eGPlearning Podblast – Details, episodes & analysis

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Join eGPlearning as we take a look at the NHS Medium Term Planning Framework. This document was published by NHS England on 24 October 25 and provides more detail on how DoH and NHSE will deliver on the aspirations outlined in the NHS 10 year plan.

This summary will help you understand where your ICB, Place, PCN and Practice are being asked to focus over the next 4 years.

The document covers how responsibilities for delivery will be distributed across different levels of within the system from the centre down to neighbourhoods and the layers in between, how aspirations will align with the three darzi shifts, and describes specific targets in the areas of; elective care, cancer and diagnostics, urgent and emergency care, primary care, community health services, mental health, learning disabilities and workforce.

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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Ambient Voice Scribes are part of the NHSE plan to increase productivity in General Practice by providing an AI assistant who listens in on consultations and then provides documentation of encounters and can even convert what it has heard into referral letters and reports.

Andy and Gandhi discuss this technology, moving from a brief introduction to practical tips for getting started with this technology in your practice with the right governance in place.

Listen to the end and you might even know your DCB0129s from your DCB0160s…

Thanks to Dr Devin Gray & Wandsworth GP Federation who’s guidance we explore.

NHSE comprehensive guidance on AVS implementation in Health Care from April 2025 can be found here… https://www.england.nhs.uk/long-read/guidance-on-the-use-of-ai-enabled-ambient-scribing-products-in-health-and-care-settings/ 

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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We explore and discuss the UK Health Security Agency (UKHSA) report on the impact of health equity and inequalities on individual and population health. 

This is the first time the agency has published a report about how health equity impacts rates and costs of communicable disease and ill health arising from environmental hazards. 

A really useful report for anyone with an interest in health equity, population health or caring for patient in disadvantaged areas or groups.

Read the report here... https://www.gov.uk/government/publications/health-inequalities-in-health-protection-report

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This toolkit from Queen Mary University London, presents a vision for equitable general practice and provides guiding principles and a framework to help teams work out how to make a difference and have an impact. 

Addressing inequalities in general practice is not easy and this problem can feel so huge that it is difficult to know where to start.  

The toolkit contains practical actions and case studies to help you make a start.

The toolkit is structures in a 5:4:4 approach - watch to learn more...

Thank you to everyone involved in the production of this excellent work and please do visit, read and download their original documents:
https://www.qmul.ac.uk/ceg/research/health-inequalities/building-equitable-primary-care/  

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A rapid update on General Practice and Primary care contracts by NHS England that you can not miss

NSH England publications https://www.england.nhs.uk/publicatio...

COVID Flu specifications: https://www.england.nhs.uk/wp-content...

Seasonal flu specifications: https://www.england.nhs.uk/wp-content...


AW23 letter: https://www.england.nhs.uk/long-read/...

Stepping stone contract: https://www.pulsetoday.co.uk/news/bre...

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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Join Andy and Gandhi as they review the new winter pressures guidance document for 2023 and how it relates to primary care and wider

NHS England link: https://www.england.nhs.uk/publicatio...

Resilience in winter  2023: https://www.england.nhs.uk/long-read/...

Responsibilities: https://www.england.nhs.uk/long-read/...

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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The current abundance of click bait headlines about the “best” and “worst” GP Practices can only mean one thing… Its annual GP Survey results time!

https://www.dailymail.co.uk/health/article-12318979/Worst-rated-GP-practices-England-ranked-Shock-NHS-analysis-reveals-just-one-10-patients-happy-surgeries-use-table-fares.html 

In this episode we explore:

00:00 Welcome and introductions
02:10 GP Survey methodology and purpose
08:48 GP Survey results 2023
10:18 PCN Dashboard
13:20 Survey Analysis Tool walkthrough & national trends
32:14 Positives and negatives of the GP Survey
45:16 Thought sand opinions from Andy & Gandhi

Understanding the GP survey:

https://www.england.nhs.uk/statistics/statistical-work-areas/gp-patient-survey/ 

GP Survey FAQs:

https://gp-patient.co.uk/FAQ 

• Conducted independently by IPSOS
• Purpose of the survey?
• “We run the GP Patient Survey every year to track change over time and monitor the quality of services. The survey will help the NHS to improve GP practices and other local NHS services, so they better meet your needs.”

Where to find detailed information about methodology? Delving into the Technical Annexe:

• Weighted data…
• Confidence intervals? P43 - Are broad and can overlap for results with low numbers of responses such as specific questions at practice level data.
• https://gp-patient.co.uk/Downloads/2023/GPPS_2023_Technical_Annex_PUBLIC.pdf 

Results: 

https://www.gp-patient.co.uk/ 

• Infographic

https://gp-patient.co.uk/downloads/2023/GPPS_2023_National_Infographic_PUBLIC.pdf 

• PCN Dashboard

https://gp-patient.co.uk/pcn-dashboard 

Using the analysis tool

• Comparative results and results over time - example looking at national data
• Comparing with neighbours or other practices

Positives

• Low sample size means only indicative at practice level and difficult to compare one practice to another
• Unfair to compare some practices with others... Comparing apples to oranges.
• Practices in difficult areas, where it is harder to recruit for example and where here are generally lower levels of life satisfaction, shouldn't be compared to more affluent areas with less challenges and practices who report higher levels of general well being.... I've often though there should be a set of control questions about general life satisfaction to help control for these sorts of differences.
  • 👉🏻Social deprivation is complex
  • 👉🏻The patients calling in socially deprived areas are complex and will have be wanting “to see a GP” as if that’s the cure. People in alffluent areas will have probably done a load of research first
  • 👉🏻the shortage in clinical staff is much more markedly felt in socially deprived areas
  • 👉🏻I imagine the CQC are going to look at these survey results and select these practices for a CQC

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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Join Andy and Gandhi for the latest in primary care news and a massive update on changes at eGPlearning

GPC Chaos  https://www.pulsetoday.co.uk/news/bre...

GP recruitment
https://www.pulsetoday.co.uk/news/wor...
Strong recruitment to GP training schemes
Signals NHS workforce plan - inc. GP training to 6,000/2031
Other measures to support GP recruitment

GP workforce
https://www.pulsetoday.co.uk/news/wor...
More appointment, 29M appointments in June 23 - NHS Data tool
https://app.powerbi.com/view?r=eyJrIj...
They show that there were 27,153 FTE fully-qualified GPs last month, down from 28,129 at the end of 2019.
https://digital.nhs.uk/data-and-infor...

GP pay rises
https://www.pulsetoday.co.uk/news/bre...

https://www.pulsetoday.co.uk/news/bre...

OPEL report

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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Andy & Gandhi recently visited YouTube HQ in London to attend an event hosted by Google aimed at supporting licensed clinicians to create YouTube videos to support patients to stay healthy and understand and manage their medical conditions.

Here about the event and where we see opportunities and challenges in this exciting space…

0:00 Welcome!

3:46 Why are Google working on health issues?

6:17 Google has many complimentary platforms positioned to support health

10:20 YouTube’s approach to acting responsibly in the health space

12:03 Andy & Gandhi reflections on the event & YouTube Health

30:26 Introducing the eGPlearning Getting tarted with video in Primary Care online course! Link to register interest – www.bit.ly/clinicalcreatorcourse 

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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Join Andy and Gandhi as they review the long-awaited NHS Workforce plan which sets out the NHS plans for the next 15 years. Is it any good? Find out with us....

https://www.england.nhs.uk/wp-content...

Published 29 June 2023
Commissioned and accepted by the government
Costed plan
Addresses how NHS will meet workforce challenges, 15 years, £2.4bn

The problem is significant
Staffing shortfalls have been a long-standing issue and NHS vacancies now stand at 112,000
The plan’s modelling estimates that vacancies would rise to 360,000 by 2037 if no action is taken

Priority areas:
Train - increase numbers of staff
Retain - 130,000
Reform - Work differently and modernise

Headline features
doubling medical school training places to 15,000 by 2031/32, with more places in areas with the greatest shortages 
increasing the number of GP training places by 50 per cent to 6,000 by 2031   
almost doubling the number of adult nurse training places by 2031, with 24,000 more nurse and midwife training places a year by 2031
providing 22 per cent of training for clinical staff through apprenticeship routes by 2031/32
introducing medical degree apprenticeships with pilots running in 2024/25 so that by 2031/32 2,000 medical students will train by this route
training more NHS staff domestically – in 15 years’ time, we would expect around 9-10.5 per cent of the workforce to be recruited from overseas compared to nearly a quarter now 
ensuring that more than 6,300 clinicians start advanced practice pathways each year by 2031/32
increasing training places for nursing associates (NAs) to 10,500 by 2031/32 – by 2036/37, there will be over 64,000 nursing associates working in the NHS, compared to 4,600 today.







Thoughts and Comments

There are no ‘specific costs’ associated with retention elements of the long-term workforce plan, NHS England’s chief executive has admitted. Ms Pritchard
https://www.pulsetoday.co.uk/news/pul...


The document sets out a plan to ‘ensure up to 130,000 fewer staff leave the NHS over the next 15 years’, however that segment of the 135-page report does not specifically mention GPs. Does mention consultants.
https://www.pulsetoday.co.uk/news/pul...


GP training places in England will increase by 50% to 6,000 by 2031 under the £2.4bn plan


RETENTION
Who will train the new trainees and in what time?
Reducing training time may be a false economy - requiring more support in early years.


Funding confirmed to 2028? Only first 5 years costed.

Join Dr Mike as he shares how to get started and fly using EMIS to make your life easier with this clinical system

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