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Collins: Extending Foundation Training into the Community

Collins: Extending Foundation Training into the Community. Dr James Dooley, Director, NCTFS Dr Mehool Patel, DME, Lewisham Healthcare NHS Trust Dr Alastair Forrest, Associate Dean, London Deanery. Collins report.

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Collins: Extending Foundation Training into the Community

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  1. Collins: Extending Foundation Training into the Community Dr James Dooley, Director, NCTFS Dr Mehool Patel, DME, Lewisham Healthcare NHS Trust Dr Alastair Forrest, Associate Dean, London Deanery

  2. Collins report • Insufficient emphasis on the total patient, long-term conditions and ambulatory or community care (3.3.1) • Government’s intention for more care to be provided closer to home • Few opportunities for multi-professional learning (2009 PMETB Survey)

  3. Collins Report • Lack of emphasis in curriculum on assessment of key issues in modern health care • changing demographics • long-term care • multi-professional team working • community care • Need greater emphasis on • Management of long-term illness • Delivery of care closer to home

  4. Collins Recommendation (15) • Revise FP Curriculum: greater emphasis on • Total patient • Long-term conditions • Increasing role of community care • Team-working in multi-professional environment

  5. Collins Recommendations (16) • Successful completion of FP should normally require completion of a rotation in a community placement e.g. • community paediatrics • general practice • psychiatry

  6. Current situation • General practice • Target for 55% of FY2 to have placement • NTFSs at or slightly below target • Psychiatry • New target for 7% F1s/ 7% F2s to have experience • NTFSs well below target for F1s; below for F2s • Other current opportunities • Public health, palliative care,

  7. NCTFS F1 placements (from Dr Alastair Forrest: Community Placements in Foundation Training, 2011)

  8. NCTFS F2 placements (from Dr Alastair Forrest: Community Placements in Foundation Training, 2011)

  9. Community placements workshop • Objective for placement • not just a tick box exercise • added value • Pattern of placement • full 4 mo. placement • STFS: encouraging integration of community elements within existing 4 month placement • taster placements • Obvious opportunities • Novel approaches

  10. Community placements workshop • Practicality • Can F1s and F2s be released from Trusts? • More form some posts than others? • How to put it into practice • Review all rotations without • GP, psychiatry, public health, palliative care • Examine placements with potential link • O&G, paediatrics, GUM, COPD, CoE, diabetes • Vascular surgery, bariatric surgery................

  11. Community placements workshop • Dr Mehool Patel • Experience of initiative at Lewisham NHS Trust • Open discussion • Other examples • Mapping opportunities • Challenges • Processes • Summarise strategy

  12. Community placements workshop • Summary • Why? (goal) • Where? (linked or new placement) • How long? (2 weeks – 4 months) • How? (strategy/process) • Value added? (feedback) • Complete loop? (F1/F2 presentation)

  13. Examples of placements • Admission Avoidance Unit • Ambulatory • COPD team • Community Matron Service • Community clinics • Paediatrics • Dermatology

  14. Examples of placements • Community Palliative Care • Community Rehabilitation Team • Crisis Team • Diabetic consultant led clinic • District Nurses • Post Acute Care Enablement (PACE) discharge service

  15. Examples of placements • Psychiatric placement • Social Worker • Tissue Viability

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