eGPlearning Podblast
Improving the Primary Care Network DES service specification

Improving the Primary Care Network DES service specification

January 13, 2020

Improving the Primary Care Network DES service specification

 

How to improve the PCN DES

 

Welcome, please comment and I will try an answer

 

SUBSCRIBE AND COMMENT

 

Check out my original review where I went through the DES: here--https://youtu.be/K1qwyxt63f0

 

Declaration - I am not involved in the negotiations. I am Nottingham City East PCN Clinical director but these are my own thoughts. For some backstory in 2015 I wrote a further Blueprint for Primary care : https://egplearning.co.uk/a-further-blueprint-for-primary-care/ with a colleague as Jeremy Hunt launched the five year forward view. Some of these aims have been achieved (indemnity) but much can still be done. 

 

How to improve the DES- I will talk firstly about general changes and the headline points. Then each specification in turn with my more innovative (controversial) ideas at the end.

Ethos

 

The release time of the specification has caused a lot of frustration. Even more so in the first webinar where little engagement was offered, just reading the spec. This led in part to one CD resigning live. NHSE doing an open consultation on the draft is a good thing. Feigning listening is not. 

 

At points, the specification makes reference to evidence. In particular vanguard projects. However, it neglects to mention that vanguard projects have had significant higher levels of funding for each aspect and therefore converting this to specifications for networks to follow is a fallacy. 

 

You cant use a recipe that feeds four people that costs £10 and say provide the same meal for £2 all the time - even with using foodbanks. 

 

The original outline of the DES was to stabilise primary care. This draft does not do this but further destabilises it by utilising the additional roles above the capacity of work the can create and negates the fact networks will be part funding them. This was a poor way to show that NHSE/I was listening to the needs of general practice. Many comment the draft is intentionally too far to the right to allow any softening to be accepted as better than the original. This is a sceptics dream. 

 

For this process to work- show General Practice that NHSE is truly listening. Much of this has been done amazingly by Dr Nikki Kanani and I do not envy her position. I am mindful of do not shoot the messenger being very apt here. 

 

Lets move on. The following is a combination of my views and those from the various forums I engage in. 

 

Trust 

 

General practice. If I had control I would keep existing structures that could help foster better collaborative working and simply offer the resources to networks to use for their local area. 

 

General Practice has proved to be the most cost-effective method of delivering healthcare currently doing 90% of the NHS workload for less than 9% of the funding. Trust the networks to deliver primary care with the simple metric of improving the health of the network population. 

 

Ideally to the global sum but is not then to the networks directly to use as they seem fit to provide roles or services for better patient care along them 5 categories as best for their population. 

 

However, we do not live in a world of trust despite GPs consistently being the most trusted role in the country. 

 

So if working towards the confines of adjusting the existing DES and its specification let us have a look. 

 

Worth looking at the Berkshire, Buckinghamshire and Oxfordshire LMC document link: https://drive.google.com/file/d/1Bj7hkuCQasbXs-Mk7MOKpDq-lfjl3YSK/view?usp=sharing

 

This outlines workload implications and makes the case for each average practice to lose £100k over the term of the network DES. My thoughts do align with some of this document, however I do not agree with the principle of withdrawing from the DES at this point as this is still a draft version and the final specs may differ. It also does not include AFAIK  the overlap of patients in the DES which would reduce some of the work. 

 

Other LMCs and organisations have also been verbal on their views including GPSurvival who have started a formal petition about the service specifications.

See this link.: https://docs.google.com/forms/d/1uUa25fyz1Y8vCNTXP17pDvi3G26NQ1q8iOp64P0vfw8/viewform?fbclid=IwAR1w6EGJZ86AtuFWDafMWlXCRPAILHGHHkrs8ElqCQgGSiyodmCajhwfC78&edit_requested=true

 

DOI I am treasurer of GPSurvival. 

 

Headline improvements

 

Time:

  • Delay the specifications. The timelines for agreeing the spec, the short consultation time and the level of response has shown the the draft spec is way of the mark. Take a breath and take a while longer to action this. Aim for a July Launch as per the start of the DES with networks able to look at funding from April for the ARRS. 
  • Clarify the specification before releasing them. The above will allow time for the spec to be clear, unlike several lines in anticipatory and personalisation which are ‘to be confirmed’. This does not instil confidence that goal posts may change again - do not do this. 
  • Stratify the spec for a category a year rather than two in year one with the others to run parallel. Let the network decide which to begin with as they can adapt to what local services can focus on. If one had to be chosen first given the current ARRS and recruitment options looking at the SMRs first may be an option. 
  • Solve interoperability and IT. Many of the metrics and outcomes are based on interoperability of IT systems within primary care and between primary care and other sectors. Fix this first then ask for more. At present we can not explore a digital hub as the IT systems do not allow EPS prescriptions from a hub model. Our community teams are on fragmented systems that do not talk with ours complicating care. This duplicates and complicates healthcare and needs resolution to enable effective care.
  • Reduce the metrics. With over 30 metrics, keeping track and monitoring them alone will be a challenge. Simplify and reduce these to one or two per spec, or let the networks decide the metrics that are important to their population.

 

Funding

  • Remove the requirement that funding can only be used for additional roles. In many places other ways of funding care may be more useful such as systems to engage with patients, nursing roles, estate management - let the network truly decide how to spend its funds
  • If this is not possible, open the funding to all roles and not specified ones so networks can recruit the workforce they need rather than what others think they may need. If the GP role is still not acceptable then roles like nursing, occupational therapists, pharmacy technicians and data analysts. 
  • Remove the 70/30 split and fully fund the additional roles from NHSE/I. This will reduce the available workforce but would answer the issue of local practices having to supplement the roles and mean they can do work greater specified by the spec. 
  • Remove the necessity for named clinical leads for each spec. If this is a red line then fund them appropriately similar to the clinical director role. Assuming the CD role can do this is false and sharing the funding is not an option to have an effective CD. 
  • If a red line then allow the leads to work across networks. In Nottingham city we have a close working of network of networks and the option to share these lead roles across multiple networks is more achievable than each network finding 5 people - however the draft spec prohibits this. 

SMR

 

Looked at this in my area. Patients on 10+ meds alone was about 5% practice population. 

 

  • Clarify what ‘significantly longer than a routine GP appointment’ is. This line is used to explain how long an SMR would be. Is this 15 mins, 20 mins, 30 mins, and hour? This has clear implications on workload and should be clarified if this area is to be monitored. 
  • Do not specify that the review has to be by a prescriber. Many practice and network pharmacists and chronic disease nurses may not have independent prescribing rights yet and this puts a significant burden on training times and availability. This then pushes the work back to GPs adding to the workload. This also would eliminate innovation such as using community pharmacy colleagues from supporting this work and makes a mockery of the MURS programme of recent years. 
  • Make SMRs a paid for service. Given this is an extra service above that offered by primary care with no additional funding - allow practices to charge for them commensurate to the workload involved to offer higher quality of care. This can be commissioned by local CCGs or patients. 
  • Align SMRs with QoF to prevent duplication of work. This would allow funding for the work to be evident but reduce the burden of work on practices while still offering effective care on a national perspective. 
  • Clarify how patients may be contacted for SMRs. Ensure that written communication is clarified to include digital means such as notifications or texts as this in unclear and would further help with reducing climate impact and sensible patient flow. 

 

EHCH

 

This specification could have been effective but its prescriptive and ludicrous nature truly raises questions about the aims of the specs. It outlines a staggering increase in workload and specifies being led by roles not funded in the DES ad only on a F2F basis. It also is discriminatory to frail patients who live in their own home. 

 

To improve it:

  • Do not use location or age as the denominator of healthcare need as these may not be good predictors for individual patients. Use validated metrics such on frailty instead to capture patients in and out of nursing homes. 
  • Remove the ridiculous premise that a GP/ geriatric consultant must lead the team. Allow the network to source the role best suited based on local recruitment availability in need. 
  • Remove pedantic requirements of weekly/ fortnightly visits. Let the network decide the frequency needed to offer appropriate care to its population
  • Remove the requirement for care to be only face to face. Allow the increasing use of digital consultations to flourish and be effective. This can be by direct video consultation supported by the home, or with assisted clinicians as a virtual ward round. Additionally allow for funding to be used to facilitate this. Ie a simple webcam like the logitech C920 HD in each nursing home would work effectively on a Zoom system for a basic telemedicine ward round.
    Logitech C920 HD: https://amzn.to/2R7BbTw
    Zoom: https://bit.ly/eGPlearningZoom
  • Review the spread of NH in PCNs. The requirement that NHS are aligned to PCNs while seemingly sensible proposes significant challenges. Nursing homes traditionally are denser in areas of low land cost ie more deprived or secluded areas. This can create significant imbalance.  In Nottingham city, Two PCNs have the majority of nursing homes in their network areas. One network has 24 care homes, double that of all the others and is not the largest network. This creates a clear funding deficit to deliver the outlined level of care and WILL DESTABILISE this network (it is not mine - we are next down the list at 12 care homes). 
  • Make these reviews paid for service. Several areas of the country already have care homes paying additional to practices to offer an extra level of care above the GMS contract. This aspect of the DES will remove that element. Given an existing precedent, one suggestion is to make this service paid for service to allow the funding to occur. This can be commissioned either by the CCGs or care homes.

Anticipatory Care

 

Anticipatory care is manageable pending relationships with ICS, CCGs and ICPs, and if appropriate tools exist to support the population based care. I will admit my knowledge gap in this area which leads me to my first improvement. 

 

  • Push back the time frames to allow all networks to develop the local links and priorities. This is a simple fix as with more time much more of this aim is likely to be possible due to its synergy with the EHCH. 
  • Be specific over the monitoring aspects at the outset. Several aspects of this spec are ‘to be confirmed’. As mentioned earlier this is not acceptable as it indicates a possibility of shifting goal posts or more work if not in the correct format. Start as you mean to go on. 
  • Clarify the responsibility of who is paying for the tools. This spec mentions several tools that could be used, some of which are beyond the scope of a PCN to access individually. A clear direction on the responsibility of costing of these tools needs to be established. In many arenas the PCNs are viewed as the solution to all the problems in primary care. NHS England need to ensure they are not overburdened with destabilising costs and responsibilities due to poorly worded contracts. 
  • Clarify the evidence behind using care plans and the need for monitoring delirium assessments etc. This is not provided in the DES specification document and if no evidence that these care plans and assessments lead to impact on reduction of clinician workload and/ or patient demand then they should be removed and replaced with something that does. 

 

Personalised Care

 

I mentioned in my first video this harkens back to the failed unplanned admissions DES for a few years back. The reliance on care plans and monitoring are lessens still not learned. However this is the first mention of tackling inequality - albeit on a minor scale. 

 

  • If personal health budgets are to be continued and monitored - offer national training to all with a public campaign to education patients rather than passing this cost to networks. I have limited knowledge of patient health budgets. Again no evidence is offered in the document of their impact or effectiveness but this seems more like a public health priority funneled into the DES. Remove or support nationally with education and training. A national website checklist would offer many patients the correct information and evaluate more effectively than spending clinician time doing an administrative task. 
  • Remove the target for social prescriber referrals. A target is not necessary for a role billed to have a significant impact on care. 
  • Clarify which PAM is to be used - 100 vs 22 vs 13 point version. Clear difference in workload and monitoring outcomes based on these. 
  • Clarify the monitoring requirements at the outset as per earlier specifications. 
  • Remove the metrics. The metrics for this specification are vague and talk about quality- something that is hard to measure when you do not know what the test is. Given the DES is metric heavy simply remove these and replace with either trust as per earlier or linked population based outcomes like reduction in amputations in diabetic patients, reduced hospital stays in frail patients - essentially let the networks decide their metric for their populations. 

 

Supporting early cancer diagnosis

 

Much of this specification I find sensible in its aims. My only question is the time needed to action it given the repeat requirements for a lead and oversight. 

 

  • Provide data analyst support for networks to look at their data. This would help clarify how networks can proceed based on evidence. This could be provided locally by CCGs/ ICS etc, but do not make networks hunt for this. Provide universal validated  metrics so that shared learning can occur.
  • Provide social media engagement and community education sessions to networks. Much of the strength of this specification is mobilising the community. This can be achieved with face time with the community outside the confines or practices and via local media and social media. Provide networks with the tools to do this. 
  • Provide translation services support. One key challenge is non-english speaking cohorts. Given CQCs hate for Google Translate as a tool, provide support and resources for networks to use to convert resources into other languages to support their networks ie bowel screening videos in Polish or Vietnamese languages. 
  • Clarify the safety net metric. This metric is unclear to me no matter how many times I read it. How will this be monitored?

 

So that is my suggestions for adaptations for the specifications. But what if we were rewriting it? These are suggestions for NHS England which are in their domain to consider, but not covered in the existing DES. 

 

  • Create a national acute visiting service (AVS). Using the funding for ARRS share working on how to deliver a footprint wide AVS using roles such as physician associates and paramedics that can release GPs to offer care to patients while providing equity across the country. Ideas like those of Dr Paul Bennet as shown in the General Practice Podcast could be adapted across the entire country : https://ockham.healthcare/innovation-in-general-practice-time-saving-begins-at-home/
  • Create a national formulary. This would help prevent variation and align purchasing to tackle supply issues and allow larger bulk buying for medication supplies. 
  • Charge for all prescriptions or charge for none. This would have the plastic bag effect for the need for items on prescription at reduced cost ie £1 per item with pre-payment certificates being an option for all. Bring in equity- charge for all or charge for none. 
  • Re-design prescription exemption process. It is ridiculous that a patient with one specific chronic health condition can have all prescriptions free for life, but a patient with a more acute on chronic condition like COPD or asthma is not eligible which will cause greater acute damage to the patient and cost to the system via an admission. At least update the prescriptions to reflect modern times ie universal credit as an exemption so patients are not committing fraud, or adjust the age limits in line with national pension age. 
  • National self care for health and finance education programme. Many patients expect the health care system of old -today. A national education programme both in schools and a public campaign identifying the new roles and how to use our NHS effectively would have a greater impact than requiring each area to generate the same resources several times over. Created and delivered centrally offers the uniform message and cheaper costs to deliver public level education about how to use our NHS and how to manage your health responsibility including services. Adding finance at the same time is just further cost saving. 
  • National campaign to use NHS app. The NHS app is meant to be the doorway to our NHS and the focus of our digital healthcare revolution. However central support for its use is lacking and limited in information - even for a techy like me. A targeted approach with resources and support (again in multiple languages) could deliver a much-needed kickstart to the digital push we need. 
  • Equal funded clinical director (CD) time for all networks. The CD roles are based on network size. While there is some logic to larger networks needing more time, it is evident that one session a week for smaller networks is a drop in the ocean. Offer equal CD funding to all networks ie three-session up to 75k patient population size and 4 session over that. 

 

What do you think?

Which did you think were sensible and which did you think were lunacy?

eGPlearning update

eGPlearning update

January 12, 2020

A quick update for the #eGPlearners on the releases of the @egplearning content for the next few weeks.

How to improve the #PCN DES - https://youtu.be/knBA1PWHFzs

Online meetings made easy in #PrimaryCare - https://youtu.be/a62XTayLIX8

#digitalPrimaryCare #primarycarenetworks #htnweek

eGPlearning Podblast Review 2019

eGPlearning Podblast Review 2019

January 10, 2020

In this episode, we will be looking forward to 2020 and what health technology and eGPlearning PodBlast will be bringing to the world, and our survey: https://bit.ly/podblastsurvey19 ....

 

eGPlearning Podblast 2019 Review and Looking forward to 2020

 

HAPPY NEW YEAR!!!!

 

We looked back and reminisced in our Xmas episode with Ben Gowland of The General Practice Podcast - friend of the podblast: https://egplearning.co.uk/primary-care-networks-in-2019-a-review-with-the-general-practice-podcasts-ben-gowland/

 

Now looking to the future.

 

A word about our partners - HTN, The Health Technology Newspaper, your daily dose of news for the health tech community, join us for HTN digital Week on 23.1.20: https://www.youtube.com/watch?v=a62XTayLIX8

 

Changes over the last year

 

PCNs

Event Speaking 

Video Conferencing: https://www.youtube.com/watch?v=a62XTayLIX8

Digital GP Fellowship: 

Using the new practice website and video 

 

Changes and highlights with eGPlearning Podblast in 2019

Great Guests :

Nikki Kanani of NHS England: https://youtu.be/fynHxaebnSo

Liz Ashel-Payne of ORCHA: https://youtu.be/Ou2HKPJ2He4

Changes behind the scenes - Learnt lessons

Tried to improve quality

Found a regular base, experimenting with audio-video capture - new equipment!!!!

Experimenting with episode format - different types of episode

 

Survey - Help us shape our style, format, and content by completing the listening survey

 

Survey: https://bit.ly/podblastsurvey19

 

 🏆 eGPlearning Podblast Awards 2019 🏆

 

📳 Innovative tech company 📳

🏆 ORCHA sign up: https://youtu.be/K3wjjja8y2g

 

📈 Disruptor of the year - not bad or good - shakes things up 📈

🏆 NHSE with PCNs - Hello Nikki Kanani

And our honourable mention to Babylon

 

🚫 Trickiest episode to film - 🚫

🏆 Zoom episode: https://youtu.be/UWPd2Dsr5kI

honourable mention Jeff and Consumer wearables: https://youtu.be/Cmg2ky4XLCw

 

Future - Hoping to do with podblast and beyond

More interviews

Deep dives

Update episodes

 

Serving Primary Care Health Tech Community - Aims for 2020

 

Online courses and toolkits

 

Health Innovation East Midlands: https://www.eventbrite.co.uk/e/health-innovation-east-midlands-meet-up-registration-85912132501?aff=ebdssbeac

 

Conference - TEPCAL2020

Productive General Practice - using video more

Social media in primary care

Online consultations

 

What are we excited about in Primary Care GP Health Tech

 

Andy - NHSApp - critical mass allowing digital healthcare to go mainstream

Gandhi - Organisations beginning to embrace technology - LMC, NCGPA, RCGP - video, podcast, LMC app

Andy- Consumer health devices becoming mainstream and integrated with primary care

Gandhi - Connectivity - everyone

 

Predictions for 2020…

 

But first recap 2019 predictions - true or false.

 

Andy - Peak AI Hype - we will be talking less about AI…

Gandhi - Rise of personalised medicine

Shout out to Shubz - improving and providing time for communication between primary and secondary care and beyond - How did your prediction come along?

 

Predictions for 2020...

 

Andy - Increase in workload resulting from Digital-first agenda and NHS app

Gandhi - Online consultations mainstream

Thanks for listening

 

Please remember to complete our survey 

https://bit.ly/podblastsurvey19

 

Looking forward to journeying into the future of primary care with you all in 2020!

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴 

 

⭐Top posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

 

📸Equipment to record patient consultations for teaching – a guide📸:

https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

 

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning. 

 

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴 

 

Other networks:

 

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

 

💷 Support: https://patreon.com/egplearning 💷

 

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Top UK Clinical app - the BNF app

Top UK Clinical app - the BNF app

January 10, 2020

Listen to my review of the top UK clinical app- the British National Formulary (BNF) app and see why every doctor, nurse or clinician should have this on their phone.

 

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

Download on Google: https://play.google.com/store/apps/de...

Download via iTunes: https://apps.apple.com/gb/app/bnf-pub...

I cover the main sections of the app, how to find medications why the guideline section is effective and how to switch from the BNF to the children's BNF app.

 

 

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

Primary Care Network DES specification review 2019

Primary Care Network DES specification review 2019

December 31, 2019

Primary Care Network DES specification review 2019

 

My review of the 2019 Primary Care Network Service Specification- the good, the bad and the confusing. 

 

This is the live recorded review of the draft primary care network service specification.

To see the document in full use this link.

PCN Clinical Director resources playlist:

General Practitioner resources playlist:

Make sure you leave your own feedback via the survey here (see bottom of page), or send an email to england.networkscontract@nhs.net

Below is the draft version of my notes.

 

 

Welcome

 

My perspective on the primary care network service specs

 

Cover the good, the bad and the confusing. 

Check out my PCN resources and General practitioner playlist (in show notes)

Save you and your patients time with tech enhancing your primary care and learning

 

Why I am talking about this - am a GP also PCN director of NCE - 66k patients in a deprived area of Nottingham. 

 

Firstly the timing of the documents

 

Release of specs day before Xmas eve- while aware impacted by the election, purdah and process, it speaks to the perception that when PCN CDs work is irrelevant to NHS England. 

 

However, I commend Nikki Kanani’s engagement on SoMe and the will to gain feedback before making the spec official, 

 

as well as engagement events beforehand (twitter chat and webinars)

 

So emphasis that this is draft specifications and can be changed. So let us take a look…..

 

The document starts by talking about the investment being offered. While there is a significant increase in funding being offered, it is important to note the UK still invests less than most other western countries especially in the G8 at about $1000 less per person. 

 

It also mentions a 5-year contract. I would like to mention that it is not really a 5y contract but a 5y agreement of the funds. If it was a contract the terms would be clear from the start. Instead, we are having ongoing annual negotiations of the requirements - which is no different to what we have been exposed to in primary care. 

 

It then identifies seven asks or as they have been locally called the significant seven of which five are to start from April 2020 and another two from April 2021

 

  • Structured Medication Reviews and Optimisation • 
  • Enhanced Health in Care Homes (jointly with community services providers) • 
  • Anticipatory Care (jointly with community services providers) • 
  • Personalised Care; and • 
  • Supporting Early Cancer Diagnosis

1.8 When will we have clarity on the process and use of the Network Dashboard?

 

1.11 Funding is not allocated directly for the delivery of the service specifications - let that sink in. 

 

1.12 Extra capacity from the new roles in 20/21 - much of this was promised to stabilise practices not ask them to do more and does not allow for the extra 30% investment which is not supported by the existing pots. 

 

1.16 funding for community service providers commented - limited detail and asking us to agree based on limited responsibility awareness

 

1.17 Structured med reviews and EHCH from 20/21 other specs over 5 years. 

 

1.18 There is overlap between the specs, especially with the EHCH aspect. 

 

1.24 ‘Funding previously invested by CCGs in local service provision which is delivered through national specifications in 2020/21 should be reinvested within primary medical care and community services’ key line to be noted in regions

 

Structured medication review optimisation

 

Ideal to improve quality which may impact workload and a key target area for network pharmacists. 

Noted they recommend longer apts than standard GP appointment and keen to understand where this time will come from, and a focus on the switch to low carbon inhalers. 

 

There are comments about primary care organising the majority of prescriptions but no comment on secondary care variation and impact on prescription choice. Should we not move to a national formulary rather than regional variation which may help with supply issues.

 

2.6 looks at reducing GP appointments, but structured reviews do not reduce the number of primary care appointments but it may improve the quality of care. These are two different things. 

 

2.11 the line about SMR apt being longer than an average GP appointment. This means it is not cost-effective and not within the envelope of the funding being offered. PSSRU data puts currently at £39 per 9.22min consultation and a band 7 nurse (no pharmacist data) at £55 per hour compared to over £200 for a GP.  

 

2.15 What Funding is there for lead?

 

Would this be part of the prescribing QoF for 20/21 or in addition?

 

Confusing:  'written communication to patients invited for an SMR, detailing the process and intention of the appointment' to clarify the term written as many can interpret this as paper. With increasing digital use, reducing carbon waste etc this needs clarification to include digital. Also, why is spoken not acceptable as an explanation at new patient check with a hca may have a much better impact?

 

A focus on medicines of low priority- this still requires a national approach and guidance on complaints about when medications are appropriately recommended or not - given the workload and implications this has - especially in deprived areas where this creates challenge and conflict. 

 

Would a better option be to have a review of prescription exemptions and eligibility for free prescriptions? In deprived areas medication poverty exists for those who work but can not afford their medications when current exclusions mean a patient with a slightly low acting thyroid can have all medications for free but a patient with brittle asthma, high risk of urgent deterioration can not have their inhalers for free. 


How this discussion moves forward is for wider debate but should all scripts be charged a nominal fee like the plastic bag principle, or all prescriptions free or all OTC meds not available on prescription. 

 

Also talks about community pharmacy involvement and this replacing the MURs would be an option - but only likely truly effective if community pharmacies have access to the GP notes- a key data-sharing issue. 

 

The proposed metrics are actually very sensible and clear patient benefit and practice outcomes if funded appropriately. 

I would ask that an additional metric looks at the workload created by brand switching in primary care from cost saving as well as supply issues which may support the national picture more effectively than medicines of low priority - this si where local impact with a network-based pharmacy team can improve practice workload and patient service. 

EHCH- enhanced health in care home

 

3.2 comments about patients in care homes being treated with the same support as those living in their own home. So if mobile and ambulatory then these patients should be coming into the surgery and supported by the homes to be brought in rather than practices visiting unless bed-bound hence providing equitable treatment.

 

3.5 The evidence talked about makes reference to Nottingham’s enhanced care home LES prior to 2017. This was based on two yearly contacts with patients a year with a basic monitoring template. This required a once-monthly ward round by a single clinician for a near 10k practice population with about 50 care home residents to deliver outcomes that are cited in the paper. 

 

https://www.health.org.uk/publications/reports/impact-of-enhanced-support-for-nottingham-care-home-residents

3.8/9 Clarity on the distribution of care homes is key and no specs should be agreed till this is offered. Given the CCGs have limited power to implement this over patient choice it seems almost a faux statement. Also, there is no direction on how finance will be directed to support denser care home areas, which are typically in more deprived areas due to lower land costs. 

 

3.10 four focus areas:

  • Enhanced primary care support
  • MDT support
  • Reablement + rehab
  • High-quality end of life dementia care

 

3.12 bringing OOH provision under the umbrella of PCNs is a complicated process and a clear threat to workload and viability. 

 

3.14 comments about supported living are not part of EHCH yet and 3.15 suggested these could be included in care homes work in future - a significant increase in work for no commented extra funding at that time. Clarity needed. 

 

3.16.1 where will funding for a clinical lead come from? 

 

3.16.3 offers challenges of registration and the choice agenda. If this is to function then removal of the choice agenda must be considered to align to systems and reduce confusion and risk of complex system care. 

 

3.16.6 This is frankly the worst specification I have seen. A weekly home round that must be led by a GP (or community geriatrician) on a minimum of a fortnightly basis and regular MDT staff.

This obliterates any positive work around skill mix, reinforces the false belief that a GP must coordinate all care, is unfunded for that skill of workforce delivery on this scale and negates the option of using digital methods to support innovative care. 

 

Mandating GP time doesn’t account either for the cost - at a minimum of one session, a week of GP time is about 10-12k incl on costs outside of London which is not supported by the DES funding so must be found by the practices. This will also vary if a higher number of patients in each network. 

 

Whoever created this specification needs firing from NHS England. 

 

3.16.7 what is with the obsession over care plans? Seven days within arrival at a care home or post-admission- this will see potential exponential work for the care home staff who should be coordinating this work and the clinical teams supporting them. Surely a better structure is ‘follow the plan from the place of discharge….’ This line does speak to personalisation as per later point and spreads over the SMR as per 3.16.8.

 

3.16.10

Pcn can, therefore, charge for training delivered to care homes as the mention of funding for this extra work is not mentioned nor comment of cost-sharing. 

 

Care home staff would normally have flu vacs via their GP not via place of work. How will this impact the ordering and storage of vaccines and the cost balance for those practices in the PCN. 

 

3.16.12 All dependent on the GP IT futures and interoperability issues beyond the control of PCNs and should include a line to reflect this. 

 

3.17 the metrics (aside from 4)  are reasonable data extractions if you agree with the existing plan. Given I do not then this needs serious consideration. 

 

  1. Anticipatory care

 

So for clarity, this is not in respect to end of life care per se as in anticipatory medications but supporting patients with high or complex needs and working towards pre-care. Pushing us further towards doing public health or population health care work in primary care. 

 

4.3 outlines the service three key aims:

  • Benefitting patient with complex needs (and carers) to stay healthier
  • Reduce reactive care for specific health groups
  • Better interface of care in and around the health systems 

4.4 This is done by population segmentation, tools and MDTs. 

4.6 a standardised approach is planned but not clear yet - this is concerning as if you action some great work and this does not align with the ‘standardised plan’ at a future goal post moving date then this risks further frustration and conflict. 

 

4.8 requires working with ICS/ CCG ie areas on respiratory disease if high prevalence in your area or during winter periods. 

 

4.12.1 Again - funding for the clinical lead role. Who is paying for the population tool if no local access / will ICS be asking networks to contribute to the cost?

4.12.2 Will we have a unified data sharing template offered rather than each networking creating the structure. Are the existing data-sharing agreements acceptable for this purpose? 

 

Who will be holding the liability of these data sets given most PCNs are not formal entities unless a LTD company?

 

4.12.3 Sounds similar to the unplanned admission DES

 

4.12.4 another MDT being created. Should there be one MDT that does this and EHCH and directs SMRs too?

 

4.12.5 The timeframe to deliver comprehensive needs reviews in these anticipatory patients is very short. 

 

4.13 the final metrics again should be a quick pull of the dataset if appropriate coding tools are offered in time rather than each area creating their own. I do think the delirium risk assessment is not suitable for all these patients and already counted in the EHCH. Also benchmarking falls risks may assume a more elderly population. If your local need is focused on more mental health issues then this may point to a younger population. 

 

Looking at a reduction in attendance in primary care and/or admissions may be a better metric for this group pending the cohort reason chosen. 

 

Personalised Care

 

This crosses over with anticipatory care but moves to an individual basis over anticipatory care which is more population-based. 

 

5.2 first mention of health inequalities in the document with a focus on the reduction of unplanned care. 

 

5.4 signposting to social prescribers having a key role in this area. 

 

5.5 Lists the 6  points of the comprehensive model for personalised care. 

  1. Shared decision making 
  2. Personalised care and support planning 
  3. Enabling choice, including legal rights to choose 
  4. Social prescribing and community-based support 
  5. Supported self-management 
  6. Personal health budgets (PHBs) and integrated personal budgets

 

5.6 Graduated increase in patient selection and outcomes working up to the unplanned admission DES level of workload starting at 5-10/1000 in 20/21 to 20-25/1000 in 23/24 and repeatedly comments additional situations to be confirmed- not inspiring. There is also a focus on msk based shared decision making ie use of FCP and other roles. This could feed into the SMRs for chronic pain suffers. 

 

5.7 another unfunded clinical lead position

 

5.8 I do not agree with metric 2 and 4 as it is unclear how quality will be measured of personalised care plans and shared decision conversations. Again unifying a metric looking at unplanned care with anticipatory care would be more useful in my eyes.  

 

Supporting Early Cancer diagnosis

 

6.2 Improving processes will require system integration with ICP partners. I do think taking a local focus on tackling screening programmes is sensible. 

 

Most of this reads sensibly if able to work with ICS and ICP partners. Cross over with QoF plans for next year are sensible but as usual, the devil is in the detail. 

 

6.11 the aims for 21/22 could be clearer ie expanding on safety netting and providing high-quality information on referral is not clear what that relates to ie process of referral, what to do if no contact, documentation, etc. Also with increasing those diagnosed at stage 1 or 2 - it does not state by how much. While a number is just artifact I would hope there is not an artificial number in the ether. 

 

6.12 yet another unfunded clinical lead position.

The safety netting seems to take away from the patient ownership of their responsibility in their pathway of care - making us at risk of being more paternalistic. Information provision like videos etc is good but chasing patients is a blurry line. 

 

Improving the outcomes part is further unfunded work as would be in addition to practice-based learning objectives unless combined across a PCN- this requires further admin process which is not funded. 

To give feedback you need to use the survey this has the following questions

Survey

 

  1. Is there anything else that we should consider for inclusion as a requirement in this service? For example, are there approaches that have delivered benefits in your area that you think we should consider for inclusion?

 

  1. Are there any aspects of the service requirements that are confusing or could be better clarified?

 

  1. What other practical implementation support could CCGs and Integrated Care Systems provide to help support the delivery of the service requirements?

 

  1. To what extent do you think that the proposed approach to phasing the service requirements is manageable in your area?

 

  1. Do you have any examples of good practice that you can share with other sites to assist with delivering the suggested service requirements?
  1. Referring to the ‘proposed metrics’ section of each of the services described in this document, which measures do you feel are most important in monitoring the delivery of the specification?

I don't feel this asks for critical feedback, just positive comments with only question 4 challenging the viability of what we are being asked.

 

Unfortunately, this does impact my view on NHS England wanting decent feedback.

 

Also, do you reply as an individual or as a network/ group of networks coordinated in your area ie by the LMC or federations etc?

 

Overall:

 

Aims to improve quality and there is cross over between the parts that make much of it less a challenge than an initial read. However, there is still ALOT of work being asked from networks in a short space of time.

Not funded within the scope of the DES to do so. Either additional funding needs adding or several of the requirements removed and tailed back. 

If not significantly adjusted- especially the EHCH part I see many practices leaving the DES making it unviable. 

 

I would not agree to these specs and task our GPC colleagues to work with NHS England to make it more sensible and not something that is renegotiated each year. 

 

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe 🔴

Various networks:

👍🏼 Facebook
🐦 Twitter - eGPlearning
🐦 Twitter - @drgandalf52
🖥 Website
💷 Support 💷
Some links may contain affiliate links to help support eGPlearning see our disclaimer

Primary care networks and 2019 a review with the General Practice Podcast’s Ben Gowland

Primary care networks and 2019 a review with the General Practice Podcast’s Ben Gowland

December 27, 2019

Primary care networks (PCNs) were introduced in 2019 and have had a seismic impact on General Practice. The person leading the charge with information has been Ben Gowland of the General Practice Podcast and in this episode we review his 2019 and share our own and the impact of PCNs. 

Andy - https://twitter.com/drawfoster

Gandhi - https://twitter.com/drgandalf52

 

Leave us a review at:https://bit.ly/eGPlearningiTunes

Ben Gowland : Ockham Healthcare - https://ockham.healthcare/

 

Hussain Gandhi – challenges for a new PCN Clinical Director

https://ockham.healthcare/hussain-gandhi-challenges-for-a-new-pcn-clinical-director/

 

Tom Howseman – better managing demand through pre-triage protocols

https://ockham.healthcare/tom-howseman-better-managing-demand-through-pre-triage-protocols/

 

Episodes with Dr Paul Bennet on:

 

Lessons from a duty system overhaul

https://ockham.healthcare/innovation-in-general-practice-lessons-from-a-duty-system-overhaul/

(Time) saving begins at home https://ockham.healthcare/innovation-in-general-practice-time-saving-begins-at-home/

Dr Nikki Kanani episodes:

 

General Practice podcast: https://ockham.healthcare/episode-148-nikki-kanani-the-new-gp-contract-where-the-new-money-will-be-invested/

eGPlearning Podblast: https://egplearning.co.uk/nikki-kanani-interview-with-egplearning-podblast/

Gandhi tweet blogs for his PCN: https://twitter.com/ncepcn

 

And Andy taking up the challenge. https://twitter.com/drawfoster/status/1205547156301582338

Paul Defly practice unbound episode with network pharmacists:

https://ockham.healthcare/paul-deffley-pharmacists-and-pcns-3-pharmacists-across-multiple-practices/

 

Becky Malby website: https://beckymalby.wordpress.com/

 

Learn about video meetings in our Zoom masterclass: https://egplearning.co.uk/zoom-video-conferencing-masterclass-with-egplearning-podblast/

 

Role of federations with PCNs

 

What excites us for 2020

 

How the new roles will change primary care

 

Ben Andy and Gandhi’s views on the new roles for PCNs with an in depth discussion on pharmacists, paramedics, first contact physiotherapist, mental health workers and physician associates. 

 

We mention the work by Healthier Fleetwood in integrating care. http://www.healthierfleetwood.co.uk/

 

Is equal share in networks the best way to share resources?

 

Ben’s favourite work based app: Dropbox

And an honourable mention to Skype and other VOIP services. 

 

Ben’s favourite non-work based app: Audible and Zen Tennis

 

How would Ben Gowland spend £100 million on health tech and no red tape?

Solving trust issues with data sharing in primary care …...not an easy feat!

 

Predictions for 2020

 

Gandhi - excited about the digital revolution of primary care and anxious about the impact. With a caution on workload impact for all. 

 

Andy’s prediction: 

A collective news story of ‘PCNs on the ropes’

A lower impact of artificial intelligence in primary care. Ben feels it will be back with companies like Bablyon delving further into primary care.  

 

Contact: Ben@ockham.healthcare

Sign up for the Ockham Healthcare newsletter https://ockham.healthcare/category/the-general-practice-blog/

Subscribe to the General Practice Podcast here.

https://ockham.healthcare/category/podcasts/

Don't forget to subscribe to the eGPlearning Podblast and leave us a review

How to sync your Clarity TeamNet calendar with Outlook

How to sync your Clarity TeamNet calendar with Outlook

December 19, 2019

A simple 5-minute walkthrough guide on how to sync your Clarity TeamNet calendar with your Outlook calendar, including my own hacks. Nuff said

 

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴 

 

This walkthrough guide shows you how to sync your Clarity TeamNet calendar with Outlook Calendar. 

 

I show you:

✳️ How to find the calendar view in Clarity TeamNet

✳️ How you can extract different calendar views for your needs

✳️ How to add a calendar in Outlook Calendar

✳️ My hack to prevent information overload while still making the view functional.

 

Remember at present TeamNet is only a one-way import of information into your calendar. 

 

See this link for the walkthrough guide to sync your Clarity TeamNet calendar with Google Calendar: https://youtu.be/YvuCfXJifBs

 

⭐Top posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

 

📸Equipment to record patient consultations for teaching – a guide📸:

https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

 

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning. 

 

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴 

 

Other networks:

 

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

 

💷 Support: https://patreon.com/egplearning 💷

 

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

How to sync your Clarity TeamNet Calendar with Google Calendar

How to sync your Clarity TeamNet Calendar with Google Calendar

December 12, 2019

A simple 5-minute walkthrough guide on how to sync your Clarity TeamNet calendar with Google Calendar, including my own hacks. Nuff said

 

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴 

 

This walkthrough guide shows you how to sync your Clarity TeamNet calendar with Google Calendar. 

I show you:

✳️ How to find the calendar view in Clarity TeamNet

✳️ How you can extract different calendar views for your needs

✳️ How to add a calendar in Google Calendar

✳️ My hack to prevent information overload while still making the view functional.

 

Remember at present TeamNet is only a one-way import of information into your calendar. 

 

See this link for the walkthrough guide to sync your Clarity TeamNet calendar with Outlook: https://youtu.be/AlcXyRqNpWk

 

⭐Top posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

 

📸Equipment to record patient consultations for teaching – a guide📸:

https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

 

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning. 

 

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴 

 

Other networks:

 

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

 

💷 Support: https://patreon.com/egplearning 💷

 

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Email use in General Practice

Email use in General Practice

December 6, 2019

Does sorting out your email just suck all your time away? Andy and Gandhi talk in this episode about the frustrations managing your email can bring, the challenges we have in primary care and importantly - solutions to bring you control and increase your spare time. 

 

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴 

Shout out to our friends … Health Technology News Paper, your daily dose of information for the health technology community

 

Despite being so ubiquitous and groundbreaking in its time, this is a medium that is almost universally loathed…

 

Today we’re talking about email...

 

We have a complex love-hate relationship with email… Mostly we hate it...

 

As a clinician email can be particularly frustrating. We have so many ways to receive information tasks and work. And we spend most of our dealing with patients or tasks directly related to patient care. It can feel like Other people working in primary care have more time allocated for purely administrative activities like reading email… 

 

It is definitely worth giving how you manage email some thought...

 

Why is email frustrating?... (Identifying the challenges)

 

Email overload

 

Time issue, can take so long, when do i do it?

Email anxiety - what’s in my inbox?...

Discussion vs response - wrong tool?

Etiquette - why am i getting this email? Tone and controversial topics...

Emails at intrusive at times

 

What are the possible solutions?

 

Basic Principals… Three Ps

Parkinson’s Law - allocate set, limited time - batching

Pareto Principal - 80/20 - concentrate on where your efforts will have impact

Pomedoro - 25 minute dashes, 5 minutes break to complete email or tasks

 

Getting Organised

Inbox Zero & Getting to Done…. 

2 min rule

Scheduling for later

Tag, Folders or archive and search?

 

Check out Gandhi’s episode on productivity: https://youtu.be/paTZy7K8hsU

 

Etiquette

Should this be an email at all? email / phone / meet

reply all, waiting on replies, cc, bcc

Font and confidentiality

Emojis in professional emails

Use the right address for the right reason - security log in

Add the email address last - just in case

Identify action or information

Use the subject line well… and first 2 lines - Project management style - timelines

Templates and signatures, 

 

Dealing with volume/overload

Unsubscribe and whitelist vs junk

Do not disturb

 

Choose your tools wisely? But don’t obsess 

We discuss our current email setups and tips for email platforms and apps

Interface/platform - bluemail 

What do you use?

Gandhi - blue mail and Gmail

Andy - outlook

But my phone is always with me… Do not disturb mode

Switch off the notification?

 

How to email patients: Email use by practices in General Practice

 

Email audit

Set aside a time frame to do an email audit - sources, folders, and freq - put it in your calendar!!!

 

Things to think about as clinicians…

Use the right platform or email address for any clinical or sensitive information.

Secure your device.

 

Alternatives?

People are trying to make email better

Slack, Asana…. Adding project management and team coordination

 

So how do you feel about email now love or hate? 

 

Let us know...

 

Certificate of engagement for CPD

 

Thanks for listening

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴 

 

⭐Top posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

 

📸Equipment to record patient consultations for teaching – a guide📸:

https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

 

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning. 

 

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴 

 

Other networks:

 

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

 

💷 Support: https://patreon.com/egplearning 💷

 

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Can you use the Tap Strap as a doctor?

Can you use the Tap Strap as a doctor?

December 5, 2019

Alternative keyboard methods exist. In this episode, I review the Tap Strap and see if it is a viable data entry tool for primary care.

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

I tried the Tap Strap - a motion use keyboard for a few months to see if it can be effective in a clinical setting.

See or hear my review above.

Would you buy one?

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/d...

📸Equipment to record patient consultations for teaching – a guide📸: https://egplearning.co.uk/technology/...

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷 Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

General Practice Resilience

General Practice Resilience

November 28, 2019

General Practice Resilience with Dr Rachel Morris

 

What does resilience in General Practice really mean?

Hear from Dr Rachel Morris of 'You are not a Frog' podcast, about resilience vs burnout and how to protect yourself as a GP

 

This episode is sponsored by the GP Taskforce - providing wraparound support for Derbyshire general practice https://gptaskforce.com/

 

Dr Rachel Morris - http://www.wildmonday.co.uk/about/

 

01:58 You are not a frog podcast- https://shapesfordoctors.com/podcasts/

03.06 Tiny habits episode- https://podtail.com/en/podcast/you-are-not-a-frog/tiny-habits-big-changes-with-dr-katherine-hickman/

03:54 What does resilience mean?

04:54 Does resilience mean saying no?

05:47 Stay in your zone of power. Circles of Control work by Steven Covey (https://amzn.to/2rkkuel

09:00 How much work do you do?

09:40 Tackling stress

10:23 How many roles do you have?

10:28 Happiness and the traps to avoid

15:13 What is your greatest asset? Essentailism by Greg McKeown https://amzn.to/2XFKH2Q 

16:24 GP Well-being https://youtu.be/GvZtOsCEK-U

17:32 Schedule your time effectively https://www.youtube.com/watch?v=3GtMtQphRzs

18:46 Prioritise by intention

20:04 Decompression time

21:37 Try podcasts like eGPlearning Podblast

22:11 Put your phone DOWN

23:28 Nikki Kanani interview with eGPlearning Podblast https://youtu.be/fynHxaebnSo 

25:18 Work that you love is still work

26:27 Compensate yourself

27:35 Value your time

29:15 Should you accept being the backstop?

31:03 Take control of your career

31:58 Identify your strengths

33:50 The Shapes collective facebook group https://www.facebook.com/groups/2212687302308522/

 

 

Contact Dr Rachel Morris via:

Twitter @DrRachelMorris https://twitter.com/drrachelmorris 

Email rachel@wildmonday.co.uk

For more about Rachel’s online and face to face resilience training and career development courses for doctors and healthcare professionals -  www.shapesfordoctors.com

 

Sign up to the Shapes Collective for more resources about thriving at work  https://wildmonday.us19.list-manage.com/subscribe?u=885e158d10911ad80f467f60c&id=d2391396fa

This episode is sponsored by the GP Taskforce - providing wraparound support for Derbyshire general practice https://gptaskforce.com/

 Free certificate of engagement for your appraisal and CPD

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/d...

📸Equipment to record patient consultations for teaching – a guide📸: https://egplearning.co.uk/technology/...

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks: 👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

Medical podcasting with Primary Care Knowledge Boost
GP Bingo

GP Bingo

November 21, 2019

GP Bingo - the general practice game

Do you want a fun game in general practice to help keep the gloom of winter away?

Do you want to have a chance to win some limited edition prizes and focus on your well-being in practice?

Try GP Bingo

 

To get the green card use the link below. For the yellow and red cards sign up to the eGPlearning mailing list below.

Rules of GP Bingo:

  • Track for up to 30 days.
  • Share on either Twitter, Facebook, Instagram or LinkedIn and make sure you tag @eGPlearning with your completed card by 31.12.19.
  • Entries with no tags or after 31.12.19 will not be counted.
  • Earliest to complete wins the prize, one for the Green Flag card and one for the Yellow Flag card. 
  • If a tie DrGandalf will choose.
  • Relying on your probity to prevent any cheating - all prizes at the discretion of DrGandalf

Will you take on GP Bingo?

 

Reduce your computer stress as a doctor with lastpass

Reduce your computer stress as a doctor with lastpass

November 14, 2019

Easier, safer password management for doctors. 

Do you forget your passwords after your holiday or hate keeping track of all the changes and then forget !!

Reduce your computer stress with this simple and effective tool for any clinician.

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

I find password managers a great tool and Lastpass is one of the best and cheapest.

Listen to this episode as I explain how to make your clinical life easier and safer with this tool. If you wish to sign up you can use my affiliate link at no extra cost:

https://bit.ly/egplearninglastpass for the premium version

or https://egplearingLastpass for the free trial.

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/d...

📸Equipment to record patient consultations for teaching – a guide📸: https://egplearning.co.uk/technology/...

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at

Digital Health update Nov 2019

Digital Health update Nov 2019

November 8, 2019

eGPlearning Podblast Digital Health update Nov 2019

Welcome to our new quick update episode format. We discuss topical health tech news and stories… and provide some tips for apps, podcasts, books or otherwise that we have come across in the last few weeks.

Today’s news stories….

Pulse - 27/9/19 - GP at Hand to be broken up into local practices under new NHSE digital plans
http://www.pulsetoday.co.uk/news/hot-topics/gp-contract-2019/20/gp-at-hand-to-be-broken-up-into-local-practices-under-nhs-england-digital-plans/20039458.article

Digital Health.net - 16/10/19 - Several barriers prevent the adoption of technology in the NHS CQC finds

https://www.digitalhealth.net/2019/10/barriers-prevent-adoption-of-technology-nhs-cqc/

Episode Tips

Gandhi - Lastpass: Manage your passwords easily. https://egplearningLastpass #ad

Andy - Podcast - Harvard Business Review - Episode 701 https://hbr.org/ideacast/2019/09/how-to-be-less-distracted-at-work-and-in-life.html

About Focus - Interview Nir Eyal, wrote the book on creating addictive products - “How to build habit forming products”

Gandhi Featured on Ask Pat - https://www.smartpassiveincome.com/askpat/with-no-extra-time-how-do-i-increase-engagement-and-grow-my-business/

New group for health innovators in the East Midlands - Join us for first event 12/12/19
http://healthinnovationem.co.uk

Thanks for watching!

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

 

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Keep updated EASILY in General Practice

Keep updated EASILY in General Practice

November 7, 2019

Keep updated EASILY in General Practice

 

Do you know how to bring information to yo so you can keep updated easily? In this episode, I cover how you can bring your CPD learning to you and make your appraisal and learning easier.

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

Do you know how to bring information to yo so you can keep updated easily? In this episode I cover how you can bring your CPD learning to you and make your appraisal and learning easier. 

In this episode I cover my top five ways to bring information straight to you so you can keep updated in primary care. 

 

  1. Use RSS feeds. Try Newsnow General Practice: https://www.newsnow.co.uk/h/?search=general+practice&lang=en&searchheadlines=1

  2. Sign up to update newsletters

  3. Use social media to enhance your learning: https://youtu.be/6voDvYa3AOE

  4. Use social media groups to facilitate your learning: https://youtu.be/RsGFV6nOf9Y

  5. Subscribe to podcasts to help your learning: https://youtu.be/zrdVFckg0HE

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Top Clinical Learning Podcasts for GPs (2019)

Top Clinical Learning Podcasts for GPs (2019)

October 31, 2019

Do you agree with this list of the top clinical learning podcasts for GPs? Is your favourite on the list?

 

Watch the video and see if you agree or disagree.

Top clinical learning podcasts (2019)

 

The requirements to be on the list:

  1. Have a current release schedule
  2. Be open access

 

Honourable mentions:

 

The Good GP - an Australian based GP podcast with in depth views on clinical topics. https://podcasts.apple.com/gb/podcast/the-good-gp/id1212751478

 

The GP show with Dr Sam Manger: is another Australian based podcast with a more conversational tone. I like their analysis and the topics are broader than the Good GP podcast. https://thegpshow.libsyn.com/

 

MDTea: Is a Uk Geriatric based podcast with the multidisciplinary team taking part. Hosted by Dr Ian Wilkinson and Dr Jo Preston it is well worth a listen. http://thehearingaidpodcasts.org.uk/mdtea-podcast/

 

So what are my top 5 clinical learning podcasts?

 

5: RCGP podcasts. This includes the main RCGP Learning podcast: https://podcasts.apple.com/gb/podcast/rcgp-podcast/id1398882781

 

And the RCGP essential knowledge update podcast. https://audioboom.com/channels/4992401

 

Additionally there is the Sage General Practice podcast which is effectively the InnovAiT podcast (DOI I am an editor of this podcast). https://podcasts.apple.com/gb/podcast/sage-general-practice/id871122209

 

4 The DTB podcast- drugs and theraputic podcast is a great listen about all things medicine and more. http://feeds.bmj.com/dtbpodcast

 

  1. The BMJ produce a couple of podcasts. Their main one reviews the recent BMJ editions while the Best practice podcast covers clinical topics. 

Main: http://feeds.bmj.com/bmj/podcasts

Best Practice: http://feeds.bmj.com/bmjbestpractice/podcasts

 

  1. Inside Health is a firm public favourite and a great listen. With Dr Mark Porter and Dr Margaret McCartney providing evidence it is a valuable update and a great way to know what is current in the world of medicine. https://www.bbc.co.uk/programmes/b019dl1b/episodes/downloads

 

1️. Primary Care Knowledge Boosts is a concise clinical update podcast that is a great listen with hosts Sara and Lisa who have a great rapport and make the topics relevant and an #easyCPD hit. This is a must subscribe. https://primarycareknowledgeboost.podbean.com/

 

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Wearable technology in General Practice

Wearable technology in General Practice

October 25, 2019

How will wearables change General Practice? Watch as Andy and Gandhi of the eGPlearning Podblast explore the world of wearable technology for general practice

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

Wearable Technology for General Practice - eGPlearning PodBlast Show Notes

Wearable health technology, is it all hype?

We discuss our experience with wearable technology in our day to lives as GPs. How patients and health professionals are beginning to use devices such as smart-watches and fitness trackers, the impact on Primary Care and how this class of device might develop in the future.

What have we been up to?
Andy - Beginning to work as a Primary Care Network Clinical Director and promoting the Nottingham Based Digital GP Fellowship
Gandhi - Attending a number of conferences, working on the eGPlearning platform

Gandhi has featured in an episode of AskPat, the hugely popular Podcast from @PatFlyn. Listen here 

A word from our partners - HTN
HTN The health tech news paper - an innovative daily news and opinion website for the health tech network
HTN Health Tech award winner revealed - go have a look!
https://www.thehtn.co.uk/2019/10/04/htn-awards-2019-winners-revealed/

What is wearable health tech?
What is wearable health technology
No real definition...
We have always had wearable health tech - hearing aids, early insulin pumps, overnight pulse oximetry...
Previously been expensive, but now rapidly developing areas as smartphones, and later health tracking industries have created a volume market for sensors, processors, wireless communication chips/tech. Meaningful wearable health technology is now cheaper to produce and develop.

What does wearable tech do?
Capture information
Tracking vital signs and observations
Monitoring for events such as falls & fits
Movement and activity
Treatment compliance - activity, physio, medication adherence
Body-worn biochemical sensors - e.g. glucose, ECG

Use the data
Identify unrecognised events or track vitals during an event - eg. palpitations - For a good example see Kardia:
Monitor disease activity - eg. diabetes
Make sense of larger data sets for meaningful health insights

Intervene
Suggest and administer medication such as insulin
Alert family or paramedics to intervene - e.g. fall

What do we think about Wearable Health Technology?
Andy discusses his experiences with the AppleWatch platform.
AppleWatch on Amazon - 

Gandhi discusses experiences with:
Fitbit - Good brand, reliable, fits well, great metrics, less smartwatch that tracker - universal platforms

LetsCom  fitness trackers - Pros- cost, battery life, simplicity, rugged. Cons- function, basic

Gandhi is also a fan of those devices with the tracking capabilities of fitness trackers but the appearance of a normal watch such as the Muse and Withings ranges.
https://www.musewearables.com/
https://www.withings.com/uk/

We discuss our thoughts on the current situation with wearables and the future… Including...
It would be great if/when apps available to make sense of the data - perhaps integrating with my health record…
But, sometimes I want to wear a different watch… Perhaps seen only as a health/comms device...
Will those who need it want to use it - Grandads and hearing aides…
Are they just for exercise and fitness?
Security & privacy concerns?
Apple vs Google - will there be a small number of dominant players due to platform effects?

Ultimately we believe there is lots of health potential in the future...
Huge potential…
Because getting cheap...
Platforms for sharing data are maturing - Apple Health, Google Health, NHS App
Perhaps we will reach a critical mass in the near future and use will explode.

Thanks for listening

What do you think? Will wearables be a help or hindrance to Primary Care?

 

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribehttps://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

GP Well-being with Dr Helen Garr - The Wellbeing GP

GP Well-being with Dr Helen Garr - The Wellbeing GP

October 24, 2019

Do you know how to look after your well-being as a GP?

In this episode, I am joined by Dr Helen Garr- The Wellbeing GP as we talk about how to improve your well-being in primary care.

Which tip will you use?

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

 

This video is sponsored by GP Task Force: https://gptaskforce.com/ providing wrap-around support for Derbyshire General Practice. 

 

01:05 Dr Helen Garr: The Wellbeing GP

Website: https://thewellbeinggp.co.uk/

Facebook: https://www.facebook.com/thewellbeinggp/

Instagram: https://www.instagram.com/thewellbeinggp/?hl=en

 

02:10 Helen is a portfolio GP working at Cripps Health centre at the University of Nottingham http://www.unhs.co.uk/

 

02:27 She also works at the GP health service now called NHS practitioner Health: https://php.nhs.uk/ or text NHSPH to 85258

 

This is free to any doctor or dentist in England and completely confidential. 

 

05:13 Locally we have the Nottinghamshire LMC wellbeing site to support GPs. See https://www.nottinghamshirelmc.co.uk/support/wellbeing/

 

05:48 GP-S provides free mentoring to GPs in the Nottinghamshire and Derbyshire area. https://www.gp-s.org/

 

07:30 How to recognise burnout

09:53 Do you have an emergency chocolate or treat drawer? Comment if you do. 

10:16 The five ways to wellbeing

11:03 Connecting with others

12:10 Would you have a practice board game club?

12:30 Learn something new (doesn’t have to be clinical)

13:06 Timetabled practice meeting

13:20 Podcasts for learning

13:44 see our episode on appraisal with Dr Zoe Norris: https://www.youtube.com/watch?v=ru5zh2MlOXM

14:12 GP reading list: https://egplearning.co.uk/ramblings/books-to-read-after-qualifying-as-a-gp-summer-2019/

14:22 This is going to hurt by Adam Kay: https://amzn.to/2MGVxBU

14:47 Exercise and activity

15:10 Exercise snacking

16:40 Standing desks: https://egplearning.co.uk/education/standing-desks-in-general-practice/

17:40 how do you call your patients in or would you do burpees?

18:56 Mindfulness - being present and taking notice of what is going on around us. 

19:58 How to clean your teeth mindfully…

20:27 Apps for mindfulness like Calm www.calm.com/health which is free for healthcare professionals or try Headspace: https://www.youtube.com/watch?v=R676uNsMDbI

24:00 Giving

24:35 Pay it forward

25:50 Summary of the five points of well being

 

This video is sponsored by GP Task Force: https://gptaskforce.com/ providing wrap around support for Derbyshire General Practice. 

 

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

What equipment to take to a GP conference

What equipment to take to a GP conference

October 17, 2019

Imagine going to a conference to learn and having everything you need. In this episode I cover what I take to a conference to help my learning and comfort. Do you agree?

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

I recently got asked what equipment I need at a conference. in this episode, shot at the Best practice Conference 2019 in Birmingham, I look at the various different ways you can use equipment to help with your learning or simply make attending a conference comfortable. I also look at the type of tech you may need if you are attending as a presenter at a conference.

00:47 Plan your objectives- look at the agenda and plan the sessions you want to attend
01:25 Smartphone yourself- the essential tech piece anyone should have (if recording do not forget your microphone…..like my Boya M1
01:55 Battery pack - 10000 amp should be more than enough 
02:32 universal charger cable - multiple heads are better than one.
03:14 compact charger plug 
03:37 an effective bag - especially to carry all your kit and some space for extra items- 
04:07 water bottle and healthy snacks

4:45 laptop or tablet: I use the Microsoft surface pro 6 
05:25 mini display port - an essential if you are delivering a presentation: 
06:10 Pen and paper - Dingbat notebook  and Frixion pen 
06:50 headphones and external Seagate USB hard drive 

What equipment do you take, comment on any of the eGPlearning platforms.

(Post contains affiliate links which do not cost you anything but may give me a small commission for anything you purchase- thank you 😁)

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Top tips using social media as a GP or medical practice

Top tips using social media as a GP or medical practice

October 10, 2019

Do you know how to make using social media easier for your GP practice?
Are you aware of all the key points you should consider before using social media to keep your practice and patients safe?

What my top tips to find out this and more....

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

#socialmedia #generalpracitce #digitalprimarycare

In this video, I share my top tips to using social media for your GP surgery or practice. These include:

How to pick the right platform for you
Tips to keep your staff and patients safe using social media
How to save your team time using social media as a practice

To cross-post, I use Publbox click here to sign up : https://publbox.com/en/

If you want the resources outlined in this video then see this go to the eGPlearning website and download the social media policy for free at http://bit.ly/egplearningsmpractice

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/

Improve your productivity in General Practice

Improve your productivity in General Practice

October 3, 2019

Improve your productivity in General Practice as a GP or clinical director with simple quick and actionable tips and apps to make your life easier and save you time.

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

#productivity #generalpractice #timemanagement

In this episode:

  • Hear the challenges many clinicians face in being productive in general practice.
  • Learn resources to improve your productivity with quick and simple changes you can make
  • Hear about the apps and tools you can use in both clinical and leadership/ administrative roles to save your time.

Links mentioned:

Ike app : combine the Eisenhower matrix with an app

Notion: make lists easily :

Bullet Journalling: https://bulletjournal.com/

Habitica: an app to help you build habits -

Clockify: track your time with ease. 

Zoom - web conferencing made easy sign up here. (AF link)

Teamnet - provided by Clarity - a practice management suite for primary care

Whatsapp or Telegram - communication made easy

Mighty Networks - create your own community

Mailchimp or Mailer Lite- make your own newsletter - covered in the email use in general practice.

DR PESTLES: Find the needs of your practices and PCNs. 

Calendly - automate your calendar -  

Grammerly - improve your writing with ease. 

Cloud writing: via Evernote, G Drive or Office - take your pick.  

If you want more resources or a full copy of the links and slides sign up at https://bit.ly/pcncdresources

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/d...

📸Equipment to record patient consultations for teaching – a guide📸: https://egplearning.co.uk/technology/...

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

Schedule appointments easily and save your time using Calendly

Schedule appointments easily and save your time using Calendly

September 19, 2019

Calendly can help save you time by enabling you to schedule meetings without the back and forth communication exchange that impacts your productivity.

I show you in this episode why I find it so effective and helpful.

Calendly is a scheduling tool that integrates with your calendar to show when you are free. You share the link with an individual or group and then let them book to enable easy and rapid scheduling of meetings.

Calendly can be used for free or you can pay for extra functions. It has a clean interface and works well with great notifications and customizable options.

In this episode:

  • Learn how Calendly can enable quick scheduling of appointments
  • Watch how to create event types including setting your time frames for availability
  • See the various options to confirm appointments
  • See how the teams’ function can enhance arranging meetings within a group.

I love this tool and it has made my life much easier and simpler with arranging meetings. What do you think?

 

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼

🐦 Twitter - https://twitter.com/egplearning 🐦

🐦 Twitter - https://twitter.com/drgandalf52 🐦

🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/dis...

How to use LinkedIn as a doctor (2019)

How to use LinkedIn as a doctor (2019)

September 12, 2019

How to use LinkedIn as a doctor (2019)

 

Do you understand how to use LinkedIn as a doctor or GP? Watch this video for the essential tips and tricks to improve your use of this professional social media platform as a doctor.

Listen to eGPlearning Podblast via iTunes
eGPlearning Podblast on Google Podcasts
Stream eGPlearning via Spotify

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

In this video, I welcome Dr Adam Harrison of the Nottinghamshire LMC as we delve into the use of LinkedIn for doctors like GPs.

We explore this social media platform using my own profile as a template to show you how to build yours.

We cover:
1:30 Who is Dr Adam Harrison?
2:00 What is LinkedIn?
4:40 Connect with us on LinkedIn:
Adam or DrGandalf
5:00 Hear why you should use your professional email to register with LinkedIn as a doctor
6:15 How to build your profile using DrGandalf’s
7:00 How to navigate your LinkedIn home screen.
10:00 A profile view
10:50 Have a professional photo
12:20 Profile strapline vs summary
13:20 Past roles/ experience and other roles
14:30 Privacy settings. See our video:
15:20 What are skills?
17:50 The use of a brand profile
19:05 How many followers do you need?
20:00 LinkedIn Groups
21:20 Using LinkedIn as a CV
24:50 Adam’s Top tips – invest in your profile
25:15 Endorsements
26:00 Use LinkedIn video
28:30 The importance of regular posting and engagement

See Adam’s top ten LinkedIn tips here:

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here:

📸Equipment to record patient consultations for teaching – a guide📸:

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe 🔴

Various networks:

👍 Facebook
🐦 Twitter – eGPlearning
🐦 Twitter – @drgandalf52
🖥 Website
💷 Support 💷
Some links may contain affiliate links to help support eGPlearning see our disclaimer

Zoom Video Conferencing Masterclass

Zoom Video Conferencing Masterclass

September 5, 2019

Zoom Video Conferencing Masterclass with eGPlearning Podblast

 

See how to use Zoom with Andy and Gandhi, to have great video meetings with your primary care network (#PCN), colleagues and friends. We cover simple hints and tips and also dive deep and discuss some of the more powerful features.

Sign up at https://bit.ly/eGPlearningZoom

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

💻 I really like Zoom. If you want to sign up see: https://bit.ly/eGPlearningZoom

This video shows you:

🔷 How to start a Zoom meeting
🔶 How to change your audio and camera settings
🔷 How to quickly switch your audio on and off
🔶 How to invite new people to a meeting
🔷 How to start a screen share
🔶 How to chat and send messages in your web meeting
🔷 How to record your Zoom meeting
🔶 Showcase all this from a mobile interface

✅ If you wish to use our web conference checklist see this link: https://mailchi.mp/ed55320359f2/webconference

#primarycarenetworks #videoconferencing #zoom

🔴 Subscribe: https://bit.ly/eGPlearningYTsubscribe 🔴

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️ see here: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

📸Equipment to record patient consultations for teaching – a guide📸:
https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/

Subscribe to or follow the eGPlearning platform for more videos, app reviews and content to support technology-enhanced primary care and learning.

🔴 Subscribe: https://egplearning.co.uk/subscribe/ 🔴

Other networks:

👍 Facebook - https://www.facebook.com/Egplearning/ 👍🏼
🐦 Twitter - https://twitter.com/egplearning 🐦
🐦 Twitter - https://twitter.com/drgandalf52 🐦
🖥 Website - https://egplearning.co.uk/ 🖥️

💷 Support: https://patreon.com/egplearning 💷

Some links may contain affiliate links to help support eGPlearning see our disclaimer at https://egplearning.co.uk/contact/disclaimer/