eGPlearning Podblast
General Practice, Technology and the Virus – Reflections

General Practice, Technology and the Virus – Reflections

July 25, 2020

In the is episode, Dr Andy Foster reflects on the last 5 months of the pandemic and how General Practice in the UK has coped with the Challenge of the Virus. In particular how technology has helped.

 

This is a reflective episode and revisits many of the themes covered in depth on eGPLearning over the last 6 months, providing a good overview or introduction to this topic.

 

The slides were prepared ahead of a presentation to Bristol Medical Technology Society, but we felt the reflections were worth sharing with the medical technology community.

 

Links…

Working From Home – A light hearted introduction

https://www.youtube.com/watch?v=wV6dQLKD18U&feature=youtu.be

Patients recording consultations

Patients recording consultations

July 23, 2020

Can patients record a consultation? Do they need a clinicians consent - find our here:

 

Watch this episode based on the BMA guidance about patients recording consultations.

 

BMA guidance: https://www.bma.org.uk/advice-and-sup...

 

MDU guidance: https://mdujournal.themdu.com/issue-a...

 

eGPlearning Social media guidance: https://egplearning.co.uk/social-medi...

 

 

 

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...

 

Appointments in General Practice

Appointments in General Practice

July 19, 2020

Appointments in General Practice- A digital guide

 

Welcome

 

Live episode, please interact

 

Intoductions

 

Todays episode inspired by chat on NHS Digital Whats App group about appointments and access

 

2 themes to cover….

 

  • What is an appointment? And what will count as activity

 

  • Total triage, before and after - what is the best option for the practice and its patients

Up-coming document from NHSE will set out how NHSE will harvest/access data from CRMS (S1/EMIS) to assess activity within general practice to the level of individual surgeries.

 

  • Information such as number and type of appointments.

 

Led to speculation about how this data will be used in the future…..

  • Concerns that used to judge practices and that incorrect or unfair conclusions might be reached?
  • Used to allocate resources? Correctly? Similar concerns
  • Regulatory attention?
  • Use by the media?

What constitutes as an appointment?

 

  • Online / Telephone /video/ F2f / Administrative activity? - would this be covered by online/asynchronous?

 

  • How do we log workload in practice, everything have an appointment slot ie oncall work/ admin etc. 

 

  • Supervision/ second opinion / Administrative tasks (non patient content but often time consuming)

 

  • Dichotomy of primary vs secondary care contracts - PBR vs capitation based contract. 

 

Thoughts? Gandhi

Needs to be some accountability for spending public money?

But will the right things be counted?

Demand? Or under delivery?

Can this data be helpful? 

If demand/need reliably captured then can build case for redistribution?

 

Thoughts? Andy

Its coming - similar systems present or developing in other areas of public spending

Embrace - record everything and show our value - build the system to make this automatic

Lots of scope in recording the asynchronous/”online” admin work

Access and appointment options

 

So many - also discuss in the whatsapp

 

Lots of ways to structure appointment systems using different models and tools

 

What will / should the future look like?

Traditional models - return

Blind booking of f2f (or telephone) appointments with clinicians

Patient choice - Allow patient to book type of appointment and choose clinician

Reception guided

 

Total triage - during the crisis - examples

  • All clinicians triage own cases and see for continuity (basic reception/admin triage)
  • Single clinician triages incoming work and allocates to appropriate clinician or admin staff 

Triage vs signposting

Tools helpful for these systems available…

Preconsultation information collection - eConsult etc.

Join our Digital First Providers guide on 29.7.20 : https://www.youtube.com/watch?v=ngNhAeMOw_Y

Electronic messaging

Telephone

Video

Photos

Even collection of obs via care home staff or remote devices in the future

Electronic guidance to streamline and improve choices

 

 

How do you manage your appointments at your practice? With the new shift to total triage, what now is classified as an appointment?

 

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

 

Join us as we talk about appointments, total triage, and the journey of a patient. 

 

Welcome

 

Live episode, please interact

 

Intoductions

 

Todays episode inspired by chat on NHS Digital Whats App group about appointments and access

 

2 themes to cover….

 

What is an appointment? And what will count as activity

 

Total triage, before and after - what is the best option for the practice and its patients

Up-coming document from NHSE will set out how NHSE will harvest/access data from CRMS (S1/EMIS) to assess activity within general practice to the level of individual surgeries.

 

Information such as number and type of appointments.

 

Led to speculation about how this data will be used in the future…..

Concerns that used to judge practices and that incorrect or unfair conclusions might be reached?

Used to allocate resources? Correctly? Similar concerns

Regulatory attention?

Use by the media?

What constitutes as an appointment?

 

Online / Telephone /video/ F2f / Administrative activity? - would this be covered by online/asynchronous?

 

How do we log workload in practice, everything have an appointment slot ie oncall work/ admin etc. 

 

Supervision/ second opinion / Administrative tasks (non patient content but often time consuming)

 

Dichotomy of primary vs secondary care contracts - PBR vs capitation based contract. 

 

Thoughts? Gandhi

Needs to be some accountability for spending public money?

But will the right things be counted?

Demand? Or under delivery?

Can this data be helpful? 

If demand/need reliably captured then can build case for redistribution?

 

Thoughts? Andy

Its coming - similar systems present or developing in other areas of public spending

Embrace - record everything and show our value - build the system to make this automatic

Lots of scope in recording the asynchronous/”online” admin work

Access and appointment options

 

So many - also discuss in the whatsapp

 

Lots of ways to structure appointment systems using different models and tools

 

What will / should the future look like?

Traditional models - return

Blind booking of f2f (or telephone) appointments with clinicians

Patient choice - Allow patient to book type of appointment and choose clinician

Reception guided

 

Total triage - during the crisis - examples

All clinicians triage own cases and see for continuity (basic reception/admin triage)

Single clinician triages incoming work and allocates to appropriate clinician or admin staff 

Triage vs signposting

Tools helpful for these systems available…

Preconsultation information collection - eConsult etc.

 

Join our Digital First Providers guide on 29.7.20 : https://www.youtube.com/watch?v=ngNhA...

 

Electronic messaging

Telephone

Video

Photos

Even collection of obs via care home staff or remote devices in the future

 

Join the S1 FBUG Online Summit : https://bit.ly/S1FBUG2020

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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...

Personality Typing in General Practice

Personality Typing in General Practice

July 11, 2020

In this episode Dr Andy Foster talks about personality typing and how it can be useful to help teams and individuals work more effectively together in organisations. The focus is on healthcare organisations and UK General Practice, but the video should be useful to anyone looking for a way to introduce a group of people to MBTi. 

The focus is on the Myers Briggs Type Indicator system. 

In this video you will learn (or be reminded) about: 

  • Why investing in EQ and Soft skills are important 
  • How to interpret a Myers Briggs profile 
  • Why this might be useful in your organisation 
  • Personal Development 
  • Managing and developing teams 
  • Conflict resolution and prevention 

The video is structured around a teaching session that was delivered at my practice to demonstrate how you could do something similar at your organisation. 

Links: 

Dr Andy Foster’s Blog and powerpoint slides  

http://avoidingpuddles.com/2017/02/18/personality-profiling-in-general-practice/ 

16Personalities – great source of free MBTI testing, profiles and information 

https://www.16personalities.com/ 

How to record consultations for the Recorded Consultation Assessment (RCA)

How to record consultations for the Recorded Consultation Assessment (RCA)

June 18, 2020

How to record consultations for the Recorded Consultation Assessment (RCA)

How can you submit a video, telephone, or face to face consultations for the RCA (Recorded Consultation Assesment)? Find out here in our complete guide for GP trainees and trainers. 🔽

 

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

As a GP trainee you will need to submit cases for the RCA. This complete guide shows you how, how educational supervisors can verify your cases and more. 

 

Join Dr Jon Rial and I as we answer all your questions including how much it costs, what to do if your consultations are over 10 minutes and more. 

 

01:35 How the system was developed

03:42 How to record video consultations for the RCA

05:55 What it looks like from a patient's perspective

 

Best Phone holder for Video Consultations: https://youtu.be/4EIDuWTB1Gg

 

12:35 How to record telephone consultations for the RCA

14:50 Uploading face to face consultations for the RCA

16:10 Consent for face to face consultations for the RCA

18:00 What if my consultation is over 10 minutes?

22:20 How do I view my consultations for the RCA?

24:10 How to share your consultations with your ES (educational supervisor)

25:50 How to view consultations  as an ES

28:15 Probity and security for consultations in the RCA

29:30 How to submit the 13 cases for the RCA

30:55 What if the patient rescinds their consent?

32:55 Is there an additional cost for the recording of the RCA?

33:30 Details on the new GP trainee eportfolio

34:40 Who will have access to the recording RCA access?

 

Contact Dr Jon Rial: https://twitter.com/jonrial

 

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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...

Using AskMyGP in General Practice

Using AskMyGP in General Practice

June 11, 2020

Using AskMyGP in General Practice

 

Are you using or considering using AskMyGP in your practice? In this episode, I talk with Dr Dave Triska as he shows us how it may improve your practice, see below for all the details. 🔽

 

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

 

This episode is a full guide to integrating online consultations provided by AskMyGp in your practice and how it can help your patients and staff. 

 

02:10 Starting with AskMyGP

05:00 Why is AskMyGP useful?

06:45 Test the system as a patient

07:30 What is the patient experience with AskMyGP?

09:20 The analytical information offered by AskMyGP..

10:20 The analytics offered by AskMyGP

11:40 Matching capacity to demand

12:50 Doesn't the patient ALWAYS want to see the GP?

14:10 What is the doctor's day like using AskMyGP?

15:40 How does AskMyGP work for half-day workers?

17:10 How does AskMyGP work for GP trainees?

19:30 How does AskMyGP work for other members of the primary care team?

21:25 Developing a practice MDT approach

22:25 How does it work for practices that rapidly started using AskMyGP?

23:40 Dave's top three tips for using AskMyGP

25:10 The big tip to using AskMyGP

27:40 How can AskMyGP help patients with challenges like language/ learning difficulties etc. 

 

Contact Dr Dave Triska at: https://twitter.com/dave_dlt/

 

Declaration: neither I nor Dr Dave Triska are paid by AskMyGP for this video or have funded links with the company. 

 

Online consultations made easy for primary care: https://youtu.be/tBSJdUvyxuI

 

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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...

Google My Business for your GP Practice

Google My Business for your GP Practice

June 4, 2020

Have you started using Google My Business for your practice/clinic? No....then watch this to see why you MUST start using it and how with tips below 🔽

 

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

 

Learn how to use Google My Business for your medical practice or clinic, in this walkthrough guide of which parts are relevant for General Practice or any medical practice. 

 

01:35 Why should you use Google My Business for your practice

03:50 GMB home page

05:50 What GMB looks like from the user perspective

07:40 GMB Posts

10:30 GMB info area - MUST DO!!!!!

12:55 GMB Insights

15:00 GMB Reviews

15:50 GMB Photos

16:30 GMB Products

17:30 GMB Services

18:45 How ALL practices should use Google My Business

 

The best social media tool for practices: Publer: https://youtu.be/ORkFFyY2dkA

 

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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 practice medical consultations

How to practice medical consultations

May 28, 2020

How to practice GP and medical consultations with AvatarJo

 

Do you want to practice medical GP consultations but not sure how? Or maybe help in prepping for medical exams like the RCA and CSA. See how with AvatarJo. DO NOT MISS our discount offer, code below.....🔽

 

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

 

In this episode, I talk with Sarah of AvatarJo to hear how their platform may help you practice medical consultations,  especially in prepping for medical exams like the RCA and CSA. 

 

Use our special discount code to get £10 off any session at AvatarJo till 30.6.20: EGPOFFER10

 

01:45 What is AvatarJo?

03:20 How does AvatarJo work?

05:10 The new RCA - recorded consultation assessment that replaces the CSA. 

08:45 How does case selection work on AvatarJo?

10:00 Is AvatarJo only 9-5?

10:40 How much does AvatarJo cost?

12:10 How does trainer feedback work with AvatarJo?

14:10 AvatarJo is not just for trainees.

17:30 What is the minimum tech you need to use AvatarJo?

20:00 Group offers

21:20 What is next for AvatarJo?

24:05 Practice video consultation platforms

 

Use our special discount code to get £10 off any session at AvatarJo till 30.6.20: EGPOFFER10

 

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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...

The best social media tool for your medical practice

The best social media tool for your medical practice

May 23, 2020

What tools can save you time with social media use for your medical practice? See my review of Publer - a great tool that saves me time and effort. Grab it here: https://bit.ly/eGPlearningPubler

 

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

 

Signup to Publer for a lifetime deal here: https://bit.ly/eGPlearningPubler

 

Social media for GP Practices: https://youtu.be/wPYcd4no4rE

 

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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...

Telephone consultations for your practice

Telephone consultations for your practice

May 21, 2020

Telephone consultations for your practice

 

How would you set up a telephone triage system at your practice? How can you make telephone consultations work for your practice? Find out here with Dr Toni Hazell in this comprehensive guide. 

 

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

 

In this episode, Dr Toni Hazell explains how her practice changed to use telephone consultations which have led to better patient engagement, satisfaction and clinician satisfaction, and workload control. Sounds too good to be true? Well after seven years her practice is still going strong. 

 

Find out how in this episode. 

 

Contact Dr Toni Hazell at https://www.tonihazell.com

 

Telephone Consultation tips for GPs and primary care: https://egplearning.co.uk/quick-telep...

 

01:10 Telephone triage journey

02:10 Audit your demand

03:40 The proposed system

07:15 Where telephone triage may not work

09:05 DrGandalf's telephone triage tip

09:40 Telephone triage with children

12:00 Telephone triage transition

15:20 10 mins for a face-to-face consultation?

 

Improve your productivity in General Practice: https://www.youtube.com/watch?v=paTZy...

 

18:00 Telephone triage as a practice?

19:50 Improving the patient journey

21:00 Telephone triage vs signposting

22:35 Further exceptions to telephone triage

22:25 How does duty doctor work?

25:35 How real an issue is decision fatigue?

27:55 How to deal with urgency?

29:10 Top tips for documentation with telephone consultations

32:20 Managing late attendance

 

Online consultations made easy: https://www.youtube.com/watch?v=tBSJd...

 

35:35 Tips for telephone consultations in your practice now

 

Contact Dr Toni Hazell at https://www.tonihazell.com

 

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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...

Online consultations made easy for primary care

Online consultations made easy for primary care

May 16, 2020

Online consultations made easy for primary care

Do online consultations scare you as a doctor? Do you want to know how to make it easy and simple and work? Watch here and join us as we show you how and some great case studies of how it can really help you and patients. 

 

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

 

In this guide, Dr Ross Dyer-Smith shares his knowledge about online consultations, his journey to create eConsult, and his top tips for you if you are looking at delivering online consultations for patients - including some controversial case studies that you just have to hear. 

 

Dr Ross Dyer-Smith : https://twitter.com/dyersmith

 

02:22 Online consultations - the journey

04:30 How did eConsult start?

06:10 My first online consultation 

06:50 How you will feel your first time doing an online consultation

08:10 Understand your online consultation system and patient flow

09:50 How safe is online consultations?

13:25 The patient online consultation journey

17:15 The clinician online consultation experience

18:30 Are online consultation just more work?

22:40 How are online consultations different from 111?

25:00 How can you deal with the patient list?

26:50 How do you close an online consultation?

28:25 Online consultation Golden tip 1

29:50 Online consultation Golden tip 2

35:50 Online consultation Golden tip 3

34:00 How to overcome digital literacy issues?

35:00 How to help non-English speaking patients with online consultation

38:00 Case studies for online consultation

39:00 Case study 1: Do you need to examine the patient?

40:55 Overcoming bureaucracy

43:40 Case study 2: utilising the medical records

47:35 Patient vs the condition in an online consultation

 

Contact Dr Ross Dyer-Smith: https://twitter.com/dyersmith

eConsult: https://econsult.net/

⭐Star posts⭐:

 

Quick video consultation skills for doctors: https://www.youtube.com/watch?v=1UivL...

 

How to register with the NHS app: https://youtu.be/4nRhmJ_tlI4?t=65

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/d...

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...

Analogue tips for surviving digital overload

Analogue tips for surviving digital overload

May 2, 2020

Today Dr Andy Foster talks about his three top tips and principals to help people manage their COVID crisis induced digital overload.

This is a bit of a change of pace from our usual content… but maybe we all need think about how we are using technology from time to time.

Streamline your GP electronic medical records process with eMR

Streamline your GP electronic medical records process with eMR

April 2, 2020

Streamline your GP electronic medical records process with eMR

 

Save your practice time, workload and money at the same time? Can EMR by Medi2Data help do this for you by streamlining your electronic medical records process for SARs and insurance reports? Lets see...

 

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

 

01:40 What is eMR?

03:50 How can eMR help with remote working? if interested contact emr@medi2data.com

05:10 How can eMR help manage SARs (subject access requests)

12:50 How does redaction work in eMR?

21:00 What does the patient experience?

23:15 What are the benefits of eMR for SARs?

25:30 How does eMR help with reports?

34:20 How are fees streamlined in eMR?

36:20 Finance vs workload- consider the balance

38:30 eGPlearner questions answered

38:50 How would a practice process a request?

44:10 Which systems does eMR work on?

45:55 What is the data governance like?

47:20 How does eMR deal with physical notes?

48:00 How can PCNs use eMR?

49:10 How is Medi2data helping with COVID?

 

Contact Richard at medi2data.com or emr@medi2data.com

⭐Star posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

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 use MS Teams for General Practice- a full guide.

How to use MS Teams for General Practice- a full guide.

March 25, 2020

How can you get the most out of MS Teams when working in Primary Care and the NHS? Watch this walkthrough guide with all the tips you need

 

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

 

Join Andy, Gandhi, and Matt as we show you how to use MS Teams as a GP for your practice team or primary care network. 

 

In this episode: 

 

How to Register with MS Teams: https://youtu.be/JcBgVzzfVNQ

00:35 How to join a team

08:55 How to create a team

02:50 Files storage and collaborative document workflow

05:15 How to use the wiki function

06:10 Adding apps and websites to your teams

09:00 How to create a team for NHS workers in MS Teams

12:40 The different tools available

12:45 Chat vs Teams - what is the difference?

13:10 What are channels?

14:10 The calls function and video calling

14:30 What is the files section?

14:50 Teams vs Channels - what is the difference for primary care?

16:45 How do I tag someone and why is it important?

20:00 Notifications

21:55 Video calling in MS Teams

23:40 Outlook vs MS Teams Calendar

25:00 The command bar - super users look here. 

25:55 The Planner function and how to use it

 

Contact Matt: https://twitter.com/mattbeddoe

 

⭐Star posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

 

Zoom for Primary Care and GPs: https://youtu.be/UWPd2Dsr5kI

 

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/

Digital primary care update 14.3.20 - Coronavirus special

Digital primary care update 14.3.20 - Coronavirus special

March 14, 2020

Coronavirus tech support, telephone and video consultation tips for your Digital Primary Care update by the eGPlearning Podblast team of Andy and Gandhi.

 

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

 

Simple  video consultation skills for doctors: Monday 16th March 8pm: https://www.youtube.com/watch?v=F8PccszVoyk

 

NHS X Information Governance update: https://www.nhsx.nhs.uk/key-information-and-tools/information-governance-guidance

 

RCGP resources:https://www.rcgp.org.uk/policy/rcgp-policy-areas/covid-19-coronavirus.aspx

Resources to help with telephone and video consultations. 

 

Quick telephone consultation tips: https://egplearning.co.uk/quick-telephone-consultation-tips-for-primary-care/

 

Which webcam do you need for video consultations: https://youtu.be/4IyM3e24ffk

 

Video consultation tips for GPs: https://youtu.be/MxIDHfHwDU0

 

TPP SystmOne Airmed video consultation demo: https://www.youtube.com/watch?v=Fvnx6tDo1nk&feature=youtu.be

 

TPP SystmOne Airmed NHS login for patients: https://www.youtube.com/watch?v=3djIAPwmIRk&feature=youtu.be

 

How to use AccuRx video in under 5 minutes: https://youtu.be/aryAqMqdHg0

 

Zoom Masterclass for your practice: https://youtu.be/UWPd2Dsr5kI

 

Sign up to Zoom:  https://bit.ly/eGPlearningZoom (affiliate link)

⭐Star posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

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/

Best webcam for video consultations

Best webcam for video consultations

March 12, 2020

Best equipment for video consultations in General Practice

Do you want to know the best equipment for video consultations in primary care and General Practice?

This blog will show you webcams, microphones and more than you may want to consider. This does contain affiliate links but all the products shown I have tried and tested unless mentioned.

Best Webcam for video consultations

With more clinicians and patients looking towards video consultations, having the right tools is key.

Best webcams for video consultations in GP

In this episode, I review three common webcams and show you which options are best, compared with using an in-built webcam. 

I review the Logitech C920 HD, Logitech C270 and the Dericam.

Logitech C920 HD

Many eGPlearners will know of my love of this webcam. It shoots in high-quality HD, is simple to use, has good audio and great autofocus. It also is a great option to use for video conferencing so it can double up effectively. It is the most expensive of the three and this may be an issue to some, but being able to use it on a separate stand and get with privacy covers (although often cheaper if bought separately) it is hard not to like this webcam and is my recommended webcam for video consultations

Logitech C270

I must admit I was pleasantly surprised by this webcam. It is easily the best budget option with great audio. The camera doesn’t shoot in full HD, but this may not be an issue for many. The lack of stand attachment is an issue for me because of my preference of how I use my webcams when consulting but if this is not for you then it is the best budget webcam for video consultations in my view. 

Dericam

I want to like the dericam. A webcam the cost of the C270 but the capabilities of the C920 HD. However, for video consultations, I find the dericam falls short of the C270. The wide-angle lens is better suited to video conferencing, and unfortunately, the in-built audio is not the best, but if you want a webcam that does the job it is often the cheapest available for the job. 

Other webcams

Other webcams you may want to consider, are the Logitech Brio and the B525.

The Brio is the market leader in quality and cost and shoots in 4k definition. I would easily argue this is unnecessary for video consultations and would not recommend it unless you had the money to burn. The B525 may seem more sensible and its swivel head and business credentials make it attractive. However, it shoots at the same definition as the C270 and is double the cost just for a swivel head. I would not recommend the cost and would argue at that level the C920 HD is the better option. 

Stands

Having a separate stand is a must in my view for webcam placement. I must admit I recommend a simple desk stand like this octopus one that I use. It is the perfect height for mid-screen placement and does the job. My switchpod I use more for video conferencing as the height is useful. 

Microphones:

I do recommend if able, to have a separate microphone than the webcam. This just improves the audio significantly. Here are some excellent options which I will be reviewing shortly.

Tonor desktop microphone: https://amzn.to/2TSaKCK

Blue Snowball: https://amzn.to/3cCZdQ4

MPOW corded headset: https://amzn.to/2TxrNuP

MPOW wireless headset: https://amzn.to/38t3Rgp

I will share my review of these soon but the Blue brand is always reliable. 

Additional tools:

Sometimes extra tools help. I know many get worried about the power of Google and webcam security. That is easy to fix, use a webcam privacy cover. These two are options with a plain or panda flavour version. 

Also, I love having a headphone hook for my equipment. It just makes it so accessible. This one on Amazon is great as it hangs off my monitor rather than my desk so less chance errant children will grab them in my consultation room.

⭐Top posts⭐:

👨🏾‍⚕️Dr Gandalf’s essential GP equipment list 👨🏾‍⚕️

📸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/dis…

AccuRx for your GP practice

AccuRx for your GP practice

March 5, 2020

Do you want to learn more about AccuRx - the software to help practices communicate better with patients via text message and save yourself time, workload and increase income- of course so watch here with our walkthrough with Ben Spiro of AccuRx.

 

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

 

In this episode, Ben Spiro of AccuRX shows us what AccuRx is, how it works, why it is so easy to use and how it can save you time and earn a practice more income while providing better patient communication. 

 

Oh, and it is free for the basic part!

 

Here is what we cover:

 

01:40 What is AccuRx?

02:35 What is Florey?

04:14 How does direct SMS work?

05:40 DrGandalf's tips and templates

08:20 Is AccuRx really free?

09:10 What is Pathways?

09:56 Sort your QoF QI -and reduce your workload and improve your safety with patients.

11:10 What about GDPR- is AccuRx compliant? more details: https://www.accurx.com/gdpr-questions

13:00 AccuRx or MJOG- what is the difference?

14:04 What is the future of AccuRx?

15:12 What is the cost of AccuRx + or the premium version?

17:25 Where is the best place to keep the AccuRx tab? What do you think- leave a comment below!

 

Links:

 

Sign up: https://www.accurx.com/

 

AccuRx youtube channel: https://www.youtube.com/channel/UCrLJDyngP4p0G0JtgEoT66Q

 

I have no financial affiliates with AccuRx- I am just a massive fan. 

⭐Star posts⭐:

 

👨🏾‍⚕️Dr Gandalf’s Top medical equipment for General practice 👨🏾‍⚕️ see here: 

YouTube: https://youtu.be/JddoeK5JcRw

Website: https://egplearning.co.uk/ramblings/dr-gandalfs-essential-gp-equipment-list/

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/

Set up your GP practice Facebook page

Set up your GP practice Facebook page

February 13, 2020

Set up your GP practice Facebook page - a walkthrough tutorial

 

Do you know how to set up a Facebook page for your GP practice? This video is a walkthrough guide looking at all the relevant settings for a GP practice to start using Facebook. 

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

 

#FacebookForGP #SocialMediaforGeneralPractice #SoMeDocs

 

In this episode, I will show you how to set up your GP practice Facebook page.

 

This includes what media you need and the relevant dimensions, with resources to save you time. 

 

Snappa: https://snappa.com?afmc=2ae

 

I will then show you which settings you must take notice of and adjust, and how to use the settings to save you time. 

 

⭐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/

 

Free tools to start podcasting or vlogging for clinicians

Free tools to start podcasting or vlogging for clinicians

February 7, 2020

Free tools to start podcasting or vlogging for clinicians

Starting a podcast or vlog can seem daunting and many people struggle to know how to start. So let us show you, with tips specifically for doctors, clinicians, and other health care workers or anyone who wants to just press start....

 

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

 

#startpodcastingforfree #freetoolstostartpodcasting #PodcastAsADcotor

We both create content and have started doing more with our PCN work. 

 

We have been creating content for PCN colleagues, PCN stakeholders, practices…

The more healthcare workers making use of new communication methods the better.

Vlog / podcast and communicate with each other and patients in this way.

 

This episode we will take you through simple and free tools to start your own podcast or vlog. 

 

Social media for your GP practice: https://www.youtube.com/watch?v=wPYcd4no4rE

 

Take you through some free and low-cost tools… And talk a bit about our journey

 

Before you start

Purpose and vision - why would people listen?

Community? - we aim to serve Primary Care Health Tech Community

Solo or with someone else?

Ideas for content

Format of episode

 

Organising

Capturing ideas, planning, scripting, and collaboration

Google drive, calendar and WhatsApp

HM- One drive

 

Recording

The simple microphone set up, none - use your phone, Tonor lapel mic, Boya - https://amzn.to/2mfUNcz

Blue Yeti - https://amzn.to/2nOYwOV

USB vs XLR mics, booms and rodecaster pro - https://amzn.to/2PCICTq

Zoom - records audio and video, really easy - https://bit.ly/eGPlearningZoom

Used Skype and CallRecorder

 

AWF - iPhone - good for audio video capture togetherness, lightning to USB allows use of USB mics, Clip-on lenses can be cool - wide-angle…

 

Gandhi - cables and connectors

 

Processing:

Audio:

Audacity https://www.audacityteam.org/

 

Video:

iMovie

Windows movie maker or Film

Da Vinci resolve: https://www.blackmagicdesign.com/uk/products/davinciresolve/

Filmora- https://filmora.wondershare.net/video-editor/

 

Mobile video - 

Gandhi - Inshot

Andy LumaFusion £20 - iOS ecosystem, airdrop etc.

 

Graphic creation:

Free:

Gandhi - Canva - https://www.canva.com/join/mood-straw-survey

Andy - Pixel Mater

Distribution:

 

Platforms

 

Anchor: https://anchor.fm/

YouTube

Twitter

Facebook

Instagram

LinkedIn

 

Podcasting platforms

iTunes

Spotify

HM - Podbean - https://www.podbean.com/eGPlearningPBhost

Tools:

 

As above

 

Tweetdeck for free Tweet scheduling

Andy: Buffer: https://buffer.com/

 

Gandhi:

 

Publbox - https://bit.ly/egplearningpublbox

 

Crowdfire - https://crowdfire.grsm.io/hussaingandhi3090

That a wrap….

 

Thanks for listening

 

Hope you get creating, let us know what you get up to

 

Connect, feedback and communicate

 

 

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 use Social media for GP practices

How to use Social media for GP practices

February 6, 2020

Do you know how to use social media as a GP practice?

In this talk as part of the Notts LMC conference, I show you how using social media can save your practice, time, effort and workload when done well.

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

For full notes see: https://egplearning.co.uk/social-media-for-general-practices/

For social media guidance see the video here on pre-SCRIBE : https://www.youtube.com/watch?v=vh1uOCFGkTk

For top tips for using social media as a practice see: https://www.youtube.com/watch?v=vTfcbBWBaHg

The above includes links to our social media policy for patients.

⭐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/

 

Online meetings made easy in Primary Care

Online meetings made easy in Primary Care

January 24, 2020

Online meetings made easy in Primary Care

Course: https://mailchi.mp/91c7c41991ed/videoconferenceprecourse

 

Why have online meetings

  • Transport / distance
  • Time
  • Remote/home working
  • Disability

Types of meeting

  • Online
  • Hybrid
  • F2F

Advantages

  • Obvious -- cuts out travel time and parking -- but these can be big issues
  • Increases attendance, reduces the cost
  • People can watch the recording if they couldn’t come -- don’t even need to be available at the time of the meeting
  • Actually superior experience in some aspects -- can hear well, shared screen for content, slides, cocreation in documents -- these don’t need to be big meetings… 
  • Sometimes you are enhancing or replacing a big meeting.
  • But can replace smaller meetings and telephone calls

 

What equipment do you need for an online meeting?

 
Online Meetings for Primary Care
 
 

You can start and host a meeting with just your laptop with webcam or tablet

If you just want to get started and give it a try. But if you want to run an effective hybrid meeting:

Host

 

Attendee

  • Smartphone or tablet
  • Headphones

Course: https://mailchi.mp/91c7c41991ed/videoconferenceprecourse

Other roles

Chair

  • Keep timing of the meeting, 
  • Agenda
  • Coordinates people in the meeting room. 

Coordinator

  • Ensures the tech works
  • Screen share
  • Coordinates online attendees -- hands up!
  • Chat

Recorder

  • Keeps minutes -- separate or on screen
  • Action log

Checklist: https://drive.google.com/file/d/1FUo18oEnft1AcSj2lQ5xAox-a10S70vv/view?usp=sharing

Etiquette

Before

  • Switch off distractions, notice on the door
  • Check battery power
  • Test data
  • Scan background for items not to be shared ie documents with patient identifiable info, open windows etc
  • Use headphones if an attendee

 

During

  • Press record
  • Introduce yourself
  • Ground rules
    • Establish chair, coordinator, minute taker etc. 
    • Mute microphone if not speaking

 

After

  • Share recording of the meeting -- server /private youTube/ podcast. Playback hack. 
  • Confirm actions and attach minutes if kept
  • Establish next meeting if appropriate
  • If first time,  enquire how to make it work better. 

 

Course: https://mailchi.mp/91c7c41991ed/videoconferenceprecourse

Certificate of engagement for apprasial: https://drive.google.com/open?id=1sxnKLTkZet1fADJW4_INVRtARb0PzdE7

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 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. 

 

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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. 

 

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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

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

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

 

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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

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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?

 

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

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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.

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💻 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

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⭐Top posts⭐:

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📸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.

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