Does Education need
transforming for a
new world?
Ged Byrne
Our Challenges
• ‘Rapid’ increase in community-delivered care
and reduction in secondary care episodes
• Pan-NW reorganisation of service delivery
• Skills of today are NOT the skills of tomorrow
• Acute shortages in specific areas of service
delivery (e.g. EM and HV)
• Ageing population with increase in chronic
disease burden
www.nw.hee.nhs.uk
twitter.com/HENorthWest
The call to ‘transformation’
• We cannot meet the needs of a transforming service
without transforming the workforce
• We cannot transform the workforce unless we transform
BOTH the current workforce and the future workforce
• We cannot transform the current and future workforce without
equipping them with the knowledge, skills and attitudes
required to deliver care in a transforming world
• We cannot deliver care in the transformed world without
transforming the wellbeing of the population
www.nw.hee.nhs.uk
twitter.com/HENorthWest
www.nw.hee.nhs.uk
twitter.com/HENorthWest
www.nw.hee.nhs.uk
twitter.com/HENorthWest
What do we spend our money
on?
13/14 Budget
Future Workforce Postgraduate
Future Workforce Undergraduate
Future Workforce - Non
Medical
Running Costs
Education Support
National Activities
Workforce Development
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Funding 13/14
Area
Undergraduate
Undergraduate Total
Postgraduate
Postgraduate Total
Non Medical
Non Medical Total
Corporate
Corporate Total
Grand Total
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Sub Area
Medical
Dental
£000's
99,028
23,240
122,268
Hospital
177,327
General Practice
52,527
Dental
13,380
Public Health
2,919
Other
18,692
264,845
Tuition
125,593
Bursaries
65,494
Workforce Development 33,998
Salary Replacement
20,854
National Activities
42,319
Other
32,375
320,633
(blank)
4,385
4,385
712,131
Back to basics
• Diminishing
•status
Tribal
• All the focus
•Few
1940s
model
•
metrics
• < 3% of variance
inefficient
• •Little
reward
www.nw.hee.nhs.uk
twitter.com/HENorthWest
21ST CENTURY SKILLS DEFINED
LEARNING & INNOVATION
• Creativity & Innovation
• Critical Thinking & Problemsolving
• Communication & Collaboration
INFORMATION & TECHNOLOGY
• Information Literacy
• Media Literacy
• ICT Literacy
www.nw.hee.nhs.uk
twitter.com/HENorthWest
•
•
•
•
•
LIFE & CAREER
Flexibility & Adaptability
Initiative & Self-direction
Social & Cross-cultural Skills
Productivity & Accountability
Leadership & Responsibility
Question 1: How do we know
what we have already got?
 Healthcare providers, whilst increasingly recognising the importance of
education to their own performance and future, lack the knowledge of their
own education and training performance (across all professions) compared
to other providers and lack the skills (and investment) to transform their
educational offer.
 Education and training is often not considered as ‘core business’ for
healthcare providers
 There is often a lack of synergy between the demands of service delivery and
education and as a result the cause of many failures in educational delivery
are as a result non-coordinated service delivery issues
www.nw.hee.nhs.uk
twitter.com/HENorthWest
• We MUST get better at measuring
what we can offer
• We must improve as a learning
organisation
• We cannot do this in silos
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Question 2: What can we offer to
learners if the current LEs are
substandard?
Current LEs
 Clinical and managerial learning environments remain siloed producing
unacceptable variability in the quality of education
 QA systems for education and training are variable and not fit for purpose
 There are many different groups working to identify and enhance learning
environments but there is little coordination between them.
www.nw.hee.nhs.uk
twitter.com/HENorthWest
The Learning Environment
“A suitable learning environment is crucial
to enable your learners to learn effectively.
This involves not only the venue and
resources used but your attitude and the
support you give to your learners.”
(Gravells, 2007, p50)
www.nw.hee.nhs.uk
twitter.com/HENorthWest
13
Characteristics of Productive Learning
Environments
• A focus on learning
– A culture of healthcare learning
• A focus on learners
– workplace as learning communities
– Personal and social development
– Positive workplace climate
www.nw.hee.nhs.uk
twitter.com/HENorthWest
14
The ideal LE
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Question2 : What can we offer to learners if
the current LEs are substandard?
Alternative LEs

The business and charitable communities deliver high quality education to selected
groups of healthcare workers

The second and third sectors have limited access to patients or professional ‘opinion
leaders’

The quality of highly specific educational opportunities is much greater in the
corporate sector than the NHS can afford

The Department for Business Innovation and Skills recognise the healthcare
workplace as a much underutilised learning environment for future and current
workforce

There is no structure to allow the flow of lifelong learners between the public, second
and third sectors
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Question2 : What can we offer to learners if
the current LEs are substandard?
Alternative LEs

The workforce is increasingly required to understand the NHS in the context of Global
Health issues

Placements for learning outside of the UK are variably encouraged across professions
and employers

The benefits of global health placements are poorly understood by professional
leaders and employers

It is likely that an increasing number of health professionals will choose to work for
periods of training and service in other non-UK healthcare systems

Opportunities for leaner ‘exchange’ are highly variable between professions
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Question 3 : What about teachers?
 Service pressures and the quantitative metrication of service delivery over
the last decade have devalued the role of teacher/ educator within the
health service
 Few robust quantitative/ qualitative metrics and KPIs exist or are accepted to
rank the performance of educators
 Each professional group has examples of good educator practice and
innovation but there is no forum for exchange of these good practices
between professional groups
 No minimum standards exist for educating within the NHS
 There is no common portfolio of educational activity available for NHS
educators
www.nw.hee.nhs.uk
twitter.com/HENorthWest
SO
1. Know what we already have and
improve it
2. Find out what we could have and
access it
3. Reward and recognise those who
deliver it
www.nw.hee.nhs.uk
twitter.com/HENorthWest
Mmmmmmmmmmmmmmm

“Education is the most powerful weapon which you can use to change the
world.”
― Nelson Mandela

“Education is our passport to the future, for tomorrow belongs to the people
who prepare for it today.”
― Malcolm X

“Education is the kindling of a flame, not the filling of a vessel.”
― Socrates

"Education is what remains after one has forgotten everything he learned in
school."
- Albert Einstein
www.nw.hee.nhs.uk
twitter.com/HENorthWest