Medical education or multi-professional education Professor Simon Gregory Director of Education and Quality and PG Dean HEE Midlands and East

“The Deanery’s role is to ensure that I have a good time…”. Core Medical Trainee

Health Education England (HEE) exists for “one reason and one reason only: to support the delivery of excellent healthcare and health improvements to the patients and public …”.

Overview Learning Organisational Financial Language Future

Learning: uni-professional or inter-professional Should be based on need not contrived or “policy driven” Base on needs of patients or learners Not forced Examples Diabetes course Suicide risk assessment

Organisational : uni-professional or multi-professional Journey Deaneries / Consortia, Confederations, SHAs Multi-professional Deaneries Current NES NIMDTA Wales Deanery HEE LETBs

HEE Clarity of Purpose Quality of care is our organising principle We have a whole workforce responsibility for England Band 1-4 (Healthcare support workforce) Doctors, nurses, scientists, AHPs + CPD of some professions Undergraduate and postgraduate education including academic training Careers Service We operate through our 13 LETB’s, 4 geographies 13 PG Deans – multi-professional JD and focus

Financial: budgets and tariffs Size envy Myth, rumour and misunderstanding Old budgets (MPET) SIFT MADEL NMET New approach Single combined budget for England Tariffs Accountable to Parliament

HEE Budget: c. £4.9 billion £60,000 to train a nurse or AHP £560,000 to train a new medical consultant £490,000 to train a new GP non-medical pre-registration students postgraduate medical and dental students undergraduate medical and dental students £9,500 per minute

HEE funding and levers Around £4.9bn funding annually Around 159,000 students in the system now Spending around £9,500 a minute on Education and Training

Language: England and America are two countries separated by a common language. George Bernard-Shaw

Language: examples Different meanings Pre-registration Mentor Programme Same thing different terms Quality assurance / Quality management Inadequate Non-medical Abolished but continue in common use VTS SHO Deanery (in England)

Ambition for the future In order to develop the workforce of the future, we need to predict future changes in health and healthcare based on what we understand now… Current approachNew rules for 21 st century healthcare* Care is based primarily on visits Care is based on continuous healing relationships Preference is given to professional roles over the system Co-operation among clinicians is a priority … and plan workforce training and education to ensure demand and supply are in balance… * Based on work by the King’s Fund

Future vision: medical education and multi-professional education Value crafts, professions and each other Focus on needs Do our best to ensure quality now and prepare for the future We train for the past Our focus has been too much on professions rather than the patient despite our best intent

Future workforce: Firm foundations Valued as professions, crafts and individuals Pluri-potential Adaptable Resilient Compassionate Affordable Sustainable Different