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 within primary care and the community to better support general practice 2: IMPROVE EDUCATION CAPABILITY AND CAPACITY in primary and community setting through the development of multi-professional educators and the creation of additional learner placements 3: IMPROVE EDUCATION QUALITY AND GOVERNANCE and act as a local coordinator of education and training for From GPN workforce plan 2017 Section 1. General Practice NF No. Project Action/work stream Lead Work in progress Next steps 1 1a. Work force profile Identify the workforce needed to care for our population 1. Liaison with Practice Managers 2. + Shaping Our Future (SOF) workforce intelligence 3. AHSN GP workforce database Workforce identification of roles and numbers of staff ongoing with Workforce intelligence SOF group Info locality groups of workforce outlines and review forward planning for GP and PN roles. Workforce for Primary care and narative in draft Sep 2017 Data being refreshed March 2018 Continue to informa Primary Care of data through Practice Manager and locality meetings. 1 & 2 1b. Learning needs analysis Identify from providers what they need, to deliver services differently Networking with Practice Managers and Lead Practice Nurses AHSN exploring possibility of developing SW wide collection Delayed PM have said we would like electronic forms to complete after appraisal. Work with blue stream to identify ongoing training needs Develop electronic collection following staff appraisal as part of new CEPN website.
2 1d. Recruitment Attract Students and Newly Qualified nurses into the primary health care community 1. Increase student nurse placements From GPN workforce plan 2017 Recommendation 2: Increase the number of preregistration nurse clinical placements in general practice. HEE educational facilitator employed to work with Uni placement coordinator to increase places. Information on Student placements added to GP data sets. 2. Develop a strategy for newly qualified nurses and those from secondary care to enter practice 3. Identify coming vacancies Explore how we can identify upcoming vacancies Continue to progress this through CCG and KHCIC Action point in PN strategy document Continue to promote one workforce and SW PN website vacancies, link with KHCIC locum and vacancy filling NHS E looking a regional system for collecting General Practice Vacancies Feb 2018 4. Link with RCHT and CPFT jobs fairs and colleges 5. Develop General Practice Ambassadors to speak to students in all disciplines Build on GPN plan to Identify practices that would buddy with local schools Nurses identified. Build on GPN plan to identify practices that would be prepared to buddy with local schools Identify opportunities for Ambassadors through college & Uni Team development and consistency in meesage. Immunisation team also speaking to students at schools
1 & 1e. Retention 1. 3. Continue Develop coaching Lead Practice and a Nurse ongoing Coaching being offered for new Use Continue new practice to raise profile educators of coaching & TH to as develop a professional this. 3 coaching culture with primary care and career development strategy. Add information to new staff website. Engage with potential Primary Care leaders of the future 4. Develop opportunities in line with the Practice and Community career framework 2 1f. Share good practice 1. Identify areas of good practice through lead practice nurse meetings and present these at conference. across all of Primary care Use CEPN as a training and information hub for any developments of education and sharing of good practice around the NHS or wider leaders and career roles especially care innovation. 1 person active coaching May 2017. Use every opportunity to tie education opportunities to career framework. Part of lead meeting regularly used to explore good practice Project being developed to link HCA pathway with career document Develop an award for PN work in the local area that demonstrates integration and highlights good practice. For 2018-19 2. Explore the use of webex Working with Infection Control Consultant to deliver Goto meeting on UTI s. Set up training and practice sessions for Practice educators 3. Promote clinical supervision NS / Take opportunities to promote clinical Once educators are up to speed with delivering their supervision, through Educators, leads subject area work on supervsion especially using meetings and conferences - ongoing technology 4. Encourage sharing with others reflections on practice 5. Join Q network NS / From revalidation reflections encourage nurses to share these reflections. Area on new website to develop FAQ and reflections 6. Development of CEPN section on KHCIC website. 7. Sharing good practice as part of training event Meetings with NT NHSE safety will share so that incidents and near misses can be included in education development, meetings now attended. Needs to be kept up to date and link to Practice Nurse website as it morphs to CEPN. Translate incidents into learning
Section 2. Education and training NF No. 2 2a. Map education and Building database of what is training including e- available learning that is currently available to General Practice staff in Cornwall 2 2b. Accurately identify the need for funded CPD places, in terms of demand and personnel allocation. Using these places to best effect, in terms of workforce transformation, integration and improved patient care Use CEPN as a training Project Action/work stream Lead Work in progress Next steps Learning needs assessment to primary care, locality areas and Cornwall wide Working with area CEPN team to develop this - ongoing Link education available with training outline Promote course that fit the STP transformational work. Identify need for HEE places and negiotaite for 2018-19. Places uptake CM to pull together figures for HEE course. Sept 2018 Natalie for CPN courses.sept 2018 3 2c. 1. Development of CEPN website. CEPN website to go live April 2018 and information hub for any developments of 2. Include safety incident in Regular meetings with NT NHSE education and sharing of education planning safety, collabrative - ongoing good practice around the NHS or wider Share information so that incidents and near misses can be included in educational development. 2 & 3 2d. Develop clinical lead educators for Primary Care (PID 003-2017 Practice educators) in: Immunisation Diabetes Respiratory Tissue viability Identify nurses who have specialist interests and support them to develop their skills to deliver training county wide Identify education package for new role - ongoing work with GP trainers. Interviews for TV and Resp educators booked for Nov 2017.
3 2e. Initiate joint training education, towards building integrated teams and starting a culture of working together 2 2f. Making every contact count (MECC) 1. Part of implementation working group 2 Raising awareness and 2. Highlight to staff availability of systemising this through Health Promotion Dept. 1 2g. Promote right care methodology, systems and processes Staff will gain an awareness of tools to identify unwarranted variations within their area of care. Attending MECC working group regularly - ongoing Ongoing work through SOF workforce group 1. Better together conference planned for April 2018 ongoing add HP courses to CEPN website Include Right care in care planning Arrange speaker on Right care - awaited. Identify speaker. 3 2h. Introduce quality Review training and education to assurance programme to ensure is current best practice. assure quality of all training 1 2i. New Models of General Practice at scale 2j. Recommendation 14: Increase the number of HCAs in general practice to include widening participation schemes that encourage use of the HCA apprenticeship route and support the emerging role of the nursing associate 1. Clinical Pharmacist 2. Sharing research 3. Care Navigation 4. Clinical correspondence management NS Ensure training implemented meets recognised standard HEE competency framework, RCGP, etc. Develop receptionist training in care navigation and clincial correspondence - ongoing Review this against workforce data. Keep abreast of developments of Apprentices & Nurse Associate roles Identify competencies for all job roles in GP - partial Practice educators to make sure all their courses align to national competencies HERE commisioned to deliver CCM for rest of practices. 8 parctices training March 2018 Active signposting show case event arranged for 27th March 2018 Training arranaged to review AHSN new models of care portal HEE educator facilitator developing HCA pathway care certificate and apprenticeships. Work with SoF to identify opportunities to work together on Nurse apprenticeships and Associate nurses.
2k. Recommendation 15: All HCAs in general practice care settings must hold the Care Certificate 2l. Recommendation 16: All education and training for HCAs in general practice must be aligned to the Royal College of General Practitioners (2015) Healthcare Assistants (General Practice) Competency Framework and the HEE District & General Practice NS HEE educator faclitator developing HCA pathway care certificate and apprenticeships. Align course to RCGP standard HEE educator faclitator developing HCA pathway care certificate and apprenticeships. Education to align course to HCA standards course Leads to check other courses
Section 3. Networking with other Organisations NF No. Project Action/work stream Lead Work in progress Next steps 1 3a. Working collaboratively across organisations 1. Meetings regularly being held with educational leads RCHT and CPFT who are keen to progress this Regular meetings through SOF education & training group Placement for Return to Nursing organised across Primary Care (PC), RCH & CFT At Practice Manager visits the opportunity for RTP is being discussed. 2. Link with Directors of HR and OD. Arranged through workforce and STP meetings. involved. Workforce SOF meetings ongoing Recruitment & retention/intelligence groups 3 3. Meetings arranged with Voluntary sector and Patient Association If evaluation of care navigation course satisfactory roll out across other localities. Awaiing evaluation end of March 2018 2 3b. Plymouth and UWE Universities 3 3c. Academic Health Science Network (SW) Course design, applications and bookings Working with CEPN Regional Project lead on joint work streams Work with Universities and HEE to deliver courses that are required by workforce ongoing Monitor and run admissions process with Plymouth university for all Primary Care supported places ongoing Regular meetings with CEPN Area project manager, who is also part of the Cornwall CEPN steering group ongoing Meeting with Plymouth Uni re admissions process and streamlining for Sept 2018. Discussing delivery of modules how they can be adapted to fit workforce demand meeting March 2018 2 3d. Local education and training providers Exploring apprenticeships with various providers Working with Cornwall College, Truro and Penwith and Dynamo Training to further develop apprenticeships in roles in Primary Care L4 Business and L6 Management apprenticeship modules being developed. - ongoing
1 3e Get in Get on Project Promote website for information on http://www.getincornwall access to health care careers.com/ 2 3f. Explore funding Opportunities Promote through immunisation team talk. Raise with PN Ambassadors. Explore placement availablitlies in GP 1. European funding Match funding for half time project support to develop Apprentices in PC at ESF stage 2 Cornwall Council still awaiting outcome Feb 2018 2. Practice Nurse Strategy monies Bid application in progress for Practice educators, motivational interviewing to progress self-management and life style change, leadership and management introduction course, coaching, clinical supervision groups (National) 3. Reception training monies Money released from NHSE/CCG Develop strategy ongoing Mid and East exploring PCH finding 4. Resilience monies 5. Identify funding opportunities with GP forward view Education providers External funding HESW 6. Practice Manager training bid to PCH Bid for Coaching and mentoring Short and long courses Suppport of Practice Manager meetings and organisation Decision awaited Mar 2018 Link with CEPN area manger to identify possible funding streams
Section 4. Health Education England SW Funded course places NF No. Project Action/work stream Lead Work in progress Next steps 4a. Align current modules to allow development of the Nurse Practitioner role and other academic accreditation BSc, MSc, Post Grad Diploma 4b. Explore possibility of Assistant Practitioners being allowed to attend foundation courses where appropriate for role 4c. development Refine the application between the university and service organisations 4d. Rewrite course outlines to be clearer, identifying what level of staff the course is suitable for, the outcomes the course would achieve for the service, and how this links with the career frameworks 4e. HESW Motivational interviewing training funded places Work in Progress with Plymouth University Discuss with HEE for 2017/2018 Ongoing action, this will require some administration funding for primary care to be completed appropriately Ongoing discussions Develop proposal for action learning set in motivational interviewing for lead clinicians in long term conditions. Share how this impacts on staff and patients in terms of self-management. Work with course leads Pathway agreed Jun 2017 Add pathways to website & career pathway Discuss with University admisssions - ongoing Feb 2018
Section 5. Regional CEPN Projects NF No. 5a. Identify what is already spent on training all (practice) staff. Project Action/work stream Next steps 5b. Understand what each health care section already delivers 5c. Website with booking system for all practice staff. 5d. Increase training placements and understand where our current experts are. 5e. Health Care Assistant qualification, care certificate, etc. explore making these transferable across organisations Currently available for Practice Nurses only in Cornwall, develop for other primary care staff ongoing Part of CEPN website under development Jun 2017 Map training placements on the AHSN(SW) new portal available Oct 2016 https://www.modelsofcare.co.uk/ Identify areas of expertise in PC, add to website. Meetings in Cornwall with providers and regional advisor Blue Stream are offering care certificate as part of e-learning package. Working with RCH CFT on induction passport ongoing See 1d.
5f. Explore an umbrella hosting employer 5g. Explore group negotiated indemnity insurance and governance To be developed Proposal written, further exploration and questionnaire on spend (linked with spend on training to practices) Working with national team to develop a solution Completed Currently on hold for national work 3/17 Under exploration 5h. Use and involvement of the voluntary sector to undertake health training Explore with local organisations NP working with VS to develop care navigation training - ongoing Jun 2017 Volunteer Cornwall invited to sit on CEPN Steering group May 2017
Links to key documents Document LINK Five Year Forward View https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf GP Forward Plan https://www.england.nhs.uk/wp-content/uploads/2016/04/gpfv.pdf Placed based systems of care http://www.kingsfund.org.uk/publications/place-based-systems-care Nursing framework Leading Change Adding Value https://www.england.nhs.uk/wp-content/uploads/2016/05/nursing-framework.pdf Practice Nurse Career framework HEE General Practice Nursing Workforce Development Plan (March 2017) HEE Quality Framework 2016/17 Taking Control Shaping our Future Cornwall & Isle of Scilly Health & Social Care plan 2016-21 FYFV Next Steps https://hee.nhs.uk/sites/default/files/documents/district%20nursing%20and%20gp%20practice%20nursing%20framework_0.pdf https://www.hee.nhs.uk/sites/default/files/documents/3018%20hee%20gpn%20plan%20web.pdf https://hee.nhs.uk/sites/default/files/documents/hee_j000584_qualityframework_final_web.pdf http://www.cornwall.gov.uk/media/22983857/taking-control-shaping-our-future.pdf https://www.england.nhs.uk/publication/next-steps-on-the-nhs-five-year-forward-view/