HR at the Heart of Improvement

Jan Sobieraj

Managing Director for NHS and Social Care Workforce

Department of Health

8th November 2011

• Challenges

• Where does HR fit?

• Opportunities

HR at the Heart of Improvement

• up 8.5% to 565,153 between October 2010 and March 2011, compared with previous six month period

• 5,012 incidents resulted in death or severe harm

• 35,349 resulted in moderate harm

• 136,348 resulted in low harm

Patient Safety Incidents

Appraisals

• 77% of staff were appraised

• just under a third said their appraisal was well-structured

• only 67% were appraised with PDPs

ORSA results

• 73.7 % doctors completed appraisal in last year

• 51.7% of designated bodies had a medical appraisal policy that met the requirements of responsible officer regulations

• 30.2% had a policy for rehabilitation, remediation and targeted support

Question:

If a friend or relative needed treatment I would be happy with the standard of care provided by this trust.

Response:

37% either strongly disagree, disagree or neither agree nor disagree.

NHS Staff Survey 2011

The QIPP Challenge

Agency costs

£300m

Staff absence

£20bn savings

£555m

Sickness Absence Reductions

3.0%

3.5%

4.0%

4.5%

5.0%

Mar-10 Jul-10 Nov-10 Mar-11 Jul-11 Nov-11 Mar-12 Jul-12 Nov-12 Mar-13 Jul-13 Nov-13 Mar-14

Achieved

Required

Organisational Development

Training and Development

Remuneration

Workforce Planning

Industrial Relations

Recruitment and Selection

HR Roles

?

The HR Manager’s Wheel

The HR Manager’s

Wheel

I am the change agent

I am the talent manager

I manage relationships

I am the business partner and coach

I am the HR expert

My Challenge to you

• Appraisals

• Leadership Development

• Staff Satisfaction

NHS Leadership Academy: To develop outstanding leadership in health

• A development hub

• Catalyst for developing, sustaining and promoting leadership

• A beacon of best practice and centre of excellence

• Pushes boundaries of current thinking and public confidence is ensured

What are our plans?

Timescales for NHS Leadership Academy:

• In shadow form 1st January 2011

• Operational from April 2012

• 3 year strategy

NHS Leadership Academy

Staff satisfaction – the evidence

Patient Satisfaction (%)

77.39

80.86

76.78

75

77

79

81

low medium high

staff engagement

• Where staff engagement is high, patient mortality rates are low

Hospital Standardised Mortality Rate (100 is Expected Rate)

97.77

95.55

103.24

95

100

105

low medium high

staff engagement

• Staff satisfaction is linked to patient satisfaction

Ensuring every role counts

Supporting personal

development

Promoting a healthy and safe

work environment

Enabling involvement in

decision making

Staff engagement

Delivering great management and

leadership

A Large Teaching Hospital

OUTPATIENTS

230,000 New Appointments

770,000 Follow-up

76,000 DNAs

190,000 Patient Cancelled

150,000 Hospital Cancelled

29% 1 appointment only

The Next Few Years

At a time of recession, HR is more about developing people. Instead of

recruiting, there may be different ways to do the work or to re-train our

existing staff, and HR needs to be part of the group that provides these

new solutions.

HR Magazine November 2011

Our Pledge to Staff

• clear roles and rewarding jobs that make a difference to patients

• personal development and access to training

• support to maintain staff health, well-being and safety

• engagement in decisions that affect staff and the services they provide

NHSFoundation

Trusts

NHSTrusts

Independent and 3rd sector

providers

Primary care providers

NICE1

Health Education England

Department of Health

Public HealthProviders3

Social Care Providers3

Nat

ion

al

Lo

cal

Other Government Departments

System Overview: April 2013

Health Research Authority

Care Quality Commission

Healthwatch England

Information Centre2

Public Health England

MHRA

Professional regulators

NHS Trust Development Authority

Monitor

Clinical Commissioning Groups

Local Education & Training Boards

Local Authorities

Local Healthwatch

Health and Wellbeing Boards

NHS Outcomes Framework Social care Outcomes FrameworkPublic health Outcomes Framework

NHS Commissioning Board