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Sunday 19 November 2017
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Topic: Personal Practice

May 2, 2017
Virginia Patania is not a typical practice manager. Angela Sharda speaks to her about her outlook and approach.

Virginia Patania hasn’t used the title ‘practice manager’ for about a year, but instead refers to herself as a ‘transformation partner’, which she describes as ‘someone who is deeply invested in the practice’s change and transformation, but has a stake.’
Her approach is different from the conventional practice manager, but she is also keen on making a difference in her community and in general practice. Her positive approach, she says, comes from the people around her and from generating results.

March 27, 2017
Dr Chaand Nagpaul is not afraid to voice his views on the topics that matter to general practice. As the chair of the British Medical Association (BMA)’s General Practice Committee (GPC), he has fought hard to highlight the crisis in general practice as well as to ensure the profession is well represented within the wider NHS.

Dr Chaand Nagpaul is not afraid to voice his views on the topics that matter to general practice. As the chair of the British Medical Association (BMA)’s General Practice Committee (GPC), he has fought hard to highlight the crisis in general practice as well as to ensure the profession is well represented within the wider NHS. He worked on the details of NHS England’s GP Forward View which promised a £2.4bn investment in general practice and is set to see practices through a lot more changes in the coming year.

June 24, 2016
I’m not sure what I enjoyed least about the campaign, the bullying, the bribery or the bluster of Boris Johnson

So that’s it. It’s Brexit – for better or worse. I’m not sure what I enjoyed least about the campaign, the bullying, the bribery or the bluster of Boris Johnson. I wonder whether the killer claim of the campaign was the warning from the Remain camp that, in the event of Brexit, house prices would fall. This might have been the deciding factor for many NHS staff currently unable to consider buying their own home close to their place of work. Who knows? After all, NHS staff are nothing if not altruistic and would be unlikely to vote based on venal self-interest.

June 24, 2016
Having survived the Scottish Independence referendum, an equally ghastly process but with a good outcome, it is entirely possible that Nicola Sturgeon will try for another independence referendum

Well, that’s that then. Fait accompli. Oh – am I still allowed to speak French? My first reaction to the fact that the EU referendum is over is, inappropriately and not a little selfishly, relief. Relief that I won’t be force-fed any more scare stories about increased risk of World War Three or Cologne-style mass sex attacks. Both statements were very silly and, frankly, an insult to my intelligence. Anyway, Johnny Foreigner will now find it a lot more difficult to come here, hell-bent on crime or not.

June 24, 2016
Will the money promised now be spent on Welsh local priorities rather than within the EU?
April 22, 2016
The junior doctors’ fight against the government doesn’t seem to be going away anytime soon. Both sides have made valid points but until there is any concrete evidence to go off it is impossible to say who is right?

The junior doctors’ fight against the government doesn’t seem to be going away anytime soon. Both sides have made valid points but until there is any concrete evidence to go off it is impossible to say who is right?

January 7, 2016
Over the last five years we have seen consultations with the over 80s increase by over 150%; in the same period we have seen funding of general practice fall by around 20%

In 2015 my surgery applied three times to close its list. We were a very successful surgery with very high levels of patient satisfaction particularly for access but that became our greatest problem. Our list was growing inexorably. A very large part of our growth was from patients transferring in from other local practices. The patients that were transferring seemed to be complex patients who needed a great deal of working up.

December 30, 2015
Last year’s flu vaccine was ineffective and this has undermined people’s confidence in flu immunisations. As a result, many patients are just not bothering to present.

How is this year’s flu campaign going?

For many practices in Scotland uptake is below expected levels, and particularly for risks groups, such as asthmatics and pregnant women. It seems there are several reasons for the decline in numbers:

·       Last year’s flu vaccine was ineffective and this has undermined people’s confidence in flu immunisations. As a result, many patients are just not bothering to present.

December 28, 2015
How locum staff can both make and break general practice

How locum staff can both make and break general practice

It's Friday afternoon. I am preparing to wind up the week, and enjoy the weekend until Jeremy Hunt,secretary of state for health,decides I shouldn't. Then an email pings in: "Hello. We are four sessions down the week after next, and need locum cover for December and January – unless anyone isn't celebrating Christmas."

December 24, 2015
General practice in the UK is a wonderful service, provided by dedicated and committed people and I’m proud to work in it

I am not a rebel; I like clear rules and to follow instructions. When I was (a lot) younger, I was afraid to stick out from the crowd. But – here I am with a sparkly, seasonal opportunity to take a risk and be as non-conformist as I like. So, loins girded, here I go... I absolutely love being a practice manager.

November 16, 2015
I know of many GPs and patients who find homeopathic preparations helpful, especially in clinical areas where there is no satisfactory conventional treatment

I have not prescribed them myself but I know of many GPs and patients who find homeopathic preparations helpful, especially in clinical areas where there is no satisfactory conventional treatment. They are cheap and entirely safe, which cannot always be said of conventional treatment.

November 11, 2015
Practice managers can be overlooked, but they were centre stage at MIP London

“I can’t get hold of Hunt seven days a week,” an audience member pointed out at the Management in Practice (MIP) London conference held on 10 November. The blunt remark provoked hearty laughter in Olympia London’s auditorium during the tense opening session focusing on the seven-day NHS.

October 5, 2015
Biases, prejudices and stereotypes (BPS) by healthcare workers can attribute to healthcare disparities, delayed access and discrepancies in healthcare equity

Biases, prejudices and stereotypes (BPS) by healthcare workers can attribute to healthcare disparities, delayed access and discrepancies in healthcare equity. Yet, healthcare workers are often the target of BPS from peers, other professionals, patients and patients’ support persons, especially if they do not represent the majority population.

September 28, 2015
Here’s a question to ponder as the darker evenings start to set in – have you planned the practice’s Christmas yet?

Here’s a question to ponder as the darker evenings start to set in – have you planned the practice’s Christmas yet? Will this be the usual lavish affair or is it time for a few changes? In true A Christmas Carol fashion, let’s review Christmas past!

September 22, 2015
Do you remember last year’s backlash against the four days practices had ‘off’ at Christmas and New Year?

Do you remember last year’s backlash against the four days practices had ‘off’ at Christmas and New Year? You and I know that two of these were Saturday and Sunday but to the media this was a four-day holiday! Did this influence what you did when Easter came around? Many practices felt obliged to open on Easter Saturday.

September 17, 2015
A round up of Management in Practice conference in Birmingham

"My uncle is a retired surgeon in the US where seven-day working is the culture. But there are a high number of wrecked marriages due to this. So I suggest we should resist a seven-day NHS," said one delegate during the opening panel's Q&A session at the Management in Practice (MIP) conference held in Birmingham on 15 September.

Given the strength of feeling around the plans for a seven-day NHS it was an obvious choice as the topic for the opening panel's discussion.

September 14, 2015
Do you remember the previous mid-term break? Did you have people coming out of the woodwork, asking for last minute leave?
September 7, 2015
Meningitis ACWY, age cohorts for shingles, catch up campaigns – do immunisation programmes for babies, school children, university students and the older practice population leave you reeling?

November 25, 2014
CQC chief inspector of general practice explains intelligent monitoring -one of the tools now being used to support their new approach to inspection

Last week we launched one of the tools that support our inspectors to deliver our new approach – intelligent monitoring. For some of you I know the release of this information has been challenging, and it has prompted many enquiries to your practices asking what does it mean and how do we use it.

I myself have had a busy week answering just those same questions, and you may have seen some of the many media articles and television reports focusing on our new tool.

November 6, 2014
The CQC is currently consulting on a new approach to inspecting healthcare services in prisons, youth offender institutions and immigration removal centres

The CQC is currently consulting on a new approach to inspecting healthcare services in prisons, youth offender institutions and immigration removal centres 

Over the last ten days I've had the opportunity to enjoy meeting and listening to many of you that took part in the Best Practice Conference (in partnership with the National Association of Primary Care), the Dispensing Doctors' Association Annual Conference and at a local meeting of the Birmingham CCGs.

September 16, 2014
How will general practice be affected if Scotland decides to become independent? Two days before the ground-breaking vote specialist healthcare solicitor Andy Drane outlines possible changes

How will general practice be affected if Scotland decides to become independent? Two days before the ground-breaking vote specialist healthcare solicitor Andy Drane outlines possible changes

September 12, 2014
In this co-written post, Dr James Kingsland and Graham Roberts, managing director of Assura Group explain why the Five Year Forward View must revolutionise primary care estates

In this co-written post, Dr James Kingsland and Graham Roberts, managing director of Assura Group explain why the Five Year Forward View must revolutionise primary care estates

September 9, 2014
For the last two weeks the Care Quality Commission's chief inspector of general practice, Steve Field, has been busy meeting CQC staff and taking part in inspections

For the last two weeks the Care Quality Commission's chief inspector of general practice, Steve Field, has been busy meeting CQC staff and taking part in inspections, as we prepare for the rollout of our new approach in October.

I also joined our CEO David Behan at the HSJ Commissioning Summit, where we spoke to a lot of CCG leaders to get feedback, and to commit to working closely with them as we both continue to encourage improvement in health and social care.

September 3, 2014
NHS Employers’ assistant director of employment services, Ruth Warden, gives an overview of new information to help managers handle sick leave effectively
NHS Employers’ assistant director of employment services, Ruth Warden, gives an overview of new information to help managers handle sick leave effectively
 
Managers at NHS trusts have started using a new free online resource by NHS Employers. They are now encouraging managers in GP practices and other parts of primary care to take advantage of it too.