Professor Nick Harding OBE BSc [1] FRCGP FRCP HonMFPH DRCOG DOccMed [2] PGDIP (Cardiology) SFFLM, [3] born 21 December 1969, is a British general practitioner and Chief Medical Officer at Operose Health.
Professor Nick Harding OBE BSc [1] FRCGP FRCP HonMFPH DRCOG DOccMed [2] PGDIP (Cardiology) SFFLM, [3] born 21 December 1969, is a British general practitioner and Chief Medical Officer at Operose Health.
Prof Harding qualified in medicine from the University of Birmingham in 1994. Before, during and after this time he undertook research in a number of areas which formed a basis for his future interest in continuous improvement of quality and safety in clinical settings. [1] [4] [5] [6] [7]
Harding has worked in inner-city Birmingham for more than 20 years. As a general practitioner and a medical educator, Harding has been an RCGP examiner and trainer for many years, involved in assessing national standards for general practice. He has held a number of national roles, including Senior Clinical Advisor to NHS England and NHS Improvement for RightCare and Integrated Care, [8] a member of the Health Education Advisory Group, member of the Nuffield Trust Leadership Panel [9] [ failed verification ] and co-chair of the Specialised Commissioning task force. [10] He is a member of the General Advisory Panel for the King's Fund.
He has had a number of regional roles including being a member of the West Midlands Clinical Senate [11] and he carried out a role for the Birmingham Crematorium from 1999 to 2018. [12]
In 2015 he created and sourced funding from Health Education West Midlands to support delivery of a new type of Primary Care Leadership development programme for future GP leaders. [13] More than 120 GPs successfully completed this one-year programme. [14] This programme has been positively evaluated, and has been picked up nationally and implemented across England as the 'Next Generation GP' leadership programme. This has run 41 programs in 26 cities with more than 1,750 participants in 3 years,[ when? ] with further programmes planned using resource support from NHS England and other organisations. Learning from the programme has been featured in a range of publications and podcasts, including a 2017 paper in Innovait, an RCGP journal aimed predominantly at GP trainees. [15]
Harding has published a range of clinical papers on radiation safety, application of cost-benefit analysis, patient communication, and on the threat of measles for the British Journal of General Practice. [16]
Harding was the Chair of the Sandwell and West Birmingham Clinical Commissioning Group (CCG), which covers two local authority areas: the whole borough of Sandwell and the western part of the City of Birmingham. [17] The CCG is a membership organisation involving 99 GP practices serving around 547,400 patients across the area. It is broken down further into five Local Commissioning Groups – Black Country, Healthworks, ICoF, Pioneers for Health and Sandwell Health Alliance – that address the needs of the population on a local level. The CCG has won Health Service Journal CCG of the Year 2013 [18] and 2015; [19] and General Practice Commissioners of the Year 2014. [20] It was rated as outstanding under NHS England's Improvement and Assessment Framework in 2016. [21]
He was a founding Partner in Modality Partnership [22] (formerly known as Vitality), which brings together 46 practices for almost 400,000 patients as of 2018 [update] . The partnership has invested in technology so that patients are supported with advice from their healthcare team in a range of ways, including online, over the phone, on their mobile or by Skype.
This new type of super-partnership was referred to in the Kings Fund & Nuffield Trust's reviews of potential primary care models for the future [23] and became a vanguard new model of care (MultiSpeciality Community Provider). [24] [25] The partnership has worked to improve primary care integration and at-scale quality of care in general practice. It is widening this local model for integration with community, mental health and social care services. Professor Harding continues to retain his clinical practice.
Harding joined Operose Health as Chief Medical Officer, his current role, in August 2019. [26] Operose Health provides primary care, mental health and community services to patients across the UK and works with complex health systems to transform quality of care and patient experience. [27]
Harding was recognised with a Queen's award OBE in June 2015 for services to primary care, [28] [29] [30] and was awarded an honorary professorship from Aston University [31] [32] for his work in helping to establish the Aston Medical School. He was also named in the Health Service Journal top 100 clinical leaders of 2015, [33] 2016 [34] and 2017. [35] He has an honorary Membership of the Faculty of Public Health and an honorary Fellowship of the Royal College of Physicians (June 2016).
Harding has supported charity work in Malawi, working with local communities to improve health through education and sustained development. [36] He attributes his interest in public health, patient safety and the provision of quality healthcare to his parents and grandfather, all of whom were in the medical profession. Harding's grandfather, Dr Colin Starkie, was the director of public health for Kidderminster [37] and worked with political leaders to introduce the Clean Air Act 1956. [37] His father, Dr Keith Harding, founded the Nuclear Medicine Department at Birmingham City Hospital in 1973. [38]
Harding has written a book on playing the guitar. [39]
General practice is the name given in various nations, such as the United Kingdom, India, Australia, New Zealand and South Africa to the services provided by general practitioners. In some nations, such as the US, similar services may be described as family medicine or primary care. The term Primary Care in the UK may also include services provided by community pharmacy, optometrist, dental surgery and community hearing care providers. The balance of care between primary care and secondary care - which usually refers to hospital based services - varies from place to place, and with time. In many countries there are initiatives to move services out of hospitals into the community, in the expectation that this will save money and be more convenient.
Family medicine is a medical specialty within primary care that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. The specialist, who is usually a primary care physician, is named a family physician. It is often referred to as general practice and a practitioner as a general practitioner. Historically, their role was once performed by any doctor with qualifications from a medical school and who works in the community. However, since the 1950s, family medicine / general practice has become a specialty in its own right, with specific training requirements tailored to each country. The names of the specialty emphasize its holistic nature and/or its roots in the family. It is based on knowledge of the patient in the context of the family and the community, focusing on disease prevention and health promotion. According to the World Organization of Family Doctors (WONCA), the aim of family medicine is "promoting personal, comprehensive and continuing care for the individual in the context of the family and the community". The issues of values underlying this practice are usually known as primary care ethics.
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution.
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).
Michael Dixon LVO, OBE, MA, FRCGP is an English general practitioner and healthcare leader. He served as chair of the NHS Alliance from 1998 to 2015 and is a past President of the NHS Clinical Commissioners. He also chairs the College of Medicine. He is a visiting professor at University College London and the University of Westminster and National Clinical Champion for Social Prescribing.
Dame Clare Mary Louise Francis Gerada, Lady Wessely, is a London-based general practitioner who is President of the Royal College of General Practitioners (RCGP) and a former chairperson of the RCGP Council (2010–2013). She has professional interests in mental health and substance misuse.
Healthcare in the city of Bristol, England and the surrounding area is largely provided by the National Health Service (NHS), through the Bristol, North Somerset and South Gloucestershire clinical commissioning group. Facilities include a large teaching hospital – Bristol Royal Infirmary – which offers nationally commissioned specialist cardiac, cancer and children's services from its city-centre campus to patients in the southwest of England and beyond.
Clinical commissioning groups (CCGs) were NHS organisations set up by the Health and Social Care Act 2012 to organise the delivery of NHS services in each of their local areas in England. On 1 July 2022 they were abolished and replaced by Integrated care systems as a result of the Health and Care Act 2022.
NHS England, officially the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the NHS mandate which specifies the objectives which the Board should seek to achieve. National Health Service Regulations are published each year to give legal force to the mandate.
Healthcare in London, which consumes about a fifth of the NHS budget in England, is in many respects distinct from that in the rest of the United Kingdom, or England.
The Modality Partnership is a large GP partnership formed in 2009. Such large practices are often described as a "super partnership". According to the King's Fund in 2016 it was one of England’s largest super-practices. In 2018 it had about 400,000 patients and was thought to be the largest practice in England.
Healthcare in Cumbria is now the responsibility of Cumbria Clinical Commissioning Group. From 1 April 2017 32 GP practices will leave the CCG and merge with Lancashire North CCG to form Morecambe Bay CCG.
Healthcare in Worcestershire is now the responsibility of three Clinical Commissioning Groups, covering, respectively Redditch and Bromsgrove, Wyre Forest and South Worcestershire.
Healthcare in Sussex was the responsibility of seven Clinical Commissioning Groups covering: Brighton and Hove; Coastal West Sussex; Horsham and Mid Sussex; Crawley; Eastbourne Hailsham and Seaford; Hastings and Rother; High Weald; and Lewes-Havens from 2013 to 2020. From April 2020 they will be merged into three covering East Sussex, West Sussex, and Brighton and Hove.
Healthcare in Greater Manchester is mainly provided by the Greater Manchester element of England's public health service, the National Health Service (NHS). This care is provided to all permanent residents of the United Kingdom, free at the point of use and paid for from general taxation from a variety of hospitals, clinics and other public care settings, with private and voluntary services operating and funded independently. The "Greater Manchester Model" of NHS health care is a system uniquely devolved within England, by way of close integration with the Greater Manchester Combined Authority and local authorities, led by the Mayor of Greater Manchester.
Healthcare in the West Midlands is now the responsibility of five clinical commissioning groups (CCG): Birmingham and Solihull; Sandwell and West Birmingham; Dudley; Wolverhampton; and Walsall.
Healthcare in Essex is now the responsibility of six clinical commissioning groups: Basildon and Brentwood, Mid Essex, North East Essex, Southend, Thurrock and West Essex.
Healthcare in Gloucestershire is the responsibility of two clinical commissioning groups covering Gloucestershire and South Gloucestershire. The health economy of Gloucestershire has always been linked with that of Bristol.
Nikita "Nikki" Kanani MBE is a general practitioner and the former chief clinical officer of the Bexley Clinical Commissioning Group. In 2018 she became the first woman to be appointed medical director of primary care at NHS England.
A significant event audit (SEA), also known as significant event analysis, is a method of formally assessing significant events, particularly in primary care in the UK, with a view to improving patient care and services. To be effective, the SEA frequently seeks contributions from all members of the healthcare team and involves a subsequent discussion to answer why the occurrence happened and what lessons can be learned. Events triggering a SEA can be diverse, include both adverse and critical events, as well as good practice. It is most frequently required for appraisal, revalidation and continuing professional development.
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