NHS Education for Scotland Annual Review 2014 Quality Education for a Healthier Scotland Welcome Quality Education for a Healthier Scotland Dr Lindsay Burley Chair NHS Education for Scotland Quality Education for a Healthier Scotland Malcolm Wright Chief Executive NHS Education for Scotland Quality Education for a Healthier Scotland Education and Training Matters • • • • To our National Health Service To Health and Social Care Integration To Public Service Reform To the economic prosperity of our country Quality Education for a Healthier Scotland The Government's Purpose To focus Government and Public Services on evolving a more successful country, with opportunities for all Scotland to flourish, through increasing sustainable economic growth Quality Education for a Healthier Scotland All of these outcomes require: • • • • Collaboration across boundaries Partnerships with purpose A central role for the 3rd sector A workforce which is: - Educated and trained - Continually developed and nurtured - Thinking and acting across organisational boundaries - Operating in the context of local communities - Well led, developed and managed - And has public service values at its heart Quality Education for a Healthier Scotland NES has: • • • • • A unique role in Scottish Public Service A focus on the whole Healthcare Workforce An increasing role in Health and Social Care Integration An increasing role in Public Service Workforce Reform A 12 year track record based on Quality Education Quality Education for a Healthier Scotland We draw our priorities from: • • • • Scottish Government Policy Statutory requirements The needs of the workforce International and Scottish wide intelligence And we have Quality of Care at the heart of what we do Quality Education for a Healthier Scotland We will respond to the needs of the people we care for, adapt to new, improved ways of working, and work seamlessly with colleagues and partner organisations. We will continue to modernise the way we work and embrace technology. We will do this in a way that lives up to our core values. Together, we will create a great place to work and deliver a high quality healthcare service which is among the best in the world. Source: Everyone Matters: 2020 Workforce Vision Quality Education for a Healthier Scotland The values that are shared across NHSScotland are: • Care and compassion • Dignity and respect • Openness, honesty and responsibility • Quality and teamwork Source: Everyone Matters: 2020 Workforce Vision Quality Education for a Healthier Scotland Quality Education for a Healthier Scotland Our Vision Quality Education for a Healthier Scotland Our Mission Education that enables excellence in health and care for the people of Scotland Quality Education for a Healthier Scotland “We are an organisation that plans and delivers all our activities in partnership with our stakeholders. We also focus on embedding best practice and improving efficiency, delivering our services nationally for Scotland where we can, as well as providing a local perspective through our regional offices” Quality Education for a Healthier Scotland Educational Principles Our approach to education is built around the best available evidence and the following principles: • We enable education for the best care, improved outcomes, safety and the efficient use of resources • We promote learning that is motivational, aspirational and meaningful to everyday work • We enable personalisation of learning so that it is adaptable to different needs and styles • We build our activities on evidence-based practice Quality Education for a Healthier Scotland Educational Principles • We achieve regulatory or other standards and we innovate to achieve more • We support broad-based education that meets the needs of the workforce and can be adapted to different circumstances • We deliver education close to the workplace that brings people together to improve outcomes • We evaluate the effectiveness of our education and share the lessons learned widely. • We enable sharing, transfer and delivery of educational best practice and improvement tools across the workforce Quality Education for a Healthier Scotland Values We are committed to Scotland’s health service values and we aim to ensure that staff are supported through education. The values we share in common with all NHSScotland organisations are outlined below; these guide how we work, the decisions we make and the way we treat people: care and compassion dignity and respect openness, honesty and responsibility quality and teamwork Quality Education for a Healthier Scotland Values We will embed these values through our ways of working, these are to always: aim for excellence in education be open, listen and learn take responsibility and lead by example respond quickly and confidently look ahead and be creative respect and value each other work in partnership to a clear common cause Quality Education for a Healthier Scotland The Strategic Themes An excellent workforce Consistent evidence-based excellence in education for improved health and care • Recruiting and Training Healthcare Staff • Undergraduate and Pre-registration Education • The Workplace Learning Environment Improved quality Education for improving quality to enhance patient safety and people’s experience of services • Person-centred Care • Safe and Effective Care • Quality Improvement (QI) Education • Leadership and Management Development Quality Education for a Healthier Scotland New models of care Education for new models of care to support the 2020 Vision • Primary Care • Workforce Data • Support Workers and Role Development • Health and Social Care Integration • Improving Health and Reducing Health Inequalities • Remote and Rural Care Enhanced educational infrastructure Innovative educational support infrastructure covering people, technology and content • Educational Support Roles and Networks • Online Resources, e-Learning and Knowledge Services • Educational Development and Innovation Quality Education for a Healthier Scotland An improved organisation Enhancing the capacity and capability of our staff to give their best and achieve their potential • Supporting and Developing our Staff • Performance Improvement • Efficient and Effective Corporate Resources Quality Education for a Healthier Scotland Strong Foundations of our core disciplines Quality Education for a Healthier Scotland The Scotland Deanery • Launched 1 April 2014 • Single system working - Single general management structure - Four major workstreams - Professional leadership Consistent processes Maintain key regional linkages Quality Education for a Healthier Scotland Workstreams … Executive Team Regional Offices Specialty Training Boards Training Management Quality Professional Development Strategic Planning & Directorate Support Quality Education for a Healthier Scotland Support of UG Medical Education • £76M ACT funding • Updated TOR for regional and national groups to ensure consistent approach and clear lines of accountability and governance • Working with Directors of Medical Education with respect to consistent reporting of data and spend • Implementation of measurement of teaching (MOT) model Quality Education for a Healthier Scotland Core Business of PGMET • 258 GMC Approved PG Programmes • 5676 trainees • - 1644 Foundation • - 647 Core • - 2294 Specialty • - 1091 GP • 6691 ARCPs conducted • 556 CCTs awarded in 2013/14 • Responsible Officer for Revalidation Quality Education for a Healthier Scotland Recruitment in 2014 • Recruitment in 2014 • - Foundation (100%) • • • - 419/437 Core (96%) - 269/321 GP (84%) - 242/362 ST (67%) • Overall 90% fill rate Quality Education for a Healthier Scotland Strategy for Attracting and Retaining Trainees (StART) • • • Key Elements of StART : Informing Connecting Research and Market Research StART and ScotMT Website Redesign First Scottish Careers Fairs held in Sept + Presence at London event Trainee Ambassadors Keeping in Touch – email contact with CCT graduates Social Media presence Trainers – make me want to train in Scotland Quality Education for a Healthier Scotland Quality Education for a Healthier Scotland Revalidation : SOAR Quality Education for a Healthier Scotland SOAR • Number of Registered Users on SOAR • Primary Care users 5149 • Secondary Care users 6094 • TOTAL 11243 • Number of Trainees registered on SOAR - 5796 Quality Education for a Healthier Scotland SOAR Appraiser Training Health Board Ayrshire and Arran Borders Dumfries and Galloway Fife Forth Valley Grampian Gt Glasgow and Clyde Highland Lanarkshire Lothian National Waiting Times Centre/Golden Jubilee Hospital Orkney Shetland Tayside Other - State Hospital/NES/NHS 24/NHS NSS/Huntercombe Western Isles Grand Total NES trained Planned training Extra Trained 63 33 30 22 11 11 17 20 -3 48 28 20 32 26 6 101 64 37 300 176 124 70 34 36 61 54 7 142 105 37 12 5 7 2 2 0 1 2 -1 74 58 16 17 4 13 3 3 0 965 625 340 NES Trained GP Appraisers - October 2011 - August 2014 Row Labels Total Trained Phase 3 Total Trained Phase 4 Grand Total No trained 32 31 63 Quality Education for a Healthier Scotland Professional Development • Single approach to GP CPD called Connect • Supporting SAS doctors • - Established a network of SAS Advisors • - Manage funding for CPD • Approved medical practitioners (AMPs) • Professionalism and Excellence in Medicine - Leadership training • - LAMP (well used) • - Scottish Senior Clinical Leadership Fellows (recruiting 3rd cohort) • - Paired Learning (some good early adopters) • Remote and Rural Healthcare – RRHEAL and SSRHW Quality Education for a Healthier Scotland Professional Development Quality Improvement / Patient Safety / Clinical Skills / Human factors • Transfer of QI Taught programmes from HIS • Recruitment to cohort 7 of SPSP Fellowship (now > 100 fellows) • Development of Scottish Improvement Leader (ScIL) Programme • Increased user visits to QI hub website • QI Workforce development tool • 10,000 users have now accessed patient safety e-learning modules • Training of most GP practices in trigger tool and safety culture assessment • HF pilot work with SPSP mental health Quality Education for a Healthier Scotland Recognition of Trainers The roles covered: 1. named educational supervisors in PG training 2. named clinical supervisors in PG training 3. lead coordinators of UG teaching at each LEP 4. doctors responsible for overseeing students’ educational progress for each medical school. Quality Education for a Healthier Scotland Recognition of Trainers • • • • • Scotland has taken a whole system approach Integrated UG & PG process to implement this major GMC initiative Highly commended by GMC for this approach Scotland hosted a recent UK forum Regular communications to UG & PG Trainers • Launched the Scottish Trainer Framework • Provisionally registered - PG Trainers 3907 - UG Trainers 455 - TOTAL 4362 • Deadline for Full recognition – 31 July 2016 Quality Education for a Healthier Scotland UK Shape of Training Review “Securing the future of excellent patient care” Led by Professor David Greenaway Published on 29 October 2013. • Has suggested major reforms in medical education & training • Prof Bill Reid was member of EAG • Prof Stewart Irvine member of 4 nation oversight group Quality Education for a Healthier Scotland Priorities for 2014 – 2015 • Implementation of Shape of Training • Develop a single coherent multi-professional approach to training in : Quality Improvement, Clinical skills, Patient Safety, Human Factors • Consult on and implement new GMC standards for UG & PG medical education and training • Prepare for GMC visit to Scotland in 2017 Quality Education for a Healthier Scotland Dental Vocational Training • A post was provided for all Scottish graduates who sought one in Scotland for August 2014. • The introduction of a more streamlined national trainer recruitment and selection process resulted in minimal disruption of both new applicants' working arrangements and the service consequently offered to their patients. • All trainees except one completing their Scottish training in July 2014 attained Satisfactory Completion of Vocational Training. The trainee who was not awarded was offered an extension to his training which he accepted. Quality Education for a Healthier Scotland Capacity & Consent: A course for Dental Practitioners • Adults with Incapacity Act was amended in 2005 to allow practitioners other than doctors to sign certificates and a further amendment in 2007 stated the requirement for ‘specified training’ • The course aims to enable participants to: - Critically discuss the legislative and ethical dimensions in relation to capacity/incapacity - Identify patients who may fall within the Act - Maximise capacity by supporting the patient to make decisions concerning their treatment • Course format - Peer review, assessment and reflection and takes account of the participants’ knowledge and expertise • Supported by a community website providing links to publications and external organisations as well as bespoke learning resources Quality Education for a Healthier Scotland TRAMS - Training, Revision, Assessment, Mentoring and Support • Increasing number of referrals to GDC for poor clinical performance • A needs assessment tool covers the four domains of clinical, communication, management and professionalism to establish the required elements for remediation • Occupational psychologists and occupational health are used to address any underlying behavioural issues or health concerns • TRAMS uses established training methodology - supported PDP, targeted training, simulated clinical skills training, mentoring and longitudinal evaluation of performance • Assurance to Health Boards that underperforming dental registrants, have been through a supported, quality assured programme. Quality Education for a Healthier Scotland Allied Health Professions Key Success in 2013-14 Quality Education for a Healthier Scotland AHP Practice Education Programme • Quality of practice placements is a priority • A new range of partnerships developed to promote placements across sectors • Quality improvement approach using PDSAs • Underpinned by Practice Placement Agreements (PPAs) • Sustained a network of experienced, committed and enthusiastic PELs Quality Education for a Healthier Scotland AHP Career Fellowship Scheme • Highly flexible to support career development across four dimensions of practice: leadership, clinical expertise, education, research • Range of education and development activities: course participation, work-based learning, placements • NHS employees and others, e.g. HEI, third sector, professional bodies • Priority for 2012/13 and 2013/14 : - AHP support staff and assistant practitioners - Development activities with clear service improvement focus Quality Education for a Healthier Scotland Nursing and Midwifery Quality Education for a Healthier Scotland Pre-Registration Nursing & Midwifery Performance Management of pre-registration nursing and midwifery education: • Process provides Scottish Government with assurance of recruitment, retention and fitness for purpose of new graduate nursing and midwifery workforce • ‘Scottish Collaboration for the enhancement of Preregistration Nursing and Midwifery’ NES led collaboration of universities focussed on improving pre-registration nursing and midwifery education through research and partnership. • Quality Management of the Learning Environment Quality Education for a Healthier Scotland Post-registration education: Children & Young People Children’s & Neonatal Services • Building service capacity and capability through commissioning of – • Advanced Practice Nursing and Qualified in Speciality programmes Health Visiting • Working with SG, Universities and Boards to develop a collaborative, sustainable approach to new HV education programmes and CPD for current workforce. Quality Education for a Healthier Scotland Leading Better Care (LBC) • Leading Better Care - the national development programme for Senior Charge Nurses, Senior Charge Midwives and Community Team Leaders. NES assumed responsibility for delivery of LBC programme outcomes in 2014. • To support and develop the role of nursing and midwifery clinical leaders in order to ensure safe, effective and person centred care and support delivery of the Capability and Leadership strands of the Workforce 2020 Framework. • Delivering Quality through Midwifery Leadership Programme - Now into 3rd year - 2013/14 60 participants successfully completed Quality Education for a Healthier Scotland Family Nurse Partnership (FNP) • Early intervention, licensed home visiting programme for first time teenage mothers from early pregnancy - 2 years • Key strand of Early years agenda; to make Scotland the best place in the world to grow up in • National Unit now in NES supporting all NHS Boards and Health & Social Care Partnerships implementing programme • Currently 8 sites delivering FNP in Scotland – • aspiration to deliver in all NHS Boards and all eligible mothers by 2018 • FNP National Unit (NES) responsible for education and training of FNP nurses and supervisors Quality Education for a Healthier Scotland Nurses, Midwives and Allied Health Professionals Quality Education for a Healthier Scotland Post Registration Education & CPD Post Registration Career Development framework • Provides a consistent framework supporting the continuing and changing development needs of the NMAHP workforce • Based on levels 5-9 Career Framework for Health designed to support workforce development and career planning • Helps practitioners recognise the coherence of NMAHP resources which can support their development at each level of the Career Framework for Health from point of registration to senior level (e.g. Flying Start NHS®, Effective Practitioner, Leading Better Care, Advanced & Consultant Practice). Quality Education for a Healthier Scotland Quality Education for a Healthier Scotland Multiprofessional Education Programmes Quality Education for a Healthier Scotland Scottish Multiprofessional Maternity Development Programme (SMMDP) • Delivered more than 60 clinical skills courses across Scotland in 2013/14 HAI • In 2013-14 over 50,000 HAI Learnpro courses and programmes were completed Dementia • 500 health and social services dementia champions have been trained and we look forward to the graduation of cohort 5 and national celebratory event that will take place in Januray 2015 Person Centred Care • Focus on Values Based Reflective Practice • Suite of e-learning resources to support Feedback and Complains • Compassionate Connections Quality Education for a Healthier Scotland Health Care Support Workers For all support staff • Develop nationally-agreed recognised education and career development pathways • Maximise the use of existing resources to support learning • Improve access to information about learning and qualifications Quality Education for a Healthier Scotland Health Care Support Workers • Develop nationally-agreed recognised education and career development pathways • Maximise the use of existing resources to support learning • Improve access to information about learning and qualifications Quality Education for a Healthier Scotland Our work is designed to help NHSScotland; Know the skills people in support roles need, and that these skills are quality assured; • Our work is creating nationally-agreed and accessible education pathways for staff in administrative, clinical and estates & facilities, along with support to access qualifications. Creating career and education pathways for support staff, helps bring clarity to the differences between posts at different levels, particularly 2-4 Make the most of learning in the workplace; • Our work to develop and maximise the use of resources available to support workplace learning, including web resources. • Our help to make people links between learning in the workplace and the qualifications which they want/need: e.g. promoting the use of evidence of learning from work when people are undertaking qualifications; support for meaningful PDPR discussions Ensure that people have the skills and confidence to be successful learners; • For example providing support for literacies skills, through the launch of the Literacies Portal Quality Education for a Healthier Scotland Quality Management of the Learning Environment Nursing and Midwifery • Network of Practice Education Facilitators and Care Home Education Facilitators - ensuring NMC Standards • Quality Management of the Practice Learning Environment (QMPLE) – feedback tool and data set • Student, Mentor and Charge Nurse Survey Allied Health Professionals • Quality Practice Placements across a range of sectors – key priority • Practice Placement Agreements • Network of Practice Education Leads Quality Education for a Healthier Scotland Psychology • Psychology of Parenting Programme • Assessment of competence in Cognitive Behaviour Therapy • Involvement of service users in training of Clinical Psychologists • Emotion Matters e Learning resource • Health Behaviour change hand hygiene of junior doctors • Supervision framework for Clinical Psychology trainees • Psychological Interventions in Physical Health Care, Multi morbidity, Long Term conditions, • Primary Care Quality Education for a Healthier Scotland Doctoral Programmes in Clinical Psychology • • • • • Successful graduation of 71trainees (Retention rate of >89% in NHSS) NES QA of NHS clinical placements and supervision: – 400+ site visits – Since April 2013, supervisor training delivered to 89 new supervisors and 141 experienced supervisors Research Output: – 20+ publications in one year Service User and Carer involvement: – Developing integration within course structures (process led by service user committees) – Focus on person centred education and care – Input to development of values based recruitment Future plans: – Implementation of new Professional/Statutory guidelines delivery of programme (to be implemented from 2015) – for Continued research and development of structured evaluation of competence Quality Education for a Healthier Scotland Psychological Interventions in Physical Health • NES Psychology Directorate has a programme of training for multi-disciplinary staff across primary and secondary care • The programme aims to educate staff across disciplines in psychosocial aspects of living with multi-morbidity by promoting a person centred holistic approach to care planning, adjustment and handling distress Quality Education for a Healthier Scotland Programme • Emotion Matters E-learning module focuses on active listening, assessment and collaborative care planning skills. Completed by 791 multi-disciplinary staff across Scotland in last 18 months • Intensive packages of training in psychosocial assessment and intervention for staff in e.g. CHD, Pain, Cancer services. 47 people trained as trainers in ‘AsSET’ and ‘Developing Practice’ packages across Scotland. 70 MDT staff received AsSET/DP training in last 6 months Quality Education for a Healthier Scotland Programme • PBSGL and e-learning module for GPs on medically unexplained symptoms – being evaluated in Ayrshire and Arran • Trainer Network of 56 clinical and health psychologists across Scotland established to support and embed this NES Psychology training programme Quality Education for a Healthier Scotland Pharmacy • Mandatory CPD/ Revalidation for pharmacist registration with GPhC • National Education to support the SGHD Community Pharmacy Contract • Pharmacists independent prescribing, consultation and clinical skills • Pre-registration pharmacist training (PRPS) • Pharmacy Support Staff and Skill mix • Scottish Hospital Pharmacists Vocational Training Scheme (SHPVTS) • Pharmacy workforce and development Quality Education for a Healthier Scotland Prescription for Excellence: SG Strategic Vision and Action Plan 1. Pharmacy Workforce, Education & Training 2. Integrated Initial Training of Pharmacists 3. ‘NHS Accredited Clinical Pharmacist Independent Prescribers’ 4. Pharmacy Career Frameworks 5. Clinical and Professional Leadership Quality Education for a Healthier Scotland Education for the Pharmacists of the Future in line with Prescription for Excellence Pharmaceutical Care Competency and Capability including: Independent Prescribing - Commission and review Consultation skills – formal PEER REVIEW ASSESSMENT Clinical skills training – Core & Advanced with ASSESSMENT Prescribing competencies – ASSESSMENT OSCEs - Teach and Treat models for ASSESSMENT Continuing Fitness to Practice – Revalidation Workforce analysis and development in line with a Career Framework (mindful of the RPS Faculty and Consultant Pharmacist developments) Shared Learning with Health and Social Care Professionals Quality Education for a Healthier Scotland Interprofessional Learning (IPL) ‘occasions when two or more professionals learn with, from and about each other to improve collaboration and the quality of care’ • After piloting and being positively evaluated in 2013/2014 GPs, practice nurses and pharmacists are now being encouraged to join multiprofessional Practice Based Small Group Learning (PBSGL) groups around Scotland • These are learning groups of five to nine professionals • Group members ideally work in the same local community and meet to study and discuss specially designed educational modules • In the first year post pilot, there are 42 (13.5%) PBSGL interprofessional learning groups out of the 312 PBSGL groups which have formed locally and are meeting regularly in Scotland Quality Education for a Healthier Scotland NES Pharmacy Team recently received a Highly Commended Excellence in Education Award by the Royal Pharmaceutical Society Quality Education for a Healthier Scotland Optometry The ladder is complete! • September launch of distance learning MSc in Primary Care Ophthalmology – Joint with University of Edinburgh’s College of Medicine and Veterinary Medicine and Royal College of Surgeons of Edinburgh – 10 Scottish Optometrists enrolled • Approx 20 from around the world • Tutors from Ophthalmology and Optometry sharing workload • Optical receptionists courses up to MSc for Optometrists Quality Education for a Healthier Scotland Healthcare Science 2013-14 150 postgrad scientists on our national Register, including: ~70 supernumerary pre-reg Clinical Scientists in medical physics, laboratory sciences and clinical physiology specialties, plus ~35 awards (13/14) for in-service staff on postgrad development. Nationally: Leadership for ~ 100 staff, including 60 Early Career plus ~ 60 on our Train the Trainer days We led 3 events, covering postgraduates, scientist modernisation and our annual healthcare science gathering, each 100+ delegates Positive engagement with the Academy for Healthcare Science to consolidate our training pathways and foster an esprit d’corps Quality Education for a Healthier Scotland Workforce Directorate • Our strategic role in linking with key education and funding bodies across the public sector through our strategic alliances • Our role in delivering national services for trainees • Development of the leadership, management and embedding NES ways of working in support of the delivery of Everyone Matters • High quality objective setting and personal development planning, the Managers Passport and our full commitment to the roll out of IMatter commencing November Quality Education for a Healthier Scotland NES – Vocational Training Scottish Medical Trainees Dental Trainees • NES recruits (circa 300 p.a.) and employs (circa 450 p.a. ) the GPStR’s while in the GP component of their training. We provide end-to-end employee relations support to GPStR’s • NES recruits and assess on behalf of NHSScotland circa 450 trainers and trainees annually • Run ACCS-EM (Acute Common Care Stem - Emergency Medicine) and CST (Core Skills Training) selection centre • Dental Vocational Training • Manage the recruitment to +/1500 medical training posts across 70 specialties • The following programs are recruited to for trainers and trainees : • Hygienist-Therapist Vocational Trainers and Trainees • Dental Foundation Training Programmes Other workstreams • Pharmacy - NES manages the recruitment and selections of circa 170 pre registration pharmacist training posts annually • Psychology - NES manages the recruitment and selection of circa 70 training posts in partnership with Universities and NHS Territorial Boards. • NHS Management Training Scheme - NES HR manages the recruitment and selection of circa 8 Management Trainees annually, which attract over 1000 applications Across all workstreams in 2013-14 NES managed 3313 applications and filled 807* posts (*recruitment for some posts is ongoing) Quality Education for a Healthier Scotland Tier 2 Sponsorship Under the lead sponsor arrangement, NES issue certificates of sponsorship to Medical Trainees in Scotland that require Tier 2 sponsorship NHSScotland Benefits • Reduction in sponsorship licence costs • Promoting Scotland to all prospective trainees to attract the best applicants • Continuity of service delivery maintained • Enable streamlined and more efficient operating procedures (Once for Scotland) Trainee Benefits • Reduced costs to trainees • One point of contact in NHSScotland in relation to Tier 2 sponsorship • Allow trainees to focus and training and education (improved performance) Success so far • Continue to build our relationship to with the Home Office • Worked closely with all territorial health boards to agree Standard Operating Procedures • Since February 2014 we have sponsored 110 trainees and made savings for NHSScotland that have amounted to of £31, 096 Quality Education for a Healthier Scotland NES Knowledge Services • Knowledge Network: – 983,003 visits (10.1% increase on 2012-13) – 2,082,214 evidence searches – QI Hub website 72,929 visits (147% increase on 2012-13). – Social Services Knowledge Scotland 48662 visits (54% increase on 2012-13) – 54 community of practice websites • Mapped knowledge broker capabilities across NHS librarian workforce • 2 Knowledge into Action masterclasses • Launch of People Connect - social directory for knowledge exchange and improvement. • Launch of Early Warning Signs Sepsis App – shortlisted for two national awards. • With SSSC and NHS 24, Scoped aims for Technology Enabled Learning Plan; established position within forthcoming national eHealth Strategy. Quality Education for a Healthier Scotland NES Engagement with the Third Sector • We have a range of engagements – of varying breadth, quality and collaboration – with approximately 90 third sector organisations – Policy and strategy development – Planning and commissioning – Service delivery – Capacity building – Learning exchange • Example: – There is a strong partnership with Azheimer Scotland to deliver training, education and workforce development in relation to Scotland’s National Dementia Strategy Quality Education for a Healthier Scotland NES Engagement with the Third Sector Current and Future Work • Embedding third sector involvement on a more systematic and proactive basis across a range of partnerships and services • In partnership with the Scottish Council for Voluntary Organisations (SCVO) • We have developed an educational framework to increase engagement between the statutory health sector and the third sector • The focus is placed upon embedding person-centeredness in the planning and co-production of service delivery Quality Education for a Healthier Scotland Health and Social Care Workforce • Scottish Social Services Workforce - estimated split by employer type (2013) 189,670* 27% Voluntary 32% Public: 41% Private • Health Service 159,058 headcount *The Scottish Social Services Council (SSSC) (2014) Published Scottish Social Services Sector: Report on 2013 Workforce Data - http://data.sssc.uk.com/images/WDR/WDR2013.pdf **ISD Statistics - http://www.isdscotland.org/Health-Topics/Workforce/Publications/2014-08-26/2014-08-26-WorkforceReport.pdf Quality Education for a Healthier Scotland Developing the Health and Social Care Workforce with partners across health and social care including third and independent sectors. Key activity areas 2013/14: • Carers and Young Carers • Promoting Excellence – Dementia Strategy • Leadership Action Learning • Scottish Government Workforce Development Strategic Group • Public Services Learning Collaborative (PSCL) • Social Services Knowledge Scotland (SSKS) Quality Education for a Healthier Scotland Public Services Collaborative Learning • PSCL exists to provide a robust mechanism to deliver collaborative, cross-public-service leadership development to underpin transformational change • PSCL is a work stream of the Scottish Leaders Forum Quality Education for a Healthier Scotland Public Services Collaborative Learning • • • • • • Leadership Exchanges Scottish Coaching Collaborative OD capacity building Dialogue Community of Practice Enabling Collaborative Leadership – Pioneer phase Collaborative consultancy Quality Education for a Healthier Scotland An improved aligned organisation Quality Education for a Healthier Scotland Significant Interval Re-alignment Single Postgraduate Deanery Dental Vision Procurement and Finance Transformation Property Transformation Digital Infrastructure Educational Development Directorate Quality Education for a Healthier Scotland Directorate Transformations • Implementation of the Medical Directorate vision: – Single deanery with national workstreams – Improved processes and release of capacity • Implementation of the Dental Change Management Programme: – Reduction in deaneries and creation of national workstreams – Improved processes and release of capacity • NMAHP Change & Improvement Programme – Development of new operating model incorporating new programmes of work and key activity areas Quality Education for a Healthier Scotland Procurement Transformation • • • • Historically NES operated a devolved model Capacity review exercise involved >320 staff New centrally managed team in place (October 13) Benefits realised: – Potential to release 11WTE of capacity and initial savings £300k, ongoing savings £430k – Staff promotion and career development opportunities – 10% increase in Procurement Capability Assessment – Procurement Transformation project described as best practice – Category A Contract Compliance increased to >99% – Majority of PO’s processed within 1 hour Quality Education for a Healthier Scotland Finance Transformation • Project will realign the different elements of the finance function throughout NES to best support delivery of strategic outcomes • Work completed to date: – – – – – Capacity review exercise with >180 staff Analysis of ‘current state’ processes Review of finance activities – allocation to ‘future state’ Ongoing redesign of ‘future state’ processes Development of new finance organisational structure for consultation in Nov 14 • Next steps – Phased implementation anticipated 1st April 15 Quality Education for a Healthier Scotland NES Financial Position • Over the last 4 years NES has delivered savings required to meet a reduction to our baseline of £22million • This has been achieved through: – Property rationalisation (reducing space across Edinburgh & Glasgow by over 1/3) – Procurement transformation – with savings in staff costs and savings on contracts – Move to a single Scottish deanery – Move to national workstreams in dentistry Quality Education for a Healthier Scotland Looking forward to 2015/16 • A very challenging environment • NES uplift = 1% • Pay pressures (including pensions) = 3% • NES payroll including trainee salaries is 70% of our total spend • Our anticipated uplift = £3.8m • Anticipated pay pressures = £7.6m Quality Education for a Healthier Scotland Managing the 2015/16 position • Continuing to identify cross organisational opportunities – e.g. Digital Transformation • Will mean we need to carefully prioritise activities • At the same time we need to manage pressures eg regulator requirements, revalidation • As a National Board there are also opportunities for NES to contribute to the national position through a ‘once for Scotland’ approach Quality Education for a Healthier Scotland NES Digital Transformation • The Digital Strategy is a single vision for all NES digital and related services – Digital Transformation is the organisational change to deliver it. • We have created a dedicated and focused Digital Group to consolidate the NES resources and skills necessary to deliver the vision. • In addition to delivering against agreed, existing commitments it will build a unified digital environment delivered through a unified technology platform – all the data in one place. • It put people at the core of our digital services so we can personalise and tailor services to everyone using NES services. • It will be ‘optimised for mobile’. Quality Education for a Healthier Scotland The Future Unified Environment Training1 CPD Portfolio2 Jobs Appraisals3 Revalidation3 “As members of the NHS Scotland workforce we want to access a single virtual environment so that we can manage our education and our careers” Hosted in the cloud Available on any device anywhere Quality Education for a Healthier Scotland Partnership Working with Staff Quality Education for a Healthier Scotland Partnerships with Purpose Quality Education for a Healthier Scotland • • • • • • Healthcare Improvement Scotland UK Regulatory Bodies Professional Bodies Trade Unions Scottish Funding Council Universities and Colleges Quality Education for a Healthier Scotland Powerful connection between Education, training and Continuing Development And The Quality of Care Quality Education for a Healthier Scotland Quality Management of the Learning Environment Quality Education for a Healthier Scotland Sharing Intelligence for Health and Social Care • Transformation of information and intelligence • Comparative analysis of information • Driving Improvement Quality Education for a Healthier Scotland • • • • Audit Scotland Care Inspectorate Healthcare Improvement Scotland Mental Welfare Commission for Scotland • NES • NSS Public Health and Information Services Quality Education for a Healthier Scotland The Future Supporting the Health and Care Workforce to deliver • Safe Care • Effective Care • Person-Centred Care Supporting the wider Health and Social Care Workforce Based on sound educational principles in the context of Public Services Reform Quality Education for a Healthier Scotland NES • A patient facing Health Board • Strong and consistent performance • Strong, core disciplines • Comprehensive Educational Infrastructure • Strong and enduring partnerships • Scotland as an attractive place to train to learn to build a career • A significant contribution to Public Service Reform • A direct impact on Quality of Care Quality Education for a Healthier Scotland Education and training matters….. Training is patient safety for the next 30 years. Temple, 2010 Quality Education for a Healthier Scotland