MENU FOR PRACTICE MANAGEMENT DEVELOPMENT Over the past 2 decades, there have been greater expectations and demands on the Practice Manager and their professionalism, capabilities, knowledge and skills. This has been driven by the increased awareness of the need to improve quality across health care. If Practice Managers are to meet the challenges of the ever-changing NHS, they have to be more competent than ever before and have the knowledge and skills to deal with the quantity, chaos and complexity of information relevant to the Practice Manager’s eclectic role and responsibilities. There are concerns about information overload and the fear of “not knowing what you don’t know” and anxiety of “knowing what you don’t know” and not knowing how or where to find the information or someone with the knowledge. In this profession, “Ignorance is bliss” is not a wise state to be in. Effective Practice Managers and Leaders don’t have to keep knowing “more stuff”, but they do need to know which “stuff” matters. They also need to develop Leadership Wisdom, which is not a “mental encyclopaedia of facts”. According to Meacham (1983)1, Wisdom is the awareness of the limits of one’s knowledge. Wisdom has the humility to recognise that the “more one knows the more one knows that one doesn’t know” and recognises that learning is not confined to specific places and times in our lives but embraces self motivated, lifelong learning. “Knowledge, wisdom and experience are your real possessions, which fire cannot burn, nor can a thief steal." The Naladiyar Marion Foster 1 Updated March 2013 Meacham, J. A. (1983). Wisdom and the context of knowledge: Knowing that one doesn’t know. In Deanna Kuhn and John A. Meacham. (Eds.) On the development of developmental psychology. Basel; New York: Karger, 111-134. © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Frequently Asked Questions Q. Where do we find out what we don’t know? A. “The Menu for Practice Management Development” Learning Needs Analysis (LNA) tool Q. How did you know what to include in the “Menu for Learning”? A. We researched the following: 1. The General Medical Services Contract (2003/4) Annex B and C: Contractual and Statutory Requirements and the Competency Framework for practice management which sets out three levels of knowledge and skills which should be available to General Practice. The Menu for Learning is structured using the headings of this Framework Annex B Annex C 2. Institute of Healthcare Management (IHM) Competence Framework. This Framework is derived from three main sources: the Knowledge and Skills Framework (KSF)1, the Leadership Qualities Framework (LQF)2 and the generic standards produced by the Management Standards Centre (MSC)3. 1. Knowledge & Skills Framework: Department of Health, 2004, (retrieved 22 March 2012) 2. Leadership Qualities Framework, Modernisation Agency Leadership Centre, (retrieved 22 March 2012) 3. Management Standards, Department for Education and Skills, 2004, (retrieved 22 March 2012) 3. NHS Scotland Quality Strategy, 2010: Clinical and Staff Governance for General Practice in Scotland. Clinical and Staff Governance are key components of the delivery of high quality care. NHS Scotland Quality Strategy, 2010 Q. There is so much! How can we manage this learning? A. Carry out an LNA by completing the following tool with your trainer then prepare your Learning Plans. See “The Learning Contract” and example learning plans. Q. How can this relate to my Portfolio? A. The contents of your Portfolio should be organised under the headings of the IHM Competency Framework. You should have three examples of evidence for each Competency. (See further guidance on preparing your portfolio in the Trainee Handbook). The information gleaned from the LNA tool and the Learning Plans, will inspire and aid the organisation of your Portfolio. © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Resource Headings MENU FOR PRACTICE MANAGEMENT DEVELOPMENT 1. General Medical Services Contract (2003) Annex C: Competency framework for practice management 1. Practice Operation and Development 2. Risk management and assessment 3. Partnership Issues 4. Patient and Community Service 5. Finance 6. Human Resources 7. Premises and Equipment 8. IM&T 9. Population Care PORTFOLIO 2. Institute of Healthcare Management (IHM) Competence Framework. 1. Communication and working with others 2. Managing Risk 3. Optimising Resources Optimising the richness and diversity of the workforce Optimising physical and financial resources Optimising IT and Information resources 4. Leading Change Organisational change Service development Improvements in quality 5. Developing oneself and others 6. Working with People Leading and building teams Assigning work to colleagues Recruitment, selection and retention of people Monitoring and assessment of performance © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. LEARNING NEEDS ANALYSIS – THE PROCESS The LNA will help to determine the gap between existing skills, knowledge and abilities of the trainee and identify the Learning Objectives and set Goals, develop Learning Plans and Tutorial Program. Adults learn better, when they can see a reason for a programme of study and its relevance. The Menu for Learning is the resource identifying knowledge and skills relevant to the role of the effective Practice Manager. Why conduct a LNA? A LNA will help: Identify what skills and knowledge the trainees already have Highlight skills/knowledge/competencies that need developing and prioritise them Identify clearly what trainees wish to achieve Outline and define expectations and goals Determine what can realistically be achieved given the available resources Identify any obstacles or difficulties which may arise Increase the sense of ownership and involvement of the trainee Identify the content that best suits trainees needs Determine what is the most appropriate delivery format Determine what skill set and knowledge base is required of the tutor Develop a budget and cost benefit analysis Establish when is the most suitable time to deliver the tutorial and over what time frame Ascertain the most suitable evaluation mechanisms Outline what results can be expected and if/how these can be measured APPROACH Identify Competencies The LNA is the process by which individual learning and development needs are established. The information gathered will assist in identifying and addressing tasks, skills and knowledge gaps required to meet the individual’s personal and professional needs, now and in the future. The data will be used to form key elements of the Learning Program and produce an overall knowledge and skills report. © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. The Method The following LNA tool is designed to be conducted as discussion on a one-to-one basis between Trainer (Mentor) and Trainee (Mentee) and when appropriate the Trainee’s Practice Manager. Consider and record your perceived level of competence and on completion return to the beginning and prioritise the learning needs. Take into consideration the training programme topics which will already dictate prioritised learning and be timetabled. You may then be able to plan and programme your tutorial topics Learning Needs Analysis (LNA) Report Following the completion of the LNA tool, you will have produced a Report to be used to identify the prioritised objectives. Learning Plans The Learning Plans will ensure the Program is developed to meet the prioritised needs identified in the LNA Report. Evaluation & Assessment Approach Evaluation & assessment is demonstrated by compiling evidence of learning in the Trainee’s Portfolio, Reflective Diary and the Trainer’s report. VTS CYCLE OF LEARNING © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. LEARNING NEEDS ANALYSIS SCORING GUIDANCE AND PRIORITISING 0 = Unconscious Incompetence You don’t know what you don’t know and are unaware that you don’t have the knowledge or a particular competence. It is possible that your confidence may therefore exceed your abilities You may neither understand nor know how to do something You may deny the relevance or usefulness of the new skill and not have a desire to do anything about it. You must become conscious of your incompetence before development of the new skill or learning can begin The aim is for you to move into the 'conscious incompetence' stage (Score 1), with understanding of the benefit that it will bring to your professional effectiveness Even though you have scored a topic at 2 or 3, you could also be 0 without knowing e.g. Employment legislation. When new legislation is introduced, you have to have a safety net in place to alert you and move from Score 0 to 1. 1 = Conscious Incompetence You now know what you don’t know You realise that there is a gap in your knowledge or skill base Consider whether this learning is a priority this year Where does it rank compared to other areas that you have scored 1 and 2? Do you just need to be aware of this area and stay at Score 1 and empower another colleague to be at Score 2 and 3? Is this a realistic priority? Is there a training opportunity; are you able to resource the information for self directed learning? Will you have the opportunity to practice your new knowledge and develop the relevant skills? What level of skill is required for you to effectively carry out you role. 2 = Conscious Competence You understand or know how to perform the skill without assistance. Able to demonstrate the skill or knowledge. Requires consciousness and concentration. You have the opportunity to use this new knowledge and develop the relevant skills further? Practice is the single most effective way to move from Score 2 to 3. 3 = Unconscious Competence You have had so much practice with a skill that it becomes "second nature" and can be performed easily (often without concentrating too deeply). You can be unaware that you know what you know This level arguably gives rise to the need for long-standing unconscious competence to be checked periodically against new standards You may or may not be able teach it to others, depending upon how and when it was learned. Prioritise – After carrying out the scoring exercise return to the start of the list and use this column to identify your agreed priority areas for further learning or tutorials. © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Practice Operation and Development Double click on number at Left Hand Side to be directed to links for supporting resources Key: General General Medical Services 0 1 2 3 Prioritise General Dental Service 1 The General Medical Services (GMS) Contract, the General Dental Services Regulations and other contracting arrangements: 2 Understanding the NHS organisation: The internal and external organisations 3 Awareness of Local and National Health Policy and Targets 4 Understanding effective communication within the NHS 5 Understand the principles of Care Pathways and how to facilitate process 6 Awareness of relevant National Legislation and how to be aware of and implement changes 7 Strategic Management and practical application of theory 8 Change Management and practical application of theory 9 Project Management: Techniques and practical application of theory 10 Information and Knowledge Management: analysis; models and processes; resources; acquisition, organisation and use 11 Writing Development Plans/Reports 12 Organisational Culture and Practice Policies and Procedures. © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 13 Meeting Management and Facilitation skills 14 Ethical Practice and Professional Standards. 15 Clinical and organisational audit 16 Development and Innovation in the workplace. 17 Time Management Risk Management and Assessment 0 1 2 3 Prioritise 18 Clinical and Staff Governance issues and Statutory requirements 19 Best Practice in Health, Safety and Security 20 Ensure compliance with statutory requirements and best practice 21 Develop policies and monitor/evaluate effectiveness 22 Risk assessment. Risk Management process, policies and strategy 23 The Organisational Culture, Practice Policies and Procedures. 24 Building and sustaining a Safety Culture promoting Quality Improvement 25 Risk Safety and Quality Improvement Methodologies 26 Occupational Health Processes. Statutory requirements. 27 Managing Poor Performance © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 28 Appraisal/mentoring/coaching/training process 29 Disaster Planning. Business recovery and continuity planning, Insurance. 30 Infection control 31 Confidentiality and disclosure - policy and legal requirements 32 Misuse of Drugs Act 1971. Medicines Act 1971 Understand the management of controlled drugs, emergency drugs and other treatments. Partnership Issues 0 1 2 3 Prioritise 33 The General Medical Services (GMS) Contract, the General Dental Services (GDS) Regulations and other contracting arrangements 34 Statutory requirements and partnership options 35 Partnership agreements - Governance in Partnerships – Partnership disputes 36 Partnership Changes and Recruitment 37 Partnership Finance and Taxation 38 Continuing Professional Development (CPD) requirements, GP Appraisal, Revalidation 39 Duty of Care – Good Practice - GMC 40 GMC and Defence Union Resources 41 GP Time management – Rotas, Capacity and Demand etc. © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 42 Non Principals, Salaried, Retainer, Locums 43 Partnership meetings Patient and Community Service 0 1 2 3 Prioritise 0 1 2 3 Prioritise 44 Reception Services and Practice Administration. Promoting the rights of Patients 45 Patient Involvement 46 Patient Information, Practice Leaflet, Website, Waiting Room, Freedom of Information Act etc. 47 Services and Health promotion 48 Managing patients and outside agency complaints, conflict resolution 49 Patient Protection including those with Capacity and Child Protection. 50 Advance Directives – Adults with Incapacity Act – Power of Attorney etc 51 Value of professional working relationships with peers and colleagues from other practices other external organisation. Finance 52 The role of the bank, lawyer and accountant 53 The General Medical Services (GMS) Contract, the © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. General Dental Services Regulations and other contracting arrangements 54 Private Fees and Services 55 Partnership Agreement 56 Practice Accounts Establish processes and ensure financial/security control. Petty cash - Develop and operate systems to monitor and record transactions Payroll and pensions Monthly Invoices, Receipts and Accounting Claims, Targets and Quarterly payments (Practitioner Services Division (PSD)) Annual accounts Financial Planning, Managing annual budgets. expenditure, deficiency registers and financial risk Drawings and Personal taxation 57 Practice Development Planning. Workforce Planning and budgeting 58 Business Case Development. Resource Negotiation. Plan, implement, monitor and review acquisitions. Allocation and management of financial resources 59 Understanding and Monitoring all relevant insurance and ensure cover is in place – building, practice, legal, locum, tax etc. Human Resources 0 1 2 3 Prioritise 60 Workforce Planning: Workload analysis, workload planning, evaluating effectiveness, skill mix review © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Personal Development Plans. Commission/facilitate training 61 Team working and skill development 62 Leadership v Management. Styles. Emotional Intelligence. Organisational culture. 63 Recruitment and selection, Induction and training 64 Performance review, mentoring and appraisal. Giving effective feedback 65 Developing oneself and contribute to the development of others: Mentoring, coaching and counselling. Pastoral care. 66 Promotion of health and wellbeing and prevention of adverse effects on health and wellbeing 67 Recognising others learning needs 68 Conflict and dispute resolution, assertiveness 69 Employment practice Premises and Equipment 0 1 2 3 Prioritise 70 Service Level Agreements 71 Business case development. Resource negotiation. Plan, implement, monitor and review the acquisition, allocation and management of financial resources 72 Monitor and evaluate all insurance and ensure cover is in place – building, practice. 73 Equipment and Facilities management and maintenance © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 74 Security 75 Project Management (equipment/premises) Utilise project management techniques to ensure smooth running and completion of project 76 Value of professional working relationships with peers and colleagues from other practices and other external organisation. 77 Finance – SFE - improvement grants – premises development opportunities – Private Investment IM&T 0 1 2 3 Prioritise 1 2 3 Prioritise 78 Awareness of National Legislation and how to be aware of and implement changes: Data Protection Act, Access to Health Records, Caldicott Guardianship and the Principles, Confidentiality and disclosure. 79 IM&T physical security and risk assessment 80 Developing IM&T Expertise – Using data as a management tool. Quality data. 81 Information and Knowledge Management Population Care 0 82 Health Needs Assessment 83 Service Performance and Prioritisation 84 Strategic Management © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Additional Subjects 0 1 2 3 Prioritise 85 Professional Development 86 Awareness, Politically, Economically 87 Marketing © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. THE LEARNING CONTRACT What is a Learning Contract? A Learning Contract is a written document that draws the mentor and trainee together in taking equal responsibility for the Learning and Development. The trainee, an active partner in the process is involved in the development of the learning contract. Learning needs, objectives, resources and strategies are identified in a partnership between mentor and trainee and written into the contract. In this way, the trainee develops a sense of ownership and commitment of their own training. If appropriate, the trainees practice manager should also be involved in the process and sign the contract. Purpose of a Learning Contract. A learning contract is multipurpose tool that benefits both the trainee and the mentor. It can lead to more effective training because it provides: An opportunity for the trainee to clarify and prioritise what has to be accomplished prior to, during, and after the training. Pre-event preparation for a training course, highlighting objectives and methods. A useful mechanism for reassuring both parties about whether a planned piece of work will meet the requirements of the course. A tool to record the learning journey of the course. A working/living document. As new learning is recognised this is also added to the plan. Be part of the portfolio as a record of learning journey. Developing the Learning Contract. Using the Learning Contract Form, the mentor and trainee should outline their learning objectives and allow plenty of time for the trainee to complete the form. Set realistic goals and objectives. Objectives: learning is enhanced by establishing a clear vision of what you want to learn and by creating indicators that can be used as evidence of accomplishment. The forms should be completed by the trainee and signed by both the trainee and the mentor at the completion of the learning period. © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. The Learning Contract Contains The Following Sections: Competency Areas – Identify which Curriculum Competencies are being addressed. Learning Needs – Using the Learning needs analysis provides an opportunity for the trainee to identify and prioritise their learning areas. It is probably best to focus on no more than three skill areas at a time. Knowledge / Abilities Needed - this section of the contract helps the trainee focus on exactly what it is about the identified skill areas that they want to learn. This should be stated on the contract in the form of specific objectives. Resources and Strategies - a valuable section, which the trainer can use to determine an appropriate mix of training techniques. Would the trainee find formal training, different environment, equipment, reading materials or practical experience more useful? Barriers - often there are situations, events, or attitudes that interfere with learning. Giving space to identify those problems here will lead to more effective training later on. Settings - identify the settings which the trainee expects to apply and/or practice the skills they wish to learn. Using these "real life" examples in the training makes it much more meaningful. Timescale – set a realistic timescale for each part of the process using project management tools. Evidence of Accomplishment - For each skill area, the trainee should list indicators they can use as evidence that they have mastered the skill. The more specific the indicators, the easier it will be to evaluate whether or not they have accomplished what they set out to learn. Using the Learning Contract. Whilst the process of drawing up the contract is valuable, the document itself is a working document and is vital in planning and executing the training. The learning contract describes the most effective training for the trainee. The trainee can work through the training contract, safe in the knowledge that the training is tailored to their needs, however during the process both the mentor and trainee's notions about the training may change and the contract may be revised or renegotiated. When each formal training session is completed, look back at the "evidence" section of the learning contract. Have the objectives been met, or is further training needed? © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for noncommercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Example1 LEARNING CONTRACT BETWEEN …………..AND …………. LEARNING PLAN:………………………………………………….. Competency Areas Relates to which IHM Curriculum Competencies Learning Need List specific problem situations Knowledge/ Abilities Needed What do you want to learn? Settings Where do you expect to apply and practice skills? © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Barriers What might interfere with meeting your objectives? Resources and Strategies How will you learn? What will you need to help you? Evidence of Accomplishment How will know when you have met your objectives? Time scale When will you process deliver. start, you prepare, (trainee) (mentor) (manager) (date Signed: © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Example 2 GPM VTS Learning / Development Plan for ………………….. Competency area Learning Objective identified How will learning be achieved from …………… to …………………. Timescale Further training required Communication and working with others Risk management Optimising resources Leading change Developing oneself and others Working with people © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Hyperlinked Resources: If you have suggestions to add to the resources or can report if any links are no longer valid, please email: mfoster1@nhs.net 1 The National Health Service (General Medical Services Contracts) (Scotland) 2004 From above link to view amendments to the 2004 Contract insert “National Health Service (General Medical Services Contracts) (Scotland)” in Title box and Search BMA Contractual Guidance for Independent Contractors - log in required GMS Contract up to 2005 Annex A, B, C, D General Medical Services (GMS) – to date Statement of Financial Entitlements (SFE) 2012/13 Scottish Government The National Health Service (General Dental Services) (Scotland) Regulations 2010 Statement of Dental Remuneration 2011 – 12 Practitioner Services: Your guide to allowances, payments and grants 2010 – 11 2 NHS Scotland An Analysis of the Dental Workforce in Scotland: A Strategic Review (2010). Our National Health (2000) 3 Better Health, Better Care (Scottish Government, 2007). The Healthcare Quality Strategy for NHS Scotland Delivering Quality in Primary Care: Action Plan (Scottish Government, 2010). The Healthcare Quality Strategy for NHS Scotland (Scottish Government, 2010). Scottish Patient Safety Programme (Scottish Government, 2010). © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Quality Education for Scotland Strategic Framework 2011-2014 (NES, 2010). Delivering Quality Through Leadership: Delivering Quality Through Leadership (NES, 2009) Childsmile Partnership for Care (2003) Improving Oral Health and Modernising NHS Dental Services (2005) An action plan for improving oral health and modernising NHS dental services in Scotland (2005) Scottish Executive. Building a Health Service fit for the future. A national framework for service change in the NHS in Scotland Scottish Executive, (2005). Delivering for Health. Scottish Executive, (2005). Dental Action Plan 4 Communicate effectively with individuals and groups, and act as a positive role model – NHS Leadership Knowledge & Skills Framework: Department of Health - Communication Information Sharing between NHS Scotland and the Police 5 What are Integrated Care Pathways? National Patient Pathways Guidelines and Care Pathways 6 Annex B: Contractual and statutory requirements Clinical and Staff Governance for General Practice in Scotland © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Dispensing Doctors’ Association Practice Support Manual (NES: Scottish Dental Clinical Effectiveness Programme) Dental Registration Dental Non-limited registration 7 Strategic Management What is Strategic Management Business Survival Toolkit 8 Developing Change Management Skills Change Management Applying Change Management Techniques online Change Management Leadership Guide Critique: Kotter’s 8-stage Change Model Kotter Principles & Webcast – Change Theorist A Literature Review on Team Leadership Interactive Leadership :Free Download ‘Inside the Mind of a World Class Leader’ Culture and Organisational Change. BPR (Business Process Engineering) Best Practices In Change Management: Example of academic writing Learning from Change: NHS Institute for Innovation and Improvement Quality and Service Improvement Tools: NHS Institute for Innovation and Improvement Business Survival Toolkit 9 Project Management Guide © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Process Mapping Lean Thinking: NHS Institute for Innovation and Improvement 10 Understanding Knowledge Management Knowledge Management—Emerging Perspectives Hierarchies of understanding Data, Information, Knowledge, Wisdom: 4 models 11 Good practice when writing business planning documents HyperGrammer Business Survival Toolkit Harvard Referencing Guidance for evidence based writing 12 The Culture of General Practice Managing change in the culture of general practice: qualitative case studies in primary care trusts Organisational Culture Assessment Instrument 13 Facilitation Guides Meetings Management (Create Log in) also RCGP “Productive General Practice” resource 14 IHM Health Care Managers Code of Conduct based on the “Norland Principles”. Investors in People © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. List of Ethical Guidance (GMC) Practical Ethics for General Practice by Wendy Rogers Ethics in primary care: theory and practice Quality Initiatives (RCGP) Check the Register Model Chaperone Framework Ethical and legal aspects of practice (BDA) Standards for Dental Professionals (GDC) Maintaining Standards (GDC) Good Practice Scheme (BDA) Ethical and Legal Aspects of Practice (BDA) 15 Clinical Audit in Primary Care Practice Support Manual (NES: Scottish Dental Clinical Effectiveness Programme) 16 Thinking Differently Fresh Eyes – Seek Out and Use the Wisdom of Others Characteristics & Behaviours of Innovative People in Organisations: Literature Review Situational Outlook Questionnaire (SOQ) Lessons Not Learned About Innovation NHS Institute for Innovation and Improvement NHS Institute for Innovation and Improvement Creativity Techniques Authentic Happiness (Seligman) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Lean Thinking: NHS Institute for Innovation and Improvement 17 Time Management Beat Work Overload. Be More Effective. Achieve More 18 Clinical Governance and Risk Management - National Standards (Health Improvement Scotland) Clinical Governance (NES) Check the Register Good Medical Practice: Good clinical care Patient Safety in Primary Care Clinical And Staff Governance For General Practice In Scotland The Green Book (Latest information on vaccines and vaccination procedures) Practice Support Manual ( Scottish Dental Clinical Effectiveness Programme) Clinical Governance (BDA) 19 Health & Safety at Work Etc Act 1974 Model Infection Control Policies - Health Protection Scotland Healthcare Cleaning Manual National Specifications for Cleanliness: Primary medical premises NPSA National Patient Safety Agency Website NHS Innovation and Improvement – Superb resource to explore for tools and practical application of theory. Change, project management, Facilitators’ Handbook etc Register and access more. General Medical Council (GMC) Interactive case studies Practice Support Manual (NES: Scottish Dental Clinical Effectiveness Programme) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 20 GMS (Scotland) Regulations 2004 – Schedule 5, Part 1, Para. 8 Department of Health - Managing Medical Devices Royal Pharmaceutical Society – Fridge Temperature Monitoring Sterilization of Dental Instruments/Cleaning of Dental Instruments/ Decontamination into Practice (SCDEP) 21 To add Developing Policies and Procedures in Primary Care A Step-by-Step Guide to Developing Protocols (NHS Institute for Innovation and Improvement – required to register) Protocol Based Care (NHS Institute for Innovation and Improvement) 22 Managing risk (NES) Risk Register Guidance What is a risk register? Five steps to Risk Assessment (HSE) Health and Safety Regulation… (HSE) Model Chaperone Framework 23 To add Developing Policies and Procedures in Primary Care A Step-by-Step Guide to Developing Protocols (NHS Institute for Innovation and Improvement – required to register) Organisational Diagnostic Models Diagnosing Organisational Culture Cameron and Quinn Organisational Diagnostic Models Cameron and Quinn Online Culture Diagnostic Tool 24 Safety Culture (NES) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. What is an effective safety culture? Safety Culture Toolkit (Learning from other Organisations) The Heath Foundation, Inspiring Improvement 25 Safety and Improvement in Primary Care Fundamentals for Quality Improvement (NHS Institute for Innovation and Improvement) Significant Event Analyses Full Guide Significant Event Analyses Quick guide Evaluation of the Lean Approach To Business Management and its Use in the Public Sector Lean Thinking and Six Sigma : NHS Institute for Innovation and Improvement A Journey of Excellence in General Practice : Case study on Lean Thinking and Six Sigma Root Cause Analyses Root Cause Analysis (NES) PlanDoStudyAct Cycles Clinical Audit in Primary Care (RCGP) Practice Support Manual (NES: Scottish Dental Clinical Effectiveness Programme) 26 Promoting Good Health in the Workplace The Green Book (Latest information on vaccines and vaccination procedures) 27 Managing Poor Performance - ACAS Performance Management – The GROW Model Performance Management (FreeBook download) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 28 Mentoring Framework (NHS) Leadership Team Coaching – Productive General Practice Good Practice Leadership – NHS Education for Scotland, Knowledge Network (Athens Password) 29 Guidance on Business Continuity Management (2007) - Scottish Government GP Model Business Continuity Management Policy NHS Connecting for Health GP Template Business Continuity Plan NHS Connecting for Health Insurance Advice for Businesses –related documents - Association of British Insurers 30 Model Infection Control Policies - Health Protection Scotland GMS (Scotland) Regulations 2004 – Schedule 5, Part 1, Para. 9 Pandemic Influenza Guidance for GP Practices Sterilization of Dental Instruments/Cleaning of Dental Instruments/ Decontamination into Practice (SCDEP) 31 Data Protection Act 1998 NHS Scotland - NHS Code of Practice on Patient Confidentiality, 2003 GMC - Confidentiality Confidentiality and Disclosure of Health Information Tool Kit BMA 32 Misuse of Drugs Act 1971 Medicines Act 1971 Don’t mix it A guide for employers on alcohol at work © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 33 Primary Medical Services (Scotland) Act 2004 Advice Sheets (BDA) 34 GMS Contract up to 2005 Annex A, B, C, D 35 Partnership Agreement Guidance (BMA) Partnership agreements (BDA) Partnerships In Practice - The GP's guide to getting it right first time 36 Focus on Taking on new partners - BMA no logon required 37 Tax and Partnership doctors – BMA Logon required GP Pension - BMA logon required Scottish Public Pensions Agency - NHS Superannuation Scheme (Scotland) The General Practitioner's Income Tax Return. April 18, 1914- BMA or Athens Logon required 38 GMS (Scotland) Regulations 2004 – Schedule 5, Part 4, Para. 61 NHS (Primary Medical Services Performers Lists) (Scotland) Regulations 2004 - Schedule 1, Para. 3 (a) RCN: Regulation of Competence 39 BMA Doctors for Doctors Sick Doctor's Trust The Doctors' Support Network © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Support 4 Doctors GMC – Good Medical Practice 40 GMS (Scotland) Regulations 2004 – Schedule 5, Part 9, Para. 112 and 113 41 Demand and Capacity – A comprehensive Guide Treating Access Toolkit (RCGP) Productive General Practice Resources – Capacity and Demand The Business Planning Tool Kit: A Workbook for the Primary Care Team (Radcliffe Primary Care) Workload Analysis Tool 42 Primary Medical Services (Scotland) Act 2004 Table of Contents The National Health Service (Primary Medical Services Performers Lists) (Scotland) Regulations 2004 Non-principal General Practitioners: A NHS Resource (National Association of Sessional GPs) Locumships in general dental practice (BDA) Employing an assistant in general practice (BDA) Locum Rates (GP Publication and Medeconomics: Register for account) 43 Facilitation Guides (NHS Institute for Innovation and Improvement) Meetings Management – Productive General Practice 44 Decisions about Access to Medical Care (GMC) Using The GP Patient Survey to Improve Patient Care: A Guide for General Practice How to Create a Patient Satisfaction Survey © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Patient Satisfaction Audit 45 Consent: Patients & Doctors Making Decisions Together (2008) - GMC GMS (Scotland) Regulations 2004 – Schedule 5, Part 9, Para. 112 and 113 Primary Medical Services (Scotland) Act 2004 – Table of Contents Information Governance policy: Caldicott Guardians Consent: Patients & Doctors Making Decisions Together (2008) - GMCScotland) Regulations 2004 - Part 7, Schedule 1, Para. 8 Consent Tool Kit (BMA) Patient Participation Groups in Primary Care - BMA 46 The British Dental Health Foundation Reviewing a practice leaflet 47 The Green Book (Latest information on vaccines and vaccination procedures) 48 GMS (Scotland) Regulations 2004 – Schedule 5, Part 6, Para. 82-87 The Patient Rights (Complaints Procedure and Consequential Provisions) (Scotland) Regulations 2012 Dental Complaints Service 49 Patient Rights (Scotland) Act 2011: Factsheets and Leaflets Protection of Children (Scotland) Act 2003 GMC - 0 -18 years guidance Medical Treatment for Adults with Incapacity Children and Young People Toolkit (BMA) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Good Practice in Consent Implementation Guide: Consent to Examination or Treatment Dept of Health Reference Guide to Consent or examination or treatment,2nd Ed 2009 Dept of Health Domestic Abuse BMA Guidance Consent Tool Kit (BMA) 50 Adults with Incapacity (Scotland) Act 2000 Mental Capacity Act 2005: Deprivation of liberty safeguards - Code of Practice to supplement the main Mental Capacity Act 2005 Code of Practice The Protecting Vulnerable Groups (Scotland) Act 2007 (“the 2007 Act”) Order 2010 Protecting Vulnerable Groups (PVG) scheme Amendments 2011 (GDS) A Guide to Communicating & Assessing Capacity (2008) - Scottish Government No secrets: guidance on developing and implementing multi-agency policies and procedures to protect vulnerable adults from abuse Guidance: Developing and implementing Policies and Procedures to protect Vulnerable Adults from Abuse Dept of Health Sample Safeguarding Adults Policy Policy and Guidelines for Health Professionals on Advance Statements about Medical Treatment Advance decisions and proxy decision-making in medical treatment and research Advance directives / advance decisions (living wills) policy Safeguarding vulnerable adults - a toolkit for general practitioners - Need to log on to BMA website Consent Toolkit – BMA - no login required Principles of Patient Consent (GDC) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. 51 Scottish Practice Management Development Network 52 Managing Money for General Practitioners Finance for Dentists 53Practitioner Services Forms and Guidance Statement of Financial Entitlements (SFE) Focus on “How your Practice is Funded” (BMA) Statement of Dental Remuneration 2011 – 12 Practitioner Services: Your guide to allowances, payments and grants 2010 – 11 Payment Verification Procedures. Dental Payments. 54 Professional fees FAQs FOCUS ON…….PRIVATE PRACTICE June 2004 (updated July 2010) Guidance for negotiating fees for locum services in General Practice – BMA and NASGP GP Private Fees (GP Publication and Medeconomics: Register for account) Locum Rates (GP Publication and Medeconomics: Register for account) Dentistry in-practice capitation schemes Your Guide to Private Dentistry (Office of Fairtrading) 55 Partnership Agreement Guidance (BMA) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Partnerships in Practice Partnership agreements (BDA) 56 Managing Money for General Practitioners How to Read Practice Accounts (Pulse December 2012: Register to Log In) Finance for Dentists Introduction to Accounting 57 The Business Planning Tool Kit: A Workbook for the Primary Care Team (Radcliffe Primary Care) The Future Direction of General Practice (RCGP) Dental Practice Health Check Managing a Dental Practice - the Genghis Khan way 58 The Audit Commission National Reports Guide to Financial Management Audit Scotland Report on NHS NHS Finance: relevant documents and resources Government Procurement Service – Purchasing telephone, heat and light, equipment Scottish Drug Tariff – All items in Drug Tariff can be ordered on Stock Order Forms (GP10A) Items allowed only on Stock Order Forms (GP10A) Disallowed Appliance List – to check which dressings etc cannot be ordered Stock Order Forms (GP10A) 59 Insurance Advice for Businesses –related documents - Association of British Insurers © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Business Income Insurance "Do I need business interruption insurance?" "Four Rules for Measuring the Business Interruption Period". 60 Demand and Capacity – A comprehensive Guide Treating Access Toolkit (RCGP) Productive General Practice Resources – Capacity and Demand The Business Planning Tool Kit: A Workbook for the Primary Care Team (Radcliffe Primary Care) Workload Analysis Tool 61 Leadership And Teambuilding In Primary Care 62 Medical Leadership Competency Framework A Single Model of Leadership for the NHS Leadership: The Key Concepts Using the Head and Heart at Work: A Business Case for Soft Skills (The Chartered Institute of Personnel and Development) Leadership That Gets Results by Daniel Goleman Emotional Intelligence & Military Leadership Organisational Diagnostic Models Diagnosing Organisational Culture Cameron and Quinn Organisational Diagnostic Models © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Cameron and Quinn Online Culture Diagnostic Tool 63 Advisory, Conciliation and Arbitration Service ACAS General practice nurse toolkit (WIPP) 64 Practice Nurse Appraisal 65 Mentoring Toolkit – NHS Connecting for Health Personal Resilience for Healthcare Staff: when the going gets tough 66 Drug Misuse at Work 67 Honey and Mumford Learning Styles Learning Theory explained Learning Theories Kurt Lewin theorist Kurt Lewin Theories The Adult Learner 68 Understanding Conflict and Conflict Management Managing Conflict - NHS Institute for Innovation and Improvement Principled Negotiation Strategic Leadership and Decision Making BATNA: Best Alternative to a Negotiated Agreement. Conflict resolution key © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Advisory, Conciliation and Arbitration Service ACAS Improvement Network – Registration – Resources under “Workforce” tab Personal Resilience for Healthcare Staff: when the going gets tough 69 Chartered Institute of Personnel and Development (CIPD) Relationships with Patients (2006) - GMC Employment Rights Act 1996 Safer Pre and Post Employment Checks (2007) - PIN Disciplinary Procedure Partnership Agreement - P 17 ACAS _ Health and Employment Don’t mix it A guide for employers on alcohol at work Stress in the Workplace + ACAS Management Standards Centre: Best Practice Guides Resource Library Managing Stress - NHS Institute for Innovation and Improvement 70 A Practical Guide to Implementing SLAs 71 Template for Business Case Business Case Guide Creating a Business Case for the Patient Safety First Campaign 72 Insurance Advice for Businesses –related documents - Association of British Insurers © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Business Income Insurance "Do I need business interruption insurance?" "Four Rules for Measuring the Business Interruption Period". 73 Facilities Manager – Job Description Building Manager Job Description – First Practice Management Subscription Effective Facility Management and Maintenance of GP Surgery – IHM course 74 75 Insurance Advice for Businesses –related documents - Association of British Insurers Project Management Tools - Mindtools Process mapping - NHS Institute for Innovation and Improvement 76 Practice Manager Development Network 77 Statement of Financial Entitlements (SFE) GP Premises Directions GP & Primary Care Premises Issues Space for Health Focus on premises costs Managing your Premises Guidance (BMA) © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. Practitioner Services: Your guide to allowances, payments and grants 2010 – 11 78 Data Protection Act 1998 Access to Health Records Act 1990 Scottish Government Records Management: NHS Code Of Practice (Scotland) Version 2.1 January 2012 Caldicott Guardians: Frequently asked questions Access to Medical Reports (BMA) The Information Commissioners’ Office guide to data protection Confidentiality: NHS Code of Practice 2003 Freedom of Information Act – Information Commissioner’s Office Freedom of Information Act FAQ (BMA) Freedom of Information Act Model Scheme (BMA) Data protection, FOIA and Obtaining information 79 Good Practice Guidelines V 4: Scottish Clinical Information Management (SCIMP) 80 81 Systems Thinking Using information systems to improve practice eHealth Programme World Health Organisation (WHO) Statistical Information Supporting Healthcare Managers in Scotland: resources © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. NHS Health Management Library and Information Service: Variety of Reading Lists Improvement Network Resources Knowledge Management Developing Policies and Procedures in Primary Care (to come) 82 Health Needs Assessment Toolkit Practice Based Health Needs Assessment – BMA Login or Athens Password Needs Assessment from Theory to Practice – BMA Login or Athens Password 83 Performance Management - NHS Institute for Innovation and Improvement Performance Management in Primary Care - (Athens Password) 84 Strategic Management What is Strategic Management 85 Association of Dental Administrators and Managers E-Learning (NES) Accessible Information about Dentistry (NES) The Adult Learner 86 GP On-line - Medeconomics Pulse Dentistry.co.uk Dental Contract Pilots © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES. TOOLS AND TECHNIQUES: SWOT Analysis and SWOT analysis and how to evaluate the findings PRIMO-F SMART PESTLE and SWOT PESTLE 87 Managing a Dental Practice: The Genghis Khan Way Dental Practice Health Check © NHS Education for Scotland 2014. You can copy or reproduce the information in this document for use within NHSScotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES.