End of Life Care Education Commissioning Event 2012

The future is now; how can you help shape the way forward?

Anne Marlow, Director of Innovation

East Midlands LETB

East Midlands Local Education & Training Board www.eastmidlandsletb.net

The outcomes from our conversations today will be used to…Ensure decision making is informed by professional opinion and real life Enable us to focus on what is most importantUnderstand each other betterExplore new ideasCreate ownership of vision and priorities we createEnsure we point in the same direction so that we make a big difference!

Provider leadership –

The LETB is an education and training system for the East Midlands and we are all part of it.

We want our approach to be inclusive

What’s different about the way we are working….

Our values and values

• Respect and dignity• Commitment to quality care• Compassion• Improving lives• Working together for patients• Everyone counts• Pride in working for and with the LETB• Pride and fulfilment in being a healthcare professional

• Quality of care = organising principle• Clear vision, values and behaviours that we co-

create• Improvement and innovation is everyone’s

business• Developing distributed leadership through the

operating model• Being ambitious for the East Midlands

Clarity of purposeHow will we do this?

Stakeholder Engagement Circles of Influence: Derby LHC Example

DerbyshireLHC &

Infrastructure

Health &Well BeingBoard

Derbyshire County / City Council

CCG’s

NHS Service Providers Derbyshire

Health United

Local MedicalCommittee

HEI’sMed / Non- Med

MD / DoME / DoN

Professional And ClinicalEngagement

NHS CB LocalArea Team / PCTCluster

Public HealthCommissioners

LocalAuthorities

IndependentSector

GP /Pharmacy/ GP Tutors / Independent Contractors

Education Providers And Research

DHFT DHCFT CRHFTDCHS

Skills for Care, Cygnet, Nuffield, CareHomes, Ripplez

MECC SNA HIMP

Employers Unions Public SectorCompact

Meets requirementsof regulators

Transformation

Patient and Public Involvement

Innovation

Clinical / ProfessionalEngagement

Employment and Skills Strategy Adults / Childrens Social Care

ServiceCommissioners CSS?

Professional Bodies / Derbyshire Nurse Cabinet / Clinical Networks / DerbysAHPNetwork/ DeaneryNetwork

HIEC UoN SHU UoS FE AHSN? NCORE EFH? Primary

Care

Success criteria

• Improvements in safety• Improvements in patient experience• Improvement in staff experience• Improvements in clinical outcomes• Innovation• Living within our means• Sustainable workforce supply

What else……

East Midlands Local Education & Training Board www.eastmidlandsletb.net

What are we responsible for?

Five Local Health Communities

5 PCTs 18 NHS Healthcare Providers

Healthcare education

spend £374 Million

11 Universities2 Medical Schools

1 Deanery1 HIEC

NHS employed staff 79,000

WTE

East Midlands population

4.5 million peopleLeicester, Leicestershire

and Rutland

Northamptonshire

LincolnshireNottingham and

Nottinghamshire

Derby and

Derbyshire

£26 billion spent on health and

healthcare

More than 10,000professionals in training

In 2011/12 (TBC)

Our priorities

Tackling the workforce implications of changing patterns of care in A&E

Enabling the workforce to make service improvement everyone’s business

Multi-professional alignment throughout the new system

Making Every Contact Count

Securing as much autonomy locally so that we can respond to priorities and be innovative

Some challenges and opportunities….

• Patient experience is affected in some services by difficulties in attracting and retaining appropriately skilled staff

• Lots of service redesign with new workforce requirements• Inequity in resources – historically we have not received a

fair share of funding for professional education in the East Midlands. There is also inequity in funding between professions and between organisations

• Many staff do not have the capabilities or incentives to make service improvements alongside delivery today

• We have not engaged well with primary care or the independent/voluntary sectors in relation to workforce development and planning in the past

How is it going?• We are learning a lot because we are talking to different

people• We have had very positive feedback from DH and Health

Education on our progress so far• Lots of complexity because so much of the system is

changing at the same time – we need to keep workforce, education and training high on the agenda during the change

• Some frustrations on occasions about the pace of change. We would like greater autonomy

• Confident that we can work together to drive real improvement locally

The LETB belongs to all of us. You can get more involved by:-Find us at website www.eastmidlandsletb.net

Follow us on twitter @EastMidsLETB