General Practice
HEKSS GP Practice Managers
Meeting
November 2014
Programme
General Practice
•
•
•
•
•
•
Updates
Hot Topics
Sharing Good Practice
Enhancing communication
Primary Care Workforce Development
GP Trainer Approval
2
Updates (1)
General Practice
• HEKSS
London / KSS
MD Julie Screaton
DEQ Professor Liz Hughes
KSS
MD Phillipa Spicer
Postgraduate Dean Abdol Tavabie
3
Quiz
General Practice
4
What’s hot for you?
General Practice
5
Updates (2)
General Practice
• GP Training
– Recruitment to GP Training
– Registration on National Performer List
– Safeguarding
– Enhanced ST3 programme
– CCG Placements
– Broad Based Training
– Training Practice Change of Circumstance
6
Enhanced ST3
General Practice
• Opportunity to enhance skills: leadership,
management, education, clinical
• 3 extra months in ST3 to 3.11.15
• Passed AKT 70% and pass CSA by Feb 15 at
latest
• Extra 30 days study
• Peer Learning set
• Quality Improvement Project
• 11 recruited with further round Dec 14
7
Finance
General Practice
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•
•
•
•
Trainer Grant Payments
Overlaps
Trainer CPD
Support for ST1/2
Trainee Study Leave
• Tariff
8
GMC
General Practice
• HEKSS being visited March-June 2015 as part
of the GMC Quality Assurance Process
• Review of the whole continuum of medical
education
– Brighton Medical School
– Samples of Acute Trusts
– HEKSS
• GP is one of the specialities being reviewed
9
Trainee Revalidation
General Practice
• Trainee Revalidation: at 5 years / CCT
• Responsible Officer (Postgraduate Dean) makes
recommendation to GMC
• Triangulation of Data to support recommendation
– Trainee Self declaration (Form R)
– Trainer ES Review
– Exit Reports
• Significant Events
• Sickness / Leave Reporting
10
Managing Concerns
General Practice
• Trainee Performance
– Conduct / Capability Concerns / Health / Disciplinary
– Lead Employer leads process but GP School to be informed to
review impact on education / training
• Trainee Concerns
– Employment Concerns, Bullying / Harassment/ Grievance
– Lead Employer leads process but GP School to be informed to
review impact on education / training
11
Health Education Kent Surrey
Sussex?
General Practice
• One of 13 Local Education Training Boards (LETBs) in
England formed as consequence of Health and Social
Care Act (2012)
• Part of Geographic Grouping with London’s 3 LETBs
• Geographic Managing Director, Finance Director and
Director of Education and Quality
• Local Managing Director – Philippa Spicer
• Postgraduate Dean
• Board – comprised Service Providers (Acute /
Community) HEIs and LMC
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Communication
General Practice
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HE KSS
From This
To This
Patient
care
groups
Healthcare
Scientists
Pharmacy
Integrated
Education
Strategies
Nursing
Medicine
Bands
1-4
GPs
Evaluated
Dentistry
AHPs
Service
Redesign
Evidence
based
What do we do?
General Practice
• Improve patient care through education and
training workforce – HEE Mandate
• Current Workforce CPD
• Identify local priorities
• Plan and commission education
• Skills Development Strategy
• Medical, Dental and Pharmacy Training
• Recruitment
• Quality Management Programmes / Environment
• Support commissioners / Providers with Future
Workforce Planning
15
General Practice
Primary Care
Workforce Development
Nurses in Training
General Practice
• Less 1% nurses in training
undertake a GP / Primary Care
placement
• HEKSS led 4 HEIs to develop
pre-registration placements for
nurse students in GP
• Placements 20 days over 12
week period
• Supported by Practice Nurse
Mentor
• HEKSS seeking to recruit 240
Nurse Mentors
17
Nurses in Training
General Practice
• Mentor Training:
• 5 days at any of the 4
participating Universities
• Those who have had
mentor training in the
past may APEL and
reduce training (3 days)
• Course FREE to nurse
and practices
• £600 to support backfill
• £90/week /student
18
Nurses in Training
General Practice
• Practices Interested?
• Contact Primary Care
Workforce Tutor for your
CCG (see resource pack)
• Nick Barry-Tait
• NBarry-Tait@kss.hee.nhs.uk
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Practice Nurses
General Practice
• Practice Nurse Pathway:
• Common programme across 4 HEIs
• For Nurses new or within 6 months of starting work in a
GP setting (have to be already employed by practice)
• Attendance at 6 days formal teaching in HEI +
• Attendance at 4 days for locally determined specialist
development
• Rolling registration
• Couse FREE (CCG supported via CPD monies)
• No backfill
• 60 placements commissioned
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Paramedics
General Practice
•
•
•
•
•
•
•
8 week placements in GP
Focussed on clinical assessment skills
And communication skills
Familiar assessments
Very positive about visiting
Trainer grant payable
Likely to roll out nationally soon
22
Apprenticeships
General Practice
• National Skills Academy for Health
• Health Care Assistant Apprenticeships
• HEKSS – writing to practices
23
Educational Support
General Practice
• Newly qualified GPs and Practice Nurses
• Facilitated Peer learning sets
– Long Term Conditions
– Complex Patients
– Multi professional Working / Learning
• Planning to start Jan 2015 – facilitator training
• GPs Mentoring Scheme
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The Future
General Practice
• The “Future Hospital”
• Shape of Training
– Developing the Generalist
– GP Training – The Fourth Year
• Service Redesign
• Pharmacy / Primary Care Initiative
• A new workforce – Physician’s Associates
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Workforce Planning
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GPs make up around 20% of the Primary and Community
Services Workforce
Qualified Nurses, Consultants and GPs in Health and Care
Workforce
2012
FTE
•
•
•
•
•
2005
%
FTE
%
Hospital Based
275590 62.8%
267007 62.1%
Primary & Community Based
163280 37.2%
162883 37.9%
All Medical & Nursing
438870
429890
75.8% of the community and primary care professional workforce are nurses.
GPs represent 19.9% of this workforce and AHPs 4.3%.
These figures do not include the pharmacy workforce as there is currently no reliable measure
The setting of care in which Consultants, GPs, and qualified nurses practice has remained broadly static
over the past seven years. Currently this is 62.8% in Hospital and 37.2% in community & primary.
Rapid growth in the community nursing workforce has been offset by the growth in the hospital
consultant workforce.
How do you compare?
General Practice
• Accurate / Real time Intelligence needed to
better inform what numbers and what workforce
is trained
• GP Workforce Tool
– Area Teams and LMCs supportive
– Kent / Medway practices letter imminent
– Some time to set up but simple to use and training
available
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General Practice
• Dummy Workforce Tool:
http://gp.nhsworkforce.co.uk/
• Username: admin
• Password: admin
29
CEPN
General Practice
• You Tube http://youtu.be/RvNKhot2u94
30
Community Education Providers Network
(CEPN)
General Practice
Academic
input from
AHSN& HEIs
Third
sector
Local
Authority
Other
providers
Population
Specialist
training
& placements
Palliative
Care,
mental
health
CCG
alignment
Public
health
–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
Community Education Providers Network (CEPN)
Social Services
Paramedics
Pharmacists
Community Consultants
Community Services
Teaching & innovative
practices and smaller
GP surgeries
REGISTERED
PATIENTS
CS
A centralised unit,
Within which services
Maintain autonomy
Cc
SS
Ph
What will CEPN do?
General Practice
• Provide placements for student nurses in practices in
conjunction with HEIs
• Provide practice nurse training placements for postgraduate
nurses or nurses working in other sectors to convert to
practice nursing
• Subsequent phase- HCA training
• Paramedic student placements
• Community pharmacy student placements
• Placements of Physician Associate to learn about primary
care
• Team based education/training to support workforce
development to deliver patient services responsive to the
needs of the local population
Trainer Approval
General Practice
• Update on national process
• Support for visits to new training practices
– Thank you for support
– Increase in remuneration to £170 + travel
– We need more volunteers
• Educator Pathway Update
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