Core SkillsNext Steps

Haydock Park Racecourse

Wednesday 4th March 2015

Agenda

09:00 Registration09:30 Welcome & Opening Address

Programme UpdateUtilising Technology

10:40 Break11:00 Core Skills Adoption

Direction for 2015/16Workshops x 3Closing Remarks

12:45 Lunch & Networking

Opening Address

Mike Gibney

Director of Workforce

The Walton Centre NHS Foundation Trust

Political landscape

• NHS England’s “Five Year Forward View”

• General Election – Who gets your vote?

• The Manchester Health Experiment

• Generation X / Generation Y

• Skill Shortage

Context

• The NWCSP is here for the foreseeable future

• They will continue to support but have an increasing remit

• Set the conditions, need to operationalise

• Last time in November we started to explore:

What sustainable looks like

• We now need to make it happen

Tipping Point

As Is To Be

Tipping Point

“The Tipping Point is a place where the unexpected becomes expected.

Radical change becomes more than a possibility. It is – contrary to all our expectations – a certainty.”Malcom Gladwell, The Tipping Point: How Little Things Can Make a Big Difference

• Care Certificate• UK Core Skills Training Framework• Core Skills in General Practice• Core Skills Education Resources Version 3• Future Workforce Workstream• Junior Doctor Workstream

ProgrammeUpdate

CareCertificate

Care Certificate

• Recommendation from Cavendish Review• Aimed at Health Care & Social Work support workers• Developed by HEE, Skills for Health and Skills for Care• Applicable to bands 1 – 4• New Starters to complete in first 12 weeks

• NWCSP supported HENW with the NW Pilot• National launch in February 2015• NW launch in March 2015• Organisations expected to use from April 2015

Care Certificate Standards

1. Understand your role 6. Communication 11. Safeguarding children

2. Your personal development

7. Privacy and dignity 12. Basic life support

3. Duty of Care 8. Fluids and nutrition 13. Health and safety

4. Equality and diversity 9. Dementia and cognitive issues

14. Handling information

5. Work in a person centred way

10. Safeguarding Adults 15. Infection prevention and control

Standards highlighted in yellow align directlyto the equivalent UK Core Skills subject

Care CertificateSupport• National documentation released by HEE in January:

http://hee.nhs.uk/work-programmes/the-care-certificate-new/

• HENW Care Certificate Toolkit:http://nw.hee.nhs.uk/our-work/care-certificate-toolkit/

• Skills for Care releasing a National Workbook later in March:http://www.skillsforcare.org.uk/Standards/Care-Certificate/Care-Certificate.aspx

• ESR releasing National Competences in April

UK Core SkillsTraining FrameworkUpdate

Suite of Frameworks

• UK CSTF 2015, update due April / May 15 to replace version 1.2• No substantial changes planned

• Clinical Care Framework due to be released April 15• With UK CSTF, covers the 15 standards covered by the Care Certificate

• Dementia Framework due to be released April 15www.skillsforhealth.org.uk/projects/item/176-dementia-core-skills-knowledge-framework

Core Skills inGeneral Practice

Benefits to General Practice• Employer Responsibility – Health & Safety Legislation• Supports CQC inspections - particularly the Safe KLOEs• Standardised training provides:

– Clarity– Consistency– Quality– Efficiency

Approach for the pilot

• Designated support from the NW CSP Team to manage the pilot• Central Lead in the CCG and HENW (Kirstie Baxter)

Project Sponsor - to provide authority and escalate issues to• Single point of contact in each practice – ie Practice Manager

Responsible for rollout in practice and engagement with NW CSP team

• Preference for majority to use eLearning, ie the HE COOP Platform NW CSP Team will provide additional support as required

• NW CSP Team to capture activity, collate/record results and provide compliance reports at CCG and Practice level

• Wider group of Practices to pilot Core Skills alongside CCG

Timescales

Dec Jan Feb Mar Apr May Jun

Pre-Pilot Pilot Rollout Post Pilot

Prepare SystemsEngage with PracticesIdentify risks & issuesSet deliverables

Review Pilotwith PracticesEvaluationPrep for widerrollout

Provide Practices with accessProvide ongoing support to PracticesHold regular updates / reviews to gauge feedback and progress

Proposed Target:Engagement by 75% of practices (approx 15)Of these 15 practices, completion of the Core Skills by 75% of staff

Next Steps

• Opportunity to capture Junior Doctors and Healthcare Students on placement in General Practice

• Link into wider HENW programmes and initiatives, for example:Practice Nurse Development Programme

• Post pilot, other practices and CCGs interested in adoption, for example: East Lancs CCG, North Lancs and West Cheshire CCG

• General Practice Core Skills data to be captured on the Skills Directory

Core SkillsEducation ResourcesVersion 3

Education ResourcesVersion 3• NW CSP Education Resources reviewed and updated following

release of v1.2 of UK CSTF in October 2014• Content updated in a number of subjects• New resources for L2 SGC and L2 IPC• All content reformatted and version control introduced• Shared with SMEs for review• Available in a variety of formats:

Powerpoint Presentation, Reader/Workbook, eLite eLearning• Resources accessible from our website:

www.cmtpct.nhs.uk/north-west-core-skills/resources/education-delivery.asp

Future WorkforceWorkstream

Future Workforce

• HE COOP platform updated• Focus on NHS Trusts accepting student Core Skills Training• Example with Psychology & Walton Centre• Links to sustainable tools• Majority of healthcare programmes now aligned,

medical schools main area still to target

Junior DoctorWorkstream

Northwestern Deanery

The objective of the North West Core Skills Programme (NWCSP) is to standardise Statutory and Mandatory Training and address the issues of training being needlessly duplicated, varying quality in training delivery and the inefficient sharing of data between organisations

Working with the North Western Deanery, 2 Lead Employer Organisations and 16 NHS Trusts. Over the course of the last 5 main rotations (February 2013 – February 2015), the NWCSP has implemented an eLearning based solution that has for the February 2015 rotation, resulted in:

•1860 Doctors in Training being Core Skills Trained•Needless duplication of training reduced by 38%.•Subject Level Compliance Reporting

Approach • The NWCSP have developed a number of education resources

including e-Learning, aligned to the UK Core Skills Training Framework.

• The eLearning resources have been implemented on the deaneries Virtual Learning Environment (VLE), embedding them within the Junior Doctor e-Induction Programme.

• The training was available online allowing the Doctors in Training to access and complete it where and when it was convenient, with the provision it was completed prior to the commencement of their next rotation placement.

Junior Doctors

Completion rates for Core Skills Training by Doctors in Training for the February 2015 rotation is 76.91%

Core Skills Subject % Completion

Equality & Diversity 82%

Fire Safety 83%

Health & Safety 80%

Infection Control 78%

Information Governance 56%

Manual Handling 79%

Safeguarding Adults 79%

Safeguarding Children 78%

Utilising Technology

Gemma Sheridan

Liverpool Women’s NHS Foundation Trust

The LWH Guide

SMARTPHONE APP & INTRANET SITES

For Doctors in TrainingFor Doctors in Training

GEMMA SHERIDAN ST6 O&G, CLINICAL APP FELLOW

The Plan•Background•Tour•Our experiences of Implementation•Plans for version 2

Liverpool Women‘s Hospital

Doctors in Training

Aim of the LWH Guide•Trainees have practical information whenever needed•Improve access to clinical guidance•Allow induction to be focussed on clinical teaching•Improve trainees experience when starting at LWH

The LWHGuide App Project

Postgraduate Education Team E Learning strategy

Software Developers Funding for Clinical App Fellow

Timeline

Smartphone App

IOS ANDROID

Home Screen

Handbook

Handbook

Clinical GuidelinesClinical Guidelines

•4 Gynaecology4 Gynaecology•19 Maternity19 Maternity•Antibiotic FormularyAntibiotic Formulary

Dedicated Intranet siteDedicated Intranet site

Active Forms: Annual Leave/On Call Swaps

Session Log

Intranet Site

LWH GuideO&G

Doctors

LWH Guide App Features plus:

•Rotas

•Calendar: Educational events

•Teaching presentations

•Links to useful sites

•Announcements

Evaluation & feedback

◦ App downloaded by a large proportion of doctors in training

◦ Access to clinical guidelines as been significantly improved

◦ ‘Very useful’ during the first few weeks at Liverpool Women’s

Problems

◦ Doctors asked for the rotas to be available via the app

◦ No live update facility

◦ Low use of active forms

Version 2…

◦ Live update via Cloud Drive:◦ Rotas via the app◦ Access to full range of Guidelines◦ All guidelines in app up to date◦ Wider range of Active Forms

◦ Better publicity and training at launch

Version 2…

INFORMATION DELIVERY SYSTEM

TAILORED TO STAFF GROUP

AVAILABLE FOR…

App team

◦ Version 1◦ Dr D Roberts – clinical lead, LWH◦ Ms K Smith – Post graduate Education Centre Manager, LWH◦ Dr G Sheridan – Clinical App Fellow, LWH◦ Mr G Constantinou & team – Coventry University Enterprises

◦ Version 2◦ Mr D Walliker – Chief Information Officer, LWH◦ Mr R Cowell, Mr S Dobie – Information Management Team, LWH◦ Dr F Arshad & team – Liverpool John Moores University

The LWH Guide

Any Questions?

Break

Agenda

09:00 Registration09:30 Welcome & Opening Address

Programme UpdateUtilising Technology

10:40 Break11:00 Core Skills Adoption

Direction for 2015/16Workshops x 3Closing Remarks

12:45 Lunch & Networking

• Measuring Core Skills Success• Sharing Data• Sustainability Tools

Direction for2015/2016

Measuring Core SkillsSuccess

Core Skills Adoption

• 93% return by NHS Trusts (37 / 40 Trusts aligned to UK CSTF)

• 800 possible subjects available (20 subjects inc levels x 40 Trusts)• 85% of Core Skills subjects being delivered by Trusts (676 / 800)• 77% of subjects are fully aligned to the UK CSTF (523 / 676)

• 100% return by HEIs (10 / 10 HEIs aligned to UK CSTF)• 94% of HEI Programmes aligned to the UK CSTF (79 / 84)

• 90% return by FE Colleges (19 / 21 FEs aligned to UK CSTF)• 91% of FE Programmes aligned to the UK CSTF (21 / 23)

Critical Mass

“Critical mass, the required number of adopters needed for an innovation so that the rate of adoption becomes self-sustaining and creates further growth.”Everett Rogers, Diffusion of Innovations

As Is To Be

Further Growth

• The Core Skills has been adopted in the North West• Needs to be more than just delivering Core Skills training• Now need to realise the wider benefits of:

– Recognising and accepting Core Skills– Reducing duplication– Efficiencies from working differently– Expanding the Core Skills approach into other areas

• New governance arrangements for the NW CSP• Need a new set of targets for organisations

to measure the ongoing impact and success of the NW CSP

New Measures

• Subject alignment and delivery• Time taken for training delivery and administration• Organisational commitment / Roles and responsibilities identified• Core Skills reflected in relevant policies• Required procedures in place (Compliance Check / Flexible Training)• Use of ESR National Competences / Skill Code / Naming Convention• Amount of training recognised / accepted and duplication avoided

• A dashboard will be developed to capture these measures• Maintained and updated periodically by NWCSP

Sustainability Tools

Core SkillsImplementation Model

Phases Step 1 Step 2 Step 3 Step 4 Step 5

Phase 1 Engagement

ExecSupport

Core SkillsLead

Project Meeting AssessReadiness

Action Plan

Phase 2Alignment

Engage SMEs Complete Content

Mapping Tool

Ensure Contentis Aligned

Sign off ByOrganisation

Submit Evidence

to NWCSP

Phase 3 Share Data

Sign Info SharingProtocol

Data ReportingIn Place

Process for Sharing Core

Skills

Skills RegisterAdmin/ Training

Go Live with Core Skills Register

Phase 4 Recognition

Agree to Accept

Training

Introduce Check for

Compliance

Introduce FlexibleTraining

Sign off by Organisation

Submit Evidence

to NWCSP

Phase 5Realisation

Embed Measure Audit Business AsUsual

ContinuousImprovement

Overview of Tools

Responsibility

FlexibleTrainingCompliance

Compliance Check

Pre-Requisite Pre-Hire Pre-Start

AcceptTraining

Core SkillsRequired

NotifyIndividuals

EvidenceRequired

Core SkillsOutstanding

NotifyIndividuals

Arrangements to Complete

Pre-Advert

CheckEvidence

Follow upEvidence

Capture Evidence

Create/Update Record

Flexible Training Approach

Pre-Requisite InductionDesign

InductionMapping

ComplianceCheck

ReviewContent

ReviewWhen

ReviewWhere

Align Core Skills

UpdateProgramme

Induction Planning

Content toInclude

Timescale and Format

Utilise Local Induction

DeliveryReview

How

Roles and Responsibilities

Exec

HR/ODIT/Systems Quality

Learning &Development

MedicalEducation

PracticeEducation

Wider HR(Recruitment)

Exec

School/FacultyIT/Systems Admissions

ProgrammeB

ProgrammeA

ProgrammeC

Sharing Data

Current Position

• The Core Skills Register ver1.2 has reached the end of its lifecycle• Limitations of system reached both functionally and in capacity

• Negotiations for a CSR ver2.0 development have stalled• HENW have withdrawn from existing system

• NW CSP managing data internally following same process as CSR v1.2• NW CSP provide data uploads, queries and reports for organisations

• Long term, new system required, to be in place for Summer 2015• Working title: “Skills Directory” – Focus for Workshop 2

IAT Competency Management

IAT and Competences

• There is no QA process for the national MAND competences. Any organisation can use and assign them. If your organisation uses IAT then any competences will automatically transfer.

• The CSTF competences have a QA process. SfH keep a list of all organisations who have declared alignment with the Core Skills Framework. The NHS Central Team and SfH monitor who is using them.

• Following some work last year (big shout to StH&K) an enhancement has been introduced to more effectively use the CSTF competences.

CCN966 - IAT competency management

• A new form is available for the management of competencies during the IAT process. This enables an organisation to amend the competencies that transfer as part of that process.

• Streamlines Hire Process:• Provides key information to administrators• Enables better decision making for new starters

• Features Include:• Amend Competence Profiles at Pre-Hire Stage• Review Competence Requirements for Position• Configurable Role to Identify Appropriate Approvers

Process pre-Release 25

NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016

NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016

Details of Position RequirementsNHS|CSTF|Fire Safety – 1 Year

Details of Current CompetenceNHS|MAND|Fire Safety 2 Years20-MAR-2010 to 31-MAR-2016

Date Last Awarded 01-APR-2014

Source Trust Target Trust

Stat & Mand Notification Role

Holder

New Process

NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016

NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016

Details of Position RequirementsNHS|CSTF|Fire Safety – 1 Year

Details of Current CompetenceNHS|MAND|Fire Safety 2 Years20-MAR-2010 to 31-MAR-2016

Date Last Awarded 01-APR-2014

Source Trust Target Trust

NHS|CSTF|Fire Safety – 1 Year 20-MAR-2010 to 31-MAR-2015

No Stat and Mand Competencies Transferred

Stat & Mand Notification Role

Holder

Approve

Edit

Do Nothing

IAT and Competences - Best Practise

• Define core skills requirements across the Organisation• Assign relevant national CSTF competences at Position level in ESR

– Use bulk upload facility• Undertake data cleanse for MAND competences that may have

transferred up to now• Fully utilise IAT functionality

– Turn on Auto-enabled IAT setting– Request IATs pre-hire– Minimise use of direct hires– Remember that National Competences are only sent once* – Use local notifications if appropriate (for depts/business units)*some Trusts re-request IATs to capture further information not available from the outgoing

organisation’s VPD at the first time of asking.

Summary

• Not overly complex but needs to be worked through with Recruitment, who may not be aware of the Core Skills Framework and the NW Programme activity.

• Further information available on Kbase in release notice 238https://www.electronicstaffrecord.nhs.uk/kbase/entry/384/

• Watch this space for;– further case studies– Implications for agency staff

• Sustainability Tools• Sharing Data• Streamlining

Workshops

Lunch