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Right people, right place: transforming our workforce
Clare Simpson, Workforce Lead Dr Steve Laitner, Regional Lead Maria Howdon, Workforce Advisor
Right people, right place: transforming our workforce Clare - - PowerPoint PPT Presentation
Right people, right place: transforming our workforce Clare - - PowerPoint PPT Presentation
Right people, right place: transforming our workforce Clare Simpson, National Workforce Lead, National Association of Primary Care and Strategic Workforce Advisor, New Care Models, NHS England Dr Steven Laitner GP and advisor to the Kent and
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Session will cover
- 1. A Population Health approach to workforce redesign
- 2. What have we learned about workforce redesign in
new care models?
- 3. How it works in practice – Thanet Primary Care Home
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Core characteristics of a Primary Care Home (PCH)
Whole population health management An integrated, multi- disciplinary workforce Financial drivers aligned with the health needs of the whole population
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Focus on 30,000- 50,000 people
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The Patient Customer One thing I have always found is that you have got to start with the customer experience and work backwards to the technology. Steve Jobs 1955-2011
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Lots of models
Disease / service focused Risk focused Holistic needs focused
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Generally well/ good wellbeing Long term condition(s)/ social needs Complexity of LTC(s)/ social need and/or with disability Children and young people Working age adults Older people
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Acute Care Generally well Long term conditions Complexity of LTC(s) and/or disability
Low risk High risk Low risk High risk Low risk High risk
Children and Young People
- Neonates
- Infants
- Toddlers
- Children
- Adolescents
Working Age Adults
- Young
- Middle aged
- Older
working age Older People
- 65-80
- 80-90
- 90+
Dementia Continuous Care Team
GP Pharmacist
Acute Team
Nurse Practitioner Paramedic GP
Multi-Agency Team
Specialist Case Management
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So what have we learnt? From roles…
Source: NHS England presentation
GPs
Net growth of 5,000 by 2020
Physician associates
1,000 new funded
Nurses
Extra minimum £15m investment as part of general practice nurse development strategy
Mental health practitioners
3,000 new fully funded practice- based mental health therapists
Clinical pharmacists
1,500 extra co- funded, on top of 470 already existing
Physiotherapists Welfare rights advisers Paramedic practitioners Medical assistants
Initially piloting the roles
Care navigators
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To functions…
The key link is to understand the care functions needed by that population segment e.g.
- Assessment, Diagnosis and Treatment
- Care and Support Planning
- Medicines management
- Recovery and Rehabilitation
- Crisis response
- Care coordination
- Social Support
- Housing support
- Navigation
- Functioning well
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To teams…
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3 Key Areas
Designing a workforce around population health needs Workforce redesign – making it happen in practice Leading Change
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Designing a workforce around population health needs
- Over 60’s (Enhanced Frailty Scheme)
- Previous focus on 75+
- Risk Stratification using CLEGG / other data
sources (inc. caseload validation)
- Scored as mild, moderate or severe
- Range of proactive interventions – reactive
more intensive input
- What teams / staff already existed
- A need to work differently
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Leading Change
- Organically grown
- PCH Clinical Leads, multi-agency staff and
patients (ESTHER)
- Staff able to lead change
- Regular meetings / events to monitor
progress
- Appropriate governance
- Sense of we are in this together!
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Workforce redesign – making it happen in practice
- Identified population segment
- What were the patients’ needs
- Developed scheme
- Identified current staff / teams and mapped
against new scheme
- Highlighted gaps
- Engagement of all stakeholders
- Workforce plan / strategy developed
- Education and training commissioned
- Pushing the boundaries
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