Learning and Teaching Conference

1

Inter-Professional Learning: a curriculum responding to

both a political and regulatory agenda

Helen OrtonDirectorate of Vision and Vision Science

School of Health Sciences

23rd June 2010

Learning and Teaching Conference

2

Some misconceptions – shared teaching/ shared learning

Learning activities involving two or more professions where they learn with, from each and about each other

Overall aim – promotion collaborative delivery of integrated patient-centred and quality health care

23rd June 2010

Inter-professional learning?

Learning and Teaching Conference

3

Cultural – pre-conceived ideas

Attitudes

Organisational level

23rd June 2010

Barriers to IPL

Learning and Teaching Conference

4

Unique

Diagnostic Radiography Nursing Occupational Therapy Orthoptics Physiotherapy Therapy Radiography

A dynamic curriculum

23rd June 2010

School of Health Sciences

Learning and Teaching Conference

5

Quality Assurance Agency

Political

Regulatory bodies

23rd June 2010

IPL Drivers

Learning and Teaching Conference

6

Benchmark statements Relevant indicators of attributes and

capabilities of a new graduate

23rd June 2010

Quality Assurance Agency (QAA)

CompetencePAST Capabilities PRESENT

Learning and Teaching Conference

7

Department of Health

1998 – Quality in the new NHS

2000 - The NHS Plan. A Plan for Investment, a Plan for Reform

2001 – Working Together, Learning Together A Framework for Lifelong Learning in the NHS

2003 - The new NHS pay system: An overview.

23rd June 2010

Political agenda: NHS and Social Care

Learning and Teaching Conference

8

“Integrated care for patients will rely on models of training and education that give staff a clear understanding of how their own roles fit with those of others within both the health and social care professions…..

…. The Government will work with the professions to reach a shared understanding of the principles that should underpin effective continued professional development and the respective roles of the state, the professions and individual practitioners in supporting this activity”

23rd June 2010

Lifelong Learning

Learning and Teaching Conference

923rd June 2010

Regulatory Agenda

Standards

of Proficiency

Learning and Teaching Conference

1023rd June 2010

STANDARDS OF PROFICIENCY – Expectations of a health care professional

Professional autonomy•Legal/ethical boundaries•Non-discriminatory manner•Confidentiality•Consent•Obligation to maintain FITNESS

TO PRACTISE

Professional relationships•Work in partnership •Team- working (MDT)•Communicate effectively

Learning and Teaching Conference

1123rd June 2010

STANDARD CONDUCT WHAT IT MEANS

1. You must act in the best interest of the service user

Must not allow views about a service user’s sex, age, colour, race, disability, sexuality, social or economic status, lifestyle, culture, religion or beliefs to affect the way you treat them or the professional advice you give.

2. You must respect the confidentiality of service users.

Treat information carefully and respect what is told/ only use information for the purpose it was given

3. You must keep high standards of personal conduct.

In addition to professional

4. You must keep accurate records. Part of care and duty to undertake

Learning and Teaching Conference

1223rd June 2010

STANDARD WHAT IT MEANS

4. You must provide any important information about yourconduct and competence.

Criminal offences/ police cautions, disciplinary matters

5. You must act within the limits of your knowledge, skills and experience and, if necessary, refer the matter to another practitioner

Duty of careScope of practice

6. You must communicate properly and effectively with service users and other practitioners.

Appropriate communication; co-operate and share knowledge and expertise with others for benefit of users

6. You must get informed consent to give treatment (except in an emergency).

Informed consentRecordingRefusalRights of patients

Learning and Teaching Conference

1323rd June 2010

FITNESS TO PRACTISE

KNOWLEDGE AND SKILLS

CHARACTER AND HEALTH

Learning and Teaching Conference

1423rd June 2010

IPL – addressing the ethical and legal aspects

Year 1 Year 2 Year 3

Learning and Teaching Conference

15

One scenario per semester;

Representative from each professional group;

Facilitated by staff within the School;

23rd June 2010

Delivery

16

Academic Year

Semester 1

Comments and developments

Semester 2

Comments and developments

2004-05 Case 1 Referred to as “Ethics” and not all professional groups included. Few guidelines provided for facilitators but notes detailed

Case 2 No change

2005-06 Case 2 As above Case 3 Term “Inter-professional education - ethics” introduced.Ground rules, group dynamics and benefits of group work discussed with students.Student tasks much more focused.

2006-07 Case 3 Communication tasks, issues concerning scope of practice and record-keeping introduced to address HPC standards of conduct.

Case 4 Student tasks focused and facilitator notes incorporated into student tasks.

Development of ethical and legal themes

17

Academic Year

Semester 1

Comments and developments

Semester 2

Comments and developments

2007-08 Case 3 No change Case 4 No change

2008-09 Case 3 No change Case 4 No change

2009-10 Case 3 Although the scenario was the same, the term “Professional Issues in Clinical Practice” introduced.Important documents (HPC standards, Knowledge and Skills Framework, role of IPL in clinical practice (+NHS policy) highlighted plus increased emphasis on communication.

Case 5 Many new cases introduced which addressed Fitness to Practise issues involving anonymised real cases reported to the HPC and Nursing and Midwifery Council.Facilitator notes adapted accordingly.

Development of ethical and legal themes

Learning and Teaching Conference

18

Reflection on present situation:

Are we completely transparent in meeting some of the standards?

Non-discriminatory manner

◦ The solution - Diversity and equality scenario

Inclusion of Nursing students

23rd June 2010

Future developments