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Best Practice in Nursing

17–18 October 2018, Birmingham NEC

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2018 conference programme streams

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THE FUTURE OF GENERAL PRACTICE

TV presenter John Stapleton will be chairing an action-packed agenda of Keynote Theatre debates and presentations that tackle the most topical issues and urgent priorities facing grassroots general practice and primary care. We are seeing a tectonic shift away from the old, broken model of general practice with radical steps being taken to work at greater scale, to adopt disruptive technologies, to solve the workforce crisis, to review the partnership model, to transform GP premises and to increase access and capacity despite limited resources.

The burning question on everyone’s mind is how the NHS’s £20bn funding gift for the NHS’s 70th birthday will benefit general practice and primary care? How much money will filter down, how should it be spent, will it be enough to compensate for years of underfunding, and will general practice have the prominent role it deserves in the forthcoming NHS 10-year plan? In the Keynote Theatre you will gain clarity and advice on this topic and more from leading GPs, practice managers, primary care professionals and the policy makers they seek to influence. From delivery of the General Practice Forward View to the future of primary care regulation and HOW to realise the full benefits of working at scale, it is all there in the Keynote Theatre. Our conference chair will get out there in the audience with the mic and give you ample opportunity to have your say as well during discussion and Q&As.

DIGITAL INNOVATION IN PRIMARY CARE

This stream will focus on the digital revolution that is sweeping the NHS and the challenges and opportunities it presents for general practice. Former Health Minister Lord Ara Darzi’s recent review on the future of health and care has highlighted the significant untapped potential of technology in the NHS and highlights that 31% of GPs’ time (equating to £962 million) could be freed up through automation and resulting productivity improvement. Across the NHS the figure is £12.5 billion. New technologies from artificial intelligence to data analytic tools, decision support systems and health apps could change the face of general practice and the rest of the NHS.

This stream will feature case studies showing how the adoption of new technologies is already making a difference to the productivity, quality, efficiency and outcomes across general practice and primary care – and how much further we could go. You will share in advice and experience from those who are trailblazing new digitally-driven approaches to running surgeries and planning and delivering services. At the same time, we will address some of the misconceptions and fears around the Digital Revolution, including questions raised in the controversy surrounding GP at Hand.

There will be a Keynote Debate on whether technology can really ‘save the NHS’ and a session looking at how one large primary-care provider is working to improve uptake of online GP services that haven’t taken off to anything like the extent that they have in the Banking Sector.

Through discussion and cases studies, frontline clinicians and technology experts will address key questions including:  What is the evidence for the benefits of new technology in general practice and primary care? How do we train the workforce and patients to use it to its maximum potential? How do we embed technology in all aspects of patient care, using it to support a shift towards population-based healthcare? Finally, new technologies come with a high price tag – how can a struggling general practice afford to move from the analogue to the digital age?

GP CLINICAL UPDATES

A series of highly practical, quick-fire clinical updates bringing you the latest guidelines, research and best practice in the prevention, diagnosis, referral and management of a range of conditions commonly seen in general practice. Thirty-minute sessions, including time for Q&A, cover cancer, mental health, MSK, neurology, gastroenterology, multi-morbidity, de-prescribing in the elderly and more. Talks will be delivered by GP experts and consultants who are working closely with general practice and primary care. They hope to save you hours trawling through the latest clinical guidelines or medical journals for nuggets of relevance to you and your patients. Sessions are delivered in association with a range of primary care organisations, including the Primary Care Neurology Society, the Primary Care Society for Gastroenterology and Macmillan Cancer Support.  We hope you find the Best Practice Clinical Update stream a stimulating and convenient way to gain CPD and pick up action points to implement immediately.

CLINICAL MASTERCLASSES

Our popular series of half-day clinical masterclasses are returning to Best Practice 2018, covering Respiratory, in association with the Primary Care Respiratory Society UK and Dermatology with the Modality Dermatology Service on the first day of the conference. On day two, masterclasses will cover CVD, in association with the Primary Care Cardiovascular Society and Diabetes, including sessions with Diabetes UK. This is your opportunity to be updated and informed on the breadth of issues, complexities and controversies that surround these four high-burden conditions for general practice and to pick up ideas for improving your practice. At the same time, gain valuable CPD points towards appraisal and revalidation and share in evidence-based best practice that you can adopt to benefit your patients

BEST PRACTICE IN DIABETES

An action-packed stream running across both the Best Practice conference for GPs and practice managers and the co-located Best Practice in Nursing conference for general practice and community-based nurses.  The stream includes a mix of clinical sessions and case studies designed to share best practice in the design and delivery of population-based diabetes services, all to support you to improve the cost-efficiency, quality and outcomes of Type 2 Diabetes care.  

We have lined up GPs and General Practice Nurses with a special interest in diabetes from key primary care organisations, including Diabetes UK, the Primary Care Cardiovascular Society, The Primary Care Diabetes Society and Education for Health, to deliver sessions that are highly practical, topical and relevant to general practice and community teams. Talks tailored to the specific learning needs and interests of GPs, GPNs, Advanced Practice Nurses, Independent and Supplementary Nurse Prescribers and community-based nurses will cover the breadth of topics in diabetes.

The stream includes:

·        Best Practice half-day masterclasses on CVD and Diabetes for GPs (also open to Advanced Nurse Practitioners, Independent Nurse Prescribers and nurses with a special interest in diabetes/long-term condition management)

·        Clinical Updates that cover diabetes in both BPiN for nurses and BP for GPs and Advanced Nurse Practitioners/Independent Nurse Prescribers

·        Case studies in BP and BPiN of relevance to all primary care clinicians and managers with an interest and involvement in improving diabetes services in their practice/community

All sessions will include the latest research, guidance, treatment and best practice for pre-diabetes and Type 2 Diabetes to support improvements in the cost-efficiency, quality and outcomes of patient care.

The agenda includes top tips from the best performing practices in diabetes; diabetes transformation across London’s largest primary care provider; the role of group consultations in diabetes; the latest on new and existing therapies; the impacts of diet and lifestyle advice; cardiovascular risk and diabetes; tackling complications and co-morbidities and delivering the nine care processes.

Advanced Practice Nurses and Independent Nurse Prescribers are welcome to attend BP clinical updates and masterclasses in addition to those held at BPiN.

NAPC Annual Conference

The National Association of Primary Care’s annual conference is a unique event which brings people together from across primary care – connecting, sharing and shaping the future of healthcare.

Keynote speakers and strand sessions will explore all aspects of managing and delivering primary care, discuss the challenges, innovative solutions and provide how-to examples and case studies that can be replicated.

In the keynote theatre, sessions cover a range of topics including prevention, succeeding at integration and delivering the NAPC’s primary care home model which has now expanded to more than 200 sites across England. 

There are four conference strands – learning from primary care homes, innovation, NHS70 and integration.

The winners of the NAPC Awards 2018 will be announced at a celebration dinner on the 17th October. For more details on how to book a ticket to the dinner or nominate an outstanding primary care professional or team, visit napc.co.uk/awards

PRACTICE MANAGEMENT

This stream has a wealth of practical, case-based advice and solutions for busy practice managers, business managers and GPs to help you cope with the day-to-day pressures of running a your practice in a rapidly transforming NHS landscape. The stream aims to support you to run a more profitable, efficient, resilient, digitally-enabled practice and to ensure that your career goes from strength to strength in the brave new world of primary care at scale. By the time of our conference, the NHS 10-year plan may well be published, setting out how the NHS will spend the Government’s £20 billion birthday gift to the NHS. How much of this money will filter down to general practice and how should it be invested?  Attend the Practice Management stream to be updated on this issue and more.

The NHS is becoming ever-more complex with first the introduction of Sustainability and Transformation Partnerships and now the drive to develop advanced Integrated Care Systems (ICSs) to join-up NHS and social care services and finances across healthcare economies. Strengthened general practice and primary care is seen to sit in the heart of the new ICSs and to hold the key to their success. NHS England is encouraging the formation of primary care networks within these new systems to underpin them and enable more care to be delivered outside hospitals. But what does all this mean to your practice and patients? What are the options for working at scale and how can you team up with other local practices to ensure a collective voice and influence on the new ICS boards?

Keep up to speed on the rapidly changing NHS landscape with sessions explaining the basics of STPs, ICSs and the opportunities and challenges they pose for practices. Also, benefit from sessions sharing expert advice and first-hand experience on the legal, governance and financial challenges around mergers and super-partnerships. Speakers will arm you with the knowledge you need to navigate the process smoothly and to protect the interests of your practice, staff and patients every step of the way.

Other sessions in the Practice Management stream will be covering the practicalities and benefits of introducing new roles in to general practice including physician associates, care navigators and clinical pharmacists, with advice on how to get through some of those common sticking points in the process. There will be tips from the national Time to Care programme on immediate actions you can take to free up time in your practice and a workshop on mitigating the time and expense of preparing for CQC inspection and maximising your chances of achieving the coveted ‘Outstanding’ rating.

This stream will also cover how to harness the power of data to drive quality and efficiency improvements and workforce transformation. All issues, options and conundrums around GP premises will be addressed in sessions delivered by finance, legal and primary care premises experts and there will be a useful talk on the ins and outs of the ever-more complex NHS pension scheme, updates to be aware of and traps to avoid.

Finally, don’t miss our lively debate on the future of practice management with our inspiring line-up of three very experienced practice managers who are redefining the boundaries their profession.   

FUTURE OF NURSING

In the year the NHS turns 70, Best practice in Nursing 2018 presents a timely opportunity to bring together general practice and community nurses to focus on the future. This conference was launched in 2015 in recognition of the pivotal role that primary care nurses have to play in the NHS going forward and its transformation from a broken system into one that is fit for generations to come. The aim is to raise the profile of your profession, to offer you a chance to network, update your clinical knowledge and skills, improve patient care and meet the bulk of your mandatory training requirements under one roof.

This year has thrown up many important questions for general practice and community nurses that will doubtless generate lively discussion at this conference. Will you get the prominence you deserve in the 10-year-plan being drawn up by NHS leaders to outline how the Government’s £20 billion 70th birthday boost to the NHS will be spent? Will the challenges facing the profession, around training, recruitment, retention, pay and career progression, be properly addressed?

Our Future of Nursing stream will start with the opening keynote session with Lara Carmona, Associate Director of Policy & Public Affairs (UK & International), Royal College of Nursing (RCN), who will take a frank look at the ‘Reality of Nursing in the UK’. She will set the context and focus on the strategic priorities for nursing across all settings, including safe and effective care through staffing and opportunities for transformation in the profession.

Other highlights of this stream include a talk by Dr Crystal Oldman, Chief Executive of the Queen’s Nursing Institute (QNI), on the implications of the QNI’s recently published report on Nursing in the Digital Age. In a separate session, the RCN and QNI also plan to reveal early findings from their newly-launched joint initiative to draw up a much-needed blueprint for what ‘Good looks like in community nursing’.  There will also be a focus on the practicalities and impact of introducing new roles in nursing, including a case study from London’s largest primary care provider and a workshop on the regulation of nurse associates run by the NMC. Other sessions will look at the role of practice nursing in delivering and championing personalised care – what it is and how to make it happen.

For those of you frustrated by the limitations of the 10-minute consultation, you may be interested in attending a talk on the roll-out of group consultations in general practice. You will share in first-hand experience of how practice nurses can meet and solve the challenges of implementing group consultations and reap the benefits of better outcomes, satisfaction and efficiency for both themselves and their patients.

NURSE CLINICAL UPDATES

A series of lively, concise clinical updates covering all the essentials in the diagnosis and management of a range of conditions commonly seen by nurses working in general practice and the community, including asthma, COPD, Type 2 Diabetes, contraception, sexual health, travel health, vaccination and more. Sessions, designed to avoid you sifting through medical journals and national guidelines for points of relevance to you, are delivered by mainly delivered practice nurses with a special interest or expertise in the relevant condition. Best Practice in Nursing Clinical Updates are a fast, reliable, interactive way of getting up to speed and gaining valuable CPD hours towards revalidation.

CLINICAL SKILLS – Hone your clinical skills in everything from insulin injectables and spirometry interpretation with Education for Health to inhaler technique with the Primary Care Respiratory Society. There will also be an hour-long session on wound care with Coloplast. Most nurses are well aware of the significant challenge that wound care poses. Now the economic burden has become clear too, with wound care and associated co-morbidities costing the NHS an estimated £5.3 billion a year (Guest et al 2015) and an NHS England national strategy in the pipeline.

Attend BPiN clinical skills sessions and come away feeling more competent and confident in your ability to deliver better care for your patients and to support them to self-care. Learn about the common mistakes made by clinicians and patients, for example, and how to avoid them and question the experts. Put your diagnostic skills to the test too in our fun and information-packed dermatology prize picture quiz.

ADVANCED PRACTICE 

Hour-long sessions aimed at Advanced Practice Nurses, Independent and Supplementary Nurse Prescribers, General Practice and Community Nurses working in specialist clinics and all nurses with an interest and involvement in long-term condition management. This year our Advanced Practice sessions will be covering CVD and diabetes on October 17 and respiratory disease on day 2.

In contrast to the quick-fire clinical updates, our longer Advanced Practice sessions allow for a more in-depth focus on the many complexities and challenges surrounding each specialty. Sessions on CVD and respiratory will be delivered by Beverley Bostock-Cox, Clinical Lead, Education for Health.

Jane Diggle, a general practice nurse with a special interest in diabetes and vice chair of the Primary Care Diabetes Society, will be delving into the highly topical area of dietary advice and diabetes, challenging you to consider why dietary advice appears to have such little impact on weight loss and glycaemic control in patients with Type 2 Diabetes. She will be also sharing a new structured approach that she has taken to dietary advice and food choices at her own practice with very positive results.

MANDATORY TRAINING

The team at BPiN appreciates that you are busy and getting away from the practice to attend conferences can be hard. But keeping your clinical skills and knowledge up to date as well as meeting your mandatory training requirements is key. At BPiN you can meet the bulk of your regular mandatory training requirements in one go, at one event, making it a highly cost-effective, time-efficient use of your precious time. From CPR and Anaphylaxis updates to child and adult immunisation, safeguarding, health and safety and infection prevention and control, it’s all there for the taking.

Coupled with the fact that you will also benefit from a packed programme of Clinical and Future of Nursing sessions to improve your patient care, support your career progression and earn you CPD towards revalidation, there is a strong case for you to attend! Most importantly, you will be able to network and learn from peers at an event that seeks to raise the profile of nursing in general practice and primary care.

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