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Growing Nursing Numbers report Sue Harris, National Lead, / Lucille Legiewicz National Programme Lead HEE ( WM Office )

www.hee.nhs.uk

Background

• The NHS currently faces a shortage of nurses particularly

experienced ones

• Potential supply options on everyone’s agenda
• We have increased nursing commissions but these will not yield an

increase in registered nursing staff numbers until 2017

• Attracting nurses back to practice has the potential to help address

the current shortage

• Successful RTP requires a number of key processes and practices

to be put in place

www.hee.nhs.uk

‘Come Back’ Campaign Highlights

Campaign launched on the 29th September 2014 To date there are 1,783 returners to Programmes

• Sept 14 to Mar 15 – a total of 1337
• April to Aug an increase of 185 to total 1522
• Sept 15 to present an increase of 261 to total 1783
• Early figures indicate a completion rate of 630 (41% of 1522)
• All other trainees are still on programme
• There are over 40 HEIs across the country offering RTP programmes

working collaboratively with placement providers which can be accessed via the website: http://comeback.hee.nhs.uk/

www.hee.nhs.uk www.wm.hee.nhs.uk

RTP Social Media Campaign

Week Date Facebook Reach FB Total Engagements FB Engagement Rate Twitter total Impressions Website Page Views Video Views 1 24.08.2015 306,405 5,271 1.7% 68,145 2,779 2 31.08.2015 605,686 6,385 1.1% 159,444 6,444 3 07.09.2105 589,760 5,166 0.9% 158,275 9,298 4 14.09.2015 464,246 55,469 11.9% 209,293 6,473 52,549 5 21.09.2015 367,790 11,909 3.2% 182,921 7,116 10,388 6 28.09.2015 327,105 15,137 4.6% 182,641 7,987 13,762 7 05.10.2015 309,258 12,617 4.1% 141,275 7,724 11,480 TOTAL 2,970,250 111,954 3.77% 1,101,994 47821 88,179

Our refreshed social media campaign has yielded the above interest

www.hee.nhs.uk

National Actions Against Critical P’s

Process

The process to access RTP has been streamlined to make it easier for potential returners to navigate.

• We have developed a 7 point end to end process which has been shared with LETBs and

providers

• The national ‘Come Back’ to nursing campaign was launched on 29th September 2014,

phase II started January 2015, with Phase three commencing Sept 2015 Activity to date :

• NHS Careers refreshed and updated course finder functionality with information on

programmes

• Developed FAQs and social media content.
• Joint recruitment events taking place across the country – dates on the website
• Values based recruitment introduced with both education and healthcare providers involved

in interviewing

• Comms campaign relaunched and refreshed

www.hee.nhs.uk

National Actions Against Critical P’s

Product

• Education providers have reviewed their course provision in light of input from

Directors of Nursing, RTP nurses and Higher Education Institutes.

• An electronic toolkit has been launched to support LETBs, Providers and Higher

Education Institutes to self assess their RTP provision.

Placement and Preceptorship

• Healthcare providers have reviewed their placement capacity and preceptorship offer
• Created a film explaining the preceptorship offer for returners and developed case

studies to promote the programmes.

• Podcasts and learning materials for preceptors

www.hee.nhs.uk

National Actions Against Critical P’s

Pay and Employment

• We plan to align returners to workforce vacancies to enable them to secure employment.
• Exploring models of employment and impact this has on retaining staff
• Need to engage in discussions re flexible working

Price

• Capped the price of a course for returnees at £1000. Also £500 placement tariff for providers and

£500 to cover individuals’ costs

www.hee.nhs.uk

Come Back Programme

• RTP to be part of ‘what we do’ being integral to the workforce planning process

for Trusts and LETBs

• Aligned to priority areas e.g. Practice Nursing / Mental Health / Paediatrics but

equally reflect localism of each LETB

• To be flexed in times of shortage / sufficient workforce
• Joint working with JCP re careers fairs
• Trusts to be have a ‘welcome’ strategy which includes all departments knowing

about RTP

www.hee.nhs.uk

Evaluation

• We have undertaken an evaluation to ensure we collect and analyse relevant information

allowing us to continue to develop the programme: This investigated:

– A set number of measures to evaluate impact including capturing how much new

capacity we have opened up as a result of this initiative, how many enquiries we get, the number of nurses registered and first destination data Initial recommendations and findings are:

– Develop a consistent approach to data collation – Suggestions were made for LETBs to create a consistent approach to provider led

programmes

– Sharing of best practice more widely from providers and HEIs – To continue joint open days, marketing and interviews between HEIs and Providers – Ensure messages are communicated locally and nationally

www.hee.nhs.uk

Next steps: We are currently working on the following:

• Undertaking scoping of data re: models of employment to understand the impact

this has on our learners and devise a national model for implementation

• Undertaking a retrospective scope of date with HEIs to understand end

destination data

• Undertaking a evaluation of impact assessment of returners

www.hee.nhs.uk

What we could do to enhance provision with more funding Part 1

Attracting Returners

‘Golden Hello’ one off payment to recommend a friend to existing NHS staff £75.00 20% increase on current numbers equates to 304 @ £22,800 Investment in radio campaigns x 13 geographical locations at £3,400 per campaign = £34,200 TV campaign to be considered at higher costs

Retaining Returners

Scope of 12 hour shift patterns and impact on staff and patient £40k Investment in national geographical care coaches (Band7 to provide dedicated pastoral care £44,054 inc. 24% on costs per coach which equates to £178,016 for x4)

www.hee.nhs.uk

What we could do to enhance provision with more funding Part 2

Employing Returners

Link returners to existing vacancies at Band 2 until qualified (Average agency cost per hour £37.00 - A Band 2 post Average £8.38 per hour

• nce qualified a Band 5 post is £17.25 per hour)

N.B. this includes 24% on costs Explore potential model with NHSP to take the risk of employment away from employers

LETB/HEIs

Each LETB to invest in dedicated RTP Posts at Band7 £44.504 inc. 24% on costs £578,552 Tie LETB to targets for performance monitoring especially end destination data Engage more robustly with NMC re: registrants HEI in crease course capacity if each HEI ran 1 more course for 15 participants this would offer potential for a further 600 returners at a cost of £1,200,000 Undertake a pilot with HEIs to develop a dedicated RTP for Primary Care in addition to scoping social care provision and needs

www.hee.nhs.uk

Further Information

• All papers available at:

http://hee.nhs.uk/work-programmes/nurse-return-to-practice/

• Self assessment toolkit available at:

http://learning.wm.hee.nhs.uk/resources/rtp

• ‘Come Back’ Campaign website available at:

http://comeback.hee.nhs.uk/

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Patient-centred Fair Collaborative Accountable Empowered

Sue Davidson & Ash O’Hara

Support Staff Development Team Organisational Learning LTHT

Patient-centred Fair Collaborative Accountable Empowered

Why Apprenticeships?

• Shortage of Clinical Support Workers
• Educated & trained workforce
• Funding
• Minimum qualification
• Complaints

Patient-centred Fair Collaborative Accountable Empowered

Apprentices in the Workforce

Patient-centred Fair Collaborative Accountable Empowered

Recruitment

• Values based cohort recruitment
• 1 year fixed term contract
• Employed as a AfC Band 1
• Employed by a clinical area
• https://jobs.leedsth.nhs.uk/ltht-people/job-profile-

welcome/3

Patient-centred Fair Collaborative Accountable Empowered

Qualifications

Level 2 Apprenticeship in Clinical Healthcare Support

• Diploma – Mandatory Units & Optional Units

– Prepare individuals for healthcare activities

– Support individuals undergoing healthcare activities

– Monitor and maintain the environment and resources – Physiological measurements – Support individuals who are distressed – Assist the practitioner – Customer Service

Patient-centred Fair Collaborative Accountable Empowered

The Care Certificate

All our Apprentice CSW’s complete the Care Certificate as part of their course in the first 12 weeks of being clinically based

Patient-centred Fair Collaborative Accountable Empowered

First Cohort !

Patient-centred Fair Collaborative Accountable Empowered

Expansion Plans

• Entry to all Band 2 patient facing

support roles to be via the Apprenticeship route

• Inc- physio, OT, dietetics, SALT,

radiology, radiography and pharmacy

Patient-centred Fair Collaborative Accountable Empowered

Contact Us:

• aislinnohara@nhs.net
• sue.davidson3@nhs.net

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Overseas Registration Process and Test of Competence

Update: October 2015

Emma Lacy – International Registrations Manager

Agenda



Background context



Test of Competence

• Operation of the CBT
• Operation of the OSCE



UKVI – Visa process



Transition – ONP



Questions

Benefits of Revised Overseas Process

 Increasing the level of assurance in validating the identity of an overseas applicant;  Increasing the level of assurance that documents provided by the registrant are authentic, relevant

to the required credentials and are specific to the applicant;

 Providing a reliable, consistent and justifiable method of assessing the competency of overseas

applicants (Test of Competence ToC);

 Streamlining the application process such that it is more effective and easier for overseas

applicants to apply, track status and progress through their application for registration.

Part 1 Test – Computer Based ID and Document Verification Activate Registration Fail x 2 retries 2nd Fail Reject – criteria not met 3rd Fail Fraud Notify of Unsuccessful Application

Registrant NMC Online NMC

 IELTS 7 or above  12 months post-registration practice  3 year (equivalent) nursing programme  Self declaration on health and character  References available  ID documents logged All eligibility criteria evidences/valid  References appropriate  Digital ID Documents consistent /accurate  Initial fee paid  Face to face ID checks at OSCE centre  Original document verification Accepted Pass Confirmed Pass Registrant withdraws / Reapplies

New Overseas Registration Process

Research & Preparation Complete Online Declarations/ Confirm Eligibility Assessment Part 2 Test - OSCE 1st Fail (re-sit) 1st/2nd Fail (re-sit)

subject to pre-defined timeline

Test of Competence – Development

October ‘14  Go live

November ‘14  First CBT test taken April ‘15  First OSCE test taken July ‘15  Exam Manager appointed August ’15  Updated NMC website/online content October ‘15  CBT exams added Q1 ‘16  External Review of Test January ‘15  CBT exams added November ‘15  Psychometric analysis Q4 ‘15  CBT refresh

Ongoing monitoring and review of test by NMC Test of Competence Board

Test of Competence

Stage 1: Computer Based Test (CBT)



Pearson VUE Test Centres globally Stage 2: Observed Structured Clinical Examination (OSCE)



University of Northampton, UK ToC available for all 4 nursing pathways and midwifery



Adult nursing



Mental health nursing



Children’s nursing



Learning and disability nursing



Midwifery

Stage 1 - Computer Based Test (CBT) – at Pearson VUE Test Centres around the world

 Multiple choice  120 questions  4 hours to complete  60% score overall to pass  90% of critical questions must be answered correctly (related to patient safety)  Maximum 1 re-sit

Test of Competence

Stage 2 – Observed Structured Clinical Examination (OSCE) – University of Northampton, UK

 6 OSCE stations  20 minutes per station with 5 minutes familiarisation  4 stations are scenario based, related to holistic patient centred nursing and midwifery care  2 stations are focused on practical clinical skills  Unique 20 criterion based assessment sheet, all must achieve a pass score  Maximum 2 re-sits

Test of Competence

Test of Competence Stats

Part One – Computer Based Test (CBT)



2609 CBT tests delivered – 2059 candidates passed (pass rate 79 %)



Adult nursing: 2536 CBT tests delivered – 2046 candidates passed (pass rate 81 %)



Other pathways: 73 CBT tests delivered – 14 candidates passed (pass rate 19 %) 03 October 2014 – 15 October 2015

Test of Competence Stats

Part Two – Observed Structured Clinical Examination (OSCE)



471 applicants passed the NMC assessment stage and have been invited to contact the University of Northampton to book their OSCE



123 OSCEs booked



71 OSCE tests delivered / 57 candidates – 40 candidates passed (pass rate 70 %)

• 1st attempt: 27 candidates passed (pass rate 47 %)
• 2nd attempt: 13 candidates passed (pass rate 100 %)

03 October 2014 – 15 October 2015

Country of Training – CBT passed

UKVI – CoS Process

ONP Transitions

Measure 7 Sept 2015* The NMC’s new (competency test based) overseas registration process has been in place since October 2014. It has replaced the old, overseas nursing programme process. A number of applicants remain in the ONP process but this is decreasing as they complete their ONP placements. In common with those navigating the new process, applicants on the old process still need to have an identity check and provide the NMC with all the required registration documentation such as completed application form, identity documents, qualification and registration certificates, references, training transcripts, and evidence the applicant has passed the IELTs etc. By way of background the ONP includes 20 days of protected learning time and a period of supervised practice. At the end of the ONP applicants are assessed by the individual who has supervised their practice and the approved education institution (AEI). This assessment is subject to NMC quality assurance. Typically a Visa application would be progressed once the applicant has successfully completed and passed the ONP. Number of applicants authorised to go on ONP 1383 Number of applicants currently in final stages of registration assessment 137 Number of applicants scheduled for identity / document verify interview 113 Current period (in weeks) from payment / final declaration to interview 3-4 Current period (in weeks) from successful verify interview to completion 1

Old Overseas Nursing Programme (ONP) based registration process – in operation prior to October 2014.

Questions

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