Workforce Priorities in the Nottinghamshire STP Presentation to the D2N2 Public Service Compact 22nd September 2017

Objectives Priorities & themes in the Nottinghamshire Sustainability & Transformation Plan System governance Workforce development challenges Workforce priorities & projects How to get involved

STP Priorities Promote wellbeing, prevention, independence & self care Strengthen primary, community, social care & carer services Simplify Urgent & Emergency Care Deliver Technology-enabled Care Ensure consistent, evidence based pathways in planned care

Enablers Improve housing and environment Strengthen acute services Drive system efficiency and effectiveness Future proof workforce and organisational development Maximise estates utilisation Proactive communication and engagement

A secure supply of people with the right skills and behaviours to deliver new service models and ways of working. A mind-set shift to prevention & behaviour change across the system from people themselves, families & carers, community & voluntary sector organisations as well as the formal, paid workforce. Delivery of our ambitious service transformation goals set out in the Sustainability and Transformation Plan STP Workforce Vision In order to deliver our ambitious service transformation goals set out in the Sustainability and Transformation Plan, we need to ensure we have a secure supply of people with the right skills and behaviours to deliver new service models and ways of working. Our plans are based on a mind-set shift to prevention and behaviour change across the system from people themselves, families and carers, community and voluntary sector organisations as well as the formal, paid workforce.

Workforce Challenges for Nottinghamshire Difficult to attract and retain key staff groups Unsustainable use of agency staff Competition between providers for staff Potential loss of staff through early retirement High levels of stress and burnout Expectation of reduction in workforce cost to system Difficult to attract and retain key staff groups General Practitioners & Practice Nursing Senior medical staff in acute medicine & emergency department Hospital pharmacists Residential care nurses Children’s social workers Home care staff Unsustainable use of agency staff Competition between providers for staff Potential loss of staff through early retirement High levels of stress and burnout Expectation of reduction in workforce cost to system

Workforce Priorities Identified in the STP Systematic Approach to Disease Prevention & Promoting Independence Developing a Population/ Place-based Approach to Workforce Redesign using systems dynamic modelling Building Capacity, Capability and Resilience in the Primary Care Workforce (general practice & pharmacy) Supporting System Effectiveness through Organisational Development Developing Collaborative HR Solutions to employment & deployment of people & skills Delivering Workforce Transformation

Translating Priorities into Deliverables Identification of 3 cross cutting workforce delivery priority areas to support more effective delivery of STP priority areas Definition of 12 priority projects which align to the workforce priority areas Establishment of 4 enabling workstreams which provide support to all projects Robust governance structures in place to achieve maximum outcomes 3 cross cutting workforce delivery priorities: Bridging the gap in nursing supply Building capacity, capability and resilience in Primary Care Integrated Urgent and Emergency Care 12 priority projects

An Overview of the Delivery Plan STP Workforce Deliverables 1.1 Roll out prevention, promoting independence & self-care tools 2.1 Building a bespoke systems dynamic model 4.0 Support system effectiveness through Organisational Development 5.0 Developing a collaborative HR solution Building capacity, capability & resilience in Primary Care Integrated Urgent and Emergency Care Bridging the gap in nursing supply Registered Nurse Training for Nursing Homes Nursing Associate Advance clinical practice Practitioner Holistic Workers Rotational Nurse Developing a multi- skilled, resilient care home & home care workforce using the holistic worker model Developing new roles & Ways of working to meet demand in Nottinghamshire Increasing the supply of staff to General Practice to meet current & future need Building capacity & capability in the urgent & emergency care workforce Projects Workforce Priorities Enablers

Workforce Governance Structure

The Importance of Engagement Improved understanding which helps to build mutual ownership and a shared vision Enhanced relationships between stakeholders Better programme / project outcomes

Discussion What is the role of your organisations & the Compact in supporting delivery? Role of fire service & housing in supporting prevention agenda PSC as a vehicle for collaboration Developing an approach to attract people into careers in Nottinghamshire What are your workforce challenges & priorities and do they align with our work programme? How can we work with you as partners to deliver shared objectives?

Further Information http://www.stpnotts.org.uk Jackie.hewlett-davies2@nhs.net