Health Education NCEL (North Central and East London) Health Education NWL (North West London)

1. The power of collaboration and innovation WORKSHOP Workforce Development and Capacity London’s Local Education and Training Boards (LETBs) • Health Education NCEL (North Central and East London) • Health Education NWL (North West London) • Health Education SL (South London)

2. Introduction to the LETBs We are the three Local Education and Training Boards that have taken on responsibility for training the next generation of doctors, dentists, nurses and all health professionals across London, and for the continuing development of the existing workforce We are part of a national organisation – Health Education England (HEE) – that has oversight of training and educating the healthcare workforce. HEE exists for one reason alone – to help ensure delivery of the highest quality healthcare to England’s population, through the people we recruit, educate, train and develop.

3. Some Facts and Figures from CfWI Government’s recruitment target for England of 3,250 GP trainee places per year by 2015. London’s proportional share of that is 431 for 2014 and 458 for 2015 Between 1995 and 2011, GP numbers increased by 29%, against a 50% increase of consultants in other specialties. 2015 Government target will lead to a 41% increase in GPs against a 23% increase in hospital-based doctors. Despite growing GP workload, the number of practice nurses employed by practices nationally has declined by 2000 since the 2006 peak. Potential for greater role of pharmacists supporting GPs in the management of routine testing and managing long-term conditions.

4. Some Common Workforce Challenges for Primary Care A need to grow GP numbers significantly and therefore expand training capacity in primary care. A shortage of Practice Nurses and inconsistency in the level of training and development support offered to them. High variability in training provided to Healthcare Support Workers and the roles they are asked to fulfil.

5. Some Common Workforce Challenges for Primary Care Requirement to give more student nurses experience of working in primary and community care settings before registration. Not fully taking advantage of the opportunities offered by apprenticeships and other schemes to help people enter healthcare careers in primary care Failure to make the best use of all our existing workforce in helping people stay healthy, for example, in Community Pharmacy.

6. Some Common Workforce Challenges for Primary Care A need to support primary care staff to care for patients out of hospital, often with (multiple) long-term conditions. A need to understand future skill-mix and the demand for new roles (such as Physician’s Assistants, Nurse Specialists, Care Navigators, Health Champions, IT experts….) Difficulties in getting good quality data on our primary workforce to allow us to plan effectively.

7. Some Emerging Projects - NWL Pilot project looking at workforce data collection in partnership with the LMC Practice Nurse CPPD funding for 2013-14 Supporting the development of apprenticeships in Primary Care

8. Some Emerging Projects - NCEL Developing the capacity for effective management of mental health in primary care through the training of Practice Nurses. Projects to develop Care Navigators (in Waltham Forest and Tower Hamlets) and Health Champions in Community Pharmacy. Developing HCAs in primary care in partnership with LMC. Pilot of a model for General Paediatric SpRs, GP Registrars and community and practice nurses learning together in jointly run integrated child health clinics in a primary care setting.

9. Some Emerging Projects - SL Developing the capacity for effective self management through the creation of a bespoke training programme for non-clinical staff working in primary care Supporting the voluntary transition of secondary care nurses to primary care and the development of nurses currently working in primary care Community Pharmacy project to train a Health Champion in every pharmacy in south London Developing primary care mental health skills in GP surgeries in Kingston

10. Community Education Provider Networks (CEPNs) A federated model for primary and community care organisations coming together with partner organisations to collaborate with regard to workforce, education and training. Some common aims: • Assess workforce needs in response to the needs of the local population. • Develop new innovative models for education and training in primary and community settings. • Create communities of learning to support the development of the existing workforce and expand educational capacity in primary care. • Support service redesign and integrated care through education and training.

11. Potential Partners Patient and Carer Groups Service providers - primary, community, acute, independent sector Professional Bodies CEPN Universities CCGs CLAHRCs Local Authorities AHSNs

12. Discussion How can we collaborate to support the development of innovative new roles in primary care? How can we collaborate to take advantage of the opportunities offered by apprenticeships in primary care? How can we collaborate to better support the development of our existing workforce? How can we use education and training to help promote better collaboration with social care and acute providers, to improve the integration of care?