Review of Pre-Registration Nurse Education – Flexible Nursing Pathway Kathy Branson Executive Lead - Special Projects

Fundamental Review We engaged with employers, nurses, HEIs and students across HEEoE and they told us they wanted: New routes into nurse education - clarity for HCSWs (T4C etc) - to increase nurse outturn (numbers and throughput) - to improve nurse outturn (competence/confidence) Improved employability and employment of nurse outturn Enhanced focus on skills acquisition, assessment and practice of ‘hands on' care Enhanced focus on person centred care (learning between branches) in a range of settings Improved commissioning levers in LDA and QIPF

New Routes into Nursing Entry Requirements HEI Provision Service offer UCAS route Traditional 3 year programme Bursary & mentorship support Foundation Degree WBL Pathway – 18 – 20 months Salary & mentorship support (WBL) Foundation Degree 2nd year of 3 year full-time programme Bursary & mentorship support Other Degree (2:2 or above) 2 year post-grad programme ? Salary support Other Experience (e.g. Forces) 2 year + programme ? Salary support

Work Based Learning Pathway 15/16 (short term): A work based pathway at 5/6 HEIs FD takes 2 years APEL for variety of FDs Nursing Pathway takes 18-20 months Full time work based learning Modification not new programme Pipeline current staff with FD Continuity of employment 120 additional commissions QIPF covers nursing pathway Adult & MH Return on Investment – attrition and retention 16/17 (medium term): A work based pathway at 6/6 HEIs Bespoke FD mapped into NMC hours and outcomes, taking 18 months Nursing pathway takes 18 months Full time work based learning Pathway validated into all new programmes Develop pipeline and recruit direct (PNEP) 10% of all commissions (n=240) QIPF covers FD and nursing pathway All branches Return on Investment – attrition and retention

Total Pathway Cost - Current Position Based on a pool of staff qualified to foundation degree level ready to access programmes HEE Costs Flexible Degree Tuition Nursing BMP Bursary None £4,500* Tariff 0.6WTE 0.5WTE Salary 0.4WTE Band 3 Point 9 Employer Costs * Approx. – actual value will vary between students

Implications for the Longer Term This is what employers and staff tell us they want WBL pathway means employers have to engage with HEIs in new ways (MOU) WBL pathway means HEIs have to work in new ways (the local dynamic) LETB has to work with HEIs differently – Academic Pool We need more WBL in ALL programmes Students on WBL pathway need excellent mentorship The pipeline doesn’t have to be current HCSWs; we can recruit direct into FD training (PNEP), but must be part of a Grow Your Own strategy Putting the FD on a commissioning framework has cost implications The role of the AP at Band 4 requires recognition and development of evidence base Could this be 30% of commissions (or more?) cost & supply modelling Does this start to lead us to a different commissioning model – employment based/employer led?

GYO – Step On / Step Off Stage 1 Stage 2 Stage 3 Bridging / APL/APEL   Stage 1 Stage 2 Stage 3 Bridging / APL/APEL Stage 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 time 1 year 18 months 18 months (2 years ) 6 weeks – 6 months 18 months (20 months) Training Location Trust & College Trust/ College/HEI Trust/ HEI WBL/HEI 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 1st and 6 months of 2nd year NMC competencies of Bsc Nursing programme 2 days supernumery Map skills /knowledge to first 18 months of NMC competencies against BSc in Nursing NHS Entry Bands 1 or 2 2 or 3 2/ 3 /4 3 or 4 Contract arrangements P/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

Post-Grad Programme Entry 2:2 Degree or above in any subject   2:2 Degree  or above in any subject Interview against NHS values Knowledge of the Health Service Offer Masters Degree award with a Post Graduate Diploma exit point Nurse Registration for both exit points AP(E)L  Degree  to credit 12 months against 3 years nursing programme, making a 2 year + 1 year APEL Employment offer, preceptorship, career pathway (see following point) Post Registration pathway for PGDip exit point, which includes a dissertation, based in employment organisation  to achieve Masters  Post Masters Development - Clinical/Delivering Education/Research/Leadership Adult & Mental Health field