Primary Care College – Tees Valley & Durham

Teaching PCTs ; All you ever wanted to know…..

Stephanie CarsonHead of College

Outline

• Who and what are Teaching PCTs• About Tees and Durham• Getting started - systems and

processes• Keeping going- what are we doing?• Where do we go next?

Primary Care College – Tees Valley & Durham

Who are we?

•

Primary Care College – Tees Valley & Durham

What are Teaching PCTs?

• Recruitment and retention difficulties

• Areas of high health and social care need

• Education and development

Primary Care College – Tees Valley & Durham

Teaching PCT….

• ‘Live’ from 1 April 2002• Key posts filled summer 2002• College steering group August

2002• Development of workstreams from

September 2002• Full core team in place May 2003

Primary Care College – Tees Valley & Durham

Tees Valley and County Durham

• 10 PCTs – circa 167 practices• Four higher education providers

including…• Post Grad Institute – medical and dental

input• 6 Social Services Departments• Co-terminous with Workforce

Development Confederation and Strategic Health Authority

Primary Care College – Tees Valley & Durham

Where are we?

StocktonDarlington

Durham

Derwentside

Tyne & Wear

Durham & Tees

Newcastle Upon Tyne

Sunderland Teaching PCT

Tees Valley & County Durham

An early definition Learning is derived from ……..‘Leornung’ a Northumbrian verb

used by St Cuthbert, Holy Island in the 8th Century

[from work now in Durham Cathedral]

Primary Care College – Tees Valley & Durham

Learning Culture

Organisational Learning

‘An organisation’s rate of learning should be equal to, or greater than, the rate of change in their environment.’

Reg Revans

What does this mean for PCTs? Primary Care College – Tees Valley & Durham

Drivers for learning organisations

• Workforce demands• Technology• Policy• Ability to work through change• Improved performance• Leadership• Client/User/Carer as the centre

Primary Care College – Tees Valley & Durham

Values and Ethos

• Value & recognise the needs of front line staff

• Integrate teaching and learning in the workplace

• Research, develop & share good practice• Provide better care• Develop a vibrant health economy• Support lifelong learning-- Student to

retirement and beyond! Primary Care College – Tees Valley & Durham

Partnerships….

• PCTs• WDC• Higher and Further

Education - NHSU• Local Authority• Prisons• Patient /carer• Learning Skills

Councils

• NHS Direct• Ambulance• Acute Trusts• NatPaCT• Learning Alliance• Voluntary sector • PALS • ….for starters

Primary Care College – Tees Valley & Durham

Primary Care College WDC NatPaCT Purpose To create a learning and development

network, sharing resources and working to recruit and retain staff. Work builds on existing initiatives in the PCTs and seeks innovative and effective solutions. The approach is inclusive, involving clinical and non-clinical staff from primary and community care, as well as staff from Social care and the prison health service.

To deliver a health and social care workforce capable of implementing the NHS Plan, working in partnership with our member organisations.

NatPaCT works with Primary Care Trusts to help them learn and grow together as connected and competent organisations and leaders of radical change to improve health and services for PCTs.

Dimensions 10 PCTs across Tees and Durham 167 practices Developing links with Social Services and Prison Healthcare

10 Pct’s, 5 Secondary Trusts, 6 Local Authorities, Independent Care Sector, Voluntary Care Sector, Prison Healthcare across Durham & Tees Valley

National team entering year two of three-year initiative. Local Facilitator works across 16 PCTs in the North East of England.

Resources National funding for two years £300k for Year One

Non-medical circa 20million Medical circa 25million

? to be agreed for next financial year

Role Develop a learning network across health and social care sector and share/spread of recruitment & retention initiatives

Workforce Planning, Workforce Expansion, Modernisation, Commissioning of education and training, Modernising learning

Working with PCTs on organisational development – national and regional programme of events/development

Links WDC workforce development information across primary/community care

Recruitment and retention initiatives Projects funded by WDC eg

recruitment and retention Changing Workforce Programme WDC rep on College Leading on developing national Teaching PCT competencies

Teaching PCT Director member of Corporate Management Group

Head of College on Commissioning Group

HEI Providers Changing Workforce Programme Learning and Skills Councils FE Colleges Connections

Matched funding support with WDC and Primary Care College on projects

Regular meetings between Facilitator and Head of College

New stakeholder group to be established across Tees/Durham

Links with NatPaCT & WDC

How does it work?

• Systems and processes – less emphasis on structure initially

• Networking model – small core team• College – steering group• Sub groups for some workstreams

established• Lead PCTs to play increasing role

Primary Care College – Tees Valley & Durham

Systems and Processes

• Criteria• Project Management• Evaluation culture• Teaching PCT competencies• Assessment – CHI• Funding & Planning• COMMUNICATION

Primary Care College – Tees Valley & Durham

Criteria

• The PCTs regard the work as a priority ( fits with their strategic direction)

• Resources can be identified to support the project

• The work can be evaluated – and tansferable/adaptable to other PCTs

Primary Care College – Tees Valley & Durham

Competencies for TPCTs

• Clarify governance arrangements• Partnership working - agreements pan PCT• Seeking out external funding for projects• Strategic approach to recruitment and

retention - with WDC• Develop links with Library Alliance network to

support education/EBP• Workforce development and commissioning-

putting primary care on the WDC map

Primary Care College – Tees Valley & Durham

Using Action Learning…..

Primary Care College – Tees Valley & Durham

Developing the Learning Network

• PCT engagement• Influencing proposals• Feedback and evaluation• Partnership with Workforce

Development Confederation • Funding streams

Primary Care College – Tees Valley & Durham

Communication…… communication…..communicatio

n• Key stakeholder events• Themed seminars• Roadshows• Executive Committees• Existing meetings –practice managers• Leaflets ; Q&A• Speakers packs• Website

Primary Care College – Tees Valley & Durham

What have we started?

Primary Care College – Tees Valley & Durham

Workbased learning

recognition

Identify resources/baselines

accessible

Recruitment & Retention

• Toolkit for practices• Telephone survey • Seminars• Linking initiatives – international

recruitment ( WDC)• Retention essential – retirement a focus• Impact of GMS contract & appraisal

Primary Care College – Tees Valley & Durham

Learning Survey - NHSU

• What resources do we have?• What learning activities are people

undertaking?• When does most learning take

place• …….. And where?• How do people prefer to learn?

Primary Care College – Tees Valley & Durham

Learning centre - NVQs

• Need to develop the infrastructure – SKILLED assessors, protected learning time

• Increase access and awareness• Use Learning Accounts funding to

better effect• Skills escalator – Stockton

Primary Care College – Tees Valley & Durham

Prison Healthcare

• PCTs commissioning prison healthcare

• PCTs talking to each other• Awareness of need to develop

continuity of care – family – cycle of health problems

• How to improve the links across health and Home Office

Primary Care College – Tees Valley & Durham

…..and the rest

• First Contact testbed site link with Emergency Care See & Treat

• Higher Professional Education• Intermediate care ( Health & Social

Care NVQ)• GP Appraisal

Primary Care College – Tees Valley & Durham

Where to next?

Primary Care College – Tees Valley & Durham

Work with regeneration schemes – community involvement

Skills escalator

NSHU

E-learning

Careering into the NHS

Influence commissioning & curriculum design

Primary Care College – Tees Valley & Durham

Create time to reflect ……

On our career choice

Career development

Our future