BBI SOMERSET PLAYBOOK OVERVIEW THE PLAYBOOK Stakeholders Building
BBI SOMERSET PLAYBOOK: OVERVIEW
THE PLAYBOOK Stakeholders Building Blocks Barriers Aims The Goal LOCAL GOVERNMENT NHS CCGS, TRUSTS & GPS Short Term Priorities HOUSING ASSOCIATIONS No Blueprint RESIDENTS & THIRD SECTOR Different Systems EDUCATION PROVIDERS Siloed Budgets CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING Fear & Risk of Failure PLACE-BASED APPROACH THAT DELIVERS
THE PLAYBOOK Stakeholders NHS Long Term Plan (2019) Building Blocks LOCAL GOVERNMENT Barriers The Goal Sector Leaders No 1 Strategic Alignment 2 EDUCATION PROVIDERS SOCIAL / PRIVATE SECTOR HOUSING Aims Levelling up strategy Short Term Priorities HOUSING ASSOCIATIONS CENTRAL GOVERNMENT Covid Recovery plan 1 NHS CCGS, TRUSTS & GPS RESIDENTS & THIRD SECTOR HEE Topol Review (2019) NHSBlueprint CCGs Health and Wellbeing Boards PLACE-BASED Agree Dominant Different and Transformation Sustainability Partnerships Strategy APPROACH Systems Integrated Care Partnerships THAT DELIVERS Local Authorities Siloed Budgets 3 Evidence-based, not ideological 4 Translation into culture and practice Fear & Risk of Failure
THE PLAYBOOK Stakeholders Building Blocks Barriers Aims The Goal LOCAL GOVERNMENT NHS CCGS, TRUSTS & GPS Short Term Priorities HOUSING ASSOCIATIONS No Blueprint RESIDENTS & THIRD SECTOR EDUCATION PROVIDERS CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING 1 Strategic Alignment Different Systems Siloed Budgets Fear & Risk of Failure Agree Dominant Strategy PLACE-BASED APPROACH THAT DELIVERS
THE PLAYBOOK Stakeholders Building Blocks LOCAL GOVERNMENT 2 NHS CCGS, TRUSTS & GPS Resident & Community Engagement HOUSING ASSOCIATIONS RESIDENTS & THIRD SECTOR EDUCATION PROVIDERS CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING 1 Strategic Alignment Barriers 1 Aims The Goal Inclusion and empowerment Short Term Priorities Co-Design 2 Sustainability 3 Agree Dominant Community support Different Strategy No Blueprint Systems Siloed Budgets Fear & Risk of Failure PLACE-BASED APPROACH THAT DELIVERS
THE PLAYBOOK Stakeholders Building Blocks LOCAL GOVERNMENT 2 NHS CCGS, TRUSTS & GPS Resident & Community Engagement EDUCATION PROVIDERS CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING Short Term Priorities Aims The Goal Co-Design No Blueprint HOUSING ASSOCIATIONS RESIDENTS & THIRD SECTOR Barriers 1 Strategic Alignment Different Systems Siloed Budgets Fear & Risk of Failure Agree Dominant Strategy PLACE-BASED APPROACH THAT DELIVERS
THE PLAYBOOK Stakeholders Building Blocks LOCAL GOVERNMENT 2 NHS CCGS, TRUSTS & GPS Resident & Community Engagement EDUCATION PROVIDERS CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING Short Term Priorities 1 Aims The Goal Co-Design Recruitment and retention No Blueprint HOUSING ASSOCIATIONS RESIDENTS & THIRD SECTOR Barriers 1 Strategic Alignment 3 Skills, Competence, & Culture Learning networks / Agree Dominant 2 Different Strategy cross-professional Systems PLACE-BASED APPROACH THAT DELIVERS Skills ladders and competency Siloed Workforce for 3 Budgets based learning the future Fear & Risk of Failure
THE PLAYBOOK Stakeholders Building Blocks LOCAL GOVERNMENT 2 NHS CCGS, TRUSTS & GPS Resident & Community Engagement EDUCATION PROVIDERS CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING Short Term Priorities Aims The Goal Co-Design No Blueprint HOUSING ASSOCIATIONS RESIDENTS & THIRD SECTOR Barriers 1 Strategic Alignment 3 Skills, Competence, & Culture Different Systems Siloed Budgets Fear & Risk of Failure Agree Dominant Strategy Workforce for the future PLACE-BASED APPROACH THAT DELIVERS
THE PLAYBOOK Stakeholders Action Plan Building Blocks LOCAL GOVERNMENT 2 NHS CCGS, TRUSTS & GPS Resident & Community Engagement EDUCATION PROVIDERS CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING 1 Short Term Priorities 2 service users Co-Design Workforce and skills plan No Blueprint HOUSING ASSOCIATIONS RESIDENTS & THIRD SECTOR The Goal Aims Co-designed with Barriers 1 Strategic Alignment 3 4 Skills, Competence, & Culture Service Integration 3 Different Systems Siloed Budgets 4 Fear & Risk of Failure 5 Innovation and learning PLACE-BASED Agree Dominant Strategy APPROACH from industry and CVS THAT DELIVERS Workforce for the future Affordable & sustainable Service Transformation Governance route map
THE PLAYBOOK Stakeholders Building Blocks LOCAL GOVERNMENT 2 NHS CCGS, TRUSTS & GPS Resident & Community Engagement EDUCATION PROVIDERS CENTRAL GOVERNMENT SOCIAL / PRIVATE SECTOR HOUSING Short Term Priorities Aims The Goal Co-Design No Blueprint HOUSING ASSOCIATIONS RESIDENTS & THIRD SECTOR Barriers 1 Strategic Alignment 3 4 Skills, Competence, & Culture Service Integration Different Systems Siloed Budgets Fear & Risk of Failure Agree Dominant Strategy Workforce for the future Service Transformation PLACE-BASED APPROACH THAT DELIVERS
ACTIVE PROGRAMMES 1 4 Cornwall Housing 2 Portsmouth Aspiration & workforce for the future 5 Somerset Investment in youth for an ageing population Kent Prevention for marginalised health groups Social Isolation 3 North East Essex 6 Guernsey Skills for health, wealth,
System Challenge
System Challenge: Ageing Pop. Significantly older than the regional and national average Those aged 75+ years projected to double in 20 years In parts of West Somerset, more 50% of population is projected to be aged 65 or older by 2033
System Re-design System Challenge
System Approach I : Re-design Intervention: Context: Households in Somerset Only residents 65+ Other Half of single-person households are aged 65+ Joint working between adult social care, NHS, and voluntary sector on discharges from hospital NHS savings totalled over £ 2 m and led to 75% reduction in delayed transfers
Sustainability Challenges System Re-design System Challenge
Challenges: Youth net outflow unaddressed will significantly exacerbate ageing population challenges irrespective of system redesign efforts
Challenges : Risk of Digital Exclusion
Challenges : Risk of Digital Exclusion Bristol Somerset Comparison with Bristol digital inclusion
Symptoms : Workforce shortages 1 Temporary closure of dementia and community hospital inpatient wards 2 £ 28 m spent on temporary staff and 160 nurse vacancies in year prior to June 2018 for SPFT & TSFT 3 Those wishing to study nursing would have to travel to Bristol which is a challenge from rural Somerset
Challenges : Public Transport Average travel time in minutes by public transport/walking 70 Travel time (mins) 60 50 40 30 20 10 0 Primary school Secondary school Further Education England GP Somerset Hospital Food store Town Centre
Challenges : OFSTED Children’s services were ranked inadequate in 2015
Sustainability Challenges System Re-design System Challenge
How can we improve and retain local talent? Focus & Aims 1 2 3 4 Creating a sustainable trainee pipeline at all levels of competency Consistent approach and career pathway to health and social care apprenticeships Exploring the possibilities of making greater use of further education colleges Developing Somerset as a ‘brand’ to attract recruits to entry level roles
Focus & Aims Pathway & Building Blocks Pathway Education Apprenticeships Volunteering Digital Inclusion
Health and Social Care Pathway for young people Level of Competence Job Role School Level Caring for elderly family or those in need Volunteer Advanced Level 3 Higher Level 4 Higher Level 5 Higher Level 6 Care Escort Healthcare Support Worker Senior Care Supervisor Residential Care Manager Education Welfare Officer Social Worker Community Transport Driver Healthcare Assistant Radiography Assistant Health Advisor Nurse Associate Mental Health Nurse Porter Medical Receptionist Drug & Alcohol Worker Family Support Worker Digital performance analyst Midwife Foundation Level 1 Intermediate Level 2 Easily accessible jobs for anyone interested in the sector Health and social care is not usually considered as a career pathway for those interested in digital
Health and Social Care Pathway for young people Level of Competence Skills required School Level Foundation Level 1 Intermediate Customer care Effective comms skills Level 2 Advanced Level 3 Use of maths Higher Level 4 Leadership Teamwork Simple problem solving Use of technology Team lead where appropriate Effective numerical skills Higher Level 5 Higher Level 6 Management Strategic thinking Financial skills Analysis of data Interpreting data Complex problem solving
Educational Opportunities for young people Level of Competence School Level Education Roles and Opps Health and Care Industrial Centre of Excellence Red indicates existing activity Green indicates suggested actions T Levels 6 th form vocational training Next Steps S. West Foundation Level 1 Intermediate Advanced Level 2 Level 3 Higher Level 4 Higher Level 5 Higher Vocational courses at Education FE colleges Diplomas Higher Level 6 New local nursing degree programme University Centre Somerset (Bridgwater and Taunton College) in partnership with UWE developing local provision of pathways into nursing from level 3 to level 6 Universities take a long time to establish – why wait?
Apprenticeship Opportunities for young people Foundation Level 1 Level of Competence School Level Apprenticeships Modern apprenticeships available to 16 – 24 year olds Red indicates existing activity Green indicates suggested actions Establishing route from school to pre-registration nursing and mid-wife programmes Intermediate Advanced Level 2 Level 3 Health Care Pharmacy Assistant Technician Nursery Nurse Dental Nurse Pre-registration Laboratory Support nursing programme Somerset Partnership NHS Trust apprenticeships and work experience programmes IT Support Higher Level 4 Assistant Practitioner Higher Level 5 Higher Level 6 Degree apprenticeships: • Nursing associate • • higher apprenticeship Nursing degree apprenticeship Occupational therapy degree apprenticeship Advanced Clinical Practitioner apprenticeship Integrated health and social care apprenticeships and HEE’s Trailblazer Apprenticeships Apprenticeship Levy Skills Up & West Somerset Opportunity Area Partnerships Board supporting local businesses 5, 000+ apprenticeships offered in the county last year
Volunteering Opportunities for young people Level of Competence Volunteering Red indicates existing activity Green indicates suggested actions Intermediate Advanced School Level Foundation Level 1 National Citizen Service Long Term Plan committed to doubling number of NHS volunteers – opportunities at flu clinics and social prescribing Duke of Edinburgh Prince’s Trust work with HEE to recruit and train those aged 16 – 30 interested in health and social care Level 2 Level 3 Higher Level 4 2, 062 general charities in Somerset with 25% of adults taking part in formal volunteering once a month Spark Somerset 2018 recommendations: • Minimise financial costs for volunteers • Develop buddy schemes for new volunteers • Review reward and recognition for volunteers Higher Level 5 Higher Level 6 Serves as first glimpse into sector but currently not easily accessible
Digital Inclusion for young people Level of Competence Digital inclusion Red indicates existing activity Green indicates suggested actions Foundation Level 1 School Level Digital prospects through Skills Up Intermediate Advanced Level 2 Level 3 Higher Level 4 Higher Level 5 Higher Level 6 CCG presence at university fairs to share on digital jobs in NHS Government essential digital skills framework Digital Skills Partnership Teen. Tech HEE work on digital literacy through Building a Digital Ready Workforce LEP’s Connecting Devon and Somerset Superfast Extension Programme Digital Champions Project Estimated shortage of NHS workers with data skills: 50, 000
Focus & Aims Pathway & Building Blocks Pathway Education Apprenticeships Volunteering Digital Inclusion Action Plan
Action Plan Distilled: 1 Improving & modernising our understanding of the sector 2 Developing & retaining workforce 3 Widening opportunities to contribute through voluntary sector and upgrading digital literacy
REFLECTIONS FROM LOCKDOWN 1 2 3 4 5 Cost: Massive resource requirement to support most vulnerable in society Connectivity: Investing in transport, digital and infrastructure is supporting good health care Innovation: Potential and limitations of technology Local vs Central: Place based thinking is not just about the long term but essential in periods of crisis Education: Unless we engage now our biggest lockdown cost will prove to be its impact on children
SUMMARY OF ACTIVITIES 5 month actions System adoption Education provider engagement Community engagement design Government alignment Dec 2020 Vision Paper Launch Event
Education provider engagement Outcome Actions 1 Reviewing mapping of current provision Overview of themes so far: 2 1. Issues re: funding for traineeships/apprenticeships 2. Poor promotion of career pathways 3. Digital challenges & opportunities Outlining career pathways, training initiatives, qualifications and opportunities across organisations
Education provider engagement Outcome Outlining career pathways, training initiatives, qualifications and opportunities across organisations
Community engagement design Outcome Actions 1 Working with Spark / Young Somerset to design model: 2 1. Identify how health and social care workforce pathway can meet young people’s needs 2. Understand the challenges for moving from education into employment 3. Understanding the NEETs challenges and what support and opportunities they require to consider health and social careers 4. Co-designing workforce pathway Fully costed and designed community engagement model ready to implement
Community engagement design Outcome Fully costed and designed community engagement model ready to implement
Government alignment Outcome Actions Focused inquiry with senior civil CS/ Ministerial teams 1 MHCLG DBEIS DWP HM Treasury Df. E DHSC NHSE/I Cabinet Office 2 Vision Paper that is supported by Govt. Education Social and Skills Mobility Work Funding Commission England Agency Institute for Apprenticeships and Technical Education Central Government to support; • Funding • Recognition • Structural package
Vision Paper and launch Outcome Actions 1 Informed by local and national senior leaders and education provider feedback 2 Invite senior civil servants to hear about project and get agreement from Minister to open event 3 Perspectives from frontline workforce and young people part of event Making the case for change Kick start implementation phase and secure potential funding commitments
System adoption Outcome Commitment to integrate work programme into existing relevant business plans through Mo. Us
System adoption of workforce pathway Requests for ICS leads 1 2 3 4 Opportunity to present to senior management teams at CCG, NHS Trusts, & LAs Virtual town hall meetings with wider staff input from frontline practitioners Resources and appropriate areas for matched funding locally and nationally Commitment to integrate work programme into existing relevant business plans through Mo. Us
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