londonwide local medical committees appraisal in general practice nursing sharing the lessons...
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Londonwide Local Medical Committees
Appraisal in General Practice Nursing
Sharing the lessons learned.
Andy Michaels
Director of General Practice Development
www.lmc.org.uk
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Aims
To provide an increased understanding of: The roles of LMCs The landscape of general practice Key roles of GPNs Challenges facing GPNs Changes and their impact Strategic framework Solutions
www.lmc.org.uk
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The role of LMCs
LMCs are local representative committees of NHS GPs and represent their interests in their localities to the NHS health authorities. Statutory 103 years old Borough based Support, advise, represent
www.lmc.org.uk
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The landscape of general practice
General Practice
CCGs
Federations
LATs
NHSE/NHSL
Local Authorities
Other stakeholders
www.lmc.org.uk
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Key roles of GPNs (1)
Innovation Improvement of service Patient continuity Technology Supervision Mentorship Part of a team
www.lmc.org.uk
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Key roles of GPNs (2)
Imms & Vaccs QoF COPD LTCs Family planning and contraception Mental Health Women’s health
And much more
www.lmc.org.uk
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NMC revalidation Lack of:
infrastructure and cohesioncareer frameworkcompetency and educational frameworks and
standards
Workforce profile OOH care pressures Access to CPD
www.lmc.org.uk
Challenges facing GPNs (1)
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Challenges facing GPNs (2)
Employee status Commissioning QoF CQC Funding Premises Capacity Cavendish Review & Francis Report
www.lmc.org.uk
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Challenges (3)
Concerns about standards of provision of care
Recruitment and retention Ad hoc training Who appraises GPNs? What happens to identified CPD ?
www.lmc.org.uk
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Changes and their Impact April 2015 NMC re-validation for
GPNs goes live LETBs and funding availability CEPNs Commissioning of education and
training Francis and Cavendish Reviews Transparency of HEI provision of
CPDwww.lmc.org.uk
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Strategic Approach LetBs CEPNs LMCs CCGs HEIs Federations of GP practices GPs as employers Practices
www.lmc.org.uk
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Solutions Influence! Influence! Influence! Training programmes for GPNs and
HCAs Communication Formation of professional networks Support & Advice Understanding the emerging systems
and processes Working with third party providers on
tools to enhance appraisal www.lmc.org.uk
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Solutions
Blended Learning Programmes Induction or refresher course 8 modules Work based learning Competency based Mentorship essential Academic accreditation being sought
www.lmc.org.uk
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Impact of revalidation
Nurses, service providers and educational commissioners will know what and where their workforce knowledge & skill gaps are
Easier for GPNs to access training Increased evidence to influence
education providers
www.lmc.org.uk
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And finally….
What are we doing well to support GPNs?
What can we do differently?
Andy Michaels
www.lmc.org.uk