Health Education England’s Urgent and Emergency Care Programme

1. Health Education England’s Urgent and Emergency Care Programme National Programme Update: February 2019 Matt Aiello, National Programme Lead Health Education England February 2019

2. UEC Programme Strategic Drivers • Our Urgent and Emergency Care (UEC) programme deliverables are guided and driven by: • 2019 NHS Long Term Plan • 2017 “Securing the Future of the Emergency Department Workforce” strategy and associated steering group. • NHSE Five Year Forward View and Next Steps… national priority programmes. • Carter Review – productivity in acute hospital trusts. • Workforce priorities identified through Local Workforce Action Boards (LWAB), Primary Care Training Hubs, Sustainability Transformation Partnerships (STP) and Integrated Care Systems (ICS). • National Transformation programmes including: • Medical Associate Professionals (MAPs) • Paramedic workforce development programme, • Advanced Clinical Practice programme, • Pharmacist Integration programme, • Multi-Professional Rotational working … What does this look like in practice?

3. The HEE Urgent and Emergency Care (UEC) programme aims to join up and include deliverables arising from our key work-streams: UEC Programme: February 2019 Urgent and Emergency Care Workforce Paramedic Workforce Transformation Advanced Clinical Practice Communication & Stakeholder Engagement

4. UEC projects concluding: • Pharmacist Clinicians in Urgent and Emergency Care • Paramedic Evidence based Education Project (PEEP) • Paramedic Rotational Placement pilot – Phase 2 (Phase 3 from April 2019) Projects continuing: • EMLeaders project: Year 2 from April 2019 • Clinical Educators in Emergency Medicine – pilot: Phase 1 concludes October 2019. • Workforce development of SAS doctors: Workforce Study, workforce planning and regional engagement • National Physician Associate (PA) Ambassador and Multi-Specialty PA Preceptorships: Delivery in 2019 • SCRIPT e-learning for safe prescribing: Paramedic and GP SCRIPT pilots, BPS and e-LfH collaboration • Paramedic Workforce Development programme • ACP Academy development: National project from April 2019 Proposed new work for 2019: In development… • UEC Workforce Strategy (national) • Supporting multi-professional rotational programmes and supervision / mentoring standards. • Partnership working with NHSI and NHSE to support ED streaming and flow-through pilots including: • NHSI capability-based workforce modelling pilot, • Human Factors and design of Cognitive aids in UEC, • Investigating service potential / development needs of single clerking / annualised rostering models. • Mental Health Assessment in the ED – for non-mentally-health focused MDTs • Public Health in the ED – of the workforce and patients.

5. Challenges and Issues… • Joining-Up: • How can we connect / think about linking between local, regional and national programmes? • Communication: • How can we find out about and share learning about UEC workforce transformation? • How are other local / national programmes sharing and how can we learn from each other? • Supporting and driving innovation at scale: • How do we enable the workforce to maintain core business while also delivering, proving and sharing innovation? • How do we transition concepts into core business? • How do we respect and support local innovation? Take home message: We need to work collaboratively to achieve a sustainable, integrated health and care workforce, system-wide…

6. The moral of this story? “The world as we have created it is a process of our thinking…it cannot be changed without changing our thinking.” (Einstein) Thank you for listening… Questions? matthew.aiello@hee.nhs.uk