Student Placements in Primary  Care

As part of the General Practice Nursing 10 Point Plan (GPN 10 PP), Bucks Training Hub is working together with Health Education England and High Education Institutes to set targets to increase the number of pre-registration placement by a minimum of 15% above baseline in year one. rising to a minimum of 20% in year two so that more undergraduate nurses in Buckinghamshire have access to high quality experience in general practice.

Bucks Training Hub is currently supporting HEIs to expand quality assurance of the pre-registration nurse learning environment in general practice so that all undergraduate nurses in Bucks placed in primary care have a high quality positive experience in general practice, complying with the HEE Quality Framework 2017-18 and NMC standards.

Undertake work with Local Workforce Action Boards (LWABs) to develop an improved baseline and data on the GPN workforce. Identify and share best practice for attracting and recruiting newly qualified nurses to primary care roles with partner organisations, and publish findings. Promote competencies aligned to appropriate job profiles.

Work with commissioners and the Royal Colleges to ensure all nurses new to general practice have access to an approved employer-led induction programme and a continuous professional development (CPD) plan that includes the GPN foundation or fundamentals standards. As a minimum, HCAs will have access to the care certificate training standards. Support work in training hubs to establish accurate workforce information so that the profiles and numbers of GPNs needed locally can be quantified.

All students placed in general practice will have indemnity insurance covered by the Universities Placement providers will be paid NMPT using the following method:

• If HEE South already makes a monthly Learning and Development Agreement (LDA) payment to an organisation, the NMPT will be paid via this route.

• If the placement provider has 5+ WTE, HEE South will add the NMPT to the LDA monthly payment schedule and request monthly invoices.

• If the placement provider meets neither of the above criteria, HEE South will request annual invoices in February each year based on the latest available placement data for that NHS financial year i.e. calculated on the previous Academic year’s actual data from April to August and the most up to date planned placement data for the current Academic year for the period August/September to March.


New NMC Standards

The new standards can be implemented from September 2019 (subject to NMC Approval)

All universities nationally have to implement the new standards by September 2020

The NMC will only approve universities who can demonstrate that clinical partners are prepared for the new standards

There has been a great deal of work already completed by universities and their local practice partners

NMC SLAiP standards will cease to apply The term ‘mentor’ will no longer be used and the traditional role of a mentor will change

The sign-off mentor role will cease to exist in its current form Practice learning and support of students will officially be the responsibility of every registered practitioner, as stipulated in the NMC Code (2015)

The 40% mentor- student contact requirements will be removed Triennial review will no longer be a requirement Other registered professionals (non-nurses / midwives) will participate in the supervision of students

Triennial review will no longer be a requirement

Other registered professionals (non-nurses / midwives) will participate in the supervision of students

  • Separates supervision and assessment roles Improves inter-professional working Supporting student learning becomes everyone’s responsibility
  • Everyone will have an input into assessment You can be both a practice supervisor and a practice assessor, but not to the same student

  • One model of how the new models sit together based on 3 placements a year with a practice assessor in each placement.
  • Practice assessor in each placement receives feedback from the PS and then academic assessor tracks student through each placement, receives feedback from PA in each placement and in final summative placement discusses student achievement and progression with PA there.
  • Documented throughout in assessment document records (ME PAD) which may be electronic, so communication may not always be face to face.
    • Students will remain supernumerary and require the support of a registered practitioner on each shift
    • Induction, learning contracts, mid-point (formative) assessment, action plans and summative assessment will continue
    • Students will receive continuous feedback to inform their progress
    • The cause for concern process will continue to apply
    • Further information may be accessed at NMC 2018 Standards for Student Supervision and Assessment

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