►
From YouTube: Primary medical and dental services Q&A
Description
In this part of the webinar Rosie Benneyworth, Chief Inspector of Primary Medical Services and Integrated Care, Andy Brand, Interim Head of Inspection (East of England Region), Dr Tim Ballard, Nation Professional Adviser for General Practice and John Milne, National Professional Adviser for Oral Health / Dentistry answers questions on attendees minds.
To watch the presentation, watch part one of the webinar: https://youtu.be/d4NUGyYBBeo
A
B
A
We
know
with
the
changes
that
we're
making
with
our
new
strategy.
We
are
going
to
be
addressing
some
of
this
by
looking
at
multi-disciplinary
teams
in
an
area
who
understand
those
complex
models
of
care
and
can
work
to
regulate
in
a
much
more
joined
up
way,
and
we've
been
testing
this
with
the
urgent
emergency
care.
That
andy
was
talking
about
earlier,
where
we've
actually
been
scheduling,
inspections
and
looking
at
how
teams
are
working
right
across
the
urgent
emergency
care
pathway.
A
We'll
also
be
looking
at
the
integrated
care
system
through
the
system
lens
that
how
all
of
the
different
providers
are
working
to
deliver
care
where
we
haven't
got
to
yet.
But
something
I
think
we
do
need
to
consider
going
forward
is
actually
things
like
primary
care
networks
which
are
not
legal
entities
with
us,
but
increasingly
maybe
delivering
services
across
multiple
different
organizations
how
we
regulate
those
effectively,
because
I
think
that's
something
that
we
we
are
increasingly
seeing.
A
We
don't
want
to
add
on
extra
layers
of
regulation
by
layering
on
different
different
levels
in
which
we
regulate,
but
we
do
need
to
make
sure
that,
particularly
where
those
those
arrangements
are
not
within
one
organization,
that
there
is
clear
governance
arrangements,
that
there's
clear
accountability
and
that
people
working
in
those
arrangements
are
supported
and
supervised
properly.
For
example,
if
you've
got
a
pharmacist,
that's
working
for
several
practices
in
a
primary
care
network.
A
D
It
might
just
be
worth
throwing
in
there
that
there's
an
increasing
amount
of
corporacy
in
health
and
social
care
services,
and
I
think
again,
as
as
tim
has
said,
that
corporate
development
often
will
be
multidisciplinary,
and
I
think
it's
important
that
we
do
work
in
getting
that
regulation
right.
So
we
don't
duplicate
unnecessarily.
B
A
A
A
A
Yeah
very
good
point,
and
this
you
know
the
reason
we're
putting
this
single
assessment
framework
in
is
because,
in
the
past
we've
been
told,
we're
inconsistent
in
terms
of
how
we
look
at
the
different
sectors,
and
we
very
much
want
to
address
that.
We
do
listen
to
what
people
feedback
and
we
have
listened
to
a
lot
of
feedback
which
is
informing
the
way
we
do
things
now
so
good
question
david.
Do
you
want
to
give
us
the
next
question.
B
A
Yeah
so
I'll
start
and
others
might
want
to
join.
We
want
to
be
as
open
and
transparent
as
possible
with
everything
we
do
we're
not
here
to
trip
people
up.
We
want
to
drive
improvements
in
care
with
everything
we
do
and
if
people
can
have
access
to
the
data
and
be
working
on
that
data
long
before
we
arrive
or
look
at
it,
then
that's
even
better,
because
patient
care
will
improve
as
a
result.
So
absolutely
we
will
be
as
transparent
with
the
data
we're
looking
at.
In
fact,
tim.
C
That's
very
keen
to
do
so.
Yeah,
I
I'm
a
real
fan
of
transparent
regulation.
I
think
it
helps
people
to
understand
what
we're
looking
at,
especially
when
there's
a
shared
view
of
quality
with
the
profession
as
as
many
of
you
or,
if
not
all
of
you
will
be
aware
for
over
a
year
now,
we've
consistently
uploaded
sets
of
clinical
searches
as
part
of
our
inspection.
Again.
C
In
response
to
concerns
that
we
were
hearing
that
there
was
a
lack
of
consistency
and
a
consistent
approach
and
that
we
weren't
always
looking
at
things
that
were
important
to
clinicians
and
patients,
and
that's
why
we've
changed
this
focus.
It
has
taken
a
while,
but
we
are
just
about
and
watch
this
space.
It's
gonna
seem
today's
bulletin.
C
I
think,
in
relation
to
where
we
go,
using
searches
is
really
quite
a
labor-intensive
way
of
looking
at
clinical
records
and
what
we're
trying
to
do
is
to
develop
sort
of
passive
data
feeds
really
and
we're
also
committed
as
much
as
we
possibly
can
be
to
not
duplicating
requests
for
data.
So
we
were
hoping
that
nhs
digital's
program
would
have
come
to
fruition.
A
D
C
Say
I
I
really
agree
with
john
about,
and
it
translates
into
independent
primary
medical
services
as
well
we're
working
with
the
organizations
to
try
and
develop
a
consistent
approach
to
data
collection
and
an
ability
for
independent
primary
medical
services
to
be
able
to
benchmark
their
data,
for
example,
but
not
exclusively
related
to
developing
a
questionnaire
which
really
quite
mirrors.
The
gp
national
survey.
B
Yes
and
there's
a
few
comments
and
questions
around
the
pandemic,
I'll
read
one
of
them
now
and
it
says
regulation
is
important,
but
also
should
be
made
simple
and
open,
so
we
can
concentrate
on
our
main
work.
We
are
still
recovering
from
the
pandemic
and
in
a
national
recruitment
crisis,
the
morale
has
never
been
so
low.
How
are
you
taking
this
into
consideration?.
A
Yeah
so
a
really
important
point,
and
we
are
fully
aware
of
the
massive
challenges
that
all
sectors
are
facing
at
the
moment
and
have
been
for
the
last
two
years.
We
know
it's
been
an
incredibly
difficult
time
and
those
pressures
are
getting
if
anything
getting
worse
rather
than
better,
particularly
with
vacancies,
recruitment
problems
and
the
the
whole
range
of
issues
causing
increased
demand.
A
A
A
The
other
thing
I
just
would
add
before
I
stop
is
that
actually,
where
I'd
like
us
to
get
to
is
that
we
could
go
in
any
day
of
the
week
into
any
provider
and
what
we
look
for
is
business
as
usual
and
in
the
good
practices
that
we
go
into
in
the
outstanding
practices.
They
don't
have
a
a
kind
of
mad
scramble
for
two
weeks
before
we
arrive.
What
we
look
at
is
stuff.
A
We
do
take
all
of
that
into
account
when
we're
looking
at
our
regulation
as
well,
because
I
think
ultimately,
if
people
are
feeling
that
they're
able
to
deliver
safe
care,
then
you're
much
more
likely
to
hold
on
to
those
teams
and
hold
on
to
that
those
people
working
in
services.
So
so
there
is
a
definite
link
that
we
have
to
think
about
with
that
as
well.
So
I
don't
know
if,
if
any
of
my
colleagues
so
tim,
do
you
want
to
come
in?
First.
C
Just
to
add,
I
agree
with
all
of
that.
Rosie
and
I
just
wanted
to
add
the.
We
are
acutely
aware
that
the
one
of
the
effects
of
the
pandemic
is
that
not
as
much
is
in
the
direct
control
of
providers,
if
we
look
at
secondary
care
weighting,
for
example,
and
the
impact
that
that
has
has
had
on
general
practice
services.
C
We've
seen
the
evidence
from
the
king's
film
that's
been
published
over
the
last
few
days.
The
patients
are
actually
feeling
the
pressure
as
well
in
relation
to
wide
services,
including
gp
services,
and
it's
just
to
say
that
we,
we
are.
We've
started
a
piece
of
work
to
help
us
to
more
consistently
describe,
especially
where
the
well,
whether
it's
good
and
outstanding
care,
but
also
where
care
is
actually
being
delivered
in
a
suboptimal
way,
so
that
we're
we're
more
consistent
in
actually
describing
the
causality
of
why.
B
A
So
I'm
I'm
guessing
david.
When
someone
said
primary
care,
they
actually
mean
one
of
the
sectors
within
primary
care,
because
obviously
there
are
differences
between
dentistry
and
general
practice
and
pharmacy
and
optometry.
We
don't
look
at
pharmacy
and
optometry,
but
I'm
guessing
that
the
question
means
that
they'd,
like
a
a
single
guide
as
to
what
cqc
looks
like
in
dentistry
or
general
practice.
Am
I
right
in
thinking
that
but
john,
do
you
want
to
come
in
first
and
then
tim.
D
Okay,
well
thanks
for
passing
that
hot
potato
over.
Actually,
I
think
one
one
of
the
one
of
the
things
that's
really
important
about
primary
care
practice.
I
think
whether
it's
gps,
whether
it's
dentistry,
is
that
we're
professionals,
and
actually
we
understand
from
our
own
knowledge
and
for
our
own
learning-
how
to
deliver
safe
and
effective
care
in
the
particular
environment
that
is
personal
to
us.
Just
from
having
looked
at
the
the
early
gestation
of
this
assessment
frame
framework
and
the
evidence
that's
going
to
be
required.
C
Yeah,
just
very
briefly,
rosie.
I
think
there
is
a
risk
to
being
really
explicit
and
reductionist
in
in
a
list
of
what
cqc
is
looking
at,
because,
by
definition,
there'll
be
stuff.
That's
not
on
the
list
that
remains
important
and
the
clinical
searches
are
a
great
example
of
that
they're
exemplars
of
what
good
clinical
care
looks
like
they're,
not
meant
to
be
exhaustive
or
a
replacement
to
a
practice's
own
clinical
governance.
Thanks.
A
Thank
you
very
much,
and
we
know
that
everyone's
working
in
different
different
contexts
with
different
population
groups
and
different
different
areas.
So
I
I
agree
with
your
comments.
There
lovely
well,
I
think
we've
come
to
the
end
of
our
time
very
sadly,
and
we
could
have
had
a
lot
more
time
answering
your
questions,
but
please
do
continue
to
keep
in
touch
with
us
feedback
through
the
channels
we've
talked
about.
A
We
will
be
looking
at
all
of
the
questions
and
comments
from
today
and
we
will
be
addressing
these
as
we
go
forward
and
so
do
have
a
look
at
our
bulletin
and
all
of
the
information
we
send
out
as
well.
So
just
a
huge
thank
you
for
joining
today.
We
will
be
continuing
and
thinking
of
further
sessions
like
this
to
continue
to
update
you
as
we
go
forward
and
really
appreciate
your
time.