NHSU The Emerging Vision

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NHSU From vision to implementation Professor
Bob Fryer Chief Executive
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Brief Agenda

• The story so far
• Mission purposes
• NHSU as a corporate university
• Eight core principles
• Feedback from the consultation on Learning for
  Everyone
• Initial learning programmes and services
• Organisational status ways of working

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The story so far...

• Commitment in Labour Party Manifesto, general
  election 2001
• Publication of Everyone Introducing the NHS
  University, October 2001
• Memorandum of Agreement with Universities UK,
  November 2001
• Appointment of Chief Executive NHSU, February
  2002
• Formation of NHSU Design Implementation Team,
  March -June 2001
• Publication of NHSU Development Plan Learning
  for Everyone November 2002
• Period of extensive consultation November 2002 -
  March 2003
• Appointment of NHSU senior team and staff
  November 2002-present
• Preparing initial roll-out of learning programmes
  services - current

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NHSU's draft mission

• To contribute to improvements
• in health and social care through the systematic
  application of learning.

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Two principal high level aims of NHSU,
contributing to

• A transformation of service delivery in health
  social care
• that is increasingly patient-centred, team
  based, multi-professional, outcomes driven,
  evidence-based,de-centralised, giving choice
  more publicly accountable and
• A transformation of learning opportunities in
  health social care
• by promoting skills enhancement, capacity and
  personal development through more learner
  engagement, wider participation, new modes of
  learning, and higher levels of learner
  attainment, achievement progression

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The role of a corporate university

• Supporting the aims, values priorities of the
  NHS as a whole
• Contributing to systematic improvements in
  patient care
• Providing coordinating learning to meet the
  needs of the service
• Unlocking peoples talents, creating new learning
  opportunities
• Building learning cultures and an ethic of
  continuous improvement
• Complementing facilitating new ways of working
  
• Including patients, carers volunteers more
  effectively
• A catalyst for innovation in workplace learning

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But with a difference - achieving full university
status

• Creating high standards common frameworks
• Raising staff aspirations ambitions
• Making our own awards
• Engaging in selective research development
• Attracting high calibre staff
• Able to engage as an equal partner
• Taking advantage of new provisions in the HE
  White Paper
• Move forward as quickly as possible - book a
  legislative slot

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Eight Guiding Principles

• Access - available to everyone in healthcare
• Relevance - designed to secure benefits for
  patients and staff alongside improvements in
  healthcare
• Choice - delivered in innovative ways that suit
  individual learners
• Support - world class system to help learners

• Equity - tackling the barriers to fair
  opportunity and creating opportunities for
  inclusive learning
• Multidisciplinary and multi-professional -
  towards common learning
• Partnership - working with others and recognising
  the good work already being done
• Quality - commitment to excellence in all that we
  do

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There is overwhelming support for the concept of
NHSU, inside and outside the NHS
Q How strongly do you personally support or
oppose the principle of having a single body to
co-ordinate and support learning for the NHS/a
university for the NHS?
Neither/ nor
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Support staff are particularly enthusiastic
Q Overall, how strongly do you support or oppose
the setting up of NHSU?
Strongly oppose (1)
Don't know (1)
Neither/ nor (3)
Tend to support
Strongly support
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Most people are 'fairly' satisfied with their
learning.
Q How satisfied or dissatisfied are you with
your current learning and development
opportunities in the NHS?
Dissatisfied
Doctors
Allied health
Nurses
Managers
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Support staff are less happy with current
provision
Don't know
Very satisfied
Q How satisfied or dissatisfied are you with your
current learning and development opportunities in
the NHS?
Very dissatisfied
Fairly satisfied
Fairly dissatisfied
Neither/nor
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What staff most like about their learning
Q Which, if any, of the following would you say
is particularly good about your current training?
Appropriateness of training 72
Training with staff from other NHS
organisations 64
Quality of the trainers 61
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And what they dislike
Q Which, if any, of the following would you say
is particularly poor about your current training?
Lack of staff cover - 69
Lack of time for training within working hours
- 58
Lack of funding - 53
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Staff believe NHSU will help in key areas
Q How strongly do you agree or disagree with
each?
NHSU will help ensure consistency in training and
standards across the NHS
NHSU will help attract and retain staff
NHSU will ensure improvements in patient care
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NHSU needs to 'focus' on a wide range of things
Q Which, if any, of the following do you feel
will be most important for NHSU to achieve (or
focus on)?
Meeting training needs of staff at every level
Improving healthcare for patients
Encouraging people to stay in the health service
Ensuring that the staff get the training they are
entitled to
Providing practical learning
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. . . and more!
Q Which, if any, of the following do you feel
will be most important for NHSU to achieve (or
focus on)?
Encouraging people to join or return to the
health service
Providing career opportunities for staff
Recognition of existing skills
Stimulating the modernisation of the health
service
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Strong support for multidisciplinary learning
NHS staff and stakeholders from the voluntary and
social care sectors are positive about
training/working across boundaries and want more
opportunities to do so.
We are interested in any ways that link health
and social care - so it basically makes more
sense to the people who are actually using the
services.
Ive actually spent time with social workers in
residential homes to know really what Im talking
about, but I done that off my own back

Health care assistant - Acute Trust
National Charity
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Potential impact of NHSU
Q In what way do you think NHSU will impact on
your professional development?
Dont know
Negative impact
Neither/nor
Positive impact
Nurses
Allied health
Managers
Doctors
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Barriers to NHSU
Q What potential barriers if any, do you think
may slow the process of ensuring training is
available for all within the NHS?
Staff resourcing/ having enough staff to cover
NHS Managers
Funding
Doctors
Workload
Nurses
Reluctance of staff to attend training
Allied health
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Common themes for support staff
Well, ward clerk is a bit like, youre capped
off, you cant really go any higher unless you
come out of that and do something completely
different, so I dont know how to progress
further.

• Time
• Access
• Relevance
• Lack of career structure

Even though mines a clerical based job, Im
still talking to doctors and things about x-rays
and about different blood things. Theyre always
saying to me what does that mean, but because I
havent had the training on it I dont know.
Ward Clerk
Administrative assistant
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A simple lean organisational structure

• Relatively small number of staff overall c 500 -
  600 in this SP period
• A small, strategic national HQ, with some limited
  but high quality learning facilities
• Nine vertical geographic divisions for local
  engagement delivery
• A small number of horizontal schools -
  organising our key learning services programmes
  embodying our values USP
• A growing possibility of operating in some of the
  devolved administrations

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Early programmes and services (scheduled for
roll-out in 2003-4)

• Induction
• Advanced communication for cancer care
• Skills for life and health
• First contact in primary care
• Health informatics
• Cleaning infection control
• Pre-operative assessment
• Managing in health social care
• Health Learning Works

• Information, advice guidance
• E-Learning
• Learner support
• Qualifications accreditation framework
• Learning Needs Observatory
• Foundation degrees
• Junior Scholarships
• NHSU Fellowships
• Learning accounts

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Learning Facilities
Learning services
Support
Learning Programmes
Advice
Time
Achievement, improvement, progression change
Credit
Mgt support
Funding
Courses
Modules
Projects
E-learning platform
Local infrastructure