Podiatry Placement Scoping Exercise in

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• Podiatry Placement Scoping Exercise in
• NHS South Central SHA
• Podiatry Clinical Educators Conference
• 25th June 2007
• Felicity Hargreaves
• AHP Placement Development Co-ordinator

NHS South Central Improving health and
alleviating the causes of poor health for the
benefit of patients, the public and taxpayer
alike in Oxfordshire, Buckinghamshire, Berkshire,
Hampshire and the Isle of Wight
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• BACKGROUND
• Work commissioned by Podiatry Managers Group
  SoHPRS, University of Southampton in February
  2007
• OVERALL AIMS
• To work in partnership with the UoS placement
  providers to scope agreed placement data
• To ensure there is a sustainable model for
  providing quality Podiatry placements equitably
  across Hampshire the Isle of Wight and the
  wider area of NHS South Central

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• Background contd..
• NHS South Central commission 35 Podiatry student
  places a year at UoS
• Podiatry Services locally, further affield,
  work with the University to provide 69 placement
  days, (14 weeks) or 3 x 1 day weeks plus 22 x 3
  day weeks, for each of these students

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• Information collected included
• Number of sites each Podiatry service works
  across geographical spread
• time Podiatrists are working in different
  settings
• MDT working other students supported
• Physical space facilities
• No of chairs per clinic
• Computer library access for students
  educators

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• What staffing are where to support learners key
  roles
• Which podiatry placement specialties are provided
• Placement strengths challenges from service
  University perspective
• .Results discussion

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• RESULTS
• Meetings with 6 Service Managers Podiatry
  Clinical Education Leads over past month
• Useful data collected, but not all comparable due
  to different definitions of eg
• Acute care setting
• Generalist Clinics
• Grade of staff who support students
• Have not included placements in the PVI sector

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CLINICAL AREAS

• Generalist includes high risk whole spectrum
  of conditions
• Diabetes Clinics
• Vascular Disease
• MSK (includes paeds, MPTT, Orthopaedic)

• Nail Surgery
• Rheumatology
• Podiatric Surgery
• Mental Health
• Prisons
• Supported self-management groups for patients

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• STRENGTHS of EXISTING PLACEMENT MODEL
• Model based on strong partnership between
  practice and University
• Graduates are exposed to reality during
  placements in practice so have the potential to
  be more rounded practitioners
• Students have good academic grounding are
  reflective practitioners
• The increase in clinical skills training in year
  1 is welcomed by Clinical Educators
• Clinical Educator Experts Group is a forum for
  sharing best practice, updating etc
• This group report directly to the Managers Group

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• STRENGTHS contd
• Clinical Educators Students can access
  placement information eg The Rough Guide from
  both the Clinical Educators web-site from the
  UoS Blackboard
• Placements are receiving student information
  earlier, with fewer last minute changes
• All placement providers have a lead Clinical
  Educator / Placement Coordinator
• Many also have a small team of Clinical Educators
  who have been trained to assess students
  competencies

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CHALLENGES

• Services are still being reorganised, future
  staffing structures uncertain podiatrists may
  be more isolated without Professional Advisor
  role in some areas
• Most clinical work is now meeting high risk
  criteria, so pre-placement preparation is crucial
• Challenging to train assess all required
  clinical competencies during 3 days/week, or 69
  days over 3 years
• Some clinics run on the 2 days students arent
  out there may be no flexibility to change this,
  so student is unable to experience full range of
  work

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• CHALLENGES contd
• Maintaining quality patient care with quality
  student learning within current budget and
  resources
• Not always able to release Clinical Educators to
  attend relevant training off site

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• QUESTIONS for DEBATE
• How can we further enhance students clinical
  skills prior to coming out on placement?
• Should all 1st years receive the same clinical
  experience, if so how?
• How could we tackle the gap between C2 D
  placement?
• Do we need more Clinical Skills Labs?
• Do we need more chairs in GP surgeries?
• Should we be making greater use of the PVI how
  do we ensure quality of learning for all
  placements?
• Should placements be organised over a full
  working week / be longer?

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• Questions contd
• How can we improve IT access for both Educators
  students where this is lacking?
• Could we make greater use of e-learning, Clinical
  Educator Web-site, Blackboard to support both
  students educators during placement?
• How do Clinical Educators keep themselves
  updated?
• Should there be a greater range of Educator
  Training available in localities?
• How could this be delivered successfully across
  AHPs on a regular basis?
• Would a link tutor role with each placement
  area improve links support for Clinical
  Educators?

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• Questions contd
• Can we share placements more equitably across NHS
  South Central wider, based on WTE?
• Could 3rd year final clinical exams be carried
  out in other placement areas?
• Do Service Managers/Lead Podiatry Educators
  always receive students feedback evaluations?
• Are Clinical Educators clear about what they are
  expected to do with all levels of students?
• Could students use a personal portfolio which
  they bring to use on placement to record more
  clearly their learning needs?
• Is the process for students not turning up
  clear?

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• Future Development of Podiatry Placements
• Service Scoping information will be sent to
  Podiatry Managers Lead Clinical Educators for
  verification standardisation - with agreement,
  this information together with the outcomes from
  this afternoons discussions can be summarised
  into a report with recommendations
• If possible, we will also try to scope similar
  information from more areas in NHS South Central
  to build up local placement providers capacity
• Are there more new placements in PVI sector?
• Competency framework assessment linking this
  into KSF
• Enable more development of the Clinical Educator
  Role now (APE?!) to support CPD portfolio HPC
  registration
• Continued support for Podiatry Clinical
  Educators Expert Reference Group

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Challenges Opportunities

• Future funding of all posts initiatives
  supporting learning in practice
• Ensuring part of workforce planning, CPLNHS
  governance agenda
• MPET funding following student placements
• How much? When? Ring fenced?
• Working with the Standard National Contract
  Learning Development Agreements when they
  come out
• Ensuring there is placement capacity quality
  within new organisations, reconfigured PCTs,
  PVI sector
• Integration of inter-professional learning into
  all levels of organisations
• HPC CPD requirements from July 2006, being
  audited in 2008
• sharing your best practice within with other
  professions