NHS Patient Journeys Denis Hall dha

Context for the project North East challenges Workforce needs Replacement demand Skills shortages Healthcare profile – ‘its only doctors and nurses’ Widening participation STEM Selecting for Excellence Final Report, Medical Schools Council, 2014. Page 27   Region/country % of UK population % of standard entry Medicine North East 4 0-4 Yorkshire & the Humber 8 5-9 North West 11 20-29 London 13 40-49 Scotland 8 5-9 Wales 5 0-4 “7% of school children in the UK are educated in Independent sector….31% of trainees in Year 1 of the Foundation Programme Students also identify that they attended an independent or fee-paying school” Page 28

Patient Journeys – a meeting of minds! NHS Patient Journeys Careers in the North East 9 STEM films Research findings Profile of healthcare 21st Century Careers in the Tees Valley 9 sector films plus ‘Routes to Success’ Workshop activities – Patient Journeys

2015/6 NHS Patient Journeys Project Turn the 3 NHS Patient Journeys into teacher materials Develop 6 new Journeys, at least 2 of which are STEM related – all public health related conditions Provide 14-16 version of Captain James Journey Produce 12 filmed case studies of NHS Occupations Develop a Teachers toolkit Test the materials with 2 schools and FE students

So what does it look like? NHS Patient Journeys Teacher Toolkit PowerPoint presentation, Teachers notes and User Guide Healthcare workforce labour market trends and skill needs 9 Patient Journeys workshop activities (The Teacher gets the answers) and 18 film case studies Student and Teacher Occupational Grids – all linked to new NHS healthcareers website profiles As all of the materials are in Microsoft word or PowerPoint, they can be edited by teachers to suit their students. We do ask though that any changes to this PowerPoint are checked carefully for accuracy.

An example from Teachers Notes Around 1.3 million in NHS, an dover 300 occupations

The NHS Workforce in the UK (Source: H&SCIC) NHS Occupational grouping Numbers Doctors 114,000 Nursing staff, (includes nurses, midwives, school nurses, health visitors) 356,000 Allied Health Professionals (includes radiographers, speech and language therapists etc) 78,000 Healthcare Scientists 26,000 Support to clinical staff 366,000 Infrastructure support (includes managers, admin, IT, estates, etc) 213,000 This provides a breakdown of the larger groups of staff in the NHS.   Because the NHS is such a larger organisation and covers so many different occupations, the breakdown is complicated and this data provides a very high level perspective but shows that there are a lot more people working there than just Doctors and Nurses. For example, data on the Qualified nursing, midwifery & health visiting staff in England shows how this occupation is in fact made up of a great many different types of work. Midwifery (Maternity Services), a very popular occupation, is a small part of the overall qualified nursing cohort. The key message is that the NHS is a large and complex organisation and that there are many people doing many different roles.

Why will employers need more young people? Impact of population change and public health trends - on both the Supply of people to fill jobs and Demand for services Lots of people leaving the workforce by 2022 will need to be replaced Growth in some parts of the sector will create new jobs Existing jobs are changing; employers need higher level skills

So how many jobs will there be across the UK? Employment across the Health and Social Care sector overall is projected to grow between 2012 and 2022: it is anticipated that there could be as many as 700,000 new workers In addition there are expected to be an additional 1.4 million job openings as a result of people leaving the workforce. In Health, the majority of employment growth is projected among highly skilled occupations (therefore competition for skills is likely to be high) (Source: Sector Insights 2015, UKCES) There is expected to be an increase in the number of people working in health and care in the coming years. Two thirds of these will be to replace people who will leave their role through retirement or promotion or moving into a different type of work. Note’; in the care sector, much of growth is likely to be for people who directly take care of people, though there will also be new jobs for Care management and care-related allied heath professions, like occupational therapists for example.

What does that mean for jobs and careers? Move to higher skilled employees New job roles and careers Lifelong learning and skills improvement is a must for everyone Need for MORE people to replace the staff who will retire, gain promotion or leave Opportunities for progress and promotion A range of entry and progression routes, from apprenticeships and trainee and student posts to Further and Higher Education qualification There is a need for more people to go into health occupations of all different types from medical to scientific to support.   As with most sectors, there is a demand for science and technology skills which are typically higher level skills which are started through education and developed in work. There are entry routes into health jobs through different routes. However, what is very important is the willingness to continue studying and learning!

A patient pathway: Danny’s journey Workshop activity North East – but all other regions vary only slightly

The 9 Patient Journeys A & E patient Cancer patient Care of the Elderly Diabetes patient Genomics Sports injury patient Stroke Transplant patient Veteran amputee (Year 12 STEM + Years 9-11 including aftercare)

18 Film case studies Anaesthetist Surgeon Medical Engineer Physiotherapist An opportunity to discuss what has been learnt and any questions that the students may have.

Sports Injuries Playing sport and doing regular exercise is good for your health, but can sometimes result in injuries. Sports injuries can be caused by: an accident – such as a fall or heavy blow not warming up properly before exercising using inappropriate equipment or poor technique pushing yourself too hard In 2013/14 there were almost 350,000 attendances at Accident and Emergency Centres as a result of a sports injury. That’s almost 100 per day! The main days for sports injuries are… Saturday and Sunday Around three quarters were males and over half were males aged between 10 to 29 (Source: NHS Choices and HSCIC Health Episode Statistics) For more information on sports injuries http://www.nhs.uk/conditions/Sports-injuries/Pages/Introduction.aspx

Diabetes There are 3.9 million people living with diabetes in the UK. This means more that than one in 16 people in the UK has diabetes (diagnosed or undiagnosed) This figure has more than doubled since 1996, when there were 1.4 million By 2025, it is estimated that five million people will have diabetes in the UK (Source: NHS Choices) Diabetes is a lifelong condition that causes a person's blood sugar level to become too high.   There are two main types of diabetes – type 1 diabetes and type 2 diabetes. Type 2 diabetes is far more common than type 1. In the UK, around 90% of all adults with diabetes have type 2. Many more people have blood sugar levels above the normal range, but not high enough to be diagnosed as having diabetes. For more information on Diabetes http://www.nhs.uk/Conditions/Diabetes/Pages/Diabetes.aspx

Skills and Qualities Alongside qualifications, other skills and qualities are helpful for most healthcare roles: Good interpersonal skills Keen to develop professionally and personally Understanding the requirement of confidentiality An ability to ask for help and guidance if required Good Computer Skills Being able to deal with problems in a calm and efficient manner Effective time management Caring and empathetic nature Science, Technology, Engineering and Mathematics skills are in great demand. There are generic skills and qualities that are required across all the health occupations. These are important to know as they can be developed by all students in preparation for working in health and care roles.

What have we learnt? Why the health sector is important in the UK The big issues for the health sector What this means for jobs and the need for young people A recap on what we should have learnt from the presentation.

Any Questions? An opportunity to discuss what has been learnt and any questions that the students may have.

Further Information Apprenticeship and Job Information   NHS Jobs https://www.jobs.nhs.uk/ National Apprenticeship Service http://www.apprenticeships.gov.uk/ And North East NHS Foundation Trust websites Careers Information Health Careers https://www.healthcareers.nhs.uk/ National Careers Service helpline and website https://nationalcareersservice.direct.gov.uk/Pages/Home.aspx Skills for Health http://www.skillsforhealth.org.uk/ Some websites that students may want to look at to find out more about working in health and care.