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yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before.

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Page 1: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

yh.hee.nhs.uk

Introduction

Thank you to all the organisations who contributed to this years planning process

100% return and higher quality than ever before.

Page 2: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

yh.hee.nhs.uk

Provider Evidence

The information presented today has come from provider plans which were submitted at the end of July and consisted of three parts:

Part A – Workforce planning numerical data Part B – Workforce challenges and risksPart C – Narrative describing the future workforce

Data was collected from: 14 Acute Trusts (including 1 Children’s Acute) 9 Community organisations 3 Mental Health Trusts 1 Ambulance Trust

Page 3: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

yh.hee.nhs.uk

Historical Trends:Staff in Post 2009-2013

Page 4: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

yh.hee.nhs.uk

Key Findings: Medical & DentalFTE’sForecasted FTE’s in North Yorkshire and the Humber over the next five years by Specialty.

Direction of travel 2013 to 2018 (FTE)

# TOTAL Consultants (including Directors of Public Health)# Accident & Emergency

# Anaesthetics

# Dentistry / Dental

# GP, Community & PH

# Medicine

# Obstetrics and Gynaecology

# Paediatrics

# Pathology

# Psychiatry (consultants)

# Radiology

# Surgery (consultants)

# of which Career/Staff Grades

# of which Trainee Grades

# of which Other Medical & Dental

Page 5: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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Key Findings: Medical & DentalNewly Qualified

Trend from 2013-2018

Forecasted Newly Qualified in North Yorkshire and the Humber over the next five years by Specialty.

# Accident & Emergency

# Anaesthetics

# Dentistry / Dental

# GP, Community & PH

# Medicine

# Obstetrics and Gynaecology

# Paediatrics

# Pathology

# Psychiatry (consultants)

# Radiology

# Surgery (consultants)

# of which Career/Staff Grades

# of which Trainee Grades

- of which Other Medical & Dental

Page 6: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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Key Findings – Medical & DentalRisks

Difficulties in recruiting to Consultant posts, especially in A&E and Medicine specialties, resulting in a reliance on locum and / or agency staff

Significant difficulties recruiting to Consultant level posts in the majority of specialties in some areas. Additionally there are concerns regarding the age profile of the Consultant body.

Difficulties in recruiting to posts in A&E, Anaesthetics and some Medicine specialties.

Specialty Doctor posts can be difficult to recruit to in specific areas. Reduction in training posts and the inability of the Deanery to fill all

available posts is a significant issue for Trusts All grades, but particularly training grades, difficult to recruit to.

Page 7: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

Key Findings:Non-MedicalOn average there is a forecasted increase of 0.7% FTE (170 FTE) across all

specialisms between 2013 – 2018.

The main increases were forecasted in:

Registered Nursing, Midwifery and Health visiting staff +7% (+545.7 FTE)

Apprenticeships +178% (+91 FTE)

The forecast for the Yorkshire and the Humber Non-Medical staff is a decrease

of 1.9% (-1,868.1 FTE).

Page 8: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

yh.hee.nhs.uk

Key FindingsNon-Medical: FTE’sForecasted FTE’s in North Yorkshire and the Humber over the next five years by specialty.

Direction of travel 2013 to 2018 (FTE)

Total Non-Clinical Staff

Registered Nursing, Midwifery and Health visiting staff

All Scientific, Therapeutic and Technical Staff

Allied Health ProfessionalsOther Scientific, Therapeutic and Technical Staff

Health Care Scientists

Qualified Ambulance Service Staff

Support to clinical staff

NHS Infrastructure Support

Any others

Apprenticeships

Page 9: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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Key Findings - Non Medical:Newly QualifiedForecasted Newly Qualified in North Yorkshire and the Humber over the next five years by Specialty.

Trend from 2013 to 2018Total Non-Medical and Dental StaffTotal Clinical Staff

Total Non-Clinical Staff

Registered Nursing, Midwifery and Health visiting staff

All Scientific, Therapeutic and Technical Staff

Allied Health ProfessionalsOther Scientific, Therapeutic and Technical Staff

Health Care Scientists

- Qualified Ambulance Service Staff

Support to clinical staff

NHS Infrastructure Support

- Any others

Apprenticeships

Page 10: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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Key Findings – Non-MedicalRisks Increase in advanced Nurse Practitioners Recruitment of Midwives and Health Visitors and

in some area nurses. Skills Gap - training people in extended roles Providing physical and mental health care

simultaneously Patient acuity – older, more frail and more

dependant

Page 11: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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Support Staff

Plans for all Trusts are forecasting a reduction in support to clinical staff of 244 FTE (3.2%). A sub-category of this is the support to STT & HCS staff which is forecast to fall 1.5%.

However, forecast figures for apprenticeships across the Yorkshire and the Humber region are encouraging and backed by the evidence.

Page 12: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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Advanced Practice

LETB & Service Priority in the following key areas: Acute Medicine, Emergency Medicine, Paediatrics, Surgery, & Anaesthesia

Workforce Plans contain little evidence of need, this is not unexpected as earlier

discussions show that many NHS Trusts are still developing their thinking around Advanced Practitioner deployment

LETB to aid development by providing ‘Start Up Support’ to Trusts, this will include:

Financial support during the implementation phase for those Trusts with well-developed plans

Provide all Trusts with the opportunity to access the Calderdale workforce analysis tool to aid role identification

Establish a Yorkshire & Humber Task & Finish Group to develop the York’s & Humber Advanced Practice Framework

Page 13: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

Key Findings:Risks and Challenges

Page 14: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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General Risks (1)

Additional risks highlighted by Providers that they believe require LETB support.

Technology Telehealth /medicine - training required to meet

complexity and new demands Personalised care planning Excellent IT skills and paperless In communities using mobile technology

Page 15: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

yh.hee.nhs.uk

General Risks (2)

Additional risks highlighted by Providers that they believe require LETB support.

Skills Reviews Evidencing the qualifications and competence of

staff in light of Francis, Keogh and CQC approach etc.

Effectively training, supporting and supervising a large support worker workforce

Page 16: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

yh.hee.nhs.uk

General Risks (3)

Additional risks highlighted by Providers that they believe require LETB support.

Pride & Professionalism Attracting staff to the NHS – morale/ intensity of

work/ reputation Professional standards Skills at point of registration – mixed views on this

Page 17: Yh.hee.nhs.uk Introduction Thank you to all the organisations who contributed to this years planning process 100% return and higher quality than ever before

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Questions

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