Paramedic evidence-based education - PowerPoint Presentation

Slide1

Paramedic evidence-based education project (PEEP)Patrick MitchellDirector of National ProgrammesHealth Education England

November 2014Slide2

BackgroundCommissioned by DH’s National Allied Health Professional Advisory Board - funded by the College of Paramedics, reporting in August 2013

Provides an

evidence

base to

progress the strategic direction of the standardisation of education and training Various education and funding models in place across the UK - PEEP seeks to address these issuesDelivery lies with Health Education England (HEE), the College of Paramedics and the Association of Ambulance Service Chief ExecutivesSlide3

PEEP Report Passed over to HEE in July 2013

HEE asked College of Paramedics to co-chair

an oversight national steering committee

Devolved nations invited to be active participants to deliver UK solution

The paramedic profession is the only AHP:With no single education level entry route to registration with HCPC No clearly defined or aligned career structure leaving inconsistency in titles, scope of practice and purposeAdvanced prescribing necessitates both to be agreed and in place before the non-medical prescribing board will consider a business case from the professionSlide4

Recommendations from PEEPThere should be a nationally agreed approach to the commissioning and funding of paramedic education with access to bursary fundingModels of pre-registration education and training should align with other non medical professions and lead to an all graduate profession

There should be a review

of

the College of Paramedics scope

of practice and HCPC standards of proficiencyEvaluate education and development opportunities for the existing workforce and embed a whole systems approach to enhance the learning environment for the student paramedicThere should be an enhancement of clinical skills and clinical decision making developed through the College of Paramedics curriculaSlide5

Clinical Skill EnhancementThere should be additions to the clinical skills in pre-registration training in the areas of:Dementia and mental health awareness Clinical leadership

skills Multi-professional

learning

opportunities

Integrated care End of life care Inclusion health There should be a closer engagement of this workforce with pre-hospital urgent care, and prevention of hospital admission, should be of benefit to the wider community.Slide6

PEEP report and recommendationsThere are two critical interdependencies to the engagement programme:

Consultation on

paramedic

prescribing

Intention to commence public consultation on paramedic prescribing by the end of the calendar yearTo be delivered in advance or alongside PEEP strategy consultation in order to ensure stakeholders can present an informed viewThe outcomes of Keogh’s urgent and emergency care reviewPEEP is a major contributor to the success of both hear and treat & see and treat strategiesNew paramedics roles in ED and primary care settingsWill require a significant increase in training capacity at scaleSlide7

Delivering PEEP – project structure

Education

&

Training Steering Group

Ways of working /scope

of practice

PEEP Report Recommendation

Sub Group Leading

Education

models

Clinical

models

Urgent Care Steering Group

Workforce planning

1.0 Standardised approach to education and training

Scope of practice and

ways of working

1. Nationally agreed approach to commissioning and funding

Finance

1.2 Access to bursary funding

FinanceFinance Commission-ing2.0 Pre-registration education development model leading to an all graduate professionScope of practice and ways of working3.0 Models of pre-registration education and trainingScope of practice and ways of workingClinical standards3.1 Knowledge and skills enhancementScope of practice and ways of workingComms & engagement3.2 ContentScope of practice and ways of working3.3 Clinical decision makingScope of practice and ways of working4.0 Partnership modelWorkforce planning5.0 Paramedic leadership for EnglandScope of practice and ways of working6.0 Standardised approach to identificationCommunicationsSlide8

Ways of working & Scope of practice sub groupThere should be a standardised approach to all aspects of education and training for paramedics

Paramedic registration should be at BSc level by 2019/20

S

upports amendments to

the scope of practice and curricula developed by the College of ParamedicsSupports a national model of commissioning and funding for pre-registration paramedic education (model still to be determined) Pre-registration paramedic education should be included in the new National Standard Education Framework AgreementAgrees Standards of proficiency and standards of

education

and

training

together with the College of Paramedics

curricula

g

uidance

and

competency

f

ramework

will be submitted for independent

educational

l

evelling

to confirm the standards of education at BSc level.Slide9

Current positionThe steering group have recommended further work be undertaken before being presented to

HEE Board for approval

Steering

group

with two new groups recently formed to review:Educational modelling to develop options programme delivery and educational fundingParamedic employers group supported by NHS Employers to assess employment implications of the changes of the paramedic role including union consultation

Workforce planning

and modelling of options based on training commissions required to

meet

urgent and emergency care review and other needs of new

models of

care.Slide10

Transition recommendationsThe steering group has supported:

That education and development opportunities for the

existing workforce

should be

considered and a transition plan formedThat organisations should have mentoring and preceptorship arrangements in place consistent with the curricula requirements That an engagement programme needs to be delivered from a national platform to have the necessary influence, supported by local delivery plansSpecific

consideration

in transition planning should be given to:

The current paramedic workforce

The current technician workforce

Impact

on terms and

conditions

Impact on skill-mix

Impact

on employee relations

Staff engagementSlide11

Managing Transition Current Technician Workforce Current Paramedic Workforce

Terms and Conditions Skill Mix

Employee Relations

Engagement

Education DevelopmentEmployment IssuesWorkforce PlanningSlide12

Next StepsComplete educational levelling Financial viability to be fully assessedAssessment of workforce numbers - options

Requirements and transition planning for up-skilling the current workforce

Communications

strategy to be developedEmployers group to assess job design and alignment within current agenda for change frameworkNHS commissioner engagementUnion consultationDiscussion with HCPCDevelopment of an implementation plan Slide13

Next StepsFurther discussions with key stakeholders including employers, commissioners and unionsHEE Board approval March 2015Final sign off nationally with

employers and commissionersFormal notice to h

igher education

i

nstitutionsFinalise timeline with HCPCSlide14

Questions?