Best Practice 2016 - Newspaper Issue 10 by tim phillips

The NAPC’s Annual Conference

Issue: 10 REGISTER NOW FOR YOUR FREE TICKET AT: WWW.BESTPRACTICESHOW.CO.UK

ADD 12 HOURS OF RCGP-ACCREDITED CLINICAL CPD TO SUPPORT YOUR REVALIDATION ACTIVITY

Will the general practice forward view solve the crisis in general practice? Page 5

The reality of rural general practice Page 11

The NAPC zone at Best Practice 2016 Page 19

Headline Sponsor:

Featuring the DDA’s Annual Conference

WWW.BESTPRACTICESHOW.CO.UK

Organised by:

THROWBACK TO 2015 This show is great for clinical updates, and I have incorporated lots of aspects in the exhibition.

The topics have been excellent, there are more clinical updates and masterclasses. I have come from Scotland for this show. Sandeep Sharma, GP

Muhammad Jami Akhtar, GP

Networking is the most important part of the show for me – but it is also great to meet people on the stands that you wouldn’t normally meet in your day to day job.

I prefer the larger events for networking and the stands this year are really good. I have been impressed with some of the new medical kit that I have come across. There is a good mix of talks – I have got more out of one day here than a whole week spent at a doctor’s event in America! John Horton, GP

Arif Esmail, Practice Pharmacist Prescriber This is a great opportunity to get updates and keep ahead with what’s going on, plus the networking is really important. We came for the revalidation and immunisation talks which were great as a top up for our CPD.

I attended last year and was impressed. It is really useful to get details on the national and strategic agenda. Plus it is a time to speak to the suppliers you want to, when you have time, unlike in the practice!

Marlene Guscoth, Practice Nurse

Judy Cole, Practice Manager

This is a great chance to hit lots of suppliers in one go – and have that face to face time. I have met suppliers that I have not heard of before. Andrew Carutherers, Practice Manager

@BestPracticeUK #BP16

WELCOME Dear Colleagues, In 2015 Best Practice elevated itself to the largest dedicated event for Primary Care professionals in the UK, drawing together thousands of GPs, Practice Managers and, with the addition of Best Practice in Nursing, Practice Nurses for two days of training, networking and dare I say probably a bit of fun too. A lot has changed in the past twelve months, but the vision and mission that took Best Practice to new highs last year remains fully in tack and I, and indeed our entire team, is committed to delivering an even bigger, better, and move valuable event for you in October this year. As always there will be dedicated content for Clinical Updates and New Models of Care, there are even more Clinical Masterclasses, and we have a brand new Practical Business stream and Interactive Workshops. If that wasn’t enough Best Practice will again house the Annual Conferences of the NAPC and DDA. There really is so much in place for Primary Care professionals at Best Practice 2016… The only thing missing is you! I look forward to seeing you there. Kind Regards Tim Phillips Marketing Manager, Best Practice 2016

CONTENTS 5 Will the general practice forward view solve the crisis in general practice? 7 The guru of patient centred medical home movement 8-9 Conference Programme 11 The reality of rural general practice 12 NAPC’s Primary Care Programme Set To Roll out across england 15 First Contact - Dr James Kingsland 17 The NAPC zone at Best Practice 2016

Why Best Practice 2016 is the must attend event for Primary Care professionals: 1. A world-class conference programme featuring speakers and sessions spanning Clinical Updates, New Models of Care and Practice Finance, plus half day Clinical and Business Masterclasses and Interactive Workshops. 2. The largest dedicated sourcing floor for Primary Care – featuring over 200 industry leading suppliers, showcasing the sectors most innovative products and solutions. 3. Let our experts help you - The NAPC and DDA Annual Conferences are co-located at Best Practice 2016 and their senior leaders are there to answer your questions. 4. Gain up to 12 hours of RCGP-Accredited clinical CPD to support your revalidation. 5. Learn how primary care is evolving and how your organisation can thrive in a rapidly changing landscape.

All of this, plus so much more, in one location with one FREE ticket. Secure yours today. See the full partner and exhibitor list at www.bestpracticeshow.co.uk

@BestPracticeUK #BP16

DELIVERING PARTNERSHIP IN PRACTICE Alliance Healthcare understands the crucial service dispensing doctors provide to patients living in remote and rural areas – and 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. Like dispensing doctors, Alliance Healthcare recognises the importance of delivering first-class, reliable community healthcare to patients at a local level. Delivering over 26,000 products daily to all of the country’s 16,000+ dispensing points, Alliance Healthcare is one of the UK’s leading distributors and wholesalers of pharmaceutical, medical and healthcare products. Our origins are deeply rooted in community healthcare – dating back 70 years when the company was founded under the Unichem brand – and we continue to maintain a strong, patient-focused business today. Delivering consistently high service levels, and working in partnership with all our customers – from community pharmacies and dispensing doctors to hospitals – we remain committed to improving healthcare in our local communities.

service

Alliance Healthcare’s strength as a national wholesaler means we can deliver over 12,000 product lines twice-daily to all 16,000+ dispensing points, and another 9,000 the next day, but we understand that local knowledge is also important. Through our local customer service teams and experienced field account management team, we can also deliver a personalised service, direct to you at your practice. Rob Clewley, Head of Dispensing Doctors, Alliance Healthcare, said: “We are delighted to be 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.“

TO FIND OUT MORE, VISIT THE TEAM ON STAND F38 MMMember of Walgreens Boots Alliance

WILL THE GENERAL PRACTICE FORWARD VIEW SOLVE THE CRISIS IN GENERAL PRACTICE?

The General Practice Forward View (GPFV), first announced in April, involves £2.4bn investment in total and is designed to address problems facing GP practices such as pressure on time and resources and shortages of GPs. The first £16m tranche of the £40m Practice Resilience Programme, £30m for the first stage of the three-year general practice development programme and extra funding to match the rising cost of GP indemnity is being made available to practices now. Simon Stevens, chief executive of NHS England, said: “We meant it when we said we would take concrete action to help relieve pressure on GP practices, and this funding is just the first instalment. Practices need support, now, and a few weeks on from the GPFV we’re getting on with practical action to do so.” But do GP leaders believe that the GPFV will solve the crisis in general practice? Dr Maureen Baker, Chair of the Royal College of GPs, who declared the GPFV, “the most significant announcement for general practice since the 1960s,” when it was announced, said she hoped the programme would mark a turning point for general practice. “Crucially, it will send a loud and clear message to those about to embark on a career in general practice, and medical students considering it, that their future as a GP will be attractive and secure.” She said the immediate priority must be to make sure that the money from the resilience programme was spent in the right way and delivered practical help to practices, and their patients, fast. “It’s clear there is a long way to go in order to get GPs and their teams the support and resources needed to deliver 90% of all NHS patient contacts in a safe and sustainable way. But the latest developments announced by NHS England promise to make a tangible impact on general practice, and the care we can provide to our patients.

General practice in England will be receiving at least £2.4bn of additional recurrent funding each year by 2020, representing a 14% real terms increase. On top of this, the GP Forward View promises further additional monies for general practice from a new 5 year £508m Sustainability and Transformation Fund. The package includes: • A £40m practice resilience programme

R KE EA SP

NHS England has released the first stages of funding for its ambitious programme to tackle the problems facing general practice.

NEW FUNDS ANNOUNCED BY THE GPFV

• £10m investment to support vulnerable GP practices • £16m for doctors suffering from burnout • £206m for workforce measures

SIMON STEVENS

“We will continue to work with NHS England and others to ensure the rest of the 108 pledges made in the GP Forward View are implemented as a matter of urgency and that the promised extra investment reaches practices quickly.” BMA GPs committee chair Chaand Nagpaul, echoed Dr Baker’s call for the new money to be distributed urgently. He said: “The Forward View must provide immediate support for practices unable to cope today, and go further in other areas such as replacing the disproportionately heavy hand of Care Quality Commission inspections. The Government must take action to ensure that promised funding for GP practices is delivered as quickly as possible.” Dr Michelle Drage, Chief Executive, Londonwide Local Medical Committees, is sceptical and argues the GPFV falls far short of what is needed to address the challenges facing general practice in the Capital and beyond. “GPs are in a state of emergency. Patients risk losing their GPs unless pressures on general practice are dramatically eased. General practice is at breaking point. That’s not safe for patients or staff.” A recent Londonwide LMCs survey found more GPs leaving the profession month on month, increasing vacancies for GPs and key staff across every part of the Capital. “As we near October 2016, the point at which the NHS’ Five Year Forward View aspired to stabilise funding for general practice, the situation is still dire. It is clear the plan is not working,” said Dr Drage. NHS Clinical Commissioners Chief Executive Julie Wood, also sounds a note of caution. “With the requirement in the GPFV for CCGs to provide additional funding to GP practices it must be remembered that they do not have unlimited resources and already have a myriad of competing pressures on their budgets. They must be provided with the additional funding promised to them over the next years to support primary medical care. Equally

View the full conference programme at www.bestpracticeshow.co.uk

• £246m to support practices in redesigning services including: • A requirement for CCGs to provide £171m of Practice Transformational Support • £30m for a Releasing Time for Patients development programme to free up GP time

as important is that they must be given the freedoms and flexibilities to invest in the best way for their local populations, which is as much about funding GPs to deliver their critical core services, as it is about commissioning for the delivery of additional services.” A spokesman for the New NHS Alliance National Executive said they welcomed the injection of new funding and the recognition of the importance of the whole primary health care team but warned: “We will watch progress carefully, and hold the centre to account for delivery, and push for the money to be used for strategic development rather than simply to plug gaps. More of the same won’t work anymore.” The National Association of Primary Care (NAPC) has welcomed the promised additional funding for the development of new models of primary and community care. An optimistic Dr Nav Chana, NAPC chairman, said: “New models of care, for example the Primary Care Home, focused on improving outcomes that matter to people, could go a long way to providing the solutions we need for a sustainable NHS. Primary care organised around general practice has a pivotal role to play but it must be transformed to face challenges. We encourage this transformation to recognise the wider primary care workforce to support general practice to meet the health and social care needs of its population.”

Hear Simon Stevens exclusive keynote address on Wednesday 19 October at 14:00 in the Keynote Theatre. Secure your ticket now at bestpracticeshow.co.uk/news

@BestPracticeUK #BP16

Brought to you by

in partnership with the

Resorts World Birmingham, Wednesday 19th October 2016 After day one of the Best Practice Conference, join us for an unmissable evening which recognises and celebrates the tremendous work taking place across Primary Care every day.

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Spectacular awards ceremony Fabulous three course meal Complimentary drinks Celebrity entertainment Networking with friends and colleagues FREE prizes and gifts

Practice Manager of the Year

Unsung Hero of the Year

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including: • A choice of luxurious holidays • Complimentary medical supplies • Tailored group support

Clinician of the Year

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GURU OF THE PATIENT CENTRED MEDICAL HOME MOVEMENT TO SPEAK AT BEST PRACTICE American physician and social entrepreneur, Dr Paul Grundy, known as the “Godfather” of the Patient Centred Medical Home movement, and IBM’s Global Director of Healthcare Transformation, will be speaking about transatlantic population healthcare in a debate at the Best Practice Show. In his role at IBM, Dr Grundy works on influencing healthcare delivery around the world towards consumerfocused, primary-care based systems through the adoption of new philosophies, primarycare pilot programmes, new incentives systems, and the information technology required to implement such change. Dr Grundy also serves as the President of the Patient

Centered Primary Care Collaborative, a coalition he led IBM in creating in early 2006. The collaborative is a not-forprofit membership organisation dedicated to advancing the primary-care model, called the Patient Centered Medical Home, as a means of fundamentally reforming healthcare delivery. Today, the collaborative represents employers of some 50m people across the US, more than 330,000 doctors, leading consumer groups and

the top seven US health-benefits companies.

US model has both similarities and variations with different funding mechanisms from the NHS. Our Primary Care Home model is aligned with many of the concepts of the Medical Home, but is designed for a much smaller registered population list size of up to 50,000 . It will be interesting to hear what Dr Grundy thinks about primary care provision on this much larger scale and to be able to analyse and compare our two models of care.”

The Medical Home is a model of primary care that is patientcentred, comprehensive, teambased, coordinated, accessible, and focused on quality and safety. It is a philosophy of health care delivery that encourages providers and care teams to meet patients where they are, from the simplest to the most complex conditions. It is a place where patients are

ER AK E SP

IMAGES

DR PAUL GRUNDY treated with respect, dignity, and compassion, and enables strong and trusting relationships with providers and staff. The Medical Home is not a final destination instead, it is a model for achieving primary care excellence so that care is received in the right place, at the right time, and in the manner that best suits a patient’s needs.

For your heart. Every day.

NAPC President, Dr James Kingsland, said: “This is the discussion I am most looking forward to at the Best Practice show. Dr Grundy’s Patient Centred Medical Home in the

View the full conference programme at www.bestpracticeshow.co.uk

Other speakers in the debate are Dr Claire Oatway, chief operating officer of the Beacon Medical Group, the largest medical practice in Plymouth and South Devon, Dr Johnny Marshall, Director of Policy, NHS Confederation and NAPC chair, Dr Nav Chana.

See the full debate in the Keynote Theatre at 5pm on the 19 October at Best Practice 2016. Secure your ticket now at bestpracticeshow.co.uk/news

@BestPracticeUK #BP16

CONFERENCE TIMETABLE: WEDNESDAY 19 OCTOBER KEYNOTE Session

09:00 09:05

Opening welcome by conference chair Julia Hartley-Brewer, Journalist, Broadcaster and talkRadio Presenter

Theatre B

09:05 09:20

Celebrating NHS Change Day: What are the values of general practice and primary care? Dr Nav Chana, Chairman, NAPC

09:20 09:50

Ch-ch-changes: how do we change the system to allow general practice to flourish? Dr Michael D. Smith, Chief Executive, Haverstock Healthcare Dr Chaand Nagpaul, Chair, BMA GPC Dr Avani Devkaran, GP and Clinical Lead, Ealing CCG Karen Sallis, Business Manager, Bersted Green Surgery

12:35 13:05

CLINICAL MASTERCLASS

Time

Session

Time

Session

Theatre

09:40 10:10

Low back and sciatica: implementing the NICE guidelines Dr Ian Berstein, Musculoskeletal Physician and GP Trainer, Ealing, London., NHS England

Theatre A

09:25 09:55

Complex cases in type 2 diabetes Dr Farooq Ahmad, GP Colliers Wood Surgery, Clinical Director Dementia and Diabetes, Merton CCG

10:15 10:45

The burden of chronic wounds - financial impact on the NHS and effects on patients’ quality of life Liz Ovens, Independent Tissue Viability Specialist Nurse and Associate Lecturer

10:05 10:45

Therapies refresher for type 2 diabetes: breaking out of clinical inertia Speaker TBC

Session delivered by Optum

11:50 12:20

Keynote address Simon Stevens, Chief Executive, NHS England

Managing diabetes in renal impairment Beverley Bostock-Cox, RGN MSc QN, Nurse Practitioner and Education Lead Education for Health

14:00 14:45

Cancer diagnosis: avoiding late presentations Professor Roger Jones, Editor, British Journal of General Practice and Emeritus Professor of General Practice, King’s College, London

16:45 17:45

Transatlantic conversation: population healthcare home and away Dr Paul Grundy, Chief Medical Officer and Director of Healthcare Transformation in IBM’s Health Care Life Science Industry and Founding President of the Patient-Centered Primary Care Collaborative, US Dr Nav Chana, Chairman, NAPC Dr Claire Oatway, Manager, Beacon Medical Group Dr Johnny Marshall, Director of Policy, NHS Confederation

B 12:25 12:55

Session sponsored by GSK

12:25 12:50

NHS Diabetes Prevention Programme - supporting primary care to deliver the radical upgrade in prevention Dr Matt Kearney, GP and National Clinical Director for Cardiovascular Disease Prevention, NHS England

17:45 17:50

Close by chair Julia Hartley-Brewer, Journalist, Broadcaster and talkRadio Presenter

14:15 14:45

Key challenges in managing anxiety disorders Dr Ian Walton, GP and lead for the Staffordshire University and RCGP accredited Advanced Diploma in Primary Care Mental Health

14:10 14:40

A deep dive into diagnosis of respiratory disease Dr Katherine Hickman, Regional Lead for Yorks and Humber, PCRS-UK

14:50 15:20

Atrial fibrillation and stroke prevention Morven Dunn, Cardiovascular Disease Clinical Development Coordinator, British Heart Foundation

14:45 15:15

Session delivered by NAPP Respiratory

16:40 17:10

ENT challenges: managing the discharging ear Dr Stephen Brown, GPSI in ENT, Buckinghamshire

16:05 16:35

COPD 2016: Advances in disease management Dr Steve Holmes, Education Lead, PCRS-UK

17:15 17:45

Prescribing for women: right hormone, right product, right time Dr Anne Connolly, GPSI in gynaecology, Bradford; Chair, Primary Care Women’s Health Forum

16:40 17:10

Conquering the airways Dr Steve Holmes, Education Lead, PCRS-UK Dr Katherine Hickman, Regional Lead for Yorks and Humber, PCRS-UK

09:50 09:55

DDA Conference opening address Matthew Isom, Chief Executive, DDA

09:55 10:55

CQC matters: Regulating the safe and effective use of medicines Sarah Billington, Head of Medicines Management , Care Quality Commission Michelle Freeburn, Practice Manager, Bow Medical Practice

11:00 11:30

Session sponsored by TEVA

12:10 13:05

Back to the future - where do dispensing doctors fit in the NHS reform plans Dr David Jenner, GP, Cullompton

14:10 15:05

Address by the DDA’s Chairman Dr Richard West, Chairman, DDA

CONFERENCE TIMETABLE: THURSDAY 20 OCTOBER KEYNOTE Session

Theatre

09:00 09:05

Opening welcome by conference chair Julia Hartley-Brewer, Journalist and Presenter, talkRADIO

09:05 09:40

Primary care leaders debate: what are the barriers to primary care at scale? Dr Maureen Baker, Chair, RCGP Dr Steve Kell, GP, Bassetlaw Sir Sam Everington, National GP Advisor, New Models of Care and Chair, Tower Hamlets CCG Dr Crystal Oldman, Chief Executive, Queen’s Nursing Institute Dr Neil Langridge, Consultant Physiotherapist, Musculoskeletal Services Southern Health NHS Foundation Trust

12:00 12:40

Keynote address The Rt. Hon. Jeremy Hunt, Secretary of State for Health

15:50 16:30

The big interview with Dr Rangan Chatterjee Dr Rangan Chatterjee, GP in Oldham and star of BBC One’s Doctor in the House

16:30 16:35

Close of conference Dr James Kingsland, OBE, President, NAPC

DISPENSING DOCTORS ASSOCIATION

CLINICAL UPDATES

Time

Session

09:50 09:55

Opening address by Matthew Isom Matthew Isom, Chief Executive, DDA

09:55 10:40

Market entry, mergers and moves - a view from the countryside Charlotte Goodson, Advisor, Primary Care Commissioning (PCC)

10:45 11:15

Session to be confirmed

12:10 12:50

Efficient dispensing – back to basics Dr Philip Koopowitz, DDA Board Member, Norfolk

13:45 14:30

Session title TBC Warwick Smith, Director General, British Generic Manufacturers Association

15:00 15:40

Falsified medicines directive Martin Sawer, Executive Director, Healthcare Distribution Association

CLINICAL MASTERCLASS

Time

Session

09:4010:10

Practical tips on diagnosis and management of vaginal symptoms David White, Consultant in GU Medicine, University Hospitals Birmingham NHS Foundation Trust

10:15 10:45

Practical steps on how to reduce exacerbations in COPD patients - applying the latest evidence Sam Prigmore, RespiratoryNurse Consultant, St George’s University Hospitals NHS Foundation Trust

11:30 12:00

Disruptive children: is it antisocial behaviour or ADHD, and what works? Professor Stephen Scott, Professor of Child Health and Behaviour, King’s College London

11:30 12:00

Assessing neuropathic pain in primary care: Best use of time and team Dr João Calinas Correia, LicMed, MSc, General Practitioner, Specialty Doctor, Back Pain Unit

12:05 12:35

Why Gastro-Oesophageal Reflux Diseas (GORD) in children matters Dr Christine Oesterling, GP Principle

12:05 12:35

Using the Five AreasTM CBT consultation to break the cycle of medically unexplained symptoms Dr Terri Eynon, Part-time GP Trainer, elected Councillor on Leicestershire’s Health Scrutiny Committee and GP tutor on Leicester Medical School’s undergraduate “Living with Long Term Conditions” course

Sponsored by:

Time

Diabetes

Time

DISPENSING DOCTORS ASSOCIATION

*Programme subject to change

CLINICAL UPDATES

TO CLAIM YOUR COMPLIMENTARY P THE BOOKING FORM ON PAGE 18 OR

PASS TO BEST PRACTICE 2016 SIMPLY COMPLETE R VISIT WWW.BESTPRACTICESHOW.CO.UK

Time

Session

09:50 10:20

The risks and gains of two forms of general practice at scale Dr John Ribchester, Chair and Clinical Lead of Encompass MCP Vanguard and Executive Partner, Whitstable Medical Practice

10:25 10:55

12:00 12:30

15:10 15:40

16:25 16:55

How can we future-proof general practice? Dr Tracey Vell, Chief Executive, Manchester LMC

Top five easily adopted innovations stemming from general practice at scale Dr Aumran Tahir, GP Founder and Director, CCIO; Quality Improvement Lead, AT Medics

Potential perils of social media Dr Ellie Mein, MB ChB MRCOphth GDL LLM, Medico-legal adviser, The MDU

Giving it some welly in Wolverhampton: Creating the Wolverhampton total health primary care home Dr Rajnish Mohindroo, Operational Lead, Wolverhampton Total Health

PRACTICE BUSINESS Theatre C

Time

Session

10:00 10:30

Session delivered by Capsticks

12:00 12:30

The threats and opportunities of merging three practices and taking on a failed practice Bridget Sampson, Managing Partner, St Austell Healthcare Dr Stewart Smith, GP Partner and Medical Director, St Austell Healthcare

12:10 12:40

Big Brother is watching you: Is your practice finance system fit for purpose? Elizabeth Lloyd, FCCA CTA, Specialist Medical Accountants, Larking Gowen, Incorporating Hubbard Lloyd

12:35 13:05

Session sponsored by Ridouts Paul Ridouts

So we need a “radical uprgrade in prevention”. But what’s it got to do with primary care? Dr Matt Kearney, GP and National Clinical Director, Casdiovascular Disease Prevention at NHS England

Time

Session

Theatre

09:10 10:10

Session delivered by Target Ovarian Cancer Dr Victoria Barber

Workshop Theatre 1

09:50 10:20

Technology First opening address Alan McDermott, Regional Director for Patients and Information (Midlands and East) and Senior Responsible Owner for Digital Transformation of General Practice

Tech First Workshop

10:15 10:45

Session delivered by Bio Oil

Workshop Theatre 1

10:50 11:20

Session delivered by Flynn Pharma Ltd

Workshop Theatre 1

11:00 11:30

Cost effective telehealth: the benefits to your patients, and your practice Luke Wyatt, MJog Limited

Tech First Workshop

11:35 12:05

GPs are paying too much for indemnity insurance. Is there enough competition? Tawhid Juneja, Founder and Managing Director , Primary Care People

Workshop Theatre 1

12:10 12:40

Session delivered by Ciga Healthcare

Workshop Theatre 2

12:10 12:40

How TECS is at the heart of Better Health and Care in Sunderland Rachael Forbister, Telehealth Lead and Project Manager, NHS Sunderland CCG Paul Gibson, Interim Programme Manager, NHS Sunderland CCG

Tech First Workshop

12:10 12:40

Big Brother is watching you: Is your practice finance system fit for purpose? Elizabeth Lloyd, FCCA CTA, Specialist Medical Accountants, Larking Gowen Incorporating Hubbard Lloyd

Workshop Theatre 1

12:45 13:15

Session delivered by Nutricia

Workshop Theatre 1

14:40 15:10

Session delivered by A2 Milk

Workshop Theatre 1

15:15 15:45

MyHealthcare: Revolutionising primary care through technology Ash Vora, Head of Digital, South Doc Services / MyHealthcare

Tech First Workshop

15:15 15:45

Tips on how to support parents and carers who have children with additional needs Jo Wadey, Practice Business Manager, St Lawrence Surgery

Workshop Theatre 1

15:50 16:20

Session delivered by Soar Beyond

Workshop Theatre 1

15:50 16:20

Simple shoulders for the busy primary care clinician Dr Tom Margham, GP, Tower Hamlets and Clinical Advisor to Arthritis Research UK, Arthritis Research UK

Workshop Theatre 2

16:25 16:55

If people only did what we told them, wouldn’t their lives be better? Jan Procter-King, RGN RM MA, Practice Nurse, National trainer and Editor of the BJPCN Erika Campbell, PhD, Director of Workforce Development and Organisational Structure, Inspira Health

Workshop Theatre 1

Tips on how to support parents and carers who have children with additional needs Jo Wadey, Practice Business Manager, St Lawrence Surgery

14:10 14:40

Key challenges in GP practice premises: Five sticky scenarios Bob Senior, Head of Healthcare at RSM UK Tax and Accounting Ltd and Chair, AISMA

14:50 15:20

Surviving contract changes: Will your practice remain viable? Andrew Pow, Director, Hall Liddy Medical Accountants

Real life practice finance disasters… and how to avoid them Bob Senior, Head of Healthcare at RSM UK Tax and Accounting Ltd and Chair, AISMA

Federation finance: Understanding the threats and obligations Dr Michael Smith, Chief Executive, Haverstock Healthcare

16:10 16:40 16:30 17:00

Theatre

15:15 15:45 E

E 17:15 17:45

Workshop Theatre 1

PASS TO BEST PRACTICE 2016 SIMPLY COMPLETE R VISIT WWW.BESTPRACTICESHOW.CO.UK

Time

Session

09:40 10:10

Dudley MCP Vanguard Paul Maubach, Chief Executive Officer, Dudley CCG

10:20 10:50

11:20 11:50

14:10 14:40

Consent: Influence of Montgomery vs Lanarkshire Health Board Dr Carol Chu, MB, ChB, MSc (Medical genetics), MD, MRCPI, MPhil (Medical Law) DLM, Medico-legal adviser, The MDU

The highs and lows of implementing the primary care home Sarah Cousins, Practice Manager, Maryport Group Practice

Workforce session Dr Nava Chana, Chair, NAPC Matthew Walker

PRACTICE BUSINESS Theatre C

Session

Theatre

Time

Session

Theatre

09:45 10:15

The positive impact of new roles in general practice Kim Horsford, Chief Executive, Invicta Health CIC Katherine Worthington, Primary Care Mental Health Manager, Invicta Health CIC

Workshop Theatre 1

09:45 10:15

The positive impact of new roles in general practice Kim Horsford, Chief Executive, Invicta Health CIC Katherine Worthington, Primary Care Mental Health Manager, Invicta Health CIC

Workshop Theatre 1

10:20 10:50

Session delivered by Ridouts Paul Ridout, Partner, Ridouts LLP

Workshop Theatre 1

10:45 11:15

CQC – regulation of general practice – what we have found, what we have learnt and the future Professor Steve Field, Chief Inspector of General Practice, CQC

10:55 11:25

Session delivered by Optum

Workshop Theatre 1

13:15 13:45

Get the best from your GP locums, and make sure they want to keep coming back Dr Richard Fieldhouse, Chairman, NASGP

11:30 12:00

Assessing neuropathic pain in primary care: Best use of time and team Dr João Calinas Correia, LicMed MSc, Specialty Doctor, Back Pain Unit

Workshop Theatre 1

11:35 12:05

Top five digital technologies for GP Practices Dr Kartik Modha, Co-Founder & CEO, My Health Specialist

Tech First Workshop

12:05 12:35

Workshop Theatre 1

12:40 13:10

Using Electroceutical Therapy in clinical practice for the management of chronic wounds

Workshop Theatre 1

13:15 13:45

Get the best from your GP locums, and make sure they want to keep coming back Dr Richard Fieldhouse, Chairman, NASGP

Workshop Theatre 1

14:25 14:55

How to make general practice more efficient Tawhid Juneja, Founder and Managing Director, Primary Care People

Workshop Theatre 1

14:40 15:10

Patient online access to GP services Alan McDermott, Regional Director for Patients and Information (Midlands and East) and Senior Responsible Owner for Digital Transformation of General Practice

Tech First Workshop

15:00 15:30

An Omega 3 enriched approach to heart health Linda Main, RNutr, Dietetic Advisor, M&S Helen Stevenson, Company Nutritionist, HEART UK

Workshop Theatre 1

Session to be confirmed

Workshop Theatre 1

13:55 14:25

Ten high impact actions to free up time in your practice Sheinaz Stansfield, Practice Manager, Gateshead

14:30 15:00

Diversifyng your practice workforce to release capactiy Dr Chris Jones, Programme Director, West Wakefield Health & Wellbeing Project

15:30 16:00 14:45 15:15

INTERACTIVE WORKSHOPS

Time

C 16:10 16:40

Highly practical tips that will make a positive difference to the lives of frontline GPs, practice managers and their patients Dr Stephen Clay, GP / Clinical Director, Leicestershire / Productive Primary Care Ltd

From concept to cash in a year: How to monetise a great idea for your practice Dr Rory McCrea, Chair and Founding Director, Chilvers McCrea

Masterclass: Managing Demand and Boosting Profits

NEW MODELS OF CARE

Headline sponsor:

INTERACTIVE WORKSHOPS

Masterclass: Essential Practice Finance

NEW MODELS OF CARE

Now featuring the DDA Annual Conference:

Are you a looking for a role that suits all your needs? Come visit Primary Care People at stand F70 at Best Practice primarycarepeople.co.uk 020 3137 2114

@BestPracticeUK #BP16

Get the latest news and updates at www.bestpracticeshow.co.uk

THE REALITY OF RURAL GENERAL PRACTICE NHS administrations in England, Scotland and Wales are under no illusions about the challenges facing general practice today. In late July, NHS England announced its intention to release funding from a £40 million GP resilience programme designed to support struggling practices across England. The belief is that up to 20 per cent of practices can now be classified as vulnerable. England is joined by Wales in attempts by the NHS to avoid GP-armageddon. Several Welsh GP practices – including dispensing practices - are now in receipt of rescue funding, designed to keep the most struggling practices afloat. Welsh GP negotiator Dr David Bailey has described Welsh practice as battling the “perfect storm”. At the heart of the problems facing GP practices across Great Britain is rising GP workload pressure. GP practices find themselves at or beyond capacity and are left only with the ability to ‘fire-fight’. They can only respond reactively, and have no time or effort spare to deliver the strategic leadership and effective practice management demanded by an NHS on the brink of economic bust. Recruitment challenges only exacerbate these difficulties. Dispensing practices are often thought of as immune to the pressures facing general practice: the rhetoric goes that the additional income derived from dispensing is sufficient to cushion this select cadre of GPs from the worst pressures facing NHS primary care. But, this line of thinking fails to recognise the unique challenges and costs of delivering the rural GP service. In advice to England’s CCGs, which will be left to divvy up the resilience programme funds, NHS England says that one characteristic of a vulnerable practice is the percentage of GP sessions not routinely filled. In a recent primary care workforce

survey from Scotland, two rural health boards reported the highest number of GP vacancies in Scotland and almost one in five respondents to the survey said difficulties recruiting to rural areas were indicative of the higher demands placed on the rural GP workforce: in rural areas, almost double the number of GPs and weekly GP sessions per capita are needed compared to the national average – the reason being the demands inherent in geographically ‘sparse’ patient populations. The message that rural areas need ruralproofed solutions is not new to health strategists – and neither will it unfamiliar to department of health newcomer Philip Dunne. As a member of the Public Accounts Committee in 2007 he contributed to a report on prescribing costs in primary care, in which he pointed out: “Patients in rural areas tend to have a closer relationship with their GP and are perhaps more resistant to change than patients in an urban area”. He will also be aware of comments made in the House of Lords that the rural economy in England “is frequently overlooked in government policy initiatives”, despite accommodating more than 20% of the population and contributing a fifth of England’s total economic activity. As the NHS in England grapples with the challenges of general practice ‘at scale’, digitised information transfer, implementing cuts to community pharmacy funding, and

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new NHS demand-management strategies such as Sustainability and Transformation Planning, Mr Dunne will be well advised to heed the words of the Dispensing Doctors’ Association parliamentary consultant Baroness McIntosh of Pickering (Con). She said: “We hear a lot about city regions, devolution and the northern powerhouse, yet the countryside is crying out for policies specifically aimed at the rural economy, such as more affordable housing, lower rural crime, better rural transport, with more frequent rural bus services, faster broadband—or even just a stable broadband connection—and better mobile phone coverage.”

The DDA Annual Conference is hosted at Best Practice 2016. Secure your ticket today at www.bestpracticeshow.co.uk/news to access the full programme of content.

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NAPC’S PRIMARY CARE HOME PROGRAMME SET TO ROLL OUT ACROSS ENGLAND

that the new model of care is helping them to improve the recruitment and retention of staff in struggling practices. This feedback currently is anecdotal but shows how positive both clinicians and patients feel about the Primary Care Home experience. A national evaluation has now been commissioned to give a more in depth analysis of the benefits of the PHC.

SP EA KE R

The NAPC’s Annual Conference

Dr James Kingsland

The Primary Care Home programme has been attracting considerable interest and enthusiasm since it was launched at the National Association of Primary Care’s (NAPC) annual conference in October 2015.

The Nuffield Trust has been appointed to independently evaluate the outcomes of the rapid test sites and we look forward to reports that they will be producing in the coming months. We are going to start developing metrics for the rapid test sites through the evaluation programme that the Nuffield Trust is running to make sure we systematically measure improvement – that includes issues such as quality, whether we are improving safety by reducing harm and risks in the system, and improving patient experience and staff satisfaction. Our aim is to produce metrics that are specific to the outcomes we are trying to achieve and meaningful to the people served. We have already been given the green light to move to stage two which is to extend the programme. This means that rapid tests sites may become the ‘show homes’ through which clinical commissioning groups can spread the Primary Care Home concept right across their localities. We are also now returning to the original 100 plus expressions of interest we had when the programme launched and will be asking

Best Practice (IGA Advert).qxp_IGA 02/08/2016 15:57 Page 1

By Dr James Kingsland, NAPC President Since April, 15 rapid test sites across England have been up and running in the first stages of testing this new enhanced primary care approach, which is in line with the ambitions of the Five Year Forward View. The programme, which has been endorsed by NHS England, strengthens and redesigns primary care around the health and social care needs of local communities of populations of up to 50,000 and taps into a wide array of health professionals. In the Primary Care Home care is provided by ‘a complete clinical community’, an integrated workforce from hospitals, primary care, community health services, social care and the voluntary sector. Patients are treated by a single integrated and multidisciplinary team, working to provide comprehensive and personalised care. Whilst patients are offered personalised, coordinated and responsive care nearer to their home, the needs of the registered population are better analysed to inform early detection, prevention and

improved screening for disease. The rapid test sites have been working on issues such as managing delegated budgets, using money more efficiently, workforce development, demand management, preparing for different ways of managing patients’ health and care needs and changing patient flows. Many are focusing on co-locating community staff within GP services, concentrating on developing specific roles to look at improving prescribing and medication control while others are developing joined-up IT systems to better share data and resources. This is a ten year programme and already some good news is filtering out of the first Primary Care Homes. We are hearing anecdotes such as a GP saying they are going to defer their retirement because general practice had become so enjoyable, a district nurse has been quoted as saying it is the first time she had felt really valued working for the NHS and we have heard of patients saying; “If I can’t get a Primary Care Home close to me I’m going to move house because this is just the sort of care I want”. Some of the Primary Care Homes report

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Stand

M15

International Glaucoma Association Formed in 1974, the IGA is the charity for people with glaucoma. Our mission is to raise awareness of glaucoma, promote research related to early diagnosis and treatment, and to provide support to patients and all those who care for them. To achieve this, we publish and distribute a wide range of free leaflets and booklets, operate a helpline (Sightline: 01233 64 8170) and an informative website (www.glaucoma-association.com), organise regular patient meetings, produce quarterly patient newsletters and fund clinical research. Our vision is to ensure that all people with or at risk of glaucoma have the knowledge and access to care that will enable them to maintain a good quality of life. Come and see us on stand M15 to find out about our free professional membership, and to see the wide range of free literature we provide to both hospitals and patients. Woodcote House, 15 Highpoint Business Village, Henwood, Ashford, Kent TN24 8DH Tel: 01233 64 81 64 Email: info@iga.org.uk Charity registered in England & Wales No. 274681 and in Scotland No. SC041550

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these applicants if they would like to get involved. As these new Primary Care Homes come on board we plan to create a learning network and support programme to enable all the different Primary Care Homes to exchange the knowledge and innovation coming out of their sites. We will be calling it a community of practice. The enthusiasm for the Primary Care Home concept is so positive and enthusiastic that we think it is possible we could eventually end

up with as many as 100 Primary Care Homes covering a total population of five million people in England within this community of practice. This would mean a tenth of the population of England could have their first contact care delivered by the Primary Care Home. You will be able to learn about the practicalities of setting up a Primary Care Home at the Best Practice Show where Dr Rajnish Mohindroo, GP and operational lead, will talk about creating

the Wolverhampton Total Health Primary Care Home and Sarah Cousins, Practice Manager, Maryport Group Practice, will talk about the highs and lows of creating the Primary Care Home.

The NAPC Annual Conference is co-located with Best Practice 2016. Secure your ticket today to access the exclusive NAPC content at bestpracticeshow.co.uk/news

THE KEY FEATURES OF THE PRIMARY CARE HOME ARE: • Provision of care to a defined, registered population of between 30,000 and 50,000 • Aligned clinical financial drivers through a unified, capitated budget with appropriate shared risks and rewards

The aims of some of the 15 PCH rapid test sites

• An integrated workforce, with a strong focus on partnerships spanning primary, secondary and social care

WOLVERHAMPTON TOTAL HEALTH CARE

THE WINSFORD GROUP, CHESHIRE AND MERSEYSIDE

• A combined focus on personalisation of care with improvements in population health outcomes.

Wolverhampton Total Health Care (WTHC) comprises 26 GPs providing primary and extended primary care to a population of 47,000 patients through 8 practices. The PCH plans to become a not-for-profit social enterprise or community interest company.

Five practices, which already have a track record of success in other joint ventures, are working together to design a new way of working of really focusing on their patients, and organising services around them. They are working collaboratively with the NHS, social care and third sector colleagues on a range of initiatives. The practices will stay separate but patients will seamlessly access healthcare across the town from multiple providers.

WTHC is working to provide multispecialty working through their PCH creating a ‘one organisation’ approach to delivering bespoke population health to the registered lists of all 26 constituent GPs, whilst ensuring they retain personalised care for individuals, and continue to identify at risk patient groups. It plans to do this by using existing resources and assets more efficiently and effectively and by taking budgetary responsibility for their 47,000 patients. A leadership team will drive culture change, team-based working, and enthusiasm for new ‘non-imposed’ ways of working. There will be a focus on quality of care through a culture of continued service improvement combined with the use of latest technologies. The PCH will work collaboratively with their patients, cocoordinate care services with complementary community organisations, and build on their working relationships with pharmacies, the West Midlands Fire service, social care, secondary care teams, and the CCG.

The current complex, piecemeal systems of providing services in Winsford do not currently fully met the needs of patients. The PCH aims to improve access and patient satisfaction, address priority health issues, improve outcomes and increase the range and effectiveness of locally based services.

NOTTINGHAM NORTH AND EAST COMMUNITY ALLIANCE This PCH is an alliance of like-minded practices formed to improve the care of their population. They are working to foster strong team-based care which will be accountable for quality and the cost of care. Their priorities for improvement include: reducing clinical variation, improving mental health, reducing emergency admissions, facilitating

hospital discharge, enhancing access, maximising technology around integrated care delivery and supporting self-care. Health promotion activities will focus on influencing longer-term health and wellbeing. Citizen engagement, endorsing patients and care givers as active participants in care processes and using performance outcome measures that matter to citizens will be measures of success.

• Create a community of practice, with purposeful leadership and a multidisciplinary-based approach

There will be a focus on training, education, workforce development and shared learning and an aim to replicate existing areas of good practice across the wider CCG area.

• Create a culture of practice in which the people using services and the staff providing those services are in control of the design and delivery of care

Seeking to overcome existing structural and cultural barriers the PCH aims to prioritise primary care within integral, seamless management of medical and socio-medical services, actively involving patients, caregivers, the voluntary sector, pharmacists, opticians, community services, homecare and social workers.

• Co-design care with individuals, empowering them to make informed choices and be clear about how and where to access advice and care

THE HEALTHY EAST GRINSTEAD PARTNERSHIP The PCH is a collaborative of 4 GP practices, an acute foundation trust, a community trust, a mental health trust, hospice and local authority, serving the 40,000 population of East Grinstead. Their aims are to: • Improve a set of population outcomes across segments of their population who share similar needs

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• Create a single system infrastructure and transformation that supports the town based community of practice. To achieve these objectives the collaborative is exploring the use of delegated budget functions from their CCG with effective learning on how to risk manage this process; developing their data capability and informatics systems to tailor their approach to the way local people are behaving; building on established pilots including proactive care, tailored health coaching and patient activation and is forging links with their community and third sector to build a foundation for improving community health and wellbeing.

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Have you tried a2 MILK? a2 MilkTM is a fresh, British cows’ milk free from A1 beta casein. A1 beta-casein is a sub fraction of the casein group found in cows’ milk. Cows’ milk is a highly nutritious food for many but it is estimated that 20% of UK adults struggle with cows’ milk after ingestion. A small change in the milk they consume without A1 beta-casein could alter all that. Research demonstrates A1 beta casein digests differently creating a peptide with opiate activity (beta-casomorphin 7). This peptide that can cause gastrointestinal and wider health issues in some people

by binding to mu-opioid receptors found throughout the body. a2 MilkTM is made from cows’ selected to produce 100% A2 beta-casein in the milk. Our milk undergoes no artificial modification and our cows’ not genetically modified.

on health with more clinical research being added all the time. Two randomised controlled trials have been conducted to date, that conclusively show a2 MilkTM does not trigger the symptoms associated with lactose intolerance in those clinically confirmed as lactase deficient.

Available in all major supermarkets, a2 MilkTM is an option for patients who suffer from excess mucus, constipation, bloating and the symptoms of lactose intolerance after drinking regular cow’s milk.

As the global leaders in beta-casein variants and their impact on health, the a2 MilkTM health care professionals page provides a succinct overview of the evidence in various formats for you to update your knowledge.

40 years of research underpins the evidence for beta-casein variants having an impact

For more information visit: www.a2milk.co.uk/health-professionals

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See the full exhibitor list at www.bestpracticeshow.co.uk

First contact: Why patients should get the right treatment from the right person first time

Come and visit our stand at Best Practice 2016! We’ll be promoting our FREE online educational programme to improve your core skills in musculoskeletal care. Visit: http://elearning.rcgp.org.uk/msk to gain valuable knowledge and earn 5 CPD points.

National Association of Primary Care (NAPC) president Dr James Kingsland talks about why offering the right first point of contact for all new health needs is one of the key essentials of an effective primary care system.

See our clinical advisor, Dr Tom Margham, in the GP workshop theatre on day one of the conference, focusing on the up-to-date management of shoulder pain including demonstrations and the chance to practice the ‘one minute shoulder examination’.

We look forward to seeing you there! www.arthritisresearchuk.org

Stand J46

Registered Charity England and Wales No. 207711, Scotland No. SC041156.

/arthritisresearchuk

@ArthritisRUK

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The NAPC regards first point of contact for all new health needs as one of the central features of a well-functioning primary care system and it is a cornerstone of the Primary Care Home. First contact is the level where patients first interact with the health system and currently in primary care this is usually through the GP. But this is sometimes an inefficient process because the GP becomes overloaded with work that may not be aligned with their skills. There are various reports that show a majority of patients who contact general practice for the first time do not need the services of a GP. There is good evidence that at least 25% of first contacts are of an administrative nature and up to 50% of the remainder who need care do not necessarily need to see a GP. I’ve been a GP for 28 years with the generalist skills and knowledge of a community physician. For many presentations, people need a more appropriately trained professional who may be a physiotherapist, chiropodist, dietitian, social carer or third sector worker for example. However in the current system the patient would first come to see me then I would act as a broker and refer that patient to the appropriate professional who often works in another building using a different care record. I then transact through a contract, filling in forms and creating waiting times and unnecessary bureaucracy at a

cost to the NHS, and the patient meanwhile has to wait longer for the treatment they need. In the Primary Care Home our aim is to enable patients first contacting the primary care system to get the right treatment from the right person. We can achieve this if the multidisciplinary team - GPs, nurses, pharmacists, dieticians, chiropodists, social workers, third sector organisations, Citizen’s Advice etc. work as one team sharing one care record. We then have to ensure that when patients contact the system they are correctly directed to the right care giver or person who can help them. The new Primary Care Home rapid test sites are looking at the best ways of signposting patients to the right care. This could be through a nurse or a doctor working on the front desk taking calls and helping to signpost people or it could be with a care navigator. The NAPC has a programme which trains care navigators to help people to contact the right person in the primary care team. Getting first contact care right will deliver greater efficiency for the NHS, cut down transactions and bureaucracy, make better use of resources and give the population faster and more effective care.

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A WORLD-CLASS EXHIBITION FEATU 200 OF THE SECTORS LEADING SUP INNOVATIVE PRODUCTS AND SOLUTI

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K88 Coben Medical

L78 MYLAN

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L60 Bio

M60 MPCS

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Faculty of Public Health L52 Simplyhealth

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M32 Merco

H64 Seqirus

H60 IMH Group

H62 RNIB

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L30 3 24

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F40 MSD 6

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G38 3 Safe -T

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F38 Alliance Healthca

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F18 Bio Oil

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F60 Advanced

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F68 Wiggly Amps

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F70 Primary Care People

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M20 City Uni London

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A great show. Much better than other shows @BestPracticeUK #BP16 we’ve been to. Being here is a big investment for us, but we’ve had more leads

J62 Flynn

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M30 FSRH

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J70 LDS

K70 FDA

F80

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L70 Lilly

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K72 BHF

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M84 Total

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Arthritis Action

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St Georges University

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SPACE: £459 +VAT /M2 SHELL: £469 + VAT /M2

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ENTRANCE leading suppliers in one location - www.bestpracticeshow.co.uk

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Do it the old fashioned way... Complete the below form and send it back to us to secure your free ticket

Best Practice conference passes are worth £699+VAT but you can book up to ten complimentary passes for your team by completing this form. If you require more, please contact us. There are 4 easy ways to reserve passes: EMAIL Scan the form and return to Rachel at r.kilmartin@closerstillmedia.com PHONE Simply call 0207 013 4993 and we’ll be able to book you and your team POST Return the form to: Free Post Plus RSTY-EZCY-AELB, Best Practice Show 2016, George House, Coventry Business Park, Herald Avenue, Coventry CV5 6UB FAX Fax it back to us on 0207 602 0501

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Limited education bursaries available for GPs, Practice Managers and Nurses.

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The NAPC’s Annual Conference

THE NAPC ZONE AT BEST PRACTICE 2016 The theme to the NAPC Zone at last year’s Best Practice was “get connected”. As an organisation that endeavours to walk the walk we have been doing a lot of connecting over the course of the year. Last October saw the launch by Simon Stevens of NAPC’s Primary Care Home (PCH), a form of multispeciality community provider (MCP) model of care followed swiftly by 15 Rapid Test Sites testing the model nationally. But the story doesn’t end there with a spread programme in place to launch more Primary Care Home sites across the country, in effect to enable more areas with the ability to deliver a healthcare system based on the needs of the local population. The PCH model has been referenced in the newly released framework by NHS England which sets out how to be an MCP and has been recognised as a model in line with the MCP care hubs or neighbourhood approach. We’re looking forward to sharing what has been happening across the Rapid Test Sites with emerging themes including: workforce and care pathway redesign, use of technology, culture

shift and bridging the primary & secondary care relationship. We will hear from Dr Paul Grundy, Chief Medical Officer and Global Director of Healthcare Transformation for IBM’s Healthcare and Life Science Industry at a panel session with Rapid Test Sites Transatlantic Conversation Population Healthcare Home and Away. NAPC has growing networks, one of which is Nurses Voice. We are proud to be able to launch dynamic case studies from across primary care & general practice, in conjunction with NHS England and to be part of the Best Practice in Nursing event running in parallel, after its unprecedented success last year. The Primary Care Innovation Network (PIN) goes from strength to strength with the launch of the Primary Care Navigator (PCN) programme which brings together the learning and good practices of the numerous PCN Projects to broaden the

reach of the navigator role within primary care. We also see the outcomes from the 18 month Type 2 Diabetes Compass Project which brings to attention the wellbeing agenda in long term conditions, an area NAPC are passionate about as key to a sustainable healthcare system. And finally, we continue our plans to grow our Federations network, National Association of Provider Organisations (NAPO), which serves as the ideal platform to implementing general practice at scale. We invite to hear more over the two-day event. NAPC are proud supporters of FabChangeDay 2016 which will be taking place on 19th October. We’re in a time of change and what better time to put ideas into action, we hope you’ll join us in supporting the teams to reach more people to make the right change happen. We’re delighted that Simon Stevens can join us on stage to give the keynote address on Thursday 20th October. I look forward to welcoming him and you all at this years Best Practice conference. If you want to be part of a growing movement putting primary care at the forefront of first contact care email us now napc@napc.co.uk.

The NAPC Annual Conference is co-located with Best Practice 2016. Secure your ticket today to access the exclusive NAPC content at bestpracticeshow.co.uk/news

Get exclusive NAPC content at www.bestpracticeshow.co.uk

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OVER 200 INDUSTRY LEADING SUPPLIERS WILL BE SHOWCASING THEIR PRODUCTS AND SOLUTIONS AT BEST PRACTICE 2016, INCLUDING:

ELECTROCEUTICAL TECHNOLOGY

View the full exhibitor list at www.bestpracticeshow.co.uk

Secure your free ticket now at www.bestpracticeshow.co.uk/news 20

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