Policy and Progress Update Chris Jeffries Acting Director of Workforce and Education NHS NW

1. Policy and Progress UpdateChris Jeffries Acting Director of Workforce and Education NHS NW

2. Policy Context • Developing the Healthcare Workforce consultation closed 31 March • Listening Exercise: Education and training closed 31 May • Government response to listening exercise June • New listening exercise • Final Guidance on workforce and education future arrangements: Autumn (December)

3. Moving forward Future Forum 1

4. Future Forum Education and Training Next stage • How can we make sure that NHS staff in the future have the right skills to meet changing patient needs? • Are the arrangements we have proposed for education and training the best ones to ensure this? • Will the proposed changes to the education and training system support the aims of the modernisation process? • How can health professionals themselves take greater ownership of the education and training of their own professions, whilst meeting the needs of healthcare employers? • How can we ensure that the values of the NHS are placed at the heart of our education and training arrangements? • How can we best combine local and national knowledge and expertise to improve staff training and education?

5. National working groups • Provider Networks Development • Higher Education interface • Funding Flows • Information Architecture • Health Education England • Overarching Programme Board

6. Higher Education Interface • Effective partnership • Strong engagement • Define roles and responsibilities of organisations in the new system with regards to interface • Define broad system wide policy on the interface and clarify current arrangements • Ensure interface remains stable during transition • Not: non HEI education, funding of research

7. Health Education England • National leadership and strong accountability • Whole workforce and inter-professional approach • Strong relationships health, care and education partners • Governance that reflects balance between professionals, services, public and patients, education • Framework for dealing with smaller professions • Make UK-wide links 6

8. HEE tasks • Allocation Policy to LETBs including CPD issues • Authorisation process for LETBs and continued licensing • Contract management of LETBs • Relationships with regulators and with UK principalities • Quality framework • Alignment with service

9. Local Workforce and Education and Training Networks • Networks, led by healthcare providers & bringing together organisations & professionals from across health & care • Time to develop • Core part of NHS – have regard to NHS Constitution and NHS values: new statutory body or FT hosting • Rigorous authorisation process 9

10. Timetable October 2011 SHA Cluster arrangements in place Autumn 2011 DH publish more detail on Education & Training SHAs, healthcare providers and education sector work on education commissioning for 2012/13 and 2012 medical recruitment Autumn 2011 Health Education England established as Special Health Authority in shadow form During 2012 Health Education England take over operational and financial responsibilities; SHAs abolished April 2013 11

11. Future Funding • Placement tariffs • Implement for medical undergraduate and non medical April 2012 with 4 to 6 year transition • Postgraduate medical and primary care still looking at options • Allocation rollover • Management costs envelope • CPD • Long term levy system

12. Difficult questions • Nature of the whole workforce • HEE and CPD • HEE relationships with regulators, National Commissioning Board, Monitor… • How Quality is monitored • Relationship between LETBs and HEE • Nature of LETB Legal entity

13. SHA Clusters: Impact on workforce and education • Likely to maintain workforce and education functions with same team in same places • Activities will continue: business as usual • Congruence between the three SHAs to avoid conflict or precedents, e.g. workforce planning assumptions • Focus on setting up the new system

14. Developing the Healthcare workforce: North West position • Consensus for 3 workforce and education networks • Cumbria and Lancashire • Cheshire and Merseyside • Greater Manchester • Consensus for shared services • To be decided: • Legal entity • Nature of shared services

15. Governance consultation • Good response • Mainly supportive • Requests for Public Heath, AHPs, Healthcare scientists and others to be represented • Also Ambulance, social care, clinical tutors, Non Executive directors • Questions about representation • Querying GP representation process

16. Network Leadership group membership • Chief Executives (2) • Medical Directors (2) • Nursing Directors (2) • HR/OD Directors (2) • Finance Directors (2) • GP/Primary healthcare representatives (2) • Public Health Directors (2) • Non Executive Director (1)

17. Network Leadership group roles • Agreeing the overall strategy for the network • Agreeing the business plan for the network including objectives for • Workforce Strategy • Education Commissioning • HR Strategy • Agreeing the budgets for the network within its allocation including any recharges between the networks within the North West for lead commissioning • Providing the overall framework for how the network undertakes its activities, the operating model

18. Network Leadership group roles • Agreeing the education commissioning plan for the period based on the strategy and workforce plans • Being accountable to the SHA board in the first instance and on to the Department of Health for the formal Service level Agreement and then Health Education England (HEE) through the formal contract • Ensuring the contractual obligations with HEE are met • Performance monitoring and taking appropriate action to ensure there is a continual focus on improving quality and providing value for money • Managing conflicts of interest that partners may have from time to time

19. NW Timescale • Networks governance consultation July/August • Set up networks September to October • Network boards start November • Involvement of providers in commissioning and budget decisions November to March • Decoupling setting up the legal entity from networks set up • Await guidance before taking legal entity work further • SHA to remain the legal entity until April 2013 within cluster

20. Thanks and any questions