Health Education Kent Surrey and Sussex Surrey Workforce

Health Education Kent, Surrey and Sussex Surrey Workforce Update “Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all” 0

Introduction The purpose of this presentation is : - • To provide an update on the process followed to date • To provide an update on the 5 year workforce forecasts for Surrey as presented at a recent workforce workshop • To provide an update on the education commission requests for 2015/16 and any discrepancies • To gain the Partnership Councils view on the forecasts and commissions and agree any actions • To present the feedback from the County Workshop 1

14/15 Outcomes Overall response • 22 workforce and education commissioning templates sent out • 22 workforce and education commissioning templates returned • 22 organisations completed both workforce and education commissioning returns to a degree • 17 completed the CPD template but not to the level of detail hoped for. Challenges • Medical workforce forecasts • Five year forecasts • Occupation Code issues • Monitor Returns 2

Workforce Planning Process K Local Provider Returns S S Aggregated within County and Overall KSS Workforce Plan Sense Check and Triangulate with • Providers • Commissioners • Each Profession • Regionally Input of Healthcare Professionals Education Commissions Health Education Institutions National Workforce Plan Sense Check and Triangulate with • Providers • Commissioners • Each Profession • Regionally/ Nationally

The Year Ahead – Timescales and Process Workforce Planning Timeline NHS TDA 1 year plan Monitor 5 year plan February March April HEKSS Workforce forecast and education commissioning template released County Workshops Planning NHS TDA 5 year plan 2 year plan Monitor 5 year plan, Year Plan Second cut final May June July 30 th May Return of HEKSS Template from providers August Template and Process Triangulation Publication HEKSS return th HEE Formal 25 of Demand/ board sign September Forecast off of HEKSS Workforce Template to return HEE Plan Investment Plan to HEE Sept October Dec-14 Jan-15 10 th July HEKSS Workforce Planning and education commissioning event Plan Sign-Off HEKSS Local Workforce Plan published Feb-15 HEE National Workforce plan published 4

NICE Safe Staffing Guidelines • NICE is developing evidence based guidelines setting out safe staffing for the NHS. This will include reviewing and endorsing staffing tools • The focus of work will be on nursing and midwifery, including nursing support. • The guidelines will help ensure an appropriate balance of staff numbers and skill mix on wards and in other settings • As this new guidance programme develops other elements of the healthcare team may be included www. nice. org. uk/About/What-we-do/Our-Programmes/NICE-guidance/NICEguidelines/NICE-safe-staffing-guidelines

Safe Staffing Guidelines • covers staffing for nursing in adult inpatient wards in acute hospitals • identifies organisational and managerial factors - from trust to ward level • sets indicators to be used to demonstrate information on whether safe nursing care is being provided • identifies red flag events which warn when nurses in charge of shifts must act immediately to ensure they have enough staff to meet the needs of patients on that ward • no recommended nurse/patient ratio - providing patient centred care more complex.

Nursing Forecasts

Nursing Commissions SURREY - Nursing Commissions 2015 -16 160 139 140 142 120 100 80 2014 -15 2015 -16 60 40 32 40 35 25 20 12 38 25 7 6 10 0 18 -month Midwifery programme 3 -year Midwifery programme Adult Nursing Children's Nursing Learning Disability Mental Health Nursing

Community Nursing Forecasts

Community Nursing Commissions SURREY - Community Nursing Commissions 2015 -16 60 50 50 40 2014 -15 30 2015 -16 24 20 13 12 10 6 3 0 0 District Nursing Health Visitors 6 3 Paediatric Nursing 0 Practice Nursing School Nursing

AHP Forecasts

0 0 0 0 0 2 4 1 3 Ultrasound 17 Therapeutic Radiographers 5 Speech and Language Therapists 7 10 Sonographers 20 Prosthetists/Orthotists 12 Physiotherapists 7 9 Paramedics 11 Orthoptists 25 Operating Department Practitioners 30 Occupational Therapists 15 Dieticians 10 Diagnostic Radiographers Chiropodists/Podiatry AHP Commissions SURREY - Allied Health Professional Commissions 2015 -16 27 22 16 14 11 2 2 2014 -15 2015 -16

Feedback A workshop was held at the end of August to share with providers and CCG colleagues the revised workforce forecasts and proposed education commissions for 2015/16. Main areas of feedback • Adult Nursing – commissions look to meet demand. Further consideration needed about placement capacity given vacancy factors. • District Nursing – commissions don’t look to meet demand. Needs further work. • Midwifery – overall commissions going down. Need to make decision about the 18 month programme. • AHP commissions don’t match the direction of travel of the forecasts. • Lack of practice educators for Health Visitors and School Nurses needs to be addressed. • Broadening the Foundation Programme hasn’t been factored into the plans. Need to look at Advanced Practice, Physicians Associates and Medical Technicians as a solution. • CPD – need to ensure this matches with the future direction of health services.