Anaesthesia Practitioners in Scotland

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Anaesthesia Practitioners in Scotland
DUNBLANE HYDRO HOTEL DUNBLANE 26th APRIL 2006
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Modernising Clinical Careers Scottish Solutions

• Mike Watson
• Medical Director NES
• Dunblane April 2006

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Delivering for Health 1

• Team based, close to patient
• Individuals with skills appropriate for role
• Defined quality standard
• acceptable costs

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Delivering for Health 2

• Flexible acceptance of new developments
• Increase generalist skills
• Few national specialist services
• Expansion of unscheduled care
• Diagnostic services in the community

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Delivering for Health 3

• Demographic issues and WTD
• New role development
• Academic vs in service training
• Technology

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What kind of medical workforce does the service
need?

• Consultants/specialists
• Will there be a rise in consultant numbers and if
  so how is it to be funded?
• Will there be non consultant CCT specialists?
• What will the non consultant grades be
• Reformed SAS?
• What is the structure for employment in general
  practice?
• Are the trained doctors fit for purpose?

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What kind of trainingdoes the service need?

• Training for accreditation
• Training for credentialing (below accreditation)
• Sub-specialty Training
• When does it happen? How is selection made? Who
  funds?
• Post CCT Training
• How do we provide for it? Is there a need?
• General practice training
• What is to happen with GP Programmes?
• Remedial

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UK MMC Career Framework Proposal
Continuing Professional Development
Senior Medical Appointments
Specialist and GP Registers
Article 14/11 route
CCT route
Postgraduate Medical Training
Continuing Professional Development
Specialty training inSpecialty/GP training
schools
Career posts
Specialist and GP training programmes (Run-through
training)
Fixed term specialist training
Foundation training in foundation schools
F2
F1
Undergraduate medical training in medical school
Arrows indicate competitive
entry
Medical school 4-6 years
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All trainees 39 5,385
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Scottish Medical Workforce 2004 (headcount)
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All trainees 39 5,385
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Scottish Medical Workforce 2004
(headcount) Applying MMC
?
1600
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HOSPITAL TRAINING
Foundation
GMC
Common stem Specialists
Service
Run-through training Specialists/Generalists
Service
CCT
PMETB
Consultants
Post CCT training
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G.P. Training
Foundation
GMC
Broad-based Speciality
G.P. Training
CCT
PMETB
G.P. Special Interests
G.P.
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Nursing / AHP
Primary Qualification HEI
NMC
Career Development Nurse Practitioner Advanced
Practitioner Nurse Consultant
SCQF HEI Academic Equivalence
KSF
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New role developmentOrganisational structure

• Joint initiative between SEHD and NES
• Strategic management group (SEHD)
• Individual steering committees (NES)

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Anaesthetic Care Practitioners
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Physicians AssistantsMedical Care Practitioners

• Multiple potential roles
• Major group in the USA
• Successful sites in England
• Pilot recruitment to Scotland
• Significant service interest
• Detailed evaluation

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Care Practitioners (New Roles)Unresolved Issues

• Terms and conditions
• Overlap with other professionals
• Best service fit
• Regulatory problems
• Long term future

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Hospital G.P. Nursing New Roles
Generic Training
Primary Degree
Foundation
RT
RT
Service
Nurse Practitioner Advanced Practitioner Nurse
Consultant
Speciality P.A.
GP
Consultants/Specialists
GPSI
Post CCT training
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Opportunities for developmentTransparent
qualifications Effective Clinical Leadership