Health On The Line
Dr Neil Modha: We've tailored our workforce to the needs of our population
Do we truly appreciate what is possible when primary care entrepreneurship is unlocked? In this episode, Matthew Taylor goes behind the scenes at Thistlemoor Medical Practice, a pioneering general practice in Peterborough led by Dr Neil Modha. Serving an inner-city population of close to 30,000, the practice has radically evolved its approach to meet local needs. Discover how the practice and wider primary care and system partners are working together to improve population health, reimagine the workforce, redesign pathways and adopt a more proactive approach to care. With the much anticipated workforce plan on the horizon, Dr Modha considers what it must enable and how, on the eve of the Fuller stocktake’s first anniversary, he is putting the principles into reality.
Dr Modha is also clinical director of the Central Thistlemoor PCN, chair of Greater Peterborough Network GP Federation and co-chair of the Cambridgeshire and Peterborough ICS North Place Board.
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4. Prof Sir Chris Ham: We need a culture of commitment to improvement, not compliance39:03The NHS has renewed its focus on improvement, with integrated care systems charged with becoming ‘self-improving systems’ across England. While a necessary challenge, no other country in the world has undertaken improvement at this scale. In this episode, Matthew Taylor sits down with Prof Sir Chris Ham to unpack the system model of improvement – what it means, where it is working well and how it can shift the dial. It draws out key lessons from Sir Chris’ report, commissioned by the NHS Confederation, Health Foundation and Q community, on how to improve health and care at scale.
3. Lord Markham CBE: NHS capital, innovation and economic regeneration38:56Are changes needed to the NHS’s capital programme? In a first for Health on the Line, Matthew Taylor puts the question directly to the minister in charge. Tune is as Lord Markham CBE shares his views on the New Hospitals Programme, capital funding cycles and approvals processes. Get his take on the NHS’s role in economic regeneration, investment in out-of-hospital care and how to tackle the ‘innovation paradox’.
2. The data dilemma: Does data help or hinder patient care in mental health?35:37In June 2023, the final report from a minister-commissioned review was released; the report followed a rapid review into data on mental health inpatient settings. In this episode Dr Geraldine Strathdee, chair of the review, talks to Mental Health Network chief executive Sean Duggan about its key findings and recommendations. Delve into the detail of how data across the system can enable people to make better decisions to improve lives and care.
1. Is health beyond the hospital the key to alleviating system pressures?52:36From the NHS Confederation's Health Beyond the Hospital conference, Matthew Taylor hosts a discussion on out-of-hospital care and how novel collaborative approaches can lead to unexpected benefits. Coinciding with the launch of our report Unlocking the Power of Health Beyond the Hospital, Matthew is joined by Daniel Elkeles, chief executive of the London Ambulance Service NHS Trust, Karen Jackson, chief executive of Locala Community Partnerships CIC, Miriam Deakin, director of policy and strategy at NHS Providers and James Sanderson, director of community health services and personalised care at NHS England.
17. Isabel Hardman: We go too far with the NHS as a religion analogy36:13Author and journalist Isabel Hardman discusses how from its inception the NHS has always had a unique political undercurrent running alongside the day-to-day healthcare challenges. On the launch of her new book on the history of the NHS, she reveals how successive governments and health ministers have approached the challenge of dealing with one of the UK’s most beloved institutions. Isabel’s new is book is “Fighting for Life: The Twelve Battles that made our NHS”
16. Integrated care systems: one year on35:59A year on from their establishment as statutory organisations, how are integrated care systems (ICSs) getting on? In this episode, Matthew Taylor puts the question to three system leaders, exploring what's working well, what remains to be solved and the difference system working is making locally – to patients, communities and staff. Recorded at NHS ConfedExpo just ahead of the government’s response to the Hewitt review, the conversation explores the issues of accountability and autonomy and where next for systems.Hear from Amanda Sullivan, chief executive of Nottingham and Nottinghamshire ICB, Kevin Lavery, chief executive of Lancashire and South Cumbria ICB and Patrick Vernon, interim chair of Birmingham and Solihull ICB.
15. Dr Raghib Ali: We need a cross-society effort to improve health34:14What will it take to crack the prevention nut? In this episode, Matthew Taylor puts the question to Dr Raghib Ali, chief medical officer and joint chief investigator of the pioneering Our Future Health programme. Discover all about the ambitious research programme, why preventative healthcare is mission critical and why data plays an important role in reimagining healthcare. Plus, get his take on why a more nuanced approach to health inequalities is key.
13. Dr Elliot Street: Reimagining surgical training34:24For clinician turned entrepreneur Dr Elliot Street, elite sports training ignited an idea about how to turn surgical training on its head. In this episode, the award-winning clinician, co-founder and chief executive of Inovus Medical explores why surgical training methods were due an overhaul and his efforts to lead the charge. Hear his take on the barriers and enablers to innovation in the NHS, his lessons learned so far and practical advice for budding innovators.