/gp-funding-formula-needs-reworking-target-inequalities-warns-rcgp/article/1794092" rel="noopener noreferrer" target="_blank">GP funding formula 'needs reworking' to target inequalities, warns RCGP</a></p><br><p><a href="https://www.gponline.com/governments-slow-covid-19-response-worsened-health-inequalities-warns-bma/article/1794402" rel="noopener noreferrer" target="_blank">Government's slow COVID-19 response worsened health inequalities, warns BMA</a></p> <hr><p style='color:grey; font-size:0.75em;'> Hosted on Acast. See <a style='color:grey;' target='_blank' rel='noopener noreferrer' href='https://acast.com/privacy'>acast.com/privacy</a> for more information.</p>