GP with a Special Interest (GPwSI) Intermediate Care

A GP with a Special Interest (GPwSI) in Intermediate Care Dr Zalan Alam tells GP+ Networking his story.

I was recruited in early 2015 as the GP lead in intermediate care services by the local provider organisation GP Care in Rochdale, Greater Manchester.  My brief was to recruit 2.5 FTE GPs who could work in Intermediate care services looking at a community focus managing medical complexity and multimorbidity.

We manage patients as part of a partnership with the acute trust, the council and third sector. Our teams work to visit patients at home and support independent living and offer them rehabilitation in a local setting.

Our team has done great work in the area, reducing acute admissions and reducing the length of stay in hospital. We perform advance care planning and work on fraility. We have had excellent feedback from GPs and staff because of this MDT approach to care.

It has been a rollercoaster as the lead, but I’ve discovered that managing colleagues can (not surprisingly ) be a lot harder than patients! But it is also rewarding, to see your colleagues take the initiative and set up MDTs, work on advance care planning with patients and pro actively change things for the patients.

The best bit? When you work as part of a integrated team, unsurprisingly again, those barriers we struggle with so much in primary care? They breakdown over a cup of tea.

 

If you want to learn more about how Dr Alam started this service and how it is running today then please contact him via GP+ Networking. Sign in and connect. Perhaps start an intermediate care discussion group.

An Introduction to GP+ Networking- A space for innovation

GP+ Networking stands for a better way of GPs working together and provides a refreshing space for innovation away from the bombardment of emails.

As the membership of GP+ Networking gathers momentum we are continuously developing the site based on the feedback of our early adopters.

The introduction to GP+ Networking video was viewed on Facebook 1300 times in 48hours! Hits to the homepage were over 1000 last month. This is a great encouragement but we know that we have to hit a critical membership mass.

Strong membership will allow the 14955763_1354874164553048_4520353774883868848_n-2project to reach its potential as being the ‘go to site’ for all your professional development needs.

Remember that ‘extended roles’ are clinical and non clinical. A new extended role is ‘quality improvement’. If you haven’t selected it on registration and would like to please edit your profile.

Cathryn has big plans to build further helpful  functionality based on the bedrock of the networking site but first things are first.

The site is currently being used to find people of similar interests, run group chats based on those interests, find events and connect with those also attending.

 

 

Current feedback

“I’m an ST3 in Paeds but considering changing to GP. Thought I’d use your site to give me an idea of the additional roles some GPs take on”

“I was really glad to discover another GP on this site with a special interest in an area of clinical work that has always appealed to me. Finding colleagues that share a similar enthusiasm has given me options to develop my career in that direction.”

“All my relevant documents are sat on my profile”

Early adopters

We have a membership of 130 following our soft launch in August and 1300 likes on Facebook. We want to gather as much feedback as possible from our membership and ensure that Cathryn’s plans are prioritised to the needs of the membership.

Cathryn will be creating a group chat through the site for the most enthusiastic early adopters to shape GP+ Networking.

If you would like to be a part of that group and learn more then please contact her via  her profile ‘connect’ button. 

Register now

Founder of GP+ Networking Rising Star

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The founder of GP+ Networking, Dr Cathryn Dillon has been recognised as a rising star in the Pulse Power 50 2016. Read more about the reasons why here.

The award was granted because of her efforts developing GP+ Networking. This is seen as a clear advantage for the general practice community and asset to help doctors network so that they may develop extended roles in general practice at different times of their career.

I have a huge passion for a health care system that is “For Humans, By Humans”

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I believe that to optimise our health and wellbeing we need to view healthcare through a broader lense. Having undertaken postgraduate studies in Sports & Exercise Medicine (and attended courses on expedition medicine) I have come to understand that the biomedical model whilst very useful does not address all our health needs in the most efficient or effective way. With this in mind I have developed a model called “The Human Five” (…it’s not revolutionary, and actually pretty simple! – see ‘my files’ for a simple PDF of the concept)…..it aims to be a universal health and wellbeing model, and very versatile – for example a consultation tool, a framework for managing long term health, or a tool to help optimise provider or individual performance, and inter-organisation collaboration. If you have any ideas or thoughts on any of this, or have similar interests, then I would love to hear from you.

I am married and have a young family. I live between Bath, Bristol and Wells. My non-work interests are running, sailing and general adventure/exploring.

1998-2003 Medical School in Leeds

2003-2007 PRHO and the GP VTS years in Yorkshire

2008-2009 GP in Yorkshire. Also post grad studies in Teaching and Organisational Behaviour and Managing Change.

2009-present GP partner in Wells Health Centre, Somerset

2010-2015 Post grad studies in Sports & Exercise Medicine at Bath Uni

Campbell Murdoch

RCGP Annual Primary Care Conference – ‘Energising Primary Care’

Start Date: October 6 09:00
End Date: October 8 17:00
Location: Harrogate International Centre, 26 Kings Road, Harrogate, HG1 5JW

The RCGP Annual Conference is renowned for attracting inspirational speakers from the UK and around the world, as well as offering practical clinical education of the highest quality.

This year’s theme of Energising Primary Care has been specifically chosen to meet the current needs of GPs across the UK, equipping practices to face new challenges and make the most of emerging opportunities.

Our keynote speakers for 2016 include Chair of NICE Professor David Haslam, the new Director of Primary Care for NHS England Dr Arvind Madan, Chair of Tower Hamlets CCG Sir Sam Everington, and inspirational survivor of locked-in syndrome Kate Allatt.

The 2016 programme includes more than 40 hours of learning sessions and CPD covering all aspects of GP life, a vibrant selection of fringe meetings and a range of social activities that takes full advantage of all that beautiful Harrogate has to offer.

All concurrent learning sessions will be organised within ten main streams, following in-depth research with RCGP members.

GP Career Event

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Dr Cathryn Dillon , the founder of GP+ Networking was happy to attend the RCGP Severn faculty GP career discussion in Bristol on Tuesday. What was clear from the event was the wide range of training opportunity available in GP training. Recent changes included a deferred entry scheme to allow FY2 doctors the chance to explore outside interests before starting GP training and the ‘Step on Step off’ model that allows time to expand training in specialist interest areas. The event spoke about academic fellow posts and the global health programme, which is so attractive for many considering career options. The ease of less than full time training was highlighted to allow a better work life balance or indeed to continue additional studies in extended roles.

Cathryn presented her findings from a study of 440 GPST trainees in the South West. It was a surprise to learn that 95% of trainees wanted some form of extended role within general practice. Popular choices were emergency medicine, surgery and education. Closer working between primary and secondary care delivering care closer to home seems to be the future. GP+ Networking has been built in view of this progression within general practice and will provide the communication platform to match those with similar extended roles. Register your interest at www.medicalnetworking.co.uk by signing in. Once fully launched it will be free to use .

A portfolio career in general practice and medical education

Jillwilson Following my GP training in Cornwall where I saw the best in ‘frontier medicine’ I moved to London and became a partner for a few years until the lure of the West Country drew me home to Somerset and the bosom of my family.

I have been in the same practice now for 24 years and have been senior partner there for the last 3.

During that time I have been able to pursue many interests in medical education – teaching medical students, becoming an appraiser and trainer, and for the last 7 years a programme director for the GP specialist training scheme as well as a keen member of the Tutor group for the GP school so am involved in training the next generation of educationalists. I even managed to squeeze in a masters in medical education.

Together with my husband I have also raised three amazing children and a few families of springer spaniels, burmese cats and shetland sheep.

For me this sums up the beauty of a career in general practice – I have been able to live where I wanted, work as I chose and follow up interests as and when they arose.

As a partner I have always been involved with direction-setting in my practice and had an equal voice with the full-timers.

As a GP educator I have been invited to sit at many tables – at the School of Primary Care, at the RCGP at Faculty and National level, at LMC and CCG meetings and most recently to give evidence at the Select Committee for Health in Parliament.

It is reassuring how open people are to the views of jobbing GPs like me, and how rewarding it has been to successfully juggle all my chosen roles over the years. I believe general practice is the best way to achieve the ideal work – life balance and am happy to support others to find the right balance for them.

Jill Wilson

New GP Network on the cusp of launch

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It has been 18 months since I first had the idea for a GP network linking those with special interests and extended roles. GP+ Networking is finally about to launch in beta form and I feel this cartoon summarises my journey beautifully. It is far from over but reminds me that what I am experiencing is normal for innovation and not a reason to stop moving forward. Now with the help of my supporters we can ensure GP+ Networking reaches its full potential for the General Practice community. We are currently working with potential sponsors. For further information contact us via www.medicalnetworking.co.uk

Balancing Home Life and Extended Roles with a GP Career

Veronica Wilkie GP+ NetworkingI have been a GP for 25 years and still regard my clinical job (two and a half days a week) as core to who I am and it supports and informs my role as Professor of Primary Care at the University of Worcester.

Like many GPs I have had a number of roles in a number of organisations, rather than following a straightforward GP educator or Academic GP career. If I was to look back at the last 25 years there are a few key events that have coloured my career.

The first, becoming a GP tutor when I had been in practice for 5 years. This catapulted me into the word of education and started a networking habit I have never been able to lose. Although a rookie and relatively young, the West Midlands Tutor group were phenomenally welcoming and supportive. I read, and read and observed and went to every training session or educational conference I could.

The next was an opportunity to do a Masters Degree in Evidence Based Practice at Oxford University. My time out was covered by the Prolonged Study Leave Scheme (Oh so needed now), which enabled the practice to employ a locum for the 3 weeks of teaching a year for 3 years at Oxford. I paid for my tuition fees myself and learnt more than just the curriculum meeting with clinicians form all over the world. I continue to have a great network of EBM teachers and still run courses and conferences to this day. The academic rigour of writing essays “critically” has helped my future research and business case development for projects in the NHS, DoH and university since
I moved from the Deanery (which then used to be the regional centre for all doctor training) to a University in 2007. WE were in a small unit which worked at a national and international level. I was able to learn from a great mentor, and continued to network to develop academic skills

Through all of this I have looked at my home and work balance. I’m married to another GP and reduced my hours in the practice so that I could always attend school events, and managed always to work opposite my husband (although in another practice) so that one of us was always home by 6, and there for swimming lessons, changes in my non practice roles were decided as a family team. I used to never work when the children were small until they were in bed. I value all my non medical friends as much as the medics and have tried to have a charity input (now a governor of a hospice, but I have been a nursery trustee, and member of various parent committees at the boys school)

I have been lucky with the practice. We have an agreement that all full time or nearly full time partners can do one session out of the practice – even if its a lost leader, and can take a second one out at replacement cost. We are now a happy and settled partnership of 7, who have now grown to more than cover the cost of our salaried and PA team as we have got more senior over the years, and our outward facing culture I think makes us more resilient

I am now where I couldn’t have predicted a few years ago, I enjoy all aspects of my working week, and am enjoying another “start up” in another University.

So:

  • Surround yourselves with enthusiasts
  • Don’t look always at the money, paying for your own education or starting work in a role that pays less than a locum will bring dividends in the medium and long term
  • Home time is for families, try and separate work and home
  • Whatever role you have enjoy it

Veronica Wilkie
Professor of Primary Care
The University Of Worcester
Partner The Corbett Medical Practice
Academic Lead HEWM Urgent care GP project

I never had any doubt that I wanted a GP career

GP+ Networking Martin RolandI never had any doubt that I wanted a GP career. It always seemed to me the most varied, interesting and challenging branch of medicine and I’ve always liked never knowing what would come in the door next. I think the ‘routine’ bits of general practice must be more varied than almost any other job on earth. I also really like the freedom of being in a practice where we were our own bosses and could organise our own time within our GP career.

When I finished my vocational training, I thought I’d try academic general practice for a few years and found I really enjoyed the research though it took a while to discover whether I’d be any good at it.

Anyhow, 35 years and 250 research publications later, it seems to have worked out OK. I was Professor of General Practice in Manchester for 18 years and I’m now Professor of Health Services Research at Cambridge.

Much of my research has been about measuring and improving quality of care, and one of the continuing challenges has been how to influence primary care policy in the NHS. I have quite a lot of meetings in Whitehall and it’s surprising how often I’m round a table when I’m the only person who’s ever seen a patient. Not what I thought I’d be doing when I started out as a GP.

Professor Martin Roland CBE