Developing a Technology-Enabled Workforce Dr Ann Wales Programme Director for Knowledge Management, Pam Nicoll, Programme Director, RRHEAL, Baseline analysis of technology-enabled learning access, skills and support across Scotland’s health and social services

Overview 1.Introduction - strategic drivers 2. Aims 3. Findings 4. Educational response

Everyone Matters: 2020 Workforce Vision “…Improve patient care and overall performance…by ensuring that everyone is supported to make the best use of new technology… and has fair and appropriate access to learning and development opportunities.” Scotland’s Digital Future: Delivery of Public Services. “Our workforce will be skilled in its general use of IT and use digital solutions effectively and efficiently.” Draft Refreshed eHealth Strategy – Commitment to creating a Technology-Enabled Workforce. Strategic Commitment to a Technology-Enabled Workforce

Patient with Healthcare Problem Gains information via internet, health record, networks Individual with Health/Wellbeing Need Visit Healthcare Team Receives information & treatment Visits healthcare team to understand and discuss options Information Age Practitioners support individual in their home via telehealthcare Workforce as Brokers of information & technology Workforce Delivering Technology-Enabled Care Industrial Age healthcare ICT

Developing a Technology-Enabled Workforce Learning Plan Aim This learning plan will create a technology-enabled health and social care workforce, competent and confident to use technology to deliver new models of care and as an integral part of their everyday work and learning. Supported by NES-SSSC-SCTT alliance Sponsorship from Scottish Government eHealth Strategy Board.

Question What are the priority issues around supporting the workforce to use technology to assist with service improvement and transformation ?

Analysis of Technology Access, Skills and Support across Scotland’s Health and Social Services Workforce National online survey disseminated through existing networks, forums websites etc Demonstrator organisations: 2 x independent social care 1 x third sector social care 1 x local authority social work dept. 1 x NHS Board Specific organisation survey: online + paper Focus groups (10)

Results 12,879 respondents 69% (8942) in health 10% (1273) social services 21% did not state sector.

Use of Devices 99.8% use at least one device, either at work or home. Work devices: Desktop computers most common: 82% Mobile/ smartphone: 47% Laptops: 27% Tablets: Only 9% Mobile phones without internet access used much more widely than smartphones, especially in social care.

Blocks on Access 37% have very poor mobile phone/wifi coverage in their work area. 30% have access to what they need blocked on their workplace computer. 54% of hospital doctors say that access to resources they need is blocked in the workplace

Use of Software At work: Relatively easy access to: 69% Search engines: 62% E-learning: 59% Low use of: Communities and information exchange: 8% Podcasts: 2% Outside work:77% use communities & information exchange. Greater capabilities in using technology than used at work

Priorities for Training in Use of Technology 77% would welcome training. Top priorities: Using technology to support 2020 Vision: 1.Using technology to support service users/clients/patients to access and use health and social care resources: 48%. 2.Using technology to use evidence and data for decisions in frontline practice: 42% 3.Using assistive technologies: 41%.

Secondary training priorities Generic digital literacy skills: 1.Accessing elearning: 35% 2.Creating and publishing online content - eg blogs, podcasts: 33% 3. Using online collaboration tools - eg social networking, social media, online communities, chat: 27% 4.IT basics – e.g. Word, , spreadsheets: 22%

Specific groups: AfC bands % of the health response, mainly admin services Poorer access to devices at work, and more difficult to access technology at work Less confident in using technology Stronger demand for training in: The basics of using computers Using the web

Specific groups: hospital doctors 5% of all hospital doctors Use more devices at work Consider that they have poor access to technology; but have better access to smartphone apps and websites. Poor access to/use of online learning Less welcoming of training, but demand for training in: Supporting decision making in frontline practice Supporting service users Using VCs and webinars

Question 1.How far do the survey findings resonate with your insights into workforce needs in Boards?

Educational Response: Proposals for Learning Plan Consultation: Stakeholder workshop - Jan 2015 Technology-Enabled Care Learning Event – Feb & Apr 2015 Learning and Development Leads Feb & Mar 2015 eHealth Education Board and Chair Tele-meeting with Workforce Lead within the Scottish Government eHealth Team, the Chair of the NHSS Board eHealth Leads Group, and a representative from the NHSS Boards Learning and Development Leads Group

Phase 1 – 18 months: Aims 1.Build generic digital literacy skills, giving priority to Bands 2-4 healthcare support workers. Reflects Workforce Vision focus on HCSWs Supports staff in using e:ESS, e-KSF, iMatter 2. Support frontline healthcare staff to use technology to share information with service users – including use of social media and social networking technology. 3. Facilitate eHealth Education Board and eHealth Leads to create and own an eHealth workforce learning and development plan. Pivotal role in enabling health and social care workers to use technology to deliver new models of care as set out in the 2020 Vision. Develop eHealth workforce response to eHealth Strategy and 2020 Vision.

Phase 1 – 18 months: Secondary Aims 1.Disseminate results of Baseline Survey; encourage Boards to respond. 2.Scope priorities for development of technology capabilities within emerging workforce plans in Health and Social Care Partnerships; develop proposals for a phase 2 of Technology-Enabled Workforce Development from April 2016 onwards.

Proposed Approach Aims 1 and 2: Building technology skills among support workers and for frontline sharing of information between practitioners and service users: Collaboration and co-creation: Map current activity Identify key contacts to collaborate with NES on Steering Group. Identify where NES can add value to current learning opportunities and support local priorities. Close partnership with Learning and Development and eHealth Leads. Creating an online learner journey - sourcing, organising, sharing existing learning opportunities.

Proposed Approach Aim 3: Facilitate eHealth Education Board and eHealth Leads to create Learning and Development Plan for eHealth Workforce. Commission consultancy to work with Education Board and eHealth Leads: Circa 4 workshops Interviews Drafting and consultation on Workforce Learning and Development Plan - priorities, outcomes and learning methods.

Discussion 1.Your insights to shape the educational response – how to progress: Developing technology skills among support workers. Workforce learning and development plan for eHealth Staff.

Digital technology can transform the way public services are delivered and improve the experience of people using these services

Access /Affordability/Skills Maintenance Wheelchair Assessment and referral Training Diabetic Foot care Falls Prevention Training and Education Assessment of Sick Child –Refresher Maternity Resources Handover Training – Foundation Year Doctors Northern Islands VC Education Network

Management of the Acute Diabetic Foot Education Network Mixed discipline staff Quarterly meetings, first Thursday of the month hrs via VC linked sites Raise awareness, utility and application of existing guidance To enhance speed f referral to diabetes specialist team To reduce numbers of delayed referrals and avoid amputation

**Now adopted by NHS Borders**

Used across Scotland High Uptake**

Implementing Transnational Telemedicine Solutions Implementing Transnational Telemedicine Solutions

Thursday 4 June - Scotland's Specialist Transport and Retrieval - 'ScotSTAR' Update, Sandra Stark, Paediatric Nurse Consultant, ScotSTAR Thursday 3 September - Stabilisation and Management of the Critically Ill Child Prior to Transfer, Sandra Stark, Paediatric Nurse Consultant, ScotSTAR. Thursday 1 October - APP's for AHPs - Pilot project into the use of ipads for various allied health professionals within NHS Fife RRHEAL VC Education Network

Developing a Technology-Enabled Workforce Dr Ann Wales Programme Director for Knowledge Management, Pam Nicoll, Programme Director, RRHEAL, Baseline analysis of technology-enabled learning access, skills and support across Scotland’s health and social services