1. 0 South London LETB Investment Plan North West London Local Education Training Board Stakeholder Briefing 11 th December 2012

2. 1 South London LETB Investment Plan Welcome Marcia Saunders, Independent Chair, NW London LETB

3. 2 South London LETB Investment Plan Scene Setting Dr Charles Bruce, Managing Director, NW London LETB

4. 3 South London LETB Investment Plan Our Purpose The North West London LETB’s goal is to improve the quality of care and the experience and safety of patients and staff at all levels and enable them to embrace change and improvement. LETB has the responsibility for ensuring that education, training and workforce drives the highest quality public health and patient outcomes..

5. 4 South London LETB Investment Plan NWL LETB Places providers of NHS Services firmly in the driving seat to plan and develop the workforce within a national education and outcome framework and to consistent standards. Ensure that staff are available with the right skills and knowledge, and at the right time and that the shape and structure of the workforce evolves to meeting the changing needs. Provide a clear focus on the entire healthcare education and training system and ensure greater accountability against service improvements. Ensure that investments made in education and training are transparent, fair and efficient and achieve good value for money.

6. 5 South London LETB Investment Plan Our Vision Work in partnership with the local health community to identify and agree local priorities for education and training. Ensure the supply of compassionate, knowledgeable and highly skilled people to provide health and public services which connect to social care provision. Plan and commission excellence in education and training on behalf of the local health community to ensure sustainable, high quality service provision and health improvement. Be a forum for developing excellence across the whole health and public workforce. Public/Patient centric in engagement in pathway groups.

7. 6 South London LETB Investment Plan What NWL LETB needs from its members: Take ownership Commit to understand needs and interests of other members Suspend judgement, be innovative Think about now and the future Be prepared to make tough decisions

8. 7 South London LETB Investment Plan Update on Progress to date Awarded shadow LETB status by Health Education England (HEE) Received delegated responsibility (along with 2 other LETBs in London) for: -Design and delivery of the new system from April 2013 onwards -2013/14 planning decisions Finalised the LETB organisational design and successfully appointed: -Chair -MD Appointments process in hand for: -Director of Multi-professional Education & Quality -Head of Finance First Board meeting : 12 th November Next: 18 December, 23 January Agreed an interim structure for London LETB Shared Service Organisation Completed Pre Evidence Submission for HEE ahead of formal submission evidence in December

9. 8 South London LETB Investment Plan Immediate Next Steps Gather your input today on: -Formation of our Stakeholders Advisory Council -Other priorities and objectives 13/14 Feed the outputs from today into our business planning Formally apply for authorisation as a sub-committee of HEE and submit authorisation evidence -Draft 5-Year Workforce and Skills Development Strategy -Draft 2013/14 Investment Plan -Draft Stakeholder Engagement Strategy -Supporting Evidence Proceed to recruitment to remaining posts in the LETB structure Continue to develop ongoing dialogue and engagement with our stakeholders

10. 9 South London LETB Investment Plan Squaring the Circle Opening the debate on how the public voice can contribute to NHS service improvement through education and training in NW London. Sally Malin, Associate Director, Patient and Public Engagement NW London LETB And Nina Singh, Director of Human Resources, West Middlesex University Hospital NHS Trust

11. 10 South London LETB Investment Plan Successful organisations are driven by their principles and their people NHS Constitution ‘ the NHS belongs to the people’ ‘ patients have the right to be treated with a professional standard of care’ ‘ patients have the right to be treated with dignity and respect’ ‘ the NHS commits to provide all staff with personal development, access to appropriate training for their jobs and line management support to succeed’

12. 11 South London LETB Investment Plan Patient…taxpayer…citizen ‘ professional standard of care’ ‘dignity and respect’ Mid Staffs Foundation Trust Winterborne View NW London Patient survey results + launch of new strategy by Chief Nurse on Compassion in practice How do we ensure the education and training we commission equips our staff with the right skills and the right attitudes for the NHS now and in the future?

13. 12 South London LETB Investment Plan Patient…taxpayer…citizen The NHS is accountable to the public, communities and patients that it serves’ Demographic and financial pressures on NHS for the foreseeable future Attrition rates in nurse training ‘I want to be a surgeon…’ Global market for healthcare professionals Balance of spend between initial training and CPD Do we currently secure real value for money for the taxpayer in the healthcare education and training commissioned for north west London?

14. 13 South London LETB Investment Plan Patient…taxpayer…citizen ‘the NHS belongs to the people’ NHS as social capital Vision for the future: individualised and holistic care designed in dialogue with the patient and delivered closer to home How can education and training promote more effective multi-disciplinary + across organisations work across the range of clinical settings? How are healthcare staff trained for dialogue with patients in the information age

15. 14 South London LETB Investment Plan Building on good foundations in North West London

16. 15 South London LETB Investment Plan Complexity of the New World Dr Jeremy Levy, Interim Director of Education and Quality NW London LETB

17. 16 South London LETB Investment Plan UK SHMI: October 2011: NHS information centre

18. 17 South London LETB Investment Plan Some Trusts: London and others

19. 18 South London LETB Investment Plan

20. 19 South London LETB Investment Plan North West London LETB: Purpose “To ensure that workforce planning, training, and education drive sustainable innovations to deliver a capable and flexible workforce now and in the future. Our aim is to improve the quality of care and the experience of patients and staff at all levels and enable them to embrace change and improvement.”

21. 20 South London LETB Investment Plan The Director of Education and Quality The DEQ will provide inter-disciplinary clinical and educational leadership for the LETB and ensure high quality education and training for the health care workforce in NW London. Development of a commissioning model to meet the inter- disciplinary healthcare educational needs Leadership on behalf of the LETB for health professional workforce planning, working in collaboration with the other (London) LETBs Working with you to implement what you think we need to deliver better patient care in collaboration with clinical commissioners and providers

22. 21 South London LETB Investment Plan Alignment with Education Outcomes Framework Excellent education – ensuring learners have an excellent experience and that all elements of education and training are delivered in a safe environment for patients, staff and learners Competent and capable staff – there are sufficient health staff educated and trained, aligned to service and changing care needs Flexible workforce receptive to research and innovation – the workforce is educated to be responsive to changing service models and responsive to innovation and new technologies to reduce variability and poor practice NHS values and behaviours – healthcare staff have the necessary compassion, values and behaviours to provide person centred care and enhance the quality of the patient experience through education, training and regular Continuing Personal and Professional Development (CPPD), that instils respect for patients Widening participation – talent and leadership flourishes free from discrimination with fair opportunities to progress, treating people as individuals, and placing positive value on diversity in the workforce.

23. 22 South London LETB Investment Plan Medical and Dental – in postgraduate training in NW London

24. 23 South London LETB Investment Plan Non-medical and Dental Care Professions

25. 24 South London LETB Investment Plan NW London LETB emerging priorities Shaping a Healthier Future Partnership and collaboration Restructuring the multi-professional workforce Addressing shortages in specific staff groups Delivering to the Temple and Collins Reports Innovation Linking the NW Strategy with LETB priorities Changing care settings and new ways of working e.g. the focus on out of hospital/community services Integration of services and care pathways, particularly frail elderly, diabetes and mental health Reducing the boundaries between primary and secondary care Improving health outcomes Shortages in paediatric medical and nursing staff

26. 25 South London LETB Investment Plan Baseline advantages NWL has among the highest research activity in the UK one of the five UK AHSCs (Imperial College Healthcare) already enhancing medical training as a Lead Provider developing training in integrated care and encompassing leadership, team working, simulation and teaching. Imperial College London, one of the world’s best universities, ranked 3rd in Europe and 9th in the world. an enviable track record in integrated clinical academic training Additional HEI support for nurses & AHPs eg Bucks New University an infrastructure funded by the National Institute for Health Research (NIHR) a regional Collaboration for Leadership in Applied Health Research and Care (CLAHRC), Biomedical Research Centre (BRC) and Biomedical Research Units (BRUs) Comprehensive Local Research Network (CLRN) Centre for Patient Safety and Service research-based institutions including the Royal Brompton Hospital, Royal Marsden Hospital, Imperial College Healthcare NHS Trust a School of Public Health within Imperial College London.

27. 26 South London LETB Investment Plan The DEQ and LETB will be commissioning education and training: it is complex !

28. 27 South London LETB Investment Plan Many services – including support for the DEQ – will be shared across London where this is sensible, cost effective and cannot be delivered locally: this will evolve

29. 28 South London LETB Investment Plan Workforce Development, Planning, Education Commissioning and Quality: examples LETB Strategy Lead annual planning process Manage relationships with employers, HEIs and LEPs Create and own the 5 year skills development strategy Support the development of a pathway based approach Link with CFWI Education Development Manage LPs Annual commissioning decisions Curriculum development CPPD investment plan. Contact point for PG trainees Shared Services Mediate common London approach when appropriate Operational support for contract letting and management transactions Provide Pan-London impact assessment for LETB 5 yr strategy Pooling HEI performance and student/trainee experience from other LETBs

30. 29 South London LETB Investment Plan What particular engagement do you want to see – and can you offer – in developing our rolling 5-year strategy?

31. 30 South London LETB Investment Plan Establishing our Stakeholder Advisory Council The Stakeholder Advisory Council will reflect the views of NWL Stakeholders. Its members are expected to take a broad overall view and adhere in the way they work together to the Nolan Principles of Public Life – that is for the good of the whole, and therefore the public and patients.

32. 31 South London LETB Investment Plan How we will operate Four meetings a year aligned to LETBs annual business cycle Meetings held around the patch to ensure widest participation Membership will be circa 30 members Key Terms of Reference – See papers on table

33. 32 South London LETB Investment Plan Group Discussions Q1) In terms of representation of the North West London Sector, do you think the correct organisations are represented on the Stakeholder Advisory Council? Have we missed anyone? Q2) Within the context of “Shaping a Healthier Future”, what do you believe are the priorities for education and training in NWL? Q3) What things would you like to see improve in the first operational year of the NWL LETB? Q4) How can we better capture patient voice in North West London to engage and contribute to NHS service improvement through education and training?

34. 33 South London LETB Investment Plan Feedback Q3) What three things would you like to see improve in the first operational year of the NWL LETB? One key priority from each table

35. 34 South London LETB Investment Plan Next steps

36. 35 South London LETB Investment Plan Close We will be using the information and views we have captured this evening to form the basis of our writing for nominations to the Stakeholder Advisory Council. We will send you all the feedback we captured tonight.