gloucestershire primary care training hub health
TRANSCRIPT
Gloucestershire Primary Care Training Hub Health Professionals in Primary Care Conference 30th January 2020 Dr. Lizzie Eley Clinical Chair Gloucestershire Primary Care Training Hub APD Gloucestershire GP, & APD Transformation HEESW
#GlosPCTH
Training Hubs - HEE Schematic
Primary Care
School
STP / ICS aligned Training Hub
Implementation Group
HEE Local
HEE Regional
NHSE Regional
NHSE Local
STP
PCN
LWAB Other Stakeholders e.g HEI PH Social care Third Sector Acute / Community CCGs
PCN PCN PCN PCN PCN PCN PCN
Educational Governance
Communication channels
Core Functions 19/20 contin.
• Coordinate education & training placements
• Support improving educational quality & governance
• Enable, support & embed ‘new roles’ in PC
• Support for recruitment and retention of the PC workforce across key transitions (e.g preceptorships) & career stages
• Active role in promoting career in primary care
Who are we? • Dr Lizzie Eley – Clinical Chair of the PCTH (CEPN) • Zaheera Nanabawa - Programme Manager
Workforce 1.5 days a week • GP Fellows – Dr’s Olesya Atkinson, Olivia Munn,
Harpreet Sandhu • Jess Davies - Admin • Band 6s • Dr’s Martyn Hewett, Laura Halden and Teresa
Curtin • Engagement with Clinical Directors supporting
PCN’s
PCTH Highlights 2019 - 20
1. GP Recruitment & Retention
• GP Fellowships, ‘Next Generation GP’ Programme
• GP Career Lead, Severn Deanery ‘LEET’, Wise 5,
• Health Equalities Fellowships & New to Practice
2. Practice Nursing
3. Multidisciplinary Education & Development
Nurse & MH training, PMs support, MDT Multimorbidity events, Multidisciplinary Dermatology event & resources
AHP conference,
4. Primary Care Workforce Website – Training Calendar
5. Workforce Planning and Alignment with PCNs - Cluster bids
8. TH Functions 19/20
1. Support Workforce Planning better understanding of workforce needs – PCN, ILP, & ICS 2. Develop & expand placement capacity - UG & PG learners** 3. Develop training programmes – medical & non-medical support service re-design & delivery of integrated care
• Population health needs (ILR) • Workforce transformation • System wide approach/ place based pilot**CPs
4. Supporting New Roles** 5. Training & development of multi-professional educators** 6. Support & retention of current workforce**- all disciplines 7. Promotion of Primary Care as a Career** **already working on
PCTH 2020 - 2021
6. PCN CD support & development – conf 23rd april
7. PCN population health needs & workforce development
8. System based priorities
9. Training Hub Functions & HEE expectations
10. Learner Placement Capacity in Primary Care
AHP Placements & Training
HP supervisors/educators conference - MDT supervision & training event
11. Next Steps
PCN Education Lead
www.england.nhs.uk
1. Primary Care Recruitment & Retention Comprehensive programme of career support & development
GP trainees Mid-career Wise years First years
Career advice support & coaching
Co-designed roles
Flexible working
SPARK WISE 5
Work Life Balance
Variety
Flexibility Manageable workload
Career choices
CATALYST
Mentoring & support
New to Practice
Programme
Supported return to practice
Health Equalities Fellowship
TH Fellows
Portfolio roles Fellowships
Clinical placements
Leadership Development
Clinical specialties & GPSIs
Population health
Care for patients
Next Generation GP Gloucestershire 2019
35 Early
Career
GP’s
5 monthly
evening
sessions
Health Inequalities Fellowship
Cheltenham PCN’s Training Developed agreed best
practice based computerised
templates, protocols
• Local formulary
• Searches
• Audits
120 delegates at Racecourse
event – GP’s, Nurses,
Pharmacists
12 Patients – Expert Panel
CVD Template Training – 15
Nurses, GP, PM’s
Receptionists and Secretaries
– CVD update training - 13
attendees
25% of patients need at least an annual review for:
• High 10 year CVD risk scores
• Hyperlipidaemia
• Hypertension
• Chronic Kidney Disease Level 3a, 3b or 4.
• Cerebrovascular Disease
• Peripheral Vascular Disease
• Cardiovascular Disease
• Heart Failure
• Atrial Fibrillation
• Diabetes Mellitus
Gloucestershire ICS. Pharmacy and Medicines Optimisation Stakeholder Workshop - 10th December 2019
“A great first event with a strong ICS energy and commitment”
“Useful session, lots of enthusiasm. Hopefully vision of integrated
placements can be implemented soon within Gloucestershire”
Local workforce information and mix of local and national speakers
Follow Up session – planning underway – funded by Gloucestershire Primary Care Training Hub – led by Medicines Optimisation Colleagues
Advanced Physiotherapist Practitioners
• Service Level Agreement for services from GCS for APP’s
• 1.2 WTE – 3 staff including annual leave cover
• Rotational Model – time in both Primary Care and GCS services
• Professional supervision and employment GCS – Primary Care
supervision – Dr Cameron Jackson in St Pauls Medical Centre
• Stakeholder workshops including – Primary Care, APP’s, GHC,
Commissioning Leads, HEI’s, Public Health, Glos Hosp.
colleagues.
Overwhelmingly Positive
Feedback 98% satisfaction – 298 patients
Finalists
Wessex LMC Multidisciplinary Framework
4. Primary Care Workforce Hub - Website
Training Calendar & Locum Hub to follow
Advantages of PCN- based approach 1. Flexibility
• Sickness/sabbaticals & emergencies • Workload, practice developments
2. Sustainable- support New GPs & Practices with training • Develop skills within supported network of educators • Start with smaller commitment initially • Engage other practice staff and develop learning ‘ethos’ • Regular income for guaranteed placements
3. Increased Capacity 4. Efficiency
• joint /multi-professional tutorials • 1 x ‘expert’ trainer for Physios & AHP leads – across ILP • Plan education provision across PCN /ILP & link with TH • Opportunties for QA & QI
5. Responsive to workforce needs of the PCN • link placement to supply pipeline, ‘Grow your own’
6. Comms /coordination effectively with TH, ILP & ICS - education provision & requirements
How can the Gloucestershire PC
Training Hub support the workforce
and training needs of the Glos. PCN’s and ICS?
Next Steps? • Empowering - PCN level workforce mapping
? ILP data packs/dashboard and ‘gaps’ to support service transformation, engagement with workforce surveys
• PCN CD support & development
• AHP development & education -support workforce transformation
mixed menu of options (cluster bids), 7 service spec.
GP PCN Education Lead/Lead Professionals
• AHP conference – showcase AHP roles in PC – end Jan
professional leads & GPs, share best practice
• MDT supervision & training event-
jointly with RCGP Severn Faculty Training MDT trainers