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enhance: South West 

Welcome to the South West enhance: Generalist skills programme

The South West is piloting a new programme of teaching to enhance generalist skills for health and care professionals.  This is part of a national programme.

Following the NHS long term plan and subsequent people plan report, Health Education England launched the future doctor report, which highlighted the need for a greater proportion of doctors and all other healthcare professionals to have generalist skills.  Learning from the COVID-19 pandemic has reinforced the need to enhance generalist skills to create adaptable clinicians better able to meet patient need and to address population health needs of local populations.  The enhance, or enhancing generalist skills, programme, is an interwoven professional development offer that delivers this vision.  The recent NHS long term workforce plan emphasises the importance of generalist skills needed to care for patients and it is mandated that the enhance programme be expanded to demonstrate the benefits of more generalist approaches to education and training.  The initial rapid changes have led to a focus on more long-term population needs, for which healthcare professionals must both acquire new and enhance existing generalist skills as an integral part of their professional development.

Our vision in the South West is to champion a person-centred, 'team around the person' approach, by working across different disciplines to promote collaboration through compassionate and empathetic leadership.

There are two educational development offers available as part of the South West programme. Read on for more information about each training offer and how to apply.

 

What are enhance Generalist skills?

Skills that enable best practice across the NHS, regardless of specialism, with the aim of delivering better joined-up care, staff and patient experience and health outcomes. The enhance generalist skill domains are; person-centred practice; system working; complex multi-morbidity; social justice; environmental sustainability and population health.  Find out more about the programme: NHS England Enhancing Generalist Skills or watch this introduction video.  To learn more about the enhance programme you can download our handbook here.

 

Our educational development offers:

Gloucestershire Trailblazer Project:

Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) is an NHS England pilot site for the enhance programme.

The enhance programme recognises the need for healthcare professionals to develop a range of generalist skills, in order to better meet patient need and improve the health of local populations.

Clinicians with generalist skills are confident at managing complex care within multi-professional teams, and can work across community, primary and secondary healthcare settings in order to provide person-centred care for a broad range of health conditions.

By developing a holistic approach to the health and wellbeing of both individuals and local populations, clinicians of all disciplines can help to improve patient experience and the quality of healthcare. 

Our Programme 

This is a free, part-time, multi-professional course with a focus on Frailty.

Teaching sessions are all face to face on a Wednesday morning (every fortnight), at either Sandford Education Centre, Cheltenham or Redwood Education Centre, Gloucester.  They include talks, workshops, lived experience interviews, case studies and Schwartz rounds, with the opportunity to interact with Third sector and community partners.

There is also the option to include a silver Quality Improvement Project and training for this is included in the course.

Key areas covered include person-centred practice, complex multi-morbidity, working across systems, social justice, population health and environmental sustainability, as well as the development of skills in leadership, wellbeing and reflective practice.

The programme sessions include: 

  • An introduction to frailty by the Frailty Team
  • A 'senses' and simulation experience including case studies using simulation and a virtual reality patient experience
  • A 'memory' day looking at the Well pathway for dementia and including expert experience interviews
  • Can you be frail and not old?  Includes a look at 'frail' younger patients with neurological disorders, and insights from a patient with an eating disorder.
  • What's out there?  Supporting the patient across systems - how does it all fit together?  The complex Care at Home team, AgeUK, social prescribers and wellbeing co-ordinators use case studies to show how they work together.
  • Health inequalities and Social Justice.  Homeless people can be frail too.  A look at trauma-informed care, how homeless people access the healthcare they need and health inequalities.
  • Personalised care
  • Human factors training.  How do human factors affect the care we give our patients?  Take part in an escape room and look at how a team works together.
  • An ethics day.  Use case studies to discuss issues around capacity and consent.  Watch real life filmed clinical scenarios to learn about phronesis (decision-making based on previous experience.
  • Sustainability in healthcare workshop.  Learn about the Trust targets and carbon footprint, as well as the links between climate change and health.
  • Schwartz rounds.  A safe space to discuss the emotional and social aspects of working in healthcare.

 

FAQs

What is the time commitment?

In person sessions are 3.5 hours (9:00 - 12.30) on alternate Wednesday mornings (starting 20/09/2023 - 20/03/2024 final session).

You may wish to arrange to do some shadowing of other staff or visit 3rd sector organisations in between sessions.  If you undertake a silver Quality Improvement Project the training is included in the sessions, but working on your project will be an additional time commitment.

What if I miss a session?

To enable you to get the most out of the course we would encourage you to attend at least 70% of the sessions.  We are not planning to routinely record sessions due to the interactive nature of the course, but we will of course share any relevant course materials, slides or handouts

What does it cost?

The course is funded by NHS England and is free to participants.

Do I need permission to attend the course?

You will need to get permission from your line manager or supervisor in order to attend.

What do I gain from it?

You will receive a certificate of attendance and internal CPD points and have the opportunity to become a silver QI graduate.

 

Applications for September 2023 are now closed.

 

If you would like more information please email ghn-tr.enhancesw@nhs.net 

 

Contact Details:

Dr Sean Elyan, Clinical Lead

Dr Caroline Bailey, Senior Clinical Fellow

Claire Parkhouse, Clinical Fellow

Currently vacant, Programme Support Administrator

Please direct all queries to the Gloucestershire Trailblazer team at ghn-tr.enhancesw@nhs.net  

 

North Devon Generalist Trailblazer Project:

The North Devon based Trailblazer project is one of seven UK pilot sites blazing the trail, offering a mixed clinical and educational programme to develop a wide range of skills and knowledge for our staff.  We aim to encourage our workforce to pursue best practice through ‘person centred’ care, regardless of speciality, as well as linking across departmental boundaries, primary care, secondary care and the voluntary sector.

The initial 12-month phase will be aimed at Post-Foundation Training doctors and will contain a number of different elements including postgraduate and undergraduate educational programmes, using immersive explore and delivered enable approaches within the overall national Enhance programme.  Our clinical posts will be split between Emergency Medicine, General Medicine, Paediatrics, Trauma and Orthopaedics, longitudinal acute frailty and individually agreed project components with faculty support and supervision to help focus on the Enhance Generalist domains.  The projects will contain themes relating to Remote, Rural and Coastal Healthcare, aimed at specific demographics and challenges of the locality and with the goal of advancing healthcare provision, sustainability and resource stewardship by working across and breaking down barriers in the local area.

We will also be offering a variety of placements across specialties for Undergraduate Medical students across years, 3, 4 and 5, introducing them to the Enhance Domains.

The Enhance Programme aims to support the next generation of clinicians to work effectively across health and care developing personalised approaches to multimorbidity and complexity, advocate for social justice, seeking new ways to reduce health inequalities; be community and population-orientated in their approach, taking responsibility for resource stewardship creating sustainable processes and practice; and work and lead collaboratively, inclusively and compassionately within multidisciplinary teams, and across organisations and systems.  These future doctors will lead on overcoming processes that risk fragmented, duplicated and disjointed care resulting in error, waste and patient safety implications.

This programme offers motivated fellows a unique opportunity to participate in a ground-breaking project to develop healthcare provision in a beautiful geographical area and develop their interests and professional skills.

 

Contact Details:

Dr Mark Fresch, Clinical Lead

Dr Tom Cracknell, Senior Clinical Fellow

Dr Philippa Hardy, Senior Clinical Fellow

Andrea Stanley, Senior Clinical Fellow

Madeleine Carter, Education Support Administrator

Please direct all queries to the North Devon Trailblazer team to rduh.ndenhance@nhs.net