Policy and Progress Update Chris Jeffries Workforce Programme Director NW

1. Policy and Progress UpdateChris Jeffries Workforce Programme Director NW

2. SHA Clusters: Impact on workforce and education • Workforce programme directors in each part of North of England • Congruence between the three SHAs to avoid conflict or precedents, e.g. workforce planning assumptions, HR transition • All other activities undertaken locally

3. Policy Context • Developing the Healthcare Workforce consultation closed 31 March • Listening Exercise: Education and training closed 31 May • Government response to listening exercise June • Future forum second report due mid December • Select Health Committee inquiry • Final Guidance on workforce and education future arrangements: Autumn (December)

4. Health Select Committee Inquiry • The Committee will examine the Government’s plans regarding healthcare education, training and workforce planning: • the right numbers of appropriately qualified and trained healthcare staff (as well as clinical academics and researchers) at national, regional and local levels; • that training curricula reflect the changing nature of healthcare delivery, including the medico-legal context; • that all providers and commissioners of healthcare (both NHS and non-NHS) play an appropriate part in developing the future workforce;

5. Health Select Committee Inquiry cont. • multi-professional and multidisciplinary leadership and accountability (encompassing the full range of healthcare professions, specialties and grades) at all levels; • high and consistent standards of education and training; • that the existing workforce can be developed and reskilled for the future (through means including post-registration training and continuing professional development); and • open and equitable access to all careers in healthcare for all sections of society (by means including flexible career paths). • Comprehensive review • Submissions of evidence by 19th December

6. Network Leadership Group Membership • Chief Executives (2) • Medical Directors (2) • Nursing Directors (2) • HR/OD Directors (2) • Finance Directors (2) • GP/Primary healthcare representatives (2) • Public Health Directors (2) • Non Executive Director (1)

7. Network Leadership Group Roles • Agreeing the overall strategy for the network • Agreeing the business plan for the network including objectives for • Workforce Strategy • Education Commissioning • HR Strategy • Agreeing the budgets for the network within its allocation including any recharges between the networks within the North West for lead commissioning • Providing the overall framework for how the network undertakes its activities, the operating model

8. Network Leadership Group Roles • Agreeing the education commissioning plan for the period based on the strategy and workforce plans • Being accountable to the SHA board in the first instance and on to the Department of Health for the formal Service level Agreement and then Health Education England (HEE) through the formal contract • Ensuring the contractual obligations with HEE are met • Performance monitoring and taking appropriate action to ensure there is a continual focus on improving quality and providing value for money • Managing conflicts of interest that partners may have from time to time

9. First NLG meeting agendas • Terms of Reference • How NLGs will work • Development of stakeholder forum • Cross commissioning responsibilities • Allocations and draft budgets • Workforce and education strategy • Board development

10. Second NLG meeting agendas • Allocations and draft budgets • Workforce plans • Commissioning plans 2012/13 • High level priorities • Communications • Stakeholder engagement

11. How the NLGs will work • NLG members • As members • From Representative groups • Gathering information and issues from stakeholders • Specific groups • Stakeholder forums • Using the current workforce planning and education networks

12. NW Timescale • Network boards start November • Involvement of providers in commissioning and budget decisions November to March • Network Leadership groups continue for 2012/13 • Await guidance before taking legal entity work further • SHA to remain the legal entity until April 2013 within cluster

13. Current issues • Allocations for 2012/13 • Summary of workforce plans • Commissioning plans for 2012/13 • Health visitor, IAPT and midwifery plans • Diploma to degree for nursing • GP Training numbers • Medical vacancies • Modernising scientific careers

14. NLG Members: Cheshire & Merseyside

15. NLG Members: Cumbria & Lancashire

16. NLG Members: Greater Manchester

17. Inaugural NLG Meetings • Cheshire & Merseyside – 22nd November • Cumbria & Lancashire – 25th November • Greater Manchester – 21st November

18. NW NHS Service Provision

19. NLG Geographical Representation

20. NHS Service Provider Analysis: Cheshire & Merseyside C&M NHS Service Provision NLG Service Provision Representation

21. NHS Service Provision Analysis: Cumbria & Lancashire C&L NHS Service Provision NLG Service Provision Representation

22. NHS Service Provision Analysis: Greater Manchester GM NHS Service Provision NLG Service Provision Representation

23. Stakeholder Forum Lead CEO, HRD, FD, MD, ND for each Network patch NHSNW workforce and education Postgraduate Deanery senior team Regional full time Officer representing the NW Social Partnership Forum Social Care/Local Authority Voluntary Service North West Private Sector Public Health HEIs PCT Cluster commissioner/Clinical Commissioning Consortia HIEC Leadership Academy Student Trainee Patient/Public And special consideration to be given to specific professional advisory groups covering the main staff groups

24. Stakeholder Forum Membership

25. Clinical Professionals

26. Workforce & Education Partners

27. Geographical Locality

28. NHS SectorProvision North West

29. Recap • Over 250 members in 3 months • Largely representative of perspectives, geography and sector • A few key gaps – patients, students/trainees, service commissioning, non-NHS Providers • But need to be realistic about who, when and how to best engage to make this a success

30. WORKSHOP Part 1To establish who are the ‘must do’s’ • Table discussion for next 40 minutes • Informed by the analysis to date • Determine who are the; Most influential, most affected (the must’s) Most affected, least influential (the should’s) Most influential, least affected and Least influential, least affected (the could’s)

31. Draft Education Outcomes Framework • supports the integrated healthcare workforce to meet the outcomes set out in the NHS and public health outcomes frameworks. • identifies outcomes that DH expects of the Education & Training system and an accountability mechanism between DH & HEE, HEE & LETBs, LETBs & Education and Service Providers • provides a direct line of sight between education and training and patient experience • is a catalyst for driving quality improvement and outcome measurement throughout the NHS • identifies two, high level, transitional indicators for 2012/13 - with further indicators being introduced at a later date when HEE is established

32. Background NHS and Public Health Outcomes NHS PH

33. Background Government response to the NHS Future Forum report (20 June 2011) “To reinforce its importance, we will introduce an explicit duty for the Secretary of State to maintain a system for professional education and training as part of the comprehensive health service. To ensure consistently high quality around the country, we will develop a national education and training outcomes framework, setting out the outcomes that HEE would expect providers to meet.”

34. DRAFT Educational Outcomes Framework Meet standards set by independent regulatory/ statutory bodies Excellent quality care in training environments National Required Indicators for 2012/13 Board/Executive Team level engagement in workforce planning, education, training and leadership of all staff. Safe trainee/student supervision Promote, professional development research utilisation and innovation Excellent experience for students , trainees & patients Competent and capable staff Support the NHS constitution values and behaviours Ensure health workforce has right skills, behaviours and training, and is available in the right numbers , to support the delivery of excellent healthcare Effectiveness Fitness for purpose & leadership Promote health and wellbeing and address health inequalities Promote effective team and multidisciplinary working Excellence of education training & development Safety Respond to changing service demands Individuals & professional groups aligned to workforce demand Meet strategic national & local workforce & commissioning plans LETB (inc health & education partners) Healthcare Org SoS/DH HEE Professional Statutory Regulatory Bodies

35. WORKSHOP Part 2To establish their role and contribution • Mindful of the role of the North West Network Leadership Groups and • The outcomes anticipated by Health Education England • Describe the part to be playedby the ‘core’ Stakeholder Forum – those identified as most influential and most affected (the must’s)