1. Julie Perrin Louise Ramsden Nurse Consultant Leadership Fellow Emergency Care ST6 Neonatology
21st April 2016

2. What is Advanced Practice?
‘An advanced clinical practitioner is a professional who has acquired the expert knowledge base, complex decision making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or the country in which s/he is credentialed to practice.’ HEE YH January 2015
Discuss difference between AP and specialist practitioner. ‘Next patient through the door’. This will be role of faculty to clarify. Involves working with many different specialities and many different professional roles.

3. Faculty for Non Medical AP
Sub regional – Barnsley, Doncaster, Rotherham and Sheffield
Roles including SHU and UoS
Provide - Standardisation and consistency
Quality Assurance, role development
training standards and supervision
Professional support
Jo Stubbs and I started regional group in response to lack of national direction. Faculty, who is on it, provide standardisation and support for development of AP roles across the Trust and sub regionally. Focus is to develop workforce of the future.

4. Workforce of the future
2013 funding from HEYH of £3.5m for 2 year programme
54 trainee ANPs including 9 Trust Trainees (Assessment Units)
Supervision from a range of clinicians
Regional forum in development
Past and future workforce
Paramedics, pharmacists, ANPs
‘Give it a go’ week on MAUs as part of the team. Getting the right people for the role, talk about the recruitment process.

5. Challenges Limited nursing pool Impact on organisation Retention
Work-life balance
Pay
NHS/business model
NHS as a training facility

6. Physician’s Associates
‘a new healthcare professional who, while not a doctor, works to the medical model, with the attitudes, skills and knowledge base to deliver holistic care and treatment within the general medical and/or general practice team under defined levels of supervision’
Competence and Curriculum Framework for the Physician Assistant 2012
Discuss potentially bringing 15 across from USA. Will fall under Faculty remit

7. Physician’s Associates will work…
Under physician supervision (which may vary over time)
Within their scope of practice and competence as agreed with their supervisor
As dependent practitioners in a relationship between doctor and PA based on mutual trust and respect

8. PAs are coming! 4 courses in Yorkshire! 14 current courses
Sheffield Hallam University
University of Leeds
University of Sheffield – Sept 2016
Hull York Medical School – Sept 2016
4 courses in Yorkshire!
14 current courses
9 starting soon
7 courses in development

9. PA training Postgraduate 2 year course Bio-science graduates
National competence framework
National exam
2 courses in Sheffield
Clinical placements at STH

10. Challenges New model Integration into the team (incl. pay) Regulation
Restriction to their scope of practice
Prescribing
Requesting radiology

11. Collaborative working
Aim is for multi professional team delivering high levels of patient care
Possibility for educational integration
Consideration of multi professional portfolio
Faculty role and support networks
Evaluation of roles and impact on patient care
Inform national agenda
Education both internal to STH and in partnership with SHU. Want Sheffield to be a beacon for Advanced Practice.

12. With the imagery on this slide, I wanted to illustrate that we are working in challenging but exhilarating conditions. At STH we have invested in our workforce of trainee and Advanced Practitioners to ensure that the patients and their families receive an excellent service from the Trust. I want Sheffield to be a beacon of excellence for Advanced Practice and believe we are on our way to achieving this.