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Hazel Winning
AHP Lead Officer
DHSSPS
Promoting service and role redesign to AHPs
to increase capacity and add value to service
delivery.
Ensuring robust governance arrangements,
including supervision, are in place to ensure
the safe delivery of high quality care for
service users and staff.
The role of AHPs in the delivery of local,
integrated, high quality patient-centered
services.
DUP leader Peter Robinson new ministerial team
The DUP's
Edwin Poots
and Nelson
McCausland are
being replaced
as Stormont
ministers
Stormont faces a
shortfall of more
than £200m in its
budget for the
current financial
year
Jim Wells will
replace Mr
Poots as health
minister
Population of 1.8 million people
Older people & disabled children
Fastest growing population in the UK
Number of people over 75 will increase by 40%
Population of 85 years of age will increase 19% by 2014 and to 58% by 2020
Increasing numbers with chronic conditions such as hypertension, diabetes obesity and asthma
-Account for 50% of GP referrals
individuals with LTC often have multiple conditions
Ill health –smoking
Obesity ,alcohol and drug misuse
Inequalities in the health of the population
Legacy of the troubles -50,000 injured
Changing demands!
4
• Advise to minister ,senior policy and professional colleagues on AHP issues
• Leading the development and implementation of AHP focused polices and projects
• Working closely with colleagues across Departmental and HSC to develop AHP services in line with existing strategies
• Respond to assembly business and private office decision-making, policy
• Workforce
Independent Assurance
Performance Management
Department
HSCB
(Incl LCGs)
Trusts
PHA
BSO
RQIA PCC
Agencies
NDPBs
Key Stakeholders
Fundamental change required:
Transforming Your Care’ review of HSC in NI-John Compton
Healthcare for London- a Framework for Action- Prof Lord Ara Darzi
The Scottish Governments Shifting the Balance of Care Framework Programme of Changes across Health and Care Systems
NHS Wales 5 Year Vision for NHS in Wales
We all aspire to the right care in the right place at the right time
Using resources to best effect etc.
Transforming Your Care
Fit and Well/Quality 2020
AHP Strategy-Improving Health and Well-being through Positive Partnerships
Children's Reviews –acute/schools
Physical Disability Strategy
RQIA Strategic Priorities
9
4 Strategic Themes :
Promoting person centred practice and care
Delivering safe and effective practice and care
Maximising resources for success
Supporting and developing the AHP workforce
“The increasing demand for AHP services requires that those in leadership roles ensure the
skills are in place to enable the AHP workforce to meet the challenges for implementing
new models of practice and care”
(Edwin Poots MLA, Minister of Health, Social Services and Public Safety – Strategy for the Allied Health Professions in Northern Ireland 2012 -2017)
Strategy Regional Implementation Steering
Board/Implementation Board
RIB Action plans 2013-14 and 2014-15
Established a SWDG/ECG
Appointment of Business Contracts Manager for Nursing, Midwifery and AHPs, DHSSPS
Consider how workforce planning, learning & development can support the development of AHP workforce
Provide a Regional Forum and Strategic Leadership for the AHP workforce
Provide a strategic context for AHP Education Commissioning
Overall Focus:
Clinical and Leadership education & training provision
Oversee the process of commissioning education,
learning and development opportunities
Programmes commissioned to meet Service Need
Lead to improved service delivery and patient
outcomes
Ensure allocated resources are used to best
effect
Report to SWDG on performance and training
outcomes
Opportunities for Multi-professional education
Openness and transparency
SWDG/ECG Planning Workshop (early
May)
First Draft of ECG Plan Submitted
(mid September)
SWDG Meeting /ECG meeting (early October)
Consider First Draft of ECG Plan
Performance Management
Final Draft of ECG Plan Submitted
(December)
ECG meeting (December)
Consider Final Draft of ECG Plan
Provisional ECG Plan shared with
Education Providers (December)
ECG Plan Costed (January)
ECG meeting (March)
Finalise and Agree ECG Plan
Workshop Preparations
Approved ECG Plan shared with
Education Providers (March/April)
Continual
Identificatio
n of training
needs within
service areas
University Application Process
commences (May/June)
Postgraduate AHP Education Commissioning Cycle
Key component of safe and effective care
Clinical and social care governance
Essential for development of our AHP workforce
“must demonstrate competence through continuing professional development which includes evidence of supervision”
Review of Public Administration
15
Minister launched policy on 2nd April 2014
roll out training regionally for all AHP staff
target March 2015 every HSC AHP will have
completed foundation training
Strategic
Operational
Professional
Performance management
Demand /capacity
Personal
It is better to lead from
behind and put others in
front, especially when
you celebrate victory
when nice things occur.
You take the front line
when there is danger then
people appreciate your
leadership
Nelson Mandela
It is never easy to win
but it is a lot easier to
win when you play
well. The key is
winning golf
tournaments when you
are not playing so
well. Managing your
game is some thing
that I feel that I am
still learning to do
Rory McIlroy
It always seems impossible until its
done .
Nelson Mandela
Conviction
Courage
Compassion
Communication
Emmanuel Gobillot 2013
Follow the Leader
Strategy Regional Implementation Steering Board
SWDG/ECG –postgraduate/undergraduate training
the shift from hospital-based to community-based care
services provided by voluntary, community and private HSC providers - better integration
new technologies - more efficient and integrated service delivery
AHP Leadership Training programmes
Governance Assurance Framework
Workforce review- skill mix, care pathways
20
Independent prescribing for podiatrists and
physiotherapists
Direct referral to physiotherapy
Early discharge models ,rehab teams rapid
response services etc
Reablement services
Rehabilitation models –stroke, ICAT models
Regional Wheelchair service hub and spoke model-
training-service user/professional staff
Housing Review outcomes eg: ToolKit
1. 17 Integrated Care Partnerships
2. Resettlement
3. Primary PCI
4. Primary Care Infrastructure
5. Reablement
6. Self Directed Support/Direct Payments
7. Delivering Choices
8. Domiciliary Care Review
9. GP Out of Hours, 111 and HSC Online
10. Carers
11. Stroke Services
12. NIAS See Treat Refer protocols
Key driver for new care pathways for FREDs
People no longer ‘living’ in hospital; delivery of Bamford
24/7 working saving lives, better outcomes for heart patients
Facilities to bring more services locally instead of hospital
Promoting independence and better recovery at home
Choice and control with user / caregiver as partner in care
Supporting people to die in the place of their choice
Ensuring the model is fit for future & promotes quality and
safety
Better access and information to respond to people’s needs
Better access to respite and short breaks
Reduction in bed days and earlier discharge
Reduction in A&E attendances and better pt experience
‘Intelligence is the ability to adapt and change’
-Stephen Hawkins
‘Effective leadership is not about making speeches or being liked; leadership is defined by results not attributes’
-Peter Drucker
Thankyou for listening!
