Trish Hill
Business West Employment and
Skills Partnership
Professor Sarah Watson Fisher
Managing Director
Healthcare Challenges
Aims
•
•
•
•
National & Local
Short and long term
Opportunities
Solutions
National and International
•
•
•
•
Social
Quality
Access
Cost
4
Local
• Large geographical area with dispersed, rural
population
• High numbers of older citizens (19.6% aged 65+)
• Long term conditions and dementia care
• Integration of care
• High percentage of young people not in
education, employment or training
• Limited local employment opportunities in some
areas, ie Cornwall
5
Short term objectives
•
•
•
•
•
•
•
Values and Beliefs
Accountability
Leadership
Ageing population
Long term conditions
Dementia
Workforce
6
Long term objectives
• Technological developments in:– Communication
– Healthcare
– Environment
• Patients perceptions
• Workforce
7
Solutions?
•
•
•
•
Genomics
Technological changes
Change in skills and knowledge
Change in healthcare delivery
8
Lucy Blandford
Chair of the Wider Workforce Network
(North)
The Widening Participation
Philosophy in the South West
Aim
• Widening Participation in South West
Healthcare
• Apprenticeships – Why?
• Higher Apprenticeships – the drivers
• Future Objectives
History
• Bob Fryer National Director for Widening Participation in Learning at
the Department of Health (Learning for a change)
•
•
•
•
Joint Investment Framework
Leitch (level 2 workforce)
Apprenticeships
Widening Participation Strategy SW
11
Widening Participation
‘Widening Participation’ is a term consistently used to describe
the processes and strategies aimed at those who are under
represented or under participating in learning. These groups
are described as ‘those on low incomes, those without
qualification, the unskilled, part-time and temporary workers,
older adults, those with literacy, numeracy or learning
difficulties, disaffected youth and some minority ethnic groups’
(Tight, 1998).
12
Widening participation had a consistent
message and definition
• Fair access to opportunities for learning and
training (HEE mandate 8 & 10)
• Raising awareness of education and its benefits
to patient outcomes (HEE mandate 8 & 10)
• Raising aspirations (HEE mandate 8 & 10)
• Raising achievement (HEE mandate 8 & 10)
• Raising quality and assurance (HEE mandate 8 )
13
Apprenticeships -Why
• Across Southwest 28 Apprentices in 2008; 2013 over
3500
• Benefits derived from engaging in apprenticeships:
– Widening pool of people entering by establishment of a
vocational pathway into several occupations (1)
– Increasing flow of young people into NHS where
establishments had an ageing workforce (1)
– Structured learning programme for existing staff leading to
level 2 and 3 qualifications (1)
– Improved staff retention through career progression (2)
– A well qualified, highly skilled and motivated workforce
that meets the needs of existing and new patient pathways
and service models
14
Higher Apprenticeships – the drivers
• Global pressures
• Government direction
• Local Enterprise Partnerships objectives
including economic stability and sustainability
• Current and future service delivery needs(e.g.
Cornwall)
• The Francis and Winterbourne View reports
16
The importance of Vocational
Pathways
17
Future: what we know
• Service delivery is changing
• Healthcare sector supporting national and
local objectives and are experienced at
responding
• Established partnerships between employer
and Education Providers
• Increasing requirement for education delivery
to be flexible
22
Future: what is required
• Security of supply and control: viable and
sustained employment and education models
that widen access
• A concerted effort to engage and widen
participation in learning
• More effective partnerships
• Clear, articulated career pathways to staff
employed across the Region.
23
References (1)
• ‘Learning for a Change in Healthcare’ First report to the Department of
Health and the NHS from Professor R H Fryer CBE, National Director for
Widening Participation in Learning (2006).
http://www.workforce.derbys.nhs.uk/Portals/0/WF%20Strategy/Policy%2
0Docs/Learning%20for%20a%20Change%20in%20Healthcare%20Decemb
er%2006.pdf
• A report of an evaluation of the NHS South West Joint Investment
Framework; http://eprints.uwe.ac.uk/13824/
• Prosperity for all in the global economy – world class skills. Final Report;
http://www.delni.gov.uk/leitch_finalreport051206[1]-2.pdf
• Quality with Compassion: the future of nursing education;
http://www.williscommission.org.uk/__data/assets/pdf_file/0007/495115
/Willis_commission_report_Jan_2013.pdf
24
References (2)
•
•
•
•
•
Employer investment in apprenticeships in the health sector, Hogarth, Gambin
and Baldfauf (2012) http://www.apprenticeships.org.uk/AboutUs/~/media/Documents/Publications/Net-Benefits-to-Employers-ofApprenticeships-in-He.ashx (1)
Apprenticeships:
http://www.nhsemployers.org/PlanningYourWorkforce/SupportWorkforce/De
velopingYourSupportWorkforce/Pages/Apprenticeships.aspx (2)
South West Observatory: http://www.swo.org.uk/
Transforming care: A national response to Winterbourne View Hospital (2012)
https://www.gov.uk/government/uploads/system/uploads/attachment_data/f
ile/213215/final-report.pdf
Report of the Mid Staffordshire NHS Foundation Trust Public Enquiry,
Executive Summary (2013)
http://www.midstaffspublicinquiry.com/sites/default/files/report/Executive%
20summary.pdf
25
Higher Level Apprenticeships
National Apprenticeship Service
Richard Daulton.
5th November 2013
Higher Level Apprenticeships
National Apprenticeship Service: Definition and Drivers
Higher Level Apprenticeships enable individuals in employment to
develop the technical knowledge and competence to perform a
defined job. They are an approach to workforce development and
enhancing business performance.
• Critical to the economy
respond to employers’ higher level skills needs
support enhanced business performance
a route for individuals career aspirations
enhance social mobility - progression
• Government support and investment
priming investment fund (2011)
vocational funding focus is via Apprenticeships
Advanced Learning Loans (24+)
27
Higher Level Apprenticeships
28
National Apprenticeship Service: Recognition
A Higher Level Apprenticeship is a recognised learning framework at:
• Level 4 (Certificate of Higher Education) e.g. Accounting, Business &
Administration, Project Management
• Level 5 (Foundation Degree) e.g. Health (Assistant Practitioner), Management,
Human Resource Management, Care Leadership and Management
• Level 6 (Bachelor’s Degree) e.g. Facilities Management
• Level 7 (Masters Degree) e.g. Professional Services (Tax, Audit, Accountancy)
Higher Level Apprenticeships
National Apprenticeship Service: Ambition and Progress
Ambition (2015)
• 22,000 starts (England) with 4,500 employers investing
• 50 “live” frameworks on offer
Progress (2012/13)
• 8,800 starts (England). 1 in 6 are from the South West
• 38 “live” frameworks (12 in development).
Includes: Health (Assistant Practitioner), Management, Business
Administration,Accounting, Human Resources, Care Leadership, IT
• HESW funding for Wider Workforce including Higher Level
Apprenticeships
29
Higher Level Apprenticeships
National Apprenticeship Service: NHS employers
Apprenticeship growth in the South West
• 1,130 starts (all levels) 2012/13: +12% over 2011/12 (- 8% nationally)
•
•
540 starts at Advanced level – progression potential
50 starts at Higher levels
• HESW 2013/14 funding for Wider Workforce including Higher Level
Apprenticeships is a substantial boost.
30
Higher Level Apprenticeships
National Apprenticeship Service: Useful Links
• Apprenticeships:
http://www.apprenticeships.org.uk
Tel.: 08000 150 600
• Higher Level Apprenticeships:
http://www.apprenticeships.org.uk/employers/the-basics/higherapprenticeships.aspxwww.apprenticeships.org.uk/employers/the-basics/higherenticeships.aspx://
• National Apprenticeship Service:
Richard.daulton@apprenticeships.gov.uk
Mobile: 07880 736 709
richard.daulton@apprenticeships.gov.uk
/
http://www.apprenticeships.org.uk/
31
Higher Level Apprenticeships
National Apprenticeship Service
Richard Daulton.
5th November 2013
32
Break
South Devon Healthcare
NHS Foundation Trust
Anna Heath, Alison Milner and Jane Gidman
A 2 year FdSc Healthcare Practice in
partnership with South Devon College (SDC)




Seconded and direct entry students
Seconded students from South Devon
Healthcare Foundation Trust (SDHCFT)
Management support for internal seconded
Trainee Assistant Practitioners (TAPs)
Clinical placements/Honorary Contracts for
direct entry TAPs




Band 4 Assistant Practitioner role within the
NHS
Progression to SDC Level 6 Healthcare
Practice
Plymouth University (PU) agreement that the
FdSc Healthcare Practice programme is one
of the academic routes to apply for Degree
student nurse training
Discussion with PU regarding awarding the
FdSc to relevant students that cannot
continue




Competencies decided by managers
Expert staff teach National Occupational
Standards
Skills for Health standards are utilised for the
competency levels of a Band 4
Consistent QA processes with PU
Level 4
Module Code
SOUD1135
SOUD1136
SOUD1278
SOUD1129
SOUD1137
SOUD1138
Module Title
No. of
Credits
Core /
Optional
Skills for Healthcare Practice
20
Core
Foundations of Healthcare Practice
20
Core
Human Growth and Development
20
Core
Developing Research and Practice
20
Core
The Care Process
20
Core
Diverse Perspectives on Health and
Illness
20
Core
Level 5
Module
Code
Module Title
No. of Core /
Credit Optional
s
Evidence Based Practice
20
Core
Changing Practice
20
Core
SOUD214
3
Health Promotion
20
Core
SOUD214
2
Law and Ethics in Practice
20
Core
HEAB273
HEAB221
Level 5
Module
Code
Module Title
HEAB202R Long Term Conditions Care Management
HEA293R
HEAB223
CAE207
No. of Core /
Credit Optional
s
20
Optional
Core Skills of the Care of Critically ill adults in Acute
Care Areas
20
Optional
Specialist Knowledge and Skills for Practice
20
Optional
Independent Study Module
20
Optional
20
Optional
SOUD200
8
Management: People, Projects and Provision

1.
2.
3.
4.
Transferability of Competencies, which
include four core competencies:
Allocate and check work within your team
End of life care
Effective discharge planning
Risk management


With the specialist knowledge and skills for
practice modules new tasks and
responsibilities have been incorporated into
the AP role.
See information sheet for breakdown of skills
based on specialist areas

SDC, SDHCFT and PU have worked in partnership to
map the FdSc to the Specification of Apprenticeship
Standards for England Document (SASE)

Full compliance has been established

Dual award

Creating a standard approach across the NHS: Core
skills provide transferability across the workplace

Recognises those who have worked full time in the
NHS whilst completing FdSc


Progression from SDHCFT Level 3
Apprenticeship for Workforce Development
BSc (Hons) Healthcare Practice Top-up at
South Devon College

Exciting new Band 5 opportunities

Student case studies



Health and Social Care module for the
community based students to support their
holistic practice
Inclusion of Medicines Management
Competencies for relevant students
Introduction of Psychology option modules


North Devon Healthcare NHS Foundation
Trust commenced the FdSc programme
September 2013
On going discussions with:
Devon Partnership
Derriford
Devon Prisons
Questions
Faculty of Health and Life Sciences
FdSc. Healthcare Science
First cohort: 9th September 2013
Dr Carolyn Paul
Programme Manager for Biomedical and Healthcare Sciences
FdSc = HCS
Associate
BSc = HCS
Practitioner
Programme Considerations
• Programme delivery must be accessible and flexible.
• Should include part-time taught courses, distance
learning and blended learning options.
• Should be training for the ‘role’ in line with Higher
Level Apprenticeships
• Must carry academic credit to ensure individuals are
eligible to progress to the practitioner training
programme (PTP).
• To maximise the scope for career progression, the MSC
models for the provision of these programmes are
drawn from the PTP curricula.
Liaison
• Divisional Workforce Groups / SW MSC Implementation
Board - regular meetings 2011-12
• Department of Health MSC Team – meeting with UWE
and employers July 2012
• Meetings with Cogent, Skills Sector Council for the
Science Based Industries
• Employer Liaison Group (JTO) Working Party
• FdSc Applied Bioscience Technology
• FdSc Chemical Science
• Programme Validation November 2012
FdSc. Healthcare Science
Year 1
Year 2
Scientific Basis of Life
(Cells/Biochemistry/Genetics)
Scientific Measurement
(Data collection/analysis/instrum.)
Principles in Healthcare Science
(Core Skills/Professional Working)
Professional Aspects of HCS
(Multi-discipl/Professional Port.)
Pathophysiology of Disease
(Integrated case studies)
Healthcare Science in Practice
(Content selection: role-relevant)
Anatomy & Physiology
(A&P – content selection)
FdSc. Healthcare Science
Year 1
Year 2
Scientific Basis of Life
(Cells/Biochemistry/Genetics)
Scientific Measurement
(Data collection/analysis/instrum)
Principles in Healthcare Sci.
(Core Skills/Professional Work)
Professional Aspects of HCS
(Multi-discipl/Professional Port.)
Pathophysiology of Disease
(Integrated case studies)
Healthcare Science in Practice
(Content selection: role-relevant)
Anatomy & Physiology
(A&P – content selection)
Negotiated Learning
Contract
•Employer
•Employee/student
•UWE
Block 1 Year 1
Training for a role: CHOICE
• Professional Practice Portfolio
– Is the student endpoint the FdSc?
– Is the student endpoint the BSc?
• A&P (Yr 1) HCS in Practice (Yr 2)
– Is the student based in a Life
Sciences or Physiological Sciences
setting?
– Which specialism?
– Mixed setting?
• How is this Managed?
• Cells to tissues
• Homeostasis
• Gastrointestinal
• Urinary/Renal
• CNS
• ANS
• Endocrine
system
• Female
endocrinology
• Electrophysiol.
• Pressure and
ventilation
Intro
Visceral
systems
Nervous
System
Endocrinology
CVRS 1
• Muscle S/F
• Skeletal
• Terminology
• Diagnostic
imaging
• Male/Female
anatomy
• Embryology
• Synapses
• Nerve
conduction
• Mechanics
• Blood pressure
Support
systems
Clinical
Anatomy
Reproduction
Nerve Function
• Sleep 1
• Sleep 2
Core (all)
Optional (HCS LS/PS)
Core (HCS PS)
Sleep Science
•Cardiac
development
•Respiratory 2
CVRS 2
Vascular
System
SELECT:
10 Units from 12
Healthcare Science in Practice
Complete 4 from 11 themed units:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Applied genetics
Biology of Microorganisms
Blood & Tissue Sciences
Immunology & Disease
Human Physiology
CVRS Physiology
Cardiac Physiology A
Cardiac Physiology B
Pathophysiology of CVRS
Respiratory & Sleep A
Respiratory & Sleep B
• Indicate choice at
start of year 1
• Review at start of
year 2
• Captured in
Learning Contract
Coursework
Competency Portfolio
Exam
Pattern of Delivery
2
weeks
1 week
1 week
Weeks
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Dec
Nov
Oct
Sept
Year 1: 4 weeks teaching/assessment at UWE
1 day
2
weeks
1 day
1 week
Weeks
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Dec
Nov
Oct
Sept
Year 2: 3 weeks and 2 days teaching/assessment at UWE
Induction Block: FdSc Healthcare Science
Dates: 9th – 20th September 2013
MORNING
(9:00-10:00)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
FRIDAY
*GENERAL
COMPUTER
INDUCTION
MORNING
(10:00-11:00)
MORNING
(11:00-12:00)
LUNCH
WELCOME
Prog Manager
Student advisers
PROGRAMME
INTRO
Prog Man
Meet student
buddies for
lunch
MODULE INTRO
PoD
Tutorial
MODULE INTRO
SBL
Tutorial
AFTERNOON
13:00-14:00
AFTERNOON1
4:00-15:00
LAB INDUCTION
AFTERNOON
15:00-16:00
LIBRARY TOUR /
INDUCTION
*BLACKBOARD
SBL PRACTICAL
(standard curve)
TUTOR
MEETING
PoD PRACTICAL
(Haem)
STUDY SKILLS
Referencing
PoD PRACTICAL
(Clin Chem)
*DISCUSSION
BOARDS
PoD PRACTICAL
(Cell Path)
STUDY SKILLS
Examinations /
assessments
PoD PRACTICAL
(EIA)
SBL PRACTICAL
(Genetics)
SBL
Tutorial
PoD
Tutorial
Induction Block: FdSc Healthcare Science
Dates: 9th – 20th September 2013
MORNING
(9:00-10:00)
MORNING
(10:00-11:00)
MORNING
(11:00-12:00)
MONDAY
MODULE INTRO
A&P
*QUIZZES
A&P
HORACE
(2H7/8)
TUESDAY
MODULE INTRO
PHS
WEDNESDAY
AFTERNOON
14:00-15:00
A&P PRACTICAL
(Dissection)
AFTERNOON
15:00-16:00
*ONLINE
SUBMISSION
A&P PRACTICAL
(GTT)
A&P PRACTICAL
(respiratory)
*PHS
Tutorial
breakfast
REGISTER
AFTERNOON
13:00-14:00
PHS
Tutorial
PHS
Tutorial
THURSDAY Student
MENTOR TRAINING
LUNCH
coffee
WELCOME
SAMPLE
TEACH
LUNCH
*COLLABORATE
*PORTFOLIOS
JOINT
JOINT
COLLABORATE PORTFOLIOS
Learning
Contract
JOINT
coffee
Learning
Contract
FRIDAY
Access to On-site Learning Resources
Drop-in sessions with module Leaders/Tutor
FREE TIME
END
Any given fortnight
Week
A&P
PoD
PHS
SBL
Tuesday
Wednesday
Thursday
Friday
A
A&P Online
‘Lecture’
PHS 1hr tut
PoD Online
‘Lecture’
SBL 1hr tut
B
PHS Online
‘Lecture’
A&P 1hr tut
SBL Online
‘Lecture’
PoD 1hr tut
= Anatomy & Physiology
= Pathophysiology of Disease
= Principles in Healthcare Science
= Scientific Basis of Life
Lec = Lecture. Asynchronous online delivery
Tut = Tutorial. Synchronous group tutorial online
Mode of Delivery
• Work based training
~ 2d/week work-based training (role)
• Blended / technology enhanced
learning
~ 1d/week engaging with online
learning/assessment
FdSc to BSc
• BSc (Hons) available in:
• Healthcare Science (Life Sciences)
– Accredited by Health Education England
– Accredited by the Institute of Biomedical
Science
– Approved by the Health & Care
Professions Council
• Healthcare Science (Physiological Sciences)
– Accredited by Health Education England
Final Year of BSc. Pattern of Delivery for
Sep Oct Nov
Dec Jan FebSciences
Mar Apr May Jun Jul Aug
Healthcare
Year 1
Year 2 Sep Oct Nov
Year
Year 13
Year 2
Term dates
Year 3
Dec
Assessment periods
Jan
Feb Mar
Apr
May
Jun
Jul
Placement/Workplace
Vacation
Step on to Pathways in:
Blood Sciences
Cellular Sciences
Genetic Sciences
Infection Sciences
Cardiac Physiology
Respiratory & Sleep Physiology
Where FdSc learning has not been specific to a pathway, some
top-up study may be required before transitioning onto the BSc.
Aug
Final Year of BSc. Pattern of Delivery for
Sep Oct Nov
Dec Jan FebSciences
Mar Apr May Jun Jul Aug
Healthcare
Year 1
Year 2 Sep Oct Nov
Year
Year 13
Year 2
Term dates
Year 3
Dec
Jan
Assessment periods
Semester 1
2 x specialist modules
pathway-dependent
Feb Mar
Apr
May
Jun
Placement/Workplace
Vacation
Semester 2
Research Project
Professional Practice module
Jul
Aug
Student Advisers
Library
Disability / Access needs
Student Support
Access to Academic Support
Academic Personal tutor
Module Leader
Programme Manager
Visiting Tutor
Face-to-face: block weeks / site visits
Scheduled virtual office hours
Unscheduled: discussion board / email
Peer Group Support
Student Support Services
Access to all services
• Remotely via webpages
• On site during block week
Established during initial block week
Personal Academic Tutor Group
Face-to-face
Scheduled
Unscheduled
IT Support
Any Questions?
Lunch and Networking
Please fill out and return your
evaluation form