Lets Talk Research 2015 - Professor Nicki Latham, Chief Operating Officer, Health Education England
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Creating a flexible workforce that embraces research and innovation. Professor Nicki Latham planned to discuss how Health Education England’s responsibility to create a flexible workforce that embraces research and innovation will help to address the challenges facing the health and social care system in the coming years. Nicki has a background in research and academia and is passionate about evidence based practice and decision making. The presentation will cover Nicki’s personal research journey; showcase HEE’s Research and Innovation Strategy and associated Clinical Academic Careers Framework; and explain how evidence-based practice can also help to facilitate changes in the workforce and education.
![www.hee.nhs.ukwww.hee.nhs.uk
HEE exists for one purpose only: to deliver a better
health and healthcare workforce for England, through
the education, training and personal development of
every member of staff and recruiting for values.
‘Health is all about people. Beyond the glittering surface of
modern technology, the core space of every health care
system is occupied by the unique encounter between one
set of people who need services and another who have
been entrusted to deliver them’
Health professionals for a new century [Lancet 2010]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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Lets Talk Research 2015 - Professor Nicki Latham, Chief Operating Officer, Health Education England
- 1. Health Education England Creating a flexible workforce that embraces research and innovation Professor Nicki Latham Executive Director of Performance and Development
- 2. www.hee.nhs.ukwww.hee.nhs.uk HEE exists for one purpose only: to deliver a better health and healthcare workforce for England, through the education, training and personal development of every member of staff and recruiting for values. ‘Health is all about people. Beyond the glittering surface of modern technology, the core space of every health care system is occupied by the unique encounter between one set of people who need services and another who have been entrusted to deliver them’ Health professionals for a new century [Lancet 2010]
- 3. www.hee.nhs.ukwww.hee.nhs.uk The burden of disease …… 4 million diagnosed with diabetes by 2030 There are 800,000 people with dementia in the UK 36% of the adult population are clinically obese People with severe mental illness die on average 20 years younger than the rest of the population 15 million people in England living with a long term condition Those with multiple long term conditions is set to rise to 2.9 million by 2018 With growing budgetary pressures, the NHS needs to transform, not doing it more but doing it differently
- 4. www.hee.nhs.ukwww.hee.nhs.uk “Ultimately, in order to really make a difference in improving our nation’s health, concerted action will be required, with individuals, families, local communities, local councils, the NHS and government all taking responsibility and working together towards a healthier population.” Duncan Selbie, Chief Executive of Public Health England
- 5. www.hee.nhs.ukwww.hee.nhs.uk Policy and legal context • The Health and Social Care Act 2012 • The Health Education England Directions 2013 • The Mandate from the Government to Health Education England April 2015 to March 2016 • We have a duty to promote the values of the NHS Constitution “HEE’s objective is to develop a more flexible workforce that is able to respond to the changing patterns of service….. and embraces research and innovation to enable it to adapt to the changing demands of public health, healthcare and care services…” (The Mandate 2015 to 2016)
- 6. www.hee.nhs.ukwww.hee.nhs.uk HEE’s Research and Innovation Pathway
- 7. www.hee.nhs.ukwww.hee.nhs.uk R&I Strategy - Objectives 1. Establish a system wide coherence to education and training which will facilitate and sustain the organisational and cultural changes required to embed research and innovation. 2. Ensure that the evidence on best practice for training in research and innovation informs and influences the delivery of effective education and training within the healthcare system. 3. Develop a multi-professional Clinical Academic Careers Framework for patient benefit. 4. Establish a HEE Research and Innovation Evidence Hub to ensure investment in future education and training is evidence informed.
- 12. www.hee.nhs.ukwww.hee.nhs.uk “We are moving away from a 20th century model with its outdated divisions of hospital based practice and of ‘health’ and ‘social’ care….towards a 21st century system of integrated care, where clinicians work closely together in flexible teams, formed around the needs of patients and not driven by professional convenience or historic location.” RCGP, 2022 GP
- 15. www.hee.nhs.ukwww.hee.nhs.uk Shape of Caring & Shape of Training Reviews “How can we ensure that the education and training of nurses and care assistants is fit for purpose to support them in delivering high quality care over the next 10- 15 years?” “Appropriate organisations, including postgraduate research and funding bodies, must support a flexible approach to clinical academic training.”
- 17. www.hee.nhs.ukwww.hee.nhs.uk • 43% using internet to access health information • New ways of predicting, preventing, diagnosing and treating some conditions • How can we ensure NHS staff have the skills to respond to and adopt new research, technology and innovation, so that patients can reap the benefits? Technology and Innovation 17
- 19. www.hee.nhs.ukwww.hee.nhs.uk “We know what happens to people who stay in the middle of the road. They get run over!” Aneurin Bevan 19
- 20. www.hee.nhs.ukwww.hee.nhs.uk “It is there to improve our health and wellbeing, supporting us to keep mentally and physically well, to get better when we are ill and, when we cannot fully recover, to stay as well as we can to the end of our lives. It works at the limits of science – bringing the highest levels of human knowledge and skill to save lives and improve health. It touches our lives at times of basic human need, when care and compassion are what matter most.” The NHS belongs to the people….. 20
Editor's Notes
- The draft HEE Research and Innovation Strategy engagement was launched on 19 May 2014. Over 70 organisations responded. The final version was approved by the HEE Board in September and is on the HEE website. Aims : To create an education & training system that is evidence based and underpinned by research and innovation; and To build the capacity and capability of our current and future workforce to embrace and actively engage with research and innovation
- More detail about HEE’s aspirations and the new Integrated Clinical Academic Programme are available on our website: http://hee.nhs.uk/work-programmes/clinical-academic-careers/, along with an animation we created with NIHR to showcase the fundamentals of a clinical academic career.
- How did you get in to research, the sorts of things you did, changes you’ve seen…………..
- It is not all about taking up a formal clinical academic career – the importance of evidence-based practice cannot be underestimated. You can become research champions in your service, Trust or local area and share best practice and ideas. Your research can help inform decisions to implement service change and improve services for patients. Mention the Research Hub…….. Consider how could create a community of practice – something that the NW R&D team are looking at locally???? Refer back to work done earlier in the conference Some of you may also have taken part in some of the sessions over the last couple of days about research dissemination, embedding a culture of innovation and research; and communicating your research ideas.
- HEE also has a responsibility for working across the system on workforce planning. As mentioned earlier, we will all be aware that across both health and social care, we will need to do things differently in the future… there are constant pressures on funding, with increasing numbers of us needing to access services. Research and evidence-based practice can also inform changes to workforce plans, how we train and educate staff, as well as major service reconfiguration. We are using R&I in part to help shape the work on transforming the future workforce / 5yfv????
- SoC seeks to address the question – “How can we ensure that the education and training of nurses and care assistants is fit for purpose to support them in delivering high quality care over the next 10-15 years?” It includes eight themes, including those which involve PPI; improving opportunities for healthcare assistants; flexible models of training; CPD for nurses; and enabling research. Considerable engagement taken place over the summer and up to end of Sept, which will help HEE and NMC to determine which recommendations should be taken forward in autumn 2015. SoT - HEE has established a Shape of Training Expert Advisory Group (EAG) to take forward the recommendations of the report, supported by an Academic Working Group (AWG) to focus on clinical academic careers. The AWG is a short-term group to take forward the recommendation that “Appropriate organisations, including postgraduate research and funding bodies, must support a flexible approach to clinical academic training.” The AWG is looking at how the current clinical academic training works for medicine; reviewing what the other 7% of medics who undertake research are studying and how being funded (only 1% undertake research via NIHR); and how best to give exposure to medics for good research in order to incentivise other undergraduate and postgraduates to join.
- Refer back to work done earlier in the conference You will have heard yesterday from Professor Tina Lavender, about ***************and from Helen Bevan about the importance of the change agenda and making connections. This morning Dominic Rickhards spoken about influence and impact and the importance of communication. The example of innovation and changing practice highlighted here picks up on these. Innovation does not always have to be something technological/ or large scale change…can be small things that make massive differences to patients care