Translational research: Building the pathway for collaboration;
An insiders insight David Sallah Health Education England
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www.hee.nhs.uk Why an insider? The future of healthcare and
workforce development Education and training the Challenges
Suggestions for the future Focus of presentation
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www.hee.nhs.uk How do we ensure the education and training is
fit for purpose to deliver high quality care over the next 10-15
years? Question
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www.hee.nhs.uk The Challenges of the Future Changes in Society
More people of all ages living with multiple illnesses A growing
number of older people, many with multiple illnesses The earlier
onset of co-morbidities in those living in deprived areas
Challenging economic circumstances
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www.hee.nhs.uk Changes in Health & Social Care More care
outside the hospital, including self-care and community-care More
focus on prevention More integrated care, with closer working
across divides Increasing use of existing technology Development of
new technology (e.g., genomics)
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www.hee.nhs.uk Changes in Patient Demand 1 9/10 people think
services could be better 1/2 think that patients should be treated
with greater dignity & respect 1/3 worry that services are not
safe 1/4 say that professionals arent interested in their views 1/4
say they arent involved in decisions about their care 1
healthwatch.co.uk
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www.hee.nhs.uk HEE exists for one reason alone to improve the
quality of care delivered to patients. Success criteria
Improvements in safety Improvements in experience Improvements in
clinical outcomes Spreading innovation Around 4.9bn funding Around
10,000 a minute Around 1900 HEE staff supporting.. 91,000 non-
medical pre-reg 44,600 post grad medical and dentistry 23,000 under
grad medical and dentistry Around 159,000 students in system now
Privacy, dignity, respect
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www.hee.nhs.uk HEE Funding & Levers Around 4.9bn funding
annually Around 159,000 students in the system now Spending around
9,500 a minute on Education and Training
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www.hee.nhs.uk Social, political, economic and environmental
Drivers of change
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www.hee.nhs.uk Difficult to predict the future.Nuffield 1999
predictions not all correct The Shape of Training and Caring
Reviews will build upon the outcomes and evidence base of HEE
Framework 15 HEE plans to base long-term workforce strategy on the
anticipated needs of future patients. Three pillars Global Drivers
of Change People and Patients of the future The future workforce
HEE Strategic Framework 15
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www.hee.nhs.uk Five years NHS Five Year Forward View: ` Greater
focus on prevention Patients will gain far greater control of their
own care Barriers will be broken down in the NHS New care
delivering models, including development of integrated
out-of-hospital care Multi-specialty Community and Health &
Social Care Providers Need to invest in primary care, including
community nurses Enhancement of technology and exploiting
technology revolution
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www.hee.nhs.uk WORKING TO ACHIEVING PARITY IN PRACTICE
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www.hee.nhs.uk Parity in Practice Our goal: A workforce that..
Is psychologically minded Applies mindfulness approaches in
practice Practices safely and reflectively Takes a life course
approach to learning & practice Able to treat mental and
physical health as interconnected wellbeing priorities
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www.hee.nhs.uk The domains of the EOF: Domain 1: excellent
education Domain 2: competent and capable staff Domain 3: flexible
workforce, receptive to research and innovation Domain 4: NHS
values and behaviours Domain 5: widening participation Delivering
the NHS Education Outcome Framework
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www.hee.nhs.uk DEFINITION OF TERMS The long-term effects on
later health or disease risk of physical or social exposures during
pre conception, pregnancy, childhood, adolescence, young adulthood
and later adult life Facilitate staff development so that they meet
the needs of people who use services effectively and ensure equal
access to education and training for all staff Promote multi
disciplinary learning and skills development Provide a coherent
learning and teaching platform from where further improvements and
impact of education and training on outcomes for people could be
measured Life Course Approach Psychological mindedness (PM) refers
to a person's capacity for self-examination, self-reflection,
introspection and personal insight. It is the ability interest and
ability to be in touch with and reflect on his or her psychological
states and processes. Psychological mindedness The state of being
attentive to and aware of what is taking place in the present
Examples of Interventions: Acceptance & commitment therapy;
dialectical behavioural therapy; Mindfulness-based Cognitive
therapy and Stress reduction; Mindfulness
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www.hee.nhs.uk Education and Practice Why are we thinking
differently? Aiming to link education and training to practice Able
to link staff behavioural change to improved outcomes for patients
and their carers Make training and education a front line issue
Provide the evidence base for effectiveness of education and
training Create world class model of education and training
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www.hee.nhs.uk Not starting from scratch NMC Revalidation
Consultation Francis Report Prime Ministers Commission Cavendish
Report Willis Report
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www.hee.nhs.uk Raising the bar !!!!!!! For everyone care
assistants to academics!
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www.hee.nhs.uk Moving from Current Model Providers decide the
nature of education Takes most initiatives to update content Wide
education/research and practice gap Most research stops at the
point of writing the final report The Future Model HEI act as a
service provider Aim to build long term relationship Aim to close
the education/research and practice gap Improve on knowledge
exchange Contribute to improving patient care Transforming the
Education and Practice Landscape
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www.hee.nhs.uk The process by which a providerr changes its
business model to provide a holistic solution to the customer,
helping the customer to improve its competitiveness, rather than
just engaging in a single transaction through the sale of a
physical product. Servitization is the process by which the
organization changes from being just focused on products... to
being focused more around the delivery of a capability.
SERVITIZATION
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www.hee.nhs.uk To really get the value out of it, youve got to
change your business model. Change your people. Change your
processes to take advantage of the technologies. SERVITIZATION
Visit www.aston-servitization.comwww.aston-servitization.com
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www.hee.nhs.uk
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The Future of Healthcare: Developing the workforce Many of
tomorrows workforce are here today. Much greater priority needs to
be given to developing the skills and competences of the current
workforce, to better meet the needs of patients today and tomorrow.
Without building capacities and capabilities in our workforce for a
world of continuous change and emergence of new roles and
possibilities we risk being perpetually out of step and continually
rebuilding our workforce to do yesterdays, not tomorrows, health
care work. Kings Fund, NHS & Social Care for now and for the
future