1. Piloting a Model for the Emergency Care Practitioner Progress Report Chris WintleGary Morgan Workforce DesignerProject Manager

2. Changing Workforce Programme Supporting the NHS to: Redesign roles by combining tasks differently. Expanding roles or moving tasks up or down a traditional uni-disciplinary ladder

3. Workforce issues for NHS: Reduced number of entrants to healthcare Large number of healthcare leavers Inflexible professional boundaries Clinical ceiling Need for legislative change

4. Patient Expectations: Good quality care Fewer “faces” and hand-offs Enough people to give care People with time All of which comes from energised, well-motivated staff

5. What do Patients Need? Appropriate treatment Rapid access Less waiting Less duplication

6. Staff Needs: Respect and self-esteem Job enrichment/personal growth Desire for variety Less constraints Without which there is wastage and loss of flexibility

7. OUR CURRENT WORK INVOLVES PILOT SITES: Currently 13 CWP pilot sites throughout the UK are fully testing the potential for different ways of working as a means of improving patient services

9. Emergency Care Pilot Based in Coventry and Warwickshire involving: Primary Care Pre-Hospital Care Three Acute Hospital Trusts

10. Two Distinct Parts to Pilot: Development of the Emergency Care Practitioner role Development of other roles, identified from process mapping / CWP Toolkit Workshops etc.

11. Process Map Mark is 14, he lives in Hillcrest in Warwickshire. At 1600 one Saturday he lacerated his left leg while playing football. The laceration is superficial and 10cm in length. His parents and an ambulance are called at 1605.

13. Emergency Care Practitioners 3 Paramedics to access nursing courses 3 A&E Nurses to access paramedic course All students to then access degree level practitioner course This testing will highlight the skills & competencies needed by the Emergency Care Practitioner

14. Better for Patients / Better for staff Patients will be treated at scene. Reduced queues in A&E etc. Fewer faces more continuity Smoother progression through system Increased job satisfaction Increased career opportunities Improved clinical skills Autonomous practice in different settings

15. SHARED BSc in Emergency Care Practice * Principles/concepts of autonomous practice Care and management of minor illness Care and management of minor injuries Emergency care practice Dissertation Research methods & statistics Optional Module Emergency Nursing Care IHCD Paramedic Award Emergency Driving Induction & Clinical Orientation Diploma in Autonomous Practice “Top up” module to Honours Degree (dependant on progress of students & employer negotiations) * Subject to validation

16. Progress Paramedics : Pre-Hosp rotationMay 02 A&E clinical courseJune 02 A&E placementJuly – Sept 02 A&E Nursing ModuleSept 02 A&E + Pre-Hosp rotationSept 02 – Jan 03 A&E Nurses: Driving (D1 &D2) courseMay 02 Clinical Orientation (tech)June 02 Pre-Hosp rotation (tech)July 02 IHCD Para courseAug 02 Para Stage 3 Sept 02 Pre-Hosp rotationOct 02 – Jan 03

17. Educational Pathway (under development) Feb to Jun 03:Principles & Concepts of Autonomous Practice* May to Aug 03:Minor Illness* Sep 03 to Jan 04:Minor Injuries* * Concurrent Emergency Care Practice Module University exit: Diploma in Autonomous Practice Feb 04:Research Methods & Statistics University exit: BSc Sept 04:Dissertation (with employers agreement) University exit: BSc (Hons.)

18. Looking to the future Development of pre-registration degree (with dual registration) Development of post-registration certificate/diploma programmes Other new/expanded roles: Community Paramedic Investigations/Diagnostics Alternative Response Vehicle

19. Chris Wintle Workforce Designer Emergency Care Pilot Tel: 01256 783053 Mobile: 07867 537899 E-mail: Chris.Wintle@doh.gsi.gov.uk Web address: Gary Morgan Project Manager Emergency Care Pilot Tel: 01788 574618 Mobile: 07789 508022 E-mail: Gary.Morgan@was.nhs.uk www.nhs.uk/modernnhs/cwp