1. Workforce Planning Process 2014/15 Mike Burgess, Associate Head of Workforce Planning mike.burgess@nw.hee.nhs.uk mike.burgess@nw.hee.nhs.uk Stakeholder Update

2. www.nw.hee.nhs.uk twitter.com/HENorthWest Vital Statistics 41 NHS Providers 1000 pages of narrative 1.4m data items in demand and supply across specific workforce groups 100+ calls 500+ emails 78 hours of analysis 100 hours of reading

3. www.nw.hee.nhs.uk twitter.com/HENorthWest Wider Analysis Primary Care: 13% coverage from workforce transformation Area Team transforming primary care plans NHS IC SC General Practice Census 2013 analysis RCGP practice nurse survey - indicative HENW primary care survey Dentistry data from NW postgraduate education team Pharmacy – modelling and NHS Pharmacy Establishment and Vacancy survey Social Care Social Care NMDS extrapolated up to give NW coverage Commissioning intentions from Local Authorities

4. www.nw.hee.nhs.uk twitter.com/HENorthWest Wider Analysis Public Health NW public health team review NW public health MDS work for HEE and CfWI Independent Sector IHAS data and annual accounts only Voluntary Sector Data sets provided by Voluntary Sector North West (VSNW) Narratives from: Clinical Networks, HEIs, Area Teams and 32 CCG 2-5 year commissioning plans and better care fund bids

5. www.nw.hee.nhs.uk twitter.com/HENorthWest Key top 5 NW workforce themes Existing nursing workforce shortages across the NW (primary and secondary, including paediatric and MH nursing) Significant vacancies in the medical workforce across a range of specialties and levels Emergency Medicine / AED / Critical Care / Theatres workforce demand at all levels and types GP recruitment and Primary Care Workforce Clinical Radiology / Interventional Radiology – demand for workforce and training pathways

6. www.nw.hee.nhs.uk twitter.com/HENorthWest Nursing Major recruitment issues for newly qualified in some areas Major recruitment issues for specialist nurses / HVs / School Nurses Shortage areas filled with International recruitment / bank / agency Impact of 24/7 and safe ward staffing Impact of degree only nursing Learning Disability nursing for mental health and care providers Age profiles of some staff groups Skills and competencies to work in isolation in different care settings Head room for CPD and skills development

7. www.nw.hee.nhs.uk twitter.com/HENorthWest Medical and Dental High vacancies and gaps in some medical specialties at all levels including junior doctors. Major international recruitment programmes across regions Medical training: Secondary care versus primary care 50:50 split. Reductions in junior doctor training posts Changes to the shape of medical training Extending GP training to 4 years Medical workforce demand shows further increases for consultants across specialties Junior doctor stocktake indicates gaps between anticipated demand and supply Provider reputation / Keogh and CQC Key risks – A&E / Emergency medicine / Clinical Radiologist / Psychiatry

8. www.nw.hee.nhs.uk twitter.com/HENorthWest Emergency Medicine Major issues for most providers across the whole workforce and not just clinicians National issue – decade of targets and pressure Recruitment and retention issues Reliance on locums and agency Impacts on theatres, critical care, ICU, HDU, A&E and EM

9. www.nw.hee.nhs.uk twitter.com/HENorthWest Primary Care & GP Recruitment Aging workforce GP recruitment to target Practice Nursing CPD Current gaps and future gaps Succession planning Understanding optometry, pharmacy and dentistry Wider out of hour’s workforce

10. www.nw.hee.nhs.uk twitter.com/HENorthWest Clinical Radiology / Interventional Radiology Shortages of Consultants (evidence submitted to HEE call for evidence) Looking how to fill gaps – RCCR report Impact on interventions Impact on service provision No immediate solution

11. www.nw.hee.nhs.uk twitter.com/HENorthWest High Level Workforce Themes Demand for newly qualified nursing – do we increase commissions for 2015/16 to out-turn 2018/19? Demand for more CPD across sectors – do we increase CPD / re- distribute do differently? Demand for medical workforce – not in pipeline – how do transform across system with new roles? 8 major NHS England service reconfigurations across NW How do we transform education commissioning? Local commissioning, choice, innovation, quick delivery, agility and at pace?