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Introduction

Introduction. Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before. . Provider Evidence.

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Introduction

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  1. Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before.

  2. Provider Evidence • The information presented today has come from provider plans which were submitted at the end of July and consisted of three parts: • Part A – Workforce planning numerical data • Part B – Workforce challenges and risks • Part C – Narrative describing the future workforce • Data was collected from: • 14 Acute Trusts (including 1 Children’s Acute) • 9 Community organisations • 3 Mental Health Trusts • 1 Ambulance Trust

  3. Historical Trends:Staff in Post 2009-2013

  4. Key Findings: Medical & DentalFTE’s Forecasted FTE’s in North Yorkshire and the Humber over the next five years by Specialty. Direction of travel 2013 to 2018 (FTE)

  5. Key Findings: Medical & DentalNewly Qualified Forecasted Newly Qualified in North Yorkshire and the Humber over the next five years by Specialty. Trend from 2013-2018

  6. Key Findings – Medical & DentalRisks • Difficulties in recruiting to Consultant posts, especially in A&E and Medicine specialties, resulting in a reliance on locum and / or agency staff • Significant difficulties recruiting to Consultant level posts in the majority of specialties in some areas. Additionally there are concerns regarding the age profile of the Consultant body. • Difficulties in recruiting to posts in A&E, Anaesthetics and some Medicine specialties. • Specialty Doctor posts can be difficult to recruit to in specific areas. • Reduction in training posts and the inability of the Deanery to fill all available posts is a significant issue for Trusts • All grades, but particularly training grades, difficult to recruit to.

  7. Key Findings:Non-Medical • On average there is a forecasted increase of 0.7% FTE (170 FTE) across all specialisms between 2013 – 2018. • The main increases were forecasted in: • Registered Nursing, Midwifery and Health visiting staff +7% (+545.7 FTE) • Apprenticeships +178% (+91 FTE) • The forecast for the Yorkshire and the Humber Non-Medical staff is a decrease of 1.9% (-1,868.1 FTE).

  8. Key FindingsNon-Medical: FTE’s Forecasted FTE’s in North Yorkshire and the Humber over the next five years by specialty. Direction of travel 2013 to 2018 (FTE)

  9. Key Findings - Non Medical:Newly Qualified Forecasted Newly Qualified in North Yorkshire and the Humber over the next five years by Specialty. Trend from 2013 to 2018

  10. Key Findings – Non-MedicalRisks • Increase in advanced Nurse Practitioners • Recruitment of Midwives and Health Visitors and in some area nurses. • Skills Gap - training people in extended roles • Providing physical and mental health care simultaneously • Patient acuity – older, more frail and more dependant

  11. Support Staff Plans for all Trusts are forecasting a reduction in support to clinical staff of 244 FTE (3.2%). A sub-category of this is the support to STT & HCS staff which is forecast to fall 1.5%. However, forecast figures for apprenticeships across the Yorkshire and the Humber region are encouraging and backed by the evidence.

  12. Advanced Practice • LETB & Service Priority in the following key areas: • Acute Medicine, Emergency Medicine, Paediatrics, Surgery, & Anaesthesia • Workforce Plans contain little evidence of need, this is not unexpected as earlier discussions show that many NHS Trusts are still developing their thinking around Advanced Practitioner deployment • LETB to aid development by providing ‘Start Up Support’ to Trusts, this will include: • Financial support during the implementation phase for those Trusts with well-developed plans • Provide all Trusts with the opportunity to access the Calderdale workforce analysis tool to aid role identification • Establish a Yorkshire & Humber Task & Finish Group to develop the York’s & Humber Advanced Practice Framework

  13. Key Findings:Risks and Challenges

  14. General Risks (1) Additional risks highlighted by Providers that they believe require LETB support. • Technology • Telehealth /medicine - training required to meet complexity and new demands • Personalised care planning • Excellent IT skills and paperless • In communities using mobile technology

  15. General Risks (2) Additional risks highlighted by Providers that they believe require LETB support. • Skills Reviews • Evidencing the qualifications and competence of staff in light of Francis, Keogh and CQC approach etc. • Effectively training, supporting and supervising a large support worker workforce

  16. General Risks (3) Additional risks highlighted by Providers that they believe require LETB support. • Pride & Professionalism • Attracting staff to the NHS – morale/ intensity of work/ reputation • Professional standards • Skills at point of registration – mixed views on this

  17. Questions Do you have any questions?

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