Careers in the NHS

1. Careers in the NHS

2. Opportunities in the UK Health Sector Aims: • To know more about the jobs in the health sector • To explore a range of occupations • To know a lot more about the options • To understand how to improve your chance of a career in health

3. Why will employers need more young people? • Impact of population change and public health trends - on both the Supply of people to fill jobs and the Demand for healthcare services • Lots of people leaving the workforce by 2022 will need to be replaced • Growth in some parts of the sector will create new jobs • Existing jobs are changing; employers need higher level skills

4. So what do you think of when I say Health and Care sector?

5. Some of the places people work in the health sector • Hospitals • Dentists • Care homes • GP practice ‘going to the doctors’ • Rehabilitation centres • Day centres • Hospices

6. and….. • In the community • Child care • Residential care • Opticians and Opthalmists • Sports injury clinics • Life sciences

7. The Health Workforce in the UK • The Health and Social Care sector has around 4 million jobs across the UK – this makes it the second largest employment sector in the UK • This definition focuses on people working in ‘Human Health Activities’; in other words those in hospitals, doctors surgeries, and community health • It also includes Social Care - the people involved in providing care for children and adults in residential settings and social workers • The NHS employs around 1.3 million people in over 300 different types of work(Source: ONS and Health Education England)

8. The NHS Workforce in the UK (Source: Health and Social Care Information Centre, November 2015)

9. What are the big issues for the health sector? Population change – The UK has an aging population, with more older people living longer and less young people. This means increasing demand for healthcare – and for young people to enter the workforce! Public Health issues and trends – Key issues include: • Early deaths from cancer and smoking • Obesity amongst young people and adults • People with diabetes • Early deaths from heart disease and strokes • Teenage pregnancies • People smoking during pregnancy

10. What are the big issues for the health sector? • Greater knowledge about health, and higher expectations of healthcare – assisted by the Media, Internet • Technology changes – higher level of skills needed in the workforce - including STEM knowledge and skills • Prevention and well-being - people living longer, healthier lives • Greater emphasis on delivery closer to home, in the community and a range of settings - to suit peoples’ lifestyles • Funding the NHS to meet increasing demand and continuous improvement of its services

11. What does this mean for jobs and careers? • Move to higher skilled employees • New job roles and careers • Lifelong learning and skills improvement is a must for everyone • Need for MORE people to replace the staff who will retire, gain promotion or leave • Opportunities for progress and promotion • A range of entry and progression routes, from apprenticeships and trainee and student posts to Further and Higher Education qualifications

12. So how many jobs will there be across the UK? • Employment across the Health and Social Care sector overall is projected to grow between 2012 and 2022: it is anticipated that there could be as many as 700,000 new workers across the UK • In addition there are expected to be an additional 1.4 million job openings as a result of people leaving the workforce • In Health, the majority of employment growth is projected among highly skilled occupations (therefore competition for skills is likely to be high) (Source: Sector Insights 2015, UKCES)

13. A patient pathway: Danny’s JourneyWorkshop Activity

14. Click the link below to access the film clips http://bit.ly/1VPCncH

15. Accident and Emergency • In 2013-14, there were 18.5 million accident and emergency (A&E) attendances recorded at major A&E departments, single specialty A&E departments, walk-in centres and minor injury units in England • Around 20% were aged 14 or under, 40% were aged between 15 to 44 • The busiest day is a Monday and the busiest time on the day was 11.00am • Around a quarter arrive by ambulance (Source: HSCIC Hospital Episode Statistics)

16. Cancer • Cancer is a very common condition and more than one in three people will develop some form of cancer during their lifetime • There are over 200 different types of cancer, each with its own methods of diagnosis and treatment • In the UK, the four most common types of cancer are: • breast cancer • lung cancer • prostate cancer • bowel cancer • These types of cancer accounted for over half (53%) of all new cases (Source: NHS Choices)

17. Caring for the Elderly • Population growth and demographic change are fundamental drivers of future health care demand • As the population grows the need for healthcare will rise: • Nearly two-thirds of people admitted to hospital are over 65 years old • There has been a 65% increase in hospital treatments • Someone over 85 is 25 times more likely to spend a day in hospital than someone under 65 – and spends around eight days longer in hospital per stay than someone under 65 (11 days compared to 3) • The number of older people with a care need is predicted to rise by 61% by 2030 (Source: The NHS belongs to the people: A Call to Action – The Technical Annex NHS England, 2013)

18. Caring for the Elderly • Population ageing is a ‘game changer’ for health and social care services • Getting older brings an increasing chance of long-term medical conditions, frailty, dementia, disability, dependence or social isolation • In their daily working lives, most clinicians (Doctors) spend more time providing care to people over the age of 75 years than to any other age group(Source: Safe, compassionate care for frail older people using an integrated care pathway: NHS England, 2014)

19. Diabetes • There are 3.9 million people living with diabetes in the UK. This means more that than one in 16 people in the UK has diabetes (diagnosed or undiagnosed) • This figure has more than doubled since 1996, when there were 1.4 million • By 2025, it is estimated that five million people will have diabetes in the UK(Source: NHS Choices)

20. Genomics • You have a complete set of genes in almost every healthy cell in your body. One set of all these genes, (plus the DNA between the genes), is called a genome • Genomics is the study of the whole genome and how it works • Genomics can be used to predict how well a person will respond to a treatment or find one that will work best for them – so called personalised medicine • Genomics is one of the fastest growing areas of research and development. In the UK, a prime focus is the 100,000 Genome Project • The project will sequence 100,000 genomes from around 70,000 people. Participants are NHS patients with a rare disease, plus their families, and patients with cancer • To find out more about the Genomics Project you can watch this videohttps://www.genomicseducation.hee.nhs.uk/resources/videos (Source: Health Education England and Genomics England)

21. Amputations Amputations occur as a result of a range of conditions, including:  • Traffic accidents and sports injuries • The long—term impact of diabetes • Cancer or a serious infection • Injuries to serving armed services personnel As a result of these and other conditions, approximately 5-6,000 major limb amputations are carried out in England every year. (Source: NHS Choices)

22. Sports Injuries • Playing sport and doing regular exercise is good for your health, but can sometimes result in injuries. Sports injuries can be caused by: • an accident – such as a fall or heavy blow • not warming up properly before exercising • using inappropriate equipment or poor technique • pushing yourself too hard • In 2013/14 there were almost 350,000 attendances at Accident and Emergency Centres as a result of a sports injury. That’s almost 100 per day! • The main days for sports injuries are… Saturday and Sunday • Around three quarters were males and over half were males aged between 10 to 29(Source: NHS Choices and HSCIC Health Episode Statistics)

23. Stroke • In the UK, strokes are a major health problem • Every year, around 110,000 people have a stroke in England and it is the third largest cause of death, after heart disease and cancer • The brain injuries caused by strokes are a major cause of adult disability in the UK • Older people are most at risk of having strokes, although they can happen at any age – including in children (Source: NHS Choices)

24. Transplants • Currently there are over 7,000 people on the UK national transplant waiting list • Each year donors give around two million donations of blood and 3,500 organs, saving and transforming thousands of lives • The NHS manages the National Transplant Database which includes details of all donors and patients who are waiting for, or who have received, a transplant • The largest group of patients on the list are those waiting for kidney transplants - over 5,000 (Source: NHS Blood and Transplant website, viewed March 2016)

25. Key routes into the NHS • A traineeship is an education and training programme with work experience that helps young people to be ‘work ready’, and can be the gateway to jobs and apprenticeships • An apprenticeship is a work-based training programme designed around the needs of employers – and more and more Trusts and healthcare employers are using this route • Further Education – Sixth FE colleges over a wide range of health-related courses, including BTECs, NVQs and Foundation Degrees • Higher Education route – this is the main route for doctors, healthcare scientists, nurses and allied health professionals

26. Skills and Qualities Alongside qualifications, other skills and qualities are helpful for most healthcare roles: • Good interpersonal skills • Keen to develop professionally and personally • Understanding the requirement of confidentiality • An ability to ask for help and guidance if required • Good Computer Skills • Being able to deal with problems in a calm and efficient manner • Effective time management • Caring and empathetic natureANDScience, Technology, Engineering and Mathematics skills are in great demand

27. Values and Behaviours The NHS Constitution outlines the key shared aims: • Working Together for Patients e.g. Respect for colleagues • Respect and Dignity e.g. Seeing things from another person’s perspective • Everyone Counts e.g. Appreciation that everybody counts regardless of age, race and ethnicity • Commitment to Quality of Care e.g. Taking personal responsibility for your actions • Compassion e.g. Listening to how others are feeling • Improving Lives e.g. Motivation to make a difference

28. What have we learnt? • Why the health sector is important in the UK • The big issues for the health sector • What that means for jobs and the need for young people • The importance of values, behaviours, skills and qualities – ‘it’s not all about qualifications’

29. Any Questions?

30. Further Information Apprenticeship and Job Information • NHS Jobs https://www.jobs.nhs.uk/ • National Apprenticeship Service http://www.apprenticeships.gov.uk/ • And NHS Foundation Trust websites Careers Information • Health Careers https://www.healthcareers.nhs.uk/ • National Careers Service helpline and website https://nationalcareersservice.direct.gov.uk/Pages/Home.aspx • Skills for Healthhttp://www.skillsforhealth.org.uk/

31. Thank you!