Human resources in General Practice in the UK

Human resources in General Practice in the UK   Introduction. Healthcare in the United Kingdom (UK) is delivered mostly by the National Health Service (NHS).  The NHS is a model of healthcare owned by the state with the aim of delivering universal health coverage (UHC).  UHC is the concept of providing health services to all without their suffering financial hardship as a result.  Estimates suggest that most patient contacts in…

Read More

Introduction to Human Resources

Recruitment As a Practice Manager HR is probably one of the biggest areas of my job.  When someone resigns, I like to take the opportunity to review what the practice “need” is and never simply replace like for like. Practice needs change over time, so it is a perfect opportunity to do things differently, just make sure you review the job description and person specification and update accordingly. I have…

Read More

How I made my practice more efficient

When I joined the Oakwood Team almost two years ago, I had no idea of how a general practice ran. I brought with me a wealth of leadership, coaching, training and performance management experience. Unfortunately, I had zero knowledge or experience of the NHS and so I had a lot to learn. After a short orientation period, I set out my stall to learn the practice inside out. I did…

Read More

Practice Manager Resilience

Practice Managers have an incredibly difficult, multi-faceted role where you can be expected to turn from counsellor to body guard at the drop of the hat. Most of us have a tool belt and box of tissues to hand at all times and an inner sense that leads you to reception to deal with Mr. Irate just before he starts his meltdown! Resilience gives us the capacity to turn adversity…

Read More

GP Pressures 2021

practice RAG score based on PM pressures & number of e-mails to action: % of PMs declaring significantly high pressures on their time practice RAG score based on the number of practice telephone contacts: % of PMs declaring significantly high call numbers, non-stop and feeling unmanageable to answer all calls practice RAG score based on the practice appointment usage:  % of PMs declaring appointments and any additional capacity exhausted and…

Read More

ICS design framework

Health and Care Bill 2021 ICS Design Framework – 16th June 2021 System Development Progression Tool – July 2021 SYB SYB Place Integrated care Partnership Membership Not prescriptive – depends upon local needs Local government NHS Health and Wellbeing boards Social care Voluntary, community, and social enterprise sector Employers Housing Education Criminal justice Core purpose •  improve outcomes in population health and healthcare •  tackle inequalities in outcomes, experience, and…

Read More

Regulatory capture

In its broadest sense, regulatory capture is the process through which special interests affect state intervention (Dal Bo, E., 2006).  More specifically regulatory capture describes the phenomenon that regulators protect the interests of the organisation that they regulate over the interests of the public (Borup, R., Traulsen, J.M. and Kaae, S., 2019).  In this essay, we will discuss this in the context of the pharmaceutical sector shaping public health policy…

Read More

How impressive are existing tobacco control measures?

How impressive are existing tobacco control measures?   The Tobacco Control Plan (TCP) for England 2017-22 was published by the UK Government in July 2017 and identifies key specific areas of focus including, prevention, supporting smokers to quit, elimination variation in smoking rates, and effective enforcement.  Since the preceding UK TCP, smoking prevalence has substantially reduced from 20.2% of adults smoking to 5.5%.  Whilst this is the lowest level since…

Read More

Primary Care and market forces

The National Health Service is funded through three means; general taxation, national insurance contributions, and private fees for a small number of services, including prescriptions and dentistry.  The level of funding to the NHS is set annually by the central government.  General taxation accounts for around 80% of that budget (1).  In 2018/19 the budget for the NHS was £114b (2).  Primary care receives around 7.1% of the total NHS…

Read More