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