HEE and Workforce Planning
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1 4 th July 2014 HEE and Workforce Planning Association of Anaesthetists of Great Britain & Ireland Council Meeting
2 Our purpose Health is all about people. Beyond the glittering surface of modern technology, the core space of every health care system is occupied by the unique encounter between one set of people who need services and another who have been entrusted to deliver them. Health professionals for a new century[lancet 2010] HEE exists for one reason: to improve the quality of care delivered to patients. We have to ensure that our workforce has the right skills, values and behaviours, in the right numbers, at the right time and in the right place.
3 Our core functions Workforce Planning Attracting and recruiting the right people to the posts we have identified Commissioning excellent education and training Lifelong investment in people We don t work alone we have many key partners including other ALBs, HEIs, Regulators, Professional Bodies and the DH. We only cover England, and health not social care
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5 Why a 15 year strategic framework? Circa 13 years to train a consultant / 3 yearsfor a nurse We invest 4.8bn in education and training, making expensive assumptions about future health care models If we are wrong, under-supplycould result in unmet need; over-supplymeans an unemployed workforce and wasted resources If we make wrong decisions we risk locking the service into outdated models of care We need a strategic framework to guide our investments in the future
6 Our Strategic Framework So our best chance of success is to base our long-term workforce strategic framework on the anticipated needs of future patients. Global drivers of change Future patients Future workforce
7 15 YEAR STRATEGIC FRAMEWORK MANDATE 2014/15 Business Plan 14/15 Workforce Planning Guidance WORKFORCE PLAN FOR ENGLAND 15/16
8 Components of the wider workforce planning and development system HEE / LETBs Education Regulators Service Providers (as clinical education providers) Education Providers Workforce Demand Planning HEE / LETB Workforce Supply Forecasting Service Provider Workforce Supply Forecasting Education Commissioning Other Supply Activity Planning Education Delivery Other Supply Activity Delivery Service Providers Service Commissioners and Regulators
9 Workforce Planning Integrated Planning Challenges Integrated Pathway Planning Integrated Organisational Planning Community / Rehab Provider Tertiary / Specialist Provider Secondary Care Providers Finance Activity Primary Care providers Workforce Workforce Demand Planning Workforce Supply Planning Integrated Workforce Demand and Supply Planning
10 Features of the historic system Separation of Medical and Non-medical planning Separation of planning for future workforce supply from planning for service / workforce transformation. No ability to compare priorities and risks across professions Medical planning had limited local or employer engagement (and therefore challenges to implementation) Medical planning strongly influenced by supply side issues (due to reliance on training grade doctors for service delivery) Non-medical planning local with limited national sense check or shared intelligence. Significant opacity and duplication - not clear who is accountable Mainly focussed on future workforce numbers Lack of confidence in forecasting and analysis Lack of provider engagement and senior leadership input
11 Workforce Trends % 50% 40% 30% 20% Consultants NHS Pharmacists Scientists AHPs GPs Registered midwife Infrastructure Support to clinical Registered nurses 10% 0% Phases of service and workforce growth; Wanless Hewitt / NHS Financial Deficit Wanless II QIPP 2010 onwards Francis 2012 onwards?
12 Workforce Planning Guide 2013 Workforce Planning Guidance Launched June 2013 Aims to secure future workforce to maintain safe staffing levels whilst supporting transformation of services. First comprehensive workforce planning guidance for the NHS Clarity of roles, responsibilities, milestones, and timelines Transparent, evidence based, and risk assessed decisions Creates the opportunity to consider priorities; between professional groups between current and future workforce between numbers and skills/values /behaviours How we undertake planning open conversations between providers, commissioner and other stakeholders
13 HEE Workforce Planning Process 2013 Local Planning LETB 5 Years Skills Strategies Provider Forecasts LETB Aggregate provider Forecasts LETB Investment Plans Local Challenge, triangulation and moderation Commissioners HEIs, and Other Partners Call for Evidence England Wide Forecasts Workforce Investment Plan for England National Challenge, triangulation and moderation ALBs, HEEAGs, PAF, and Other Partners National Planning Strategic Intent Document and Mandate
14 Workforce Plan for England 2014/15 Sets out in one place our proposed investments for 2014/15 and decision making process Provides an aggregate picture for England for each of the 129 programmes we invest our 5b Sets out our ambition and identify the key challenges and issues the system needs to address if we are to meet them Paves the way for our strategy
15 Workforce Plan for England 2014/15 Workforce Plan for England adopted by HEE board and published 17 th December 2013 Why workforce planning matters Inheritance learning from the past 2013 process & governance Ambition for the future Workforce diagnosis and subsequent commissioning plans 2014/15 Innovation and service transformation Emerging Trends and Challenges Working with the wider system
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19 HEE Workforce Planning Process 2013 Local Planning LETB 5 Years Skills Strategies Provider Forecasts LETB Aggregate provider Forecasts LETB Investment Plans Local Challenge, triangulation and moderation Commissioners HEIs, and Other Partners Call for Evidence England Wide Forecasts Workforce Investment Plan for England National Challenge, triangulation and moderation ALBs, HEEAGs, PAF, and Other Partners National Planning Strategic Intent Document and Mandate
20 Workforce Planning Forecast template Internal only Not to be shared elsewhere
21 Current lens on NHS child health workforce Current Future Paeds Paed surgery Paed ardiology Child & adolescent psych Paed dentistry Obys& gynae Medical Children's nurse CD nurse Non-Medical Pharmacy Health visitors Social care School nurses Local Child authority psycho therapy Social Schools workers Children's SLT 3rd sector Orthoptists Paed physio Individual Family Population Unmet and/or unjoined need I N N O V A T I O N
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