1. Our Vision: To lead out-of-hospital community healthcare Statutory & Mandatory Training Successes & Challenges Marcia Daley, Rekha Halai, Sarah Hesni The Learning Team

2. Five Point Plan Streamlining staff movements initiative to save £50m a year across NHS London: Core Skills Training Framework (CSTF); Induction Programme; Optimised e-learning and e-assessment; Compliance reporting (individualised dashboards in ESR Learning); Policy and culture.

3. London Statman Seminar 9 Dec 2013 3

4. CLCH Compliance against The CSTF Core Subjects March 2015 CLCH Target 90% Competence Name Apr-14May-14Jun-14Jul-14Aug-14Sep-14Oct-14Nov-14Dec-14Jan-15Feb-15Mar-15 NHS|CSTF|Equality, Diversity and Human Rights - 3 Years| 95% 94% 95% 94% NHS|CSTF|Fire Safety - 2 Years|80%81%79%80% 82%83%86%88% 87% 88% NHS|CSTF|Health, Safety and Welfare - 3 Years| 95% 94% 93%94%95%96%95% 94% NHS|CSTF|Infection Prevention and Control - Level 2 - 1 Year| 61%65%69%74% 84%91%90% 89%88% 89%87% NHS|CSTF|Information Governance - 1 Year| 66%70%73%78% 87%93%94%92%91%88% 86%85% NHS|CSTF|NHS Conflict Resolution (England) - 3 Years| 84%85% 86% 87%89%91%93%96% 93% NHS|CSTF|Safeguarding Adults - 3 Years| 92%91%88% 89%91%93%92% 91% NHS|CSTF|Safeguarding Children - Level 1 - 3 Years| 91%90%86% 85%86%87%88%89%88% 87%84% NHS|CSTF|Safeguarding Children - Level 2 - 3 Years| 81% 80% 81%86%84%86%88% 90%89% NHS|CSTF|Safeguarding Children - Level 3 - 3 Years| 85%86% 88% 90%93% 95% 91% NHS|MAND|Moving and Handling - 2 Years| 79%81%79%80% 82% 86%87% 86% 87% NHS|MAND|Resuscitation - 1 Year|62%64%68%74% 78%86%87%89%90%88% 87% Grand Total80%82% 83%86%88%90%91% 90% Compliance Apr 14 – Mar 15 4

5. Changing Culture 5

6. Induction model

7. Changing Culture Paper to ELT Policy (& consequences of non compliance) Targeted Recovery Plan (Amnesty) Stakeholder engagement E-learning

8. Marketing Plan Monthly Reporting/ League Tables Compliance matrix No excuses! Changing Culture 8

9. Statutory & Mandatory Training - Amnesty Subjects September 2014 Competence NameNHS|CSTF|Infection Prevention and Control - Level 2 - 1 Year| Division Does not meet requirement Meets Requirement Grand Total % Compliant % Non- Compliant 824 L2 Allied Primary Care Services1224025295.24%4.76% 824 L2 Barnet Community and Specialist Services7249756987.35%12.65% 824 L2 Childrens Health & Development3540343892.01%7.99% 824 L2 Corporate4242885.71%14.29% 824 L2 Networked Community Nursing & Rehab2135938094.47%5.53% Grand Total1441523166791.36%8.64% Competence NameNHS|CSTF|Information Governance - 1 Year| Division Does not meet requirement Meets Requirement Grand Total % Compliant % Non- Compliant 824 L2 Allied Primary Care Services1836738595.32%4.68% 824 L2 Barnet Community and Specialist Services7360968289.30%10.70% 824 L2 Childrens Health & Development3655559193.91%6.09% 824 L2 Corporate621922597.33%2.67% 824 L2 Networked Community Nursing & Rehab2541544094.32%5.68% Grand Total1582165232393.20%6.80% Competence NameNHS|MAND|Resuscitation - 1 Year| Division Does not meet requirement Meets Requirement Grand Total % Compliant % Non- Compliant 824 L2 Allied Primary Care Services4524128684.27%15.73% 824 L2 Barnet Community and Specialist Services9447957383.60%16.40% 824 L2 Childrens Health & Development7137644784.12%15.88% 824 L2 Corporate6232979.31%20.69% 824 L2 Networked Community Nursing & Rehab3235138391.64%8.36% Grand Total2481470171885.56%14.44% Compliance by Division 9

10. Email from Chief Nurse 10

11. Compliance Jan – Oct 15 CLCH Compliance against The CSTF Core Subjects October 2015 CLCH Target 90% Competence Name Jan- 15 Feb- 15 Mar- 15 Apr- 15 May- 15 Jun- 15 Jul-15 Aug- 15 Sep- 15 Oct- 15 NHS|CSTF|Equality, Diversity and Human Rights - 3 Years| 95% 94%95%94%95%94%95% 93% NHS|CSTF|Fire Safety - 2 Years|87% 88% 87%88% 90%87% NHS|CSTF|Health, Safety and Welfare - 3 Years| 95% 94%95%94%95%94%95% 94% NHS|CSTF|Infection Prevention and Control - Level 2 - 1 Year| 88%89%87%88%87%88%85%79%74%72% NHS|CSTF|Information Governance - 1 Year| 88%86%85%87% 85%79% 78% NHS|CSTF|NHS Conflict Resolution (England) - 3 Years| 96%93% 92%93% 90% NHS|CSTF|Safeguarding Adults 1 - 3 Years| 92% 91%86%88%85%84% 86%85% NHS|CSTF|Safeguarding Adults 2 - 3 Years| Since April 15 SGA divided into Level 1 and Level 2 93% 94%93%91% NHS|CSTF|Safeguarding Children - Level 1 - 3 Years| 88%87%84% 83%82%81%80% 81% NHS|CSTF|Safeguarding Children - Level 2 - 3 Years| 88%90%89%90% 92% 93%91% NHS|CSTF|Safeguarding Children - Level 3 - 3 Years| 95% 91% 90% 86%85% NHS|CSTF|Safeguarding Children - Level 4 - 3 Years| 100% 91%100% 88% NHS|CSTF|Moving and Handling - Level 1 - 2 Years| 86% 87% 85%86% 82% NHS|MAND|Resuscitation - 1 Year|88%87% 89%88%89%86% 80%81% Grand Total 90% 89% 88%86% 11

12. Big Challenges Large numbers out of date at once Incomplete e-learning New services join Trust Sustainable messaging 12

13. Where next….. Revised Action Plan Tip scales to contractual & professional responsibility Random audits Praise, Thank yous, Hall of fame Dashboard Targeted messaging eg Today@clch New target 95% from April 2016 13

14. Summary Visible modelling Unified message Bold actions Effective support Detailed monitoring Praise & feedback No excuses! 14