Quality Education for a Healthier Scotland

What are the CPD needs of GPs in areas of high deprivation?

Ronald MacVicar

Quality Education for a Healthier Scotland

High deprivation & me

Quality Education for a Healthier Scotland

High deprivation & me

Quality Education for a Healthier Scotland

High deprivation & me

Quality Education for a Healthier Scotland

Quality Education for a Healthier Scotland

PBSGL & me....

• 12 years• Sustained growth• Approx 1/3 of Scotland’s GPs• Increasing numbers of other professionals• ‘the solution’• ... but what is the problem?

Quality Education for a Healthier Scotland

PBSGL

• Topic-specific, evidence-based educational modules

• Peer-facilitated small group learning

• A cohort of trained peer-facilitators

• Communities of practice

Quality Education for a Healthier Scotland

PBSGL & Health Inequalities

• Approach from NHS Health Scotland in Nov 2013

NHS Health Scotland is a national Health Board working

with public, private and third sectors to reduce health inequalities and improve health

• To produce a PBSGL module on health inequalities

• With political imperative, support & finance (£5-10K)

Quality Education for a Healthier Scotland

PBSGL process

• What is the gap?• All else follows– Cases– Evidence– Supporting materials

• ‘Health inequalities’ is not a meaningful clinical entity

But what is the gap?

Quality Education for a Healthier Scotland

PBSGL & Deep End

• A marriage of convenience for gap analysis• Three-hour round-table meeting• All Deep End GPs invited to help address three

questions (nine came)– How could GPs working in deprived settings better serve

their population?– What learning needs do they have to achieve this?– What is the gap between current practice and better

practice that education could address?

Quality Education for a Healthier Scotland

Method

• Open conversation facilitated by RMV & AW

• Written notes

• Flip charts

• Prioritise through a modified nominal ranking technique

Quality Education for a Healthier Scotland

Quality Education for a Healthier Scotland

Results

16 themes emerged 4 sets of learning needs prioritised1. How to address low patient engagement in health

care and increase health literacy.2. How to promote and maintain therapeutic optimism

when working in areas of high deprivation.3. How to effectively use evidence based medicine

when working with patients with high levels of multi-morbidity and social complexity.

4. How to meet effectively the health needs of migrants including people seeking asylum and refugees.

Quality Education for a Healthier Scotland

The challenge & the relevance for PBSGL?

How to meet the described learning needs? This will in part be taken forward through the PBSGL programme, which will in 2014/15 work collaboratively with others to produce modules on:

– Addressing low engagement and increasing health literacy– Maintaining therapeutic optimism working in areas of high

deprivation.– Multi-morbidity