swast workforce changes 2015/16 jim petter head of education...
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Conventional Ambulance Workforce
• Emergency Care Assistant (ECA) Band 4 L3• Technician Band 4 L3• Advanced Technician aka Band 5 L3/4• Ambulance Practitioner Band 5 L3/4• Paramedic Band 5
L3/4/5!• Emergency Care Practitioner (ECP) Band 6 L6/7
• Acknowledges massive changes in ‘999’ workload• Standardised, directly commissioned education: Paramedics: Degree entry from 2019• NHS Inclusion: ? Tuition Fees ? NHS Bursary ? Practice Placements Tariff
THE INFLUENCE OF ‘PEEP’
http://hee.nhs.uk/wp-content/uploads/sites/321/2014/04/PEEP-Report.pdf
The Paramedic Evidence-Based Education Report (HEE, 2013)
THE INFLUENCE OF ‘PEEP’ (2)
Pay Banding and the move to degree?
Band 6? Pay costs to employers?
What ‘valued added’What effect on the workforce model
Curriculum Guidance 2015
Scope of Practice Guidance
ECA Band 3
(Ac L 3, 1 year)
ECA (Patient Support vehicle PSV)
Band 4 (Ac L4 over 1-2 years)
20% Employed (Internal) Paramedic route
5-6 years total duration
Paramedic Band 5
(Ac L 6 over 3 yrs)
Direct Paramedic route
3 years total durationB.Sc Hons (Ac L 6)
Specialist Paramedic
Urgent/Critical/Hub
80% Direct Commissioned route
• ECA Band 3 L3 /L4 (Internal progression)• PSV Band 4 L4 (Enhanced scope)• Paramedic (Internal route) Band 6/ L6• Paramedic UG (direct commision) Band 6/ L6• Specialist Paramedic/Specialist Nurse Band 6/7 Post Graduate SPUEC. CCP. Hub Clinicians:
CONTEMPORARY SWAST CLINICAL WORKFORCE
Progression
SPECIALIST PARAMEDIC (URGENT CARE)(Not ‘ECP’!)
Five Modules
1. Physical; Assessment & Clinical Reasoning2. Contemporary Paramedic Practice in Urgent Care3. Pharmacology4. Remote Clinical Decision-Making (aka ‘Hear 7 Treat’)5. Evidencing Work-Based Learning (‘long thin’ Practice Module)
Practice Element: Workplace mentoring: GP Placement (8 weeks) MIU/UCC Clinical Hubs (RCDM)
CoP/RCGP Paramedic Practitioner Exam (since 2013)• Part One. 14 Station OSCEs • Part Two: 3-Hour Written componentRun at St Georges, London by the RCGP. SWAST staff are on the faculty(Plans for separate Critical Care Exam are ongoing)
SPECIALIST PARAMEDIC (URGENT CARE)
Modules taken at Level 718-month programme durationPeer review/supervision element
Practice Assessment: Portfolio Completion CoP/RCGP-designed summative exam
REMOTE CLINICAL DECISION-MAKING (HUB) Triage System
(AMPDS or NHS Pathways)
Underpinning Educational Framework
RCDM Module
CAD system
• Enhances hospital avoidance• Supports wider non-conveyance aims• Supports appropriate and safe disposition of resource• Patient centred
REMOTE CLINICAL DECISION-MAKING• Collaboration between UWE and SWAST
• Due to commence Jan 2016 (earlier pilot possible)
• 8 contact days (classroom)
• 10 days practice placement
• Accredited by UWE at 20 credits L6 or 7
• Pre entry: clinical experience and patient assessment module
