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CAHPO 2016. Workshop 2: Mark Radford
The document discusses the vision for enhancing the advanced clinical practice workforce to improve healthcare service quality. It outlines various challenges and considerations, including legislation, professional regulation, and educational requirements, along with the importance of 'working to the top of your license.' The document also presents a framework for education, deployment, and competence in advanced clinical practice in the NHS.
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CAHPO 2016. Workshop 2: Mark Radford
- 1. Advanced Clinical Practice Innovationand engagement June 2016 Professor Mark Radford Chief Nursing Officer University Hospitals Coventry and Warwickshire NHS Trust & Associate Director of Nursing , NHS Improvement
- 2. Vision – toenable a skilled and knowledgeable Advanced Practice workforce to be used effectively to enhance the capacity of the existing health workforce to ensure a quality service for patients, now and in the futureAcademic Framework Curriculum diversity Competence diversity Academic and Professional uncertainty of ACP Role Diversity Deployment challenges Regulation and management
- 3. What matters topatients ? • Accessibility • Convenience • Time spent • Decision making/Diagnosis • Gateway knowledge to specialist • Navigation • Caring • Continuity
- 4. State •Legislation •Policy Corporate •Business model •Productivity and Performance •Finance •Governance(Policy and Procedure) Profession •Licensing •Regulation •Educational requirements •Knowledge and Expertise Macro Division of Labour Radford, 2012 . PhD
- 5. The Division oflabour Radford, 2012 . PhD
- 6. Band 2 Band 3 Band5 - RN Band 6 Band 8 ACP Junior Doc Unwarranted variation in scope and competence
- 7. Skills/knowledge adaption Adaptive medical Redundant Medical Clinical knowledge Professional medical Technical Medical Nursing Care Examples includecannulation, venepuncture and catheterisation Examples include PIC, CVP, arterial lines, ultrasound scanning. history taking, examination, diagnosis and ordering tests and investigations such as radiology tests conducting assessments on junior doctors, conducting audit on the medical process or outcomes. Clinically, giving diagnosis, prognosis and referral Radford, 2012 . PhD
- 8. What stops it? State •Legislation •Policy Corporate •Business model •Productivity and Performance •Finance •Governance (Policy and Procedure) Profession •Licensing •Regulation •Educational requirements •Knowledge and Expertise Macro Division of Labour A lot ! Very Little Very Little Radford, 2012 . PhD
- 9. Working to thetop of your license The Institute of Medicine in 2010 • Each care team member works within a different scope of practice, so that a Advanced Practitioner can do more than an RN, an RN can do more than a HCA, and so on. • The idea of operating at the top of your license means practicing to the full extent of your education and training, instead of spending time doing something that could be effectively done by someone else.
- 10. Band 2 Band 3 Band5 - RN Band 6 Band 8 ACP Doc What's possible What you do now Training & Ed Training & Ed Training & Ed
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- 13. Vision – toenable a skilled and knowledgeable Advanced Practice workforce to be used effectively to enhance the capacity of the existing health workforce to ensure a quality service for patients, now and in the futureAcademic Framework Curriculum diversity Competence diversity Academic and Professional uncertainty of ACP Role Diversity Deployment challenges Regulation and management
- 14. • Curriculum and Competence •Consensus across all HEI’s • Clear outlined model and framework • Defined 80% core curriculum • Covers Primary, Secondary , (Nurse, Midwife and AHP) MH and LD • 20% local academic and speciality variation
- 15. • ACP Deploymentmodel in HEE (WM) • Agreed model & definition • Alignment of educational and professional educational standards • Nomenclature and grading harmonisation • 15/16 - 200 Student ACP’s in training
- 16. UHCW – AdvancedPractice teams • Acute Med • General Med • Gynaecology • Trauma • Cardiac surgery • Cardiology • Gerontology • Anaesthesia • ED • Neonatology
- 17. Chief Nursing Officer UniversityHospitals Coventry & Warwickshire NHS Trust Clifford Bridge Road Coventry CV2 2DX Tel: 024 7696 4000