Medical education or multiprofessional education Professor Simon Gregory

Medical education or multi-professional education Professor Simon Gregory Director of Education and Quality and PG Dean HEE Midlands and East

“The Deanery’s role is to ensure that I have a good time…”. Core Medical Trainee www. hee. nhs. uk

Health Education England (HEE) exists for “one reason and one reason only: to support the delivery of excellent healthcare and health improvements to the patients and public …”. www. hee. nhs. uk

Overview • Learning • Organisational • Financial • Language • Future www. hee. nhs. uk

Learning: uni-professional or inter-professional • Should be based on need not contrived or “policy driven” • Base on needs of patients or learners • Not forced • Examples • Diabetes course • Suicide risk assessment www. hee. nhs. uk

www. hee. nhs. uk

Organisational : uni-professional or multi-professional • Journey • Deaneries / Consortia, Confederations, SHAs • Multi-professional Deaneries • Current • NES • NIMDTA • Wales Deanery • HEE LETBs www. hee. nhs. uk

HEE Clarity of Purpose • Quality of care is our organising principle • We have a whole workforce responsibility for England • Band 1 -4 (Healthcare support workforce) • Doctors, nurses, scientists, AHPs + • CPD of some professions • Undergraduate and postgraduate education including academic training • Careers Service • We operate through our 13 LETB’s, 4 geographies • 13 PG Deans – multi-professional JD and focus www. hee. nhs. uk

www. hee. nhs. uk

Financial: budgets and tariffs • Size envy • Myth, rumour and misunderstanding • Old budgets (MPET) • SIFT • MADEL • NMET • New approach • Single combined budget for England • Tariffs • Accountable to Parliament www. hee. nhs. uk

HEE Budget: c. £ 4. 9 billion £ 60, 000 to train a nurse or AHP £ 560, 000 to train a new medical consultant £ 490, 000 to train a new GP 91000 non-medical pre-registration students 44600 postgraduate medical and dental students 23000 undergraduate medical and dental students £ 9, 500 per minute www. hee. nhs. uk

HEE funding and levers Spending around £ 9, 500 a minute on Education and Training Around £ 4. 9 bn funding annually Around 159, 000 students in the system now www. hee. nhs. uk

Language: England America are two countries separated by a common language. George Bernard-Shaw www. hee. nhs. uk

Language: examples • Different meanings • Pre-registration • Mentor • Programme • Same thing different terms • Quality assurance / Quality management • Inadequate • Non-medical • Abolished but continue in common use • VTS • SHO • Deanery (in England) www. hee. nhs. uk

Ambition for the future In order to develop the workforce of the future, we need to predict future changes in health and healthcare based on what we understand now… Current approach New rules for 21 st century healthcare* Care is based primarily on visits Care is based on continuous healing relationships Preference is given to Co-operation among professional roles clinicians is a priority over the system * Based on work by the King’s Fund … and plan workforce training and education to ensure demand supply are in balance… www. hee. nhs. uk

Future vision: medical education and multi-professional education • Value crafts, professions and each other • Focus on needs • Do our best to ensure quality now and prepare for the future • We train for the past • Our focus has been too much on professions rather than the patient despite our best intent www. hee. nhs. uk

Future workforce: • Firm foundations • Valued as professions, crafts and individuals • Pluri-potential • Adaptable • Resilient • Compassionate • Affordable • Sustainable • Different www. hee. nhs. uk