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Simon Bradley

  • GPs' enhanced service funding boosted by 75%

    Simon Bradley's comment 05 Aug 2016 2:02pm

    This is largely old PMS funding now paid out via Enhanced Service mechanism often for new (extra) work that has not been properly costed.

  • Patients to meet minister as PMS practice's cuts appeal rejected

    Simon Bradley's comment 14 May 2016 8:13am

    PMS contract changes cannot be imposed.
    The only recourse NHSE have is to give 6m notice to remove contract if agreement to change is not reached. They would then have to re-tender the contract. In current environment there are likely to be no takers at current GMS price which puts incumbents with own premises in very strong position to win any new tender at a higher price. If a large enough block of GPs decided to decline to accept the contract variations NHSE would be very worried indeed about their capacity to re-procure GP services.

  • Every practice should be given a pharmacist, says GPC chair

    Simon Bradley's comment 29 Jan 2016 8:13am

    General Practice needs more GPs now but they aren't there to employ so pharmacists who can make a significant contribution, as can mental health specialists nurses and physiotherapists, may keep General Practice going whilst the underfunding and recruitment issues are sorted out. A sticking plaster, maybe, but a much needed one.

  • LMCs' crisis summit scheduled for 30 January

    Simon Bradley's comment 01 Dec 2015 3:32pm

    The problem is that demand is unmatched with human and financial resources. This problem will not be solved by federating or fancy new contracts which will be far too little, too late. General Practice needs substantial funding to attract substantial numbers of GPs and other clinicians and it needs it now. Do not let this conference get distracted by anything else.

  • NHS bosses U-turn after denying support to struggling practices

    Simon Bradley's comment 29 Jul 2015 11:54am

    As a PMS practice with Outstanding from CQC we have been in receipt of the higher than GMS funding that Paul Cundy refers to and that all practices deserve. The evidence behind this statement should indeed be publicised by GPC and GPC should campaign to halt PMS reviews and have NHSE award similar funding to GMS practice

  • 'It is vital that urgent action is taken on this issue'

    Simon Bradley's comment 16 Jun 2015 10:17am

    General Practice delivers unrivalled value for money for the NHS which the current excess of demand and deficit in resources fundamentally threatens. Dealing with this as a matter of extreme urgency is vital for the survival of the whole NHS.
    Dr Simon Bradley
    Concord Medical Centre
    Bristol BS34 6BQ

  • GP practices to offer chemotherapy and dialysis, budget statement reveals

    Simon Bradley's comment 03 Dec 2014 9:38pm

    We currently provide chemotherapy in the community in collaboration with our local oncology department at our practice. Patients and clinicians love the improved access and the more informal atmosphere. Apart from the initial effort setting it up it can be provided with no extra work for GPs or practice nurses.

  • Hunt: Care home staff should update GP records every day

    Simon Bradley's comment 31 Oct 2014 9:53pm

    Sadly nothing could more clearly show Mr Hunt;s lack of understanding of the specialist health role that GPs perform and the support role of carers. A continual stream of information without filter would be impossible to manage and carers are not trained to provide a useful distillation of information to support routine ongoing care by a GP. Carers may be very good at providing information when condition changes, providing relevant data on a continuous basis is not something that has any proven value nor that they have the training, capability or capacity to provide.

  • 'Corner shop' GPs should expand and employ hospital consultants, says NHS England

    Simon Bradley's comment 03 Oct 2014 9:12am

    Larger practices could have specialists working in them in and providing more specialist care to "triaged patients". Groups of smaller practices working together could do the same. We need a new structure to do this as we should look to have consultants as partners in our practices. Allowing Partnerships to convert to LLP would mitigate some of the current risks of being a partner and enable such inclusion of consultants as partners rather than employees.

  • Unplanned admissions DES could cause harm to dying patients, experts warn

    Simon Bradley's comment 10 Aug 2014 12:17pm

    Jonathan Pryse is absolutely right paper care plans are out of date the instant they are written, version control and sharing are a nightmare to the point go making them virtually unworkable.

    Electronic care plans that can be shared by the patient with anyone involved in their care, that take a feed from different clinical systems overcome this and could make the UAES work.

    Work that we have done with Patients Know Best at http://www.QualityPractice.co.uk means that this solution to the central problem of this ES is available now.

  • Map: Whether CCGs have allocated £5 per head of funding

    Simon Bradley's comment 29 May 2014 7:10pm

    Also not accurate for South Gloucestershire who have no plans to resource GPs to support the care of older people.

  • Five steps to starting the unplanned admissions DES

    Simon Bradley's comment 29 Apr 2014 11:09pm

    In a time of competing and at times oppressive demand we have to use ourselves (GPs) as a resource, very carefully. If we lose an income stream then either we have to work harder or stop doing something and as most of the things we do are not wasteful this would impact directly on patient care.
    Managing the care plans is probably the single most onerous element of this DES and I believe it is unmanageable with a paper based system.

    I have put together a UPA DES calculator which practices can download and populate with their own figures here http://www.qualitypractice.co.uk/care-plan/
    I hope this will help practices decide where and how to spend their effort.

  • Five key patient profiles to look out for under the unplanned admissions DES

    Simon Bradley's comment 25 Apr 2014 9:45am

    Useful article. The evidence for effectiveness of is pretty limited apart from heart failure and COPD. It also will be a nightmare to manage this with paper based care plans. We have produced a ready reckoner to help practices work out what this might cost them which can be found here http://www.qualitypractice.co.uk/care-plan/

  • Commission GPs to provide extra mental health services, urges NHS England director

    Simon Bradley's comment 05 Feb 2014 5:12pm

    We have a mental health nurse consultant working alongside GPs employed by the practice and doing the MH work of a GP. He helps meet unmet need and reduces demand on GPs. You can see more here:
    http://www.institute.nhs.uk/images/documents/NHSI%20Concorde%20Case%20Study%20-%20MH.pdf

  • Five ways to market your practice online

    Simon Bradley's comment 23 Jan 2014 2:09pm

    Good stuff here. There are great opportunities to use social media and the internet to increase patient participation and promote self care. Our waiting room WiFi has links to our Facebook page to increase that engagement.

  • Are GPs ready to play the market?

    Simon Bradley's comment 09 Jan 2014 9:22am

    I completely agree with Kailaish that the picture he paints is a real risk. All our political parties seem bent on the same path. What can General Practice do that could mitigate this if we cannot stop it?

  • Dr Neil Goulbourne: ‘We want to provide care for as many patients as possible’

    Simon Bradley's comment 09 Jan 2014 9:02am

    Virgin have the scale and resources to make investments that can achieve the best cost and win them bids. Their investments which may be at a significant loss in a single area, can then be replicated nationally at marginal cost and start to win them profits. Independent GP Federations cannot compete with this. They could invest the same locally but would then be unable to replicate nationally. That is why I founded Quality Practice: to enable practices to work together in a national network in which they share ownership and control. I would be interested to know of other ways in which we as GPs could compete with the likes of Virgin?

  • Twelve ways to prepare for the 2014 contract

    Simon Bradley's comment 09 Jan 2014 8:54am

    I agree with Dr Ashcroft that working together is the only practical way for the vast majority of practices to be able to respond to this but why is CCG scale the right size? If you are competing against Virgin 20 or 30 practices will not have the scale to afford the support systems that can help achieve a competitive price.

  • CCG tells local GPs to federate or face loss of enhanced services contracts

    Simon Bradley's comment 24 Dec 2013 8:04am

    Federating in this way will not work. The practices federating must share a common goal and ideally a common ethos if they are going to succeed. They need to be committed to working in a consistent way to consistent standards with consistent effort when providing common services. Putting to together a federation requires time and leadership and funding both to get it started and sustain its day-to-day operations. Geographical federations formed from disparate GP practices founded on the premise that there will be sufficient surplus from LES/DES are destined to fail and fail quickly.

  • CCG tells local GPs to federate or face loss of enhanced services contracts

    Simon Bradley's comment 24 Dec 2013 8:04am

    Federating in this way will not work. The practices federating must share a common goal and ideally a common ethos if they are going to succeed. They need to be committed to working in a consistent way to consistent standards with consistent effort when providing common services. Putting to together a federation requires time and leadership and funding both to get it started and sustain its day-to-day operations. Geographical federations formed from disparate GP practices founded on the premise that there will be sufficient surplus from LES/DES are destined to fail and fail quickly.