Skill mix and role redesign, the North West way Juliette

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Skill mix and role redesign, the North West
wayJuliette Swift
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Outline

• Skill mix and role redesign, what does it mean?
• Strategic drivers
• NHS NW vision
• NW workforce modernisation strategy and current
  position
• Some examples
• Lessons Learned

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Skill mix and role redesign.. what does it mean?

• Workforce modernisation
• New ways of working, new types of worker
• Substitution, enhancement, innovation
• Working differently, making best use of the
  skills of existing staff, productivity,
  efficiency, maximising potential

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Key Strategic drivers
Operating Framework
Quality, Innovation, Productivity Prevention
NHS Constitution
NHS North West - Healthier Horizons
External Feedback
Delivery of NW Workforce Strategy
Financial Pressures
SHA objectives
Better Care Better Health Better Life
Better Care Better Health Better Life
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NHS NW Vision

• Improve health and wellbeing
• Optimise the delivery of quality healthcare
• Be recognised as a world leading health system.
• Changing context with the quality and
  productivity challenge

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NW workforce modernisation strategy

• Structured approach, in partnership
• Modernisation networks
• Assistant Advanced Practitioners, Non-med
  Consultants
• Multi-professional
• Current Numbers
• Definitions standards
• Proposal process, service driven
• Education commissioning
• Evaluation

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How can new roles help to meet the QIPP challenge?

• Some examples
• Impact on service delivery, productivity and costs

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NW examples Childrens Walk-in Centre

• Improved access, care closer to home
• Avoiding unnecessary admissions, 85 treated at
  WiC
• Shorter waiting times
• Approx 17,000 attendances in 2008, increasing
  year on year
• More time available for consultation

• Advanced Practitioner-led service, competent to
  carry out some of the work traditionally
  delivered by doctors
• Assessing and treating children with minor
  illness/injury in primary care since 2006

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NW examplesAssistant Practitioners

• Quality of care, brilliant basics!
• 100 Nominations for NW AP of the Year 2010
• Across primary care acute services
• Mostly nominated by line managers

• Improvements in
• Nutritional Support
• Infection Control
• Wound care and healing
• Patient advocacy and emotional support

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NW examples Advanced Practitioners in Emergency
Medicine

• Reliable, permanent members of the ED team
• Provide assessment and treatment of a range of
  patients requiring unscheduled care

• Managing increasing numbers of new attendances
  and sustaining achievement of the national 4-hour
  standard
• Overall reduction in the additional medical locum
  resource
• AdP role enables the training of junior doctors

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Role redesign and changing skill mix- the
challenges

• Needs analysis
• Role Clarity
• Competencies, education and training provision
• Support for WBL, mentors
• HR Issues
• Professional issues, accountability, regulation
• Leadership, sign-off and sustainability

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Thank you

• Laura.dunaway_at_northwest.nhs.uk
• E win portal from June 2010
• www.ewin.northwest.nhs.uk.boilerhousestudio.co.uk