NHS Education for Scotland Annual Review 2013

1. NHS Education for Scotland Annual Review 2013

2. Welcome

3. Dr Lindsay Burley Chair

4. Malcolm Wright Chief Executive

5. NES Vision and Mission • Our vision is Quality Education for a Healthier Scotland • Our mission is to provide education that enables excellence in health and care for the people of Scotland. • Our core business is to ensure that services that are safe, effective and person centred are provided by staff who have been trained to appropriate standards, are in the right place at the right time and who are kept engaged and up to date through access to continuing development and training.

6. NES Way of Working • Consult closely with NHS Boards at an individual and regional level through our strategic engagement process to achieve a common understanding of what we need to do to support them. • Maintain strong links with UK regulatory bodies, professional bodies, Royal Colleges and other important organisations such as Health Education England. • Closer to home the Scottish Funding Council (SFC) and the Scottish Social Services Council are key partners, and we work closely with Scotland’s Colleges and Universities, Skills for Health, COSLA, and Skills Development Scotland.

7. Our vision is that by 2020 everyone is able to live longer healthier lives at home, or in a homely setting. We will have a healthcare system where we have integrated health and social care, a focus on prevention, anticipation and supported self management. When hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm. Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions. There will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission. NHS Scotland 20:20 Vision

8. 2020 Workforce Vision – Priority Areas • To develop and ensure: • an integrated workforce; • a sustainable workforce; • a capable workforce • effective leadership and management • a healthy organisational culture

9. Implications for NES • Improving digital education • Providing national leadership and management development to enable positive change • Building improvement capacity and capability • Improving access to education, in particular support workers • Providing workforce analysis, intelligence and modelling • Developing workplace learning environment

10. NES Core Disciplines • Medicine • Nursing, Midwifery and Allied Health Professionals • Dentistry • Pharmacy • Psychology • Healthcare Science • Optometry • Leadership and Management • Healthcare Support Workers

11. Medicine • Strategy for Attracting and Retaining Trainees • Recognition and approval of Trainees • Recognition and approval of Trainers • Revalidation • Shape of Training Review • Single Scottish Deanery

12. Nursing, Midwifery and Allied Health Professionals

13. Practice Education Infrastructure • Pre-registration Nursing and Midwifery • Scottish Collaboration for the enhancement of pre- • registration Nursing • Pre and post registration transition • Post registration and CPD • Family Nurse Partnership

14. Practice Education Infrastructure We continue to deliver on our strategies with a key aim of getting access to education closer to practice. We have continued to build up a very strong practice education infrastructure of Practice Education Facilitators and Practice Educators supporting mentors, students and Band 5&6 nurses and midwives in direct care giving roles. Not only are we providing support for the learning environment within NHS but the PEF model is now extended to Care Homes – ensuring staff have access to education and can provide robust learning experience for students. The Practice Educators are working within the Boards to ensure access to education around key priority areas for example, dementia, care of older people in acute care, person centred care.

15. Pre-registration Nursing and Midwifery NES continues to lead the Recruitment and Retention Delivery Group, working closely with universities and NHS Boards to support a range of initiatives targeted at increasing the completion rates of students on pre-registration programmes in Scotland. We now have robust data and a reporting system which clearly demonstrates a significant improvement in the recruitment and the retention of students on pre-registration nursing and midwifery programmes in Scotland. We are seeing a real improvement in completion rates and in the number of newly qualified nurses and midwives ready for employment in Scotland.

16. The Scottish Collaboration for the Enhancement of Pre-Registration Nursing (SCEPRN) • NES supports an innovative and active national group representing all the Scottish HEIs that offer pre-registration programmes. The Programme Leaders from each university are represented on the group which is supported by NES to take forward collaborative projects which have mutual benefit across the programmes. • This year NES and the SCEPRN Group hosted a unique conference led and delivered mainly by undergraduate nurses. Sessions included: • Ways of teaching and learning   • Professionalism and fitness for practice • Practice learning               • Meaningful engagement with service users and careers • The keynote address, focussed on the link between career-long professionalism and the quality of care, was delivered by Professor Brian Webster, Assistant Dean at the Faculty of Health, Life & Social Sciences, Edinburgh Napier University.

17. Bridging Pre-registration and post registration education for NMAHPs • Flying Start • Effective Practitioner

18. Supporting Post Registration education and CPD Last year NES provided £500,000 to NHS Boards for community nurses and health visitors. The funding supported a range of educational opportunities linked to the early years and to health and social care integration. The AHP Career Fellowship Scheme Person Centred Care – Values Based Reflective Practice

19. Family Nurse Partnership The Family Nurse Partnership National Unit now part of NES with the team rolling out the programme in line with the policy across. Recent visit from Professor David Olds, founder of FNP from University of Colorado, commended the developments of the programme within NES

20. Support for support workers

21. Who are ‘support workers’? • Staff working in support roles make up more than 40% of the NHSS workforce. • Most working in one of 3 main areas: • Administrative services (approx 20,000) • Clinical healthcare support roles (approx 20,000) • Estates & facilities services (approx 20,000) • Delivering very different services but overarching education issues and challenges very similar

22. Issues and challenges • Lack of clear definition of the knowledge and skills needed at different levels within each area – and the type and levels of education needed to support these • Most learning takes place in or near the workplace, but is not formally recognised, making it difficult to build on and ensure progression in learning • Many staff may not have participated in formal learning since school, and may need additional support to participate successfully in education • There is a need to ensure the skills of the future workforce as we move forward

23. NES’s approach to the issues and challenges • Co-production: A focus on growing solutions in partnership with the service and the education sector • Maximising the benefits of existing systems and resources: Building on and adding value to what’s already there • Reducing duplication of effort through sharing: Developing a national resource built on local developments • Promoting informed ‘choosing’: Ensuring that staff, managers and planners have the understanding and access to information needed to make informed choices about learning

24. Examples of current / recent work

25. Cross Discipline Work

26. CLEANLINESS CHAMPIONS PROGRAMME

27. Cleanliness Champions Programme Largest unique education programme of its kind available internationally. Programme comprises 9 learning units including topics such as the chain of infection, hand hygiene, personal protective equipment and waste disposal. The programme content has been customised for dental services, the Scottish Ambulance Service and medical and dental undergraduates.

28. Where are we now? • Anyone working in healthcare can be a Cleanliness Champion • To date: • 31,500 NHS Scotland staff registered on the programme • 16,600 + Cleanliness Champions to date within health boards • Approx. 2,000 undergraduate students/year.

29. Impact of Cleanliness Champions Programme on MRSA incidence rates

30. PROMOTING EXCELLENCE IN DEMENTIA CARE

31. Promoting Excellence in Person Centred Dementia Care and Support • Partnership between: • NHS Education for Scotland • Alzheimer Scotland • Scottish Social Services Council • To develop a knowledge and skills framework for all health and social care staff

32. Bespoke Dementia Learning Resources • Dementia Skilled – Improving Practice • Informed about Dementia DVD – Improving Practice • Promoting Excellence: Guidance for Trainers and Educators • Acute Care Dementia • Dementia Care in the Emergency Department

35. Training Programmes • 1,430 health and social care staff completed a variety of training programmes • Acute Hospital Dementia Champions • Psychological Therapies and Interventions • Palliative Care • Support following a diagnosis of dementia

36. Dementia Champions

37. Dementia Managed Knowledge Network

38. Quality Improvement Education

39. Aims: To provide ongoing support for development of learning in quality improvement To describe knowledge and skills needed to continually improve services To enable access to appropriate learning and development resources Quality Improvement Curriculum Framework

40. Improvement Skills Model Kaiser Permanente Improvement Skills Model NHS Scotland Quality Improvement Workforce Development Model

41. Quality Improvement Educational Resources • E-learning modules • Internal Training courses • External Training Courses • Improvement Advisor (IHI) • Improvement Science in Action (IHI) • Lean (GE and Atos) • Collaboratives • Scottish Patient Safety Programme (SPSP) • SPSP Fellows • Person Centred Health & Care • Early Years

43. NHS Scotland QI HubWeb site usage August 2012- March 2013

45. Center for the Developing Child Harvard University 2008

46. Center for the Developing Child Harvard University 2008

47. The Early Years Collaborative - Ambition • To make Scotland the best place in the world to grow up in by improving outcomes, and reducing inequalities, for all babies, children, mothers, fathers and families across Scotland to ensure that all children have the best start in life and are ready to succeed.

48. The Early Years Collaborative - Aims • 1. A reduction of 15% in the rates of stillbirths and infant mortality by 2015. • 2. 85% of all children have reached all of the expected developmental milestones at the time of the child’s 27-30 month child health review, by end of 2016. • 3. 90% of all children have reached all of the expected developmental milestones at the time the child starts primary school, by end of 2017.

49. NES Contribution to Early Years

50. PoPP aims To improve outcomes for children with significant levels of early-onset disruptive behaviour problems To increase workforce capacity around evidence-based parenting interventions for such children and their families To assist services shift towards preventive early years spending To promote effective early years partnership working