1. Taking forward the New Generation Project www.hciu.soton.ac.uk Improving teams to deliver common learning Professor Debra Humphris, Director, New Generation Project

2. Taking forward the New Generation Project www.hciu.soton.ac.uk Practice – the limit to growth and quality? Whole system approach to learning in organisations Investing to promote effective teamwork The challenge of innovation and evaluation Four Themes

3. Taking forward the New Generation Project www.hciu.soton.ac.uk University of Southampton - integrated faculty Practice – A decade of experience Strategy – University and Faculty sign up Collaborative working with University of Portsmouth & Workforce Development Confederation DoH Investment - Leading edge site Multifaceted research & evaluation imperative New Generation Project

4. Taking forward the New Generation Project www.hciu.soton.ac.uk Widening access and entry New pathways & partners Developing an interprofessional Common Learning Programme

5. Taking forward the New Generation Project www.hciu.soton.ac.uk Yr 1Yr 2Yr 3Yr 4Yr 5 Inter Professional Learning Unit Learning in Common 1A1A Profession specific learning

6. Taking forward the New Generation Project www.hciu.soton.ac.uk Practice : the limit to growth and quality? Number of learners Practice learning requirements Modes of delivery Capacity of practice staff Structural and cultural factors

7. Taking forward the New Generation Project www.hciu.soton.ac.uk How should the regulations about practice learning reflect the changes in the reality of services? Should the concern be about competence? How could resources flow to incentivise innovation in learning? Will the MPET review delivery support for all learning in practice? A few questions

8. Taking forward the New Generation Project www.hciu.soton.ac.uk Recommendation 14: The National Agency for Children and Families should require each of the training bodies covering the services provided by doctors, nurses, teachers, police officers, officers working in housing departments, and social workers to demonstrate that effective joint working between each of these professional groups features in their national training programmes. (paragraph 17.114)

9. Taking forward the New Generation Project www.hciu.soton.ac.uk ‘the relatively unaligned team is wasted energy. Individuals may work extraordinarily hard, but their efforts do not efficiently translate to team effort’ Senge (1990) Whole system approach to learning in organisations: Team learning

10. Taking forward the New Generation Project www.hciu.soton.ac.uk Team learning ‘Individual do not sacrifice their personal interests to the larger team; rather the shared vision become an extension of personal visions…..aligned is necessary to enable individuals to empower the team’ Senge (1990)

11. Taking forward the New Generation Project www.hciu.soton.ac.uk Teams that work well together are more effective and more innovative The clearer the team’s objectives, the higher the support of innovation and the more effective is the team in delivering high quality health care. Multidisciplinary teams that work well together bring together alternative and competing perspectives which are carefully discussed and lead to better quality decision about patient care. Where more employees work in a team the death rate is significantly lower Effective health care teams (Borrill et al 2003)

12. Taking forward the New Generation Project www.hciu.soton.ac.uk Although the academic environment of various health professions generally are not interdisciplinary, practice environments are increasingly so, posing a serious disconnect. Health Professions Education: A bridge to quality (IOM 2003) …experiments that will enable and create incentives for health professionals to integrate interdisciplinary approaches into educational or practice settings,

13. Taking forward the New Generation Project www.hciu.soton.ac.uk Employ evidence based practice Apply Quality Improvement Utilise Informatics Patient Centred Care Relationship among core competencies for health professionals (IOM 2003)

14. Taking forward the New Generation Project www.hciu.soton.ac.uk Small changes, big difference Audit of practice Facilitator training

15. Taking forward the New Generation Project www.hciu.soton.ac.uk Investing to promote effective teamwork Investing in practice –Interprofessional Facilitators hosted in practice working with teams Interprofessional Facilitator development Questions: How should WDCs, SHA’s and Social Care organisations incentivise team working within organisations? How are people trained for team working?

16. Taking forward the New Generation Project www.hciu.soton.ac.uk The challenge of innovation & evaluation How do we consider the impact of practice learning when so much in the context of practice is changing? There is a profound disconnect between current role orientated, isolated academic preparation and practice environments that rely on teams or wish to do so Stumpf & Clark (1999) Finally…. If teams are critical to future care should they not be the model of learning in practice?