Building a Digital-Ready Workforce: The Call to Arms

1. Building a digital ready workforce Lisa Crichton-Jones: Director of Workforce Transformation Dr Bernard Groen: Strategic Planning Lead, North of England, Health Education England

2. Overview • Me and my friend Linda • The call to arms • The NENC workforce programme • The challenge and reflection for us all • New friends

3. Me and my friend Linda Director of Workforce and OD Northumberland Tyne and Wear NHS Trust Director of Workforce Transformation North East and North Cumbria emergent ICS Lisa.Crichton-Jones@ntw.nhs.uk @CrichtonJones

4. The call to arms…building a digital ready workforce #pinksocks

7. Topol “We must learn from previous change projects. Successful implementation will require investment in people as well as technology. To engage and support the healthcare workforce in a rapidly changing and highly technological workplace, NHS organisations will need to develop a learning environment in which the workforce is given every encouragement to learn continuously. We must better understand the enablers of change and create a culture of innovation, prioritising people, developing an agile and empowered workforce, as well as digitally capable leadership, and effective governance processes to facilitate the introduction of the new technologies, supported by long-term investment.”

8. The challenge or reflectionfor us all • How do we upskill the local 180,000 health and care workforce? • Your minds v the minds of others? • How do we convince people that digital is important to our workforce and the people we care for? • How can we teach and develop people at scale? Skills, attitudes and behaviours to become digitally competent and confident

9. The challenge or reflectionfor us all • How do we reach those whom have little or no digital capabilities? • How do we avoid excluding them? • How do we plan for and build new career opportunities? • How sophisticated are the interdependencies and work plans between digital and workforce?

10. The challenge or reflectionfor us all What are we actually doing? Collective leadership and a ‘one team’ approach How are you / can you help align digital and workforce work • at system level? • at ICP level? • in your organisation? People, Process & Technology

11. New friends……. “The CDO and the HRD need to be best friends, locally, regionally and nationally.”

12. Complexity in Technological Change

13. Complexity in Technological Change – Example

14. NHS Official Sensitive: Commercial - Slide 14 Population Health Management (PHM) NCNE Digital Care Summit4th April 2019Ian Davison, NECSPaul Burton, Newcastle University

15. NHS Official Sensitive: Commercial - Slide 15 Content What is Population Health Management (PHM) Population Health Analytics, and Population Health Management Current position on the PHM journey PHM roadmap PHM and GNCR technical architecture

16. NHS Official Sensitive: Commercial - Slide 16 PHM – national definition

17. NHS Official Sensitive: Commercial - Slide 17 PHM Concept Designing and delivering associated interventions, both clinical and non-clinical

18. NHS Official Sensitive: Commercial - Slide 18 Pop Health Analytics & Management Designing and delivering associated interventions, both clinical and non-clinical PHM PHA

19. NHS Official Sensitive: Commercial - Slide 19 Pop Health Analytics & Management Designing and delivering associated interventions, both clinical and non-clinical Population Health Management promoting prevention facilitating improved care using pop health analytics care optimisation, delivering the triple aim application of best practice for integrated care patient engagement change management programme management leadership and org development Population Health Analytics data driven decision making actionable insight at system / partnership / community / place risk stratification co-morbidities cohort selection population segmentation single version of the truth across a System modelling & forecasting amenability impactability

20. NHS Official Sensitive: Commercial - Slide 20 PHM – a journey to integrated care • PHM and integrated care go hand in glove • PHM focuses on the complete health and care scenario for individuals and for whole populations at ICS / ICP / community / place / PCN etc. level • PHM has strong links with public health and the prevention agenda, for populations • Successful examples of PHM across the world include elements of risk share, with integrated care providers investing in improving outcomes through aligned incentives • We’re not at the start of the journey!

21. NHS Official Sensitive: Commercial - Slide 21 We’re not at the start of the journey • We already have … • Single version of the truth, but with limited data sets, and limited access • Actionable insight at different organisational / geographical levels • Risk stratification using both nationally developed and locally agreed algorithms, covering diabetes, atrial fibrillation, COPD, fracture, hospitalisation, re- hospitalisation • Cohort selection, based on prevalence across 30 conditions • Population segmentation showing activity and spend by segment, with associated analysis • Widening access to RAIDR (Trusts & LAs) : The new RAIDR-IC dashboard is about to go live, contact me if you’d like access

22. NHS Official Sensitive: Commercial - Slide 22 PHMgt – current position in NCNE • Region wide approach as part of the ICS aspirant programme • Joint SROs agreed • Stephen Childs, NECS MD • Prof Peter Kelly, Centre Director, PHE NE • Joint approach to accelerate PHM development, between NECS and N Cumbria (one of a number of integrated care national pilots) • Discussions also underway with other organisations / geographies • NCNE nominated and accepted as Northern Region lead for PHM • PHM roadmap in place

23. Aspirant ICS Programme,PHM workstream plan 23

24. NHS Official Sensitive: Commercial - Slide 24 PHM Roadmap : Key Themes • Public engagement • Public health and prevention driven • Workforce implications understood • Analytics capabilities • Set up single version of the truth data warehouse with associated BI tools • Ensure access to data / tools • Build PHM understanding and capabilities • Generate actionable insight • Maximise use of additional data sets inc. GNCR • Organisational • PHM vision • PHM priorities • PHM leads • Governance • Baseline PHM activities • At-scale PHM activities • Data and architecture • Data gaps identified • Data architecture defined and meeting national architecture • Necessary IG agreements in place

25. Analytics Platform for Population Health Planning Cohort Search Tableau RAIDR DataSHIELD Population Health Planning Longitudinal Patient Record Consent Persistent data Federated access De-identification & record linkage Other data sources Primary care Care Provider Acute Trust Patient Engagement platform HIE Local Government Other Trusts

26. NHS Official Sensitive: Commercial - Slide 26 Questions ?

27. Question & Answer session