Post on 15-Dec-2015
9th July 2014
The National Perspective
Workforce Planning
Philippa SpicerManaging Director
HE KSS
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• Circa 13 years to train a consultant / 3 years for a nurse
• We invest £4.8bn in education and training, making expensive assumptions about future health care models
• If we are wrong, under-supply could result in unmet need; over-supply means an unemployed workforce and wasted resources
• If we make wrong decisions we risk locking the service into outdated models of care
• We need a strategic framework to guide our investments in the future
Why a 15 year strategic framework?
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So our best chance of success is to base our long-term workforce strategic framework on the anticipated needs of future patients.
Global drivers of change
Future patients Future workforce
Our Strategic Framework
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MANDATE2014/15
Business Plan 14/15
Workforce Planning Guidance
15 YEAR STRATEGIC FRAMEWORK
WORKFORCE PLAN FOR ENGLAND 15/16
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Components of the wider workforce planning and development system
HEE / LETB Workforce
Supply Forecasting
Education Commissioning
Education Delivery
Service Provider Workforce
Supply Forecasting
Other Supply Activity Planning
Other Supply Activity Delivery
HEE / LETBs Education Providers
Service Providers
Service Providers (as clinical education providers)
Service Commissioners and
Regulators
Education Regulators
Workforce Demand Planning
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Workforce Demand Planning
Workforce Supply Planning
Workforce
Activity
Finance
Primary Care providers
Secondary Care Providers
Tertiary / Specialist Provider
Integrated Pathway Planning Integrated Organisational Planning
Integrated Workforce Demand and Supply Planning
Community / Rehab Provider
Workforce Planning – Integrated Planning Challenges
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LocalPlanning
NationalPlanning
Provider Forecasts
LETB Aggregate provider Forecasts
LETB Investment
Plans
England Wide
Forecasts
Workforce Investment
Plan for England
LETB 5 Years Skills Strategies
Call for Evidence
Local Challenge,
triangulation and
moderation
HEE Workforce Planning Process 2013
ALBs, HEEAGs, and
PAF
National Challenge,
triangulation and
moderation
Commissioners HEIs, and Other
Partners
Strategic Intent Document and
Mandate
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Current Future
Individual
Family
Population
Social care
Schools
Local authority
3rd sector
Current lens on NHS child health workforce
Medical
Non-Medical
INNOVATION
Health visitors
Paeds
Paed surger
yPaed
cardiology
Child & adolesc
ent psychPaed
dentistryObys &
gynae
School nurses
Social worke
rsChildren's SLT
OrthoptistsPaed
physio
Pharmacy
Children's nurse
CD nurs
e
Child psychotherapy
Unmet and/or unjoined need
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Accountability• HEE is accountable for the spend (Approx. £5bn)• The HEE Board is the overarching Governance body • Senior Leadership Team (LETB MDs and HEE Execs)
recommend• Anyone else advises
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Standardisation of approach
• Detailed process guidance for NHS covering providers, commissioners, LETBs and HEE roles – consultation concluded
• Call for Evidence is the mechanism for other bodies (eg Royal Colleges) to flag issues/present evidence
• ‘Early Signals’ template from LETBs• Standard workforce demand template • Standard workforce supply template• Medical Stocktake• Investment Plan template – coming out to LETBs in July
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‘Formal’ timetable - draft• April - formal launch of round• 11 Nov HEE Informal Board• 13 Nov LETBs formally notified of CT1/ST1 rec. ranges• 16th December - HEE Board approval and publication • 16th Dec onwards LETBs publish local plans??
– NB : this needs to be clarified
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Data Collections – planning round
• April/May – Medical Stocktake. This is the current number of medical posts and medical trainees at each level of training for each medical speciality in each LETB at April 2014. It is repeated in October.
• End June - soft close of ‘ Call for Evidence’ from external stakeholders (eg national bodies, Royal Colleges)
• 15 Aug – aggregate provider demand forecasts submitted by LETBs. This is a LETB level summary of forecast demand for staff by group for end each year 2015 to 2019
• 25th Aug LETB Managing Directors update on progress at Senior Leadership Team• TBC Sept – forecast supply template submitted by LETBs. This is a LETB level summary of
forecast supply of each staff group for which HEE commissions education.• 26 Sept – full Investment Plan submission from LETBs. NB: this is the main submission.
Subsequent submission should be ‘tweaks’. This is the number of education commissions and medical training posts each LETB plans for the academic year 2015/16
• Xx Oct?? – Medical stocktake – see above• 29 Oct – final Investment Plan submission from LETBs. NB: this is the ‘locked down’
plan subject to November meetings of Exec and SLT and Board approval in December
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Advisory structures
HEE Medical Advisory Group (HEEAG)• Strategic oversight• Medical profession
perspective• Patient pathway focus
Medical Workforce Advisory Group• Supply and demand • Immediate investment • Geography• Monitoring
implementation of the agreed plan
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Co-ordination
• The HEE national team are now working closely with the Centre for Workforce Intelligence to develop an HEE owned national perspective view of supply against which to assess forecast demand
• LETBs work with more granular locally focussed data and tools to develop local plans and local medical workforce planning capability. This is achieved through a collaborative network which endures consistency between LETB processes.
• The national and local processes are mutually supportive.
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