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Wales Eye Care Conference

Wales Eye Care Conference. 16th September 2016. Developing the Workforce. Karen Phillips Head of Orthoptic Services ABMUHB. Why develop the workforce?. Changing Technology 1970s Ophthalmologists looking directly at eyes Opticians providing glasses

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Wales Eye Care Conference

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  1. Wales Eye Care Conference 16th September 2016

  2. Developing the Workforce Karen Phillips Head of Orthoptic Services ABMUHB

  3. Why develop the workforce? • Changing Technology • 1970s • Ophthalmologists looking directly at eyes • Opticians providing glasses • Nurses looking after post op cataracts for 2 weeks on the ward.....

  4. 2016

  5. Why develop the workforce? • Changing Demographics • Gone from “3 score years and 10” In 2016 combined UK life expectancy is 81.2 years • In 50 years, from 1960-2010, UK population increased by 10 million • 1974 >65s =13.8% 2014 >65s =17.7%

  6. Why develop the workforce? • Changing Expectations • Government- guidelines/ policies • Public

  7. 2016 • NICE guidelines • Professional guidelines • National pathways • Planned Care programmes • Diagnostic and Treatment targets • Capacity and Demand time bomb

  8. What to do? • More staff required • (More accommodation/equipment/financial input) • Affordable • Safe • Prudent Principles • “make the most effective use of skills and resources”

  9. A multi disciplinary approach “working to the top of your licence”

  10. Registered staff • Different professional groups with a range of entry point knowledge and skills • Post graduate courses • In house training • Local variation

  11. What are we doing? • WG working group • Each non medical profession represented • Working to find an agreed level of practice, competency and accreditation of training for the professions • About to produce recommendations of standards and specific post graduate courses to reach these standards • Maintaining respect for areas where the professions have their own expertise

  12. Example • To interpret an OCT for Wet AMD diagnosis and monitoring • WOPEC professional certificate in Medical Retina

  13. Non registered Staff • Non registered staff (Health Care Support Workers) 41% of NHS workforce • Large numbers involved in ophthalmology care across Wales • Carrying out visual acuity testing, IOP measurement, OCT capture, perimetry etc • Varying quality of in house training provided

  14. Health Care Support Workers Framework has been developed as a skills and career framework Levels 2, 3 and 4 with specific education requirements will need to be in place by 2017 Great opportunity for us to up-skill our staff and improve our service Clinical skills appropriate to the role and underpinned by their relevant accredited education

  15. Next steps • We have already identified the tasks and competencies required by this staff group • We will need to develop appropriate courses to be delivered in house • Likely model will be the Agored Cymru qualification framework • Lots of good work already done on this in some Health Boards

  16. Conclusion • Ophthalmology has undergone a massive technological change in the past 30 years • Demographics and expectations have added to this to produce a daunting level of demand • Wales is “on the case” developing a solution for a sustainable safe and professional workforce.

  17. Any questions? karen.phillips3@wales.nhs.uk

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