Challenges and Opportunities

East Midlands Public Health Summit17th June 2014

Rowena Clayton

Deputy Director – Workforce

PHE Midlands and East

1 ME EM PHW Summit June

PHE Midlands & EastOne Region & 4 Centres

working with 4 HEE LETBs, 8 NHSE Area Teams & 35 LAs

PHE Region: Professional leadership and support to PH system incl joint appt of DsPH, revalidation & professional guidance and leadership.

PHE Centres: Development of the specialist and wider PH workforce to support LAs on PH workforce and manage PHE relationship with LETBs.

2 ME EM PHW Summit June

Midlands and East Region

PH System – Who is the Workforce

• Diverse PH workforce core or with bearing on PH:– Vary but mappable to PH Skills & Knowledge

Framework (NB may be very senior in own roles)

3 ME EM PHW Summit June

Midlands and East Region

Workforce Level

Higher specialist/senior manager levels: eg DsPH, consultants & specialists, some academics, analysts, scientists, dental, commissioners

8/9

Practitioner levels: egPH practitioners (& advanced), PH nurses (HVs, SNs), EHOs;

5/7

Wider PH workforce: egHealth trainers, advocates, champions in communities and services

1/4

Where are we in PHE Mids & East

• Arrangements in PHE for workforce: – ME Dep Dir & 3 WF Dev Mgrs (2wte) for 4 Centres

– Various PH workforce networks

• Workforce – bare bones M&E data:– DsPH: 33 LAs had a DPH with 2 vacancies

– Specialist training: WM 8, EM 6, EoE 6 – all filled

– Consultants: own count & revalidation data• LA (74 medical, 71 non-medical)• PHE (54 medical, 6 non-medical)• Academics (39)

– Practitioners: at least 100 nationally of which 30 WM

– Analyst and nurse data – in progress

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Midlands and East Region

Challenges• Long standing issues include:

– Agreed PHWF typology and count for planning

– Career framework across PH

– Consistent standards & regulation across PH professions

– Practitioner development - unequal access

– Development of specialised staff

• And add the challenges of PH re-organisation:– LA different environment, culture,

– Maintaining integrated PH (HI/HP/HC) – drift & barriers

– Developing capability to meet challenges - leadership & management

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Midlands and East Region

Opportunities• PH access to the corporate LA body – great potential for

influence, • System leadership initiatives showing impact of multi-

professional teams – new breadth and depth to PH for places and communities,

• PH now positioned across key agencies – identity & reach transcends organisational boundaries. Access to each other – we need to use it,

• Huge opportunity to sort out the longstanding problems, • Development of the whole workforce in an integrated way,

and• Strategic shake-up – LGA, PHE, HEE, FPH etc getting

aligned in ways not seen before.

6 ME EM PHW Summit June

Midlands and East Region