1. NHS Patient Journeys
Denis Hall
dha

2. Context for the project
North East challenges
Workforce needs
Replacement demand
Skills shortages
Healthcare profile – ‘its only doctors and nurses’
Widening participation
STEM
Selecting for Excellence Final Report, Medical Schools Council, Page 27
Region/country
% of UK population
% of standard entry Medicine
North East
Yorkshire & the Humber
North West
London
Scotland
Wales
“7% of school children in the UK are educated in Independent sector….31% of trainees in Year 1 of the Foundation Programme Students also identify that they attended an independent or fee-paying school” Page 28

3. Patient Journeys – a meeting of minds!
NHS Patient Journeys
Careers in the North East
9 STEM films
Research findings
Profile of healthcare
21st Century Careers in the Tees Valley
9 sector films plus ‘Routes to Success’
Workshop activities – Patient Journeys

4. 2015/6 NHS Patient Journeys Project
Turn the 3 NHS Patient Journeys into teacher materials
Develop 6 new Journeys, at least 2 of which are STEM related – all public health related conditions
Provide version of Captain James Journey
Produce 12 filmed case studies of NHS Occupations
Develop a Teachers toolkit
Test the materials with 2 schools and FE students

5. So what does it look like?
NHS Patient Journeys Teacher Toolkit
PowerPoint presentation, Teachers notes and User Guide
Healthcare workforce labour market trends and skill needs
9 Patient Journeys workshop activities (The Teacher gets the answers) and 18 film case studies
Student and Teacher Occupational Grids – all linked to new NHS healthcareers website profiles
As all of the materials are in Microsoft word or PowerPoint, they can be edited by teachers to suit their students. We do ask though that any changes to this PowerPoint are checked carefully for accuracy.

6. An example from Teachers Notes
Around 1.3 million in NHS, an dover 300 occupations

7. The NHS Workforce in the UK
(Source: H&SCIC)
NHS Occupational grouping
Numbers
Doctors
114,000
Nursing staff, (includes nurses, midwives, school nurses, health visitors)
356,000
Allied Health Professionals (includes radiographers, speech and language therapists etc)
78,000
Healthcare Scientists
26,000
Support to clinical staff
366,000
Infrastructure support (includes managers, admin, IT, estates, etc)
213,000
This provides a breakdown of the larger groups of staff in the NHS.
Because the NHS is such a larger organisation and covers so many different occupations, the breakdown is complicated and this data provides a very high level perspective but shows that there are a lot more people working there than just Doctors and Nurses.
For example, data on the Qualified nursing, midwifery & health visiting staff in England shows how this occupation is in fact made up of a great many different types of work.
Midwifery (Maternity Services), a very popular occupation, is a small part of the overall qualified nursing cohort. The key message is that the NHS is a large and complex organisation and that there are many people doing many different roles.

8. Why will employers need more young people?
Impact of population change and public health trends - on both the Supply of people to fill jobs and Demand for services
Lots of people leaving the workforce by 2022 will need to be replaced
Growth in some parts of the sector will create new jobs
Existing jobs are changing; employers need higher level skills

9. So how many jobs will there be across the UK?
Employment across the Health and Social Care sector overall is projected to grow between 2012 and 2022: it is anticipated that there could be as many as 700,000 new workers
In addition there are expected to be an additional 1.4 million job openings as a result of people leaving the workforce.
In Health, the majority of employment growth is projected among highly skilled occupations (therefore competition for skills is likely to be high)
(Source: Sector Insights 2015, UKCES)
There is expected to be an increase in the number of people working in health and care in the coming years. Two thirds of these will be to replace people who will leave their role through retirement or promotion or moving into a different type of work.
Note’; in the care sector, much of growth is likely to be for people who directly take care of people, though there will also be new jobs for Care management and care-related allied heath professions, like occupational therapists for example.

10. What does that mean for jobs and careers?
Move to higher skilled employees
New job roles and careers
Lifelong learning and skills improvement is a must for everyone
Need for MORE people to replace the staff who will retire, gain promotion or leave
Opportunities for progress and promotion
A range of entry and progression routes, from apprenticeships and trainee and student posts to Further and Higher Education qualification
There is a need for more people to go into health occupations of all different types from medical to scientific to support.
As with most sectors, there is a demand for science and technology skills which are typically higher level skills which are started through education and developed in work.
There are entry routes into health jobs through different routes.
However, what is very important is the willingness to continue studying and learning!

11. A patient pathway: Danny’s journey
Workshop activity
North East – but all other regions vary only slightly

12. The 9 Patient Journeys A & E patient Cancer patient
Care of the Elderly
Diabetes patient
Genomics
Sports injury patient
Stroke
Transplant patient
Veteran amputee (Year 12 STEM + Years 9-11 including aftercare)

13. 18 Film case studies Anaesthetist Surgeon Medical Engineer
Physiotherapist
An opportunity to discuss what has been learnt and any questions that the students may have.

14. Sports Injuries
Playing sport and doing regular exercise is good for your health, but can sometimes result in injuries. Sports injuries can be caused by:
an accident – such as a fall or heavy blow
not warming up properly before exercising
using inappropriate equipment or poor technique
pushing yourself too hard
In 2013/14 there were almost 350,000 attendances at Accident and Emergency Centres as a result of a sports injury. That’s almost 100 per day!
The main days for sports injuries are… Saturday and Sunday
Around three quarters were males and over half were males aged between 10 to 29 (Source: NHS Choices and HSCIC Health Episode Statistics)
For more information on sports injuries

15. Diabetes
There are 3.9 million people living with diabetes in the UK. This means more that than one in 16 people in the UK has diabetes (diagnosed or undiagnosed)
This figure has more than doubled since 1996, when there were 1.4 million
By 2025, it is estimated that five million people will have diabetes in the UK (Source: NHS Choices)
Diabetes is a lifelong condition that causes a person's blood sugar level to become too high.
There are two main types of diabetes – type 1 diabetes and type 2 diabetes.
Type 2 diabetes is far more common than type 1. In the UK, around 90% of all adults with diabetes have type 2.
Many more people have blood sugar levels above the normal range, but not high enough to be diagnosed as having diabetes.
For more information on Diabetes

16. Skills and Qualities
Alongside qualifications, other skills and qualities are helpful for most healthcare roles:
Good interpersonal skills
Keen to develop professionally and personally
Understanding the requirement of confidentiality
An ability to ask for help and guidance if required
Good Computer Skills
Being able to deal with problems in a calm and efficient manner
Effective time management
Caring and empathetic nature
Science, Technology, Engineering and Mathematics skills are in great demand.
There are generic skills and qualities that are required across all the health occupations. These are important to know as they can be developed by all students in preparation for working in health and care roles.

17. What have we learnt? Why the health sector is important in the UK
The big issues for the health sector
What this means for jobs and the need for young people
A recap on what we should have learnt from the presentation.

18. Any Questions?
An opportunity to discuss what has been learnt and any questions that the students may have.

19. Further Information Apprenticeship and Job Information
NHS Jobs
National Apprenticeship Service
And North East NHS Foundation Trust websites
Careers Information
Health Careers
National Careers Service helpline and website
Skills for Health
Some websites that students may want to look at to find out more about working in health and care.