Health Workforce & Strategic Change Scottish Government Supporting a sustainable Primary Care workforce Scottish Rural Medicine Collaborative Emma Watson SMO Health Workforce & Strategic Change Scottish Government

A strong primary care is essential for effective Rural General Hospital

Working with RCGP- GP Career Flow

We have a problem “ I didn’t know you could train to be a GP in rural Scotland.............” GPST 2016

Teenager Inverness “But I like cafes not caves, highlife not hills, & Monet not Mountains !” We need to appeal to everyone

Recruitment and Retention Fund- Aims To promote Scottish general practice as a positive career choice, support medical students to actively choose general practice, inspire doctors in training to select speciality training in general practice, and encourage our alumni to stay in/return to Scotland; To support the educational infrastructure within Scottish primary care; To develop sustainable models of primary health care delivery in areas with particular need, including rural and remote areas and areas of high health inequality To understand retention issues for working-age Scottish GPs To proactively contact and support qualified GPs who have left the workforce, and assist them to find the right route to return; To make the most of the knowledge and expertise of GPs at or near retirement, including mentoring support to others; and/or To provide high quality, proactive support and information for prospective GPs in Scotland

Current Situation What is the current need in rural Scotland? There are over 50 rural GPST places every year approximately only 50% fill 12 post CCT rural fellowships about 75% fill Growing numbers of GP vacancies in rural Scotland Significant vacancies at consultant level across rural general hospitals Our ambition is to create more doctors who want to work in rural Scotland than we have places for Our current system provides about half of what we need

Rural recruitment and retention...

WHO Educational recommendations Targeted admission policies Locate training in rural areas Undergraduate rural exposure UG & PG curricula to include rural topics Tailored and accessible CPD

Capacity All small DGHs have medical students All RGHs have medical students General practice variation across health boards from 80%-<20% hosting medical students Few community hospitals regularly have students

Universities Working with SG Graduate school Increase R&R UG education delivery by 20% D&G and Highland supporting Longitudinal Integrated clerkship

Opportunity or threat Capacity Capability Confidence

Scottish Rural Medicine Collaborative Building on NPP and “Being Here” Local – National learning 8 NHS Boards & NES working together not against Recruit, retain, support

Deliverables Evidence based recruitment strategy Support Innovative Roles Relocation support Identify Educational Capacity Increase Educational Capacity Education Support

Deliverables peer support network delivery of regular, quality-assured clinical education sessions knowledge maintenance and up skilling Support workforce to develop relevant competencies

Scottish Rural Medicine Collaborative

Deliverables Evidence based recruitment strategies Support Innovative Roles Relocation Support Identify Educational Capacity Increase Educational Capacity Education Support

Deliverables Peer support network Delivery of Regular quality assured educational sessions Knowledge maintenance and up skilling

Moving from getting it right to making it great

Scottish Rural Medicine Collaborative Project board formed Project manager to be appointed Work streams being prioritised