GPonline editor Emma Bower and deputy editor Nick Bostock discuss the review of the NHS by Lord Ara Darzi, the government’s response to the report and what happens next - including what might be in the new NHS long-term plan.

They also look at another report Lord Darzi was involved with - the IPPR think tank’s final report from its Commission on Health and Prosperity and what that could mean for general practice and the NHS.

And they’re talking about health and social care secretary Wes Streeting’s war of words with the BMA over collective action.

Our good news story this week is also very good news for the government as junior doctors - who are now called resident doctors - voted to accept the new pay offer which brings to an end 18 months of industrial action.

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

Useful links

Darzi report at a glance: read a summary of the key findings and advice

Hardwire NHS finances to 'lock in' expansion of GP services, says Darzi review

Streeting welcomes 'oven-ready' NHS reform plan that criticises GP model

Streeting hits out at GP 'sabre-rattling' and 'unnecessary threat of collective action'

Four in five GP practices already taking collective action, BMA says

Collective action sets up NHS winter plan clash as GPs told to 'avoid hospital admissions'

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Emma speaks to Alex Matheson from the LGBT Foundation about the charity’s Pride in Practice programme, which helps GP practices improve the experiences of LGBTQ+ people accessing primary care services.

In this conversation Alex talks about the health inequalities experienced by LGBTQ+ people, in particular around access to services and the discrimination some people experience, and how that ultimately impacts on outcomes for this group of patients.

She also explains how the Pride in Practice programme can help GP practices to improve the care for their LGBTQ+ people, including the importance of training for staff and recording patients’ sexual orientation and gender identity.

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

Useful links

The Pride in Practice programme

Hidden Figures: LGBT health inequalities in the UK - the LGBT Foundation’s report

Gender identity toolkit - developed by the Institute of General Practice Management in partnership with the LGBT Foundation

Monitoring sexual orientation and trans status

MIMS Learning's Tackling Health Inequalities campaign includes free CPD on transgender and LGBTQ+ healthcare

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The podcast is out a bit early this week because of the election.

In this week’s episode Emma and Nick discuss the BMA ballot on collective action, and look at the case of a practice in Cambridge that has handed back its contract despite having high patient satisfaction scores to explain why funding for general practice is now a critical issue. Nick also explains what action practices could take if the ballot is successful.

They also talk about new NHS England pilots, which will be looking at how PCNs can develop new ways of working in general practice.

And Emma speaks to GP and Green Party health spokesperson Dr Pallavi Devulapalli who is standing in this week’s general election in South West Norfolk, a seat currently held by former Conservative prime minister Liz Truss.

Our good news this week is about some inspiring GPs - as we look at the winners of the RCGP’s Inspire Awards.

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

Useful links

The GPs standing to be MPs

'Devastated' partners at highly-rated GP practice hand back contract

Better-paid APMS provider to pilot new care model after partners hand back contract

GP appointments cap will underpin collective action in general practice

RCGP demands halt to recruitment of physician associates amid safety fears

RCGP recognises achievements of members in its annual Inspire Awards

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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.

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.

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.

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

Useful links

●     The Big GP Consultation website

●     The Big GP Consultation can be found on Twitter @BigGPConsult

●     GP trainees set out vision to lift general practice from crisis

●     What does a positive future for general practice look like – a view from the next generation

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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.

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.

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

Useful links

●     London faces growing GP workforce gap as workload continues to soar

●     Government must take 'urgent action' on GP retention, says RCGP

●     GP workload far beyond pre-pandemic level as winter pressure looms

●     Coffey targets rapid GP access over face-to-face appointments

●     NHS sets out priorities for extra GP funding this winter

●     PCN contract overhaul defers two-week appointment target until April 2023

●     Junior doctors to be balloted on industrial action in early January

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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.

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.

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.

She also outlines how she thinks the NHS could change to help ensure better mental health for doctors and other staff.

Trigger warning: This episode includes a discussion about suicide and the issue of suicide in the medical profession.

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.

●     2.07 Helen explains the increase in the number of GPs coming to NHS Practitioner Health and the conditions they are presenting with.

●     4.41 Helen discusses suicide in doctors and explains why doctors are at higher risk of suicide.

●     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.

●     15.16 Steps practices can take to make the working environment more supportive.

●     17.55 Warning signs of burnout.

●     21.36 What to do if you are burnt out.

●     24.55 What can you do to prevent burn out.

●     30.10 How the NHS needs to change to better support doctors and staff.

●     33.37 What happens when a doctor contacts NHS Practitioner Health and how the service can help.

●     39.11 How staff other than doctors can access NHS Practitioner Health.

Useful resources

●     NHS Practitioner Health

●     Looking After You Too (NHS England’s free coaching programme for primary care staff)

●     Where can GPs get help and support if they are struggling to cope? (Free access article on GPonline that contains a list of all organisations that offer support to doctors experiencing mental ill health)

●     Wellbeing and Coping (website Helen refers to in the interview as ‘wellbeing and doing’)

●     GPs tell how coaching helped them manage practices during COVID-19 (article on GPonline about the Looking After You Too programme)

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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.

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.

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

Useful links

●     Practices face two-week access target with 300 fewer GPs than last year

●     Government unveils two-week access target for GP appointments

●     GPs agree groundbreaking system to pause work for practices facing extreme pressure

●     Practices could see energy costs slashed as government unveils business price cap

●     'This job is making us ill': Coffey told 16m patients could lose their GP

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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.

This is an interview that was recorded in November 2021.

Since we recorded our last podcast we have seen the very sad news about the death of Queen Elizabeth.

As the former head of the armed forces, the Queen is of particular significance to those who are members of the services and veterans.

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.

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.

Useful links

●     RCGP veterans’ healthcare toolkit learning

●     Veteran friendly practice accreditation

●     Information about Op COURAGE

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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

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.

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.

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

Useful links

●     Practices could cut staff, stop COVID-19 jabs or hand back contracts as energy bills rocket

●     GP practices 'being mugged' as profits set to slump by a third

●     What does a Liz Truss premiership mean for general practice?

●     Therese Coffey rules out GP visit fees and promises to 'stand up for patients' on access

●     Nine in ten GPs fear their practice will struggle to cope this winter

●     GP trainees set out vision to lift general practice from crisis

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Throughout August we’ve been showcasing some of the best interviews from series one of the podcast.

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.

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.

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).

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

Series 3 of Talking General Practice begins on 9 September.

Useful links

RCGP work on relationship-based care

GP crisis endangering continuity and quality of patient care, warns RCGP chair

GP access debate must shift to emphasise quality as well as speed, warns RCGP

Improving access and continuity in general practice - a 2018 Nuffield Trust report

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Throughout August we’re showcasing some of the best interviews from series one of the podcast.

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.

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.

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

Series 3 of Talking General Practice begins on 9 September.

Useful links

MIMS Learning free health inequalities webinar featuring Dr Carey Lunan https://www.mimslearning.co.uk/courses/health-inequalities-in-primary-care

The Deep End Project https://www.gla.ac.uk/researchinstitutes/healthwellbeing/research/generalpractice/deepend/

Fair Health https://fairhealth.org.uk/

GP funding formula 'needs reworking' to target inequalities, warns RCGP

Government's slow COVID-19 response worsened health inequalities, warns BMA

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Throughout August we’re showcasing some of the best interviews from series one of the podcast.

This week Emma is talking to GP and menopause expert Dr Louise Newson, in an interview that was recorded in September 2021.

Louise discusses how we can improve menopause care and education for doctors and other health professionals. She also explains how her career led her to becoming one of the UK’s most recognisable experts on the menopause and the new charity - The Menopause Charity - which she launched in 2021.

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

Series 3 of Talking General Practice begins on 9 September.

Useful links

Confidence in the Menopause (free training for healthcare professionals)

The Menopause Charity

Practical advice for GPs on prescribing HRT - an article by Dr Louise Newson and Dr Olivia Jones on GPonline

Our sister site MIMS Learning has the following learning modules on the menopause:

●     Genitourinary syndrome of menopause

●     NICE guidelines on the menopause - by Dr Louise Newson and Dr Rebecca Lewis

●     Menopause and migraine - by Dr Louise Newson

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Throughout August we’re bringing you some of the best interviews from series one of the podcast.

This week, Emma is talking to GP Dr Amy Small about living with long COVID in an interview that was recorded in November 2021.

Amy caught Covid right at the start of the pandemic in March 2020 and went on to develop long COVID. In this conversation she explains how long COVID has affected her life, her family, and her job as a GP - and what she thinks needs to be done to improve services and support for other people affected by the condition.

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

Series 3 of Talking General Practice begins on 9 September.

Useful links

How widespread is long COVID in the UK?

Our sister site MIMS Learning has the following learning resources on long COVID

●     Long COVID - tips for primary care - an on-demand webinar

●     Long COVID and pain management - an on-demand webinar

●     Guidance update: Long COVID assessment and management

●     Neurological aspects of long COVID - an on-demand webinar

A link to the book Dr Amy Small mentions (Amazon) Classic Pacing for a Better Life with ME

Top tips: managing long COVID

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Emma speaks to Labour’s shadow health and social care secretary Wes Streeting about the party’s plans for general practice if it wins next week’s general election.

Mr Streeting discusses what Labour would do to address the GP jobs crisis – which has seen thousands of GPs struggling to find work – and why Labour believes general practice should receive a greater share of the NHS budget.

He also explains his views on the GP partnership model, how he hopes to avert possible collective action by GPs this summer and why he thinks general practice has a lot to look forward to if Labour forms the next government.

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

Useful links

Labour promises 'investment and reform' to bring back family doctor

General election: The parties' pledges on general practice

See all of GPonline’s coverage of the general election

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This week Emma speaks with Dr Gemma Wilkinson, a GP in Nottingham and clinical lead for the Nottinghamshire GP Phoenix Programme, a workforce support organisation affiliated to Nottinghamshire LMC.

The GP Phoenix Programme has a range of support programmes that focus on GP retention at every stage of a doctor’s career – from GP training, to newly-qualified GPs, through to mid-career and also those doctors approaching retirement.

In this conversation Gemma explains the steps the GP Phoenix Programme is taking to improve retention, what other areas can learn from their initiatives and what more needs to be done to stop GPs leaving the profession early.

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

This summer

Talking General Practice is taking a break for the summer. During August we will be putting out some of the interviews from the first series of the podcast as stand alone episodes for those of you who may have missed those or started listening to the podcast more recently. They cover some really interesting and important topics, which we think are worth showcasing again.

We’ll be back for series 3 on 9 September. 

Useful links

• GP Phoenix Programme induction materials
• Information for practice managers on employing a new to practice fellow - from the GP Phoenix Programme. And video explaining the same.
• Phoenix GP - a national career development and leadership programme for mid career GPs

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In our fortnightly news review, the team discusses some numbers that Nick’s crunched looking at GP partners across England and which areas are losing partners fastest, as well as some predictions about workforce figures from the Health Foundation

They also talk about latest developments on visa problems facing international medical graduates coming out of GP training, the latest health and social care committee hearing on the future of general practice and explain some PCN concerns about recruiting under the additional roles reimbursement scheme.

And there’s some good news about an award for the NHS in all four UK countries.

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

Useful links

●     Which parts of England are losing GP partners fastest?

●     Government has no plans to scrap GP partnership model, DHSC official tells MPs

●     New primary care minister says general practice is not in crisis

●     RCGP demands 'a job and a future' in the NHS for all IMG GP trainees

●     PCNs 'frightened' to recruit as ARRS delays create six-figure cash shortfall

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This week Emma speaks to practice managers Jo Wadey and Nicola Davies who are also directors of the Institute of General Practice Management (IGPM).

They discuss how and why they set up the IGPM, the institute’s new scheme for accreditation of practice managers and their views about practice managers being excluded from NHS England’s new to partnership scheme.

Jo and Nicola also talk about the importance of good practice management and how the role has changed in recent years, concerns about the number of practice managers leaving the profession and how increased aggressive behaviour from patients has affected practice staff.

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

Useful links

●     IGPM information on practice management accreditation

●     IGPM webinar introducing accreditation (on YouTube)

●     New accreditation programme for practice managers (on GPonline)

●     Campaign launched to tackle 'daily abuse' of GP practice staff (on GPonline)

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This week the team discusses what’s been happening at the BMA’s annual representative meeting this week, including a vote that could determine the future of primary care networks, talk of pay increases and the latest on stamping out sexism in the BMA.

They talk about the GMC reversing a decision to suspend GP Dr Manjula Arora for one month after she said she was promised a laptop by her employers. And they look at the RCGP’s new campaign that sets out the steps the college thinks are needed to address the workload and workforce crisis in general practice, as well as the college’s plan for embedding relationship-based care in GP practices.

Finally, there’s some good news on a community transport service for GP practices in west London.

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

Useful links

●     Doctors tell BMA to pull GP practices out of PCNs by 2023

●     BMA to demand significant pay rises to combat 15 years of real-term cuts

●     Only 55% of Romney review recommendations on BMA sexism fully implemented

●     What solutions to the GP crisis has the RCGP proposed?

●     GP access debate must shift to emphasise quality as well as speed, warns RCGP

●     RCGP relationship-based care document

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This week Emma speaks to RCGP chair Professor Martin Marshall ahead of the college’s annual conference next week.

Professor Marshall talks about the government’s attitude to general practice, how he believes the workforce and workload crisis could be tackled and the impact the backlog of care is having on general practice.

He also discusses the future of the NHS under integrated care systems and his views on primary care networks and whether he feels positive about the future of general practice.

The conversation was recorded just ahead of the college launching its new campaign - which you can read more about from the links below.

GPonline is once again the media partner for the RCGPs annual conference. You can read all the news from the event which takes place from 29 June-1 July 2022 on our website at GPonline.com.

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

Useful links

●     RCGP Fit for the Future document

●     RCGP guidance on long-term conditions and pandemic recovery in primary care

●     RCGP warns 19,000 GPs could quit in 'mass exodus' over next five years

●     What solutions to the GP crisis has the RCGP proposed?

●     Professor Martin Marshall: In my 30 years as a GP the job has never been so tough

●     Coverage from the RCGP conference (available from 29 June)

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

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

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

Useful links

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

●     GPs recognised in Queen's Jubilee honours

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

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

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

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

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

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

This episode was produced by Czarina Deen.

Useful links

RCGP information and resources for First 5 GPs

How to contact the RCGP First 5 committee

NHS Practitioner Health

Next Generation GP

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

Details of the New to Partnership Scheme

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

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

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

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

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

Useful links:

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

what does fuller stocktake mean on general practice england

Government accused of 'misleading' claims on general practice workforce

NHS workforce fears as retirements surge to all-time high

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

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

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

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

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

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

Useful links

●     Details of the BMA GP trainee subcommittee

●     Advice for GP trainees on GPonline

●     Tips on how to prepare for the recorded consultation assessment

●     Thousands of GP trainees face visa barrier to employment

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

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

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

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

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

Useful links

●     UK LMCs conference 2022: full coverage from GPonline

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

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

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

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

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

●     'Looking After You Too' coaching

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Emma speaks to Nottinghamshire GP Dr Carter Singh from the Rebuild General Practice campaign about what the campaign is hoping to achieve, what it is doing during the general election, and how it hopes to influence the new government.

Carter also explains the key issues that he thinks the new government needs to address, the importance of investing in more GPs and his views on the BMA ballot on collective action, which launched this week.

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

Useful links

Rebuild General Practice campaign

Unemployment 'scandal' as most job-seeking GPs struggle to find work

General election: The parties' pledges on general practice

Viewpoint: Technology alone will not solve the problems in general practice – Rebuild General Practice responds to Labour’s plans for technology in the NHS

Britain's LMCs co-sign 'unprecedented' letter demanding action to end GP crisis

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

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

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

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

Useful links

Medics Money website

Medics Money tax rebate guide

Medics Money podcast

From GPonline

Does GP partnership still make sense?

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

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

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

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

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

Useful links

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

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

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

●     Specialist status for GPs delayed as legislative timetable slips

●     How gardening can help improve wellbeing

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

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

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

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

Useful links

●     Rebuild General Practice

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

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

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

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

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

Useful links

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

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

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

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

●     Simple diagnostic model could help GPs spot sepsis earlier

●     BJGP research on sepsis identification

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

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

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

This episode was produced by Czarina Deen.

Useful links

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

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

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

NAPC Primary Care Home model

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This week Talking General Practice takes an in-depth look at the GP workforce. Last week GPonline published a new interactive map, which analyses data to determine which parts of the country are most at risk from an ageing workforce. On the podcast we discuss what all this data tells us about the state of the GP workforce and some of the challenges facing general practice.

We also assess why patient satisfaction with the NHS has reached a 25-year low and what the British Social Attitudes survey, which that figure comes from, had to say about general practice.

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

Useful links

●     Map: Which parts of England are at risk from an ageing GP workforce?

●     One in 10 GP practices at risk of closure due to ageing workforce

●     Map: Where are England's most underdoctored areas?

●     Satisfaction with GP services sinks to 40-year low

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This week Talking General Practice speaks to Dr Pavlo Kolesnyk - a GP and educator in Uzhhorod, a city in the west of Ukraine.

GPonline’s senior reporter Luke Haynes talks to Dr Kolesynk about the impact the war has had on his city, including the arrival of hundreds of thousands of refugees from the east, and how family doctors in Uzhhorod are maintaining primary care services in the face of a severe shortage of medical supplies.

A special thanks to Dr Kolesnyk for managing to find the time to talk to us, despite the additional work and extra pressure he is dealing with at the minute.

To find out how to donate to support Dr Kolesnyk, email gabor.peter1954@gmail.com.

This episode was produced by Czarina Deen.

Useful links

●     Ukraine Medical Help Fund

●     Ukrainian Medical Association of the UK (Facebook page)

●     Medicines Sans Frontieres work in Ukraine

●     Red Cross DEC Ukraine Humanitarian Appeal

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This week the team discusses the launch of a new campaign aimed at rebuilding general practice. They also talk about the House of Commons health and social care select committee’s inquiry into the future of general practice, which held its first evidence session last week. Both of these feature prominent appearances from former health and social care secretary Jeremy Hunt.

They look at how the NHS backlog is impacting on general practice, including the findings of a report from the public accounts committee and the results of a recent GPonline survey.

There’s a quick round-up of COVID-related news and finally, they highlight how the war is affecting GPs in Ukraine.

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

Useful links

From GPonline

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

●     RCGP and former health secretary call for QOF to be scrapped

●     GP funding formula perpetuates inequality, MPs told

●     'It's unsustainable' - NHS backlog pushing practices to breaking point

●     General practice in Ukraine: 'COVID doesn't seem scary right now'

Other links

●     Rebuild General Practice campaign

●     Ukraine Medical Help Fund

●     Ukrainian Medical Association of the UK

●     Medicines Sans Frontieres work in Ukraine

●     Red Cross DEC Ukraine Humanitarian Appeal

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This week Talking General Practice speaks to Professor Dame Professor Helen Stokes-Lampard.

Dame Helen is the immediate past chair of the RCGP and is currently chair of the National Academy for Social Prescribing and also chair of the Academy of Medical Royal Colleges.

We talk about what the National Academy for Social Prescribing is aiming to do, the evidence to support the use of social prescribing and what’s needed to make social prescribing a success.

We also discuss the work of the AoMRC, what needs to be done to tackle the workforce crisis and whether Dame Helen feels optimistic about the future of general practice.

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

Useful links

●     National Academy for Social Prescribing

●     Academy of Medical Royal Colleges

From GPonline

●     Flagship general practice recruitment scheme ‘at risk of failure’, report finds

●     More than 1,000 GPs urge MPs to back NHS workforce amendment

●     How social prescribing is helping patients in our practices

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The team discusses the new GP contract for 2022/23, which will be imposed on practices after talks between NHS England and the BMA broke down. They highlight what’s in the deal and how GPs have reacted to it.

They also take a look at a new report from the think tank Policy Exchange, which recommends that the GMS contract should be scrapped within a decade, with GPs becoming 'predominantly salaried' within large-scale providers. What’s of particular interest is that this report’s recommendations have been endorsed by health and social care secretary Sajid Javid

They discuss the findings of some new research into the additional roles reimbursement scheme which warns the multi-billion pound initiative is at risk of failure. And take a look at the response of UK doctors to the devastating war in Ukraine.

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

Useful links

●     Ukrainian Medical Association of the UK

●     Medicines Sans Frontieres work in Ukraine

●     Red Cross DEC Ukraine Humanitarian Appeal

From GPonline and GP Business

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

●     BMA ‘bitterly disappointed’ as imposed contract forces 9-5 Saturday opening

●     'Are they out to destroy general practice?' - GPs react to imposed contract changes

●     Javid-backed report calls for end of GMS contract within a decade

●     Flagship general practice recruitment scheme ‘at risk of failure’, report finds

●     Details of the Investment and Impact Fund for 2022/23

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The GPonline team looks at the GP employment crisis and concerns about what job opportunities await the many GP registrars due to qualify this summer.

They highlight the latest news from the general election, discussing the BMA’s manifesto and what the political parties have been saying about general practice in their manifestos. And the talk about GMC regulation of physician associates after the regulator set out some further details about how this will work.

Our good news story this week is about a new surgery development in North Yorkshire.

This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior reporter Kimberley Hackett. It was produced by Czarina Deen.

Useful links

GPonline’s general election coverage

The GPs standing to be MPs in the general election

GP registrar applies to work for Tesco as general practice jobs evaporate

BMA calls GP unemployment a ‘national disgrace’ after GP confronts Sunak

Supervising physician associates – what GPs need to know

Doctors raise over £40,000 for GMC legal challenge over PA and AA regulation

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GPonline’s senior reporter Luke Haynes speaks to Dr Farzana Hussain a GP and primary care network clinical director in Newham, east London.

Dr Hussain recently announced she is stepping down from her role as clinical director at the end of March. She has been a big advocate for the PCNs since they were introduced in 2019, but issues such as top-down management, endless meetings, and restrictive recruitment rules have led her to resign.

She talks to Luke in more depth about the reasons behind her decision, what she believes the problems facing PCNs are and what needs to happen to bring about real change in general practice.

Produced by Czarina Deen.

Useful links

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

●     Bureaucratic PCN targets 'no way to commission care', says BMA

●     Exhausted GPs could quit PCN leadership roles amid doubts over funding

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The team takes a closer look at the GP workforce and which parts of England are most under-doctored.

They also look at how primary care networks are faring with recruitment of new staff and why being a clinical director is an increasingly tough job.

And they highlight reaction to the government’s plan for how England will ‘live with COVID’ as well as some updates to the COVID-19 vaccination programme.

Finally there is some good news about GP partners to round things off.

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

Talking General Practice is the podcast from GPonline.com.

Useful links

●     Map: Where are England's most underdoctored areas?

●     GPs in England's most underdoctored areas caring for twice as many patients

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

●     Multi-billion pound PCN recruitment scheme fails to meet halfway target

●     Golden hello scheme drives surge in new GP partners

●     Most vulnerable to receive additional COVID-19 booster this spring

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This week Talking General Practice speaks to Professor Dame Clare Gerada, president of the Royal College of GPs and medical director of NHS Practitioner Health, the NHS service that looks after doctors and other staff experiencing mental ill health.

Dame Clare explains how she came to set up NHS Practitioner Health, the impact the pandemic has had on GPs’ mental health and what should be done to better support doctors’ wellbeing going forwards.

She also talks about her career, what it was like being a trailblazing female leader in the NHS when she became chair of the college, including the scrutiny she was under on social media, and her current role as RCGP president.

And she offers her thoughts on what could be done to retain GPs and offers advice to aspiring healthcare leaders.

Useful links

●     NHS Practitioner Health

●     Doctors In Distress

●     Where can GPs access help and support if they are struggling to cope?

●     https://www.england.nhs.uk/supporting-our-nhs-people/support-now/

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This week the GPonline team looks at the government’s plan to tackle the backlog of care in the NHS and what it all means for general practice.

They’re also discussing reports that health secretary Sajid Javid has recommended to Boris Johnson that family doctors should be directly employed by hospitals instead of running their own surgeries - a proposal some have said would effectively nationalise GPs.

In other news, they look at what’s going on at the BMA with industrial action and consider why debates about this within the association have echoes of the Romney report into sexism a couple of years ago. And they discuss a new report from the association about racism in the NHS.

There’s also the usual dose of good news to finish off.

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

Useful links

●     No let-up for GPs as Javid says NHS waiting list will grow for two more years

●     Plans to tackle NHS backlog threaten extra pressure on overstretched GPs

●     Exhausted GPs could quit PCN leadership roles amid doubts over funding

●     Fresh questions over BMA culture two years after Romney sexism review

●     BMA's GP leaders failing a profession 'shackled to a contract no longer fit for purpose'

●     NHS leaders have 'heads in sand' over widespread racism, BMA warns

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This week on Talking General Practice, Emma talks to Dr Richard Fieldhouse, a locum GP and chair of the National Association of Sessional GPs, which he set up in 1997 to represent and lobby on behalf of locum and salaried GPs.

Richard discusses how the NHS could make better use of the locum GP workforce, how the pandemic has affected locums and how practices can get the best from their locum GPs, He also highlights the benefits of working in a chambers and offers some advice on developing a portfolio career.

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

Useful links

National Association of Sessional GPs

What locum GPs need to know about the NHS Pension Scheme

Key financial issues for locum GPs

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This week the team discusses results of a recent GPonline survey that found GPs are conducting 84% more patient contacts per day on average than the level considered safe by the BMA, and ask whether there should be a cap on the number of consultations GPs undertake.

They also talk about mandatory vaccination for NHS staff and the findings of a report from the CQC that found its own regulatory processes may disadvantage against GP practices led by doctors from ethnic minorities.

And, as the government in England abandons plan B and rolls back most COVID-19 restrictions, what is the reaction from the NHS?

Finally, our good news is about a unique art-based social prescribing initiative.

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

Useful links

●     ‘We just can’t keep going endlessly’: GPs speak out over 'undoable' workload

●     GP patient contacts running 84% above safe limit, poll suggests

●     General practice delivered an unprecedented 367m appointments in 2021

●     COVID jab mandate 'under review' as 77,000 NHS staff unvaccinated

●     Social prescribing patients curate art exhibition at leading Cornish gallery

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This week Talking General Practice speaks to Beccy Baird, senior fellow at health think tank the King’s Fund, about primary care networks.

Beccy talks about how networks are getting on, what support they need to succeed, and how the introduction of integrated care systems is likely to affect them. We also look at whether the additional roles reimbursement scheme is the answer to the challenges general practice faces and what the future looks like for PCNs at the end of this five-year GP contract.

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

Useful links

Links to some of Beccy’s work with the King’s Fund

From GPonline’s sister site GP Business - How to make the most of your ARRS roles

General practice recruitment scheme falling short by thousands of staff

Viewpoint: Are PCNs working - and where do they go from here?

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Talking General Practice is going weekly! We will now be available every Friday. One week will feature our news round-up and the following week will be an interview with someone from the world of general practice, taking a more in-depth look at a key issue in primary care.

This week it’s news. The team looks at the pressure general practice is currently under as a result of the Omicron variant, staff absences and soaring patient demand. They also discuss what the huge backlog of care means for practices and weigh up whether the additional roles reimbursement scheme is likely to deliver on its promise of 26,000 more staff in primary care.

There’s also some good news about flu jabs.

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

Useful links

'Eventually it will have to break': LMC alert systems show general practice in distress

General practice 'forgotten soldier' as Omicron drives rising pressure on NHS

Progress on recruiting 26,000 staff to support general practice 'very concerning'

Flu vaccine uptake 'highest on record' as GPs jab 81% of over-65s

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This week the team looks at plans to ramp up the COVID-19 booster vaccination programme and what this means for GPs and their teams.

They also discuss the latest annual GMC State of Medical Education and Practice report and what it tells us about general practice.

In our interview Emma speaks to Dr Ellen Fallows, a GP in Oxfordshire and director of the British Society of Lifestyle Medicine’s learning academy. Ellen explains exactly what lifestyle medicine is, the evidence to support its use and how GPs and other clinicians can make use of it in their day-to-day practice.

And we have a Christmas good news story to wrap things up.

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

Useful links

British Society of Lifestyle Medicine

GP practices to redeploy staff as NHS demands extra funding to fight Omicron

COVID vaccine 15-minute observation rule looks set to be scrapped

Vaccinated NHS staff no longer need to self isolate ic close contact of Omicron case

Third of GPs at ‘high risk’ of burnout as GMC reveals impact of unsustainable workload

Workload and burnout risk rising fast among GP trainers and trainees

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This week the team discusses the Omicron COVID-19 variant, changes to the vaccination booster programme and how this could impact on practice workload.

They also talk about the results of the BMA’s industrial action ballot and what went on at the English LMCs conference last week, including the first address by new GPC England chair Dr Farah Jameel and a wide ranging debate on GP and practice staff wellbeing.

In this episode's intereview, Luke speaks to Dr Matt Sawyer a GP in Yorkshire about a new calculator that he has developed to help GP practices calculate their non-clinical carbon footprint and steps practices can take to be more sustainable.

And, while good news seems to be a bit thin on the ground at the moment, there is a positive story from general practice in Wales.

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

Useful links

●     GPs offered £15 per jab as government sets 31 January COVID-19 booster deadline

●     'Line in the sand': GPC chair offers olive branch to government but warns GPs ready to fight

●     More than half of GP practices prepared to pull out of PCNs, BMA ballot shows

●     ‘Utterly toxic’: GPs speak out over abuse and physical attacks on practice teams

●     Welsh GP contract maintains 'total triage' - in stark contrast to Westminster approach on access

●     The GP Carbon Calculator is here https://www.gpcarbon.org/#/

●     You can find Dr Matt Sawyer on Twitter @SEESustainabil1

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Emma speaks to GP Dr Farnaaz Sharief who is also the chief executive of Manage your Mind which works with NHS and social care staff to help develop mental resilience.

Farnaaz talks about mental wellbeing in the NHS, what mental resilience means and why it is so important.

She also has lots of practical advice on how people can boost their mental resilience to help them cope with stress and pressures - both inside and outside work, how to support friends and colleagues experiencing stress, what practices and organisations can do to promote wellbeing, and the role coaching can play.

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

Useful links

●     Manage your mind

●     Box breathing (link to YouTube)

●     The straw breath (link to YouTube).

●     Farnaaz’s webinar on wellbeing on MIMS Learning

Good Medical Practice

The updated version of the GMC’s Good Medical Practice is here.

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This week we’re talking about a new inquiry into the future of general practice launched by the House of Commons Health and Social Care Committee, with MPs warning that the profession is ‘in crisis’.

We also look at the decision to introduce mandatory COVID-19 vaccination for NHS staff in England. And we’ll be discussing the election of a new chair for the BMA’s GP committee in England and looking ahead to next week’s conference of English LMCs.

Emma speaks to Dr Veronica Grant a GP in Derbyshire and the RCGP clinical champion for veterans health about the healthcare needs of veterans and steps practices can take to support veterans and military families,

And we have a bit of good news about GP trainees.

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

Useful links

RCGP veterans’ healthcare toolkit

Veteran friendly practice accreditation

What are the top priorities for the new BMA GP committee chair?

MPs launch inquiry into future of general practice - warning profession is 'in crisis'

Doctors back call to force government to publish NHS workforce planning

COVID vaccine mandate could strip 9,000 staff from general practice

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This week the team looks at the fallout from the government’s so-called support package for general practice in England. We discuss the BMA’s plans to ballot GPs on different types of industrial action they could take in protest to the controversial plans that fail to address the current workload crisis and could have the opposite effect of making things significantly worse.

We’ll also be looking at the response of some local healthcare leaders to the proposals and what the latest appointment data tell us about how access to general practice is currently working.

In our interview, Emma speaks to Dr Amy Small, a GP in Lothian in Scotland, about her experience of living with long Covid. She talks about how long Covid has affected her life, her family, and her job as a GP - and what she thinks needs to be done to improve services and support for other people affected by the condition.

And we have a bit of good news about booster vaccines.

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

Useful links

A link to the book Dr Amy Small mentioned in her interview (Amazon) Classic Pacing for a Better Life with ME

Top tips: managing long COVID

Our sister site MIMS Learning has the following learning resources on long COVID

●     Guidance update: Long COVID assessment and management

●     Neurological aspects of long COVID - an on-demand webinar

GP industrial action ballot over access plans to end mid-November, BMA confirms

Regional NHS bosses will ignore 'name and shame' GP access plans

Patient choice should determine whether GP appointments are face-to-face, says Javid

GP appointments hit new high as face-to-face contacts surge

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This week we take a look at the government’s so-called support package for general practice. We discuss what’s in the package, what GPs think about it (spoiler - not much) and what happens next.

We’re also talking about chief medical officer Professor Chris Whitty’s appearance at the RCGP annual conference last week and what he had to say about general practice and the difficult winter ahead.

Emma speaks to Dr Richard Mayne a GP in Belfast about the impact of sedentary behaviour in general practice and the importance of promoting physical activity. And we have a bit of good news about research in general practice.

Useful links

GPs overwhelmingly reject access plans as BMA holds emergency meeting

Viability of general practice this winter in doubt, warns BMA

CMO praises GP pandemic response and warns 'exceptionally difficult' winter to come

The Moving Medic - Dr Richard Mayne’s blog

Domestic violence training and support programme shown to increase GP referrals 30-fold

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