Yesterday I pointed out a couple of things this document brought up. I’ve been reminded to point out that medication requests needs rethinking and could this be something the NHS app team think about?“
“
“It would be useful if the reason why a medication was rejected was shown.”
“
“It would be really useful if there was a way of ordering a medication that isn’t on your “repeat list” We get loads of people clicking on a “repeat” drug asking for it then putting a comment they dont want that they want X instead.“
“
“Also it would be really useful is the app did some of the drug switches and alignments we do. For example if it suggested cheaper alternatives to the patient got their agreement and then requested them instead - ie build in ScriptSwitch or OptimiseRX into the app and have it pt facing?”
“
“Give the app the ability to order varying amounts of medication to bring scripts into alignment to reduce the number of orders.
Show live LinkedIn post (view reactions & comments)
My PCN’s co-DTL Caroline Acuda has put together this guide for clinicians to show them how entries on EMIS look on the NHS App - its great and is in V1 - comments welcome to make it more useful. However it has raised 2 important issues.“
“
“1. Apps like AccuRx are putting third party emails and info into consultation entries and these personal/work emails may end up visible to the pt when they arent intended to be. Do we need some form of auto-redaction? or should they default to not be visible.”
“
“2. the NHS app includes for upcoming appointments the session name - this is a pain as often the session name is an internal name that isnt meant to be seen by the patient. We have things like “Dr Paul’s alternate thursday”. Either every practice is going to have to review all their session holder names or we need some way of interpreting them for public consumption.
For those of us in the UK doing PCNs and Care communities and thinking about population health this is an interesting article from the states looking at how the many factors in a neighbourhood can affect CV Health. Some interesting stuff on risk prediction and trying to deal with health inequalities.“
“
“https://lnkd.in/eEiAHUdx
I don’t think we do “appraisal” well at all as GPs. By appraisal I mean scrutinise the quality of care given and whether we are following our organisation guidance /directives which might include things like recording data in a certain way - prescribing from a formulary - offering money making services etc.
It’s funny because we do with GP registrars - we watch almost every consultation they do and have at least one “senior” opinion provide feedback on it. yet once you have qualified does anything like that ever happen? (time is an issue)
I remember reading about Kaiser P in the states and apparently one of the things the docs working for them like is regular appraisals where everything - decision making/referrals/prescribing is gone through in detail in a supportive way. think of the quality this may drive?
There is a YouTube video of a Ted talk where an experienced surgeon who thought he was at the top of his game got one of his main rivals in to “review” his work and was stunned to find 100 comments in one operation and after he got over his ego he improved and his post op complication rate improved.
Is this any practices/colleagues have done? do you appraise / assess each other? Do you do it with your “junior” staff? ACPs. Why does it stop the moment training stops?
Show live LinkedIn post (view reactions & comments)
Counting the number of patients seen in a day provides a quantitative measure of workload in general practice, but it may not fully capture the complexity or quality of care.
Factors like appointment types, administrative tasks, patient diversity, and team support including sickness rates influence how busy it feels for a GP.
Workload perception is multidimensional, and a combination of quantitative data and qualitative assessments is necessary for a comprehensive understanding.
GPAD and other NHS data are showing increases in the number of appointments done in primary care vs previously but the pure numbers don’t capture the increasing complexity and perhaps the level of stress.
We are spending a lot of time counting and trying to count accurately - which isn’t as easy as it sounds! But do we need to try to measure other factors?
Stress of practitioner is an interesting one? Does it matter? perhaps it does if it leads to sickness/early retirement and workforce recruitment/retention issues.
Retrospective surveys are often poorly filled in and not that useful. A colleague got hold of a Bluetooth dice that linked to an app and logged which ever side it was on - the idea it being a way of recording what he was doing when and for how long - however I wonder if it could just be used as a stress scale? are you are Stress level 1 or 6? turn it during the day and log it?
Value added or complexity of intervention is an interesting one. Is a simple diabetes annual review in a fit healthy 50 year old the same as seeing a 84 year old with 5 chronic diseases who is feeling unwell? yet both count as 1 on a count of consultations.
In a lot of spheres there are measures - ASTROSTAR PUS, weighted lists that try to adjust for this. Could our computer systems somehow weight the complexity of a consultation and add that to simple count? Look at complexity of the condition - what interventions were done - how many tests were ordered etc..
Just installed the new RocketBar from Blinx Healthcare - in passing I’ve noticed that in the last month we have had over 300 health forms submitted via their digital front door on our website - mainly travel forms/ fit note requests and contraceptive pill checks. That’s over 300 less phone calls :-) Hopefully as we turn on more services we can increase productivity even more!
Show live LinkedIn post (view reactions & comments)
Great meeting with Ian Cooper his Gateway software for referrals looks amazing and should save a load of clinician time - Smash Pcn will be using it not just for eRS but it allows some clever Internal/local referrals and advice services.“
“
“In future ill post some examples/explanation of it in action!
Why don’t hotel rooms have wireless charging points? or trains for that matter?“
“Many have USB-B plugs in their plug sockets - which is ok if you havent brought a power brick and you have the right cable e.g. USB-B- to lightning or USB-C cable with you. However given at home my power bricks now all take USB-C I recently found myself in a hotel room with a USB-B power socket and a cable that didn’t fit and therefore a dead phone. Now perhaps the hotel might have lent me or sold me a cable (2am wasn’t the time to ask) however it strikes me that if there was a wireless pad in the room - given that most devices are backwards compatible with QI tech - I could have got some charge if they had one. So given that most devices can charge wirelessly and there is a common standard even if it doesnt charge the device to its Max capacity why arent wireless points more available?
Show live LinkedIn post (view reactions & comments)
Yes thanks to all the speakers, the sponsors and the delegates as well as the Howbeck team!“
“
“We tried to deliver 1. some interesting workshops based on lived experience of actually using products/services in the real world 2. showcase a range of products/services that people may not have had chance to see 3. deliver some networking opportunities 4. help in some personal development for DTLs and others and I think we achieved all four!”
“
“For me the use of positive psychology to help in delivering transformational change talk was fascinating - who knew I would turn out to be a praise seeking creative persuader!”
“
“I’d certainly be up for doing this again.”
“
“On a serious note it’s amazing to see so many companies striving to deliver solutions for primary care. Although events like this can help its clear that some practices/GPs/PCNs didn’t know about some of the potential solutions and I think we need to think about how we all help share knowledge of such products/services as many could benefit from them. Funding is however an issue - Its not cheap to start a startup - often there are VCs to keep happy - practices are reluctant to pay up front for unproven/new tech and it strikes me we need innovation money to help fund this from both ends - to give practices headspace to implement new solutions and to get fund startups in their early days while still developing their products.”
“
“I also worry about he left behind. DTLs in particular perhaps need to be aware of all of their practices - and not just support the innovators pushing ahead - its important that the ones at the back have chance to catchup and benefit as well.”
“
“On several occasions people mentioned its not just Storming and Forming - there has to be norming and performing too!.
Show live LinkedIn post (view reactions & comments)
Interesting read: I see no3 every day - most “old” people tell me don’t get old which can’t be good.“
“1. Life expectancy is stalling and health inequalities are widening”
“2. Key risk factors are driving a significant and unequal burden of preventable ill health and premature death”
“3. People are living for longer but with major health conditions”
“4. Unmet need for NHS and social care services is substantial and increasing”
“5. Long-run trends in health and care spending show a decade of underinvestment”
“6. The health system lacks capacity compared with many other countries”
“7. Staff shortages are persistent, with stress and burnout high”
“8. Public satisfaction with the NHS is at a record low, but support for its core principles remains rock solid”
“9. The NHS is repeatedly reorganised, while social care is overlooked”
“
Show live LinkedIn post (view reactions & comments)
Cloud based telephony is a hot topic for many PCNs - come listen to our experiences in Cheshire where we are early adopters due to the switch off of a legacy PCT system!
TPP gave a presentation of S1 to a load of Cheshire practices today - I have to say there was quite a lot of enthusiasm in the (virtual) room for switching!“
“
“Any one any real world experience of going in either direction recently?
Over the last 6 months or so I’ve heard of several staff from nearby practices leave and go elsewhere who as one of their last actions - delete everything they were working on from shared drives and EMIS folders. Searches/reports/policies/procedures. One was a Practice manager one a care coordinator. In one case a whole practices way of dealing with some medicines management safety searches and call/recall was messed up.“
“
“Now this may have been accidental and I’m not saying it was malicious but often shared drives are setup poorly and EMIS search folders appear to have no security on them allowing anyone with a password access and editing/deletion rights. Is this right?”
“
“Do practices have policies for when members of staff leave (which seems to be happening more commonly) - do visiting PCN ARRS staff who may be given logons have the right to access anything? Do practices think about this enough? Does the system have enough security in it? Ive never been a fan of a catching the horse after its bolted approach. “
“
“I watched Margin Call recently and they have disabled the staff members access to everything while he was being let go..though that was clearly less than amicable.
Agree there are numerous great tools out there that would help patient care but often not the funding to pay for them. I do wonder if a pay by use model might help?
Anyone know how to bulk move all covid drugs from emis acute screen?“
“loads of pts now have their covid drugs on their medication screen. This is fine.. but they never seem to drop into past drugs. im doing it manually - but does anyone know how to bulk move them to past?
Had a good meeting with ApolloIQ today - they are one of the many RPA suppliers out there. They seem to know what they are taking about and seem reasonably priced. “
“
“My surgery is looking at where we might benefit the most.. interestingly - the standard example of filing normal results isnt one that excites us - we think there are several admin tasks that take hours every day that could be improved..”
“
Has anyone done a workload/or what pts want audit? Do you have an emis template or similar that you could share?“
“
“the idea is either to have for a day/week.. every call a receptionist gets - to have them fill in a template in emis so we can look into it. (e.g. wants appt today, wants to see Dr X.. wants evening appt etc…) or… again for a day or week have every GP/nurse do the same… either on what they are seeing or who else could have seen the patient. e,g. minor ailment, chronic disease, mental health issue, minor injury, admin, etc..”
“
“we have done audits like this on paper but are wondering about doing them in emis - with templates (we thought about using survey monkey and having it run along side.. ) but we need snomed codes.. “
“
“has anyone done this? or did you end up using something else???”
“
Had a demo of “See the signs” today https://cthesigns.co.uk“
“
“Really interesting product with a load of really useful features - that would suit a PCN or larger area “
“
“In built referral forms - localised guidance”
“A risk assessor based on presenting symptoms (really cool) and a FIT test and cancer diagnosis tracker aimed at improving IIF performance “
“
“Well worth checking out - keen to get them at a future DTL webinar
We have just set one up in Cheshire east - using a combination of Edenbridge APEX activity data and a regular monthly survey of hot issues for practices - we will be discussing it at our DTL conference in November - have you booked your place??
Unfortunately the article is hidden behind a pay wall and therefore its difficult to comment on it. In my experience articles like this often refuse to accept the reality that there isn’t enough resource to deliver the “perfect” care they ask. Everything could be done better - which do you do and more importantly what don’t you do?
Outsourcing / Insourcing?“
“Have any DTLs had experience of either?”
“Practices often struggle with non-clinical staff turnover and/or the training associated with that. We have just had a clinicial coder hand in their notice. While some are using AI..Increasingly there are companies who are setting themselves up to take on work. Eg. reports/coding/etc Has anyone used them? got any experiences? alternatively have you setup services in PCN hubs? We keep thinking about this but find it very hard to get anything going until a crisis happens and a practice needs help and then its too late. also the IT often doesnt appear to work well at a PCN/enterprise level. Again anyone done this well?
Mike Pyrah who is speaking at our conference - highlighted this document to me. While not digital per se - you may find it useful or at least informative. Any comments welcome!
Although aimed at DTLs - and PCN GP CDs or PCN managers are welcome as are any GPs or PMs with an IT interest. The speakers and exhibitors list is looking good!
One of my contacts: a Journalist working for Pulse magazine is keen to talk to some DTL’s about how its going for an article in Pulse.“
“
“She’s particularly keen on discussing :”
“-After a year or so in post what are digital and transformation leads in PCNs doing to change the way primary care is delivered across their PCN”
“-What are they focusing on”
“-What are the opportunities and barriers (CAP/CAIP)”
“-What have they changed/will change”
“-What has it meant for practices and partners”
“-What’s the ultimate vision – what are they transforming to…”
“
“If you are happy to be contacted by her DM me!
Over 20 health tech exhibitors and a range of talks and workshops (to be announced soon) it’s looking like a must attend event! Don’t be the one to miss it or you will be 😢
EMIS have put this info in a newsletter: in case you havent seen it:“
“
“GP Appointment Exception Flag”
“In EMIS Web 9.22, as part of the GP Appointments Data (GPAD) programme, we have added an appointment Exception Reporting functionality which will enable practices to indicate when a patient has requested an appointment on a future date.”
“This will support the ACC-08 ‘Percentage of appointments where time from booking to appointment was two weeks or less’ indicator which is included the 2023/24 Investment and Impact Fund (IIF).”
“The functionality will be released inactive to your organisation and we will send you an email to let you know when it will be activated.”
“
“Clearly all EMIS practices may want to know about this…. I can explain why if any non practice readers want to know!”
“
Really good DTL forum meeting this am our 2nd bimonthly webinar free to attend for all DTLs PCN CDs and managers and IT interested GPs and managers “
“
“We had about 90 attendees from all over the country and we had presentations from Healthtech1 and NHS E on patient registration software as well as a discussion about our upcoming conference.”
“
“My practice manager showed how using healthtech1’s solution has saved my practice 20 hours of admin time a week which we have redeployed into clinical care. We also improve data quality and are collecting more data on our patients for things like QOF. Healthtech1 charge £2+vat per registration with no tie in and a free trial is available. They offer 2 services - a full end to end service using their front end and a RPA service linked to the NHS app -same price for both. (below)”
“
“NHS E presented their service which lists your surgery on NHS surgeries website as an online registering practice - and allows pts to fill in the forms online using the nhs app. They also have a load of clever features (similar to healthtech1) and are developing their service as well. They don’t automate the addition of the patient into your clinical system - they provide you with all the information but the actual process of registration in your EPR is manual - they work with 3 RPA providers Healthtech1 - GP Automate and one other who are apparently just entering the market to do this back end automation. The NHS APP service is free and if you dont want to automate the process why not use them!”
“
“However as the price is the same if you want to automate the process and gain most benefit check out the full service from the automation companies!”
“
“If you are a DTL join our LinkedIn group and sign up for our webinars - and dont forget to register for your place on our conference - already 20+ sponsors with great products to see and a range of informative talks on a range of subjects relevant to DTLs but also to. PCNs CDs Mgrs and GP/PMs with an IT interest.”
“
Anyone have any good experiences of early cancer detection software that integrates with EMIS? I know there are some resources on line but a lot seem quite old - anyone doing anything current?
Yesterday I was asked what do I think is going to be the next big technology in primary care. 10 years ago would we have foreseen on the desktop SMS/email messaging and online self booking clients? Total triage of incoming requests? Speech recognition? Virtual wards?
What’s next?
I’ve a few ideas and I think there are a couple of ways of thinking about this - what tech is there that we arent using yet but other sectors are or what pain points do we have in primary care that technology could ease?
However before I post some of my ideas - what are your thoughts? What tech do you think is coming in 3-5 years?
Show live LinkedIn post (view reactions & comments)
We have our next online webinar next Tuesday and we are concentrating on patient registrations the NHS app and perhaps loosely what you might call “front of house”
“
“Our November conference is shaping up and we have almost 20 sponsors with some interesting products and services and our speaker list is being worked on for approval by our advisory board - there should be some great examples of innovation and PCNs implementing change plus some personal development for DTLs! - remember the conference is not for profit - we are charging to cover costs and to fund the DTL forum. “
“
“For DTLs new in role - your PCN should be happy to cover this cost as they will benefit hugely from you attending! you need to ask about an education budget or speak to your local education hub - who should all know about the conference.
DTL/IT Conference sponsor list is shaping up see text of post - a few places left if interested.“
“Speaker and workshop list hopefully out next week when it’s been approved by our DTL advisory board.
Do you remember the scene in Star Trek the Voyage Home when Scotty talks to a 1980s PC and asks it to do something… only to be told to use the Mouse.. “How Quaint” is I believe his comment.
I remember my first car with speech recognition - it was rubbish and pretty much every car since has been rubbish as well. However my iPhone isnt. (im sure android are as good) Ive started giving it commands - “set an alarm for 645am tomorrow” “remind me to pay the X bill on the 24th august” “Send a text to Rebecca - ill pick you up in 10 mins” all seem to work. In none of these cases do I actually need to know how to do any of those things.
Now we have had speech dictation for some time - aimed at putting text into our notes - but why dont we have similar for our EPRs? “send a sick note for 1 month to Mr John Smiths email” “Issue a course of amoxycillin suspension for 5 days and send it as a one of to Chemist X” “patient needs bloods for X Y and Z and an ECG and then a follow up appointment a week later with me.” How about the task system - “yes let mr X know he can take his tablets in the morning and close this task” - which would like a tasking system and a messaging system
I understand Automation companies are looking at workflows; are they creating a voice receptive front end? Do we want one?
Show live LinkedIn post (view reactions & comments)
Warning fatigue is a real thing! Whenever I prescribe something I can be presented with a page or more of warnings. All with different symbols. Most of the time I ignore them. Some are things like “care this drug might lower blood pressure” yes - I know that im giving it as an antihypertensive. Some say things like NOT TO BE USED IN LIVER FAILURE - this can panic me and I check the patient which means cancelling the prescribing system (which is a right pain in the neck) as there is no way of checking while the add a drug screen is up - to find that the patient has never had liver failure ARGH!!!!
Warnings should be relevant - timely - appropriate - specific?
they perhaps should be adaptable - can I tell it - don’t warn me about this again! - or don’t warn me for a while? can the system learn my preferences.
Can it learn from when I actually listen to it? Does anyone keep track of these?
Can it at least present the information its warning me about on screen so I can make a decision?
Show live LinkedIn post (view reactions & comments)
This is shaping up to be a really good event. Its mainly aimed at PCN DTL leads (we have almost 200 signed up to our network) but any PCN manager or Practice Manager with an IT interest or indeed any GP or AHP with an IT interest is welcome to come along as see examples of innovation in practice and gain ideas and speak to innovators. “
“
“The event is being run as not for profit and the registration fee is to minimise reliance on advertising and to generate some funds to help run our bimonthly DTL forum (next one soon) Your PCN should see the delegate fee as a reasonable expense for reembursement.”
“
“If you are interested in digital innovation in primary care please register! “
“
“We have some sponsor places left - we are after innovative products/companies who are pushing the boundaries of primary care and ideally ones where you already have some early adopters but are hoping to spread the word and gain more users but those looking for innovative PCNs/practices to trial/test things might find our audience receptive.”
“
“The finalised Speaker list is due out soon. this is a list of the exhibitors.
Really pleased to be one of the first PCNs to be using Dr Morton’s remote Gynae service. As mad as that sounds - it’s going really well and our patients are happy, our clinicians think the quality of care is excellent and it is reducing referrals into secondary care.
When a request for a medication comes in to the practice - or when a colleague sees a patients and wants me to sign off on their decision - they tend to send me a “Request with Query” via my Medicines Management system. They enter the drug - the dose - the instructions - make sure the right chemist is chosen and then they comment explaining why its wanted/needed. My role is to look at the request and press OK or NOT OK. Yes sometimes I have to look in notes or speak to patient myself but in most cases with the right info I can usually Press OK and its done.
Compare this to some other tasks… the classic - can i issue a Fit Note - at the moment - if there is enough information on the task (and there often isn’t) I have to select the pt - create a “admin” consultation select the relevant problem title - open create a Fit note - re-enter it there (unless its coded in which case it appears) then select the length of time. then save it to the record then open my SMS client and send a link to it and then file the consultation then close the task. A lot longer than pressing OK. but.. here’s the rub - it wouldn’t be that difficult to have it so all i had to do was press ok. here is a sick note - with all the details prefilled in - do you agree are you willing to authorise - ok or no…. How much time would this save? A lot believe me.. Why aren’t our EPR suppliers thinking about this kind of thing?
Ive recently been looking at several new kids on the block - new EPRs hoping to take over. Most are pretty with new layouts and new fonts and perhaps some more thought into having more info on the screen but none so far ive seen have really thought through how do we minimise the amount of work that needs to be done. how do we make sure the work is done by the lowest level in the chain not the highest.
I can think all all sorts of things that the system could/should automate itself to make my life more productive. I’ll list some in future posts but I’m keen to hear your ideas!
Show live LinkedIn post (view reactions & comments)
While I’ve been on holiday (is there an OOO on LinkedIn?) Pulse published one of my articles : https://lnkd.in/e7DcGxkX“
“
“Do you agree with the commentator that says I’m well meaning but caught up in the government’s obsession with IT over properly funding the NHS?”
“
“Ps we are planning on running a face to face DTL conference on November 28th at Stoke’s Britannia Stadium.. more details to follow..
Fascinating - a difficult to diagnose and often delayed diagnosis which many women suffer with. This is interesting if it works and may be really useful - but don’t expect it tomorrow from your GP!
Show live LinkedIn post (view reactions & comments)
Are your practices confused as to why their end of year payments don’t quite match what they were expecting? If they have been using Ardens - here is an explanation of why there are discrepancies. (all of which make sense)“
“https://lnkd.in/euGc7GxJ”
“
Don’t believe everything you read in the press? Eye catching headline on my newsfeed yesterday taken from the Guardian. 38 Million wait more than 2w for a GP appt. https://lnkd.in/eTiHSdaK
Now anyone who listens to “more or less” or like me is a fan of Tim Harford might say - does this sound right?
That would be 2/3 of the population waiting for an appointment? Really?
One question is why to 2/3 of the population want an appointment with their GP?
However the picture that goes with the article says 5Million. ?Case of over zealous headline writer?
The story is based on a Liberal democrat attack on the government but looking at their page - I cant see this statistic. They reference the House of Commons library who also don’t seem to reference this - they reference the GPAD data which is interesting as:
Most people agree its rubbish. Garbage in Garbage out.
The page I looked at (https://lnkd.in/dk6MrUuY) said things like 28.7 million appointments were estimated to have happened in May 2023, 43.9% of appointments in May 2023 took place on the same day that they were booked. (yes that’s 12.5 Million appointments waited less than 1 day in May) 47.0% of all appointments in May 2023 were carried out by a GP and 20.6% were carried out by nurses. 69.8% of all appointments in May 2023 were carried out face to face.
It also explains that the data only looks at appt booking to consult time - and has no knowledge of what the patient wanted. were they booking their annual review? a followup appointment in 6weeks? waiting to see their usual doctor who is on holiday. It also doesnt take into account some patients present more than once.
Interestingly while the list the journalists name, there doesn’t appear to be an easy way of challenging the headline.
Why do I bring this up - the last thing the NHS needs is more pointless targets driven by poorly collected and understand statistics and perhaps its time we actually collected info on what people wanted?
Just posted this to the new DTL group that I’ve setup - if you are a DTL lead or PCN manager or CD feel free to join (I will be inviting known contacts)
This looks very interesting and is a real problem - there are so many sources of info/metrics/kpis - bringing them all together in one place with easy to use is a good ideas. keen to see more of it.
Locally there is a lot of confusion over what the £13500 transformation money is for and how you get it. My understanding is it’s funding that you can bid against to fund “extra” activity to clear your backlog when you implement the Modern General Practice Programme. What is that you ask.. well this attachment is the best explanation ive found. It’s basically digital total triage. This is welcome funding but if your access is great already and you dont want to do this.. you cant claim the funding? is that fair?
Someone explain to me how the PM can announce a pay rise for salaried GPs?
GP practices are independent contractors and we are funded through a GMS contract which has no specific funding in it or reimbursement related to any staff we employ.
My understanding is its illegal to form a cartel and set a price for services so there is an open market for salaried GPs with them being paid usually on a per session basis - though the definition of the session and what work to be done in it varies from practice to practice - and is subject to local conditions and negotiation. Yes there is a suggested BMA contract but again its not mandatory.
So without funding General Practice more or changing the way we are funded - and in particular knowing what I pay my salaried GPs how can the PM tell me to pay them more? Does the government not know how its own health service works?
Update: to be fair there is now a letter stating that the GMS contract will be uplifted - this wasn’t in any of the reports I’d read when I posted. However it remains unclear which staff the letter refers to- and whether it will actually be enough to cover the stated uplift. It also begs the question how in principle they can force me to pass it on in full when there are no set pay grades
There is huge need for a tool that helps GPs manage out of stock drugs. MIMS reports there are 160 drugs currently in very short supply - daily my pharmacy team send around a long list of what the local chemists tell us what they havent got in stock - I cant keep it in my head. Does scriptswich or optimiseRX have a solution here? does someone else?
When I type in a drug - the system knows which chemist its going to - and can suggest alternatives? would save a lot of time/effort
Show live LinkedIn post (view reactions & comments)
Anyone good with the interface between EMIS web and EMIS community?“
“In our practice EMIS systems we have good coding of ethnicity and preferred language etc. Our local community services who have EMIS community and have data sharing with us - would like to “copy” that data into their system for patients they have on their books. Anyone any idea how to do that automatically?
Have you come across POMI? Patient online Management Information?“
“Its a dashboard of practices online activities - how is your’s doing?”
“https://lnkd.in/ebpmmhJk”
“
Had a good meeting with the Optimise“
“BP team this am and had a demo of their product - very interesting and real potential to reduce practice and GP time. Going to see if my practice want to try!
Show live LinkedIn post (view reactions & comments)
Met with over 100 Digital And Transformation Leads on Tuesday.
This is a new role for general practice funded by the ARRS funding. Some really interesting keen dynamic people wanting to make a difference.
We came up with 8 main priorities for the role:
1. Help practices to implement cloud telephony
2. Help improve access to general practice – inc. OC VC triage etc.
3. Help with GPAD reporting and Data Quality in general
4. Help with population health initiatives and understanding a PCNs’ data - leading to its clinical priorities
5. Help implement the new NHS website guidance and work with practices on social media/marketing to help patients understand how primary care is changing and to defeat some of the myths/negative pr.
6. Helping to Improve the training and up-skilling of staff to make the most of digital
7. Help Find and implement digital solutions to improve back office efficiency effectiveness and profitability
8. Help deliver hub (cross practice) working for Ext Access and other activities
Very interesting - a primary care diagnostic service has real potential to shorten waits - need to know how much and whether any ICB is willing to commission the service in primary care … and how much of course but willing to trial/ test“
“
“The biggest problem companies and products like this have is moving the money. Doing this in GP land will save the patient time and trouble. you will get a faster diagnosis and ultimately get to faster treatment. but GPs will quite rightly (I would say that wouldn’t I) say why should we do this for free? the hospital gets tariff to do overnight pulse ox on people - even if we get the kit bought for us - or given us - why should we take on that work for free? the so called left shift of work. either work needs to be taken off us - or the money needs to follow the service. perhaps less. if hospitals get £X per out pts - give us £x/2 and we would do it - make a saving and improve the patient journey… some CCGs had diagnostic LES’s for things like this. ICBs/Places need to do the same.
Show live LinkedIn post (view reactions & comments)
ok just had my mind blown! I knew about the number line - negative numbers complex numbers and I was always taught thats all the numbers you need and there are no more numbers - WRONG! p-adic numbers! a whole new type of numbers - all infinitely long but with discrete values and mathematicians have been using them to solve ages old problems?? Who knew??????“
“
“Amazing video: https://lnkd.in/egTRkvk5
The primary care physician associates annual conference organised by Howbeck Healthcare Limited is about to start - over 100 PAs attending for a education day!
Show live LinkedIn post (view reactions & comments)
Loads of EMIS practices have been having an IT issue today, on a busy pre bank holiday. Turns out the wrong update was pushed out to the wrong practices - its taken all day to sort this… if indeed it’s sorted. It’s caused all sorts of misery.
We get an anonymous email, no manager/product manager/lead clinician taking responsibility, no ones name, no one saying sorry it wasn’t my team or my staff or even me that caused endless misery - no promise not to do it again or at least to try not to do it again.
Is that good enough?
I’m not calling for blood or self flagellation but some accountability at least, tell me the person responsible is having their free jelly baby privilege removed!
A few weeks I posted about doing this and now it’s happening. No specific motives other than get Digital Transformation leads together to create an informal network - hear what everyone is up to and working on - share some ideas/best practice/frustrations!
We will run it virtually to begin with and see if there is an appetite for a f2f meeting - no firm agenda yet but I like the idea (perhaps for later meetings) of poster sessions perhaps in breakout rooms - where people talk about topics and or demo what they are up to - feel free to message me with your thoughts/ideas.
I have spent quite some time today looking at GPAD matching across our PCN having looked at the GPAD dashboard this am.
I’ve found issues with outside clinics being coded as inside ones - ARRS staff coded as practice staff (even more complicated where mixed role) - confusion over the difference between what General Consultation Routine is vs Pre-Planned. Different definitions of Triage!
People not using the 7 IIF indicators correctly, so perhaps messing up their 2w KPIS - and who only knows how exemption coding is going to work!
It is so complicated and I’m not convinced anyone has this right?
To any HCP interested in this.“
“I signed up for this - spent 20 mins chatting through the evidence base for this and the role of the Gut micro-biome which a load of my patients are asking about and was given the opportunity to order free samples to try or hand out to patients. I can think of better things to do… :-) but it was quite interesting. recommend…”
“
“ps - I’ve no conflict of interest.
Show live LinkedIn post (view reactions & comments)
you may have seen in the primary care recovery plan - reduce the dump of work on primary care from hospitals. here’s a good example - elderly lady- admitted to hospital with ?uti to be fair clinically sorted by hospital however during her admission her hearing aids were lost - ward staff give her someone else’s which dont work! she got hers from the same hospitals audiology department… did anyone ask them to help while she was an inpatient? no discharged home - not able to hear well which is a problem when you live alone. she rang the audiology department - who declined to help as they need a GP referral… so she rings us gets same day appointment :-) and we have to dictate and type and send a referral… “
“
“and you think the NHS is efficient??
Show live LinkedIn post (view reactions & comments)
I think the real question here is, what actually is a doctor? And what do we want doctors to do and why do we put them through such broad training? Many consultants have become so subspecialist in their area of expertise that I worry that effectively they wasted most of their training. Apart from the fact, it was probably needed for service delivery along the way. In many cases a technician directly trained could probably do just as good a job in any one thing. So is a doctor, somebody who specialises in one thing, or perhaps a generalist who can connect things together and see the things that subspecialists miss? Or is it someone who communicates with the patient what the technician has done? Should all consultants become technicians and not doctors - leaving general practitioners as the true doctors?
Does anyone have a definition of what an online consultation is? Is an email to a practice for a fit note one? Is a request for an appointment one - that gets triaged into an appointment? Or only if questions are asked and answered? If I see an abnormal result and SMS a patient a message/actions about it is that one? Or does it have to be 2 way? Does allowing them to acknowledge it make it two way? Does it have to be patient initiated? Does it have to be pre-booked or can it be random? Does it have to be live or can it be asynchronous? Does a back and forth email conversation count? Does it have to be recorded in the EPR?
So the highlight of the day was having to leave the surgery to go to a nearby friendly patients house to use their Wi-Fi/broadband as the local IT block the use of zoom at the surgery! I didn’t think doing a presentation on my iPhone with my head out the window trying to get a good 4g signal was reliable enough!
Anyone else feel the ARRS portal could be a lot more useful and easier to use/get useful information from? We have staff filling it in every month but with little value to us. It could help us will planning and understanding any slippage/underspend..
While I welcome the news about community pharmacy taking on a range of conditions (while pointing out - do they have capacity and actually locally the MM team have been doing a scheme almost the same for 15 years) it does make me ask the question about what EPR community pharmacy will use to record those consultations and how that will form part of the patients record which is held in primary care. 15 presentations of a UTI at different chemists over a period of time might be indicative of an underlying issue - will these be picked up if no records are kept and nothing is fed back to primary care? Medico-legally what happens when someone sues for something (it will happen) do pharmacies keep records to the level we do? Perhaps they do?
Is there going to be any thought as to how these drugs will appear on the patients prescribing record - specifically to highlight interactions and ADRs?
Show live LinkedIn post (view reactions & comments)
Does anyone have a definition of what an online consultation is? Is an email to a practice for a fit note one? Is a request for an appointment one - that gets triaged into an appointment? or only if questions are asked and answered? If I see an abnormal result and SMS a patient a message/actions about it is that one? Or does it have to be 2 way? Does allowing them to acknowledge it make it two way? Does it have to be patient initiated? Does it have to be pre-booked or can it be random? Does it have to be live or can it be asynchronous? Does a back and forth email conversation count? Does it have to be recorded in the EPR?
Anyone using SunQuest ICE order comms in a cross practice setting? We would like our “shared” clinic to be able to order bloods through ICE. However we are struggling to do this. There is a web interface direct into ICE but the labs are telling us it would give access to every patient on their system - whereas we only want to be able to order from the surgeries using the service and ideally from only the patients booked into the clinic? We are using EMIS remote to consult but it doesn’t seem to allow ICE to work.
We are still looking for a few more sponsors for our inaugural Physicians Associate Conference on the 7th and 8th June to be held at Keele Hall, Keele University - We have over 100 delegates and lots of practices already confirmed as attending.“
“
“This is a great opportunity to show your product/tech/service to keen forward thinking clinicians and practices. opportunity is particular useful for products aimed at end users and general practices both clinical and administrative. PAs doing a wide range of clinical and admin tasks from triage - e-consults -”
“acute care - chronic disease management - call/recall - processing of results/letters - dealing with clinical enquiries - referrals - reports/letter writing. “
“
“Other attendees will include Practice managers and Practice Partners and PCN managers looking to understand what PA’s can do for their PCNs/practices.”
“
“We feel this would be ideal sponsorship opportunities for equipment sales companies/ triaging / phone/ dictation / RPC / AI / report writing / as well as perhaps ARRS providers / Locum agencies / perhaps even Pharma companies wanting to work collaboratively on disease area topics.”
“
“Contact me or email andrea@howbeckhealthcare.co.uk for more info.
My surgery is looking for a new clinical partner - could you be the right person? “
“We are looking for an experienced generalist who believes in traditional general practice to join our team - We are interested in those with sub-speciality interests but have no preferences. Please repost to your networks so that as many interested clinicians see it as possible.
On first reading through the new QOF documentation for 23/24 I’m slightly disappointed clinically. For some of the Cholesterol and Heart Failure indicators they seem behind current guidance. e.g. they talk of a non-hdl-c target of 2.5 but the actual guidance talks of delivering a 40% reduction from baseline.. The heart failure talks about beta blockers but current standard of care appears to be the so called 4-pillars of care inc SGLT2s etc and this could mean people missing out on valuable treatments.
Perhaps gives a role for local schemes that go above and beyond.
Thinking about the upcoming Capacity and Access Framework for general practice. It seems likely that they will base this on a) patient experience b) ease of access and c) data upload/quality (i.e. GPAD) to measure the latter at least - in many ways this is fair enough - but the rumours are you will have to agree a baseline with your commissioner then demonstrate an improvement… which sounds fine but what about those practices doing well.
I’ve just been looking at my RightCare data and in the patient experience modality - my PCN beats its 20 peer PCNs in all indicators so how am I going to improve?
Ok you might say if 95% are happy maybe I should aim for 99% - well.. ok.. but 2 things:
Can I remind people about the concept of regression to the mean… where extreme results tend on repeated sampling to return to more normal (average) results.. so those in the top quartiles will tend to reduce and those in the bottom quartiles will tend to improve just from statistical sampling.. and
You cant please all of the people all of time - if I’m getting high scores - am I really going to be able to improve them? and potentially given the sample size a small number of discontents could dramatically alter my funding.
So we could be in danger of failing to reward successful practices and putting money into poor practices who haven’t really done anything to deserve it - we could also be basing funding of practices on a small minority of users who are engaged in responding more likely those with a gripe.. Perhaps this is what they want.. but is it right?
We need our commissioners to take an intelligent approach to this - and understand the limitations of the methodology. We need agreed plans based on concrete demonstrable actions not hampered by statistics.
Am interested to hear from other PCNs are thinking about putting in their plans.
Also I strongly suspect the money will be paid at PCN level…. under the previous IIF - many practices agreed to split income by fair shares and there were issues where not all did the same amount of work - are practices with different access issues going to be happy to do this? What about a PCN where one practice currently scores really highly and one really badly.. one might do all the work to improve - who should get the money…?
Advertising our 1st ever PA conference - Howbeck Healthcare supports the training of PAs and we are running the first ever PA conference - the first day is aimed at PAs - this half day is aimed at existing employers and/or prospective ones - Want to know what PAs can do - how to get the most from them? Where the role is headed (prescribing rights coming soon).. come along and network and find out.“
“#primarycarenetworks #physicianassociate #arrs
Anyone know of a cheap way of taking retinal photos (fundoscopy) and getting them reviewed/reported? “
“
“Kit I’ve seen if thousands but i’m sure there must be a cheaper way!
Show live LinkedIn post (view reactions & comments)
Really good meeting with Blinx Healthcare this am - having a free trial of their product which has numerous really cool features for practices and PCNs in one package - more to come….
We know the Venturi Cardiology people - we use them for echos on our research patients - this event sounds good - if you are in the area consider going!
The Turing test is a test that asks can you tell the difference between a computer and a human. I’m wondering with the rise in AI does it need updating?
What about: Can you tell the difference between an AI and a specific human?
That is can you train an AI to mimic a specific person. Can an AI chatbot answer as if it was me? Using my language, my idioms, my phraseology? Could you give an AI my memories? (Siri is listening in at all times - wear google glass and it could see everything I see) could it know what I know and I don’t know?
Could you get to the stage where the AI was indistinguishable from me even to close friends/relatives?
At that stage is it me? Could my AI give my kids advice as me after I’ve died? Could my AI keep learning and growing and become more than me? Does this mean we could live on forever?
One of the biggest issues facing ICBs regarding primary care, is the inequities in primary care funding. Many CCGs had discretionary funding schemes where they paid primary care to do “extra”.
I’ve heard of schemes worth £15-25/head of population. Now they have lumped CCGs together in some ICBs this is starting to look quite iniquitous.
Have these schemes ever been analysed to see if they deliver value? Are they paying at the same rate? Are they targeting the right practices/ patients.
Of course the whole funding issue is complicated and different practices get all sorts of different pots of money - for example is it right that some receive more rental reimbursement than others?
Is it time to break the link between ARRS funding and new roles and encourage practices to spend their own money on new roles? or Encourage the ICBs to give more to the PCNs?
As we go into 23/24 the ARRS funding increases one last time and most PCNs are trying desperately to spend it. The new contract/DES has once again expanded the number of roles that you can use.
While I don’t have comprehensive data on this, it seems some roles are more popular than others. A lot of PCNs have pharmacists/ pharm techs/ MSK / CCs some have paramedics and PAs, a few have OTs/ dietitians. While there may be a rush for ANPs there are other interesting roles the GP assistant for instance.
The ARRS funding has helped introduce these roles to GPs but what we dont have yet is a lot of evidence that practices are hiring these staff from their own GMS money - yet there is much to be gained if they do - especially if the shortage of GPs continues.
The concern a lot of practices have is that they are funding services that were funded in a different way. EG has the excellent MSK service my surgery now has - actually just reduced the burden on the local physio and orthopaedic teams from my primary care budgets. (ie ive spent money that could have reduced my burden on reducing others burdens.. see later)
The local mental health trust are really keen for us to spend ARRS money on mental health workers - is this to create a integrated service or is it adding capacity to their service from my budget? If I flipped it around - would they hire GPs to reduce the work I had to do seeing their patients?
However there is no doubt some of the roles reduce GP workload and reduce “admin workload” do we need practices to keep thinking - could I use a PA? Could I use a GP assistant?
However given the possibility of these PCN staff having whole system workload implications should the local system put its money into the ARRS pot?
If we believe in PCN/Care community care and we think that on the whole ARRS money has been well spent - let the PCNs run a bigger team of people matched to the needs of the population.
The red pill movement, whether you agree with its conclusions or not (which I wont go into here), has given us a really good example of how you can learn from “big data” and how you can use population segmentation to simplify messages. I wonder if it is something we should be doing more of in primary care.
Without going into too much detail – the movement appears to have analysed the results of masses of data from dating sites and apps and learnt some interesting insights.
By it’s very nature when a user registers on a site they give a lot of information about themselves – this is perhaps analogous to the information I hold on my patients. The site itself then records lots of interactions as users view other users and swipe left or right – there is even outcomes data in a way as if a user keeps using the platform or not gives some conclusion on whether the connection was successful, assuming the outcome was long term relationship which may not always be the case!
The movement now talks about groups of people, e.g. Chads and 403s, and some ruder terms I wont list but these are essentially stereotypes that act in a similar way that share behaviours or characteristics and in theory help when summarising behaviours or allow targeting of messages. This is a classic example of population segmentation similar to the “Karen” moniker that is sometimes used. It is easier to talk about a Chad or Karen acting in certain way than constantly talk about percentages or present tables of data.
My local hospital did some interesting segmentation work where they analysed groups of patients presenting to them and they sub-divided them into groups (with titles rather than names) such as “fix-me” or “keep me well” they looked at the size of these groups and their needs/wants. I openly wondered if we should have a primary care version which might include groups such as “presentation of a self limiting illness” “having terminal care” “well and for prevention and screening” “chaotic user” “daughter visiting elderly relative” “holidaymaker” “student” I guess the point of these grouping is almost the opposite of the 80:20 rule – its identify small groups that have particular needs/wants and come up with a way of dealing with them rather than just thinking about the whole.
The NAPC have a 3x3 matrix model of segmentation which is largely based on age and complexity which can be one useful way of thinking about dividing your population and their needs but isn’t as specific or stereotypical as the above grouping but is worth looking at. It tends to group people into well – have some chronic diseases and frail and or complex with the latter needing specialist care and continuity and the former access and good health promotion/screening/vaccination services which could be delivered in a different way. Indeed the rise of the fuller centre might break general practice into these two sides with urgent care in one and chronic care in another.
I’ve tried to avoid posting about chatGPT… however this is interesting: https://lnkd.in/eyxrZBQK“
“
“I have to say on of the cases they use - painful leg - id expect a 1st year medical student to get…. and their comment that it can be very dependent on the words used is perhaps where it needs work. “
“
“But it does ask the question of what is my role? is it to diagnose? interestingly ive long seen my role as an explaining things.. explaining what the plan is - what the consultant said, trying to explain risk in a way that the patient understands.. maybe chatbot can do that too!
In a previous post I gave some clinical advice aimed at primary prevention e.g. self checking yourself for cardiac risk factors. Of course while prevention is better than cure - I didn’t mention secondary prevention or treat to target.
It’s still surprising to me how many patients have little engagement with their own health. They dont know the name of their tablets what they are for or what dose they are on (despite me telling them)
We aim for concordance not just compliance. (look it up!) Many better people than me have written about this but again from an advice point of view - if you have a chronic disease - do you know what you should be being treated to?
If you have hypertension - what bp are you aiming for? Do you test regularly - do you come in if its not being achieved? Gout - do you know your last uric acid? Cholesterol do you know your 5 panel results and what is your target non-HDL-C and are you at it? If you are diabetic - what was your last HBA1C - have you profiled your glucose intake with a CGM machine? are you engaged?
Show live LinkedIn post (view reactions & comments)
Would you like to have a prime opportunity to engage with the largest annual gathering of primary care Physicians Associates and practices that employ or are thinking of employing them?
There are now more than 3,000 qualified Physician Associates (PA) working in the NHS across the UK with a third of these working in General Practice.
Our inaugural Primary Care Physician Associates Annual Conference 2023 is to be held at Keele Hall, in the grounds of Keele University, Staffordshire ST5 5BJ on Wednesday 7th June 2023 and Thursday 8th June 2023 and will consist of a clinical day of expert clinical updates and CPD for primary care PAs. Plus, a workforce half day supporting PCNs, PAs & GP leaders on the recruitment, retention and development of this rapidly expanding medical workforce. We envisage a few hundred delegates will be attending.
We are looking at two levels of sponsorship for our annual conference. The first being sponsorship in supporting you to increase your profile and strengthen your market awareness in our conference brochure and the second form of sponsorship in networking and building new business leads on the day(s).
If you would be interested in supporting our annual conference, please contact Andrea Foster andrea@howbeckhealthcare.co.uk for further details along with outlining your preference of sponsorship.
Yesterday got a look at the new IIF reporting module in Edenbridge APEX. Looks amazing and it’s the first drop - with loads of added functionality to come. Overnight automatic updates - a killer feature already!“
“
“#pcn #primarycare #gp”
“
It’s that time of year when pots of money become available and Practices/PCNs are thinking about what to spend them on. They are often capital not revenue and one of the questions that often comes up is how do you get long lasting value from one of these pots of money?
Well - equipment is an easy answer. Buying some new kit that you may use every day for years can be a good use of capital. I’d suggest that education is also worth spending money on.
Last year - I bought our every practice in my PCN a subscription to the iLearn Statutory and Mandatory training package from Agilio - I’m a great believer in bulk buy - and we got a good price. It also standardised and harmonised the training across the PCN and although other providers are available I really liked the fact it linked from GPTeamNet which my practices use and it was seamless.
Indeed they have more than 500 courses in their wider clinical selection - which I’ve just been looking at and am thinking of purchasing this year.
They also have some excellent recorded webinars and updates and these cover a wide range of topics and are bang up to date - it’s comforting that these guys write the CKS clinical guidance and its really convenient that they link to the Clarity Toolkit that most of my local GPs use as there preferred option.
A contact made some interesting comments to me this am.
Is there a business opportunity for a private ambulance company? We have private dentists - doctors - why not ambulances?
Increasingly people are using taxi’s to get to A&E - should councils who licence cabs - insist on some basic medical training for taxi drivers? or insist they carry a defib?
Could a taxi firm advertise itself as having a defib on board to get work?
I’m happy to say that my company Howbeck Healthcare Limited helped two of the bidders (pocdoc and healum) including me attending the interview process for one and helping with the bid writing. If you want help with future competitions - get in touch!
Show live LinkedIn post (view reactions & comments)
Thanks Steve Roest - very pleased to have been involved in this winning bid - and to be involved in the delivery of it. I’ve been a keen advocate of Point of Care testing and indeed patient self testing for years and we’ve got some really innovative thoughts on how it can help primary care and improve patient care particularly in the climate of excess cardiovascular mortality post covid.“
“
“#cardiovasculardisease #generalpractice #primarycare
Show live LinkedIn post (view reactions & comments)
On my lunch time home visits today I was listening to the news on the radio as i was driving and the radio news announced that we would be prescribing statins for anyone with a risk of 20%! “
“
“Alas the news has got its maths slightly wrong… lets see if they correct it. “
“
“We have been offering anyone with a QRISK of 20% or more statins for some time - indeed we have been offering anyone with a QRisk of 10% or more statins for some time… NICE are actually suggesting anyone with a risk of more than 1 in 20 which is 5% should be offered statins after discussion of their risks etc. “
“
“Interestingly playing with a Qrisk calculator that’s pretty much any man over 50 and any woman over 55. #statins”
“#cholesterol
Show live LinkedIn post (view reactions & comments)
GP practices working at scale needs help. For PCNs that have chosen to merge into one practice - its easy - have one clinical system across the entire estate and share out work. For practices that aren’t merging but who want to investigate either working closer with other PCN practices or dare I say it - practices from outside of their PCN who they feel they have more in common with its very hard to deliver any real benefits at scale. Pressure points for practices include: processing of incoming notes and deductions of leavers, summarising and coding of letters and actioning them, handling repeat prescription request and all the monitoring that goes with that, processing results and others.
At the moment there isn’t really a easy solution - there are no real enterprise solutions - 7 practices want to put a room of coders together and they need logons to 7 clinical systems 7 document management systems. What we need is a supra-view that allows certain staff to log in to more than one practice and be logged in and have access to all the users and patients. and perhaps have this be dynamically adjustable based on activity or role. Has anyone solved this? #pcn#primarycare#generalpractice
It’s not often I give medical advice on here.. but bear with me this might save your life! (this is aimed more at my non-medical followers but to the medics perhaps…its worth taking a break and looking after your own health?“
“
“Yesterdays news was again around that there is currently an apparent excess number of deaths going on compared to average. Although multi-factorial (as in other studies) there appears to be an increase in cardiovascular deaths partly causing this - they say some of this is perhaps due to undiagnosed or under-treated risk factors for which there may be a whole host of reasons…”
“But moving away from systems to you.. “
“What can you do to reduce your risk? Easy…”
“
“Smoking - Don’t… I know it’s hard to stop….but it’s the biggest risk factor. “
“Now the ABC…of prevention”
“A - AF - check your pulse - is it regular or not - there are plenty of gadgets that will do this for you - but you can use a finger… if its not regular and between 60-100 bpm - ask for advice.”
“B - BP - get your BP checked at least annually - note - properly.. it’s a resting BP - with a properly sized cuff - with a supported arm - with a calibrated machine…. but most machines these days check your pulse as well…. a decent £30-50 BP machine might be the best new year present you give yourself…”
“C - Cholesterol - ideally a 5 panel breakdown - to include Good and Bad cholesterol. As the ratio matters and you might need help interpreting it.. Ask at your practice - you dont need to do this too often - but at least once - to exclude familial disorders and perhaps every few years. If up - yes diet and exercise but try the tablets….. they work for most people…”
“D - Diabetes - get checked - again not all the time but at least once. and if high yearly.. consider a low carb diet and “
“E- Exercise - do some and eat”
“F - Fruit and Veg - evidence seems to be having plenty in your diet helps.”
“Got that?”
“HYN
Show live LinkedIn post (view reactions & comments)
Very interesting post on why making GPs salaried doesn’t really make a lot of sense… as the author also says - im not trying to make a party political statement here - I dont think any side has the answer - but just simply saying making GPs salaried it.. isn’t it..“
“
“https://lnkd.in/eh_kpXkd”
“
“#primarycare #generalpractice “
“
Hopefully you know I help run a not-for-profit free to use IT training site called www.how2.training which has a load of training videos for all grades of GP/primary care staff both clinicians and non.. if not - please check it out.. its free to register and use for any NHS staff and lots of practices use it to help speed up the induction of new staff. We also think it’s great for ARRS staff new to GP land. “
“
“My ask is - as we are trying to get it some PR as we are looking to get some more funding for it - 1. could you register on it (you just need a nhs.net account) and could you ask your networks/staff to do the same - and 2 if you could and also ask all your staff to like/follow our new facebook page https://lnkd.in/ePEuYVNF where we hope to deliver some interactive discussions about IT training - the more active users we have the more we hope it will convince the powers to be to keep funding it. #primarycare #practicemanager #generalpractice
