Presentation on theme: "Paramedic evidence-based education project (PEEP)"— Presentation transcript:
1Paramedic evidence-based education project (PEEP) November 2014Paramedic evidence-based education project (PEEP)Patrick MitchellDirector of National ProgrammesHealth Education England
2BackgroundCommissioned by DH’s National Allied Health Professional Advisory Board - funded by the College of Paramedics, reporting in August 2013Provides an evidence base to progress the strategic direction of the standardisation of education and trainingVarious education and funding models in place across the UK - PEEP seeks to address these issuesDelivery lies with Health Education England (HEE), the College of Paramedics and the Association of Ambulance Service Chief Executives
3PEEP Report Passed over to HEE in July 2013 HEE asked College of Paramedics to co-chair an oversight national steering committeeDevolved nations invited to be active participants to deliver UK solutionThe paramedic profession is the only AHP:With no single education level entry route to registration with HCPCNo clearly defined or aligned career structure leaving inconsistency in titles, scope of practice and purposeAdvanced prescribing necessitates both to be agreed and in place before the non-medical prescribing board will consider a business case from the profession
4Recommendations from PEEP There should be a nationally agreed approach to the commissioning and funding of paramedic education with access to bursary fundingModels of pre-registration education and training should align with other non medical professions and lead to an all graduate professionThere should be a review of the College of Paramedics scope of practice and HCPC standards of proficiencyEvaluate education and development opportunities for the existing workforce and embed a whole systems approach to enhance the learning environment for the student paramedicThere should be an enhancement of clinical skills and clinical decision making developed through the College of Paramedics curricula
5Clinical Skill Enhancement There should be additions to the clinical skills in pre-registration training in the areas of:Dementia and mental health awarenessClinical leadership skillsMulti-professional learning opportunitiesIntegrated careEnd of life careInclusion healthThere should be a closer engagement of this workforce with pre-hospital urgent care, and prevention of hospital admission, should be of benefit to the wider community.
6PEEP report and recommendations There are two critical interdependencies to the engagement programme:Consultation on paramedic prescribingIntention to commence public consultation on paramedic prescribing by the end of the calendar yearTo be delivered in advance or alongside PEEP strategy consultation in order to ensure stakeholders can present an informed viewThe outcomes of Keogh’s urgent and emergency care reviewPEEP is a major contributor to the success of both hear and treat & see and treat strategiesNew paramedics roles in ED and primary care settingsWill require a significant increase in training capacity at scale
7Delivering PEEP – project structure Education & Training Steering GroupWays of working /scope of practicePEEP Report RecommendationSub Group LeadingEducation modelsClinical modelsUrgent Care Steering GroupWorkforce planning1.0 Standardised approach to education and trainingScope of practice and ways of working1. Nationally agreed approach to commissioning and fundingFinance1.2 Access to bursary fundingFinance Commission-ing2.0 Pre-registration education development model leading to an all graduate profession3.0 Models of pre-registration education and trainingClinicalstandards3.1 Knowledge and skills enhancementComms & engagement3.2 Content3.3 Clinical decision making4.0 Partnership model5.0 Paramedic leadership for England6.0 Standardised approach to identificationCommunications
8Ways of working & Scope of practice sub group There should be a standardised approach to all aspects of education and training for paramedicsParamedic registration should be at BSc level by 2019/20Supports amendments to the scope of practice and curricula developed by the College of ParamedicsSupports a national model of commissioning and funding for pre-registration paramedic education (model still to be determined)Pre-registration paramedic education should be included in the new National Standard Education Framework AgreementAgrees Standards of proficiency and standards of education and training together with the College of Paramedics curricula guidance and competency framework will be submitted for independent educational levelling to confirm the standards of education at BSc level.
9Current positionThe steering group have recommended further work be undertaken before being presented to HEE Board for approvalSteering group with two new groups recently formed to review:Educational modelling to develop options programme delivery and educational fundingParamedic employers group supported by NHS Employers to assess employment implications of the changes of the paramedic role including union consultationWorkforce planning and modelling of options based on training commissions required to meet urgent and emergency care review and other needs of new models of care.
10Transition recommendations The steering group has supported:That education and development opportunities for the existing workforce should be considered and a transition plan formedThat organisations should have mentoring and preceptorship arrangements in place consistent with the curricula requirementsThat an engagement programme needs to be delivered from a national platform to have the necessary influence, supported by local delivery plansSpecific consideration in transition planning should be given to:The current paramedic workforceImpact on skill-mixThe current technician workforceImpact on employee relationsImpact on terms and conditionsStaff engagement
11Education Development Managing TransitionCurrent Technician Workforce Current Paramedic WorkforceTerms and Conditions Skill Mix Employee Relations EngagementEducation DevelopmentEmployment IssuesWorkforce Planning
12Next Steps Complete educational levelling Financial viability to be fully assessedAssessment of workforce numbers - optionsRequirements and transition planning for up-skilling the current workforceCommunications strategy to be developedEmployers group to assess job design and alignment within current agenda for change frameworkNHS commissioner engagementUnion consultationDiscussion with HCPCDevelopment of an implementation plan
13Next StepsFurther discussions with key stakeholders including employers, commissioners and unionsHEE Board approval March 2015Final sign off nationally with employers and commissionersFormal notice to higher education institutionsFinalise timeline with HCPC