eGPlearning Podblast
The evidence for Video Consultations in Primary care

The evidence for Video Consultations in Primary care

August 15, 2019

Video consultations are the new buzz in primary care and a mandated part of the new contract from April 2020.

GPs and clinicians love evidence to justify the use of any service and in this post, I cover the evidence for video consultations in-depth with Prof Helen Atherton of the Academic unit of primary care at Warwick Medical School.

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In this episode, Prof Helen Atherton explains the evidence for video consultations in primary care.

We cover:

💻 What is a video consultation vs remote consultations
💻 What is digital exceptionalism and why it has an impact- should it?
💻 The type of patients that will use video consultations.
💻 The use of funding for video consultations like the Access funds and Priminister Challenge funds
💻 We discuss the work of Trisha Greenhalgh
💻 Comparison of telephone vs F2F consultations and what gaps video can fill
💻 The ViCo study:
🖥Done in 2016 as a feasibility study
🖥Using video consultations as an alternative to F2F on the Attend Anywhere platform in Scotland.
🖥The technical issues in doing the study and considerations including devices and infrastructure.
🖥Results:
🖥Useful for single problem issues and similar in length to telephone consultations.
🖥 Advantages for video use with remote working, convenience, and visual element
🖥 Suitable only where a physical exam may not be needed
🖥 Technical issues need addressing

Links to toolkits:

ViCo Toolkit: https://www.ed.ac.uk/usher/telescot/projects/vico/vico-toolkit

Alternative to F2F consultations toolkit: http://www.bristol.ac.uk/primaryhealthcare/researchthemes/alt-con/resources/

💻 Further talk on infrastructure challenges particular internet speeds and logistics.
💻 Can video consultations be used for areas like mental health?
💻 How to improve engagement with video consultations
💻 The use of video consultations by secondary care.

Contact Prof Atherton via email.

Free research links:

Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care: https://bjgp.org/content/early/2019/06/24/bjgp19X704141

Comparing the content and quality of video, telephone, and face-to-face consultations: a non-randomised, quasi-experimental, exploratory study in UK primary care: https://bjgp.org/content/early/2019/07/01/bjgp19X704573

Using alternatives to face-to-face consultations: a survey of prevalence and attitudes in general practice: https://bjgp.org/content/66/648/e460

The potential of alternatives to face-to-face consultation in general practice, and the impact on different patient groups: a mixed-methods case study: https://www.ncbi.nlm.nih.gov/books/NBK507060/

⭐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.

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

Register with the NHS app

Register with the NHS app

August 8, 2019

Register with the NHS app - a Walkthrough guide

 

Do you know how to register with the NHS app?
Do you know what it can do?

Watch this video to see this walkthrough guide and share with your practice if they are not using it.

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This video is sponsored by Connected Nottinghamshire

Listen in as I show you:

📲 How to download the NHS app
📲 How to use the symptom checker
📲 How to create an NHS login ID
📲 How to use the login to access the app
📲 How to register with the NHS app
📲 How to book an appointment at your practice with the NHS app
📲 How to confirm your donor preferences with the NHS app
📲 How to access your settings and more information in the NHS app.

Watch the video by clicking the image below:

 

See here for how to register at your GP practice: https://www.youtube.com/watch?v=i9B94VJyqkA

⭐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.

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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 do your GP Appraisal (2019)

How to do your GP Appraisal (2019)

August 1, 2019

Do you understand GP appraisal? In this episode, I am joined by Dr Zoe Norris who explains what you must, should and can do to complete your appraisal and revalidation including some useful resources.

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Thank you to the Derbyshire GP Task Force for sponsoring this video.

Hear Dr Zoe Norris talk about appraisal.

We cover:

🔷 What is appraisal

🔶 What is revalidation

🔷 What is a quality improvement activity (see RCGP guidance- https://www.rcgp.org.uk/training-exam...)

🔶 What is mandatory, what you should do and what you can do

🔷 The difference between a log entry and a reflective entry What is PDP and how to make it SMART: Top tip - have non-clinical PDP items.

🔶 What to do if you have not completed your PDP - do you have to?

🔷 What DrGandalf’s appraisal toolkit looks like Then we look at a presentation for resources. Access it here: https://docs.google.com/presentation/...

A brief comparison of the eportfolio toolkits you can use including Clarity, GPTools, Fourteen Fish, GMC toolkit, MAG form and Digitalis.

📘 Clarity toolkit walkthrough: https://www.youtube.com/watch?v=QDHES...

📙 GP Tools : https://www.gptools.org/

📕 Fourteen Fish: https://www.fourteenfish.com/

📗 MAG form: https://www.england.nhs.uk/medical-re...

📘 Digitalis: http://www.digitalistechnology.co.uk/

📱 DrGandalfs tracking tip is to use Wakelet. Wakelet video guide: https://www.youtube.com/watch?v=cTmuV...

⌨ Improve your typing speed with Keybr Keybr: https://youtu.be/pNtomdyX56E

📱 Track your complaints, certificates and compliments using Camscanner.

Walkthrough video: https://www.youtube.com/watch?v=1vkqW...

Camscanner: https://www.camscanner.com/r1?131514295

Using Evernote as a notepad: https://bit.ly/eGPlearningEvernote

RCGP Mythbusters site: https://www.rcgp.org.uk/training-exam...

📑 Link to a certificate of engagement: https://drive.google.com/open?id=1AE9...

Thank you to the Derbyshire GP task force for sponsoring this episode: https://gptaskforce.com/

⭐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.

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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...

Privacy settings for social media

Privacy settings for social media

July 11, 2019

How to change your privacy settings for social media- Facebook, Twitter and LinkedIn.

Do you know how to change your privacy settings on social media? Find out in this post.

22% of eGPlearners (responders to the quiz) do not. Making sure your privacy settings are set to your preference and up to date is a vital part of keeping you and your patients safe if you are using social media.

In this episode of the eGPlearning #TipThursday I show you how to change your privacy settings on Facebook, Twitter and LinkedIn so you can be sure you are sharing only what you want to share.

Facebook

See this section to learn how to do a Facebook privacy check-up. Also, see the privacy shortcuts that Facebook offers to support users.

Twitter

In this section, I show you how to change your privacy settings on Twitter including how to make your account private

LinkedIn

With a happy medium of content with privacy settings compared to Facebook and Twitter, watch this section to see how to get the most out of the professional social network.

Ensuring your privacy settings are up to date and set at a level you choose is vital to keeping both you, and your patients safe when using social media. I recommend checking them every 6 months to a year.

Have you?

⭐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 🔴

Various networks:

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

Social Media Guidance for Doctors: pre-SCRIBE

Social Media Guidance for Doctors: pre-SCRIBE

July 4, 2019

Social Media Guidance for Doctors and clinicians: pre-SCRIBE

Are you aware of the social media guidance that exists to keep doctors, clinicians and patients safe?

In this post, I show you various forms of formal social media guidance, why these are needed and explore my own easy to use version called pre-SCRIBE.

Following recent articles in magazines like STAT that have commented why doctors shouldn’t use social media, other reply articles by the organisation SoMeDocs and SELF have shown why doctors and clinicians should.

But the important part is like with any tool to use social media safely. 

Formal guidance exists like that from the General Medical Council (GMC), the Royal College of GPs (RCGP), the British Medical Association (BMA) and the American Medical Association (AMA) to name a few. 

These are detailed and less effective in the moment, so I would suggest using a quicker tool call pre-SCRIBE. pre-SCRIBE (before you write) stands for

  • Share
  • Confidentiality
  • Respect
  • Identity
  • Boundaries
  • Engage

This episode explores all these aspects and I share how they can be useful, including other tips to help keep you safe when using social media as a doctor.

Watch the episode here: https://youtu.be/vh1uOCFGkTk

Links:

STAT on social media restraint by doctors.: https://www.statnews.com/2019/06/10/doctors-social-media-restraint/

SELF article: https://www.self.com/story/social-media-doctors

SoMeDocs: https://doctorsonsocialmedia.com/

Reply article by SoMeDocs: https://doctorsonsocialmedia.com/doctors-should-dive-into-the-social-media-waters-stat/

GMC: https://www.gmc-uk.org/ethical-guidance/ethical-guidance-for-doctors/doctors-use-of-social-media

RCGP:https://www.rcgp.org.uk/social-media

BMA:https://www.bma.org.uk/advice/employment/ethics/social-media-guidance-for-doctors

AMA: https://www.ama-assn.org/delivering-care/ethics/professionalism-use-social-media

 

Acronyms of General Practice

Acronyms of General Practice

June 27, 2019

Acronyms of General Practice - a guide with the GP Taskforce

Do you know all the acronyms of General Practice? What the various organisations and names mean and how to navigate them. This session is sponsored by the GP Taskforce.

Below is listed the variety of organisations and acronyms you need to be aware of when working in General Practice.

Contact the GP Taskforce: https:///www.gptaskforce.com

https://youtu.be/dpAoug8G54c

Acronyms of General Practice- Governing organisations

NHS - National health service split into:

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

NHS Improvement : https://improvement.nhs.uk/

NHS X: https://www.nhsx.nhs.uk/

NHS Digital: https://digital.nhs.uk/

CCGs: Clinical commissioning groups

HSCA : Health and social care act : https://en.wikipedia.org/wiki/Health_and_Social_Care_Act_2012

STP: Sustainability and transformation partnerships/ plans

Acronyms of General Practice- Organisations that support GPs

RCGP: Royal College of GPs

CSA: Clinical skills assessment

AKT: Applied knowledge test

WBPA - Work based place assessment

RCGP Vale of Trent faculty: https://www.rcgp.org.uk/rcgp-near-you/faculties/central-and-east-england-region/vale-of-trent-faculty.aspx

First5: https://www.rcgp.org.uk/first5

BMA: British Medical Association - our Union

GPC: General Practice Committee - https://www.bma.org.uk/collective-voice/committees/general-practitioners-committee

JDC - Junior Doctors committee

ARM: Annual regional meeting

LMC: Local medical committee 

Nottinghamshire LMC: https://www.nottinghamshirelmc.co.uk/

Derbyshire LMC: https://www.derbyshirelmc.org.uk/

Acronyms of General Practice- New Structure organisations.

PCN: Primary care networks - https://www.kingsfund.org.uk/publications/primary-care-networks-explained

PCN CD: PCN Clinical director- https://www.bma.org.uk/-/media/files/pdfs/collective%20voice/committees/gpc/gpc%20england/pcn%20handbook.pdf?la=en

GP Federation - Wikipedia https://en.wikipedia.org/wiki/GP_Federation

ICP: Integrated care partnerships/ place

ICS: Integrated care system

HEE: Health education England https://www.hee.nhs.uk/

HEEM: Health Education East Midlands- https://www.eastmidlandsdeanery.nhs.uk/

CPENS: Community provider education networks. 

Acronyms of the General Practice contract

GMS: General Medical services - https://www.nhsemployers.org/pay-pensions-and-reward/primary-care-contacts/general-medical-services

PMS: Personal medical services- https://www.bma.org.uk/advice/employment/contracts/gp-partner-contracts/personal-medical-services

APMS: Alternative provider medical services

DES- Direct enhanced services

LES- Local enhanced services

Acronyms of General Practice- the monitors...

GMC - General Medical Council: https://www.gmc-uk.org/

PAG : Performance advisory group or professional advisory group

Performers list: https://www.performer.england.nhs.uk/

CQC: Care quality commission - https://www.cqc.org.uk/

Mythbusters: https://www.cqc.org.uk/guidance-providers/gps/nigels-surgery-full-list-tips-mythbusters-latest-update

Acronyms of General Practice - the protectors

MDO: Medical defence organisations

MDU: Medical defence union - https://www.themdu.com/

MPS: Medical protection society- https://www.medicalprotection.org/

MDDUS: Medical and Dental Defence Union of Scotland https://www.mddus.com/

MDS: Medical Defence Society- https://medicaldefensesociety.com/

 

CNSGP: Clinical negligence service for GPs

If need to report a complaint contact 

NHS Resolution: https://resolution.nhs.uk/

Or email: cnsgpnotification@resolution.nhs.uk or call 0208112700

GP Taskforce : https://gptaskforce.com/

GP-S : Mentoring. https://www.gp-s.org/

CPD engagement certificate: https://drive.google.com/open?id=1TdPriTgxZVfrOZoHRcOhblLX2b-gvHqw

⭐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/

Top medical equipment for General Practice (2019)

Top medical equipment for General Practice (2019)

June 13, 2019

Top Medical equipment for General Practice and GPs.

Watch as DrGandalf shows you the essential medical equipment you need to work in General Practice in 2019 by showcasing his equipment.

This video will show you which equipment you need and which can be helpful, with links to all the equipment and more below.

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Stethoscopes:

MDF Acoustica - https://amzn.to/2MHgmPN
Litman cardiology IV https://amzn.to/2MFtFQE
Litman classic II: https://amzn.to/2ZnMWaD
EKO: https://ekohealth.com/

Diagnostic kits:

Welch Allyn Prestige: https://amzn.to/2Wz6gzZ
Welch Allyn basic: https://amzn.to/2RisEgh

Cheaper set: https://amzn.to/2XGqlpw

Digital endoscope for use as an otoscope: https://amzn.to/2XHH9MP

Thermometers:

Braun 6020 thermometer: https://amzn.to/2ZluCyW
Extra caps: https://amzn.to/2ZogQvM
Thermoscan 7 colour change: https://amzn.to/2ZeEc6S
No touch BNT 400: https://amzn.to/2KMdrmb

BP monitoring

Welch Alyn durashock cuff : https://amzn.to/2XBBYOA
Omron M3 intellisense: https://amzn.to/2KddGHp
Large cuff: https://amzn.to/2RayDDs

Sats probes:

Ana wiz basic: https://amzn.to/2KLRCmD
Ana pulse new: https://amzn.to/2KLS3gL
Alternate sats probe: https://amzn.to/2Rd9Pem

https://youtu.be/JddoeK5JcRw

Other medical equipment for general practice:

Glucometer: https://amzn.to/2Zjilen

Tape measure: https://amzn.to/2KJpkt3

Tendon hammer: https://amzn.to/2WCS3Hp

Urine testing strips: https://amzn.to/2WzuuKm

Non-latex gloves: https://amzn.to/2KMdYob

Tongue depressors : https://amzn.to/2WKdMxb

Basic first aid kit: https://amzn.to/2Zlp7QN

IMAK wrist rest: https://amzn.to/2WBYMw1

Overshoes: https://amzn.to/2WAlhBI

Camelbak water bottle: https://amzn.to/2KH1NJr

3l storage box: https://amzn.to/2WzVDSm

Customize stickers: https://amzn.to/2EZPPXF
Star patient stickers: https://amzn.to/2RanrHh

⭐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 get a job in General Practice (2019)

How to get a job in General Practice (2019)

May 30, 2019

How to get a job in General Practice (2019)

If you want to know the types of jobs for GPs and how to get them, then watch this video and see tips from myself and Dr Jodie Blackadder-Weinstein (RCGP First5 Chair).

How to get a job in General Practice (2019) - Shownotes

0.58 Don't be overwhelmed

2.26 Finding locum work

3.00 Locum agencies

3.17 Locum network agencies - such as Lantum, RLocums etc

3.50 Free locum agencies - such as 999111

5.20 Just ask

6.00 Have written terms and conditions

6.45 Salaried jobs

7.12 Negotiate

9.28 The importance of regular practice catch up time

10.26 Partnership

11.37 Ask about the finance

13.05 Other GP roles in primary care

14.52 How to get your CCT

15.00 Appraisal

15.34 Subscribe to eGPlearning Podblast

17.30: Tech enhance your CPD

18.23 Joining appraisal networks

20.07 Consider your local RCGP faculty

21.00 Contact your LMC

22.50 Find your tribe

https://youtu.be/rjrNNH5AL_c

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Public Narrative for Primary Care Networks

Public Narrative for Primary Care Networks

May 16, 2019

Do you want to know how to share your story better to improve engagement as a leader - then consider using the public narrative? Hear from experts on how to create your own public narrative.

Using the public narrative is a way of sharing personal stories to convey a message and leading to a call to action. With primary care networks growing and a new generation of leaders coming forward, is the public narrative a way to help shape the network and improve engagement?

In this episode, I talk to Claire Thomas a salaried GP and owner of Clairemariethomas.com and Stuart Jackson of ICE creates. As they teach me about the public narrative and how it might benefit you, your network and your patients, particularly in sharing a unified, effective message.

Choose your platform of choice below.

Helen Stokes-Lampard talking about Enid shaped care:

https://youtu.be/MbqVDHbL7Wo

Barak Obama democratic conference video: https://www.youtube.com/watch?v=OFPwDe22CoY

Marshall Ganz: https://www.youtube.com/watch?v=g7CW_10C7lQ

Prince Harry interview on his mental health: https://www.youtube.com/watch?v=Z60ERms-bsY

Clean Language: https://cleanlearning.co.uk/resources/faq/what-is-clean-language

Contact Claire or Stuart below:

Claire Thomas: http://www.clairemariethomas.com/tag/storytelling/

Stuart Jackson: http://www.icecreates.com/

 

Online Patient Consultation tips: Top 5 (2019)

Online Patient Consultation tips: Top 5 (2019)

May 9, 2019

 

Online patient consultation tips (2019) - my top 5 tips...

 

Do you want to know the best way to get the most out of your online consultations?

 

This video covers my top 5 tips for patients having a video consultation with a GP or clinician.

 

Following these tips will make your consultation easier, safer and more effective for both you and your physician.

 

Tip 1: Identity check

 

Tip 2: Internet data connection

 

Tip 3: Dress code

 

Tip 4: Privacy (and an extra tip - headphones)

 

Tip 5: Documentation.

 

Watch this video for more details by clicking the image below.

 

Online patient consultations, here is my top 5 tips to get the most out of your consutlation

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

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

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 prescribe an app using ORCHA

How to prescribe an app using ORCHA

April 18, 2019

Do you want to know the best way to prescribe an app for a patient? Watch this video and learn how to do it (and for free...)

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

In this video, I show you how to use ORCHA to evaluate and prescribe healthcare apps to your patients safely and effectively.

Also, check out https://www.egplearning.co.uk/ORCHA for a free three-month trial offer.

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

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/

PCN and GP Practice planning tool- DR PESTLES

PCN and GP Practice planning tool- DR PESTLES

April 4, 2019

If you want a resource to help you plan your primary care network (PCN) or GP practice then use DR PESTLES.

This video explains the resource and how you can use it to plan local healthcare delivery.

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

DR PESTLES helps you explore the strengths, weaknesses, opportunities, and threats of the following areas that can affect your practice or PCN:

- Demographics
- Regulatory
- Political
- Economical
- Social
- Technology
- Legal
- Environmental
- Services

To access spreadsheet use the link below.

https://mailchi.mp/021afa3605bd/drpestles

To access the support document, sign up as an eGPlearner and access the GP productivity page on the website.

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

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/

Equipment to record patient consultations for teaching – a guide

Equipment to record patient consultations for teaching – a guide

March 28, 2019

A part of GP training is being able to record patient consultations for teaching purposes. But what equipment do you use?

This Podcast will explore the best equipment to record patient consultations for training practices and cover options for various budgets to help you decide. For the full article see the blog article:

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

For the video click here

In this podcast I cover a variety of options:

01.30 Webcam - Logitech C920 - https://amzn.to/2Tuznrx
03.25 Tablet - iPad - https://amzn.to/2NSRYaC and stand- https://amzn.to/2CcjcEK
05.25 Smartphones
06:00 Camcorder - https://amzn.to/2CmjLvV
07.00 External microphones
0730 DIY rig - https://egplearning.co.uk/technology/equipment-to-record-patient-consultations-for-teaching-a-guide/
07.50 Shotgun mic - Takstar 598 - https://amzn.to/2NZ77HP
08.30 Manfrotto stand - https://amzn.to/2F0axXL
08.45 SD cards - https://amzn.to/2HsgG0F
09.00 IRIS Discovery kit GDPR safe system - https://www.irisconnect.com/uk/products-and-services/video-technology-for-teachers/

If this was helpful leave a review.

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Apps for nurses + and other tools

Apps for nurses + and other tools

March 21, 2019

Apps for nurses + and other tools

Do you want apps for nurses, pharmacists, physician associates or other healthcare professionals to help in primary care?

Then watch this and see tools to help you in practice, help patients, your learning and benefit you.

Click the image below to watch the full video.

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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Covered in this episode:

  • Tools to help you in practice
  • Tools to help patients
  • Tools to help your learning
  • Tools to help you

For the slides and all the links click here or below:

Tools to help in practice:

Tools to help patients

Tools to help your learning

Tools to help you

To get the slides sign up here:

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

Money advice for GP locums, partners and practices

Money advice for GP locums, partners and practices

March 14, 2019

Watch this video to learn all the important financial and money advice tips when you work as a GP locum, partner, salaried, portfolio doctor and even as a GP practice.

Useful for anyone in primary care including covering IR35, new tax, pension (including NHS pension) and tech tool tips and more.

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02.10 Claim back exam fees
04.00 Register as self-employed especially as a locum or partner
05.58 Designated business account - how and why.
07.37 Register with an accountant. Consider : Folman & Co http://folmanandco.co.uk/
08.54 Should you use the practice accountant or not?
11.00 Pensions!!! A brief explanation of this complicated area.
14.35 Submitting pension payment forms and the Capita amnesty on this…
16.00 GPSurvival signposting as a guide to sort out your pension access - https://membership.generalpracticesurvival.co.uk/
17.20 What can I claim my tax back for?
20.30 Can you claim tax back for your home use?
22.00 Insurance claims and others…?
23.35 Making tax digital
24.30 Accountancy software like Xero and Quickbooks - what you should consider using as a practice or as a locum
28.30 What is IR35 and how does it affect you as a GP?
30.25 Working as a limited company as a GP.
32.20 Contact Jenny Folman at either www.folmanandco.co.uk or folmanandco@gmail.com.

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Budget tool fo GPs

Budget tool fo GPs

March 7, 2019

Do you need a Budget tool as a GP?

There are lots of tools to help you budget your finances, but none that are specifically designed for GPs. Until now.

Watch the video here and watch how the eGPlearning GP budget planner may help to keep track of your finances.

 

To access the tool go to the GP productivity page here.

 

This simple to use budget tool can be used in Microsoft excel or Google drive and is free to use and access till 14.3.19. After which simply join the eGPlearning mailing list below to continue to get free access.

 

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How to use email in General Practice

How to use email in General Practice

February 28, 2019

How to use email in General Practice

After Matt Hancock announced that email should be used over faxes and even post for communication with patients, some practices may be struggling to understand how to make these changes. This video post will highlight some of the areas to consider and tips on how to do this.

Set up
What system will you use- currently approved are nhs.net and office365. Criteria for other providers can be found here. https://digital.nhs.uk/services/nhsmail/the-secure-email-standard
It is worth having a patient facing inbox/address and a practice-based one for different communication routes. Consider different ones for results/ prescribing etc.
Suggest a generic email address for each to manage with a clear description as part of the email address ie prescriptionspracticeX@nhs.net or appointmentsSurgeryY@office365.com as examples.
Consider who and how often you will monitor the inboxes
Establish as a practice how the additional time needed to run emails will be used, especially if clinically based
If this is a system change, make this public. Use waiting room displays, footers on letters, social media platforms and patient participation groups (PPG) to advocate the use. Even consider a link on the prescription counterfoil.
Test wording of standard letters to make sure the practice is happy, even agree with indemnity provider or PPG if appropriate.
Email communication is part of the clinical record. Look at how this will be stored or transferred. If standard letters are used these may not need adding directly, but a clear system for recordings like templates or autoconsultations/macros should be used.
Consider using mailing list providers to help make this process easier, however, discuss with your local IT department on governance of providers.

Sign up
Abide by the data protection guidelines like GDPR, collecting information for what you need. Use either sign up sheet or confirmation via SMS/email with a link to your rules. A key tip is make this public ie on your website and use the link to share- easy via email, SMS or other. Make this the central governance hub for all your documents so you only have to update one place.
I would recommend adding a box that the patient agrees to all disclaimers as per below. This should be repeated in the confirmation message.
In this sheet/link be clear about how the practice will use the communication ie - sharing results, clinic letters, appointment information etc. If unsure or starting, try areas you are comfortable with and progress from there.
Use a template or autoconsultation/ macro to make this process easier for staff to support patients.
On sign up, instill a test email or SMS is sent at that time to confirm the identity and accuracy of the information given.
In this test email or message include a link to whitelisting emails. This is where a user confirms this is an email they want to receive. Include this in the footer of your emails as well which will help to ensure the messages do not end up in the junk folder. The following is an excellent link which shows this information

https://www.whatcounts.com/resources/checklists/how-to-whitelist-emails/
An additional option to help patients is to guide them to use folders to sort their emails from the practice.

 

Disclaimers:

Also, include a disclaimer about patients protecting their data once they have received it. A practice is not responsible for onwards use or transmission of email or text message once it has been received by the patient/service user
Include also that maintaining the integrity of the contact method ie correct number is the responsibility of the patient.
Commercial email providers are not as secure as those systems used in the NHS so include a line about being aware (and accept) that there is a risk (however small) of the email being intercepted or ‘hacked’.
Also include a line about which staff will access this data, ie admin, reception etc. This may help to prevent complaints at a later stage.
Recommend that the email or mobile number used is a personal one, not business or family one to support confidentiality. This is still the patient’s choice but an added disclaimer on the above would be prudent.

No-reply inboxes

One concern many clinicians have is being emailed about a critical symptom which may not be picked up till later and a negative impact. This also includes inappropriate clinical contact ie sending a prescription request but also asking a clinical question. One method to tackle this is with an automated no-reply message from the designated inbox.
Consider using a name rather than ‘donotreplypracticeX@nhs.net’ This may help engagement ie PracticeXresponse@nhs.net or DrYatPracticeZsays@nhs.net
Have a standard automated response. This may need tailoring for the time of day. Software exists to support this.
Use appropriate wording. Some examples are:
Thank you for getting in touch, unfortunately, this email is an automated notification, which is unable to receive replies. We’re happy to help you with any questions or concerns you may have. Please contact us directly at…..
If you wish to contact us, please do not reply to this message but instead contact the practice. For services like requesting your medications, booking appointments or viewing your records it may be easier to sign up to online access here. Replies to this message will not be read or responded to.
Please do not reply to this message. Replies to this message are sent to an unmonitored mailbox. If you have any questions or health concerns contact the practice at:

Clinical use of emails:
As the above look at your processes.
Remember that email can be effective for service information sharing, review of patients already seen and delivery of resources but may not be effective for new problem consultations.
Ensure an auto-response email is sent outlining the timeframe clinical emails will be reviewed in. NHS England recommends 24 hours. I would further clarify this to include a standard working day ie not including weekends or bank holidays.
This receipt email should also have a disclaimer about clinical direction ie this service is not regularly monitored. Any urgent health issues contact the practice at: or contact 111 if between these times…..
Ensure all reply emails have standard footers with disclaimer information and contact information.

For any comments or feedback contact me directly below or @drgandalf52 or @egplearning.

 

 

 

 

 

to change your user preferences in SystmOne

to change your user preferences in SystmOne

February 21, 2019

Do you get frustrated with not knowing how to make TPP SystmOne work better for you?

Watch this video as part of the eGPlearning #TipThursday to see my personal recommendations on how to tweak it to your needs including reducing excessive notifications and making tasks and letter workflow work smarter.

Commented as an avid user and admin of S1 FBUG (unofficial but awesome user group for S1) which you can join too.

(pssstt...remember to answer BOTH compulsory questions. Feel free to join the mailing list too for more resources.)

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Is Clockify the time tracking tool for primary care?

Is Clockify the time tracking tool for primary care?

February 14, 2019

How can you easily track all those time sinks in primary care without resorting to the limited method of pen and paper?

What is the best way to track the time your staff and peers use in practice?

Clockify is a tool that allows you to track time and do it easily, effectively and for free across the entire team.

https://clockify.me/

Watch this video to see the whole review.

At the time of filming it is even more pertinent as the GP news magazine PulseToday has launched their GP workload survey. If you are a GP and watching this before the 15.2.19 please fill in this survey.:
https://www.surveymonkey.co.uk/r/gpworkload2019

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The best primary care paediatric resource: Paediatric Pearls?

The best primary care paediatric resource: Paediatric Pearls?

January 31, 2019

What do you think is the best primary care paediatric resources?

In my experience, I have yet to find a complete resource that beats the paediatric pearls website.

The best primary care paediatric resource: Paediatric Pearls? Click image to watch the video

Created by Dr Julia Thompson and her team, based in London working for the NHS, paediatric pearls regularly produce and update paediatric newsletters for both primary care (general practice) and emergency medicine. In addition, they collate guidelines for condition management and referral guidance for most paediatric conditions.

As a result, paediatric pearls is an excellent resource for helping with your continuous professional development (CPD/ CME) especially for GP trainees (AiT).

Check out the site above or find it on our eGPlearning Paediatric resource page.

 

Alternately, contact them on Twitter: @Paedspearls on Twitter

 

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Best Facebook groups for GPs and primary care

Best Facebook groups for GPs and primary care

January 24, 2019

This video showcases the variety of Facebook groups for GPs, primary care, and doctors.

 

It explains the reason for wanting to join the various groups and the importance of each.

 

Finally, the video shows how to get the most out of a Facebook group.

 

For links to the groups see the post below as shown in the video:

https://egplearning.co.uk/ramblings/facebook-groups-for-gps-and-primary-care/

 

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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The best haematology app? Buku Haematology

The best haematology app? Buku Haematology

January 17, 2019

What is the best haematology app?

Watch this review of Buku Haematology - a useful clinical reference resource that details how to manage haematological investigation results, work up for common haematological conditions and emergencies.

With a clean interface and clear explanations and reference to BMJ, CKS and national guidance it really is a valuable resource for anyone in primary care.

The highs and lows section covers individual test results and the implications of them to help clinicians understand how to manage the results in the context of each patient.

The coagulation section gives useful guides on problems with coagulation including FAQs on DOACs like Rivaroxaban.

The workup section explains common presentations and considerations for haematological conditions and how to manage from a primary care perspective and what point to refer.

The obstetric section has useful criteria for managing anaemia in pregnancy. The emergency section helps guide how to manage complex haematological emergencies.

Created by Dr Alex Langridge and Prof Steven O'Brian it really is a useful app that is updated in content on a regular basis.

Check out this app in detail use the link below to download it: https://bukuhaem.appyourself.net/?web...

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Must own GP app- Nottinghamshire LMC

Must own GP app- Nottinghamshire LMC

January 10, 2019

Must own GP app- Nottinghamshire LMC app

Hi #eGPlearners , with millions of apps out there how do you know which ones you should use. Try one of my top 5 apps as a must own GP app- the Nottinghamshire LMC app. 

Watch the video here and do not forget to subscribe to be the first to see future episodes. 

#TipThursday

The Nottinghamshire LMC app in my view is a must own GP app. 

It contains multiple resources useful for any GP at any stage of their career.  Linking to BMA resources means that although Nottinghamshire centric, the app is relevant to GPs in any geographic location. This includes a guidance section which is kept up to date, resources for partners, trainees, practice managers, and sessional GPs. 

The app contains useful news links and contact details including local LMC events (Nottinghamshire focused). 

The SHOP library allows you to share experience and innovation while the services section links to valuable resources offered by the LMC. 

Finally, the Wellbeing section is diverse with multiple resources, tools, and links to financial, mental health, well-being, support and self-development help. 

I find this a truly useful app with multiple resources. One development could be to enhance reporting like the BEAM to LMC app offered by the Londonwide LMC. 

Take a look and download the app from the link here

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Are you hoping for a Dry January?

Are you hoping for a Dry January?

January 3, 2019

Are you hoping for a Dry January?

 

Hi #eGPlearners - are you hoping for a Dry January? Check out this Dry January app review on how the app works and whether it is useful for individuals or patients. 

Click on the image below to see the full video or read below. 

 

dry_january_thumbnail.png

It is reasonable to assume that alcohol drinking increases over December with Christmas parties, festive celebrations over the holiday period and New Years which also culminate in lesser-known occasions like Black eye Friday. 

But with a new year comes change and a slew of new years resolutions. Many may participate in Dry January - where you do not drink alcohol for the whole month. To support people,  the Alcohol Change UK charity has created the Dry January app, but is it any good?

The app is easy and free to download. It asks for your current drinking habits and lets you add this quickly and easily. Presenting you with an approximate unit intake, cost and calorie intake per week is also a good set of metrics to use. 

The app does ask if you want to contribute and savings you make as a pledge. I think this is reasonable as the Alcohol Charity UK have created this app for free and offer you the choice. Better yet- even if you pledge it is only a percentage of the savings you have made so technically you are not paying for it. 

Logging your habits is easy and customisable. The main dashboard provides clear information and some resources to support you. 

However, I think the app could be improved. while Dry January can be a useful idea, for those significantly high drinkers stopping suddenly can be dangerous and clearer warnings on this would be more ideal particularly when logging your intake. Also signposting to regional support services would be a more useful way to use the app. 

Overall, I like the app and think it works better than many of the tools in the patient health records I use. If it leads to a permanent change in drinking habits this can be really helpful, although it is important to remember that boom or bust methods to cut vices can sometimes lead to rebound use which can be just as damaging to a person's health. Subjectively many clinical colleagues mention higher admission rates for alcohol misuse in the first two weeks of February and Dry January may be the cause. 

 

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Do you need some Headspace?

Do you need some Headspace?

December 20, 2018

Hi #eGPlearners do you need some Headspace?

Working in healthcare whether as a GP, part of the primary care team or in hospitals can be emotionally stressful. There are many ways to manage stress and lately mindfulness is seen as an effective tool to support stress management. But access can be tricky – so let us look to technology to help in the form of Headspace.

  • Edit
 
 

Headspace was founded in 2010 by Rich Pierson and Andy Puddicombe (who wrote the Headspace guide to Mindfulness and Medication).  The Headspace platform offers unique content varying from guided meditations to animations and videos via the Headspace website and mobile app, teaching users the techniques of mindfulness.

The app is free to download and use with extra features behind a subscription paywall. These extra functions include modules to help deal with stress,  difficulties in focusing, sleep issues, chronic pain,  fear of flying and more. It also has dedicated sections to help with younger people such as settling the active child at night. 

The variable module length is useful with a minimum of 3 minutes meaning anyone can use at some point in the day. 

I love the animations which do draw me in, and the interface which is easy to use. The guided meditations work well and its simplicity is a key reason I do recommend this app to patients as well. With often limited timely access to mental health support, I have found this a useful tool for several patients as an adjunct to their treatment.  Just simply switch on the app, select your module and time length, audio or headphones on and go. 

The app also continues to work if you have to multi-task with your device. I accept this may defeat the object of guided mindfulness- but a useful feature to know about. 

Additionally, the app is resource packed including the obstacle section in the settings which are short free modules which offer advice on overcoming obstacles when trying to use the app such as worry, posture, stiffness, pain etc. 

With the rise of AI assistants like Google Home, Siri, and Alexa you can also set Headspace to run from these systems like using the Headspace Skill for your Amazon Echo

As mentioned the extra modules come at a cost. Last year Headspace was offered as part of the BMA membership at a reduced rate (as mentioned in a previous eGPlearning Podblast episode).

Currently, the app is on offer for £44 for a year compared to £9.99 a month or £72 a year if paid annually. 

Another option is to sign up at a reduced rate via Anxiety UK as part of their membership. 

I do like the interface and it is simple to use, however, I would like to change the voice if possible to customise it more, also I can see how social sharing of goals can be a valuable asset, much how many running apps use this method as a motivator. However, I can also appreciate this is not a feature all users would want given how physical health and mental health are viewed. 

Feel free to given Headspace a try either for yourself or for patients. 

Do not forget to subscribe to our various channels and feel free to comment below or on the various channels. 

#TipThursday

(ps. I receive no benefit from eGPlearners signing up to Headspace, however, some affiliate links to other resources on this page).