NW Core Skills Programme Stakeholder Event – 3 rd October 2012 09:30 - Welcome 09:40 - Lest we...

NW Core Skills ProgrammeStakeholder Event – 3rd October 2012

09:30 - Welcome

09:40 - Lest we forget – Some views from learners

10:00 - Update on the NW Core Skills Programme

10:25 - Overview of the Core Skills Register

10:45 - Refreshments

11:05 - Getting under the bonnet: Ensuring recognition of Core Skills

11:45 - Getting to the next level: What is needed next?

12:20 - Progress of the National Framework

12:35 - Open Forum & Closing Remarks

13:00 - Lunch

Jill JohnsonAssociate DirectorUHSM Academy

Welcome

Highlight the key successes so far

You said – We did

Information Governance

Quality Assurance

The agenda has moved

Why are we here?

Clarify what still needs to be done

And by who

A collective commitment to make this happen

What we want from today

John SherlockCommunications ManagerCheshire & Merseyside HIEC

Lest we forget

Overview

Setting the Scene

User experiences of statutory and mandatory training

Summary of feedback

Next steps?

Setting the scene

CSF programme has had some significant developments over the past 12 months

Reminder of why we are making the commitment to CSF

First hand accounts

No substitute for experience!

Acknowledge the problem

Identify (the right) solution to the problem

Inspire and engage

Hard to refute

Case Study #1

Mandatory Training – My experience and thoughtsby

Anne Shrestha (ST3)

Day 1

AM: ID Badge, hand washing, Parking, Passwords, Surgical Induction

PM: Virtual Learning Environment (VLE) Modules: blood transfusion, Infection control etc

Day 2

All day trust induction at ?Manchester City Football Club ANTT, Discharge letters, Pharmacy,

Moving and handling, transfusion, Library etc...

Induction 1st Rotation

Same as in trust, different hospital

- Local hospital induction surgical induction

- Did not attend 2nd day of trust induction

Induction 2nd Rotation

A Final Thought....

Statutory and Mandatory training is a tough nut to

crack but like the Capuchin Monkey, if we perserve, adapt and are willing to learn it can

be cracked!

1 Day induction

AM: Test on how to prescribe and write drug cards, usage of antibiotics, surgical induction/housekeeping, cross

cover of specialities.

PM: VLE modules local IT software, discharge summaries, blood transfusion, child protection awareness etc...

ANTT - Blood culture and venepuncture - observed procedural skills

Induction 3st Rotation

“Same as rotation 1. I had to re-do everything.”

Induction 4th Rotation

Conclusion

Induction is vital

The effort is appreciated

It provides a lot of useful information

However...

Conclusion

It’s time consuming

It can be overwhelming

It’s repetitive

It’s not engaging

It’s a waste of resources

a lot of information

Conclusion

Impact:

It can waste time

“ Change over day is always a Wednesday. It doesn't feel like the job has officially started until the following week.”


Conclusion

Impact:

It can impact on patient care

“ There is a lack of doctors in the hospital during those days which affects patient care.”


Conclusion

Impact:

It can waste resources

“ Similar topics were covered throughout different trusts – surely this is a waste of time and money?”


Junior Doctor Survey

2012 Qualitative survey conducted across trusts and HEI’s in the North West

Junior Doctor Survey

Current – 8 weeks old

10 question survey

86 responses

Geographical spread

Responses


Question:

Have you ever experienced duplication of statutory and mandatory training e.g. during rotation periods? If so, describe how this impacted on you and your role?


Snapshots


#1

“I have never received any mandatory training which I have felt was needed for me to do my job that had not been covered in my own teaching programme already.”


Snapshots


#2

“Stat and man is very inefficient. I am never going to read the workbook again having completed it, so that's a waste of paper. Repeating mandatory training so frequently is time-consuming for junior doctors, and also for the staff who have to chase us up about doing it!.”

Snapshots


#3

“The training has to be repeated at each hospital. This means that BLS/ANTT etc has to be completed every 3-6 months.”

CSF User evaluation

Organisational value – GP surgery

'It was has been great to be able to have a single source to access for the core skills training, an area of education which has historically been very difficult for non-PCT Practices to access. It is also helpful to have this training available in a variety of formats to suit individual practices and learning styles. We would very much support further development and publication of this resource.”

Dr Jill Thomas - GP

Conclusion

First hand experience / evidence supports:

It seems to be a universal problem

It wont just go away

Conclusion

It wastes time and money

There is a lot of duplication

It wont just go away

“Addresses the age old problem of how to deliver induction and mandatory training. Impressive scale, scope and can-do attitude, all backed by a very clear business case.”

- Judging panel

Conclusion

Feedback suggests:

This matters to people

Time/money is being wasted

CSF is improving quality

User experience can be improved

Information

Share information:

This matters to people

Time/money is being wasted

CSF is improving quality

User experience can be improved

Next steps

Next steps

Getting under the bonnet?

What do wee need to do to tackle this?

Continue to develop insight and understanding – what can we do to help you?

Share the problem / share the responsibility / share the rewards

Coming soon...

Further research – we need you

Case studies and evaluation feedback on implementing the CSF

Information sharing – case studies etc promoted via website

www.cmtpct.nhs.uk/core-skills

Thank you

Seán BradburyNW Core Skills Programme ManagerCheshire & Merseyside Teaching PCT Collaborative

Programme Update

Workstreams

Programme Structure

CSF &Skills

Passport

FutureWorkforce

NWProgramme

Board

ProgrammeTeam

JuniorDoctors

WiderStakeholders

Core Skills Framework - Support National Framework

Education Delivery - Content Updated / e-Learning

Organisation Guide - Reviewed & Updated

Information Governance - IG Protocols & Principles

Core Skills Register - Interim solution for Passport

Other tools include: - Content mapping / matrixes

www.cmtpct.nhs.uk/north-west-core-skills/

Tools & Resources

Held Event in June

HEI Readiness Assessment

Delivery Matrix

E-Learning Delivery

Core Skills Register

Future Workforce Workstream

10 HEIs in NW delivering 77 commissioned programmes

38 programmes have responded - 49%

30 programmes to adopt this academic year - 39%

5 programmes to adopt next academic year - 6%

3 programmes not adopting at this stage - 4%

HEI Readiness Assessment

Delivery MatrixRight time to do Core Skills?

Year 2

HEI

Placement

Year 1 Year 3

Level 1 for the1st placement

Level 2 + inthe 2nd year

Refresher dueend of final year

Aligning the Core Skills to both Deaneries in the NW

Medical Education Departments

Junior Doctor Case Study


Junior DoctorsWorkstream

North Western Deanery Core Skills aligned July 2012

492 Foundation Year 1 doctors

Mersey Deanery supportive of Core Skills

Redevelopment needed of existing system

Full alignment anticipated Feb 2013

Investigating extending scope with North Western Deanery

ST Doctors / Additional subjects

Alignment of both Medical Deaneries

NW NHS Trusts current readiness status

Quality Assurance Model

Information Governance

Review of CSF Content and Tools

CSF Workstream

Readiness Status

Jan 2012 Apr 2012 Jul 2012 Oct 2012

Waiting Response 15(33%)

5(11%)

0(0%)

0(0%)

Unaware of the CSF 3 (7%)

0 (0%)

0 (0%)

0 (0%)

Not implementing the CSF

6 (13%)

5 (11%)

5(11%)

4(9%)

Planning to implement the CSF

19 (41%)

23(50%)

20(43%)

18(39%)

Partially implemented the CSF

3 (7%)

12 (26%)

14(30%)

16(35%)

Fully implemented the CSF

0 (0%)

1 (2%)

7 (15%)

8 (17%)

- 0%

- 10%

- 30%

- 40%

- 50%

- 20%

- 60%

WaitingResponse

Unawareof CSF

NotImplementing

Planning toImplement

PartiallyImplemented

FullyImplemented

Jan 2012

Apr 2012

Jul 2012

Trust Position

Oct 2012

Readiness Status

What does Readiness mean?

Typical NHS Trust

HRDir

MedDir

Learning & Development

MedicalEducation

PracticeEducation

NewStarters

JuniorDoctorsStudents


Programme Structure

CSF &Skills

Passport

FutureWorkforce

NWProgramme

Board

ProgrammeTeam

JuniorDoctors

Locum& Agency

WiderStakeholders

ClinicalSkills

NationalFramework

Tim GrocottProject ManagerGreater Manchester HIEC

Overview of theCore Skills Register


SHAREALIGNED TRAINING RECORDS

ALIGNMENT SHARE RECOGNITION

TRAINING RECORDS

Core Skills Register Why?

• Records of Core Skills Training are not accessible and shared across providers at present

• The Core Skills Register provides a mechanism by which organisations can share records of core skills training- promoting data portability

SHARE

ALIGNMENT SHARE RECOGNITION

TRAINING RECORDSCore

Skills Register

Core Skills Register“Interim solution to the Skills Passport”

Core Skills RegisterProduct Available: mid Oct 2012

Skills PassportProduct Available: Summer 2013

Core Skills Training Core Skills Training

Reporting Functionality Reporting Functionality

Potential links to internal information systems

References

Career History

Qualifications

Plus Many more features….

• User Journey scenarios completed• BETA Version Developed• User Testing 95% completed• Final amendments being made• Information Governance Implications identified

and progressed. • Support & Training arrangements underway• Anticipated availability - mid November

Core Skills RegisterWhere are we?


When will this make an impact?

SHARECore Skills

RegisterRECOGNITION

•Reduced duplication• Increase local induction time• Improve patient care• Better Quality• Assurance• Audit

1

2PLACEMENT

Early User Feedback

User Journey Testers: -•Easy to follow•Identified small areas of changes•Simple easy steps to undertake user journeys•User Guide simple to follow •Familiarity gained quickly•Journeys completed without detailed training

Helpful with the following

• Organisational reporting• Core Skill Compliance reporting (expiry)• Individual learner searches• Group learner searches• Organisational & Learner reporting combined• Searching, Viewing and Reporting records of Core

Skill aligned training

User Journey Example A

Scenario: David Featherstone claims he has completed Core Skills aligned Fire Safety training but has lost his Certificate.

Use the Core Skills Register to review his record.

CSR Steps: -

Log in

Search

Find

View

Log In

Navigate: Learners Page

Search: David Featherstone

Scenario: Your L&D manager has asked for a report for all Junior Doctors who are Core Skills Compliant

Organisation: Core Skills NHS

User Journey Example B

Navigate: Organisations Page

Select: Core Skills NHS

Enter Search Parameters

View Results & Report:


When… How… Who…

Implementing the Core Skills Register

A. Organisational Engagement

B. Workforce Related Implications

C. SME Implications

D. System related considerations

E. Education Delivery

D. Systems related considerations

• Training databases/Learning Management systems• course structure and administration

• eLearning packages• Content• Assessments• IT requirements

• Skills Register/Passport• Implementation guidance

Implementing the Core Skills Register

Ref Step Guidance Available

1 Approval Terms & Conditions document

2 Information Governance

IG paper for organisations to review/accept

3 IT IT requirements document

4 Set up for:A.Upload learnersB.Upload training

Mapping tools to help ensure correct data is available to upload

5 Test Upload Tool available to generate upload file

6 Set Up Users Training available

Questions?

Refreshments & Networking

NW Core Skills ProgrammeStakeholder Event – 3rd October 2012

09:30 - Welcome

09:40 - Lest we forget – Some views from learners

10:00 - Update on the NW Core Skills Programme

10:25 - Overview of the Core Skills Register

10:45 - Refreshments

11:05 - Getting under the bonnet: Ensuring recognition of Core Skills

11:45 - Getting to the next level: What is needed next?

12:20 - Progress of the National Framework

12:35 - Open Forum & Closing Remarks

13:00 - Lunch

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