The General Practice Podcast

In this week’s episode, brought to you in partnership with Practice Index, we welcome back podcast regulars Claire Houston & Robyn Clark to unpack the realities of the 2026/27 GP contract and what it means for general practice. Claire & Robyn share practical insights into how practices are managing rising expenses, the limitations of current funding allocations, and the increasing challenge of balancing demand with limited resources. They also reflect on wider system issues, including the sustainability of general practice, the risks of shifting workload without adequate funding, and the growing tension between policy expectations and operational reality. Introduction & Sponsor (0:09) Immediate Impact of Contract Changes (2:00) Capacity & Access Funding Changes (9:30) Barriers to Recruitment & Delivery (10:30) Advice & Guidance Changes (17:16) Referral Management & System Pressures (19:09) QOF & Childhood Immunisations Update (24:23) Support Available via Practice Index (26:42) To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Practice Index – The GP Contract & What It Means for Practices appeared first on Ockham Healthcare.

In this week’s episode, Ben is joined by Dr Sarah Coope, former GP, mediator and CEO of Wild Monday, to explore one of the most challenging aspects of working in general practice – conflict. Sarah shares why conflict is both inevitable and, when handled well, a positive force within teams, particularly in high-pressure environments like general practice and PCNs. The conversation explores why unresolved conflict is so common, how workload and system complexity contribute, and why avoiding difficult conversations can often make things worse. The episode also highlights the emotional toll of conflict, the importance of psychological and emotional safety, and why one-to-one conversations are often more effective than large group discussions. Finally, Sarah discusses the support available for leaders, including coaching, peer networks and structured development programmes. Introduction (0:07) Why conflict is common in general practice (1:15) The impact of pressure, workload and system complexity (2:27) Avoiding conflict and why it can be harmful (4:02) The emotional toll of conflict (5:14) Handling personal conflict and strong emotions (8:50) Expressing how situations feel (11:00) One-to-one vs group conversations (12:36) Structuring the conversation: HiFIVE model (13:50) Challenging assumptions and narratives (15:05) The final part.. (20:06) Summarising the HIGH5 framework (22:43) Supporting leaders with conflict (23:03) Visit the Wild Monday website here. Access the HiFive model here. The Shapes Academy Toolkit can be found here. Access the How To Lead Without Rescuing webinar here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Sarah Coope – Managing Conflict in General Practice: A Practical Framework for Leaders appeared first on Ockham Healthcare.

Ben recently joined Tara Humphrey from THC Primary Care on The Business of Healthcare Podcast, to explore what lies ahead for primary care, the importance of strong relationships in leadership, and what recent GP contract developments mean for Primary Care Networks and neighbourhood-focused approaches. Interested in hearing more from Ben and Tara? Join them at PCN Plus LIVE 2026 on Wednesday 22nd April 2026, where they’ll be focusing on how deeper collaboration, locally driven innovation, and bold thinking can shape the future of healthcare delivery. Visit the website here to learn more or secure your place. Introduction (00:55) “Make it easy to work with you” (05:28) Being intentional vs organic in networking (07:56) Writing emails that get responses (09:56) The GP Contract: first reactions (11:41) Are PCNs at risk? (19:10) Moving from discussion to action (24:19) PCN Plus Live 2026 (25:19) For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Tara Humphrey – From Networks to Neighbourhoods appeared first on Ockham Healthcare.

In this week’s episode, brought to you in partnership with Practice Index, we welcome back to the podcast Peter Maynard, Executive Partner at Horfield Health Centre and Ceri Chaplin, Managing Partner at Hereford Medical Group. Following the publication of the 2026/27 GP contract, they discuss the headline changes and what they could mean for general practice. While the announcement highlights new investment, the reality for practices may be more complex, with funding pressures, operational changes and unanswered questions about how the proposals will work in practice. The conversation explores the implications for practice finances, workforce recruitment, PCNs, advice and guidance, performance management and quality frameworks, alongside the practical challenges managers face when implementing national policy locally. As always, the details still need to emerge, but this episode provides an early perspective on the potential risks, opportunities and uncertainties facing general practice over the next year. Introduction (00:49) Initial reactions to the GP Contract (01:17) Funding and the headline investment (03:10) Capacity and Access funding changes (06:39) Changes to ARRS funding (09:44) The future of PCNs and neighbourhood working (11:12) Advice and Guidance becoming core work (13:44) Increased expectations and performance management (17:58) QOF changes and obesity management (21:10) Childhood immunisation targets (22:57) What happens next? (24:31) To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Practice Index – Breaking Down the 2026/27 GP Contract appeared first on Ockham Healthcare.

In this week’s episode, Ben is joined by Dr Freddie Charrington, GP Partner at Phoenix Health Group in Tetbury, to discuss the growing financial challenges facing dispensing practices, and how the practice transformed its dispensary from near break-even to sustainable profitability. Freddie shares how he unexpectedly became dispensary lead soon after becoming a partner and was tasked with determining whether the service should continue at all. Working alongside his dispensary team, family members and a data scientist, Freddie developed ‘Dispensary Market’, a tool that compares drug prices across multiple wholesalers, helping practices make smarter purchasing decisions. Freddie also explains how the tool has expanded beyond his own practice, remaining free for GP practices while helping improve both profitability and medication availability across dispensing sites. Introduction (0:08) Freddie’s background and becoming dispensary lead (0:20) Why dispensing practices are under financial pressure (1:21) Rural challenges and workforce pressures (2:27) Discovering the true dispensary finances (3:07) Identifying purchasing inefficiencies and drug margins (4:01) From spreadsheets to building a solution (4:45) Developing Dispensary Market (5:27) Expanding wholesalers and improving margins (6:30) Implementing change with the dispensary team (7:21) How the platform works in practice (8:24) Why drug prices change constantly (9:24) Real-time pricing and system design (10:10) Early results and product evolution (10:44) Lessons in change management and user adoption (11:44) Rolling out to other practices (13:23) Keeping the platform free for GP practices (14:43) What is ‘Dispensary Market’ and how to access it (15:08) Uptake and current usage (16:11) Balancing GP work and running the platform (16:21) Supply chain benefits and stock availability (17:06) Closing reflections (18:10) Check out the ‘Dispensary Market’ website here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Freddie Charrington – From Problem to Platform: Building ‘Dispensary Market’ appeared first on Ockham Healthcare.

In this week’s episode, brought to you in partnership with Practice Index, we welcome back podcast regulars Claire Houston & Robyn Clark to explore why appraisals are a vital part of staff development in general practice, and how to make them meaningful rather than just a tick-box exercise. They discuss whether ‘appraisal season’ is helpful or whether reviews should be spread throughout the year, how to structure objectives so they align with wider practice goals, and why appraisals should never contain surprises. The conversation covers practical tips on preparation, 360° feedback, handling difficult conversations, and setting SMART objectives that genuinely support both individual growth and organisational strategy. The episode also explores the unique challenge of appraising practice managers, the benefits of a four point scoring system, and how digital tools like the Appraisals Manager within the Practice Index Hub can streamline the entire appraisal cycle, from scheduling and documentation to tracking objectives and progress. Introduction (0:09) Practice Index Appraisals Manager: what it offers (00:35) Is there such a thing as ‘appraisal season’? (01:25) Why appraisals should never contain surprises (02:15) Formal appraisals (03:10) Aligning individual objectives with practice strategy (04:00) Setting meaningful objectives (and how many to set) (06:30) Using SMART objectives effectively (08:30) The importance of preparation and pre-appraisal questionnaires (10:30) 360° feedback and gathering wider perspectives (11:30) Avoiding difficult conversations, and why you shouldn’t (13:45) A practical structure for giving constructive feedback (14:45) Rethinking scoring: why move from five points to four? (16:50) Documenting objectives and tracking progress digitally (18:20) Who appraises the practice manager? (19:15) Using the IGPM appraisal toolkit (20:30) Accessing the HR package and Appraisals Manager in the Hub (23:30) Episode summary and close (24:30) Book an HR Package demo here To access the IGPM Appraisal Toolkit, join IGPM here. To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Practice Index – Why Appraisals Matter in General Practice appeared first on Ockham Healthcare.

In this episode, Ben is joined by Catherine Pope, Professor of Medical Sociology at Nuffield Department of Primary Care Health Sciences, to explore how access to general practice really works in practice and what happens to appointment systems over time. Drawing on over 30 years of research and findings from a recent study, the discussion examines the sustainability of different access models, the legacy of initiatives such as Advanced Access, and why practices continually adapt systems to manage demand. The episode explores the limitations of top-down, standardised and digital first solutions, the impact of access systems on patients, reception teams and clinicians, and why variation is often necessary to meet the needs of local populations. The conversation also highlights patient experiences of navigating access, the risks of diversion and looping between services, creative approaches such as the ‘Phones and Ladders’ game to illustrate access challenges, and the case for more patient-centred, locally adaptable models that prioritise need, continuity and sustainable general practice. Introduction (00:08) Your recent study on access to general practice (01:00) Did you find that practices were able to sustain the benefits of new access systems? (04:04) Have practices managed to stick with the changes they made over time? (09:41) Does this impact sustainability, because eventually people stop doing it? (13:39) ‘Phones and Ladders’ (15:30) Should access start with local population needs? (19:28) Are current access outcome measures too crude if they focus only on waiting times? (22:05) If people want to access the research or learn more, where can they find it? (24:33) Visit the ‘General Practice: Innovation, impact and sustainable change’ research here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Catherine Pope – Access to General Practice: What Works, What Lasts, and Why appeared first on Ockham Healthcare.

  In the first episode of 2026, Ben is joined by Dr Zalan Alam, General Practitioner, Director of Medical Education and GP Partner, to explore Rochdale’s selection as a site for the National Neighbourhood Health Implementation Programme (NNHIP) and what this means in practice for general practice and PCNs. The discussion focuses on improving patient journeys, particularly for frail patients and those in the last year or 1,000 days of life, by strengthening connectivity between primary care, community services, hospices, ambulance services and acute trusts, using standardised frailty assessments, shared care plans and tools such as the Greater Manchester Care Record. The episode also covers targeted neighbourhood working in Rochdale South, the importance of peer leadership and measurable impact for frontline practices, and what comes next as the programme moves from planning into delivery, with an emphasis on locally adaptable models rather than a one-size-fits-all approach. Introduction (00:08) Why Rochdale was selected for NHIP (00:29) Population, PCNs and deprivation (01:22) How the programme is structured (02:42) Early priorities and patient journey focus (03:35) Targeting Rochdale South as a proof of concept (05:33) Connectivity gaps and ‘lightbulb moments’ (06:25) How neighbourhood working operates in practice (07:03) Standardising care plans and frailty pathways (08:40) Using data to identify priority cohorts (10:07) Shared tools, shared vision (12:01) Impact on PCNs and general practice (14:09) System-level integration and why it works in Rochdale (16:12) Moving from planning to delivery (17:42) Measuring impact and managing expectations (18:40) Learning from other NHIP sites (19:13) Reflections & next steps (20:26) Listen to Zalan’s previous podcasts ‘Innovative intermediate care’ here and ‘Integration working in practice’ here. Contact Zalan via email here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Dr Zalan Alam – How Rochdale Is Implementing the National Neighbourhood Programme appeared first on Ockham Healthcare.

In this episode, Ben is joined by Judy Oliver from Oliver & Company to discuss the role of the voluntary, community and social enterprise (VCSE) sector in healthcare and general practice. Judy explains why the voluntary sector is essential yet often misunderstood. She explores how social prescribing and asset mapping can better connect patients with non-clinical support, highlights successful collaborative models such as the Bromley by Bow Centre, and discusses the challenges VCSE organisations face around funding and visibility. The conversation focuses on practical ways PCNs and practices can work more effectively with local voluntary groups, move towards neighbourhood-based care, and take simple next steps to build meaningful partnerships that improve patient outcomes. Introduction (00:08) The Voluntary Sector in General Practice (00:22) What does VCSE mean? (02:23) Does it deliver real benefit? (03:21) How have PCNs worked with the voluntary sector? (05:22) How to find what’s available in your area (07:40) Finding the right people (10:22) From PCNs to neighbourhood working (15:01) Next steps (18:18) Getting in touch (19:47) Visit the Oliver & Company website here, or contact Judy via email here, or Charlotte here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Judy Oliver – The Role of the Voluntary Sector in General Practice appeared first on Ockham Healthcare.

In this week’s episode, brought to you in partnership with Practice Index, we’re joined by Claire Houston from Practice Index, Paul Gordon from Atomos, and ​James Gransby from Azets to break down what the latest budget really means for general practice. We explore how tools like the salary calculator and benchmarking manager can support smarter decision making as practices respond to rising costs. They also look closely at how these budget changes affect personal finances, from the withdrawal of personal allowances for high earners to the long term impact of frozen tax thresholds. With insights on NHS pensions, future tax considerations, and the importance of revisiting financial plans, this episode offers straightforward guidance to help practice teams and individuals stay confident, informed, and financially resilient. The Budget (00:08) Benchmarking Manager (02:28) Reactions to the budget (03:30) What should people be doing differently now? (07:55) NHS Pension (09:09) What will be different? (10:58) Increase in the National Living Wage (14:27) The Carr-Hill formula (16:31) The timeframe (19:25) Other changes.. (20:34) ISA changes.. (21:37) Final thoughts.. (24:16) To book your free Benchmarking Manager demo, click here or to access the Salary Calculator, login here. To visit the Practice Index website, click here or contact James Dillon here. For all enquiries about the Ockham podcast, please contact Ben Gowland here. The post Podcast – Practice Index – Budget Changes Unpacked appeared first on Ockham Healthcare.