Bridging the Gap Creating Consistent Careers Advice

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Bridging the Gap Creating Consistent Careers
Advice

• Career Planning Employer views
• 18 March 2009
• David Grantham Head of Programmes, NHS Employers

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Why do employers views matter?

• Roles and the training for them must reflect
  service (i.e. future patient) needs
• Service needs also determine career opportunities
• Need to set out for all aspirant doctors future
  requirements and expectations aligned with
  service and professional requirements
• Employer views should influence regulators,
  educators and service commissioners

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What influences employer views?

• Demographics
• Workforce
• Population
• Healthcare need
• Legislation, standards and regulation

• Technology and innovation
• Policy and priorities set
• Finance
• Timeframe

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Why dont we get workforce planning right?

• as we know, there are known knowns there are
  things we know we know. We also know there are
  known unknowns that is to say we know there are
  some things we do not know. But there are also
  unknown unknowns - the ones we don't know we
  don't know
• Donald H Rumsfeld, 12 Feb 2002

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What happened in the last 10 years?
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Factors influencing the next 10 years?

• Commitment to expand care outside hospital
• New roles and care pathways need for
  flexibility
• Increased GP training opportunities
• Oversupply in some specialties eg surgery
• Globalisation healthworker mobility
• Impact of demographics eg feminisation,
  generation Y etc

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Employer views - Training

• Responding to Tomorrows Doctors
• Support for Foundation Programme
• Mixed views on run-through majority favoured a
  split
• Big bang recruitment remains a concern but
  recognise the economies and benefits of a
  national process
• Anxiety that CCT holder is no longer the same as
  before capable, but lack experience
• Challenge balancing service and training

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Emlpoyer views - Consultants and Specialists

• Service wants an alternative specialist grade
• Role between CCT and consultant appointment to
  gain experience, broaden leadership skills and
  maintain progression
• Hierarchy within the consultant grade
• New consultant (focussed on service delivery)
• More established (training and service leadership
  / management roles)
• Senior consultant (Clinical Director, Medical
  Director etc)

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Employer views - Specialty Doctors

• Maintain and develop these roles
• Essential to support service delivery
• New contract implemented and funding to enhance
  development
• Improved movement into and out of training link
  to credentialing

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Employer views - General Practice

• Less clarity of roles and numbers many
  providers control the structure
• Integration of roles across primary and secondary
  care
• New community based specialist roles?
• New providers
• Flexibility of employment models required

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Employer views - General issues

• Increasing flexibility allowing doctors to
  adapt to service change
• Standards of accreditation/credentialing points
  between license to practice and CCT
• Employers to determine their own structures
• Improving workforce planning
• Creating a modest oversupply in the workforce
  against anticipated demand

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Question and answers

• If you are not criticized, you may not be doing
  much.
• Donald H Rumsfeld
• Our website www.nhsemployers.org