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.

Emergency Care GP and Urgent Care Leader

Kat Noble Dr Kat Noble is a very good example of a GP+ Networking coach.

She is an Emergency Care GP with extensive working knowledge of urgent and emergency care. She has over 11 years of current clinical experience working in pre-hospital care, GP, urgent care and in the Emergency Department.

In 2010 she was the sole nominee for the first North East (NE) NHS leadership academy clinical leadership fellowship from which she successfully graduated in 2012. She has a thorough knowledge of NHS 111 having held clinical leadership roles initially as NE Regional NHS 111 lead. After being invited to join the Department of Health as National Clinical advisor role for NHS 111, she further developed her expertise in dynamic clinical governance.

Kat’s first position at executive board level, as National Medical Director for NHS Direct, taught her how a mature effective board can work. She also held a position as joint Clinical Director for NHS Pathways and advised on the independent expert “Urgent Care Commission” group supporting Bruce Keogh’s Urgent and Emergency Care review. Kat supports workforce development and chairs the Emergency Care Taskforce for Health Education North East. An ALS instructor and volunteer doctor at the local race circuit Kat also enjoys keeping her emergency skills grounded.

Committed to her work but in enjoying her downtime Kat’s top priority is family life where she enjoys being a wife and mum of three, travelling and trying to beat her children in the “Park run”.