1. Developing Learning Environments Dr Barry Lewis Director GP Education

2. Defining the Learning Environment LEARNING ENVIROMENT Workplace Experience Educational programme Clinical Supervision The ‘fabric’ – rooms, equipment and people

3. The ‘Fabric’ Standards for Better Health Consulting rooms –Size –Suitability Resources –‘library’/study area –Records and IT Practice based team

4. Workplace experience Patients –List size –Morbidity –Access Services –Chronic disease management –Additional services Multidisciplinary team

5. Educational programme In practice educational processes –PHCT meetings –Case based discussion meetings –Clinical education Tutorial arrangements –Protected –?shared Relevant to stage of training

6. Clinical supervision Organisation of supervision –Availability and access –Training as supervisor –Appropriate to stage of training Non medical supervisors –Training –Time in usual role –Support for role as supervisor Sessional vs overview processes defined

7. Expanding and extending GP training Numbers in NW –ST1 recruitment 240 in 2009 –ST1 recruitment ~300 in 2011 –All to do minimum 18 months GP Extending to 5 years –Pilot in NW for ST4 and 5 –ST4-5 in GP More placements needed –New practices –New slots in existing practices –Hub and spoke arrangements – BUT environment conditions still apply

8. Funding Existing Learning Environment Grant –Established process –Support needed from PCT –Points for undergrads, AHPs, FY2s as well as GPST slots New LEG –Additional money 09-10 only –Same parameters but – removal of matched funding etc

9. Funding (2) Developing remuneration for training –Trainers grant Graded based on supervision required Acknowledges service delivery by trainees –Environment payment Fee/slot Slot may be used by any of the range of learners