Does Education need transforming for a new world? Ged Byrne

Does Education need transforming for a

new world?Ged Byrne

www.nw.hee.nhs.uktwitter.com/HENorthWest

Our Challenges

• ‘Rapid’ increase in community-delivered care and reduction in secondary care episodes

• Pan-NW reorganisation of service delivery• Skills of today are NOT the skills of tomorrow• Acute shortages in specific areas of service

delivery (e.g. EM and HV)• Ageing population with increase in chronic

disease burden


The call to ‘transformation’• We cannot meet the needs of a transforming service

without transforming the workforce• We cannot transform the workforce unless we transform

BOTH the current workforce and the future workforce• We cannot transform the current and future workforce without

equipping them with the knowledge, skills and attitudes required to deliver care in a transforming world

• We cannot deliver care in the transformed world without transforming the wellbeing of the population

WE MUST TRANSFORM EDUCATION




What do we spend our money on?

13/14 Budget Future Workforce - Postgraduate

Future Workforce - Undergraduate

Future Workforce - Non Medical

Running Costs

Education Support

National Activities

Workforce Development


Funding 13/14Area Sub Area £000's

Undergraduate Medical 99,028

Dental 23,240

Undergraduate Total 122,268

Postgraduate Hospital 177,327

General Practice 52,527

Dental 13,380

Public Health 2,919

Other 18,692

Postgraduate Total 264,845

Non Medical Tuition 125,593

Bursaries 65,494

Workforce Development 33,998

Salary Replacement 20,854

National Activities 42,319

Other 32,375

Non Medical Total 320,633

Corporate (blank) 4,385

Corporate Total 4,385

Grand Total 712,131


Curriculum

• All the focus• < 3% of variance

• Diminishing status

• Few metrics• Little reward

• Tribal• 1940s model• inefficient

Back to basics


21ST CENTURY SKILLS DEFINED

LEARNING & INNOVATION• Creativity & Innovation• Critical Thinking & Problem-

solving• Communication & Collaboration

LIFE & CAREER• Flexibility & Adaptability• Initiative & Self-direction• Social & Cross-cultural Skills• Productivity & Accountability• Leadership & Responsibility

INFORMATION & TECHNOLOGY• Information Literacy• Media Literacy• ICT Literacy


Question 1: How do we know what we have already got?

Healthcare providers, whilst increasingly recognising the importance of education to their own performance and future, lack the knowledge of their own education and training performance (across all professions) compared to other providers and lack the skills (and investment) to transform their educational offer.

Education and training is often not considered as ‘core business’ for healthcare providers

There is often a lack of synergy between the demands of service delivery and education and as a result the cause of many failures in educational delivery are as a result non-coordinated service delivery issues


• We MUST get better at measuring what we can offer

• We must improve as a learning organisation

• We cannot do this in silos


Question 2: What can we offer to learners if the current LEs are substandard?

Current LEs

Clinical and managerial learning environments remain siloed producing unacceptable variability in the quality of education

QA systems for education and training are variable and not fit for purpose

There are many different groups working to identify and enhance learning environments but there is little coordination between them.

www.nw.hee.nhs.uktwitter.com/HENorthWest13

The Learning Environment

“A suitable learning environment is crucial to enable your learners to learn effectively. This involves not only the venue and resources used but your attitude and the support you give to your learners.” (Gravells, 2007, p50)


14

Characteristics of Productive Learning Environments

• A focus on learning – A culture of healthcare learning

• A focus on learners – workplace as learning communities– Personal and social development– Positive workplace climate


The ideal LE


Question2 : What can we offer to learners if the current LEs are substandard?Alternative LEs The business and charitable communities deliver high quality education to selected

groups of healthcare workers

The second and third sectors have limited access to patients or professional ‘opinion leaders’

The quality of highly specific educational opportunities is much greater in the corporate sector than the NHS can afford

The Department for Business Innovation and Skills recognise the healthcare workplace as a much underutilised learning environment for future and current workforce

There is no structure to allow the flow of lifelong learners between the public, second and third sectors


Question2 : What can we offer to learners if the current LEs are substandard?Alternative LEs The workforce is increasingly required to understand the NHS in the context of Global

Health issues

Placements for learning outside of the UK are variably encouraged across professions and employers

The benefits of global health placements are poorly understood by professional leaders and employers

It is likely that an increasing number of health professionals will choose to work for periods of training and service in other non-UK healthcare systems

Opportunities for leaner ‘exchange’ are highly variable between professions


Question 3 : What about teachers?

Service pressures and the quantitative metrication of service delivery over the last decade have devalued the role of teacher/ educator within the health service

Few robust quantitative/ qualitative metrics and KPIs exist or are accepted to rank the performance of educators

Each professional group has examples of good educator practice and innovation but there is no forum for exchange of these good practices between professional groups

No minimum standards exist for educating within the NHS

There is no common portfolio of educational activity available for NHS educators


SO

1. Know what we already have and improve it

2. Find out what we could have and access it

3. Reward and recognise those who deliver it


Mmmmmmmmmmmmmmm

“Education is the most powerful weapon which you can use to change the world.” ― Nelson Mandela

“Education is our passport to the future, for tomorrow belongs to the people who prepare for it today.” ― Malcolm X

“Education is the kindling of a flame, not the filling of a vessel.” ― Socrates

"Education is what remains after one has forgotten everything he learned in school."

- Albert Einstein

http://www.goodreads.com/author/show/367338.Nelson_Mandela

http://www.goodreads.com/author/show/367338.Nelson_Mandela

http://www.goodreads.com/author/show/17435.Malcolm_X

http://www.goodreads.com/author/show/17435.Malcolm_X

http://www.goodreads.com/author/show/275648.Socrates

Documents

Does Education need transforming for a new world? Ged Byrne