Healthier Horizons

Policy and Progress UpdateChris Jeffries Workforce Programme Director NW

SHA Clusters: Impact on workforce and education

• Workforce programme directors in each part of North of England

• Congruence between the three SHAs to avoid conflict or precedents, e.g. workforce planning assumptions, HR transition

• All other activities undertaken locally

Policy Context

• Developing the Healthcare Workforce consultation closed 31 March

• Listening Exercise: Education and training closed 31 May

• Government response to listening exercise June• Future forum second report due mid December• Select Health Committee inquiry• Final Guidance on workforce and education future

arrangements: Autumn (December)

Health Select Committee Inquiry

• The Committee will examine the Government’s plans regarding healthcare education, training and workforce planning:– the right numbers of appropriately qualified and trained healthcare

staff (as well as clinical academics and researchers) at national, regional and local levels;

– that training curricula reflect the changing nature of healthcare delivery, including the medico-legal context;

– that all providers and commissioners of healthcare (both NHS and non-NHS) play an appropriate part in developing the future workforce;

Health Select Committee Inquiry cont.

• multi-professional and multidisciplinary leadership and accountability (encompassing the full range of healthcare professions, specialties and grades) at all levels;

• high and consistent standards of education and training;• that the existing workforce can be developed and reskilled for the future

(through means including post-registration training and continuing professional development); and

• open and equitable access to all careers in healthcare for all sections of society (by means including flexible career paths).

• Comprehensive review• Submissions of evidence by 19th December

Network Leadership Group Membership

• Chief Executives (2)• Medical Directors (2)• Nursing Directors (2)• HR/OD Directors (2)• Finance Directors (2)• GP/Primary healthcare representatives (2)• Public Health Directors (2)• Non Executive Director (1)

Network Leadership Group Roles

• Agreeing the overall strategy for the network• Agreeing the business plan for the network including

objectives for – Workforce Strategy– Education Commissioning– HR Strategy

• Agreeing the budgets for the network within its allocation including any recharges between the networks within the North West for lead commissioning

• Providing the overall framework for how the network undertakes its activities, the operating model

Network Leadership Group Roles

• Agreeing the education commissioning plan for the period based on the strategy and workforce plans

• Being accountable to the SHA board in the first instance and on to the Department of Health for the formal Service level Agreement and then Health Education England (HEE) through the formal contract

• Ensuring the contractual obligations with HEE are met • Performance monitoring and taking appropriate action to ensure

there is a continual focus on improving quality and providing value for money

• Managing conflicts of interest that partners may have from time to time

First NLG meeting agendas

• Terms of Reference• How NLGs will work• Development of stakeholder forum• Cross commissioning responsibilities• Allocations and draft budgets• Workforce and education strategy• Board development

Second NLG meeting agendas

• Allocations and draft budgets• Workforce plans• Commissioning plans 2012/13• High level priorities• Communications• Stakeholder engagement

How the NLGs will work

• NLG members – As members– From Representative groups

• Gathering information and issues from stakeholders– Specific groups– Stakeholder forums

• Using the current workforce planning and education networks

NW Timescale

• Network boards start November• Involvement of providers in commissioning and

budget decisions November to March• Network Leadership groups continue for 2012/13• Await guidance before taking legal entity work

further• SHA to remain the legal entity until April 2013 within

cluster

Current issues

• Allocations for 2012/13• Summary of workforce plans • Commissioning plans for 2012/13• Health visitor, IAPT and midwifery plans• Diploma to degree for nursing• GP Training numbers• Medical vacancies• Modernising scientific careers

NLG Members: Cheshire & MerseysideMember Category Member Name Member Organisation

Chief Executive Mrs Kathryn Thomson Liverpool Women’s NHS Foundation Trust

Chief Executive Mrs Sheena Cumiskey & Wirral Partnership NHS Foundation Trust

Medical Director Professor Ian Lewis Alder Hey Children’s NHS Foundation Trust

Medical Director Dr Gary Francis Aintree University Hospital NHS Foundation Trust

Nursing Director Ms Diane Wake Royal Liverpool & Broadgreen University Hospitals Trust

Nursing Director Vacant

HR/OD Director Mrs Amanda Oates The Walton Centre NHS Foundation Trust

HR/OD Director Mrs Anne-Marie Stretch St Helens & Knowsley Teaching Hospitals NHS Trust

Finance Director Mr John Graham Royal Liverpool & Broadgreen University Hospitals Trust

Finance Director Vacant

GP/Primary Healthcare Dr John Hussey Liverpool PCT

GP/Primary Healthcare Dr Stephen James Cox Merseyside Cluster

Public Health Director Dr Paula Grey Liverpool CC/PCT

Public Health Director Dr. Rita Robertson Warrington PCT

Non-Executive Director Mrs Lynne Lobley Warrington & Halton NHS Foundation Trust

NLG Members: Cumbria & LancashireMember Category Member Name Member Organisation

Chief Executive Professor Heather Tierney-Moore Lancashire Care NHS Foundation Trust

Chief Executive Mr Tony Halsall University Hospitals of Morecambe Bay NHS Foundation Trust

Medical Director Dr Fran Foster Calderstones NHS Foundation Trust

Medical Director Mrs Catharina Maria Helena Schram East Lancashire Hospitals NHS Trust

Nursing Director Mrs Paula Braynion Calderstones NHS Foundation Trust

Nursing Director Mrs Sue Reed Lancashire Teaching Hospitals NHS Foundation Trust

HR/OD Director Mrs Joanne Marshall Lancashire Care Foundation Trust

HR/OD Director Ms Margo Kane North West Ambulance Service NHS Trust

Finance Director Mr Jonathan Wood East Lancashire NHS Trust

Finance Director Mr. Tim Bennett University Hospitals of Morecambe Bay NHS Foundation Trust

GP/Primary Healthcare Dr Andrew Maddox Lancashire Morecambe Carnforth and Garstang Clinical Group

GP/Primary Healthcare Vacant

Public Health Director Dr Frank Atherton NHS North Lancashire

Public Health Director Vacant

Non-Executive Director Mrs Patricia Anne Thomas University Hospitals of Morecambe Bay NHS Foundation Trust

NLG Members: Greater ManchesterMember Category Member Name Member Organisation

Chief Executive Mr Julian Hartley University Hospital of South Manchester NHS Foundation Trust

Chief Executive Vacant

Medical Director Dr Henry Ticehurst Pennine Care NHS Foundation Trust

Medical Director Dr Jackie Bene Bolton NHS Foundation Trust

Nursing Director Mr Michael McCourt Pennine Care NHS Foundation Trust

Nursing Director Mrs Jackie Bird The Christie NHS Foundation Trust

HR/OD Director Mrs Nicky Ingham Bolton NHS Foundation Trust

HR/OD Director Mr Jon Lenney Wrightington Wigan & Leigh

Finance Director Mr Ian Moston The Christie NHS Foundation Trust

Finance Director Mr Bill Gregory Stockport NHS Foundation Trust

GP/Primary Healthcare Mrs Wendy Fairhurst Health FirstALW CIC

GP/Primary Healthcare Dr. Malcolm Brown Bolton Health Consortium (BCCG)

Public Health Director Ms Melanie Ruth Sirotkin NHS Salford

Public Health Director Vacant

Non-Executive Director Dr Robina Shah Stockport NHS Foundation Trust

Inaugural NLG Meetings

• Cheshire & Merseyside – 22nd November

• Cumbria & Lancashire – 25th November

• Greater Manchester – 21st November

NW NHS Service Provision

NLG Geographical Representation

NHS Service Provider Analysis: Cheshire & Merseyside

C&M NHS Service ProvisionNLG Service Provision Representation

NHS Service Provision Analysis: Cumbria & Lancashire

C&L NHS Service ProvisionNLG Service Provision Representation

NHS Service Provision Analysis: Greater Manchester

GM NHS Service Provision NLG Service Provision Representation

Stakeholder ForumLead CEO, HRD, FD, MD, ND for each Network patchNHSNW workforce and education Postgraduate Deanery senior team Regional full time Officer representing the NW Social Partnership ForumSocial Care/Local Authority Voluntary Service North WestPrivate SectorPublic HealthHEIsPCT Cluster commissioner/Clinical Commissioning ConsortiaHIECLeadership AcademyStudent TraineePatient/Public

And special consideration to be given to specific professional advisory groups covering the main staff groups

Stakeholder Forum Membership

Clinical Professionals

Workforce & Education Partners

Geographical Locality

NHS Sector ProvisionNorth West

Recap

• Over 250 members in 3 months• Largely representative of perspectives, geography

and sector• A few key gaps – patients, students/trainees, service

commissioning, non-NHS Providers

• But need to be realistic about who, when and how to best engage to make this a success

WORKSHOP Part 1To establish who are the ‘must do’s’

• Table discussion for next 40 minutes• Informed by the analysis to date• Determine who are the;Most influential, most affected (the must’s)Most affected, least influential (the should’s)Most influential, least affected andLeast influential, least affected (the could’s)

Draft Education Outcomes Framework

• supports the integrated healthcare workforce to meet the outcomes set out in the NHS and public health outcomes frameworks.

• identifies outcomes that DH expects of the Education & Training system and an accountability mechanism between DH & HEE, HEE & LETBs, LETBs & Education and Service Providers

• provides a direct line of sight between education and training and patient experience

• is a catalyst for driving quality improvement and outcome measurement throughout the NHS

• identifies two, high level, transitional indicators for 2012/13 - with further indicators being introduced at a later date when HEE is established

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NHS and Public Health Outcomes

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Domain 1 Domain 2 Domain 3 Domain 4 Domain 5

Health Protection and Resilience:

protect the population’s health

from major emergencies and remain resilient to

harm

Tackling the wider

determinants of health:

tackling factors which affect health and

wellbeing and health

inequalities

Health Improvement:

Helping people to live healthy

lifestyles, make healthy choices

and reduce health

inequalities

Prevention of ill health:

reducing the number of people

living with preventable ill

health and reduce health inequalities

Healthy life expectancy and

preventable mortality:

preventing people from dying

prematurely and reduce health inequalities

NHS

PH

Background

Government response to the NHS Future Forum report (20 June 2011)

“To reinforce its importance, we will introduce an explicit duty for the Secretary of State to maintain a system for professional education and training as part of the comprehensive health service.

To ensure consistently high quality around the country, we will develop a national education and training outcomes framework, setting out the outcomes that HEE would expect providers to meet.”

Background

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Excellent quality care in training environments

Competent and capable staff

Fitness for purpose & leadership

Promote health and wellbeing and address health inequalities

Support the NHS constitution values and behaviours

Promoteeffective team and multidisciplinary working

Respondto changing service demands

Excellence of education training &development

Educational Outcomes Framework

Individuals & professional groups

aligned to workforce demand

Meet strategic national & local workforce & commissioning plans

SoS/DH HEE

Meet standards set by independent regulatory/statutory bodies

Safety

Effectiveness

LETB (inc health & education partners) Healthcare Org

Ensure health workforce has right skills, behaviours and training, and is available in the right numbers , to support the delivery of excellent healthcare

DRAFT

Promote, professional developmentresearch utilisation and innovation

Professional Statutory Regulatory Bodies

National Required

Indicators for 2012/13

Board/Executive Team level

engagement in workforce planning,

education, training and

leadership of all staff.

Safe trainee/student

supervision

National Required

Indicators for 2012/13

Board/Executive Team level

engagement in workforce planning,

education, training and

leadership of all staff.

Safe trainee/student

supervision

Excellent experience

for students , trainees & patients

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WORKSHOP Part 2 To establish their role and contribution• Mindful of the role of the North West

Network Leadership Groups and• The outcomes anticipated by Health

Education England• Describe the part to be played by the ‘core’

Stakeholder Forum – those identified as most influential and most affected (the must’s)