1. Quality Education for a Healthier Scotland What are the CPD needs of GPs in areas of high deprivation? Ronald MacVicar

2. Quality Education for a Healthier Scotland High deprivation & me

3. Quality Education for a Healthier Scotland High deprivation & me

4. Quality Education for a Healthier Scotland High deprivation & me

5. Quality Education for a Healthier Scotland

6. PBSGL & me.... 12 years Sustained growth Approx 1/3 of Scotland’s GPs Increasing numbers of other professionals ‘the solution’... but what is the problem?

7. Quality Education for a Healthier Scotland PBSGL Topic-specific, evidence-based educational modules Peer-facilitated small group learning A cohort of trained peer-facilitators Communities of practice

8. Quality Education for a Healthier Scotland PBSGL & Health Inequalities Approach from NHS Health Scotland in Nov 2013 NHS Health Scotland is a national Health Board working with public, private and third sectors to reduce health inequalities and improve health To produce a PBSGL module on health inequalities With political imperative, support & finance (£5- 10K)

9. Quality Education for a Healthier Scotland PBSGL process What is the gap? All else follows – Cases – Evidence – Supporting materials ‘Health inequalities’ is not a meaningful clinical entity But what is the gap?

10. Quality Education for a Healthier Scotland PBSGL & Deep End A marriage of convenience for gap analysis Three-hour round-table meeting All Deep End GPs invited to help address three questions (nine came) – How could GPs working in deprived settings better serve their population? – What learning needs do they have to achieve this? – What is the gap between current practice and better practice that education could address?

11. Quality Education for a Healthier Scotland Method Open conversation facilitated by RMV & AW Written notes Flip charts Prioritise through a modified nominal ranking technique

12. Quality Education for a Healthier Scotland

13. Results 16 themes emerged 4 sets of learning needs prioritised 1.How to address low patient engagement in health care and increase health literacy. 2.How to promote and maintain therapeutic optimism when working in areas of high deprivation. 3.How to effectively use evidence based medicine when working with patients with high levels of multi- morbidity and social complexity. 4.How to meet effectively the health needs of migrants including people seeking asylum and refugees.

14. Quality Education for a Healthier Scotland The challenge & the relevance for PBSGL? How to meet the described learning needs? This will in part be taken forward through the PBSGL programme, which will in 2014/15 work collaboratively with others to produce modules on: – Addressing low engagement and increasing health literacy – Maintaining therapeutic optimism working in areas of high deprivation. – Multi-morbidity