Lunch & Learn: Primary Care Workforce for 21st Century with Sharon Lee of South Kent CCG

1. WELCOME
Wednesday 27 May 2015 Webinar
Primary Care Workforce for 21st Century

2. Primary Care Workforce for 21st Century
Wednesday 27 May 2015
12.30pm – 1.30pm
Sharon Lee
Primary Care Workforce Facilitator, South Kent Coast CCG
&
Beverley Matthews
LTC Programme Lead, NHS Improving Quality
#LTCImp

3. Bev Matthews
A nurse by background, Beverley has worked extensively throughout the NHS in a
variety of clinical, managerial and strategic roles. Beverley’s current role as
Programme Delivery Lead for Long Term Conditions Improvement Programmes:
LTC Year of Care Commissioning Model and LTC Framework. Prior to joining NHS
Improving Quality in April 2013, Beverley was Director of NHS Kidney Care and NHS
Liver Care.
Passionate about service transformation through developing networks and leading
complex programmes. Providing strategic leadership to partners within health
communities, managing stakeholders and working across agencies.
Sharon Lee
Primary Care Workforce Facilitator, South Kent Coast CCG
Nurse by Background for over 30 years in a variety of setting including Primary Care.
Queens Nurse. More recently working on the LTC QIPP Programme
and NHSIQ LTC Programme
Meet the Speakers
#LTCImp

4. Beverley Matthews
LTC Programme Lead
NHS Improving Quality
Beverley.matthews@nhsiq.nhs.uk
#LTCImp

5. LTC Year of Care Commissioning
Developing a Year of Care Capitated Budget approach for those
with Complex Care Needs
• 5 Early Implementer sites
• 35 Fast Followers
• Whole Population Datasets
• Implementation Guide
• Simulation Modelling
• Specialist Support Team
#LTCImp

6. LTC Person Centred Care:
Delivering Person Centred Care for People with LTCs
• 40 Early Adopter sites
• 4 regional learning networks
• Snapshot Survey
• Simulation Modelling
• Specialist Support Team

7. LTC Learning Community
Establishing a Virtual Community for All to Share and Learn
• LTC Dashboard
• Case Studies
• Lunch and Learn Series
• The Bulletin
• Specialist Support Team
@NHSIQ @bev_j_matthews #LTCimp #LTCyearofcare

8. To request registration details contact LTC@nhsiq.nhs.uk
Date Webinar Hosted by Bev Matthews &
4 June 2015
12.30 – 13.30
Manchester Fire & Rescue –
Prevention Home Checks
Peter O’Reilly & Geoff Harris
Manchester Fire & Rescue Service
9 June 2015
12 noon – 1pm
Barking Havering & Redbridge
Complex Care Model: Health 1000
Rob Meaker
Barking, Havering & Redbridge
LTC Lunch & Learn E-Seminars
Establishing a Virtual Community for All to Share and Learn
#LTCImp

9. SKC CCG
Primary Care in 21st Century
Sharon Lee
Primary Care Workforce Facilitator
&
Wendy Cunningham, Student Nurse
Julie Willis Practice Nurse, Mentor

10. Issues facing us
Fewer Doctors and Nurses going into Primary Care
Part Time working
Lack of skills in wider community
Lack of Workforce Analysis
Lack of Training Practices
Increasing demand on services
Increased workload in general
Shift of Care to a ‘out of hospital focus’
Skill base not following
Lack of resources
Funding flows
Ageing workforce
And so on……………………………

11. PrimaryCarein21stCentury
Primary Care
Workforce
Skilled and
Flexible Primary
Care Workforce
Stable Primary Care
Skills and
Competency
Framework

12. Sept 2014 ……………………
PrimaryCarein21stCentury
Scope
current
workforce/
skills
Skilled and
Flexible Primary
Care Workforce
Workforce planning
Development of
Bespoke Skills
Framework and
Deliverables

13.  GP Workforce Analysis
 Increased Training Practices
 Integrated Health and Social Care Apprenticeship Programme
 SKC Bank for Primary Care Nurses
 SKC GP Trainee Induction Programme
 SKC Pre Reg Student Nurse Placements
 SKC Primary Care Nurse Web Based Intranet Resource
 Work Experience Placements for Local Schools in Health and
Social Care
 Clinical buddy /Peer Mentoring System for Nurses

14.  Appraisal Toolkit for all Nurses
 Workforce Initiatives Directory
 Integrated Community Education Provider Network
 SKC Domiciliary Care Training Initiative
 Clinical Skill base for Primary Care Staff
 Return to Medicine/Nursing Initiative in Primary Care
 Young GP Forum
 PN Forum
 Preceptorship Programme for Primary Care Nurses
 Competency Framework/Training for Safe Care Out of Hospital

15. Awareness Training, no competency base. Experiential Learning
Key to Index:
Supportive
Basic
Complex
Advanced
Desirable Skills
Wounds Band 3 Band 4 Band 5 Band 6 Band 7 Band 8a
Wound assessments Basic Complex Complex Complex Advanced
Wound dressings Basic Basic Complex Complex Complex Advanced
Clip Removal/Sutures Basic Yes Yes Yes Advanced
Pressure area risk
assessment Yes Yes Yes Yes Yes Yes
Provide pressure area care Basic Basic Complex Complex Complex Advanced
Lower limb assessments Basic Complex Complex Advanced
Doppler assessments Yes Yes Yes Advanced
Compression therapy Basic Complex Complex Complex Advanced
Lymphodema assessments Basic Basic Complex Advanced
Lymphodema bandaging Basic Basic Complex Advanced
Negative Pressure Wound
Therapy Basic Complex Complex Advanced
End of Life Band 3 Band 4 Band 5 Band 6 Band 7 Band 8a
End of life care Supportive Supportive Supportive Supportive Supportive Advanced
Respiratory Band 3 Band 4 Band 5 Band 6 Band 7 Band 8a
Inhaler technique Demonstrate and Assess Demonstrate and Assess
Demonstrate and
Assess/Educate
Demonstrate and
Assess/Educate
Demonstrate and
Assess/Educate Advanced
Spirometry Basic Basic Complex Complex Complex Advanced
Blood Gases Basic Basic Basic Complex Complex Advanced
BIPAP/CPAP Report issues Report issues Report issues Regularly manage pt. Regularly manage pt. Advanced
Long term oxygen Report issues Report issues Report issues Regularly manage pt. Regularly manage pt. Advanced
Nebuliser Treatment Yes Yes Complex Complex Complex Advanced
Awareness Training, no competency base. Experiential Learning
In house/ Outside Provider Competency Based Short Course
Modular Accredited Course
Level 7/MSc Level

17. Next Steps…….
 Integrating Practice, Nurses embedded and all working across the
Community and General Practice as Primary Care Nurses
 Integrated Shared Learning through Community Education Provider
Network
 Development of Physician Associate Role

18. Summary
 Established ‘Workforce Transformation Framework’ to inform/identify
workforce solutions and service integration at a provider,
commissioner and system level that is co-developed through ICO
and produced with HEI underpinned by the workforce information
architecture and potential minimum data set. (i.e H.S.C.I )
 Competent and Capable Staff by ensuring effective workforce
planning through close work with the Education Boards/CEPN
alongside Self -assessment and critical peer analysis (Forums)
 Scope local, regional, national and international models to implement
the appropriate workforce solutions (ie Queens Nursing, NMC, CQC,
NHSE)
 Flexible workforce skill mix and educational strategies responsive to
research and innovation that recognise the changing way in which
healthcare, public health and care services need to be delivered in
the future

19. #LTCImp

20. To request registration details contact LTC@nhsiq.nhs.uk
Date Webinar Hosted by Bev Matthews &
4 June 2015
12.30 – 13.30
Manchester Fire & Rescue –
Prevention Home Checks
Peter O’Reilly & Geoff Harris
Manchester Fire & Rescue Service
9 June 2015
12 noon – 1pm
Barking Havering & Redbridge
Complex Care Model: Health 1000
Rob Meaker
Barking, Havering & Redbridge
LTC Lunch & Learn E-Seminars
Establishing a Virtual Community for All to Share and Learn
#LTCImp