HEE Support for SAS Medics Professor Sheona Mac

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HEE Support for SAS Medics Professor Sheona Mac. Leod Postgraduate Dean, Chair HEE Deans

HEE Support for SAS Medics Professor Sheona Mac. Leod Postgraduate Dean, Chair HEE Deans

The Collective Challenge • Cost containment • Addressing workforce shortages and rising workforce costs

The Collective Challenge • Cost containment • Addressing workforce shortages and rising workforce costs • Interlinking the fragmented approach to the design, development and training of our workforce • Alignment of workforce skills, roles and capacity to service models • Collaborative System Leadership • Engagement of the healthcare workforce

What we’ve heard… • Effects of the growing pressure on services and doctors •

What we’ve heard… • Effects of the growing pressure on services and doctors • Little recognition of key role of the key SAS doctors in delivering high quality service • Little investment in SAS development and support • SAS doctors not involved in determining the future of the NHS But would like to be @NHS_Health. Ed. Eng

Potential impact of ‘Brexit’ • • North East ~5% of current NHS staff EEA

Potential impact of ‘Brexit’ • • North East ~5% of current NHS staff EEA nationals Variation by role (below) and geography* (right) Yorkshire No impact on applications to medical post-graduate training North & the Humber West (yet. . ? ) Unknown impact of SAS doctors – huge providers of service, East Midlands anecdotally less likely to remain than consultants (younger? West Midlands more comparable salaries elsewhere in the EEA? ) East of England Thames Valley Kent, Surrey and Sussex South West Wessex *Darker regions indicate a higher proportion of EEA clinical staff NW London South London NC&E London

HEE’s purpose To improve health and wellbeing by developing a workforce with the right

HEE’s purpose To improve health and wellbeing by developing a workforce with the right knowledge, skills and values for them to always deliver outstanding healthcare. • It is vital that life-long professional development is available for all healthcare professionals • HEE has responsibility for workforce sustainability and transformation. So must ensure it extends its remit to cover the existing as well as the future workforce.

The Challenge How can HEE ensure there is professional development of SAS doctors: •

The Challenge How can HEE ensure there is professional development of SAS doctors: • as individuals • as members of clinical teams • as part of wider workforce transformation To enable them to provide, and lead, the services of the future NHS?

HEE’s commitment to SAS doctors HEE was a co-signatory on a BMA charter for

HEE’s commitment to SAS doctors HEE was a co-signatory on a BMA charter for Staff, Associate Specialist and Specialty Doctors in 2014 The charter sets out "what SAS doctors can expect from employers. . . and the objectives and support mechanisms that HEE promotes and provides through LETBs and LEPs".

You can expect: • HEE Heads of School will increasingly consider and include SAS

You can expect: • HEE Heads of School will increasingly consider and include SAS doctors e. g. supporting SAS doctors to have access to education and training resources and to initiatives • HEE ARCP review – Improving Training: Supporting Learners. Includes the intention to explore how the ARCP approach could support doctors in nontraining posts with their professional development • Shape of Training, specifically credentialing, to support an expansion of lifelong learning and development • Medical revalidation, SAS doctors are required to have an annual appraisal and therefore will have opportunity to discuss their professional development needs and aspirations

The Future Medical Workforce Growing recognition of the fundamental need to both attract and

The Future Medical Workforce Growing recognition of the fundamental need to both attract and retain SAS grade doctors • Supply constraints limits the number of trainees (and thus future consultant supply) available to deliver service in any given specialty/geography But, further, in future: • How can we better use SAS doctor expertise? • Non-consultant led/delivered services? • Better, different, use of non-medical workforce to support SAS efficient delivery of medical rotas? (ANPs, ACPs, PAs? ) How can SAS medics play a role in this development? Consultants/ GPs (CCT holders) “Training Grade” Medics The wider non medical workforce?

Variation in staff turnover What are the best trusts doing to support SAS doctors

Variation in staff turnover What are the best trusts doing to support SAS doctors that should be replicated? Source : NHS Improvement

Mind the (generation) gap ‘Baby Boomers’ ‘Generation X’ ‘Generation Y’ ‘Generation Z’ 1946 -1964

Mind the (generation) gap ‘Baby Boomers’ ‘Generation X’ ‘Generation Y’ ‘Generation Z’ 1946 -1964 1965 -1980 1981 -1994 1995 -2010 Motivated and hard working; define selfworth by work and accomplishments. Practical self-starters, but work-life balance important. Ambitious, with high career expectations; need mentorship and reassurance. Highly innovative, but will expect to be informed. Personal freedom is essential. 25% of the NHS workforce 40% of the NHS workforce 35% of the NHS workforce <5% of the NHS workforce What will the next generation of SAS doctors want from their careers? How can HEE (and the wider system) prepare for this? Jones K, Warren A, Davies A. 2015. Mind the Gap: Exploring the needs of early career nurses and midwives in the workplace. Summary report from Birmingham and Solihull Local Education and Training Council.

Midlands and East SAS support Financial support for all trusts to develop an education

Midlands and East SAS support Financial support for all trusts to develop an education strategy to cover SAS and trust grade doctors Conferences in each area in M&E which are open to SAS doctors across the region A senior educator with responsibility for promoting the role of SAS doctors in each area Funding for specific development to develop new skills and expertise.

Questions? @NHS_Health. Ed. Eng

Questions? @NHS_Health. Ed. Eng