Developing the NonMedical Clinical Workforce

1
Developing the Non-Medical Clinical Workforce

• Francine Thorpe
• Salford Teaching PCT

2
Background

• Newly appointed Director of Nursing
• Integration transfer of AHP staff
• National Policy Directives
• Making a Difference
• Meeting the Challenge
• Development of a Nursing AHP Strategy

3
Local Drivers

• Unscheduled care developments
•  Management of Long-term conditions
•  Childrens services
•  Planned care developments
•  Public health targets

4
Strategy Development

• Staff workshops
• Review of national local policy drivers
• Implications from staff perspective
• Training development requirements
• Draft strategy
• Review feedback
• Public consultation
• Board approval

5
Nursing AHP Strategy

• 7 key themes
•          Health Improvement
•          Primary Care Improvement
•          Securing Service Delivery
•          Partnership
•          Leadership
•          Clinical Quality
•          Workforce

6
Professional Forum

• Integrated learning development
• Integrated team working

7
Professional Membership

• Audiology Art Therapy
• Childrens Nursing Dietetics
• District Nursing Health Visiting
• LD Nursing Occupational Therapy
• Orthoptics Physiotherapy
• Podiatry Practice Nursing
• School Nursing Specialist Nursing
• Speech Language Therapy

8
Representation

• Operational leads
• Professional leads
• Non-medical PEC Representatives
• Non-medical consultants
• Safeguarding lead
• Non-medical Prescribing Lead
• Head of Training

9
Implementing the Strategy

• Multi-professional working groups
• Project managed action plans
• Issues discussed and shared at Professional Forum
• Regular review of progress and milestones

10
Skills Development - Key Themes

• Improve public health skills
• Develop nurses and AHPs in advanced roles
• Increase the numbers of non-medical prescribers
• Multi-professional training opportunities
• Structured clinical supervision programmes
• Common competency frameworks preceptorship
  programmes
• Improve leadership skills

11
Public Health Skills

• Brief intervention training ability to signpost
• Training in public health skills for Assistant
  Practitioners
• Key nursing AHP staff linked to Neighbourhood
  Health Improvement Teams
• Public Health Masters Programmes to provide
  leadership

12
Advanced Roles
13
Non-Medical Prescribers
14
Multi-Professional Training Opportunities

• Training needs analysis
• Common themes
• Expanded existing programmes
• Developed new ones
• Utilised professional knowledge skills

15
Clinical Supervision

• Developed policy, procedure training programme
• Appointed 2 Facilitators
• Currently gt 350 staff trained
• 60 available
  supervisors
• gt 50 potential
  supervisors

16
Competency Frameworks Preceptorship

• Consistent approach to KSF outlines
• Sharing of good practice
• Common approach to newly qualified staff
• Common approach to student supervision

17
Leadership Development

• Use of Leadership Qualities Framework
• LQF Facilitators
• 360 degree feedback
• Action learning sets

18
Benefits

• Targeted development
• Understanding appreciation of roles
• Sharing of knowledge skills expertise
• Sharing best practice
• Informal networking improved working
  relationships

19
Challenges

• Developing trust
• Maintaining enthusiasm momentum
• Achieving agreed milestones deadlines

20
Benefits
Challenges
21
Next Steps

• Increased emphasis on
• gt clinical quality
• gt improving patient experience
• gt clinical standards guidelines

training development
22
Questions?