What does it take for general practice to lead system transformation rather than simply respond to it?

In this episode, Ben Gowland is joined by Dr Sunaina Khanna and Dr Imran Zaman to discuss how they have built a unified leadership model that is helping shape neighbourhood health across one of England's largest Integrated Care Systems.

Starting with a collaborative response to winter pressures, they explain how GP leaders came together to create the GP Partnership Board, giving general practice a stronger voice in system decision-making while developing services at scale. They share the practical lessons they've learnt about building trust, securing buy-in from practices, working alongside community providers, and creating leadership that is focused on delivery rather than representation alone.

The conversation also explores how general practice can prepare for the future NHS landscape, why working at scale matters, and the importance of demonstrating value through action.

Whether you're a GP Partner, PCN Clinical Director, practice manager or system leader, this episode offers valuable insights into building collaboration, influencing change and strengthening the role of general practice within neighbourhood health.

Introduction (00:09)

How winter pressures sparked a new model of GP collaboration (01:26)

Using population health to redesign services at scale (03:20)

Building multidisciplinary teams around neighbourhood health (05:59)

Why Birmingham & Solihull created the GP Partnership Board (08:25)

Winning practice buy-in through delivery, not persuasion (11:39)

Balancing uncertainty with opportunity in the changing NHS (13:10)

Evolving towards a 24/7 general practice leadership model (16:22)

Making general practice easier for the system to work with (17:33)

Building stronger partnerships across community services (19:30)

Why every area needs a unified GP leadership voice (22:19)

Practical advice for creating collaboration at scale (25:30)

Learning by doing and proving what works (28:30)

Final reflections (29:36)

For all enquiries about the Ockham podcast, please contact Ben Gowland here.