BNSSG Training Hub worked with local secondary care simulation centres over 2022 to train several ‘Simulation Ambassadors’. These Simulation Ambassadors are primary care clinicians with an interest in education who have had additional training in the theory and practice of simulation, to enable them to design and deliver simulation sessions to primary care staff and teams across BNSSG, co-ordinated and supported by a HEE funded Simulation Fellow.

Examples of simulation sessions that have been delivered include:

• Full day simulation sessions delivered in MDT settings covering 6 different scenarios with a focus on both paediatric and adult urgent and unscheduled care (Sept 2022)
• Single scenario simulation sessions delivered to practice teams in their own clinical environments (through 2022 and ongoing into 2023)
• Half day training sessions focused on managing difficult conversations for non-clinical staff (Oct 2022)
• Simulation courses designed and delivered for GP Doctors in Training
  • ‘Duty Doctor’ sessions to prepare ST3s for managing such sessions independently post CCT (March / April 2023)
  • Consultation based paediatric simulation session for GP STs with a focus on UUSC (Feb/March 2023)
  • “Challenging consultations” session in conjunction with TPDs and using actors (Jan 2023)
• Safeguarding in primary care for ‘new to general practice nurses’ and GP STs in conjunction with Avon LMC’s ‘Legacy Nurses’

Topics that have been covered include:

• Team based management of an unwell / collapsed patient in a practice
• UUSC paediatric presentations (e.g. acute asthma, febrile child, non-accidental injury)
• Mental health presentations
• Shared decision making
• Adult and paediatric safeguarding scenarios
• Managing challenging conversations with patients (for both clinical and non-clinical staff groups)
• Managing the angry patient

Though there are many other topics that simulation lends itself to as an educational medium.