1. 04/07/2006Ann Winter Communities of Practice and Professional Work Based Learning Sue First Trish Houghton Ann Winter

2. 04/07/2006Ann Winter Context New Postgraduate masters programme in Health & Social Care Tender (June 2004) to first student intake 7 months (January 2005) Currently 70 active students Work based learning commissioned by NWSHA in partnership with University of Salford, Primary Care Trusts and Ambulance Trust Purpose is to prepare a workforce for the NHS & Social Care Changing the Workforce programme Competency based Roles are 80% clinically focussed Constant change e.g. SHA and PCT mergers

3. 04/07/2006Ann Winter Advanced Practitioners The MSc Advanced Practice programme facilitates the expert development of advanced knowledge and skills in experienced non-medical registered professionals so that in clearly defined circumstances they can provide services hitherto supplied by doctors Community matrons Run clinics which enhance/replace GP/Consultant services Triage patients – prevent need to see GP Examine, diagnose and treat patients with minor injuries

4. 04/07/2006Ann Winter Work based learning Looking to expert practitioners/organisations to share knowledge and expertise and to engage with us in the development of the new Advanced Practitioners Shared repertoire Joint enterprise Mutual engagement Advanced Practitioner

5. 04/07/2006Ann Winter Communities of Practice (CoP) Groups of people who share concerns, passions and a sustained pursuit of shared enterprise, expertise and knowledge Wenger E (1998) Communities of Practice. Learning, Meaning and Identity. Cambridge University Press Interdependent community who have been brought together in a collective manner to make sense of being an Advanced Practitioner and to do the job of providing a learning curriculum supported by work based learning

6. 04/07/2006Ann Winter Constellations of CoP Discipline specific – GP’s, hospital doctors, nurses, midwives, health visitors, physiotherapists, podiatrists etc Primary Care Trusts x9 Health Centres NWSHA- Workforce & Modernisation, Champions University Programme team Trainee Advanced Practitioners

7. 04/07/2006Ann Winter How to spot a CoP Interest in developing tools, documents, use of language indicative of learning organisation Participation (varying levels) in the development of advancing knowledge and experience of being an Advanced Practitioner Interpersonal engagement with us ie course committee membership, championing role within organisation, collegiate and positive manner Negotiating practice

8. 04/07/2006Ann Winter Brokering Work Based Learning The University community includes 3 Learning Facilitators whose major role is to broker work based learning opportunities: - in - between - across communities

9. 04/07/2006Ann Winter Brokering Making new connections across/between communities Open new possibilities of meaning of Advanced Practitioner roles Facilitate access/activities Legitimising participation of Trainee Advanced Practitioner in Community of Practice Facilitate interpretation Enable co-ordination

10. 04/07/2006Ann Winter Brokering processes Translation Coordination Alignment of perspectives Mobilises attention Addresses conflicting interests Link communities of practice Practice development Enabling opening of the black box of tacit knowledge through drawing attention to how things are done and noticing and articulating what is not said

11. 04/07/2006Ann Winter Brokering encounters 1:1conversations Visiting a practice – immersion Meetings – delegations of communities exchange e.g. Champions meetings, PCT Workforce/Steering groups, Mentor/Assessor preparation workshops, Team meetings – Collective brokering

12. 04/07/2006Ann Winter Brokering experience Membership/Non membership Multimembership Fuzzy Set - neither IN or OUT Invisible work Exciting Challenging Best of both worlds Value is often not recognised (FISH CAN’T SEE WATER)

13. 04/07/2006Ann Winter Value to organisation Connection of expertise and professionals Rapid information exchange/advice across/between communities Analysis and diagnosis of needs and issues Co-participation in curriculum Strengthening and improving quality assurance Ongoing market opportunities Create shared tools, standards, documents etc Creative decision making Reliable/positive communication Effective responses to difficulties Mutual trust and respect

14. 04/07/2006Ann Winter Community of Knowledge and Practice Shared history Shared evolving language of co-participation Shared ways of doing things together Continuing mutual relationships Continuing Advanced Practitioner Community of Practice Continued synthesis of shared meanings