Update on MSC educational provision – PTP, STP and HSST National picture

1. Update on MSCeducational provision – PTP, STP and HSST National picture East Midlands LETB HCS Summit 10th October 2013 Dr Sharon Harrison Modernising Scientific Careers Team Health Education England, National Programmes

2. Overview • Overview of Higher Specialist Scientific Programme (HSST) , Scientist Training Programme (STP) and Practitioner Training Programme (PTP) • Highlight infrastructures supporting programmes • Highlight challenges • Pose questions for the East Midlands to consider

3. Healthcare Science Specialisms: 4 Divisions but now “themed” ~50,000 in HCS WF; 62% female; 40% > 45 yr; 19% BME origin; recognised as part of the wider science sector From Assistants/Associates (CF2-4) Consultant Clinical Scientists Physical Sciences and Biomedical Engineering Physiological Sciences Clinical Bioinformatics including Life Sciences • Biomechanical engineering • Clinical measurement & Development • Clinical Pharmaceutical Science • Diagnostic radiology & MR physics • Equipment management & clinical engineering • Medical electronics & instrumentation • Medical engineering design • Clinical photography • Nuclear medicine • Radiation protection & monitoring • Radiotherapy physics • Reconstructive Science • Rehabilitation engineering • Renal dialysis technology • Ultrasound & non-ionising radiation • Genomics • Physical Sciences • Health Informatics • Pathology • Physiological Informatics • Analytical Toxicology • Anatomical pathology • Blood transfusion science/transplantation • Clinical biochemistry including paediatric metabolic biochemistry • Clinical genetics/Genetic Science • Clinical embryology & Reproductive Science • Clinical immunology • Cytopathology including cervical cytology • Electron microscopy • External quality assurance • Haematology • Haemostasis and thrombosis • Clinical Immunology • Histocompatibility & immunogenetics • Histopathology • Microbiology • Molecular pathology of acquired disease • Phlebotomy • Tissue banking • Audiology • Autonomic neurovascular function • Cardiac physiology • Clinical perfusion science • Critical care science • Gastrointestinal physiology • Neurophysiology • Ophthalmic and vision science • Respiratory physiology • Urodynamic science • Vascular science Many of these disciplines require small workforcenumbers and provide highly specialist services. These specialisms are within the health and social care system in the UK inclusive of the NHS, Public Health England and the NHS Blood &Transplant service and in the private & third sector delivering NHS services for patients Apr 2013

4. “We intend to support the development of curricula for top-level scientists working in areas relevant to each college’s field of interest, as part of the Modernising Scientific Careers (MSC) programme. These curricula will be developed by both scientists, currently working at an appropriate level in the relevant field, and medically trained colleagues.......” • Supported by the Academy of Medical Royal Colleges (March 2012) Higher Specialist Scientific Training Part of Modernising Scientific Careers model

5. Higher Specialist Scientific Training (HSST) • a 5 year workplace programme underpinned by a doctoral level award • trains an expert senior scientist workforce for roles as Consultant Clinical Scientists in a range of areas to lead, innovate, co-ordinate care & translational research • curricula at similar standard to that of higher medical specialty training (12 & more to come) • developed through the facilitation of the medical royal colleges and approved through their systems (AoMRC Statement on website) • external educational review through IOE • FRCPath and equivalent outcomes for other specialisms developed through MRCs and NSHCS

6. HSST Roles? – What’s the Service Need

7. Initially identified HSST Specialities

8. HSST - Next Steps • Final review of front piece by MSC /HEE Team • Assessment methodology emerging • focus on assessing innovative practice • challenge to assess the science & Leadership • patient involvement seen as key • Doctoral award being designed • Funding model being finalised – shared Employer/LETB at ING • AESP modules need developing - HSST trainees will use. • Workforce plans to reflect new roles – ?some from 2014 • Scoping being undertaken by LETBs • Work to commence with NHS Employers to develop guidance for employers on the appointment process for consultant clinical scientists • 20 part funded fellows in Jan 14 and then formally commissioned for 2014/15

9. Scientist Training Programme (STP)

10. Commissioned STP Masters in Clinical Science (2013) Salford University Birmingham University

11. Scientist Training Programme (STP) • Third year of recruitment – 10 MSc Providers in England, 1 in Wales (Swansea) • Now have STP trainees in England, Wales and Northern Ireland • Four new programmes starting 2013: • Reconstructive Science – 10 trainees • Clinical Pharmaceutical Science – including Radiopharmacy with • 10 trainees • Clinical Bioinformatics with specialisms in: Genomics • Bioinformatics for the Physical Sciences (starting 2014) which • includes mathematical modeling of biological systems • Critical Care Science

12. Total STP posts appointed 20137773 applications received721 invited to interview 260 posts filled: 227 via direct entry 33 in-service posts

13. Practitioner Training Programme (PTP)

14. BSc Healthcare Science offer distribution following 2013 accreditation ( ) Life Sciences Physiological Sciences Physical Sciences & CE

15. Number of Accredited BSc Healthcare Science programmes at September 2013 (22 HEI providers)

16. Training Healthcare Science Practitioners • first degree programme (BSc) in one of several themes, exposing the student to a range of related HCS specialisms and workplace placements - but only one group has statutory regulatory • funded by “shared investment” from student funding (HEI component), NHS placements and variable additional ad hoc support • only NHS accredited HEI programmes • currently issues with some programmes, especially around recruitment and workplace placements • Currently over 1000 students on programmes

17. New HEI participants (Physical Sciences) in the PTP market • MSC accredited programme at the University of Liverpool, Radiotherapy Physics Nuclear Medicine and Radiation Physicsstarting October 2014 • MSC accredited programme at CumbriaUniversity, Radiotherapy Physics Nuclear Medicine and Radiation Physics Programme starting January 2014 • MSC approved Graduate Diploma (Cumbria University) route starting in January 2014 in Radiotherapy Physics and Nuclear Medicine. • 2 intakes, addressing short term workforce need until undergraduate programmes delivering • 2 year programme completing same workplace learning as PTP • HEI provider for Graduate Diploma commissioned • Part commissioned/part employer funded • Local Education and Training Boards (LETBs) have 32 expressions of interest for January 2014

19. The CHS was set up formally in October 2012 with funding and support from the Chief Scientific Officer. Chaired by Professor Wendy Purcell Plymouth University Have agreed a constitution and a 49-member council actively champion and promote the unified concept and profile of academic healthcare science within the HE sector enable strategic discussion on academic healthcare science issues, including career pathways, capacity and capability building and programme development ensure the HE sector is informed about development in healthcare science education, research and innovation Set up PTP and STP Special Interest Group Council of HCS in Higher Education

20. Healthcare Science nomenclature Perceptions of Healthcare Science PTP Special Interest Group and CHS Member Survey • The chair requested that the PTP group consider the name ‘healthcare science’ and whether this is appropriate. • The survey was designed to understand perceptions of the term Healthcare Science and collect further information on the marketing of the PTP programme.

21. How do you consider the title ‘Healthcare Science’ to haveimpacted recruiting students to PTP programmes in 2012/2013?

23. Survey Conclusions- for further discussion • Overall while there is not strong support for the title Healthcare Science, there seems to be little consensus regarding an alternative title. • It is also acknowledged that there is little understanding of what a career in Healthcare Science involves and the variety of professions that it encompasses. • Some respondents suggested referring to the Healthcare Science subdivisions within degree titles may help to support recruitment. • There may be a need to consider how Healthcare Science as a concept can be clarified to prospective students.

24. Next steps for the CHS

25. PTP promotion and publicity Classroom Medics have been visiting hospitals around the UK filming the 45 specialism's of Healthcare Science careers that are often overlooked by schoolchildren. http://www.classroommedics.co.uk/ • Commissioned to deliver sessions to schools across country • Commissioned NHS Careers to develop Ambassador toolkit (available online) • Healthcare Science Leaflet, year 13 in 2012/13 as part of Step into the NHS campaign. • for 2013/14 leaflet to include case studies of PTP graduates in employment • Worked with careers to update website - ongoing • Visiting HEIs on proportionate touch visits collecting good practice • HEI Council role – PTP Special Interest Group

26. Headlines • First graduates of PTP - Manchester Metropolitan University CVRS employed (with multiple offers) • Bradford Genetics students 100% employed, some in band 7 jobs (predicted 1st and 2:1’s) • Reports from SW that the PTP (Audiology) students were more advanced at their level 2 placement than the BSc students had been for their 3rd year sandwich placement. • Students enjoying the courses, particularly the practice placements • Overall recruitment picking up (in most areas) • Reported higher calibre of students

27. Challenges Workforce supply • Arrangements need to be developed to enable better matching of workforce need with recruitment to programmes across the country both in terms of potential under and over supply. Practice Placement Capacity • Placement capacity continues to be an issue for several academic providers and the MSC team is encouraging networks of providers from across the country to come together to support particular programmes, especially where there is in effect one national provider, for example clinical engineering. Placement Tariff • Capacity issues are compounded by HCS currently being excluded from the placement tariff Marketing • The Council of Healthcare Science in Higher Education (CHS) have surveyed members to understand perceptions of healthcare science, and how HCS programmes are marketed by universities. The aim being to identify and share good practice and look for solutions to develop better student recruitment and retention strategies.

28. Next Steps: The Review Alignment with HEE’s strategic approach • Education Outcomes Framework (EOF) Market management • Workforce planning and demand versus supply Funding model • Commissioning arrangements and potential for changing to NHS funded commissioning model • Placement tariff • Student support arrangements Programme structure • Use of OLAT • Curricula review

29. Questions PTP • Is the current model of “shared investment” correct? • Should the PTP (a first degree programme) be funded as equivalent programmes for nurses & AHPs? • Is current funding likely to have on-going impact on recruitment into some specialisms as appears to currently be the case? • How can we better match supply & demand? • How can you support the PTP in the East Midlands

30. Web Links Council of Healthcare Science www.councilofhealthcarescience.ac.uk National School of Healthcare Science http://www.nshcs.org.uk/ Academy for Healthcare Science http://www.ahcs.ac.uk/ Details of the MSc Clinical Science Curricula and STP Work Based Learning Guides http://www.networks.nhs.uk/nhs-networks/msc-framework-curricula/stp Details of the PTP Programme, including curricula and work based training manuals. http://www.networks.nhs.uk/nhs-networks/msc-framework-curricula/ptp-1