Health Education Thames Valley (LETB) AND Public Health

1. Health Education Thames Valley (LETB) and the Public Health Workforce Val Messenger Public Health representative on LETB Board Health Education Thames Valley (LETB) AND Public Health

2. Content • Role of Health Education England (HEE) • How it fulfils this role • What is a Local Education and Training Board (LETB) • How does it work in Thames Valley? • Examples of how it supports public health development in Thames Valley

3. Health Education England (HEE) • Supports the delivery of excellent healthcare and health improvement to the patients and the public of England • By ensuring that the workforce has the right numbers, skills, values and behaviours • At the right time and in the right place

4. Health Education England (HEE) • Providing national leadership on planning and developing the healthcare and public health workforce • Promoting high quality education and training • Ensuring security of supply of the health and public health workforce • Appointing and supporting the development of LETBs • Allocating and accounting for NHS education and training resources and the outcomes achieved.

5. Local Education and Training Boards LETBs bring education, training and development together locally in order to improve the quality of care and treatment of patients through the development of skills and values for staff. All providers of NHS services need to be a member of, and be involved with the work of the LETB. Providers now have the opportunity to lead the education and training agenda and help decide the skills and values they require for staff and how funding is spent.

7. Local Education and Training Boards The three main functions of a LETB are to: identify and agree the local needs for education and training to deliver the right people and skills to meet future service needs plan and commission high quality education and training in its region in order to secure future workforce supply and improve patient outcomes bring providers and relevant stakeholders together to provide a forum for developing the whole workforce.

8. Local Education and Training Boards LETBs are governed by boards that have representation from local providers on them. The LETB Board represents the members of the LETB The Board determines the local education and training strategy and take decisions on behalf of the LETB. All providers within the LETB should co-operate on workforce data and the planning and provision of professional education and training There are duties on commissioners (NHS CB and CCGs) to promote the use of service contracts to support good education outcomes.

9. TV LETB Board: Brings together the leaders of service and education providers, representatives of public health, primary care and the independent sector alongside the Oxford AHSN.

10. Thames Valley LETB Board • Independent chair • All the chief executives from 9 NHS provider organisations • Education representative • Primary care representatives • Public Health representative • AHSN representative • Postgraduate Dean • Director of Education and Quality • Head of Finance • LETB Managing Director

11. Clarity of purpose The Board is clear: We have a window of opportunity to make a difference to the safety and quality of patient care through the way we invest in and develop our current and future workforce

12. Opportunities for LETB and Public Health to work together • Start from a strong position with representation on the Board from a Public Health specialist • Postgraduate Dean is the lead Dean for public health • Championing of Public Health training for the wider workforce, public health practitioners and public health specialists • In developing its future plans, LETB to consider skills and health behaviours of patients and the public • Continued support for specialist training across the new public health system • And many more …….

13. Who has a stake in the LETB ? • Patients, carers, users • Professions: doctors, nurses, AHPs, scientists • Current workforce, staff representatives • Commissioners: CCGs, NCB, Local Area Teams • All education providers: HEI, FE and independent • Health and Well Being Boards • Students, trainees • Local Authorities • Public Health and Public Health England • Skills Funding agencies and sector councils • All healthcare providers: charities, independent, nursing homes • Research and innovation sector (AHSN)

14. TV LETB Partnership Council: We bring together partners from across the healthcare landscape. They have the opportunity to influence our work, ensuring it meets local needs.

15. Thames Valley people • 40,717 FTE NHS employees • 1,560 GPs • 438 practice nurses • 20,000 social care staff • 1,797 post-graduate medical education trainees • 61 post-graduate dental education trainees • 3,500 students on non-medical education programmes at any one time • 244 apprentices

16. Partnership Council The key forum for consulting about workforce and LETB strategy Made up of a wide range of organisations that have a stake in the education and training of the healthcare and public health workforce. The way in which members of the LETB who are not on the Board can contribute to the debate and influence decisions

17. Partnership Council suggested: • Multi-professional • Training programmes and assessment to require a case study of multi-disciplinary work, which demonstrates involvement and joint working with patients, partner agencies, charitable groups, family and friends

18. Partnership Council suggested: Core questions to be included in assessments • What have I done to improve and manage my own health and well-being? • What have I done to empower others to improve and manage their own health and well-being? • Developing the wider health and care workforce in respect of public health

19. What can you do to influence LETB? Support your organisation to return workforce data Join the partnership council If asked - give feedback from your training placement If you are a trainer – take it seriously If you leave this to someone else don’t complain if the priorities don’t reflect your views

20. Budget for investment 2013/2014: A budget of £162m No top-slice - £7m to invest in our workforce

21. LETB and Public Health – some examples • The Oxford Deanery, via the School of Public Health, funds and runs a multidisciplinary registrar programme with around 20 trainees at any time, plus a number of placements for F2 doctors. • The School of Public Health has received £220k for 2013/14 to support multidisciplinary public health development.

22. Multi Disciplinary Public Health Development • Defined Specialists – support for portfolio submission • 8in the programme • Expect at least 4 to be successful by year end • Practitioner development programme – support for practitioner registration • 10 in programme • 5 have gained registration

23. Multi Disciplinary Public Health Development Also funded • Assessors • Verifiers • Moderators • A range of courses suitable for practitioners - available from local academic providers • Making Every Contact Count - Pilots

25. Making Every Contact Count • is a concept which aims to improve lifestyles and reduce health inequalities • encourages conversations based on behaviour changemethodologies • for everyone who comes into contact with members of the public and has the opportunity to have a conversation to improve health • you may think that you haven't enough time to give advice about stopping smoking, but it can take just 30 seconds to give brief stop smoking advice.

27. MECC - Pilots Oxfordshire Buckinghamshire County Council Bucks Healthcare FT • Oxford Health – community healthcare team and DN team • OUH – MSK and Maternity Milton Keynes Berkshire • Voluntary Services • Fire and Rescue

28. MECC - Pilots • 2 pilots ceased • Others still in early stages • Lessons being learned • Initial Evaluation – Nov 13 • Bidding to LETB for funding in 2014/15 to more comprehensively evaluate current pilots and to rollout a more informed programme