1. Sustaining General Practice: Community Education Provider Network Spring Symposium Thursday 17 March 2016 Victoria Fennell, Amanda Lyes and Janet Rutherford 1

2. Who we are Victoria Fennell Amanda Lyes Janet Rutherford Project Lead West Suffolk CEPN Chief Corporate Services Officer Ipswich and East & West Suffolk CCGs Associate GP Dean for Suffolk

3. Workshop Objectives To raise awareness of the Community Education Provider Network Pilot in West Suffolk To share our experiences To explore the different leadership styles needed to successfully run a project The workshop objectives are :

4. Background Community Education Provider Network (CEPN) definition: A group of primary care providers who share and coordinate workforce training placements and undertake multidisciplinary education to develop the existing workforce. Health Education England (HEE) recognises the workforce challenges in primary care and the need for a wider multi-professional clinical workforce. The introduction of Community Education Provider Networks (CEPNs) is the start of that development. HEE have established 3 pilot sites; West Suffolk, Great Yarmouth & Waveney and Essex.

5. Background West Suffolk Professor John Howard invited bids for a share of the national money to set up a CEPN Pilot site and asked West Suffolk if they were interested. Ross Collett, Ed Garratt and Dr Janet Rutherford developed the bid. The overall vision is that the West Suffolk CEPN would be the first step towards developing one of the first ‘Learning and Teaching systems’ in the NHS – which makes the pilot unique. Discussion: What leadership skills are required to submit a bid?

6. Background West Suffolk 24 practices Strong GP training network Traditional Style of Practice Nursing compared to East Suffolk Starting to have recruitment challenges West Suffolk Clinical Commissioning Group have developed an Integrated Care Organisation shadow group involving primary care, secondary care and adult social care which will look at a more integrated approach to commissioning. Discussion: What leadership skills are required to successfully implement an Integrated Care Organisation?

7. West Suffolk CEPN Steering Group First working group meeting late August 2015 Decision to concentrate on increasing pre-reg nursing placements Membership includes CCG, Federation, UCS, local GPs, practice managers, lay rep and Norfolk & Suffolk Workforce Partnership Project officer appointed in October 2015 Health Education England has provided £28,000 for the first nine months of operation with the intention of funding the project for a further year thereafter.

8. West Suffolk CEPN Workstreams Discussion 1: What leadership skills are required to successfully implement these workstreams? Upskill existing staff through the Foundations in Primary Nursing and Community Nursing Module Pilot Pre-Reg student placements in Primary Care Increase mentorship capacity in West Suffolk Raise awareness of careers in Primary Care Discussion 2: What management skills are required to successfully implement these workstreams?

9. West Suffolk CEPN Pre reg Student Placements HEEoE recognises the workforce problems in primary care; our Board made supporting the transformation of primary care to a wider clinical service delivered at scale a key objective before the publication of the Five Year Forward View. A key requirement is a wider multi-professional clinical workforce, trained in primary care. Currently GP training occurs in about 32% of training practices; nurse training occurs in a much smaller percentage. In order to develop clinical staff for the primary care of the future, a wider range and number of staff must be trained in primary and community care. We believe that this can only be achieved through excellent local relationships and a partnership approach with all stakeholders; local providers, NHS England and Clinical Commissioning Groups, local representative structures such as Local Medical Committees, Universities and secondary care providers. Primary care in the future will need a new system of coherent, locally managed but centrally assured educational governance eventually encompassing all training and education in primary care. Our introduction of Community Education Provider Networks (CEPNs) is the start of that development. Hub and spoke model with the hub practice providing the management and coordination and possibly holding the contract on behalf of all the providers within their CEPN Hub and spoke model Discussion: How would you lead this model in a practice?

10. West Suffolk CEPN UCS & GP tutor facilitated a focus group with student nurses to explore attitudes to primary care nursing Presented at CCG-wide GP evening meeting in late September Gradual canvassing of interest The Steering Group have used existing networks to identify number of current nurse mentors UCS and the Norfolk & Suffolk Workforce Partnership developed Foundation module in Primary Nursing and Community Nursing Plan to develop series of modules building on experience Project Brief and Action Plan presented to meeting in January Work undertaken to date:

11. Any Questions?

12. Thank you for listening