1. Welcome Val Shannon NW Core Skills Project Manager Future workforce & Lancashire Cumbria Region

2. NW Core Skills Programme Core Skills Leads Action Meeting June 2013 Agenda: 09:30 - Welcome - Purpose for sub region group - Implementing the Core Skills Phases - Review of the Content Mapping - Share Data - SNAP Project 12:30 - Lunch

3. Val Shannon NW Core Skills Project Manager Future workforce & Lancashire Cumbria Region Purpose for Sub Region Group

4.  Opportunity for Core Skills Leads to meet  Share best practice  Work collaboratively  Make the Core Skills work locally  More hands on, practical sessions  Alternates with Regional Events Purpose for Sub Region Group

5.  Their training is Core Skills aligned  They share Core Skills data with partner organisations  They recognise Core Skills training delivered externally  They don’t repeat needless training  Their training delivery is flexible and efficient  Their training has a recognisable quality and standard A Core Skills Organisation looks like…

6.  Point of contact between the organisation and the NWCSP Team.  Links with internal stakeholders, ie Executive Sponsor, SMEs, IG.  Authority/Influence to work across L&D, Med Ed and Pract Ed.  Maintain the organisation’s Core Skills Programme Action Plan.  Plan, coordinate and collect requested Core Skills information.  Share intelligence with the NWCSP team on wider developments.  Escalate the need for additional support if not progressing within time frames. Responsibilities of a Core Skills Lead

7.  What do you see the sub region groups achieving?  What is the 1 Core Skills Lead responsibility you feel you will need support for?  What is the 1 area relating to the Core Skills that your organisation can support others?  What is the 1 area relating to the Core Skills that your organisation needs further assistance ? Discussion 1

8. Implementing the Core Skills Phases Seán Bradbury NW Core Skills Programme Manager North West Workforce Delivery Unit

9.  See handout Core Skills Phases C&M Dashboard

10. Engagement Alignment Share Data Recognition Realisation Phased Approach ReadinessImplementation

11. 1 Phase 1 - Engagement 2 3 4 5 1 Phase 2 - Alignment 2 3 4 5 1 Phase 3 - Share Data 2 3 4 5 1 Phase 4 - Recognition 2 3 4 5 1 Phase 5 - Realisation 2 3 4 5 Organisation Dashboard: Lancashire Care NHS FT

12.  Is the Phase Document and Action Plan useful?  What are the gaps in the phases and steps between what you have put and what we have?  What is the 1 step you feel will be the most difficult to achieve? Discussion 3

13. Review of the Content Mapping Seán Bradbury NW Core Skills Programme Manager North West Workforce Delivery Unit

14.  Momentum behind Core Skills and resources developed have allowed proactive organisations to run with it  Need a level of assurance and central view point for wider system benefits: - Reduced Duplication - Greater portability - Collaboration between organisations - ‘Preferred Supplier List’ of delivery options  Opportunity to align with the National Framework The reasons for the tool

18.  How do we achieve full alignment to the UK Framework?  How long will it take your organisation to achieve full alignment? And is there anything we can do to speed this up?  What is the 1 area relating to the Core Skills that your organisation can support others?  What is the best way to address the common gaps? Discussion 2

19. Break

20. Share Data Tim Grocott Junior Doctors Project Manager

21. Core Skills Register What is it? Online application capable of storing core skill learning records. Basic Functionality Who is it for? Junior Doctors & Students Who has developed it? Skills for Health When is it available? Currently

22. Phase 3: Core Skills Register Step 3.1: Information Sharing Information Sharing Protocol Agreement Signature (page 7) Information governance related implications paper Supporting brief Privacy Notice Papers are available on the NWCSP website or from FW Project Manager

23. Phase 3: Core Skills Register Step 3.2: Data Reporting (ensuring your data is transferable) Minimum data set requirements Existing system comparison Amendments Ensure data completeness (data quality check) Test procedure

24. CSR Complete Data SetCSR Minimum Data Set: Doctor In Training Personal Information Title First Names Last Name email Learner Type Date of Birth Telephone Job Role Professional Body Registration number Level Organisation Name Organisation Code employee/student id number Training Data Skill Code Course Name Date Completed Training Provider Method of delivery Assessment Status Score Minimum Dataset: Students

25. SNAP Kieran Kelly SNAP Services Project Manager

26. Assuring the NHS and practice partners of the numerical competence of the current and future nursing workforce through the use of a Standardised Numerical Assessment Process SN@P Numeracy Assessment and Education National HSJ Patient Safety Awards 2013

27. Background / Drivers Nursing and Midwifery Council (NMC) concerns Medication errors and incidents throughout UK Increasing service provider organisation assessment of new and experienced staff entering their employment –Wasteful and possibly invalid assessments –Significant numbers of staff fail assessments Several HEI and provider organisations turned to costly independent provider solutions Primary target group were HEI’s however interest grew from NHS organisations

28. Project Proposal To form a region wide, cross sector collaboration of key organisations to plan, design and produce a Standardised Numeracy Assessment Process (SNAP). Including: –Colleges of FE –Higher Education Institutes –NHS Service providers

29. Initial Support and Links Council of Deans of Health (Northwest) NHS Northwest Strategic Health Authority Skills for Health Wirral Health Informatics Service(WHIS)

30. Outcomes/Benefits: –Free resource open to customer Organisations for independent learning and formal assessment –Designed as an engaging interactive, virtual world learning experience –Valid and trusted as an assessment process to prepare for and confirm numerical competence across sectors –Standardised in level and approach 30 Ultimate Outcome: SN@P

31. Enabling Ordinary Practice SNAP provides NHS Staff with an online freely accessible numeracy tool to allow them to administer safe practice to patients through: Accessing the practice assessments to improve Confidence and Competence when dealing with drug calculations and administration Independently monitoring their progress to ensure they are working with sufficient numeracy skills Assessing their clinical knowledge as well as assuring numerical ability Taking formal assessments assigned by Ward Manager’s to ensure they are competent with core numeracy skills and clinical administration

32. SNAP within the NHS Errors in medication delivery due to prescribing or administering the wrong dose remain a common cause of patient safety incidents. The use of an online standardised numeracy assessment tool has allowed NHS Organisations across England to utilise the resource as: Part of assuring numerical competency throughout IV Drug Administration study days for new and existing staff Part of the recruitment and selection process for newly qualified staff An independent learning and assurance tool for existing Allied Health Professional staff A resource to support continuing professional development (CPD) through providing a learning forum to prepare for course and job interviews An assurance of patient safety through staff successfully completing and passing formal assessments assigned as part of KSF appraisals and on-going training.

33. Current Collaboration Collaboration Recruitment 129 organisations throughout England registered including, Service Providers, HEI’s, Colleges of FE Average Monthly Usage: Peak Season: 3500 – 4000 between Nov-Apr / Aug - Oct Low Season: 1000 – 2000 between May – July Flying Start for England preceptorship project link

34. SN@P in the UK

35. User Reviews What value is SNAP having within your Organisation? ‘It is adding quality to the numeracy assessments’ (Wirral University Teaching Hospitals) ‘Standardisation for numeracy assessment. Results are linked with ESR so remain on staff members employment record within the UK.’ (Kent Community Health) ‘It is of great value’ (Stockport NHS Foundation Trust) What impact has SNAP had on your staff? ‘Provides registered practitioners with the opportunity to revise drug calculations.’ (St Helens and Knowsley NHS Trust) ‘A very positive one as many staff fear formal assessments. Managers have welcomed SN@P and are also using it as part of a development plan when they have development issues with staff members.’ (Maidstone and Tunbridge NHS Trust)

36. The SNAP tool

37. The SNAP tool – Registration......... Registration – Data security

40. ADMINISTRATOR Registering as a Snap Administrator allows you to: Approve registration requests from colleagues/students within your organisation Manage SNAP Accounts within your organisation Create / View assessments Assign formal assessments to other users i.e. Students or Staff Generate reports to display results of assessments taken Add Cohorts / Directorates and Departments to the site

41. Logging on……

42. Administrators Homepage

44. User Homepage

46. General Numeracy Level 2 A patient weighs 10½ st. Given that 14 lbs equals one stone, and one lb is approximately equal to 450g convert the patients weight to kilograms.

47. The scale of the drawing of your new office is 1cm:2m. If the length of the office on the scale drawing is 3.5cm, what is the actual length of your new office in metres?

49. Clinical Numeracy Level 1 A palliative care patient is prescribed 50 mg of morphine to be infused over a 24 hour period. The morphine ampoules are available in 10mg/mL. Sodium Chloride 0.9% should be added as the dilutent. How many ampoules of morphine are required?

50. Clinical Numeracy Level 2 A patient with pneumonia is prescribed meropenem 1gram three times/day. The prepared volume is 100mL sodium chloride 0.9%. If it should be infused over 15- 30 minutes, what is the minimum and maximum rates of infusion in mL/hour?

51. Syringe Question A 76 year old male patient was admitted with a heart attack is prescribed Morphine 5mg intravenously for the pain. Ampoules of Morphine contain 10mg in 1mL. How much morphine needs drawing up to give this dose?

52. Reviewing a Staff / Student’s Assessment

53. SNAP Learning Resources S4H Literacy and Numeracy Tool Maths for Medicine Moving on Website BBC Bitesize and Mathswise sites British National Formulary (BNF) Children's BNF HEI Open source (OS) learning materials Other 3 rd party OS materials

54. Service Development On-going evaluation and promotion Provide SNAP training workshops Keen to share and discuss developments SNAP Education Collaborative work with the Core Skills Framework to improve safe medicines management through further training

55. SN@P Assessment and Education…… Enabling Ordinary Practice

56. Further Queries  The Programme Team are available to support and provide assistance  Contact Seán Bradbury, the Programme Manager: sean.bradbury@nhs.net sean.bradbury@nhs.net  Contact Val Shannon, Future Workforce Project Manager & Lancashire & Cumbria Regional Manager Valerie.shannon@lancashirecare.nhs.uk  Contact Zafi Bisti, the Programme Office Manager: coreskills.programme@nhs.net coreskills.programme@nhs.net  The Core Skills resources and tools are available freely on the CM tPCT website: www.cmtpct.nhs.uk/core-skills