The community worker scheme from Brazil that could be part of the 10-Year Health Plan
The government is expected to publish its 10-year Health Plan in June and neighbourhood health will form a key part of the plan.In an interview with the Telegraph last month health and social care secretary Wes Streeting highlighted a scheme from Brazil, that has been piloted in London, and involves community health and wellbeing workers providing outreach work. Could a model like this be part of neighbourhoods? There have been suggestions from several quarters that the scheme will be included in the 10-year plan.Talking General Practice spoke to doctors involved with this model back in 2023, so we thought it would be a good opportunity to revisit that now.So in this episode Emma speaks to Dr Matt Harris and Dr Connie Junghans-Minton about the initiative and how it is improving the use of health services among patients in London, which will hopefully result in better health outcomes.Matt, who's now a clinical reader in public health medicine at Imperial College London, saw the scheme in action first hand when he worked as a GP in Brazil, and it was his idea to bring the model to this country. He explains how the scheme works and why he thought it could help people in the UK. Meanwhile, Connie discusses how her practice introduced the initiative for some of their most deprived patients, and the impact it has had.Useful linksTelegraph story - NHS sent door-to-door to tackle sickness crisis Hosted on Acast. See acast.com/privacy for more information.
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30:59
The challenges and rewards of working as a prison GP
This week Emma speaks to Dr Caroline Watson, who is chair of the Royal College of GPs Secure Environments Group and has over a decade of experience working as a GP in prisons in England. Caroline is currently clinical director of Northamptonshire Healthcare NHS Trust Secure Services and works as a GP at HMP Bedford.Caroline explains how she got involved in working in secure environments, what working in these environments entails, and the challenges faced by GPs working in them. She also discusses the complexities of prescribing in prisons, the common health issues seen in prisoners, and the multidisciplinary teams that GPs work alongside.Caroline shares her insights into the rewarding aspects of working in secure environments and the role of the RCGP Secure Environments Group in championing improved healthcare for people in contact with the criminal justice system – and she offers some practical advice for GPs interested in this career path.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksRCGP Secure Environments Group Hosted on Acast. See acast.com/privacy for more information.
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31:20
The value of a GP, blueprint for ICB reforms, fall in GP partners accelerating
(Please note in this episode we mistakenly refer to a report on GP partner numbers as being produced by the Health Foundation. It was in fact produced by the Nuffield Trust)This week Emma and Nick discuss falling numbers of GP partners and what this could mean for the future of general practice.They talk about what went on at the UK LMCs conference last week, where the BMA launched a new report highlighting the value of a GP and there were debates on GP unemployment and the employer national insurance increase.And they look at the latest on plans to cut back ICBs, after an NHS England blueprint suggested this could mean some big changes for primary care.Our good news story this week is about a pilot in general practice in Manchester that is aiming to cut falls among older patientsThis episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful linksIn charts: How the loss of GP partners is acceleratingViewpoint: Is the partnership model really in decline?BMA dossier defines 'value of a GP' in push for fresh investmentLMCs hear harrowing stories of GPs impacted by unemployment crisisNational insurance hike is 'death sentence' for some GP practices, LMCs warnICBs told to 'merge functions' as blueprint outlines primary care shift Hosted on Acast. See acast.com/privacy for more information.
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31:19
Professor Dame Helen Stokes-Lampard on her move to New Zealand
This week Emma speaks to Professor Dame Helen Stokes-Lampard, who is a GP and the national chief medical officer in New Zealand.Helen took on her new role as chief medical officer six months ago, however many UK doctors will know her from her previous roles as chair of the Royal College of GPs, a post she held from between 2016 and 2019 and as chair of the Academy of Medical Royal Colleges during the pandemic from 2020 to 2023. Before her move to New Zealand she was also a GP partner at a practice in Staffordshire, a professor of GP Education at the University of Birmingham and a member of the NHS England board.In this conversation Helen explains what prompted her to take such a big step in her career and move to the other side of the world, how the health system in New Zealand compares with the UK and what it’s like working as a frontline GP there. She also talks about the emotional impact of leaving her practice - and her life - in the UK.Helen offers some practical tips to other GPs taking on leadership roles, and those considering moving to work in another country, based on her own experiences, and gives her view on the UK government’s decision to scrap NHS England.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Visit GPonline for all the latest news affecting general practice and other resources to support GPs https://www.gponline.com Hosted on Acast. See acast.com/privacy for more information.
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38:57
Advice and guidance hotspots, GP pay recommendations, funding GP premises
The GPonline team discusses the key news stories affecting general practice.This week Emma and Nick look at the new advice and guidance directed enhanced service, which will pay practices for GPs making use of local advice and guidance systems. Nick explains the huge variation of uptake of advice and guidance across England and what this could mean for practices delivering the enhanced service. You can find out about uptake in your local area in our story here https://www.gponline.com/will-gps-earn-advice-guidance-des/article/1915073They also talk about public sector pay reviews and whether the government is likely to agree to fund any recommendations for this year if they are over and above the 2.8% that has been planned for.And they discuss the state of GP premises and whether there is any chance that the government will stump up the money needed to improve premises in the coming years.Our good news story is an update on a story we discussed a couple of weeks ago about enhanced services in Lancashire and Cumbria.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen. Useful linksWhere will GPs earn most from the advice and guidance DES?Kinnock warns of 'fiscal constraints' as government considers public sector pay risesNHS leaders demand capital funding boost for primary careGPs win £14m funding boost after LES boycott threat Hosted on Acast. See acast.com/privacy for more information.
Brought to you by GPonline.com, this weekly podcast discusses the latest news from the world of UK general practice and talks to GPs and others about the big issues affecting primary care. We're also aiming to highlight some positive stories and inspiring people along the way. Hosted on Acast. See acast.com/privacy for more information.