Agenda for Change Benefits Realisation and Evaluation

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Agenda for Change Benefits Realisationand
Evaluation

• Best Practice Facilitator
• Pay Modernisation Unit

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AFC and Benefits Realisation

• Aim
• help you prepare to implement
• Agenda for Change
• by understanding how it can assist the
  achievement of
• service and workforce objectives

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Context for Agenda For Change

• NHS Plan
• - sustained
• investment
• in service
• HR in the
• NHS Plan -
• sustained
• investment
• in staff

• Better services for patients
• Better staff development
• Fairer rewards for staff

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AFC - Overall benefits

• Harmonised Ts Cs
• NHS Job Evaluation System
• NHS Knowledge and Skills Framework
• Partnership working

• Organisational Development
• Whole system HR review
• Enables modernisation

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Personal Development
Modernisation as a process of continuous
improvement
Job / Role (Re)Design
Pay Progression Career Development
Job Description/Person Specification
Improved Performance
Patient Needs
Knowledge Skills Framework
Job Evaluation
Pay Band
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An Example from Hereford PCT

• Looked at how services are delivered
• Reviewed skills/knowledge and responsibilities
• Used JE process to focus on patient care rather
  than on professional roles.
• Used new system to specifically design roles for
  new Intermediate Care Unit

• Demonstrated need for support workers for their
  Health Visiting Service Assistant role with
  families and Clerical support
• Determined specific requirements for Practice
  Educators work if high quality care to be
  developed
• Focused on needs led service rather than Whitley
  grades for District Nursing

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Five simple rules

• See things through patients eyes
• Take small steps as well as big leaps
• Give front line staff the time and the tools to
  tackle the problems
• Look at the whole picture
• Find better ways of doing things

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Emerging Lessons from EIs

• Different approaches by different EIs
• Important to set your own goals at the start
• Involve all the right people - staff, managers,
  unions, patients, consultants and so on
• Combine with Consultant Contract and EWTD
• Not easy to focus on major service modernisation
  AND pay modernisation

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Emerging Lessons from EIs

• AFC as enabler, trigger, catalyst
• Improves an organisations knowledge of itself
• Harmonised Ts and Cs - leading to review of
  service and current rotas, ways of working
• JE - for allocating pay to new or extended roles
• NHS KSF introduces personal development review
  for all - and used to develop, support and
  monitor progress of new or extended roles,
  increase consistency, and progress careers

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AFC Benefits Realisation - EIs

• Extended roles for PTS Care Assistants in NEAS
• New roles in donor transplant care in Papworth
• Harmonised Ts and Cs for HCAs in Aintree
• Assistant practitioner radiographer roles in
  Aintree
• Review of medical secretaries roles in West Kent
• New theatre technicians role in Sunderland
• KSF Pilot in National Blood Service (on MA web)

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Developing your own local success criteria
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Have you got jobs that are hard to recruit to?
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• Does your organisation have roles that
  desperately need to be redesigned?

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Annexe E Criteria
Financial monitoring
Trust Performance Indicators
Fairness consistency
Service Modernsiation
JE and KSF
learning about processes and products
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Benefits Realisation Stepping Stones - Trust
Level

• April/May - Identify leads, key outcome criteria
  and processes in overall project plan
• May/June - Opportunities for short, medium and
  long term changes to service delivery from new Ts
  and Cs identified
• July/Aug - New roles visioned and mapped
• July/Aug - Link AFC to LDPs and redesign projects
• Aug/Sept - OD/Modernisation plan signed off in
  partnership
• Jan 05 onwards - Service Improvement
  opportunities start to be realised

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Preparation for Benefits Realisation - Joint
Statement

• What do you want to get out of implementation
  locally?
• How will you incorporate your existing priorities
  for service modernisation into pay modernisation?
• What other innovations might be facilitated by
  AFC?
• Are you making links with other national
  initiatives eg IWL/EWTD?
• What other aspects of Annex E might be useful to
  apply locally?

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Defining local success risk avoidance criteria

• What change and improvement opportunities arise
  from harmonised Ts and Cs?
• What opportunities exist to use JE and KSF to
  review and redesign particular jobs or work
  areas?
• How could AFC be used to enable positive change
  in your organisation (eg improving partnership
  working)?
• What are the risks and how can they be minimised?

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Useful Websites

• www.dh.gov.uk/agendaforchange
• formal documentation
• www.modern.nhs.uk/agendaforchange
• learning from Early Implementation
• www.modern.nhs.uk/cwp
• database and tools for new ways of working