hilary cass: transforming the workforce for new models of child health care

Transforming the workforce for new

models

www.hee.nhs.uk www.hee.nhs.uk

Purpose of HEE CYP Programme

The Programme aims to ensure that our current and future healthcare workforce is sustainable and equipped to deliver high quality care, reducing variations in, and improving physical and mental health outcomes for Children and Young People.


Context

The Programme is driven, influenced and aligned with a number of key strategic frameworks, visions and areas of work, which are outlined below


Challenges and Opportunities

Challenges: • Large and complex • Sits across numerous

programmes i.e. Mental Health • Highly political • Requires partnership working

across multiple organisations

Opportunities: • Development of a sustainable

workforce • Alignment with key strategic

priorities • Reduction of health outcome

variation


Programme Structure


OUTCOME WHO AND WHAT

Neonatal mortality

GP: Spotting sick child

Youth worker: Support re substance dependence

Teacher: SRE and PSHE lessons

FNP: Support for young mothers

Teenage suicide

GP: Primary care management of MH problem, communication skills with teenagers

Youth worker: Recognise range of MH problems, knowledge of resources and networks

Teacher: Recognise range of MH problems, knowledge of resources and networks

Paediatrician: Understand and anticipate MH problems in children with LTC’s

Whole workforce solutions


Transformation Programme

Delivered Education Projects

High Quality

Workforce


If you always do what you always did, you’ll always get what you always got.


Current Paediatric Programme

Children’s Healthcare Needs Children’s Healthcare Delivery

Children’s Healthcare Delivery

Paediatric Training • Total 8 years • Deliver general and

specialist paediatric care

GP Training • Total 3 years • Dedicated paeds 0-6 months • Deliver vast majority of

paediatric care

? GP with additional training in paediatrics

? 5 year paediatrician with additional

training in primary care, mental health


The worries • Can’t have shorter training for

generalists c.f. specialists • What about the service gap?

BASIC PAEDIATRIC TRAINING = 2-3 years Paediatricians (+ optional GPs / child psychiatrists for 1 year)

ADVANCED PAEDIATRIC TRAINING = 3 years

GENERAL PAEDIATRICS

SUBSPECIALITY PAEDIATRICS

With integrated community / primary

care focus

With hospitalist

focus

MIND THE

SERVICE GAP?

A STRAW MAN idea…..NOT HEE policy

BASIC PAEDIATRIC TRAINING = 2-3 years Paediatricians (+ optional GPs / child psychiatrists for 1 year)

ADVANCED PAEDIATRIC TRAINING = 3 years

GENERAL PAEDIATICS SUBSPECIALITY PAEDIATRICS

With integrated community / primary

care focus

With hospitalist

focus

OPTIONAL: SERVICE POSTS TO

INCREASE EXPERIENCE BEFORE ADVANCED

TRAINING

MIXED WORKFORCE: Physicians associates, neonatal technicians,

advanced nurse roles, allied health staff, enhanced administrative and assistant roles

OPTIONAL: SENIOR FELLOWSHIP POSTS PRIOR TO CONSULTANT APPOINTMENT


Questions