Chris Wintle 10 th June 2008

1. EC Sector Skills Agreement Chris Wintle 10th June 2008

2. Skills for Health • The Sector Skills Council for the health sector. • Licensed by Department for Education and Skills (England) on behalf of all four UK nations • Supported by all 4 UK Health Departments • Workforce approx 2.3 million.

3. Health sector across the UK • We cover the whole health sector: • NHS • Independent / private • Voluntary employers • We cover all UK Nations and Regions: • 9 English Regions • Northern Ireland • Scotland • Wales

4. Strategic Intent ‘Develop a skilled flexible and productive workforce for the whole health sector in all UK nations, to raise the quality of health and healthcare for the public, patients and service users’

5. The Health workforce in SE is diverse • Benefits from a large number of volunteers • The workforce is largely female (78%) • 38% workforce part-time (28% whole economy) • The workforce is predominantly white (89%) • 73% work predominantly in the public sector • 21% work predominately in the private sector

6. Replacement Demand Estimates • Assuming that retirement profiles do not dramatically change over the period (2006 to 2016) and using a conservative 5% estimate for all other turnover, it is estimated that by 2016, the NHS in the South East region will need to replace approximately: • 63% of the professionally qualified clinical staff i.e. nurses, physiotherapists etc. • 68% of clinical support staff • 60% of NHS infrastructure staff (including Admin & clerical, managers).

7. Regional work plan 08/09 • Develop & publish a Regional Sector Skills Agreement • Support the Joint Investment Framework • Publication of Regional Labour Market Intelligence • Support development of local workforce solutions e.g. Maternity Support Workers

8. Regional Sector Skills Agreement • Employer led • Sector wide • With 12 & 24 month action plans • With measurable outcomes • Extensive consultation

9. Sector Skills Agreement (SSA) • A key mechanism for health sector employers to: • identify their skills needs and gaps • define and prioritise training and productivity requirements now and in the future • Series of agreements between: • sector employers; • education/training providers; • funding bodies; • And the government to ensure that… “The skills the sector wants are the skills the sector gets”

10. Regional Sector Skills Agreement • What are Employer needs • Sector wide – joined up approach • Needs defined in functional terms • Aligned to the Career Framework • Wide consultation – across sector & region

11. Traditional Case – meeting the needs of the system not the patient Mark is 14. At 1600 one Saturday he lacerated his left leg while playing football with his friends on a local playing field. The laceration is superficial and 10cm in length. His parents and an ambulance are called at 1605.

12. Process Map – hitting targets but failing the patient Max 8 minutes target Max 4 hours target

13. ECP – a competence based approach – Benefits?

14. Benefits from the second process map: All targets were still met e.g. 8 minute response time 30 min. journey avoided (60 min) 4 hour pathway, reduced to 40 minutes Productivity & financial benefits (reduced EC attendance + £28 – 85K) Has the system changed?

15. Why do clinical staff need help? “There I am, standing by the shore of a swiftly-flowing river, and I hear the sound of a drowning man. So I jump into the river, pull him to the shore and apply artificial respiration. Just as he starts to breath, another cry for help. So back into the river: pulling, applying, breathing then another yell. Again and again. You know, I’m so busy saving them, that I have no time to see who is upstream pushing them all in.”Dr I. K. Zola 1973

16. The Career Framework for Health Chris Wintle – Regional Director 01256 783053 / 07867537899 Chris.Wintle@skillsforhealth.org.uk www.skillsforhealth.org.uk