1. Implementation of The Collins’ Report

2. Collin’s report Insufficient emphasis on the total patient, long term conditions and ambulatory or community care Insufficient emphasis on the total patient, long term conditions and ambulatory or community care Government drive for care closer to home Government drive for care closer to home Few opportunities for multi-professional learning(2009 PMETB Survey) Few opportunities for multi-professional learning(2009 PMETB Survey)

3. Collin’s report Lack of emphasis in curriculum on assessment of key issues in modern healthcare Lack of emphasis in curriculum on assessment of key issues in modern healthcare Changing demographics Changing demographics Long term care Long term care MDT working MDT working Community care Community care

4. Recommendations and KSS interpretation

5. Length of placements 4 Months 4 Months Unless educationally justified Unless educationally justified Lengthy tasters well structured Lengthy tasters well structured

6. More community experience Support GP tasters Support GP tasters Continue to support KSS recommendations for psychiatry placements Continue to support KSS recommendations for psychiatry placements Develop innovative ways of including community experience within existing posts Develop innovative ways of including community experience within existing posts

7. Examples off community placements General practice General practice Community Paediatrics Community Paediatrics Psychiatry Psychiatry Public health Public health Palliative care Palliative care Geriatric Medicine Geriatric Medicine Sexual Health Sexual Health COPD and heart failure services COPD and heart failure services Musculoskeletal clinics Musculoskeletal clinics Rehabilitation services Rehabilitation services Community based clinics e.g. diabetes Community based clinics e.g. diabetes

8. Optimise clinical supervision and training in surgical posts Well supervised with on site support at all times Well supervised with on site support at all times Breadth of training and experience Breadth of training and experience Consider innovative ways of including community experience Consider innovative ways of including community experience STFS to complete survey of FD’s experience of surgical posts during 2012/13 STFS to complete survey of FD’s experience of surgical posts during 2012/13

9. STFS Targets Clinical supervision and training in surgery as standing item on LFG agenda Clinical supervision and training in surgery as standing item on LFG agenda Regular attendance at LFGs by community placement reps Regular attendance at LFGs by community placement reps Increase number of 2 year programmes containing community experience to 100% by 2016 Increase number of 2 year programmes containing community experience to 100% by 2016