Membership Council:
Priorities
Aurea Jones, Director of Workforce
Martin Livesey, Head of Finance
Overview
The aim of the session is to:
• update the council on our workforce planning
process for education commissions in 2014/15
• review how this has informed our emerging
priorities for investment
• debate our relative investment priorities
between medical and non-medical future
commissions and Workforce Development to
inform the Board’s decision-making.
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Last time we met…
We looked at the workforce planning process and ‘voted’ to:
• protect ‘Continuing Personal & Professional Development’ or
‘Workforce Development’ funding
• expand our planning to incorporate primary care and social
care
• Work with our Higher Education Institutions and Providers to
improve attrition
• Review salary support
We provided background
reading from the Kings Fund
to support discussions
today…
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Since June
The Workforce Planning Advisory Group met and:
• considered workforce and education planning processes for
2013/14
• looked at employer demand forecasts
• considered the workforce supply model
• reviewed outcomes from the process
Medical workforce planning process is currently to:
• Review quality data: GMC trainee survey, quality visit information,
local specialty trainee surveys, performance indicators for
commissioned specialties
• Review workforce forecast returns from lead employers
• Once HEE finalise 2014 numbers, agree apportionment in London
• Considered how changes to training may be implemented
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Since June
During that time, we:
• met approximately 250 stakeholders to test workforce demand and
supply modelling, to arrive at a more accurate, and collaborative,
vision of future workforce and education needs
• met with other London LETBs and HEE national, and the
Commissioning Board to ‘test’ our workforce planning assumptions
• Held a Workforce Planning Board seminar to consider how we
develop the process in future to meet our strategic challenges.
This work is condensed to form our draft Investment Plan
that the Board will consider in detail today.
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Informing our priorities
Our HESL Five Year Workforce Skills Development Strategy
•
Embedding a population health approach in all we do
•
Developing Community Education Provider Networks
•
Supporting service transformation through workforce development,
excellent education and training
•
Supporting the development of inter-professional training to improve
the delivery of integrated care
The King’s Fund Analysis
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
•
Workforce and service design go hand in hand: the workforce must
be aligned to the work, not the other way round.
•
Health and social care is a team game: developing effective
teams is just as important as individual excellence.
•
Reverse the ‘inverse training and investment law’: some funding
should be switched from training the most highly qualified
professionals to training health care assistants and other
unqualified staff.
•
Most of the future workforce is already working in the NHS: more
of the training budget should be spent on continuing
professional development of existing staff.
•
Support nationally, act locally: locally led change supported by a
national framework is the best way to redesign the workforce. 6
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Planned commissions
Our commissions are largely unchanged from 2013, with the following exceptions:
Type of commission
Non-medical commissions
Children’s nursing
Learning Disability nursing
Mental health nursing
District Nursing
Midwifery
New commissions
Practice Nurse
Return to practice
Emergency nurse practitioner
Medical commissions
Core Surgical Training posts
Share of GP expansion
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
+ or - No. of commissions % terms
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20
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5%
20%
10%
20%
5%
70
50
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Finance 2013/14
• The chart below shows the spend profile for 2013/14 for an expected
forecast outturn of £413m
• This shows that the majority of funding is spent on the Future
Workforce – 92%
2.16% 1.50%
Future Workforce: Non-Medical
4.28%
9.38%
21.15%
Future Workforce: Undergraduate
Medical & Dental
Future Workforce: Postgraduate
Medical & Dental
Future Workforce: Student Support
31.78%
29.75%
Workforce Development
Education Support
Running Costs
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Finance 2014/15
• The chart below shows the spend profile for 2014/15 for the base
plan position of £417m
• This shows only small changes in the percentage profile other than
between undergraduate and postgraduate medical - largely due to
funding changes resulting from national tariff movements
2.10% 1.41%
Future Workforce: Non-Medical
4.24%
9.16%
21.23%
Future Workforce: Undergraduate
Medical & Dental
Future Workforce: Postgraduate
Medical & Dental
Future Workforce: Student Support
33.36%
28.50%
Workforce Development
Education Support
Running Costs
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Finance Key Facts
Educational activity
Cost pa
Cost over 3 years
Student nurse without salary support
£20,000
£52,000
Student nurse with salary support
£32,000
£83,000
District Nurse
£38,000
Emergency nurse practitioner
Practice Nurse
Return to practice
£11,000
£5,000
£5,000
Undergraduate medical placement
£42,000
Postgraduate medical placements:
Foundation year 1
£31,000
Foundation Year 2
£34,000
Core Specialty training
£36,000
Higher Specialty training
£41,000
GP (hospital)
£40,000
GP (practice)
£74,000
Dental Foundation Year 1
£101,000
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Scenarios
A 2% change to LETB spending would amount to £8.3m
Modelling 2% up
Increased workforce development spending, particularly:
 Service reconfiguration in SW London and SE London
 Further development/extended coverage of the Community
Education Provider Network (CEPN) approach
Modelling 2% down
• Postgraduate medical decommissioning
• Non-medical decommissioning
- £3.0m
• Contingency reduction to £0.5m
£1.2m
• Review of salary support criteria
£0.3m
Health Education •
South London
Workforce development reduction (one off)
www.southlondon.hee.nhs.uk
@HealthEdSL
-
£1.5m
-
£2.3m
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Discussion
• Now that you’ve heard about
possible priority areas for
investment, we need your views
• Each table will work together for the
next 30 minutes
• On your table please discuss the
following question
Question: What are the 3 key messages you
would like the board to take into account when
reviewing the investment plan, and why?
Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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Feedback sheet
Question: What are the 3 key messages you would like to board to take
into account when reviewing the investment plan, and why?
#
Key Message
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Health Education South London
www.southlondon.hee.nhs.uk
@HealthEdSL
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South London Local Education and Training Board