LONG TERM CONDITIONS AN OVERVIEW Alison Tongue WORKFORCE CHANGE IN Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

Key Elements of Work in LTC Developing the evidence base Data management (Natpact workshops) Workforce change and development Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

Development of competency framework – community matrons WORKFORCE Development of competency framework – community matrons Workforce Change in Long Term Conditions Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

Partnership Approach to Workforce Change in LTC DH Policy LTC framework document Leadership Centre LTC Care Group Workforce Team NWW & LTC MA team/ DH Workforce Change Programme LTC MA team PCare Commissioning Interface with Acute L T C Skills for Health/NHSU NPFIT/ SAP/ Case finding Nursing document CNO – Community Matrons. National& International Learning Demographics/Workforce Development – NWIPP Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

Delivery of LTC; “ will require the workforce from across the multi-disciplines of Health and Social Care to be modernised and redesigned to ensure that all three levels of the Kaiser triangle are populated appropriately with the right skills to meet the needs of redesigned patient pathways. The aim is to facilitate change in the design of local services and workforce and implement new ways of working. This will be achieved by strategic health and social care communities analysing their skills gaps and identifying the service and workforce required but always within the context of the user and workforce demographic population Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

Key Features of Established Frameworks for Managing Chronic Conditions Not mutually exclusive approaches. A range of approaches will be required to suit the locality

Source: Department of Health, Working Model, October 2004 Long Term Conditions Case Management Model Delivery System Design Prepared & Proactive Practice Team Informed & Empowered Patients LTC Supporting people with long-term conditions Community Support Self- Management Support Clinical Information Systems Integrated Health & Social Care Systems Source: Department of Health, Working Model, October 2004

TOOLS AND TECHNIQUES Service and role redesign techniques Workforce planning tools Workforce manual in Long Term Conditions Learning from related projects in health and social care via workshops Website materials Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

National Reference Group DH, Skills for Health, Innovations Forum, Clinical, AHP and Nurse Leads, Patient Representative, Local Government Association, TOPSS, LTC Care Group Workforce Team, SHA reps LTC Programme Management Board – Workforce Sub-gp LTC Care Group Workforce Team Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

TIME LINE OF WORKFORCE CHANGE PROGRAMME So far………………….. 7 sites selected Pump priming monies released Project Managers identified? First national reference group Working copy of LTC workforce manual produced Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

What’s next? Website resources – end of Jan - www.natpact.nhs.uk National reference group – 27th Jan and 16th March Project Manager event – 1/2 March Close of current MA – end of March 05 Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.

Mechanisms for sharing Monthly reporting on website Regional clusters - summer and autumn National events including HR in the NHS – 11th - 13th May Abbreviations- LTC – Long term conditions NWW – New ways of Working Team MA – Modernisation Agency DH – Department of Health NWIPP – National Workforce Information and Planning Programme CNO – Chief Nursing Officer SAP – Single Assessment Process Programmes within the Modernisation Agency including Changing Workforce Programme and Long Term Conditions team are working closely together with the DH to try to bring together all the above pieces of work that relate to the development of the workforce in long term conditions. This will culminate in a rapid roll out programme of workforce change with selected sites, ( 7 in total), based on SHA geographical regions from November 2004 until end of March 2005. It is envisaged that this work will continue into the new MA. Sites will be given pump priming monies to appoint project managers who will be equipped with appropriate information and techniques on workforce development and role design by the programmes identified above. They will then work with their local health and social care strategic communities, through exisitng networks, to identify what their existing workforce / skills gaps are and plan changes that can be made to meet those gaps. They will be asked to measure and evaluate their work and report to the MA and the national reference group on progress and outcomes. This will then be disseminated to the DH and Long term conditions care group workforce team as well as to other regions to quickly share good practice, identify key national issues particularly in relation to the development of national competency frameworks and the commissioning of appropiate education and training. This work will also be informed by the national developments around the skill sets for community matrons and case managers and the long term conditions policy framework to be produced by the DH , in which workforce is a key element.