Londonwide Local Medical Committees Appraisal in General Practice Nursing Sharing the lessons learned. Andy Michaels Director of General Practice Development

Aims To provide an increased understanding of:  The roles of LMCs  The landscape of general practice  Key roles of GPNs  Challenges facing GPNs  Changes and their impact  Strategic framework  Solutions

The role of LMCs LMCs are local representative committees of NHS GPs and represent their interests in their localities to the NHS health authorities.  Statutory  103 years old  Borough based  Support, advise, represent

The landscape of general practice General Practice CCGsFederationsLATs NHSE/ NHSL Local Authorities Other stakeholders

Key roles of GPNs (1)  Innovation  Improvement of service  Patient continuity  Technology  Supervision  Mentorship  Part of a team 

Key roles of GPNs (2)  Imms & Vaccs  QoF  COPD  LTCs  Family planning and contraception  Mental Health  Women’s health And much more

 NMC revalidation  Lack of:  infrastructure and cohesion  career framework  competency and educational frameworks and standards  Workforce profile  OOH care pressures  Access to CPD Challenges facing GPNs (1)

Challenges facing GPNs (2)  Employee status  Commissioning  QoF  CQC  Funding  Premises  Capacity  Cavendish Review & Francis Report

Challenges (3)  Concerns about standards of provision of care  Recruitment and retention  Ad hoc training  Who appraises GPNs?  What happens to identified CPD ?

Changes and their Impact  April 2015 NMC re-validation for GPNs goes live  LETBs and funding availability  CEPNs  Commissioning of education and training  Francis and Cavendish Reviews  Transparency of HEI provision of CPD

Strategic Approach  LetBs  CEPNs  LMCs  CCGs  HEIs  Federations of GP practices  GPs as employers  Practices

Solutions  Influence! Influence! Influence!  Training programmes for GPNs and HCAs  Communication  Formation of professional networks  Support & Advice  Understanding the emerging systems and processes  Working with third party providers on tools to enhance appraisal

Solutions  Blended Learning Programmes  Induction or refresher course  8 modules  Work based learning  Competency based  Mentorship essential  Academic accreditation being sought

Impact of revalidation  Nurses, service providers and educational commissioners will know what and where their workforce knowledge & skill gaps are  Easier for GPNs to access training  Increased evidence to influence education providers

And finally…. What are we doing well to support GPNs? What can we do differently? Andy Michaels