Sue Clarke MSc, PGCE, BSc (Hons), RN Project Lead: Non-Medical Community Workforce Development Project.
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Sue Clarke MSc, PGCE, BSc (Hons), RNProject Lead: Non-Medical Community
Workforce Development Project
AvOCETAction On Community Education and Training
Transforming the Out of Hospital Non-Medical Workforce
“AvOCET is important to me because it closes the gap between acute and out of hospital services”
South of England Nursing Workforce Summit 02nd July 2015
What is AvOCET
Non-Medical Out of Hospital Workforce Development ProjectPuts the patient at the centre and listens to the providers of services and helps them define the skills, knowledge and values of their workforce.Recognises that new and transformed services require workforce to work and think in different waysChallenges professional and organisational boundariesPuts working in teams ahead of individuals
Before AvOCET
So - -
Providers of out of hospital services had little influence on education providers to supply the staff they needed to cope with the increasing complexity and
demand now and in the near future
Education commissioning was dominated by secondary care: influencing curricula and providing placements
Newly qualified staff not fit for purpose for out of hospital workforce
Hospital centric view of care, little Public Health involvement
Expensive and waste of valuable clinical time retraining to work in the community
Few first posts in community and general practice so recruitment an issue
Community and general practice not seen as dynamic, innovative, progressive
Lack of skilled staff to deal with policy move to treat and care for more people in the community
Practice Nurses
Specialist Practitioner (nurse or AHP)
Physicians Associate
Support Workforce Associate Practitioner
Apprenticeships
Community Up Skilling Volunteers and Carer Education
Integrated Development
Care Coordinator
Student NursesAHPsRTP
Practice Nurses
Specialist Practitioner
Primary Care Learning Network
Support Workforce
Care Coordinator
Student NursesAHPsRTP
Successes - - - so far
Community (wider workforce) Up Skilling Programmes
To demystify patient pathways AvOCET will pilot across health and social care workforce (working together, learning together)• A ‘Foundations of Integrated Care’ course• An ‘Integrated Front Line Leadership’ course
From July 2015, a carers hub will offer vital support, information and development for carers
Just starting a piece of work to look at system wide approach to a learning and development solution to the recognition of deteriorating physical health in mental health patients
In collaboration with voluntary sector, developed an induction and development framework for a new volunteer sign poster role.
Return on Investment
• Financial savings from use of non-medical workforce for aspects of GP role Band 8 ANP potential savings £31,255 per ANP
per year Band 7 PA potential savings £38,000 per PA per
year• Recruitment• Retention• Workforce pipeline • Reduce locum / agency costs• Students = improved quality
Care Coordinator(non clinical)
Designed a development framework for care coordinator role
Developed and added a new integrated care module – “context of service provision” to existing Health and Social Care Foundation Degree in Southampton Solent University.
Shared via Hampshire County Council across Hampshire vanguard sites
Primary Care Learning Network (PCLN)
Eleven surgeries working together as a PCLN
Collaborating with community care, social care, and voluntary sector
Produced a scalable framework to develop primary care to provide practice placements for pre-registration student nurses
Increased nurse mentors by 11 (and still going)
Met university quality requirements for practice placements
Student Nurses, Allied Health Professionals, Return to Nursing
Cohort of Post Graduate Diploma pre-registration student nurses undertaking a pilot 50% Out of Hospital facing placement plan
Primary care placements ‘wellness’ focussed
Exploring role of clinical specialist physiotherapist (respiratory) in primary care
Using HEE Return to Nursing process for primary care
Specialist Practitioners
Post Graduate Diploma Advanced Nurse Practitioner (ANP) programme for practice nurses
Three trainee advanced nurse practitioners now in place
Physicians Associate (PA) role in Primary Care
Developing role of primary care pharmacist
Practice Nurses
Employed 1st newly qualified practice nurse in our PCLN
Created preceptorship process for new practice nurses
Practice nurse representation on local primary care transformation project Accredited CPD for practice nurses
Support Workforce
Developed ‘common competences’ shared by health and social care support workers necessary to effectively assist frail people to live independently, live well and remain out of hospital
Using apprenticeship route to upskill primary care HCAs
December 2015 will be collaborating with local community Trust to develop assistant practitioners in primary care
ChallengesArticulating the vision 18 months ago – preparing for the futureGetting buy in from stakeholdersTemptation to maintain the status quo – “we just need more of the same”Maintaining the enthusiasm (and budget) when the initial gloss wore offMind-set – coproduction, collaboration – it is not us and them (especially when the going gets tough) but us!Being bold, adventurous and taking risks…
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