Community Education Provider Networks

Transcription

1 Community Education Provider Networks Community Education Provider Networks Ariadne Siotis 1 South London LETB Investment Plan

2 Community Education Provider Networks a reminder Community Education Provider Networks (CEPNs) are collaborative networks of service and education providers working together across a geographic footprint with the shared purpose of creating the right workforce to support the delivery of population health outcomes

3 Why a CEPN? 70% of NHS budget spent on LTC better suited to out of hospital care Drivers for change Ageing population LTCs and Comorbidities Financial Pressures Technological advances Current state of Primary & Community care Multiple Dispersed providers Workforce rarely stratified Limited use of substitution roles Lack of status 5YFV multispecialty community provider model 90% patient contact in primary care. Medical students spend 80.6 weeks in hospitals vs in GP Current state of education Majority of training takes place in secondary care Limited capacity for delivering training in community settings Uni-professional focus in training Policy context 5 year forward view Transforming Primary care 10 Point Plan Workforce Transformation GP recruitment crisis - 1/3 training posts unfilled

4 The SL CEPN Model Local Authority CCG alignment Third sector Public health Academic input from AHSN Network Governance Other Providers Limited use of substitution roles training and new roles like care navigators and Palliative physician Care, associates are rare mental health Specialist Geographically discreet Workload rarely stratified; the most skilled staff are as likely to see simple cases as the least skilled staff Workforce development around population need Networked arrangement of education and service Multiple providers leading to: Limited scope to develop proactive care Variation in baseline Historically underfunded by comparison to other areas skills for clinical and non clinical roles and unstructured career pathways and pay Dispersed services limiting scope for effective communication 4

5 CEPNs in end-state Patient care and population health Primary Care workforce transformation CEPN functions to drive the process Workforce planning Education Quality Local education capacity & capability Responding to local workforce needs Workforce development Education programme co-ordination Alignment with local commissioners Workforce Planning: Developing robust local workforce planning data to inform decisions over how education and training funding should best be invested. Education Quality: Supporting improvements in the quality of education programmes delivered in primary and community care, for example, through peer review. Developing local educational capacity and capability: (for example, an ability to accommodate greater numbers of nursing placements or the development of multi-professional educators in community settings). Responding to Local Workforce Needs: Collaborating to meet local workforce requirements (such as specific skills shortages), including the development of new bespoke programmes to meet specific local needs. Workforce Development: Developing, commissioning and delivering continuing professional development for all staff groups. Education Programme Coordination: Local coordination of education programmes to ensure improved economy of scale, reduced administration costs and improved educational governance. Alignment with local commissioners: Ensuring that education and training is aligned to changes in service.

6 What are CEPNs doing? Patient care and population health Primary Care workforce transformation CEPN functions to drive the process Coordination and distribution of CPPD funds for staff working in primary care and community care targeted to local training needs Expansion of nurse mentorship numbers in primary care to support the increased demand for student nurse placements in primary care Facilitation of training placements in the primary care setting for all students/trainees (medical, non-medical, AHP etc.) Delivery of General Practice Nursing (postregistration) placements locally and supporting the implementation of the new HEE framework for General Practice Nursing Working with local HEIs to design innovative placement opportunities and training pathways i.e. undergraduate nursing community routes Support inter-professional supervision and learning opportunities

7 Multi professional learning: Undergraduate Pipeline Project CURRENT Placements negotiated locally Individual basis for each speciality PROPOSAL Networks responsible for delivery Packages of students Training to be viewed differently- training practice Inter- professional learning Dealing with students at scale Alternative placements Students provide a service for practices Health Education South London 7

8 King s College: an example at work Pilot agreed for Autumn 2016 start Bexley CEPN Package of students to be worked up according to local requirements Two fifth year medical students in each of the three rotations Nursing Physiotherapy Dietetics Inter- professional teaching support for practices Students to present their experiences of IPE at regional conference Health Education South London 8

9 The journey so far 2014/ /16 Geography working together on a sustainable model 2015/16 10 Point Plan for General Practice Point 3 TRAINING HUBS 2016/17 and beyond CEPN functions embedded in new care models 4 LETBs each developing CEPNs independently

10 Looking forward Ask yourself. What is your plan to develop, retrain and retain a workforce with the right skills, values and behaviours in sufficient numbers and in the right locations to deliver your vision for transformed care? How will you build the multidisciplinary teams to underpin new models of care? How ambitious are your plans to implement new workforce roles such as associate nurses, physician associates, community paramedics and pharmacists in general practice? Delivering the Forward View: NHS planning guidance 2016/ /21