North West Core Skills Programme Regional Stakeholder Event

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North West Core Skills Programme Regional Stakeholder Event Wednesday 11 th November 2015

Core Skills Regional Stakeholder Event 09: 00 - Registration 09: 30 - Welcome and Overview - Programme Update - National Core Skills Update 11: 00 - Break 11: 20 - Streamlining Initiative - ROSTA Showcase - Workshops - Feedback and Summary 13: 00 - Lunch WIFI Access: Haydock Guest Welcome 1474

Welcome and Overview for the Day Rachael Charlton Director of HR and Organisational Development East Cheshire NHS Trust

Core Skills More than a concept § We are beyond testing the feasibility of Core Skills § It is embedded across organisations - seen as the norm § Achievements and success to date are testimony to this (both in the NW and nationally) § Along with the continuing expansion of the Programme

Core Skills More than… § More than Stat and Man Training: - Clinical Skills and other frameworks - The Care Certificate § More than Training: - Wider HR / pre-employment opportunities - Systems in place to support a flexible workforce § More than the Health Sector: - Manchester Met delivering to Social Care students - Devo Manc – looking at the whole system

Core Skills Making a difference § The Core Skills… “has been a godsend, the majority of our staff completed the training quickly, those outstanding will complete in the coming months. The amount of time and effort that this has saved our Practice is immense. We would be keenly interested in volunteering for ROSTA” Lorna Johns Practice Manager, Thursby Surgery, Burnley, Lancs

Core Skills Couldn’t do it without you § We have achieved this because of the support, input and buy-in from you here today § We hope you will join us for the next steps on this journey and continue to help shape what the Core Skills can become

Programme Update Seán Bradbury Programme Manager Health Education North West Emma Turner Programme Manager NW Core Skills Programme

Programme Update § Programme Structure § Current Position of Organisations § Future Direction and Priorities

Programme Structure Seán’s new role in HENW 1 of 3 Programme Managers Workforce Strategy & Planning Education Commissioning Workforce Transformation Education Transformation Portfolio Includes: ▪ Maximising Systems ▪ TEL (e. Learning & Simulation) ▪ Gamification ▪ Curriculum Development

Programme Structure Emma’s Background… § 10+ Years NHS Experience (Acute, MH and community) § HR – Resourcing and Temporary workforce § Project Management – systems and temporary workforce § Experience of Core Skills Contact details: Tel: 07506704235 E-mail: emmaturner 4@nhs. net

Team Structure Programme Manager Emma Turner Project Manager Programme Office Manager Technical Officer Apprentice

Current Position Recent Core Skills Survey § Core Skills Survey run this autumn § Update the intelligence of the programme § Latest Core Skills alignment across the NW § How the Core Skills are currently being used § Gauge interest and support for future direction

Current Position Summary of Results - Alignment § Survey responses from 35 out of 41 trusts 85% § Based on survey and previous declarations: 39 / 41 trusts Core Skills aligned Nov 14: 36 / 40 trusts Core Skills aligned 95% 89% § 9 /10 HEIs delivering Core Skills 79 / 84 Healthcare Programmes 90% 94% § NW PGMD E (F & ST) delivering Core Skills § Approx 100 GP Practices delivering Core Skills

Current Position Summary of Results - Delivery § % of Core Skills subjects aligned: 86% (77% Nov 2014) § Core Skills delivery - Face to Face: e. Learning: Workbook: Blended: Don’t know: 35% 22% 3% 22% 18% § Resources Used - NW Core Skills: In-house: National Content: Other: Don’t know: 25% 48% 8% 2% 18%

Core Skills Subject Conflict Resolution Level 1 Equality, Diversity and Human Rights - Level 1 Fire Safety Level 1 Health, Safety & Welfare Level 1 Information Governance (England) - Level 1 Infection Prevention & Control Level 2 Moving & Handling Level 1 Moving & Handling Level 2 Safeguarding Adults Level 1 Safeguarding Children Level 2 Resuscitation Adult Level 2 Resuscitation Paediatric Level 2 No of Trusts Face to Face e. Learning Workbook Blended Don't know 35 20 4 7 39 4 17 3 7 8 39 11 5 1 14 8 35 9 9 3 9 5 39 5 14 1 11 8 36 9 9 2 10 6 31 14 3 0 8 6 38 9 10 2 10 7 34 21 0 0 7 6 37 7 13 1 8 8 38 6 13 3 8 8 34 10 10 1 8 5 31 26 0 0 2 3 27 23 0 0 1 3

Current Position Summary of Results - Processes § Are the Core Skills referenced in your policies? Yes: 39% No: 34% Don’t know: 27% § What LMS to you use to record Core Skills? OLM: 77% In-house: 10% Other: 13% § Do you use the ESR Core Skills National Competences? Yes: 49% No, but would like to: 15% § Do you use the Stat & Mand Notification Role in ESR? Yes: 29% Plan to: 12%

Current Position Summary of Results - Portability § Do you accept Core Skills from other organisations? Yes: 49% No: 22% Don’t know: 29% § What groups would you accept Core Skills from? Students: 18% JDs: 11% NHS: 25% All: 46% § What Core Skills evidence do you accept or provide? Evidence Accept Provide ESR Record / IAT 12 11 Training Record 10 9 Certificate 12 6 Org Authorisation 7 4 Self Declaration 1 0

Future Direction Survey Results – Other Frameworks § Do you support a NW approach to implement the Clinical Skills Framework? Yes: 89% No: 11% § What areas would you want to be supported? Standardised Approach: 100% Mapping & Alignment: 88% Education Resources: 84% Portability: 88% § Do you want support to link the Core Skills & Clinical Skills with the Care Certificate? Yes: 52% No: 48%

Clinical Skills Subjects Applicable to Trust Already Deliver Existing Resources Yes No / Unsure Yes No Your Healthcare Career 21 7 12 10 13 6 Duty of Care 24 5 17 6 17 3 Person-centred care 24 4 17 6 17 4 Communication 27 2 22 4 22 2 Consent 27 2 21 5 21 3 Privacy and dignity 26 2 20 5 20 3 Fluids and nutrition 25 4 19 7 20 4 Dementia awareness 27 3 24 2 24 1 Blood component transfusion 21 8 19 6 20 4

Future Direction Existing Priorities § Junior Doctor and Future Workforce work-streams to reach a business as usual state § Primary Care rollout § Streamlining : Wider HR / Pre-employment § ROSTA: Potential for a Skills Passport § Evaluation of Core Skills training § Update Resources following national framework update

National Core Skills Update Colin Wright National Skills Framework Manager Skills for Health

National Core Skills Update § UK CSTF data § Maintaining and updating Stat/Man CSTF § New core skills frameworks § Future plans

CSTF data Oct 2014 Oct 2015 Individual registrations 1, 241 1, 718 Organisations aligned to Stat/Man CSTF Country/Region England: NORTH WEST England: LONDON England: THAMES VALLEY & WESSEX England: WEST MIDLANDS England: KENT SURREY & SUSSEX England: EAST MIDLANDS England: EAST OF ENGLAND WALES England: SOUTH WEST England: YORKSHIRE AND THE HUMBER England: NORTH EAST NORTHERN IRELAND SCOTLAND NHS 36 36 19 22 9 10 10 10 5 1 0 0 0 Other 11 1 4 0 4 1 1 0 0 0 0 Total 47 37 23 22 13 11 11 10 6 1 0 0 0 Total 157 23 180

Organisations aligned to CSTF Aligned organisations include: • 61% of NHS Acute Trusts in England (96) • 55% of NHS Mental Health Trusts in England (28) • 52% of NHS Health & Care Trusts in England (16) • 100% of NHS Wales Health Boards (7)

Stat/Man CSTF framework Annual update due by end of 2015 Review of key guidance & legislation e. g. • UK Resuscitation Council Guidelines (published 15 th October 2015) • PREVENT competencies

CSTF framework developments Framework Status Statutory/Mandatory UK CSTF Launched March 2013 Last updated September 2014 Clinical/Care UK CSTF Launched April 2015 Dementia CSTF Launched October 2015 Mental Health CSTF In development Learning Disabilities CSTF In development

Clinical/Care CSTF Clinical/Care subjects (launched April 2015): 1. 2. 3. 4. 5. 6. 7. 8. 9. Your health career Duty of care Person-centred care Communication Consent Privacy and dignity Fluids and nutrition Dementia awareness Blood component transfusion

Care Certificate Standards Equality and Diversity CSTF Subjects Infection Prevention and Control Infection prevention and control (Level 1) Safeguarding Adults Safeguarding Children Basic Life Support Handling Information Health and Safety Safeguarding adults Safeguarding children Level 1 and 2 Resuscitation Information governance (England) Health, safety and welfare / Fire safety / Moving and handling Understand Your Role Your health career Equality, diversity and human rights Your Personal Development Duty of Care Work in a Person Centred Way Communication Duty of Care Privacy and Dignity Fluids and Nutrition Awareness of mental health, dementia and learning disability Dementia awareness Person Centred Care Communication

Scope of the dementia framework Tier 3 Tier 2 Tier 1 Skills and knowledge for key staff working with people living with dementia (e. g. experts and those in leadership roles) Skills and knowledge for staff in roles that have regular contact with people living with dementia Dementia awareness applicable to all those working in health and care

Scope of the dementia framework Tier 3 Tier 2 Tier 1 Core knowledge and skills i. e. that which is common and transferable across different types of service provision

Structure of the framework Dementia Core Skills Education & Training Framework

Structure of the framework Appendices include: • reference list • sources of further guidance • user guide • suggested standards for training delivery • guidance on frequency of refresher training or assessment

Benefits of the framework • Individuals and teams - clear expectations for learners • Trainers/SMEs – clear focus on key learning outcomes required • Employers and commissioners – clear outcomes required from staff development • Education providers – core learning outcomes integrated in the design of education curricula • A minimum standard to enable consistency of training provision

Benefits of the framework Health Skills & knowledge Common core skills & knowledge for Dementia care Social Care Skills & knowledge

Dementia Core Skills Education and Training Framework Download the framework at: www. skillsforhealth. org. uk/dementia-download

New frameworks in 2016 Mental Health Core Skills Education & Training Framework Learning Disabilities Core Skills Education & Training Framework Developed by May 2016 • DH commissioned and funded

CSTF frameworks Framework Status Statutory/Mandatory UK CSTF Updated Sept 2014 Due for update by end 2015 Clinical/Care UK CSTF Launched April 2015 Dementia CSTF Launched October 2015 Mental Health CSTF In development: October 2015 to May 2016 Learning Disabilities CSTF In development: October 2015 to May 2016

Core skills frameworks • Access the current CSTF documents • Download the Directory of Aligned organisations • Or obtain further information from the CSTF web page at: http: //www. skillsforhealth. org. uk/services/item/146 -coreskills-training-framework Colin Wright, Skills Framework Manager: colin. wright@skillsforhealth. org. uk

Break & Networking

Streamlining Initiative Sally Campbell Director CAJA Group

Streamlining Staff Movement Health Education England North established a feasibility project to examine the following: § Potential Benefits of the programme § Progress made in other Regions § Baseline in the Northwest related to SSM § Stock take of progress to date of the NWCSP § Opportunities out of scope of the NWCSP § Options for moving forward

Streamlining Staff Movement Programmes in London, Midlands and the North § Aim: to reduce the time taken to recruit & induct NHS staff § Initiatives focussed on: § Consistency of approach in pre-employment processes § Consistency of approach in Learning and Development utilising Core Skills Programme e. g. induction and care certification

Streamlining Staff Movement Drivers for Change: § Safe and appropriately trained staff § Reduction in expenditure on temporary staff § Sustainable recruitment and retention of staff § Need for consistency of data in relation to staff and staffing

Streamlining Staff Movement Opportunities: § Pre-employment checks - DBS/references/Occupational Health/pay data (inc. protection/progression) § Learning and development - Induction/core skills/care certification § Widen to statutory and mandatory comprehensive NHS staff groups e. g. primary care (not doing so may cause unexpected/unplanned barriers to change) § Widen the programme to include the Integration Programmes

Streamlining Staff Movement Potential Benefits: System § Supports the Integration of Health and social care programme and facilitates team working § Supports closer NHS provider service delivery § Consistency of data with the public/staff/commissioners/Board

Streamlining Staff Movement Potential Benefits: Organisation § Financial savings or staff time released on Temporary staff and HR related administration – London approx. £ 500 K per organisation § Increased confidence in sustainable recruitment and retention § Increased confidence in the ability to deliver safe staffing levels § Increased Staff satisfaction and confidence in the NHS

Streamlining Staff Movement Potential Benefits: Individual § Meeting expectations of a modern, attractive employer § Time focussed on activities which are of value § Reinforcing messages of NHS priorities – integration, efficiency, seamless.

Streamlining Staff Movement Progress and lessons learned in other regions § This is a successful programme releasing valuable staff time, saving money and creating sustainable work places § This is a change management programme § Sovereignty vs scale of impact § Service delivery is now more complex than ever before. To support the changes not to get in the way § Leadership from both the service and the HR profession § Many and varied Data systems: maximisation is the key

Streamlining Staff Movement Baseline data demonstrates variation and potential to improve utilisation of existing systems § 39 of the 41 Trusts using Core skills Programme to varying degrees ( 12/13 in GM ) § 9/10 Higher Education Institutions § > 75 GP practices piloting § All use ESR connecting to least 20 HR IT systems § 75% Utilising the OLM

Streamlining Staff Movement Appetite for SSM programme § Place Based : Devo Manc – Health and Social Care Healthy Liverpool Healthier Together – Cheshire Cumbria – success regime § Partnership/locality based: § Setting Based: § Function Related: e. g pathology networks Primary care Higher Education Care Certification

Streamlining Staff Movement Your views are sought in the discussion groups § How can SSM make the most of other programmes? e. g. ROSTA § Where are the ‘early wins’? § What are the potential unintended consequences?

ROSTA Showcase Bill Douglas Head of Applications North West Commissioning Support Unit Lee Holmes Programme Manager Lancashire Care NHS FT

ROSTA Showcase § Overview of the System § Walk through of the System § User feedback following Beta Testing § Go Live and Rollout

ROSTA Overview of the System § Replacement for the Core Skills Register system § Phase 1 & 2 – April 2015 – November 2015 § Captures Core Skills training for: - Doctors in Training - Healthcare Students - GP Practice Staff § Phase 3 + Potential to become a Skills Passport § Developed by the NW Commissioning Support Unit

ROSTA Walk through of the System § Bill Douglas Head of Applications North West Commissioning Support Unit § Stan Seddon Developer North West Commissioning Support Unit

ROSTA User Feedback – Lancashire Care § ROSTA has been successfully used a part of a large scale recruitment event. § Enabled Students applying for a position within Lancashire Care to demonstrate compliance with core subjects. § Major driver for the Corporate Induction streamlining process. § Quick and easy to access the data – no need for students to provide paper copies of certificates. § Students feel part of the wider NHS, as information flows from the education setting into trusts seamlessly

ROSTA Go Live and Rollout § Nov 15 - School of Psychiatry Live Data § Dec 15 - Medical Education Live Data - Pilot GP sites in East Lancs Live Data § Jan 15 - HEIs Live Data § Feb 15 - Practice Education Live Data § Wider organisational access subject to Expression of Interest and completion of Readiness Assessment

ROSTA Readiness Assessment 1. Policies to reference the Core Skills and ROSTA 2. Data Assurance: Data completeness Data accuracy Data quality 3. Info Governance: ISPA signed and returned 4. IT Systems: Min requirements met 5. Training: Users to undertake training 6. Approval of Users: By Organisation and NWCSP

Workshops

Workshops 1. Recognising previous training at pre-employment How can the Core Skills and wider training such as the Care Certificate be evidenced and accepted during recruitment? 2. Evaluating the Core Skills education materials How can we evidence the effectiveness of the NW Core Skills education materials and measure their impact? 3. What other education resources should we develop? Should we support other frameworks and adopt a standardised NW approach and how can we accelerate existing resources?

Core Skills Subject Conflict Resolution Level 1 Equality, Diversity and Human Rights - Level 1 Fire Safety Level 1 Health, Safety & Welfare Level 1 Information Governance (England) - Level 1 Infection Prevention & Control Level 2 Moving & Handling Level 1 Moving & Handling Level 2 Safeguarding Adults Level 1 Safeguarding Children Level 2 Resuscitation Adult Level 2 Resuscitation Paediatric Level 2 No of Trusts NWCore. Skills In-house National Other Don't know 35 5 16 4 3 7 39 14 15 2 0 8 39 12 16 2 1 8 35 11 18 1 2 3 39 8 14 7 0 10 36 13 16 1 0 6 31 9 15 1 0 6 38 14 17 0 0 7 34 0 22 6 0 6 37 11 14 4 0 8 38 12 16 2 0 8 34 7 19 3 0 5 31 3 21 4 0 3 27 2 17 3 2 3

Workshops Feedback and Summary

Closing Remarks

Lunch & Networking