Workforce change in long term conditions

Aims of this event Brief project managers on context Scope the skills gaps Discuss workforce planning tools that may be used in

implementing the project

Workforce change in long term conditions

National context Govt has achieved initial goals in modernising NHS Recognition of growth in long term conditions and

importance of broader public health agenda Choice and personalised care

Workforce change in long term conditions

Supporting people with long term conditions – goals To develop a systematic approach to the care and

management of people with a long term condition To shift care into primary settings To improve the quality of care – the most intensive care in

the least intensive setting

Workforce change in long term conditions

Supporting people with long term conditions - model

Major thrust of Government policy Announced in NHS Improvement Plan NSF NHS and social care long term conditions model

Workforce change in long term conditions

Supporting people with long term conditions - targets

Reduce emergency bed days by 5% by 2008 Increase the number of older people to live at home by 1%

a year in 2007 and 2008 Appoint 3,000 Community Matrons by March 2007

Workforce change in long term conditions

Supporting people with long term conditions - enablers

NPfIT NGMS and other new contracts Practice Based Commissioning Expert Patient Programme Payment by Results Health Act Flexibilities Agenda for Change

Workforce change in long term conditions

Supporting people with long term conditions – delivery (1)

Identify people with LTCs and stratify (the Kaiser pyramid) Focus on very high intensive users through a case management

approach Appoint community matrons to spearhead this approach Develop a system to identify likely very high users Establish multi-professional teams with support of specialist advice Develop comprehensive self care initiatives Build on existing tools and techniques

Workforce change in long term conditions

Supporting people with long term conditions – delivery (2)

Network of services in health, social careand the independent sector

Case managers – community matrons

People with LTCs

Workforce change in long term conditions

Supporting people with long term conditions – workforce (1)

Community matrons – authority to secure services, competencies etc Other practitioners in the network eg community pharmacists, PwSIs, physios Not just roles and responsibilities Integrating services and breaking down boundaries Shift in culture esp. around enabling and empowering self care and self

management Skills in engaging and empowering communities esp. disadvantaged ones

(ECLN) New enhanced roles in case management and across the network of care

providers

Workforce change in long term conditions

Supporting people with long term conditions – workforce (2)

Good examples of changing workforce Lots of tools for changing the workforce Real scope for local initiative and innovation

Conclusion Supporting people with long term conditions represents a

major shift in approach It is at the heart of Government thinking and approach To succeed it is much, much more than introducing

community matrons This is a real opportunity to improve services, achieve

major organisational change and change the workforce to meet the needs of the people we serve