2. Band 7 Physician Associates (BSMS students, pilot posts) BSMS PA Students • Placements (3 x Y2 BSMS PA students) begin in August. Work underway to arrange optimal placement. Pilot PA Posts • Investment cases in development to create new/pilot PA posts (eg. Paediatrics), eg. from converting Consultant PA time/generation of new income. • Project Management via Workforce Transformation Core Team (3Ts/NHSE and HEKSS) • Underway • Project Manager post lapses end December ’17 3. Retention of Practitioners (Band 5) • Programme of interventions to: - support individual NQP/Band 5s ‘in difficulty’ - test and evaluate a range of support interventions to improve retention/recruitment (for wider rollout where RoI demonstrated), with longitudinal participant study. • HEKSS • Underway • Project/fixed-term staffing lapse September ‘17 4. Theatres staffing redesign • Opportunity to explore role redesign within Theatres (eg. Anaesthetic Assistant, Scrub Technician, HCA extended roles). • Academic FY2 Leadership & Management Trainee project • In preparation • Runs August to December ‘17
5. ED/Imaging Fracture Pathway (Radiographer extended role) • Part of Innovation Acceleration programme in Imaging (£200k KSS AHSN funding towards 3Ts service modernisation). • Multiple projects underway (operational efficiency, role redesign, clinical utilisation etc.). Plus research study into behavioural insights/staff innovation. • Programme includes redesign of fracture pathway (ED/Imaging) and associated roles/staffing. • Academic FY2 Leadership & Management Trainee project • Underway (running April to August ’17) 6. BSUH Apprenticeship Academy • Procurement underway to establish BSUH Apprenticeship Academy with partner Training Organisation, which will deliver (or subcontract) the range of apprenticeships. • Project Management via Workforce Transformation Core Team (3Ts/NHSE and HEKSS) • Some additional HEKSS funding to begin drafting of tender documents • Underway
7. ‘Beacon Wards’ pilots to create Support Worker ‘innovation test beds’ • Work with four wards (c. 100 HCAs) to test new models for HCA development (eg. embedded Educator, ‘bite size’ training, behavioural insights/‘nudge’ concepts etc)., testbed innovation, and assess opportunities for bandmix changes – for wider rollout. • Learning is informing commissioning of the BSUH Apprenticeship Academy. • Internal CIPs (savings on DEAs) • Project/fixed-term staffing concludes June/July ‘17 8. Interprofessional learning (FY1s teaching HCAs core clinical skills) • In the pilot, FY1/2s will teach HCAs core clinical skills (eg. cannulation), and themselves be mentored by PG Cert. RNs. • Will evaluate benefits from interprofessional teaching/learning. • NHS Leadership Academy (GMTS Trainee as Project Lead) – partnership with BSMS Medical Student • In planning 9. National Numeracy • Project to assess numeracy attitudes/skills, and provide access to web-based learning. • Includes research study into use of behavioural ‘prompts’ to improve uptake. • National Numeracy funding from HEKSS. • Project Management via Workforce Transformation Core Team (3Ts/NHSE and HEKSS) • Project Manager post lapses end December ’17
12. Band 3 Clinical Assistants • 5 x Band 3 HCAs received intensive, additional training, now support/work to FY1s in General Surgery. • Has reduced doctors’ working hours, improved quality of working life, freed up time for own education, created career pathways for HCAs (into eg. nurse training, PA training), provided patients with more timely care, and reduced spend. • HEE inspection (2016) commended this initiative, and noted its contribution to avoiding the withdrawal of medical training posts from General Surgery. • Scheme replicated at ESHT, and details shared with WHSFT. • Internal CIP (savings on medical trainee contract settlement payments) • Pilot underway since February ’16 (14 months) • Extended to end August ’17, and then lapses • Investment case (if required) to be progressed by Abdominal Medicine & Surgery
18. ‘Right Skills’ – Support Worker/Hospital@Home • Joint project with B&H CCG, SCFT, B&H SS, Skills for Care, Skills for Health – and HEKSS. • Will map a number of patient pathways from acute care to home, identify where Support Worker ‘skills bottlenecks’ are delaying patient care/transitions between care settings, and propose training solutions. • Will also examine role boundaries (eg. administration of medication). • HEKSS Innovation Fund (for Clinical Lead) • NHS Leadership Academy (GMTS Trainee as Project Lead) • Planning underway. Project runs August ’17 to March ’18