Healthcare science ‘share and learn’ network 16 March 2016 Adele Bunch

Today Registration and refreshments Welcome and brief introductions - Adele Bunch, NHS Employers Local progress and your top HCS workforce priority Healthcare science career framework – Martin Myers Update from the Academy for Healthcare Science – Beth Dodson Lunch and networking Education and Training update, National School of Healthcare Science – Richard Scott Office of the Chief Scientific Officer update – Helen Liggett Non-medical prescribing – Sarah Adams AOB and evaluation

Introductions Name and organisation Your role Top current healthcare science priority

NHS Employers current priorities −Finalising new employer guidance to support the recruitment and employment of HSST Consultant Clinical Scientists. −Working with the Academy to communicate developments in the regulation of the HCS workforce. −Sharing good practice of local MSC implementation and innovation. −Promoting and encouraging employers to get involved in healthcare science week 2016.

NHS Employers role in 2016/17 −Professor Sue Hill and Fiona Carragher are currently looking at ways to effectively engage with lead scientists on the key strategic priorities for healthcare science to support the delivery of the Five Year Forward View and changes emerging from genomics and personalised medicine. −Our role could potentially help to coordinate and facilitate some of this engagement, helping lead scientists, teams and organisations take forward healthcare science locally. −We will update employers in due course.

Excellent care with compassion Healthcare Science Career Framework Dr Martin Myers Consultant Clinical Scientist Laboratory Directory, Clinical Biochemistry Strategic Lead for Pathology Organisational Lead Scientist

Training Posts –Trainee Assistant Healthcare Practitioners (Apprentices) –Trainee Associate Healthcare Practitioners (TAPS) –PTP –STP –HSST Career posts –Healthcare Scientist Assistant –Healthcare Scientist Associates –Healthcare Scientist Practitioners –Clinical Scientist –Consultant Clinical Scientist Healthcare Science Career Framework

Entry Level: –A level Training –BTEC level 3 in applied science, NVQ level 3 Role –Support staff –Undertake clearly defined task and protocol based, high volume, low risk activities Benefit –Support existing staff –Economic delivery of service –Future staff –Opportunity for career progression Apprentices

Entry Level: –Apprenticeship completion, A level Training –Foundation Science degree (HENW funding) Role –Supervise Healthcare Scientist Assistant –Undertake more advanced and complex high volume low risk investigative tasks –Extended assistant role; Point of care testing; use SOPs to undertake certain procedures Benefit –Undertake some activities usually delivered by HCS Practitioners –Enhances capacity –Opportunity for career progression Trainee Associate Healthcare Scientist Practitioners (TAPS)

Entry Level: –A level, Foundation degree Training –3 year degree (BSc Healthcare Science) with 50 weeks of work-based placement –Graduate with degree and HCPC registration as Biomedical Scientist –Employable at Healthcare Scientist Practitioner Practitioner Training Programme (PTP)

Role –HCPC registered Biomedical Scientist –Apply technology, in the delivery & reporting of quality assured tests, investigations & interventions. Benefit –Main workforce Healthcare Scientist Practitioner (career grade)

Entry Level: –In house Healthcare Scientist Practitioner, Direct entry (BSc) Training –MSc Healthcare Science –Work based competencies –HCPC registration as Clinical Scientist –Employable as Clinical Scientist Accredited Expert (career grade) Higher specialist scientist training (HSST) grade Role –Mostly training but takes part in service delivery at Healthcare Scientist Practitioner level (and beyond) Scientific Training Programme (STP)

Scientific Training Programme

Role –Registered Clinical Scientist –Complex scientific and clinical roles. High risk, low volume activities which require highly skilled staff able to exercise clinical judgement about complex facts and clinical situations. –Team Leaders Benefit –Scientific leadership of the Healthcare Scientist Practitioners Accredited Expert Healthcare Scientist (career grade)

Entry Level: –STP Training –5 year training programme at a similar standard to medical spceiality training –Work based training –Study at Doctorate level and/or FRCPath level –Fellow of the Royal College of Pathologists –Certificate of completion of HSST (CCHSST) –Two routes In Life Sciences – FRCPath DClinSci (taught Doctorate) Role –Higher training, but delivery of advanced Clinical Scientist activity Higher Specialist Scientific Training (HSST)

To get the HSST certificate you need: 1. Mastery of scientific content: Route 1: professional doctorate Route 2: FRCPath 2. Mastery of clinical skills: Route 1: WPBA and clinical skills assessment Route 2: WPBA and FRCPath: 3. Contribution to innovation: Route 1: ICS Route 2: ICS Higher Specialist Scientific Training (HSST)

To get the professional doctorate you need: A: leadership and professional development (120 credits) –5 management modules B: specialist scientific clinical programme (180 credits) –Taught at HEI or FRCPath (part 1) C: research development and innovation (240 credits) –HEI project or HEI with RCPath project Two routes: Route 1: A, B and C with HEI Route 2: A: HEI, B: Part 1 FRCPath, C: HEI and RCPath Higher Specialist Scientific Training (HSST)

Role –Registered Clinical Scientist –In-depth, highly complex role. Similar to medical consultant role as requires clinical judgement, scientific expertise, leadership and dealing with uncertainty in direct patient care –Heads of Department, Laboratory Director –Eligible to be Clinical Director, Medical Director and sit on the most senior Trust Management Boards Benefit –Accountable and responsible for the delivery of a clinical diagnostic service Consultant Clinical Scientist (career grade)

Traditional roles are being extended Healthcare Scientists are beginning to deliver activities traditionally delivered by medical practitioners Examples include –Medicine: lipid clinics –Cardiac physiology Rapid access chest pain clinic Arrhythmia clinic Murmur clinic Extended Roles of healthcare Scientists

Traditional roles are being extended Healthcare Scientists are beginning to deliver activities traditionally delivered by medical practitioners Future developments –Audiology Balance Cochlear implants –Neurophysiology Conductivity –Physical and engineering Radiotherapy planning Equipment support Extended Roles of healthcare Scientists

Critical Care Outreach Team (being piloted) AKI outreach team Sepsis outreach team Diagnostic devices for decision making: U&E, glucose, ketone, CRP, lactate, gases, INR Opportunities “community” duty GP Care homes, home visits etc Lab in a Bag

Laboratory quality results in: –Urgent care centres –Clinics –GP surgeries –Pharmacies, –Home Lab in the box: Taking the laboratory to the patient

Patients with learning disabilities and mental health patients are dying early due to treatable conditions because of reduced access to diagnostics: take the laboratory to them! Learning disability Health Day. CDH 24 th June. Diagnostic testing for diabetes and hyperlipidaemia Lab in the box: Taking the laboratory to the patient

Hospital at home: self testing and telemedicine

A career pathway has been designed and being implemented from Apprentices to consultant (and beyond) Lancashire Teaching Hospitals have translated the pathway into reality, with healthcare scientists being trained, and functioning, at each level Now that the framework is being delivered, we are now looking at extending the role to support patient care and address the pressures on medical staff Manpower planning is critical to ensure that the NHS uses this valuable workforce effectively Healthcare scientist career framework

Academy for Healthcare Science Beth Dodson Development Co-ordinator 16 th March 2016

Registration of professionals protects patients and is increasingly viewed as essential by employers, providers, commissioners and patients themselves Through registration, an individual shows commitment to upholding high professional standards and to keeping their knowledge, skills and experience up-to-date through ongoing professional development If individuals fail to uphold standards and show that they are fit to practise then they can have their Registration status restricted or removed AHCS - PSA accredited, HEE funded, NHS register of choice (2015 government select committee), co-ordinated across HCS Why have registered healthcare scientists?

Stage 1. Application Admin checks HCPC registration Qualifications References JD verified DBS check Good character etc.. Stage 1. Assessment Assessors 2 professional, 1 lay chair Review CV, JD, references, qualifications etc Individual and panel assessments Stage 1. Outcome Outcome 1. Full equivalence Outcome 2. Proceed to portfolio Outcome 3. Not demonstrated equivalence Stage 2. Assessment Collate evidence 6 months Assessors review portfolio against the SoPs Individual and panel assessments Stage 2. Outcome Outcome 1. Full equivalence Outcome 2. Partially met the standard Outcome 3. Not demonstrated equivalence HSSR Equivalence Process Ratification and appeals

Three trained assessors (2 professional, 1 lay chair) Professional assessors mostly Consultant Clinical Scientists; occasional Medical Consultant At least one of the professional assessors must be a specialism expert; the other may be from the wider division Assessor moderation policy and process developed Process of ratification of outcome award in place 28-day appeals process – process, not decision HSSR – The story so far – assessment/award

29 applied for EI, 23 applicants submitted Stage 1 applications, 1 dropped at the end of Stage 1 22 admin checked and sent forward for Stage 1 assessment 12 x Outcome 1 (Equivalence), 7 x Outcome 2 (Portfolio), 3 ongoing Currently testing Stage 2 system and process with EI applicants 38 trained assessors, further 20 agreed and awaiting training 31 further senior clinical scientists keen to apply for equivalence HSS EI – the story so far - applicants

Undertook a formal evaluation process for EI assessors and applicants System development/testing (equivalence process and register) ongoing Final decision on registration fee, £280 equivalence Finalise and publish final drafts of programme documentation Comms and launch Train more assessors as more EI applications are finalised Open for applications April 2016 (expressions of interest welcome) HSS EI – story so far – learning and tweaking

Briefing system developers for a register framework October launch What about equivalence? What do you and your workforce want? How approach standards and differences between 2, 3 and 4? Any other ideas please? Level 2 to 4, Assistants and Associates

Where is the information?

Lunch and networking

Education and Training Update March 2016 Richard Scott Professional Lead, National School of Healthcare Science

OSFAs The 2013 STP cohort underwent mock OSFAs at the RCGP on 1 st -3 rd Feb. As ever we are grateful to all those who contributed as station writers, assessors and actors. Feedback and results from the mock OSFAs have now been provided to all the trainees who participated. Preparations are underway for the live OSFAs in July, a detailed timetable has been issued.

STP Recruitment The 2016 STP recruitment round is progressing well, the application window for direct entry has closed with 6008 applications for 311 posts, 258 DE and 53 IS. There was a significantly increased demand for scientist training posts in 2016/17, and the overall outcome following the CSR has been a slight increase in STP posts compared with 2015/16, due to the new Genomics funded posts.

HSST Recruitment and programme The 2016 HSST recruitment round is imminent, the CSR again has influenced the numbers but the cohort size will be essentially the same as last year. Significant progress has been made in discussions between the School, the MAHSE consortium and the RCPath. These will lead to simplification of the project requirements, and additional clarity on

New Programmes and Curricula Review STP programme in Genomic Science with specialist outcomes in Genomic Science and Genomic Counselling. An additional outcome in Molecular Pathology is in development. HSST programme in Clinical Bioinformatics (Genomics) STP programme in Applied Epidemiology, in conjunction with PHE, which will sit within the Bioinformatics division of healthcare science A revision to the Reproductive Science STP to accommodate a specialist outcome in

PTP Curricula Review Development of a sustainable financial support model – on hold pending review of HCS commissioning priorities Research being undertaken with stakeholders to determine the added value of an additional final assessment. Some solutions to the development of a placement database have been explored but on hold pending wider HEE decisions regarding support for undergraduate training schemes. Streamlining accreditation of work place training environments in progress.

Level 4 Healthcare Science Apprenticeship (HCS Associate) Standard BIS has accepted the Level 2 HCS Apprenticeship Standard (HCS Assistant – HCSA) and end-point assessment (EPA) Following a formal review process with employers the Level 4 Standard was submitted to BIS at the end of February and an outcome is awaited

Accreditation and Quality - scale The School continues to accredit both HEIs and workplace providers. This is a demanding and growing role: Practitioner Training Programmes - 17 specialisms at BSc level from 22 providers Scientist Training Programmes - 22 specialisms at MSc level from 10 providers. Higher Specialist Scientific Training – accredited as a single DClinSci programme as provided by the consortium Work place training – has grown from 428 to 600 departments in 131 Trusts in the last three years

Accreditation and Quality - status Successes: Continued delivery of a high quality accreditation programme; esteem of HEIs Challenges: Number of programmes and growing number of centres to cover with limited resource; small pool of suitable independent Chairs; need for recruitment and training of Chairs and lay representatives; need for review of guidance Opportunities: Potential for collaborative working or other efficiencies - e.g. work with Professional Bodies/Regulators; combine with internal validation events.

Partnership with professional bodies The School recognises that some professional bodies had concerns about signing formal agreements which might imply that their members were committed to working with the School. We completely accept this, but would still like to recognise the input and partnership working which is fundamental to all of our work. We have been exploring ways in which the School can share OSFA data with those professional bodies who wish to make awards or recognise achievement.

There are information governance issues which apply, and our current proposals are: The School will be publishing an STP pass list, which in common with many Royal Colleges and professional examinations will be publically available on the School website. No indication of performance will be included, nor will the names of failing candidates, Prof bodies wishing to make awards for trainee performance can contact the School, who will contact the highest performing relevant trainees and ask if they wish their performance results to be released to that body for this purpose. For small trainee cohorts we will only be able to identify one or possibly two “high performers”, to avoid any identification of the performance of other individuals in that cohort. This might mean identifying “highest performers” as one name from cohorts of 5 or less, 2 names from 10 or less, 3 names for larger cohorts.

Future work and developments The CSR will lead to significant changes for nursing and AHP training, student loans replacing bursaries, no cap on student intake. It is likely that HEE will develop a consistent approach to funding and quality assuring undergraduate placements. The School is working with the HEE team developing a unified quality model across all healthcare professions. It is not yet clear what the impact of the CSR will be on postgraduate and salary supported schemes such as STP and HSST. The School recently advertised for a Deputy Head but no appointment was made. Further discussions will take place to review this post. A comprehensive needs analysis of the requirements of an e-portfolio for the future is being undertaken, as well as a review of the School website.

Linking you to the CSO programme of work Helen Liggett – national lead for Quality Improvement (CSO team)

NEW HCS Animation to share

CSO programme of work 3 project leads aligned to FYFV and NHS England priorities 2016/2017 Quality Improvement - Helen Liggett STEM and Innovation - Alex Milsom Leadership - TBC

National Quality Improvement Champions Group 51 Healthcare Scientists delivering scientific services “out of hospital” 40 examples nationally Invited to be “champions” of service transformation Provide a hub of expertise to 50 vanguard sites nationally Working with New Models of Care team “Hackathon” for care homes in July – all welcome If you are interested in joining group get in touch!

National Quality Improvement Champions Group Helen Liggett CSO Quality Improvement Lead

Mental Health and Learning Disability Poor physical health - increased mortality Can HCS help ? YES Can Point of Care Testing help? YES Working with national leads for MH and LD 2 pilot projects to improve physical health and improve patient experience What else could HCS be doing?

Chief Scientific Officer's Woman In Science & Engineering Fellowship ‘a unique opportunity for career development and to inspire the next generation of female scientists’  WISE career development programme & professional coaching sessions  NHS Healthcare Leadership Model  Mentoring from the Office of the Chief Scientific Officer and senior leaders in healthcare, academia and industry  Speaking and ambassadorial opportunities  WISE and professional network membership

Chief Scientific Officer's Woman In Science & Engineering Fellowship ‘a unique opportunity for career development and to inspire the next generation of female scientists’  For mid-career female healthcare scientists with a minimum of 5 years’ experience  One year duration – commitment 4-5 training days & 4 mentoring sessions  4 fellowships covering Life Sciences; Physics & Engineering; Bioinformatics; Physiology For more information and to apply, please visit:

British Science Week

If you’re planning an event for Healthcare Science Week already, please drop a line and let us know your Register any existing events at - it would be great if you could also use the Healthcare Science Week logo below Tweet about it #hcsweek and check out the fantastic Healthcare Science Week Guide for 2016 with loads of excellent resources on the NEW Health Careers website science-week-guide science-week-guide-2016

Refreshed Organisational Lead Scientist role “We would like people to give us their comments and suggest what we could include in a leadership development strategy to help us consolidate and grow the Organisational Lead Scientist network to ensure that healthcare scientists are considered at senior level” Dionne Hilton CSO Programme Lead

CONTACT Helen Liggett

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