As part of our goal we… Identify and agree local priorities for education and training, to ensure security of supply of the skills and people providing health and public health services; Plan and commission education and training on behalf of the local health community in the interests of sustainable, high quality service provision and health improvement; Are a forum for developing the whole health and public health workforce. More on our values Inspire and Innovate We use our leadership to inspire others. We are ambitious for service improvement & openly embrace new thinking. Own the Solution When we spot problems or opportunities, we see it as our duty to solve them or to ensure they are acted upon by those best able to do so. In this task we will always go the extra mile and do what we say we will do. Put People First We put patients, trainees & colleagues at the centre of everything we do and care about the people we work with and serve. We are great to work with and strive to achieve the best outcomes for everyone. Listen to and Value Everyone We actively seek to include people affected by our work, building those relationships to improve the quality of everything we do. We champion diversity. How are we different? In addition to taking over the previous role of the SHA, the new LETBs will: Increase engagement with all stakeholders at a local level. Ensure Providers have a role in determining workforce priorities. Have the flexibility to invest in education, training and development in order to support innovation. Work with new Academic Health Science Networks (AHSNs) to promote service improvement. Provide quality education at a local level. Our Organisational Development Plan provides details of how we are living our values and how we will translate them into tangible improvement in experience and outcomes for our population and staff.
Meeting the needs of our patients in the East Midlands, through delivery of safe, high quality care is dependent on having the right workforce capacity and capability, in the right place, with the right education, skills and behaviours. Doing more of the same will not deliver our ambition for our patients – both in terms of the services we offer, or the way we develop our workforce. Our aspiration for EMLETB is that it will: · Plan, educate, train and develop the healthcare workforce that is needed in order to deliver safe, high quality and responsive primary care, community health services, public health and patient care in acute settings, for the people of the East Midlands, now and into the future · Focus on delivering today as well as creating the conditions for high performance tomorrow This is an opportunity to make demonstrable improvements in the quality and experience of patients through new ways of working and delivery of high quality education and skills for the whole healthcare workforce.
System wide structure: East Midlands Local Education and Training Board (LETB): Role of the LETB is to ensure the security of supply of a multi-professional flexible workforce with the right skills, behaviours and attitudes to deliver safe, high quality patient-centred care across the East Midlands and within the wider healthcare system, in line with the Education Outcomes Framework and other national outcomes frameworks. System Locality Structure: Five Local Education and Training Councils (LETCs): Role of the LETC is to inform, influence and shape the strategy and to deliver at a local level, in line with the devolved model of operation across the system. The LETC will assume many of the responsibilities currently undertaken by the SHA including: Identifying and agreeing local priorities for education , training and development Planning and commissioning education and training including up skilling the existing workforce Ensuring the quality of education provision (academic and clinical learning) Providing Postgraduate Medical and Dental Education ( PMDE )
The East Midlands LETB will be the vehicle for providers and professionals (working with Health Education England) to improve the quality of education and training outcomes so that they meet the needs of service providers, patients and the public. Through HEE, health and public health providers will have strong input into the development of national strategies and priorities so education and training can adapt quickly to new ways of working and new models of service. LETBs may also take on specific leadership roles for particular professional groups, such as the smaller professions and commissioning specialist skills.
Stakeholder engagement – building sustainable and productive partnerships across a range of organisations and individuals
Located across the East Midlands The workforce we support serve a population of >4 million We are committed to working with and enabling Providers across the region £384m spend (MPET allocation £375m, carry forward £4m, NIHR £3m, Lincs PCT £2m) 6,900 non medical students 3,700 medical training posts 65,000 medical student clinical placement weeks 180 members of staff Slide updated 13.2.13 by Belinda
Slide updated 18.2.13 By Jonathan King 3405 medical trainees across the East Midlands 909 Foundation 659 GP 518 Medicine 302 Surgery 199 Anaesthetics 195.5 Paediatrics and Child Health 167 Psychiatry
Slide updated 15.2.13 by Nicki Ferrin
Strategy on a page The diagram demonstrates how all the dimensions come together to form our initial “Strategy on a page”. The strategic intentions map closely to the NHS values. Priority Focus Following engagement with our providers and analysis of the key performance issues in the East Midlands, the priorities we have identified for our first year of operation are: Tackling the workforce implications of changing patterns of care in A&E Enabling the workforce to make service improvement everyone’s business Multi-professional alignment throughout the new system Making Every Contact Count through the workforce These improvement priorities have been highlighted through engagement events with healthcare providers and other strategic partners in the East Midlands during 2011 and 2012 and have been endorsed at the Shadow Board. A programme management approach has been implemented under the leadership of the Managing Director and further activity is on-going to define deliverables and inform plans for 2013/14. They are reflected in the Workforce Development and Education Investment Plan for 2013/14 that was discussed by the Shadow Board on 26 September 2012 and will be endorsed at November 2012 Board. Workforce planning priorities for 2012/13: Really understanding the changing patterns of healthcare need, prevention and care so as to have a clear transparent strategy for developing the appropriate capacity and capability in the healthcare workforce. Enhancing the quality and safety of healthcare services through workforce innovation, development and learning. We are piloting an innovation and improvement framework in 2012/13 to underpin this shift To fully explore the changing shape of the medical workforce, a debate started by the CfWI report, and the implications for education and training Delivery of national priorities for quality, innovation, prevention and productivity, within financial constraints
If we do what’s always been done – we’ll get what we’ve always got. That’s no way to bring about the transformation the healthcare system needs. We’re developing our thinking and moving towards … · Tackling the ‘wicked issues’ that have held back the NHS for years · Doing things differently and doing different things - changing the way education, training and continuing professional development happen in the East Midlands · Innovating adventurously, promoting a ‘mindset for innovation’ by removing cultural barriers such as “we’ve always done it like that… · Taking courageous and measured risks and learning along the way, sharing the benefits across the patch Staff with the skills to continuously improve patient care · Enabling empowered staff to have a passion for excellence New opportunities for staff CPD · Encouraging staff to work flexibly, stretching and bridging current professional boundaries, finding new ways to deliver better ‘joined up’ services for patients · Promoting recruitment for attitude - staff with values and behaviours that match our vision for a new ‘can do’, empowered’ culture across healthcare Measuring success through the eyes of what matters to the patient as our ‘number one customer’ Relentless focus on improving education quality and the training environment
… Improved quality of and greater flexibility in education and trainin Meaningful career pathways Greater flexibility around professional boundaries · Adventurous innovation will become the norm and an expected ‘mindset’ · You will draw on research and put it into practice to improve services You ’ ll understand and be part of the vision for a better healthcare system You’ll receive high quality education and training in a high quality environment
As a patient: · Those looking after you being closer to your home, so you don’t have to go into hospital for treatment · A sense that ‘you really do matter’ and that the service has you as its focus · A service that runs for your benefit, not its own · Most appropriate types of professionals providing your healthcare · Care delivered with compassion Being treated with dignity and respect and as an individual Patients We will place the patient at the centre of everything we do and consider the impact on their experience of our workforce planning, education and training of the staff that care for them. We hear many examples of patients receiving exceptional care in the East Midlands and would like this to be the experience of every patient on every occasion. Poor communication is still one of the most common reasons for people to bring complaints about the NHS. In the report “Listening and Learning” the Parliamentary and Health Ombudsman highlighted how communication can directly impact on successful clinical treatment, turning a patient’s story of their experience with the NHS from one of success to one of frustration, anxiety and dissatisfaction. Much of the difference in the quality, safety and experience of patients is made by the skills, care and compassion of staff. Our aim is to develop a workforce that is able to deliver the care that we all aspire to for our families and ourselves.
The LETB will work in partnership with providers to support workforce development, education and training for staff, with the aim of influencing values and behaviours Increased meaning / purpose Happy to ‘go the extra mile’ ‘ What you do makes a difference’ Positive and collaborative team working Great relationships / great place to work Freedom to try new things and learn ‘ Problems as opportunities’ to learn and innovate Better trained and educated staff Staff who are better able to deliver the kind of care they want to deliver Staff We know that staff experience is an important predictor of patient experience and crucial to ensuring we attract and retain the quality talent we require for the future. Good staff experience has been proven to link to a range of positive outcomes, including high quality care for patients3, better health and well-being for staff4, higher levels of commitment, effective team working, reduced work pressure, creativity and innovation. We will seek to drive improvement patient safety and experience through a culture relentless focussed on patient and staff experience.
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East Midlands Local Education and Training Board (EMLETB)
The East MidlandsLocal Education andTraining BoardNameTitle of presenter http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
East Midlands Local Education and Training Board A sub-committee of NHS Midlands and EastIntroducing the East Midlands LETB“Our goal is to develop a high quality, safe and sustainable workforce tomeet the healthcare needs of the people of the East Midlands.”Our values: How we achieve our goal http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
One network East Midlands Local Education and Training Board A sub-committee of NHS Midlands and East Bringing five health communities together to focus on workforce, education and training Derbyshire Leicestershire Lincolnshire Nottinghamshire Northamptonshire http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
East Midlands LETB Notts LETC Board Derbys LETC Board Key Board Leicestershire LETC Board priorities Emergency Medicine Innovation & Improvement Effective Team Working Making Every Contact Count Lincolnshire LETC Board Northamps LETC Board HEI Forum
East Midlands Local Education and Training Board A sub-committee of NHS Midlands and EastWhat does East Midlands LETB do?Acts as a forum for planning and developing the whole health and public healthworkforceIdentifies and agrees local priorities for education and training to ensuresecurity of supply of the skills and people providing health and public healthservicesPlans, commissions and assures high quality education and training on behalfof the local health community in the interests of safe, sustainable serviceprovision and health improvementDelivers post graduate medical and dental education and training for doctorsand dentists in the East MidlandsBrings the healthcare education continuum together: postgraduate educationand training; undergraduate medical and non medical comissioningIN SUMMARY: the vehicle for providers and professionals (working with HealthEducation England) to develop their existing and future workforce by improvingthe quality of education and training outcomes so that they meet the needs ofservice providers, patients and the public. http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
NHS organisations and Local Authorities East Midlands Local Education and Training Board A sub-committee of NHS Midlands and East Nottinghamshire Lincolnshire Lincolnshire Nottinghamshire Population: 752,000 Population: 1.1m Population: 1.1m Population: 752,000 Workforce: 24,195 Workforce: 10,248 Workforce: 10,248 Workforce: 24,195 4 CCGs 5 CCGs 5 CCGs 4 CCGs 2 Acute Trusts 1 Acute Trust 1 Acute Trust 2 Acute Trusts 1 Mental Health Trust 1 Mental Health Trust 1 Mental Health Trust 1 Mental Health Trust 1 Community Trust 1 Community Trust 1 Community Trust 1 Community Trust 1 University 2 Universities 2 Universities 1 University 2 Health & Well-being Boards 1 Health & Well-being Board 1 Health & Well-being Board 2 Health & Well-being Boards Derbyshire Derbyshire Population 1.0m Leicestershire County & Leicestershire County & Population 1.0m Workforce: 15,240 Workforce: 15,240 Rutland Rutland 5 CCGs 5 CCGs Population: 1,017,000 Population: 1,017,000 2 Acute Trusts 2 Acute Trusts Workforce: 18,070 Workforce: 18,070 1 Mental Health Trust 1 Mental Health Trust 3 CCGs 3 CCGs 1 Community Trust 1 Community Trust 1 Acute Trusts 1 Acute Trusts 1 University 1 University 1 combined MH, Learning Disability 1 combined MH, Learning Disability 2 Health & Well-being Boards 2 Health & Well-being Boards & Community Trust & Community Trust 2 Social Care Organisations 2 Social Care Organisations 3 Universities 3 Universities 3 Health & Well-being Board 3 Health & Well-being Board Northamptonshire Northamptonshire Population: 704,800 Population: 704,800 Workforce: 12,200 Workforce: 12,200 Examples of other key Examples of other key 2 CCGs 2 CCGs stakeholders stakeholders 1 Independent Provider 1 Independent Provider Further Education Further Education 2 Acute Trusts 2 Acute Trusts Local Medical Committees Local Medical Committees 1 Mental Health Trust 1 Mental Health Trust Local Dental Committees Local Dental Committees 1 University 1 University Local Pharmaceutical Committees Local Pharmaceutical Committees 1 Health & 1 Health & Voluntary and Community Sectors Voluntary and Community Sectors Well-being Board Well-being Board Trade Unions Trade Unions Coterminous with: East Midlands Health Science Network, CLAHRCS (NDL/LNR), Clinical Research Networks (Comprehensive, Cancer, Diabetes, Medicines for Children, Mental Health, Primary Care, Stroke), East Midlands Cardiovascular Network, EMColl, East Midlands Ambulance Service, EMHIEC, EMHSP, East Midlands Leadership Academy, Medlink, Clinical Senate6 http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
LETB working arrangements Education and Quality Finance and Enabling Directorate Services Directorate Workforce Directorate Innovation Directorate Managing Director Derbys Leics Lincs Notts NorthantsWorkforce team Workforce team Workforce team Workforce team Workforce team Local Health communities and partnerships
East Midlands LETB Education and Training Budget – 2012-13 General Practice £2m £3m £9m Learning £33m Public Beyond Health £26m Registration Academic £1m £16m FoundationDevelopments £11m Programme POSTGRAD OTHER Widening Headroom MEDICAL PROFESSIONS Access£2m (MADEL) .£14m (NMET) Clinical £163m Placement £90m MULTI- Deanery Facilitators PROFESSIONAL Functions £76m EDUCATION AND £3m TRAINING £6m £3m £59m (MPET) Hosted National £76m 505969281 Training for Wider £384m Recruitment Dental Workforce Specialty University Workforce & £0.5m £4m Training Tuition Fees Commissioning Transition Mgt Team MEDICAL STUDENT STUDENT 6,903 Students GRANTS £2m PLACEMENTS £40m (SIFT) £73m 3,664 Training Posts General Practice £76m 64,554 Placement Medical School Secondary & Weeks £1m Support Community Care 9
East Midlands Non-Medical Trainees : Feb 2013 East Midlands Local Education and Training Board H A sub-committee of NHS Midlands and East Healthcare Science MPPM Nursing Practitioner 29 Health Healthcare s (STP) Nursing – – Mental Visitors Science Dual Health (pre MSC) 40 Registratio 143 720 17 n7 Biomedica Pre l Science Registration Dental 23Nursing – Pharmacy Therap ScientistsLearning y 24 37 161Disabilitie s Audiology 138 52 Nursing & Midwifery Paramedi Nursin g– 4211 Physiotherap cs Child y 72 319 Non-Medical Trainees 441 Podiatry 6510 73 Midwifery Child Psychotherapists Operating Allied Health 400 Nursing –Adult 2 Department Professional Speech & 2627 Practitioners s 1705 Language 130 Therapy 258 Clinical Psycholog y 97 Radiography – Occupationa Diagnostic Dietetics l Therapy 131 164 509 Radiography – Therapeutic 57 http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
Values and BehavioursAims & Objectives Strategic Intentions Priority focus Goal Delivered through Operating model Deliver aa workforce which Deliver workforce which meet the needs of the meet the needs of theInspire and Innovate patient patient Tackling the Focus on innovation in Focus on innovation in workforce everything we do everything we do implications of changing patterns of care in A&E Be fully inclusive and Be fully inclusive and engage with all engage with all Own the Solution Develop a stakeholders of education stakeholders of education and training in East Enabling the high quality, and training in East Midlands Midlands workforce to make safe and service sustainable improvement everyone’s workforce to Drive improvement in Drive improvement in business meet the Quality and Safety Quality and Safety healthcare needs of the Put People First people of Multi-professional Deliver provider led, value alignment the East Deliver provider led, value for money outcomes in an throughout the Midlands for money outcomes in an efficient, effective and new system efficient, effective and professional manner professional manner Making Every Contact Count Be an organisation where Be an organisation where through the Listen to and Value confident people are excited, confident people are excited, workforce Everyone committed and proud to work committed and proud to work Measured through Balanced Scorecard
East Midlands Local Education and Training Board A sub-committee of NHS Midlands and EastWhat kinds of things might we see?Tackling the wicked issuesDoing things differently – doing different thingsMindset for innovationCourageous and measured risksStaff with the skills to continuously improve patient careNew opportunities for staff CPDWorking more flexibly, stretching and bridging boundariesRecruiting and training for valuesMeasuring success through patients’ eyesListening more to the student and trainee voiceRelentless focus on improving education quality and thetraining environment http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
What it will mean for students/trainees East Midlands Local Education and Training Board A sub-committee of NHS Midlands and EastImproved quality of and greater flexibilityin education and trainingMeaningful career pathwaysGreater flexibility aroundprofessional boundariesAdventurous innovation - an expected mindsetResearch into practiceUnderstand and be part of the visionfor a better healthcare systemHigh quality education and training environment http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
What it will mean for patients … East Midlands Local Education and Training Board A sub-committee of NHS Midlands and East Those looking after you being closer to your home ‘You really do matter’ A service that runs for your benefit, not its own Most appropriate types of professionals providing your healthcare Care delivered with compassion Being treated with dignity and respect and as an individual http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
What it will mean for staff who deliver healthcare… East Midlands Local Education and Training Board A sub-committee of NHS Midlands and EastThe LETB will work in partnershipwith providers to support workforcedevelopment, education and trainingfor staff, with the aim of influencingvalues and behavioursIncreased meaning / purposeHappy to ‘go the extra mile’‘What you do makes a difference’Positive and collaborative team workingGreat relationships / great place to workFreedom to try new things and learn‘Problems as opportunities’ to learn and innovateBetter trained and educated staffStaff who are better able to deliver the kind of care they want to deliver http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
East Midlands Local Education and Training Board A sub-committee of NHS Midlands and East Get involvedwww.eastmidlandsletb.netRegister with us to receive regular LETB updates Follow us on Twitter: @EastMidsLETBFeedback: Sarah.Hoyle@nhs.netCall us: 0115 968 4406 http://eastmidlandsletb.net/ East Midlands Local Education and Training Board
East Midlands Local Education and Training Board A sub-committee of NHS Midlands and Easthttp://eastmidlandsletb.net/ East Midlands Local Education and Training Board