1. Workforce Strategy 2010 - 2013 Lesley Metcalfe Tracey Lewis

2. Rationale NHS Efficiency savings by 2013/4 Cost saving to Trust over 3 years NHS Operating Framework Darzi review Excellence in Healthcare

3. Strategy Themes 1.Planning 2.Lead by Example 3.Staff Engagement 4.Workforce Profile 5.Whole Systems Approach 6. Talent 7. Working in Partnership 8. Maximising Levers 9. Communication and Engagement 10. Co-operation with wider community partners

4. 1. Planning Projected numbers and costs for next 3 years Methods to change the shape of the workforce including new roles (ANP and TAPs)

5. 2. Lead by Example Integrated Leadership and Management from Board to Ward Leadership strategy review integrating WEHS and concordat approach Board level commitment to implementing new roles

6. 3. Staff Engagement Aligning employment aspirations with corporate objectives Staff satisfaction New roles – career pathway for our clinical staff All staff engaged in plans re new roles

7. 4. Workforce Profile Turnover £250m (of which 74% is pay) 12% staff turnover in last 2 years Age profile Reduction in medical trainees /EWTR Implementation of new roles Savings via workforce to include:- Non core spend, skill mix changes,

8. 5. Whole Systems Approach WEHS New technology – CERNER/ESR Streamlining Care Pathways Eliminating waste Improving attendance Maximising benefits of new roles

9. 6. Talent Recruitment and Retention of right staff Training and Organisational readiness Learning and development strategy and educational governance arrangements Maximise the benefits the role of Assistant Practitioner Maximise the benefits of the role of Advanced Practitioners Review profile of doctors in training

10. 7. Working in Partnership External Apprenticeships, Graduate opportunities, NHS Northwest Local Universities Internal All staff

11. 8. Maximising levers already in place Voluntary severance/flexibility Pay restraints Maximising national and local terms and conditions of service/performance management systems

12. 9. Communication and Engagement Internal communications strategy/staff consultation and engagement –5 P’s People, Progress, Policy, Performance, Procedure

13. 10. Co-operation with partners in wider community COCH – Joint Collaboration Board

14. Benefits of new roles Sept 2012 –11 Trainee ANPs Sept 2012 –10 TAPS Evaluation of progress with recommendations for future