AHP PEF Programme work - NHS Education for Scotland

NHS EDUCATION FOR SCOTLAND
AHP PRACTICE-BASED EDUCATION FACILITATION PROGRAMME
Programme of work 2011-2012
Aim of paper
To describe the AHP Practice-based Education Facilitation (PEF) workstreams and
priorities for 2011/2012 and to outline the structures to support this.
Target Audience
AHP PEFs/ PELs, AHP PEF leads AHP PEF line managers, AHP NES team, NES NM PEF
programme team, and Academic Heads Group
Background
The AHP PEF programme has evolved over the past 5 years, from a project to a
substantive programme with AHP Practice Education Facilitators (PEFs)/Leads (PELs) now
permanently embedded in every NHS Board. The vision and objectives of the programme
remains (figure 1) but the delivery has evolved.
Figure 1 - AHP PEF Programme Vision and Strategic Objectives
…‘An aspirational investment in linking all AHPs together, in equal partnership
with patients/carers and their health and social care providers, integral to
wherever they practice, to create an effective learning culture that is nurturing and
safe for all involved’
The Strategic Objectives:
1. Increasing capacity of work-based learning
2. Increasing capability for quality work-based learning
3. Developing the learning environment
Following the launch of the NES AHP Integrated Education Strategy – The next Chapter
(2011) the programme has further aligned itself to ensure that the AHP NES objectives are
embedded within practice. These objectives are underpinned by the Scottish Government
Quality Strategy (2010) ambitions of safe, effective and person centred care.
NES has, and continues to, consult with a wide range of stakeholders from which a new
model for delivery of the AHP PEF Programme has evolved.
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In March 2011 the AHP PEF Programme hosted a “conversation” with AHP PEFs/PELs,
AHP PEF Leads and AHP PEF line managers to determine the priorities for 2011/12 and
ways of working and engaging across boards, regions and with other NES workstreams.
The AHP PEF programme management group have taken these discussions and
assimilated them with the AHP NES Strategy and the NHS Scotland Quality Strategy
(2010) to form the approach for the AHP PEF Programme for 2011/12.
AHP PEF National Strands
The national strands were aspects of the AHP PEF programme that benefitted from a
national approach. In moving forward with the AHP PEF programme these strands have
either been encompassed within the one of the four workstreams, placed within other NES
programmes or put on hold for this financial year. The AHP PEF Programme National
Strands Update (Spring 2011) provides the final report on these and will be sent out shortly.
AHP PEF Programme Staff Titles
Following discussion and leading on from the AHP PEF event in March it is recommended
that the title of the AHP Practice Education Facilitators be changed. There have already
been changes to this title within a number of boards and the lack of consistency is making
identification confusing. The Chief Executive of NES, Malcolm Wright has confirmed his
commitment to supporting the practice education structures within the boards and the AHP
PEF Programme feel it is therefore essential that the NES funded AHP staff are visible
within the boards. The preferred title appears to be AHP Practice Education Leads (NES)
and we are requesting that boards utilise this title forthwith. Future correspondence and
service level agreements will refer to the NHS Board PEF programme staff as AHP PELs
(NES).
The AHP PEF priorities for 2011 - 2012
The programme activity for 2011-2012 will fall under 4 workstreams from which there will be
core objectives.The 4 work streams are:
1. AHP PEF Programme Management and AHP Practice Education Lead
Development
2. Advancing preregistration AHP practice-based education
3. Embed and sustain existing NES educational solutions
4. Supporting AHP PELs to nationally share and coordinate local NHS Board
Practice-based Education Priorities.
The structure of the programme will adapt to support these workstreams ensuring that there
is robust governance to underpin all the work we are doing and also to ensure connectivity
with our stakeholders and other NES workstreams.
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Delivering the work programme
Appendix 1 provides an overview of the structure that we will adopt to deliver the work
programme for 2011/12. Within NES we have an established AHP PEF Programme
Management Group, composed of the three regional practice education co-ordinators, the
programme lead and project management staff. We will utilise this group to oversee the
overall budgetary management, delivery and reporting of the work programme for 2011-12.
A pre-registration reference group (Appendix 2) has been established which will oversee
and direct workstream 2. This model will be explored with the other workstreams to provide
key stakeholders with the opportunity to engage with the work programme in advisory and
governing roles. This will limit the number of reference groups that the programme needs
and will make the most effective use of stakeholder’s time.
Historically the national strands were supported by those boards with less AHPs but still
retaining the minimum 0.4 sessions, and NHS Highland with additional sessions due to
geography. In 2009 the programme secured additional substantive funding from NES of 1.0
WTE AHP PEF role. Therefore, further recurring sessions to deliver on the national strands
were brokered with two boards that had originally been allocated the minimum 0.4 WTE but
had an AHP workforce that had almost warranted additional sessions in the initial WTE
allocation (NHS Fife and NHS Forth Valley). The remaining 0.6 WTE additional funding was
used through service level agreements with NHS Boards to deliver on specific projects
linked to the national strands. This was effective in completing the work however used
considerable project administration resources.
This year, in order to support the specific projects within each work stream, the additional
0.6 WTE will be allocated on a recurring basis to those boards with no current national role
attached (i.e. NHS Glasgow and Clyde, NHS Ayrshire and Arran, NHS Grampian, NHS
Lanarkshire, NHS Tayside and NHS Lothian). This then enables all boards to participate
within the overarching work streams in addition to their on-going commitment to implement
the AHP PEF programme locally.
Each of the workstreams and their associated projects will develop specific objectives for
the coming year and beyond as and when appropriate. The AHP PEF programme will
utilise the evidence base to support implementation and change, specifically recognising
that this requires a sustained input. Utilising the NES AHP continuous improvement model
(Figure 2) the AHP PEF programme will support the development of high quality practicebased
education through:
• scoping what is already there
• sharing educational solutions or working collaboratively to develop new solutions
• embedding NES resources within practice
• developing exit strategies to ensure that educational solutions are sustained
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• continually seeking to improve through ongoing evaluation of impact and quality
Figure 2 - NES AHP Continuous Improvement Model
We will further develop our communication strategy to ensure that all aspects of the AHP
PEF Programme are reported on in a timely and accessible format.
AHP PEF Programme work streams 2011/2012
Workstream 1
AHP PEF Programme Management and AHP PEL Development
1.1 Within the NES AHP PEF programme management group we will work to
maintain the AHP PEF structures across all the 14 territorial health boards.
1.2 We will support and develop the AHP Practice Education Leads (PELs) through:
• Strengthening our induction programme for new PELs
• Providing one-to-one personal development contacts for PELs with Practice
Education Co-ordinators that will support a learning needs analysis and
identification of appropriate development opportunities for these posts.
• Support national development events
• Continue to develop the AHP PEF Programme volumes on the web
• Continuing to support individual PEL educational development e.g. by linking with
the NES career fellowship scheme.
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• Setting national objectives for the programme and supporting PELs to meet these
We propose to work with our external stakeholders and the PEF network to advance the
quality of pre-registration practice education for AHPs. Our activities and structures will be
underpinned by the quality strategy and we have established a central pre-registration
reference group to advise and govern our projects in this area.
The specific projects for this years work are:
2.1 Implementation of the practice placement agreements (PPA)
2.2 Preparation of practice educators
2.3 Implementation of Quality Standards for Practice Placements (QSPP)
2.4 Developing common terminology and data collection for practice placements
2.5 Developing models of practice placement provision
2.6 Growing the next generation of AHPs (Occupational Therapy pilot)
Further information on these individual projects will be released shortly.
We will continue to work with the NES AHP team and Nursing and Midwifery colleagues to
help embed and sustain educational solutions that have been developed within NES. This
will enable PEL roles to support quality work-based learning locally.
Project/ Activity
Workstream 2
Advancing Preregistration AHP Practice Education
Workstream 3
Embed and sustain existing NES educational solutions
3.1 Flying Start NHS -
3.2 Effective Practitioner – this year’s work will involve awareness raising
understanding of the content and purpose of the new programme locally.
3.3 Ryan Harper Legacy experience in wheelchair services
3.4 AHP PEF volumes on the web
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To avoid duplication and to provide opportunities for support and sharing of educational
solutions the AHP PEF programme will support the establishment of national groups
focussed on specific shared Health Board priorities. The three projects chosen this year
have been highlighted by a number of Boards and also link into wider NES AHP and
NMAHP work. The project groups for these will lead on the development of practice based
education that can then be utilised within other Boards as and when appropriate.
Projects:
4.1 Leadership
4.2 Support workers
4.3 Supervision
Workstream 4
AHP PEF NHS Board Priorities Supporting AHP PEFs/PELs with the national
sharing and coordination of local NHS Board Practice-based Education Priorities.
Next steps
In order to take this work programme forward a new infrastructure will be utilised. This will
replace the AHP PEF programme regional groups, bringing together groups of AHP PELs
with common interest rather than for geographical reasons. However, the AHP practice
educator preparation project will involve close collaboration with the HEIs within each of the
regions and therefore there will still be opportunities for some regional group work. All the
AHP PEL roles will be supported to network and meet; and the development events will
also enhance this.
The AHP Practice Education Regional Coordinator role will continue in both a regional
capacity and also to lead on specific aspects of the workstreams. Their role will support the
connectivity with other regional colleagues and programmes and also to provide information
sharing to and from the Health Boards within their regions. They will retain responsibility for
the AHP PELs in the region and ensure that there is support for practice education and
leadership for personal development needs.
This is an exciting next step for the AHP PEF Programme and we are looking forward to
engaging with you over the coming months to move this forward.
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The NES AHP PEF Programme Team
Jenny Miller – NES AHP Practice Education Programme Lead
Jenny.miller@nes.scot.nhs.uk
Karen Allan – NES AHP Practice Education Regional Coordinator – North
Karen.allan@nes.scot.nhs.uk
Peter Glover - NES AHP Practice Education Regional Coordinator - West
Peter.glover@nes.scot.nhs.uk
Bruce McCulloch - NES AHP Practice Education Regional Coordinator – South-east
Bruce.mcculloch@nes.scot.nhs.uk
Pauline Morrison – Project Officer
Pauline.morrison@nes.scot.nhs.uk
Anne Richardson – Project Administration
Anne.richardson@nes.scot.nhs.uk
References
NHS Education for Scotland. 2011, The NES AHP Education Strategy: The Next Chapter
2011-2014, NHS Education for Scotland, Edinburgh.
Scottish Government, 2010, The Healthcare Quality Strategy for NHSScotland. Scottish
Government, Edinburgh,
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Appendix 1 – AHP PEF Programme Structure

Appendix 2 – The AHP PEF Programme Pre-Registration Reference Group