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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  • 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 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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  • 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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