David Poll Head of GP Academy (Southeast) Deputy GP Dean Quality Lead Community Education Provider Networks HEEM Experience HEEM

Drivers: Why? Community Education Provider Networks Health Education East Midlands

Purpose and functions 10 point plan: NHSE will invest in the development of pilot training hubs, where groups of GP practices can offer inter- professional training to primary care staff, extending the skills base within general practice and developing a workforce which can meet the challenge of new ways of working. Shape of Caring: Local GP networks will drive this process in partnership with higher education and other training providers with the aim of seeking to develop new roles and new ways of working to focus on the needs of the local population. KSS CEPNs: The network provides a level of leadership and infrastructure that individual services would be unable to manage and sustain alone, and allow learning to take place in a range of settings, enabling shared learning and the dissemination of best practice. Community Education Provider Networks Health Education East Midlands

Workforce Commission Connect training and non training practices Be developed, owned and delivered in the community Co-ordinate training and workforce developments across professional groups Expand community placements Develop new roles where needed Build stability and sustainability through local collaboration Community Education Provider Networks Health Education East Midlands

Community Education Provider Networks Health Education East Midlands HEEM aspiration Facilitate community placements for medical students and nursing students “Recognise” the existence and range of learning opportunities in the community “Recognise” the existence of community based educator ability and interest Facilitate links with HEI and local workforce groups

HEEM aspiration Revisit MPLO Learn from colleagues  W. Midlands  KSS  SY&H Community Education Provider Networks Health Education East Midlands

HEEM aspiration 1 per county now 2, maybe three per county in future Practice as hub Locality practices as spokes Community Education Provider Networks Health Education East Midlands

The main function of the hubs is to: Manage and co-ordinate delivery of high quality learning in practice as set out in the Learning Development Agreement Recruit and develop the network of spokes to build the network (or willingness to be a spoke if not selected as a hub) Agree a practice placement plan with the HEI for its network including mentor/supervisor training plan Ensure the students are placed appropriately in the spokes Oversee the mentor/educational supervisor training and updates Ensure delivery of an agreed number of inter-professional learning sessions per year Comply with HEEM quality visits, LDA meetings and provide an annual report on activity and impact Community Education Provider Networks Health Education East Midlands

The main function of the spokes is to: Provide high quality learning in practice to undergraduate and postgraduate students/trainees Ensure sufficient mentors/supervisors are trained and have protected time to provide supervision & training to the students/trainees Support the delivery of inter-professional learning sessions & opportunities Monitor and evaluate feedback from learners Act as the conduit for the funding Provide workforce planning data as required Community Education Provider Networks Health Education East Midlands

Governance HEEM steering group with SRO SLA with HEEM Each CEPN to have a board with members from HEEM, local workforce team, HEIs Quarterly review of activity, difficulties and progress Financial report Community Education Provider Networks Health Education East Midlands

Sustainability Should be excellent Continued interest of practices Continued back up from LETB Continued evident need and workforce drivers Tariff Changing culture. Community Education Provider Networks Health Education East Midlands

Deliverables Clinical placements HEI responsiveness Future practice nurses Future GPs ? Future other professionals working in the community More responsive “system” for workforce. Improved numbers for patient care Inter professional understanding and co-working development Community Education Provider Networks Health Education East Midlands

What did we do? Community Education Provider Networks Health Education East Midlands

Bidding process. Practices contacted Jan Assessment panel. Appointment/initial discussions April 2015 £50K 29 th July 2015 first review date. Community Education Provider Networks Health Education East Midlands

Accredited GP Training Practice Motivation to establish a CEPN to deliver multi professional learning in practice & longer term vision for future development Capacity to manage the hub & co-ordinate the network/deliver the spoke activities Ability to recruit and support spokes to build learning capacity across staff groups to grow capacity in nursing & undergraduate medical placements in the first year Understanding of educational & supervision requirements of regulatory bodies for trainees and students including values & behaviours Partnership agreement in place with appropriate HEI for placement planning Evidence of delivery of good quality, inter-professional education & learning in practice Governance, business model and resources: protected time, physical space, host for funding, monitoring & reporting Understanding the impact of the changing shape of future service models and primary care workforce implications of local transformation programmes Community Education Provider Networks Health Education East Midlands

21 applications (for hub or spoke) 1 appointed per county Other appointables 2 nd round planned Community Education Provider Networks Health Education East Midlands

What happened? Community Education Provider Networks Health Education East Midlands

29 th July review 1.5 CEPNS working well What are CEPNs ? How big should they be ? Relationship with HEI CEPN functionality 2 nd round HEEM project management Community Education Provider Networks Health Education East Midlands

What are CEPNs ? Pilot of hub and spoke arrangement Bemusement Interruption of project flow to redraft? Community Education Provider Networks Health Education East Midlands

How big should they be ? Small/big part of provision The whole of provision Community Education Provider Networks Health Education East Midlands

Relationship with HEIs Key factor  Existing placement networks  Ease of fining correct numbers of placements  Tariff/money flow Community Education Provider Networks Health Education East Midlands

Type of placement Tariff (for a year’s worth of placement) Non-medical £3,175 multiplied by MFF Undergraduate medical £33,965 multiplied by MFF Postgraduate medical £12,400 multiplied by MFF, plus 50% of basic salary costs (not multiplied by MFF) Community Education Provider Networks Health Education East Midlands

CEPN functionality Ensure all team on board Ensure aspirations “correct”. Timetable reviews. Be honest/focus on intended outcomes Offer help Community Education Provider Networks Health Education East Midlands

2 nd round What do we do ?  Listen to problems  Regulators  HEI  Geography  Workforce planning  Time…. Community Education Provider Networks Health Education East Midlands

HEEM project management Time Steering group/SRO/Roles Project manager Focus/learn/persist Community Education Provider Networks Health Education East Midlands

Recurring themes Money goes for educational organiser Needs to understand language of multiple professions Need to understand curricula and assessments Community Education Provider Networks Health Education East Midlands