10 th October 2013 The delivery of 21 st century services – the implications for the evolution of the Healthcare Science workforce Joan Fletcher

Drivers for action Clinical and scientific changes to patient care pathways The need to support new service configurations designed around patients Technology will change business and service models and have a major impact on scientific services Patient demographics and other social, economic and environmental factors are key drivers in the system.

Genome sequencing Genomic medicine New cancer therapies Regenerative medicine Bio banks Virtual Physiological Human Stem cell technology Tissue engineering Bioinformatics Clinical and scientific advances driving changes to patient care

New service configurations designed around patients Consolidation and rationalisation Care closer to home Multiple chronic conditions Choice and competition in the health market Personalised medicine Transparency and social networking

Technology changing business and service models Point of care testing Robotics and high through put analysers Molecular diagnostics Implantable and external monitoring devices Digital imaging and pattern recognition Innovations Genomics Mass spectrometric methods Biosensors Mobile IT devices telemedicine Computerised image interpretation Brain-computer interface technology Enablement technologies Multifunctional equipment 3D printing

Patient demographics and other social, economic and environmental factors Financial constraints Increasing number of older people Mobile population Antibiotic resistance Impact of the EU New economic players in health sector Public health challenges International market for healthcare Pandemics Environmental sustainability Population migration patterns

Changing roles, skills and knowledge Financial pressures are driving improved productivity and the streamlining and co-ordination of services Advances in technology and the way care is delivered are changing the roles of scientists Scientists increasingly integrated into patient pathways and working as part of the multi disciplinary team Flexible working across specialisms and care settings in roles and places of work largely unfamiliar to the workforce today Speeding up of adoption of new technology and a step change in technology and efficiency New roles focused on technology Genomic medicine and bioinformatics impacting on the whole scientific workforce

Education and training Investment in CPPD essential to maintaining competence in a fast changing environment Modular, fast turnaround development programmes so workforce is able to adapt the application of its skills and knowledge quickly Introduction of programmes that will equip the workforce to face the challenges ahead, particularly the leadership challenge Increase in clinical training capacity

Leadership The future workforce needs strong leadership to meet the challenges facing it Leaders need to : – focus on changing culture and building the confidence of their colleagues – be influential and have a strong voice, leading across a range of professions and breaking down barriers – provide strong scientific leadership and professional accountability to avoid fragmentation of the workforce – be clinical experts and innovators driving the adoption of new technology and involved in service development – encourage and lead research within a culture of evidence based care The leaders of 2030 are entering the workforce now

It is important for scientists to act now New technology will have a major impact on service efficiency and the scientific workforce need to be at the forefront, driving its introduction Scientists will be have an essential role in quality assuring new services in primary care and the community to ensure the safety and accuracy of those services The Modernising Scientific Careers education and training programmes and career development framework enables scientists to seize the opportunities

Cultural change, a different way and mind set going forward Flexible working across specialisms and care settings Support for service reconfiguration Quality assurance of diagnostics in less traditional settings outside the hospital Dissemination of innovative technologies at home and internationally Advocacy and leadership for healthcare science across the complex stakeholder landscape

For time and the world do not stand still. Change is the law of life. And those who look only to the past or the present are certain to miss the future. John F. Kennedy