HR at the Heart of Improvement Jan Sobieraj Managing Director for NHS and Social Care Workforce Department of Health 8 th November 2011

Challenges Where does HR fit? Opportunities HR at the Heart of Improvement

up 8.5% to 565,153 between October 2010 and March 2011, compared with previous six month period 5,012 incidents resulted in death or severe harm 35,349 resulted in moderate harm 136,348 resulted in low harm Patient Safety Incidents

Appraisals 77% of staff were appraised just under a third said their appraisal was well-structured only 67% were appraised with PDPs

ORSA results 73.7 % doctors completed appraisal in last year 51.7% of designated bodies had a medical appraisal policy that met the requirements of responsible officer regulations 30.2% had a policy for rehabilitation, remediation and targeted support

Question: If a friend or relative needed treatment I would be happy with the standard of care provided by this trust. Response: 37% either strongly disagree, disagree or neither agree nor disagree. NHS Staff Survey 2011

The QIPP Challenge Agency costs £300m Staff absence £20bn savings £555m

Sickness Absence Reductions

Organisational Development Training and Development Remuneration Workforce Planning Industrial Relations Recruitment and Selection HR Roles

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The HR Manager’s Wheel I am the change agent I am the talent manager I manage relationships I am the business partner and coach I am the HR expert

My Challenge to you Appraisals Leadership Development Staff Satisfaction

NHS Leadership Academy: To develop outstanding leadership in health A development hub Catalyst for developing, sustaining and promoting leadership A beacon of best practice and centre of excellence Pushes boundaries of current thinking and public confidence is ensured What are our plans?

Timescales for NHS Leadership Academy: In shadow form 1st January 2011 Operational from April year strategy NHS Leadership Academy

Staff satisfaction – the evidence Where staff engagement is high, patient mortality rates are low Staff satisfaction is linked to patient satisfaction

Ensuring every role counts Supporting personal development Promoting a healthy and safe work environment Enabling involvement in decision making Staff engagement Delivering great management and leadership

A Large Teaching Hospital OUTPATIENTS 230,000 New Appointments 770,000 Follow-up 76,000 DNAs 190,000 Patient Cancelled 150,000 Hospital Cancelled 29% 1 appointment only

The Next Few Years At a time of recession, HR is more about developing people. Instead of recruiting, there may be different ways to do the work or to re-train our existing staff, and HR needs to be part of the group that provides these new solutions. HR Magazine November 2011

Our Pledge to Staff clear roles and rewarding jobs that make a difference to patients personal development and access to training support to maintain staff health, well-being and safety engagement in decisions that affect staff and the services they provide

NHS Foundation Trusts NHS Trusts Independent and 3rd sector providers Primary care providers NICE 1 Health Education England Department of Health Public Health Providers 3 Social Care Providers 3 National Local Other Government Departments System Overview: April 2013 Health Research Authority Care Quality Commission Healthwatch England Information Centre 2 Public Health England MHRA Professional regulators NHS Trust Development Authority Monitor Clinical Commissioning Groups Local Education & Training Boards Local Authorities Local Healthwatch Health and Wellbeing Boards NHS Outcomes Framework Social care Outcomes FrameworkPublic health Outcomes Framework NHS Commissioning Board