Londonwide Local Medical Committees

Appraisal in General Practice Nursing

Sharing the lessons learned.

Andy Michaels

Director of General Practice Development

www.lmc.org.uk

Aims

To provide an increased understanding of: The roles of LMCs The landscape of general practice Key roles of GPNs Challenges facing GPNs Changes and their impact Strategic framework Solutions

www.lmc.org.uk

The role of LMCs

LMCs are local representative committees of NHS GPs and represent their interests in their localities to the NHS health authorities. Statutory 103 years old Borough based Support, advise, represent

www.lmc.org.uk

The landscape of general practice

General Practice

CCGs

Federations

LATs

NHSE/NHSL

Local Authorities

Other stakeholders

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Key roles of GPNs (1)

Innovation Improvement of service Patient continuity Technology Supervision Mentorship Part of a team

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Key roles of GPNs (2)

Imms & Vaccs QoF COPD LTCs Family planning and contraception Mental Health Women’s health

And much more

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NMC revalidation Lack of:

infrastructure and cohesioncareer frameworkcompetency and educational frameworks and

standards

Workforce profile OOH care pressures Access to CPD

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Challenges facing GPNs (1)

Challenges facing GPNs (2)

Employee status Commissioning QoF CQC Funding Premises Capacity Cavendish Review & Francis Report

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Challenges (3)

Concerns about standards of provision of care

Recruitment and retention Ad hoc training Who appraises GPNs? What happens to identified CPD ?

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Changes and their Impact April 2015 NMC re-validation for

GPNs goes live LETBs and funding availability CEPNs Commissioning of education and

training Francis and Cavendish Reviews Transparency of HEI provision of

CPDwww.lmc.org.uk

Strategic Approach LetBs CEPNs LMCs CCGs HEIs Federations of GP practices GPs as employers Practices

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Solutions Influence! Influence! Influence! Training programmes for GPNs and

HCAs Communication Formation of professional networks Support & Advice Understanding the emerging systems

and processes Working with third party providers on

tools to enhance appraisal www.lmc.org.uk

Solutions

Blended Learning Programmes Induction or refresher course 8 modules Work based learning Competency based Mentorship essential Academic accreditation being sought

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Impact of revalidation

Nurses, service providers and educational commissioners will know what and where their workforce knowledge & skill gaps are

Easier for GPNs to access training Increased evidence to influence

education providers

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And finally….

What are we doing well to support GPNs?

What can we do differently?

Andy Michaels

amichaels@lmc.org.uk

www.lmc.org.uk