Nottingham Health China Launch 7 th 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 of ‘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 offer 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)
Nursing sing education ucation system em Associate degree secondary 19-21 year diploma 16-18 year Bachelors degree Master, or 19-22 year Doctoral degree
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 opportunities, 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 Our Mission Our contributions Our outputs Our Expertise New evidence & Service Innovation Cutting-edge research knowledge Support & enable policy-makers, service leaders Health care and care Formative & timely Continuous Learning Evaluation & consultancy improvement providers to feedback improve the organisation & delivery of care Knowledge, skills & Change Leadership Teaching & Learning capability Our ethos : Partnership & Collaboration
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
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