Gloucestershire Primary Care Training Hub Health Professionals in Primary Care Conference 30th January 2020 Dr. Lizzie Eley Clinical Chair Gloucestershire Primary Care Training Hub APD Gloucestershire GP, & APD Transformation HEESW

#GlosPCTH

Training Hubs - HEE Schematic

Primary Care

School

STP / ICS aligned Training Hub

Implementation Group

HEE Local

HEE Regional

NHSE Regional

NHSE Local

STP

PCN

LWAB Other Stakeholders e.g HEI PH Social care Third Sector Acute / Community CCGs

PCN PCN PCN PCN PCN PCN PCN

Educational Governance

Communication channels

Core Functions 19/20 contin.

• Coordinate education & training placements

• Support improving educational quality & governance

• Enable, support & embed ‘new roles’ in PC

• Support for recruitment and retention of the PC workforce across key transitions (e.g preceptorships) & career stages

• Active role in promoting career in primary care

Who are we? • Dr Lizzie Eley – Clinical Chair of the PCTH (CEPN) • Zaheera Nanabawa - Programme Manager

Workforce 1.5 days a week • GP Fellows – Dr’s Olesya Atkinson, Olivia Munn,

Harpreet Sandhu • Jess Davies - Admin • Band 6s • Dr’s Martyn Hewett, Laura Halden and Teresa

Curtin • Engagement with Clinical Directors supporting

PCN’s

PCTH Highlights 2019 - 20

1. GP Recruitment & Retention

• GP Fellowships, ‘Next Generation GP’ Programme

• GP Career Lead, Severn Deanery ‘LEET’, Wise 5,

• Health Equalities Fellowships & New to Practice

2. Practice Nursing

3. Multidisciplinary Education & Development

Nurse & MH training, PMs support, MDT Multimorbidity events, Multidisciplinary Dermatology event & resources

AHP conference,

4. Primary Care Workforce Website – Training Calendar

5. Workforce Planning and Alignment with PCNs - Cluster bids

8. TH Functions 19/20

1. Support Workforce Planning better understanding of workforce needs – PCN, ILP, & ICS 2. Develop & expand placement capacity - UG & PG learners** 3. Develop training programmes – medical & non-medical support service re-design & delivery of integrated care

• Population health needs (ILR) • Workforce transformation • System wide approach/ place based pilot**CPs

4. Supporting New Roles** 5. Training & development of multi-professional educators** 6. Support & retention of current workforce**- all disciplines 7. Promotion of Primary Care as a Career** **already working on

PCTH 2020 - 2021

6. PCN CD support & development – conf 23rd april

7. PCN population health needs & workforce development

8. System based priorities

9. Training Hub Functions & HEE expectations

10. Learner Placement Capacity in Primary Care

AHP Placements & Training

HP supervisors/educators conference - MDT supervision & training event

11. Next Steps

PCN Education Lead

www.england.nhs.uk

1. Primary Care Recruitment & Retention Comprehensive programme of career support & development

GP trainees Mid-career Wise years First years

Career advice support & coaching

Co-designed roles

Flexible working

SPARK WISE 5

Work Life Balance

Variety

Flexibility Manageable workload

Career choices

CATALYST

Mentoring & support

New to Practice

Programme

Supported return to practice

Health Equalities Fellowship

TH Fellows

Portfolio roles Fellowships

Clinical placements

Leadership Development

Clinical specialties & GPSIs

Population health

Care for patients

Next Generation GP Gloucestershire 2019

35 Early

Career

GP’s

5 monthly

evening

sessions

Health Inequalities Fellowship

Cheltenham PCN’s Training Developed agreed best

practice based computerised

templates, protocols

• Local formulary

• Searches

• Audits

120 delegates at Racecourse

event – GP’s, Nurses,

Pharmacists

12 Patients – Expert Panel

CVD Template Training – 15

Nurses, GP, PM’s

Receptionists and Secretaries

– CVD update training - 13

attendees

25% of patients need at least an annual review for:

• High 10 year CVD risk scores

• Hyperlipidaemia

• Hypertension

• Chronic Kidney Disease Level 3a, 3b or 4.

• Cerebrovascular Disease

• Peripheral Vascular Disease

• Cardiovascular Disease

• Heart Failure

• Atrial Fibrillation

• Diabetes Mellitus

Gloucestershire ICS. Pharmacy and Medicines Optimisation Stakeholder Workshop - 10th December 2019

“A great first event with a strong ICS energy and commitment”

“Useful session, lots of enthusiasm. Hopefully vision of integrated

placements can be implemented soon within Gloucestershire”

Local workforce information and mix of local and national speakers

Follow Up session – planning underway – funded by Gloucestershire Primary Care Training Hub – led by Medicines Optimisation Colleagues

Advanced Physiotherapist Practitioners

• Service Level Agreement for services from GCS for APP’s

• 1.2 WTE – 3 staff including annual leave cover

• Rotational Model – time in both Primary Care and GCS services

• Professional supervision and employment GCS – Primary Care

supervision – Dr Cameron Jackson in St Pauls Medical Centre

• Stakeholder workshops including – Primary Care, APP’s, GHC,

Commissioning Leads, HEI’s, Public Health, Glos Hosp.

colleagues.

Overwhelmingly Positive

Feedback 98% satisfaction – 298 patients

Finalists

Wessex LMC Multidisciplinary Framework

4. Primary Care Workforce Hub - Website

Training Calendar & Locum Hub to follow

Advantages of PCN- based approach 1. Flexibility

• Sickness/sabbaticals & emergencies • Workload, practice developments

2. Sustainable- support New GPs & Practices with training • Develop skills within supported network of educators • Start with smaller commitment initially • Engage other practice staff and develop learning ‘ethos’ • Regular income for guaranteed placements

3. Increased Capacity 4. Efficiency

• joint /multi-professional tutorials • 1 x ‘expert’ trainer for Physios & AHP leads – across ILP • Plan education provision across PCN /ILP & link with TH • Opportunties for QA & QI

5. Responsive to workforce needs of the PCN • link placement to supply pipeline, ‘Grow your own’

6. Comms /coordination effectively with TH, ILP & ICS - education provision & requirements

How can the Gloucestershire PC

Training Hub support the workforce

and training needs of the Glos. PCN’s and ICS?

Next Steps? • Empowering - PCN level workforce mapping

? ILP data packs/dashboard and ‘gaps’ to support service transformation, engagement with workforce surveys

• PCN CD support & development

• AHP development & education -support workforce transformation

mixed menu of options (cluster bids), 7 service spec.

GP PCN Education Lead/Lead Professionals

• AHP conference – showcase AHP roles in PC – end Jan

professional leads & GPs, share best practice

• MDT supervision & training event-

jointly with RCGP Severn Faculty Training MDT trainers