1. NW Core Skills Programme Stakeholder Event – 3 rd October 2012 09:30 - Welcome 09:40 - Lest we forget – Some views from learners 10:00 - Update on the NW Core Skills Programme 10:25 - Overview of the Core Skills Register 10:45 - Refreshments 11:05 - Getting under the bonnet: Ensuring recognition of Core Skills 11:45 - Getting to the next level: What is needed next? 12:20 - Progress of the National Framework 12:35 - Open Forum & Closing Remarks 13:00 - Lunch

2. Jill Johnson Associate Director UHSM Academy Welcome

3.  Highlight the key successes so far  You said – We did  Information Governance  Quality Assurance  The agenda has moved Why are we here?

4.  Clarify what still needs to be done  And by who  A collective commitment to make this happen What we want from today

5. John Sherlock Communications Manager Cheshire & Merseyside HIEC Lest we forget

6. Overview  Setting the Scene  User experiences of statutory and mandatory training  Summary of feedback  Next steps?

7. Setting the scene  CSF programme has had some significant developments over the past 12 months  Reminder of why we are making the commitment to CSF

10. First hand accounts  No substitute for experience!  Acknowledge the problem  Identify (the right) solution to the problem  Inspire and engage  Hard to refute

11. Case Study #1 Mandatory Training – My experience and thoughts by Anne Shrestha (ST3)

12. Day 1 AM: ID Badge, hand washing, Parking, Passwords, Surgical Induction PM: Virtual Learning Environment (VLE) Modules: blood transfusion, Infection control etc Day 2 All day trust induction at ?Manchester City Football Club  ANTT, Discharge letters, Pharmacy, Moving and handling, transfusion, Library etc... Induction 1 st Rotation

13. Same as in trust, different hospital -Local hospital induction  surgical induction -Did not attend 2 nd day of trust induction Induction 2 nd Rotation

14. A Final Thought.... Statutory and Mandatory training is a tough nut to crack but like the Capuchin Monkey, if we perserve, adapt and are willing to learn it can be cracked!

15. 1 Day induction AM: Test on how to prescribe and write drug cards, usage of antibiotics, surgical induction/housekeeping, cross cover of specialities. PM: VLE modules  local IT software, discharge summaries, blood transfusion, child protection awareness etc... ANTT - Blood culture and venepuncture - observed procedural skills Induction 3 st Rotation

16. “Same as rotation 1. I had to re-do everything.” Induction 4 th Rotation

17. Conclusion  Induction is vital  The effort is appreciated  It provides a lot of useful information However...

18. Conclusion  It’s time consuming  It can be overwhelming  It’s repetitive  It’s not engaging  It’s a waste of resources a lot of information

19. Conclusion  Impact:  It can waste time “ Change over day is always a Wednesday. It doesn't feel like the job has officially started until the following week.” a lot of information

20. Conclusion  Impact:  It can impact on patient care “ There is a lack of doctors in the hospital during those days which affects patient care.” a lot of information

21. Conclusion  Impact:  It can waste resources “ Similar topics were covered throughout different trusts – surely this is a waste of time and money?” a lot of information

22. Junior Doctor Survey 2012 Qualitative survey conducted across trusts and HEI’s in the North West

23. Junior Doctor Survey  Current – 8 weeks old  10 question survey  86 responses  Geographical spread

24. Responses a lot of information  Question: Have you ever experienced duplication of statutory and mandatory training e.g. during rotation periods? If so, describe how this impacted on you and your role? a lot of information

26. Snapshots a lot of information  #1 “I have never received any mandatory training which I have felt was needed for me to do my job that had not been covered in my own teaching programme already.” a lot of information

27. Snapshots a lot of information  #2 “Stat and man is very inefficient. I am never going to read the workbook again having completed it, so that's a waste of paper. Repeating mandatory training so frequently is time-consuming for junior doctors, and also for the staff who have to chase us up about doing it!.”

28. Snapshots a lot of information  #3 “The training has to be repeated at each hospital. This means that BLS/ANTT etc has to be completed every 3-6 months.”

29. CSF User evaluation  Organisational value – GP surgery 'It was has been great to be able to have a single source to access for the core skills training, an area of education which has historically been very difficult for non-PCT Practices to access. It is also helpful to have this training available in a variety of formats to suit individual practices and learning styles. We would very much support further development and publication of this resource.” Dr Jill Thomas - GP

30. Conclusion  First hand experience / evidence supports:  It seems to be a universal problem  It wont just go away

31. Conclusion  It wastes time and money  There is a lot of duplication  It wont just go away

32. “Addresses the age old problem of how to deliver induction and mandatory training. Impressive scale, scope and can-do attitude, all backed by a very clear business case.” - Judging panel

33. Conclusion  Feedback suggests:  This matters to people  Time/money is being wasted  CSF is improving quality  User experience can be improved

34. Information  Share information:  This matters to people  Time/money is being wasted  CSF is improving quality  User experience can be improved

35. Next steps

36.  Getting under the bonnet?  What do wee need to do to tackle this?  Continue to develop insight and understanding – what can we do to help you?  Share the problem / share the responsibility / share the rewards

37. Coming soon...  Further research – we need you  Case studies and evaluation feedback on implementing the CSF  Information sharing – case studies etc promoted via website www.cmtpct.nhs.uk/core-skills

38. Thank you

39. Seán Bradbury NW Core Skills Programme Manager Cheshire & Merseyside Teaching PCT Collaborative Programme Update

40. Workstreams Programme Structure CSF & Skills Passport Future Workforce NW Programme Board Programme Team Junior Doctors Wider Stakeholders

41.  Core Skills Framework- Support National Framework  Education Delivery- Content Updated / e-Learning  Organisation Guide - Reviewed & Updated  Information Governance- IG Protocols & Principles  Core Skills Register- Interim solution for Passport  Other tools include:- Content mapping / matrixes www.cmtpct.nhs.uk/north-west-core-skills/ Tools & Resources

42.  Held Event in June  HEI Readiness Assessment  Delivery Matrix  E-Learning Delivery  Core Skills Register Future Workforce Workstream

43.  10 HEIs in NW delivering 77 commissioned programmes  38programmes have responded - 49%  30programmes to adopt this academic year- 39%  5programmes to adopt next academic year- 6%  3programmes not adopting at this stage- 4% HEI Readiness Assessment

44. Delivery Matrix Right time to do Core Skills? Year 2 HEI Placement Year 1Year 3 Level 1 for the 1st placement Level 2 + in the 2nd year Refresher due end of final year

45.  Aligning the Core Skills to both Deaneries in the NW  Medical Education Departments  Junior Doctor Case Study  Core Skills Register Junior Doctors Workstream

46.  North Western Deanery Core Skills aligned July 2012  492 Foundation Year 1 doctors  Mersey Deanery supportive of Core Skills  Redevelopment needed of existing system  Full alignment anticipated Feb 2013  Investigating extending scope with North Western Deanery  ST Doctors / Additional subjects Alignment of both Medical Deaneries

47.  NW NHS Trusts current readiness status  Quality Assurance Model  Information Governance  Review of CSF Content and Tools CSF Workstream

48. Readiness Status Jan 2012Apr 2012Jul 2012Oct 2012 Waiting Response15 (33%) 5 (11%) 0 (0%) Unaware of the CSF3 (7%) 0 (0%) Not implementing the CSF 6 (13%) 5 (11%) 4 (9%) Planning to implement the CSF 19 (41%) 23 (50%) 20 (43%) 18 (39%) Partially implemented the CSF 3 (7%) 12 (26%) 14 (30%) 16 (35%) Fully implemented the CSF 0 (0%) 1 (2%) 7 (15%) 8 (17%)

49. - 0% - 10% - 30% - 40% - 50% - 20% - 60% Waiting Response Unaware of CSF Not Implementing Planning to Implement Partially Implemented Fully Implemented Jan 2012 Apr 2012 Jul 2012 Trust Position Oct 2012 Readiness Status

50. What does Readiness mean? Typical NHS Trust HR Dir Med Dir Learning & Development Medical Education Practice Education New Starters Junior Doctors Students Core Skills Register

51. Programme Structure CSF & Skills Passport Future Workforce NW Programme Board Programme Team Junior Doctors Locum & Agency Wider Stakeholders Clinical Skills National Framework

52. Tim Grocott Project Manager Greater Manchester HIEC Overview of the Core Skills Register

53. Core Skills Register SHARE ALIGNED TRAINING RECORDS ALIGNMENT SHARE RECOGNITION TRAINING RECORDS

54. Core Skills Register Why? Records of Core Skills Training are not accessible and shared across providers at present The Core Skills Register provides a mechanism by which organisations can share records of core skills training- promoting data portability SHARE ALIGNMENT SHARE RECOGNITION TRAINING RECORDS Core Skills Register

55. Core Skills Register “Interim solution to the Skills Passport” Core Skills Register Product Available: mid Oct 2012 Skills Passport Product Available: Summer 2013 Core Skills Training Reporting Functionality Potential links to internal information systems References Career History Qualifications Plus Many more features….

56. User Journey scenarios completed BETA Version Developed User Testing 95% completed Final amendments being made Information Governance Implications identified and progressed. Support & Training arrangements underway Anticipated availability - mid November Core Skills Register Where are we?

57. Core Skills Register When will this make an impact? SHARE Core Skills Register RECOGNITION Reduced duplication Increase local induction time Improve patient care Better Quality Assurance Audit 1 2 PLACEMENT

58. Early User Feedback User Journey Testers: - Easy to follow Identified small areas of changes Simple easy steps to undertake user journeys User Guide simple to follow Familiarity gained quickly Journeys completed without detailed training

59. Helpful with the following Organisational reporting Core Skill Compliance reporting (expiry) Individual learner searches Group learner searches Organisational & Learner reporting combined Searching, Viewing and Reporting records of Core Skill aligned training

60. User Journey Example A Scenario: David Featherstone claims he has completed Core Skills aligned Fire Safety training but has lost his Certificate. Use the Core Skills Register to review his record. CSR Steps: - Log in Search Find View

61. Log In

62. Navigate: Learners Page

63. Search: David Featherstone

64. View

65. Scenario: Your L&D manager has asked for a report for all Junior Doctors who are Core Skills Compliant Organisation: Core Skills NHS User Journey Example B

66. Navigate: Organisations Page

67. Select: Core Skills NHS

68. Enter Search Parameters

69. View Results & Report:

70. Core Skills Register When… How… Who…

71. Implementing the Core Skills Register A. Organisational Engagement B. Workforce Related Implications C. SME Implications D. System related considerations E. Education Delivery

72. D. Systems related considerations Training databases/Learning Management systems course structure and administration eLearning packages Content Assessments IT requirements Skills Register/Passport Implementation guidance

73. Implementing the Core Skills Register RefStepGuidance Available 1ApprovalTerms & Conditions document 2Information Governance IG paper for organisations to review/accept 3ITIT requirements document 4Set up for: A.Upload learners B.Upload training Mapping tools to help ensure correct data is available to upload 5Test UploadTool available to generate upload file 6Set Up UsersTraining available

74. Questions?

75. Refreshments & Networking

76. NW Core Skills Programme Stakeholder Event – 3 rd October 2012 09:30 - Welcome 09:40 - Lest we forget – Some views from learners 10:00 - Update on the NW Core Skills Programme 10:25 - Overview of the Core Skills Register 10:45 - Refreshments 11:05 - Getting under the bonnet: Ensuring recognition of Core Skills 11:45 - Getting to the next level: What is needed next? 12:20 - Progress of the National Framework 12:35 - Open Forum & Closing Remarks 13:00 - Lunch