health education england - a new approach to workforce, education and training wendy reid medical...
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Health Education England
- A new approach to workforce, education and training
Wendy ReidMedical Director
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www.hee.nhs.ukwww.hee.nhs.uk
Introduction
“HEE will provide leadership for the new education and training system. It will ensure that the shape and skills of the future health and public health workforce evolves to sustain high quality outcomes for patients in the face of demographic and technological change.”
“HEE will ensure that the workforce has the right skills, behaviours and training and is available in the right numbers, to support the delivery of excellent healthcare and drive improvement. HEE will support healthcare providers and clinicians to take greater responsibility for planning and commissioning education and training through development of the Local Education and Training Boards (LETBs)
which are statutory committees of HEE.”
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www.hee.nhs.ukwww.hee.nhs.uk
Clarity of Purpose
•Quality of care is our organising principle
•We have a whole workforce responsibility for England• Band 1-4, Health visitors• Doctors, nurses, scientists, AHPs +• CPD• Undergraduate and postgraduate education including
academic and Public Health• Careers Service
• We will operate through our 13 LETB’s, central offices London, Leeds and Birmingham
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www.hee.nhs.ukwww.hee.nhs.uk
Our priorities now
Core values
- Respect and dignity - Commitment to quality care - Compassion - Improving lives - Working together for patients - Everyone counts
• Pride in being a healthcare professional
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www.hee.nhs.ukwww.hee.nhs.uk
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Context
WinterbourneWinterbourne
Worcester Acute
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What Francis said…
“Staff treated patients and those close to them with what appeared to be callous
indifference.”
“The culture at the Trust was not conducive to providing good care for patients.”
“The system of regulation and oversight of medical training and education in place between 2005 and 2009 failed to detect any concerns about the Trust other than matters regarded as of no exceptional
significance.”
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www.hee.nhs.ukwww.hee.nhs.uk
Francis Word Cloud
Top 5 phrases…
Culture
Standards
Caring
Patient First
Compassionate Nursing
The Next Nine…
Good faithQuality of careValuesTrainingEducationResponsibilityCandourInterventionPrinciples
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www.hee.nhs.ukwww.hee.nhs.uk
How we talk about HEE
HEE and our LETBs are the NHS engine that will deliver a better health and healthcare workforce for England.
We are responsible for the education; training; and personal development of every member of staff, and recruiting for values from our schools and into our Universities.
We are employer led, to provide the right workforce, with the right skills and values, in the right place at the right time, to better meet the needs and wants of patients.
Our mission is to improve health outcomes for the people of England by developing people for health and healthcare.
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www.hee.nhs.ukwww.hee.nhs.uk
Accountability of HEE
• HEE is directly accountable to the Secretary of State for Health
Secretary of State/DH
Public Health
England
Health Education England
Health Watch
EnglandMonitor
NHS Commissioning
BoardHSCIC/
Informatics
NHS Property Services
NHS Trust Development
Authority
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Ambition and ChallengesWorkforce of the 1980s moving to...
• 7 day service• Globalisation• Primary/community vs hospital• Curative vs palliative/LTCs• ‘Feminisation’ of workforce• New roles (nurse/pharmacists etc)
New technology...• Education• Healthcare delivery
Challenges...• Integration• Tariff• Levy• Distribution• Obamacare
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www.hee.nhs.ukwww.hee.nhs.uk
Ambition for the futureIn order to develop the workforce of the future, we need to predict future changes in health and healthcare based on what we understand now…
Current approach New rules for 21st century healthcare*
Care is based primarily on visits
Care is based on continuous healing relationships
Preference is given to professional roles over the system
Co-operation among clinicians is a priority
… and plan workforce training and education to ensure demand and supply are in balance…
* Based on work by the King’s Fund
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www.hee.nhs.ukwww.hee.nhs.uk
HEE Budget:£4.89billion
£60,000 to train a nurse or AHP£560,000 to train a new medical consultant£490,000 to train a new GP
91000 non-medical pre-registration students44600 postgraduate medical and dental students23000 undergraduate medical and dental students
£10,000 per minute
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Balancing workforce supply and demand
EconomicContext
PoliticalContext
Today and Tomorrow
Quality
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www.hee.nhs.ukwww.hee.nhs.uk
The Journey so far…
• Appointed 95+% of our people
• Set up Board and Governing Bodies
• Established bases around country
• Delivered Authorisation
• Introduced ourselves to new world
• Produced business and investment plans
• Responded to Francis Inquiry
•Received our Mandate
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www.hee.nhs.ukwww.hee.nhs.uk
Context for development
•The Mandate – published May 28th
•The Education Outcomes Framework
•HEE Strategic Intent – published April 2013
•Francis report
•The Care Bill – Section 3
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Our strategy and business plan is dependent on a number of evolving priorities
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Our new policy landscape
Government priorities
National priorities
Local priorities
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LETBs
• Total of 13 LETBs (15 Postgraduate Deans)• Committees of HEE• Not Statutory Bodies• Provider led • Stakeholder representation• Core leadership of:
Managing Director
Independent Chair
Director of Education and Quality
Head of Finance
• Dispersed HEE leadership• Deanery functions part of LETBs
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www.hee.nhs.ukwww.hee.nhs.uk
HEE funding and leversAround £4.9bn
funding annuallyAround £4.9bn
funding annually
Around 159,000 students in the system now
Around 159,000 students in the system now
Spending around £9,500 a minute on Education and
Training
Spending around £9,500 a minute on Education and
Training
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Our Strategic Intent Document - feedback
• Majority of respondents agree with HEE’s purpose, values and ways of working.
• HEE’s strategic priorities are widely supported.
• Question as to whether the proposed priorities are too medically focused
• More consideration could be given as to how HEE may work with non-NHS providers.
• The Strategic Intent Document can still be found at www.hee.nhs.uk
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Outcomes
Success?“HEE exists for one reason alone - to
improve the quality of healthcare delivered to patients”
Success criteria• Improvements in safety• Improvements in experience• Improvements in clinical
outcomes• Spreading innovation
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Our stakeholders & partners:- The public - NHS Staff in training and in the present workforce- PH England- AoMRC, RCN, RCM etc- Regulators e.g. GMC, NMC, CQC- Undergraduates in medicine, nursing etc- The future workforce – careers service- NHS England and commissioners of services- DH, devolved administrations- etc, etc
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HEE ‘hot topics’(Doctors)
- Foundation programme over-subscription (M)- Delivering 4 year GP programme (M)- 50% medical students into GP (needs increase of 150-200 training schemes)(M)- fiscal restraint
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HEE ‘hot topics’(Nurses/AHPs)
- ‘year’ of caring pre-degree- development of Bands 1-4- new nurse qualification
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www.hee.nhs.ukwww.hee.nhs.uk
Balancing workforce supply and demand
EconomicContext
PoliticalContext
Today and Tomorrow
Quality
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www.hee.nhs.ukwww.hee.nhs.uk
HEE’s Mandate
Focus on culture change/ FrancisFocus on culture change/ Francis
Minimum Training StandardsMinimum Training Standards
Strategy for Bands 1-4Strategy for Bands 1-4
NHS Careers ServiceNHS Careers Service
Situational Judgement TestingSituational Judgement Testing
Dementia trainingDementia training
Leadership of CPDLeadership of CPD
Pre-degree experiencePre-degree experience
Identifying training needsIdentifying training needs
50% medical students to GP
50% medical students to GP
Emergency medicineEmergency medicine
Improving GP trainingImproving GP training
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For further enquiries
Visit: www.hee.nhs.uk Email: [email protected]: @NHS_HealthEdEng