Observations on the evidence emerging from pioneering work in the NHS England vanguard programme and the Prime Minister's Challenge Fund about the future of general practice. Is general practice finished? What are we learning about how the future might look? Presentation to the Family Doctor Association annual conference, Manchester 10 Oct 2015
Developed by The King's Fund in partnership with the RCGP, the Nuffield Trust and Hempsons Solicitors, this toolkit provides advice and support to practitioners and managers in primary care who are thinking about, or have already embarked upon, developing a federation to provide and develop services collaboratively.
Observations on the evidence emerging from pioneering work in the NHS England vanguard programme and the Prime Minister's Challenge Fund about the future of general practice. Is general practice finished? What are we learning about how the future might look? Presentation to the Family Doctor Association annual conference, Manchester 10 Oct 2015
Developed by The King's Fund in partnership with the RCGP, the Nuffield Trust and Hempsons Solicitors, this toolkit provides advice and support to practitioners and managers in primary care who are thinking about, or have already embarked upon, developing a federation to provide and develop services collaboratively.
Accelerating primary care transformation. Commissioning Live, Birmingham 2015Robert Varnam Coaching
What changes are needed to assure primary care has a productive future at the heart of the NHS? What capabilities will be required by GP practices to transform services and their organisations? How can CCGs support provider development to ensure their population can access high quality innovative care in the communuty?
Session for GP practices in the STAR scheme in South Tees, part of the PM Challenge Fund. Exploring the reasons why everyone is talking about change in general practice, some of the emerging evidence from the Challenge Fund, and thoughts about how to move forward together.
Chris Ham: Staff engagement and empowerment in the NHSThe King's Fund
Chris Ham presents presents the findings and evidence around the review he chaired into staff engagement and devolved decision-making for the Department of Health. He stresses the need for a culture of high staff engagement and devolved decision-making, due to compelling evidence suggesting this increases quality of care.
This Isn’t Why I Went to School! – 3 Ways to Deal with Change for Clinical StaffCornerstone OnDemand
Staff turnover in healthcare is high, costly, and is causing hospital leadership to panic. Replacing just one nurse, for example, can cost upwards of 1.3 times their salary, so care centers need to learn why this is happening - Are team members disengaged? Do they have the right resources? – and how they can provide top quality patient care while also meeting the evolving needs of their staff. This requires a modern, proactive approach to talent management that will enable them to maximize retention rates and provide an engaging environment for healthcare professionals.
Join us for this free webinar sponsored by Cornerstone OnDemand. Dr. Tom Tonkin, Principal Consultant of Thought Leadership & Advisory Services at Cornerstone OnDemand, will share his thoughts and strategies to help identify and reduce the risk of staff departures to healthcare organizations.
During this webinar, Dr. Tonkin will provide easy-to-understand insights on:
• Current attrition trends and challenges that have disrupted traditional recruiting and retention strategies;
• The needs (and demands) of today’s healthcare workforce; and
• Talent strategies that create a more engaged, productive, and passionate workforce.
Presentation to practice managers about the need to release time for care, national plans in the General Practice Forward View and local actions that can free up time and improve care.
As advisers to boards in a range of listed and private companies, we are often asked for guidance by new and aspiring non-executive directors. Through combining our experience and perspective in providing board advice, we have developed a guide that provides insight into the NED role as well as practical advice on how to secure that first external appointment. We hope you find the information useful and informative.
How A Leading Beverage Company Used Limeade and Retrofit to Achieve Wellness ...Limeade
Slides from a webinar with Retrofit, Limeade and Dr Pepper Snapple on how they used integration to drive health outcomes. Watch the webinar recording here: https://retrofit.wistia.com/medias/9l1a1v4mwf.
IPS in practice: the partnership experience in Sussex, Martin Dominy and Kate...Centre for Mental Health
Martin Dominy, Head of Supported Employment, Southdown Supported employment and Kate Bones, Director of Occupational Therapy, Sussex Partnership NHS Foundation Trust
Health IT Summit in Chicago 2014 – Keynote presentation “Health not Health Care” with Douglas Wood, MD, Medical Director, Center for Innovation, Mayo Clinic
CNO Summit 2017, Day 1, 12.20pm
Mark Radford, Director of Nursing, NHS Improvement.
Susan Aitkenhead, Director of Nursing, Professional Development NHS England
Accelerating primary care transformation. Commissioning Live, Birmingham 2015Robert Varnam Coaching
What changes are needed to assure primary care has a productive future at the heart of the NHS? What capabilities will be required by GP practices to transform services and their organisations? How can CCGs support provider development to ensure their population can access high quality innovative care in the communuty?
Session for GP practices in the STAR scheme in South Tees, part of the PM Challenge Fund. Exploring the reasons why everyone is talking about change in general practice, some of the emerging evidence from the Challenge Fund, and thoughts about how to move forward together.
Chris Ham: Staff engagement and empowerment in the NHSThe King's Fund
Chris Ham presents presents the findings and evidence around the review he chaired into staff engagement and devolved decision-making for the Department of Health. He stresses the need for a culture of high staff engagement and devolved decision-making, due to compelling evidence suggesting this increases quality of care.
This Isn’t Why I Went to School! – 3 Ways to Deal with Change for Clinical StaffCornerstone OnDemand
Staff turnover in healthcare is high, costly, and is causing hospital leadership to panic. Replacing just one nurse, for example, can cost upwards of 1.3 times their salary, so care centers need to learn why this is happening - Are team members disengaged? Do they have the right resources? – and how they can provide top quality patient care while also meeting the evolving needs of their staff. This requires a modern, proactive approach to talent management that will enable them to maximize retention rates and provide an engaging environment for healthcare professionals.
Join us for this free webinar sponsored by Cornerstone OnDemand. Dr. Tom Tonkin, Principal Consultant of Thought Leadership & Advisory Services at Cornerstone OnDemand, will share his thoughts and strategies to help identify and reduce the risk of staff departures to healthcare organizations.
During this webinar, Dr. Tonkin will provide easy-to-understand insights on:
• Current attrition trends and challenges that have disrupted traditional recruiting and retention strategies;
• The needs (and demands) of today’s healthcare workforce; and
• Talent strategies that create a more engaged, productive, and passionate workforce.
Presentation to practice managers about the need to release time for care, national plans in the General Practice Forward View and local actions that can free up time and improve care.
As advisers to boards in a range of listed and private companies, we are often asked for guidance by new and aspiring non-executive directors. Through combining our experience and perspective in providing board advice, we have developed a guide that provides insight into the NED role as well as practical advice on how to secure that first external appointment. We hope you find the information useful and informative.
How A Leading Beverage Company Used Limeade and Retrofit to Achieve Wellness ...Limeade
Slides from a webinar with Retrofit, Limeade and Dr Pepper Snapple on how they used integration to drive health outcomes. Watch the webinar recording here: https://retrofit.wistia.com/medias/9l1a1v4mwf.
IPS in practice: the partnership experience in Sussex, Martin Dominy and Kate...Centre for Mental Health
Martin Dominy, Head of Supported Employment, Southdown Supported employment and Kate Bones, Director of Occupational Therapy, Sussex Partnership NHS Foundation Trust
Health IT Summit in Chicago 2014 – Keynote presentation “Health not Health Care” with Douglas Wood, MD, Medical Director, Center for Innovation, Mayo Clinic
CNO Summit 2017, Day 1, 12.20pm
Mark Radford, Director of Nursing, NHS Improvement.
Susan Aitkenhead, Director of Nursing, Professional Development NHS England
Keynote talk at Best Practice 2018. Observations about the critical success factors for leaders wishing to unpack the potential of primary care networks to benefits patients and GP practices.
Can practice managers save the NHS (CHEC practice manager masterclass)Robert Varnam Coaching
Presentation to the CHEC annual practice managers' masterclass in Nottingham, 25 June 2015. Where does general practice fit in the future of the NHS? What are the challenges and opportunities practice face? How can practice managers accelerate progress by releasing GP capacity?
Making change happen at the sharp end.The role of GPs and the primary care ...NHS Improving Quality
The contribution of GP leadership and wider primary care teams in improving local systems - resources and learning from NHS IQ's Transforming Care team. Speakers: Dr Tom Margham and Mani Dhesi.
If you want to learn more about how and why Saskatchewan is using Lean in health care, join us for this introductory session. During the Quality Summit, you will hear about various Lean tools, concepts and principles, and this session will serve as a quick primer for you, covering some “lean essentials” to enhance your Summit experience!
Designing the future primary care workforce (SouthWest workshop 23/04/18)Robert Varnam Coaching
Presentation to CCG and STP workforce leads in the SouthWest about the future of primary care, the workforce implications and common pitfalls to avoid.
Evidencing the quality and productivity of Allied Health Professionals' (AHPs...NHS Improvement
We recently hosted four regional events ‘Evidencing the quality and productivity of AHPs care’ with a target audience of Allied Health Professional leads in NHS provider organisations.
These slides outline sessions from the events and provide an introduction to the Model Hospital, AHP job planning and the early findings of a deployment tracker metric ‘Therapy Hours to Contacts’ that is being implemented.
Innovations in Primary Care: Lessons from the Center for Health Market Innova...Lane Goodman
The Primary Care Learning Collaborative is an initiative of the Center for Health Market Innovations (healthmarketinnovations.org) This group of primary care provider organizations convened over the course of a year to discuss high-impact innovations that allow them to increase access, affordability, and availability of healthcare for the poor in developing countries. Working in Kenya, India, and Burundi, these organizations share best practices and insights from the evolution of their clinics in the Primary Care Innovator's Handbook. View this presentation for an overview of the Handbook, as presented to the Asia eHealth Information Network on April 15, 2015.
How to make care and support planning a two-way dynamic - presentation from webinar held on 1 October 2014
This relates to the first NHS IQ Long Term Conditions Improvement Programmes Wednesday Lunch & Learn Webinar Series. How to make care and support planning a 2 way dynamic hosted by Dr Alan Nye & Brook Howells from AQuA. This webinar discussed how to encourage patients, carers and the public to work alongside (in equal partnership) with clinicians and managers
Similar to We're a primary care network - now what? (20)
Presentation to RCGP First5 GPs in the BSOL STP. Where to begin when designing an improvement in healthcare? The end! Which involves overcoming 2 common pitfalls.
Presentation to Dudley CCG members' meeting, 26 Mar 2019. Looking at the lessons from some of the successes and disappointments of integrated care, and some of the top tips for redesigning general practice to release more of its potential.
Primary care networks, realising the potential and avoiding the pitfallsRobert Varnam Coaching
Presentation at the Management in Practice conference, 4 December 2018. What are we learning about the potential benefits of primary care networks for patients and practices, and the practicalities of realising the potential?
Presentation at Pulse Live, Liverpool 2 Oct 2018. What are the potential benefits of primary care networks for patients and staff? What can we learn about how to approach the process of establishing a productive primary care network?
Workshop at Health and Care Innovation Expo 2018, in Manchester. It can take up to 20 years for good innovations to be adopted in healthcare. However, the recently published 10 High Impact Actions for general practice are spreading faster than we have ever seen. Why? Learn about what's different, and how you can increase success in your own work.
The presentation examines the role of five stages in the innovation journey in determining success: the innovators, the innovation, packaging, spread and adoption. Examples are provided of how each can present a barrier, and how the national Time for Care programme has sought to overcome them.
A brief overview of the support aavailable in the General Practice Forward to help practices implement changes that will release time for care. Presenation to Lincolnshire LMC 25/05/17
Presentation to practices in Lincolnshire, looking at the strengths of primary care, the ways in which it could deliver more of the promise and emerging lessons about successful at-scale primary care.
Practice development support in the General Practice Forward View (Pulse Live)Robert Varnam Coaching
Presentation at Pulse Live London on the range of support available from the General Practice Forward View, and tips on ways to identify your particular priorities
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
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DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
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In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
ALKAMAGIC PLAN 1350.pdf plan based of door to door delivery of alkaline water...rowala30
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Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
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2. @robertvarnam #NHSLongTermPlan
So much to talk about!
What’s taken most of your time…
• Memorandum of understanding?
• Decision making structures?
• Voting rights?
• DES payments?
• Distribution of payments?
• Voting rights?
• Liabilities?
• Pharmacist contracts?
• Social prescribing link worker contracts?
• Opening hours for access schemes?
• Next year's Network Services?
• etc
• etc …
3. @robertvarnam #NHSLongTermPlan
What have we learned?
Common pitfalls:
• Start with structure and governance
• Not releasing clinician time
• Insufficient investment in leadership development
• Lack of systematic approach to improvement
4. @robertvarnam #NHSLongTermPlan
Building a successful network…
Purpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > formPurpose > function > form
7. @robertvarnam #NHSLongTermPlan
Continuity Accessible personal
care built on a relationship from cradle
to grave
Community focussed Responsible for
a registered population, improving wellbeing
Holistic Dealing with the patient as a
person not a disease or part of the body
Comprehensive Handling wide range
of problems, managing clinical uncertainty
STRENGTHS OF PRIMARY CARE
Central Coordinating and connecting
other teams, referring where appropriate
8. @robertvarnam #NHSLongTermPlan
Continuity
Community focussed
Holistic
Comprehensive
STRENGTHS OF PRIMARY CARE
Central
BUT …
Demand >> workforce
Practices are set up to provide
mostly medical care (reactive,
individual > proactive, population
focused)
Most lack collaborative
relationships required to truly be
central to patients’ care
Too small and isolated to have
significant impact on population or
system
10. @robertvarnam #NHSLongTermPlan
Innovations from practices
throughout around England that
release time and improve care.
bit.ly/gpcapacityforum
GENERAL PRACTICE
FORWARD VIEW 10 High Impact Actions
11. @robertvarnam #NHSLongTermPlan
Innovations from practices
throughout around England that
release time and improve care.
bit.ly/gpcapacityforum
GENERAL PRACTICE
FORWARD VIEW 10 High Impact Actions
bit.ly/gpcapacityforum
15. @robertvarnam #NHSLongTermPlan
Experience so far…
Development priorities
Very wide-ranging roles. Traditional focus has a place (leader as rep / manager). But
2 major new priorities:
• Leading across boundaries, creating vision & shared purpose, building ‘new
power’ partnerships
• Leading service redesign and improvement
Development ‘offers’
Need to be tailored to primary care needs & context. Currently some significant
capacity gaps.
Share – learn – do – grow
• Peer-to-peer sharing of challenges, solutions and support
• Learn perspectives, tools & skills to support your work
• Continuous cycle of implementation and learning
• Deliberate approach to personal growth and resilience
Leadership development and primary care.
Tim Swanwick, Robert Varnam. dx.doi.org/10.1136/leader-2019-000145
16. @robertvarnam #NHSLongTermPlan
Your leadership development
Governance
Providing safe and effective oversight of
financial and clinical matters
Community of Practice
A local community of leaders, connecting regularly to share ideas, learn together and provide mutual support as
they lead change. Typically a community of practice will include all the PCN leaders across an ICS/STP, and be
supported by an expert facilitator. Many PCN leaders will also be part of other communities of practice.
Growing as a leader
Realising your personal development needs
as part of a supportive and stimulating peer-
led community.
Developing your style
Understanding the range of leadership
styles, and planning to develop your own
strengths.
Resilience
Planning and support to be maintain your
wellbeing and effectiveness.
Leading improvement
Creating the culture and capabilities for
continuous improvement in the safety,
effectiveness and experience of care.
Leading across boundaries
Creating vision and shared purpose,
developing trust and a movement for change
that inspires commitment.
Leading teams
Promoting compassionate and high quality
team cultures, supporting staff and
overseeing talent management.
Service design
Leading redesign and the creation of new
services and pathways using the best of
design principles.
Leading within a system
Thinking, planning and prioritising
strategically, and building organisational
partnerships for change.
Population health management
Understanding the needs of the registered
population and developing services to meet
specific needs more proactively.
Workforce development
Designing new ways of working, introducing
new roles. Developing skills and creating
more flexible careers.
Time for care
Rapid improvement collaboratives to release
clinical capacity and improve access using the
10 High Impact Actions.
New models of care
Building partnerships with the community
and other providers, adapting successful
models from elsewhere, sharing and shifting
resources.
Developing analytics
Establishing systems and capability to analyse
population needs, service activity and
outcomes.
Partnering with communities
Collaborating with local people to build the
assets the community and individuals to
improve wellbeing.
FoundationsSpecialtopicsTeamtopics
17. @robertvarnam #NHSLongTermPlan
A few suggestions
Share
• BMA Clinical Directors network
• RCGP GP At Scale
• National CDs WhatsApp group - chat.whatsapp.com/Ld9Pb1HuB75DszdX128U5j
Reflect
• www.leadershipacademy.nhs.uk/resources/healthcare-leadership-model/supporting-
tools-resources/healthcare-leadership-model-self-assessment-tool/
• Clifton Strength Finder
• Thomas-Killman conflict inventory
Learn
• NHS Leadership Academy
• “Developing outstanding leadership in primary care”
• www.leadershipeastmidlands.nhs.uk/coaching
• General Practice Improvement Leaders programme
• Leading Transformation in Primary Care (robert.varnam@nhs.net)
Support
• NHS Collaborate
Succession planning
• Next Generation GP
Editor's Notes
THUMBS – how optimistic do you feel? Managing workload?
A growing collection – submit your own examples and questions.