10th October 2013
The delivery of 21st century
services – the implications for
the evolution of the
Healthcare Science workforce
Joan Fletcher
www.hee.nhs.uk
www.hee.nhs.uk
www.hee.nhs.uk
www.hee.nhs.uk
www.hee.nhs.uk
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Drivers for action
• Clinical and scientific changes to patient care pathways
• The need to support new service configurations
designed around patients
• Technology will change business and service models
and have a major impact on scientific services
• Patient demographics and other social, economic and
environmental factors are key drivers in the system
.
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www.hee.nhs.uk
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Clinical and scientific advances
driving changes to patient care
New cancer therapies
Bioinformatics
Stem cell technology
Virtual Physiological Human
Genomic medicine
Regenerative medicine
Genome sequencing
Bio banks
Tissue engineering
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New service configurations
designed around patients
Transparency and social networking
Multiple chronic conditions
Personalised medicine
Care closer to home
Consolidation and rationalisation
Choice and competition in the health market
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Technology changing
business and service models
Innovations
Point of care testing
Mobile IT devices
Molecular diagnostics
Digital imaging and pattern recognition
Genomics
Robotics and high through put analysers
Biosensors
Implantable and external monitoring devices
Enablement technologies
Mass spectrometric methods
Multifunctional equipment
Brain-computer interface technology
3D printing
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telemedicine
Computerised image interpretation
Patient demographics and other social,
economic and environmental factors
Financial constraints
Public health challenges
Increasing number of older people
New economic players in health sector
International market for healthcare
Environmental sustainability
Impact of the EU
Antibiotic resistance
Mobile population
Population migration patterns
Pandemics
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Changing roles, skills and
knowledge
• Financial pressures are driving improved productivity and the
streamlining and co-ordination of services
• Advances in technology and the way care is delivered are changing
the roles of scientists
• Scientists increasingly integrated into patient pathways and working
as part of the multi disciplinary team
• Flexible working across specialisms and care settings in roles and
places of work largely unfamiliar to the workforce today
• Speeding up of adoption of new technology and a step change in
technology and efficiency
• New roles focused on technology
• Genomic medicine and bioinformatics impacting on the whole
scientific workforce
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Education and training
• Investment in CPPD essential to maintaining competence in a
fast changing environment
• Modular, fast turnaround development programmes so
workforce is able to adapt the application of its skills and
knowledge quickly
• Introduction of programmes that will equip the workforce to
face the challenges ahead, particularly the leadership
challenge
• Increase in clinical training capacity
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Leadership
• The future workforce needs strong leadership to meet the challenges
facing it
• Leaders need to :
– focus on changing culture and building the confidence of their
colleagues
– be influential and have a strong voice, leading across a range of
professions and breaking down barriers
– provide strong scientific leadership and professional accountability to
avoid fragmentation of the workforce
– be clinical experts and innovators driving the adoption of new
technology and involved in service development
– encourage and lead research within a culture of evidence based care
• The leaders of 2030 are entering the workforce now
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It is important for scientists to
act now
• New technology will have a major impact on service efficiency
and the scientific workforce need to be at the forefront,
driving its introduction
• Scientists will be have an essential role in quality assuring new
services in primary care and the community to ensure the
safety and accuracy of those services
• The Modernising Scientific Careers education and training
programmes and career development framework enables
scientists to seize the opportunities
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Cultural change, a different way
and mind set going forward
• Flexible working across specialisms and care settings
• Support for service reconfiguration
• Quality assurance of diagnostics in less traditional settings
outside the hospital
• Dissemination of innovative technologies at home and
internationally
• Advocacy and leadership for healthcare science across the
complex stakeholder landscape
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For time and the world do not stand still.
Change is the law of life. And those who
look only to the past or the present are
certain to miss the future.
John F. Kennedy
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