The Nurses’ Role in Practice Based

Education: can this really influence care

standards now and in the future?

Tracy Small

Deputy Director Clinical Development and Innovation

Jan Firth

Associate Dean - University of Huddersfield

Service Providers

Commissioners

SHA

DH

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Department of Health

• Setting the national framework for planning and designing the system

• PM commission on nursing• From good to great – new white paper

• Improvement against national priorities•specialist nurses and new roles

• Partner with Professional Bodies and Royal Colleges•identifying new recordable qualifications such as advance practitioners

Workforce Planning and Educational Commissioning

Reference: Workforce Ambitions 2009-2014, NHS Yorkshire and the Humber (adapted)

Service Providers

Commissioners

SHA

DH

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SHA

• System leadership driving workforce and education improvement and alignment to service needs

•Education and workforce combined directorate

• Sound stewardship of MPET funds and investment in education and training

•Review to fund placements for student nurses

• Use available levers to ensure provision of high quality placement learning and assessment

•Practice learning facilitators

• Area-wide talent management and leadership planning

Workforce Planning and Educational Commissioning

Reference: Workforce Ambitions 2009-2014, NHS Yorkshire and the Humber

Service Providers

Commissioners

SHA

DH

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Commissioners

• Publication of commissioning intentions drives local planning processes

•Practice placement planning possible

• Assessment of the quality, sustainability and deliverability of the summation of provider plans to identify key strategic health and social care risks for the local economy (includes local labour market issues)

• Development of shared workforce improvement goals and the facilitation of cross-boundary working

•Allows national picture for nursing needs•Useful interprofessional learning strategies

Workforce Planning and Educational Commissioning

Reference: Workforce Ambitions 2009-2014, NHS Yorkshire and the Humber (adapted)

Workforce Planning and Educational Commissioning

Reference: Workforce Ambitions 2009-2014, NHS Yorkshire and the Humber (adapted)

Service Providers

Commissioners

SHA

DH

Co-

prod

uctio

n at

all

leve

ls o

f the

sys

tem

Service Providers

• Organisational workforce plan which reflects professional roles and responsibilities, patient pathways and is integrated with service, finance and IT plans

• Partnership and integrated approach controls numbers• Best employment practice

• High quality clinical components• Centrally agreed placements• Practice Learning Facilitators and mentors

• Local employment and widening participation initiatives

• Encourage research and innovation to inform practice• Joint projects, professional doctorates

• Investment in CPD and lifelong learning

• Professional feedback into professional advisory mechanisms

Kirklees

Calderdale

Yorkshire & Humber SHA

Areas to Discuss

• Practice Learning Facilitators

• Developing skills in one Primary Care Trust

• Increasing Access to Primary Care Placements

Practice Learning Facilitators

• Ensuring practice placements meet required standards

• Providing relevant inductions within placement organisations

• Ensuring support for students on placement

• Discussing placement feedback

• Developing new practice placements

PLF Outcomes

• Increased number of placements across the patch

• Developed new placements

• Allowed students to experience specialist practices

• Ensured all placements meet NMC standards

• Provided on-line information / feedback

Developing Skills in Primary Care

• Limited access to Primary Care Placements

• Health Care Assistants from Primary Care unable to gain employment following qualification

• New qualified staff required additional skill development

• Develop District Nursing Placements

PCT Skills Outcomes• Increased numbers of Primary Care

Placements available• Increased numbers of students able to

gain longer placements• Final placements developed in Primary

Care• Access to Primary Care upon

qualification• Development of Primary Care rotational

placements

Increasing Access to PCT Placements

• Age profile of community workforce

• Development of services in the community

• Age profile of the population increasing

• Bias Project

Developing Access Outcomes

• 50% placement time in community• Accessed for different branch students• During pilot, over subscribed• 20% of cohort wanting new

opportunities• From pilot first ambition to work in PCTs• Developed relevant skills to directly

work in Primary Care• Roll out across all Primary Care Trusts