1. Student Capacity Wendy Watson
Senior Lecturer Edinburgh Napier University/ Lead Practitioner for Practice Education NHS Lothian

2. Today's Presentation Background Proposed Student calculation Tool
Progress to date
Implementation Plan

3. Student Numbers Student numbers decided by the Scottish Government
Based on work force planning requirements
High numbers in current work force nearing retirement
Student numbers continue to increase-up 10% this year
NMC -Students need to spend 50% in practice

4. Placement Capacity Service re-design Wards opening –temporary
HV requirements
ITU re-organisation in NHS Lothian
Wards opening –temporary
Wards closing/reconfiguring at short notice
Health/Social Care Agenda

5. Current Situation
There is inequity and inconsistency in student numbers within placement areas where staffing and care contexts are similar.
There is no obvious correlation between current NMC Mentor and student numbers in placement areas.
How and where placements are utilised is not always reflective of student learning needs, university programmes or current and future services and roles.

6. Student Calculation Tool
Work is being under taken across NHS Lothian and NHS Borders to scope and develop the use of a student allocation calculation tool to address issues highlighted

7. Student Calculation Tool
Background
The work is based on a formula considering bed/staff numbers and mentor numbers and builds on positive feedback from work carried out in NHS Greater Glasgow and Clyde and NHS Lanarkshire.

8. Calculation
This will be based on a formula considering bed/staff numbers and mentors.
Scoping currently in progress across all fields of practice
Different calculations for wards(? 4 beds one student) 1:1 care delivery areas and community settings
Proposed mentor calculation -1.5 mentors per student

9. NHS Lanarkshire Formula
(a) In-patient bed holding areas: 1 student per 4 beds (0.25 wte students per bed)
(b) Day patient bed/trolley areas: 1 student per 4 beds/trolleys
(c) One to one care delivery areas (e.g. ITU; Theatres; OPD; Treatment Room): beds/treatment areas divided by 2 = student number
(d) Day hospital services and community nursing services: 1 student to every 2.5 wte registered nurses/midwives (excluding Senior Charge Nurses/Team Leaders and including Community Practice Teachers)

10. Progress to date NHS Borders
Discussions ongoing to consider implementation of a calculation tool
NHS Lothian
Data is being collated from placement areas in relation to current student/mentor numbers and this is being re-calculated to show changes if the calculation tool is used

11. Progress to date in NHS Lothian
Meetings now taking place with Associate Nurse Directors to discuss their individual results using the proposed tool and highlight any issues that are foreseen.
Issues will include
Lack of trained mentors
Lack of registered staff
Current university curriculum not suitable for proposed student increases eg theatres and ITUs so will not be possible to implement until the new ENU curriculum is commenced in September 2016

12. Progress to date in NHS Lothian
Any specific areas which will not be able to meet the agreed calculation within the next year will have alternative arrangements in - line with clinical reality agreed by the local Associate Nurse Director
Once individual Associate Nurse Directors have agreed the calculations (and any alternative arrangements) for their areas the tool will be phased in over the next year.
This will involve the local PEF meeting with the Charge Nurses with the paperwork for the new allocations and any phased arrangements.

13. Implementation Plan January 2016
Allocations to be made in accordance to agreed Student allocation tool where possible within current curriculum
Sept 2016
Calculation tool implemented to full potential