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Core SkillsNext Steps
Haydock Park Racecourse
Wednesday 4th March 2015
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Agenda
09:00 Registration09:30 Welcome & Opening Address
Programme UpdateUtilising Technology
10:40 Break11:00 Core Skills Adoption
Direction for 2015/16Workshops x 3Closing Remarks
12:45 Lunch & Networking
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Opening Address
Mike Gibney
Director of Workforce
The Walton Centre NHS Foundation Trust
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Political landscape
• NHS England’s “Five Year Forward View”
• General Election – Who gets your vote?
• The Manchester Health Experiment
• Generation X / Generation Y
• Skill Shortage
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Context
• The NWCSP is here for the foreseeable future
• They will continue to support but have an increasing remit
• Set the conditions, need to operationalise
• Last time in November we started to explore:
What sustainable looks like
• We now need to make it happen
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Tipping Point
As Is To Be
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Tipping Point
“The Tipping Point is a place where the unexpected becomes expected.
Radical change becomes more than a possibility. It is – contrary to all our expectations – a certainty.”Malcom Gladwell, The Tipping Point: How Little Things Can Make a Big Difference
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• Care Certificate• UK Core Skills Training Framework• Core Skills in General Practice• Core Skills Education Resources Version 3• Future Workforce Workstream• Junior Doctor Workstream
ProgrammeUpdate
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CareCertificate
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Care Certificate
• Recommendation from Cavendish Review• Aimed at Health Care & Social Work support workers• Developed by HEE, Skills for Health and Skills for Care• Applicable to bands 1 – 4• New Starters to complete in first 12 weeks
• NWCSP supported HENW with the NW Pilot• National launch in February 2015• NW launch in March 2015• Organisations expected to use from April 2015
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Care Certificate Standards
1. Understand your role 6. Communication 11. Safeguarding children
2. Your personal development
7. Privacy and dignity 12. Basic life support
3. Duty of Care 8. Fluids and nutrition 13. Health and safety
4. Equality and diversity 9. Dementia and cognitive issues
14. Handling information
5. Work in a person centred way
10. Safeguarding Adults 15. Infection prevention and control
Standards highlighted in yellow align directlyto the equivalent UK Core Skills subject
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Care CertificateSupport• National documentation released by HEE in January:
http://hee.nhs.uk/work-programmes/the-care-certificate-new/
• HENW Care Certificate Toolkit:http://nw.hee.nhs.uk/our-work/care-certificate-toolkit/
• Skills for Care releasing a National Workbook later in March:http://www.skillsforcare.org.uk/Standards/Care-Certificate/Care-Certificate.aspx
• ESR releasing National Competences in April
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UK Core SkillsTraining FrameworkUpdate
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Suite of Frameworks
• UK CSTF 2015, update due April / May 15 to replace version 1.2• No substantial changes planned
• Clinical Care Framework due to be released April 15• With UK CSTF, covers the 15 standards covered by the Care Certificate
• Dementia Framework due to be released April 15www.skillsforhealth.org.uk/projects/item/176-dementia-core-skills-knowledge-framework
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Core Skills inGeneral Practice
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Benefits to General Practice• Employer Responsibility – Health & Safety Legislation• Supports CQC inspections - particularly the Safe KLOEs• Standardised training provides:
– Clarity– Consistency– Quality– Efficiency
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Approach for the pilot
• Designated support from the NW CSP Team to manage the pilot• Central Lead in the CCG and HENW (Kirstie Baxter)
Project Sponsor - to provide authority and escalate issues to• Single point of contact in each practice – ie Practice Manager
Responsible for rollout in practice and engagement with NW CSP team
• Preference for majority to use eLearning, ie the HE COOP Platform NW CSP Team will provide additional support as required
• NW CSP Team to capture activity, collate/record results and provide compliance reports at CCG and Practice level
• Wider group of Practices to pilot Core Skills alongside CCG
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Timescales
Dec Jan Feb Mar Apr May Jun
Pre-Pilot Pilot Rollout Post Pilot
Prepare SystemsEngage with PracticesIdentify risks & issuesSet deliverables
Review Pilotwith PracticesEvaluationPrep for widerrollout
Provide Practices with accessProvide ongoing support to PracticesHold regular updates / reviews to gauge feedback and progress
Proposed Target:Engagement by 75% of practices (approx 15)Of these 15 practices, completion of the Core Skills by 75% of staff
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Next Steps
• Opportunity to capture Junior Doctors and Healthcare Students on placement in General Practice
• Link into wider HENW programmes and initiatives, for example:Practice Nurse Development Programme
• Post pilot, other practices and CCGs interested in adoption, for example: East Lancs CCG, North Lancs and West Cheshire CCG
• General Practice Core Skills data to be captured on the Skills Directory
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Core SkillsEducation ResourcesVersion 3
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Education ResourcesVersion 3• NW CSP Education Resources reviewed and updated following
release of v1.2 of UK CSTF in October 2014• Content updated in a number of subjects• New resources for L2 SGC and L2 IPC• All content reformatted and version control introduced• Shared with SMEs for review• Available in a variety of formats:
Powerpoint Presentation, Reader/Workbook, eLite eLearning• Resources accessible from our website:
www.cmtpct.nhs.uk/north-west-core-skills/resources/education-delivery.asp
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Future WorkforceWorkstream
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Future Workforce
• HE COOP platform updated• Focus on NHS Trusts accepting student Core Skills Training• Example with Psychology & Walton Centre• Links to sustainable tools• Majority of healthcare programmes now aligned,
medical schools main area still to target
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Junior DoctorWorkstream
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Northwestern Deanery
The objective of the North West Core Skills Programme (NWCSP) is to standardise Statutory and Mandatory Training and address the issues of training being needlessly duplicated, varying quality in training delivery and the inefficient sharing of data between organisations
Working with the North Western Deanery, 2 Lead Employer Organisations and 16 NHS Trusts. Over the course of the last 5 main rotations (February 2013 – February 2015), the NWCSP has implemented an eLearning based solution that has for the February 2015 rotation, resulted in:
•1860 Doctors in Training being Core Skills Trained•Needless duplication of training reduced by 38%.•Subject Level Compliance Reporting
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Approach • The NWCSP have developed a number of education resources
including e-Learning, aligned to the UK Core Skills Training Framework.
• The eLearning resources have been implemented on the deaneries Virtual Learning Environment (VLE), embedding them within the Junior Doctor e-Induction Programme.
• The training was available online allowing the Doctors in Training to access and complete it where and when it was convenient, with the provision it was completed prior to the commencement of their next rotation placement.
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Junior Doctors
Completion rates for Core Skills Training by Doctors in Training for the February 2015 rotation is 76.91%
Core Skills Subject % Completion
Equality & Diversity 82%
Fire Safety 83%
Health & Safety 80%
Infection Control 78%
Information Governance 56%
Manual Handling 79%
Safeguarding Adults 79%
Safeguarding Children 78%
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Utilising Technology
Gemma Sheridan
Liverpool Women’s NHS Foundation Trust
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The LWH Guide
SMARTPHONE APP & INTRANET SITES
For Doctors in TrainingFor Doctors in Training
GEMMA SHERIDAN ST6 O&G, CLINICAL APP FELLOW
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The Plan•Background•Tour•Our experiences of Implementation•Plans for version 2
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Liverpool Women‘s Hospital
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Doctors in Training
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Aim of the LWH Guide•Trainees have practical information whenever needed•Improve access to clinical guidance•Allow induction to be focussed on clinical teaching•Improve trainees experience when starting at LWH
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The LWHGuide App Project
Postgraduate Education Team E Learning strategy
Software Developers Funding for Clinical App Fellow
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Timeline
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Smartphone App
IOS ANDROID
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Home Screen
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Handbook
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Handbook
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Clinical GuidelinesClinical Guidelines
•4 Gynaecology4 Gynaecology•19 Maternity19 Maternity•Antibiotic FormularyAntibiotic Formulary
Dedicated Intranet siteDedicated Intranet site
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Active Forms: Annual Leave/On Call Swaps
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Session Log
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Intranet Site
LWH GuideO&G
Doctors
LWH Guide App Features plus:
•Rotas
•Calendar: Educational events
•Teaching presentations
•Links to useful sites
•Announcements
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Evaluation & feedback
◦ App downloaded by a large proportion of doctors in training
◦ Access to clinical guidelines as been significantly improved
◦ ‘Very useful’ during the first few weeks at Liverpool Women’s
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Problems
◦ Doctors asked for the rotas to be available via the app
◦ No live update facility
◦ Low use of active forms
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Version 2…
◦ Live update via Cloud Drive:◦ Rotas via the app◦ Access to full range of Guidelines◦ All guidelines in app up to date◦ Wider range of Active Forms
◦ Better publicity and training at launch
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Version 2…
INFORMATION DELIVERY SYSTEM
TAILORED TO STAFF GROUP
AVAILABLE FOR…
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App team
◦ Version 1◦ Dr D Roberts – clinical lead, LWH◦ Ms K Smith – Post graduate Education Centre Manager, LWH◦ Dr G Sheridan – Clinical App Fellow, LWH◦ Mr G Constantinou & team – Coventry University Enterprises
◦ Version 2◦ Mr D Walliker – Chief Information Officer, LWH◦ Mr R Cowell, Mr S Dobie – Information Management Team, LWH◦ Dr F Arshad & team – Liverpool John Moores University
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The LWH Guide
Any Questions?
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Break
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Agenda
09:00 Registration09:30 Welcome & Opening Address
Programme UpdateUtilising Technology
10:40 Break11:00 Core Skills Adoption
Direction for 2015/16Workshops x 3Closing Remarks
12:45 Lunch & Networking
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• Measuring Core Skills Success• Sharing Data• Sustainability Tools
Direction for2015/2016
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Measuring Core SkillsSuccess
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Core Skills Adoption
• 93% return by NHS Trusts (37 / 40 Trusts aligned to UK CSTF)
• 800 possible subjects available (20 subjects inc levels x 40 Trusts)• 85% of Core Skills subjects being delivered by Trusts (676 / 800)• 77% of subjects are fully aligned to the UK CSTF (523 / 676)
• 100% return by HEIs (10 / 10 HEIs aligned to UK CSTF)• 94% of HEI Programmes aligned to the UK CSTF (79 / 84)
• 90% return by FE Colleges (19 / 21 FEs aligned to UK CSTF)• 91% of FE Programmes aligned to the UK CSTF (21 / 23)
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Critical Mass
“Critical mass, the required number of adopters needed for an innovation so that the rate of adoption becomes self-sustaining and creates further growth.”Everett Rogers, Diffusion of Innovations
As Is To Be
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Further Growth
• The Core Skills has been adopted in the North West• Needs to be more than just delivering Core Skills training• Now need to realise the wider benefits of:
– Recognising and accepting Core Skills– Reducing duplication– Efficiencies from working differently– Expanding the Core Skills approach into other areas
• New governance arrangements for the NW CSP• Need a new set of targets for organisations
to measure the ongoing impact and success of the NW CSP
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New Measures
• Subject alignment and delivery• Time taken for training delivery and administration• Organisational commitment / Roles and responsibilities identified• Core Skills reflected in relevant policies• Required procedures in place (Compliance Check / Flexible Training)• Use of ESR National Competences / Skill Code / Naming Convention• Amount of training recognised / accepted and duplication avoided
• A dashboard will be developed to capture these measures• Maintained and updated periodically by NWCSP
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Sustainability Tools
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Core SkillsImplementation Model
Phases Step 1 Step 2 Step 3 Step 4 Step 5
Phase 1 Engagement
ExecSupport
Core SkillsLead
Project Meeting AssessReadiness
Action Plan
Phase 2Alignment
Engage SMEs Complete Content
Mapping Tool
Ensure Contentis Aligned
Sign off ByOrganisation
Submit Evidence
to NWCSP
Phase 3 Share Data
Sign Info SharingProtocol
Data ReportingIn Place
Process for Sharing Core
Skills
Skills RegisterAdmin/ Training
Go Live with Core Skills Register
Phase 4 Recognition
Agree to Accept
Training
Introduce Check for
Compliance
Introduce FlexibleTraining
Sign off by Organisation
Submit Evidence
to NWCSP
Phase 5Realisation
Embed Measure Audit Business AsUsual
ContinuousImprovement
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Overview of Tools
Responsibility
FlexibleTrainingCompliance
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Compliance Check
Pre-Requisite Pre-Hire Pre-Start
AcceptTraining
Core SkillsRequired
NotifyIndividuals
EvidenceRequired
Core SkillsOutstanding
NotifyIndividuals
Arrangements to Complete
Pre-Advert
CheckEvidence
Follow upEvidence
Capture Evidence
Create/Update Record
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Flexible Training Approach
Pre-Requisite InductionDesign
InductionMapping
ComplianceCheck
ReviewContent
ReviewWhen
ReviewWhere
Align Core Skills
UpdateProgramme
Induction Planning
Content toInclude
Timescale and Format
Utilise Local Induction
DeliveryReview
How
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Roles and Responsibilities
Exec
HR/ODIT/Systems Quality
Learning &Development
MedicalEducation
PracticeEducation
Wider HR(Recruitment)
Exec
School/FacultyIT/Systems Admissions
ProgrammeB
ProgrammeA
ProgrammeC
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Sharing Data
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Current Position
• The Core Skills Register ver1.2 has reached the end of its lifecycle• Limitations of system reached both functionally and in capacity
• Negotiations for a CSR ver2.0 development have stalled• HENW have withdrawn from existing system
• NW CSP managing data internally following same process as CSR v1.2• NW CSP provide data uploads, queries and reports for organisations
• Long term, new system required, to be in place for Summer 2015• Working title: “Skills Directory” – Focus for Workshop 2
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IAT Competency Management
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IAT and Competences
• There is no QA process for the national MAND competences. Any organisation can use and assign them. If your organisation uses IAT then any competences will automatically transfer.
• The CSTF competences have a QA process. SfH keep a list of all organisations who have declared alignment with the Core Skills Framework. The NHS Central Team and SfH monitor who is using them.
• Following some work last year (big shout to StH&K) an enhancement has been introduced to more effectively use the CSTF competences.
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CCN966 - IAT competency management
• A new form is available for the management of competencies during the IAT process. This enables an organisation to amend the competencies that transfer as part of that process.
• Streamlines Hire Process:• Provides key information to administrators• Enables better decision making for new starters
• Features Include:• Amend Competence Profiles at Pre-Hire Stage• Review Competence Requirements for Position• Configurable Role to Identify Appropriate Approvers
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Process pre-Release 25
NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016
NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016
Details of Position RequirementsNHS|CSTF|Fire Safety – 1 Year
Details of Current CompetenceNHS|MAND|Fire Safety 2 Years20-MAR-2010 to 31-MAR-2016
Date Last Awarded 01-APR-2014
Source Trust Target Trust
Stat & Mand Notification Role
Holder
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New Process
NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016
NHS|MAND|Fire Safety – 2 Years20-MAR-2010 to 31-MAR-2016
Details of Position RequirementsNHS|CSTF|Fire Safety – 1 Year
Details of Current CompetenceNHS|MAND|Fire Safety 2 Years20-MAR-2010 to 31-MAR-2016
Date Last Awarded 01-APR-2014
Source Trust Target Trust
NHS|CSTF|Fire Safety – 1 Year 20-MAR-2010 to 31-MAR-2015
No Stat and Mand Competencies Transferred
Stat & Mand Notification Role
Holder
Approve
Edit
Do Nothing
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IAT and Competences - Best Practise
• Define core skills requirements across the Organisation• Assign relevant national CSTF competences at Position level in ESR
– Use bulk upload facility• Undertake data cleanse for MAND competences that may have
transferred up to now• Fully utilise IAT functionality
– Turn on Auto-enabled IAT setting– Request IATs pre-hire– Minimise use of direct hires– Remember that National Competences are only sent once* – Use local notifications if appropriate (for depts/business units)*some Trusts re-request IATs to capture further information not available from the outgoing
organisation’s VPD at the first time of asking.
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Summary
• Not overly complex but needs to be worked through with Recruitment, who may not be aware of the Core Skills Framework and the NW Programme activity.
• Further information available on Kbase in release notice 238https://www.electronicstaffrecord.nhs.uk/kbase/entry/384/
• Watch this space for;– further case studies– Implications for agency staff
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• Sustainability Tools• Sharing Data• Streamlining
Workshops
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Lunch