General Practice

Primary Care Workforce Planning & Development

Community Education Providers Network

Abdol TavabieInterim Dean Director

Health Education Kent, surrey and Sussex8th May 2014

Create the capability to lead patient experience and outcome focused education and development

Move from historic strategies based on each professional group in isolation

To integrated education strategies focused on patient care groups, that are evidence based and evaluated

Integrated Education

Strategies

Service Redesign

Patient care

groups

Evidence based

Evaluated

Medicine

Dentistry

Pharmacy

GPs

AHPs

Nursing

Bands

1 - 4

Healthcare Scientists

HE KSS

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Key Messages

• Workforce must be aligned to service • Care closer to home through care

pathways.• Effective teams are more important than

individual excellence.• Funding should align with training need –

not based on history.• Most of the future workforce is already

working in the NHS – CPD Spend should reflect this.

General Practice

HE KSS SDS Priorities

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1. Dementia care Ensure staff have assessment and diagnostic skills so that people with dementia benefit from early diagnoses; Ensure those looking after people with dementia have support and training to provide excellent care; Develop supportive and effective on-going care planning and case management skills from diagnosis to end of life care.

2. Primary care Ensure the primary care workforce is able to meet the challenges of the future by developing a primary care workforce strategy

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3. Emergency care Realise the potential of the whole emergency workforce team to maximise their contribution;Support providers with workforce and education interventions to develop alternative models of emergency care provision.4. Children and Young PeopleContribute to the health and wellbeing of children and young families by supporting growth in the health visitor workforce.5. Compassionate careRecruit and educate students with the right values and behaviours so that patients and their families experience compassionate and dignified care.

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HE KSS Priorities

Service Driver Workforce Priorities Skills Development Strategy

Older People Dementia • Diagnostic Skills• Awareness Training – over 15000 by Dec 2013• Education and Training for Carers• Dementia Fellowship programme• Student/Trainee Shadowing.

Improved Mortality Emergency Care • Additional Emergency Care medicine• Improved Clinical Decision Making – eg 111

programme.• Increased paramedic commissions.

Long Term Conditions Primary Care • Community Education Providers Network • Practice Nurse Development – common pathway• Increased placement capacity for students and

trainees• Oral Hygiene programme with nursing/care homes.

7 Day working – safety and access

Children & Young People

• Health Visiting• Asthma UK• Joint working with social care and education.

Francis & Berwick Compassion & Patient Safety

• Resilience – Swartz rounds• Florence Nightingale Fellowships - Bespoke• Quality Improvement methodology training/AHSN

General Practice

Primary and Community Care Workforce Planning and development

• Phase one- Primary Care based in General Practice

• Phase two- Community clinicians and other Providers including Dental Practitioners, Pharmacists and Optometrists and their staff

• Phase three- Cross boundary working between primary and secondary care services

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General Practice

Primary Care Workforce Planning and Development

The underpinning aims of the Health Education England is to:• Improve Quality of patient Care • Develop a whole workforce responsibility• Develop a multi-professional ethos- team based care

The HEKSS is signed up with the above principles &

1. To improve education and training for all the workforce

2. To increase placements in primary care and community for the future generation of clinicians including Nurse students, GP Trainees and Paramedic Practitioners students and Health Care Assistants

3. To put in place a robust plan for the future workforce planning in primary care and community

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Developing Community Education Providers Network (CEPN)

–Designed to train staff for where population will need care. (closer to home)–A Network of Community Providers which:• Offers all students, trainees, staff

and the public a new exposure to population based healthcare

• Multi-professional education and training

• Inter-professional working & learning

Academic input from AHSN& HEIs

Public health

Third sector

Other providers

Specialist training

& placements

Local Authority

CCG alignment

Palliative Care,

mental health

Population

CS

CcSS

Ph

REGISTERED PATIENTS

Teaching & innovativepractices and smallerGP surgeries

Social ServicesParamedicsPharmacistsCommunity ConsultantsCommunity Services

A centralised unit,Within which servicesMaintain autonomy

Community Education Providers Network (CEPN)

General Practice

Potential advantages of Community Education Providers Network (CEPN)

• Opportunity for developing education and training provision to

reflect local needs.

• Opportunity to train and develop next generation of workforce

locally.

• A solution to premises constraints

• A positive approach to multidisciplinary workforce.

• Improving the provision of training for healthcare working together for local

community

• Encouraging the use of limited resources to improve workforce planning and

development.

• Collaboration will deliver large scale change

• Enable provider-led change and improvement

• Improve moral and confidence in working collaboratively

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General Practice

Progress so far Continue 2

• A Primary Care Academic unit in Partnership with the HEKSS to support primary care workforce in their education &training, research activities and innovation.

• Professor Patricia Wilson is our Professorial Chair for Primary Care Academic unit.

• A four universities working party has produced a common educational pathway for Practice Nurses with aspiration becoming Advanced Community Nurses in future

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