HEE and LETBs - Practice Managers Network

1. HEE and LETBs - Practice Managers Network Clare Hines - HESW June 2013

2. Education and Training – organisational changes South West Strategic Health Authority used to be responsible for education and training in the NHS • Post-Graduate Medical Education (8-10 years) via the Deaneries – Consultants, Dentists and GPs • South West Peninsula • Severn • Non-medical education commissions (3 years) via Universities -registered professionals • Non-medical CPD and workforce development • Support for Bands 1-4 development • New roles support

3. SHA Remit • Deliver the qualified future workforce required by the NHS • Workforce forecasts • Aligned to Providers’ commissioned activity and finances • Within the available financial envelope • Main focus on medical workforce supply • 10 SHAs - responsible to the Department of Health • Part of the total system – education funds vulnerable

4. Education and Training – organisational changes

5. New system – (1) • From 1st April 2013, the Secretary of State for Health will have a statutory duty to ensure that an effective education and training system is in place for the NHS and public health.  This coincides with abolition of the strategic health authorities and the transfer of their responsibilities for education and training to Health Education England (HEE) and employers working together in local education and training boards (LETBS). • It will be the responsibility of HEE to provide national leadership and strategic direction for education, training and workforce development and to ensure a nationally coherent system is in place. • The NHS invests almost £5 billion each year in central funding for the training and development of its workforce and that of the public health system.  This money will transfer to HEE to support the delivery of the objectives set out in the mandate.

6. New system – (2) • Health Education England - non-departmental public body ‘Health Education England exists for one reason and one reason only: to improve the quality of care delivered to patients by focusing on the education, training and development of the current and future workforce.’ • Works to a Mandate from the Government – accountable to Ministers The mandate to HEE, the new organisation set up to provide national leadership on education, training and workforce development, includes a comprehensive and wide-ranging series of measures. It is a blueprint for NHS staff training. It is the first time ever that a single organisation has had responsibility for all NHS staff education, recruitment, training and development. HEE has a budget of £5 billion to help NHS staff improve their ability to care for patients.

7. New system – (3) • Health Education South West (HESW) is part of Health Education England (HEE) • It is a Local Education and Training Board (LETB) and is responsible for the education, training and development in the South West. • LETBs are provider led • There are 13 LETBs nationally – all part of HEE • HEE has a Board – LETBs have a Governing Body

8. HESW Structure – (1) Independent Chair– Jane Barrie HESW Governing Body South West Peninsula Membership Council West of England Membership Council WoE Chair - Frank Harsent, CEO Gloucestershire Hospitals NHS FT SWP Chair – Jo Cubbon, CEO Taunton& Somerset NHS FT Managing Director – Sarah Watson-Fisher Business Support Unit Director Education & Quality – Derek Sprague Head of Finance – Colin McInnes Finance; Education Commissioning; Education Contracts; Workforce planning and modelling; Performance; Quality, Medical and Non-medical education provision; Engagement, back office functions. • Projects aligned to HESW strategic objectives • Work developed by providers • BSU work aligned to delivery of HESW strategic objectives • Work developed with providers by the BSU via networks and forums Workforce planners / forecasts Task & Finish group – Elderly / Dementia Primary care workforce information Wider Primary Care Workforce development

9. HESW Structure – (2) • HESW Governing Body – decision making, strategy overview • CEO level representation • Independent Chair • Acute (2), community or mental health (2), primary care (2), ambulance (1) • Universities (1), Local Authorities / Public Health (1) • Hospices (discretionary seat) • BSU Senior team (MD, DEQ, HoF, Deans x2) • Membership Councils • Chair is on the Governing Body • Wider membership representation, partners and other stakeholders – health and social care plus commissioners • Two to cover geography • Active working together, collaboration and partnership working • Members • Any organisation that delivers NHS funded care • Business Support Unit • Delivery, management, co-ordination function

10. New remit • Role in supporting the delivery of the HEE Mandate and national priorities • HESW now the lead on delivery of 100,000 frontline staff to receive foundation level dementia training by march 2014 • Deliver education and training that supports the delivery of the strategic objectives and priorities identified by HESW • 5 year Workforce Skills and Development Strategy available on the HESW website: http://southwest.hee.nhs.uk/ • Deliver the Education Outcomes Framework • Excellent education; Competent and capable staff; Flexible workforce receptive to research and innovation; NHS Values and Behaviours; Widening Participation • Embed the NHS Constitution

11. HESW Strategic Priorities – (1) • Workforce for the Future • Flexible workforce – requires transformation, with generalist as wells as specialist skills. This may require current models of training to be reviewed and consider models which: • are perhaps modular based, with core skills shared across a number of more specialist areas, staff group or care sector; • may employ a model where members provide specialist modules to enable additional skills to be deployed; • takes a more integrated view of healthcare and becomes an enabler to multifunctional working; • provides hybrid medical skills and generic nurses. • Skills required to deliver Care Closer to Home • support the development of the wider primary care workforce including building capacity and improved delegation skills • Ensure strong links across healthcare and social care in the development of shared skills • Work to reduce boundary barriers • improved knowledge of different roles across the sectors – especially along a care pathway; • respect developed for the roles of other professionals , staff groups and care providers (including support staff), building trust in the skills and judgement of other clinicians;

12. HESW Strategic Priorities – (2) • Quality – Values and Behaviours To ensure healthcare staff have the necessary compassion, values and behaviours to provide person centred care and enhance the quality of the patient experience through education, training and regular Continuing Personal and Professional Development (CPPD), that instils respect for patients. This will be shown by improvements in Staff and Patient surveys. • Frail Elderly and those with Dementia - Care Pathway development Development Project for 2013 • Clinical Leadership Development All members will work together and with education providers to ensure that the South West has excellent leadership at all levels of its clinical workforce – whether these are clinical students still in training or clinicians within the current workforce.

13. HESW Strategic Priorities – (3) • Current Workforce development • Improve the ability of member organisations to ensure plans align with service strategy, economic delivery and workforce development; • Impact of ageing workforce - security of supply / modelling of future workforce / talent management • Ensure current staff have the skills and knowledge needed - aligned to the strategic service priorities of the South west, including research skills and a focus on innovation in practice • Enablers • Free movement of staff - agreement on standardisation of evidence on competence – including shared policies/joint training; • Prevention and the Public Health Workforce - healthy ageing; children’s health and the prevention agenda which will underpin all pathway developments • Technical and Generic skills – IT skills, tech-assisted care skills, communication skills, business skills • Culture change

14. Any Questions??? Clare Hines: clare.hines@southwest.hee.nhs.uk

15. WIA: Primary Care Project Primary Care Pilot • HESW & HENW have agreed to assist with piloting the wMDS with GP Practices; • Pilot looks at all wMDS areas via a template provided by the HSCIC (Health and Social Care Information Centre); • Pilot includes questionnaire which will provide valuable feedback; • Volunteers required.

16. WIA: Primary Care Project Primary Care Forecasts • HESW would appreciate your views on future workforce requirements to assist with this years education commissioning; • Views would relate to risks, opportunities, new ways of working and whether you are meeting the needs of the population; • Specifics around GP’s, Practice Nurses and other clinical roles • Do we arrange workshop, collect via questionnaire – your suggestion.