1. “Money, Money, Money – the cost of Education” and the challenge to Medical Education Teams Andrew Frankel Postgraduate Dean Health Education South London

2. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk PGM Workforce Challenges Service provision – Current workforce dependent on Dr in PGT – HEE funding covers only 40% of the cost of PG medical education – 7 day working – Reconfigurations – Consultant Led/Delivered SERVICE TRAINING

3. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk Tarif Implemented 2014 Transition Further development Understanding of purpose SERVICE TRAINING

4. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk Inadequacies of Current System Not aligned to needs of patients or providers Speciality Focussed Doctor Centric 42% have a long-term condition 23% have multiple conditions Onset 10-15 years earlier if socioeconomic deprivation

5. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk Shape of Training Fundamentally about the right doctors to treat future patients Formal training does not stop at a CST

6. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk Shape of Training Review Medical School Full Registration F1F1 F1F1 F2F2 F2F2 Certificate of Specialty Training Credential Continuous Professional Development Continuous Professional Development Broad Based Training

7. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk Paradigm of care 2030 Diagnose and Cure TO Predict and Prevent

8. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk THE WORKFORCE TO DELIVER THE CARE Skills Assessments Integrated Planning – Physician associates – ANPs – Associated Practitioners – SAS Drs

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10. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk Broadening the Foundation Programme

11. Click to edit Master text styles Second leve Third level Fourth level Fifth level www.hee.nhs.uk www.southlondon.hee.nhs.uk Challenges of BTFP Uncertainties over definition of community placements BTFP already outdated – fails to understand the development of the “3 rd Space” Sufficient community placements with purposeful clinical content to meet the Foundation Curriculum Backfill of service provision in acute trusts as Foundation Doctors move into community or psychiatry posts Questions remain about the disposition of medical tariff Developing appropriate supervision arrangements in new working environments