Workforce for London – A Strategic Framework

Implications for NHS/HE Partnership

Workforce for London – A Strategic Framework• Launched 16th September 2008

• High Level 10 Year Strategic Framework for London’s Health Workforce

• Enabling Workforce Strategy to ‘Healthcare for London’

• It is an engaged workforce, equipped with the skills they require that drive high quality service and service improvement

• www.london.nhs.uk/what-we-do/developing-nhs-staff

National Context

• High Quality Care for All – The Next Stage Review

• A High Quality Workforce– Staff Pledges

– MPET review

– Education Commissioning

– HIECs

• World Class Commissioning

• Operating Framework Priorities

• Other Policy Initiatives – e.g. research agenda / NHS Evidence

Workforce for London – A Strategic Framework

• London’s Unique Challenges

• London’ s Future Workforce

– Shape, size, characteristics

– Settings

– Productivity

• Building A System Fit To Deliver

• Leading for Health

• Implementation

Building A System Fit to Deliver – Workforce and Education Planning and Commissioning

• Align education investment specifically to strategic workforce need

• Accountability, transparency and incentives for quality outcomes from education

• Specific Investment to develop excellence in education and develop education in new settings

Building A System Fit to Deliver – Workforce and Education Planning and Commissioning• Workforce and Education Planning

– Numbers / Volumes

– Skills / Specification

– Education Delivery Models

– Plan for Standards

• Contractual Framework– Clear Accountability, Roles, Standards

– Tariffs / MPET Review

• Quality Assurance

• Provider management– Developing Providers

– Rewarding High Standards

– Transparent Interventions for lower standards, including support

Next Steps

• Workforce for London - Implementation Planning

– Detailed Plan 6 – 18m

– Roadmap 3 – 5 years

– With stakeholders, end state vision / clarity of future roles

• Reports mid December

• Implementation Principles

– Co-design

– Local where possible with London framework

– Clinically led and owned

– Aligned to London wide benefit

Issues for NHS / HE Partnership

• Focus from commissioners will be on transparent quality and value– Making the business case for library / knowledge management

services in contributing to quality and value

– Designing in standards, as part of commissioner / regulator requirement

– Designing in standards to education process within HE/NHS co-production of education

• How do ‘rational’ contract forms and tariff, translate to mainstream funding of library services?

• Potential failure to integrate, at a system level, the approach to commissioning service improvement, education, and research in a way which reflects triple mission of library / knowledge management

AHSCs / HIECs / Other HE/NHS partnerships

• A personal Perspective

• Clear evidence of added value where the NHS accesses the expertise and knowledge of academia (and vice versa)

• In particular access such knowledge that is cutting edge / evidence based because it is generated by research activity

• Examples often at the personal level, service champions, joint appointments

• How do we replicate these benefits at a system level?

• Create effective organisational level partnerships with real shared vision to realise these benefits

• HIECs – A DH initiative to encourage such partnerships by creating a framework for them to operate in and provide funding

• AHSCs – more formal arrangement to discharge ‘triple mission of research, service, and education’ with very strong academic leadership (although worldwide permissive models)

• Provider partnerships for education design and delivery, service design or enhanced delivery