initiatives PrBL quality assurance governance
Since 2010, there have been AHP Practice-based Learning Partnership Agreements in place between each Scottish univeristy that runs pre-registration programmes and each NHS Board. Previously known as Practice Placement Agreements (PPA).
The agreement is in three sections:
1. Stakeholder partnership statement;
2. Generic agreement for all organisations & professions;
3. Schedule appended to the agreement with specific additions for a profession & Practice-based Learning Weeks to be provided annually.
Benefits of the AHP Practice-based Learning Partnership Agreements
1. Key to enhancing the culture of student PrBL provision in Scotland
2. Support the development of the AHP workforce to be fit for practice to meet service user needs
3. Strengthen the governance arrangements related to PrBL provision
4. These improvements are consistent across the universities, professions, and Practice Education Providers
5. Clarify roles and responsibilities of Practice Education Providers and universities in relation to pre-registration student PrBL provision
6. Clarify an on-going commitment from each Practice Education Provider to provide a certain amount of PrBL provision per profession each year.
The agreement was refreshed in 2019 & is signed between NHS Boards & Edinburgh Napier University, Glasgow Caledonian University, Queen Margaret University, Robert Gordon University & University of Strathclyde.
PrBL Agreement Annual summary reports
Every year, each university will produce a summary of the practice-based learning that has been provided by each NHS Scotland Health Board over the previous academic year.
Practice-based learning agreements held between higher education institutes and boards
The information within these documents presents the first NHS Scotland-wide summary of student PrBL provision between the years 2016/17 – 2018/19 for each profession. The information reports Practice-based Learning Weeks (PWs) which is a way of quantifying the amount of PrBL provision within an organisation. The National Services Scotland Information Services Division (ISD), and more recently NHS Education for Scotland, data about Allied Health Professions workforce numbers has been used to analyse the spread of student Practice-based Learning across NHS Scotland. The workforce data set remains the only published nationally available data source that is updated on a quarterly basis. Due to gaps in available data there are no reports for some professions and the Scottish Dietetic cluster hold all data regarding Dietetic PrBL
A recommended national terms of reference for the AHP-wide networks and groups that support student practice-based learning/ placements in the practice setting is available below.
These networks are essential to sustaining, modernising and quality assuring student practice-based learning across Scotland.
Quality practice-based learning opportunities, within a positive learning environment, support the development of healthcare professionals to deliver safe and effective person-centred care. The Quality Standards for Practice Learning (QSPL) have been created so that learners and those individuals and organisations who support them understand their responsibilities and expectations in relation to PrBL. The Standards apply to any PrBL that is accessed by nurses, midwives and allied health professions learners.
The QSPL replace the previous Quality Standards for Practice Placements (QSPP), support existing professional regulatory standards, and are fully endorsed by the Scottish Government Health Directorate and NHS Education for Scotland. The Nursing and Midwifery Council (NMC) and the Health and Care Professions Council (HCPC) acknowledge the contribution that these standards make to enhance the learning environment. It is expected audits will be completed as part of the continuous improvement cycle and to share good practice
Guidance documents, audit forms and supporting resources can be found below.
For AHP teams and services and AHP Practice education Leads (PELs) Section 1 - Individuals undertaking Practice-based Learning (PrBL) Section 2 - Individuals supporting and assessing learners in the Practice-based Learning (PrBL) environment
For AHP professions as a whole, managers and educators supporting Practice-based Learning (PrBL)
For organisations providing Practice-based Learning (PrBL) experiences
For approved Education Institutions (i.e. Higher Education Institutions (HEI) or other formal education provider)
As part of Scottish AHP students pre placement preparation, AHP students from all universities are expected to complete the following TURAS online learning prior to placement. These modules can be found here and are currently only accessible to students and university lecturers. AHP students are required to complete and pass these modules prior to commencing their placement. The deadline for completion is determined by each university programme.
AHP students will complete the following modules:
NB Within the Health Acquired Infection Scottish Infection Prevention and Control Education Pathway (SIPCEP) foundation layer there are 14 modules
Students will be advised by their university which of the modules they are required to complete and also if there is any additional learning they should undertake.
Additional student training required by placement sites should be provided by placement sites and discussed with the students education provider.
Please see below for guidance about content and support for student orientation and induction for practice-based learning (placement) experiences.
Agreed wording, by experts in reasonable adjustments, is presented below to enable practice education providers to be proactive in supporting students to share their needs both pre-placement & during induction:
Generic statement for practice education providers : We encourage and support people to raise any issues or adjustments that they may require to safely practice and learn to their full potential. This helps us to support you in your learning during your practice-based learning experience.
Pre-placement : Please let your practice educator know in advance of arriving for your practice-based learning if there are any adjustments required in terms of your health or learning requirements to help you participate to your full potential.
Question during induction : Is there anything that you would like to tell us about your health or learning requirements?
Guidance for managing the risk of placement (practice-based learning) cancellation within Scotland has been developed as part of the NHS Education for Scotland (NES) AHP Practice Education Programme.
This guide outlines a structured approach for managing situations where a Practice-Based Learning, (PrBL) experience (placement) is at risk of being cancelled. This document provides a solution-focused, consistent approach for placement providers and HEIs to manage this risk.
This guide supports the AHP Practice-based learning partnership agreements between NHS health boards and Higher Education Institutes, (HEIs). However, the principles described can be applied in any placement setting across health, social care and 3rd sector.
Involving and working in partnership with people with lived experience is a focus of the NES 2023-26 Strategy and a core component of person centred care, prioritising an individual's unique perspective, preferences, and values in the care process. The Quality Standards for Practice Learning (QSPL) Section 4 standard 4.9 asks organisations delivering AHP PrBL to
Ensure policies and practice recognise how people who are service users, and/or family/carers with lived experience, are actively involved as individuals who support learners
Practice educators and those who deliver PrBL experiences are the key interface between AHP learners and service users, their role to support learners to develop knowledge, skills and behaviours that
Resources below can support and enable those delivering AHP PrBL to find ways to actively involve service users as individuals supporting learners.
Section 1 of the QSPL is concerned with the individual undertaking the practice based learning experience/placement. Section 1 outlines what a student should expect from their practice based learning experience and what students undertaking the practice based learning experience have a responsibility to do. In order to complete section 1 of the QSPL audit practice based learning providers ( individuals, teams, services and organisations) should seek to evaluate student experience while undertaking their practice based learning experience or placement.
Student evaluation and feedback of practice based learning experiences / placements is essential in order to
There are different ways to gather feedback from students including
Use of the questions below within a student feedback tool or mechanism will support individuals/teams/services to gather evidence to meet the standards within QSPL section 1.
1. Did you receive pre-placement information enabling you to prepare for placement? (Yes/No)
2. Did the placement site provide an induction or orientation to the team/service? (Yes/No)
3. Did you have an initial discussion about your learning needs and outcomes? (Yes/No)
4. If required, were reasonable adjustments put in place to support you to fully participate in the placement? (Yes/No)
5. Did you feel welcome and encouraged to feel part of the team/service?
6. Did you have access to a range of learning opportunities to support you to meet your learning needs and outcomes? (Yes/No)
7. Did you receive regular feedback to allow you to reflect and discuss areas for development or progression to meet your learning outcomes on placement? (Yes/No)
8. If required, did you receive a final assessment towards or at the end of your placement? (Yes/No)
9. Did you have access to support from your university if required during your placement? (Yes/No)
10. Did you have opportunity to receive feedback from service users to self-reflect and identify areas for development or progression? (Yes/No)
11. Were you advised of individuals or processes where you could raise concerns about your placement experiences? (Yes/No)
However you choose to gather student evaluation/feedback of their placement experience the following steps should be considered
As AHP Practice-based learning (PrBL) in Scotland continues to develop and grow AHPs seek to maintain, develop, improve and progress systems and processes that support all those involved in the planning and delivery. Below are pieces of work, projects and tests of change that have been undertaken as stakeholders strive to ensure availability of PrBL across Scotland supporting the future work force in their development.
In 2021 the Scottish Government provided £275k to support digital solutions in NMAHP placement provision. Each NHS health board received a share of this funding and purchased the hardware and software required to support digital solutions for placements within their health board. Further information on use and availability of this equipment can be sought from AHP practice education leads in health boards