best practice newspaper issue 6

Issue 6

MAIN SPONSORIN PARTNERSHIP WITH NOW FEATURING THE DDA ANNAUL CONFERENCE

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Confessions from the coal faceBest Practice conference chair Dr Rosemary Leonard pens a hasty but candid snapshot of life at the frontline of general practice.

Read full story on page 5

Packed with key stories from primary care and the leading conference for general practice

Giving rural practices a voice

Collaboration and at-scale general practice have been described as making general practice stronger and more effective.


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To federate or not to federate...

GP practices will form alliances or federate in droves over the next few years in order to both survive and

develop as primary care providers, GP leaders predict.


Rt Hon Andy Burnham, Labour Shadow Secretary

of State for Health

Rt Hon Jeremy Hunt, Secretary of State

for Health

Simon Stevens,Chief Executive of NHS England

Roy Lilley, Commentator and Blogger, Former

Chair NHS Trust

Dr Maureen Baker, Chair of Council, Royal College of General Practitioners

Dr Clare Gerada,Chair of Primary Care

Transformational Board

Professor Steve Field CQC, Chief Inspector of

General Practice

16hours of FREE CPD accredited by the RCGP andAMSPAR

Dr Ian Walton, GP and IAPT

Lead Sandwell

Dr James Kingsland OBE, President NAPC and

Chair NPCN

Anne Marie Jones, Director Commercial &

Business Healthcare, RBS

Dr Mark Levy, Respiratory Lead for Harrow and Clinical Lead, NRAD

Mark Stone, Pharmacist, Tamar Valley Health,

Cornwall

Dr Matthew Fay, Medical Director, Badger Group

GP Cooperative

Dr Michael Taylor, GP at York House Surgery and Executive Member, FDA

Dr Michael Smith, GP and Chief Executive Officer, Haverstock Healthcare

Dr Minesh Patel, Chair, Horsham and

Mid-Sussex CCG

Ray Guy, Practice Manager,

Liverpool

Dr Mark Levy, Respiratory Lead for Harrow and Clinical Lead, NRAD

Helen Lyndon, Nurse Consultant, NHS Cornwall

and Isles of Scilly

Dr Nav Chana, Vice Chair,

NAPC

Dr Patricia Langley, CEO,

Apolline Ltd

Paul Larkin, Lead Pharmacist

(CCG)

Dr Richard Roope, RCGP and CRUK Clinical Lead

for Cancer, GP

Bob Senior, Partner, Head of Medical Services,

Baker Tilly

Dr Sara Khan, GP Partner, Vice Chair of Herts LMC,

Editor of Medical Woman

Val Hempsey, Practice Manager and NAPC

representative

Dr Phil Yates, Chairman & Director of Medical

Affairs, GP Care

Dr Tom Reichhelm, Managing and Medical

Director, Malling Health

Dr Yassir Javaid, Clinical Lead for CVD prevention,

East Mids SCN

BEST PRACTICE 2014 SPEAKERS AND PRESENTERS INCLUDE:

2 Join the conversation #bestpracticeshow www.bestpracticeshow.co.uk

When it comes to GP federations there are many different shapes and sizes and no off-the shelf solution. Best Practice canvassed three contrasting views about the pros and cons of different models of GP federation.

NHS partnership model

The Hurley Group is a large NHS partnership led by practising GPs in about 20 practices providing care to 100,000 patients in some of London’s most deprived communities. It also runs four walk-in centres and six urgent care centres. Community services include x-rays, ultrasound and on-site pharmacies.

The group has grown by acquiring practices and has turned around many failing practices. Its ethos is to integrate primary care strengths with social enterprise, to transform care for vulnerable patients, provide a high standard of care and to invest in its staff.

Dr Arvind Madan, executive director of the group, says: “We are like one GP surgery that just got bigger rather than a bunch of different businesses that decided to work together.

“We are a single business entity. We haven’t adopted a company format because we didn’t want shareholders dictating the direction of the organisation or diluting its clinical integrity. The likelihood that federations will become single legal entities in the longer term are quite remote because GPs are fiercely independent.

The best thing about our model is that it enables us to be big and that gives us an opportunity to achieve economies of scale, to innovate, to influence policy and change the model of general practice. For example we have created an e-consultation and online advice service which signposts symptom checking, enables the patient to consult remotely with a GP and provides information to enable patients to self-care. This is something we would never have been able to do in a small practice.

“Our main NHS contract is fairly straightforward but where it becomes quite complex is with the LES. We have to deal with

Federations: one size doesn’t fit all

worried that a lot of public health contracts were going to the local authority and they would want to deal with one organisation rather than lots of individual practices. But that didn’t actually happen, they are still negotiating with individual practices.

“The Suffolk Federation are looking to bid for intermediate care services such as district nursing, community ultrasound, Desmond diabetes education, dermatology and endoscopy – none of those services are what you would call general practice. Expanding into other areas may or may not be a good thing – it could bring more risk.

“And what about the competition laws? If your federation owns the community ultrasound service and you send all your patients to your service, not Virgin’s, under any qualified provider are you not creating a monopoly?

“Looking at the broader political agenda where does the federation fit in with CCGs and LMCs? In theory all practices are a member of their CCGs and if you are a member of the federation as well how do those two match? LMCs are meant to represent all practices and has a statutory role to do so, so how does that fit in to the federation?

a Rubik’s Cube of 10 different commissioners and the particular spin they put on the LES in their area. This makes scaling up difficult outside our geographic territory.

“We are still expanding although we consider the current procurement environment for general practice to be the most challenging we have ever faced.”

The company model

Scott McKenzie, NHS management consultant at BW Medical Accountants, believes forming a company is the best model to enable networks of general practices to negotiate with foundation trusts.

He says: “If you want to be subcontracted by a foundation trust you have to have a legal entity. Nobody is going to give a NHS contract to a loose group of practices.

“The foundation trust wants high quality care, delivered consistently with all the GP providers working to agreed standards and thresholds within a contract and delivering a fantastic outcome for every patient.

“Practices can join a federation, remain independent of each other and still delivering their core NHS contract services but the advantage of being part of a federation is that it can bid for additional services. These could range from vasectomies, anticoagulation, ambulatory blood pressure monitoring, sexual health, gynaecology to migraine and headache pathways – a whole variety of things.

“The federation can compete with big private companies for health

service contracts that go out to tender and can guarantee the work will be delivered to certain standards. I have one foundation trust that wants to subcontract all its trauma and orthopaedic outpatients to the federation and work with them in a really close partnership.

“Another foundation trust is currently looking at a federation doing all its pre-operative assessments in primary care so that it will not waste money cancelling operations because patients are not fit for surgery. We are looking at a system where GPs will track patients for two to three weeks in advance of their operations using a software package to monitor them remotely with a variety of tests.

“Federating must be done for the right reasons. The vision should be about growing general practice, not just hanging on to what you’ve got, rethinking the delivery model, getting more investment into general practice with viable and interesting clinical work and opportunities to work at scale across a whole population. It is also an opportunity to create some capacity amongst the clinical, managerial and administrative staff by not having everybody duplicating their efforts.”

“All practices have different considerations and needs - no two practices are the same. Ours is a rural practice and because of the huge distances between practices it can be difficult to get those cost savings and to share things. Some of the stuff you can benefit from you can outsource so why federate rather than outsource?

“One of the great strengths of general practice is that people stay in one place for 30 or 40 years and they get to know their local communities and their needs to be a the hub of that community. If you lose some of that essence of general practice you become much more like Tesco.”

The sceptic

Dr Richard West, chairman of the Dispensing Doctors’ Association and partner in the Woolpit Health Centre,

Suffolk, is not convinced about the benefits of federating and

has many questions.

His practice is a member of the Suffolk GP Federation, but he says that does not solve the problem of the lack of funding.

“Our practice joined the Suffolk Federation because at the time

we were

Scott McKenzie, NHS management consultantat BW Medical Accountants

“Federating must be done for the right reasons. The vision

should be about growing general practice, not just hanging on to

what you’ve got.”

Alliance Healthcare - with our strategic partners Forte Pharma - is committed to providing dispensing practices with the best possible service.

That’s why we are delighted to be supporting the Dispensing Doctors’ Association networking area at this year’s Best Practice event. Not only does the event offer us an opportunity to demonstrate the very real business benefits we can offer dispensing doctors from the different parts of our business, more importantly it gives us the chance to hear directly from you – to improve our understanding of your needs,

to help shape future business plans and develop specific services and offerings to support you and your practice.

Alliance Healthcare recognises the crucial service dispensing doctors provide to patients living in remote and rural areas – but we also recognise how busy that makes you and your practice. Our frequency of delivery, product availability, delivery accuracy, timeliness and reliability at competitive prices – are all aimed at making your practice easier.

Our strength as a national wholesaler

means we can deliver over 12,000 product lines twice-daily to all 16,000+ dispensing points, but through our local dedicated dispensing doctor customer service teams and experienced field account management team, we also deliver a personalised service, direct to you.

Services available include:

• 12,000 product lines available twice daily, with 9,000 products available next day

• Easier ordering through our Alliance Healthcare Direct website

• 24/7 online access to your invoices and statements

• Access to 60+ MDS schemes and a MDS management service

• Continuity generic offering leading with Almus®

• Comprehensive training via the Forte Training Academy

• Monthly top tips on cost savings and improving profitability.

We look forward to seeing you at the DDA networking area, so we can talk more about working in partnership with you, for the benefit of your business.

Alliance Healthcare exhibits at Best Practice 2014

Hear from Scott McKenzie and Dr Richard West MBE at Best Practice 2014. Register for free via bestpracticeshow.co.uk/newspaper

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www.bestpracticeshow.co.uk Join the conversation #bestpracticeshow 3

Medicines optimisation can help support the NHS to deliver against the NHS Outcomes Framework and the Quality, Innovation, Productivity, and Prevention (QIPP) transformational programme.

According to the NHS England Medicines Optimisation Clinical Reference Group, “medicines play a crucial role in maintaining health, preventing illness, managing chronic conditions and curing disease. In an era of significant economic, demographic and technological challenge it is crucial that patients get the best quality outcomes from medicines”.

Medicines optimisation is an evolution from medicines management focusing more on getting the most out of medicines, and making best use of medicines.The focus should be on improving the return on the NHS’s investment in medicines rather than managing prescribing budgets - with a greater focus on:

• Improving medicines adherence• Reducing prescribing errors• Avoiding medicines wastage• Removing unwarranted variations

Medicines optimisation requires front line prescribing advisors and managers to have a fresh perspective on medicines. The medicines optimisation work aims to shift the focus from looking solely at the spend on medicines in isolation toward a more balanced view of the value of medicines and a better understanding of the outcomes derived from using them.

A Prototype Medicines Optimisation Dashboard was recently developed by NHS England and aims to help CCGs explore how well placed they are to optimise the use of medicines across their locality. Over time the dashboard is expected to help CCGs understand how well patients in their locality are being supported to get the most from their medicines and thereby use them as intended, suffer no harm and ultimately derive the most benefit that medicines have to offer.

• Do you believe medicines optimisation is just another term for medicines management?

• Who do you think should take responsibility for medicines optimisation in primary care?

• Does medicines optimisation make any difference to patient outcomes and patient experience?

• Can medicines optimisation make a real impact on NHS spend and resources?

General Practice: big changes, great opportunities

A medicines optimisation approach to improving quality and productivity in primary care

As general practice responds to pressure on its funding and concerns about workload and the availability of staff we see early signs of some big changes. Many of the five year plans developed by CCGs are premised on a major redesign of primary care and associated community services. These seem to share a number of common features.

Many envisage creating a larger group of practices working together which share a standardised approach to the management of patients. This is often associated with a change in how community services are organised to bring these much more into alignment with practices. Creating these larger groups offers some great opportunities. This may start with simply sharing back office functions such as IT but some groups are using their greater scale to bring in more professional management. This not only improves efficiency but places the group in an advantageous position to bid for other services. There are even greater opportunities to improve care for patients.

Working together across an area means that there will be scope to develop shared diagnostics – often using existing community hospitals as hubs. There will also be enough activity to allow the use of risk stratification and make it worth considering subspecialisation within the group. Frailty, nursing and residential homes are one area where there is scope for developing new more targeted services. Some CCGs have been looking at specialist primary care models from the USA which target these patients with much proactive multidisciplinary care than conventional services can manage. This many include the ability to follow patients into hospital and mobilise intensive home care support.

Children’s services might be another area to consider given the worrying

evidence about the quality of care for children with serious conditions in primary care. In some areas there may be sufficient work to justify having sessions of consultant input. This is not simply relocating the outpatient clinic into a local surgery. What is more likely to produce results are models where consultants support specialist teams, hold teaching clinics, provide rapid telephone or e-consultation support and are a part of the wider primary care network. Many of the common medical specialties lend themselves to this approach and there are opportunities for GPs with additional qualifications in areas such as dermatology to be part of an extended network offering a high quality service for the more difficult cases across their extended group.

Policy makers have tended to over-emphasise access over continuity. Both are important and greater scale might allow both goals to be met using approaches such as telephone and web responses to patient requests or sharing resources to create a rapid access service in a hub similar to the Dutch model of GP stations. These could offer an expanded set of services including some diagnosis and ambulatory treatment of some medical emergencies. An ambitious model at Abingdon does this and can provide a wide range of responses to problems, particularly in older patients. This could create more time for those patients that require continuity.

These changes need to evolve rather than be imposed. In many cases we are not sure what the best mix of services, skill mix and approach might be and more experimentation is required to determine the answer for this in particular localities. Creating incentives to support this and some space and relief from the everyday pressure will also be important.

Hear from Paul Larkin and Heidi Wright at Best Practice on the 23rd October, 11:20 in the Transforming Primary Care Theatre. Register for your free pass at bestpracticeshow.co.uk

The session is being sponsored and organised by Ipsen Limited. Editorial content belongs to the speakers.

To federate or not to federate... - continuedThe potential is huge for GP federations to provide more services in primary care and in particular to help move services out of hospitals, prevent emergency re-admissions and allow patients to come home, by providing packages of care, potentially involving specialist input from geriatricians, occupational therapists or pharmacists.

It is estimated that around one in five practices are currently part of a network or federation and more than a third are considering joining one.

GP leaders due to speak at Best Practice, where new models of care and the challenges facing general practice will be discussed, say there has been increasing interest in collaborative working as practices look for new ways of coping with the changing political and financial environment.

The National Association of Primary Care has recognised the trend and has launched a Network for Primary Care Provider Federations. This will share knowledge and provide support for primary care contractors wanting to explore these new models of provision.

NAPC chairman Dr Charles Alessi says: “This important network will assist colleagues with the current challenges faced by primary care providers. Our hosting will enable a collective powerful voice for practice federations and drive forward the agenda to improvement of patient centred care.”

GPC chair Dr Chaand Nagpaul says that federating should be considered by GP practices for a variety of reasons, not just for those facing closure. “Federations cover a range of models from GPs working together in informal alliances to working collaboratively to provide both GP and out of hospital services. It’s a very wide ranging term so what is important is that federations should be there to deliver purpose and benefits for practices working together under proper governance arrangements.

“In some cases the rationale for practices working together is to ease financial pressure where they can pool resources and there are economies of scale. However it’s also important that in these cases

federating should never be a substitute for the appropriate funding for the provision of GP services and that they are not always the solution for every practice in difficulty. Federating is not the answer for all practices particularly for example for those in sparsely populated rural areas.”

Many practices are still sceptical about the benefits of federating. More than half of GPs who responded to a recent GPC survey said they were not convinced of the benefits of joining forces with other practices, one in four did not believe that large groups would be effective and over a third feared that federating could pose a threat to their independence.

RCGP chair Dr Maureen Baker says: “In order to meet the challenges facing them I believe that many practices will benefit from working more collaboratively either in a formal or a loose arrangement. However for those practices who do not feel the need to federate then there may well not be a need. I very much take the view that this model is a way of working that will suit some practices, it may suit most practices, however some practices may genuinely have not yet scoped out the possibility or the potential of what is best for the practice or their patients.

“There is no point in federating for the sake of it. There needs to be a purpose behind getting together such as to increase quality, improve access or improve the range of services that practices provide.”

NHS England has said it would like to see practices working “at greater scale” through networks, federations or practice mergers. In a recent speech to the NHS Confederation NHS England chief executive Simon Stevens, who will be delivering a keynote speech to Best Practice, said: “In many parts of the country there’s now real momentum building in favour of testing some new models of general practice and extended primary care.”

Whether you are currently working within a federation or a network or are in the camp that is currently unsure about the future, there will be plenty of expert practical advice and inspiration on offer at Best Practice.

Hear from Dr Maureen Baker, Dr Charles Alessi and Simon Stevens at Best Practice, Register online at bestpracticeshow.co.uk/newspaper

Best Practice Speakers

Join us at this informative session to hear from Heidi Wright, English Practice and Policy Lead at the Royal Pharmaceutical Society (RPS) as she explains the approach and rationale behind medicines optimisation and the crucial role primary care can play in its implementation. She will also share the latest developments and outputs from the national medicines optimisation work. Heidi is the co-author of the RPS Good Practice Guide for Health Care Professionals on medicines optimisation.

Our second speaker is Paul Larkin, Lead Pharmacist for Hertfordshire, Bedfordshire and Luton Commissioning Support who will share how they have optimised medicines use in prostate cancer patients requiring long-term luteinising hormone releasing hormone agonists (LHRHa) treatment and how this change in prescribing approach has led to improved patient experience, cost and resource savings, and capacity improvements.


Nigel Edwards Chief Executive, Nuffield Trust


Giving rural practices a voice - continuedCollaboration and at-scale general practice have been described as making general practice stronger and more effective. They are seen as the way to achieve the health service’s new vision for general practice that achieves aims such as demonstrating the value of general practice to the health service and also supporting the development of community-based practices, teams and networks to support flexible models of care.

But how does this new vision for general practice apply to the rural dispensing

practice, which will have a tightly controlled dispensing patient list and no nearby practices with which to merge? This is just the question to be considered by the DDA 2014 Annual Conference, in a presentation by Andrew Lockhart-Mirams entitled: “Overcoming barriers to collaborative working at scale”.

Mergers, federations or networks, or the establishment of ‘provider entities’ have been mooted as potential options for general practices wanting to achieve ‘scale’ in practice. There are reports of practices which are struggling with excess demand for services, which have successfully merged with practices with excess capacity

(but other needs) to protect and improve both businesses. Federation has also been described by rural practices as giving rural practices a voice, and a channel through which to communicate with other GP practices in areas where distance and remoteness could otherwise serve to make it very difficult for the rural practice to have any say at all. At scale models of service provision are also thought of as serving as a way of protecting community services from cherry picking by external providers and privatisation ’by stealth’.

In his presentation, Mr Lockhart-Mirams whose law firm, Lockharts Solicitors, specialises in GP business models in general practice, will set out the potential for federation and other new business models. He will discuss potential efficiency gains, such as higher quality management (collective delivery of certain back office functions), internal referrals between clinicians within the Federation, the employment of specialists (who otherwise would be unaffordable by a small practice) and finally, the achievement of critical mass on the political stage – but without losing the Unique Selling Point of general practice – independence.

He will pose questions such as:

• Is Federation really a mechanism to save money?

• Can patients access other GPs in the Federation?

• Do Federations offer scope to use different structural options, such as charity, social enterprises, consortia and companies limited by shares of

guarantee?• Whether Federations really do

allow practices to maintain their independence?

• Would another business model – for example, setting up an umbrella organisation – be a better business model?

Specifically for dispensing practices - where dispensing rights are practice- and location-specific and where moving location can risk the total loss of the practice’s dispensing rights - he will use the platform of the DDA Annual Conference 2014 to explain the options open to dispensing practices. For such practices, even a practice merger can be problematic – causing new administrative problems for the dispensary manager, and bringing into sharp focus the often punitive reimbursement arrangements that can apply to dispensing practices.

Lockharts Solicitors has over 30 years’ experience helping general practices and in negotiating of GMS and PMS contracts and it can offer extensive specialist advice on regulation, policy, funding and contacts in general practice.

Hear from Andrew Lockhart-Miriams, one of the specialist presenters speaking at the DDA 2014 Annual Conference taking place at Best Practice. Register for your free pass online via bestpracticeshow.co.uk/newspaper

NOW ONLY 126 FREE PASSES AVAILABLE - REGISTER NOWW: BESTPRACTICESHOW.CO.UK | T: 0207 348 4906 | E: [email protected]

CLINICAL UPDATESTime Session Theatre08:30 Exhibition & networking

09:25 - 09:30

Opening welcome by stream chair B

09:30 - 10:00

Hot topics in musculoskeletal medicineDr Ian Bernstein, GP Trainer and Musculoskeletal Physician, LondonEndorsed by: Primary Care Neurology Society

B Endorsed by:

Primary Care

Neurology Society

10:05 - 10:35

Ten top tips for GPs on managing obesityDr Rachel Pryke, GP Partner, RCGP Clinical Lead for Nutrition

B

Exhibition & networking

11:50 - 12:20

Modern stroke prevention management of atrial fibrillation and the potential role of the novel oral anticoagulant agentsDr Yassir Javaid, Clinical Lead for CVD prevention, East Midlands, Strategic Clinical NetworkSession sponsored by Bayer

C

12:25 - 12:55

National Review of Asthma Deaths (NRAD) and asthma and COPD overlapDr Mark L Levy, Respiratory Lead for Harrow and Clinical Lead for the National Review of Asthma Deaths (NRAD)

C

Lunch, exhibition & networking

13:35 - 14:05

COPD: OptimisationDr Sunny Kaul, Consultant in Intensive Care and Respiratory Medicine, The Royal Brompton and Harefield HospitalSession sponsored by Teva Respiratory

B

14:10 - 14:40

What’s new in dermatologyDr Stephen Kownacki, Executive Chair, Primary Care Dermatology SocietyEndorsed by: Primary Care Dermatology Society

B Endorsed by:

Primary Care

Dermatology Society


16:00 - 16:30

Session topic TBCSession sponsored by Covidien

C

16:35 - 17:05

Dementia materclassPeriodontitis and dementiaFrancesco d’Aiuto, HEFCE Clinical Senior Lecturer and Hon Consultant UCL Eastman Dental InstituteEndorsed by: Primary Care Neurology SocietyThe challenges of behaviour that challengesDr Sophie Edwards, Clinical Lead for Dementia and Consultant Physician, North Middlesex University Hospital NHS TrustEndorsed by: Primary Care Dermatology Society

CEndorsed by:

Primary Care

Neurology Society


TRANSFORMING PRIMARY CARETime Session Theatre08:30 Exhibition & networking

09:55 - 10:00

Opening welcome by stream chairDr Nav Chana, Vice Chair, NAPC

C

10:00 - 10:30

Healthier Together and primary care in ManchesterRob Bellingham, Director of Commissioning, NHS England Greater Manchester Area TeamDr Raj Patel, Medical Director, NHS England Greater Manchester Area TeamLeila Williams, Director of Service Transformation, NHS Commissioners, Greater Manchester

C

10:35 - 11:05

“It’s all about me” - how to personalise primary careDr Charles Alessi, Chair, NAPC, NHS Confederation and Lead for Preventable Dementia, Public Health England

C


11:30 - 12:00

Session topic TBCSession sponsored by Optum

B

12:05 - 12:35

Time to get personal – managing long-term conditions in the 21st centuryDr Martin McShane, Director (Domain 2) Improving the quality of life for people with Long Term Conditions, NHS England

B


14:40 - 15:10

Transforming musculoskeletal servicesDr Ian Bernstein, GP Trainer and Musculoskeletal physician, London

C

15:25 - 15:55

Session TBC B


16:00 - 16:30

Transforming the primary care workforce through community education provider networksDr Sanjiv Ahluwia, Head of Primary Care Education and Development, Health Education North, Central and East LondonAriadne Siotis, CEPN Programme Manager, Health Education South LondonJim Fenwick, Project Manager, Wandsworth Community Education Provider NetworkProfessor Abdol Tavabie, Interim Dean Director Postgraduate Medical and Dental Education, Health Education Kent, Surrey, SussexPatrick Mitchell, Director of National Programmes, Health Education England

B


DDA ANNUAL CONFERENCETime Session Theatre08:30 Exhibition & networking

09:40 - 09:45

Opening welcome to the DDA Annual ConferenceMatthew Isom, Chief Executive, Dispensing Doctors’ Association

D

09:45 - 10:40

Chairman’s reportDr Richard West, MBE, Chairman, Dispensing Doctors’ Association

D

10:45 - 11:00

Dispensing Doctors’ Association Annual General Meeting Open to DDA Members only

D


12:05 - 12:35

Overcoming barriers to collaborative working at scaleAndrew Lockhart-Mirams, Senior Partner, Lockharts Solicitors

A

12:40 - 13:10

Dispensing practices in the wider primary care landscapeSession topic TBC

A


13:50 - 14:20

Question TimeDDA Board including: Dr Richard West, DDA Chairman, Dr Allan Tennant, DDA Vice Chairman Dr Philip Koopowitz, DDA Board Member

D

14:25 - 14:55

Unravelling VATJohn H Barnes, VAT Director, Baker Tilly

D


16:05 - 16:35

CQC update and challenges for dispensing practicesProfessor Steve Field, Chief Inspector of General Practice, CQC

D


BEST PRACTICE WORKSHOPSTime Session08:30 Exhibition & networking

09:50 - 10:20

Ten reasons to work in a GP locum chambersDr Richard Fieldhouse, CEO, National Association of Sessional GPs (NASGP)

10:25 - 10:55

Growing your primary care business in a federated worldAmanda Maskery, Partner, SintonsGreg Moorhouse, Managing Director, IntraHealthSession sponsored by Sintons

11:00 - 11:30

Operational priorities for practice managers in 2015Neil Turton, Chief Executive, Salford Health Matters CIC

11:35 - 12:05

Focussing on quality outcomes – the case for service improvements in Lower Urinary Tract Symptoms (LUTS)Richard Metcalfe, Head of Strategy & Delivery, NHS Doncaster CCGDr Tayo Kufeji, Clinical Lead GP, Milton Keynes CCGSession sponsored by Astellas Partnership Working

12:10 - 12:40

The practicalities and pitfalls of using social media in your practiceProfessor Azeem Majeed, GP Principal and Professor of Primary Care, Imperial College London

12:45 - 13:15


13:20 - 13:50

Cancer challengesDr Richard Roope, RCGP and CRUK Clinical Lead for Cancer, GP in Whiteley, Fareham, HampshireSession sponsored by Cancer Research UK


14:40 - 15:10

The changing face of general practiceAnne-Marie Jones, Director Commercial & Business Healthcare, North West, The Royal Bank of Scotland Session sponsored by RBS

15:15 - 15:45

Assessing asthma control and reducing admissionsDr Mark L Levy, Respiratory Lead for Harrow and Clinical Lead for the National Review of Asthma Deaths (NRAD)

15:50 - 16:20

Managing frailty in primary careCarol Williams, Director of Nursing, NHS England, Devon, Cornwall & Isles of Scilly Area TeamHelen Lyndon, Nurse Consultant Older People, Clinical Lead Frailty, Devon, Cornwall and Isles of Scilly Area Team, NHS England


PRACTICE BUSINESS & PLENARY SESSIONSTime Session Theatre08:30 Exhibition & networking

09:00 - 09:05

Opening welcome by stream chairDr Rosemary Leonard, Media Medic and GP

A

09:05 - 09:35

Opening keynote address: What’s coming next for general practice?Dr Richard Vautrey, Deputy Chair of the BMA GPC and elected member of the RCGP

A


10:15 - 10:45

How to win local service contractsDr Phil Yates, Chairman & Director of Medical Affairs, GP Care

A

10:50 - 11:20

The future of general practice - why developing a federation is the right thing to do!Scott McKenzie, NHS Consultant, BW Medical AccountantsSession sponsored by BW Medical Accountants

A


11:45 - 12:15

Panel Debate: How can practice managers better cope with spiralling workload?Val Hempsey, Practice Manager and Sole Partner of Bridges Medical Practice, Gateshead, Tyne and Wear and NAPC representative on the Practice Managers Network Steering GroupSue Farrant, Managing Partner, Croydon and The Family Doctor Association representative on the Practice Managers NetworkRay Guy, Practice Manager, Liverpool and member of the NAPC Practice Innovation NetworkNeil Turton, Chief Executive, Salford Health Matters CIC

D

12:20 - 12:50

Session sponsored by KM&T D


14:10 - 14:40

Keynote address by Simon Stevens, Chief Executive, NHS England

A

14:45 - 15:15

Integrating primary and community care services to live long and live wellDr James Kingsland, OBE - President NAPC and Chair NPCNKaren Middleton, CBE – CEO Chartered Society of Physiotherapists and immediate past Chief Health Professions Officer at DH

A

15:20 - 15:50

Update on the new CQC inspection regime and practice ratingsProfessor Steve Field, Chief Inspector of General Practice, CQC

A


16:35 - 17:05

Getting your practice ready - ten top tipsDr Michael Taylor, GP at York House Surgery and Executive Member, The Family Doctor Association

A

17:10 - 17:40

Big Debate: How do we solve the primary care premises crisis?Dr Peter Holden, Lead on Premises for the BMA GPCMichael Bell, Chairman, Croydon Health Services NHS TrustGraham Roberts, Chief Executive, Assura Group

A


16 HOURS OF CLINICAL CPD


09:25 - 09:30

Opening welcome by stream chairDr Sara Khan, GP Partner, Vice Chair of Hertfordshire LMC and Editor of Medical Woman

B

09:30 - 10.00

Patient-centred diabetes care - how do we actually make it happen?Dr Waqar Malik, Community Consultant Diabetologist, Birmingham Community Healthcare Trust, Hon. Consultant, Heartland Hospital Birmingham, Hon Senior Lecturer, University of Birmingham

B

10.05 - 10.35

New NICE guidelines for CKD - impact on primary careDr Kathryn Griffith, Clinical Champion for Kidney Care, RCGP and a GP in York

B


11:45 - 12:15

Streamlined and community-delivered DVT care: our model and experienceDr Phil Yates, Chairman & Director of Medical Affairs, GP CareSession sponsored by Bayer

C

12:20 - 12:50

Current challenges in paediatricsDr Andy Winrow, Consultant Paediatrician, Kingston Hospital NHS Foundation Trust

C


13:35 - 14:05

Using cereal dietary fibre and wheat bran fibre to improve digestive healthDr Jan de VriesKathryn O’SullivanSession sponsored by Kellogg’s All Bran

B

14:10 - 14:40

Sponsored Session TBC B


15:35 - 16:05

Hot topics in atrial fibrillationUpdate on new NICE guidelinesDr Matthew Fay, GPwSI in Cardiology, Shipley, West YorkshireEndorsed by: CVGPAnticoagulation Dr Andy Hughes, Consultant Community Haematologist, North East London NHS Foundation Trust

C

Endorsed by: CVGP



09:35 - 09:40

Opening welcome by stream chairDr Nikki Kanani, Vice Chair, NHS Bexley CCG, Quality Lead, FMLM

C

09:40 - 10:10

Session topic TBCSession sponsored by NHS Improving Quality

C

10:30 - 11:00

Community well being practices - a population wide transformationDave Sweeney, Director of Transformation, Halton CCG and Halton Borough CouncilSimon Banks, Chief Officer, Halton CCG

C


11:20 - 12:00

A medicines optimisation approach to improving quality and productivity in primary careHeidi Wright, Practice and Policy Lead for England, Royal Pharmaceutical SocietyPaul Larkin, Lead Pharmacist (CCG), Hertfordshire, Bedfordshire and Luton Commissioning SupportSession sponsored by Ipsen

B

12:05 - 12:35

Helping primary care to do better at the cliff edgePaul Stringer, Project Lead Katherine Andrews, Project Manager Sheinaz Stansfield, Practice Manager and participant

B


14:05 - 14:35

The Prime Minister’s £50 million challenge for general practice - a case study from West WakefieldDr Chris Jones, GP and Chair West Wakefield Commissioning Network, NHS 111 Clinical Governance Lead for Wakefield CCG

C



09.40 - 09:50


D

09:55 - 10:25

Maximise profit through smarter purchasingAnup Sodha, Director, Lexon UK Ltd

D

10:30 - 11:00

Monitored dosage systems: a waste of time, or a formula to enhance patient outcomes?Mark Stone, Pharmacist, Tamar Valley Health, Cornwall

D


12:00 - 12:35

NICE guidelines for GPs - unlocking their full potentialProfessor David Haslam, CBE, Chair, NICE

A

12:40 - 13:10

Session topic TBCSession sponsored by Janssen

A


13:50 - 14:20

Essential facts on controlled drug regulationsAlison Shelton, DDA Board

D

14:25 - 14:55

Refresher on controlled drugs registersAlison Shelton, DDA Board

D


15:45 - 16:30

Practical dispensing issues - Q&A sessionAlison Shelton , DDA Board

D


BEST PRACTICEWORKSHOPSTime Session08:30 Exhibition & networking

09:50 - 10:20

Managing mild anaemia in the elderlyDr Andy Hughes, Consultant Community Haematologist, North East London NHS Foundation Trust

10:25 - 10:55

CQC - How to comply with the regulations and planning for inspections Dr Patricia Langley, CEO Apolline Ltd Session sponsored by Appoline - CQC Compliance

11:00 - 11:30

Update on new therapies for diabetesDr Waqar Malik, Community Consultant Diabetologist, Birmingham Community Healthcare Trust, Hon. Consultant, Heartland Hospital Birmingham, Hon Senior Lecturer, University of Birmingham


12:45 - 13:15

Maximising the benefits of online access for your practice and patients Dr Masood Nazir, Clinical Informatics Advisor, NHS England

13:20 - 13:50

Digital health: Improving access, outcomes and satisfactionDr Jim Gardner Group Medical Director OneMedical Group Dr Nicholas Robinson Consultant Digital Health Consulting

13:55 - 14:25

Avoiding antibiotics through self-care: a practical guide to averting the apocalypseDr Peter Smith OBE, Senior Partner, Churchill Medical Centre, Kingston and Vice President, NAPC



09:00 - 09:05


A

Federate or Fail? Lessons on how to transform the fortune of your practiceDr Michael Smith, GP and Chief Executive Officer Haverstock Healthcare (Camden GP Consortium)

A

10:15 - 10:45

Keynote addressThe Rt Hon Andy Burnham MP, Labour Shadow Secretary of State for Health

A

10:50 - 11:20

How to make the government agenda work for your practiceDr Nigel Watson, Chief Executive, Wessex LMCs

A


11:45 - 12:15

Meeting the demands and mitigating the impact of the 2014/15 contract and PMS reviewBob Senior, Partner, Head of Medical Services, Baker Tilly

D

12:20 - 12:50

The post QoF era; what does quality care look like for general practice?Dr Minesh Patel, Chair, Horsham and Mid-Sussex CCGSession sponsored by MSD

D


14:00 - 14:35

Keynote Debate: Does general practice need 10,000 more GPs?Dr Maureen Baker, Chair, RCGPAsh Soni, OBE, President, Royal Pharmaceutical SocietyJanet Davies, Director of Nursing & Service Delivery, Royal College of Nursing

A

14:40 - 15:10

Keynote AddressThe Rt Hon Jeremy Hunt, Secretary of State for Health

A

15:15 - 15:45

Closing Debate: What will primary care look like in the future?Roy Lilley, Commentator and Blogger, Former Chair NHS Trust Dr Tom Reichhelm, Managing and Medical Director, Malling Health Ltd and GP Partner, West Malling Group PracticeDr Ian Walton, GP and IAPT Lead, SandwellDr Fay Wilson, Medical Director, Badger Group GP Cooperative, West Midlands

A

15.45 - 15.55

Keynote addressDr James Kingsland, OBE, President, NAPC

A


CONFERENCE TIMETABLE: THURSDAY 23 OCTOBER

CONFERENCE TIMETABLE: WEDNESDAY 22 OCTOBER


QUALIFYING DELEGATES WILL RECEIVE COMPLIMENTARY PASSES TO BEST PRACTICE, REGISTER NOW AT: WWW.BESTPRACTICESHOW.CO.UK OR CONTACT THE DELEGATE RELATIONSHIP TEAM ON: [email protected] T: 0207 348 4906

CPD CONTENT FOR PRACTICE MANAGERS ACCREDITED BY AMSPAR



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YOU CAN REGISTER YOUR PLACE IN 4 EASY WAYS: þONLINE AT www.bestpracticeshow.co.uk/ti14 þCALL US ON 0207 348 4906 þCOMPLETE THE BOOKING FORM AND FAX BACK TO 0207 603 2643 OR þEMAIL [email protected]

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09:25 - 09:30

Opening welcome by stream chair B

09:30 - 10:00

Hot topics in musculoskeletal medicineDr Ian Bernstein, GP Trainer and Musculoskeletal Physician, LondonEndorsed by: Primary Care Neurology Society

B Endorsed by:

Primary Care

Neurology Society

10:05 - 10:35

Ten top tips for GPs on managing obesityDr Rachel Pryke, GP Partner, RCGP Clinical Lead for Nutrition

B


11:50 - 12:20

Modern stroke prevention management of atrial fibrillation and the potential role of the novel oral anticoagulant agentsDr Yassir Javaid, Clinical Lead for CVD prevention, East Midlands, Strategic Clinical NetworkSession sponsored by Bayer

C

12:25 - 12:55

National Review of Asthma Deaths (NRAD) and asthma and COPD overlapDr Mark L Levy, Respiratory Lead for Harrow and Clinical Lead for the National Review of Asthma Deaths (NRAD)

C


13:35 - 14:05

COPD: OptimisationDr Sunny Kaul, Consultant in Intensive Care and Respiratory Medicine, The Royal Brompton and Harefield HospitalSession sponsored by Teva Respiratory

B

14:10 - 14:40

What’s new in dermatologyDr Stephen Kownacki, Executive Chair, Primary Care Dermatology SocietyEndorsed by: Primary Care Dermatology Society

B Endorsed by:

Primary Care

Dermatology Society


16:00 - 16:30

Session topic TBCSession sponsored by Covidien

C

16:35 - 17:05

Dementia materclassPeriodontitis and dementiaFrancesco d’Aiuto, HEFCE Clinical Senior Lecturer and Hon Consultant UCL Eastman Dental InstituteEndorsed by: Primary Care Neurology SocietyThe challenges of behaviour that challengesDr Sophie Edwards, Clinical Lead for Dementia and Consultant Physician, North Middlesex University Hospital NHS TrustEndorsed by: Primary Care Dermatology Society

CEndorsed by:

Primary Care

Neurology Society



09:55 - 10:00

Opening welcome by stream chairDr Nav Chana, Vice Chair, NAPC

C

10:00 - 10:30

Healthier Together and primary care in ManchesterRob Bellingham, Director of Commissioning, NHS England Greater Manchester Area TeamDr Raj Patel, Medical Director, NHS England Greater Manchester Area TeamLeila Williams, Director of Service Transformation, NHS Commissioners, Greater Manchester

C

10:35 - 11:05

“It’s all about me” - how to personalise primary careDr Charles Alessi, Chair, NAPC, NHS Confederation and Lead for Preventable Dementia, Public Health England

C


11:30 - 12:00


B

12:05 - 12:35

Time to get personal – managing long-term conditions in the 21st centuryDr Martin McShane, Director (Domain 2) Improving the quality of life for people with Long Term Conditions, NHS England

B


14:40 - 15:10

Transforming musculoskeletal servicesDr Ian Bernstein, GP Trainer and Musculoskeletal physician, London

C

15:25 - 15:55

Session TBC B


16:00 - 16:30

Transforming the primary care workforce through community education provider networksDr Sanjiv Ahluwia, Head of Primary Care Education and Development, Health Education North, Central and East LondonAriadne Siotis, CEPN Programme Manager, Health Education South LondonJim Fenwick, Project Manager, Wandsworth Community Education Provider NetworkProfessor Abdol Tavabie, Interim Dean Director Postgraduate Medical and Dental Education, Health Education Kent, Surrey, SussexPatrick Mitchell, Director of National Programmes, Health Education England

B



09:40 - 09:45


D

09:45 - 10:40

Chairman’s reportDr Richard West, MBE, Chairman, Dispensing Doctors’ Association

D

10:45 - 11:00

Dispensing Doctors’ Association Annual General Meeting Open to DDA Members only

D


12:05 - 12:35

Overcoming barriers to collaborative working at scaleAndrew Lockhart-Mirams, Senior Partner, Lockharts Solicitors

A

12:40 - 13:10

Dispensing practices in the wider primary care landscapeSession topic TBC

A


13:50 - 14:20

Question TimeDDA Board including: Dr Richard West, DDA Chairman, Dr Allan Tennant, DDA Vice Chairman Dr Philip Koopowitz, DDA Board Member

D

14:25 - 14:55

Unravelling VATJohn H Barnes, VAT Director, Baker Tilly

D


16:05 - 16:35

CQC update and challenges for dispensing practicesProfessor Steve Field, Chief Inspector of General Practice, CQC

D


BEST PRACTICE WORKSHOPSTime Session08:30 Exhibition & networking

09:50 - 10:20

Ten reasons to work in a GP locum chambersDr Richard Fieldhouse, CEO, National Association of Sessional GPs (NASGP)

10:25 - 10:55

Growing your primary care business in a federated worldAmanda Maskery, Partner, SintonsGreg Moorhouse, Managing Director, IntraHealthSession sponsored by Sintons

11:00 - 11:30

Operational priorities for practice managers in 2015Neil Turton, Chief Executive, Salford Health Matters CIC

11:35 - 12:05

Focussing on quality outcomes – the case for service improvements in Lower Urinary Tract Symptoms (LUTS)Richard Metcalfe, Head of Strategy & Delivery, NHS Doncaster CCGDr Tayo Kufeji, Clinical Lead GP, Milton Keynes CCGSession sponsored by Astellas Partnership Working

12:10 - 12:40

The practicalities and pitfalls of using social media in your practiceProfessor Azeem Majeed, GP Principal and Professor of Primary Care, Imperial College London

12:45 - 13:15


13:20 - 13:50

Cancer challengesDr Richard Roope, RCGP and CRUK Clinical Lead for Cancer, GP in Whiteley, Fareham, HampshireSession sponsored by Cancer Research UK


14:40 - 15:10

The changing face of general practiceAnne-Marie Jones, Director Commercial & Business Healthcare, North West, The Royal Bank of Scotland Session sponsored by RBS

15:15 - 15:45

Assessing asthma control and reducing admissionsDr Mark L Levy, Respiratory Lead for Harrow and Clinical Lead for the National Review of Asthma Deaths (NRAD)

15:50 - 16:20

Managing frailty in primary careCarol Williams, Director of Nursing, NHS England, Devon, Cornwall & Isles of Scilly Area TeamHelen Lyndon, Nurse Consultant Older People, Clinical Lead Frailty, Devon, Cornwall and Isles of Scilly Area Team, NHS England



09:00 - 09:05


A

09:05 - 09:35

Opening keynote address: What’s coming next for general practice?Dr Richard Vautrey, Deputy Chair of the BMA GPC and elected member of the RCGP

A


10:15 - 10:45

How to win local service contractsDr Phil Yates, Chairman & Director of Medical Affairs, GP Care

A

10:50 - 11:20

The future of general practice - why developing a federation is the right thing to do!Scott McKenzie, NHS Consultant, BW Medical AccountantsSession sponsored by BW Medical Accountants

A


11:45 - 12:15

Panel Debate: How can practice managers better cope with spiralling workload?Val Hempsey, Practice Manager and Sole Partner of Bridges Medical Practice, Gateshead, Tyne and Wear and NAPC representative on the Practice Managers Network Steering GroupSue Farrant, Managing Partner, Croydon and The Family Doctor Association representative on the Practice Managers NetworkRay Guy, Practice Manager, Liverpool and member of the NAPC Practice Innovation NetworkNeil Turton, Chief Executive, Salford Health Matters CIC

D

12:20 - 12:50

Session sponsored by KM&T D


14:10 - 14:40

Keynote address by Simon Stevens, Chief Executive, NHS England

A

14:45 - 15:15

Integrating primary and community care services to live long and live wellDr James Kingsland, OBE - President NAPC and Chair NPCNKaren Middleton, CBE – CEO Chartered Society of Physiotherapists and immediate past Chief Health Professions Officer at DH

A

15:20 - 15:50

Update on the new CQC inspection regime and practice ratingsProfessor Steve Field, Chief Inspector of General Practice, CQC

A


16:35 - 17:05

Getting your practice ready - ten top tipsDr Michael Taylor, GP at York House Surgery and Executive Member, The Family Doctor Association

A

17:10 - 17:40

Big Debate: How do we solve the primary care premises crisis?Dr Peter Holden, Lead on Premises for the BMA GPCMichael Bell, Chairman, Croydon Health Services NHS TrustGraham Roberts, Chief Executive, Assura Group

A




09:25 - 09:30

Opening welcome by stream chairDr Sara Khan, GP Partner, Vice Chair of Hertfordshire LMC and Editor of Medical Woman

B

09:30 - 10.00

Patient-centred diabetes care - how do we actually make it happen?Dr Waqar Malik, Community Consultant Diabetologist, Birmingham Community Healthcare Trust, Hon. Consultant, Heartland Hospital Birmingham, Hon Senior Lecturer, University of Birmingham

B

10.05 - 10.35

New NICE guidelines for CKD - impact on primary careDr Kathryn Griffith, Clinical Champion for Kidney Care, RCGP and a GP in York

B


11:45 - 12:15

Streamlined and community-delivered DVT care: our model and experienceDr Phil Yates, Chairman & Director of Medical Affairs, GP CareSession sponsored by Bayer

C

12:20 - 12:50

Current challenges in paediatricsDr Andy Winrow, Consultant Paediatrician, Kingston Hospital NHS Foundation Trust

C


13:35 - 14:05

Using cereal dietary fibre and wheat bran fibre to improve digestive healthDr Jan de VriesKathryn O’SullivanSession sponsored by Kellogg’s All Bran

B

14:10 - 14:40

Sponsored Session TBC B


15:35 - 16:05

Hot topics in atrial fibrillationUpdate on new NICE guidelinesDr Matthew Fay, GPwSI in Cardiology, Shipley, West YorkshireEndorsed by: CVGPAnticoagulation Dr Andy Hughes, Consultant Community Haematologist, North East London NHS Foundation Trust

C

Endorsed by: CVGP



09:35 - 09:40

Opening welcome by stream chairDr Nikki Kanani, Vice Chair, NHS Bexley CCG, Quality Lead, FMLM

C

09:40 - 10:10

Session topic TBCSession sponsored by NHS Improving Quality

C

10:30 - 11:00

Community well being practices - a population wide transformationDave Sweeney, Director of Transformation, Halton CCG and Halton Borough CouncilSimon Banks, Chief Officer, Halton CCG

C


11:20 - 12:00

A medicines optimisation approach to improving quality and productivity in primary careHeidi Wright, Practice and Policy Lead for England, Royal Pharmaceutical SocietyPaul Larkin, Lead Pharmacist (CCG), Hertfordshire, Bedfordshire and Luton Commissioning SupportSession sponsored by Ipsen

B

12:05 - 12:35

Helping primary care to do better at the cliff edgePaul Stringer, Project Lead Katherine Andrews, Project Manager Sheinaz Stansfield, Practice Manager and participant

B


14:05 - 14:35

The Prime Minister’s £50 million challenge for general practice - a case study from West WakefieldDr Chris Jones, GP and Chair West Wakefield Commissioning Network, NHS 111 Clinical Governance Lead for Wakefield CCG

C



09.40 - 09:50


D

09:55 - 10:25

Maximise profit through smarter purchasingAnup Sodha, Director, Lexon UK Ltd

D

10:30 - 11:00

Monitored dosage systems: a waste of time, or a formula to enhance patient outcomes?Mark Stone, Pharmacist, Tamar Valley Health, Cornwall

D


12:00 - 12:35

NICE guidelines for GPs - unlocking their full potentialProfessor David Haslam, CBE, Chair, NICE

A

12:40 - 13:10

Session topic TBCSession sponsored by Janssen

A


13:50 - 14:20

Essential facts on controlled drug regulationsAlison Shelton, DDA Board

D

14:25 - 14:55

Refresher on controlled drugs registersAlison Shelton, DDA Board

D


15:45 - 16:30

Practical dispensing issues - Q&A sessionAlison Shelton , DDA Board

D


BEST PRACTICEWORKSHOPSTime Session08:30 Exhibition & networking

09:50 - 10:20

Managing mild anaemia in the elderlyDr Andy Hughes, Consultant Community Haematologist, North East London NHS Foundation Trust

10:25 - 10:55

CQC - How to comply with the regulations and planning for inspections Dr Patricia Langley, CEO Apolline Ltd Session sponsored by Appoline - CQC Compliance

11:00 - 11:30

Update on new therapies for diabetesDr Waqar Malik, Community Consultant Diabetologist, Birmingham Community Healthcare Trust, Hon. Consultant, Heartland Hospital Birmingham, Hon Senior Lecturer, University of Birmingham


12:45 - 13:15

Maximising the benefits of online access for your practice and patients Dr Masood Nazir, Clinical Informatics Advisor, NHS England

13:20 - 13:50

Digital health: Improving access, outcomes and satisfactionDr Jim Gardner Group Medical Director OneMedical Group Dr Nicholas Robinson Consultant Digital Health Consulting

13:55 - 14:25

Avoiding antibiotics through self-care: a practical guide to averting the apocalypseDr Peter Smith OBE, Senior Partner, Churchill Medical Centre, Kingston and Vice President, NAPC



09:00 - 09:05


A

Federate or Fail? Lessons on how to transform the fortune of your practiceDr Michael Smith, GP and Chief Executive Officer Haverstock Healthcare (Camden GP Consortium)

A

10:15 - 10:45

Keynote addressThe Rt Hon Andy Burnham MP, Labour Shadow Secretary of State for Health

A

10:50 - 11:20

How to make the government agenda work for your practiceDr Nigel Watson, Chief Executive, Wessex LMCs

A


11:45 - 12:15

Meeting the demands and mitigating the impact of the 2014/15 contract and PMS reviewBob Senior, Partner, Head of Medical Services, Baker Tilly

D

12:20 - 12:50

The post QoF era; what does quality care look like for general practice?Dr Minesh Patel, Chair, Horsham and Mid-Sussex CCGSession sponsored by MSD

D


14:00 - 14:35

Keynote Debate: Does general practice need 10,000 more GPs?Dr Maureen Baker, Chair, RCGPAsh Soni, OBE, President, Royal Pharmaceutical SocietyJanet Davies, Director of Nursing & Service Delivery, Royal College of Nursing

A

14:40 - 15:10

Keynote AddressThe Rt Hon Jeremy Hunt, Secretary of State for Health

A

15:15 - 15:45

Closing Debate: What will primary care look like in the future?Roy Lilley, Commentator and Blogger, Former Chair NHS Trust Dr Tom Reichhelm, Managing and Medical Director, Malling Health Ltd and GP Partner, West Malling Group PracticeDr Ian Walton, GP and IAPT Lead, SandwellDr Fay Wilson, Medical Director, Badger Group GP Cooperative, West Midlands

A

15.45 - 15.55

Keynote addressDr James Kingsland, OBE, President, NAPC

A


CONFERENCE TIMETABLE: THURSDAY 23 OCTOBER

CONFERENCE TIMETABLE: WEDNESDAY 22 OCTOBER






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EDUCATIONALSUPPORT:

EDUCATIONALSUPPORT:

LIMITED COMPLIMENTARY PASSES AVAILABLE! • LIMITED COMPLIMENTARY PASSES AVAILABLE! • LIMITED COMPLIMENTARY PASSES AVAILABLE! • LIMITED COMPLIMENTARY PASSES AVAILABLE! • LIMITED COMPLIMENTARY PASSES AVAILABLE! •

YOU CAN REGISTER YOUR PLACE IN 4 EASY WAYS: þONLINE AT www.bestpracticeshow.co.uk/ti14 þCALL US ON 0207 348 4906 þCOMPLETE THE BOOKING FORM AND FAX BACK TO 0207 603 2643 OR þEMAIL [email protected]

PRAC

TICE M


Confessions from the coal face - continuedFirst, an admission. I’m writing this in a hurry. It should have been submitted yesterday, and I’m usually pretty conscientious about getting my work in on time. So what’s my excuse?

Last month, one of the two other partners at my surgery decided, at the grand old age of 49, that she simply couldn’t carry on being a GP. She was burnt out by working long hours filling in boxes that were adding nothing to patient care, with ever-increasing demands from patients that they be seen and dealt with straight away or they would make a formal complaint. And her take-home pay had fallen so much it just wasn’t worth it any more – she’d worked out that she was averaging £39 an hour, before tax, what with all the hours she was spending doing paperwork in the evenings and at weekends. Of course, she’s not alone. She’s merely one of the many kind, caring, family doctors who just don’t want to do the job any more, and have walked away.

Our practice finances are so tight we’re trying to limit locum costs, so I’ve been working 14 hour days trying to ensure the patients are dealt with, the results get seen, the letters get read – and their contents actioned and coded. Then there is the little matter of the extra stuff that needs to be done to keep the money coming in so the staff get paid. I rejoiced when I heard that some of the

downright silly parts of QOF had been removed, though asking 94 year olds how many hours they had spent on a bicycle in the past week did bring many moments of much-needed laughter into my consultations. But instead we now have the ‘admissions avoidance’ template to complete.

To be fair, having a record of next of kin for ‘at risk’ patients seems sensible. Asking about resuscitation has been an interesting academic exercise – and if only I had the time ( some hope…) I’d record the results in a way that could be published. For I’ve found, almost universally, that those with a good quality of life are telling me they’ve had a good innings, and no way do they want anyone trying to break their ribs to keep them going.

In contrast, those who are so ill and frail that they need carers in three times a day are horrified at the thought of ‘do not resuscitate’. “After all, doc, life’s worth living isn’t it?”. Not quite what those who designed the question had in mind, I suspect. And if they thought filling in the questionnaire was going to make any difference to hospital admissions rates, they are sadly mistaken. I already know which of my patients are likely to fall over, or have a stroke, and I’ve already done everything I can to try and prevent it happening. Spending 15 minutes writing it down on paper isn’t going to help in any way at all. It’s merely going to make a lot more hard working GP’s even more fed up with their job.

Whether your practice is dispensing or non-dispensing, all GP practices have a need to maximise income where they can: GP practices everywhere are under unprecedented financial pressure.

Personally Administered Items (PA) are one source of income that is often neglected by prescribing GPs. Misconceptions about the amount of work or bureaucracy required to source, store, administer and claim for payment for PA medicines are often cited as the reasons for ignoring what can be a reliable and substantial source of income. Yet, the arrangements for claiming for PA payment are very easy and should take no more than a few minutes of the practice’s time to complete.

Similarly, scripts ordering appliances or requiring the support of a Monitored Dosage System can faze even the best dispensing practices - yet there are handy solutions available to practices that will ensure that the practice’s NHS

medicines and appliance supply services achieve the best possible result for the patient, the NHS and the practice.

At this year’s DDA Annual Conference, speakers will be on hand to guide practices through the arrangements and considerations in these areas of practice.

In his presentation on ‘Unravelling VAT’ VAT expert John Barnes will examine the VAT liability and payments arising from of Personally Administered Drugs, NHS and private fee income, reclaiming of VAT on purchases and overheads, partial exemption, property related VAT issues and the VAT implications of new business structures and shared resources.

Conference delegates will come away better able to understand the VAT liability of different sources of income, the entitlement of dispensing doctors to reclaim VAT as well as getting to grips with the

Maximising income in general practice: don’t ignore the opportunities!

Hear Dr Rosemary Leonard’s welcome as conference chair in the Practice Business & Plenary Programme stream at Best Practice. Register for your complimentary pass at www.bestpracticeshow.co.uk/newspaper

must-knows of the HMRC rules relating to PA items.

Looking at appliances, appliance contractor NWOS will be on hand to explain how involvement in agency schemes with an appliance contractor will ensure that dispensing practice patients remain able to access appliances in a convenient and timely way – whether they collect these items from the practice dispensary, or have them delivered directly to their own home.

Pharmacist Mark Stone will also look at the impact of using Monitored Dosage Systems on patients’ treatment outcomes, as well as the practice budget. Delegates will come away able to recognise and diagnose poor adherence, as well as offering an adherence-boosting treatment plan.

The Dispensing Doctors’ Association is the expert in dispensing and rural practice, and it specialises in giving all members of the dispensing practice team the practical and realistic advice they need to improve patient care, while maximising dispensing profitability.

This year’s Dispensing Doctors’ Association Annual Conference is your chance to get the help and advice you need – attend for free at Best Practice, register online via bestpracticeshow.co.uk/newspaper

No under 18’s will be granted access to the show and strictly no children. Information was correct at time of press. CloserStill reserve the right to amend content without prior warning. The Best Practice conference has been brought to you by CloserStill Medical in association with our partners and sponsors. The views and opinions of the speakers are not necessarily those of CloserStill Medical or of our partners and sponsors. Best Practice sponsors have helped develop the programme. Sponsors have not had any input into the programme except where an individual session states it’s sponsored. The session topic and speaker have been developed by each sponsoring company.

PRAC

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**Programme correct at time of print


See the latest cost saving innovations and technology at Best Practice 2014

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HEALTHCAREMONITORS

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GP ACCESS NICE BRAY HEALTHCARE MASIMO

PINBELLCOM LTD

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JANSSEN

PSUK

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BIO-KULTSIEMENS BD MEDICAL COSTCO

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LITTLE BROWNBOOK GROUP

JAYEXTECHNOLOGIES LTD

MMPTANITA EUROPE

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CANCER RESEARCH UK

COMMUNITYSOLUTIONS

COMMUNITYVENTURES

RURAL HEALTH WEST

3M

MSD

NOVALABORATORIES LTD

THE MDU

HEALTHSTATS

BAYER

TEVA

NHSIMPROVING

QUALITY

ASSURA

NWOS /FORTE PHARMA LTD

ROYAL AIRFORCE

NATIONALOSTEOPOROSIS

SOCIETYAGE UK

BUTTERCUPSTRAINING

AGE UK PERSONALALARMS

LEXON UK IPS

PHARMARAMAINTERNATIONAL

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CARADOC

ADVANCED HEALTH & CARE

STIRLING

TAKEDA

BWMEDICAL

ACCOUNTANTS

NHS CENTRALSOUTHERN

CSU

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PAIN

IQ COMMISSIONING

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OPTUM

ALZHEIMER’S SOCIETY

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HEALTHCAREPROPERTYCOMPANY

CRESCENDOSYSTEMS

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3 3 3 3 3 2 2

E53WESLEYAN CA COVIDIEN

2 3 33

E54

2

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ENTRANCE

TRACK A THEATRE

PLENARY THEATRE AND PRACTICE BUSINESS AND FINANCE

TRACK B THEATRE

CLINICAL UPDATES

TRACK C THEATRE

TRANSFORMING PRIMARY CARE

TRACK D THEATRE

DISPENSINGDOCTORS’

ASSOCIATION

NAPC VIP ZONEAND SPEAKER

LOUNGEBEST

PRACTICEWORKSHOPS

CATERING

CATERING

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CATERING

CATERINGLOGIXXPHARMA

QDEMPHARMACEUTICALS

PARKINSON’SUK

CIGAHEALTHCARE

BMS / PFIZERKELLOGG’S

PRACTICENURSE

THE PRESSUREMOBILE MASSAGE

IPSEN LIMITED

INHEALTHCARE

CQC –CLINICAL

RECRUITMENT

BOEHRINGER INGELHEIM

LLOYDS

STERIMARSEA WATER

NASAL SPRAY

D15 D19

D17

FDA

DOCMAN

ACCEL-HEAL

H28

DBG & TAG MEDICAL

PCTC

AYMES

FUSION 48

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F36

F32

F35

F39

GPMAGAZINE

In partnership with:

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14HOURS OFRCGP ACCREDITEDCLINICAL CPD

COME AND MEET2,200+ PRIMARY CAREDECISION MAKERS

A10

A8

A4 D6 D8 E4 E5 E6 E8 F4 F6 G2F8 G4 H8

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E50 E52 F50G50 G52

C30 E30

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DNUK

PRIMARY CARETODAY

CHIESI

MEDA

WG GROUP ASTELLAS

HEALTHCAREMONITORS

NEILMEDLTD

SOLEMATES


PINBELLCOM LTD

AUSTIN MAY MEDICAL


HAVENHEALTH

BROSCHDIRECT


AMSPARACCREDITED

COURSES

DOCMAIL

JANSSEN

PSUK



LIPOTRIM

RBS

MEDICX



MMPTANITA EUROPE


POINTYORKSHIRE &

CLYDESDALE BANK

NSAHTEAM 24

NHS FFT

SECALOOKING LOCAL

ELEPHANTKIOSKS

HSP NICKLINMPS

GLUCO RX HEKITAL

CANCER RESEARCH UK

COMMUNITYSOLUTIONS

COMMUNITYVENTURES

RURAL HEALTH WEST

3M

MSD


THE MDU

HEALTHSTATS

BAYER

TEVA

NHSIMPROVING

QUALITY

ASSURA


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SOCIETYAGE UK

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LEXON UK IPS


LTD

CARADOC


STIRLING

TAKEDA

BWMEDICAL

ACCOUNTANTS

NHS CENTRALSOUTHERN

CSU

GPAUSTRALIA

BPSALES OFFICE

PAIN

IQ COMMISSIONING

MANAGEMENTSOLUTIONS

OPTUM


HEALOGICSACTAVIS


CRESCENDOSYSTEMS

333

6

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4 4 3

3

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2 2

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52

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9 9

6 3 3 6 6

3 3 3 3 3 2 2


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ENTRANCE

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ONLY

12STANDSLEFT!


Exhibitor spotlight

Key supplier of medical consumables and equipment for 25 years. We stock thousands of high quality, competitively priced products ideal for surgeries and healthcare establishments.

Our exclusive range of Nutouch Disposable gloves are the UKs leading brand of quality disposable gloves. Stocking a huge range of latex, nitrile and synthetic gloves.

The Cardiomyopathy Association is there to help people and families affected by cardiomyopathy. We provide free patient information resources to help them to understand cardiomyopathy, allay their fears, answer questions and promote independence. We have a Helpline staffed by experienced inherited cardiac disease nurses to respond to the many calls for help we receive.

We also provide free medical education opportunities for doctors through our annual national conference programme and smaller local meetings. We work with healthcare providers to enhance the services provided to patients. All our information resources and services are provided free of charge on request. Email, [email protected]

Looking for something new? We help GP’s find positions across Australia. We have a range of vacancies available with contracts from just six months to more long term positions. Whatever you are looking for in Australia, contact us for more details.

Email our Head Recruitment Consultant Lee Brooks: [email protected] | www.gprecruitmentaustralia.co.uk

Multi-award winners, PinBellCom Ltd are specialists in Administration and Compliance Management Solutions for primary care organisations of all sizes. Organisational efficiency, cost savings, targeted information and evidence gathering are just a few of the many benefits of their solutions. Go to www.pinbellcom.co.uk or telephone 0333 011 0333 for more information.

High value, the highest quality. Stirling Anglian Pharmaceuticals is a new breed of pharmaceutical company, focused entirely on redefining value and challenging existing clinical practice – to ensure patients gain access to the best medicines at the best prices.

Come and see us at the show

Many GP practices love TalkingPoint Digital Dictation - simple to use and a big step forward from tapes. Many feel that DD is becoming obsolete since TalkingPoint Speech Recognition can remove the transcription process entirely! Unnecessary “double handling” work disappears, and much more gets done in the available time. Practice staff love it!

BEST PRACTICE ATTRACTED OVER 1,750 VISITORS IN 2013Best Practice provides the keynote conference, exhibition andnetworking event for general practice in the UK – in 2013, the launchevent saw 1,778 visitors. Partnered with the NAPC, Best Practiceprovides an unparalleled array of content to support the GP, practicemanager and primary care delivery professional with the updates, toolsand knowledge they need to succeed in delivering high quality patientcare in a challenging NHS environment.

What are their job roles?Job roles

n GP/ GP Partner .........................32%n Practice Manager..................... 29%n Nurse ..........................................1%n Clinical Lead ...............................3%n Manager ....................................13%n Director .....................................10%n CEO / Board member................. 4%n Other ...........................................9%

Where do our delegates come from?UK Attendee County

n East Anglia ..................................2% n East Midlands ...........................16% n London ........................................7%n Midlands....................................34% n North West ..................................8%n Northern .....................................3%n South East .................................14% n South West ..................................6%n Wales...........................................1%n Yorkshire .....................................9%

@bestpracticeuk #bestpracticeuk | www.bestpracticeshow.co.uk

63%of our delegates havealready reserved theirpass for next year

You would need to exhibit at11 other healthcare eventsto meet with 60% of theBest Practice delegates

Now with a tightly focusedclinical and practicemanagement programmeand a new stream ofpowerful general content.

COME AND MEET 2,200+ PRIMARY CARE DECISION MAKERS

THERE ARE ONLY 12 STANDS LEFT!The next couple of weeks represent your last chance to get involved, yourlast chance to showcase your products, solutions and expertise in frontof over 2,200 decision making delegates. Act now to claim your chance tomatch or beat your competition and most importantly your last chance touse Best Practice to generate new business for your company.

Stand number Dimensions m2 Cost (shell scheme)

A4 2x2 4 £1,676

D19 4x3 12 £5,028

D47 3x2 6 £2,514

H18 3x3 9 £3,771

A30 3x3 9 £3,771

G36 4x4 16 £6,704

A34 6x3 18 £7,542

B50 3x3 9 £3,771

B52 3x3 9 £3,771

C52 3x3 9 £3,771

C54 3x3 9 £3,771

G52 3x3 9 £3,771

A10

A8

A4 D6 D8 E4 E5 E6 E8 F4 F6 G2F8 G4 H8

H10

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H26

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H32

H40

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A16

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A34

B54B50 B52

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B32

C36 D37D33

D32

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B35

C47C49

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B10

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D30 D35

D39

D34 D36

D20 D25

D29

D22

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D10

G40

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G36

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G10

G15 G19

G17E17

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C40

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C10

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C50 C52 C54 D50D52

D45

E37

D47 D49

E50 E52 F50G50 G52

C30 E30

E35 E39

DNUK

PRIMARY CARETODAY

CHIESI

MEDA

WG GROUP ASTELLAS

HEALTHCAREMONITORS

NEILMEDLTD

SOLEMATES


PINBELLCOM LTD

AUSTIN MAY MEDICAL


HAVENHEALTH

BROSCHDIRECT


AMSPARACCREDITED

COURSES

DOCMAIL

JANSSEN

PSUK



LIPOTRIM

RBS

MEDICX



MMPTANITA EUROPE


POINTYORKSHIRE &

CLYDESDALE BANK

NSAHTEAM 24

NHS FFT

SECALOOKING LOCAL

ELEPHANTKIOSKS

HSP NICKLINMPS

GLUCO RX HEKITAL

CANCER RESEARCH UK

COMMUNITYSOLUTIONS

COMMUNITYVENTURES

RURAL HEALTH WEST

3M

MSD


THE MDU

HEALTHSTATS

BAYER

TEVA

NHSIMPROVING

QUALITY

ASSURA


ROYAL AIRFORCE


SOCIETYAGE UK

BUTTERCUPSTRAINING


LEXON UK IPS


LTD

CARADOC


STIRLING

TAKEDA

BWMEDICAL

ACCOUNTANTS

NHS CENTRALSOUTHERN

CSU

GPAUSTRALIA

BPSALES OFFICE

PAIN

IQ COMMISSIONING

MANAGEMENTSOLUTIONS

OPTUM


HEALOGICSACTAVIS


CRESCENDOSYSTEMS

333

6

6

4 4 3

3

4

4

4

2

2

3

44

6

6

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3 3

3 3

3 3

3 33 3

2

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2 2

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46

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3 3

2 2 2 2 2 3 22 2 36333

3

33

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8

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3

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22 2

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H123

H183

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6 3 32 4

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24 2

2 2

2

2 2 24 3

3

6

9 9

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3

2

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3

3

52

2

5

9 9

6 3 3 6 6

3 3 3 3 3 2 2


2 3 33

E54

2

6

6

3

3

4

ENTRANCE

TRACK A THEATRE


TRACK B THEATRE

CLINICAL UPDATES

TRACK C THEATRE


TRACK D THEATRE


ASSOCIATION


LOUNGEBEST

PRACTICEWORKSHOPS

CATERING

CATERING


ZONE

CATERING

CATERINGLOGIXX

PHARMA

QDEMPHARMACEUTICALS

PARKINSON’SUK

CIGAHEALTHCARE


PRACTICENURSE


IPSEN LIMITED

INHEALTHCARE

CQC –CLINICAL

RECRUITMENT


LLOYDS

STERIMARSEA WATER

NASAL SPRAY

D15 D19

D17

FDA

DOCMAN

ACCEL-HEAL

H28

DBG & TAG MEDICAL

PCTC

AYMES

FUSION 48

FPM GROUP

F36

F32

F35

F39

GPMAGAZINE



SPACE: £409+VAT/M2

SHELL: £419+VAT/M2




SPONSORS:

®

IN PARTNERSHIP WITH:

NOW FEATURING THE DDA ANNUAL CONFERENCE

MAIN SPONSOR MAIN MEDIA PARTNER

SUPPORTED BY:

A10

A8

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H26

H30

H32

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A16

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C36 D37D33

D32

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G15 G19

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E49

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C50 C52 C54 D50D52

D45

E37

D47 D49

E50 E52 F50G50 G52

C30 E30

E35 E39

DNUK

PRIMARY CARETODAY

CHIESI

MEDA

WG GROUP ASTELLAS

HEALTHCAREMONITORS

NEILMEDLTD

SOLEMATES


PINBELLCOM LTD

AUSTIN MAY MEDICAL


HAVENHEALTH

BROSCHDIRECT


AMSPARACCREDITED

COURSES

DOCMAIL

JANSSEN

PSUK



LIPOTRIM

RBS

MEDICX



MMPTANITA EUROPE


POINTYORKSHIRE &

CLYDESDALE BANK

NSAHTEAM 24

NHS FFT

SECALOOKING LOCAL

ELEPHANTKIOSKS

HSP NICKLINMPS

GLUCO RX HEKITAL

CANCER RESEARCH UK

COMMUNITYSOLUTIONS

COMMUNITYVENTURES

RURAL HEALTH WEST

3M

MSD


THE MDU

HEALTHSTATS

BAYER

TEVA

NHSIMPROVING

QUALITY

ASSURA


ROYAL AIRFORCE


SOCIETYAGE UK

BUTTERCUPSTRAINING


LEXON UK IPS


LTD

CARADOC


STIRLING

TAKEDA

BWMEDICAL

ACCOUNTANTS

NHS CENTRALSOUTHERN

CSU

GPAUSTRALIA

BPSALES OFFICE

PAIN

IQ COMMISSIONING

MANAGEMENTSOLUTIONS

OPTUM


HEALOGICSACTAVIS


CRESCENDOSYSTEMS

333

6

6

4 4 3

3

4

4

4

2

2

3

44

6

6

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3 3

2 2 2 2 2 3 22 2 36333

3

33

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8

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3

3

6

3

3

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3 3

22 2

2

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2.5

3

3

3

3

3

H123

H183

3

6 3 32 4

3

3

24 2

2 2

2

2 2 24 3

3

6

9 9

4

3

2

4

3

3

52

2

5

9 9

6 3 3 6 6

3 3 3 3 3 2 2


2 3 33

E54

2

6

6

3

3

4

ENTRANCE

TRACK A THEATRE


TRACK B THEATRE

CLINICAL UPDATES

TRACK C THEATRE


TRACK D THEATRE


ASSOCIATION


LOUNGEBEST

PRACTICEWORKSHOPS

CATERING

CATERING


ZONE

CATERING

CATERINGLOGIXX

PHARMA

QDEMPHARMACEUTICALS

PARKINSON’SUK

CIGAHEALTHCARE


PRACTICENURSE


IPSEN LIMITED

INHEALTHCARE

CQC –CLINICAL

RECRUITMENT


LLOYDS

STERIMARSEA WATER

NASAL SPRAY

D15 D19

D17

FDA

DOCMAN

ACCEL-HEAL

H28

DBG & TAG MEDICAL

PCTC

AYMES

FUSION 48

FPM GROUP

F36

F32

F35

F39

GPMAGAZINE



SPACE: £409+VAT/M2

SHELL: £419+VAT/M2





one-hour lunchtime sessions as a team and a subsequent follow-up session. In addition The GSF Centre run a ‘Silver ‘Programme with 2 interactive workshops plus homework and evaluation.

Practices that have completed the programme and gone on to gain accreditation with a Quality Hallmark Award have experienced a substantial boost in the number of patients on their register, a major increase in the number of advance /personalised care plans and a significant decrease in the number of hospitalisations. The programme was recently a finalist in the 2014 BMJ awards. With early identification and needs-based coding, the ‘blue’ category includes the wider 2% patients , thereby broadening to care for all people in the final years of life, not just those in the final days, and includes care of frail elderly for whom prognostication is particularly difficult.

Dr Karen Chumbley GP, Essex End of Life Care Lead whose practice has been GSF accredited, said: “It’s a culture change doing Going for Gold, we couldn’t go back to the

way we were... Building on your GSF work will help achieve the targets needed for the DES. Care planning for those at the end of life supports admission avoidance for many of the 2% most at risk of admission. Practices can provide excellent care for those in the last year of life concurrently achieving the admission avoidance DES.”

The challenge therefore is to use the opportunity of the DES in the most effective way, and we have yet to see the impact of its rapid implementation, though we hope this might lead to further improvements that lead to better care for these most vulnerable patients.

Docman saving time and money for 6,000 GP Practices

Electronic Document Transfer – letters are received electronically from hospitals into Docman’s workflow engine and filed into the clinical system. Benefits include, zero scanning, auto-patient matching, pre-populated filing fields and significantly improved document processing time.

Clinical Content Recognition – an advanced system that automatically detects patient and filing details, significantly improving speed and data quality of filing and summarising.

Intuitive Workflow – reported to save each of your GPs up to 15 minutes per day by using Quick Steps to combine actions and workflows into one mouse click.

Complete Practice Management – Docman BackOffice allows you to securely store and retrieve all of your practice documents in one categorised place. BackOffice Apps help you to prepare your CQC evidence with the latest applications to digitally record fridge logs, assets, events, feedback and more…

Audited Collaboration – Docman Collaborator offers a fully audited discussion platform enabling everyone to manage, share and discuss patient or practice matters.

Arrange a Demonstration Visit stand D15 or call us on 01977 66 44 96www.docman.com

GPs hitting targets but missing point of unplanned admissions DESThere is strong evidence that many hospital admissions for dying patients are preventable, estimated by the National Audit Office to be about 40-50% of all admissions (NAO EOLC Report 2009). In addition hospitals are struggling to cope with increasing numbers of elderly frail patients whose admissions could be averted, and recent reports have highlighted the plight of such patients in hospital, most notably in the Francis Report, CQC Thematic Review and Ombudsman’s reports (2013).

Most patients have an average of three hospital admissions in the final year of life, and with discharge delays, this can have considerable cost implications to hospitals and commissioners.

These admissions can be distressing and disruptive for patients, carers and families, particularly for those nearing the end of life, and have a significant impact in bereavement.

So with more proactive anticipatory community care, this is an important issue for patients and their families, commissioners, GPs, care homes and other providers of care.

The introduction of the Avoiding Unplanned Admissions Direct Enhanced Service (DES) might therefore be seen to be very timely. This could be a fantastic opportunity to develop proactive primary care, helping practices develop preventative strategies that prevent the distressing admissions and enable many

more people to live well in the final stage of life and die well in the place of their choice.

Yet the rapid introduction of the DES from April 2014, with little supportive training or resources, has meant that many practices are unprepared and some might be’ hitting the target but missing the point’. There is a concern that they might end up tick-boxing to secure payments, rather than ensuring sensitive effective proactive care for the 2% most vulnerable patients, which includes the 1% of people in the final year of life. So, despite good intentions, if poorly implemented, there are real dangers that introduction of the DES might lead to insensitive discussions, patient complaints and sub-optimal effectiveness.

The Gold Standards Framework (GSF) Going for Gold programme provides practices with the necessary tools to seriously address this important issue and meet the requirements of the DES, whilst also ensuring that the 2% vulnerable patients receive top quality care. (see DES section on GSF website)

GSF Going for Gold is a practice-based six module programme designed to help practices identify vulnerable patients early, record advance care planning discussions, and enable better coordination. All of which helps practices to reduce hospitalisation, enabling more people to live and die at home or their usual residence. In practical terms, it involves an introductory session, four

“Practices can provide excellent care for those in the last year of life concurrently achieving the admission avoidance DES.”

For more information about the best use of the DES, free tools to support practices, the GSF Going for Gold programme, phone 01743 291895, email [email protected] or go to www.goldstandardsframework.org.uk/avoiding-unplanned-admissions-direct-enhanced-service.


Take your practice forwardGeneral Practices play an important part in Primary Care services in the UK. If you are looking to take the next step in your business and need support, talk to us. We are ready to listen at the best practice show October 22nd & 23rd on stand number C40

Contact details: Anne-Marie Jones, Corporate Banking Director, Northwest Healthcare. Mobile: +44 (0) 7799 868173 or Email: [email protected]

The Royal Bank of Scotland plc. Registered in Scotland, No. 90312. Registered Office: 36 St. Andrew Square, Edinburgh EH2 2YB. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority.


Healthy Solutions For A Healthier Nation ...

A leading healthcare provider. We’re focused on preserving the values of NHS General Practice, the delivery of great patient care and continued relationships with the communities we serve. Embracing new ideas and seeking alternative ways to providing care including the use of new technology or adoption of new initiatives.

Meet our Business Development & Recruitment Team at Stand C35.

Stand C35

01732 [email protected]. co.ukOr Scan Our QR Code

About Us

GP-owned pharmacies have been in the news recently, following evaluation of the pilot pharmacy service, the New Medicines Service (NMS). The evaluation has revealed that GP-owned pharmacies offer the best environment for promoting medicines adherence (the objective of the NMS).

In their evaluation, the researchers, who were commissioned by the Department of Health, found that “co-location enabled closer working between pharmacists and GP to confirm and refer patients, possibly leading to a triangular relationship between patient, pharmacist and GP, rather than two separate bi-lateral relationships”.

The Dispensing Doctors’ Association is a keen proponent of the GP-owned pharmacy, and many DDA Board members have an existing or stated interest in offering integrated medicines supply – a supply that makes the most of the unique and complementary skill sets of the community pharmacist and the general practitioner. In the August 2014 issue of the British Journal of General Practice, a paper by the DDA reiterated this view, outlining the potential for collaborative working by community pharmacists and general practitioners in the management of hypertension.

Via its website, and through the advice of pharmacy-owning DDA Board Members, the DDA is able to offer a range of advice for GP pharmacy owners on setting up and running a pharmacy. This information, which is exclusive to GPs with an interest in running a pharmacy, is available via the DDA’s online Integrated Medicines Provider Forum.

Getting to grips with the GP-owned pharmacy

Last year, questions answered by the DDA Board included the following:

• We run a dispensary side by side a 100 hour pharmacy which has its own pharmacist, dispenser and counter staff. The areas are separately demarcated and labelled. When the dispensary is closed e.g. evenings and weekends, is the surgery allowed to give permission to the Pharmacy to hand out their dispensed bagged up items?

• What happens if my pharmacist calls in sick? Am I able to continue dispensing via the dispensary?

• Could the DDA alert members of changes to standard drug prices when they go above the Tariff price?

• If you have a hybrid pharmacy/dispensary, why should you continue with your dispensary?

• Are there any ways in which a hybrid pharmacy/dispensary can operate without a Wholesale Dealer’s Licence?

• Should the Wholesale Dealer’s Licence be owned by the dispensary or the pharmacy?

• What mechanism must be in place in hybrid operations to ensure that patients’ wishes are complied with at each dispensing?

• What provision would you advise to have in the pharmacy shareholders agreement regarding the retirement of a GP partner?

• Do we as dispensers have a responsibility or obligation to inform our non-exempt patients if their prescribed NHS item would be cheaper to buy from a chemist rather than paying the levy fee?


Each year the DDA Annual Conference also hosts a Question Time, where DDA Board Members will be on hand to answer delegates’ questions. This year, the Question Time takes place on Wednesday, October 22 at 1:50-2.20pm in Theatre D at Best Practice. GPs do not need to be a DDA member to ask a question - and attendance is free - so come to the DDA Conference at Best Practice to get some first-hand advice on all your dispensing-related issues.


Your patients’ first steps towards understanding and managing their conditions

– from depression to chronic painThe Reading Well Books on Prescription scheme recommends books that provide effective self-help

treatment for a range of common mental health conditions using cognitive behavioural therapy.

The books are available to borrow in public libraries.

The scheme is delivered by The Reading Agency and the Society of Chief Librarians with funding

from Arts Council England.

Recommended and endorsed by health professionals.

Find out more at readingagency.org.uk/readingwell

Developing a federated model of General Practice - Why now?

Can you get by on your core GMS/PMS contract? Assuming the answer is no, please read on.

General Practice, as providers of Primary Medical Services, are at a crossroads; potentially a defining moment in the history of the NHS. It faces many challenges and standing still to try and address these is not an option. Keep doing what you have always done, and you can expect to keep getting what you have always got (or in the current climate - less!).

There are, though options for practices to explore. This of course means doing something different; simply tinkering around the edges will get you an outcome that goes with that, and it will not be enough! The time has come for something radically different that will allow all practices to re-think their delivery model; develop new ways of working and meet the challenges that are here and now.

There are of course options. You can do nothing. The clear risk with that is a destabilised and unviable General Practice. You could become employed and work for someone else; working

for another company as a salaried staff member; salaried means pay and conditions, with a lack of control.

Why instead don’t you take control? While this will mean working to implement change, you will be in control of the change and working with people you know and trust. Nobody can force you to do anything you don’t want to. This requires a positive choice to become engaged in the process.

Forming a federation allows practices to play to their strongest suit, as it will be locally run, to meet local needs and serve local patients. Size in numbers adds strength.

A number of patient benefits are also easily attained. Patients like the idea of Practices coming together to respond to the challenges the Health & Social Care Act has brought them. Patients also very much like that federations are locally run, by local GPs, for local people.

Patients understand with the Practices pulling together and supporting each other this potentially avoids service

fragmentation and supports continuity of care. Additionally, local services help avoid unnecessary referrals and admissions to hospital.

Our session will explore all the key benefits and answer the questions everyone’s asking:

• Why have Federations emerged as the big topic for General Practice?

• What exactly is a Federation?

• What is their place in the delivery of Primary Care?

• How does it differ from other deliverers of Primary Care?

• What sort of activities should they be doing?

• What is the best structure for a Federation?

• What pitfalls should you be looking out for?

Now is the time for practices to weigh up the benefits. Now is the time to make a conscious decision on the best way forward for your practice; if not a federation then what? Don’t leave it to happen to you, take a positive step, make a decision, and together take control NOW! (Our experts will be on stand H19 to answer further questions)

Scott McKenzieNHS Consultant – BW Medical Accountants

Not so long ago cancer was seen very much as rooted in Secondary Care. Primary Care’s role was to refer patients with suspected cancer onto the various pathways and its next involvement was end of life care. We were told that the average full time GP would see less than 8 cases of cancer a year and the implication was that as it was rare, we’d expect GPs would “not get it right every time”.

Now in 2014 much has changed and continues to change. As the number of people diagnosed with and surviving cancer rises, more cancer care and support is shifting to Primary Care. There are now 2 million patients living with and beyond cancer in the UK. This is projected to rise to 3 million by 2020 and 4 million by 2030 . The latter will represent 670 patients in a practice with 10,000 patients (these numbers are similar to those of patients with diabetes). This reflects an ageing population, better treatments and higher cure rates. The projections suggest that the lifetime risk of cancer is fast approaching 1 in 2. These changes have huge implications for our society and for the funding of health care.

Primary Care will be required to step up to help address this situation – we have a part to play at all stages of the patient journey. The World Health Organisation identifies that “Prevention offers the most cost-effective long-term strategy for the control of cancer.” Latest data suggest that 42% of all cancers in the

UK are preventable . Primary Care, if appropriately resourced, is ideally placed to engage with this task – tackling issues as wide ranging as breast feeding rate (breast feeding for 6 months reduces the risk of breast and ovarian cancer in the mother and childhood obesity rates) and encouraging more exercise before, during and after cancer.

In regards to early diagnosis, there have been notable improvements over the past few years: colorectal cancer 1 year survival has improved from 71% to 75% between 2000-2004 and 2007-2011 . Improvements are also reported for other cancers including breast, ovarian, prostate and lung. The NHS is doing better but there is still room for improvement. We can be more approachable, hone our communication and consultation skills, put in place safe systems so that no-one “falls through the net”. We want to refer the right patient to the right place to see the right person at the right time. We then should seek to provide the right care and support, in the right place for our patients as they live with and beyond cancer. We need to aspire to move from better practice to “Best Practice”.

From Better to Best PracticeDr. Richard RoopeCRUK and RCGP Clinical Lead for Cancer

Hear from Dr Richard Roope at his session at Best Practice: Cancer challenges. Register for your free pass at bestpracticeshow.co.uk/newspaper


ONLY 126 FREE PASSES AVAILABLE!

DON’T DELAYBOOK TODAY!

News in brief

Continue your learning all year-roundBuild on the skills you learnt from Best Practice 2014 with free webinars available to delegates all year-round. Speaker presentations from 2013 and 2014 can be accessed through a learning portal exclusive to NHS and healthcare professionals who attend Best Practice in October.

Relax with colleagues and friends after the first the day of Best Practice at the official show drinks reception. Free drinks will be served from 5:45 on Wednesday 22nd October on the show floor. It’s a great time to wind down and network with exhibitors, catch-up with colleagues and enjoy the buzz of the fantastic exhibition.

NAPC Awards and Gala DinnerThe official black tie event in primary care takes place on the first evening of Best Practice 2014. Join official show partners NAPC at their annual Award Ceremony and Gala Dinner for an evening celebration, fun and some surprises! 2014 award categories:

• Practice Manager of the Year• Joint Working Initiative of the Year• Clinical excellence award• Equality & Inclusion Award• Health and Wellbeing Innovation of the Year

Tickets are still on sale for £49.99, email Sally Kitt via [email protected] to reserve your ticket. Discounts are available for group bookings.

þ Hear case-based solutions and take-home tools to tackle key dilemmas for commissioners

þ Be inspired by the future facing speakers and presentations in our innovative Transforming Primary Care stream

þ Meet, engage and inspire the largest nationwide audience of general practice clinicians, managers and GP Federation leaders

þ Education, networking and innovation for your committees

þ Help support and protect your practices by keeping up-to-date with the challenges affecting you

þ Unparalleled array of content to support the GPs, practice managers and primary care delivery professionals

þ Hear from leaders of federations on how they are doing it, what the opportunities are and the common mistakes that can be easily avoided

þ Develop your federation with education, solutions and training for you and your team

þ Advice on federations legal framework, fi nancial structure and governance

If you are part of a federation, in the process of forming one or perhaps thinking about it, we are delighted to invite you to the fi rst GP federation leader lunch at the show, enabling you to draw on the experience of other federations. Contact Aidan Gibbs on 0207 348 5752 or [email protected] for more information

THE NATIONAL SHOWCASE FOR EXCELLENCE AND INNOVATION IN GENERAL PRACTICE RETURNS IN OCTOBER, DELIVERING YOU WORLD-CLASS CLINICAL AND BUSINESS TRAINING

CLINICAL TRAINING

SEE NEXT PAGE FOR FULL PROGRAMMESEE NEXT PAGE FOR FULL PROGRAMMESEE NEXT PAGE FOR FULL PROGRAMME

PRACTICE MANAGEMENT

CCGsLMCsFERERATIONS:

THE FUTURE OF GENERAL PRACTICE

DISPENSERS: DDA’S ANNUAL CONFERENCE

YOUR GUIDE TO BEST PRACTICE INSIDE...

CLAIM YOUR COMPLIMENTARY PASS BY REGISTERING AT WWW.BESTPRACTICESHOW.CO.UK/TI14

AND SAVE THE £699 TICKET PRICE

LIMITED NUMBER OF FREE* EDUCATIONAL PASSES AVAILABLE,REGISTER AT WWW.BESTPRACTICESHOW.CO.UK/TI14 *Complimentary passes are reserved for NHS employees and qualified healthcare professionals only

KEYNOTE SPEAKERS INCLUDE:

We understand it’s hard to justify time away from your practice but with content touching on every area of running a modern day practice, you will learn more in just two packed days than you would do from months at your desk. Whatever your role in primary care there will be education, innovation and networking opportunities for even the most experienced professionals.

High-impact RCGP-accredited clinical updates with the very latest evidence and guidelines on a wide-range of core conditions seen in day-to-day practice.

TOPICS INCLUDE:Assessing for cognitive impairment in dementia, respiratory disease, diabetes, ophthalmology, CVD, dermatology, gastroenterology, mental health, sexual health and paediatrics.

SPEAKERS INCLUDE:Highly-practical sessions delivered by experts covering the business, fi nance and IT skills essential to running a thriving practice. Hard-hitting practical advice on key threats to your practice in 2014/15 and how to combat them, and inspirational case studies from high-earning practices.

TOPICS INCLUDE:The 2014/15 contract, QOF, delivering new enhanced services cost-effectively, new-style CQC inspections, online access and care data, preparing your practice for a 7-day NHS, threats to practice profi ts, the A&E crisis, bidding for provider contracts.

SPEAKERS INCLUDE:Integrating the DDA Annual Conference into the largest national event within general practice, allows more content for you to benefi t from, more delegates to network with and an increase in keynote speakers to hear from.

TOPICS INCLUDE:Financial management, CQC inspections, better buying, monitored dosage systems, controlled drugs regulations and practical dispensing issues.

SPEAKERS INCLUDE:

NEC, Birmingham22 - 23 October 2014

NEC, Birmingham22 - 23 October 2014 At last,

a value-packed event that helps you care

for your patientsand your practice

LIMITED FREE

PASSES AVAILABLE

FOR UP TO 16 HOURS OF CPD

Simon Stevens

Chief Executive of NHS England

The Rt Hon Jeremy HuntSecretary of State

for Health

Dr Maureen Baker

Chair, RCGP

Dr CharlesAlessi

Chair of the NAPC

Dr KathrynGriffi th

Clinical Champion for Kidney Care, RCGP

and GP, York

ProfessorSteve FieldChief Inspector of

General Practice, CQC

Rt Hon Andy Burnham

Shadow Secretary of State for Health

SPONSORS:SUPPORTED BY:®

WHY ATTEND BEST PRACTICE?

THERE’S SOMETHING FOR EVERYONE - NOT JUST GPS AND PRACTICE MANAGERS

THERE’S SOMETHINGFOR EVERYONE

Dr Stephen Kownacki

Executive Chair, Primary Care Dermatology

Society

Bob SeniorChair, AISMA and

Head of Baker Tilly National Medical Services team,

Matthew IsomCEO, DDA

Dr WaqarMalik

Community Consultant

Diabetologist, Birmingham Community

Healthcare Trust

Dr Minesh PatelChair, Horsham and

Mid-Sussex CCG

Dr Phil Yates Chairman and

Director of Medical Affairs, GP Care

Dr Ian WaltonGP and IAPT Lead,

Sandwell

Sheinaz Stansfi eld

Practice Manager of Oxford Terrace

Medical Group and Board Member of Newcastle

Gateshead CCG

Mark Stone, Pharmacist, Tamar

Valley Health, Cornwall

Dr Martin McShane

Director, Domain 2, Improving the quality

of life for people with Long Term Conditions,NHS

England

Dr Nikki KananiVice Chair, NHS

Bexley CCG, Quality Lead, FMLM

Dr Tom ReichhelmManaging and Medical

Director, Malling Health Ltd and GP

Partner, West Malling Group Practice

Dr Nigel Watson Chief Executive,

Wessex LMCs

Dr Richard Vautrey

Deputy Chair of the BMA GPC and

elected member of the RCGP

Professor David Haslam

CBE, Chair, NICE


NEW FOR 2014!

DRINKS RECEPTION Join us for a drink from 5:45pm on Wednesday evening to celebrate the opening day of Best Practice. It’s a great time to wind down at the end of day one and provides an ideal opportunity to talk to exhibitors, catch up with colleagues and enjoy the buzz of this fantastic exhibition. FREE to all attendees.*

NAPC AWARDS AND GALA DINNERWednesday 22nd October at the HiltonMetropole Birmingham

This black tie event is not to be missed with what will be an evening of celebration, fun and some surprises!

With the following awards to be won:

• Practice Manager of the Year

• Joint Working Initiative of the Year

• Clinical excellence award

• Equality & Inclusion Award

• Health and Wellbeing Innovation of the Year

Tickets can be purchased via [email protected] at £49.99 per person or discounts for group booking POA.

CLAIM YOUR COMPLIMENTARY PASS BY REGISTERING ATWWW.BESTPRACTICESHOW.CO.UK/TI14 AND SAVE THE £699 TICKET PRICE*

*Complimentary passes are reserved for NHS employees and qualified healthcare professionals only


IN PARTNERSHIP WITH: NOW FEATURING THE DDA ANNUAL CONFERENCE

MAIN SPONSOR OFFICIAL MEDIA PARTNER

PULL TO VIEW FULL 2014 PROGRAMMEPLUS INTERACTIVE LIVE WORKSHOPS

ACCREDITED

SPEAKERS INCLUDE:SPEAKERS INCLUDE:SPEAKERS INCLUDE:












CLINICAL TRAINING


PRACTICE MANAGEMENT
















SPEAKERS INCLUDE:





LIMITED FREE

PASSES AVAILABLE


Simon Stevens



for Health

Dr Maureen Baker

Chair, RCGP

Dr CharlesAlessi

Chair of the NAPC

Dr KathrynGriffi th


and GP, York



Rt Hon Andy Burnham






Dr Stephen Kownacki


Society




Dr WaqarMalik



Healthcare Trust


Mid-Sussex CCG




Sandwell

Sheinaz Stansfi eld



Gateshead CCG



Dr Martin McShane



England







Wessex LMCs

Dr Richard Vautrey




CBE, Chair, NICE


NEW FOR 2014!

















ACCREDITED













CLINICAL TRAINING


PRACTICE MANAGEMENT
















SPEAKERS INCLUDE:





LIMITED FREE

PASSES AVAILABLE


Simon Stevens



for Health

Dr Maureen Baker

Chair, RCGP

Dr CharlesAlessi

Chair of the NAPC

Dr KathrynGriffi th


and GP, York



Rt Hon Andy Burnham






Dr Stephen Kownacki


Society




Dr WaqarMalik



Healthcare Trust


Mid-Sussex CCG




Sandwell

Sheinaz Stansfi eld



Gateshead CCG



Dr Martin McShane



England







Wessex LMCs

Dr Richard Vautrey




CBE, Chair, NICE


NEW FOR 2014!

















ACCREDITED


16 hours of FREE CPD TrainingBest Practice is the national showcase for excellence and innovation in general practice and it returns in October 2014, delivering world-class clinical and business training. We understand it’s hard to justify time away from your practice but with content touching on every area of running a modern day practice, you will learn more in just two packed days than you would do from months at your desk. Whatever your role in primary care there will be education, innovation and networking opportunities for even the most experienced professionals. Receive free CPD training accredited by the RCPG and AMSPAR by registering via bestpracticeshow.co.uk or call 0207 348 4906.

CPD certificates will be emailed to attendees two weeks after the conference.

The first drink is on us!

best practice newspaper issue 6

Documents

gp practices

gp partner

gp leaders

gp federations

respiratory lead

practice manager

frontline of general

scale general practice