Alan Simmons Careers Specialist

1. NB Some details in this presentation will date over time, please use with caution Career opportunities in the changing landscape of the NHS in England Alan Simmons Careers Specialist Join the team and make a difference

2. A whistle stop tour of… • NHS size and structure and the changing health care landscape in England • Career opportunities in the NHS • Current initiatives impacting on career opportunities • Labour market information and sources • Resources available from NHS Careers • Using the NHS Jobs website

3. NHS size and structure and the changing health care landscape in England

4. NHS organisations in England (at 10-11) Major structural changes are particularly affecting PCTs and SHAs as a result of the Health & Social Care Act 2012 166 Acute (Hospital) Trusts 11 Ambulance Trusts 58 Mental Health Trusts 51 Primary Care Clusters** (including Community Trusts) 9 Special Health Authorities 10 Strategic Health Authorities** (SHAs) Total 305* NHS organisations (approx!) (*includes 137 Foundation Trusts at June 2011 and excludes Clinical Commissioning Groups) **PCTs & SHAs to be abolished 2013

5. Changing NHS landscape (Health & Social Care Bill 2012) Examples of providers of NHS healthcare: • ‘Traditional’ NHS organisations (e.g. mental health trust, acute (hospital) trusts, ambulance service trusts, special health authorities etc) • Independent healthcare providers (e.g. GSTS Pathology (Serco) – joint venture between Serco, Guy's & St Thomas' NHS Foundation Trust, and King's College Hospital Foundation Trust to transform pathology services.) • Social enterprises (e.g. NAViGO –formerly North–East Lincolnshire Mental Health Services, provides health and care services to people of North East Lincolnshire on behalf of NHS, GPs and local authorities.) • Charities (e.g. Mind, Rethink and Turning Point commissioned for some Improving Access to Psychological Therapies (IAPT) services)

6. Changing NHS landscape (Health & Social Care Act 2012) In the recent past/currently... • Primary Care Trusts (PCTs) commission healthcare (and until recently delivered some forms of healthcare) • Staff delivering NHS healthcare primarily employed by NHS organisations (trusts and health authorities) in England • Strategic Health Authorities (SHAs) oversee healthcare delivered in their region (by PCTs, acute trusts, mental health trusts, ambulance service trusts etc) • NHS financial support for eligible students on approved pre-registration training • Public health mainly in NHS domain • Health education and training commissioned by SHAs In the future (from April 2013 onwards?)... • PCTs and SHAs abolished. • Local budgets will be managed by GP-led Clinical Commissioning Groups (CCGs) • NHS National Commissioning Board will authorise CCGs & commission primary care & specialist services • Staff delivering NHS healthcare could be employed by NHS organisations, social enterprises, private healthcare providers, charities etc (Not necessarily NHS t’s & c’s) • NHS financial support for eligible students on approved pre-registration training • Public health in local authority domain (overseen by Public Health England) • Health education and training commissioned by Health Education England & Local Education & Training Boards (LETBs)

7. Career opportunities In the NHS

8. Staff in the NHS 2012 (approximately!) Approximately half of the NHS workforce has a degree/professional qualification www.ic.nhs.uk

9. Current initiatives impacting on career opportunities

10. Current initiatives impacting on career opportunities • Nursing • Pre-registration nursing will be degree level only from September 2013 • Several HEIs now offering “dual branch” degrees (e.g. Southampton, DMU, Oxford Brookes) • Details of courses on NHSC coursefinder (main NHS Careers website) • Health Visiting • In England – campaign to recruit 4,200 additional health visitors between 2011 & 2015 • HV training open to newly qualified nurses of any branch/field and to midwives. • Details on main NHS Careers website • Management • Although reduction in overall no. of NHS management posts taking place, the NHS is still recruiting • NHS Graduate Management Training Scheme • Approx. 150 places for 2013 entry – national recruitment cycle. Opened 17 Oct, closed 3 Dec 2013 (12,000 applicants for 150 places for 2012 intake). www.isthenhsforme.co.uk Public health • Public health will be responsibility of Public Health England and local authorities from 4/13 • Healthcare science • Modernising Scientific Careers (see later slides )

11. NHS Careers categorises careers into 13 areas: • Midwifery • Nursing (incl. health visiting) • Operating department practice • Pharmacy team • Psychological therapies • Wider healthcare team • Allied health professions • Ambulance service team • Dental team • Doctors • Health informatics • Healthcare science • Managers

12. Anatomical pathology Blood transfusion Clinical biochemistry Clinical embryology Clinical immunology Cytopathology Haematology Histopathology Phlebotomy Audiology Cardiology Clinical perfusion Critical care technology G I physiology Hearing therapy Neurophysiology Ophthalmic science Respiratory physiology Urodynamics Vascular technology Vision science ** Major changes ** as a result of Modernising Scientific Careers Examples of careers in Healthcare Science Physical sciences and biomedical engineering Physiological sciences Life sciences • Biomechanical engineering • Clinical illustration • Equipment management • Information technology / computer science • Medical engineering & rehabilitation engineering • Diagnostic radiology • Nuclear medicine • Radiation protection • Renal dialysis • Maxillofacial prosthetics Many pathology services now becoming automated.

13. Modernising Scientific Careers • Increasingly opportunities/entry levels at several points: • Healthcare science assistant (work towards vocational qualifications)/healthcare science associate (work towards FDeg) • Healthcare science practitioner (via Practitioner Training Programme undergraduate entry – after new BSc Healthcare Science) • Healthcare scientist (via Scientist Training Programme – graduate entry (replaced clinical scientist training scheme)) • Senior healthcare scientist • Consultant healthcare scientist

14. Training routes in… ** Major changes ** as a result of Modernising Scientific Careers New 3-year accredited BSc Healthcare Science degrees now available. Include up to 50 week WEX 222 trainee vacancies under STP advertised in January 2013 Source: Modernising Scientific Careers: The UK Way Forward (www.dh.gov.uk)

15. Modernising Scientific Careers • Increasingly opportunities/entry levels at several points: • Healthcare science assistant (work towards vocational qualifications)/healthcare science associate (work towards FDeg) • Healthcare science practitioner (via Practitioner Training Programme (PTP) undergraduate entry – after new BSc Healthcare Science) • Healthcare scientist (via Scientist Training Programme (STP) – graduate entry (replaced clinical scientist training scheme)) • Consultant healthcare scientist (Higher Specialist Scientific Training (HSST)) – for experienced and postgraduate qualified healthcare scientists

16. E.g. Wolverhampton University & St Georges University E.g. Southampton University & Aston University E.g. Plymouth University & University of the West of England E.g. Bradford University & University of Sunderland E.g. Swansea University For up to date list of accredited degrees, use the coursefinder on the main NHS Careers website (see later slide) NHS Practitioner Training Programme New 3 year BSc Healthcare Science programmes E.g. Manchester Metropolitan University E.g. Bradford University

17. STP entry 2013 Scientist Training Programme Specialisms 223

18. Labour market information and sources

19. Proposed shortage occupation list* – 15 Feb 2013 Includes: • Healthcare scientists - clinical neurophysiologist; nuclear medicine scientist; radiotherapy physicist clinical vascular scientist; respiratory physiologist; sleep physiologist. • Consultantsin: haematology; emergency medicine; old age psychiatry.. • Non-consultant, non-training, medical staff posts in: anaesthetics; general medicine specialties delivering acute care services (intensive care medicine; general internal medicine - acute); emergency medicine (including specialist doctors working in A & E); rehabilitation medicine and psychiatry • Nurses specialising in: operating theatres;. • HCPC-registered: diagnostic radiographer; therapeutic radiographer and sonographer. Source: Proposed shortage occupations list for the UK and Scotland (as at 15 February 2013) from the Migration Advisory Committee *Subject to governmental approval

20. LMI - the NHS workforce: key points on specific careers Children's nursing • Nationally current supply good. However, shortages in some fields, such as neonatal and theatre nursing • Factors, (e.g.) predicted increase in child population & growth in public health agenda, indicate possible need for more children’s nurses in the future. • Regional variations. E.g. East of England, East Midlands & South West, either looking to reduce number of places or keep at same level. London, number of places increasing. This is based on the health needs of the capital’s population. • Generally, estimates suggest a retirement bulge in children’s nurses in near future unlikely. However, workforce older in community services and school nursing.Likely to be more opportunities in community settings for newly qualified nursesas more care provided in community in future • Nursing moving to a degree-only entry profession. Because tuition fees paid by NHS, CfWI highlights risk of students applying for courses without any intention of ever practising as a nurse. Midwifery • Now 8% more midwives in NHS than five years ago. • CfWI predicts supply will grow by 22% between 2010 and 2016 to 37,802 (due to increases in places since 2002/03). Estimate levels will meet demand by 2013 but exceed demand from then on. • Current midwifery workforce ageing with 25% over 50. • Regional variations. East of England - significant growth has meant oversupply of newly qualified midwives, so small reduction planned and increased use of maternity support workers in 2012. However, in regionssuch as North East and South East Coast, planned places staying at around same level. In London and the North West, the number of places is increasing. Visit CfWI website for full reports on these & others such as health visiting, dietetics and physiotherapy

21. LMI - the NHS workforce: key points on specific careers Operating Department Practice • Demand for operating department practitioners (ODPs) high - continue to be on shortage occupation list • ODP workforce growing, but number of commissioned places expected to remain at about 850 a year. • Regional variations in number of commissioned places. E.g. remaining steady in the East Midlands and South West. In South West, have reduced high attrition, (particularly in Plymouth and Bournemouth), to around 10 per cent. • In North West, NHS planning small reduction over 3 years in number of places - related to history of over-recruitment. Therapeutic radiography • More therapeutic radiographers needed due to increasing prevalence of cancer and desire to improve survival rates. However, currently not enough to meet demand. • CfWI say thenumber of therapeutic radiographers will increase by 39 per cent between 2010 and 2016.  • Attrition from university courses remains relatively high and work is underway to reduce this by the NHS and higher education institutions. • Education places are increasing across the country. In South West, number of planned places was set to increase by 29 per cent in 2011/12. In South Central, number of places also increasing to meet demand. • About 96 per cent of qualified therapeutic radiographers work for NHS but private sector workforce is growing. Visit CfWI website for full reports on these & others such as health visiting, dietetics and physiotherapy

22. LMI sources in England Tier 2 Shortage Occupation List – Government approved version – 15 February 2013 Skills and Labour Market Intelligence Briefings (Regional) 2010 Workforce risks and opportunities – e.g. education commissioning risks summary from 2012 (Published March 2012)

23. Resources available from NHS(England only) and the NHS Jobs website Join the team and make a difference

24. What is NHS Careers? • Careers information for England only* • websites (4) • literature (all free – but available only for organisations) • contact centre • Job vacancies  (NHS Jobs for England & Wales) • Careers counselling/guidance  *There is separate provision in Scotland and Wales

25. NHS Careers – contact details advice@nhscareers.nhs.uk NHS Careers PO Box 27079 Glasgow G3 9EJ NB New postal address from 1-11-12 All other contact details the same 0345 60 60 655 www.nhscareers.nhs.uk (main site) www.stepintothenhs.nhs.uk (for 14-19 year olds) www.whatcanidowithmydegree.nhs.uk www.nhscareers.nhs.uk/nursing (nursing microsite) (www.facebook.com/stepintothenhs) (www.youtube.com/nhscareers) Twitter @NHS_Careers

26. ** Major change ** Can only be ordered by organisations, not by individuals. All can be downloaded from our main site. NHS Careers literature Our multi-page booklets will continue to be available to order by organisations and can be downloaded from our main website. Once our factsheets have run out, they will no longer be available in hard copy format, only as downloads

27. Main NHS Careers website Different ways to explore the careers information Search the site Link to NHS Jobs website A-Z of around 110 NHS careers Frequently asked questions Download leaflets Find university courses Find university courses Resources for teachers/advisers Health visiting information Advice line for current NHS staff Latest news Monthly feature Information for healthcare staff qualified outside the UK www.nhscareers.nhs.uk

28. To practice in many clinical careers, you must be registered with the appropriate regulatory body (e.g. With the Nursing and Midwifery Council; General Medical Council (doctors); Health and Care Professions Council (physiotherapists, occupational therapists, dietitians, clinical scientists and many other professions); General Dental Council (dentists and dental care professionals); General Pharmaceutical Council (pharmacists, pharmacy technicians) etc. • The NHS Careers coursefinder lists only those courses that lead to statutory professional registration with these regulatory bodies. NHS Careers coursefinder

29. Link to Resources for teachers/advisers Step into the NHS programme (14-19 year olds) Career “mapper” – short quiz to suggest possible careers Case studies of NHS staff Menu Video clips Register to receive digital welcome pack; gain access to additional areas of website & receive regular year-group related emails Additional features for students who’ve registered www.stepintothenhs.nhs.uk

30. Sign up for job alerts through the NHS Jobs website What can I do with my degree website (graduates and undergraduates) Case studies of graduates now working in the NHS Change degree discipline Links to graduate schemes Advice on applying for a job Advice on career prospects www.whatcanidowithmydegree.nhs.uk

31. Factual information Video content Factual information Factual information Video content Site aimed at returners & “new entrants” Video content Nursing careers microsite Downloadable Resources incl. posters, case studies & presentation www.nhscareers.nhs.uk/nursing

32. Using the NHS Jobs website

33. Jobs website (England & Wales) Vacancies often removed before closing date (usually stated this may happen). Worth signing up for email alerts! Simple search facility More advanced search facility Register for job alerts by email & RSS Browse vacancies by career groupings How to apply, hints on applications and interviews etc www.jobs.nhs.uk

34. “talking therapies”, “counselling”, “mental health”, “low intensity”, “high intensity”, “IAPT” • Substance misuse practitioner • Wellbeing Coordinator • Mental health advisor - trainee PSYCHOLOGY “marketing”, “project”, “payroll”, “finance”, “communication”, “record-keeping” • Marketing coordinator • Employment services officer (recruitment) • Finance assistant ADMINISTRATION “exercise”, “fitness”, “lifestyle”, “stroke”, “physiology”, “cardiac rehabilitation” • Rehabilitation assistant • Health improvement practitioner • Cardiac physiologist SPORT SCIENCE “laboratory”, “pathology”, “public health”, “healthcare science”, “health protection” • Training administration asst. (pathology) • Medical laboratory assistant – advanced • Newborn screening data manager LIFE SCIENCES “health improvement”, “health protection”, “substance misuse”, “smoking cessation” • Health promotion resource & info. officer • Integrated care drugs worker • Administrator (PCT, working at a prison) PUBLIC HEALTH Using the “Advanced search” function… TRY SEARCH TERMS IN THE ‘SKILLS’ FIELD SUCH AS… LOOKING FOR VACANCIES RELATED TO… EXAMPLES OF RESULTINGJOBVACANCIES “healthy eating”, “diet”, “food”, “allergy”, “health promotion”, “nutrition”, “lifestyle” • Lifestyle support worker • Health development practitioner • Assistant nutritionist/dietitian NUTRITION

35. Thank you for coming to this session