keeping general practice at the heart of patient care in Cornwall...

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What is the Cornwall Training Hub?

The Training Hub also known as Community Education Provider Networks (CEPN) are“collaborative networks of service and education providers working together across a geographic footprint with the shared purpose of creating the right workforce to support the delivery of population health outcomes and transformed landscape of primary care”. 

The Training Hubs were created to be local centres of learning, training and development for Primary Care, and have historically been funded by Health Education England (HEE).  Kernow Health CIC was appointed to be the host organisation for the Training Hub (CEPN) for Cornwall and the Isles of Scilly in 2015/16 and continues to deliver this service. The Cornwall Training Hub also manages the delivery of the Primary Care Education Programme (PCEP).

The Workforce & Organisational Development Steering Board

The Workforce & Organisational Development steering group has been established to support development and sustainability of primary care workforce. The group oversees delivery and implementation of all funded initiatives under 5 key areas of focus, with key principles underpinning these. It also provides the forum for approval of funding and projects to progress through the Cornwall Training Hub.

5 KEY AREAS OF FOCUS

Clinical Education

Non clinical Education

Recruitment & Workforce Opportunities

Retention & Workforce Opportunities

Apprenticeships

UNDERPINNING PRINCIPLES

New operating models of care delivery across a range of scales from Practice level up to STP footprint

Transformative projects delivering change to systems and processes

Systemising Quality Improvement

Working at scale










If you have a project idea or plan that would deliver education and training across Cornwall and benefit from funding via the Cornwall Training Hub, you can complete the Project Initiation Document (PID). This document will then be considered for approval at the Workforce & Organisational Development steering board that meets bi monthly.

Project Initiation Document (PID)

Steering Group Terms of Reference

Process Map - How projects are selected and authorised

Decision making matrix for approval of Training Hub funding

Looking to the future 

Training hubs have been acknowledged in the NHSE GP contract, ‘Investment and Evolution’published on 21st Jan 2019.   ‘By far the biggest challenge facing general practice is that it doesn’t have enough people to do the work required. This is creating unsustainable workload pressures. Helping to fix this problem is our top priority.’ The focus is on Recruitment, and Retention, as well as Career Frame works and the contract states that NHSE will be working with HEE to centrally fund and support us from 2020/21 to ‘enable more consistent provision of training and continuing professional development for primary care staff in the community.’ 

To help deliver against the extra 5,000 doctors in general practice, NHS England will now extend the following general practice programmes for the duration of the five-year period 2019/20-2023/24:

  • International recruitment, supplementing the UK-trained GP workforce with qualified doctors from EEA and non-EEA countries;
  • GP retention programmes,ensuring support is available to retain GPs rather than reduce their commitment or leave the profession;
  • Practice resilience programme,ensuring continuing support for practices in acute need of help, often as part of a network;
  • Specialist mental health service for GPs who need help; and
  • Time for Care National Development Programme,supporting thousands of practices across the country, often in networks, to make sustainable improvements to the way they work, and help ease workload pressures.

Kernow Health CIC & the Cornwall Training Hub are already involved and delivering on the above coloured programmes and work closely with KCCG and the LMC to support practices in other areas. 

 

Roles and support through the Training Hub 2019/2021

We do not yet know for sure how the funding and workforce opportunities outlined in the GP Contract 2019 will be passed through to primary care networks but we expect that the following will come through the Training Hub. Please note that we are already offering some of the below opportunities.

Nurses

  • guaranteed placements in primary care for undergraduate nurses supported by Health Education England
  • credentialing of the Royal College of Nursing’s Advanced Level Nurse Practitioner
  • an increase in apprenticeships across primary care
  • Experienced nurses in primary care who may b e considering roles in other settings or retirement will be able to broaden their roles to include nurse education, mentoring, supervision and leadership roles

Fellowships

  • voluntary two-year primary care fellowship programme for newly qualified nurses and doctors entering general practice. This will offer a secure contract of employment alongside a portfolio role tailored, where possible, to the aims of the individual and the needs of the primary care system.

Additional Role Reimbursement Scheme

The scheme will start from 1 July 2019; the funding within the scheme is intended to create additional posts in five specific different primary care roles:

  1. clinical pharmacists
  2. social prescribing link workers
  3. physician associates
  4. first contact physiotherapists and
  5. first contact community paramedics

Table 2: INTENDED FUNDING FOR ADDITIONAL REIMBURSEMENT

 

2019/2020 (from July)

2020/2021

2021/2022

2022/2023

2023/2024

National total

£110m

£257m

£415m

£634m

£891m

Average maximum per 50k typical network

£92,000

£213,000

£342,000

£519,000

£726,000

 

 

 

 

 




The funding is scaled starting with clinical pharmacists and social prescribing link workers in 2019; in 2020 physician’s associates and first contact physiotherapists are added; and in 2021 first contact community paramedics.

For more information contact kernowhealthcic.workforce@nhs.net 

[1]Investment and evolution:  A five-year framework for GP contract reform to implement The NHS Long Term Plan 31 January 2019

 

 

 

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