2. Purpose of tonight Consider the issues and what we currently do
Revision about the context and reasons for modernising dental CPD mechanisms
Outline a vision and process to develop strategic and operational plans for change

3. GDC Registrants in Wales as of Jan 2017
October 2016 (WALES ONLY)
GDC Registrants in Wales as of Jan 2017
Dentist
1685
Dental Nurse
2065
Dental Hygienist
279
Dental Therapist
123
Dental Technician
253
Clinical Dental Technician 13
Orthodontic Therapist 25
TOTAL
4443

4. Current Support for Dental Professionals in Wales
Continuing Professional Development (CPD) courses
Core topics
In Practice training courses
CAPRO audits
NHS dentists funded for up to 15 hours and 5 hours verifiable and 10 hours non-verifiable CPD
Maturity Matrix Dentistry (MMD)
Personal Development Plan (PDP)
National Audit projects
WHTM01-05 (NHS dentists funded for 3 hours and awarded 4 hours verifiable CPD)
Antimicrobial prescribing
Smoking cessation
Courses and training for DCPs
For more information contact:

5. What is the Dental Section's role?
Understand the development needs of the dental professionals we serve
Understand the requirements of the GDC and the needs of the public
Maintain our role as a major CPD provider to NHS in Wales

6. What did we actually deliver last year?
A total of 836 CPD courses
582 courses in practice (3108)
190 courses in PGCs/other (4823)
57 hands-on courses (570)
5 on-line courses (150)
A total of 8691 attendances

7. Delivery statistics?
75% of courses deemed as essential
67% of courses are charged for
90% of the courses are clinical
Deanery commissions 45% of the courses
Only 2% of courses are cancelled

8. Dentistry – current key workforce and educational challenges affecting Wales
Challenges include:
Strengthening of Mandatory Year of Dental Foundation (DF) Training;
Developing post-DF Dental Core Training;
Changes to CPD delivery based on new guidance from GDC and recommendations of the CPD review
Analysing the needs for Dental Specialties, including increased training in the primary care sector;
Addressing the Skill-mix Agenda for the delivery of oral health care in primary care dentistry.
Support for Enhanced practitioner training for DCPs and Dentists
Improving the interface UG/PG education for Dentist and DCPs

9. What are the key issues holding us back/helping us from meeting the challenges
Barriers
Helpers
Poor management information
Variable delivery of some core activities
Variable evaluation of core activities
Questionable educational value for some activity
Poor integration with other parts of the organisation
Cost effectiveness and VfM need to be evaluated
Enthusiastic and experienced staff
COPDEND standards
High quality DFT and Speciality training programmes
Government and Regulator guidance

10. Major new factors relating to development and delivery of CPD
GDC regulatory changes
CPD review implementation
Health Education Wales

11. CPD new requirements in 20xx
CPD new requirements in 20xx
Plan Do
Reflect
Record
Plan - Registrants will identify CPD needs using a personal development plan. This will enable them to evaluate their learning and development needs, in accordance with the GDC’s standards and their scope of practice. This could be done individually or in conjunction with peers or colleagues, the employer/commissioner (such as through an appraisal etc), or the wider dental team. It may also be informed by other information derived from patient feedback, complaints, audit, significant event analysis and peer review processes, or dental practice evaluations, for example. 
Do - By identifying CPD that best meets their needs, registrants would then embark upon the planned activity in a timely way. 
Reflect - Following the CPD activity the registrant can reflect on its impact by considering how it has or will enable them to maintain and develop their skills. It would enable them to evaluate how their CPD contributes to supporting them to practise in accordance with our standards and how it has contributed positively to the wider context of patient care. 
Record - The registrant would then record what they did, including any independently verifiable evidence. They can document the impact and benefits that a CPD event provided, based upon their reflections, and describe how the CPD activity enabled them to achieve outcomes that relate to our standards. They can then go on to identify further learning needs which could be added to their personal development plan, and so continuing the process.

12. Relevant Recommendations of local CPD review
Critical
To prioritise the enlargement of project-based or quality improvement centred CPD and to increase collaboration between the leads for these programmes as best practice, evidenced based approaches to CPD.
To review the content and recorded learning outcomes of existing activities and events, and to undertake a rationalisation of didactic delivery in particular, which does not fulfil the best-practice principles of CPD.
To undertake to provide/facilitate training for in-house CPD trainers and developers.
To consider the collaborative delivery of selected CPD activities to multidisciplinary primary care teams.

13. Process of implementing the review needs to move
To output based –
Evidence of outcomes and impacts
Effect on knowledge, behaviour and attitude
Impact on practice/ career/ patients
From input based –
‘tick-box’ mentality
No evidence of learning or patient benefit
No ability to measure value

14. Health Education Wales
Commences April 2018
Involves commissioning and planning
All medical and dental education
All other healthcare professions education
BOTH UG and PG

15. Critical priorities the dental section needs to work on
Review the content and recorded learning outcomes of existing activities and undertake a rationalisation of those that do not fulfil the best-practice principles of CPD.
Enlargement of project-based or quality improvement centred CPD
Undertake to provide/facilitate training for in-house CPD trainers and developers
facilitating individual identification of needs and reflection on development activity

16. What can we do that is different?
Multi disciplinary events
Online commitments
Study clubs
Action learning sets
Blended learning
Integrated audits

17. Evolution not Revolution
Development of an action plan
what are we going to deliver
When and how we implement change
Course booking system
Development of learning programme
Development of in house training for CPD tutors and developers