1. Changes to the Educational Landscape: an SHA perspective Tricia Ellis, Head of Knowledge Management and eLearning South West Technology Enhanced Learning Strategy Group 28 th June 2012

2. Education landscape to March 2012 Dept of Health required SHAs to deliver health policies to meet the Strategic/Operating Framework for healthcare needs of the country 10 SHAs worked with their NHS organisations to deliver national healthcare policies. The SHA Workforce Directorates managed the planning and implementation of workforce numbers, and the commissioning of education and resources SHAs managed the Multi-Professional Education Levy and led NHS organisations and other education partners to ensure that education commissioned aligned with national and local requirements

3. From April 2012 At the heart of the Health and Social Care Act 2012 is the drive for local healthcare decisions to meet local needs. The National Commissioning Board and Clinical Commissioning Groups are the mechanisms to enable this. A new Public Health England has been established to address health promotion and health information Health Education England has been set up to be the overseer and quality assurer of education and training Locally decided and service driven education planning and commissioning is being established through Local Education and Training Boards

4. 4 Education and Training System Secretary of State Health Education England Department of Health Public Health England Local Education and Training Boards NHS Commissioning Board Local Stakeholders, including local authorities Education and Research Health Service Providers Secretary of State Duty to maintain an effective system of education and training as part of comprehensive health service Department of Health Set Education Outcomes Framework Sponsor for HEE Hold system to account, via HEE Health Education England Accountable to SofS, via DH Compliant with DH Education Outcomes and Performance Assurance Frameworks Accountable to DH for allocation of education and training funding Set strategic Education Operating Framework (responding to input from PHE and NHSCB) NHS Commissioning Board Input service commissioning priorities to HEE strategic Education Operating Framework Public Health England Input public health priorities to HEE strategic Education Operating Framework Local Education and Training Boards Bring together Health, Education and Research sectors Accountable to HEE for delivery against Education Operating Framework Assessed against Education Outcomes Framework and Professional Regulators

5. Critical milestone Shadow LETB Boards established as Local Education and Training SHA sub-committees - April 2012 Geographical cover of LETBs agreed - April 2012 Shadow LETB development plan agreed - July 2012 Shadow LETB strategic investment plan - September 2012 Appointment of independent Chair - October 2012 Shadow executive team agreed and appointments underway - October 2012 MPET Review transition plans agreed with DH and providers - October 2012 Business continuity plan finalised, including plans for novating contracts and transferring budgets to LETBs - December 2012 LETBs established as HEE Boards – April 2013 LETB staff transfer to HEE employment – April 2013

6. Draft structure for South West Board Elected by the membership Accountable to Health Education England Partnership Council Brings together members and stakeholder Examples given below MembersClinical leaders Care Pathways or networks Primary Care Social care/local authorities or similar stakeholder groups

7. Outline structure – Board support and stakeholder participation All providers of NHS funded care will be associates in the Local Education and Training Board organisation It will be a membership organisation Employers will choose to become a member to have access to and responsibility for the planning and decision making about the use of the funding The Boards will be supported by the Partnership Councils who will develop the recommendations for investment in collaboration with members and other stakeholders The Partnership Council and the Boards will be supported by the Business Support Unit which will include the post graduate medical deaneries of Peninsula and Severn Additional expertise will come from the Education Expert Reference Group

8. LETB as a membership organisation All associates Provide data for planning Provide clinical placements Make use of outputs from training Elect to be members Part of planning and decision making process Members of the Partnership Council Elect the Board members Board Representing organisational type and professional interest

9. Future arrangements for education and training Outline structure – Board and Board relationships agreed by the Transition LETBs Two Boards representing employers north and south LETBs will be membership organisations The Boards will be representational with Chief Executives, Directors of Nursing and Medicine, HR Director and Finance Director being accountable to Health Education England for the investment and performance of MPET funding in partnership with education The Boards will work closely with emerging Academic Health Science Networks

10. Authorisation criteria actions CriteriaActions Leadership including vision, purpose and strategy Vision and purpose to be developed by CEOs Supports the Skills Strategy which needs direction from clinical leaders Stakeholder engagementOrganisations will be invited to be members Wider stakeholder engagement via the Partnership Council Constitutional and governance arrangements Are set out in the Draft Operating Model included with the slides for comment Effective financial controls – the Investment Plan National model for local implementation by Business Support Unit and ratification by the Boards Education and training deliveryIn place. Commissioning plan process to be agreed For review by the Boards Improvement and qualityIn place For review by the Boards

11. Progress in the new educational landscape so far... Appointments are being made to the senior posts, including CEO of HEE Authorisation criteria for LETBs has been agreed Transitional LETBs are meeting to prepare the evidence base for the authorisation criteria

12. Progress in the South West so far... A Design Group is meeting regularly to design the new education infrastructure in the South West The two Transitional LETBs have met and agreed the proposed infrastructure The authorisation criterias evidence base is being assembled in preparation for scrutiny late 2012 This includes the creation of a Skills Strategy, a Stakeholder Engagement Strategy

13. Technology in education delivery is actively encouraged through... DHs Framework for Technology Enhanced Learning Nov 2011 NHS CEOs Innovation, Health and Wellbeing report of Dec 2011 Rise of Academic Health Science Networks – expressions of interest to be submitted by 20 th July

14. How the new educational landscape will support technology The use of technology in education can offer cost effective, flexible delivery to support learning in a safe environment Health Education England will take an active role in quality assuring education and training through the Education Outcomes Framework which will include the Framework for Technology Enhanced Learning. Opportunities arising from the new Academic Health Science Networks

15. Any questions? More information is available on the Workforce South West website: workforce.southwest.nhs.uk Contact: Tricia Ellis – Tricia.Ellis@southwest.nhs.uk Tricia.Ellis@southwest.nhs.uk