Title: Health%20Informatics%20Professional%20Development%20Programme
1- Health Informatics Professional Development
Programme - Information Governance Learning Needs Workshop
- 17th July 2007
Susan Thomas Health Informatics Professional
Development Manager
2What does this mean to you?
3What do any of these mean to you?
4What will this mean for you?
5What will this mean for you?
6Objectives for today
- To give you a brief update on Welsh Health
Informatics Professional Development Programme - To help you understand where you fit into the
Health Informatics family and this programme and
identify potential benefits for you - To identify the learning needs of information
governance staff - To explore how those needs may be met
7Can you define health informatics?
?
- The knowledge, skills and tools which enable
information to be collected, managed, used and
shared to support the delivery of healthcare and
promote health
8Are Information Governance staff in the health
informatics family?
- Reasons why they should be?
- Reasons why they should not be?
- Does it feel like you are?
9Who are health informatics professionals?
- Knowledge Management staff
- Information Management Staff
- Business data analysis, research, clinical
audit. Data protection confidentiality,
clinical coding, planning performance
management - Health Informatics Senior Managers Directors
- Information Communication (ICT) staff
- ICT infrastructure including training, internal
external networks, operational, hardware
software systems, project managers - Health Records Staff
- Clinical Informatics Staff
10HIPDP Subspecialisms
- Knowledge management/library staff
- Clinical coders
- Health/medical records staff
- IT staff
- IT Trainers
- Project/programme Managers
- Clinical audit staff
- Information Governance staff
- IMT Senior Managers
- Clinical Informaticians
- Information management staff
11Background
- Output of Architecture Event in September 2005
- National Strategy for the Utilisation,
Deployment and Professional Development of
Informatics staff - Arose from CEOs list of priorities to be
addressed in the time out
12Drivers
- Origins in the findings of WAG IMT Baseline
Survey Report December 2002 e. g. - Reinvented /duplicated services and capabilities
- Services provided around historic
organisationally based pathways of care - Funding, profile, and quality of services
inconsistent across organisations - No benchmark for outcomes, quality, and VFM
- Inconsistent range of skills and expertise
- Patchy access to professional development
programmes - Core clinical applications overly reliant on key
individuals
13Drivers
- Has this changed?
- Has it changed enough?
- Can we meet the new policy drivers
14The future of health informatics will ..
- More sophisticated ways of developing health
planning commissioning of services new
informatics initiatives like IHC need a more
versatile workforce - Clinical systems will require more sophisticated
tools ICT - Clinicians will rely more on what should be
reliable and robust information systems and
services - Patients and the public will expect safe access
to relevant information for themselves and their
clinicians at and beyond the point of care - Information and IT tools will move increasingly
centre stage - And so will Health informatics staff but .......
15.....but the current situation is .....
- Health informatics is a young discipline
- rapidly changing environment
- wide range of functions
- many levels of seniority
- no clear entry route
- no established career pathways
- does not yet display the attributes of a
profession - Lack of understanding/ agreement on what health
informatics is - Lots of noise
- No clear idea of current health informatics
capacity or capability - Patchy access to education professional
development programmes - Core clinical applications overly reliant on key
individuals - Little coordination of recruitment, retention,
workforce planning - A universal issue not confined to Informing
Healthcare, to Wales, or to the NHS
16and so ...what needs to be done?
- A strategic long term overview is needed but
broken down into a practical, achievable
implementation with some immediate and visible
benefits for - You personally
- For the profession as a whole
- For our healthcare colleagues
- For employers
- But most of all for patients
- The time is right to harness the overwhelming
desire and commitment to change this at an
individual, team, organisational, professional
body and national level
17Whats different now?
- Senior level buy
- NHS Chief Execs
- Director NHS Engagement leading
- Strategy for the Utilisation and Deployment of
Health Informatics Staff - Health Informatics professional Development
Programme - Head of HI Professional Development Appointment
- Underpins Informing Healthcare, Designed for
Life, healthcare modernisation - Linked to other initiatives and imperatives
- Agenda for change KSF
- National activities like professional
registration (UKCHIP) - Closer partnership working with other
organisations and sectors - NLIAH
- Higher Education
- Professional organisations Trades Unions
18How many, and what categories?
- Approximate number of Informatics staff working
in the NHS in Wales is 2740. Using the actual
data received and taking account of the different
types of organisations, it could be estimated
that of the total of 2740, there are - 1000 Health Records staff
- 700 ICT staff
- 350 Information Management staff, excluding
Clinical Coders. - In England a similar survey estimates about 25000
staff but bear in mind more services are
outsourced - Data is somewhat UNRELIABLE because we dont know
who we are counting or which category they fit
in!
19How many, and what categories?
Figures obtained from 7 NHS Wales trusts as part
of the ASSIST Workforce Survey
20Future Staffing Needs
21Recruitment Significant Challenges
22Retention Significant Challenges
23Skills Shortages Current Future
24Progress with AfC JE by staff group
25Contentious Areas for AfC (JE)
26The role and potential uses of National
Occupational Standards
TNA
Qualifications
Professional Registration
Resource Management
Career Progression
NOS
Mentoring
Benchmarking
Risk Analysis
Recruitment
Readiness
Pay conditions
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32Education and trainingPromoting health
informatics
33Events Programme 07/08
- Conferences
- Health Informatics in Action November 07
- Learning Needs Workshops - Jan June 07
- One for each Health Informatics subspecialty
(12) - Workshops (North South)
- Facilitation Skills
- Benefits realisation
- Evening Seminars (North South)
- Stress Management
- Evidence based Health Informatics
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35Welsh Health Informatics Learning Community
- Provide a one-stop shop for HI development
- To keep up to date
- To share good practice
- Participate in personal and professional CPD
- To develop as an individual, subspecialty and
profession - Engender a sense of community
- Build on and develop existing networks
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37Our Survey
- 8/15 Trusts responded but most only partially
- 4/11 national organisations/services responded
- 642 staff represented
38Health Informatics Staff Outcomes
- 115 appeals out of 465 bandings 24.7
- (Variation 10 to 80 across organisations)
- 48 out of 530 on protected pay 9
- (Variation 0 to 50 across organisations)
- Appeals put forward 115
- Of these, 35 have been heard
- Appeals resulting in reband 28/35 80
- Appeals rejected 7/35 20
39Appeals comparisons
- Welsh Health Informatics appeals (465 staff)
- Nurses (RCN UK Survey 1600 nurses)
- Unhappy
- Bandings reviewed
- All job roles per organisation
- Welsh Trust A (early) appeals (3000 staff)
- Welsh Trust B (late) appeals (4000 staff)
- 24.7
- 40
- 12
- (30 rebanded)
- 16
- 5.5
40Your comments
- Impact worse higher up the bandings with
management responsibilities - Technical grades
- Lower grades fared poorly
- Inability to score on patient care and physical
skills - Hierarchies in Health Informatics not recognised
by reviewers - Lack of understanding of Health Informatics
functions and complexities - Having a real impact on retention and then
recruitment to replace - Early adopters fared badly
- My comments Variation, Variation, Variation!
41But for today .
- What skills, knowledge, personal attributes does
the roles within information governance demand? - What gaps are there in your (personal and group)
skills, knowledge and attributes? - What training, education, development
opportunities currently exist which map to these
requirements? - Can the gaps (2) be filled by what is available
and how? - If not how can we acquire/develop what is needed?
42- Susan.thomas_at_ihc.wales.nhs.uk
- Jackie.barker_at_ihc.wales.nhs.uk