1. Review of Pre-Registration Nurse Education – Flexible Nursing Pathway
Kathy Branson
Executive Lead - Special Projects

2. Fundamental Review
We engaged with employers, nurses, HEIs and students across HEEoE and they told us they wanted:
New routes into nurse education
- clarity for HCSWs (T4C etc)
- to increase nurse outturn (numbers and throughput)
- to improve nurse outturn (competence/confidence)
Improved employability and employment of nurse outturn
Enhanced focus on skills acquisition, assessment and practice of
‘hands on' care
Enhanced focus on person centred care (learning between branches) in a range of settings
Improved commissioning levers in LDA and QIPF

3. New Routes into Nursing
Entry Requirements
HEI Provision
Service offer
UCAS route
Traditional 3 year programme
Bursary & mentorship support
Foundation Degree
WBL Pathway – 18 – 20 months
Salary & mentorship support (WBL)
Foundation Degree
2nd year of 3 year full-time programme
Bursary & mentorship support
Other
Degree (2:2 or above)
2 year post-grad programme
? Salary support
Other
Experience (e.g. Forces)
2 year + programme
? Salary support

4. Work Based Learning Pathway
15/16 (short term):
A work based pathway at 5/6 HEIs
FD takes 2 years
APEL for variety of FDs
Nursing Pathway takes months
Full time work based learning
Modification not new programme
Pipeline current staff with FD
Continuity of employment
120 additional commissions
QIPF covers nursing pathway
Adult & MH
Return on Investment – attrition and retention
16/17 (medium term):
A work based pathway at 6/6 HEIs
Bespoke FD mapped into NMC hours and outcomes, taking 18 months
Nursing pathway takes 18 months
Full time work based learning
Pathway validated into all new programmes
Develop pipeline and recruit direct (PNEP)
10% of all commissions (n=240)
QIPF covers FD and nursing pathway
All branches
Return on Investment – attrition and retention

5. Total Pathway Cost - Current Position
Based on a pool of staff qualified to foundation degree level ready to access programmes
HEE Costs
Flexible
Degree
Tuition
Nursing BMP
Bursary
None
£4,500*
Tariff
0.6WTE
0.5WTE
Salary
0.4WTE
Band 3 Point 9
Employer Costs
* Approx. – actual value will vary between students

6. Implications for the Longer Term
This is what employers and staff tell us they want
WBL pathway means employers have to engage with HEIs in new ways (MOU)
WBL pathway means HEIs have to work in new ways (the local dynamic)
LETB has to work with HEIs differently – Academic Pool
We need more WBL in ALL programmes
Students on WBL pathway need excellent mentorship
The pipeline doesn’t have to be current HCSWs; we can recruit direct into FD training (PNEP), but must be part of a Grow Your Own strategy
Putting the FD on a commissioning framework has cost implications
The role of the AP at Band 4 requires recognition and development of evidence base
Could this be 30% of commissions (or more?) cost & supply modelling
Does this start to lead us to a different commissioning model – employment based/employer led?

7. GYO – Step On / Step Off Stage 1 Stage 2 Stage 3 Bridging / APL/APEL
Stage 1
Stage 2
Stage 3
Bridging / APL/APEL
Stage 4
Qualification level at the end of the stage
Nurse Registration/ Bsc Degree in Nursing
Higher Apprenticeship
(Foundation Degree )
For candidates who have not acquired all 18 months NMC competencies
Advance Apprenticeship
(NVQ III) including Higher Care Certificate
Intermediate Apprenticeship
(NVQ II) including Care Certificate
Length of time
1 year
18 months
18 months (2 years )
6 weeks – 6 months
18 months (20 months)
Training Location
Trust & College
Trust/ College/HEI
Trust/ HEI
WBL/HEI
Academic requirements
1 day a month college
2 days a month college
Map / add units for NMC competencies
1-2 days a week in college
Map/ add units for NMC competencies
APEL/APL / skills acquisition / Knowledge portfolio to achieve 1st and 6 months of 2nd year NMC competencies of Bsc Nursing programme
2 days supernumery
Map skills /knowledge
to first 18 months of NMC competencies against BSc in Nursing
NHS Entry Bands
1 or 2
2 or 3
2/ 3 /4
3 or 4
Contract arrangements
P/T & F/T & Bank HCA/ NHS Training contract (Annexe U)
P/T & F/T & Bank HCA/NHS Training contract
P/T & F/T HCA / NHS Training contract
P/T & F/T HCA or Assistant Practitioner
F/T HCA/Assistant Practitioner

8. Post-Grad Programme Entry 2:2 Degree or above in any subject
2:2 Degree  or above in any subject
Interview against NHS values
Knowledge of the Health Service
Offer
Masters Degree award with a Post Graduate Diploma exit point
Nurse Registration for both exit points
AP(E)L  Degree  to credit 12 months against 3 years nursing programme, making a 2 year + 1 year APEL
Employment offer, preceptorship, career pathway (see following point)
Post Registration pathway for PGDip exit point, which includes a dissertation, based in employment organisation  to achieve Masters 
Post Masters Development - Clinical/Delivering Education/Research/Leadership
Adult & Mental Health field