1. Ian Baguley The Future Mental Health Workforce More Than Just Numbers

2. Ian Baguley The Future Mental Health Workforce Staff in the right numbers With the right skills In the right place At the right time Well supported Well led Reflect local population Responsive to needs of service users

3. Ian Baguley Workforce An Organic Process…. Planning and Design Recruitment and retention Education and Training New Roles WORKFORCE Leadership New Ways of Working

4. Ian Baguley “Trying to make sense of it all” DOH Policy Development & Performance Management LegislationNIMHEMHCGWT WNAB Trent WDC HRD-WD TOPSS SCMH NIMHE CWP Adult MH LIT PCT Trusts SSDs Voluntary Independent Secto r User CarersHEIs/Colleges Sector Policy/Commissioning /Performance Management (Mental Health Focus) Implementation/Development LA’s SHA PCT’s W DC’sRDC’s DH Overarching Social Inclusion User and Carer Participation Women BMERecovery Evidence ann Values based practice Themes WorkforceNew Services New Workers New Services Re-engineering Specialist Mental Implications  STR Services Health Of Service  Assertive Outreach  Graduate  Safe Houses  Acute  Forensic Bill Models  Crisis Resolution  Gateway  Employment  CMHTs  Drugs & Alcohol  Early Intervention  Carers  Accommodation  Day Services  Prisons  Community  Advocacy Development (Mainly Trust Led) Mainly PCT/SSD (Mainly Voluntary ( Mainly Trust/ (Mainly Trust/PCT Led) Sector Led) LA Led) DATLed) Workforce Implementation Team Deaneries Workforce Numbers Advisory Group

5. Ian Baguley Key Collaborators Mental Health Care Group Workforce Team Workforce Implementation Team- NIMHE, Trent WDC, CWP, HRD,Social Care,SCMH WDC,s, NIMHE DC’s, SHA’s Employers, Users and Carers

6. Ian Baguley Key Challenges LIT Autumn Assessment Results Vacancies, Use of Locums and Agency Availability of future recruits Changing the current workforce Changing education and training Local capacity & capability to address these issues

7. Ian Baguley Workforce Planning and Design PriorityKey Collaborators Implementing Design NIMHE DC’s GuidanceHRD Workforce (7 Implementation Sites Planning Tools Project in 2004)Durham University Joint Workforce Support Unit WDC’s

8. Ian Baguley Workforce Planning and Design Analysis of Demand and Supply Workforce Review for nurses, social workers Team OT’s and Clinical Psychologists Joint Workforce Support Unit Professional Bodies WDC’s, HRD

9. Ian Baguley Recruitment and Retention Priority Key Collaborators Support implementation RCP of Joint Action Plan DOH (RCP and DOH Feb 2004) Deaneries on Consultant Recruitment Trusts and Retention NIMHE DC’s SHA’s

10. Ian Baguley Recruitment and Retention Complete study in examples ofUCLAN good practice in non-medicalEmployers recruitment and retentionWDC’s (Spring 2004)NIMHE DC’s and disseminate SHA’s

11. Ian Baguley Recruitment and Retention Study to examine recruitment processes into professional training Covers all professions All HEI’s Identify good practice Recommend actions Sarah Owen Kath Ferguson Sandra Beswick

12. Ian Baguley New Ways of Working PriorityKey Collaborators Produce Interim Guidance*R.C.Psych. with Report on New Ways of NIMHE Working of ConsultantCWP Psychiatrist and CrossProfessional Bodies Boundary Working Employers [ Spring 2004Practitioners National Steering Group ] Users Carers

13. Ian Baguley New Ways of Working Priority Collaborators Content will include :- BMA guidance of medical &professional GMC responsibility DoH Distinctive role of psychiatrist Use of locums &revised guidance Trusts Pilot sites in every RDC CWP matrix of roles JWSU

14. Ian Baguley New Roles Priority Key Collaborators Graduate Workers NIMHE Primary Care Programme Trent WDC NIMHE DC’s PCT’s HEI’s STR Workers CWP Accelerated Dev. Programme NIMHE DC’s Employers

15. Ian Baguley New Roles Community Development BME Programme Workers Carers Support Workers? Personality Disorder PD Programme Roll out of CWP PilotsCWP e.g. dispensing assistantNIMHE DC’s psychology associates CWP medical secretariesWDC’s Dissemination/Support forSHA’s locally developed roles e.g associate,advanced practitioner

16. Ian Baguley Education, Training and Development Priority Key Collaborators Develop Shared Capabilities Joint Workforce Support Unit Identify Training Resources Values based practice Develop Training Curricula Social Inclusion Produce Resource Library National Programmes developing competency Set up National Network for frameworks Capability Development Professional Bodies Users & Carers HEI’s, WDC’s

17. Ian Baguley Education, Training and Development The Ten Essential Capabilities for Mental Health Practice Shared Capabilities for all Mental Health Workers The development of the Essential Capabilities is a joint NIMHE and Sainsbury Centre for Mental Health Project. It builds on the work of the Sainsbury Centre’s Capable Practitioner Framework copies of which can be downloaded from www.scmh.org.uk.www.scmh.org.uk The work lays out the capabilities that all staff working in mental health services should achieve as a minimum part of their basic qualifying training. However, it is intended that they should form the core building blocks for teaching, learning and personal development not just for professionally qualified staff but for all staff working in the NHS, Social Services, the statutory, private, independent or voluntary sector.

18. Ian Baguley Education, Training and Development Working in partnership. Respecting Diversity. Practising ethically. Challenging Inequality. Promoting Recovery. Identifying People’s Needs and Strengths. Providing Service User Centred Care. Making a difference. Promoting safety and positive risk taking. Personal development and learning.

19. Ian Baguley Education, Training and Development Respecting Diversity. Working in partnership with service users, carers, families and colleagues to provide care and interventions that not only make a positive difference but also do so in ways that respect and value diversity including age, race, culture, disability, gender, spirituality and sexuality. In order to respect diversity the practitioner will need to: Understand and respect diversity including age, gender, race culture, disability, spirituality and sexuality Understand the impact of discrimination and prejudice on mental health and mental health services Demonstrate a commitment to equal opportunities for all persons and encourage their active participation in every aspect of care and treatment Respond to the needs of people sensitively with regard to all aspects of diversity Demonstrate the ability to promote people’s rights and responsibilities and recognise the service users rights to privacy, dignity, respect and confidentiality Demonstrate the ability to work as a member of the therapeutic team to contribute to evidence based programmes of care and treatment that are sensitive to diversity. Demonstrate the ability to take account of the impact of the risk of social exclusion in treatment and care through the provision of care and treatment that recognises the importance of housing, employment, occupational opportunities, recreational activities, advocacy, social networks and welfare benefits. Demonstrate adherence to local, professional and national codes of practice Demonstrate effective knowledge of organisational policies and practices to maintain the role and the capacity of the therapeutic team to provide evidence based care that is sensitive to diversity Demonstrating a commitment to active participation to clinical supervision and life-long learning

20. Ian Baguley Education, Training and Development Practising ethically. Recognising the rights and aspirations of service users and their families, acknowledging power differentials and minimising them whenever possible. Providing treatment and care that is accountable to service users and carers within the boundaries prescribed by national (professional), legal and local codes of ethical practice. In order to practice ethically the practitioner will need: Demonstrate an understanding of and commitment to the legal and human rights of service users and carers An understanding of the service users wider social and support networks and the contribution made by carers, family and friends to the recovery process. An ability to respond to the needs of people in an ethical, honest, non judgemental manner An ability to encourage active choices and participation in care and treatment. Demonstrate an ability to conduct a legal, ethical and accountable practice that remains open to the scrutiny of peers and colleagues Demonstrate the ability to promote services users (and carers) rights and responsibilities and recognise and maintain their rights to privacy, dignity safety, effective treatment and care based on the principle of informed consent Demonstrate the ability to work as a member of the therapeutic team in making a safe and effective contribution to the de-escalation and management of anger and violence especially concerning the use of control and restrain techniques. Demonstrate adherence to local and professionally prescribed codes of ethical conduct and practice Demonstrate knowledge of policies, practices and procedures concerning the local implementation of mental health and related legislation Demonstrate the ability to work within the boundaries of local complaints management systems

21. Ian Baguley Education, Training and Development Promoting safety and positive risk taking. Empowering the person to decide the level of risk they are prepared to take with their health and safety. This includes working with the tension between promoting safety and positive risk taking, including assessing and dealing with possible risks for service users, carers, family members, and the wider public. Demonstrate the ability to develop harmonious working relationships with service users and carers and in particular with people who may wish not to engage with mental health services. Demonstrate understanding of the factors associated with risk of harm to self or others through violence, self-neglect, self- harm or suicide. Demonstrate the ability to educate users and carers about the role, function and limitations of mental health services in relation to promoting safety and managing risk of harm. Contribute to accurate and effective risk assessments identifying specific risk factors of relevance to the individual their family and carers and the wider community, (including risk of self harm, self neglect and violence to self or others. Contribute to the development of risk management strategies and plans which name all the relevant people involved in the care and treatment of the person and clearly identify the agreed actions to be taken and the goals to be achieved. Contribute as a member of the therapeutic team to the safe and effective management and reduction of any identified risks Demonstrate knowledge and understanding of national and local polices and procedures for minimising risk and managing harm to self and others. Demonstrate knowledge and understanding of multi-agency, multi disciplinary working in utilising the Care Programme Approach to provide safe and effective care and treatment for service users and carers particularly those who have a history of risks to self or others. Demonstrate awareness of individual and service responses to potentially manage and minimise crisis and risks as they are happening e.g. diffusion strategies, crisis response services Demonstrate ability in long-term risk management through contributing to use of medical and psychosocial interventions with the expressed goal of managing a person’s risk behaviours e.g. use of medication, anger management, supportive counselling etc

22. Ian Baguley Education, Training and Development A simple Likert scale has been used to assess the degree to which a programme meets each of the Shared Capabilities: The Shared Capabilities will be evidenced in education and training curricula through specific actions e.g. the presence of training sessions on the assessment of risk (Item 9) would indicate that this area was covered, the number of sessions and assessment strategy would indicate the depth of coverage and the learning outcomes (assuring competence in this area) would indicate practice competence. 0123 No evidence Minority of areas covered Most areas covered All areas covered

23. Ian Baguley Education, Training and Development Link SC’s with Implementation Skills for of of National Occupational Health Standards and Knowledge & WDC’s Skills Framework NIMHE DC’s Employers NHSU

24. Ian Baguley Education, Training and Development Develop training framework for Skills for Health non-professionally CWP affiliated workers including NIMHE DC’s STR’s Pilot sites for STR’s Implement Quality Audit Tool NIMHE DC’s & Good Practice Guide on Trent WDC User & Carer Involvement WDC’s HEI’s Employers

25. Ian Baguley Leadership PriorityKey Collaborators Team Effectiveness PackLeadership Centre roll outNIMHE DC’s Consultants PsychiatristsLeadership Programme Leadership ProgrammeCWP NIMHE DC’s

26. Ian Baguley Summary Huge Agenda Changing Landscape (SHA, WDC, NIMHE etc) Culture Change Need for Co-operation and Shared Agenda