Health Service Focus

12.11.15

Transforming the workforce to deliver new models of care

Source: NHE Nov/Dec 15

An NHS Providers conference session on the workforce included contributions from Caroline Corrigan, Paul Bytheway, Rachael Addicott and Julie Screaton.

Vanguards don’t need or want a huge wave of fresh clinical roles to deliver new models of care, but instead desire a “transformation” of the current workforce, according to Caroline Corrigan, the recently appointed national workforce lead for new care models at NHS England and Health Education England. 

She was speaking during a strand session on ‘Planning your workforce to deliver new models of care’ at the NHS Providers Conference in Birmingham in November, during which she acknowledged that some new roles are needed, but added: “We need to look at how we refresh, extend, and work with the workforce we have to deliver the workforce of the future.”

Only a few weeks into her new role, she added that vanguards want simple solutions, not more complexity. Those who want change must realise that “spreading at scale” is what makes the difference. 

At the same session, Rachael Addicott, senior research fellow at The King’s Fund and a contributor to NHE, highlighted some challenges facing providers, from the need to balance planning at national, regional and organisational levels to identifying and developing the appropriate skill mix among the workforce. 

She said: “We have heard exciting things about providers working together across a local health economy. For me, this is one of the real opportunities to address these workforce challenges in comprehensive ways. 

“This is about coming together to negotiate with agencies around rates, to plan the workforce across the community and have the adaptability and flexibility where people can move across organisations within that local health economy.” 

Addicott, who also worked on The King’s Fund’s ‘Workforce planning in the NHS’ report, urged strong alignment between those planning the workforce and those planning national strategy and the ambitions of the Five Year Forward View. “We also need greater consistency and understanding on whether we have the workforce to deliver on these new care models,” she said. 

Paul Bytheway, chief operating officer at the Dudley Group NHS FT, discussed the early work of the Dudley Vanguard, which aims to provide integrated, GP-led care across health and social care. 

Based on a multispecialty community provider (MCP) model, the Dudley partnership aims to develop teams working “without walls”, taking shared responsibility for delivering person-centred outcomes. 

“Our new model of working with GPs at the heart is now in place, co-ordinating community-based care,” he said. The hardest barriers to break down have been linked to line management and organisational boundaries. 

“When one team sits across multiple providers, that is where the discussion with people like me tends to be more difficult,” he said. “But you have to keep taking it back to, ‘is the model of care right’? If the patient is at the heart of everything we do, then you must build up from that. 

“Our next steps are around organisational development. Not only with us as the trust, but with GPs in the model, with adult social care and also with voluntary care.” 

He added that integrating teams like adult social care and acute hospital discharge is difficult, because they have completely different structures and ways of working. “But if we are going to merge completely into an MCP, we have to be able to understand each other and have a core set of values to work on,” he said. 

Discussing training and support under the new model, Bytheway said a lot of the roles are not necessarily new, but are instead existing roles “delivered in a different way to maintain the continuity”. 

He explained: “When I qualified as a nurse you couldn’t take blood or do phlebotomy. Within two years, every nurse was taking blood or phlebotomy because of junior doctor issues. Every time you work through a crisis there is a different set of skills that become available to a different set of professionals. Just from the Dudley Group, they were very keen to take those on.” 

Julie Screaton, director for London and the south east at Health Education England, said at a time of workforce shortages, employers must look into why they are failing to retain staff. 

“Our work shows that we can commission 10% more nurses than we do today, but you won’t notice it,” she said. “The biggest single factor in improving the quality of the workforce and your fill rates is retaining what you have got.” 

Trusts should look to develop that loyalty and treat the workforce as “ours” as soon as someone enters their training, Screaton advised.

Tell us what you think – have your say below or emailopinion@nationalhealthexecutive.com

Comments

There are no comments. Why not be the first?

Add your comment

 

national health executive tv

more videos >

latest healthcare news

First NHS trusts introduce NHS SBS’ The Edge4Health

16/01/2020First NHS trusts introduce NHS SBS’ The Edge4Health

A major new procurement platform developed by NHS Shared Business Services (NHS SBS), The Edge4Health, is being adopted by NHS trust staff across... more >
NHS mental health director demands urgent gambling action

16/01/2020NHS mental health director demands urgent gambling action

The director of NHS mental health, Claire Murdoch, has penned a written plea to the heads of top gambling firms, urging them to take action on im... more >
Transforming services: We need a left shift not a left drift

16/01/2020Transforming services: We need a left shift not a left drift

Dean Royles, strategic workforce advisor at Skills for Health and co-author of ‘An Introduction to Human Resource Management,’ discus... more >

editor's comment

25/09/2017A hotbed of innovation

This edition of NHE comes hot on the heels of this year’s NHS Expo which, once again, proved to be a huge success at Manchester Central. A number of announcements were made during the event, with the health secretary naming the second wave of NHS digital pioneers, or ‘fast followers’, which follow the initial global digital e... read more >

last word

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad: ‘We all have a role to play in getting innovations quicker’

Haseeb Ahmad, president of the Association of the British Pharmaceutical Industry (ABPI), sits down with National Health Executive as part of our Last Word Q&A series. Would you talk us th... more > more last word articles >

the scalpel's daily blog

Transforming services: We need a left shift not a left drift

16/01/2020Transforming services: We need a left shift not a left drift

Dean Royles, strategic workforce advisor at Skills for Health and co-author of ‘An Introduction to Human Resource Management,’ discusses the need to move the treatment of patients from primary to secondary care and how the NHS People Plan can help achieve this. Throughout my (overlong) career in the NHS, the national policy on modernising the way NHS services are delivered has been pretty consistent. All recent governments; ... more >
read more blog posts from 'the scalpel' >

comment

NHS England dementia director prescribes rugby for mental health and dementia patients

23/09/2019NHS England dementia director prescribes rugby for mental health and dementia patients

Reason to celebrate as NHS says watching rugby can be good for your mental health and wellbeing. As the best rugby players in the world repr... more >
Peter Kyle MP: It’s time to say thank you this Public Service Day

21/06/2019Peter Kyle MP: It’s time to say thank you this Public Service Day

Taking time to say thank you is one of the hidden pillars of a society. Being on the receiving end of some “thanks” can make communit... more >
Nurses named as least-appreciated public sector workers

13/06/2019Nurses named as least-appreciated public sector workers

Nurses have been named as the most under-appreciated public sector professionals as new research reveals how shockingly under-vauled our NHS, edu... more >
Helpforce to launch training programmes for NHS volunteers

10/06/2019Helpforce to launch training programmes for NHS volunteers

Kay Fawcett OBE, clinical advisor and education lead at Helpforce, and Lynn Twinn, talent development consultant, outline the new national traini... more >
Creating the Cardigan integrated care centre

10/06/2019Creating the Cardigan integrated care centre

Peter Skitt, county director and commissioner for Ceredigion Hywel Dda University Health Board, looks ahead to the new integrated care centre bei... more >

interviews

Mike Farrar, Swim England - Last Word

07/12/2019Mike Farrar, Swim England - Last Word

Mike Farrar Chairperson of Swim England Would you talk us through your previous roles within the NHS? I’ve held a number of ... more >
Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

24/10/2019Matt Hancock says GP recruitment is on the rise to support ‘bedrock of the NHS’

Today, speaking at the Royal College of General Practitioners (RCGP) annual conference, Matt Hancock highlighted what he believes to be the three... more >
NHS dreams come true for Teesside domestic

17/09/2019NHS dreams come true for Teesside domestic

Over 20 years ago, a Teesside hospital cleaner put down her mop and took steps towards her midwifery dreams. Lisa Payne has been delivering ... more >
How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

24/10/2018How can winter pressures be dealt with? Introduce a National Social Care Service, RCP president suggests

A dedicated national social care service could be a potential solution to surging demand burdening acute health providers over the winter months,... more >
RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

24/10/2018RCP president on new Liverpool college building: ‘This will be a hub for clinicians in the north’

The president of the Royal College of Physicians (RCP) has told NHE that the college’s new headquarters based in Liverpool will become a hu... more >