nw core skills programme stakeholder event – 3 rd october 2012 09:30 - welcome 09:40 - lest we...
TRANSCRIPT
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NW Core Skills ProgrammeStakeholder Event – 3rd October 2012
09:30 - Welcome
09:40 - Lest we forget – Some views from learners
10:00 - Update on the NW Core Skills Programme
10:25 - Overview of the Core Skills Register
10:45 - Refreshments
11:05 - Getting under the bonnet: Ensuring recognition of Core Skills
11:45 - Getting to the next level: What is needed next?
12:20 - Progress of the National Framework
12:35 - Open Forum & Closing Remarks
13:00 - Lunch
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Jill JohnsonAssociate DirectorUHSM Academy
Welcome
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Highlight the key successes so far
You said – We did
Information Governance
Quality Assurance
The agenda has moved
Why are we here?
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Clarify what still needs to be done
And by who
A collective commitment to make this happen
What we want from today
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John SherlockCommunications ManagerCheshire & Merseyside HIEC
Lest we forget
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Overview
Setting the Scene
User experiences of statutory and mandatory training
Summary of feedback
Next steps?
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Setting the scene
CSF programme has had some significant developments over the past 12 months
Reminder of why we are making the commitment to CSF
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First hand accounts
No substitute for experience!
Acknowledge the problem
Identify (the right) solution to the problem
Inspire and engage
Hard to refute
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Case Study #1
Mandatory Training – My experience and thoughtsby
Anne Shrestha (ST3)
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Day 1
AM: ID Badge, hand washing, Parking, Passwords, Surgical Induction
PM: Virtual Learning Environment (VLE) Modules: blood transfusion, Infection control etc
Day 2
All day trust induction at ?Manchester City Football Club ANTT, Discharge letters, Pharmacy,
Moving and handling, transfusion, Library etc...
Induction 1st Rotation
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Same as in trust, different hospital
- Local hospital induction surgical induction
- Did not attend 2nd day of trust induction
Induction 2nd Rotation
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A Final Thought....
Statutory and Mandatory training is a tough nut to
crack but like the Capuchin Monkey, if we perserve, adapt and are willing to learn it can
be cracked!
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1 Day induction
AM: Test on how to prescribe and write drug cards, usage of antibiotics, surgical induction/housekeeping, cross
cover of specialities.
PM: VLE modules local IT software, discharge summaries, blood transfusion, child protection awareness etc...
ANTT - Blood culture and venepuncture - observed procedural skills
Induction 3st Rotation
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“Same as rotation 1. I had to re-do everything.”
Induction 4th Rotation
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Conclusion
Induction is vital
The effort is appreciated
It provides a lot of useful information
However...
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Conclusion
It’s time consuming
It can be overwhelming
It’s repetitive
It’s not engaging
It’s a waste of resources
a lot of information
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Conclusion
Impact:
It can waste time
“ Change over day is always a Wednesday. It doesn't feel like the job has officially started until the following week.”
a lot of information
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Conclusion
Impact:
It can impact on patient care
“ There is a lack of doctors in the hospital during those days which affects patient care.”
a lot of information
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Conclusion
Impact:
It can waste resources
“ Similar topics were covered throughout different trusts – surely this is a waste of time and money?”
a lot of information
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Junior Doctor Survey
2012 Qualitative survey conducted across trusts and HEI’s in the North West
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Junior Doctor Survey
Current – 8 weeks old
10 question survey
86 responses
Geographical spread
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Responses
a lot of information
Question:
Have you ever experienced duplication of statutory and mandatory training e.g. during rotation periods? If so, describe how this impacted on you and your role?
a lot of information
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a lot of information
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Snapshots
a lot of information
#1
“I have never received any mandatory training which I have felt was needed for me to do my job that had not been covered in my own teaching programme already.”
a lot of information
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Snapshots
a lot of information
#2
“Stat and man is very inefficient. I am never going to read the workbook again having completed it, so that's a waste of paper. Repeating mandatory training so frequently is time-consuming for junior doctors, and also for the staff who have to chase us up about doing it!.”
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Snapshots
a lot of information
#3
“The training has to be repeated at each hospital. This means that BLS/ANTT etc has to be completed every 3-6 months.”
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CSF User evaluation
Organisational value – GP surgery
'It was has been great to be able to have a single source to access for the core skills training, an area of education which has historically been very difficult for non-PCT Practices to access. It is also helpful to have this training available in a variety of formats to suit individual practices and learning styles. We would very much support further development and publication of this resource.”
Dr Jill Thomas - GP
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Conclusion
First hand experience / evidence supports:
It seems to be a universal problem
It wont just go away
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Conclusion
It wastes time and money
There is a lot of duplication
It wont just go away
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“Addresses the age old problem of how to deliver induction and mandatory training. Impressive scale, scope and can-do attitude, all backed by a very clear business case.”
- Judging panel
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Conclusion
Feedback suggests:
This matters to people
Time/money is being wasted
CSF is improving quality
User experience can be improved
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Information
Share information:
This matters to people
Time/money is being wasted
CSF is improving quality
User experience can be improved
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Next steps
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Next steps
Getting under the bonnet?
What do wee need to do to tackle this?
Continue to develop insight and understanding – what can we do to help you?
Share the problem / share the responsibility / share the rewards
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Coming soon...
Further research – we need you
Case studies and evaluation feedback on implementing the CSF
Information sharing – case studies etc promoted via website
www.cmtpct.nhs.uk/core-skills
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Thank you
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Seán BradburyNW Core Skills Programme ManagerCheshire & Merseyside Teaching PCT Collaborative
Programme Update
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Workstreams
Programme Structure
CSF &Skills
Passport
FutureWorkforce
NWProgramme
Board
ProgrammeTeam
JuniorDoctors
WiderStakeholders
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Core Skills Framework - Support National Framework
Education Delivery - Content Updated / e-Learning
Organisation Guide - Reviewed & Updated
Information Governance - IG Protocols & Principles
Core Skills Register - Interim solution for Passport
Other tools include: - Content mapping / matrixes
www.cmtpct.nhs.uk/north-west-core-skills/
Tools & Resources
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Held Event in June
HEI Readiness Assessment
Delivery Matrix
E-Learning Delivery
Core Skills Register
Future Workforce Workstream
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10 HEIs in NW delivering 77 commissioned programmes
38 programmes have responded - 49%
30 programmes to adopt this academic year - 39%
5 programmes to adopt next academic year - 6%
3 programmes not adopting at this stage - 4%
HEI Readiness Assessment
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Delivery MatrixRight time to do Core Skills?
Year 2
HEI
Placement
Year 1 Year 3
Level 1 for the1st placement
Level 2 + inthe 2nd year
Refresher dueend of final year
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Aligning the Core Skills to both Deaneries in the NW
Medical Education Departments
Junior Doctor Case Study
Core Skills Register
Junior DoctorsWorkstream
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North Western Deanery Core Skills aligned July 2012
492 Foundation Year 1 doctors
Mersey Deanery supportive of Core Skills
Redevelopment needed of existing system
Full alignment anticipated Feb 2013
Investigating extending scope with North Western Deanery
ST Doctors / Additional subjects
Alignment of both Medical Deaneries
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NW NHS Trusts current readiness status
Quality Assurance Model
Information Governance
Review of CSF Content and Tools
CSF Workstream
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Readiness Status
Jan 2012 Apr 2012 Jul 2012 Oct 2012
Waiting Response 15(33%)
5(11%)
0(0%)
0(0%)
Unaware of the CSF 3 (7%)
0 (0%)
0 (0%)
0 (0%)
Not implementing the CSF
6 (13%)
5 (11%)
5(11%)
4(9%)
Planning to implement the CSF
19 (41%)
23(50%)
20(43%)
18(39%)
Partially implemented the CSF
3 (7%)
12 (26%)
14(30%)
16(35%)
Fully implemented the CSF
0 (0%)
1 (2%)
7 (15%)
8 (17%)
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- 0%
- 10%
- 30%
- 40%
- 50%
- 20%
- 60%
WaitingResponse
Unawareof CSF
NotImplementing
Planning toImplement
PartiallyImplemented
FullyImplemented
Jan 2012
Apr 2012
Jul 2012
Trust Position
Oct 2012
Readiness Status
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What does Readiness mean?
Typical NHS Trust
HRDir
MedDir
Learning & Development
MedicalEducation
PracticeEducation
NewStarters
JuniorDoctorsStudents
Core Skills Register
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Programme Structure
CSF &Skills
Passport
FutureWorkforce
NWProgramme
Board
ProgrammeTeam
JuniorDoctors
Locum& Agency
WiderStakeholders
ClinicalSkills
NationalFramework
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Tim GrocottProject ManagerGreater Manchester HIEC
Overview of theCore Skills Register
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Core Skills Register
SHAREALIGNED TRAINING RECORDS
ALIGNMENT SHARE RECOGNITION
TRAINING RECORDS
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Core Skills Register Why?
• Records of Core Skills Training are not accessible and shared across providers at present
• The Core Skills Register provides a mechanism by which organisations can share records of core skills training- promoting data portability
SHARE
ALIGNMENT SHARE RECOGNITION
TRAINING RECORDSCore
Skills Register
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Core Skills Register“Interim solution to the Skills Passport”
Core Skills RegisterProduct Available: mid Oct 2012
Skills PassportProduct Available: Summer 2013
Core Skills Training Core Skills Training
Reporting Functionality Reporting Functionality
Potential links to internal information systems
References
Career History
Qualifications
Plus Many more features….
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• User Journey scenarios completed• BETA Version Developed• User Testing 95% completed• Final amendments being made• Information Governance Implications identified
and progressed. • Support & Training arrangements underway• Anticipated availability - mid November
Core Skills RegisterWhere are we?
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Core Skills Register
When will this make an impact?
SHARECore Skills
RegisterRECOGNITION
•Reduced duplication• Increase local induction time• Improve patient care• Better Quality• Assurance• Audit
1
2PLACEMENT
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Early User Feedback
User Journey Testers: -•Easy to follow•Identified small areas of changes•Simple easy steps to undertake user journeys•User Guide simple to follow •Familiarity gained quickly•Journeys completed without detailed training
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Helpful with the following
• Organisational reporting• Core Skill Compliance reporting (expiry)• Individual learner searches• Group learner searches• Organisational & Learner reporting combined• Searching, Viewing and Reporting records of Core
Skill aligned training
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User Journey Example A
Scenario: David Featherstone claims he has completed Core Skills aligned Fire Safety training but has lost his Certificate.
Use the Core Skills Register to review his record.
CSR Steps: -
Log in
Search
Find
View
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Log In
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Navigate: Learners Page
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Search: David Featherstone
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View
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Scenario: Your L&D manager has asked for a report for all Junior Doctors who are Core Skills Compliant
Organisation: Core Skills NHS
User Journey Example B
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Navigate: Organisations Page
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Select: Core Skills NHS
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Enter Search Parameters
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View Results & Report:
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Core Skills Register
When… How… Who…
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Implementing the Core Skills Register
A. Organisational Engagement
B. Workforce Related Implications
C. SME Implications
D. System related considerations
E. Education Delivery
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D. Systems related considerations
• Training databases/Learning Management systems• course structure and administration
• eLearning packages• Content• Assessments• IT requirements
• Skills Register/Passport• Implementation guidance
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Implementing the Core Skills Register
Ref Step Guidance Available
1 Approval Terms & Conditions document
2 Information Governance
IG paper for organisations to review/accept
3 IT IT requirements document
4 Set up for:A.Upload learnersB.Upload training
Mapping tools to help ensure correct data is available to upload
5 Test Upload Tool available to generate upload file
6 Set Up Users Training available
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Questions?
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Refreshments & Networking
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NW Core Skills ProgrammeStakeholder Event – 3rd October 2012
09:30 - Welcome
09:40 - Lest we forget – Some views from learners
10:00 - Update on the NW Core Skills Programme
10:25 - Overview of the Core Skills Register
10:45 - Refreshments
11:05 - Getting under the bonnet: Ensuring recognition of Core Skills
11:45 - Getting to the next level: What is needed next?
12:20 - Progress of the National Framework
12:35 - Open Forum & Closing Remarks
13:00 - Lunch