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

North West Core Skills ProgrammeRegional Stakeholder Event

Wednesday 11th November 2015

Core Skills RegionalStakeholder Event

09:00 - Registration

09:30 - Welcome and Overview

- Programme Update

- National Core Skills Update

11:00 - Break

11:20 - Streamlining Initiative

- ROSTA Showcase

- Workshops

- Feedback and Summary

13:00 - Lunch

WIFI Access:Haydock GuestWelcome1474

Welcome and Overview for the Day

Rachael CharltonDirector of HR and Organisational DevelopmentEast Cheshire NHS Trust




- Programme Update


11:00 - Break


- ROSTA Showcase

- Workshops


13:00 - Lunch


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

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

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

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

Programme Update

Seán BradburyProgramme ManagerHealth Education North West

Emma TurnerProgramme Manager

NW Core Skills Programme

Programme Update

Programme Structure

Current Position of Organisations

Future Direction and Priorities

Programme StructureSeán’s new role in HENW

1 of 3 Programme Managers

Portfolio Includes: ▪ Maximising Systems ▪ TEL (eLearning & Simulation) ▪ Gamification ▪ Curriculum Development Education

CommissioningWorkforce

Transformation

EducationTransformation

WorkforceStrategy &Planning

Programme StructureEmma’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: 07506704235

E-mail: [email protected]

mailto:[email protected]

Team Structure

Programme Manager

Emma Turner

ProjectManager

Programme Office Manager

TechnicalOfficer

Apprentice

Current PositionRecent 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

Current PositionSummary of Results - Alignment

Survey responses from 35 out of 41 trusts 85%

Based on survey and previous declarations:

39 / 41 trusts Core Skills aligned 95%

Nov 14: 36 / 40 trusts Core Skills aligned 89%

9 /10 HEIs delivering Core Skills 90%

79 / 84 Healthcare Programmes 94%

NW PGMD E (F & ST) delivering Core Skills

Approx 100 GP Practices delivering Core Skills

Current PositionSummary 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%

Core Skills SubjectNo of Trusts Face to Face eLearning Workbook Blended Don't know

Conflict ResolutionLevel 1 35 20 4 0 4 7

Equality, Diversity and Human Rights - Level 1 39 4 17 3 7 8

Fire SafetyLevel 1 39 11 5 1 14 8

Health, Safety & WelfareLevel 1 35 9 9 3 9 5

Information Governance (England) - Level 1 39 5 14 1 11 8

Infection Prevention & ControlLevel 1 36 9 9 2 10 6


Moving & HandlingLevel 1 38 9 10 2 10 7

Moving & Handling Level 2 34 21 0 0 7 6

Safeguarding AdultsLevel 1 37 7 13 1 8 8

Safeguarding ChildrenLevel 1 38 6 13 3 8 8


Resuscitation Adult Level 2 31 26 0 0 2 3

Resuscitation PaediatricLevel 2 27 23 0 0 1 3

Current PositionSummary 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%

Current PositionSummary 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 12 6

Org Authorisation 7 4

Self Declaration 1 0

Future DirectionSurvey 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%

Clinical SkillsSubjects

Applicable to Trust Already Deliver Existing Resources

Yes No / Unsure Yes No Yes No

Your Healthcare Career 21 7 12 10 13 6

Duty of Care 24 5 17 6 17 3

Person-centred care 24 4 17 6 17 4

Communication 27 2 22 4 22 2

Consent 27 2 21 5 21 3

Privacy and dignity 26 2 20 5 20 3

Fluids and nutrition 25 4 19 7 20 4

Dementia awareness 27 3 24 2 24 1

Blood component transfusion 21 8 19 6 20 4

Future DirectionExisting 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

National Core Skills Update

Colin WrightNational Skills Framework ManagerSkills for Health

UK CSTF data

Maintaining and updating Stat/Man CSTF

New core skills frameworks

Future plans

National Core Skills Update

CSTF data Oct 2014 Oct 2015Individual registrations 1,241 1,718

Organisations aligned to Stat/Man CSTF

Country/Region NHS Other TotalEngland: NORTH WEST 36 11 47England: LONDON 36 1 37England: THAMES VALLEY & WESSEX 19 4 23England: WEST MIDLANDS 22 0 22England: KENT SURREY & SUSSEX 9 4 13England: EAST MIDLANDS 10 1 11England: EAST OF ENGLAND 10 1 11WALES 10 0 10England: SOUTH WEST 5 1 6England: YORKSHIRE AND THE HUMBER 1 0 1England: NORTH EAST 0 0 0NORTHERN IRELAND 0 0 0SCOTLAND 0 0 0

Total 157 23 180

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)

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

CSTF framework developments

Framework Status

Statutory/Mandatory UK CSTFLaunched March 2013Last updated September 2014

Clinical/Care UK CSTF Launched April 2015

Dementia CSTF Launched October 2015

Mental Health CSTF In development

Learning Disabilities CSTF In development

Clinical/Care CSTF

Clinical/Care subjects (launched April 2015):

1.Your health career

2.Duty of care

3.Person-centred care

4.Communication

5.Consent

6.Privacy and dignity

7.Fluids and nutrition

8.Dementia awareness

9.Blood component transfusion

CSTF SubjectsEquality, diversity and human rightsInfection prevention and control (Level 1)

Safeguarding adultsSafeguarding children Level 1 and 2ResuscitationInformation governance (England)Health, safety and welfare / Fire safety / Moving and handling

Care Certificate StandardsEquality 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 CareWork in a Person Centred Way Communication

Privacy and Dignity

Fluids and Nutrition

Awareness of mental health, dementia and learning disability

Your health career

Duty of Care

Person Centred CareCommunication

Privacy and Dignity

Fluids and Nutrition

Dementia awareness

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

Dementia awareness applicable to all those working in health and care

Scope of the dementia framework

Scope of the dementia framework

Core knowledge and skills i.e. that which is common and transferable across different types of service provision

Structure of the framework

Dementia Core Skills Education & Training Framework

Appendices include:

•reference list

•sources of further guidance

•user guide

•suggested standards for training delivery

•guidance on frequency of refresher training or assessment

Structure 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

Benefits of the framework

Benefits of the framework

HealthSkills & knowledge

Social CareSkills & knowledge

Common coreskills & knowledge for Dementia care

Download the framework at: www.skillsforhealth.org.uk/dementia-download

Dementia Core SkillsEducation and Training Framework

http://www.skillsforhealth.org.uk/dementia-download

• DH commissioned and funded

New frameworks in 2016

Mental HealthCore Skills Education & Training Framework

Developed by May 2016

Learning Disabilities Core Skills Education & Training Framework

Developed by May 2016

CSTF frameworks

Framework Status

Statutory/Mandatory UK CSTFUpdated Sept 2014Due 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 In development: October 2015 to May 2016

Core skills frameworks

• Access the current CSTF documents• Download the Directory of Aligned organisations• Or obtain further information from the CSTF web page at:

http://www.skillsforhealth.org.uk/services/item/146-core-skills-training-framework

Colin Wright, Skills Framework Manager:[email protected]



mailto:[email protected]

Break & Networking




- Programme Update


11:00 - Break


- ROSTA Showcase

- Workshops


13:00 - Lunch


Streamlining Initiative

Sally CampbellDirectorCAJA Group

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


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


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


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


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


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


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.


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


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


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


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?

ROSTA Showcase

Bill DouglasHead of ApplicationsNorth West Commissioning Support Unit

Lee HolmesProgramme Manager

Lancashire Care NHS FT

ROSTA Showcase

Overview of the System

Walk through of the System

User feedback following Beta Testing

Go Live and Rollout

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

ROSTA Walk through of the System

Bill Douglas

Head of Applications

North West Commissioning Support Unit

Stan Seddon

Developer

North West Commissioning Support Unit

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

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

ROSTA Readiness Assessment

1. Policies to reference the Core Skills and ROSTA

2. Data Assurance: Data completeness

Data accuracy

Data quality

3. Info Governance: ISPA signed and returned

4. IT Systems: Min requirements met

5. Training: Users to undertake training

6. Approval of Users: By Organisation and NWCSP

Workshops

Workshops

1. 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?

2. Evaluating the Core Skills education materials

How can we evidence the effectiveness of the NW Core Skills

education materials and measure their impact?

3. 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?

Core Skills SubjectNo of Trusts Face to Face eLearning Workbook Blended Don't know















Core Skills SubjectNo of Trusts

NWCoreSkills In-house National Other Don't know















Workshops Feedback and Summary

Closing Remarks

Lunch & Networking

Documents

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