EC

Chris Wintle

10th June 2008

Sector Skills Agreement

Skills for Health

The Sector Skills Council for the health sector. Licensed by Department for Education and Skills (England) on behalf of all four UK nationsSupported by all 4 UK Health DepartmentsWorkforce approx 2.3 million.

We cover the whole health sector:NHS

Independent / private

Voluntary employers

We cover all UK Nations and Regions:9 English Regions

Northern Ireland

Scotland

Wales

Health sector across the UK

Strategic Intent

‘Develop a skilled flexible and productive workforce for the whole health sector in all UK nations, to raise the quality of health and healthcare for the public, patients and service users’

The Health workforce in SE is diverse

Benefits from a large number of volunteers

The workforce is largely female (78%)

38% workforce part-time (28% whole economy)

The workforce is predominantly white (89%)

73% work predominantly in the public sector

21% work predominately in the private sector

Replacement Demand Estimates

63% of the professionally qualified clinical staff i.e. nurses, physiotherapists etc.

68% of clinical support staff

60% of NHS infrastructure staff (including Admin & clerical, managers).

Assuming that retirement profiles do not dramatically change over the period (2006 to 2016) and using a conservative 5% estimate for all other turnover, it is estimated that by 2016, the NHS in the South East region will need to replace approximately:

Regional work plan 08/09

Develop & publish a Regional Sector Skills Agreement

Support the Joint Investment Framework

Publication of Regional Labour Market Intelligence

Support development of local workforce solutions e.g. Maternity Support Workers

Regional Sector Skills Agreement

Employer led

Sector wide

With 12 & 24 month action plans

With measurable outcomes

Extensive consultation

Sector Skills Agreement (SSA)

A key mechanism for health sector employers to:

identify their skills needs and gaps

define and prioritise training and productivity requirements now and in the future

Series of agreements between:

sector employers;

education/training providers;

funding bodies;

And the government to ensure that…

“The skills the sector wants are the skills the sector gets”

Regional Sector Skills Agreement

What are Employer needs

Sector wide – joined up approach

Needs defined in functional terms

Aligned to the Career Framework

Wide consultation – across sector & region

Traditional Case – meeting the needs of the system not the patient

Mark is 14. At 1600 one Saturday he lacerated his left leg while playing football with his friends on a local playing field. The laceration is superficial and 10cm in length.His parents and an ambulance are called at 1605.

Process Map – hitting targets but failing the patient

1625 Leave scene

1615 parents arrive

1612 Ambulance on scene

1655 Arrive ED

1600 leg laceration

1605 999 call

1607 Ambulance dispatched

1705 Hand over

1712 Nurse Triage

1910 Treatment

2000 Home

1930 Discharged

Max 8 minutes target

Max 4 hours target

ECP – a competence based approach – Benefits?

1615 parents arrive

1612 ECP on scene

1600 leg laceration

1605 999 call

1607 ECP dispatched

1650 Home

1640 Discharged

1620 Treatment

Benefits from the second process map:

• All targets were still met e.g. 8 minute response time

• 30 min. journey avoided (60 min)

• 4 hour pathway, reduced to 40 minutes

• Productivity & financial benefits (reduced EC attendance + £28 – 85K)

•Has the system changed?

Why do clinical staff need help?

“There I am, standing by the shore of a swiftly-flowing river, and I hear the sound of a drowning man. So I jump into the river, pull him to the shore and apply artificial respiration. Just as he starts to breath, another cry for help. So back into the river: pulling, applying, breathing then another yell. Again and again. You know, I’m so busy saving them, that I have no time to see who is upstream pushing them all in.” Dr I. K. Zola 1973

The Career Framework for HealthChris Wintle – Regional Director

01256 783053 / 07867537899

Chris.Wintle@skillsforhealth.org.uk

www.skillsforhealth.org.uk