Alan Simmons Careers Specialist National Career Guidance Shows 2014 Join the team and make a difference Career opportunities in the new NHS landscape

A whistle stop tour of…  Who’s delivering NHS healthcare in England?  Career opportunities in the NHS  Workforce plans and trends impacting on career opportunities  Labour market information and sources  Resources available from NHS Careers  Using the NHS Jobs website

Who’s delivering NHS healthcare in England?

Since Health & Social Care Act 2012 – who directs funding? NHS Hospital Charity Private Hospital Social Enterprise/ Community Interest Company GP Clinical Commissioning Group Plans for 7-day services across the NHS over the next 3 years starting with urgent care services and supporting diagnostics.

Since April 2013…  A wider variety of organisations (approximately 1,000) now deliver NHS services in England and …  So staff delivering NHS healthcare are not necessarily employed by NHS organisations and so not are necessarily on NHS terms and conditions of service  Local NHS budgets are managed by GP-led Clinical Commissioning Groups (CCGs) who commission services from the appropriate providers  Health education and training is now commissioned by Health Education England & Local Education & Training Boards (LETBs)  NHS financial support for eligible students on approved pre-registration training continues as before  Responsibility for public health now lies within the domain of local authorities (overseen by Public Health England) Implications of the changing NHS landscape

Career opportunities In the NHS

Staff in the NHS 2013 (approximately!) Approximately half of the NHS workforce has a degree/professional qualification

NHS Careers categorises careers into 13 areas:  Allied health professions  Ambulance service team  Dental team  Doctors  Health informatics  Healthcare science  Managers  Midwifery  Nursing (incl. health visiting)  Operating department practice  Pharmacy team  Psychological therapies  Wider healthcare team

Workforce plans and trends impacting on career opportunities

 Nursing  additional 1,094 nursing places primarily adult/general nursing (9% increase on 2013/14)  several HEIs now offer “dual branch” degrees (e.g. Southampton, DMU, Oxford Brookes)  Govt. announcement of degree-level nursing higher apprenticeships (Nursing Times ). Trailblazing group of NHS organisations & private providers developing pilots in partnership with HEE, including Northampton Healthcare NHS Foundation Trust, Royal Devon & Exeter NHS Foundation Trust, Norfolk & Norwich University Hospitals NHS Foundation Trust, Barchester Healthcare, Priory Group and Bupa UK.  Midwifery  no change in commissions for 2014/15  Health Visiting  current target to increase the numbers by 4,200 by 2015 remains  open to newly qualified nurses of any branch/field and to midwives  Operating department practice  Additional 31 places (3.8% increase) (Primary source: Investing in people for Health and Healthcare. Proposed Education and Training Commissions for 2014/15 - Workforce Plan for England Health Education England (December 2013))

 Allied Health Professions  small growth of 3% in the overall AHP commissions this year  198 additional paramedic training places  slight reductions in speech & language therapy (2%) and occupational therapy (1%)  Doctors  general practice - increase of 222 training places (2.7% increase on 2013/14)  core Surgical Training - reduce core surgical training places by 71 this year  emergency Medicine – reported problems in insufficient emergency care doctors but these are not due to a shortage of funded training places, problem lies in attracting trainees to select emergency medicine as specialism. HEE taking action to address this.  Dentistry  reduce the number of commissions for dental students, subject to certain discussions and keep numbers of funded dental students under review in future  commission further work into expansion of wider dental workforce e.g. dental nurses & hygienists.  Public Health  commissioned training places for Consultants in Public Health, which will support a forecast increase in the Public Health Consultant workforce of 18% by 2020 (Primary source: Investing in people for Health and Healthcare. Proposed Education and Training Commissions for 2014/15 - Workforce Plan for England Health Education England (December 2013)) Workforce plans and trends impacting on career opportunities

Modernising Scientific Careers  Increasingly opportunities/entry levels at several points:  Healthcare science assistant (work towards vocational qualifications)/healthcare science associate (work towards FDeg)  Healthcare science practitioner (via Practitioner Training Programme (PTP) undergraduate entry – after new BSc Healthcare Science)  Healthcare scientist (via Scientist Training Programme (STP) – graduate entry (replaced previous clinical scientist training scheme))  Consultant healthcare scientist (Higher Specialist Scientific Training (HSST)) – for experienced and postgraduate qualified healthcare scientists. Plans to begin introducing HSST from 2014

** Major changes ** as a result of Modernising Scientific Careers Primary source: Modernising Scientific Careers: The UK Way Forward ( New 3-year accredited BSc Healthcare Science degrees. Include up to 50 week WEX 244 trainee vacancies under STP for 2014 intake Information becoming available in 2014

BSc Healthcare Science (Hons) degrees (PTP) at 3-14 LIFE SCIENCES PHYSIOLOGICAL SCIENCES PHYSICAL SCIENCES & BIOMECHANICAL ENGINEERING Life Sciences Blood sciences Cellular sciences Infection sciences Genetics science Audiology Cardiac physiology Neurosensory sciences Respiratory & sleep physiology Medical engineering Medical physics Nuclear medicine Radiotherapy physics Rehabilitation engineering Renal technology Radiation engineering Radiation physics Anglia Ruskin University Aston University Bradford University Cardiff Metropolitan University De Montfort University Leeds University Liverpool University Manchester Metropolitan University Manchester University Middlesex University Nottingham Trent University St Georges University Swansea University Ulster University University of Central Lancashire University of Cumbria University of Hertfordshire University of Plymouth University of Portsmouth University of Southampton University of Sunderland University of the West of England University of Wolverhampton

Scientist Training Programme Specialisms (2014 entry) Total 244 vacancies in 2014 No. of posts Audiology 20 Cardiac Science 32 Clinical Biochemistry 20 Clinical Engineering - Medical device risk management 1 Clinical Engineering - Rehabilitation engineering 4 Clinical Engineering 9 Clinical Immunology 3 Clinical pharmaceutical sciences 5 Critical Care Science 1 Cytopathology 1 Gastrointestinal Physiology & Urodynamic Science 4 Genetics 17 Genomics 7 Haematology & Transfusion Science 6 Health informatics 6 Histocompatability & immunogenetics 3 Histopathology 1 Medical Physics - Imaging (ionising radiation) 4 Medical Physics - Imaging (non-ionising radiation) 1 Medical Physics - Radiation safety physics 2 Medical Physics - Radiotherapy physics 20 Medical Physics 38 Microbiology 6 Neurophysiology 7 Ophthalmic & Vision Science 0 Physical sciences & biomediical engineering – informatics 5 Reconstructive sciences (maxillofacial prosthetics) 4 Reproductive Science 4 Respiratory & Sleep Sciences 6 Urodynamic sciences 1 Vascular Science 6 For 2014 entry, there have been 8,432 applications for 245 places

Higher Specialist Scientist Training (HSST) Specialisms Curriculum for the HSST specialisms listed below will be available from April 2014, although additional curricula may be required in the future. Life sciences (completion of HSST will include the requirement to achieve the FRCPath by examination)  Analytical toxicology  Clinical biochemistry  Clinical immunology  Reproductive science  Haematology  Histocompatibility and immunogenetics  Genetics  Microbiology  Molecular pathology of acquired disease  Molecular pathology of infection  Virology Physiological sciences  Audiological science  Cardiac science  Gastrointestinal and urological sciences  Ophthalmic and vision science  Respiratory and sleep physiology  Vascular science Physical sciences  Medical physics (which includes diagnostic imaging sciences and radiotherapy physics)  Clinical biomedical engineering Source: Scaling the Heights: an overview of Higher Specialist Scientist Training (HSST) in Healthcare Science (HEE, 2014)

Apprenticeships in the NHS in the last 4 months - examples Clinical skills and simulation technician apprentice Sheffield Apprentice healthcare assistant Norwich Estates apprentice South Tyneside Stores apprenticeTaunton Apprentice administrative assistant Manchester Apprentice ambulance care assistant Harrogate Mechanic apprenticeCoventry Graphics and multimedia apprentice Gloucester Apprentice pharmacy support worker Grimsby Apprentice craftsperson – mechanical/estates Truro Apprentice healthcare support worker Portsmouth Apprentice healthcare assistant – clinical wards Gloucester Apprentice biomedical support worker Norfolk Healthcare support worker apprentice Bromsgrove Apprentice gardenerHuddersfield Apprentice administrator – ophthalmology/dermatology Norwich *As advertised on NHS Jobs ( Candidates should also search on the National Apprenticeships website (

Values Based Recruitment & pre-degree experience Values Based Recruitment  What? “Values Based Recruitment - an approach which attracts and selects students, trainees or employees on the basis that their individual values and behaviours align with the values of the NHS Constitution”.  Why? “…to ensure the future and current NHS Workforce is selected against the values of the NHS Constitution so we recruit for the right workforce not only with the right skills and in the right numbers but with the right values to support effective team working in delivering excellent patient care and experience.”  How? “…can be assessed in a number of ways including through:  pre-screening assessments  values based interviewing techniques  role play  written responses to scenarios  assessment centre approaches amongst” Pre-degree experience  being piloted in 6 areas of England for pre-entry into nursing degrees (visit hee.nhs.uk for details)  check with each university as to their requirements/involvement with pilots Recommendations with roots in the Francis Inquiry (Primary source: Health Education England website

Labour market information and sources

Shortage occupation list – from 6 April 2013 Includes:  Healthcare scientists - clinical neurophysiologist; nuclear medicine scientist; radiotherapy physicist; bio-informatician; nuclear medicine technologist; radiotherapy technologist  Consultants in: haematology; emergency medicine; old age psychiatry  Non-consultant, non-training, medical staff posts in: anaesthetics; general medicine specialties delivering acute care services (intensive care medicine; general internal medicine - acute); emergency medicine (including specialist doctors working in A & E); rehabilitation medicine and psychiatry  Nurses specialising in: neonatal intensive care units  HCPC-registered: diagnostic radiographer; therapeutic radiographer and sonographer Source: Shortage occupations list for the UK and Scotland (as at 6 April 2013) from the Migration Advisory Committee (UK Border Agency)

LMI sources in England Workforce risks and opportunities - education commissioning risks summary from March 2012 (Centre for Workforce Intelligence) Tier 2 Shortage Occupation List – Government approved version – valid from 6 April 2013 (UK Border Agency) Proposed Education and Training Commissions for 2014/15 - Workforce Plan for England – December 2013 (Health Education England) Sector Skills Assessment (SSA) for the Health sector (UK Commission for Employment and Skills)

Join the team and make a difference Resources available from NHS Careers (England only)

What is NHS Careers?  Careers information for England only*  websites (4)  literature (all free – but available only for organisations)  contact centre  Job vacancies (NHS Jobs for England & Wales)  Careers counselling/guidance  *There is separate provision in Scotland and Wales

NHS Careers – contact details (main site) (for year olds) (nursing microsite) ( ( NHS Careers PO Box Glasgow G3 9EJ

Careers resources from NHS Careers, include... Main siteNursing micrositeUndergraduates siteStep site (14-19 year olds) Step welcome E-pack Update newsletter for Careers advisers & teachers Work experience Toolkit for WEX Co-ordinators Lesson PlansSchools competition for year 8/9 students Occasional webchats for careers advisers and teachers

Features of the main NHS Careers website  Details on the whole breadth of careers in the NHS  Use our coursefinder to search for clinical programmes that lead to professional registration (e.g. nursing, medicine, physiotherapy, BSc (Hons) Healthcare science degrees, radiography, etc). We only list courses that lead to registration – whereas UCAS lists other courses as well. Contact us if you need clarification.  Download our range of literature – before ordering it  See our Resources for education section – lesson plans, schools competition, newsletter etc  Links to the stepinntothenhs.nhs.uk, nursingcareers & whatcanidowithmydegree websites  Links to the NHS Jobs website for job and apprenticeship vacancies in England and Wales  Information for internationally qualified healthcare professionals seeking to work in the NHS This slide wasn’t included in the presentation I gave

Using the NHS Jobs website NB New look site launched 4 March 2014

NHS Jobs website (England & Wales) Simple search facility, Note can use keywords! Register for job alerts by More advanced search facility How to apply, hints on applications and interviews etc Browse vacancies by career groupings Vacancies often removed before closing date (usually stated this may happen). Recommend signing up for jobs by alerts!

NHS Jobs website – advanced search

NHS Jobs website – vacancy results and filtering

Using the “keywords or job reference” field… LOOKING FOR VACANCIES RELATED TO… TRY SEARCH TERMS SUCH AS… EXAMPLES OF RESULTING JOB VACANCIES NUTRITION  Lifestyle support worker  Health development practitioner  Assistant nutritionist/dietitian PSYCHOLOGY “talking therapies”, “counselling”, “mental health”, “low intensity”, “high intensity”, “IAPT”  Substance misuse practitioner  Wellbeing Coordinator  Mental health advisor - trainee ADMINISTRATION “marketing”, “project”, “payroll”, “finance”, “communication”, “record-keeping”  Marketing coordinator  Employment services officer (recruitment)  Finance assistant SPORT SCIENCE “exercise”, “fitness”, “lifestyle”, “stroke”, “physiology”, “cardiac rehabilitation”  Rehabilitation assistant  Health improvement practitioner  Cardiac physiologist LIFE SCIENCES “laboratory”, “pathology”, “public health”, “healthcare science”, “health protection”  Training administration asst. (pathology)  Medical laboratory assistant – advanced  Newborn screening data manager PUBLIC HEALTH “health improvement”, “health protection”, “substance misuse”, “smoking cessation”  Health promotion resource & info. officer  Integrated care drugs worker  Administrator (PCT, working at a prison) “healthy eating”, “diet”, “food”, “allergy”, “health promotion”, “nutrition”, “lifestyle”