1. Regional Stakeholder Event
North West Core Skills Programme
Regional Stakeholder Event
Wednesday 11th November 2015

2. Core Skills Regional Stakeholder Event
09: Registration
09: Welcome and Overview
- Programme Update
- National Core Skills Update
11: Break
11: Streamlining Initiative
- ROSTA Showcase
- Workshops
- Feedback and Summary
13: Lunch
WIFI Access:
Haydock Guest
Welcome1474

3. Welcome and Overview for the Day
Rachael Charlton
Director of HR and Organisational Development
East Cheshire NHS Trust

4. Core Skills Regional Stakeholder Event
09: Registration
09: Welcome and Overview
- Programme Update
- National Core Skills Update
11: Break
11: Streamlining Initiative
- ROSTA Showcase
- Workshops
- Feedback and Summary
13: Lunch
WIFI Access:
Haydock Guest
Welcome1474

5. Core Skills More than a concept
We are beyond testing the feasibility of Core Skills
It is embedded across organisations - seen as the norm
Achievements and success to date are testimony to this (both in the NW and nationally)
Along with the continuing expansion of the Programme

6. Core Skills More than…
More than Stat and Man Training: - Clinical Skills and other frameworks - The Care Certificate
More than Training: - Wider HR / pre-employment opportunities - Systems in place to support a flexible workforce
More than the Health Sector: - Manchester Met delivering to Social Care students - Devo Manc – looking at the whole system

7. Core Skills Making a difference
The Core Skills… “has been a godsend, the majority of our staff completed the training quickly, those outstanding will complete in the coming months. The amount of time and effort that this has saved our Practice is immense. We would be keenly interested in volunteering for ROSTA” Lorna Johns Practice Manager, Thursby Surgery, Burnley, Lancs

8. Core Skills Couldn’t do it without you
We have achieved this because of the support, input and buy-in from you here today
We hope you will join us for the next steps on this journey and continue to help shape what the Core Skills can become

9. Programme Update Seán Bradbury Emma Turner Programme Manager
Health Education North West
Emma Turner
Programme Manager
NW Core Skills Programme

10. Programme Update Programme Structure Current Position of Organisations
Future Direction and Priorities

11. Programme Structure Seán’s new role in HENW
Education
Commissioning
Workforce
Transformation
Strategy &
Planning
1 of 3 Programme Managers
Portfolio Includes:
▪ Maximising Systems
▪ TEL (eLearning & Simulation)
▪ Gamification
▪ Curriculum Development

12. Programme Structure Emma’s Background…
10+ Years NHS Experience (Acute, MH and community)
HR – Resourcing and Temporary workforce
Project Management – systems and temporary workforce
Experience of Core Skills
Contact details:
Tel:

13. Programme Office Manager
Team Structure
Programme
Manager
Emma Turner
Project Manager
Programme Office Manager
Technical
Officer
Apprentice
Project Managers leading specific workstreams
Programme Officer Manager leading on communications and engagement
Technical officer leading on the website, resources and platforms
Apprentice – single point of access for support from the team

14. Current Position Recent Core Skills Survey
Core Skills Survey run this autumn
Update the intelligence of the programme
Latest Core Skills alignment across the NW
How the Core Skills are currently being used
Gauge interest and support for future direction

15. Current Position Summary of Results - Alignment
Survey responses from 35 out of 41 trusts 85%
Based on survey and previous declarations: / 41 trusts Core Skills aligned 95% Nov 14: 36 / 40 trusts Core Skills aligned 89%
9 /10 HEIs delivering Core Skills 90% / 84 Healthcare Programmes 94%
NW PGMD E (F & ST) delivering Core Skills
Approx 100 GP Practices delivering Core Skills

16. Current Position Summary of Results - Delivery
% of Core Skills subjects aligned: 86% (77% Nov 2014)
Core Skills delivery - Face to Face: 35% eLearning: 22% Workbook: 3% Blended: 22% Don’t know: 18%
Resources Used - NW Core Skills: 25% In-house: 48% National Content: 8% Other: 2% Don’t know: 18%

17. 20 39 17 14 9 10 21 13 26 23 Face to Face eLearning Workbook Blended
Core Skills Subject
No of Trusts
Face to Face
eLearning
Workbook
Blended
Don't know
Conflict Resolution
Level 1 35 20 4 7
Equality, Diversity and Human Rights - Level 1 39 17 3 8
Fire Safety 11 5 1 14
Health, Safety & Welfare 9
Information Governance (England) - Level 1
Infection Prevention & Control 36 2 10 6
Level 2 31
Moving & Handling 38 34 21
Safeguarding Adults 37 13
Safeguarding Children
Resuscitation Adult 26
Resuscitation Paediatric 27 23

18. Current Position Summary of Results - Processes
Are the Core Skills referenced in your policies? Yes: 39% No: 34% Don’t know: 27%
What LMS to you use to record Core Skills? OLM: 77% In-house: 10% Other: 13%
Do you use the ESR Core Skills National Competences? Yes: 49% No, but would like to : 15%
Do you use the Stat & Mand Notification Role in ESR? Yes: 29% Plan to: 12%

19. Current Position Summary of Results - Portability
Do you accept Core Skills from other organisations? Yes: 49% No: 22% Don’t know: 29%
What groups would you accept Core Skills from? Students: 18% JDs: 11% NHS: 25% All: 46%
What Core Skills evidence do you accept or provide?
Evidence
Accept
Provide
ESR Record / IAT 12 11
Training Record 10 9
Certificate 6
Org Authorisation 7 4
Self Declaration 1

20. Future Direction Survey Results – Other Frameworks
Do you support a NW approach to implement the Clinical Skills Framework? Yes: 89% No: 11%
What areas would you want to be supported? Standardised Approach: 100% Mapping & Alignment: 88% Education Resources: 84% Portability: 88%
Do you want support to link the Core Skills & Clinical Skills with the Care Certificate? Yes: 52% No: 48%
Organisations are already delivering the Care Certificate
Does this need to be co-ordinated, evidenced?
What about other Frameworks

21. Clinical Skills
Subjects
Applicable to Trust
Already Deliver
Existing Resources
Yes
No / Unsure No
Your Healthcare Career 21 7 12 10 13 6
Duty of Care 24 5 17 3
Person-centred care 4
Communication 27 2 22
Consent
Privacy and dignity 26 20
Fluids and nutrition 25 19
Dementia awareness 1
Blood component transfusion 8

22. Future Direction Existing Priorities
Junior Doctor and Future Workforce work-streams to reach a business as usual state
Primary Care rollout
Streamlining : Wider HR / Pre-employment
ROSTA: Potential for a Skills Passport
Evaluation of Core Skills training
Update Resources following national framework update

23. National Core Skills Update
Colin Wright
National Skills Framework Manager
Skills for Health

24. National Core Skills Update
UK CSTF data
Maintaining and updating Stat/Man CSTF
New core skills frameworks
Future plans

25. CSTF data Oct 2014 Oct 2015 Individual registrations 1,241 1,718 157
Oct 2014
Oct 2015
Individual registrations
1,241
1,718
Organisations aligned to Stat/Man CSTF
Country/Region
NHS
Other
Total
England: NORTH WEST 36 11 47
England: LONDON 1 37
England: THAMES VALLEY & WESSEX 19 4 23
England: WEST MIDLANDS 22
England: KENT SURREY & SUSSEX 9 13
England: EAST MIDLANDS 10
England: EAST OF ENGLAND
WALES
England: SOUTH WEST 5 6
England: YORKSHIRE AND THE HUMBER
England: NORTH EAST
NORTHERN IRELAND
SCOTLAND
157
180

26. Organisations aligned to CSTF
Aligned organisations include:
61% of NHS Acute Trusts in England (96)
55% of NHS Mental Health Trusts in England (28)
52% of NHS Health & Care Trusts in England (16)
100% of NHS Wales Health Boards (7)

27. Stat/Man CSTF framework
Annual update due by end of 2015
Review of key guidance & legislation e.g.
UK Resuscitation Council Guidelines (published 15th October 2015)
PREVENT competencies
Development of the Framework was guided by an expert group comprising representatives of key stakeholders, including relevant Royal Colleges, health, social care and education sector organisations.
A reference group was also established to include a wider range of organisations and individuals that wished to be kept up-dated on development of the Framework and to provide comments or feedback as part of the consultation process.

28. CSTF framework developments
Status
Statutory/Mandatory UK CSTF
Launched March Last updated September 2014
Clinical/Care UK CSTF
Launched April 2015
Dementia CSTF
Launched October 2015
Mental Health CSTF
In development
Learning Disabilities CSTF

29. Clinical/Care CSTF Clinical/Care subjects (launched April 2015):
Your health career
Duty of care
Person-centred care
Communication
Consent
Privacy and dignity
Fluids and nutrition
Dementia awareness
Blood component transfusion
Development of the Framework was guided by an expert group comprising representatives of key stakeholders, including relevant Royal Colleges, health, social care and education sector organisations.
A reference group was also established to include a wider range of organisations and individuals that wished to be kept up-dated on development of the Framework and to provide comments or feedback as part of the consultation process.

30. Care Certificate Standards
Equality and Diversity
Infection Prevention and Control
Safeguarding Adults
Safeguarding Children
Basic Life Support
Handling Information
Health and Safety
Understand Your Role
Your Personal Development
Duty of Care
Work in a Person Centred Way
Communication
Privacy and Dignity
Fluids and Nutrition
Awareness of mental health, dementia and learning disability
CSTF Subjects
Equality, diversity and human rights
Infection prevention and control (Level 1)
Safeguarding adults
Safeguarding children Level 1 and 2
Resuscitation
Information governance (England)
Health, safety and welfare / Fire safety / Moving and handling
Your health career
Duty of Care
Person Centred Care
Communication
Privacy and Dignity
Fluids and Nutrition
Dementia awareness

31. Further development work was conducted to ensure the applicability of the framework to both health and social care sectors.
The final framework, launched in October 2015 was jointly branded and endorsed by Skills for Health, HEE and Skills for Care.

32. Scope of the dementia framework
Tier 3
Tier 2
Tier 1
Skills and knowledge for key staff working with people living with dementia (e.g. experts and those in leadership roles)
Skills and knowledge for staff in roles that have regular contact with people living with dementia
The framework is structured in 3 tiers / levels
Dementia awareness applicable to all those working in health and care

33. Scope of the dementia framework
Tier 3
Tier 2
Tier 1
Core knowledge and skills i.e. that which is common and transferable across different types of service provision
The framework describes core skills and knowledge i.e. that which is common and transferable across different types of service provision. Specialist skills and knowledge are outside the scope of the framework.

34. Structure of the framework
Dementia Core Skills Education & Training Framework
The framework comprises 14 subjects.
Within each subject, the learning outcomes are presented for relevant tiers and social care workforce groups.

35. The following slides show an example of how a subject appears in the document….

38. Structure of the framework
Appendices include:
reference list
sources of further guidance
user guide
suggested standards for training delivery
guidance on frequency of refresher training or assessment
Further supporting information is included in the appendices.

39. Benefits of the framework
Individuals and teams - clear expectations for learners
Trainers/SMEs – clear focus on key learning outcomes required
Employers and commissioners – clear outcomes required from staff development
Education providers – core learning outcomes integrated in the design of education curricula
A minimum standard to enable consistency of training provision
This slide highlights some key benefits of the framework.
Appendix 2 – the user guide – provides further details of how the framework can be used in various contexts…

40. Benefits of the framework
Common core
skills & knowledge for Dementia care
Health
Skills & knowledge
Social Care
Skills & knowledge
This slide highlights some key benefits of the framework.
Appendix 2 – the user guide – provides further details of how the framework can be used in various contexts…

41. Dementia Core Skills Education and Training Framework
Download the framework at:
The framework is now available for download from the SfH web site.
It is freely available at no cost.
In the future we intend to develop tools to provide organisations with the option of mapping their training to the framework and to declare alignment (similar to the current Stat/Man CSTF process). This is still in development.

42. New frameworks in 2016 DH commissioned and funded Mental Health
Core Skills Education & Training Framework
Developed by May 2016
Learning Disabilities Core Skills Education & Training Framework
Developed by May 2016
DH commissioned and funded

43. CSTF frameworks Framework Status Statutory/Mandatory UK CSTF
Updated Sept Due for update by end 2015
Clinical/Care UK CSTF
Launched April 2015
Dementia CSTF
Launched October 2015
Mental Health CSTF
In development: October 2015 to May 2016
Learning Disabilities CSTF

44. Core skills frameworks
Access the current CSTF documents
Download the Directory of Aligned organisations
Or obtain further information from the CSTF web page at:
Colin Wright, Skills Framework Manager:
This slide highlights some key benefits of the framework.
Appendix 2 – the user guide – provides further details of how the framework can be used in various contexts…

45. Break & Networking

46. Core Skills Regional Stakeholder Event
09: Registration
09: Welcome and Overview
- Programme Update
- National Core Skills Update
11: Break
11: Streamlining Initiative
- ROSTA Showcase
- Workshops
- Feedback and Summary
13: Lunch
WIFI Access:
Haydock Guest
Welcome1474

47. Streamlining Initiative
Sally Campbell
Director
CAJA Group

48. Streamlining Staff Movement
Health Education England North established a feasibility project to examine the following:
Potential Benefits of the programme
Progress made in other Regions
Baseline in the Northwest related to SSM
Stock take of progress to date of the NWCSP
Opportunities out of scope of the NWCSP
Options for moving forward

49. Streamlining Staff Movement
Programmes in London, Midlands and the North
Aim: to reduce the time taken to recruit & induct NHS staff
Initiatives focussed on:
Consistency of approach in pre-employment processes
Consistency of approach in Learning and Development utilising Core Skills Programme e.g. induction and care certification

50. Streamlining Staff Movement
Drivers for Change:
Safe and appropriately trained staff
Reduction in expenditure on temporary staff
Sustainable recruitment and retention of staff
Need for consistency of data in relation to staff and staffing

51. Streamlining Staff Movement
Opportunities:
Pre-employment checks - DBS/references/Occupational Health/pay data (inc. protection/progression)
Learning and development - Induction/core skills/care certification
Widen to statutory and mandatory comprehensive NHS staff groups e.g. primary care (not doing so may cause unexpected/unplanned barriers to change)
Widen the programme to include the Integration Programmes

52. Streamlining Staff Movement
Potential Benefits: System
Supports the Integration of Health and social care programme and facilitates team working
Supports closer NHS provider service delivery
Consistency of data with the public/staff/commissioners/Board

53. Streamlining Staff Movement
Potential Benefits: Organisation
Financial savings or staff time released on Temporary staff and HR related administration – London approx. £500K per organisation
Increased confidence in sustainable recruitment and retention
Increased confidence in the ability to deliver safe staffing levels
Increased Staff satisfaction and confidence in the NHS

54. Streamlining Staff Movement
Potential Benefits: Individual
Meeting expectations of a modern, attractive employer
Time focussed on activities which are of value
Reinforcing messages of NHS priorities – integration, efficiency, seamless.

55. Streamlining Staff Movement
Progress and lessons learned in other regions
This is a successful programme releasing valuable staff time, saving money and creating sustainable work places
This is a change management programme
Sovereignty vs scale of impact
Service delivery is now more complex than ever before. To support the changes not to get in the way
Leadership from both the service and the HR profession
Many and varied Data systems: maximisation is the key

56. Streamlining Staff Movement
Baseline data demonstrates variation and potential to improve utilisation of existing systems
39 of the 41 Trusts using Core skills Programme to varying degrees ( 12/13 in GM )
9/10 Higher Education Institutions
> 75 GP practices piloting
All use ESR connecting to least 20 HR IT systems
75% Utilising the OLM

57. Streamlining Staff Movement
Appetite for SSM programme
Place Based : Devo Manc – Health and Social Care Healthy Liverpool Healthier Together – Cheshire Cumbria – success regime
Partnership/locality based: e.g pathology networks
Setting Based: Primary care Higher Education
Function Related: Care Certification

58. Streamlining Staff Movement
Your views are sought in the discussion groups
How can SSM make the most of other programmes? e.g. ROSTA
Where are the ‘early wins’?
What are the potential unintended consequences?

59. ROSTA Showcase Bill Douglas Lee Holmes Head of Applications
North West Commissioning Support Unit
Lee Holmes
Programme Manager
Lancashire Care NHS FT

60. ROSTA Showcase Overview of the System Walk through of the System
User feedback following Beta Testing
Go Live and Rollout

61. ROSTA Overview of the System
Replacement for the Core Skills Register system
Phase 1 & 2 – April 2015 – November 2015
Captures Core Skills training for: - Doctors in Training - Healthcare Students - GP Practice Staff
Phase 3 + Potential to become a Skills Passport
Developed by the NW Commissioning Support Unit

62. ROSTA Walk through of the System
Bill Douglas Head of Applications North West Commissioning Support Unit
Stan Seddon Developer North West Commissioning Support Unit

63. ROSTA User Feedback – Lancashire Care
ROSTA has been successfully used a part of a large scale recruitment event.
Enabled Students applying for a position within Lancashire Care to demonstrate compliance with core subjects.
Major driver for the Corporate Induction streamlining process.
Quick and easy to access the data – no need for students to provide paper copies of certificates.
Students feel part of the wider NHS, as information flows from the education setting into trusts seamlessly

64. ROSTA Go Live and Rollout
Nov 15 - School of Psychiatry Live Data
Dec 15 - Medical Education Live Data
- Pilot GP sites in East Lancs Live Data
Jan 15 - HEIs Live Data
Feb 15 - Practice Education Live Data
Wider organisational access subject to Expression of Interest and completion of Readiness Assessment

65. ROSTA Readiness Assessment
Policies to reference the Core Skills and ROSTA
Data Assurance: Data completeness Data accuracy Data quality
Info Governance: ISPA signed and returned
IT Systems: Min requirements met
Training: Users to undertake training
Approval of Users: By Organisation and NWCSP

66. Workshops

67. Workshops
Recognising previous training at pre-employment How can the Core Skills and wider training such as the Care Certificate be evidenced and accepted during recruitment?
Evaluating the Core Skills education materials How can we evidence the effectiveness of the NW Core Skills education materials and measure their impact?
What other education resources should we develop? Should we support other frameworks and adopt a standardised NW approach and how can we accelerate existing resources?

68. 20 39 17 14 9 10 21 13 26 23 Face to Face eLearning Workbook Blended
Core Skills Subject
No of Trusts
Face to Face
eLearning
Workbook
Blended
Don't know
Conflict Resolution
Level 1 35 20 4 7
Equality, Diversity and Human Rights - Level 1 39 17 3 8
Fire Safety 11 5 1 14
Health, Safety & Welfare 9
Information Governance (England) - Level 1
Infection Prevention & Control 36 2 10 6
Level 2 31
Moving & Handling 38 34 21
Safeguarding Adults 37 13
Safeguarding Children
Resuscitation Adult 26
Resuscitation Paediatric 27 23

69. 16 39 15 18 17 22 19 21 NWCoreSkills In-house National Other
Core Skills Subject
No of Trusts
NWCoreSkills
In-house
National
Other
Don't know
Conflict Resolution
Level 1 35 5 16 4 3 7
Equality, Diversity and Human Rights - Level 1 39 14 15 2 8
Fire Safety 12 1
Health, Safety & Welfare 11 18
Information Governance (England) - Level 1 10
Infection Prevention & Control 36 13 6
Level 2 31 9
Moving & Handling 38 17 34 22
Safeguarding Adults 37
Safeguarding Children 19
Resuscitation Adult 21
Resuscitation Paediatric 27

70. Workshops Feedback and Summary

71. Closing Remarks

72. Lunch & Networking