Implementation Implementation of of

The Collins’ The Collins’ ReportReport

Collin’s reportCollin’s report

Insufficient emphasis on the total Insufficient emphasis on the total patient, long term conditions and patient, long term conditions and ambulatory or community careambulatory or community care

Government drive for care closer to Government drive for care closer to homehome

Few opportunities for multi-Few opportunities for multi-professional learning(2009 PMETB professional learning(2009 PMETB Survey)Survey)

Collin’s reportCollin’s report

Lack of emphasis in curriculum on Lack of emphasis in curriculum on assessment of key issues in modern assessment of key issues in modern healthcarehealthcare Changing demographicsChanging demographics Long term careLong term care MDT workingMDT working Community careCommunity care

RecommendationRecommendations and KSS s and KSS

interpretationinterpretation

Length of placementsLength of placements

4 Months4 Months Unless educationally justifiedUnless educationally justified

Lengthy tasters well structuredLengthy tasters well structured

More community More community experienceexperience

Support GP tastersSupport GP tasters Continue to support KSS Continue to support KSS

recommendations for psychiatry recommendations for psychiatry placements placements

Develop innovative ways of including Develop innovative ways of including community experience within community experience within existing postsexisting posts

Examples off community Examples off community placementsplacements

General practiceGeneral practice Community PaediatricsCommunity Paediatrics PsychiatryPsychiatry Public healthPublic health Palliative carePalliative care Geriatric MedicineGeriatric Medicine Sexual HealthSexual Health COPD and heart failure servicesCOPD and heart failure services Musculoskeletal clinicsMusculoskeletal clinics Rehabilitation servicesRehabilitation services Community based clinics e.g. diabetesCommunity based clinics e.g. diabetes

Optimise clinical Optimise clinical supervision and training in supervision and training in

surgical postssurgical posts Well supervised with on site support Well supervised with on site support

at all timesat all times Breadth of training and experienceBreadth of training and experience Consider innovative ways of Consider innovative ways of

including community experienceincluding community experience STFS to complete survey of FD’s STFS to complete survey of FD’s

experience of surgical posts during experience of surgical posts during 2012/132012/13

STFS TargetsSTFS Targets

Clinical supervision and training in Clinical supervision and training in surgery as standing item on LFG surgery as standing item on LFG agendaagenda

Regular attendance at LFGs by Regular attendance at LFGs by community placement repscommunity placement reps

Increase number of 2 year Increase number of 2 year programmes containing community programmes containing community experience to 100% by 2016experience to 100% by 2016