1. WORKFORCE CHANGE IN LONG TERM CONDITIONS AN OVERVIEW Alison Tongue

2. Key Elements of Work in LTC Developing the evidence base Data management (Natpact workshops) Workforce change and development

3. WORKFORCE Development of competency framework – community matrons Workforce Change in Long Term Conditions

4. Partnership Approach to Workforce Change in LTC L T C NWW & LTC MA team/ DH Workforce Change Programme DH Policy LTC framework document Demographics/Workforce Development – NWIPP CNO – Community Matrons. National& International Learning Nursing document Skills for Health/NHSU Leadership Centre LTC Care Group Workforce Team LTC MA team PCare Commissioning Interface with Acute NPFIT/ SAP/ Case finding

5. Delivery of LTC; will require the workforce from across the multi-disciplines of Health and Social Care to be modernised and redesigned to ensure that all three levels of the Kaiser triangle are populated appropriately with the right skills to meet the needs of redesigned patient pathways. The aim is to facilitate change in the design of local services and workforce and implement new ways of working. This will be achieved by strategic health and social care communities analysing their skills gaps and identifying the service and workforce required but always within the context of the user and workforce demographic population

6. Key Features of Established Frameworks for Managing Chronic Conditions Not mutually exclusive approaches. A range of approaches will be required to suit the locality

7. Integrated Health & Social Care Systems Supporting people with long-term conditions LTC Community Support Self- Management Support Clinical Information Systems Delivery System Design Informed & Empowered Patients Prepared & Proactive Practice Team Long Term Conditions Case Management Model Source: Department of Health, Working Model, October 2004

8. TOOLS AND TECHNIQUES Service and role redesign techniques Workforce planning tools Workforce manual in Long Term Conditions Learning from related projects in health and social care via workshops Website materials

9. National Reference Group DH, Skills for Health, Innovations Forum, Clinical, AHP and Nurse Leads, Patient Representative, Local Government Association, TOPSS, LTC Care Group Workforce Team, SHA reps LTC Programme Management Board – Workforce Sub-gp LTC Care Group Workforce Team

10. TIME LINE OF WORKFORCE CHANGE PROGRAMME So far………………….. 7 sites selected Pump priming monies released Project Managers identified? First national reference group Working copy of LTC workforce manual produced

11. Whats next? Website resources – end of Jan - www.natpact.nhs.ukwww.natpact.nhs.uk National reference group – 27 th Jan and 16 th March Project Manager event – 1/2 March Close of current MA – end of March 05

12. Mechanisms for sharing Monthly reporting on website Regional clusters - summer and autumn National events including HR in the NHS – 11 th - 13 th May