General Practice HEKSS GP Practice Managers Meeting November 2014

General Practice Programme Updates Hot Topics Sharing Good Practice Enhancing communication Primary Care Workforce Development GP Trainer Approval 2

General Practice Updates (1) HEKSS 3 London / KSS MD Julie Screaton DEQ Professor Liz Hughes KSS MD Phillipa Spicer Postgraduate Dean Abdol Tavabie

General Practice Quiz 4

General Practice What’s hot for you? 5

General Practice 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 6

General Practice Enhanced ST3 Opportunity to enhance skills: leadership, management, education, clinical 3 extra months in ST3 to 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 7

General Practice Finance Trainer Grant Payments Overlaps Trainer CPD Support for ST1/2 Trainee Study Leave Tariff 8

General Practice 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 9

General Practice 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 10

General Practice 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 11

General Practice 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 London’s 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 12

General Practice Communication 13

From ThisTo This Integrated Education Strategies Service Redesign Patient care groups Evidence based Evaluated MedicineDentistryPharmacyGPs AHPs Nursing Bands Healthcare Scientists HE KSS

General Practice 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 15

General Practice Primary Care Workforce Development

General Practice 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 17

General Practice 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 18

General Practice Nurses in Training Practices Interested? Contact Primary Care Workforce Tutor for your CCG (see resource pack) Nick Barry-Tait 19

General Practice 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 20

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General Practice 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 22

General Practice Apprenticeships National Skills Academy for Health Health Care Assistant Apprenticeships HEKSS – writing to practices 23

General Practice 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 24

General Practice 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 – Physician’s Associates 25

Workforce Planning 26

GPs make up around 20% of the Primary and Community Services Workforce 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. Qualified Nurses, Consultants and GPs in Health and Care Workforce FTE% % Hospital Based % % Primary & Community Based % % All Medical & Nursing

General Practice 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 28

General Practice Dummy Workforce Tool: Username: admin Password: admin 29

General Practice CEPN You Tube 30

General Practice 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 Academic input from AHSN& HEIs Public health Third sector Other providers Specialist training & placem ents Local Authority CCG alignment Palliative Care, mental health Population

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

General Practice 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

General Practice 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 34