Surrey Workforce Update Through Creative Partnerships
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“Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all”
1
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
4
/
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5
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t
c
o
m
e
s
2
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
Workforce Planning Process
S
S
K
Education
Commissions Health
Education Institutions
Input of
Healthcare
Professionals
Sense Check and
Triangulate with
•
Providers
•
Commissioners
•
Each Profession
•
Regionally
Sense Check and
Triangulate with
•
Providers
•
Commissioners
•
Each Profession
•
Regionally/
Nationally
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Template and Process
County
Workshops
10th July
HEKSS Workforce
Planning and
education
commissioning
event
30
th
May
Return of
HEKSS
Template
from
providers
NHS TDA
5 year
plan
NHS TDA
2 year plan
Workforce Planning Timeline
HEKSS Workforce
forecast and
education
commissioning
t
emplate released
NHS TDA
1 year plan
Monitor 5
year plan
Monitor 5
year plan,
Second cut
Monitor 5
Year Plan
final
HEKSS return
of Demand/
Forecast
Template to
HEE
25
th
September
HEKSS
return
Investment
Plan to HEE
HEE Formal
board sign
off of
Workforce
Plan
HEE National
Workforce plan
published
HEKSS Local
Workforce
Plan
published
Planning
Triangulation
Plan Sign-Off
Publication
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/NICE-
guidelines/NICE-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.
Safe Staffing Guidelines
Nursing Forecasts
Nursing Commissions
Community Nursing Forecasts
Community Nursing Commissions
AHP Forecasts
AHP Commissions
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.
Providing an update on the process followed to date, 5-year workforce forecasts for Surrey, education commission requests for 2015/16, and feedback from the County Workshop. Details on outcomes, challenges, workforce planning process, and the year ahead timelines and processes are also included.
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Presentation Transcript
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 S S Aggregated within County and Overall KSS Workforce Plan National Workforce Plan Local Provider Returns Sense Check and Triangulate with Providers Commissioners Each Profession Regionally Sense Check and Triangulate with Providers Commissioners Each Profession Regionally/ Nationally Input of Healthcare Professionals Education Commissions Health Education Institutions
The Year Ahead Timescales and Process Workforce Planning Timeline Template and Process NHS TDA 5 year plan HEKSS return of Demand/ Forecast Template to HEE HEE Formal board sign off of Workforce Plan 25th September HEKSS return Investment Plan to HEE NHS TDA 2 year plan NHS TDA 1 year plan HEKSS Local Workforce Plan published Monitor 5 year plan, Second cut Monitor 5 year plan Monitor 5 Year Plan final February March April May June July August Sept October Dec-14 Jan-15 Feb-15 HEKSS Workforce forecast and education commissioning template released HEE National Workforce plan published 30th May Return of HEKSS Template from providers 10th July HEKSS Workforce Planning and education commissioning event County Workshops Planning Plan Sign-Off Triangulation Publication 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/NICE- guidelines/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 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 Adult Nursing Midwifery Total 3500.00 500.00 3118.36 3058.59 432.83 432.83 432.83 432.83 3001.85 450.00 2947.12 422.83 2933.44 2819.21 3000.00 401.86 EARLIEST IMPACT OF CHANGE EARLIEST IMPACT OF CHANGE 375.52 400.00 2523.09 2500.00 350.00 300.00 2000.00 250.00 1500.00 200.00 150.00 1000.00 100.00 500.00 42.00 50.00 142.00 0.00 0.00 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 Mental Health Nursing Paediatric Nursing 250.00 140.00 127.72 127.65 127.60 127.60 127.60 127.60 121.69 204.90 120.00 196.19 190.93 189.68 189.68 189.68 189.68 EARLIEST IMPACT OF CHANGE EARLIEST IMPACT OF CHANGE 200.00 100.00 150.00 80.00 60.00 100.00 40.00 38.00 50.00 20.00 3.00 0.00 0.00 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019
Nursing Commissions SURREY - Nursing Commissions 2015-16 160 142 139 140 120 100 80 2014-15 2015-16 60 40 38 35 40 32 25 25 20 12 10 7 6 0 18-month Midwifery programme 3-year Midwifery programme Adult Nursing Children's Nursing Learning Disability Mental Health Nursing
Community Nursing Forecasts SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 District Nursing Health Visitors 90.00 250.00 83.14 81.74 226.50 80.36 77.98 217.83 75.62 80.00 209.18 72.26 200.55 191.93 EARLIEST IMPACT OF CHANGE EARLIEST IMPACT OF CHANGE 67.51 200.00 70.00 180.52 172.31 60.00 150.00 50.00 40.00 100.00 30.00 20.00 50.00 12.00 24.00 10.00 0.00 0.00 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 School Nursing 90.00 78.97 75.84 80.00 70.71 EARLIEST IMPACT OF CHANGE 65.59 70.00 60.47 55.35 60.00 47.86 50.00 40.00 30.00 20.00 6.00 10.00 0.00 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019
Community Nursing Commissions SURREY - Community Nursing Commissions 2015-16 60 50 50 40 2014-15 30 2015-16 24 20 13 12 10 6 6 3 3 0 0 0 District Nursing Health Visitors Paediatric Nursing Practice Nursing School Nursing
AHP Forecasts SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 Occupational Therapists Physiotherapists 350.00 600.00 300.51 298.28 296.04 291.17 287.65 490.07 484.11 281.64 300.00 477.17 277.21 500.00 466.88 EARLIEST IMPACT OF CHANGE EARLIEST IMPACT OF CHANGE 445.13 438.28 427.58 250.00 400.00 200.00 300.00 150.00 200.00 100.00 100.00 50.00 22.00 17.00 0.00 0.00 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019 Radiography (Therapeutic) Radiography (Diagnostic) 140.00 250.00 217.04 217.04 217.04 217.04 117.86 116.86 115.86 114.86 206.54 113.86 120.00 111.86 196.29 EARLIEST IMPACT OF CHANGE EARLIEST IMPACT OF CHANGE 200.00 175.83 95.64 100.00 150.00 80.00 60.00 100.00 40.00 50.00 14.00 20.00 11.00 0.00 0.00 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST 2015-16 EDU COMMS 2014 ACTUAL FTE SIP 2014 FTE BASELINE DEMAND 2015 FTE DEMAND FORECAST 2016 FTE DEMAND FORECAST 2017 FTE DEMAND FORECAST 2018 FTE DEMAND FORECAST 2019 FTE DEMAND FORECAST ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019 ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019
AHP Commissions SURREY - Allied Health Professional Commissions 2015-16 30 27 22 25 20 17 16 14 15 12 11 11 10 9 10 7 7 4 3 5 2014-15 2 2 2 1 0 0 0 0 0 0 0 0 2015-16 0 Dieticians Paramedics Therapeutic Radiographers Chiropodists/Podiatry Physiotherapists Ultrasound Orthoptists Sonographers Speech and Language Therapists Occupational Therapists Operating Department Practitioners Diagnostic Radiographers Prosthetists/Orthotists
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.
