Monday 1 st July 2013

1. Monday 1st July 2013 Health Education England Our Role & Focus on Dementia Professor David Sallah (Clinical Advisor)

2. HEE: Our Role • HEE and our LETBs are the NHS engine that will deliver better health and healthcare workforce for England. • We are responsible for the education; training; and personal development of every member of staff, and recruiting for values from our schools and into our Universities. • We are employer led, to provide the right workforce, with the right skills and values, in the right place at the right time, to better meet the needs and wants of patients. • Our mission is to improve health outcomes for the people of England by developing people for health and healthcare.

3. Quality, safety andexperience Around £4.9bn funding • “HEE exists for one reason alone – to improve the quality of care • delivered to patients.” • Success criteria • Improvements in safety • Improvements in experience • Improvements in clinical outcomes • Spreading innovation Around £10,000 a minute Around 1900 HEE staff supporting.. 91,000 non-medical pre-reg 44,600 post grad medical and dentistry 23,000 under grad medical and dentistry Privacy Dignity Respect Around 159,000 students in system now

4. Respect and dignity • Commitment to quality care • Compassion • Improving lives • Working together for patients • Everyone counts • Pride in working for HEE • Pride in being a healthcare professional Our Core Values

5. “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.”Professor Ian Cummings Chief Executive - Health Education England HEE Mandate* *Delivering high quality, effective, compassionate care: Developing the right people with the right skills and the right values. A mandate from the Government to Health Education England: April 2013 to March 2015 http://hee.nhs.uk/wp-content/blogs.dir/321/files/2013/05/29257_2900971_Delivering_Accessible.pdf

6. A flavour of what it includes….. • Recruitment into all new NHS-funded training posts including assessment of appropriate values and behaviors • Ensuring every student who seeks NHS funding for nursing degrees should first serve up to a year as a healthcare assistant • Delivery of additional trained health visitors to increase the workforce by 4,200 full time equivalents by April 2015 Our Mandate

7. HEE Mandate: The Media • BBC R4 Today Programme • More community nurses needed • Increased training period for student nurses • Increased A&E staff • Increased junior doctors as GPs; more needed in inner cities • Dementia awareness training for 100,000 staff • Others • HEE and £5bn training budget • Skills list for NHS Staff • New era of education and training for staff • Overhaul of training and skills • NHS training blueprint • Mandate to improve training • NHS training given unprecedented importance

8. “HEE will need to provide through LETBs in the development of training programmes to support staff to diagnose early symptoms of dementia and ensure they are aware of the needs of patients and their families and carers to enable them to provide safe, dignified and compassionate care. In particular, the GP workforce needs to be developed to ensure it has the skills necessary to identify and work with patients”. (DH Mandate 2013 p.9) Our Mandate Specific to Dementia

9. All NHS staff that look after patients with dementia will go through a dementia awareness programme (foundation level) training by March 2014 • HEE will ensure that 100,000 staff have foundation level training by March 2014 • HEE will work with stakeholders to develop concrete plans by Autumn 2013 for a rapid roll out, so that all NHS staff that look after patients with dementia will receive foundation level dementia training. This will programme will: • Enable staff to spot the early symptoms of dementia • Know how to interact with those with dementia • Signpost staff to the most appropriate care: it will be backed up with more in-depth training of expert leaders and staff working with people with dementia • 4. The training should also raise awareness of the increased likelihood of mental health problems in those people with long-term conditions Our Mandate Specific to Dementia

10. Dementia – A National Priority The Government’s goal is that the diagnosis, treatment and care of people with dementia in England should be among the best in Europe. NHS England Mandate HEE will need to support training for staff to deliver better prevention and care to patients with long-term conditions…. This will also include diagnosis, treatment and care of those with dementia. HEE Mandate

12. Tackling the challenge… • Scope current practices • Identify a lead LETB – Health Education South West • Engaging the right people across health and social care – Co-production and patient/user/carer centric • Design and build a community of practice • Develop three tiered dementia education and training model that is based on outcomes • Develop an interactive evidence based dementia education and training repository

13. Domain Members committed to developing shared values & competence Solutions new information Focused Approach towards Evidence Based Practice Knowledge Exchange Need to generate and Share Knowledge and Skills Experiences Community of Practice Re-using assets Evidence Diffusion Pulling resources Sharing The Practice Develop new resources, share experiences, solving recurrent problems The Community Members engaged in joint activities Recording Visits Mapping Knowledge

14. Why are we doing all these?

16. 5 year Dementia Strategy launched in 2009 • Objective 13 – informed and effective workforce • The Prime Minister Challenge on Dementia • The National Dementia Strategy Workforce Advisory Group • Department of Health work on raising awareness and commissioned pieces of work to support education and training Build on Progress and Co-Produce

17. Framing the Future – Some thoughts… • Demographics • Identify organisations looking after dementia patients • Total staff complement per organisation • Total interacting with dementia patients – porters, housekeepers, receptionists etc • Content • In induction? • Mandatory training • Duration of training • Anticipated learning outcomes • Delivery • Mode – Blended learning? Or What? • Recording Evidence • Skills passport • ESR • Why the scoping exercise? • Ascertain the depth and breath of activity • Define and agree the components of Foundation Level Training

18. Thank you for Listening