WORKFORCE CHANGE IN

LONG TERM CONDITIONS

AN OVERVIEW

Alison Tongue

Key Elements of Work in LTC

• Developing the evidence base

• Data management (Natpact workshops)

• Workforce change and development

WORKFORCE• Development of competency framework – community

matrons

• Workforce Change in Long Term Conditions

Partnership Approach to Workforce Change in LTC

L T CNWW & LTC MA team/ DH

Workforce Change Programme

DH PolicyLTC framework

document

Demographics/Workforce Development – NWIPP

CNO – Community Matrons. National&

International Learning

Nursingdocument

Skills for Health/NHSU

Leadership CentreLTCCare Group Workforce

Team

LTC MA teamPCare Commissioning

Interface with Acute

NPFIT/SAP/

Case finding

Delivery of LTC;“ will require the workforce from across the multi-disciplines of Health

and Social Care to be modernised and redesigned to ensure that all three levels of the Kaiser triangle are populated appropriately with the right skills to meet the needs of redesigned patient pathways.

The aim is to facilitate change in the design of local services and workforce and implement new ways of working. This will be achieved by strategic health and social care communities analysing their skills gaps and identifying the service and workforce required but always within the context of the user and workforce demographic population

Key Features of Established Frameworks for Managing Chronic Conditions

Not mutually exclusive approaches.

A range of approaches will be required to suit the locality

Integrated Health& Social Care

Systems

Supporting peoplewith long-term

conditions

LTCCommunity

SupportSelf-

ManagementSupport

ClinicalInformation

Systems

DeliverySystemDesign

Informed & Empowered Patients

Prepared & Proactive Practice Team

Long Term ConditionsLong Term Conditions Case Management Model Case Management Model

Source: Department of Health, Working Model, October 2004

TOOLS AND TECHNIQUES

• Service and role redesign techniques• Workforce planning tools• Workforce manual in Long Term Conditions• Learning from related projects in health and social care via

workshops• Website materials

• National Reference Group

DH, Skills for Health, Innovations Forum, Clinical, AHP and Nurse Leads, Patient Representative, Local Government Association, TOPSS, LTC Care Group Workforce Team,

SHA reps

• LTC Programme Management Board – Workforce Sub-gp• LTC Care Group Workforce Team

TIME LINE OF WORKFORCE CHANGE PROGRAMME

So far…………………..

• 7 sites selected• Pump priming monies released• Project Managers identified?• First national reference group• Working copy of LTC workforce manual produced

What’s next?• Website resources – end of Jan - www.natpact.nhs.uk

• National reference group – 27th Jan and 16th March

• Project Manager event – 1/2 March

• Close of current MA – end of March 05

Mechanisms for sharing• Monthly reporting on website

• Regional clusters - summer and autumn

• National events including HR in the NHS – 11th - 13th May