North West LETB – Workforce and Education

Arrangements

Nick Wood – Associate Director of Workforce & Education Programmes

Tuesday 27th November 2012

Introduction

• National update• Education Outcomes Framework• North West LETB• Local Workforce education and training

issues

National Changes and Developments• HEE Executive/Senior Appointments• 13 LETBs established • Most Independent Chairs and Managing

Directors appointed• Care and support bill consultation to set up HEE

as NDPB completed• NHS Mandate• Bi-lateral Agreement• Education Outcomes Framework

NHS MandateSection 4.7 (Page 17) Ensuring that people

have a positive experience of care ‘….the NHSCB also has a statutory duty as to promoting education and training, to support an effective system for its planning and delivery. The Board should support HEE in ensuring that the health workforce has the right values, skills and training to enable excellent care.’

Bi-lateral AgreementHEE/NHS CB compact – excellent health and

healthcare depend on a highly skilled and educated workforce so the two organisations have a strong shared purpose.

Priorities may include:• Workforce planning assurance• Identification of strategic priority areas for

workforce e.g. specific groups• Widening participation (using the equality

delivery system as a lever)

C and valuesHEE Core values

• - Respect and dignity• - Commitment to quality care• - Compassion• - Improving lives• - Working together for patients• - Everyone counts

• Pride in working for HEE• Pride in being a healthcare professional

• Workforce of the 1980s

- 24/7 working?

- Globalisation

- Primary/community vs hospital

- Curative vs palliative/LTCs

- ‘Feminisation’ of workforce• New technology

- Education

- Healthcare delivery• Innovation

- New roles (e.g. nurse/pharmacist)

Ambition and innovation

The only reason HEE exists is to ensure high quality care is delivered to patients

Success criteria• Improvements in safety• Improvements in experience• Improvements in clinical outcomes• Innovation

Outcomes

Education Outcomes Framework – Domains 1. Excellent education – Education and training is commissioned and provided to the highest standards,

ensuring learners have an excellent experience and that all elements of education and training are delivered in a safe environment for patients, staff and learners.

2. Competent and capable staff – There are sufficient health staff educated and trained, aligned to service and changing care needs, to ensure that people are cared for by staff who are properly inducted, trained and qualified, who have the required knowledge and skills to do the jobs the service needs, whilst working effectively in a team.

3. Flexible workforce receptive to research and innovation – The workforce is educated to be responsive to changing service models and responsive to innovation and new technologies with knowledge about best practice, research and innovation, that promotes adoption and dissemination of better quality service delivery to reduce variability and poor practice.

4. NHS values and behaviours – Healthcare staff have the necessary compassion, values and behaviours to provide person centred care and enhance the quality of the patient experience through education, training and regular Continuing Personal and Professional Development (CPPD), that instils compassion and respect for patients

5. Widening participation – Talent and leadership flourishes free from discrimination with fair opportunities to progress and everyone can participate to fulfil their potential, recognising individual as well as group differences, treating people as individuals, and placing positive value on diversity in the workforce and there are opportunities to progress across the five leadership framework domains.

EOF Development Programme – Overall approach

• Establish an EOF R&D Reference Group• Exploration of possible hosting arrangements

– Identify Academic Partner(s)• Support establishment of EOF Development

Programme• Pump priming funding for 2012 13• Identify additional sources of support

North West LETB Structure The NW LETB will work through devolved arrangements with three

Local Workforce and Education Groups (LWEGs) across the North West:

- Cheshire and Merseyside

- Cumbria and Lancashire

- Greater Manchester

This approach supports provider led ownership and responsibility and builds on the strengths of the partnership working developed across the three North West localities over many years to improve the delivery of the workforce and improve patient care.

LETB MembershipThe NW LETB membership will be made up of:• representatives of the LWEGs who have been elected to

those positions (LWEG Chair, HEI rep plus four others) and

• the mandated posts (Independent Chair, Managing Director, Director of Education and Quality and Head of Finance).

Recruitment is underway for the mandatory posts with interviews scheduled for late November for the Independent Chair and Managing Director.

LETB Authorisation

Submitted • revised development plan and operating model• Investment plan against national template• Stakeholder engagement framework• Full evidence for submission by 9 January 2013• Clarification, review meeting 28 January 2013• Assurance Visit on 13 February 2013• Authorisation Outcome – April 2013

Mission and Purpose of NW LETB

Supporting the values and principles set out in the NHS Constitution, the mission of NW LETB is to support the delivery of excellent healthcare and health improvement through the provision, delivery and coordination of high quality education and training, to improve the delivery of services and patient experience and that of staff and learners.  

The purpose of the NW LETB is to work with the LWEGs to ensure delivery of the North West vision and mission through;

• Aggregate and agree regional priorities for E&T identified by the LWEGs, to ensure security of supply of the skills and people providing health and public health services across North West.

• Identify and respond to differing regional requirements across the three sub-regional areas represented by LWEGs

Mission and Purpose of NW LETB(Cont.)

• Oversee LWEG education and training commissioning plans• Ensure E&T investments are transparent, fair and efficient • Comply with HEE’s standing orders, policies and financial

instructions incl. public sector duties for the Equalities Act 2010• Assure quality management strategies lead to improving the quality

of education and training for the future and current NHS workforce• Be a forum for supporting and enabling the development of the

North West’s whole health and public health workforce for 2020• Promote innovation in workforce development and spread across

the NW region and beyond 

Stakeholder Engagement Framework

• Building on existing partnerships and engagement mechanisms the NW LETB has established a stakeholder structure and model of engagement to enable multi-professional and multiagency partnership working across the region.

• The Stakeholder Engagement Framework recognises the need for detailed and local intelligence to support the NW LETB and the associated sub regional Local Workforce and Education Groups and with this in mind, a Stakeholder Directory has been developed as well as Core Professional and Regional Advisory Partnership Groups, to represent wider stakeholders.

NW Stakeholder Model

Cheshire & Merseyside

LWEG

Core Professional

Forum

C&M Sub-Regional Forum

HRD Forums

Workforce Strategy

Networks

Deanery Networks

PVI Networks

Finance Directors Network

Cumbria & Lancashire

LWEG

Greater Manchester

LWEG

Regional Advisory

Partnership

C&L Sub-Regional Forum

GM Sub-Regional Forum

AffiliateAssociate

Example Networks

Nor

th W

est L

ETB

Core Professional ForumCore Profession Member

Medicine (including General Practice)

Dentistry

Nursing & Midwifery

Pharmacy Richard Hey

Healthcare Science Angela Douglas

Allied Health Profession Lesley Walters

Applied Psychology (including psychological therapy)

Tricia Hagan

Public Health Gill Sadler

Wider Healthcare Team Judith McGregor

Regional Advisory PartnershipAdvisory Member

Education (to include FE, HEI, Medical & Deanery)

Dr Trish Livsey (Nursing & Midwifery)Prof Tony D'Emanuele (Pharmacy)Prof Callum Youngson (Dentistry) Prof Tony Freemont (Medicine)Sue Braid (HCS)Prof Bill Gilmore (AHP)

Social Care Alix CrawfordJean Perkins

Information, Research & Innovation(to include AHSNs, HCLU, NIHR, MAHSC, HIECs)Private, Voluntary & Independent Sector

Clinical CommissioningHealth & Wellbeing BoardsCentre for Workforce IntelligenceLeadership AcademyWorkforce Modernisation Helen Kilgannon

Staff Side Peter ForsterLocal HealthWatch, Patient Participation Groups (PPGs)

LETB Key priorities 2013/14In determining the local priorities for 2013/14, the re-fresh of the

workforce plans for 2012/13 – 2017/18 has signalled the following three key themes;

• to plan the assurance of a secure transition to the new workforce arrangements

• to maintain delivery intentions responding to the current NHS Operating Framework 2012/13, set out in the Education Commissioning Plan section

• to evidence the key Education Outcomes Framework (EOF) indicators for 2013/14

LETB Key Priorities (cont)

Working collaboratively and in partnership across the three North West Local Workforce and Education Groups (LWEG) and where appropriate, national LETBs, as well as with local structures emerging to address clinical commissioning and public health functions, the key priorities also embody the principles of the NHS Constitution and EOF indicators and specifically that;

• workforce and education plans assure quality and responsiveness to system changes

• integrated workforce plans are developed• the spread and deployment of innovation, new technologies and best

practice are embedded in conjunction with the development of AHSNs• the assessment of NHS values and behaviours is a core component of

recruitment and selection to healthcare programmes and on-going workforce development

LETB Key Priorities (cont)• the development of the workforce spans the whole workforce; both

new and existing staff, clinical and non-clinical, registered and non and that the gap between vocational learning and academic entry is bridged

It is intended to further refine and re-fresh priorities for education and training in subsequent versions of the Investment Plan for 2013/14 and that this will be informed by the Strategic Education Operating Framework as it emerges.

2013-14 Commissioning plan

• Key messages– Minor change to nursing– Static for midwifery, AHP– Continue with core programmes

• MSC• Primary Care• CPD

– Reassert local workforce planning and accountability– Values and behaviours

• Sense check against workforce returns• Consultation November – January • Validated by Workforce Education Groups

(January 2013)• Indicative commissions (January 2013)• Confirmed schedule 8 and novation

(Spring 2013)

Commissioning Plan

Values and Behaviour Project

• Developed recognising multiplicity of work associated

• NW steering group with HE representation• Tender awarded• Developing locally piloted tool and

approach