1. Assistant Practitioner Role Lin Linford Assistant Practitioner - Liverpool Community Health NHS Trust (LCH) Sharon Poll GPN / Senior Nurse - NHS Liverpool Clinical Commissioning Group (LCCG) LCH working in partnership with LCCG

2. Chronic Disease Management Team LCH working in partnership with LCCG  Innovative approach to chronic disease management  Funding through Local Enhanced Service  High quality, flexible skill set and ability to lead change  Drive high quality standards of care

3. The Skills for Health (2009) Core Standards for Assistant Practitioners defines the AP role as a worker who: LCH working in partnership with LCCG  Competently delivers health & social care to and for people  Has a required level of knowledge and skill beyond that of the traditional healthcare assistant or support worker  Ability to deliver elements of health and social care and undertake clinical work in domains that have previously only been within the remit of registered professionals  Is accountable to themselves, their employer, and, more importantly, the people they serve.

4. Developing the Assistant Practitioner role in general practice LCH working in partnership with LCCG  Took time to understand role & standards  Developed role to meet the needs of service  Invest to continually push the boundaries  One to one’s (AP’s manage their role under guidance)  Self-directed development and practice  Work guided by standard operating procedures and protocols

5. Impact of role LCH working in partnership with LCCG  As a manager – confident in role and standard of care delivery  Made nursing teams ‘step up a gear’  Promoted leadership at every level & strong peer support  Improved patient confidence and experience  Improved health outcomes (KPI measures)

6. Benefits to General Practice LCH working in partnership with LCCG  High quality and flexible skill set to meet the complex need of patients  Increased productivity and high quality care  Free up registered practitioners to do what uniquely trained for  Cost effective skill set which can undertake clinical work that has previously only been within the remit of registered professionals

7. Key Considerations LCH working in partnership with LCCG  Right person  Right support to allow role to develop as required  Expect to be challenged

8. Lin Linford Assistant Practitioner Practice Nurse Development Team ( Liverpool Community Health NHS Trust ) LCH working in partnership with LCCG

9. Why I applied to be an Assistant Practitioner LCH working in partnership with LCCG  NHS constantly changing  Focus on Primary Care  Passionate about community care / General Pract i ce

10. The Course LCH working in partnership with LCCG  In depth and challenging  Work split between university and work based learning  Work based learning key factor in success of completing course  Level 5 education  Communication skills, health promotion, anatomy & physiology, inter-professional working, health psychology, equality & diversity, care co-ordination of long term conditions, learning and assessment in practice, leadership, management & informatics, primary prevention of cardiovascular disease.

11. Role Development LCH working in partnership with LCCG How it felt for me  Fantastic opportunity  Apply learning  Work in new ways  Build trusted relationships  Encouraged and supported to push boundaries  Valued as a leader

12. What am I doing now? LCH working in partnership with LCCG  Work in Practice Nurse Development Team  Mentoring and peer support key role  Every Contact Counts Trainer  Health Ambassador / champion role

13. Thank-you Any Questions? LCH working in partnership with LCCG