Www.hee.nhs.uk David Poll Head of GP Academy (Southeast) Deputy GP Dean Quality Lead [email protected] Community Education Provider Networks HEEM Experience

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David PollHead of GP Academy (Southeast) Deputy GP DeanQuality [email protected]

Community Education Provider Networks

HEEM Experience

HEEM


Drivers:Why?

Community Education Provider NetworksHealth Education East Midlands


Purpose and functions

10 point plan: NHSE will invest in the development of pilot training hubs, where groups of GP practices can offer inter-professional training to primary care staff, extending the skills base within general practice and developing a workforce which can meet the challenge of new ways of working.

Shape of Caring:Local GP networks will drive this process in partnership with higher education and other training providers with the aim of seeking to develop new roles and new ways of working to focus on the needs of the local population.

KSS CEPNs: The network provides a level of leadership and infrastructure that individual services would be unable to manage and sustain alone, and allow learning to take place in a range of settings, enabling shared learning and the dissemination of best practice.



Workforce Commission

Connect training and non training practices

Be developed, owned and delivered in the community

Co-ordinate training and workforce developments across professional groups

Expand community placements

Develop new roles where needed

Build stability and sustainability through local collaboration




HEEM aspiration

• Facilitate community placements for medical students and nursing students

• “Recognise” the existence and range of learning opportunities in the community

• “Recognise” the existence of community based educator ability and interest

• Facilitate links with HEI and local workforce groups


HEEM aspiration

• Revisit MPLO

• Learn from colleagues W. Midlands KSS SY&H



HEEM aspiration

• 1 per county now

• 2, maybe three per county in future

• Practice as hub

• Locality practices as spokes



The main function of the hubs is to: Manage and co-ordinate delivery of high quality learning in practice as set out in the

Learning Development Agreement Recruit and develop the network of spokes to build the network (or willingness to be a

spoke if not selected as a hub)

Agree a practice placement plan with the HEI for its network including mentor/supervisor training plan

Ensure the students are placed appropriately in the spokes

Oversee the mentor/educational supervisor training and updates

Ensure delivery of an agreed number of inter-professional learning sessions per year

Comply with HEEM quality visits, LDA meetings and provide an annual report on activity and impact



The main function of the spokes is to: Provide high quality learning in practice to undergraduate and postgraduate students/trainees

Ensure sufficient mentors/supervisors are trained and have protected time to provide supervision & training to the students/trainees

Support the delivery of inter-professional learning sessions & opportunities

Monitor and evaluate feedback from learners

Act as the conduit for the funding

Provide workforce planning data as required



Governance

HEEM steering group with SRO

SLA with HEEM

Each CEPN to have a board with members from HEEM, local workforce team, HEIs

Quarterly review of activity, difficulties and progress

Financial report



Sustainability

Should be excellent• Continued interest of

practices• Continued back up from

LETB• Continued evident need

and workforce drivers• Tariff• Changing culture.



Deliverables

• Clinical placements• HEI responsiveness• Future practice nurses• Future GPs• ? Future other professionals working in the community• More responsive “system” for workforce.• Improved numbers for patient care• Inter professional understanding and co-working development



What did we do?



Bidding process.

Practices contacted Jan 2015.

Assessment panel.

Appointment/initial discussions April 2015£50K

29th July 2015 first review date.



• Accredited GP Training Practice

• Motivation to establish a CEPN to deliver multi professional learning in practice & longer term vision for future development

• Capacity to manage the hub & co-ordinate the network/deliver the spoke activities

• Ability to recruit and support spokes to build learning capacity across staff groups to grow capacity in nursing & undergraduate medical placements in the first year

• Understanding of educational & supervision requirements of regulatory bodies for trainees and students including values & behaviours

• Partnership agreement in place with appropriate HEI for placement planning

• Evidence of delivery of good quality, inter-professional education & learning in practice

• Governance, business model and resources: protected time, physical space, host for funding, monitoring & reporting

• Understanding the impact of the changing shape of future service models and primary care workforce implications of local transformation programmes



• 21 applications

• (for hub or spoke)

• 1 appointed per county

• Other appointables

• 2nd round planned



What happened?



29th July review

1.5 CEPNS working well

• What are CEPNs ?

• How big should they be ?

• Relationship with HEI

• CEPN functionality

• 2nd round

• HEEM project management



What are CEPNs ?

• Pilot of hub and spoke arrangement

• Bemusement

• Interruption of project flow to redraft?



How big should they be ?

• Small/big part of provision

• The whole of provision



Relationship with HEIs

• Key factor

Existing placement networks

Ease of fining correct numbers of placements

Tariff/money flow



Type of placement Tariff (for a year’s worth of placement)

Non-medical £3,175 multiplied by MFF

Undergraduate medical £33,965 multiplied by MFF

Postgraduate medical £12,400 multiplied by MFF, plus 50% of basic salary costs (not multiplied by MFF)



CEPN functionality

• Ensure all team on board

• Ensure aspirations “correct”.

• Timetable reviews.

• Be honest/focus on intended outcomes

• Offer help



2nd round

• What do we do ?

Listen to problems

Regulators

HEI

Geography

Workforce planning

Time….



HEEM project management

• Time

• Steering group/SRO/Roles

• Project manager

• Focus/learn/persist



Recurring themes

• Money goes for educational organiser

• Needs to understand language of multiple professions

• Need to understand curricula and assessments


Documents

Www.hee.nhs.uk David Poll Head of GP Academy (Southeast) Deputy GP Dean Quality Lead [email protected] Community Education Provider Networks HEEM Experience