Should GPs be added to the Additional Role Reimbursement Scheme? Join Ben & Tara Humphrey from THC Primary Care, as they dissect the details of the new funding scheme specifically allocated for GPs and its potential impact on PCNs. Tara shares her insights on learning from past experiences, avoiding resource dilution, and the practicalities of financial feasibility. Together, they look at the recent funds allocation by NHS England for hiring more GPs, debating the most effective distribution of this funding, and providing practical advice on making the most of this opportunity despite its potential limitations. Don't miss this thought-provoking discussion on the evolving landscape of GP roles in PCNs.

Introduction (00:09) 

Additional Role Reimbursement Scheme.. (00:39) 

Making decisions.. (02:46) 

Making the most of the Additional Role Reimbursement Scheme (03:56) 

One GP per PCN? (04:59) 

How to get the most value out of the GPs? (06:43)

Is a new service required? (08:22) 

A focal point for this new role.. (09:01) 

Impact GP’s could have to the additional role teams? (09:59) 

Sharing resources.. (10:54)

Restrictions for GPs.. (11:51)

Releasing information.. (13:43)

How can we offer people any security (16:03) 

Price competition (18:03)

Preparation for PCNs.. (20:53) 

Getting in touch.. (22:20) 

To contact Tara directly, visit her LinkedIn here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben for his first episode back as he talks with Adrian Down & Darren Altus, as they explore the fascinating journey of K2 Healthcare. They focus on the strategic approach to healthcare model implementation, emphasising the importance of tailoring funding and structure around a predefined model. Explore the methods of measuring success, the feedback loop from clinicians, and the long term impact of sustained interventions. They also discuss the challenges of managing multiple PCNs and the role of federations in the future of healthcare delivery. To wrap up the episode, they highlight the need for PCNs to think beyond traditional roles and engage in integrated community partnerships, balancing collaborative efforts with maintaining individuality. Join Ben, Adrian & Darren for an insightful conversation on the future developments in the neighbourhood team model and much more.

Introduction (00:09) 

The Federation - K2 (02:51) 

Pre PCN.. (04:04)

Funding.. (05:08)

What was the impact of PCNs on your federation? (06:28) 

Tension between federations.. (09:22)

K2 & PCNs.. (10:37)

Keeping contact with practices.. (12:59)

Integrated neighbourhood teams (14:47) 

Measuring success (16:58)

Seeing the results.. (18:45)

Involvement in pilots.. (19:34) 

How do you see the role of federations in the future? (20:38) 

Getting in touch.. (22:47)

Contact Adrian via email here, & Darren here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us for a fascinating exploration with Agnes Kasprowicz from the City and Hackney Office of PCNs. We look at the journey of City & Hackney Office of PCNs, as they provide support to eight PCNs, acting as a unified voice for the networks and championing their development and impact in their local communities. Discover how these networks have evolved to tackle the unprecedented challenges of the pandemic by centralising operations and setting up a dedicated company. We delve into the pivotal merger that formed the City and Hackney Office of PCN’s and we look at its role in ensuring a unified primary care voice within the changing Integrated Care System landscape. 

Introduction (00:09) 

The Office of Primary Care Networks (00:23)

The start of the office.. (02:48)

Funding.. (03:32) 

Delivering vaccination services (04:20)

Representing practices (06:25) 

What services does the office of PCNs offer? (06:48)

Work streams.. (07:10)

Coming together (09:22)

Working together.. (10:08) 

What are the work streams? (11:28)

Plans for the future.. (14:50) 

Lessons learnt.. (16:26)

Find out more.. (18:32) 

Get in touch with Agnes via email here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week’s episode, brought to you in partnership with Practice Index, we welcome back the insightful Robyn Clark and Kay Keane, who share their pioneering experiences with the ‘Right Care, First Time’ campaign. 

This episode brings to light the complex skills required of modern patient services teams, the critical need for recognition and appropriate compensation for their work, and how their evolution is instrumental in guiding patients to the right care. Join us for this enlightening conversation that's bound to reshape your perspective on the ever-changing landscape of general practice.

Right Care, First Time (00:09) 

The thinking behind the campaign.. (01:13) 

Modern General Practice (02:35) 

Who is the campaign targeted at? (03:44)

Getting the message across.. (04:30) 

Acceptance of new roles.. (05:49)

Funding.. (09:07) 

Targeting specific needs.. (09:49) 

A more flexible pot? (12:54) 

Trust within PCN’s (15:00) 

NHS England Care Navigation Training.. (17:13) 

Building the confidence of the public.. (19:29) 

Feedback following the video.. (21:45) 

Where can I access the video? (22:02) 

What does industrial action look like for General Practice? (22:56) 

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben is joined, once again by Dr. Neil Modha, a mastermind in revolutionising patient care through innovative practices and strategic partnerships. As the GP partner of Thistlemoor Medical Centre. Neil discusses the fine art of managing workload and curbing GP burnout by staying ahead of the curve with bespoke roles designed to meet patient demands.

Neil offers a sneak peek into the promising future of GP and pharmacy collaborations. Ben & Neil also look into the financial challenges and opportunities for community pharmacies, contemplating the evolution of the GP partnership model amidst current contractual changes. 

Introduction (00:09) 

Latest achievements.. (00:20)

Thistlemoor turns 30! (01:14) 

What makes Thistlemoor different? (01:50)

Additional roles.. (03:28)

Recent changes to roles.. (05:16) 

Consultations in the pharmacy.. (08:25)

Learnings so far.. (10:33) 

Creating effective partnerships.. (11:54)

Bring the practice and pharmacy together (14:17) 

Thoughts on the GP Partnership model? (17:00)

A difficult year ahead.. (18:54) 

What’s next? (20:06) . 

Taking a risk.. (23:12)

Getting in touch.. (25:59)

You can listen to Episode 116: Neil Modha – An innovative model for general practice here.

Find Neil on LinkedIn, Twitter & email, you can also visit Thistlemoor Medical Centre on twitter & their website.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben is joined by George Gavriel & Bobby Pozzoni-Child, from the Bucks GP Provider Alliance. Their engaging discussion looks at the crucial role of collaboration with the ICB to amplify the GP provider voice and underscores the value of place-based leadership groups as emphasised in the Fuller stock take. Discover the intricate structure of Bucks' GP, the interplay of its practices, PCNs, and the local federation, and learn how challenges are navigated to align these entities.Tune in for a conversation that's at the heart of transforming patient care and healthcare leadership at the local level..

Introduction (00:08)

Bucks GP Provider Alliance (00:40)

Place-wide federation (01:38) 

Bobby’s role.. (03:18)

Other staff.. (04:11)

Bringing together the leaders (06:02) 

Do practices understand the system and how it works? (07:12)

Objectives of the GP Provider alliance.. (09:25)

How long have you been going? (11:19) 

What are your main achievements so far? (11:51) 

Annual report.. (13:47)

Funding.. (14:24) 

Benefits to the ICB of having you guys in place? (16:45)

Support for practices.. (18:40)

Biggest learning so far.. (21:10)

To find out more contact Bobby via email here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode, we delve into highlights from the second annual PCN Plus live conference, where Ben teamed up with Tara Humphrey, Dr. Andy Foster, and Dr. Hussain Gandhi on Wednesday 17th April. Tune in as they explore life beyond primary care networks, the evolving role of PCNs, and their significant influence on the healthcare landscape.

Introduction (00:08) 

What have been the main impacts of primary care networks? (00:40) 

What will come in the next contract? (04:43)

How should PCNs be preparing to deliver integrated neighbourhood teams? (10:35) 

Should GPs be included in ARS roles? (15:30)

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

We are joined, once again, by Dr Nigel Fraser, Dr Mike Hearne, and Conor Price. This week they discuss how Herefordshire has taken significant strides in influencing integrated care board decisions through data sharing and analytics, highlighting the critical role of Primary Care Analytics in the evolution of local data systems. 

Hear about the national landscape of general practice data analytics and its impact on healthcare strategies from our guests. They bring to the table discussions on the need for a unified voice in the sector, the challenges in translating complex activities into actionable insights, and the role primary care analysts play in this domain. The episode wraps up with a look at the strategic enhancement of data analytics in primary care. Don't miss part 2 of this insightful discussion on revolutionising general practice and promoting innovation across the nation.

Introduction (00:09)

Data in General Practice (02:03) 

The importance of sharing data (03:32)

Controls.. (04:36) 

Primary Care Analytics.. (05:02) 

Primary Care Analytics forum.. (07:54) 

General Practice influence (08:53)

Skills gap within General Practice (10:04)

Working together.. (11:08) 

Measuring what’s important (13:09)

Supporting other areas.. (13:59)

Influencing at a ICB level (17:20) 

Getting in touch.. (18:37) 

Starting a National movement.. (19:00)

Final thoughts (19:37)

Contact Conor Price via email here & visit the Primary Care Analytics website here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us as we explore the advancements in general practice data and analytics, as Ben sits down with Dr Nigel Fraser, Dr Mike Hearne, and Conor Price. They share their invaluable insights on the early initiatives of data sharing using EMIS and the importance of establishing trust among practices. Together, they unravel the complexities of standardising data to enhance collaborative healthcare and reflect on the journey from the initial phases to the sophisticated state of data utilisation today.

Listen in as they tackle the significant strides made in healthcare data management and the importance of standardised coding templates, the trust required in data sharing, and the role of mobile healthcare in addressing critical issues. They also discuss the creation of robust data management teams and the strategic deployment of data to advocate for primary care investments, all while recognising the undeniable power of data in steering healthcare improvements and fortifying practice support within the larger system..

Introduction (00:08)

Primary Care Analytics (01:57)

Comparing apples with apples (04:02) 

LMC’s perspective.. (05:07) 

The pro’s of providing the data.. (05:54)

The developments & benefits.. (07:06)

Using the data right (11:34) 

Producing information.. (14:23) 

Data analyst & beyond.. (16:55)

What does the data look like now? (18:36)

How does the data help? (21:28) 

How to get in touch (23:02)

Contact Conor Price via email here & visit the Primary Care Analytics website here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

With general practice at a crossroads, Practice Index podcast regulars Robyn Clark and Claire Houston join Ben to assess the financial hurdles presented within the latest GP contract. The 2% funding increase is a drop in the ocean against towering inflation and the uptick in the national living wage could well see a situation whereby practices are unable to hire or replace departing staff, calling into question, once again, the issue of sustainability.

We consider newer directives linked to capacity and access such as telephony, online consultations, and care navigation systems and probe the effectiveness of the Integrated Care Board payments - and the Quality and Outcomes Framework - questioning their impact on an already stretched thin resource pool.

Don't miss this episode for a frank and insightful examination of the state of general practice right now, with our expert practice management panel guiding the conversation.

Introduction (00.:09)

Welcoming the panel (00:39)

Funding implications (00:52)

An unrealistic uplift against the economic reality (02:12)

Impact on practices (03:06)

Government response and continuing uncertainty (03:48)

Complications with budget-setting (05:38)

Advice from Clare when planning ahead (06:49)

Debating the QOF changes (07:53)

Changes related to vaccs and imms (09:46)

Scrapping the IIF in favour of capacity and access (10:32)

Achieving the 30% (12:33)

National extraction of demand data (14:25)

A new “registration solution” (17:03)

Merging the PCN DES spec and ARRS (17:55)

The future of general practice taskforce (20:48)

GP referendum (21:55)

Final thoughts (23:47)

The importance of standing together (24:40)

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Listen in as we welcome back experts James Gransby from RSM UK and Robert McCartney from Hempsons for an insightful analysis of the upcoming 24/25 GP contract changes and the associated financial pressures. They tackle the stark realities practices are facing, including the modest wage increases and low inflation rate adjustments set against a backdrop of historical underfunding. They examine potential cost savings, opportunities for service expansion, and the balance between growth and maintaining a strong practice culture. Join us to also highlight the success of organic mergers and the concept of 'soft mergers' as a means to foster collaboration while preserving individual practice identity.

Introduction (00:09) 

Reactions to the 24/25 contract.. (00:33)

Percentages used.. (01:42)

What’s new? (03:31) 

Continuity of care (04:37)

Financial pressure on individual practices (05:35) 

Section 96 (06:24)

Point of no return.. (07:01)

Funding during COVID.. (07:40) 

Do practices need to merge? (08:54)

Economies of scale.. (14:15) 

The need for a plan.. (15:10)  

When does it become too big? (16:40)

Thinking about a merger? (19:01) 

Merging organically.. (21:05) 

Soft merging (23:12)

Getting in touch.. (23:52) 

Contact Robert via email here & James via email here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben welcomes back podcast favourite, Sheinaz Stansfield, Quality Improvement Lead for Oxford Terrace and Rawling Road Medical Group. Sheinaz joins Ben to share her pioneering methods for workforce redesign in General Practice, which include a thorough examination of patient demand and the utilisation of tools to distinguish between activity and demand. Their discussion also looks into how to integrate new roles into healthcare teams, highlights the benefits of mentorship for unique roles, and the significant impact this can have on enhancing patient experiences and alleviating the pressure on clinicians. Join us and learn from Sheinaz’s tales of transformation, where a focus on demand and capacity has the power to revolutionise primary care..

Introduction (00:09) 

Workforce redesign (00:39) 

Measuring demand (01:56)

Findings & surprises.. (02:36)

Is demand greater than capacity? (04:04) 

Increasing capacity.. (05:28) 

Changing your workforce.. (07:58)

Identifying additional roles your Practice needs.. (09:19)

Workforce redesign principles.. (10:16) 

Additional roles becoming part of the PCN.. (12:27)

Do you have a divide? (15:20) 

Impacts on the GPs.. (16:15) 

Key takeaways for listeners.. (17:05)

Advice.. (19:06) 

Previous examples.. (20:56) 

Making the most of an individual's skills.. (22:14) 

Resources.. (23:06)

Listen to Ben & Sheinaz’s previous podcast episodes below:

Sheinaz Stansfield – social prescribing

Sheinaz Stansfield – Releasing time for care in Gateshead

Sheinaz Stansfield – The role of the frailty nurse in general practice

Sheinaz Stansfield – Better Health

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Ben as he explores the evolving role of pharmacists in general practice, with special guests Ruhina Kassam & Mahmud Mamayusupov from Clinical Pharmacist Solutions. They share insights on the push for pharmacists to become prescribers, emphasising the importance of this shift to meet increasing healthcare demands. Ruhina & Mahmud introduce the DPP Finder service, designed to connect pharmacists with designated prescribing practitioners, facilitating the required practice hours for their prescribing qualification.

They also discuss the balance between community pharmacy and PCN pharmacists, improvements in workforce distribution, and the Pharmacy First scheme. Don't miss this insightful discussion that highlights the significant developments and opportunities in the pharmacy profession.

Introduction (00:09)

Updates from Clinical Pharmacist Solutions.. (00:29) 

Becoming advanced practitioners.. (01:16) 

Do pharmacists want to become prescribing pharmacists? (03:15) 

The scheme.. (04:13)

Pharmacists in their own practice (06:34)

Mentorship.. (07:08) 

90 hours.. (08:56)

Is the scheme funded? (09:40)

Limits to the prescribing qualification.. (11:33)

Additional qualifications (13:09)

Specialist vs general approach (13:40)

Thoughts on the way that pharmacists are being used in general practice and by PCNs? (14:07)

Quality of supervision offered via PCNs.. (15:58)

Turnover of pharmacists.. (16:57)

Impact on community pharmacy.. (20:32) 

Pharmacy First (21:16) 

Getting in touch.. (23:01)

Visit the DPP Connect website here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Unlock the secrets to compassionate healthcare as we join forces with Kay Keane, Shaun Jackson and Katherine Scott from Urban Village Medical Practice, to discuss primary care's pivotal role in supporting the homeless community. Together, they navigate the complex definition of homelessness, the responsibilities of local authorities, and how healthcare providers can assist individuals in this challenging system. This discussion is just the beginning of a series aimed at guiding practices in providing care to those experiencing homelessness. Discover the importance of using the practice's address for correspondence and learn how to maintain continuity of care for this population. This episode is designed to raise awareness and equip healthcare providers with the tools needed to offer empathetic and effective support to patients experiencing homelessness, a testament to the compassion and innovation that earned Urban Village Medical Practice its esteemed award.

Introduction (00:08)

What can we do to help people who are experiencing homelessness (00:52)

The plan.. (01:49)

Katherine's role.. (02:36)

What is homelessness? (03:32)

Why is it such an important issue for Primary Care? (04:53) 

Support on offer.. (06:36)

Recognise the population (07:52)

Other organisations.. (10:22) 

Noticing a difference.. (11:15) 

What can practices do? (12:30) 

Have the conversation with patients.. (15:55) 

Getting it right.. (17:47)

Additional roles (19:26) 

Homeless patients interacting with health services.. (20:48)

Supporting the patients.. (24:08)

Getting in touch.. (26:52)

 Urban Village Medical Practice website & to find out more contact Kay Keane here. 

Listen to the previous episode from Urban Village here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week’s episode, brought to you in partnership with Practice Index, Kay Keane and Claire Houston join Ben for a candid discussion on the financial challenges practices are facing. At the heart of their discussion lies the tension between the escalating costs of running a practice, including the forthcoming minimum wage hike, and the proposed 1.9% budget increase. Kay, Claire and Ben reflect on the squeeze this puts on profits and how it's driving a potential shift in the structure of General Practice. They look into the hard choices that lie ahead, and consider the implications of relying on additional roles over traditional GP-led models. They discuss what practices can do in face of such a financially challenging environment, and offer practical tips for those who are struggling. Tune in to hear more about the creative strategies practices are employing to navigate funding challenges and how this might shape the future of General Practice.

Introduction (00:09)

Practice finances (00:50)

Claire’s thoughts.. (01:58) 

The 1.9% offer (03:54)

Claire & Kay’s thoughts regarding the offer? (04:38) 

How are Practices make ends meet? (07:13) 

What kind of uplift in income is possible for Practices? (09:46) 

PCN income.. (12:32) 

The challenges.. (14:22)

Working together.. (16:08) 

Additional roles.. (16:51) 

Making savings by increasing size.. (22:52) 

Resources & information.. (25:08) 

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Tim Rigg & Jessie Teggin join Ben to discuss ‘Out in the Field’, a provider of retreats for NHS staff. This episode looks into the transformative journey of healthcare staff towards holistic wellbeing, Jessie and Tim share information about the unique retreats that are aimed at nurturing the wellbeing of healthcare professionals, empowering them to unwind, rejuvenate, along with creating stronger connections within their teams. Join us to learn more about the retreats, and how NHS staff are embracing them..

Introduction (00:09)

Out in the field (01:21) 

Forest bathing (05:30) 

Why did you decide on retreats for your primary care team? (08:53)

Staff's thoughts.. (12:51) 

How did the retreat run? (14:18) 

What difference did it make to staff.. (18:27) 

Are there more sessions to come? (21:02) 

Jessie’s thoughts on the day.. (21:38) 

How to find out more.. (24:45) 

Visit the ‘Out in the Field’ website here & ‘The Quadrangle’ here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join Andy and Gandhi from eGPLearning and Tara Humphrey for something different this week, as our very own Ben joined eGPLearning’s live discussion to explore what is next for PCNs. They look into the future of General Practice, GP contract negotiations and the evolution of patient care. They navigate through the challenges of recruitment, resource allocation, and a modest funding uplift set against rising inflation. They also share information for the upcoming live event in Nottingham, where success stories and the resilience of healthcare professionals will take centre stage.

Introduction to PCN Plus (00:09)

Introduction (00:31)

The latest video from Katie.. (01:41)

Contract negotiations.. (03:35)

GPs in ARRS roles (06:37)

Comments from live listeners (11:34)

1.9% uplift (12:24)

Further comments from live listeners.. (18:37)

Joining the PCN Plus conference (20:38)

Listen to the full live streamed episode of ‘What is next for PCNs with PCN Plus’ here.

Register for the PCN Plus conference on Wednesday 17th April here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode of the podcast, we look into the world of total triage with Pete Woodward, from Cheadle Medical Practice. Join us as we learn how tailored questionnaires and advanced triage tools have led to a significant leap in diagnosis accuracy and patient satisfaction. Discover the secrets behind their efficient triage process, The Human Touch, which not only heightened patient contentment but also optimised the staff's schedule, ensuring availability for urgent cases. This episode is packed with valuable information, tune in to transform your understanding of patient care and triage in the modern medical environment.

Introduction (00:09)

Pete’s role.. (00:35) 

The Human Touch (00:47) 

Struggling with demand (01:40) 

Face to face demand (02:07) 

What changes were made? (02:55) 

What came next.. (03:49) 

Creating a model.. (04:26)

Identifying areas.. (05:33) 

Patient questionnaires.. (06:17)

Next steps.. (06:45) 

The role of the reception team.. (07:29)

Decision pathway (08:30) 

Impact of the changes.. (08:41)

Reduction of phone calls (09:17) 

How long did it take to see a reduction? (09:46)

Patient feedback (10:16) 

Hurdles the practice overcame.. (10:45) 

Creating capacity (11:48)

Protecting appointments (13:54) 

The situation now.. (14:43) 

Reacting to changes (15:38) 

What’s next? (16:14) 

Supporting other practices (17:22) 

Advice for getting people onboard.. (19:57) 

Contacting Pete (21:02) 

More about ‘The Human Touch’ (21:51)

To contact Pete directly, please contact him by email here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us this week to discuss  the new CQC revamped Practice Inspection Framework,  brought to you in partnership with Practice Index, with panel regular Robyn Clark & manager partner of a GP practice in North London, Rathai Thevananth. This essential episode of our podcast provides a comprehensive breakdown of the significant changes affecting healthcare practices. Gain an in-depth understanding of the new quality statements and learn how the updated numerical scoring system will enhance self-assessment and benchmarking for your practice. With Rathai’s insights, we look into how you can prepare for a CQC visit, we also share practical strategies to achieve and maintain excellence. From organising documentation to analysing patient feedback and improving accountability, this episode is packed with actionable advice to ensure your healthcare practice not only meets but exceeds inspection standards.

Introduction (00:09) 

New CQC framework.. (01:35) 

The biggest difference? (02:16)

Making it easier for practices.. (02:42)

Is there a change to the ratings? (03:24) 

Final scoring (03:53) 

Robyn’s thoughts.. (04:31)

Evidence required.. (05:55)

How is the rollout going? (06:58) 

Robyn’s practice visit.. (08:20)

Feedback so far.. (10:20)

Frequency of visits (11:12)

Tips for the CQC inspection (12:08)

Common struggle areas.. (14:04) 

Common mistakes.. (15:57) 

Organisation.. (17:23)

Does Robyn feel ready? (18:34) 

What makes a practice ‘outstanding’? (20:01)

Best places to get information.. (21:02)

Further recommendations (21:37) 

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Jacob Haddad, co-founder of Accurx, returns to our podcast to discuss Accurx’s latest report. With a focus on total triage and its impact on the healthcare delivery model, we uncover a system where appointments are a last resort, leading to increased efficiency and a transformative patient experience. The conversation pivots to the day-to-day challenges and triumphs of general practices that are pioneering this approach. You'll hear firsthand accounts of how clinics grapple with increased workloads and leverage the expertise of senior GPs to ensure a successful transition. By highlighting the community of practices that have already embraced these changes, we invite listeners to join a network of forward-thinkers revolutionising patient care. So, if you're a healthcare professional ready to learn from the best, or simply a curious mind intrigued by the future of healthcare, this episode is your gateway to an evolving world where change is not just expected, it's embraced.

Introduction (00:09) 

Staying relevant.. (00:32)

Digital transformation (01:16)

The report.. (01:57) 

The changes.. (03:09) 

Making it successful (03:53) 

The maths.. (08:26)

Putting the changes into motion.. (11:10)

Who to put in charge of triage? (12:45) 

How did Jacob research this? (14:59) 

Plan for Practices.. (16:16)

Modern General Practice.. (18:06)

Practices making the change together.. (19:45)

Accessing the report & finding support .. (21:39)

Download the Accurx report: a blueprint for recovering access here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This episode is brought to you in partnership with Practice Index, this week we focus on the topic of annual leave. Ben is joined by Claire Hoston and Robyn Clark to tackle the topic of managing annual leave in general practice. Navigating the peaks of holiday seasons can be a tumultuous affair in any workplace, but it's especially challenging in healthcare settings where patients need surge following breaks like Christmas and school holidays. They share their strategies for equitable leave distribution, such as annual planning meetings for clinical staff and specific rules for management teams. The conversation reveals how crucial a clear leave policy is for maintaining harmony and ensuring everyone gets a chance to recharge. Whether you're a practice manager or a team member trying to navigate your leave schedule, this episode offers insights and solutions for managing this critical aspect of workplace well-being.

Introduction & annual leave (00:08)

Managing annual leave (03:06)

Annual planning meeting.. (04:25)

Proactive approach about staff taking leave (05:41)

Managing leave expectations.. (07:00)

Carrying over leave.. (07:59)

The importance of people taking leave in the year? (08:50)

Practice Managers difficulty taking annual leave (10:28)

Work backlog.. (11:33)

Time off in lieu (12:10)

The development of the HR package (13:43)

Managing cultural balance.. (14:55)

Annual leave allowance.. (16:28)

Best practice when setting annual leave levels? (17:36)

Challenges of recruitment? (19:24)

Annual leave policies or practices recommended to people listening? (20:44)

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

We're thrilled to welcome the inspiring Dr. Helen Kingston, a GP and senior partner at Frome Medical Practice, who shares with us her team's unique and effective approach to healthcare that prioritises sustainability. Their journey to green healthcare is quite remarkable, from integrating social prescribing into medical practice to being the first practice to receive the prestigious RCGP Green Impact Gold Plus Award. Ben & Helen explore the extensive collaborative work happening on a community level. And rounding it all off, Helen shares her thoughts on the importance of motivation and the role of networks like the Greener Practice Network in driving sustainability in general practice. Each bit of the episode is packed with valuable insights and practical takeaways on fostering sustainable healthcare practices.

Introduction (0:08)

How it all started (0:40)

Social prescribers prior to PCN’s? (1:52)

Are social subscribers integrated? (2:59)

Capturing the impacts.. (4:37)

RCGP Green Impact Gold Plus Award.. (5:49)

Is team involvement key? (8:00)

Trying something outside Practice with the local community.... (10:42)

What is a community connector? (12:26)

Are they staff? (13:44)

How does it work? (14:05)

Evolution of the patient participation groups? (14:56)

The project.. (15:19)

Measuring the impact of the programme.. (17:34)

Helen’s view on sustainability.. (19:02)

Reflections on collaborative working? (19:48)

Working together.. (21:45)

What’s next? (22:24)

Any advice for people who want to do something in their Practice? (23:27)

Access The UK's primary care sustainability network, Greener Practice here and the toolkit here

Listen back to the previous episode: Terry Kemple, Sustainable general practice here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Joining Ben to discuss how they managed to establish a PCN hub in their area is Dr Aravinth Balachandran, clinical director at Folkestone, Hythe and Rural PCN, Andy Gove, digital transformation manager at the same PCN & Adriana Jimenez, Primary Care Transformation Senior Innovation Access Lead, all with first hand experience in establishing a PCN hub. With the discussion rooted in their experiences, they reflect on the conception of the hub idea and its co-design with practices, demonstrating the importance of collaboration, trust, and relationship-building between practices. The conversation explores the positive effects of online consultations, improved response times, and better access to patient records. In essence, the PCN hub has brought about happier practices and positive feedback from patients.. Don't miss out on these exclusive insights and resources..

Introduction (0:09)

Establishing a PCN Hub..  (01:14)

Did you have a history of collaborative working across the practices? (03:23)

How did you get to a hub as a solution? (03:55)

What is a hub? (05:50)

Initial intentions for the hub.. (06:46)

Enhanced access funding.. (08:52)

Andy’s involvement.. (09:30)

What were the key gaps that you identified? (11:24)

Is all the work fully integrated with the GP records in their own practices? (13:28)

Transforming the digital infrastructure..  (14:53)

Adriana’s involvement.. (15:43) 

Resolving the estates issue.. (17:11)

Funding.. (18:30)

Resolving governance issues.. 19:27

Impact the hub has had so far (20:21)

How do you see the hub developer in the future? (24:24)

Accessing further information.. (26:24)

Access the blueprint materials and resources here. 

If you’re a PCN embarking on a similar project and would like to get in touch, email the Folkestone, Hythe and Rural PCN leadership team here.

For more information about how the NHS England South East regional office supported this project, please email Adriana Jimenez, Primary Care Transformation Senior Innovation Access Lead, NHS England here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us as we welcome Judy Oliver and Charlotte Cummings from Oliver and Company to discuss the fascinating journey and evolution of integrated neighbourhood teams. Judy and Charlotte share invaluable insights on customising the program to bring together community services, social care, general practice, mental health, and the voluntary sector, emphasising the critical importance of strong inter-professional relationships to deliver seamless, patient-centred care. 

Finally,  Judy and Charlotte shed light on the role of expert facilitation and coaching in enhancing team dynamics and outcomes, emphasising the importance of continuous improvement in fostering successful integrated teams in general practice. Don't miss this insightful conversation on creating cohesive, cross-organisational healthcare teams that truly make a difference.

Introduction (00:09) 

Integrated neighbourhood team (02:56)

The core design of integrated neighbourhood teams (05:01) 

What should they look like? (07:05)

PCNs & GP practises role.. (12:13) 

Moving ahead (15:03) 

Is a mindset shift needed? (18:59) 

The next few years.. (22:16) 

Getting in touch (23:33)

Visit the website for ‘Oliver and Company’ here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us this week, as we navigate the complexities of the new provider selection regime and what it means for general practice with our guest, Ross Clark, a partner at Hemsons. The new provider selection regime, he explains, will allow integrated care boards to award contracts to providers including PCNs, GP provider companies, and federations without a competitive procurement process. Ross discusses the concept of direct award and the selection of suitable providers, which may streamline the merger and acquisition of practices. However, he also explores how these changes may complicate matters for commissioners wanting to switch providers. Alongside this, we discuss exceptions to these processes and their applicability in particular situations. This episode offers invaluable insights on how the new regime will impact practices, PCNs and federations..

Introduction (0:09)

What is the Provider Selection Regime? (1:19)

Thoughts behind the change.. (5:06)

What does this mean in practice? (7:08)

Being awarded the ‘Most Suitable Provider’.. (10:11)

When an APMS contract comes to an end.. (10:41)

Are we starting to see contracts being directly awarded to PCNs? (11:44)

Exceptions to these rules.. (14:01)

Encouraging mergers and PCN level services.. (15:10)

Can the regime work the other way? (16:27)

Impact on GP federations.. (19:27)

A federation of federations.. (21:04)

NHS Guidance updates.. (23:36)

Subcontracting contracts.. (24:21)

Timescales for the Provider Selection Regime.. (26:48)

Access The New Provider Selection Regime here and the Provider Selection Regime Guidance here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This episode is brought to you in partnership with Practice Index, this week we focus on the topic of improving the support that Practices and PCNs can give to care homes. Ben is joined by Lisa Davis, who is the PCN clinical lead for enhanced health and care homes, and Lucy Jones, who is the PCN manager, both at HMG PCN in Hereford. They shed light on how the Living Well in Later Life event has not only reinforced their relationship with care homes but also greatly enhanced their outreach. As they continue their journey in strengthening partnerships, they extend an open invitation to those who are keen to learn and build connections. Join us as we unpack these insights and experiences for a more integrated and improved support for care homes.. 

Introduction (0:09)

Separation between Practice and PCNs (01:54)

Living Well in Later Life.. (02:42)

Designed for clinical teams working in care homes.. (03:24)

What services are in place already? (03:57)

Who was the conference for? (04:30)

Events best bits..  (05:37) 

Results from the conference.. (06:00)

Better interaction.. (06:24)

Role of the care coordinators (06:56) 

Do care homes feel supported? (07:34)

Next steps.. (07:57)

Structured learning time.. (08:21)

Expanding the event.. (08:51) 

Would you recommend a similar event to others? (09:43)

Ward rounds within care homes (09:59) 

GP’s in care homes (10:31)

Measuring the outcomes (10:55) 

Who to contact? (11:43) 

Advice for those planning a similar event (12:00)

When to start planning.. (13:34)

Repeating the event.. (13:54)

How to get in touch (14:44)

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode, Ben is joined by the individuals from Venn Health and People Wellbeing: James Davies, Alasdair Everest-Ford, and Vicky Fytche. Venn Health, an independent agency specialising in problem-solving for the health and care sector, has recently collaborated with People Wellbeing, a provider focused on creating healthier environments and staff wellbeing. Together, they are dedicated to meeting the needs and providing support for Practices & PCN’s through Wellbeing interventions. The conversation delves into the crucial aspects of cultivating a positive culture and effective management behaviour, essential for establishing a sustainable wellbeing environment in the ever-evolving landscape of General Practice. The discussion covers the significant pressures faced by GP Partners and Practice Managers, challenges in staff retention, the importance of flexible working, and insights into The Quality and Outcomes Framework (QOF)..

Venn Health introduction (0:09)

People Wellbeing introduction (1:49)

Wellbeing within General Practice (3:18)

GP Partners & Practice Managers pressures.. (4:12)

Staff retainment (5:23)

Changes from the pandemic.. (7:02)

Benefits of a Wellbeing Provider? (7:45)

Helpful or a criticism? (9:58)

Motivations for staff.. (10:42)

Findings so far.. (11:52)

The Quality and Outcomes Framework (13:16)

Venn Health & People Wellbeing collaboration..  (14:08)

The Wellbeing Intervention.. (15:42)

Next steps.. (17:24)

Vell Health’s role.. (18:29)

Getting in touch (19:19)

Visit the Staff Wellbeing Guide for NHS General Practice and PCN Teams here.

To access the People Wellbeing Website click here and for Venn Health here. 

Contact a workforce wellbeing specialist at People Wellbeing by email or contact Venn Health directly via email.   

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode, Ben and Donal discuss the fascinating world of Metabolic Health. Our special guest, Donal Collins, generously takes us on a journey through his own experience with type 2 diabetes, illustrating his remarkable transformation. Donal elaborates on the modifications he implemented, the exceptional results he attained, and how he turned his personal journey into inspiration for others. They discuss the concept of treating disease by promoting good health and addressing their root causes, such as using food as a treatment. Donal provides insights into the adjustments he made in his role as a practising GP and how his priorities have shifted. He also sheds light on the interventions that have been put into action and the remarkable outcomes achieved thus far. Donal offers a glimpse into his future endeavours and outlines his focus for the upcoming years.

Introduction (0:09)

Donal’s journey.. (0:52)

Changes that were made.. (5:09)

How did you get to what you’re doing now? (5:52)

Changes Donal made as a practising GP.. (7:23)

Donal’s change of career.. (8:10)

The intervention.. (10:47)

Which patients are your focus? (11:42)

Initiating the intervention.. (12:52)

Success creating more participants.. (14:23)

What’s next for Donal? (15:17)

Any roadblocks? (16:10)

Getting in touch.. (18:10) 

Making a difference.. (18:45) 

Contact Donal Collins via email here, via twitter here or access his linkedin here. To Access the study click here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben welcomes two special guests, Minal Bakhai and Sheinaz Stansfield, to discuss the General Practice Improvement Programme. Minal delves into the details of GPIP and elaborates on the support it offers to PCNs and Practices. Sheinaz shares her personal experiences with the programme and discusses the transformative impact of data and support on PCNs and Practices. The episode also unveils key insights gained thus far, valuable advice for moving forward, and future programme plans. Discover who can benefit from this program and learn how to get involved in GPIP..

Introduction & why the programmes been introduced (0:09)

Introducing modern General Practice.. (3:05)

Information about the programme.. (4:47)

How much funding for practices? (6:45)

Sheinaz’ support in the programme.. (7:39)

Telephony data (9:23)

What difference were you able to make? (10:14)

Staffing changes due to data.. (11:15)

Does the Practice feel different? (12:09)

Supporting GPIP implementation across the PCN.. (12:49)

What is failure demand? (14:43)

Sharing resources throughout PCN’s (15:29)

Learnings so far & advice for moving forward.. (16:14)

Disconnect between PCN’s and Practices.. (17:56)

Plans for the programme.. (18:52)

Signing up to GPIP.. (20:07)

Is this for everyone? (21:13)

Choosing the support for you.. (21:50)

Visit the National General Practice Improvement Programme here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this episode Ben reunites with NHS pensions expert Paul Gordon to explore recent changes to the NHS pension scheme. Paul last joined us in March 2023, they start by revisiting their previous discussion and the scheme's updates. Paul shares the positive changes, and the popularity around them, as well as the associated restrictions. He provides insightful details, including calculations and their impact on individuals' pension plans. Paul also offers a glimpse into the future- hoping for an increased clarity in navigating the complicated topic. 

Introduction (0:09)

Recap from March 2023.. (0:35)

24 hour retirement changes.. (1:33)

What’s different now? (2:55)

Age restrictions.. (3:32)

A rise in partial retirements.. (4:24)

Working less, earning more (5:35)

Changes to the annual allowance.. (6:14)

Better rate of growth for McCloud period.. (11:01)

Annual allowance growth charge.. (11:56)

Lifetime allowance being abolished.. (13:11)

Accessing your pension information.. (15:05)

Checking your pension information.. (17:08)

Making a decision (19:02)

Decision at the point of retirement.. (21:21)

Contact details (23:13)

Get in touch with Paul via email here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Back by popular demand, we're excited to welcome back Naj Seedat and Andy Pow for another insightful episode.The topic of conversation has come to light due to an ICB that awarded what was an APMS contract, converted to a GMS contract to a PCN, Naj and Andy share their valuable insights and perspectives on this matter. Naj also shares his experience with having both APMS and GMS practices within his patch, shedding light on the approaches they've adopted. The three of them engage in a conversation about the potential future of APMS contracts, the crucial issue of General Practice funding, and their visions for what lies ahead in this ever-evolving landscape.

Introduction (0:09)

Independent Contractor Model (1:16)

Naj’s thoughts.. (2:44)

APMs contract reviews.. (4:58)

The end for APMS contracts? (6:43)

Andy’s thoughts.. (9:09)

How do PCN’s hold a GMS contract? (10:10)

Ben's thoughts on the future for integration? (12:40)

Naj & Andy’s salaries & integration thoughts... (15:40)

Shift in the funding.. (18:32)

Distribution of funding.. (19:29)

PCN’s are here to stay.. (21:28)

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's episode we have the pleasure of welcoming back Hussain Gandhi, for the fifth year running as a PCN Clinical Director. During the conversation, Gandhi reflects on his time as a Clinical Director, sharing both the achievements and the challenges his PCN has encountered. Gandhi and Ben engage in a discussion about the difficulties associated with adapting to the changes of the IIF, the issues PCNs are currently facing, and challenges such as retention due to financial uncertainty. Gandhi also presents his vision for a ‘hub’ and discusses the topic of additional roles, specifically Physician Associates. They talk through the implications of contractual changes and funding issues which have posed significant challenges for practices and PCNs. Finally, Gandhi shares his reflections on the past four to five years of his role as a PCN Clinical Director.

Introduction (0:09)

Gandhi’s PCN.. (0:45)

The PCN’s biggest achievements (1:19)

Investment and Impact Fund criteria (1:48)

The PCN’s ‘lessons learned’ (2:52)

Funding changes.. (3:38)

Challenges as a PCN.. (4:13)

Uncertainty.. (5:09)

Additional roles.. (7:38)

Supporting additional roles.. (9:18)

Further challenges as a PCN.. (10:45)

Bureaucracy.. (11:23)

The hub.. (12:06)

The hub's staffing.. (13:08)

Effects of contractual change (13:32)

Funding issues within practices and PCN’s.. (15:01)

Disengagement within practices.. (17:04)

Active planning for the future.. (18:29)

Is Gandhi staying? (19:39)

Impact of PCN’s on General Practice.. (20:16)

How to move forward? (21:37)

PCN’s sustainability in the future.. (23:00)

Gandhi’s reflections over the last 4 to 5 years.. (24:10)

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In today's episode, Ben is joined by James Catton, Physician Associate in General Practice, host of the Physician Associate Podcast and a PA Ambassador. Together, they deep dive into the role and responsibilities of a PA Ambassador, and discuss James' own creation, The Physician Associate Podcast. Throughout their conversation, James and Ben explore the challenges Physician Associates are currently facing and provide insights into the reasons behind this complex topic. They also offer valuable guidance on how to support PA's effectively and maximise their contributions within practices. James generously shares resources to assist individuals during these challenging times. 

Introduction (0:09)

The role of a Physician Ambassador (0:21)

The Physician Associate Podcast (1:25)

Physician Associate listeners (2:16)

Challenging time for Physician Associates.. (3:03)

Factors contributing to the challenging time for PA's (3:31)

PA’s being targeted.. (4:41)

Numbers of PA’s working in General Practice? (6:26)

PA’s experiences so far within General Practice? (7:40)

What would be helpful? (8:45)

Additional roles.. (9:36)

What next? (11:13)

Essential support PA's Require (11:47)

Building a supportive Network within PCN's (13:13)

Emphasising the value of teamwork (14:18)

Enhancing support for PA's working alone (15:35)

Looking to the future.. (15:59)

Resources for PA’s & for supporting PA’s.. (17:53)

Listen to ‘The Physician Associate Podcast’ here, access ‘The PA+PER Magazine’ here, & ‘The Faculty of Physician Associates’ (FPA) here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Returning to the podcast this week is Tara Humphrey, Managing Director of THC. Tara joins Ben to discuss the current priorities of PCNs. Tara shares her insights into the most significant challenges PCNs are currently facing, touching upon various issues and tensions within these networks. Tara emphasises the importance of interactions within PCNs and how this directly impacts the trust levels among participating practices. The discussion also revolves around the opportunity PCNs have to collaborate, learn from each other, and provide support for one another, all while recognising that all practices share a common goal and are part of the same team. Tara outlines her expectations regarding the infrastructure needed to support PCN staff effectively. The conversation finishes on the topic of security within PCN roles and what steps networks can take now ready for the future.

Introduction (0:09)

Nomination for the 'Great British Business Women's Awards' (0:37)

Identifying the most biggest challenges faced by PCNs now (1:00)

Collaboration issues (1:41)

Challenges and issues within PCNs (2:04)

Tensions within the networks (2:58)

Repairing relationships (4:08)

Issues related to funding (6:22)

Trust within practices (7:23)

The correlation between trust and interactions (8:47)

Inattention to results (10:26)

PCNs adapting to the change of ‘access requirements’ (11:30)

The value of learning from each other (12:31)

PCN leaders (13:42)

Infrastructure to support staff (14:33)

What infrastructure works best? (16:18)

Security concerns within roles (16:59)

Strategies for tackling uncertainty (18:02)

Recommended steps to take now (19:15)

The current reality (20:33)

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Find out more about Tara and the work she does via her website.

In this week’s episode, brought to you in partnership with Practice Index, we welcome Adrian Down, the managing partner at Caythorpe & Ancaster Medical Practice. Adrian shares his fascinating journey from a high-paying role in a multinational firm to becoming a practice manager in general practice. He reflects on his transition and discusses the dynamics of equality within his practice partnership.

Adrian and Ben explore the challenges faced by non-GP professionals in general practice partnerships and shed light on the value of the partnership model in maintaining the effectiveness and accessibility of general practice. Discover how Adrian's passion for helping people has sustained him in this role and how his partnership model has remained effective over time.

Introduction (00:08) 

An equal voice.. (01:47)

Has being a practice manager matched your expectations? (02:35) 

Then and now (03:16) 

Has the model evolved over time? (04:42)

Status inequality between non-gp partners and gp partners (05:54)

Guidance for non-gp partners (07:29)

National LMC conference (08:58) 

Feedback & next steps.. (12:51) 

Working with the IGPM (14:40)

Information or resources (16:05) 

Contact Adrian via email here.

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

It was about time we welcomed back Dr Rachel Morris, speaker, host of ‘You Are Not a Frog’ podcast, GP, Coach and creator of the Shapes Toolkit Resilience Training Programme for doctors and other professionals. In this episode Rachel generously imparts invaluable insights into the importance of establishing professional boundaries, sheds light on the treatment of general practice, and offers guidance on navigating the uncertain times that general practice is facing. Rachel emphasises the crucial need for a strong support system and kindly shares advice on coping with times of uncertainty.

Introduction & Rachels recent work (0:09)

Professional boundaries.. (0:58)

The art of saying ‘no’.. (3:18)

How General Practice is being treated.. (7:21)

System of support.. (11:03)

QI wellbeing resources.. (12:53)

The impact of virtual working on wellbeing..(15:11)

Face to face vs online.. (17:16)

Managing uncertainty.. (17:58)

Zone of power.. (22:30)

Getting in touch with Rachel.. (24:21)

Find out more about the QI Wellbeing QoF Toolkit and the Work Well Webinar Series here. You can also tune in to the 'You Are Not a Frog' podcast, or get in touch with Rachel via email here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This week's episode features panel regular Robyn Clark, along with Pete Maynard & Naj Seedat. This episode is brought to you in partnership with Practice Index & this week focuses on the topic of practice managers as partners in GP practices. Robyn and Pete share their personal journeys, recounting their transitions from practice managers to partners. They provide insights into the intricacies of this transition and shed light on the differences they've observed since moving into their partner roles. Naj offers his perspective on the appeal of having business decisions made by management partners, they discuss the resistance some practices encounter and the factors contributing to the reluctance to make practice managers partners. Additionally, they explore whether more practice managers are expressing interest in pursuing this career shift and who should consider taking this path. As the podcast concludes, our experts generously offer valuable advice for those contemplating the journey towards becoming a partner within their GP practice.

Introduction (0:31)

Becoming a Partner (1:04)

Navigating the partnership process (2:15)

Pete's path to partnership (4:43)

Addressing resistance to Practice Managers as Partners (7:10)

Growing interest among Practice Managers (9:21)

Insights from the journey as partners so far (11:48)

The appeal of business partner-led decision making (14:55)

Impact on practice performance and staff perspectives (16:10)

Navigating the complexity of the Practice Manager to Partner relationship (19:17)

IGPM Accreditation Framework (21:24)

Expert Advice for aspiring Partners (22:57)

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Ben welcomes Robert McCartney back to the podcast. Although Robert has been a guest on the podcast before he has now joined Hempsons as an associate where he focuses on aiding GP mergers and assisting PCNs, helping them form entities. This episode revolves around the relationship between GP Practices and PCNs, highlighting its significance for their future. They discuss the existing challenges that GP Practices and PCNs are facing regarding mergers, whilst also exploring potential strategies to overcome these hurdles and address ongoing disputes. Robert shares insights into his criteria for assessing governance within PCNs, covering aspects such as financial matters, decision-making processes, performance evaluation, staffing, and lastly, clinical governance. Robert wraps up the episode by sharing reflections, suggestions for proactive steps, and advice to facilitate progress moving forward.

Introduction (0:09)

Relationship between Practices & PCNs.. (0:51)

Current issues.. (2:26)

Financial disputes.. (3:56)

Moving forward with disputes.. (4:58)

External support.. (6:08)

PCN funding.. (7:47)

Importance of trust.. (9:50)

Governance within PCN’s.. (10:42)

Minimum level of infrastructure that Robert would expect to see.. (12:42)

Have PCN’s got the minimum level of infrastructure in place? (13:59)

PCN’s going down the incorporation route.. (15:52)

Access the ‘No risk’ of PCNs being scrapped, says NHS England GP lead’ article here (17:21)

Risks of creating distances between organisations .. (18:48)

Practices merging to become PCN size.. (21:25)

Should practices merge in stages or all at once? (22:27)

Robert’s final thoughts.. (24:23)

Robert’s contact details.. (26:19)

Contact Robert via email here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's podcast episode, Ben is accompanied by Su Suehr, Amanda Spooner, and Linzi Fisher. The main focus of their discussion revolves around the recent implementation of the new integrated team lead role. Throughout the podcast they discuss the advantages brought about by this role, and share what the integrated model looks like to Su and Amanda. Additionally, they recount the hurdles they managed to overcome in order to establish this role. Linzi takes the time to discuss her personal journey within the role detailing the obstacles she has encountered but also highlighting how this experience has widened her horizons, and made her feel like a significant contributor. Linzi emphasises her substantial growth and her privileged position to share her insights with the staff, who have exhibited great enthusiasm for the upcoming prospects. The trio outlines their forthcoming objectives, focusing on discovering more avenues for supportive integrated collaboration and further integration. Finally, they share advice for those considering a similar path, drawing from their own transformative journey.

Introduction & how the idea come about.. (0:09)

How did you get talking? (1:45)

Any worry around losing control of staff.. (3:06)

What benefits did the trust gain? (3:51)

What does an integrated model look like to you? (4:31)

What challenges have you overcome? (Su) (5:44)

How does the governance work? (6:28)

What challenges have you overcome? (Amanda).. (7:08)

Resistance to the role.. (8:15)

Linzi’s role.. (10:44)

What’s the experience been like so far? (11:39)

Broadening opportunities.. (12:49)

Working both ways.. (14:53)

Stand out ideas.. (16:09)

Biggest challenges.. (17:16)

How is the role working 4 months in? (18:39)

GP’s reactions.. (19:54)

Is this the beginning of integrated neighbourhood teams? (20:26)

Advice for others.. (21:50)

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Today, Ben is joined by Rasha Gadelrab, a GP & Medical Educator & Healthcare Engagement Specialist. Rasha kicks off the podcast by sharing her professional journey and how she arrived at her current position. Rasha possesses extensive experience, ranging from working as a biotechnology recruitment consultant to becoming a GP educator, healthcare corporate trainer, workforce well-being and sustainability coach, junior doctor mentor, patient advocate & PCN Social prescribing clinical lead PCN2 Barnet. During their conversation, Ben and Rasha delve into the subject of Barnet PCN, social prescribing link workers, care coordinators, and the innovative concept of health & well-being coaches. Rasha emphasises the crucial elements for maintaining staff and highlights the approaches that have helped bridge the gap between practices and the additional roles. Rasha also takes the opportunity to share her accomplishments and the positive feedback she has received thus far. She expresses her determination to continue the journey of progress and growth, with the hope of further success in the future.

Introduction & Rasha’s career journey (0:09)

About Rasha’s PCN.. (5:24)

Rasha’s official role within the PCN.. (6:42)

How do you ensure staff feel valued? (8:05)

Do you provide supervision for all the teams? (10:33)

Sense of belonging.. (12:02)

SPLW & Care Coordinators job descriptions.. (13:04)

What’s the key to success? (14:54)

Closing the gap between practices & the additional roles.. (15:43)

Self referral.. Generating extra work or making a difference? (18:27)

Positive results so far.. (20:14)

What’s next? (21:11)

SPLW turnover.. (22:30)

Getting in touch.. (24:50)

To contact Rasha directly, please email. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This week's episode is focused on tackling abuse in general practice and features insights from our esteemed guest, Mike Neville, brought to you in partnership with Practice Index. Mike is not only a panel member but also holds the positions of LMC Manager Rep, and North West England Regional Rep for the IGM. During the discussion Mike discusses his journey into the role of a practice manager and shares his thoughts around abusive incidents within healthcare practices. Mike sheds light on the pivotal role that support has played in moving general practice towards progress. Furthermore, he elaborates on the strategies he has implemented to curtail instances of abuse, and offers his perspective on how this issue can be enhanced in the future. Mike provides valuable insights into the factors that have had the most substantial impact, outlining his thoughts on managing patients who exhibit abusive behaviour. Mike also shares his recommendations for how you can support your staff and the importance of effective communication within your network.

Introduction (0:09)

How did you get into being a Practice Manager? (1:01)

Types of abuse experienced.. (2:02)

Face to face & online abuse.. (3:22)

Physical abuse.. (4:45)

Incidents acting as a catalyst for action.. (6:10)

Local approach to tackling abuse.. (7:24)

Zero tolerance.. (9:28) 

Prevention is better than cure.. (13:05)

How does the zero tolerance policy work? (14:39)

What implications have made the most difference? (16:31)

The roles staff have to play.. (19:21)

Resources Mike recommends.. (21:49)

Getting in touch with Mike.. (23:39)

Contact Mike via twitter ‘miken231’ or contact Mike via email here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

In this week's podcast episode, Ben hosts Colin Armstead from George House Trust and Kay Keane from Urban Village Medical Practice, both located in Manchester. The mission of George House Trust is to empower individuals living with HIV, helping them lead healthy and confident lives through the provision of HIV support, advice, and advocacy services. The main topic of discussion revolves around the accessibility of GPs and their understanding regarding individuals living with HIV, with a particular focus on George House Trust's recent report titled 'Towards Positive Practice'. This report involved extensive research and engagement activities aimed at understanding the experiences of people living with HIV when seeking primary healthcare, specifically from GPs. During the podcast, Colin presents the report's findings and outlines the recommendations that have emerged as a result.

Introduction (0:09)

How Kay came across Colin & the George House trust.. (0:54)

GP access for those living with HIV.. (3:03)

Stigma around HIV.. (4:31)

‘Towards Positive Practice’ report.. (5:59)

Kays thoughts on the statistics.. (9:19)

What should we expect GPs to know? (12:59)

Where do responsibilities lie? (14:06)

Partnerships between the HIV clinics & local practices.. (15:55)

Providing access for the people who need it most.. (21:17)

What practices can do to give a better experience for those living with HIV? (23:11)

Find out more.. (24:35)

Visit the George House Trust website here and access the ‘Towards Positive Practice’ report here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Today, Ben is accompanied by Ben Allen, Partner at a Sheffield GP and Clinical Director for primary care in Sheffield, supporting primary care to thrive. During the podcast, they delve into the document that Ben has worked on, titled 'Another General Practice is possible’, a document that has served as a catalyst for initiating change within Ben's practice. Upon joining the practice, Ben immediately recognised the potential for improvement and dedicated considerable time to research and investigation, looking deeper into ways to facilitate change. Ben identified a variety of alterations that could be implemented, including restructuring partner meetings, ensuring everyone is in the right seats, refining the recruitment process and much more. Ben expresses his delight with the positive impact that 'Another General Practice is possible' has already had, reflecting on his accomplishments thus far and sharing his plans for the future.

Introduction (0:09)

Why was change needed? (0:43)

Ben’s beginnings in the practice.. (2:45)

How long was spent on the framework of Another General Practice is possible? (3:55)

Infrastructure around the changes.. (4:24)

Changes to the partner meetings.. (6:57)

Trusting your staff.. (7:35)

Sharing the ownership within the practice.. (8:18)

Understanding the problems before making solutions.. (9:11)

Proactively getting everyone in the right seats.. (11:50)

Wrong person in power within practices.. (12:59)

Changes to recruitment.. (14:10)

Recruiting the right type of people.. (17:33)

Where are we now? (19:31)

Ben’s reflections & what’s next.. (21:01)

How to find out more & get in touch.. (22:29)

To find out more, contact Ben Allen via email or find Ben on twitter ‘BenAllenGP’

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This week, Ben offers a solo episode where he discusses the future for PCNs and shares his insights on what to expect from March 2024 onwards. During the podcast, he covers various topics, including the NHS long term plan, the 5 year GP contract and the Fuller stocktake report. Ben also addresses the growing unpopularity of PCNs and offers his perspective on the reasons behind this. He sheds light on integrated neighbourhood teams and their implications for the healthcare system. Looking ahead, Ben explores the focus on integration in next year's contract and the existing gap between General Practice and the rest of the healthcare system. He provides valuable insights into what aspects we should and shouldn't be concerned about once the contract concludes in March next year. Ben ends the episode by emphasising the importance of taking proactive steps now to address the challenges and opportunities that lie ahead.

Introduction - what is the future of PCNs? (0:09)

The Context:

1. The NHS Long Term Plan.. (1:12)

2. The new five-year GP contract (2.37)

3. Fuller Stocktake report (4:25)

4. Integrated Care Systems.. (5:52)

5. Noise Re: nationalisation of General Practice.. (6:49)

Where are we now? (8:18)

1. An increase in the unpopularity of PCNs.. (9:54)

2. Integrated Neighbourhood Teams.. (11:10)

3. Next year's contract? (12:23)

What does all this mean? (13:33)

What should we be worried about from March next year? (14:41)

What shouldn’t we be worried about from March next year? (16:58)

What do we do now? (18:30)

Listen to Matthew Winn – ICS Incoming…. Primary Care and Community Trusts here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This week's episode features discussions led by our Practice Index sponsored panel members Jo Wadey, Robyn Clark, and Nicola Davies. This episode focuses on the 'NHS Long Term Workforce Plan'. They delve into the positive aspects associated with the long-term plan while also addressing the concerns they have since its publication. The panel members discuss recruitment within practices, the incorporation of additional roles and the allocation of funding. Jo, Robyn, and Nicola highlight the benefits of the long-term plan; however, they also express their apprehensions regarding the absence of any specific mention of management within the practices. Ben ends the discussion by asking for the IGPMs response to the plan. 

Introduction & thoughts on the NHS Long Term Workforce Plan (0:09)

Recruiting trainees & apprentices.. (1:59)

The panel's opinions on the plans for GP recruitment.. (4:01)

Increasing specialist doctors in GPs.. (5:34)

Would you recruit a specialist doctor in your practice? (8:02)

Additional roles & funding..  (11:03)

The issue of pay.. (14:13)

NHS Long Term Workforce Plan not referencing GP managers.. (15:05)

Government vs local support? (18:20)

IGPM response to the plan.. (24:12)

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Join us this week as Ben welcomes Dr. Steph Cook and Dr. Jennifer Greenlaw to discuss the groundbreaking concept of women's health hubs. Steph and Jennifer are both experienced GPs with a focus on women's health, and share their innovative work in Liverpool and Manchester. Discover how these hubs bring together existing services to provide comprehensive care, reducing the need for multiple appointments and learn about the impact of the Women's Health Strategy.

They also explore the success and feedback from women accessing contraceptive services, highlighting the popularity of convenient options like Saturday clinics. Understand the logistics of providing these services, including self-referral processes, short wait times, and the flexibility of primary care networks. Tune in to hear how the Women's Health Strategy is bringing renewed focus to these essential services and improving access, experience, and outcomes for women, especially those in underserved populations.

Introduction (00:09) 

Women's Health Hubs (01:30)

Single locations? (03:27) 

Women's Health Strategy (04:28) 

Funding.. (05:31) 

General practice & PCNs.. (06:25)

Making that shift for Women’s health (08:49)

Feedback from women.. (11:05) 

Payments for services.. (12:03)

Support from the ICB’s (17:41)

Top tips.. (21:04)

Accessing the toolkit (21:50)

Getting in touch.. (22:55) 

Access ‘The Women’s Health Hub Toolkit’ here.

Contact Steph by email here & Jennifer here.

Listen to a previous episode introducing ‘Urban Village Medical Practice’ here and learn their Innovative Strategies to Support Homelessness here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

On this week's Ockham podcast Ben welcomes Kay Keane, Anthony Verrall and Shaun Jackson from Urban Village Medical Practice. Together they delve into the beginnings of Urban Village and discuss how the practice has progressed. Originally Urban Village focused on facilitating registration for homeless individuals in Manchester but has since expanded its scope to provide further assistance to the homeless population. The practice now offers a wide range of primary healthcare services along with other essential support. By following a ‘needs led’ approach Urban Village provides homeless individuals access to various professionals and services including drug and alcohol workers, counsellors, CPNs, nurses, GPs and midwives. Additionally, they offer referrals to secondary care services, housing advice agencies, and outreach programs.

Introduction (0:09)

How Urban Village started.. (0:58)

What has evolved within the practice (5:00)

Anthony shares his experience within the team.. (7:09)

Working together in one location.. (8:53)

Progress within integrated care.. (13:31)

How has Urban Village progressed? (14:34)

Outreach service van.. (16:41)

Kay’s thoughts on Urban Village.. (18:43)

What’s next for Urban Village? (20:34)

Where to find out more? (23:07)

Visit Charity Pathway charity organisation & Urban Village Medical Practice website & to find out more contact Kay Keane here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

This week's podcast features a conversation between host Ben and Dustyn Saint from 'Primary Care IT,' where they discuss the recent projects Dustyn has been engaged in. Dustyn shares information about charity ‘EMIS National User Group’ (EMIS NUG) and what Primary Care IT have been doing to support EMIS NUG. Dustyn, along with the Primary Care IT team have been collaborating with EMIS NUG on ‘EduNUG’, which involves creating videos and conducting interactive sessions with Q&As. The live sessions cover a broad range of topics, allowing for in-depth discussions, on-screen demonstrations, and real-time Q&A opportunities. To enhance accessibility and convenience, the EMIS NUG website now hosts a collection of resources, including materials for induction training, answers from past Q&A sessions and specialised training for specific roles. Dustyn also shares the positive feedback they have received thus far and highlights the ongoing evolution of the service. Finally, Dustyn elaborates on his plans for the upcoming year..

Introduction (0:09)

What is EMIS NUG? (0:39)

How to join EMIS.. (1:33)

Dustyn’s relationship with EMIS NUG (2:21)

Information about the training resources (EduNUG).. (2:41)

Most common questions about EMIS.. (4:20)

EduNUG sessions.. (4:48)

Catalogue of resources.. (5:52)

Specific resources for induction training.. (6:56)

How is the training organised to cover all roles? (7:57)

Feedback so far.. (8:56)

Plans for the year ahead.. (9:26)

PCIT Toolset..  (9:55)

Work completed & results received in North West London (11:40)

How did the alerts work? (13:58)

Evolving the service.. (14:49)

Outcomes.. (15:32)

Are we progressing with data reporting? (18:09)

The correct scale of investments for data reporting... (19:14)

To find out more.. (22:21)

Visit Primary Care website here or EMIS National User Group website here. To access the Primary Care IT blog, visit here. 

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

Clare Sieber returns to the podcast along with Oscar Mathew to discuss ‘The Well-Led Practice’, a leadership & team self-development platform for practices and PCNs. Clare is a GP based in West Sussex, she also mediates partnership and PCN disputes. Oscar used to be a GMC barrister and now mediates with front line healthcare teams. The pair now also work together on ‘The Well-Led Practice platform’ which uses anonymous data gathered from the leadership team, and wider staff, to understand the team's strengths and areas for development. They discuss how the platform works, why teams are using it, and how it can help practices get through the CQC.

Introduction (0:09)

Most interesting GMC case.. (1:54)

Advice for GMC investigations.. (2:34)

The Well-Led Practice platform (3:38)

Why teams are using ‘The Well-Led Practice’ platform (6:29)

How does the platform work? (7.27)

Common development needs for Practices.. (9:45)

Understanding the different leadership styles.. (10:45)

Tensions between partners.. (12:54)

Differences between Practices & PCN’s using the platform.. (15:52)

Is the CQC investigating PCN’s? (17:26)

Impacts of using the platform.. (18:57)

Costs & available funding for ‘The Well-Led Practice’ platform (20:37)

How to find out more.. (22:00)

Visit the platforms website here or email here. 

To listen to Ben & Clares previous podcasts, use the links below;

Podcast – Clare Sieber – Resolving conflict within General Practice

Podcast – Clare Sieber – An insight into the General Practice Committee

For all enquiries about the Ockham podcast, please contact Ben Gowland here.

We return this week with another instalment from our Practice Index sponsored Practice Manager panel members Robyn Clark and Nicola Davies, who feature alongside fellow podcast favourite Dr Hussain Gandhi, Clinical Director for Nottingham City East PCN and eGPlearning guru. Ben was keen to gauge the group's reaction to the recent changes in contractual requirements to ensure same-day contact with patients and how this can possibly be met in an environment where many practices are struggling with recruitment of receptionists, management of training in care navigation, staff wellbeing and the ongoing mismatch in patient expectations and media perception.

Introduction (0.34)

Gandhi's initial thoughts (0.50)

Embedding the total triage model (1.11)

The importance of patient education (1.55)

Where do we stand re. patient engagement? (2.27)

A lack of support centrally - and from the media at large (3.19)

Knock-on effect (3.39)

Direction from ICBs and local systems (4.48)

Why total triage won't work in every practice (6.08)

Having permission to develop a system which works for individual patient populations (6.49)

Is this contractual change more impactful than the capacity and access plans we have to submit? How is Gandhi managing this in his area, within his capacity as Clinical Director? (7.19)

Empowerment of reception teams and enablement of the care navigation role (9.11)

Concern re. public perception of reception staff (10.50)

What's being offered in terms of upskilling reception teams? (11.52)

Challenges of recruitment (13.05)

Moving the care navigation initiative forward (13.43)

Support from secondary care colleagues (15.07)

Referrals back to primary care (16.09)

Dissecting the BMA response (17.05)

Protection of primary care staff wellbeing and working within safe limits (18.50)

A mismatch in expectations (20.00)

Positive advice for practices from Robyn (20.49)

Strength in numbers (22.37)

Continuous engagement with ICBs (23.21)

Working as a network (24.44)

For more information about NHS England's Looking after you too scheme, click here 

Check out eGPlearning for tons of resources to help practices and networks to navigate the new contractual obligations

To visit the Practice Index website, click here or contact James Dillon here.

For all enquiries about the Ockham podcast, please contact Ben Gowland here.