What is it and what is it doing?

Derrick Willmot

MEE Medical Education England

Background to MEE• Lord Darzi’s High Quality Care for All Next Stage Review Final Report was published in

June 2008. It set out the Government’s plans to build upon its reforms to the NHS by shifting the emphasis from increasing the quantity of care to improving its clinical quality.

• A High Quality Workforce published in June 2008, reported on the Workforce implications of the Next Stage Review (NSR) for the NHS. It included an undertaking to;

• “….improve key aspects of workforce planning at national level by establishing an independent advisory non-departmental body, Medical Education England (MEE), for doctors and dentists and relevant low volume specialties that need to be planned nationally.”

• It was subsequently agreed a Dental Programme Board (DPB) be established to report to the MEE Board on workforce and education and training issues within dentistry.

“A High Quality Workforce – NHS Next Stage Review”; 288981, June 2008. (http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_085840)

MEE Commitments – extract from A High Quality Workforce

“The professions must be able to contribute to strategic workforce development at all levels, and must have clear mechanisms to enable this at national and regional level. At a national level, we will create professional advisory boards to provide an overview and assurance of workforce proposals for each of the professional groups…

..We will improve key aspects workforce planning at national level by establishing an independent advisory non-departmental body, Medical Education England (MEE), for doctors and dentists and relevant low volume specialties that need to be planned nationally.”

MEE Commitments – extract from A High Quality Workforce

“MEE, supported by the Centre of Excellence (see below), will have the following core functions for doctors, dentists, healthcare scientists, pharmacists and low volume specialties:

bringing a coherent professional voice on matters relating to education and training and to advise the Department of Health on policy

professional high level scrutiny of and advice on the quality of workforce planning at national level

professional scrutiny of and advice on the education and training commissioning plans developed at SHA level

co-ordination of changes to postgraduate training pathways at a national level

integration of service and professional perspectives in curricula development

liaison with other health care professional education national oversight bodies and relevant bodies in the Devolved Administrations”

Role of MEE

• MEE provides independent expert advice to Ministers and input into the policy-making process on the content and structure of professional education and training as it relates to doctors, dentists, pharmacists and health care scientists

• It advises on workforce planning for these groups at a national level.

Professions involved

• The four professions of medicine, pharmacy, dentistry and healthcare sciences shall have professional advisory bodies to advise MEE

• Each advisory body shall be a subcommittee of MEE, and each shall maintain its own terms of reference and membership.

Membership of Medical Education England (MEE)

Nominating Organisation Places Nominee(s)

English Post-graduate Deans 1 Professor Jacky Hayden

Dean or Head of School for Dentistry or Health Care Science or Pharmacy, held on rotation. The first nomination will be by the Dental Schools Council

1 Professor Nairn Wilson

Medical Schools Council 1 Professor Sir John Tooke

Nominee of the Sciences 1 Professor Patrick Maxwell

Academy of Royal Medical Colleges 4 Mr John Black, Professor Ian Gilmore, Professor David Haslam, Professor Judith Hulf

British Dental Association 1 Dr Susie Sanderson

British Medical Association 4 Dr Radhakrishna Shanbhag, Dr Jonathan Fielden, Dr Andrew Thornley, Dr Brian Keighley

NHS Confederation 3 Mr Steve Barnett, Professor Stephen Powis, Dr Gareth Goodier

Federation for Health Care Science 1 Professor Marion Scott

General Medical Council(taking account of the forthcoming merger with the Postgraduate Medical Education and Training Board)

1 Finlay Scott

Royal Pharmaceutical Society of 1 Professor Nick Barber

Patient Representative, nominated by the Department of Health’s National Director of Patient and Public Affairs

1 Elizabeth Manero

SHA Chief Executive, nominated by Chief Executives 1 Mr Ian Dalton

SHA Director of Workforce, nominated by Directors of Workforce

1 Dr Anne Rainsberry

Department Members (ex-officio)Chief Dental Officer Mr Barry Cockcroft

Chief Pharmaceutical Officer

Chief Scientific Officer Professor Sue Hill OBE

Director General of Workforce Mrs Clare Chapman

Director of Medical Education Dr Patricia Hamilton

National Clinical Director (designated by the NHS Medical Director)

Professor Roger Boyle

NHS Medical Director Professor Sir Bruce Keogh

No. Dentistry* NSR AHQWF

Paragraph

Lead and Status of Task Role of MEE

Strategy

D1

Advise on how training for dental professionals should reflect the changing patterns of dental needs.

88 Workstreams on matching demand for dental treatment with supply of dentists and dental care professionals which take account of scope for more skill mix and improvments in oral health

consider recommendations put forward by DPB

D2

Encourage dental professionals to take on partner, leadership and educational roles

44 Involvement of PG Dental Deans in DPB and clinical leadership programme

to be kept informed

D3

Create at a national level, professional advisory boards to provide an overview and assurance of SHA dental workforce proposals.

108 Dental Programme Board

Consider recommendations

Process

Training pathway

D4

Explore changes to undergraduate curricula for dental students to reflect skills and demands of leadership and working in NHS

44 GDC is reviewing curriculums with input from DH and NHS to be kept informed

D5

Advise on postgraduate foundation training and the implications this has for dental training and career pathways.

89 Workforce Stream on Foundation Training Consider recommendations

D6

Ensure educational supervisors undergo mandatory training and review of their performance.

44 Influence GDC/DSC/COPDEND through their membership of DPB to be kept informed

D7

Expand Modular Credentialing for dentists 43 GDC consultation on training of specialists and further development of dentists with special interests in partnership with service commissioners

to be kept informed

D8

Commissioning Quality Education: develop trainers, metrics and incentives;

new Work requested by Workforce Directorate/Commissioning for QE consider recommendations put forward by DPB

D9

Development of a national strategy for technology assisted learning including simulation

new FGDP supported by DH (ETD) to produce 'e-Dent' for Foundation Training. DPB will wish to build on this

to be kept informed

Leadership

D10

Introduce new standards in leadership to assure delivery of quality

44 Clinical Leadership central to work of DPB to be kept informed

D11

Integrate training in leadership, management and teaching into postgraduate medical curricula

44 Involvement of PG Dental Deans in DPB and clnical leadership programme

to be kept informed

D12

Integrate training in leadership, management and teaching into postgraduate medical curricula

44

Workforce

D13

Enhance capabilities and capacity of dental workforce ensuring response to advances in science

Dentistry Work Programme MEE

The Dental Programme Board DPB

• The MEE DPB will provide independent expert advice and input into the policy-making process

• It will meet not less than every 6 weeks• It will be supported by a secretariat from the

Department of Health (DH) and costs incurred will come within DH expenditure.

Membership of the Dental Programme Board (DPB)

• Barry Cockcroft, Chief Dental Officer (CDO) England (Chair)• Professor Chris Franklin, Chair of the Committee of Postgraduate Dental Deans and Directors (Co Chair)• Sue Gregory, Deputy CDO• Billy Burns, DH Analyst• Paul Cook, Post Graduate Dental Dean• Russ Ladwa, Dean of the Faculty of General Dental Practice• John Langford, Consultant in Dental Public Health, Senior adviser to CDO • David Lye, Head of Dentistry and Eye Care Services • Nicky Spillane, Workforce Review Team• Derek Sprague, Workforce Development and Quality Manager, NHS South West• Susie Sanderson, Chair of the Executive Board of the British Dental Association • Michael Wheeler, President of the British Dental Hygienists Association• Professor Derrick Willmot Dean of the Faculty of Dental Surgery • Paul Wright, Consultant Adviser to CDO • Jerry Read, DH Dentistry Policy Lead• Amit Bose, DH Dentistry Policy Adviser• Stan Tang, DH Programme Manager• Rachel Noble, DH Programme Support and Coordination• Peter Bateman, • John Milne• David Noyce [Lesley Waldron], HEFCE • Professor William Saunders Chair of the Dental Schools Council• Barbara Levy, NHS Employers• Bryn Shorney, DH Workforce• Paul Feeney, GDC - TBC

Who is DPB responsible to?

• The MEE DPB will report to the MEE Main Board

• The MEE Main Board may remit particular issues to the DPB for consideration

• Decisions by the MDC PB are subject to ratification by the MEE Board

• Minutes of the MDC PB will be circulated to the MEE Board

The MEE DPB will be responsible for:

• bringing a coherent professional voice on matters relating to education and training of dentists and dental care professionals (DCPs) and advising the Department of Health on policy

• workforce planning in dentistry including both the capacity and capability/efficiency of the dental workforce

• professional high level scrutiny of and advice on the quality of workforce planning at national level (i.e. determining dental school intakes)

The MEE DPB will be responsible for:

• professional scrutiny of and advice on dental education and training commissioning plans developed at SHA level for DCPs

• co-ordination of changes to postgraduate training pathways at a national level

• integration of service and professional perspectives in curricula development

• liaison with other healthcare professional education, national oversight bodies and relevant bodies

DPB Workstreams

• Supply Side Model Workstream – Prof D Willmot

• Demand for Dental Treatment Workstream – Dr S Gregory

• Skill Mix Workstream – Dr B Cockroft

• Specialty Review Workstream – Prof C Franklin

• Review of Oral Surgery Workstream – Prof N Wilson

• Foundation Training Workstream – Mr J Read