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NW Core Skills ProgrammeProgramme Board Meeting
Thursday, 8th November 2012
Agenda
Actions from Previous Meeting
Workstream Update: NW Core Skills Framework Skills Passport National Framework Skills Register Junior Doctors Future Workforce
Skills for Health Update: Skills Passport Benefits Work Compliance Reporting Future Opportunities
Future of the Programme: Sustainability Extending Scope Timescales Funding Structure
Risk Log & Plan
“Addresses the age old problem of how to deliver induction and mandatory training. Impressive scale, scope and can-do attitude, all backed by a very clear business case.”
- Judging panel
NW NHS Trusts current readiness status
Quality Assurance Model
Information Governance
Review of CSF Content and Tools
Workstream Update:NW Core Skills Framework
Readiness Status
Jan 2012 Apr 2012 Jul 2012 Oct 2012
Waiting Response 15(33%)
5(11%)
0(0%)
0(0%)
Unaware of the CSF 3 (7%)
0 (0%)
0 (0%)
0 (0%)
Not implementing the CSF
6 (13%)
5 (11%)
5(11%)
4(9%)
Planning to implement the CSF
19 (41%)
23(50%)
20(43%)
18(39%)
Partially implemented the CSF
3 (7%)
12 (26%)
14(30%)
16(35%)
Fully implemented the CSF
0 (0%)
1 (2%)
7 (15%)
8 (17%)
- 0%
- 10%
- 30%
- 40%
- 50%
- 20%
- 60%
WaitingResponse
Unawareof CSF
NotImplementing
Planning toImplement
PartiallyImplemented
FullyImplemented
Jan 2012
Apr 2012
Jul 2012
Trust Position
Oct 2012
Readiness Status
What does Readiness mean?
Typical NHS Trust
HRDir
MedDir
Learning & Development
MedicalEducation
PracticeEducation
NewStarters
JuniorDoctorsStudents
Core Skills Register
Skills Passport
National Framework
Skills Register
Workstream Update:
North Western DeaneryE-Learning Environment
Core Skills Framework aligned (Foundation Year JD’s)Benefits realisation assessment completed (492)
Conclusion: CSF alignment had a positive effect on FY1 inductions
Evidence gathered clearly indicates efficiency steps have been made (time, reduction in duplication & effort)
Records of learning transferable onto Core Skills Register
Could the Foundation Year 1 model be applied to specialty trainees?North Western Dean agrees in principle with the proposal
Sustainable funding required before progress can be made
Medical Education Managers Consultations taken place
Concerns regarding Medical Education resource impact
Focus on the outcome and benefits
North Western DeaneryE-Learning Environment
Proposal: utilise existing systems.
Testing proved platform capable of withstanding an increase in users
Replicate FY1 & Mersey Deanery model
Central E-Learning hub accessible to all Training Grade doctors in the NWD – CSF aligned
Acknowledgement of administrative impact
Focus on the benefit and outcomes to the JDs
Mersey DeaneryWeb Induction Training
Core Skills Framework alignmentAgreement to align with CSFContent amendments submitted and agreedThird Party completed content reviewRealistic completion date: February 2013
Next Steps:Formalise implementation stepsProgress system amendmentsDuplication review (benefits realisation)Support further educational enhancements
HEI Readiness Assessment
Delivery Matrix
Clinical Skills
PEF engagement
E-Learning Delivery
Core Skills Register
Workstream Update:Future Workforce
10 HEIs in NW delivering 77 commissioned programmes
38 programmes have responded - 49%
30 programmes to adopt this academic year - 39%
5 programmes to adopt next academic year - 6%
3 programmes not adopting at this stage - 4%
HEI Readiness Assessment
Skills Passport Benefits Work
Compliance Reporting
Future Opportunities
Skills for Health Update:
Status: 52% of NHS have partially/fully adopted CSF
Status: Final Testing & Sign Off this month
Status: 1 Deanery aligned, the other in progress
Status: 30 Healthcare Programmes (39%)
Core Skills Framework70% of NHS in the NW to adopt the CSF Sept 2012
Skills PassportSkills Register available Aug 2012
Junior DoctorsBoth Deaneries e-Induction aligned to the CSF Aug 2012
Future WorkforceHEIs adopt CSF across 70% of programmes Sept 2012
Future of the Programme Key Targets
Nick StaffordImplementation and Product LeadSkills for Health
Agenda
Skills Passport for Health Programmes• Skills Efficiency opportunities• Compliance reporting• Benchmarking• Benefits and Business Case
Skills Efficiency Programmes
• Live: London
• Emerging: South West, East of England
• Opportunities not currently in NW activities:• UK Core Skills Framework
• Clinical Skills Framework(s)
• Pre-employment Framework
• Improving training compliance
Core Skills Framework
• Objectives go beyond adoption.
• How to implement given a backdrop of increasing compliance targets and financial pressures:• Need for flexibility, efficiency and empowerment =
elearning
• Need for assurance and efficiency = assessments
• Need for compliance culture = zero tolerance and empowerment
• Baselining, benchmarking, action plans
Overall cost of 1 person completing10 StatMan subjects (13 courses)
• (Duration x TNA) / Frequency = Time Cost• Best Practice
• Get Matrix right• Optimal use of eLearning• Phase out classroom training (where appropriate)• Package training so easy to complete• Assessments
Trust Plan - example
Course NameCost / (Saving)
(now to planned)
Cost / (Saving)(planned to
recommended)
Cost / (Saving) (now to
recommended)Now Planned Recommended Now Planned Recommended Now Planned Recommended
Back care patient focussed 2.0 2.0 2.0 4.0 4.0 3.0 60% 60% 60% £82,368 (£35,100) £47,268Basic Life Support 1.0 1.0 2.0 3.5 3.5 2.0 60% 60% 60% £173,628 (£205,920) (£32,292)Conflict Resolution 3.0 3.0 3.0 3.5 3.5 3.0 100% 100% 70% £103,740 (£60,060) £43,680Equality and Diversity 1.0 1.0 3.0 1.0 1.0 0.8 100% 100% 100% £49,920 (£103,350) (£53,430)Fire Safety 1.0 1.0 1.0 1.0 1.0 0.5 100% 100% 100% £88,920 (£66,300) £22,620Infection Control Level 1 1.0 1.0 3.0 1.0 1.0 0.5 100% 100% 100% £71,760 (£115,700) (£43,940)Infection Control Level 2 & 3 1.0 1.0 1.0 0.0 0.0 0.0 60% 60% 60% £0 £0 £0Information Governance 1.0 1.0 1.0 1.0 1.0 0.5 100% 100% 100% £82,680 (£66,300) £16,380Manual Handling Awareness 3.0 3.0 3.0 1.0 1.0 1.0 40% 40% 40% £9,152 £1,040 £10,192Risk Management 1.0 1.0 3.0 1.0 1.0 0.5 100% 100% 100% £88,920 (£115,700) (£26,780)Safeguarding Adults 3.0 3.0 3.0 1.0 1.0 0.5 70% 70% 70% £10,920 (£15,470) (£4,550)Safeguarding Children Level 1 3.0 3.0 3.0 1.0 1.0 0.5 70% 70% 70% £11,648 (£15,470) (£3,822)Safeguarding Children Level 2 3.0 3.0 3.0 3.0 3.0 1.0 60% 60% 60% £12,168 (£54,600) (£42,432)TOTALS 22.0 22.0 13.8 £785,824 (£852,930) (£67,106)
TNA (as percentage of Staff in Post)Frequency (in years) Duration (in hours)
• 31 Trusts baselined and benchmarked• 19 Trust Plans completed and others being booked by end of Oct• Each Trust will have their own action plan to deliver 90%+
compliance and achieve the £440 benchmark
Clinical Skills Framework
• SfH has received requests to develop several clinical skills frameworks
• Build on existing work – need to identify any other efforts in this area
• Need to gather intelligence to develop outline business case
• Possible scope:• Blood Transfusion
• Medicines Management
• Safeguarding Adults levels 2 & 3
• Safeguarding Children level 3
• Waste management
• VTE
• Risk Awareness/Management
Pre-Employment Framework
• Engagement with NHS Employers re. review/update the 6 pre-employment standards – positive response
• Engagement with Recruitment Leads and Managers – positive response
• Faster recruitment thus reduced backfill requirement
• Development of outline business case• Estimate £80k for typical Trust over 5 years
• Independent verification of ID and other aspects
• CRB portability
• Reference standardisation & portability
Improving Compliance (1)
• Identification and recognition of best practise
• Key requirements:• Define Workforce
• Capture Workforce on information systems
• Define Training Needs
• Capture Training Needs on information systems
• Provide access to Training to Workforce
• Capture Training Activity on information systems
• Develop capability to run necessary compliance reports
Improving Compliance (2)
• Methods/levels of reporting capability:1. LMS only
2. Basic – Excel
3. Medium - Access
4. Advanced – SQL
• Recognition that SQL type reporting capability is required to support effective compliance reporting
• WIRED – interim compliance reporting module of Skills Passport
Compliance benchmarking – 31 Trusts (names withheld)
Benchmarking & Benefits
• Updating Benefits Calculators to support the various strands of the Skills Passport Programme
• Feeding in lessons learned and data from different regions
• Broadening engagement with NW organisations;• Skills Passport
• WIRED
• Organisations approaching SfH include:• Cheshire HR Service
• Blackpool
• Five Boroughs Partnership
• Alderhey
• Plannning a workshop with Liverpool locality
Sustainability
Extending Scope
Timescales
Funding
Structure
Future of the Programme