1. Money, Medical Education and Beyond
Diana Hamilton-Fairley
Joint Director of Education and Quality
Health Education South London

2. The Health and Care System from April 2013

3. Translation Department of Health NHS England CCGs
Health and Wellbeing boards
Public Health England
NHS Trust Development Authority
Health Education England
LETBs
(HELocal)
AHSNs
HEIs
Health Education Providers
Health Watch England
Health Watch Local
NICE/ NIHR

4. ONE HEE Health Education England and LETBs National Exec committee
Geographical MD, DEQ and HoF x4
Total of 13 LETBs
Not Statutory Bodies
Provider led
Stakeholder representation
Core leadership of:
Local Director
Independent Chair
Deaneries part of LETBs
North
ONE HEE
Midlands & East
South
London &
South East

5. The Workforce Challenge
Delivering value based healthcare
Aligned with…
the needs of the population
service commissioning
the AHSN
Delivering primary healthcare: now more than ever! (WHO 2008)

6. Value based healthcare
Single discipline to inter-professional models
Focus on care across a continuum for patients
Align educational financial incentives so that focus is on educational quality outcomes not transactions

7. Education Outcomes Framework
Excellent education
Competent and capable staff
Adaptable and flexible workforce
NHS values and behaviours
Widening participation
: Education and training is commissioned and provided to the highest standards, ensuring learners have an excellent experience and that all elements of education and training are delivered in a safe environement for patients, staff and learners.
There are sufficient health staff educated and trained, aligned to service and changing care needs, to ensure that people are cared for by staff who are properly indcuted, trained and qualified, who have the required knowledge and skills to do the jobs the service needs, whilst working effectively in a team.
The workforce is educated to be responsive to innovation and new technologies with knowledge about best practice, research and innovation, that promotes adoption and dissemination of better quality service delivery to reduce variability and poor practice.
Healthcare staff have the necessary compassion, values and behaviours to provide person centred care and enhance the quality of the patient experience through education, training and regular Continuing Personal and Professional Development (CPPD), that instils respect for patients.
: Talent and leadership flourishes free from discrimination with fair opportunities to progress and everyone can participate to fulfil their potential, recognising individual as well as group differences, treating people as individuals, and placing positive value on diversity in the workforce and there are opportunities to progress across the five leadership framework domains.

8. Using or losing the Tariff
Medical Undergraduate 40K p.a.per student for clinical placements
£520 per week per student after 30% on costs (varies by trust)
Medical postgraduate
50% basic salary for HEE (Deanery) funded posts
Trust pays 50% plus New Deal banding
12K educational tariff which includes PGME department and study leave
SENIOR EDUCATIONAL LEAD NEEDS TO BE IN CHARGE
STEP 1
Meet Finance Director and get full breakdown of Medical Education income
Establish how they calculate the cost for each placement (they should have done a return to DH on clinical placement cost and you should have been involved!!)
Establish how the money is currently spent in the Trust and who by.

9. Using or losing the Tariff
STEP 2
On current expenditure what is a fixed cost
Pay
Non-pay
Capital / fixed assets
What is a flexible cost
Study leave
Room Rental costs

10. Using or losing the tariff
STEP 3
Consider the agenda for
Changes to Foundation Training
Increased Community Placements
Opportunities for improving education
Facilities
Faculty Development
Specialty based education
Leadership and Management
Quality Improvement
Simulation including Inter-professional / Human Factors training
Public Health and Mental Health / Acute Health Training
High Quality GP training

11. Using or losing the tariff
Step 4 – Convincing the Finance Director!
The money for education now needs to be transparent and audited for HEE
Risk of losing it if education not seen to be important in the organisation
Responsible Director on the Board
Investment in educational facilities and material
Investment in Clinical and Educational supervisors / specialty faculty leads
If educational quality is poor;
Decommissioning of training in specialties towards General Practice leading to loss of Junior Doctors and associated income will be based on quality
Need good feedback from students and trainees

12. Whole new ball game! Summary The Tariff is transparent
The current spending is opaque
The opportunities to make a difference are big and exciting
The Trust is obliged to change
You can make the difference between same old, same old and a
Whole new ball game!

13. Thank you