Category Archives: News

One Care to offer free HR services pilot

From 1st April to 30th June 2025, One Care’s HR services will be free to practices to assess the value in offering these services as part of member subscription.

One Care’s practice HR services cover a wide range of support, including:

  • Employee relations support – assistance with managing employee stress, absence, and resolving problems
  • Performance management support
  • Disciplinary and grievance support – guidance, advice and attendance at disciplinary and grievances meetings.
  • Advice related to employment termination
  • Bespoke policies and letter templates
  • Advice on contractual queries
  • Mediation

Feedback about the service has been very positive, with one practice who has made use of One Care’s practice HR support commenting, “One Care supported us through two difficult HR processes, including a termination of contract. Gertruda and Lauren provided a fast and proficient service, their HR knowledge was excellent. They gave as sound and clear advice, as well as drafting letters for us. Thank you.”

One Care has received short-term funding to run this pilot. The subsequent inclusion of this support in the subscription fee will be contingent on sufficient uptake, so practices are highly encouraged to make use of it.

If you would like to make use of this free support, please contact One Care’s People Services.

Top tips for website usability

Having an accessible, easily navigable website makes patients more likely to make it their first port of call for finding out information and getting in touch with their practice. As the healthcare system becomes increasingly digital, a usable website is more important than ever. Here are five top tips to make your practice’s website as usable for patients as possible.

Create an intuitive homepage and navigation bar layout

Studies by NHS England show the most important tasks to patients are being able to book, change, or cancel appointments; order repeat prescriptions; register with a practice; get a sick / fit note; get test results; and find out opening times and contact details. It’s therefore wise to have these links in the top third of your home page and in your navigation bar. However, don’t overload either of them – stick to what patients are looking for most often.

Check how your site looks on mobile browsers

The majority of people now access web content on their mobile phones. Check your site is still navigable via a mobile browser – ideally, get colleagues involved to check it on a variety of devices (older, newer, Apple, Android, etc).

Use an accessibility testing tool

The WAVE browser extension is a good starting point for picking up issues that people using screen readers might run into. Install the extension and look over your home page and frequently visited pages. If you see lots of errors, contact your website provider to try and resolve them. However, this doesn’t replace a full accessibility audit, which your website provider should be able to run.

Make sure your written content is readable to a range of patients

Did you know that the average reading age in the UK is approximately nine years old? Making sure the written content on your website is in plain English, free of jargon (including terms like ‘triage’ and ‘online consultation form’) will ensure as many people as possible understand the information, which can reduce unnecessary or confusing contacts. To test how readable your content is, try Hemingway.

NHS England also has some excellent templates for frequently visited pages, such as appointments and prescriptions, which you can adapt for your practice. (In fact, the whole guide is a brilliant resource for anyone looking to improve their practice website!)

Engage with your PPG

Your patients are the most valuable source of feedback – get their thoughts about how easy they find the website to use, and the changes they would like to see.

We hope you find these tips useful. If you’d like help to make your website more usable and accessible, contact Alasdair Wallace who will be happy to help.

One Care Contacts

Member practices told us they would like to have a named representative at One Care, who they could contact directly to ask questions, raise issues, or request support or advice.

In response to this, we’ve set up a ‘One Care contacts’ model, which sees members of the One Care team take responsibility for one or more member practices, being on hand to help with anything they may need.

That could be finding out the answer to a question, putting them in touch with a team at One Care who can help solve a problem, or giving direct assistance on something within their own expertise.

The model aims to build stronger, more consistent relationships between One Care and member practices, and enable them to access One Care’s services and programmes quickly and easily.

One Care’s Chief Operating Officer, Rachel Burton, said: “We hope our practice colleagues will find it helpful to be able to contact a specific person at One Care when they need something. Being able to build those personal, trusted relationships with members of our team will help members get the answers and support they want as effectively as possible.”

Resolving workplace disputes: mediation services for practices

Our people services team now offers a mediation service to help practices settle disputes and develop healthier working relationships. The service focuses on finding solutions that everyone is happy with, improving communication, and setting clear parameters for future co-working. 

Gertruda Grudyte, One Care’s senior HR advisor, said: “A lot of workplace conflict is left to develop and worsen. With early intervention we can help stop issues escalating. 

“Our mediation service is informal and voluntary. Mediation can only happen when everyone is open to it and wants it to succeed so we work with both parties to a perceived conflict to make sure they want to be a part of it.  

“We don’t apportion blame; it’s about working together to find a way to cooperate and work well in the future.” 

 

What to expect 

If you contact our team for mediation, they will arrange a free assessment to discuss the situation. You will be asked questions about the issue, and both parties will be asked if they’re willing to join mediation. 

Following the initial assessment, and if both parties are happy to take part, separate and joint meetings are held to work towards a resolution. Due to the confidential nature of the meetings, managers are only told whether or not an agreement has been reached – no details are shared. As well as confidentiality, other careful rules of engagement are followed during the meetings, including honesty, openness, and courtesy. 

 

Cost 

The service is offered to BNSSG practices at a day rate of £450, although this can vary depending on the nature of the issue and how the practice wants to deal with it. The initial assessment is free of charge. 

To find out more please contact people.services@onecare.org.uk 

The new staff support scheme

The One Care general practice support team (GPS) offer mentoring sessions for newly recruited members of practice management, to help them get up to speed with their new roles quickly.

The new staff support scheme uses the GPS team’s extensive experience working in practice and alongside practice managers to support you – whether this is your first time working in general practice or within the BNSSG area.

The GPS team is highly knowledgeable in all aspects of practice management and can provide tools, pragmatic guidance, hints, and dedicated time to focus on the support you feel you need. They can also introduce One Care and the rest of the local healthcare system, advising staff on the nuances of working within the BNSSG region.

For sessions covering systems such as TeamNet or EMIS, GPS can arrange for managers to meet with One Care’s digital team for a specialised session.

You will be entitled to six sessions (face-to-face or via Teams, providing tailored advice and dedicated sessions on CQC, general practice finance, and more. The team is also available for any follow-up questions on an ad-hoc basis.

The GPS team has been working with new members of practice management already, and a practice manager has found the service beneficial in their new role. They said:

‘One Care’s new staff support scheme was incredibly helpful in getting started as a practice manager. Having a knowledgeable point of contact at the end of the phone and email was hugely important and really helped me to find my feet. The service they provide to new staff is fantastic.’

If you are new to your role and feel that this scheme would benefit you, please contact the GPS team practice.support@onecare.org.uk

Meet our general practice and operations support (GPSO) team

Members of our general practice and operations support team all have years of practice experience to draw on, and can help you remotely or will come into your practice to work with you directly.

The GPOS team’s work helps:

  • support process optimisation
  • improve efficiency
  • manage, save or gain practices money
  • release time for practices

If you ever have questions for One Care or need our help but are unsure who to contact, please email enquiries@onecare.org.uk and we’ll direct your enquiry to the right person, who will make sure you get the assistance you’re after.

OPEL – a new pressure reporting system for general practice

One Care’s business intelligence team and urgent care programme are developing a new online OPEL reporting system for BNSSG general practice.

OPEL stands for operational pressures escalation levels. With the need to demonstrate general practice pressure high on the national agenda, the new system will provide a daily, data-based picture of activity.

It will enable general practice to demonstrate the pressure it is under in the same way as the acute hospitals and other providers, and will:

  • support robust representation for general practice within the BNSSG system
  • strengthen general practice’s position for negotiating increased resources
  • help to identify practices who could benefit from One Care support
Extracted data

The OPEL reporting uses EMIS explorer analytics (EXA) to automatically extract daily information from practice appointment books, to demonstrate on-the-day demand and capacity.

The extracted data will generate OPEL levels for each practice (green, amber, red, black) based on agreed percentages. This will feed into the system-wide OPEL reporting, and trigger action cards outlining recommendations for each level. The action cards are being developed with the ICB and system colleagues.

Mitigating issues

A key aim of the new system is to identify patterns and risks early, and offer practices proactive, tailored support. For those practices under significant pressure, a range of agreed actions and interventions will be available. One Care is working with the ICB and partners to develop these.

Development and launch

The project will be implemented in phases, initially looking at capacity and activity over a rolling period to generate baseline data and trends. This will be refined over time as the system learns each practices’ patterns, and further elements will be introduced.

One Care has worked with a test practice to trial the data extraction, and is now on-boarding practices. Practices wanting to be included in, and have access to, the reporting will need to sign the data sharing agreement and switch on EXA – please contact business.intellgence@onecare.org.uk for help with this. Avon LMC is supportive of the project and encourages practices to sign up.

If you’d like to know more, please contact ruth.thomas@onecare.org.uk

You can also watch February’s webinar, covering the project’s development and planned implementation here – Urgent care programme TeamNet page

Planning for the end of the financial year and beyond

As the end of the financial year approaches, advice from One Care teams can help you get ahead with your planning.

The data experts in our business intelligence team can help you understand your data for QOF, SMI and LD health checks, and for the investment and impact fund (IIF). All the information for this is available on your practice dashboard, but if you need help with it, please get in touch. The team can give you a more detailed picture of your achievements to date and any shortfalls, to make sure you’re getting paid properly.

Please contact business.intelligence@onecare.org.uk

Also take a look at the financial advice from our general practice support team on how to make a financial plan; maximise income streams; and reduce costs. The article contains plenty of top tips, with links to other resources for more detailed information.

Our GPS team also offers practices a confidential and informal review of your finances. Please contact practice.support@onecare.org.uk.

Both teams’ advice, support and resources are available free of charge, as part of your One Care subscription.

 

Supporting you to meet the Accessible Information Standard

The Accessible Information Standard (AIS) has been a legal requirement for all organisations that provide NHS care, including general practice, since 2016. There is now a concerted effort across the BNSSG system to ensure all partners (NBT, UHBW, Sirona, local authorities) comply with the Standard in an effort to improve care for people with disabilities.

The AIS aims to ensure everyone can understand the information they need as part of their care. For some people, i.e. those with physical, sensory or cognitive impairments, this may require healthcare organisations to make some reasonable adjustments.

One Care’s AIS project can help your practice achieve compliance with the AIS. You can read our top tips below, download the AIS toolkit from TeamNet, and contact us for one-to-one bespoke support and staff training. The one-to-one support will take you through the practical steps needed to implement the AIS, and help you successfully integrate compliance into your existing practice processes.

There are five steps to the AIS.  They are Identify, Record, Flag, Share, and Meet.

Here are some things you can do to help your practice implement these steps.

  • Put posters up in your waiting room to encourage patients or their carers to let you know what reasonable adjustments they might need. You could also put a line on patient correspondence to let them know they can request information in alternative formats, such as braille or large print
  • Use the Reasonable Adjustments Digital Flag and / or EMIS warnings to record patients’ information and communication needs, to ensure they’re visible to colleagues accessing their records
  • When recording reasonable adjustments, focus on needs rather than conditions. For example, rather than “patient has macular degeneration” try “needs letters in large print” and specify the font size
  • Ensure staff are aware of the AIS and your practice’s policies and procedures
  • Log incidents where patients’ AIS needs are not met, e.g. as learning events

Remember, compliance with the AIS forms part of CQC inspections, under the key statement ‘providing information’. It’s therefore important to document what your practice is doing to meet the Standard.

If you would like more information, or one-to-one support with the AIS, please contact alasdair.wallace@onecare.org.uk

GPCB 2024 round up and 2025 priorities

GPCB representation and action

Last year the General Practice Collaborative Board (GPCB) continued to strengthen ties with the wider integrated care system (ICS) to enable One Care-subscribing practices to participate as an equal system partner.

The GPCB represents the diverse make-up of BNSSG general practice; the board includes members from PCN and localities, both clinical and managerial, as well as Avon LMC, BrisDoc and One Care representatives. The Chair and One Care CEO have seats on the Integrated Care Partnership (ICP) Board and the ICB Board, meaning general practice is represented at the most senior level in the system.

The GPCB programmes and clinical leads have been instrumental in bringing practical changes and developments to patient care and practice management.


GPCB achievements in 2024 

In the last year, the GPCB has been a driving force on many issues faced by general practice, including:

  • acute respiratory infection (ARI) funding: annual additional funding brought as business as usual to all practices to support with winter pressures
  • workforce wellbeing, retention and recruitment: the workforce programme initiated workforce nominations, work experience, recruitment schemes and an agreed locum rate with agencies to support controlled workforce rates
  • inappropriate work requests from secondary care: the planned care programme and LMC review inappropriate requests to practices identifying trends and feed back to the requester
  • testing new and emerging technologies: the digital strategy team used local funding and brought in national funding to test technologies through pilots with member practices
  • the primary and secondary care interface: GPCB clinical leads for planned care and urgent care work collaboratively across the system to create principles and ways to improve relationships across providers, and improve patients’ experience


Coming up in 2025 

The GPCB key priority for the next six months is developing ‘future general practice’ plans. This aims to put general practice on the front foot and align with government ambitions to move the NHS from ‘hospital to community’, ‘analogue to digital’ and ‘treatment to prevention’. It will also examine how we support the development of practices to continue to deliver effective care.

The GPCB feels it is important for general practice in BNSSG to have a clear vision for the future. Each locality will use forum meetings in early 2025 to discuss what the future should look like. Every practice is invited to send two representatives to the pan-BNSSG forum meeting in March to further develop these ideas.


GPCB chair: Dr Jacob Lee 

In December we thanked Dr Jon Hayes for his time as GPCB chair and welcomed Dr Jacob Lee to the role. Jake joined BNSSG general practice in 2011 and has been a GP partner, clinical guardian and out of hours GP for Brisdoc, and medical director for One Care. Since 2018, Jake has been a GP partner at Horfield Health Centre in Bristol and is the clinical lead for the North and West locality and chair of the North and West locality forum. Jake is an advocate of relational continuity of care for patients. He was the clinical lead for the BNSSG element of a Health Foundation continuity of care project, and gave expert evidence on its benefits to the Health and Social Care Parliamentary Select Committee in 2022.

Find out more about the GPCB on the GPCB TeamNet page and watch our short video explainer.