1. Workforce development for integration: challenges and opportunities Professor Jim McGoldrick Chairman NHS Fife Board Vice Chair – Fife Partnership Board SPDS Conference 09 Nov. 2012

2. Workforce challenges  Strategic Context  Policy Drivers  Challenges in next 12-18 months  Challenges in the medium to long term  What do we need to do better

3. Strategic Context Policy Drivers   Demographic changes   Force for Improvement   Financial Context   Health Inequalities

4. Demographic Change

5. Force for Improvement “Our vision is to ensure that we meet the needs of individuals and communities by providing high quality, safe and effective care through an empowered and flexible workforce which understands the diverse needs of the population … and chooses to work for and remains committed to NHS Scotland”

6. Strategic Context   Government Policy and Priorities   Integration of health and social care. “Public service providers must be required to work much more closely in partnership, to integrate service provision and thus improve outcomes …” (Christie Commission report)

7. Strategic Context - NHS “Doing more of the same or simply making incremental savings year on year will not be good enough. We must be bold enough to visualise the NHS that best meets the needs of the future in a way that is sustainable and then make the changes that are necessary to turn the vision into reality”. (CabSec)

8. ‘Integration of Adult Health and Social Care in Scotland’  “Services that are planned and delivered seamlessly from the perspective of the patient, service user or carer, and systems for managing those services that actively support such seamlessness.” (Consultation report p.6)

9. ‘Integration of Adult Health and Social Care in Scotland’  Population based  Outcome focussed  Annex A (Consultation report p.41)

10. ‘Integration of Adult Health and Social Care in Scotland’ Seven Outcomes  Healthy living  Independent living  Positive experience  Cares are supported  Services are safe  Engaged workforce  Effective use of resources (Consultation report p.41)

11. ‘Integration of Adult Health and Social Care in Scotland’  Engaged workforce “People who work in health and social care services are positive about their role and [are] supported to improve the care and treatment they provide” (Consultation report p.41)

12. ‘Integration of Adult Health and Social Care in Scotland’ Annex C Workforce Issues  Organisational Development  Staff Governance and Partnership  Professional Accountability  Employment policies and procedures (Consultation report p.44)

13. ‘Integration of Adult Health and Social Care in Scotland’ Organisational Development [SG] “will work with NES and SSSC and other stakeholders to define priority training requirements within an integrated context; articulate what these will mean for frontline staff and mobilise support through an education and training infrastructure…” (Consultation report p.44)

14. Questions for SPDS  How do we address this agenda?  What’s already there?  Re-thinking health and social care integration and using the Change Fund  Reshaping Care for Older People  SPDS ‘Gateway’ to LA workforce?