Transcript South London Local Education and Training Board

Money, Medical Education and Beyond
Diana Hamilton-Fairley
Joint Director of Education and Quality
Health Education South London
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
The Health and Care System
from April 2013
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
2
Translation
Department of
Health
NHS England
CCGs
Public Health
England
NHS Trust
Development
Authority
Health and
Wellbeing
boards
Health
Education
England
LETBs
(HELocal)
AHSNs
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
HEIs
Health Watch
England
NICE/ NIHR
Health Watch
Local
Health
Education
Providers
3
Health Education England and LETBs
•National Exec committee
•Geographical MD, DEQ and
North
ONE HEE
Midlands
& East
South
HoF x4
•Total of 13 LETBs
• Not Statutory Bodies
• Provider led
• Stakeholder representation
• Core leadership of:
o Local Director
o Independent Chair
• Deaneries part of LETBs
London &
South East
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
4
The Workforce Challenge
• Delivering value based healthcare
• Aligned with…
– the needs of the population
– service commissioning
– the AHSN
Delivering primary healthcare: now more than ever!
(WHO 2008)
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
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Value based healthcare
• Single discipline to inter-professional models
• Focus on care across a continuum for patients
• Align educational financial incentives so that focus is on
educational quality outcomes not transactions
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
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Education Outcomes Framework
• Excellent education
• Competent and capable staff
• Adaptable and flexible workforce
• NHS values and behaviours
• Widening participation
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
Using or losing the Tariff
• Medical Undergraduate 40K p.a.per student for clinical placements
• £520 per week per student after 30% on costs (varies by trust)
• Medical postgraduate
– 50% basic salary for HEE (Deanery) funded posts
– Trust pays 50% plus New Deal banding
– 12K educational tariff which includes PGME department and study leave
SENIOR EDUCATIONAL LEAD NEEDS TO BE IN CHARGE
• STEP 1
– Meet Finance Director and get full breakdown of Medical Education income
– Establish how they calculate the cost for each placement (they should have done
a return to DH on clinical placement cost and you should have been involved!!)
– Establish how the money is currently spent in the Trust and who by.
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
Using or losing the Tariff
• STEP 2
– On current expenditure what is a fixed cost
• Pay
• Non-pay
• Capital / fixed assets
– What is a flexible cost
• Study leave
• Pay
• Non-pay
• Room Rental costs
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
Using or losing the tariff
• STEP 3
– Consider the agenda for
• Changes to Foundation Training
• Increased Community Placements
• Opportunities for improving education
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Facilities
Faculty Development
Specialty based education
Leadership and Management
Quality Improvement
Simulation including Inter-professional / Human Factors training
Public Health and Mental Health / Acute Health Training
High Quality GP training
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
Using or losing the tariff
• Step 4 – Convincing the Finance Director!
– The money for education now needs to be transparent and audited for HEE
– Risk of losing it if education not seen to be important in the organisation
• Responsible Director on the Board
• Investment in educational facilities and material
• Investment in Clinical and Educational supervisors / specialty faculty leads
– If educational quality is poor;
• Decommissioning of training in specialties towards General Practice leading
to loss of Junior Doctors and associated income will be based on quality
• Need good feedback from students and trainees
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
Summary
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The Tariff is transparent
The current spending is opaque
The opportunities to make a difference are big and exciting
The Trust is obliged to change
You can make the difference between same old, same old and a
The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk
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The Local Education and Training Board for South London
www.southlondon.hee.nhs.uk