Health Education Thames Valley
AND Public Health
(LETB)
Health Education Thames Valley (LETB)
and the
Public Health
Workforce
Val Messenger
Public Health representative on LETB Board
Content
• Role of Health Education England (HEE)
• How it fulfils this role
• What is a Local Education and Training Board
(LETB)
• How does it work in Thames Valley?
• Examples of how it supports public health
development in Thames Valley
Health Education England (HEE)
• Supports the delivery of excellent healthcare
and health improvement to the patients and
the public of England
• By ensuring that the workforce has the right
numbers, skills, values and behaviours
• At the right time and in the right place
Health Education England (HEE)
• Providing national leadership on planning and
developing the healthcare and public health
workforce
• Promoting high quality education and training
• Ensuring security of supply of the health and public
health workforce
• Appointing and supporting the development of LETBs
• Allocating and accounting for NHS education and
training resources and the outcomes achieved.
Local Education and Training Boards
LETBs bring education, training and development
together locally in order to improve the quality of care
and treatment of patients through the development of
skills and values for staff.
All providers of NHS services need to be a member of,
and be involved with the work of the LETB.
Providers now have the opportunity to lead the
education and training agenda and help decide the
skills and values they require for staff and how funding
is spent.
Local Education and Training Boards
The three main functions of a LETB are to:
identify and agree the local needs for education and
training to deliver the right people and skills to meet
future service needs
plan and commission high quality education and training
in its region in order to secure future workforce supply
and improve patient outcomes
bring providers and relevant stakeholders together to
provide a forum for developing the whole workforce.
Local Education and Training Boards
LETBs are governed by boards that have representation
from local providers on them.
The LETB Board represents the members of the LETB
The Board determines the local education and training
strategy and take decisions on behalf of the LETB.
All providers within the LETB should co-operate on
workforce data and the planning and provision of
professional education and training
There are duties on commissioners (NHS CB and CCGs) to
promote the use of service contracts to support good
education outcomes.
TV LETB Board:
Brings together the leaders of
service and education providers,
representatives of public health,
primary care and the independent
sector alongside the Oxford AHSN.
Thames Valley LETB Board
• Independent chair
• All the chief executives
from 9 NHS provider
organisations
• Education representative
• Primary care
representatives
• Public Health
representative
• AHSN representative
• Postgraduate Dean
• Director of Education and
Quality
• Head of Finance
• LETB Managing Director
Clarity of purpose
The Board is clear:
We have a window of opportunity
to make a difference to the safety
and quality of patient care through
the way we invest in and develop
our current and future workforce
Opportunities for LETB and Public Health
to work together
• Start from a strong position with representation on
the Board from a Public Health specialist
• Postgraduate Dean is the lead Dean for public health
• Championing of Public Health training for the wider
workforce, public health practitioners and public health
specialists
• In developing its future plans, LETB to consider skills
and health behaviours of patients and the public
• Continued support for specialist training across the
new public health system
• And many more …….
Who has a stake in the LETB ?
• Patients, carers, users
• Professions: doctors, nurses, AHPs, scientists
• Current workforce, staff representatives
• Commissioners: CCGs, NCB, Local Area Teams
• All education providers: HEI, FE and independent
• Health and Well Being Boards
• Students, trainees
• Local Authorities
• Public Health and Public Health England
• Skills Funding agencies and sector councils
• All healthcare providers: charities, independent,
nursing homes
• Research and innovation sector (AHSN)
TV LETB Partnership Council:
We bring together partners from
across the healthcare landscape.
They have the opportunity to
influence our work, ensuring it
meets local needs.
Thames Valley people
•
•
•
•
•
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•
40,717 FTE NHS employees
1,560 GPs
438 practice nurses
20,000 social care staff
1,797 post-graduate medical education trainees
61 post-graduate dental education trainees
3,500 students on non-medical education
programmes at any one time
• 244 apprentices
Partnership Council
The key forum for consulting about
workforce and LETB strategy
Made up of a wide range of organisations
that have a stake in the education and
training of the healthcare and public health
workforce.
The way in which members of the LETB
who are not on the Board can contribute to
the debate and influence decisions
Partnership Council suggested:
Multi-professional
Training programmes and assessment to
require a case study of multi-disciplinary
work, which demonstrates involvement
and joint working with patients, partner
agencies, charitable groups, family and
friends
Partnership Council suggested:
Core questions to be included in assessments
What have I done to improve and
manage my own health and well-being?
What have I done to empower others to
improve and manage their own health
and well-being?
Developing the wider health and care
workforce in respect of public health
What can you do to influence LETB?
Support your organisation to return
workforce data
Join the partnership council
If asked - give feedback from your training
placement
If you are a trainer – take it seriously
If you leave this to someone else don’t
complain if the priorities don’t reflect your
views
Budget for investment
2013/2014:
A budget of £162m
No top-slice - £7m to invest in our
workforce
LETB and Public Health – some examples
• The Oxford Deanery, via the School of Public
Health, funds and runs a multidisciplinary
registrar programme with around 20 trainees
at any time, plus a number of placements for
F2 doctors.
• The School of Public Health has received
£220k for 2013/14 to support
multidisciplinary public health development.
Multi Disciplinary Public Health Development
• Defined Specialists – support for portfolio
submission
• 8 in the programme
• Expect at least 4 to be successful by year end
• Practitioner development programme –
support for practitioner registration
• 10 in programme
• 5 have gained registration
Multi Disciplinary Public Health Development
Also funded
• Assessors
• Verifiers
• Moderators
• A range of courses suitable for practitioners available from local academic providers
• Making Every Contact Count - Pilots
Making Every Contact Count
• is a concept which aims to improve lifestyles and
reduce health inequalities
• encourages conversations based on behaviour
change methodologies
• for everyone who comes into contact with
members of the public and has the opportunity
to have a conversation to improve health
• you may think that you haven't enough time to
give advice about stopping smoking, but it can
take just 30 seconds to give brief stop smoking
advice.
MECC - Pilots
Oxfordshire
• Oxford Health – community
healthcare team and DN
team
• OUH – MSK and Maternity
Buckinghamshire
• County Council
• Bucks Healthcare FT
Berkshire
Milton Keynes
• Fire and Rescue
• Voluntary Services
MECC - Pilots
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2 pilots ceased
Others still in early stages
Lessons being learned
Initial Evaluation – Nov 13
Bidding to LETB for funding in 2014/15 to
more comprehensively evaluate current pilots
and to rollout a more informed programme