Transcript Document

Health Education England
Dr M Brown 27th March 2012
Purpose and Objectives
The provision of a world class healthcare education and
training system, essential for world class healthcare
A healthcare education and training system that:
 Gives providers greater scope and responsibility to plan and
develop their workforce, whilst being professionally informed
and underpinned by strong academic links
 Ensure security of supply of the healthcare workforce in terms
of numbers staff and skills
 Aspires to excellence in education and training leading to
better experience for patients, students and trainees and
world class health outcomes
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A healthcare education and training system that:
 Supports NHS values and behaviours to provide personcentred care
 Supports the development of the whole workforce, within
a multi-professional and UK-wide context
 Supports innovation, research and quality improvement
 Provides greater transparency, fairness and efficiency to
the investment made in education and training
 Reflects the explicit duty of the Secretary of State to
secure an effective system for education and training
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Education and Training System
Secretary of State
• Duty to maintain an effective system of education
and training as part of comprehensive health
service
Secretary of State
Department of Health
• Set Education Outcomes Framework
• Sponsor for HEE
Department of Health
NHS
Commissioning
Board
Public Health
England
• Hold system to account, via HEE
Health Education England
• Accountable to SofS, via DH
• Compliant with DH Education Outcomes and
Performance Assurance Frameworks
• Accountable to DH for allocation of education and
training funding
Health Education
England
• Set strategic Education Operating Framework
(responding to input from PHE and NHSCB)
NHS Commissioning Board
• Input service commissioning priorities to HEE
strategic Education Operating Framework
Local Education and
Training Boards
Public Health England
• Input public health priorities to HEE strategic
Education Operating Framework
Local Education and Training Boards
Education and
Research
Local
Stakeholders,
including local
authorities
Health Service
Providers
4
• Bring together Health, Education and Research
sectors
• Accountable to HEE for delivery against Education
Operating Framework
• Assessed against Education Outcomes Framework
and Professional Regulators
HEE’s purpose
To ensure that the healthcare workforce
have the right skills, behaviours and
training, and are available in the right
numbers, to support the delivery of
excellent healthcare and health
improvement.
5
HEE Functions
Five key functions:
National leadership for planning and developing the
workforce
Authorising and supporting the development of LETBs
High quality education and training responsive to the
changing needs of patients and local communities
Allocating and accounting for NHS education and
training resources and the outcomes achieved
Ensuring the security of supply of the professionally
qualified clinical workforce
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Scope
• Key Clinical professions who support and provide services
in health and public health services
• Wider leadership role in development of the whole health
workforce
• Leadership and ensure transparency in the investment
employers make in their workforce and allocating funding
to invest in Continuing professional development and in
developing the wider healthcare team
• Ensuring workforce development across Health and social
care is integrated and social care have access to clinical
skills from health
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Scope
• National education and support functions
– Oversight of recruitment including medical,
– Development of UK wide recruitment arrangements e.g.
Healthcare scientists
– NHS Careers
– Access to national content for e-learning
– Quality monitoring for small specialty groups in the
workforce
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Education Outcomes Framework
1. Excellent education
Excellent experience for staff
(inc. students / trainees) and
patients
2. Competent and capable staff
Ensure the health
workforce has the right skills,
behaviours and training,
available in the right numbers,
to support the delivery of
excellent healthcare and
health improvement
3. Adaptable and flexible workforce
Effectiveness
4. NHS values and behaviours
Safety
5. Widening participation
Aim
Domains
Quality
Funding
Existing MPET funding is based on a mixture of:
 Cost based tariff (benchmark price for payments to Higher Education)
 Historic funding not related to current activity or costs funding.
 Each SHA locally has its own contracts and funding arrangements
Overall this is neither transparent nor equitable and has significant
transaction costs
New system will have:
 Cost based tariffs where funding will follow the student for clinical placements and postgraduate
medical training
 System will have fixed prices (benchmark prices & clinical placement tariffs) – competition will be on
quality
 Infrastructure of tariffs and contracts will be national - reducing transaction costs
 Incentives for quality outcomes
 Flexibility at the margins for investment in innovation etc
 Provider ownership will ensure relevance and rapid take-up of new approaches. New more efficient
or better quality models of service delivery will be the incentive for providers to invest in innovation
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HEE Advisory Structure
Strategic
Professional
Advisory
Bodies
Forum
Health
Education
England
HEE/LETB
Patients’
Partnership
and Public
Group
Forum
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Operating Model and key relationships
Its success and effectiveness will be dependent on the
quality of its working partnerships with other key bodies
and stakeholders
Need to work with partners
o to test fitness for purpose of outcomes from education
o To develop integrated, multi-disciplinary approaches to workforce
development
Annual strategic education operating framework
 Medium and long term context for healthcare workforce
development
 National measurable outcomes
Leadership for quality assurance
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Relationship with LETBs
Partnership and Accountability – the key words
 The relationship between HEE and the networks is central to the success of the new
system.
 Mutually supportive, based on trust, respect and clarity of expectations.
 LETBs held to account through annual agreements reflecting
o the planned approach to delivering key national requirements
o the planned approach to delivering key national requirements
 HEE/CfWI scrutiny of LETBs’ workforce plans, to ensure local and national alignment
 A transparent and rules-based approach to performance management that:
o promotes autonomy and allows networks freedom to innovate
o enables HEE to intervene where required in support of the delivery of agreed contract
outcomes
 HEE will manage a robust system of authorisation for the LETBs that provides ongoing
assurance based on the outcomes being achieved
 HEE will work in partnership with the LETBs collectively to ensure effective action and
response to national issues
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LETB Authorisation and Accountability Framework
In order to be fully established, LETBs must provide evidence to demonstrate:
Collaborative
leadership for
education and
training
Financial control,
capacity and
capability
Multi professional
approach
Meaningful
partnerships and
engagement
Proper
constitutional and
governance
arrangements
Effective Education
and training
commissioning
Working with
clinical networks
and senates and
patients
Fair representation
of local employers
Workforce strategy
and planning
Controls within
running costs to
ensure VFM
Clinical focus on
safety and quality
Effective
communication
throughout local
workforce
Authorisation and accountability framework
 If HEE determine that a LETB is in breach of its contract, HEE will
work with the LETB to develop a plan and monitor its execution to
remedy the identified shortcomings.
 If, despite all reasonable endeavours, the LETB remains in breach of
its contract, HEE will implement the remedies in the contract.
 HEE will also have powers to intervene to ensure the contractual
obligations of the LETB are fulfilled and, where appropriate, seek the
support of the Care Quality Commission and Monitor.
 If an LETB loses the ability to fulfil its contractual obligations, the
LETB will have to re-apply for authorisation demonstrating that it is
once again “fit for purpose”.
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Timeline for Transition
2012
Q1
Q2
2013
Q3
Q4
Q1
Q2
Q3
This Publication
HEE Development
Establishment of HEE
HEE Board Recruitment
HEE Established as SpHA (June 2012)
HEE Chair, CEO and NEDs appointed
HEE commences in shadow form (October 2012)
HEE Shadow Running
Medical Education England decommissioned (October 2012)
HEE Fully Operational (April 2013)
SHA LETB
Sub-Committees
Established
(April 2012)
HEE Operational Running
LETB Shadow Running (under SHA Sub-Committees)
LETB Authorisation
LETBs Operational
(or transitional arrangements in place)
HEE/LETB People Transition Policy published
Draft Education Outcomes Framework published
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LETB Evolution
Q4
Educational Outcomes Framework –
Outcomes
Excellent quality
care in learning
environments
Excellent
experience
for students
Competent and
capable staff
Plan, develop and secure
supply of a professional
and capable patient
centred workforce
Fitness for purpose
& leadership
and trainees
Effectiveness
Excellence
of education
training &
Safety
development
Individuals &
professional
groups aligned to
workforce demand
Aim
Outcomes
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Quality
Educational Outcomes Framework
Domains
Meet standards set
by independent
regulatory /
statutory bodies
Excellent quality
care in learning
environments
Competent and
capable staff
Plan,
develop and
secure
supply of a
professional
and capable
patient
centred
workforce
Promote,
professional
development
Support the NHS
constitution
values and
behaviours
Fitness for
purpose &
leadership
Promote
Excellence
Promote
health and
wellbeing and
address
health
inequalities
for students
and trainees
Effectiveness
effective team
and
interdisciplinary
of education
training &
development
working
Individuals &
professional
groups aligned
to workforce
demand
Aim
research and
innovation
Excellent
experience
Outcomes
Meet strategic &
local workforce &
commissioning
plans
Respond
Domains
18
Safety
to changing
service
demands
Quality
Educational Outcomes Framework
Indicators
Meet standards set
by independent
regulatory/
statutory bodies
Excellent quality
care in learning
environments
Promote,
professional
development
research and
innovation
Plan,
develop and
secure
supply of a
professional
and capable
patient
centred
workforce
Competent and
capable staff
Support the NHS
constitution values
and behaviours
Fitness for
purpose &
leadership
Promote health and
wellbeing and
address health
inequalities
Excellence
Promote
of education
effective team and
interdisciplinary
training &
development
Individuals &
professional
groups aligned
to workforce
demand
Excellent
experience
for students
and trainees
Effectiveness
working
Safety
Respond
Outcomes
Board /
Executive
Team level
engagement
in workforce
planning,
education,
training and
leadership of
all staff.
to changing service
demands
Safe trainee
and student
supervision19
Meet strategic &
local workforce &
commissioning
plans
Aim
National
required
indicators for
2012/13
Domains
Quality
Indicators
Educational Outcomes Framework
Accountability
Meet standards set
by independent
regulatory/
statutory bodies
Excellent quality
care in training
environments
Promote,
professional
development
research and
innovation
Competent and
capable staff
Plan,
develop and
secure
supply of a
professional
and capable
patient
centred
workforce
Fitness for
purpose &
leadership
Promote health and
wellbeing and
address health
inequalities
Promote
of education
effective team and
interdisciplinary
development
Individuals &
professional
groups aligned
to workforce
demand
for students
working
National
Required
Indicators for
2012/13
and trainees
Support the NHS
constitution values
and behaviours
Excellence
training &
Excellent
experience
Effectiveness
Safety
Respond
to changing service
demands
Board/Executive
Team level
engagement in
workforce
planning,
education,
training and
leadership of all
staff.
Safe
trainee/student
supervision
Meet strategic &
local workforce &
commissioning
plans
SoS/DH
HEE
LETB
(inc health & education partners)
Healthcare Org