Community Orientation How to show the evidence in your eportfolio Group Smarties

Aim By the end of the session trainees should feel confident that they can show evidence for the community orientation competence in their eportfolios

Objectives To look at the definition of this competence To break it down into 3 related themes To use cases and discussion to demonstrate how we can show evidence in our eportfolios To look at potential learning log entries What can we do to make sure our supervisors tick the community orientation box when reading our eportfolio

Plan for afternoon 14.00 - Introduction to community orientation competence 14.30 - Break into small groups to look at 4 case studies 15.20 - Tea 15.40 - Small groups 16.20 - Quick Summary

Community Orientation This competency is about the management of the health and social care of the practice population and local community There are 3 separate but related themes that build progressively on each other, which we will consider

Community Orientation Understanding the features of the local community Understanding the nature and availability of local health care resources Managing resources, in particular the tension between the needs of the individual patients and the wider patient community

1) Understanding the features of the local community The first progression is about the importance of understanding the local community and how doctors tailor their services to meet the community’s needs.

1) Understanding the features of the local community Needs Further Development Identifies important characteristics of the local community that might impact upon patient care, particularly the epidemiological, social, economic and ethic features. Competent Applies an understanding of these features to improve the management of the practice’s patient population. Excellent Uses an understanding of these features to contribute to the development of local healthcare delivery e.g. Service design.

2) Understanding the nature and availability of local health care resources The second progression is about the resources that are available to the local patient population.

Needs Further Development 2) Understanding the nature and availability of local health care resources Needs Further Development Identifies important elements of local healthcare provision in hospital and in the community and how these can be accessed by patients and doctors. Competent Uses this understanding to inform referral practices and to encourage patients to access available resources. Excellent Uses an understanding of the resources and the financial and regulatory frameworks within which primary care operates, to improve local healthcare.

3) Managing resources, in particular the tension between the needs of the individual patients and the wider patient community The third progression is about our role in ‘rationing’ or how to make the best use of limited resources.

Needs Further Development 3) Managing resources, in particular the tension between the needs of the individual patients and the wider patient community Needs Further Development Identifies how the limitations of local healthcare resources might impact upon patient care. Competent Optimizes the use of limited resources, e.g. through cost-effective prescribing. Excellent Balances the needs of individual patients with the health needs of the community, within the available resources.

Any good points from case discussions:

Objectives To look at the definition of this competence To break it down into 3 related themes To use cases and discussion to demonstrate how we can show evidence in our eportfolios To look at potential learning log entries What can we do to make sure our supervisors tick the community orientation box when reading our eportfolio – make it obvious!!!

References Community Orientation, Crammer’s Corner, InnovAiT Journal, volume 3, issues 4,5,6, 2010 www.rcgp.org.uk