1. 0 Health Education Kent, Surrey and Sussex Surrey Workforce Update “Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all”

2. Introduction 1 The purpose of this presentation is :- To provide an update on the process followed to date To provide an update on the 5 year workforce forecasts for Surrey as presented at a recent workforce workshop To provide an update on the education commission requests for 2015/16 and any discrepancies To gain the Partnership Councils view on the forecasts and commissions and agree any actions To present the feedback from the County Workshop

3. 14/15 Outcomes 2 Overall response 22 workforce and education commissioning templates sent out 22 workforce and education commissioning templates returned 22 organisations completed both workforce and education commissioning returns to a degree 17 completed the CPD template but not to the level of detail hoped for. Challenges Medical workforce forecasts Five year forecasts Occupation Code issues Monitor Returns

4. Local Provider Returns Aggregated within County and Overall KSS Workforce Plan National Workforce Plan Workforce Planning Process SSK Education Commissions Health Education Institutions Input of Healthcare Professionals Sense Check and Triangulate with Providers Commissioners Each Profession Regionally Sense Check and Triangulate with Providers Commissioners Each Profession Regionally/ Nationally

5. The Year Ahead – Timescales and Process 4 Template and Process FebruaryMarchAprilMayJuneJulyAugustSeptOctoberDec-14Jan-15Feb-15 County Workshops 10th July HEKSS Workforce Planning and education commissioning event 30 th May Return of HEKSS Template from providers NHS TDA 5 year plan NHS TDA 2 year plan Workforce Planning Timeline HEKSS Workforce forecast and education commissioning template released NHS TDA 1 year plan Monitor 5 year plan Monitor 5 year plan, Second cut Monitor 5 Year Plan final HEKSS return of Demand/ Forecast Template to HEE 25 th September HEKSS return Investment Plan to HEE HEE Formal board sign off of Workforce Plan HEE National Workforce plan published HEKSS Local Workforce Plan published Planning Triangulation Plan Sign-Off Publication

6. NICE Safe Staffing Guidelines NICE is developing evidence based guidelines setting out safe staffing for the NHS. This will include reviewing and endorsing staffing tools The focus of work will be on nursing and midwifery, including nursing support. The guidelines will help ensure an appropriate balance of staff numbers and skill mix on wards and in other settings As this new guidance programme develops other elements of the healthcare team may be included www.nice.org.uk/About/What-we-do/Our-Programmes/NICE-guidance/NICE- guidelines/NICE-safe-staffing-guidelines

7. covers staffing for nursing in adult inpatient wards in acute hospitals identifies organisational and managerial factors - from trust to ward level sets indicators to be used to demonstrate information on whether safe nursing care is being provided identifies red flag events which warn when nurses in charge of shifts must act immediately to ensure they have enough staff to meet the needs of patients on that ward no recommended nurse/patient ratio - providing patient centred care more complex. Safe Staffing Guidelines

8. Nursing Forecasts

9. Nursing Commissions

10. Community Nursing Forecasts

11. Community Nursing Commissions

12. AHP Forecasts

13. AHP Commissions

14. Feedback A workshop was held at the end of August to share with providers and CCG colleagues the revised workforce forecasts and proposed education commissions for 2015/16. Main areas of feedback Adult Nursing – commissions look to meet demand. Further consideration needed about placement capacity given vacancy factors. District Nursing – commissions don’t look to meet demand. Needs further work. Midwifery – overall commissions going down. Need to make decision about the 18 month programme. AHP commissions don’t match the direction of travel of the forecasts. Lack of practice educators for Health Visitors and School Nurses needs to be addressed. Broadening the Foundation Programme hasn’t been factored into the plans. Need to look at Advanced Practice, Physicians Associates and Medical Technicians as a solution. CPD – need to ensure this matches with the future direction of health services.