Chief Allied Health Professions Officer’s Conference 2016
Workshop 2: Primary care – Chair Mark Radford
National Advanced Clinical Practitioner Programme. Professor Mark Radford Chief Nursing Officer, University Hospitals Coventry and Warwickshire NHS Trust.
mental health , characteristic of mentally healthy person .pptx
CAHPO 2016. Workshop 2: Mark Radford
1. Advanced Clinical Practice
Innovation and engagement
June 2016
Professor Mark Radford
Chief Nursing Officer
University Hospitals Coventry and Warwickshire NHS Trust
& Associate Director of Nursing , NHS Improvement
2. Vision – to enable 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 to patients ?
• Accessibility
• Convenience
• Time spent
• Decision making/Diagnosis
• Gateway knowledge to specialist
• Navigation
• Caring
• Continuity
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 the top 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
Band 5 -
RN
Band 6
Band 8 ACP
Doc
What's possible
What you do now
Training
& Ed
Training
& Ed
Training
& Ed
13. Vision – to enable 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 Deployment model 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 – Advanced Practice teams
• Acute Med
• General Med
• Gynaecology
• Trauma
• Cardiac surgery
• Cardiology
• Gerontology
• Anaesthesia
• ED
• Neonatology