28th April 2014

Apprenticeships supporting pathways

across Health and Social care

Jo BeckwithWidening Participation Manager

www.hee.nhs.ukwww.em.hee.nhs.uk

The Employment and Skills Context in Lincolnshire

• 1,040 (4%) 16 – 18 year olds not in education, employment or training (NEET)

• 61.8% of Lincolnshire students leave school with 5 GCSE’s at A* - C level compared to a national average of 59.2% Department for Education 2013

• 12,219 people claiming JSA March 2014 Office for National Statistics

• 26% of population aged 16 and above have no qualifications compared to 23% in England and Wales

2011 Census

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Apprenticeships main route into NHS/Health for local young people in Notts

• Robust programme of Apprenticeship recruitment of young people aged 16 – 24 across the LHC

• Over 100 young people recruited each year across a variety of frameworks (since 2009)

• LHC approach with shared T&C’s• LHC Apprenticeship group – includes Educational

providers, Apprentices and NHS/Health organisations

• Governance to WWD group (subgroup of LETC)• Data collection and analysis – HEE/DH• Use of social media/website/twitter• Learner voice – NAF Committee

www.hee.nhs.ukwww.em.hee.nhs.uk

Apprenticeships cont’d

• Annual celebration event• Access to DH funding/Apprenticeship grants • 9 out 10 Apprentices have a positive outcome on

completion of programme• 8 out 10 Apprentices move into a permanent band

2/3 role (14K a year) on completion of programme• All training fully evaluated and then

adapted/commissioned to meet learner needs• Regional recognition, award winning employer,

case studies, promotional literature

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Current terms and conditions of employment

• Salary - £115 per week• Supernumerary status• QCF Qual + ERR + Technical Certificate +

Functional Skills• Often educational component fully funded• 12 – 18 month training contract (dependent on

framework)• Code of conduct• Guidance/risk assessment for employment for 16-

18 year olds

www.hee.nhs.ukwww.em.hee.nhs.uk

Integration - An Apprenticeship framework truly across Health and Social care

• Recruit and develop clinical Apprentices with skills and competencies to care for individuals in a range of Health and Social care settings

• Cross sector and Interprofessional learning, understanding and progression

• Individuals fit for purpose across all sectors and highly skilled on completion of training

• Apprentices able to work and think beyond organisational boundaries

• Shift the way care givers think about how care is provided in order to anticipate patient and carer needs

www.hee.nhs.ukwww.em.hee.nhs.uk

Timely? Why now?Associated policy drivers

• Francis Report• Cavendish Review - Care Certificate• Pre – degree work experience• Higher Apprenticeship - Nursing• Better care fund (formerly the integration

transformation fund) • HEE Mandate/Deliverables

• Increase number of Healthcare Apprenticeships

• Minimum training standards for HCA’s• Progression of HCA’s into Professional training

www.hee.nhs.ukwww.em.hee.nhs.uk

The Pilot

• Cohort 1 - up to 10 Apprentices - September 2014• NUH ‘host employer’• 18 month contract• Rotational programme following the patient

pathway – GP/Community/Care Home/Acute Care• 3-4 months in each setting• Level 2 qualification - mapped to minimum

training standards for HCA’s• HCA Skills Academy providing a robust foundation

to the programme, including 6 C’s, V&B’s etc • Experienced HCA’s to ‘buddy’ Apprentices• A second cohort is planned for mid-2015

www.hee.nhs.ukwww.em.hee.nhs.uk

Examples of improved patient/client outcomes• Apprentices will get an understanding of the

complete patient journey, including sector specific challenges and good practice

• Apprentices who have experience of caring for patients within home and community settings will be well placed to appreciate the importance of patient centred; personalised care and the importance of maintaining this through episodes of acute care stays

• The quality of transfer of care/discharge can often suffer when communication is ineffective between different health and social care sectors – Apprentices with increased knowledge will minimise this

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Potential challenges to the Pilot

• Framework must meet the needs/competencies of all sectors

• Funding of the qualification/additional units• Commitment of the candidates to move to next

placement• Modular approach may be required• Coordination and support for

candidates/placements• Provider who can work/assess across all sectors• Supply of suitable candidates• Geography of placement circuit• Clear understanding of roles and responsibilities of

all parties• Financial ‘buy in’ for salaries from all parties

www.hee.nhs.ukwww.em.hee.nhs.uk

Potential challenges to Apprenticeship recruitment

• Demand for the opportunity by candidates locally• Travel limitations• Potential chaotic lives of some candidates• Pastoral support • Clear commitment to the programme and a

possible modular approach• Financial considerations – particularly for the older

candidates/DWP

www.hee.nhs.ukwww.em.hee.nhs.uk

Points for consideration locally

• Do you have a similar need?• Opportunity to ‘grow’ your own workforce• Opportunity for integration• Use of an ATA• Funding pots available through NAS grants/LEP • Support and funding available from HEEM

www.hee.nhs.ukwww.em.hee.nhs.uk

Questions?Thank you for listening

Jo BeckwithWidening Participation ManagerTel: 01623 848876Mobile: 07540 677833

Email: jo.beckwith@nhs.net

Website: www.nottsworkforce.nhs.uk

Twitter: @NottsWT