Michael’s blog

  • ‘Culture eats strategy for breakfast’24th November 2017I left the conference wondering how as new organisations form with time and energy set aside, to develop cultures that promote improvements, rather than becoming focussed on strategies and structures to achieve scale at pace?
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  • Are federations in search of a purpose?18th December 2017It was clear by the end of the day, having also considered with NHS collaborate some of the leadership challenges of GP at scale, that there is no single model that can be implemented throughout the country each organisation must evolve to meet the needs of its local population.
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  • Can we deliver Enid-shaped care if we move to working in larger organisations?23rd October 2017In his latest blog post, Dr Michael Mullholand, RCGP Clinical Support Fellow for GP at Scale, reflects on whether new models of care at scale can enable GPs to deliver person-centred care.
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  • Collaboration at Scale27th March 2018The focus of much the discussion around GP at Scale was initially based around the organisational structures being set up to deliver care to larger populations and what size these worked best, whether 30, 50, 100000 or bigger. As a result, all sizes of GP partnerships and organisations exist across the country with, as the Nuffield Trust RCGP survey described last year, most GPs working in several organisations of different size.
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  • Collaboration in General Practice – Primary Care Networks (Survey)15th February 2019As a follow-on from the 2015 and 2017 RCGP/Nuffield Trust surveys, the RCGP is releasing a 2019 survey to understand the landscape and integration of primary care: What have been the changes and challenges? How are people progressing and operating in collaborations and networks? How much integration is there in the system and how much of it is led by primary care?
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  • Does working at scale mean ‘big money, big carparks, big distances’?6th October 2017In his first blog post, Dr Michael Mullholand, RCGP Clinical Support Fellow for GP at Scale, invites us to consider what quality at scale means to people and organisations working at scale.
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  • Form or Function, which comes first in new models of Primary care at Scale?25th May 2018Do the circumstances practices and practitioners find themselves in due to funding, work load or workforce crises dictate that a new form is needed to enable primary care to be sustained?  Or are organisations forming to meet specific needs of their population whether they be improving care pathways, efficiency, to increase opportunities for workforce development or have a stronger voice for primary care at local or regional level?
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  • Guest Blog – Dr Aumran Tahir: The B word25th June 2019In implementing data analytics in our practices, it is worth making the point that our objective isn’t to simply drive down costs, even though you will be pleased to hear that this is often a welcome result. We use IT to create solutions that analyse data and provide useful insights that help improve patient care quality, or provide the infrastructure necessary to manage General Practice efficiently, supporting our front-line staff sustainably.1 comment
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  • Guest blog – Dr Ishani Patel: Workforce Reimagined – the digital future of primary care homes and networks31st May 2019Since 2015 the National Association of Primary Care (NAPC) have supported the setup of over 230 primary care homes (PCHs) exemplifying par excellence what primary care networks (PCNs) can achieve. By 2023/24, PCNs are expected to receive approx. £1.8bn which includes funding for 20,000 more health professionals
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  • Guest blog by Dr Geoff Schrecker – coming soon: changes to patients’ data choices. Are you ready?29th March 2018OK, I know that data and information governance is not as exciting as clinical medicine but getting it right is essential, and getting it wrong could prove very expensive. On 25 May this year the General Data Protection Regulation comes into force, and the new National Data Opt-Out goes live the same day. Practices will need to understand and be ready for these changes.1 comment
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  • Guest Blog by Dr Ishani Patel: The Digital Revolution in Primary Care31st May 2018It is currently felt within NHS primary care organisations that sustainability and meeting the demands of the ever growing and ever complex population can only be implemented if providers can deliver certain elements of it at scale. NHS England’s GP Forward View is encouraging providers to become ‘larger scale’ either through joining forces or through growth to cover larger population groups.
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  • Guest Blog: Avoidable Appointment Audit, Primary Care Foundation29th November 2018Primary Care Foundation have developed a simple tool for reviewing workload within your practice and exploring how things might be managed differently in the future. So far, 450 practices have received reports and a new, fully automated web-based tool is now available at no cost to all practices across England, as all the development work has been fully funded by NHS England. All practices can register for the audit by going to the top of the Home Page of the Primary Care Foundation website.
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  • Guest Blog: Social Prescribing and PCNs24th October 2019Primary Care Networks (PCNs) are recruiting social prescribing link workers to work as part of PCN team. The funding available for the additional link workers in PCNs covers 100% of the individual’s salary
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  • Guest Blog: Working At Scale Supported by RCGP29th November 2018Dr Ishani Patel (GP, Lantum) spoke with GP at Scale Clinical Champion and College Vice-Chair, Dr Mike Holmes to understand his ‘working at scale’ journey since 2002, from overcoming the challenges at practice level as a partner at Haxby Group to working with multiple practices at a Federation level as Chair of Nimbuscare Ltd in York. They also discussed how he is supporting GP providers across the country to implement their own ‘at scale’ vision with the RCGP.
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  • Wider Clinical Team in Practice27th July 2018The Kings Fund report this month on Innovative Models of General Practice describes 5 core attributes of general practice with person-centred holistic care at the core, surrounded by accessible care, continuity of care, coordination of care and a community focus. The report goes on to describe some characteristics the authors believe will be needed for organisations to deliver this sort of care, including building and maintaining strong relationships between:
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