Chronic Disease Management Team

1. Assistant Practitioner RoleLin Linford Assistant Practitioner - Liverpool Community Health NHS Trust (LCH)Sharon PollGPN / Senior Nurse - NHS Liverpool Clinical Commissioning Group(LCCG) LCH working in partnership with LCCG

2. Chronic Disease Management Team • Innovative approach to chronic disease management • Funding through Local Enhanced Service • High quality, flexible skill set and ability to lead change • Drive high quality standards of care LCH working in partnership with LCCG

3. Competently delivers health & social care to and for people • Has a required level of knowledge and skill beyond that of the traditional healthcare assistant or support worker • Ability to deliver elements of health and social care and undertake clinical work in domains that have previously only been within the remit of registered professionals • Is accountable to themselves, their employer, and, more importantly, the people they serve. The Skills for Health (2009) Core Standards for Assistant Practitioners defines the AP role as a worker who: LCH working in partnership with LCCG

4. Developing the Assistant Practitioner role in general practice • Took time to understand role & standards • Developed role to meet the needs of service • Invest to continually push the boundaries • One to one’s (AP’s manage their role under guidance) • Self-directed development and practice • Work guided by standard operating procedures and protocols LCH working in partnership with LCCG

5. As a manager – confident in role and standard of care delivery • Made nursing teams ‘step up a gear’ • Promoted leadership at every level & strong peer support • Improved patient confidence and experience • Improved health outcomes (KPI measures) Impact of role LCH working in partnership with LCCG

6. High quality and flexible skill set to meet the complex need of patients • Increased productivity and high quality care • Free up registered practitioners to do what uniquely trained for • Cost effective skill set which can undertake clinical work that has previously only been within the remit of registered professionals Benefits to General Practice LCH working in partnership with LCCG

7. Key Considerations • Right person • Right support to allow role to develop as required • Expect to be challenged LCH working in partnership with LCCG

8. Lin LinfordAssistant PractitionerPractice Nurse Development Team(Liverpool Community Health NHS Trust ) LCH working in partnership with LCCG

9. Why I applied to be an Assistant Practitioner • NHS constantly changing • Focus on Primary Care • Passionate about community care / General Practice LCH working in partnership with LCCG

10. In depth and challenging • Work split between university and work based learning • Work based learning key factor in success of completing course • Level 5 education • Communication skills, health promotion, anatomy & physiology, inter-professional working, health psychology, equality & diversity, care co-ordination of long term conditions, learning and assessment in practice, leadership, management & informatics, primary prevention of cardiovascular disease. The Course LCH working in partnership with LCCG

11. How it felt for me Role Development • Fantastic opportunity • Apply learning • Work in new ways • Build trusted relationships • Encouraged and supported to push boundaries • Valued as a leader LCH working in partnership with LCCG

12. What am I doing now? • Work in Practice Nurse Development Team • Mentoring and peer support key role • Every Contact Counts Trainer • Health Ambassador / champion role LCH working in partnership with LCCG

13. Thank-youAny Questions? LCH working in partnership with LCCG