Wiltshire HWB and Health Education South West Health Education - - PowerPoint PPT Presentation

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Wiltshire HWB and Health Education South West Health Education - - PowerPoint PPT Presentation

Jan 26, 2023 228 likes •479 views

Wiltshire HWB and Health Education South West Health Education South West Thursday 16 July 2015 Derek Sprague LETB Director 1 HEE Overview The driving principle for reform of the education and

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Wiltshire HWB and Health Education South West Health Education South West

Thursday 16 July 2015

Derek Sprague – LETB Director

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  • The driving principle for reform of the education and training system is

to improve care and outcomes for patients and HEE exists for one reason alone – to help ensure delivery of the highest quality healthcare to England’s population, through the people we recruit,

HEE Overview

educate, train and develop.

Through:

  • A Single Statutory HEE Board
  • 13 LETBs which are sub-committees of HEE, made up of representatives from local

providers of NHS services and cover the whole of England.

  • LETBs are responsible for the training and education of healthcare staff, both

clinical and non-clinical, within their area.

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NHS Organisations

NHS provider organisations in the South West: 12 acute trusts 3 healthcare trusts 5 partnership trusts 1 ambulance trust 1 specialist trust 1 specialist trust 1 community services trust (potential) Other NHS organisations/ networks: 11 CCGs 1 Local Area Team 2 Academic Health Science networks 1 Clinical senate 2 Public health centres 1 West Local Delivery Partnership 1 PenCLAHRC – Peninsula Collaboration for Leadership in Applied Health Research and Care

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Non-NHS Providers

Non-NHS Providers in the South West: 6 social enterprises 5 independent treatment centres 16 voluntary sector providers 628 GP practices 865 Dental practices 865 Dental practices 302 Optician employers 1559 Care Homes 520 Care Homes with Nursing In addition there are increasing numbers of private providers across a range of services, currently including:

  • Virgin Care – Children’s services
  • South West Pathology services

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Education Providers

Further Education Providers:

Bridgwater College Cirencester College City College Plymouth City of Bath College City of Bristol College Cornwall College Exeter College Gloucestershire College New College Swindon

Higher Education Institutes:

  • Plymouth University
  • Bournemouth University
  • University of the West of England
  • Oxford Brookes University
  • University of Bristol
  • University of Bath
  • University of Exeter
  • University College of St Marks & St John
  • University of

Bath

5 New College Swindon Norton Radstock College Petroc Plymouth College of Art Richard Huish College Somerset College South Devon College South Gloucestershire and Stroud College Strode College Swindon College Truro and Penwith College Weston College Weymouth College Wiltshire College Yeovil College

  • University College of St Marks & St John

Bath

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Local Authorities

  • 13 Health & Wellbeing Boards

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Operating model

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HEE Budget – (2015/16)

£4.9Bn

HESW Budget – (2015/16)

£332M of which: £332M of which:

Undergraduate medical/dental - £65M Postgraduate medical/dental - £132M Non-medical undergraduate - £108M Workforce development (CPD, Bands 1-4 etc) - £16M

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Under Graduates 2,818

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Public Health

33 28 33 41 27

Respiratory Medicine Gastroenterology Geriatric Medicine Renal Medicine Haematology Acute Medicine Cardiology Core Medical Training

179 139 39

Neurosurgery

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Medicine 565

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Endocrinology & Diabetes

8 94

General Surgery Urology ENT Paediatric Surgery Cardiothoracic Surgery Plastic Surgery

11 21 6 16 123 16 81 8

OMFS

Surgery 377

17 Others

Foundation F1/F2 985

Medical Trainees

Core Surgery Trauma & Orthopaedic Surgery

Dental 117

GP 794

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16 Health 34

Emergency Medicine 93 Paediatrics & Child Health 190 Obstetrics & Gynaecology 117

Acute Medicine inc ACCS Histopathology Ophthalmology Medical Microbiology & Virology

Clinical Radiology 99

ACCS Anaesthetics Anaesthesia

207 72 5 33

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Forensic Psychiatry General Adult Psychiatry Old Age Psychiatry Psychiatry of Learning Disability Core Psychiatry Child & Adolescent Psychiatry Psychotherapy

110 14

Psychiatry 188

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Total trainees Split of trainees

Source: Severn Deanery & Peninsula Deanery stock take 1st October 2012

Anaesthetics 279 9

6,700+ Medical Trainees

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Clinical Psychology 36

Occupational Therapy 112

Child Health Nurses 101 LD Nurses 30

Adult Nurses 755

Mental Health Nurses 206

Nursing 1092

Midwives 119

Physiotherapy 116

Non-medical

PTPs 45

Dietetics 30

112

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2000+ Non-medical Students

Diagnostic Radiography 103

Health Visitors 211 School Nurse 20

Total students Split of students

Source: Planned Education Commissions 2011/12 – excludes Dorset commissions

Occ. Health 5

Podiatry 30 Speech & Language 32

ODPs 64

Specialist Community Public Health 236

Therapeutic Radiography 35 Dental Care Pract.s 30

Technicians

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Pharmacy 35 STPs 24 45

Pharmacy Healthcare Scientists

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South West Whole Health & Care Workforce

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Workforce Planning Cycle

March :

Workforce Forecast system

  • pen

March :

Workforce Forecast system

  • pen

June: Forecast

templates completed/ first aggregate available

June: Forecast

templates completed/ first aggregate available

December:

HEE Workforce Plan for England / NAIs

December:

HEE Workforce Plan for England / NAIs

July:

Workforce Demand Review Workshop

July:

Workforce Demand Review Workshop

August:

Aggregate Forecast Demand to HEE / Analysis on Supply & demand

August:

Aggregate Forecast Demand to HEE / Analysis on Supply & demand

September:

follow-up workshop/ first draft Investment Plan

September:

follow-up workshop/ first draft Investment Plan

October:

Final Investment Plan / GB meeting

October:

Final Investment Plan / GB meeting 13

Scheduled for 27 July 15

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5YFV

A system solution bringing together the leads for 6

  • rganisations.

National expectation on 5YFV ‘huge’. Dissolve artificial barriers. Focus on co-design and system change activity. Focus on co-design and system change activity. Establishment of the Workforce Advisory Board

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Workforce Advisory Board

Chaired by HEE but includes Simon Stevens. Four areas of initial focus:

Devise plans to retain existing staff/ attract returners in challenged roles e.g. EM and GP; returners in challenged roles e.g. EM and GP; Provide support to challenged health economies where shortages impeding improvement; Identify flexibilities to develop new models of care; Identify new roles to deliver 5YFV

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Selected future developments

Shape of Caring Consultation Shape of Training Consultation Increase of 5000 GPs, and 5000 extra clinical staff, across England by 2020 Introduction of new roles – e.g. physician assistant Introduction of new roles – e.g. physician assistant Talent for Care and Widening Participation Strategies Apprenticeships (1704 in 2014/15) (1562 in 2015/16) Increased adult nursing output from 2016 (but not enough) despite 91 RTP and 26 Widening Access places last year.

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Registered Adult Nursing – HESW forecasts

Increased staff in post of 1,000 between March 2013 and Feb 2015

  • A significant part of which is international recruitment – increase of 366fte between

March 2013 and Dec 2014

  • Reduced available labour force for Nursing Homes and other services

NB: our increased commissions do not impact on supply until June 2016.

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Workforce development delivery - CPD

Activity Budget 2014/15 £’000s Budget 2015/16 £’000s

Learning4Health (final year 2015/16) 3,000 3,000 CATP Internships for PhD applications - National scheme n/a n/a Non-medical prescribing 400 400

Health Care Scientist and Diagnostic staff CPD

50 100

Mental Health and LD development CPD

n/a 150

Theatre staff CPD

Workforce Planning skills development 150 100 Simulation, human factors & technology based development 300 (Plus 1,200) 200 Support for SAS doctors 665 665 Advanced practice – Primary Care / Community care: 825 900 Advanced Practice – Urgent / hospital care 875 900

Total funding 6,295 6,415

  • Areas for CPD development in 2015/16 – Mental Health; Learning Disability;

Theatre staff skills; HCS and diagnostics skills – sonography etc.

  • Areas for CPD development in 2016/17 – for discussion / inclusion in

planning round which commences in September.

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Wider Workforce Development – (1)

Activity Budget 2014/15 £’000s Budget 2015/16 £’000s

Public Health Workforce Development 300 400 Values Based Recruitment 50 n/a Frail Elderly and those with dementia/ EoLC/Complex needs 200

(+200k from 13/14)

1,700 Integration: Pioneer and Vanguard sites and the Integrated 300 1,700 Pioneer and Vanguard sites and the Integrated Personal Commissioning Demonstrator site work Joint & Partnership working eg AHSNs (Patient Safety) 500 Quality Improvement methodology n/a Innovation: Innovation projects / pilots funded 1,400

(1m allocated)

1,000

(maintain level of investment)

National Dementia project 847 n/a Ambulance workforce 550 800 Clinical Leadership 500 500 tbc Total 4,400

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Shape of Caring

Lord Willis led the Shape of Caring Review for Health Education England and the Nursing and Midwifery Council; It is a review of the future education and It is a review of the future education and training of registered nurses and care assistants; HEE and the NMC have accepted the recommendations and a consultation is open

HESW event scheduled for 5 Oct (in Taunton?).

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Shape of Caring (1)

The Outcomes and Recommendations from the review include:

  • a review of education funding by HEE to secure a multiprofessional

approach to training;

  • a one year formal preceptorship for newly qualified nurses in their

chosen specialty;

  • more general training in the first two years of a nursing degree,

including mental health;

  • a review of the four branches of nursing and the creation of a new
  • a review of the four branches of nursing and the creation of a new

“community nursing” field;

  • making the care certificate a mandatory requirement for all HCAs;
  • a new advanced HCA role at pay band 3 with a nationally

recognised and standardised curriculum based on NMC standards;

  • changes to make it easier for advanced HCAs to access

undergraduate nurse training.

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Innovation Fund 2015/16

71 applications were logged from 36 organisations. The breakdown by organisation type is shown below.

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So What Now?

HESW commissioning and investment only as good as the input from stakeholders and resource available.

Workforce Planning Cycle meeting (27 July) Workforce Planning Cycle meeting (27 July) WoE Membership Council Meeting (10 Sep -Bristol) Shape of Caring Engagement event (5 Oct) Continued links with HE Wessex

Outputs from Workforce Advisory Board/ 5YFV

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