Developing the Healthcare Workforce Future Arrangements Stakeholder Forum Event

1. Developing the Healthcare Workforce Future ArrangementsStakeholder Forum Event

2. Progress to Date From Design to Delivery Option Appraisal Proposed Operating Model HEE Progress Authorisation Timetable

3. New Structures Health Education England Local Education and Training Boards Centre for Workforce Intelligence Department of Health

4. NW LETB Arrangements • One NW LETB • 3 delegated sub groups • Shared services • Three LETBs • NW coordinating group • Shared services • Option appraisal consultation • Summit 24th May

5. LETB core functions and responsibilities Producing annual education and training plans to ensure supply of the local healthcare workforce is in line with national priorities Holding and allocating funding for education and training Commissioninghigh quality, good value education and training in line with professional needs and the Education Outcomes Framework Securing partnerships with clinicians, local authorities, health and well-being boards, universities etc. Health Education England

6. LETB Operating Principles Local Decision Making Inclusive Approach of Providers Good Governance Sound Financial Management Stakeholder Engagement Transparency Partnership Working Quality and Value – Year on Year Improvement Security of Supply Accountability

7. NW LETB development Review of membership and governance Organisational development programme Structures for end of July MD appointments August September Pre authorisation process Authorisation Approval December January Go live April 2013

8. Health Education England • Health Education England (HEE) will, from October 2012, operate as a Special Health Authority (SpHA), accountable to the SofS. • Chair, Sir Keith Pearson • CE, Ian Cumming • First meeting 28th June • Other directors appointed July onwards

9. HEE core functions and responsibilities • Providing national leadership • Supporting development of Local Education and Training Boards (LETBs) – vital to the delivery of the new system • Promoting high quality education and training • Allocating and accounting for NHS education and training resources • Ensuring security of supply of the workforce. Health Education England

10. Health Education England: key projects • HEE Approach to Quality • HEE Operating Model • HEE Organisational Structure • HEE Workforce Planning, Information and Analytical Capability Requirement • Financial Strategy • HEE LETB Annual agreement • LETB Authorisation Process • Comms Stakeholder Management • Governance Arrangements including all advisory Bodies • Transition Planning (incl HR) • Estates, Infrastructure and Corporate Services • Safe Transition of Critical Functions • LETBdevelopment

11. Education Outcomes Framework 1. Excellent education Ensure the health workforce has the right skills, behaviours and training, available in the right numbers, to support the delivery of excellent healthcare and health improvement Excellent experience for staff (inc. students / trainees) and patients 2. Competent and capable staff Effectiveness 3. Flexible workforce receptive to research and innovation 4. NHS values and behaviours Safety 5. Widening participation Aim Domains Quality

12. Key timescales… April 2012: SHA LETB sub-committees established April 2012: HEE/LETB People Transition Policy published June 2012: HEE established as a Special Health Authority April – September 2012: HEE Board recruitment October – December 2012: LETB authorisation October 2012-March 2013: HEE recruitment October 2012: HEE commences in shadow form April 2013: HEE and LETBs operational Health Education England

13. Authorisation Process • and Plans

14. The Authorisation Process Capability and capacity will be demonstrated through a combination of self-assessment, submission of evidence, clarification process and ‘Board to Board’ assessment • The diagram below summarises the current thinking of the proposed authorisation process. Each stage will strike a balance between robustness and proportionality. Proposed authorisation process Review of evidence Clarification process and pre-meets Framework Guidance Issued Self-assessment Submission of evidence ‘Board-to-Board’ assessment Joint production of LETB Authorisation Framework between HEE and key stakeholders. LETB engagement will be achieved through interviews, multi-LETB conference calls and workshops. LETBs will self assess their progress against criteria and identify where they need development. The framework should be sufficiently designed to allow LETBs to assess which gaps they themselves need to fill in order to meet the criteria. Once LETBs are satisfied they can either demonstrate how they will meet the required thresholds they will submit documentary evidence to support their position. HEE will review the evidence supplied, assess it against the evaluation criteria. Key areas for consideration will be identified and a decision taken on whether what LETBs need to do to move onto the next stage. Clarification of the submission as necessary will take place between HEE and LETBs. Individual sessions between HEE and LETB staff may be required. Feedback on submission will also be provided. Once LETBs submitted evidence is sufficient to suggest that they would be capable of operating with devolved authority a ‘Board-to-Board’ assessment session will be held to discuss the submission and consider potential scenarios and case studies. Authorised

15. Principles of AuthorisationA set of principles underpinning the development of the authorisation process have been proposed Safe Transfer - Supports a safe transfer of functions from SHA to LETB Transformational Outlook – LETBs must demonstrate intent to deliver material improvements to Education and Training Outcomes Outcome Led- LETBS must be focused on delivering outcomes in line with the Education Outcomes Framework and relevant to their local area Robustness- The process must be robust in genuinely assessing LETB capability and capacity Proportionality- The process must recognise the evolving nature of the LETBs and be proportionate to the risks Equitable- A process that fairly and equitably delivers outcomes appropriate for differing LETB readiness for authorisation

16. Domain StructureThe Authorisation process will expect LETBs to demonstrate capability and capacity against six different domain areas.

17. NW Appraisal • A key strength is that we started 8 months ago • Lots we can build on and lots we have learnt • Now need to re-fresh and revise • Strong emphasis on stakeholder engagement, capacity and capability

18. Authorisation is a process of gaining assurance that each LETB is ready to make effective decisions in a way that engages with all relevant stakeholders to ensure security of supply of the workforce, and has appropriate governance arrangements to support this and deal with conflicts of interest as and when they arise. There are likely to be three possible outcomes: Fully Authorised- LETBs have demonstrated they are capable of taking on all responsibilities delegated to them. Authorised with conditions- LETBs have demonstrated they are capable of taking on some, but not all of the responsibilities delegated to them, and must meet certain conditions before assuming full responsibility. Not authorised- LETBs have not demonstrated they are capable of taking on delegated responsibilities. A future assessment of readiness for delegation will be required. LETB Authorisation TimetableThe current focus of work is to define and clearly communicate the process through which LETBs will be authorised. 5th April 2012 Framework design begins Late June 2012 Guidance issued July 2012 Guidance published April 2013 LETBs formally begin operations Self-assessment July-October 2012 Authorisation Process (Oct 2012-March 2013) Current focus of work

19. Non-Medical Education Commissioning Process

20. Education Commissioning Plan 2013-14 • To meet the requirements of the authorisation process • 2 stage consultation – • 1st stage July/August - to guide development of  draft plan • 2nd stage August/September – to test assumptions in draft plan • Integrated with workforce planning process • Provider focused

21. ‘What are your organisations key priorities and challenges for education and training?’ • Short Term – 1 year • Medium Term – 1 to 3 years • Long Term – 4 years plus • Consider within context of patient need in relation to : • service change/transformation • Profession specific requirements • Whole workforce • New roles and new ways of working • Education capacity and capability

22. Stakeholder Engagement Update

23. HEE advisory structure HEE/LETB Partnership Group Public Health Patients & Public Forum Health Education England Dental Nursing Strategic Advisory Forum Allied Health Professionals Modernising Pharmaceutical Careers Medical Healthcare Science Patient & Lay Reps Health Education England

24. NW Stakeholder Model Example Networks Cheshire & Merseyside LETB C&M Sub-Regional Forum HRD Forums Core Professional Forum Workforce Strategy Networks Cumbria & Lancashire LETB C&L Sub-Regional Forum Deanery Networks Regional Advisory Partnership Finance Directors Network GM Sub-Regional Forum Greater Manchester LETB PVI Networks Associate Affiliate

25. Core Professional Forum

26. Regional Advisory Partnership

27. Additional Measures.. • Wider Stakeholder Forum members • Network ‘directory’ • Communication Update • eWIN site • Partnership Agreement

28. Partnership Agreement • Core purpose • Key elements • Introduction to workshop