Investing For The Workforce Partnership in its Broadest Sense

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Investing For The Workforce - Partnership in its
Broadest Sense
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Healthy Lives, Brighter Futures

• Ensure that the NHS has the ability to plan
  effectively for future workforce needs
• Support NHS organisations to achieve their
  workforce objectives
• Find solutions to future workforce planning
  challenges

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Themes

• Child at the centre of care
• Collaboration amongst professionals, recognising
  different skills and perspectives
• Working across boundaries and organisations

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Future Workforce Direction - Flexible workforce
who can work across teams and organisations-
multiple providers

• Workforce which is designed around the needs of
  patients responding to expectations of the public
• Workforce which matches demand and supply
• Workforce who is fit for purpose
• Flexible workforce who can work across teams and
  organisations
• Opportunities for continual increasing skills and
  career pathways that are flexible and respond to
  the service
• Leadership at all levels
• Widening participation
• A workforce which is representative of the
  community
• Safe and regulated workforce
• Modernising Healthcare Careers

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So what is the SHA role?

• Strategic overview of the workforce in line with
  SHA framework
• Commission for supply and quality assure
  provision
• Test and spread new ways of working and
  commission new roles
• Link with DH for Modernising Health Care Careers
• Recruit and train doctors
• Enable and support best HR practice

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The children and young peoples health workforce

• Health staff who work only with children
• Health staff who work with both children and
  adults
• Health staff who work occasionally with children
• Wider childrens workforce who are well placed
  to promote healthy living, child protection and
  to spot issues early
• Other professionals working in local authorities
  who support child health through the design,
  development and management of environments in
  which
• children live

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Policy context

• National Service Frameworks and Child Health
  Promotion Programme
• Next Stage Review (NSR) High quality workforce
• Local NSR Clinical Visions
• 2020 Children and Young Peoples Workforce
  Strategy
• Healthy Lives, Brighter Futures
• Operating Framework

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Workforce commitments in Healthy Lives, Brighter
Futures

• Each Childrens centre to have access to a Health
  Visitor
• All local areas to develop School Health teams
• Improved service for acutely ill children
• Improved service for disabled children
• Increased psychological therapy services for
  children
• Ask Royal College of GPs to consider if GP
  training around child health needs should be
  given greater prominence
• Develop modelling tools to estimate demand,
  supply and workforce
• Capture importance of children in the Operating
  Framework

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Existing Pressure Points

• Health Visiting
• School Nursing
• Neo-natal
• Paediatric medicine
• Obstetrics
• Community Childrens Nursing
• Speech and LanguageTherapy

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How to make the strategy a reality

• What are the right systems and frameworks you
  need to have in place in your organisations to
  understand the skills and experience of the
  workforce in your local area?
• What are the key barriers.and key solutions?
• What help and support is needed by PCTs, LAs,
  providers etc to deliver a world class workforce
  for Children and Young People ?

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DH -Current Developments

• Scoping the available workforce tools
• Developing a child health staffing modelling tool
• WTD solutions
• Discussions on the role of the paediatric
  consultant
• Gap analysis and development of further resources

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NHS West Midlands Workforce - - Developments
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Acutely unwell child

• Advanced Paediatric Life Support Training (APLS)
  supported for 65 Paed Nurses to close the current
  skills gap across the nursing workforce.
• Previously identified in the West Midlands
  Standards for the Care of
• the Critically Ill and Critically Injured
  Children and more recently
• through discussions locally with clinical staff.
  
• Competency levels and education programmes to
  recognise the unwell child to enhance skills
  within the workforce to support reconfigurations
  and shift to primary care.
• Assessment of the Ill/Injured Child and Young
  Person
• 20 Credit CPD Module at 0 Level 3, running over
  12 weeks
• developed at Coventry University. 75 places
  supported.

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Safeguarding Children

• West Midlands was the second pilot with NHS East
  Midlands nationally for the National safeguarding
  leadership programme.
• 22 Designated and Named Safeguarding
  Professionals were supported 08.
• Jan 09 with 30 professionals on the programme
  over the next 6 months.
• This will develop leadership, influencing and
  negotiating skills that will enable practitioners
  to progress through levels 1-4 of the key KSF
  Domains.
• Increasing Medical Skills around Forensics in
  Safeguarding - Joint project with School of
  Paediatrics, which will cover three areas
• Expert witness training and mini-pupillage
  programme
• Safeguarding interpreting physical signs of
  Sexual abuse and coploscopy training for
  Paediatricans
• 3 day safeguarding course for junior doctors
• The innovative expansion of a nurses skills in
  the workforce to respond to one key element
  around the home visit when having to respond to
  an unexpected child death in accordance with
  Chapter 7 guidance of Working Together to
• Safeguard Children.

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Multi- agency working around safeguarding
(Police, Education, Heath and Social Care)

• Running an effective Child Death Overview Panel
  workshop supported in 10 localities across the
  West Midlands.
  
• 
  
  
  
• Responding to an unexpected child death workshop
  supported in 5 localities across the West
  Midlands for 30-40 multi-agency professionals.
• 1 day programme supported for 'Train the
  Trainers' around the child death review process
  to ensure continuity, consistency and quality of
  the training

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CAMHS

• The development of a CAMHS Foundation degree at
  Worcestershire University accredited in 2007.
• A cohort of 19 commenced in September 2008.
• The development of a CAMHS Vocationally Related
  Qualification is currently taking place to
  support access into CAMHS employment and provide
  a key part of the career framework building on
  the Foundation degree development above.
• A working group is being developed to focus on
  CAMHS support worker roles, to indentify the
  roles and the skills and competencies needed by
  this workforce.

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Paediatric Palliative Care

• Development of a multi-professional Advanced
  Communication Skills Training (ASCST) in
  Paediatric End of Life Care. West Midlands
  Workforce Deanery is leading on this work with
  Rob Cockburn (National ASCST Lead, Cancer Action
  Cancer Team)
• 
  
  
  
  
  
• Paediatric palliative care module at BCU
  revalidated and 25 places supported to close the
  skills gap in west midlands.
• Multi-professionals workshops have been delivered
  with the
• WM Pg School of Paediatrics around symptom
  management and
• paediatric ethics.
• E Learning module to be developed re paed
  palliative care
• ST4-ST8 (tbc 09/10)

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Adolescent Health Curriculum

• Interdisciplinary training materials so that all
  doctors and nurses have the necessary skills to
  help their young patients make the necessary
  changes to lead healthier and more active lives.
  www.rcpch.ac.uk/ahp
• Each session is approximately 20-30 minutes of
  study.
• Talking at the PIP -West Midlands Nurses group on
  the 10th June 2009

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What's happening now?

• Clinical Engagement Leads for
• Maternity
• children
• safeguarding children
• have been appointed 2 sessions a week.
• Deans of Health from HEIs have been appointed to
  each of the Care Pathway Group to add educational
  expertise.
• To look at 3-6 clinical pathways.

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Making it happen

• 1 Regional and 5 locality workforce stakeholder
  boards
• Health and Education Strategic Partnership
• Embedding commitments into the Business Plan
• IfH Project 9 Workforce Transformation
• Identified projects
• Workforce and commissioning plans

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Locality Boards
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What are we doing-------

• Education of high quality that is
• Fit for purpose
• Develops a competent workforce at
  pre-registration
• Investments in Supporting the infra structure
• Funding for HEIs
• Funding for PCTs
• Learning Development
• Agreements with WD Employers
• Curriculum change