Review of Pre-Registration

Nurse Education –

Flexible Nursing PathwayKathy Branson

Executive Lead - Special Projects

www.hee.nhs.ukwww.eoe.hee.nhs.uk @HEEoENurse

We engaged with employers, nurses, HEIs and students across HEEoE and they told us they wanted:

• New routes into nurse education- clarity for HCSWs (T4C etc)- to increase nurse outturn (numbers and throughput)- to improve nurse outturn (competence/confidence)

• Improved employability and employment of nurse outturn• Enhanced focus on skills acquisition, assessment and practice of

‘hands on' care• Enhanced focus on person centred care (learning between

branches) in a range of settings• Improved commissioning levers in LDA and QIPF

Fundamental Review

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New Routes into Nursing

Entry Requirements HEI Provision Service offer

UCAS route

Foundation Degree

Foundation Degree

Traditional 3 year programme

WBL Pathway – 18 – 20 months

2nd year of 3 year full-time programme

2 year + programme

Bursary & mentorship support

Salary & mentorship support (WBL)

Bursary & mentorship support

? Salary support

OtherDegree (2:2 or above)

OtherExperience (e.g. Forces)

2 year post-grad programme ? Salary support

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15/16 (short term):• A work based pathway at 5/6 HEIs• FD takes 2 years• APEL for variety of FDs• Nursing Pathway takes 18-20

months• Full time work based learning• Modification not new programme• Pipeline current staff with FD• Continuity of employment• 120 additional commissions• QIPF covers nursing pathway• Adult & MH• Return on Investment – attrition

and retention

16/17 (medium term):• A work based pathway at 6/6 HEIs• Bespoke FD mapped into NMC hours

and outcomes, taking 18 months• Nursing pathway takes 18 months• Full time work based learning• Pathway validated into all new

programmes• Develop pipeline and recruit direct

(PNEP)• 10% of all commissions (n=240)• QIPF covers FD and nursing pathway• All branches • Return on Investment – attrition and

retention

Work Based Learning Pathway

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Based on a pool of staff qualified to foundation degree level ready to access programmesHEE Costs Flexible Degree

Tuition Nursing BMP Nursing BMP

Bursary None £4,500*

Tariff 0.6WTE 0.5WTE

Salary 0.4WTE Band 3 Point 9 None

Employer Costs Flexible Degree

Salary 0.6WTE Band 3 Point 9 None

* Approx. – actual value will vary between students

Total Pathway Cost -Current Position

HEE Service Total £-

£10,000.00

£20,000.00

£30,000.00

£40,000.00

£50,000.00

£60,000.00

Flexible £28,270

Flexible £19,410

Flexible £47,680

Degree54000

Degree54000

Total Pathway Cost - Current Position

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• This is what employers and staff tell us they want• WBL pathway means employers have to engage with HEIs in new ways

(MOU)• WBL pathway means HEIs have to work in new ways (the local dynamic)• LETB has to work with HEIs differently – Academic Pool• We need more WBL in ALL programmes• Students on WBL pathway need excellent mentorship• The pipeline doesn’t have to be current HCSWs; we can recruit direct into

FD training (PNEP), but must be part of a Grow Your Own strategy• Putting the FD on a commissioning framework has cost implications• The role of the AP at Band 4 requires recognition and development of

evidence base• Could this be 30% of commissions (or more?) cost & supply modelling• Does this start to lead us to a different commissioning model – employment

based/employer led?

Implications for the Longer Term

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Stage 1 Stage 2 Stage 3 Bridging / APL/APEL Stage 4

Qualification level at the end of the stage

Nurse Registration/ Bsc Degree in Nursing

Higher Apprenticeship (Foundation Degree )

For candidates who have not acquired all 18

months NMC competencies

Advance Apprenticeship(NVQ III) including Higher

Care Certificate

Intermediate Apprenticeship

(NVQ II) including Care Certificate

Length of time 1 year 18 months 18 months (2 years ) 6 weeks – 6 months 18 months (20 months) Training Location Trust & College Trust & College Trust/ College/HEI Trust/ HEI WBL/HEI

Academic requirements 1 day a month college

2 days a month college Map / add units for NMC

competencies

1-2 days a week in collegeMap/ add units for NMC

competencies

APEL/APL / skills acquisition / Knowledge portfolio to achieve 1st

and 6 months of 2nd year NMC competencies of Bsc

Nursing programme

2 days supernumery Map skills /knowledge to first 18 months of NMC competencies

against BSc in Nursing

NHS Entry Bands 1 or 2 2 or 3 2 or 3 2/ 3 /4 3 or 4Contract arrangements P/T & F/T & Bank HCA/ NHS

Training contract (Annexe U)

P/T & F/T & Bank HCA/NHS Training contract

P/T & F/T HCA / NHS Training contract

P/T & F/T HCA or Assistant Practitioner

F/T HCA/Assistant Practitioner

GYO – Step On / Step Off

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Entry • 2:2 Degree  or above in any subject• Interview against NHS values• Knowledge of the Health Service Offer • Masters Degree award with a Post Graduate Diploma exit point• Nurse Registration for both exit points• AP(E)L  Degree  to credit 12 months against 3 years nursing programme,

making a 2 year + 1 year APEL• Employment offer, preceptorship, career pathway (see following point)• Post Registration pathway for PGDip exit point, which includes a dissertation,

based in employment organisation  to achieve Masters • Post Masters Development - Clinical/Delivering

Education/Research/Leadership• Adult & Mental Health field

Post-Grad Programme