First Contact Practitioners and Advanced Practitioners in ...

1 First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedic)A Roadmap to PracticeJanuary 20212 First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedics) A Roadmap to PracticeAcknowledgementsThis Primary Care Educational Roadmap was developed by Health Education England, with support from and in collaboration with multi-organisational, multi- professional , and patient group stakeholders. It builds upon work previously undertaken by the national programme delivered by the Arthritis and Musculoskeletal Alliance (ARMA) and its member organisations, as well as the subsequent work that delivered the Musculoskeletal core capabilities framework for First point of Contact Practitioners . Development of the Roadmap to First Contact Practice and Advanced Practice in Primary Care was project managed by Amanda Hensman-Crook (Health Education England).

2 The development of the paramedic knowledege skills and attributes document was led by Jessica Willetts, Advanced paramedic lead (Park Surgery, Herne Bay). Supervision content was led by Julia Taylor (Lister House Surgery and Health Education England). Andy Collen, Will Broughton and Helen Beaumont-Waters (College of Paramedics) provided expert support in the building of this are extremely grateful to the many stakeholders who have been instrumental in shaping this piece of work, in particular to our patient representatives who sit in the heart of the roadmap. We would also like to thank:Dr Richard Collier (Centre for Advancing Practice, Health Education England), Primary Care Deans, National Health Service England Improvement, Care Quality Commission, Arthritis and Musculoskeletal Alliance, Health Care, Royal College of General Practitioners , Chartered Society of Physiotherapy, Royal Collage of Occupational Therapy, College of Podiatry, Institute of Osteopathy, MSK Partnership group, Musculoskeletal Association of Chartered Physiotherapists, Society of Musculoskeletal Medicine, Advanced Practice Physiotherapy Association, The British Dietetic Association, National First Contact working group, Primary Care Network representatives, Nursing and Midwifery Council, Public Health England, Primary Care Rheumatology and Musculoskeletal Medicine Society, Skills for Health, Connect Health, MSK Reform, Higher Education Institutions.

3 And all the multi- professional clinicians who have taken time to Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedics) A Roadmap to PracticeTable of ContentsGlossary 6 Introduction 8 i Purpose 8 ii Historical background and context 8 iii The Centre for Advancing Practice Declarations What is a First Contact Practitioner?

4 What is an Advanced Practitioner? Agenda for Change (AfC) Band 7 and Band 8a How do they differ? What is Quality Assurance Agency (QAA) Level 7? Primary Care Educational Pathways 17 Diagram to illustrate pathways to FCP and AP in Primary Care National standards and frameworks for MSK Practitioners Building the evidence The Roadmap to FCP Stage 1.

5 Knowledge, Skills & Attributes (KSA) E-learning Next steps KSA document Stage 2: Moving into Primary Care Building the portfolio Recognition and supervision process Recognition process 304 First Contact Practitioners and Advanced Practitioners in Primary Care.

6 (Paramedics) A Roadmap to Supervision Continuing professional Development (CPD) supervision Clinical supervision Supervision requirements Checklist of recognition processes: Stage 1 and Stage 2 Stage 3: Roadmap to AP Linking to Advanced Practice in Primary Care portfolio (MSK) Useful resources Online learning Leadership development Charity & sector resources Primary Care APPENDICES Roadmap supervision flow chart Case-Based

7 Discussion FCP to Advanced Practice Clinical Examination Procedural Skills (CEP) Assessment FCP to Advanced Practice Roadmap Clinical Supervisor s Report Consultation Observation Tool: marking/notes sheet FCP to Advanced Practice Multi-Source Feedback (MSF) Personal Development Plan (PDP) Patients Satisfaction Questionnaire (PSQ) for an FCP or Advanced Practitioner Tutorial record Tutorial evaluation 785 First Contact Practitioners and Advanced Practitioners in Primary Care.

8 (Paramedics) A Roadmap to Multi- professional Supervision in Primary Care for First Contact & Advanced Practitioners - course overview FCP Verification of Evidence Form Advanced Practice Verification Form Knowledge, Skills and Attributes document 123 Domain A: Person-centred Collaborative Working 123 Domain B: Assessment, investigation and diagnosis 130 Domain C: Condition management, interventions and prevention 136 Domain D: Leadership and management,education and research 140 Core clinical skills, core indicative knowledge, key clinical presentations, investigations and referrals Linking to Advanced Practice Portfolio.

9 Top up required to portfolio Advanced Practice Status Advanced practice skills in addition to FCP References 1896 First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedics) A Roadmap to PracticeGlossaryAbbreviationFull textAPAdvanced PracticeAdvanced PractitionerFCPF irst Contact PractitionerGPGeneral PractitionerNHSENHS EnglandHEEH ealth Education EnglandKSAK nowledge Skills and AttributesThe CentreCentre for Advancing PracticeQAAQ uality Assurance AgencyICSI ntegrated Care SystemCCGC linical Commissioning GroupPCNP rimary Care NetworkCPDC ontinuing professional DevelopmentPDPP ersonal Development PlanSMARTS pecific, Measurable, Attainable, Relevant.

10 TimeboundBand 7 Band 8aAgenda for Change pay bands 7 = FCP 8a = Advanced PractitionerRCGPR oyal College of General PractitionersWPBAW orkplace-Based AssessmentCOTC onsultation Observation ToolCBDCase Based DiscussionFTEFull time EquivalentCEPSC linical Examination Procedure SkillsPSQP atient Satisfaction QuestionnaireMSFM ulti-Source FeedbackMScMaster of ScienceCCFCore Capability Framework7 First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedics) A Roadmap to PracticeAbbreviationFull textHEIH igher Education InstitutionQIPQ uality Improvement ProjectLevel 7 Level 8 Academic level of practice. 7 = Master s 8 = Doctorate8 First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedics) A Roadmap to PracticeIntroductioni PurposeThis document provides a roadmap of education for practice when moving into First Contact Practitioner (FCP) roles, and onward to Advanced Practice (AP) roles in Primary Care.