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Primary Care Workforce for 21st Century
Wednesday 27 May 201512.30pm – 1.30pm
Sharon LeePrimary Care Workforce Facilitator, South Kent Coast CCG
&Beverley Matthews
LTC Programme Lead, NHS Improving Quality
#LTCImp
Bev MatthewsA nurse by background, Beverley has worked extensively throughout the NHS in a variety of clinical, managerial and strategic roles. Beverley’s current role as Programme Delivery Lead for Long Term Conditions Improvement Programmes: LTC Year of Care Commissioning Model and LTC Framework. Prior to joining NHS Improving Quality in April 2013, Beverley was Director of NHS Kidney Care and NHS Liver Care.
Passionate about service transformation through developing networks and leading complex programmes. Providing strategic leadership to partners within health communities, managing stakeholders and working across agencies.
Sharon LeePrimary Care Workforce Facilitator, South Kent Coast CCG
Nurse by Background for over 30 years in a variety of setting including Primary Care. Queens Nurse. More recently working on the LTC QIPP Programme and NHSIQ LTC Programme
Meet the Speakers
#LTCImp
Beverley Matthews
LTC Programme Lead
NHS Improving Quality
#LTCImp
LTC Year of Care Commissioning Developing a Year of Care Capitated Budget approach for those with Complex Care Needs
• 5 Early Implementer sites
• 35 Fast Followers
• Whole Population Datasets
• Implementation Guide
• Simulation Modelling
• Specialist Support Team
#LTCImp
LTC Person Centred Care:Delivering Person Centred Care for People with LTCs
• 40 Early Adopter sites
• 4 regional learning networks
• Snapshot Survey
• Simulation Modelling
• Specialist Support Team
LTC Learning CommunityEstablishing a Virtual Community for All to Share and Learn
• LTC Dashboard
• Case Studies
• Lunch and Learn Series
• The Bulletin
• Specialist Support Team
@NHSIQ @bev_j_matthews #LTCimp #LTCyearofcare
To request registration details contact [email protected]
Date Webinar Hosted by Bev Matthews &4 June 201512.30 – 13.30
Manchester Fire & Rescue – Prevention Home Checks
Peter O’Reilly & Geoff HarrisManchester Fire & Rescue Service
9 June 201512 noon – 1pm
Barking Havering & Redbridge Complex Care Model: Health 1000
Rob MeakerBarking, Havering & Redbridge
LTC Lunch & Learn E-SeminarsEstablishing a Virtual Community for All to Share and Learn
#LTCImp
SKC CCG Primary Care in 21st Century
Sharon LeePrimary Care Workforce Facilitator
&Wendy Cunningham, Student NurseJulie Willis Practice Nurse, Mentor
Issues facing us Fewer Doctors and Nurses going into Primary CarePart Time working Lack of skills in wider community Lack of Workforce Analysis Lack of Training Practices Increasing demand on services Increased workload in general Shift of Care to a ‘out of hospital focus’ Skill base not following Lack of resources Funding flowsAgeing workforceAnd so on……………………………
Prim
ary
Care
in 2
1st C
entu
ry
Primary Care
Workforce
Skilled and Flexible
Primary Care Workforce
Stable Primary Care
Skills and Competency Framework
Sept 2014 ……………………
Prim
ary
Care
in 2
1st C
entu
ry
Scope current
workforce/ skills
Skilled and Flexible
Primary Care Workforce
Workforce planning
Development of Bespoke Skills Framework and
Deliverables
GP Workforce Analysis
Increased Training Practices
Integrated Health and Social Care Apprenticeship Programme
SKC Bank for Primary Care Nurses
SKC GP Trainee Induction Programme
SKC Pre Reg Student Nurse Placements
SKC Primary Care Nurse Web Based Intranet Resource
Work Experience Placements for Local Schools in Health and Social Care
Clinical buddy /Peer Mentoring System for Nurses
Appraisal Toolkit for all Nurses
Workforce Initiatives Directory
Integrated Community Education Provider Network
SKC Domiciliary Care Training Initiative
Clinical Skill base for Primary Care Staff
Return to Medicine/Nursing Initiative in Primary Care
Young GP Forum
PN Forum
Preceptorship Programme for Primary Care Nurses
Competency Framework/Training for Safe Care Out of Hospital
Awareness Training, no competency base. Experiential Learning
Key to Index:
Supportive
Basic
Complex
Advanced
Desirable Skills
Wounds Band 3 Band 4 Band 5 Band 6 Band 7 Band 8aWound assessments Basic Complex Complex Complex AdvancedWound dressings Basic Basic Complex Complex Complex AdvancedClip Removal/Sutures Basic Yes Yes Yes AdvancedPressure area risk assessment Yes Yes Yes Yes Yes YesProvide pressure area care Basic Basic Complex Complex Complex AdvancedLower limb assessments Basic Complex Complex AdvancedDoppler assessments Yes Yes Yes AdvancedCompression therapy Basic Complex Complex Complex AdvancedLymphodema assessments Basic Basic Complex AdvancedLymphodema bandaging Basic Basic Complex AdvancedNegative Pressure Wound Therapy Basic Complex Complex Advanced
End of Life Band 3 Band 4 Band 5 Band 6 Band 7 Band 8aEnd of life care Supportive Supportive Supportive Supportive Supportive Advanced
Respiratory Band 3 Band 4 Band 5 Band 6 Band 7 Band 8a
Inhaler technique Demonstrate and Assess Demonstrate and AssessDemonstrate and Assess/Educate
Demonstrate and Assess/Educate
Demonstrate and Assess/Educate Advanced
Spirometry Basic Basic Complex Complex Complex Advanced
Blood Gases Basic Basic Basic Complex Complex AdvancedBIPAP/CPAP Report issues Report issues Report issues Regularly manage pt. Regularly manage pt. AdvancedLong term oxygen Report issues Report issues Report issues Regularly manage pt. Regularly manage pt. AdvancedNebuliser Treatment Yes Yes Complex Complex Complex Advanced
Awareness Training, no competency base. Experiential Learning
In house/ Outside Provider Competency Based Short Course
Modular Accredited Course
Level 7/MSc Level
Next Steps…….
Integrating Practice, Nurses embedded and all working across the Community and General Practice as Primary Care Nurses
Integrated Shared Learning through Community Education Provider Network
Development of Physician Associate Role
Summary
Established ‘Workforce Transformation Framework’ to inform/identify workforce solutions and service integration at a provider, commissioner and system level that is co-developed through ICO and produced with HEI underpinned by the workforce information architecture and potential minimum data set. (i.e H.S.C.I )
Competent and Capable Staff by ensuring effective workforce planning through close work with the Education Boards/CEPN alongside Self -assessment and critical peer analysis (Forums)
Scope local, regional, national and international models to implement the appropriate workforce solutions (ie Queens Nursing, NMC, CQC, NHSE)
Flexible workforce skill mix and educational strategies responsive to research and innovation that recognise the changing way in which healthcare, public health and care services need to be delivered in the future
To request registration details contact [email protected]
Date Webinar Hosted by Bev Matthews &4 June 201512.30 – 13.30
Manchester Fire & Rescue – Prevention Home Checks
Peter O’Reilly & Geoff HarrisManchester Fire & Rescue Service
9 June 201512 noon – 1pm
Barking Havering & Redbridge Complex Care Model: Health 1000
Rob MeakerBarking, Havering & Redbridge
LTC Lunch & Learn E-SeminarsEstablishing a Virtual Community for All to Share and Learn
#LTCImp