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new ways of working: workforce project for cardiac surgery

Workforce Project for Cardiac Surgery. Why?Unable to recruit to Band5/6 nurse vacanciesResulting Impact:Increase costs for bank/agencyPatient safetyCancellations of operations (over 50% of cancelled ops are due to no staffed CHDU bed). Workforce Project for Cardiac Surgery. Why is it difficult to recruit?Fewer nurses being trained

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new ways of working: workforce project for cardiac surgery

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    1. New ways of working:Workforce project for cardiac surgery

    3. Workforce Project for Cardiac Surgery Why is it difficult to recruit? Fewer nurses being trained – only 22,000 now qualify each year (move to degree education) 200,00 nurses expected to retire over next 8 years = shortfall Impact? Current vacancy is 26% Anticipate this will increase

    4. Workforce Project for Cardiac Surgery How can we overcome this? New Ways of Working

    5. Workforce Project for Cardiac Surgery In his book ‘Turning the World upside down’ Lord Crisp suggests: Lessons can be learned from 3rd world countries Consider how to deliver effective, efficient healthcare with limited resources

    6. Workforce Project for Cardiac Surgery What is an Assistant Critical Care Practitioner (ACCP)? ‘A healthcare worker who delivers healthcare to patients and who has a level of knowledge and skill beyond that of a traditional healthcare assistant or support worker’ (WDC Standing Conference 2003)

    7. Workforce Project for Cardiac Surgery Maintaining Quality Care (1): Training route - 1st week of employment = intensive in house training + ˝ to 1 day per week for 24 weeks. - to achieve unit specific competencies within above time frame - When complete will qualify as ACCP and band 3 status

    8. Workforce Project for Cardiac Surgery Maintaining Quality Care (2): Foundation degree - Option for an ACCP to apply to foundation degree for 2 years - Will need 3 GCSE’s Grade ? Or above or NVQ 3 qualification - Completion of foundation degree = band 4 status

    9. Workforce Project Cardiac Surgery Skills for health recommendations The role of the Assistant Practitioner should be recognised and valued in it’s own right. Assistant practitioners should be recognised by employers as valued workers who support the work of registered practitioners. Assistant Practitioners may work under direct guidance and work as lone workers where appropriate

    10. Workforce Project Cardiac Surgery Education Training Assistant Practitioners should have at least one years experience in health and/ or social care Education of TAP’s should normally be 2 years in duration but AP(E)L should be considered by programme providers Education of the Assistant Practitioner should be work based and employer led

    11. Workforce Project for Cardiac Surgery Improved patient flow: Currently not enough CHDU beds Plan to open 2 step down ward beds (September) Following Critical Care without walls pathway allows increase in skills for ward nurses

    12. Future Developments 3rd cardiac theatre 1/3 of Sussex cardiac surgery is operated on outside Sussex For viability of Sussex Cardiac Centre we must repatriate To successfully treat our population we must remove bottlenecks to optimise the patient pathway

    13. FINANCE 09/10 B&A spend CHDU Ł689,483 Offset by Ł371,503 vacancy Problem Ł317,980 Plus lost income Ł10-15k per cancelled op

    14. PROGRESS Trust support (February 2010 POD) Cardiac Anaesthetists & Cardiac Surgeons fully supportive Nursing staff JD’s Clinical Governance

    15. Workforce Project for Cardiac Surgery Questions? References Crisp,N (2010) Turning the World Upside Down: The Search for Global Health in the 21st Century. www.re.press.co.uk Department of Health (2000b) Meeting the Challenge: a Strategy for Allied Health Professionals.D.H. London Department of Health (2000a). The NHS plan for investment, a plan for reform. HMSO. London The Mackinnon Partnership (2009). Assistant Practitioners: Scoping Exercise – skills for Health

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