Modernising Scientific Careers

1. Modernising Scientific Careers New educational challenges for health scientists Kerry Tinkler.

2. Chief Scientific Officer at DH. Scientific Services are guided by the priorities outlined in the NHS White Paper, consultations on Choice, Information & Outcomes and the Operating Framework for 2011/12.

3. Challenges for health care system • Ageing population • Chronic diseases represents aprox. 70% of mortality & 70-80% of the expense in the 4 main types of chronic diseases: • Cardiovascular diseases, • Cancer, • Diabetes • Chronic respiratory diseases • Many co-morbidities • 80% of the 65+ people have 1 chronic disease • 50% have 2 chronic diseases • Security of supply of appropriately trained workforce • Greater expectations • Advances in medical science and technology • Economic challenge leading to health inequalities

4. Healthcare scientists unique role • Work at the interface between basic science and clinical practice – driving research to answer a clinical need • Advance science and technology leading to new diagnostic or therapeutic interventions • Capture research outcomes and translate discoveries into practice • Innovate to drive quality and productivity in healthcare delivery • Ideal position to introduce disruptive technologies for the benefit of patients

5. Prevention / Screening Diagnosis Ongoing management / monitoring End of Life Care Healthcare Scientists Example of the Contribution to Cancer Care Treatment • Providing screening programme services • Faecal occult blood detection • Cervical cytology • Analysis of patients and families for genetic components of or predisposition to cancer • Quality assurance of mammography equipment • Development and introduction of new digital mammography • Definitive diagnosis of a range of solid tumours – increasingly responsible for tissue receipt, cut up and preparation of slides • Developing, performing and interpreting specific molecular tests targeted at specific cancer loci • Development and validation of Nuclear medicine tests • Quality assurance and optimisation of all imaging techniques used in cancer pathways • Assessment of impact of radiotherapy and/or surgery through measurement of biomarkers • Assessing physiological function • Specific diagnostic testing to assess minimal residual disease in leukaemia • Staging and planning Radiotherapy treatment • Implementing and evaluating new radiotherapy techniques - IMRT, IGRT, tomotherapy • Fitness for surgery/ measurement of prognostic indicators and post operative support • Production of specific prostheses for reconstructive surgery • Monitoring patients in remission for early evidence of recurrence • Selection of breast cancer patients suitable for Herceptin therapy • Monitoring ongoing physiological effects of cytotoxic therapy • Managing the immediate consequences of death • Post mortem examinations • Bereavement care of relatives

6. The vision for healthcare science To have a world class workforce that : Raises the profile and awareness of contribution of scientific services to improving outcomes Are active contributors to science in health and society Continually evaluates clinical practice and care delivery models Delivers excellence in knowledge creation, innovation and service improvement Has the right skills and capabilities working in new and innovative roles to deliver high quality care Works in partnerships with patients and other professionals, including as clinical leaders

7. Healthcare Science workforce • The healthcare science workforce plays a central role in safe and effective patient care across all pathways of care from health and wellbeing to end-of-life • Comprises approximately 5% of the healthcare workforce in the UK • 80% of all diagnoses can be attributed to their work (RFH 456, 6%)

9. What is - Modernising Scientific Careers? • A programme of change to Modernising training and Career pathways for HCSs • Transform and develop the HCS workforce with clear routes to career progression • Equivalence programme to recognise prior learning and experience • UK wide initiative, building on previous work • The direction of travel was set out for the first time in the Next Stage Review’s A High Quality Framework (June 2008) • MSC the next steps document consultation closed March 2009 • MSC The way Forward was published in February 2010 • The MSC England action plan was published in March 2010

10. Why Modernise Scientific Careers? • Simplify career structures and education and training for the healthcare science workforce to a common framework • Career pathways aligned with other healthcare professionals • Training and education framework to provide greater flexibility in skills and knowledge development • Improve workforce planning • To become more strongly driven by and integrated with service needs, informing commissioning of education and training, and supporting re-profiling of the workforce • Significant improvements in value for money as well as quality of care

12. What will MSC do? Ensure all functions are carried at the most appropriate level Expand the options for senior, consultant level staff to provide expertise, senior leadership and science advocacy Ensure a flexible workforce adaptable and responsive to innovation and technological advances Expand options for assistant and associate roles and their contribution to efficiency and effectiveness of services Promote planning to replace the ageing part of the workforce especially at more senior levels

13. Simplified Governance Medical Education England Advisory Function Scrutiny/info Chief Scientific Officer Formal advice to Secretary of State and Ministers Advice 4 Country Policy Group+ MSC Scrutiny Group Chair of MEE Medical Education England Board Healthcare Science Professional Bodies MEE Operational Group MSC England Implementation Board Membership: SHAs NHS Employers Centre for Workforce Intelligence Skills for Health Medical Education England DH MEE Healthcare Science Programme Board* Membership: Professional Bodies Unions DH NHS SHAs Higher Education Industry representative Patient/Public representative Trainee representative Feeds into workforce directorate Direct advice as appropriate *Working groups/ Task and Finish Groups appointed as appropriate Academy for HCS HEI Strategic Advisory group Leadership Education & Training Workforce Planning Academic Career Pathway Decision making function Direct advice to MSC Programme as appropriate KEY: Advisory Executive UK Policy

14. The Model for Education and Training Pathways for the Healthcare Science (HCS) Workforce and published in UK Way Forward (2010)* * as agreed by all 4 CSO’s or equivalents NB: Equivalence will be based on a clear and transparent assessment of a portfolio of evidence including previous experience and knowledge (reducing possible duplication and allowing employers to grow their own workforce)

15. The MSC programme will deliver a nationally defined curriculum / standardised specifications Training through Modernising Scientific Careers Associate /Assistant National learning and development framework with modular approach Vocational awards for Assistants and Foundation Degrees for Associates. Major workplace training component Practitioner Training Programme 3 year BSc (Hons) programme which will integrate academic and workplace based elements (approx 50 weeks of workplace training) Scientist Training Programme 3 year programme which will comprise separately delivered and awarded, academic and workplace-based components leading to an MSc and a Certificate of Achievement Higher Specialist Scientific Training A 4/5year work based training programme similar to SpR training and leading to medical college examinations where these exist and possibly a doctoral award

16. Modernising Scientific Careers programmeCareer Framework 1 – 4 (AfC 2-4) • To develop a flexible educational and training framework which supports innovation and develops new and existing roles • To ensure that the framework carries academic credit to allow progression and maps onto national qualifications & standards

17. Healthcare Science Assistant & Associate Practitioners • Performing a range of task and protocol based roles • Supported by a learning and development framework • Range of vocational qualifications (e.g. Apprenticeships, NVQs, diplomas) to enable progression and support trusts in “growing and developing” their own workforce • Opportunities to progress into the HCSP career pathway • Potentially be subject to regulation

18. Practitioner Training Programme (PTP): Neurosensory Sciences * Proposed Regulation as a Healthcare Science Practitioner Equivalence Trainees with prior experience (either academic or work place experience) could be exempt from certain components. Graduates will exit with a graduate diploma in the additional academic learning Integrated BSc (Hons) in Healthcare Science with a Certificate of Competence Academic Workplace-based • Core Specialism: one of: • Audiology • Vision Sciences • Neurophysiology Year 3 Application to Practice Core Specialism and Project 25 weeks Increasing experiential learning (up to a maximum of 50 weeks) Year 2 Techniques & Methodologies • Core Specialism [see Year Three] with some shared learning • Academic learning to support workplace skills development Specialist Clinical experience 15 weeks Physiological Sciences with specific focus on Neurosensory Sciences Introductory Block across Healthcare Science Year 1 Scientific Basics Work placements 10 weeks

19. Healthcare Science Practitioner Defined role in assured tests, delivery and reporting of investigations and interventions May be patient facing roles Expertise in applied scientific techniques May work in a range of healthcare settings Potential to develop into senior HCSP 50 Weeks placement

20. 3 year Healthcare Scientist Training Programme (STP) Workplace Training in an NHS or other approved organisation leading to formal Certification Academic learning leading to Masters Degree With part time attendance on a HEI based Masters programme throughout the training period . • Remainder in Single Specialism training • Followed by an elective ( 4 - 6 weeks) in any healthcare science specialism or a related clinical service • Initial 12 months rotational training (3 months in each of 4 specialisms) Specialism 1 Specialism 2 Specialism 3 Specialism 4 Themed Rotations Introductory Academic Block (Minimum of 1 month)

21. Healthcare Scientist Clinical and scientific expertise Underpinned by theoretical knowledge and experience Undertakes complex scientific and clinical roles Makes judgements which impact on patients Involved in innovation, R&D and education

22. Pathways for healthcare scientists: Career Framework Stage • service to identify • specific areas • within disciplines • where specialist • expertise required • explicit • qualifications and • experience will • need to be • identified • outcomes set at • specialist • advanced practice • build on existing • qualifications • where possible • accreditation • recognised/ • validated through • a formal process • to enable • employers to • identify who has • achieved specialist • accreditation Consultant Healthcare Scientist Appointments (opportunities for specialist fellowship & development) 8 9 Regulation (Higher Specialist Register for Scientists) Employment initially as a Healthcare Scientist, with competitive progression to Senior Healthcare Scientist and the opportunity to undertake Accredited Specialist Expertise (ASE) Higher Specialist Scientific Training Programme competitive entry, automatic progression in training and employment subject to progress through assessment Accredited Specialist Expertise [ASE] 6 - 7 5 - 6 Regulated Healthcare Scientists

23. Senior HCS Developed skills and knowledge to a very high standard Performing a complex role Possible management/research/educational role Accredited Specialist Expertise Programmes to support expert knowledge and skills and experience in a closely defined area of practice National standards qualifications and experience set out in a defined curricula Developing existing academic programmes e.g. Professional body exams and masters

24. Higher Specialist Scientist Training Competitive entry Academic training integrated with a work based clinical component at PhD or post doctoral level Senior consultant HCSs Scientific expertise Leadership Strategic direction & service development Leading Research

25. Progress: • Curricula developed and reviewed by MEE HCS EETG, advice provided to 4 UK countries • Training manuals developed and undergoing review • Assessment criteria being developed • Coherence and consistency checking commencing • Final version for 11/12 expected in summer • NHS West Midlands appointed Lead Commissioner for 2011/12, will also provide oversight of workplace training • Tender for underpinning STP MSc completed • National recruitment to STP programmes completed

26. How Can You Help?

27. STP Recruitment

28. Tony Gibson (interim) Angela Douglas Neil Porter Jane Blower Val Davison Fiona Carragher Dr Chris Gibson John Crolla Senior Lead Scientist • Leadership, strategic direction, and influence for healthcare scientists across the Strategic Health Authorities • Promote improvements in quality and productivity through the adoption of innovative scientific technologies and practices • Networking and chairing • Facilitating healthcare scientists’ engagement with Liberating the NHS White Paper consultation exercises. Peter Jarritt Jo Nightingale

29. CPPD e.g. Audit Research Innovation Service improvement New technology etc. Unexplained variation

30. Innovation and Technology Things are changing and new technologies are emerging…………. Semiconductor Microchips Imaging The Smart Band Aid Engineering Structural Tissues

31. Raising the profile of HCSs • Healthcare Innovation EXPO • Big Bang Science Fair • Healthcare Science Awareness Week • Healthcare Science Ambassadors • Applications from 99 Healthcare Scientists • Working with STEMNET on registration • CSO Leadership Event • HCS Awards

33. More Info: • K.tinkler@medsch.ucl.ac.uk • www.dh.gov.uk/en/Aboutus/Chiefprofessionalofficers/Chiefscientificofficer/index.htm • www.networks.nhs.uk/nhs-networks/msc-framework-curricula