PHYSICIAN ASSOCIATES IN RURAL PRIMARY CARE FROM THE FARMHOUSE TO THE ROUNDHOUSE (1) AND INTERNSHIPS
|
|
- Willis Bryan Lloyd
- 5 years ago
- Views:
Transcription
1 PHYSICIAN ASSOCIATES IN RURAL PRIMARY CARE FROM THE FARMHOUSE TO THE ROUNDHOUSE (1) AND INTERNSHIPS Alex Strivens-Joyce PA - Montgomery Medical Practice, Powys PA Ambassador - (Shropshire & Staffs) - HEE-WM -Clinical Tutor - North Staffs PA Internship Programme Dr Simon Currin Managing Partner - Montgomery Medical Practice
2 PHYSICIAN ASSOCIATES IN RURAL PRACTICE US PAs in rurality; greater scope of practice, autonomy & likelihood of being principal care provider (2)(3) Rural UK practices finding it harder to recruit GPs (4) (smaller lists, funding & location (5) ) Montgomery Medical Practice (MMP): 7,158 Patients, 4 GP Partners, 2 PAs, 2 NPs, 3.5 PNs, 1.5 HCAs Rurality: Large practice area, few community services, distant secondary care (=>1/24 from DGH) additional services PA role: Clinical, medical support, enhanced services, management, teaching, continuity (6) Why rural GP? Community, cost of living, clinical opportunities, diverging governance (NHS-Wales)
3 OUTCOMES AT MMP Patient feedback: Good Recognition: 2016 Steve Hugh Award for innovation in primary care (7) Training: PA students/interns, medical students, training practice Capacity: Visiting, appointments, mental health, enhanced services, access, less locums Recruitment: Two GP partners, 2 nd PA Services: Minor surgery, minor injuries, care homes, anti-coagulation, secondments, sustainability funding, community hospital Virtual Ward (hospital avoidance): Medical link: community health & social services Data: Admissions, prescribing
4 SUBSTITUTION MODELS IN PRIMARY CARE The Roundhouse (1) : GPs sitting as Consultant primary care physicians (CPCP) overseeing a skill mixed MDT within a bespoke clinical architecture MMP: model slowly evolved; GPs deliver care via skill mixed team: On-call GP sits as floating CPCP (1) supervising a team of PN s, DN s, NPs & PAs Urgent appointments filled by nurse telephone triage Routine appointments booked directly PA s provide urgent, routine & MH appointments, visiting & manage all clinical results/ post Supported by upskilled admin team & HCAs Advanced Practitioners: non-doctor clinicians of varied aetiologies, can integrate into skill-mixed MDTs & redistribute primary care workload (1)(10) Figure 1. The Roundhouse building (1) MMP
5 ROUTINE APPOINTMENT SIGNPOSTING SYSTEM (RASS) 10 : Evolution of existing model: PA triage of routine appointments though capture of presenting complaints (PCs) at booking 11/17: 12 month audit cycle (incremental rollout of RASS) Access: Phone, Practice, Online (EMIS: E-consult): Same day resolution of suitable PCs by phone consultation or clinical admin, signposting or referral (Care Navigation (15) +) Urgent PCs transferred to urgent triage system Remaining PCs allocated appt. : HCA, PN, DN, NP, PA, GP Waiting interval set by severity: 2-3/7, 1/52, 2/52 Objective: increased access to routine appointments
6 EXPERIENCE OF A CLINICAL SUPERVISOR Dr Simon Currin, Managing Partner, Montgomery Medical Practice Why did we choose the PA route? How did we integrate the role into our team? What were the challenges? How have we benefitted? What does the future hold?
7 HEE-WM: PA AMBASSADORS (PRIMARY CARE) Primary Care: a prime generalist specialty but only 15% (12) of NQPAs are choosing it, why? DH: 1000 Primary Care PAs (England) by 2021 (13), 2017:~75 (12) (UK) 2016 FPARCP Census: 31 (14) HEE-WM : Two ambassadors: Shropshire & Staffs (AS-J), Hertfordshire (CS-W) Objectives: 1. Facilitating PA student placement 2. GP Engagement (PA agenda, recruitment & retention) 3. PA Internships / Preceptorships Current Snapshot: Shropshire & Staffs Feb 2017 : 1 PA in primary care, Oct 2017: 8, Feb 2018: 15 North Staffs PA Internship Programme (Primary Care) Two additional HEIs starting PA courses in the next 18/12
8 NORTH STAFFORDSHIRE PA INTERNSHIP PROGRAMME (PRIMARY CARE) Designed to provide a broad clinical base & preceptorship for NQPAs in their 1 st year 2 days: Secondary care, 2.5 days: GP, 0.5 days: Teaching Mid Band 6: One year training post - SSSNHSFT host trust 1st cohort: Oct 2017(5), 2 nd : Feb 2018 (7), 3 rd : Oct 2018 (6) and 4 th : Feb 2019 (6) GP and Consultant clinical supervisors HEE-WM pilot project: GP-FV funding 50% GP salary costs, indemnity & teaching Desired outcome: PA-interns recruited substantively by host practices 5 GP Practices 3 Secondary Care Trusts: SSSNHSFT - OP Psych BHNHSFT - EM UHNMNHST EM & T+O
9 NORTH STAFFORDSHIRE PA INTERNSHIP PROGRAMME EDUCATION COMPONENT Teaching: case based learning lead by GP trainer & PA tutor: 46 taught sessions, rolling 12 month syllabus Curriculum: based on RCGP learning outcomes for GPSTs (16) allied to 1 st hand experience & NQPA/student feedback Educational package: Peer/pastoral support, books/online resources, weekly teaching, support for practice/firm, secondary care courses Assessment : Case based reflective portfolio, observation(mini- CEXs/video analysis), CBDs, grand rounds, termly practice visits
10 NORTH STAFFORDSHIRE PA INTERNSHIP PROGRAMME FUTURE Short term: working towards accreditation with a medical school for award of a PGCert in Primary Care Medicine (PA) on completion Medium term: A tailored internship for PAs looking transfer from secondary care To establish a Staffordshire PA Academy for career long CPD, mentorship, research opportunities & academic certification
11 THANK YOU AND QUESTIONS
12 BIBLIOGRAPHY: (1) Lewis DM, Naidoo C, Perry J, Watkins J. The Roundhouse: an alternative model for primary care. Br J Gen Pract :05:24;66(646):e364. (2) Sawyer BT, Ginde AA. Scope of practice and autonomy of physician assistants in rural versus urban emergency departments.. Acad Emerg Med (5): doi: /acem (3) KE Martin. A rural-urban comparison of patterns of physician assistant practice. JAAPA Jul;13(7):49-50, 56, 59. (4) Rural GP surgeries in crisis say senior doctors. 2015; Available at: /rural-gp-surgeries-in-crisis-say-senior-doctors. Accessed 17/9/2017. (5) British Medical Association: Rural GP Practices Face Financial Uncertainty. 2016; Available at: Accessed 17/9/, (6) Parle J, Ennis J. Physician associates: the challenge facing general practice. The British journal of general practice : the journal of the Royal College of General Practitioners 2015 May;65(634): (7) 2016 Winner of the Steve Hugh Award. 2016; Available at: Accessed 17/09/, 2017 (8) Crude Emergency Admission Rates per North Cluster - All Specialties - NWIS/SUS APC dataset. Powys Teaching Health Board (9) Carroll J. QOF Medicines Management Annual Visit- Montgomery. Powys Teaching Health Board 4/7/2017 (10) Primary Care Workforce Commission. The future of primary care: Creating teams for tomorrow. 2015;138(3):230. (11) Strivens-Joyce A. Can Waiting Times for Routine Primary Care Appointments be Reduced by the Triage of Presenting Complaints at Booking to the Appropriate Clinician? [Unpublished research proposal]. Birmingham: University of Birmingham; (12) HEE Physician Associate Workshop; 15 March BMA House, London. (13) Health Care Select Committee. Primary care Fourth Report of Session. Primary care Fourth Report of Session (14) Ritsema TS. Faculty of Physician Associates: Census results 2016 FPARCP 2016 (15) Jones C. West Wakefield Care Navigation Tool (16) The RCGP Curriculum: Professional & Clinical Modules Curriculum Modules RCGP: London 2016
Training Hubs - Funding Allocation Paper
Training Hubs - Funding Allocation Paper Background Health Education England (HEE), NHS England, the Royal College of General Practitioners (RCGP) and the BMA GPs Committee (GPC) are working together to
More informationINFORMATION REGARDING ADVANCED PRACTICE & ADVANCED CLINICAL PRACTITIONERS (ACPs) IN GENERAL PRACTICE (DERBYSHIRE)
INFORMATION REGARDING ADVANCED PRACTICE & ADVANCED CLINICAL PRACTITIONERS (ACPs) IN GENERAL PRACTICE (DERBYSHIRE) INTRODUCTION Derbyshire Advanced Practice Strategy Group are seeking to address some of
More informationFSRH consultation response: the regulation of Medical Associate Professions in the UK by the Department of Health
FSRH consultation response: the regulation of Medical Associate Professions in the UK by the Department of Health The Faculty of Sexual and Reproductive Healthcare (FSRH) welcomes the opportunity to respond
More informationThree Year GP Network Action Plan North Powys GP Network
Three Year GP Network Action Plan 2017-2020 North Powys GP Network Introduction In the context of local management arrangements within Powys Teaching Health Board, the GP Cluster Network Development Domain
More informationCornwall Community Education Provider Projects March 2018
Cornwall Community Education Provider Projects March 2018 NATIONAL FUNCTION NUMBER (NF No): 1: SUPPORT FOR WORKFORCE PLANNING AND DEVELOPMENT to respond to local needs and enable the redesign of services
More informationThe Future Primary Care Workforce: Martin Roland, Chair, Primary Care Workforce Commission
The Future Primary Care Workforce: Martin Roland, Chair, Primary Care Workforce Commission Primary Care Workforce Commission Aim: to identify models of primary care to meet the future needs of the NHS
More informationAdvanced Roles and Workforce Planning. Sara Dalby SFA, ANP, SCP Associate Lecturer Winston Churchill Fellow
Advanced Roles and Workforce Planning Sara Dalby SFA, ANP, SCP Associate Lecturer Winston Churchill Fellow Confusion of Advanced Roles Clinical Support Worker (CSW) Nurse Practitioner (NP) Physicians Associate
More informationWork Schedule. Employing organisation: Anyplace Acute NHS Trust (Lead Employing Trust for GPST)
Work Schedule Trainee Name: Dr Motors Training Programme: General Practice Specialty placement: General Practice Grade: ST3 Length of placement: 1 year Employing organisation: Anyplace Acute NHS Trust
More informationAneurin Bevan University Health Board. Professional Revalidation
28 th January 20 Aneurin Bevan University Health Board Professional Revalidation Purpose of the Report: The purpose of this paper is to provide the Board with an update in relation to the Nursing Revalidation
More informationUrgent and Emergency Care Service Models & Workforce Summit
Urgent and Emergency Care Service Models & Workforce Summit Hallam Conference Centre, London 4 December 2014 Wifi: HCC GUEST Password: hallam44 Welcome and Introduction Heather Strawbridge, Chair NHS Confederation
More informationHillingdon Primary Care Workforce Plan
Hillingdon Primary Care Workforce Plan 2015-6 Primary Care Transformation Group Tuesday 14 th July 2015 (Version 4 has been to CCG Governing Body OD on Wed 3 rd June and reduced Version 5 has been to GP
More informationAll Wales Physician Associate Governance Framework
All Wales Physician Associate Governance Framework Physician Associate Task and Finish Group Membership Richard Quirke Deputy Medical Director Cwm Taf University Health Board Charlette Middlemiss Associate
More informationClinical Preceptorship Policy: (Registered professionals entering employment at Band 5)
Clinical Clinical Preceptorship Policy: (Registered professionals entering employment at Band 5) Document Control Summary Status: Version: Author/Title: Owner/Tile: Approved by: Ratified: Related Trust
More informationPRISM: GPs - your questions answered
PRISM: GPs - your questions answered 1. What is Prism? Prism is our new primary care service for mental health and run by Cambridgeshire and Peterborough NHS Foundation Trust (CPFT). The service puts specialist
More informationBexley Whole Health System Fellows. Development opportunities for recently qualified GPs. December 2017
Bexley Whole Health System Fellows Development opportunities for recently qualified GPs December 2017 Would you like to be part of a unique fellowship giving participants the opportunity to work in General
More informationAPPOINTMENT OF A LOCUM CONSULTANT DERMATOLOGIST
APPOINTMENT OF A LOCUM CONSULTANT DERMATOLOGIST JOB DESCRIPTION July 2017 The Post The Shrewsbury and Telford Hospital NHS Trust is seeking to appoint a Locum Consultant Dermatologist who will join the
More informationRheumatology. Opportunities in UK
Rheumatology Training Opportunities in UK Dr S Venkatachalam Consultant Rheumatologist, Cannock, UK Vice Chair Rheumatology Speciality Advisory Committee, UK Chair Rheumatology Speciality Training Committee,
More informationAn Overview for F2 Doctors of Foundation Programme attachments to General Practice
An Overview for F2 Doctors of Foundation Programme attachments to General Practice July 2011 Contents Page GP Placements 2 Guidance on Educational Agreements 4 Key facts about F2 Placements 6 The Foundation
More informationSPECIALTY TRAINING PROGRAMME IN PALLIATIVE MEDICINE IN WESSEX DEANERY
SPECIALTY TRAINING PROGRAMME IN PALLIATIVE MEDICINE IN WESSEX DEANERY This is a 4 year training programme in Palliative Medicine at ST3 level aimed at doctors who can demonstrate the essential competencies
More informationSupervision of Trainee Doctors
Appendix 13 Supervision of Trainee Doctors Good Medical Practice Supervision of Trainee Doctors Teaching, training, appraising and assessing doctors and students are important for the care of patients
More informationA collaborative approach to develop clinical academic careers for scientists, nurses, allied health professionals and pharmacists
Annual R&D Forum Conference 2016 A collaborative approach to develop clinical academic careers for scientists, nurses, allied health professionals and pharmacists Jenny Hiley 1 Dr Amelia Swift 2 1 University
More informationBuilding Partnerships and Reducing Demand through Telemedicine
Building Partnerships and Reducing Demand through Telemedicine Alex Blake TANP Digital Care Airedale NHS Foundation Trust Telemedicine Right care, right place, right time What is telemedicine? How does
More informationImproving Access to Psychological Therapies. Guidance for Commissioning IAPT Training 2012/13. Revised July 2012
Improving Access to Psychological Therapies Guidance for Commissioning IAPT Training 2012/13 Revised July 2012 IAPT Programme Department of Health Wellington House 133-155 Waterloo Road London SE1 8UG
More informationMid Powys Cluster Plan
Mid Powys Cluster Plan 2016-17 The Cluster Network Development Domain with the Quality & Outcomes Framework supports medical practices to work collaboratively to: Understand local health needs and priorities
More informationSOUTH CENTRAL NEONATAL NETWORK
SOUTH CENTRAL NEONATAL NETWORK Audit of the current provision of education and training within the Neonatal South Central Network 1.0 Background The driving principles for the reform of the NHS education
More informationSupporting information for appraisal and revalidation: guidance for Supporting information for appraisal and revalidation: guidance for ophthalmology
FOREWORD As part of revalidation, doctors will need to collect and bring to their appraisal six types of supporting information to show how they are keeping up to date and fit to practise. The GMC has
More informationPioneering the role of physician associate: the value of education and peer support
Pioneering the role of physician associate: the value of education and peer support In this Future Hospital case study, we hear from two physician associates (PAs) at Surrey and Sussex Healthcare NHS Trust
More informationGP Forward View Operational Plan Draft Narrative December 2016 Subject to final approvals
GP Forward View Operational Plan 2017-2019 Draft Narrative December 2016 Subject to final approvals Chairman s Foreword In March 2015 we published our Primary Care Strategy, which alongside its accompanying
More informationQuality Management in Pharmacy Pre-registration Training: Current Practice
Pharmacy Education, 2013; 13 (1): 82-86 Quality Management in Pharmacy Pre-registration Training: Current Practice ELIZABETH MILLS 1*, ALISON BLENKINSOPP 2, PATRICIA BLACK 3 1 Postgraduate Academic Course
More informationStage 2 GP longitudinal placement learning outcomes
Faculty of Life Sciences and Medicine Department of Primary Care & Public Health Sciences Stage 2 GP longitudinal placement learning outcomes Description This block focuses on how people and their health
More informationJOB DESCRIPTION. Consultant in Palliative Medicine GENERAL
JOB DESCRIPTION JOB TITLE DEPARTMENT REPORTS TO ACCOUNTABLE TO Consultant in Palliative Medicine Medical Team Lead Consultant Director of Patient Care GENERAL ellenor is a specialist palliative care provider
More informationGeneral Practice 5 Year Forward View Operational Plan Leicester, Leicestershire and Rutland (LLR) STP
Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group General Practice 5 Year Forward View Operational
More informationAligning Interdisciplinary Education and Quality Improvement Through the Cycle of Learning
Aligning Interdisciplinary Education and Quality Improvement Through the Cycle of Learning April 2016 Healthcare Professional Education: The Future Dr Kieran Walsh Presentation title Road map The future
More informationRedesign of Front Door
Redesign of Front Door Transforming Acute and Urgent Care Strategic Background and Context Our Change and Improvement Programme What have we achieved and how? What did we learn? Ian Aitken, General Manager
More informationDeveloping a non-medical prescribers peer supervision group
Developing a non-medical prescribers peer supervision group Turner S (2011) Developing a non-medical prescribers peer supervision group. Nursing Standard. 25, 29, 55-61. Date of acceptance: December 22
More informationGUIDANCE ON SUPPORTING INFORMATION FOR REVALIDATION FOR SURGERY
ON SUPPORTING INFORMATION FOR REVALIDATION FOR SURGERY Based on the Academy of Medical Royal Colleges and Faculties Core Guidance for all doctors GENERAL INTRODUCTION JUNE 2012 The purpose of revalidation
More informationMaking Health and Care services for for an aging population- End of Life care
Making Health and Care services for for an aging population- End of Life care Prof Keri Thomas The National GSF Centre in End of Life Care Hon Professor End of Life Care Birmingham University www.goldstandardsframework.org.uk
More informationRheumatology in a DGH -
Rheumatology in a DGH - the viewpoint of a new consultant Parthajit Das Consultant rheumatologist Kettering general hospital Overview Introduce myself Pre-Consultant phase.. Diving In the role.. One year
More informationCareer and Academic Pathway to becoming an ACP
Career and Academic Pathway to becoming an ACP Mary Dawood Consultant Nurse Imperial College NHS trust What is the academic and career pathway of the ACP? A long and challenging route where experience
More informationGENITOURINARY MEDICINE (GUM) JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE
GENITOURINARY MEDICINE (GUM) JOB PLANNING GUIDANCE AND MODEL JOB PLAN EXAMPLE The British Association for Sexual Health and HIV (BASHH) has developed this guidance to help consultants with the job planning
More informationUsing data to improve a biologics service
Using data to improve a biologics service Dr Ben Parker PhD MRCP Consultant Rheumatologist, Kellgren Centre for Rheumatology, Central Manchester University Hospitals NHS Foundation Trust Honorary Senior
More informationSpecialty: General Practice Ayrshire and Arran
Deanery sponsoring programme: Postgraduate Dean: Responsible Associate Dean/GP Director: West of Scotland Deanery Prof Alastair McLellan Prof Moya H Kelly Programme Type - Deanery-based or National: Deanery
More informationWelsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report
Welsh Government Response to the Report of the National Assembly for Wales Public Accounts Committee Report on Unscheduled Care: Committee Report We welcome the findings of the report and offer the following
More informationA Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust
A Successful Health Visitor Retention Strategy - Walsall Healthcare NHS Trust Health Visiting Local Picture Population of approx 21,000 under 5s 10 Health Visitor Teams across the borough New model of
More informationSupporting information for appraisal and revalidation: guidance for Occupational Medicine, June 2014
Supporting information for appraisal and revalidation: guidance for Occupational Medicine, June 2014 Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors. General Introduction
More informationSchool of Nursing and Midwifery. MMedSci / PGDip General Practice Advanced Nurse Practitioner (NURT101 / NURT102)
School of Nursing and Midwifery MMedSci / PGDip General Practice Advanced Nurse Practitioner (NURT101 / NURT102) Programme Outline 2017 1 Programme lead Dr Ian Brown. Lecturer Primary Care Nursing 0114
More informationSupporting information for appraisal and revalidation: guidance for Occupational Medicine, April 2013
Supporting information for appraisal and revalidation: guidance for Occupational Medicine, April 2013 Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors. General Introduction
More informationTelephone triage systems in UK general practice:
Research Tim A Holt, Emily Fletcher, Fiona Warren, Suzanne Richards, Chris Salisbury, Raff Calitri, Colin Green, Rod Taylor, David A Richards, Anna Varley and John Campbell Telephone triage systems in
More informationGeneral Practice Nurse (GPN) Ready Scheme. Information Pack for Primary Care
General Practice Nurse (GPN) Ready Scheme Information Pack for Primary Care What is GPN Ready? General Practice Nurses (GPNs) need support and development when they first work in a primary care environment.
More informationMonthly Nurse Safer Staffing Report May 2018
Monthly Nurse Safer Staffing Report May 2018 Trust Board June 2018 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation into Mid Staffordshire
More informationHealthcare costing standards for England. Education and training. Development version 1
Health costing standards for England Education and training Development version 1 We support providers to give patients safe, high quality, compassionate within local health systems that are financially
More informationThe challenge of advancing nursing roles Nurse Clinics Conference 2015, London
The challenge of advancing nursing roles Nurse Clinics Conference 2015, London Julie Napolitano Nurse Consultant Independent Prescriber Judith Graham Advanced Nurse Consultant Psychotherapy Consultant
More informationWESSEX DEANERY OUT OF HOURS GUIDELINES (Aug 2013)
WESSEX DEANERY OUT OF HOURS GUIDELINES (Aug 2013) Introduction 1. Emergency and unscheduled work remains an essential part of Primary Health Care services and all General Practice Trainees must gain experience
More informationVisit to Hull & East Yorkshire Hospitals NHS Trust
Yorkshire and the Humber regional review 2014 15 Visit to Hull & East Yorkshire Hospitals NHS Trust This visit is part of a regional review and uses a risk-based approach. For more information on this
More informationSupporting information for appraisal and revalidation: guidance for psychiatry
Supporting information for appraisal and revalidation: guidance for psychiatry Based on the Academy of Medical Royal Colleges and Faculties Core for all doctors. General Introduction The purpose of revalidation
More informationFaculty of Physician Associates. An employer s guide to physician associates.
Faculty of Physician Associates An employer s guide to physician associates www.fparcp.co.uk Introduction The purpose of this guide is to enable healthcare providers (including acute hospital trusts, community
More informationHealthcare. Higher Apprenticeship. Assistant Practitioner. shu.ac.uk/apprenticeships
Healthcare Assistant Practitioner Higher Apprenticeship shu.ac.uk/apprenticeships Healthcare Assistant Practitioner Higher Apprenticeship Programme Outline Overview The Healthcare Assistant Practitioner
More informationPrimary Care Strategy Action Plan 2016/ /19
Primary Care Strategy Action Plan 2016/17-2018/19 Investment Work Priority Area Outcome Milestones Monitoring RAG Lead Work Progress Implement Care & Quality Specification Roll out One Care Home One Practice
More informationPreparation for Specialty Training (General Practice) - PST (GP)
Information for prospective candidates Preparation for Specialty Training (General Practice) - PST (GP) What is PST(GP)? PST(GP) is the opportunity to work for a year in one area of the country while receiving
More informationNAME SPECIALTY PLEASE NOTE THAT THE CONSULTANT SURGEONS RUN A 4 WEEK ROLLING ROTA OF ACTIVITY. (HENCE THE 'BUSY' JOB PLAN)
CONSULTANT CONTRACT JOB PLAN NAME SPECIALTY PLEASE NOTE THIS IS INTENDED AS A GUIDE ONLY. AN FORMAL JOB PLAN WILL BE DEVISED WITH THE SUCCESFUL CANDIDATE TO TAKE ACCOUNT OF PERSONAL INTERESTS AND SPECIALTY
More informationA Career in Haematology in the West Midlands
A Career in Haematology in the West Midlands Speciality training in Haematology Contents Haematology Overview Advantages / Disadvantages Career Pathway Examinations - FRCPath Recruitment Commitment to
More informationUrgent and Emergency Care - the new offer
Urgent and Emergency Care - the new offer If it s really serious I want specialist care Help me to help myself and not bother the NHS If only they could talk to my GP? London Clinical Senate Keith Willett
More informationHealth Care Support Workers in England Response to HEE Consultation The Talent for Care
Health Care Support Workers in England Response to HEE Consultation The Talent for Care Executive Summary This paper presents the Council of Dean s response to Health Education England s national consultation
More informationRecruitment of Approved Mental Health Practitioners (AMHPs)
Recruitment of Approved Mental Health Practitioners (AMHPs) Lead Executive Author with contact details Responsible Committee/Sub Committee Document approved by & date: Document consultation: Patient and
More informationCluster Network Action Plan Neath Cluster. Abertawe Bro Morgannwg University Health Board Neath Cluster Action Plan
Cluster Network Action Plan 2016-17 Neath Cluster 1 Introduction The Neath Cluster Network includes a cluster of 8 GP practices, seven of the practices are engaged in GP training. The cluster network estate
More informationGP at Hand Evaluation: DRAFT Invitation to Tender
GP at Hand Evaluation: DRAFT Invitation to Tender Introduction Hammersmith & Fulham CCG, together with their partners NHS England London Region and NHS England ( the clients ), invite bids for the evaluation
More informationBusiness Case Advanced Physiotherapy Practitioners in Primary Care
1 Business Case Advanced Physiotherapy Practitioners in Primary Care 1.0 Introduction This scheme supports the sustainability of primary care and the move towards a first line prudent multi-professional
More informationDriving and Supporting Improvement in Primary Care
Driving and Supporting Improvement in Primary Care 2016 2020 www.healthcareimprovementscotland.org Healthcare Improvement Scotland 2016 First published December 2016 The publication is copyright to Healthcare
More informationNew Routes into Training - Flexible Nursing Pathway
New Routes into Training - Flexible Nursing Pathway Introduction The purpose of this pack is to give guidance on the process to deliver the Flexible Nursing Pathway at local level and to describe the roles
More informationAgenda item 7 Date 2/2/2012
Agenda item 7 Date 2/2/2012 BUSINESS CASE FOR COMMUNITY OPHTHALMOLOGY SERVICE FOR EAST AND NORTH HERTS CCG Decision Discussion Information Follow up from last meeting Report author: Dr Rachel Joyce Report
More informationExperience training in Staffordshire and Shropshire
Experience training in Staffordshire and Shropshire There are four excellent schemes in this area located in: Shropshire - including Telford and Shrewsbury North Staffordshire - including Stoke-on-Trent.
More informationThe Symphony Programme an example from the UK of integrated working between primary and secondary care. Jeremy Martin, Symphony Programme Director
The Symphony Programme an example from the UK of integrated working between primary and secondary care Jeremy Martin, Symphony Programme Director About South Somerset 135,000 population, older age profile
More informationABCD of Access Solutions Support Programme
ABCD of Access Solutions Support Programme SCIMP/SNUG Conference 20-21 September 2016 Dillon Sykes Managing Director Agenda Section Section Name 1. The struggle to meet patient demand 2. ABCD of Access
More informationKent, Surrey and Sussex General Practice Specialty Training School Integrated Training Posts as part of GP Speciality training in KSS
Integrated Training Posts as part of GP Speciality training in KSS KSS ITP May 2008 updated 8/7/2008 1 of 13 Integrated Training Posts as part of GP Speciality training in KSS The regulations for GP Specialty
More informationOUTLINE PROPOSAL BUSINESS CASE
OUTLINE PROPOSAL BUSINESS CASE Name of proposer: Dr. David Keith Murray, General Practitioner, Leeds Student Medical Practice, 4, Blenheim Court, Blenheim Walk, LEEDS LS2 9AE Date: 20 Aug 2014 Title of
More informationGuidance on supporting information for revalidation
Guidance on supporting information for revalidation Including specialty-specific information for medical examiners (of the cause of death) General introduction The purpose of revalidation is to assure
More informationADVANCED NURSE PRACTITIONER STRATEGY
ADVANCED NURSE PRACTITIONER STRATEGY 2016-2020 Lead Manager: Chair, GG&C Advanced Practice Group Responsible Director: Board Nurse Director Approved by: NMAHP Group Date approved Date for review: September
More informationPRIMARY CARE COMMISSIONING COMMITTEE
PRIMARY CARE COMMISSIONING COMMITTEE 1. Date of Meeting: 2. Title of Report: Western Avenue Medical Centre Personal Medical Services (PMS) Reinvestment Report 3. Key Messages: The Personal Medical Services
More informationBackground and initial problem
Case Title Trust Background and initial problem Fatigue-minimising, flexible e-rostering in the Emergency Department and the impact on Junior Doctors morale The Whittington Hospital, London What are you
More informationKent, Surrey and Sussex Pharmacy Annual Report
Kent, Surrey and Sussex Pharmacy Annual Report 2015-16 Contents Executive Summary... 2 1 Introduction... 5 2 Delivering the HEE mandate and supporting the KSS Skills Development Strategy... 5 2.1 Urgent
More informationReport on District Nurse Education in the United Kingdom
Report on District Nurse Education in the United Kingdom 2015-16 1 District Nurse Education 2015-16 Contents Key points 3 Findings Universities running the programme 3 Applicants who did not enter the
More informationYvonne Blucher, Managing Director Southend University Hospital. Michael Catling, Cancer Programme Director MSB
Meeting Title Mid and South Essex Acute Trusts Joint Working Board (meeting in public) Meeting Date 18 th October 2017 Agenda No 10 Report Title Oncology Service Report Lead Executive Director Report Author
More informationPRECEPTORSHIP POLICY AND PROCEDURE (Replacing Policy No. TP/WF/223 V.8)
PRECEPTORSHIP POLICY AND PROCEDURE (Replacing Policy No. TP/WF/223 V.8) POLICY NUMBER TP/WF/223 POLICY VERSION V.9 RATIFYING COMMITTEE Professional Practice Forum DATE RATIFIED 30 May 2018 NEXT REVIEW
More informationCCG authorisation Case Study Template. NHS Croydon Clinical Commissioning Group. Patient Navigation (PatNav) 3 of 3
CCG name: Case study title: CCG authorisation Case Study Template NHS Croydon Clinical Commissioning Group Patient Navigation (PatNav) CCG case study number: Does the case study provide core evidence?
More informationGuidelines for the appointment of. General Practitioners with Special Interests in the Delivery of Clinical Services. Respiratory Medicine
Guidelines for the appointment of General Practitioners with Special Interests in the Delivery of Clinical Services Respiratory Medicine April 2003 Respiratory Medicine This General Practitioner with a
More informationNHS ENGLAND BOARD PAPER
NHS ENGLAND BOARD PAPER Paper: PB.04.07.2018/05 Title: Developing the NHS long term plan: primary care reform Lead National Director: Ian Dodge, National Director, Strategy and Innovation Purpose of Paper:
More informationSecuring the future workforce for emergency departments in England
Securing the future workforce for emergency departments in England October 2017 This report was written by Health Education England, NHS England, NHS Improvement and Royal College of Emergency Medicine.
More informationLead Consultant in Palliative Medicine
Job Description Consultant in Palliative Medicine Reports to: Accountable to: Responsible for: Contract held by: Hours of work: Lead Consultant in Palliative Medicine Lead Consultant in Palliative Medicine
More informationNHS WALES: MIDWIFERY WORKFORCE PLANNING PROJECT
NHS WALES: MIDWIFERY WORKFORCE PLANNING PROJECT Developing a Workforce Planning Model FINAL REPORT Prepared by Dr. Patricia Oakley Sacred Ngo, Mark Vinten and Ali Budjanovcanin Practices made Perfect Ltd.
More informationMonthly Nurse Safer Staffing Report June and July 2018
Monthly Nurse Safer Staffing Report June and July 2018 Trust Board September 2018 Dr Shelley Dolan Chief Nurse /Chief Operating Officer 1 Monthly Nursing Report Introduction Following the investigation
More informationWelcome. PPG Conference North and South Norfolk CCGs June 14 th 2018
Welcome PPG Conference North and South Norfolk CCGs June 14 th 2018 Housekeeping Packed Agenda! Quick feedback on the national patient participation conference Primary care general update and importance
More informationNHS GRAMPIAN. Local Delivery Plan (LDP) 2016/17 Progress Report on Primary Care Chapter
NHS GRAMPIAN Board Meeting 06.04.17 Open Session Item 8 Local Delivery Plan (LDP) 2016/17 Progress Report on Primary Care Chapter 1. Actions Recommended The Board is asked to: Note and endorse the progress
More informationEngaging and empowering staff for better patient outcomes
Engaging and empowering staff for better patient outcomes Breaking paradigms, creating ambition, raising the bar LiA Introduction The mission To improve business performance through higher staff engagement
More informationClinical Pharmacists in General Practice March 2018
Clinical Pharmacists in General Practice March 2018 1. Background Following a successful national pilot programme, the General Practice Forward View committed over 100million to support an extra 1,500
More informationGP School Quality Monitoring Visits to GPSPT Programmes Name of GPST Programme: WEST HERTFORDSHIRE Date of visit: 31 st July 2014
Report compiled by: (on behalf of the visiting team) Professor John Howard Directors, Tutors, Admin Staff & GPST Registrars visited East of England Multi-Professional Deanery Educational Roles Name Contact
More informationCwm Taf Health Board Gender Pay Equality Review
Cwm Taf Health Board Gender Pay Equality Review This review has been undertaken in accordance with the Public Sector Equality Duty (PSED) requirement in Wales. The information has been obtained from the
More informationMental Health Crisis Pathway Analysis
Mental Health Crisis Pathway Analysis Contents Data sources Executive summary Mental health benchmarking project (Provider) Access Referrals Caseload Activity Workforce Finance Quality Urgent care benchmarking
More informationWOLVERHAMPTON CLINICAL COMMISSIONING GROUP. Corporate Parenting Board. Date of Meeting: 23 rd Feb Agenda item: ( 7 )
WOLVERHAMPTON CLINICAL COMMISSIONING GROUP Corporate Parenting Board Agenda Item No. 7 Health Services for Looked After Children Annual Report September 2014 -August 2015 Date of Meeting: 23 rd Feb 2016.
More informationSutton Homes of Care Vanguard Programme
Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team
More informationMental Health Crisis Care: The Five Year Forward View. Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust
Mental Health Crisis Care: The Five Year Forward View Steven Reid Consultant Psychiatrist, Psychological Medicine CNWL NHS Foundation Trust Overview Parity of esteem What are the challenges for people
More information