Celebrating 10 years of Practice Education Facilitation in Scotland

1. Celebrating 10 years of Practice Education Facilitation in Scotland Dr Colette Ferguson Director of Nursing, Midwifery and Allied Health Professions NHS Education for Scotland Karen Wilson Director of Health Professions and Nursing Scottish Ambulance Service

2. 10 years of Practice Education Facilitation in Scotland • Plan • Looking Back • Context, policy, drivers • Core purpose, role development and network • Key Milestones • Evidence of Success • Looking Forward • Challenges and Opportunities

3. Background • Early 2000s • Clinical Teachers • Student’s fitness for practice • Mentor’s ability to assess & ‘Failure to Fail’ • Recruitment Crisis – Facing the Future

4. Practice Education Drivers 2004The Policy Context

5. Facing the Future • Careers • Leadership • Flexibility • Education & Training • Working Conditions & Tools for the Job • Employment Packages • Research & Evaluation • New Roles

6. Philosophy • High quality practice placement experiences • Joint responsibility • Practice led • Learning environment • Developing appropriate placements • Career development

7. The early days …… • Funding Secured: £3m over three years • Need to develop a sustainable solution • Address evidence of gap in support for learning and for mentors • Therefore: • Aim to focus on mentor s so that they could support, supervise and assess students through engaging in high quality care. • Invest in and develop the learning environment • Build a national infrastructure of support for learning in practice

8. Aim ....... Maximise the number of student nurses and midwives who can be supported in clinical practice CAPACITY Ensure the student experience is of the highest quality and enables greatest benefit from the individual learning experience QUALITY Ensure support and supervision for staff engaged in CPD/educational programmes SUPPORT

10. Milestone • 2004/5 2009/10 • The PEFs ‘Toolkit’ Revised

12. Key Milestone: 2006/7 • Preparation of Mentors • Annual Update • Triennial Review • Criteria for ‘Signing off’ • Establishing and Maintaining • a ‘live’ register

13. 2007

14. The Evidence • PEF Evaluation Report Pre-registration nursing and midwifery education Evaluation • 20082008

15. Evidence of Success • Practice Education Evaluation Report – Carlisle (2008) • PEFs …..a valuable addition to the support and development of quality clinical learning environments for pre and post registration students. • Heard numerous accounts of where the PEF role worked well in supporting mentors with 'failing' students’ • Pre-registration Nursing and Midwifery Evaluation - Lauder etal (2008) • PEFs ….a crucial link between the university and service.  There was a great sense of 'valuing' of the PEFs by academic and clinical staff. • Found a positive perception of role from both service and education settings

16. Other Sources of Evidence • Performance Management Reports from Universities and Nurse Directors (NES 2009 – 2013) • Student, Mentor and Senior Charge Nurse Surveys (NES 20010-13) • Board Annual Reports on Practice and Care Home Education Facilitators • NMC Quality Assurance Reports • "The practice education facilitators ‎impressively support practice learning and enhance links between education and practice". • Mott MacDonald (NMC 2011)

17. Broad areas of success • Increased placement capacity and range of learning opportunities • CAPACITY • Robust systems in place to monitor NMC Standards for supporting learning and assessment in practice • Mentor Database (including preparation and updates) • National approach to preparation of mentors • QUALITY • National Network of Support for mentors • Increased support for complex decision making and earlier action for students failing to meet competencies • SUPPORT • Strengthened collaboration between universities, NHS Boards, Care Homes

18. Specific Indicators of success • During 2013 • 1,160 Mentors responded to the annual survey • 91.3% had participated in regular mentor updates • 88% reported on good support from PEF • PEFs and CHEFs: • supported over 19,000 mentors in NHS and care homes • helped to deliver over 206 mentor programmes across Scotland • supported 720 mentors to put in place reasonable adjustments for students

19. Opportunities and Challenges Ahead • 2020 Vision • How do we maximise the contribution of the practice education infrastructure to extend beyond traditional boundaries and ensure robust learning and care environments? • Quality Management of the Learning Environment • How we develop a robust data system to monitor and recognise impact • Setting the Direction • Opportunity to improve, strengthen and further develop the infrastructure and the quality of the learning environment

20. Going Forward • How to we continue to improve, strengthen and develop the learning environment further? • What does the learning environment of the future look like? • What do we need to build and strengthen? • What do we need to change?