STP Update – West Midlands 06/07/2016

What are STPs? The NHS Shared Planning Guidance asked every local health and care system in England to come together to create their own ambitious local plan for accelerating the implementation of the Five Year Forward View (5YFV). These local plans, called Sustainability and Transformation Plans (STPs), will be place-based, multi-year plans built around the needs of local populations. STPs must cover all areas of CCG and NHS England (NHSE) commissioned activity including: specialised services; primary care; local authority services – including prevention and social care and reflecting local health and wellbeing strategies. 44 STP ‘footprint’ areas have been agreed that will bring local health and care leaders, organisations and communities together. Footprints now have confirmed leaders in place, who will be responsible for overseeing and coordinating the STP process locally.

5YFV Vanguards CEPNs UECNs Leading on new care models Prime Minister’s GP Access Fund Improving access to GP and primary care services CEPNs Community Education Provider Networks UECNs Urgent and Emergency Care Networks Sustainability and Transformation Plans (STPs) Dec 2015: place-based, multi-year planning based on local population need 5YFV Oct 2014: Five Year Forward View; shared vision for future of NHS based around new ways of working Trusts CCGs PIV Primary Care Local Authority NHS England Local Workforce Action Boards (LWABs) Other local advisory groups Health Education England Health and Wellbeing Boards NHS Improvement Public Health England Care Quality Commission National Institute for Health and Care Excellence

West Midlands STP areas Coventry and Warwickshire STP lead: Andy Hardy, Chief Executive, University Hospitals Coventry and Warwickshire NHS Trust Workforce lead: Karen Martin, Chief Workforce and Information Officer, University Hospitals Coventry and Warwickshire NHS Trust Herefordshire and Worcestershire STP lead: Sarah Dugan, Chief Executive, Worcestershire Health and Care NHS Trust Workforce lead: Jo Galloway, Chief Nursing Officer, Redditch and Bromsgrove CCG and Wyre Forest CCG Birmingham and Solihull STP lead: Mark Rogers, CEO, Birmingham City Council Workforce lead: Tracy Taylor, Chief Executive, Birmingham Community Healthcare NHS Trust Black Country STP lead: Andy Williams, Accountable Officer, Sandwell CCG Workforce lead: Paula Clarke, Chief Executive, The Dudley Group NHS Foundation Trust Shropshire and Telford and Wrekin STP lead: Simon Wright, Chief Executive, Shrewsbury and Telford Hospital NHS Trust Workforce lead: Victoria Maher, Director of HR, Shrewsbury and Telford Hospital NHS Trust Staffordshire STP lead: John MacDonald, Chair, University Hospitals of North Midlands NHS Trust Workforce lead: Neil Carr, Chief Executive, South Staffordshire and Shropshire Healthcare NHS Foundation Trust

National Workforce Advisory Board (WAB) HEE’s role in STPs Health Education England (HEE) is establishing Local Workforce Action Boards (LWABs) to coordinate and support the workforce requirements for each STP footprint: LWABs will have a line of accountability to the national Workforce Advisory Board (WAB) Each LWAB will be co-chaired by a senior member of HEE staff and a CEO within the STP footprint Membership will be drawn from health and social care organisations within the STP LWABs will act as delivery groups alongside other relevant enabling functions within the STP governance arrangements LWABs will be able to access transformation resources from HEE and the 5YFV Transformation Fund through the regional Arms Length Body (ALB) set up, as well as any local financial or in kind support available from stakeholders National Workforce Advisory Board (WAB) Implementing 5YFV vision Arms Length Body (ALB) and social care membership Focused system-wide action around four priorities: workforce challenges for ‘here and now’ e.g. GPs, nursing, paramedics Transforming the Mental Health and Learning Disability workforce Primary and Community Care workforce Disseminating best practice Collaborative approach on GP ten point plan; on nursing supply, taskforce implementation groups The LWAB Terms of Reference have been agreed. The two main functions of the LWABs are to support STPs with regards to workforce issues and to support delivery of the HEE Mandate. The six Arms Length Bodies (NHSE, NHSI, HEE, CQC, PHE and NICE) have agreed to work to a structure of 4 regions, broadly aligning to HEE’s Local Education and Training Boards (LETBs): North, Midlands & East, London and South.

West Midlands STPs mapped to LWABs Footprints of the LWABs will align to existing LETC boundaries.

How LWABs relate to LETBs The LETB (Local Education and Training Board) committee remains responsible for providing advice to the Board of HEE on the planning and commissioning of the future NHS workforce. The local offices of HEE will support both LETBs and LWABs, thereby ensuring an integrated view of future and current workforce is maintained. LETBs will take full account of LWAB and STP decisions when delivering their own responsibilities and advising the relevant HEE Directors and the HEE Board. HEE’s LETBs are statutory committees of HEE’s Board with defined advisory functions around education, training and workforce planning for future workforce supply. LWABs will have a broader scope, extending beyond the core functions of LETBs. LWABs will develop solutions for STPs across current and future workforce related activity so that the people elements of the 5 year service strategy can be identified and delivered.

Elements to deliver workforce transformation Workforce Information, Planning and Intelligence Leadership, Culture and Organisational Development Education and Training Development Workforce Transformation

What will LWABs do? Agree the system wide workforce changes and ensure collective delivery of necessary actions. For example, Workforce transformation initiatives, covering: Up-skilling: safety and sustainability of care through transition, as well as a more holistic and agile approach and Making Every Contact Count (MECC) New roles: this is distinct from enhanced competencies e.g. Physician’s Associates New Ways of Working: a collective leadership culture, improved flexibility and a workforce which embraces research and innovation Supply: to include return to practice and career development Strategic HR issues: Effective management of the paybill e.g. reduction of agency costs, etc. International Recruitment Develop new apprenticeship frameworks

LWAB Priorities The LWABs have 2 areas of responsibility: Supporting STPs across a broad range of workforce and HR related activity Local delivery of HEE mandate and strategic priorities affecting STPs The LWABs will develop 4 key products as part of the Sustainability and Transformation plan: A comprehensive baseline of the NHS and social care workforce within the STP footprint and an overarching assessment of the key issues that the relevant labour markets(s) present. This will describe the workforce case for change. A scenario based, high level workforce strategy that sets out the workforce implications of the STP’s ambitions in terms of numbers and skills, including leadership development. A workforce transformation plan focused on what is needed to deliver the service ambitions set out in the STP. An action plan that proposes the necessary investment in workforce required to support STP delivery, identifying sources of funds to enable its implementation.

Midlands and East Offer Current Work in the West Midlands Support available to the STP process across the West Midlands includes: A system workforce planning offer through the Integrated Care Transformation Theme; A system leadership offer; A ‘Workforce Planning within a System Planning context’ resource (currently in development); Updating the Recipe for Workforce Planning to reflect changes to the system (currently in development). The five West Midlands Transformation Themes, established in April 2015, feed into the STP priority areas. The five Transformation Themes are: Integrated Care; Leadership; Mental Health & Learning Disabilities; Primary & Community Care; Urgent & Acute including Emergency Medicine. Work under development across Midlands and East Work is being undertaken by HEE across the Midlands and East geography to produce a consistent offer in support of the Sustainability and Transformation Footprints including: A clear framework to structure the offer; Sharing best practice across the geography via the three HEE local teams; Development of a dashboard showing aggregated workforce information at STP level; Compilation of a Resource Directory of tools, processes, case studies etc. which offer further support to the STP process.

Timeline to July 2016 STP Footprints are working towards the 30 June submission having received their feedback from the national 1:1 sessions. 22 May 3 June 10 June 16 June 30 June 1-6 July July Letter from SPGs to NHS England confirming what will be in June submission Feedback letter from national 1:1 sessions Progress calls and prep for July 1:1 sessions 1:1s with Simon Stevens and Jim Mackey Regional draft submission Regional assurance of plans June submission

Timeline to March 2017 Indicative guidance has outlined the proposed next steps for STP development. There is the potential for a further submission date in Autumn, no later than 16 September. Final plans would be signed off in March 2017. 30 Jun 16 July 16 August 16 September 16 October 16 December 16 March 17 Review performance to allocate Sustainability and Transformation Funding (STF) Tailored support to develop and implement plans Monitoring and assurance across ALBs STPs inform NHSE business planning Metrics developed to measure STP plans June submission Plans signed off Potential Autumn submission Further guidance will be obtained from national colleagues as plans are confirmed

Contacts Work Area Name & Role Contact Coventry and Warwickshire STP Herefordshire and Worcestershire STP Catherine Sills, Workforce Development Specialist Catherine.Sills@wm.hee.nhs.uk Birmingham and Solihull STP Stuart Baird, Workforce Development Specialist Stuart.Baird@wm.hee.nhs.uk Black Country STP Della Burgess, Workforce Development Specialist Della.Burgess@wm.hee.nhs.uk Shropshire and Telford and Wrekin STP Staffordshire STP Heather Pitchford, Workforce Development Specialist Heather.Pitchford@wm.hee.nhs.uk Integrated Care Transformation Theme Sarah Copley, LETC Lead Sarah.Copley@wm.hee.nhs.uk Primary and Community Care Transformation Theme Karen Storey, Primary Care Lead Nurse - Workforce Karen.Storey@wm.hee.nhs.uk Leadership Transformation Theme Lucille Legiewicz, Programme Manager Lucille.Legiewicz@wm.hee.nhs.uk Mental Health Transformation Theme Chris Malvern, Workforce Development Specialist Christopher.Malvern@wm.hee.nhs.uk Urgent, Acute and Emergency Medicine Transformation Theme Matt Aiello, Programme Manager Matthew.Aiello@wm.hee.nhs.uk Leadership Programme Lead aligned to Birmingham and Solihull, Shropshire and Telford and Wrekin and Staffordshire STPs Adam Turner, Programme Lead Adam.Turner@wm.hee.nhs.uk aligned to Black Country, Coventry and Warwickshire and Herefordshire and Worcestershire STP Karen Adams, Programme Lead Karen.Adams@wm.hee.nhs.uk