Yorkshire and the Humber Postgraduate Deanery School of Public Health Annual Conference Times are a-changin David Wilkinson MD FRCS Postgraduate Dean Consultant Vascular Surgeon

Come gather 'round people Wherever you roam And admit that the waters Around you have grown

What are we trying to achieve? Security of supply Right number of right people with right skills at right time in right place Responsive to needs of patients, public and service Excellence in education and training Transparency of funding and value for public money

GMC Extensive statutory powers (S34 Medical Act 1983) Agree independence of Deans from LETB Visiting educational team available Plans to approve trainers - consultation Change “shape” of training Set generic outcomes - consultation Clarify CPD Employer liaison advisors Vital QA oversight of Deanery QM role

HEE Accountable to SoS via DH Will ensure compliance with education outcomes framework –No other country, high level relationships OK but poor indicators for 2012 / 2013 Allocation of education and training funding NHSCB and PHE input to strategic operating framework (& social care next year) Authorise LETBs and hold them to account There will / should be tension between HEE and GMC

LETB What the service will look like, workforce needs Multi professional Throw the net wide – employers, Medical Schools and HEIs, local authorities, primary care QM role??

Yorkshire and the Humber Local Education and Training Board YHLETB was established as a formal sub-committee of the NHS North of England SHA Board at its January 2012 meeting

Provider representatives Sir Andrew Cash, Chief Executive, Sheffield Teaching Hospitals NHS Foundation Trust Dr Peter Belfield, Medical Director, Leeds Teaching Hospitals NHS Trust Mr Patrick Crowley, Chief Executive, York Hospitals NHS Foundation trust Mr Chris Butler, Chief Executive, Leeds and York Partnership NHS Foundation Trust Ms Christine Boswell, Chief Executive, Rotherham, Doncaster and South Humber Mental Health Foundation Trust Mr Phillip Marshall, Director of HR, Harrogate and District NHS Foundation Trust Mr Bryan Millar, Chief Executive, Bradford Teaching Hospitals NHS Trust Mr Phil Morley, Chief Executive, Hull and East Yorkshire Hospitals NHS Trust Ms Juliet Greenwood, Chief Nurse, The Rotherham NHS Foundation Trust Dr Steve Ball, GP Representative (South Yorkshire) Dr David Brown, GP Representative (West Yorkshire) Dr Mike Holmes, GP Representative (North and East Yorkshire and Northern Lincolnshire)

HEI representatives Professor David Cottrell, Dean of Medicine, University of Leeds Professor Tony Kendrick, Dean, Hull York Medical School Professor Rhiannon Billingsley, Pro Vice Chancellor, Faculty of Health and Wellbeing, Sheffield Hallam University Ms Shirley Congdon, Pro Vice Chancellor Learning and Teaching, Dean of School of Health Studies, University of Bradford

Non executive director representative Mrs Kathryn Riddle, Chair, NHS North of England Cluster SHA Local government representative Mr Steve Walmsley, Deputy Chief Executive, Local Government Yorkshire and the Humber

SHA Workforce and Education Mr Jonathan Brown, Strategic Workforce Planning Manager Mr Mike Curtis, Deputy Director of Finance Ms Joanna Valentine, Acting Associate Director Leadership and Organisational Development Mrs Sharon Oliver, Associate Director, Education Commissioning & Workforce Development Dr Mark Purvis, Director of Postgraduate General Practice Medical Education Mr Adam Wardle, Workforce Programme Director Mr David Wilkinson, Postgraduate Dean

Deanery Have to move posts Respond directly to regulator Protect the money PGD is at core of LETB Multi professional Deanery Not difficult, mindset, skilled set of staff, commissioning, workforce planning and development Multi professional Schools ▼back office, simulation, innovation, learn from and about each other Apart from LETB

Deanery Functions The Postgraduate Dean’s office Education provision Programme management –Recruitment –Revalidation and doctors in difficulty –Academic Training –Less than full time training –Inter Deanery transfers –Programme Support Quality management, data and workforce Finance

Reorganisation Speak to staff Principles Formal consultation Proposal Faculty and Staff meeting Senior team Team meetings Go live!

Themes Quality management Patient safety; Serious Incidents, revalidation Clinical Skills investment and strategy Workforce planning

Revalidation RO role Pilot - Assessment Paperwork Serious Untoward Incidents Conduct / Probity Absence – central reporting mechanism

LARGE SMALL MEDIUM PSYCH Serious Incident reports Sept 2010 – Feb 2012

Main events Obstetric Drug errors Delayed diagnosis Deteriorating patient Wrong site surgery Main locations General wards Labour ward Emergency Department Theatres Importance for trainee ? Personal reaction Learning - all Remediation – some External referral - few

Large investment across a number of specialties Practice on simulator first Curriculum development? Local delivery to reduce costs Quality training Patient safety Simulation and Clinical Skills

Simulation – next steps Postgraduate School strategies Commissioning model development Faculty training Faculty time

Workforce Planning - Drivers DH / JWG Workforce predictions - CfWI Colleges Local workforce data Employers Planning

Workforce planning

How many trainees do we need ? Lack of data on proportion of service vs training ‘Bulge’ of CCT production; will outputs exceed opportunities ? promote GP capacity promote GP choice assist less popular encourage alt workforce review distribution

Impact Service Training quality Cost Patient safety

Reduction / Expansion ST1/CT1 level GP Core Surgery Foundation Anaesthetics / ICM Medical and surgical specialties Leadership & management

Clinical Leadership Opportunities Piloted in 2010/11 Developed in 2011/12 National drive to improve clinical leadership 12 month out of programme experience Match-funding Plan to continue

Thank you Questions?