The power of collaboration and innovation
WORKSHOP
Workforce Development and Capacity
London’s Local Education and Training Boards
(LETBs)
• Health Education NCEL (North Central and East London)
• Health Education NWL (North West London)
• Health Education SL (South London)
Introduction to the LETBs
• We are the three Local Education and Training Boards that have
taken on responsibility for training the next generation of doctors,
dentists, nurses and all health professionals across London, and
for the continuing development of the existing workforce
• We are part of a national organisation – Health Education
England (HEE) – that has oversight of training and educating the
healthcare workforce.
• HEE exists for one reason alone – to help ensure delivery of the
highest quality healthcare to England’s population, through the
people we recruit, educate, train and develop.
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Some Facts and Figures from CfWI
• Government’s recruitment target for England of 3,250 GP trainee
places per year by 2015.
• London’s proportional share of that is 431 for 2014 and 458 for
2015
• Between 1995 and 2011, GP numbers increased by 29%, against a
50% increase of consultants in other specialties.
• 2015 Government target will lead to a 41% increase in GPs against
a 23% increase in hospital-based doctors.
• Despite growing GP workload, the number of practice nurses
employed by practices nationally has declined by 2000 since the
2006 peak.
• Potential for greater role of pharmacists supporting GPs in the
management of routine testing and managing long-term conditions.
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Some Common Workforce Challenges
for Primary Care
• A need to grow GP numbers significantly and therefore expand
training capacity in primary care.
• A shortage of Practice Nurses and inconsistency in the level of
training and development support offered to them.
• High variability in training provided to Healthcare Support
Workers and the roles they are asked to fulfil.
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Some Common Workforce Challenges
for Primary Care
• Requirement to give more student nurses experience of working
in primary and community care settings before registration.
• Not fully taking advantage of the opportunities offered by
apprenticeships and other schemes to help people enter
healthcare careers in primary care
• Failure to make the best use of all our existing workforce in
helping people stay healthy, for example, in Community
Pharmacy.
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Some Common Workforce Challenges
for Primary Care
• A need to support primary care staff to care for patients out of
hospital, often with (multiple) long-term conditions.
• A need to understand future skill-mix and the demand for new
roles (such as Physician’s Assistants, Nurse Specialists,
Care Navigators, Health Champions, IT experts….)
• Difficulties in getting good quality data on our primary
workforce to allow us to plan effectively.
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Some Emerging Projects - NWL
• Pilot project looking at workforce data collection in partnership
with the LMC
• Practice Nurse CPPD funding for 2013-14
• Supporting the development of apprenticeships in Primary Care
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Some Emerging Projects - NCEL
• Developing the capacity for effective management of mental
health in primary care through the training of Practice Nurses.
• Projects to develop Care Navigators (in Waltham Forest and
Tower Hamlets) and Health Champions in Community Pharmacy.
• Developing HCAs in primary care in partnership with LMC.
• Pilot of a model for General Paediatric SpRs, GP Registrars and
community and practice nurses learning together in jointly run
integrated child health clinics in a primary care setting.
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Some Emerging Projects - SL
• Developing the capacity for effective self management through the
creation of a bespoke training programme for non-clinical staff working
in primary care
• Supporting the voluntary transition of secondary care nurses to primary
care and the development of nurses currently working in primary care
• Community Pharmacy project to train a Health Champion in every
pharmacy in south London
• Developing primary care mental health skills in GP surgeries in
Kingston
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Community Education Provider
Networks (CEPNs)
• A federated model for primary and community care organisations
coming together with partner organisations to collaborate with
regard to workforce, education and training.
• Some common aims:
• Assess workforce needs in response to the needs of the local
population.
• Develop new innovative models for education and training in
primary and community settings.
• Create communities of learning to support the development of
the existing workforce and expand educational capacity in
primary care.
• Support service redesign and integrated care through
education and training.
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Potential Partners
Patient and Carer Groups
Service providers
- primary, community,
acute, independent sector
Professional Bodies
CCGs
CEPN
CLAHRCs
Local Authorities
AHSNs
www.hee.nhs.uk
www.nwl.hee.nhs.uk
Universities
Discussion
•
How can we collaborate to support the development of innovative
new roles in primary care?
•
How can we collaborate to take advantage of the opportunities
offered by apprenticeships in primary care?
•
How can we collaborate to better support the development of our
existing workforce?
•
How can we use education and training to help promote better
collaboration with social care and acute providers, to improve the
integration of care?
www.hee.nhs.uk
www.nwl.hee.nhs.uk