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Piloting a Model for the Emergency Care Practitioner Progress Report

Piloting a Model for the Emergency Care Practitioner Progress Report Chris Wintle Gary Morgan Workforce Designer Project Manager. Changing Workforce Programme. Supporting the NHS to: Redesign roles by combining tasks differently.

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Piloting a Model for the Emergency Care Practitioner Progress Report

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  1. Piloting a Model for the Emergency Care Practitioner Progress Report Chris Wintle Gary Morgan Workforce Designer Project Manager

  2. Changing Workforce Programme Supporting the NHS to: • Redesign roles by combining tasks differently. • Expanding roles or moving tasks up or down a traditional uni-disciplinary ladder

  3. Workforce issues for NHS: • Reduced number of entrants to healthcare • Large number of healthcare leavers • Inflexible professional boundaries • Clinical ceiling • Need for legislative change

  4. Patient Expectations: • Good quality care • Fewer “faces” and hand-offs • Enough people to give care • People with time All of which comes from energised, well-motivated staff

  5. What do Patients Need? • Appropriate treatment • Rapid access • Less waiting • Less duplication

  6. Staff Needs: • Respect and self-esteem • Job enrichment/personal growth • Desire for variety • Less constraints Without which there is wastage and loss of flexibility

  7. OUR CURRENT WORK INVOLVES PILOT SITES: • Currently 13 CWP pilot sites throughout the UK are fully testing the potential for different ways of working as a means of improving patient services

  8. Emergency Care Pilot Based in Coventry and Warwickshire involving: • Primary Care • Pre-Hospital Care • Three Acute Hospital Trusts

  9. Two Distinct Parts to Pilot: • Development of the Emergency Care Practitioner role • Development of other roles, identified from process mapping / CWP Toolkit Workshopsetc.

  10. Process Map Mark is 14, he lives in Hillcrest in Warwickshire. At 1600 one Saturday he lacerated his left leg while playing football. The laceration is superficial and 10cm in length. His parents and an ambulance are called at 1605.

  11. Emergency Care Practitioners • 3 Paramedics to access nursing courses • 3 A&E Nurses to access paramedic course • All students to then access degree level practitioner course • This testing will highlight the skills & competencies needed by the Emergency Care Practitioner

  12. Patients will be treated at scene. Reduced queues in A&E etc. Fewer faces more continuity Smoother progression through system Increased job satisfaction Increased career opportunities Improved clinical skills Autonomous practice in different settings Better for Patients / Better for staff

  13. Induction & Clinical Orientation Emergency Nursing Care IHCD Paramedic Award Emergency Driving SHARED Care and management of minor illness Principles/concepts of autonomous practice Emergency care practice Care and management of minor injuries Diploma in Autonomous Practice Research methods & statistics Optional Module BSc in Emergency Care Practice * Dissertation “Top up” module to Honours Degree (dependant on progress of students & employer negotiations) * Subject to validation

  14. Paramedics: Pre-Hosp rotation May 02 A&E clinical course June 02 A&E placement July – Sept 02 A&E Nursing Module Sept 02 A&E + Pre-Hosp rotation Sept 02 – Jan 03 A&E Nurses: Driving (D1 &D2) course May 02 Clinical Orientation (tech) June 02 Pre-Hosp rotation (tech) July 02 IHCD Para course Aug 02 Para Stage 3 Sept 02 Pre-Hosp rotation Oct 02 – Jan 03 Progress

  15. Educational Pathway (under development) Feb to Jun 03: Principles & Concepts of Autonomous Practice* May to Aug 03: Minor Illness* Sep 03 to Jan 04: Minor Injuries* * Concurrent Emergency Care Practice Module University exit: Diploma in Autonomous Practice Feb 04: Research Methods & Statistics University exit: BSc Sept 04: Dissertation (with employers agreement) University exit: BSc (Hons.)

  16. Looking to the future • Development of pre-registration degree (with dual registration) • Development of post-registration certificate/diploma programmes • Other new/expanded roles: • Community Paramedic • Investigations/Diagnostics • Alternative Response Vehicle

  17. Chris Wintle Workforce Designer Emergency Care Pilot Tel: 01256 783053 Mobile: 07867 537899 E-mail: Chris.Wintle@doh.gsi.gov.uk Web address: Gary Morgan Project Manager Emergency Care Pilot Tel: 01788 574618 Mobile: 07789 508022 E-mail: Gary.Morgan@was.nhs.uk www.nhs.uk/modernnhs/cwp

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