Review of Pre-Registration Nurse Education – Flexible Nursing Jan Kathy Branson Director Special Projects

The Review We will implement the outcomes of the fundamental review of nurse education to give us the right number of registered nurses who have the right skills, knowledge, confidence and competence to provide high quality nursing in a range of settings Develop new routes into nurse education (to increase nursing outturn) Ensure the education we commission focuses on the right balance of skills, knowledge, confidence and competence Develop commissioning levers for both HEI and Service to support 1&2 above and ensure continuous improvement

New Routes into Nursing Develop new routes into nurse education (to increase nursing outturn) Commission Masters/Post- graduate programmes Commission APEL routes into nursing degrees for people with FD’s (and other suitable programmes)

Type of Education Ensure the education we commission focuses on the right balance of skills, knowledge, confidence and competence Commission educational approaches that support employability and employment Commission increased focus on ‘hands on’ practice and skills assessment in degree programme Commission for enhanced learning on delivering person-centred care in a range of settings

Commissioning Levers Develop commissioning levers for both HEI and Service to support 1&2 above and ensure continuous improvement LDA/QIPF/funding levers Improve DON involvement in clinical workforce planning

A work based nursing degree programme delivered at partner HEIs that recognises prior learning and experience A commissioning strategy for training programmes as a route into the above programme Success = 120 additional nursing commissions on work based nursing programmes, in NOT open learning or part time programmes at this stage Flexible nursing programmes

Stage 1Stage 2Stage 3Bridging / APL/APELStage 4 Qualification level at the end of the stage Nurse Registration/ Bsc Degree in Nursing Higher Apprenticeship (Foundation Degree ) For candidates who have not acquired all 18 months NMC competencies Advance Apprenticeship (NVQ III) including Higher Care Certificate Intermediate Apprenticeship (NVQ II) including Care Certificate Length of time1 year18 months2 years6 weeks – 6 months18 months Training LocationTrust & College Trust/ College/HEITrust/ HEIHEI Academic requirements 1 day a month college 2 days a month college Map / add units for NMC competencies 1-2 days a week in college Map/ add units for NMC competencies APEL/APL / skills acquisition / Knowledge portfolio to achieve 1 st and 6 months of 2 nd year NMC competencies of Bsc Nursing programme 2 days in HEI Map skills /knowledge to first 18 months of NMC competencies against BSc in Nursing NHS Entry Bands1 or 22 or 3 2/ 3 /43 or 4 Contract arrangementsP/T & F/T & Bank HCA/ NHS Training contract (Annexe U) P/T & F/T & Bank HCA/NHS Training contract P/T & F/T HCA / NHS Training contract P/T & F/T HCA or Assistant Practitioner F/T HCA/Assistant Practitioner GYO – Step On / Step Off

APEL/APL means programme time reduced (hopefully to 18 months) Work based/ practice based – learning to be employees/learning to be competent and confident Earn as you learn – service contribution to training Grow your own – opportunities to develop local staff Compelling business case; but ROI has a ‘slow burn’ What does this mean?

What will it cost? 3 year Traditional Nursing Programme HEEoE costs Earn as you learn Programme (18 months) HEEoE costs Earn as you learn Programme (18 months) Employer costs Training fee P.A.£8,315 (BMP) Training fee total£24,945£12,473 Salary/Bursary P.A.£3,600 (min)£17,794 Salary/Bursary total£10,800 (min)£10,676£16,015 Tariff P.A£3,175£1,270 (2/7) Tariff total£9525£1905 TOTAL COST£45,270£25,054£16,015