Chris Reay

1
The Changing Face of the Health Workforce

• Chris Reay
• Regional Director
• Yorkshire and Humberside

2
The Workforce Agenda for Employers

• Modernising Medical Careers
• AFC pay reform
• EWTD Compliance
• New and Extended roles across most professional
  groups
• Service reform
• Improving productivity
• Common service standards for professions and
  support staff

3
The Employer Agenda

• Workforce solutions match policy reform, market
  conditions and health system reviews
• Reflects increasing importance of productivity in
  the target driven health sector
• Service reforms, 18 week wait, long term
  conditions management, public health targets
• Reconfigured or merged services related to
  geography and clinical outcomes assessment

4
Skills Gaps in Health

• Leadership and Business planning skills
• Workforce planning
• Information technology
• Advanced roles, surgical assistants, anaesthetic
  assistant,non medical diagnostic skills
• Customer care
• Competence based not profession based service
  delivery
• Dental service provision
• Public Health practitioners
• Generalist practitioners

5
Workforce changes required from Sector Skills
Agreement Consultation

• Fill the skills gaps in diagnostic professions,
  and basic skills of HCSW,IT, Leadership and
  management, Business Planning
• Influence new new ways of working in the sector
  in all professions and support roles
• Improve career progression pathways
• Regulation of new roles
• Embed the competence based approach to education.

• Increase the scope for work based learning
• Integrate health and social care training and
  working
• Improve partnership working between HEI and FE
  organisations
• Provision of one point of contact for all health
  employers for labour market intelligence
• Influence the professional regulatory bodies to
  eradicate professional tribalism

6
Workforce Planning

• Fit with Commissioning arrangement
• Led by employers
• Incorporate private sector funding for Training
  and Development
• Engender social responsibility of employers in
  the NHS
• Reduce LSC funding to FE institutions
• Utilise health TD provision for wider health
  community
• Improve access to e-learning
• Use the language of competences in role and
  service redesign

7
What is the Sector Skills Agreement?

• Set of agreements to deliver the skills of the
  workforce
• Characterised by a set of national agreements
  with regulatory bodies, Unions, Funding bodies,
  Royal Colleges, HEI/FE etc
• Principles of the agreement are to

• Improve the quality of and access to training.
• Link workforce investment with health reforms
• Put employers in a leadership role
• Increase productivity in health care and the
  regional economy.

8
Leitch Review of Skills

• Improving productivity of the UK and global
  economy
• UK needs to raise its game to compete with the
  Far East and others
• Drastic improvements required in adult skills, 5
  million adults in the Uk not functionally
  literate, one third of adults do not hold basic
  school leaving qualifications
• Actions for 14-19 year olds
• Much tougher targets then previously stated to
  improve productivity

9
Leitch Targets

• 95 of adults to achieve basic levels of
  functional literacy
• 90 of adults to achieve at least level 2
• Additional 1.9 million level 3 attainments,
  shifting the balance from level 2 to 3.
• Increase apprenticeships to 500,000 per year
• 40 of adults qualified to level 4 and above

10
Leitch recommendations

• Increase employer investment in level 3 and 4
  qualifications, improve relationships between
  employers. HE and FE
• Improve employer focus on level 5 and beyond
• Develop a universal adult careers service
• Creates a new and integrated employment and
  skills service develop employer led Employment
  and Skills Boards

11
Leitch and Health Sector Employers

• Utilising IIP products to improve business
  efficiency
• Employers driving up new apprenticeships in
  health
• Health and HEI to improve business management
  skills innovation and workforce planning and
  development skills
• Create environment with private investment to
  drive up R and D in health in the region.

12
Leitch and Health Sector Employers

• Employers taking the lead in implementation. .
• A national Commission for Employment and Skills
• Collective employers action needed to address
  specific sector needs
• Employers will performance manage their
  respective SSC
• Making Skills Pledges which may be statutorily
  enforced
• Employers to enhance business performance skills
  of the workforce

13
Skills for Health Contribution

• Labour market intelligence
• Developing the 14-19 Diploma in Society Health
  and Development
• Skills for Life
• Increase apprenticeships in the sector
• Tools to improve patient centred workforce
  planning
• Employability schemes for the health service
• Curriculum planning and learning design
  principles for new roles in service reform
• Developing national occupational standards
• Determining the range of economically valuable
  qualifications
• Sector Qualifications Strategy reform
• National Skills Academy
• Create a regional platform to join up workforce
  activity in the Region.

14
Action via the Sector Skills Agreement

• Employer led
• Changes to commissioning the workforce
• Local determination
• Improves sector productivity
• Joint Investment Framework
• Connect the health education and regional
  economic agenda