Educational support for Shifting the Balance of Care (SBC)

Strategic Environment

Better Health Better Care 2007

A Force for improvement – Workforce response to Better Health Better Care 2009

Shifting the Balance of Care Improvement and Resource Framework 2009

Some of what NES does

Provides GPST, GP Dental training, Pharmacy and PMVTS – to National (UK) Regulatory Standards

Extensive programmes in Uni-professional areas, eg in GPST - 300 GPs per year – approx 1000 in training

Professional development support eg appraisal, CPD…

Project based activity

What NES Does

Project based activity eg CHP projects -5 funded GPwSI/PrwSI

Workstreams eg OOH Cancer/Palliative Care Mental Health 18 weeks Long term conditions

NES approach

Community Health Care Education Strategy (2005)

Iterative Process Ensure that NES is aligned to the Education/Training

needs of the Community workforce Initially profession based approach Latterly CHP based

NES approach

Issues Main staff groups contract into the NHS –Drs, Dentists and Pharmacists

Contracts are national (UK) Contracts not aligned to Scottish Government strategy Terms and conditions of staff outside A4C Dispersed organisational structure Workforce data and planning are difficult

eg GP and non NHS employed nursing

NES approach

Issues (continued) Workforce growth influenced by various factors eg 100% increase

in GP nurses, 48% increase in GP practice staff since 2003

Majority of nurses now employed by contracting bodies

Distribution of resource not necessarily focused in areas of need eg deprivation

Variable engagement with CHPs or National Strategy

The NES principles

Supporting evidenced based educational interventions Developing the concept of contextual education and

training i.e. education and training that is relevant and focused on staff and patient needs

Generic educational interventions rather than disease or condition specific interventions

Supporting existing communities of practice e.g. existing nursing, manager and medical networks

Primarily supporting role development rather than new roles.

CHES and SBC

Community based view too narrow Map existing activity to both 48 change areas within SBC

improvement and resource framework and to 8 high impact change areas.

Special HBs should coordinate activity in relation to the 8 SBC high impact areas

Support innovation in CHPs and develop learning form existing projects

Identify CHP learning/training priorities Enhance Uni/Multi/Inter - professional activity within NES

Future

Internal mapping and adoption of a systems approach to SBC

Ensure existing programmes (GPST etc) include SBC priorities

Greater Alignment with other Special HBs – includes individual and joint mapping matrices

Enhanced dialogue and engagement with CHPs