Hilary Cass, from Health Education England, presents on transforming the workforce for new models of child health care.

1. Transforming the
workforce for new
models

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Purpose of HEE CYP Programme
The Programme aims to ensure that our current and
future healthcare workforce is sustainable and
equipped to deliver high quality care, reducing
variations in, and improving physical and mental
health outcomes for Children and Young People.

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Context
The Programme is driven, influenced and aligned with a number of
key strategic frameworks, visions and areas of work, which are outlined
below

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Challenges and Opportunities
Challenges:
• Large and complex
• Sits across numerous
programmes i.e. Mental Health
• Highly political
• Requires partnership working
across multiple organisations
Opportunities:
• Development of a sustainable
workforce
• Alignment with key strategic
priorities
• Reduction of health outcome
variation

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Programme Structure

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OUTCOME WHO AND WHAT
Neonatal
mortality
GP:
Spotting sick
child
Youth worker:
Support re
substance
dependence
Teacher:
SRE and PSHE
lessons
FNP:
Support for
young mothers
Teenage
suicide
GP:
Primary care
management
of MH
problem,
communicatio
n skills with
teenagers
Youth worker:
Recognise
range of MH
problems,
knowledge of
resources and
networks
Teacher:
Recognise
range of MH
problems,
knowledge of
resources and
networks
Paediatrician:
Understand
and anticipate
MH problems
in children
with LTC’s
Whole workforce solutions

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Transformation
Programme
Delivered
Education
Projects
High
Quality
Workforce

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If you always do what you
always did, you’ll always
get what you always got.

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Current Paediatric Programme

11. Children’s Healthcare Needs Children’s
Healthcare Delivery
Children’s
Healthcare Delivery
Paediatric Training
• Total 8 years
• Deliver general and
specialist paediatric care
GP Training
• Total 3 years
• Dedicated paeds 0-6 months
• Deliver vast majority of
paediatric care
? GP with additional
training in paediatrics
? 5 year paediatrician
with additional
training in primary
care, mental health

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The worries
• Can’t have shorter training for
generalists c.f. specialists
• What about the service gap?

14. BASIC PAEDIATRIC TRAINING = 2-3 years
Paediatricians (+ optional GPs / child psychiatrists for 1 year)
ADVANCED PAEDIATRIC TRAINING = 3 years
GENERAL PAEDIATRICS
SUBSPECIALITY PAEDIATRICS
With integrated
community / primary
care focus
With
hospitalist
focus
MIND THE
SERVICE GAP?
A STRAW MAN idea…..NOT HEE policy

15. BASIC PAEDIATRIC TRAINING = 2-3 years
Paediatricians (+ optional GPs / child psychiatrists for 1 year)
ADVANCED PAEDIATRIC TRAINING = 3 years
GENERAL PAEDIATICS SUBSPECIALITY PAEDIATRICS
With integrated
community / primary
care focus
With
hospitalist
focus
OPTIONAL:
SERVICE POSTS TO
INCREASE EXPERIENCE
BEFORE ADVANCED
TRAINING
MIXED WORKFORCE:
Physicians associates, neonatal technicians,
advanced nurse roles, allied health staff,
enhanced administrative and assistant roles
OPTIONAL:
SENIOR FELLOWSHIP POSTS PRIOR TO CONSULTANT APPOINTMENT

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Questions