Transcript Practice Based Commissioning

Skills Pledge
Amanda Rawlings
Director of Human Resources and Organisational Development
Derbyshire County PCT
PCT – Commissioning
• 6 PCT
1 Oct 06
• County population of 750,000
• Budget of £1bn for 08/09
• 5,500 staff, 4,700 in Community Services
• 17 years health inequalities, growing LTC, ex mining,
rural and urban setting
Community Services
• 12 community hospitals, 46 locations
• 48 services
• £130m budget
• Inpatient and outpatient – highest users are female 8089
Current context
Workforce Context
• Becoming World Class Commissioners
• Developing high Quality Community
Services
• NHS Next Stage Review – A High Quality
Workforce
• NHS Constitution – pledges to staff
• Annual NHS staff survey
PCT 5 Year
Strategic Goals
Commissioning
• Tackling the major causes of health inequalities
• Improving local stroke services
• Commissioning a primary care mental health
service
• Improving mental health services for older
people
• Ensuring a coordinated end of life service that
respects patients wishes
• Commissioning more support for carers
PCT Organisational
Development
We have 11 Organisational development goals that
underpin our 5 year strategic goals to enable us to
Become World Class Commissioners, focusing on:
• Improving knowledge management capacity & skills
• Improving communications, engagement & reputation
management
• Creating a stimulating work environment
• Assessing organisational effectiveness & efficiency
• Developing & implement talent & leadership plans
Building Quality
Community Services
• Employing over 4,700 staff across 46 locations, with
12 Community Hospitals in 48 Services
• Moving to an Autonomous Provider of Services to
improve commissioning and delivery of these services
• Employing a diverse workforce:
• Allied Health Professionals: e.g Occupational
Therapists, Physiotherapists, Chiropodists
• Nurses: e.g Health Visitors, District Nurses, Nurses
• Medical: Dr’s and Dentists
• Support staff: e.g. Gardeners, Health Care
Assistants, Porters, Hotel Services
• Who will benefit from the Skills Pledge
High Quality
Workforce
• Investment in skills development of the
wider workforce (Leitch report)
• Double the investment in and range of
apprenticeships
• New education & training pathways from
education into the NHS (14-19 Diplomas)
• Changes to regulation
• Joint Investment Framework (JIF)
• Skills Pledge commitment
NHS Constitution
• Four pledges to staff
• To provide well-designed and rewarding jobs
• To provide personal development, access to
appropriate training for their jobs, and line
management support to succeed
• provide support and opportunities for staff to
keep themselves healthy and safe
• to engage staff in decisions that affect them
and the services they provide
Staff Survey
• Annual survey of staff to ensure we
achieve our staff development priorities
• Our priorities
• Commitment for all staff to receive an annual
appraisal with learning & development plan
• Improved communications
• More staff engagement
Key Priorities
• Becoming World Class Commissioners and
Developing High Quality Community Services,
learning and development is key:
• Identifying & developing new skills at all levels
• Creating a stimulating work environment &
learning culture
• Focussing on talent & leadership development
• Organisational & individual learning &
development plans
What skills do we
need?
As a Commissioner
• Commissioning & contracting
• Data and statistical skills
• Communications, engagement & reputation
management
• Marketing & systems management
• Leadership & management
• Team development
• Health promotion
What skills do we
need?
As a Provider
• Access to learning beyond registration
• Access to CPD – ongoing patient safety
and quality of care
• Leadership & management
• Team development
• Access to critical skills: literacy, numeracy,
IT and NVQ’s in clinical and non clinical
programmes
Signing the Skills
Pledge
• The JIF plays a critical role in supporting the
Skills Pledge and realising the Sector Skills
Agreement for Health in the UK
• A framework for joint planning and coinvestment in the development of the health
sector workforce skills
Overall aim
• To support health sector employers to meet
priority skills needs, improving patient care and
the delivery of services
What is the Health
Sector JIF?
Joint Investment Funding:
• Focus on staff bands 1-4
• Skills and qualification at levels 2,3,4 plus
Apprenticeships and Skills for Life
• Encompass wider investment by both LSC and
sector employers
• Improve planning and achieve more effective
investment
• Targeting of resources on priority skills needs
• Derbyshire JIF £472,500 2008/09
Regional Partnership
Health Regional Skills Alliance – Strategic Steering
Group
•NHS, LSC, SfH, RDA, Job Centre Plus and
Unions
Inform and influence
•Sector Skills Agreement
•National JIF
•LSC planning and Commissioning process
Partnership Priorities
2008/09
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Joint Investment Framework
Skills for Life
First Level 2 qualifications
Entry into Employment
Apprenticeships
Contribution to
Strategic Priorities
• Alignment with national
and regional policies
• Greater employer and
learner choice
• Increased
responsiveness
• Greater competition
• Improved quality
• Establishing an
Apprenticeships First
policy
• Linking priorities with
Local Area Agreement
delivery plans
Darzi next stage review
‘A High Quality Workforce’
• Increase in investment in
Bands 1-4
• Doubling of
apprenticeships
• Commitment to the Skills
Pledge by all NHS
organisations
Next steps
• 11 organisational development priorities
• Widening Participation in Learning Action Plan
encompassing;
• Working towards a fully qualified workforce
• Skills for Life Action Plan
• Base line data on qualifications of support staff
• Identify with local employers training needs of the Bands
1-4 workforce and provide investment to support them
• Support recruitment and retention initiatives
• Promote Level 2 and 3 take up and achievement in line
with the Skills Pledge
• Raise the numbers of apprenticeships in line with Leitch
and LSC targets