HEKSS GP Practice Managers Meeting

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HEKSS GP Practice Managers Meeting

• November 2014

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Programme

• Updates
• Hot Topics
• Sharing Good Practice
• Enhancing communication
• Primary Care Workforce Development
• GP Trainer Approval

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Updates (1)

• HEKSS

London / KSS MD Julie Screaton DEQ Professor Liz
Hughes KSS MD Phillipa Spicer Postgraduate Dean
Abdol Tavabie
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Quiz
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Whats hot for you?
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Updates (2)

• GP Training
• Recruitment to GP Training
• Registration on National Performer List
• Safeguarding
• Enhanced ST3 programme
• CCG Placements
• Broad Based Training
• Training Practice Change of Circumstance

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Enhanced ST3

• Opportunity to enhance skills leadership,
  management, education, clinical
• 3 extra months in ST3 to 3.11.15
• Passed AKT 70 and pass CSA by Feb 15 at latest
• Extra 30 days study
• Peer Learning set
• Quality Improvement Project
• 11 recruited with further round Dec 14

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Finance

• Trainer Grant Payments
• Overlaps
• Trainer CPD
• Support for ST1/2
• Trainee Study Leave
• Tariff

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GMC

• HEKSS being visited March-June 2015 as part of
  the GMC Quality Assurance Process
• Review of the whole continuum of medical
  education
• Brighton Medical School
• Samples of Acute Trusts
• HEKSS
• GP is one of the specialities being reviewed

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Trainee Revalidation

• Trainee Revalidation at 5 years / CCT
• Responsible Officer (Postgraduate Dean) makes
  recommendation to GMC
• Triangulation of Data to support recommendation
• Trainee Self declaration (Form R)
• Trainer ES Review
• Exit Reports
• Significant Events
• Sickness / Leave Reporting

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Managing Concerns

• Trainee Performance
• Conduct / Capability Concerns / Health /
  Disciplinary
• Lead Employer leads process but GP School to be
  informed to review impact on education / training
  
• Trainee Concerns
• Employment Concerns, Bullying / Harassment/
  Grievance
• Lead Employer leads process but GP School to be
  informed to review impact on education / training
  

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Health Education Kent Surrey Sussex?

• One of 13 Local Education Training Boards (LETBs)
  in England formed as consequence of Health and
  Social Care Act (2012)
• Part of Geographic Grouping with Londons 3 LETBs
• Geographic Managing Director, Finance Director
  and Director of Education and Quality
• Local Managing Director Philippa Spicer
• Postgraduate Dean
• Board comprised Service Providers (Acute /
  Community) HEIs and LMC

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Communication
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HE KSS
From This
To This
Healthcare Scientists
Nursing
Bands 1 - 4
AHPs
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What do we do?

• Improve patient care through education and
  training workforce HEE Mandate
• Current Workforce CPD
• Identify local priorities
• Plan and commission education
• Skills Development Strategy
• Medical, Dental and Pharmacy Training
• Recruitment
• Quality Management Programmes / Environment
• Support commissioners / Providers with Future
  Workforce Planning

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Primary Care Workforce Development
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Nurses in Training

• Less 1 nurses in training undertake a GP /
  Primary Care placement
• HEKSS led 4 HEIs to develop pre-registration
  placements for nurse students in GP
• Placements 20 days over 12 week period
• Supported by Practice Nurse Mentor
• HEKSS seeking to recruit 240 Nurse Mentors

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Nurses in Training

• Mentor Training
• 5 days at any of the 4 participating Universities
• Those who have had mentor training in the past
  may APEL and reduce training (3 days)
• Course FREE to nurse and practices
• 600 to support backfill
• 90/week /student

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Nurses in Training

• Practices Interested?
• Contact Primary Care Workforce Tutor for your CCG
  (see resource pack)
• Nick Barry-Tait
• NBarry-Tait_at_kss.hee.nhs.uk

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Practice Nurses

• Practice Nurse Pathway
• Common programme across 4 HEIs
• For Nurses new or within 6 months of starting
  work in a GP setting (have to be already employed
  by practice)
• Attendance at 6 days formal teaching in HEI
• Attendance at 4 days for locally determined
  specialist development
• Rolling registration
• Couse FREE (CCG supported via CPD monies)
• No backfill
• 60 placements commissioned

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(No Transcript)
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Paramedics

• 8 week placements in GP
• Focussed on clinical assessment skills
• And communication skills
• Familiar assessments
• Very positive about visiting
• Trainer grant payable
• Likely to roll out nationally soon

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Apprenticeships

• National Skills Academy for Health
• Health Care Assistant Apprenticeships
• HEKSS writing to practices

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Educational Support

• Newly qualified GPs and Practice Nurses
• Facilitated Peer learning sets
• Long Term Conditions
• Complex Patients
• Multi professional Working / Learning
• Planning to start Jan 2015 facilitator training
• GPs Mentoring Scheme

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The Future

• The Future Hospital
• Shape of Training
• Developing the Generalist
• GP Training The Fourth Year
• Service Redesign
• Pharmacy / Primary Care Initiative
• A new workforce Physicians Associates

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Workforce Planning
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GPs make up around 20 of the Primary and
Community Services Workforce

Qualified Nurses, Consultants and GPs in Health and Care Workforce Qualified Nurses, Consultants and GPs in Health and Care Workforce Qualified Nurses, Consultants and GPs in Health and Care Workforce Qualified Nurses, Consultants and GPs in Health and Care Workforce Qualified Nurses, Consultants and GPs in Health and Care Workforce
2012 2005
FTE FTE
Hospital Based 275590 62.8 267007 62.1
Primary Community Based 163280 37.2 162883 37.9
All Medical Nursing 438870 429890

• 75.8 of the community and primary care
  professional workforce are nurses.
• GPs represent 19.9 of this workforce and AHPs
  4.3.
• These figures do not include the pharmacy
  workforce as there is currently no reliable
  measure
• The setting of care in which Consultants, GPs,
  and qualified nurses practice has remained
  broadly static over the past seven years.
  Currently this is 62.8 in Hospital and 37.2 in
  community primary.
• Rapid growth in the community nursing workforce
  has been offset by the growth in the hospital
  consultant workforce.

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How do you compare?

• Accurate / Real time Intelligence needed to
  better inform what numbers and what workforce is
  trained
• GP Workforce Tool
• Area Teams and LMCs supportive
• Kent / Medway practices letter imminent
• Some time to set up but simple to use and
  training available

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• Dummy Workforce Tool http//gp.nhsworkforce.co.uk
  /
• Username admin
• Password admin

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CEPN

• You Tube http//youtu.be/RvNKhot2u94

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Community Education Providers Network (CEPN)

• Designed to train staff for
• where population will need
• care. (closer to home)
• A Network of Community Providers which
• Offers all students, trainees, staff and the
  public a new exposure to population based
  healthcare
• Multi-professional education and training
• Inter-professional working learning

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Community Education Providers Network (CEPN)
Teaching innovative practices and smaller GP
surgeries
Social Services Paramedics Pharmacists Community
Consultants Community Services
REGISTERED PATIENTS
CS
Cc
SS
A centralised unit, Within which
services Maintain autonomy
Ph
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What will CEPN do?

• Provide placements for student nurses in
  practices in conjunction with HEIs
• Provide practice nurse training placements for
  postgraduate nurses or nurses working in other
  sectors to convert to practice nursing
• Subsequent phase- HCA training
• Paramedic student placements
• Community pharmacy student placements
• Placements of Physician Associate to learn about
  primary care
• Team based education/training to support
  workforce development to deliver patient services
  responsive to the needs of the local population

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Trainer Approval

• Update on national process
• Support for visits to new training practices
• Thank you for support
• Increase in remuneration to 170 travel
• We need more volunteers
• Educator Pathway Update