Talking General Practice
Physician associate concerns, RCGP definition of a GP, LMCs to debate GP contract changes
This week on the podcast Emma and Nick talk about physician associates after the BMA GP committee in England voted in favour of a strongly worded motion that called for an immediate freeze on recruiting these roles in general practice. They also look at plans for regulating PAs by the GMC, which is also causing concern in the medical profession.
They also discuss the RCGP’s new definition of what a GP is, and they look ahead to the England local medical committee conference at the end of this month and some of the motions relating to the GP contract that are up for debate.
Our good news story this week is about prescribing of DOACs in primary care and the impact this has had on stroke prevention.
This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.
Supervising physician associates – what GPs need to know - advice from the MDU
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27. Why can’t I see my GP? Writing a book about the GP crisis20:57Emma speaks to GP and author Dr Ellen Welch about her latest book Why Can’t I See My GP? which was published this month.The book looks at the current state of general practice, why we have reached this point, and puts forward ideas on what needs to be done to address the problems. Along with her own views the book includes personal accounts from GPs and others about their experiences.In this interview Ellen discusses the process of writing the book and why she chose this topic, what she learned during the process of writing it and what she thinks needs to happen to address the current crisis facing general practice.The Doctors Association UK is sending a copy of the book to every MP to raise the alarm about the state of primary care and Ellen also talks about what she hopes this will achieve.This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.Useful links● Why Can’t I See My GP (Amazon link)● Viewpoint: Patients and GPs are unhappy with access to general practice, what's the solution? (from GPonline)
26. What does the 2024/25 contract offer mean for general practice?28:30Last week the BMA rejected a contract offer for practices in England that would deliver a 1.9% uplift in funding. In this episode of Talking General Practice the GPonline team looks at what we know about the deal that’s currently on the table.They discuss what a 1.9% funding uplift would mean for practices, what the BMA, grassroots GPs and Labour think about the deal, and what happens next – including whether industrial action could be on the cards.In other news, they look at what’s going on with regulation of physician’s associates and the ongoing debate about their use in the NHS. And this week’s good news is about Northern Ireland.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen.Useful linksWhat do we know about the 2024/25 GP contract offer?'Insulting' 1.9% uplift threatens £50,000 black hole per average practiceLabour says 1.9% GP contract offer ‘devaluing general practice'Dr Katie Bramall-Stainer: It's time to stop ignoring reality - GPs need more fundingMost doctors say working with physician associates has increased workloadLords set for full debate on physician associates after pressure from doctors
25. Why good practice managers are more crucial than ever34:26Robyn Clark is a managing partner in a practice in Gloucestershire and a founder and director of the Institute of General Practice Management.On this episode of Talking General Practice she talks to Emma about the challenges facing practice managers in the current climate, what needs to be done to cut bureaucracy in general practice – including how the QOF needs to change – and what practice managers are hoping to see from the next GP contract.Robyn also explains the current financial pressures facing GP practices, and discusses what NHS England and GP partners should be doing to support managers and recognise the vital role they play.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksInstitute of General Practice ManagementFrom GPonlineViewpoint: Investment in practice managers is a step towards saving general practiceAccreditation for practice managersFind out more about our website GP Business and how to subscribe here.
24. GP funding cuts, problems at the primary care interface, measles concern22:19In this week’s podcast the team discusses GP funding after analysis by the Liberal Democrats showed a real-terms fall in practice funding during the past four years. Meanwhile, government figures have also shown that the share of NHS funding going to primary care has fallen to an eight-year low.They also talk about problems at the primary care interface - the interface between practices and other parts of the NHS, including hospitals, community services and mental health services – and how it is wasting millions of GP appointments every year.And they look at the latest on measles and MMR vaccine uptake after the UK Health Security Agency last week declared a national incident because of rising cases of measles.Our good news story this week is about the Friends and Family Test.This episode was presented by GPonline editor Emma Bower, deputy editor Nick Bostock and senior news reporter Kimberley Hackett. It was produced by Czarina Deen.Useful links● Which ICB areas have seen the largest drops in real-terms GP funding?● RCGP warning as primary care share of NHS funding hits eight-year low● Solving NHS 'interface' chaos could save 6m GP appointments a year● NHS England launches catch-up MMR campaign amid rising measles cases● GPs told to wear PPE when seeing suspected measles cases
23. How can we tackle racism in medicine - with Dr Chaand Nagpaul42:20Talking General Practice speaks to former BMA chair Dr Chaand Nagpaul about the extent of the problem of racism in the medical profession and what we can do to address this.Dr Nagpaul is a London GP, a former chair of the BMA GP committee, and in 2017 he became the first person from an ethnic minority to chair the British Medical Association - a post he held until 2022.While he was chair the BMA set up a national forum for racial and ethnic equality - the first time it had such a group. It also conducted a landmark survey in 2022 to establish the scale of the issue of racism across the medical profession and how it affects doctors’ wellbeing and their careers.In this conversation Dr Nagpaul explains some of the key findings from that survey and what he believes the NHS and the medical profession need to do to tackle racism. He also talks about the impact racism has on doctors and how it affects patient care, how we can address differential attainment in medical exams and disparities in GMC referrals, as well as the importance of having more leaders in medicine from different ethnic groups.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.Useful linksBMA FREE (forum for racial and ethnic equality)BMA racism in medicine surveyBMA - delivering racial equality in medicine
22. GPs face redundancy, GP partners continue to fall, retention schemes scrapped32:54In our regular news review Emma and Nick discuss a practice in Surrey that is set to make three salaried GPs redundant, and what this tells us about changes in primary careThey also talk about the GP workforce, in particular the falling number of GP partners and the impact this might have, and NHS England’s decision to scrap two key GP retention schemes.Our good news story this week highlights those GPs and others from the world of primary care who received New Year Honours.This episode was presented by GPonline editor Emma Bower and deputy editor Nick Bostock. It was produced by Czarina Deen.Useful links● Practice makes salaried GPs redundant as model shifts to additional roles● GP partners' income down 20% in a year, BMA poll reveals● Small increase in GP workforce during past year but partners still falling● Which ICB areas have the biggest shortages of GP partners?● RCGP condemns 'disappointing' decision to scrap GP retention schemes● GPs recognised in New Year Honours
21. BONUS EPISODE: Understanding cow’s milk allergy in infants - sponsored by Reckitt/Mead Johnson Nutrition27:45In this bonus episode Talking General Practice speaks to Dr Helen Evans-Howells, about how GPs can manage infants presenting with the signs of cow’s milk allergy.Alongside working as a GP and an allergy specialist, Helen also runs the peanut immunotherapy clinic in Southampton Children’s Hospital and is chair of the charity Anaphylaxis UK’s Clinical and Scientific Panel.In this episode Helen explains the key symptoms of milk allergy, the different types of formula that can be used, and when infants may need a referral. She also talks about when to do a rechallenge and reintroduce cow’s milk and how to advise parents on weaning.Using insights from her own experience Helen has lots of practical advice for GPs and other healthcare professionals on managing the allergy and how they can best support parents.This episode was presented by GPonline editor Emma Bower. It was produced by Czarina Deen.This podcast is sponsored by Reckitt/Mead Johnson Nutrition. About ReckittAt Reckitt we exist to protect, heal and nurture in the relentless pursuit of a cleaner and healthier world. This purpose drives everything we do as a company – inspiring us to improve people’s lives, through better hygiene, health and nutrition. Every day we are fighting to make access to the highest quality hygiene, wellness and nourishment a right and not a privilege.Useful linksThe MIMS Learning Cows Milk Allergy in Practice webinar series is here. The 2022 series provides 3 hours of CPD and covers:● When is an allergy not an allergy? How to make the history matter - presented by GP and allergy specialist Dr Helen Evans-Howells● Why is my baby still crying? A GP’s guide to common infant feeding conditions - presented by specialist paediatric dietitian Bianca Parau● When, why, how? Demystifying hypoallergenic formulas, presented by specialist paediatric dietitian in allergy Andrea MorenoIn addition the 2023 series of webinars is also available on demand via the link above.Helen mentioned the following guidance in this conversation:● The Milk Allergy in Primary Care (MAP) Guideline 2019● BSACI cow’s milk allergy guidanceRKT-M-44442, January 2024RKT-M-44445, January 2024
20. General practice finance in 2024 - what GPs need to know36:55Happy new year!This week Emma is talking to GP partner Dr Tommy Perkins and specialist medical accountant Andy Pow from Medics Money, about the financial year ahead for general practice.Tommy and Andy talk about the current financial pressures GP practices are under, how GP partner income has changed, and the sort of uplift practices might need from this year’s GP contract to help address the shortfalls they’ve experienced in recent years.They also offer lots of useful advice on how practices can start the new year on a sound financial footing, explain what upcoming tax changes will mean for all GPs, and the importance of better financial training for GPs as general practice becomes increasingly complex.This episode was presented by GPonline editor Emma Bower and produced by Czarina Deen.Useful linksGP BusinessOur website GP Business provides practical advice for GP partners and practice managers to help them run their business more effectively. More details here. From Medics MoneyMedics Money GP partnership courseMedics Money GP registrar Business for GPs courseMedics Money podcastFind a good accountant for doctors (from Medics Money)Find a good independent financial adviser for doctors (from Medics Money)
19. 2023 in review - highlights from our interviews35:48This week we’re bringing you some highlights from our top interviews of 2023 - and we’ve had some really fantastic guests this year.In this episode you’ll hear from BMA GP committee for England chair Dr Katie Bramall-Stainer, Royal College of GPs chair Professor Kamila Hawthorne, NHS England director for health inequalities Professor Bola Owolabi, RCGP Wales chair Dr Rowena Christmas and all-round general practice expert and fellow podcast host Ben Gowland.And between them they’ll be talking about GP contract negotiations, continuity of care, what we can do to retain more GPs, influencing politicians in the run up to next year’s general election, the difference healthcare professionals can make on health inequalities, and the future of primary care networks.Thanks to everyone who’s taken part in Talking General Practice during 2023 - and happy new year to all of our listeners!Don’t forget you can listen to the full versions of all these interviews - and interviews with lots of other brilliant people from the world of primary care by searching in our podcast feed or on our website at GPonline.com/podcast