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MAKING THE MOST OF PARTNERSHIPS WITH UNIVERSITIES Prof Steve Tee Associate Dean Education, Florence Nightingale School of Nursing & Midwifery, Kings College.

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Presentation on theme: "MAKING THE MOST OF PARTNERSHIPS WITH UNIVERSITIES Prof Steve Tee Associate Dean Education, Florence Nightingale School of Nursing & Midwifery, Kings College."— Presentation transcript:

1 MAKING THE MOST OF PARTNERSHIPS WITH UNIVERSITIES Prof Steve Tee Associate Dean Education, Florence Nightingale School of Nursing & Midwifery, Kings College London Prof Alison Robertson Chief Nurse and Director of Operations, St Georges Healthcare NHS Trust

2 Session objectives: Potential for partnerships between health service providers and universities The education commissioning environment Types of partnership activity on offer The service provider context Some worked examples

3 Partnership – How can we work together?

4 Some formal partnerships Academic Health Sciences Centres (AHSC) Academic Health Sciences Networks (HIN) Collaborations for Leadership in Applied Health Research and Care (CLARHCs)

5 Prospective Academic Health Sciences Networks Produced by East Midlands AHSN

6 How does education get commissioned? Financial allocation from Health Education England to Local Education & Training Boards (13 LETBs in UK) Pre-registration –Commission pre-reg numbers based on work-force projections CPPD –Providers of NHS funded care –Distributed according to needs of local population and services –Including primary care, third sector providers

7 The Healthcare Education Offer 1. Preparatory pre-registration programmes 2. Research and Development 3. Continuous Professional Development

8 Red queen effect in higher education …the need for Universities to adapt and evolve to survive opposing threats in an ever-changing environment… It takes all the running you can do, to keep in the same place.

9 What does this mean? Changes to the basic building blocks of the 21st century university (PA Consulting 2013): the nature and presentation of HE offers and services - diversity of tailored provision the ways that different needs for those services are met - student-centred, employer-led learning, research-based how institutions organise themselves and secure the capabilities they need - patchwork of provider partnerships how quality is interpreted and assured - accreditation

10 Agreeing the strategy / mission To improve the health outcomes for individuals and populations To co-design services around the needs of service users/patients Translating great ideas inc: health policy, technologies and processes into embedded everyday practice and health systems

11 Building consensus Begin conversations early - strategic Set common goals - operational Develop partnerships – who? Agree and set mutual expectations – what, when and how? Sustain and review

12 The focus of partnership working

13 Knowledge Translation Application of knowledge Promoting research-led care models that foster inter-relational practice Integrated models of leadership and management of research activity Clinical Academics/Joint appointments

14 Consultancy To solve organisational problems One-off advice through to undertaking a study Provision of a researcher or student to support a project Developing bespoke packages of training

15 Workforce development - Work-based learning a partnership learning which accredits or extends the workplace skills and abilities of employees The Higher Education Academy Student- and employer-led negotiated learning work-based service & practice development Accredit in house education programmes

16 St Georges Healthcare NHS Trust Our mission, vision and values all have a strong focus on excellence across clinical care, education and research. This can be further seen when looking at the key components of our vision set out on the following pages. To provide excellent clinical care, education and research to improve the health of the populations we serve MISSION An excellent integrated care provider and a comprehensive specialist centre for south west London, Surrey and beyond with thriving programmes of education and research VISION VALUES Mission Our purpose Vision What we want to be Values These guide the way in which we work and the behaviours we would expect to see kind excellent respectful responsible

17 Why is research part of the Trusts mission and vision? As a teaching/university hospital it is important that as well as provide services for patients we provide education and carry out research (tripartite role). Research is important because: It improves health related outcomes for patients Research active organisations provide better healthcare It enables us to grow and consolidate referral networks Improved clinical services It is required by NHS Constitution and NHS Operating Frameworks Increasing research and innovation in health and social care – government policy Government / DH priority

18 Education : Driver for Change (include) 1.Restructuring of the systems for the commissioning and provision of Education. 2.Changes to the numbers of medical students in training – development of the new roles, expand the scope of practice for others. 3.New ways of training – more flexibility enables where and when training takes place (on-line, simulation, practice based learning, multiprofessional) 4.Care closer to home – curricula and practice placements need to keep place with national strategy.

19 How our Workforce Needs to Change Set out below is a summary of the key characteristics of the workforce that will need to change over the next 10 years All staff aware of trust values Services at times and places that suit staff Hospital based Reactive workforce planning Less efficient Less engaged All staff proud to deliver trust values Services at times and places that suit our patients Care in a range of settings Clinically agreed short and long term workforce plans More efficient More engaged Workforce now Workforce 2022

20 St Georges Education Strategy Patients and service users at the heart of everything we do 1. Ensure the development of a competent, caring and capable workforce 2. Be a national leader in multi- professional training 3. Become a recognised field leader in patient safety training 4. Play a leading role in the Education and Training Board, Health Education South London 5. Ensure the development of high quality learning environments 6. Develop new training pathways

21 Partnership Working 1.The development of the Associate Practitioner role (a sector approach) Consortium of SW London trusts agree to take a common approach to development of a Band 4 associate practitioner role to support Registered workforce. Collaborative working with Faculty of Health, Social Care and Education (Kingston University and St Georges University of London) Development of a Foundation Degree in Health Care Practice with agreed curriculum to prepare associate practitioner / support worker to deliver safe and contemporary patient care. Three pathways: General; Maternity support; Perioperative Care First cohort commenced January 2012, completed January 2014

22 Partnership Working 2.Meeting patient need (Mental Health) Increasing need for nurses to special patients with mental health problems who may be vulnerable and / or displaying aggressive and challenging behaviour Limited availability of RMNs as bank nurses leading to excessive agency costs or care provision by untrained HCAs Potential solution to develop a training programme for RNs Adult to develop competence and confidence to care for these patients Project scoping Kings College London to develop 4 x 15 credit modules as stand alone modules or Postgraduate certificate Successful bid for funding to Health Education South London Working with mental health trust to provide practice placements

23 Partnership Working 3.Maintaining the quality of the learning environment (placements) Joint working with both Universities to undertake educational audits Joint approach to delivery of mentor updates Link Lecturers from both Universities Collaborative approach to planning of placements with equitable division of placement capacity Trust led student safety forum to enable all students to raise issues of concern re placements and quality of care provision Development of Preceptorship programme with Faculty of Health, Social Care and Education (KU / SGUL)

24 Partnership Working 4. Workforce and CPD development Development of Physician Associate placements and roles to meet changes in workforce requirements e.g. decommissioning of junior doctor posts, reduction in EWTD hours, increasing service provision (SGUL) Design and delivery of bespoke provision of Dementia training to meet national and CQUIN requirements (SGH, KU/SGUL/KCL) Flexibility on CPPD education contract use

25 Partnership Working 5. Towards Visible Leadership Trust recognition that senior ward leader role increasingly challenging within NHS Trust desire to identify the development that would help the Band 7s to meet those challenges to the best of their ability KCL commissioned to undertake a scoping project with the senior ward leaders to identify key areas for development – focus groups and a report produced. Report used to develop in-house development programme for senior ward leaders and team leaders working in other areas (SGH) Development programme very well received with positive impact evaluation.

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