Celebrating 10 years of Practice Education Facilitation in Scotland

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Celebrating 10 years of Practice Education
Facilitation in Scotland

• Dr Colette Ferguson
• Director of Nursing, Midwifery and Allied Health
  Professions
• NHS Education for Scotland
• Karen Wilson
• Director of Health Professions and Nursing
• Scottish Ambulance Service

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10 years of Practice Education Facilitation in
Scotland

• Plan
• Looking Back
• Context, policy, drivers
• Core purpose, role development and network
• Key Milestones
• Evidence of Success
• Looking Forward
• Challenges and Opportunities

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Background

• Early 2000s
• Clinical Teachers
• Students fitness for practice
• Mentors ability to assess Failure to Fail
• Recruitment Crisis Facing the Future

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Practice Education Drivers 2004The Policy
Context
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Facing the Future

• Careers
• Leadership
• Flexibility
• Education Training
• Working Conditions Tools for the Job
• Employment Packages
• Research Evaluation
• New Roles

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Philosophy

• High quality practice placement experiences
• Joint responsibility
• Practice led
• Learning environment
• Developing appropriate placements
• Career development

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The early days

• Funding Secured 3m over three years
• Need to develop a sustainable solution
• Address evidence of gap in support for learning
  and for mentors
• Therefore
• Aim to focus on mentor s so that they could
  support, supervise and assess students through
  engaging in high quality care.
• Invest in and develop the learning environment
• Build a national infrastructure of support for
  learning in practice

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Aim .......

• Maximise the number of student nurses and
  midwives who can be supported in clinical
  practice
• CAPACITY
• Ensure the student experience is of the highest
  quality and enables greatest benefit from the
  individual learning experience
• QUALITY
• Ensure support and supervision for staff engaged
  in CPD/educational programmes
• SUPPORT

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Milestone

• 2004/5 2009/10
• The PEFs Toolkit Revised

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Key Milestone 2006/7

• Preparation of Mentors
• Annual Update
• Triennial Review
• Criteria for Signing off
• Establishing and Maintaining
• a live register

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• 2007

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The Evidence

• PEF Evaluation Report Pre-registration nursing
  and midwifery education Evaluation
• 2008 2008

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Evidence of Success

• Practice Education Evaluation Report Carlisle
  (2008)
• PEFs ..a valuable addition to the support and
  development of quality clinical learning
  environments for pre and post registration
  students.
• Heard numerous accounts of where the PEF role
  worked well in supporting mentors with 'failing'
  students
• Pre-registration Nursing and Midwifery Evaluation
  - Lauder etal (2008)
• PEFs .a crucial link between the university and
  service.  There was a great sense of 'valuing' of
  the PEFs by academic and clinical staff.
• Found a positive perception of role from both
  service and education settings

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Other Sources of Evidence

• Performance Management Reports from Universities
  and Nurse Directors (NES 2009 2013)
• Student, Mentor and Senior Charge Nurse Surveys
  (NES 20010-13)
• Board Annual Reports on Practice and Care Home
  Education Facilitators
• NMC Quality Assurance Reports
• "The practice education facilitators
  ?impressively support practice learning and
  enhance links between education and practice".
• Mott MacDonald (NMC 2011)

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Broad areas of success

• Increased placement capacity and range of
  learning opportunities
• CAPACITY
• Robust systems in place to monitor NMC Standards
  for supporting learning and assessment in
  practice
• Mentor Database (including preparation and
  updates)
• National approach to preparation of mentors
• QUALITY
• National Network of Support for mentors
• Increased support for complex decision making and
  earlier action for students failing to meet
  competencies
• SUPPORT
• Strengthened collaboration between universities,
  NHS Boards, Care Homes

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Specific Indicators of success

• During 2013
• 1,160 Mentors responded to the annual survey
• 91.3 had participated in regular mentor updates
• 88 reported on good support from PEF
• PEFs and CHEFs
• supported over 19,000 mentors in NHS and care
  homes
• helped to deliver over 206 mentor programmes
  across Scotland
• supported 720 mentors to put in place reasonable
  adjustments for students

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Opportunities and Challenges Ahead

• 2020 Vision
• How do we maximise the contribution of the
  practice education infrastructure to extend
  beyond traditional boundaries and ensure robust
  learning and care environments?
• Quality Management of the Learning Environment
• How we develop a robust data system to monitor
  and recognise impact
• Setting the Direction
• Opportunity to improve, strengthen and further
  develop the infrastructure and the quality of the
  learning environment

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Going Forward

• How to we continue to improve, strengthen and
  develop the learning environment further?
• What does the learning environment of the future
  look like?
• What do we need to build and strengthen?
• What do we need to change?