1. NW LETB Education Commissioning Process for 2014/15 Neil Mclauchlan Associate Head of Education Commissioning

2. www.nw.hee.nhs.uk twitter.com/HENorthWest Commissioning Plan Process - first cut due 25 September. Provide indicative commissions to HEIs subject to National allocation Process - first cut due 25 September. Provide indicative commissions to HEIs subject to National allocation Investment variables: Placement Capacity & Capability Retention Benchmark price Investment variables: Placement Capacity & Capability Retention Benchmark price No change? Workforce development – extra £m income Secondary care post funding, UG medical numbers No change? Workforce development – extra £m income Secondary care post funding, UG medical numbers Reduced income? -2%, +1% £13m challenge Reduced income? -2%, +1% £13m challenge

3. www.nw.hee.nhs.uk twitter.com/HENorthWest What is Education Commissioning? “Strategic education commissioning proactively considers future workforce education needs to meet the vision and strategy for future healthcare services. It is a process which identifies, defines, procures and evaluates the education and learning required to meet current and future healthcare service needs.” DH December 2009

4. www.nw.hee.nhs.uk twitter.com/HENorthWest What is its Purpose? Health Education England (HEE) exists for one reason alone: to help improve the quality of care delivered to patients by ensuring that our future workforce has the right numbers, skills, values and behaviours to meet their needs today and tomorrow. Education Commissioning contributes to this by: Being responsive to patient need and changing service models security of supply – ensuring people with the right skills are in the right place at the right time high quality education and training that supports safe, high quality care and greater flexibility Local stakeholder ownership of plans and partnership delivery value for money widening participation.

5. www.nw.hee.nhs.uk twitter.com/HENorthWest The current world – Education Commissioning for Quality 1.Local Decision Making 2.Inclusive Approach of Providers 3.Good Governance 4.Sound Financial Management 5.Stakeholder Engagement 6.Transparency 7.Partnership Working 8.Quality and Value – Year on Year Improvement 9.Security of supply 10.Accountability Education Commissioning for Quality gave the following underpinning principles

6. www.nw.hee.nhs.uk twitter.com/HENorthWest Education Commissioning Competencies Leadership Working with Partners Engagement with learners and service users Collaboration with service commissioners and providers Managing knowledge & assessing needs Prioritising investment Stimulating the market Promoting improvement and innovation Procurement Managing the system Making sound financial investments The following competencies should be available to the LETB either internally or through the shared service. These competencies will support the LETB to manage the commissioning process

7. www.nw.hee.nhs.uk twitter.com/HENorthWest What does this mean? Differing views on where education commissioning sits and it’s purpose Perceived by some as primarily a transactional rather than strategic activity Adversarial v collaborative relationships with education providers Focused on HEIs rather than wider education system Bulk of resources aimed at new supply rather than existing workforce Aimed at supply of limited range of ‘traditional’ professions

8. www.nw.hee.nhs.uk twitter.com/HENorthWest Where next? One HEE - Need to deliver transformational activity such as workforce redesign; and Transactional commissioning functions, such as market management, healthcare procurement, contract negotiation and monitoring, information analysis and risk stratification Agree role, responsibilities, accountabilities and ownership – HEE, LETB, LWEGs, individual providers The future is about service transformation – do we need to move towards the concept of ‘ transformational education commissioning’ If so what does that mean and what do we need to change to get there? Need to commission education across providers – HEIs and service – support true collaboration and partnerships with shared responsibilities and accountabilities to ensure patients, carers and the wider public are at the centre of what we do Education v training – develop the academic workforce across both sectors Identify effective incentives and use them to drive up quality and innovation Develop effective methods to identify education and training needs as part of a truly integrated workforce planning and education commissioning process

9. www.nw.hee.nhs.uk twitter.com/HENorthWest Enablers – supporting delivery of our core business Workforce Planning Attracting and Recruiting the right people Excellent education commissioning and provision Lifelong investment in people HEE’s operating model comprises four core levers plus our corporate enablers Provider Supply Initiatives Provider Workforce Planning HEE A Transformed Workforce with Right Numbers, Skills, at Right Time, and Place - to meet the needs of the public

10. www.nw.hee.nhs.uk twitter.com/HENorthWest A Future Vision for Education Commissioning FunctionDescription Education Transformation To ensure that the workplace supports the highest quality learning culture thus ensuring that the new workforce integrates seamlessly and effectively with current workforce, and to ensure the health workforce has the technical capability and autonomy to think and act, the connected networks to collaborate and the ethical commitment that demands compassionate care. Together these create a collective will to work in partnership with patients to nurture a thriving and emergent healthcare and wellbeing system, providing the best possible health outcomes for patients and promoting rapid adoption of local and national innovation. Education Commissioning Education commissioning proactively considers future workforce education needs to meet the vision and strategy for the future healthcare and wellbeing system. It is a process which identifies, defines, procures, governs and evaluates the education and learning required to meet current and future healthcare and wellbeing system needs; stimulating the marked of learners and education provision. Education Provision Education provision considers the necessary arrangements to deliver the curriculum including assessment to meet the expected professional and regulatory standards. It includes setting educational outcomes, aims and objectives for individuals and cohorts; identifying the most appropriate educational method of delivery; ensuring capacity and capability of the educational faculty; agreeing, delivering and quality managing the assessment framework; delivering reports as required to regulators

11. www.nw.hee.nhs.uk twitter.com/HENorthWest Work Stream -Excellent Education Commissioning and Provision Function-Education Transformation ComponentDescription Leadership Lead the identification, development and enhancement of learning environments and educators to create an integrated learning culture Knowledge management Understand and utilise the best evidence available from peer reviewed literature and workforce intelligence and data to assure timely learning transformation and provide value for money Engagement Engage with learners, public, patients, industry and the Global Health community to inform the identification, development and enhancement of learning environments Strategic planning Formulate strategic plans which embed learning transformation and proactively embrace changes in the health, social care and education sectors. Education and training needs analysis Work with service partners, education providers and others to understand the learning environments required to maximise the skills, behaviours and attitudes needed from all staff working alone and together in the provision of patient care and community health and wellbeing Transactional management Provide robust quality assurance and benchmarked reporting on the quality of integrated and multi-professional learning for each learning provider Investment decisionsAlign investment against achievement of best practice standards Market ManagementDisseminating best practice standards for learning environments in order to stimulate the market What does this look like?

12. www.nw.hee.nhs.uk twitter.com/HENorthWest 2.1 Components of the function under review Work Stream -Excellent Education Commissioning and Provision Function-Education Commissioning – Non-medical ComponentDescription Leadership Lead the commissioning of education on behalf of the local health economy and contribute to this nationally Knowledge Management Manage knowledge, information and intelligence relating to education commissioning Using evidence to maximise impact of education innovation, fitness for purpose and value for money Engagement Engage with learners, public and patients in ensuring effective education commissioning Ensuring alignment and recognition of population needs and wellbeing Education & Training Needs Analysis Work effectively with service partners, education providers and others to analyse, interpret and compare options and identify education needs Strategic Planning Formulate strategic commissioning plans which mitigate the impact of any risk or uncertainty across both the health and education sectors including policy or regulatory change and the impact of service transformation Investment Decisions Prioritise investment of HEE resources Make sound financial investments using system levers including re-investment & dis-investment Transactional management Assure effective contract and performance management and quality assurance through governance framework Deliver good practice contract management framework Market ManagementEffectively procure and support the market in education provision

13. www.nw.hee.nhs.uk twitter.com/HENorthWest A vision for education commissioning Lead the commissioning of education on behalf of the local health economy and contribute to this nationally Work effectively with service partners, education providers and others to analyse, interpret and compare options and identify education needs Engage with learners, public and patients in ensuring effective education commissioning Formulate strategic commissioning plans which manage the impact of any risk or uncertainty across both the health and education sectors including policy or regulatory change Manage knowledge, information and intelligence relating to education commissioning Prioritise investment of HEE resources Promote and develop educational improvement and innovation Effectively procure and support the market in education provision Make sound financial investments using system levers At what organisational level is this best achieved?

14. www.nw.hee.nhs.uk twitter.com/HENorthWest Where next? Need to deliver transactional commissioning functions, such as market management, healthcare procurement, contract negotiation and monitoring, information analysis and risk stratification The future is about service transformation – do we need to move towards the concept of ‘ transformational education commissioning’ If so what does that mean and what do we need to change to get there? Need to commission education across providers – HEIs and service – support true collaboration and partnerships with shared responsibilities and accountabilities to ensure patients, carers and the wider public are at the centre of what we do Education v training – develop the academic workforce across both sectors Identify effective incentives and use them to drive up quality and innovation Develop effective methods to identify education and training needs as part of a truly integrated workforce planning and education commissioning process

15. www.nw.hee.nhs.uk twitter.com/HENorthWest MW LETB Key Themes Key messages from workforce plans Urgent nursing workforce shortages across the NW High vacancies in the medical workforce across a range of specialties and levels from consultant, middle-grade to junior doctor allocation Emergency Medicine / A-E / Critical Care / Theatres workforce demand at all levels and types GP recruitment – 3 rd round and impact on junior doctor funding and allocation in acute sector Clinical Radiology / Interventional Radiology – demand for workforce and training pathways Still early days and will have further analysis of plans, national direction and guidance and need for consultation

16. www.nw.hee.nhs.uk twitter.com/HENorthWest Commissioning Plan – New Supply Nursing – increase commissions, 8.2% on 2012/13 Proton Therapy Development – increase commissions for Therapeutic Radiographers and Medical Physics (HSST, STP and PGDip) IAPT and Health Visiting – review level of commissions in response to meeting workforce growth targets, potential increase in School Nursing Healthcare Science – roll out new Higher Specialist Scientific Training programme Workforce Transformation – Assistant and Advanced Practitioners, emergency care practitioners Primary Care – increase access and supply for practice nurses Out of Hospital Care – District Nursing Sonography – review of options including direct entry or post-registration education Midwifery – requirement and need to maintain supply 2012/132013/142014/152015/15 3066311432803340

17. www.nw.hee.nhs.uk twitter.com/HENorthWest Other messages Need to balance short term with long terms solutions Do we have the training capacity and capability needed to deliver the education needed? How can we use different ways to deliver education – impact of new technology, simulation, distributive learning, elearning, etc Demand for medical workforce –how do we use new roles to transform across system? 8 major NHS England service reconfigurations across NW How do we transform education commissioning? Local commissioning, choice, innovation, quick delivery, agility and at pace CPD - demand for more CPD across sectors – is the balance between HEI and cash allocations appropriate, who should access it, increased use of flexible, bespoke and non accredited learning, can we increase CPD? How can education deliver seamless integration of the workforce? Does HENW have a role in the education of the volunteer workforce and informal carers? How can Widening Participation & Access contribute to the future workforce? Continue to improve retention but what about post-qualifying attrition?

18. www.nw.hee.nhs.uk twitter.com/HENorthWest Doing it differently How might Education Commissioning be done differently in the future Role of HENW as facilitator or enabler What could be done more effectively at a practice level What would true collaboration and partnership working look like, how do we help make it happen Not commissioning just for the NHS – currently place students in over 800 organisations ranging from large teaching Trusts, DGH, community, primary care, social care, nursing homes, hospices, private hospitals, charities, etc, etc, etc – all employ and will have a demand for a future professional workforce. Innovation will increasingly impact on all we do both in terms of service delivery and education Learners, patients & carers – how we meet their expectations and how do we take advantage of this

19. Workshops

20. www.nw.hee.nhs.uk twitter.com/HENorthWest 1. Innovative approaches to learning, including the use of technology & simulation  To look forward to how we need to respond to the use of new technology to deliver learning including mobile technology, gamefication.  What are the barriers and challenges to working with a new generation of learners brought up with technology  Are there examples of best practice 2. Learner, patient and user involvement  Try to differentiate between learners, patients and carers  How do we ensure we use learners, patients and users more effectively in learning  What areas, such as; recruitment, design, delivery, assessment  How can they enhance or contribute to quality assurance of learning  Examples of good practice  Barriers or challenge 3. Enhancing collaborative and partnership approaches to learning  How do we develop stronger partnership working between education providers, Universities and the NHS.  How can we better describe the individual and mutual responsibilities for delivering education  What innovative ways can this be done to ensure education meets the needs of the NHS into the future  What are the challenges and barriers

21. www.nw.hee.nhs.uk twitter.com/HENorthWest Process You will have been allocated a table based on LWEG area Each table will have facilitator You will have a core question to look at If you have time you can look at the one or both the other questions There is 60 minutes There will be no formal feedback today but will write up any notes and share these with you The facilitators will keep you to the questions but: If there are any issues you want to raise but run out of time or aren’t covered by the workshop please put on a post-it and give to your facilitator Finally, thank you for your contribution to the day