1. www.wessex.hee.nhs.uk Fleur Kitsell – Health Dean Esther Clift – Trainee Consultant Practitioner ‘Frailty’ Clinical Academic Careers Consultant Practitioner Development

2. www.wessex.hee.nhs.uk History  Consultant Role – 1999/2000  H+IOW SHA – implemented a pilot development programme in Emergency Care in 2001  Formal Scheme various pathways since 2005  Emergency Care  Neurological Rehabilitation with an emphasis on Stroke  Mental Health  Learning Disabilities  Midwifery  Living with Frailty

3. www.wessex.hee.nhs.uk Domains of Practice o Expert Practice – increasing depth and breadth o Leadership – overarching o Service Development/Quality Improvement, through research and evaluation – in each placement o Education – own (Masters or Doctoral level) and others

4. www.wessex.hee.nhs.uk Education Model Work-based with academic development alongside Annual Learning Outcomes in all 4 domains, customised to fit each participant – formal review by expert panel at end of each year Time, on average per week/month – 40% Service Contribution; 20% Learning in practice; 20% Academic study; 20% Service Development/Quality Improvement

5. www.wessex.hee.nhs.uk Consultant Practitioner Trainee in Frailty Esther Clift Esther.clift@nhs.net

6. www.wessex.hee.nhs.uk Quality Improvement ‘Engaging clinicians in better information sharing about older people between hospital and home, to improve patient and clinical experience.’