1. LOOKING AHEAD – PLANNING FOR THE FUTURE Bryony Simpson MSc, Reg MRCSLT

2. My credentials!! S&LT Manager – Adult and Children’s Associate Medical Director SHA,AHP Lead for Yorkshire and The Humber Chair of RCSLT

3. What will we cover? Current issues Employment landscape over 5 years Opportunities in SLT workforce Traits the profession needs

4. HORIZON SCANNING NHS Changes Other Commissioners –Providers What do employers want now and in future? What do YOU want now and in the future?

5. NHS What’s going on??? Why is this important? How will this affect employment? What do I need to know?

6. WHERE CAN I FIND OUT MORE? NHS Constitution – values www.dh.gov.uk/nhsconstitution Department of Health website www.dh.gov.uk NHS England websitewww.england.nhs.uk Chief AHP Officer website www.dh.gov.uk/health/about- us/people/cpo/chpo

7. CHALLENGES FOR THE NHS 1997-2010 years of maximum growth in the NHS Now facing unprecedented financial austerity - £30 billion reduction and beyond Increasing efficiency, reducing costs and maintaining quality Focus on Patient safety and quality- (post Francis report in England)

8. NHS CHANGES Health and Social Care Act – redesign of NHS Split into Commissioners and Providers (Buyers and Sellers) NHS England Outcomes Framework with 5 Domains Four Regions in England Commissioning support offices Commissioners – those that assess need and purchase services on behalf of their populations- previously Primary Care Trusts Clinical Commissioning Groups –GPs, Nurse, Acute Consultant HWBs- Joint Strategic Needs Assessments and all partners designing provision across health and local authority

9. NHS Changes in Scotland/NI/Wales Scotland: Public Bodies (Joint Working) Act brings in joint health / local government boards. No compulsory redundancies buts still efficiency savings Wales: NHS has had no England-style reforms – but budgetary and performance pressures Northern Ireland: biggest changes and challenges are around Special Educational Needs

10. PROVIDERS of NHS SERVICES Any provider of services that has met defined criteria Examples – Foundation Trusts –hospitals- mental health- community Social Enterprise Voluntary sector- charities Private providers- Assura etc AQP – Any Qualified Provider

11. Why is this Important? Majority of S&LTs employed by NHS Organisations will differ in what they are looking for Contracts of employment will differ Flexibility increasing- Short term

12. How will this affect employment? Short term contracts More part time/flexible contracts Portfolio careers Jobs for life a thing of the past! Tailor your offer to the business of employer

13. Other Commissioners Ever increasing range Joint Commissioning Health and Local Authority – Joint Strategic Needs Assessment Local Authority commission –Early Years –Main Stream Schools/ SEN Youth Offending Individual schools/nurseries/private hospitals Private consortiums/agencies

14. OTHER PROVIDERS Social Enterprise, not for profit – large and small!! www.socialenterprise.org.ukwww.socialenterprise.org.uk Independent sector – Private www.helpwithtalking.com (ASLTIIP) AQP- Any Qualified Provider healthandcare.dh.gov.uk/any-qualified- provider-2/ Schools/ Academies - state and independent

15. Employment landscape over next 5 years Expansion in Stroke and Major Trauma Hospital avoidance projects – Care close to home Expansion in Health and Wellbeing- prevention agenda Greater integration of Health and Social Care healthandcare.dh.gov.uk/forum-report/ Joint Commissioning for Children’s services Ageing demographic- dementia increase More Independent/Quasi independent schools, Academies etc Plurality of Provision –more sellers !!

16. Employment landscape over next 5 years Outcomes driven Multidisciplinary Transdisciplinary Consultative Training the workforce Competency based

17. The profession needs... Strong leaders – at all levels – to provide the vision and make things happen Activists and campaigners to influence budget holders and decision makers Researchers to develop and grow the evidence base Technophiles to apply technology to improve access to care and improve efficiency

18. GOOD LUCK!!!! Never bored Met best people Range of opportunities is huge Never be shy- you can do it.

19. Luck is a matter of preparation meeting opportunity. -Oprah Winfrey Sometimes it is not good enough to do your best; you have to do what is required. -Sir Winston Churchill The only place success comes before work is in the dictionary. - Vince LombardiVince Lombardi