Launch 7 th Sept 2016 Prof Richard Hubbard University of Nottingham - - PowerPoint PPT Presentation

Nottingham Health China Launch 7th Sept 2016

Prof Richard Hubbard University of Nottingham

How this started

• Ian Hall
• Evidence Based Health Care
• Desire for

– Evidence Based Health Care research and teaching – Health Services research – chronic disease management – Primary care/community care – IT/computer aspects of health – Medical education – Change leadership/governance and ethics

What we want now

• To engage in all interested parties
• To build a strong team and strategy
• To start teaching and research

– Newton fund – GRCF – Masters

Strengths moving forward

• Analysis of routine data
• TPP / SystmOne
• Cancer registration
• Strong links to primary care training
• MoU with Ningbo No1 and No2 Hospitals
• MoU with CDC/Public Health

Advantages of UNNC

• Campus in China
• Good place to do Health Services Research
• Strong local connections
• Established research collaborations with

computer science

Other thoughts

• Prit Chahal
• Catrin Evans
• Stephen Timmons

What UK Primary Care Training can offer?

Prit Chahal Health Education England – East Midlands

GP Training in UK

 Vocational Training since 1973  Three Year Mandatory for all GPs since 1982  Training and assessments are curriculum driven

and recorded on e-portfolios

 Highly structured and well organised specialty

training programmes

 Educators – trained with Cert Ed  Emphasis on patient centred consultations and

community management of chronic diseases

 Highly rated internationally

Training is Competency Driven

GMP- Good Medical Practice RCGP – 5 capabilities

Competencies mapped onto General Medical Council – Good Medical Practice (2015)

GP Training in Ningbo China

 33 months of GP Training – Geriatric division  Some syllabus – chronic diseases  Based around hospitals and Community Health

Centres (include Traditional Chinese Medicine)

 Enthusiastic Educators supervise  GP – Low status – poor recruitment

Kenya Exchange 2016

UK – China Exchange Model



Based on experience with Kenya / UK exchange model – fully evaluated



1 Learner and 1 Educator from each country to form an Exchange Team



Perform qualitative analyses (interviews / focus groups) on current Training experiences



Produce a report with recommendations – using a capabilities model



Primary care Training Proposal appropriate to cultural and health needs of Chinese patients



Linking to a Masters programme (University of Nottingham)

Advantages of an Exchange



Promotes mutual respect on both sides of the exchange, without assumption

• f ‘superiority’



Ensures learner / patient component to inform the report and proposals



A more immersive and developmental experience for the Exchange team



Deeper appreciation of differences in nuances and what each system can

• ffer to the other.



Permit a ‘capabilities approach’ likely to develop a training model that best meets the needs and cultural expectations of Chinese practitioners and their patients



Will identify a network of ‘champions’ and ‘personal’ contacts to take project forward.

Questions?

 If time – Questions at the End

School of Health Sciences

Three Divisions: (1) Nursing, (2) Midwifery, (3) Physiotherapy & Rehabilitation Sciences Six Research Groups:

• Maternal Health & Well Being
• Rehabilitation
• Mental Health
• Digital Innovations in Healthcare and Education
• Nottingham Centre for the Advancement of Research into Supportive,

Palliative and End of Life Care

• Skin Integrity

Centre for Evidence Based Healthcare

• Director: Professor Fiona Bath-Hextall
• SoHS & SoM
• Recognised as a JBI Centre of Excellence
• Multi-disciplinary
• Multi-methodology (Qual, Quant, Mixed)
• Strong links with clinical partners
• High quality evidence synthesis (JBI, Cochrane)
• Training / short courses
• Contribution to modular Masters

China Context: Change

• Demographic &

epidemiological transition

• Changing policies
• Changing systems of care
• National health workforce

shortages

• Changing status and roles of

nurses, midwives, allied health professions

China Context: Example of Nursing

• National shortage of 350,000 nurses
• The number of nurses per 1000 population has doubled from

1.10 in 2006 to 2.05.

• Skewed nurse:physician ratio – increase from 0.68:1 in 2006

to 1:1 in 2013

• Problems with retention, job satisfaction, career opportunities

You et al (2015)

secondary diploma 16-18 year Associate degree 19-21 year Bachelors degree 19-22 year Master, or Doctoral degree

Nursing sing education ucation system em

China Context: Challenge

• Increasing demand for UG & PG professional education
• Increasing demand for specialist CPD
• Increasing need for robust evidence base & professionals skills

in EBP

• Need for research and evaluation of healthcare innovations

Need for: “an evidence-based approach to nursing education, a standardised curriculum, the use of up- to-date nursing resources, modified pedagogical approaches, adequately resourced research

• pportunities, employer-funded professional

development for nursing staff and for a focus on enhancing out-dated public perceptions of nursing roles to attract students to nursing and thereby to improve nursing retention rates. Wang et al (2016)

Nottingham-China Opportunities

Philosophy Partnership (e.g. MoU China Nursing Association & others) Education & CPD

• BSc ‘top-up’ degree (Nursing) – on-line (e.g. MoA with China Guanghua

Nurse Fund)

• Short courses/CPD (Specialist Clinical, Leadership, Educational Innovation)
• Clinical, faculty & student exchanges and insight visits

Centre for Evidence Based Healthcare

• Systematic reviews, short courses, contribution to MSc

Research

• PhD students
• Development of strategic research networks
• Multi-disciplinary bids

CHILL in China

• CHILL aims to support and enable policy-makers, service leaders and care

givers to improve the organisation and delivery of health and social care

• The Centre undertakes cutting-edge and co-produced research that generates

new evidence and knowledge about service innovation

• The Centre provides evaluation and consultancy services that gives partners

formative and timely feedback, to enable continuous learning

• The Centre designs and delivers bespoke evidence-based teaching and

learning to enhance the knowledge, skills and capabilities for transformational leadership

CHILL in China: Our Approach

Support & enable policy-makers, service leaders and care providers to improve the

• rganisation &

delivery of care Service Innovation Continuous Learning Change Leadership New evidence & knowledge Formative & timely feedback Knowledge, skills & capability Cutting-edge research Evaluation & consultancy Teaching & Learning Our ethos: Partnership & Collaboration Our contributions Our Mission Our outputs Our Expertise Health care improvement

CHILL in China: opportunities

• Health care reform in China: Ningbo is a pilot

site

• Work with Chinese partners on supporting

and evaluating these projects

• Health services management is still

developing

• Executive education/ healthcare EMBA

Conclusions

• Exciting times
• Lots of potential for both research and

teaching

• Opportunity to drive changes in Public Health
• If interested please contact any of us
• Richard.hubbard@nottingham.ac.uk