NHS GRAMPIAN. SERVICE REDESIGN STRATEGY WORKFORCE IMPLICATIONS & PLANS. FORCES AND DRIVERS. Ageing population - demand & supply Health of local population eg 52% overweight Working time regulations - medical workforce Desired patterns of work Skills shortages in some specialities.
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SERVICE REDESIGN STRATEGY
WORKFORCE IMPLICATIONS & PLANS
GMS OOH - multi-professional framework.
The start of joint training & protocols.
The commitment of clinicians.
Development of primary and secondary care competency/training framework.
Reward Strategy.SERVICE REDESIGN - UNSCHEDULED CARE
Aim - integrate primary & secondary care services
Facing medical workforce redesign.
Facing skills shortages eg radiology/radiography.
Developing network of GPs with specialist interests.
AfC facilitating development of non medical clinics.
Need to link with Hospital @ Night project.
Actively develop cross professional/cross domain solutions to medical workforce redesign.
Actively develop redesign/recruitment strategies for radiology/ radiography & labs.PLANNED CARE
Aim - extended working day/development of specific inter mediate care services/expand diagnostic facilities/ non medical led clinics.
Baseline workforce plan Aberdeen City and Old Age Psychiatry.
Commitment to redesign among clinicians.
Commitment to develop assistant practitioner roles
Further develop & agree priorities within workforce plans.
Develop assistant practitioner career pathway.
Redeploy skills of hospital based staff.
Importance of team building/joint training & education.INTEGRATED CARE
Aim - reduce beds & develop community based alternatives. Close alignment of specialist teams with community teams/step down facilities/rapid response.
- links with service redesign/ education/region/national.
- availability of workforce intelligence/planning tool.
- formulating communication & involvement strategies.
Do you agree?
But - capacity and commitment?