Workforce Matters......

1. Workforce Matters...... The NHS workforce is it’s most valuable asset The NHS workforce accounts for over 60% of NHS resource Who are we doing this for?

2. What do we know about the health agenda? • Delivery of health reform requires large scale transformational change • Commissioners hold responsibility for ensuring services provide quality, safety and value for money • Patients must be at the heart of service delivery • The market place is expanding to include a whole range of providers inc NHS providers, the independent sector, third sector etc • There are lots of priorities to meet... We need to work smarter and not harder.

3. What do we know about the workforce? • The workforce of today expect more from their employment.. Better pay, conditions, flexibility, job satisfaction, ownership of change etc • A significant number of people no longer see a job being for life • A significant number of people are confident at holding a number of jobs with various employers at one time • There is scope to deploy the skills within our workforce in a better way and improve productivity... N.B work smarter not harder • Workforce change is underpinned by employment law which has to be adhered to

4. Integrated Service Improvement Programme helps us to deliver transformational change by providing an approach which... Includes the whole health community in service planning and implementation (inc patients) Provides a framework for change which helps you focus on key priorities based on assessment of the value (benefit) you will get from the change Helps you work smarter by guiding you to align your change projects and make best use of the enablers of change (workforce, technology, estates, finance etc)

5. Where does workforce design feature in change programmes? Forces and drivers for change Priorities for change Programmes and projects Assessment of where you are now ‘current state’ Implementation Plan of changes needed Assessment of where you want to be.. ‘future state’ Changes implemented, benefits realised, monitored and reviewed

6. Workforce design and workforce planning... • Workforce design – what activities are needed to deliver effective health care, what skills and competencies are needed • Workforce planning – what roles, how many people, what systems are needed, how should they be deployed etc • Workforce commissioning – how we develop the right number of people, with the right skills, in the right place, at the right time

7. ..the role of Health Care commissioners and providers in workforce change? • Design and specify the model of care designed • around service users. • May specify key workforce functions but not roles i.e. care coordination • will need to specify workforce (employment) quality indicators Commissioners • Decide what competencies, roles and • numbers are needed to deliver service model. • Will need to provide evidence of effective people • governance Providers

8. Who produces the workforce plan? Strategic commissioning plan, which includes a strategic workforce plan PCT • Provider base workforce plan which: • Provides a map for the provider organisation on what workforce changes are needed to deliver their part of the service model • Provides a picture of the roles and numbers needed and where those people will come from (supply) Provider Provider aggregated workforce plan shows how which and many training places are needed SHA