HETV Partnership Council 13 February 2014 Welcome by Janice Shiner, HETV Independent Chair Your facilitator for the day

1. HETV Partnership Council13 February 2014 Welcome by Janice Shiner, HETV Independent ChairYour facilitator for the day – Prof. Peter Hawkins

2. HETV – progress updateSandra Hatton, HETV Managing DirectorPartnership Council 13 February 2014

3. A great first year… • Strong engagement at Board with strength of leadership and vision and priorities • Increasingly close relations across our partners and stakeholders, amidst a complex and changing landscape - valued voice of CCGs, patient champions and increased liaison with trainees/students and practitioners • Growing organisational capacity and capability – reflected in our Maturity Level 2 assessment by HEE • Education Commissioning and Training Plan (ECAT) • Increase from 110 to 117 GP training places by 2015 • 14% Increase in Adult Nursing commissions to 562 for 2014/15 and plans for Practice Nurse increases • Developing and widening our workforce planning consultation process 3

4. A great first year… • Workforce hotspot Task & Finish Groups • Emergency Medicine • Focus on key deliverable areas of benefit • Increase in ACCS Trainees • Programme of training for non-training grade doctors • Detailed scoping phase data to be published • Midwifery • Steering group working across 5 midwifery units • Work underway to standardise Preceptorship programmes • Analysis of recruitment and retention data will give baseline for future work • Innovation and training fund has received five applications from maternity units • Adult Nursing • Work underway to develop recruitment and retention marketing materials 4

5. A great first year… • 2023 Challenge – empowering innovation from our junior doctors – multi-professional next year • Health Visitor agenda • Close to achieving recruitment targets • Award-winning training materials • First-hand evidence of increased care quality due to increased staffing and skills • Call to Action - Community Nursing workforce led by HETV • Progressing our Support Worker Strategy • Developing a Dementia Strategy and supporting the roll-out of dementia training 5

6. The real challenges ahead for all LETBs… • Delivering within our financial allocation • Strengthening and aligning our role within regional networks (Senate, AHSN) • Responding to the national expansion of Pre-Degree Care Experience • Delivering Shape of Training • Introducing Values Based Recruitment • Improving and widening our Workforce Planning Process • Developing and aligning our local Dementia Strategy • DeliveringCavendish, Francis and HEE Mandates • Responding to local needs 6

7. How do we embed NHS England’s Planning Guidance within our own Strategy and plans? • 6 service characteristics: • New approach to ensuring that citizens are fully included in all aspects of service design and change, and that patients are fully empowered in their own care • Wider primary care, provided at scale • A modern model of integrated care • Access to the highest quality urgent and emergency care • A step-change in the productivity in elective care • Specialised services concentrated in centres of excellence 7

8. HETV budget setting 2014/15Andrew HallHETV Head of Finance

9. Workforce development funding • 2013/14 HETV used £7.5m uncommitted funding to fund one-off projects, generated by HETV and our wider partners. • For 2014/15 we have had clarity much earlier on what our funding levels will be • We have built up budgets that reflect national and local priorities. For example we are increasing spend in the following areas: • Primary care – increasing numbers of both GPs and practice nurses • Dementia • Care of the frail elderly • Emergency medicine – continuation of the existing project and increase in numbers of ACCS and PHEM trainees • Ensuring Trusts are funded at tariff (after transitional adjustments) for actual numbers of approved postgraduate medical training posts • As a result, no uncommitted funds for 2014/15 so no plans for another Investment Prospectus round • We will reconsider in Q2 of the new financial year in light of slippage, delays and underspends • There will also be an opportunity for the LETB to submit bids against HEE’s transformation fund (a centrally held contingency of £30m) 9

10. Strengthening our Board and Partnership Council Janice ShinerHETV Independent Chair

11. Reviewing Board composition: • HETV Board committed to hold its membership in review • Board development sessions helped to identify the purpose, strength and range of skills • New members were added to increase non-Trust provider voice • Stakeholder feedback gathered – November/December 2012 • Board discussed proposals to review their composition -January 2014 • Final proposals to be agreed at Board – 20 March 2014

12. Reviewing Board composition – details from Board discussion 23 Jan: • Reviewing numbers on Board and moving to representational approach risked isolating some Trusts • Size of the Board is challenging, but does allow for real engagement and buy-in from all key partners in the region • With a large and complete membership on Board, there is real strength in implementing decisions and actions • It was recognised that local CCG commissioner voice is important • Agreement to develop ways of giving Board exposure to other perspectives – patients/trainees/professional groups etc

13. Board’s commitment – 23 Jan: • To ensure that a strong link is forged between the Board and its advisory bodies, particularly Partnership Council , with effecvtive two-way dialogue • Board committed to using the collective expertise of Partnership Council to inform as well as gathering advice and feedback • Partnership Council has the power to work in detail on specific issues, as a collective, and shapes strategy and decisions

14. Partnership Council so far… • ‘Shadow’ Terms of Reference developed – early 2012/13 • Three meetings held – March/July/November 2013 • Invites widened to gain greater representation • Stakeholder feedback gathered – November/December 2012 • Revised Terms of Reference discussed at Board – January 2014 • Members invited to shape agenda – February 2014 • Future meetings: 1 May, 3 July, 14 October (Autumn Conference)

15. What has the Partnership Council delivered? • Shaped our Workforce Strategy – Tomorrow’s People, Today and the Implementation Plan • Developed our Thames Valley Values, Qualities and Skill Set • Contributed to our priorities and criteria for workforce development investment • Provided feedback on our organisation development, our Board composition, our vision and leadership and our communications, to help us improve • Provided a mechanism to share information

16. Clarity of purpose for Partnership Council: As the principle advisory body to the HETV Board and wider executive team , Partnership Council will: • provide advice and feedback, identify local priorities and areas for development. • directly influence decisions and shape policy in response to local needs, for the benefit of patient care. • bring together key stakeholders to provide wide representation and perspectives from across the Thames Valley health and social care economy. • Members will work to provide representation on behalf of others, share information and encourage engagement across local networks.

17. Our collective challenges: • Membership – we aim for a core membership, with wide representation and perspectives from the stakeholders we need around the table • Numbers – how do we manage numbers to ensure events can be delivered to best effect? • Consistency – how can we develop a core membership of regular attendees? • Responsibilities – how can we encourage members to take responsibility for acting as representatives for their wider profession or network, consulting and sharing information as necessary?

18. Partnership Council looking forward: • Next meeting – 1st May • Shaping and developing the HETV Dementia Strategy • Strategic workforce planning and education commissioning process • ? What can we usefully work together on ?

19. Workshop 1: • What are the key workforce system challenges that we collectively face? • What are the workforce priorities for your organisation? • Who do you need to work with on these specific challenges? In your table groups, consider together the key system-wide issues and use YELLOW post-it notes to record these. Use GREEN post-it notes to record specific issues/challenges your organisation is facing On both, consider WHO you need to work with to help deliver outcomes to these challenges

20. Refreshments 11.10am – 11.30amPlease use the time to add your ideas to the boards

21. HETV Autumn Conference: • A widened out Partnership Council event, open to all interested stakeholders and partners across the region and beyond • A challenging and meaningful agenda – one which provides benefit to all who attend, drawing upon the collective expertise of a wide representation • Launch our Annual Report publication • Celebrate and share achievements and good practice • Provisional date of 14 October 2014 • Held instead of Partnership Council event in September

22. Workshop 2: Drawing upon the themes identified in our earlier session, what will make the event successful and useful to the widest range of health and care sector representatives? • Each table to identify their THREE priority themes • Are you able to add ONE MORE not previously captured? • Consider HOW this theme could be best explored for maximum benefit • Consider WHO – keynote speakers, workshop leaders, fringe presentations Working with your table facilitators, develop a three-column matrix of Themes, Methodology and Who

23. Developing the HETV Support Worker StrategyJohn Clark, Director of Education & Quality, HETVRichard Griffin, Director, Buckinghamshire New University

24. Rationale: • Over 40% of Thames Valley NHS staff are employed in support roles • They work in all care settings and increasingly across boundaries and agencies • They provide 60% of direct patient contact • They will make a major contribution to delivering the six themes in Tomorrow’s People, Today

25. Key national drivers: • Minimum Training Standards and Code of Practice (February 2013) • The Francis Inquiry (February 2013) • The Cavendish Review (July 2013) • Hard Truths (November 2013) • Talent for Care consultation (February-March 2014) • HEE Mandate refresh (February 2014) • National support worker strategy (April 2014) • Care Certificate (from March 2015)

26. What are we trying to achieve? • Thames Valley support staff receive learning and development that allows them to deliver safe, effective, compassionate and high quality care and support • Delivery of national policy 3. Effective and innovative service-led education programmes

27. What will be delivered? • Pre-employment strategies • Preparation for the Care Certificate • Education programmes linked to service needs • Innovative learning • Quality assurance • Apprenticeships • Improved career development

28. How will this be delivered? • Designed and delivered in partnership • End-to-end • Whole systems • Resource sensitive • Value based • Outcomes focused • Innovative

29. National Strategy and consultation: • Health Education East of England developing a National Bands 1 – 4 Strategy • A national, system-wide consultation launched • Closing date for online comments - 24 March 2014

30. National Strategy and consultation: • Contributing to the National Strategy consultation will directly assist us in developing the HETV strategy • To contribute to the online survey: https://www.surveymonkey.com/s/talentforcare

31. National Strategy and consultation - how else can you contribute? • Locally, within your organisation, promote debate and contributions to the consultation: • Publicise the consultation widely • Local focus groups? • Take part in the survey yourself • Four regional events are planned: • Bristol – 12 March • Leeds – 18 March • London - 20 March • Birmingham – 27 March Visit Health Education East of England website for more information: www.eoe.hee.nhs.uk

32. HETV Support Worker Strategy? • Locally, within your organisation, promote debate and contributions to the consultation: • Publicise the consultation widely • Local focus groups? • Take part in the survey yourself • Four regional events are planned: • Bristol – 12 March • Leeds – 18 March • London - 20 March • Birmingham – 27 March Visit Health Education East of England website for more information: www.eoe.hee.nhs.uk

33. Workshop 3: • What are the key service priorities over the next three to five years that will drive the education and development of support worker staff in the Thames Valley? 2) What implications do these have, including the design of new roles? Each table spend 10 minutes discussing these, highlighting key points to your table facilitator. We will then feedback table-by-table.

34. Workshop 3: Table 1: The strategy aims to be innovative in the way that the development needs of support staff are identified and delivered. What do you think should change in the way support staff are educated and developed to ensure the people of Thames Valley have access to safe high quality care?

35. Workshop 3: Table 2: How best can NHS Health Education Thames Valley support employers/partners to deliver this strategy?

36. Workshop 3: Table 3: Put yourself into the shoes of a Support Worker; what do you think are the key features/requirements to support your development and management, encouraging you to support others

37. Workshop 3: Table 4: What barriers do support workers face in seeking to develop their careers? How could these be overcome?

38. Lunch1.00pm – 1.40pmPlease use the time to continue to add to the boards

39. HEE Mandate – a refresh of priorities and emphasis Ruth Monger Head of Workforce Strategy and Education Commissioning, HETV

40. Looking Forward2014 – 15Ruth Monger Head of Workforce Strategy

41. Our Strategy 6 Strategic Themes Compassion, Dignity and Respect Integrated and Person Centred Care Care at Home Sustaining and Investing in our Staff Harnessing Technology and Innovation Improving Training, Quality and Value Investment Plan 2014-15

42. Child and Family Development of a skilled workforce to work with Children and their families

43. Mental Health Development of a skilled workforce to work with people with mental health needs – in whatever setting.

44. Integrated Care • Development of a flexible workforce who can work across boundaries. • Focus on community, • More generalist skills. • More access to diagnostic services

45. Wider Workforce • Values based recruitment of students • Care assistants – training, induction, development • Veterans – skills in primary care • Public Health – every contact counts and • Sufficient levels of Public Health specialists

46. Adult Nursing Task and Finish Group Emergency Care Midwifery Values Based Recruitment Support Worker Strategy Expansion of GPs Community Nursing, including General Practice Nurses Dementia Care Current and Continuing Programmes

47. Work with commissioners • Developing partnerships • Service Providers Priorities • Developing our current workforce • Improving data and intelligence • Planning for 2015/16 investment Next Steps

48. Timeline (provisional....)

49. Summary and closing remarks: Next meetings (venues to be confirmed): • Thursday 1 May 2014 • Thursday 3 July 2014 • Provisional date for Autumn Conference Tuesday 14 October • Thursday 13 November 2014 Please confirm your attendance in advance with tim.wiseman@thamesvalley.hee.nhs.uk