Project Summary

The LETB goal is to “develop a high quality, safe and sustainable workforce to meet the healthcare needs of the people of the East Midlands” and to support delivery of this the governing body identified “enabling the workforce to make service improvement everyone’s business” as one of four strategic priorities for 2013.

Why is this important to the HEEM?

The need to work do different things and do things differently in workforce, education and training has never been more important to achieving our ambition of a step change in experience and outcomes for the East Midlands population.
Some of the drivers in this are:

•The increasing gap between the trajectory of healthcare expenditure and what will be available to spend in future - payment of the healthcare workforce represents approx 70% of the total healthcare budget nationally and significant cost improvements are required in the context of growing activity and expectation.

•There are unacceptable variations in the quality and safety of care, patient experience and outcomes and these require system-wide partnerships for improvement. The important role of education and training is reinforced by the recommendations in the Francis Report.

•The East Midlands has historically experienced difficulty in attracting and retaining trainees and qualified staff in some disciplines and this is influenced by staff experience – developing service improvement capabilities will help enrich roles and equip staff for their experience at work.

•There is recognition that systems for scaling, spread and adoption of innovation in the NHS have not worked effectively in the past (ref Innovation Health and Wealth) – education and training has an important role to play in this process.

•Recognition that experience and outcomes of education must enable flexible adaptable staff, responsive to innovation, research and new technologies, if they are to meet the developing needs of the population.
The solutions to these complex challenges are not all within the direct control of the LETB, but a significant contribution will be made through developing the capacity, capability and behaviours of the workforce through our strategy, investment and partnership working.

Proposed education intervention

The important role of education and training is reinforced by the recommendations in the Francis Report.

There is recognition that systems for scaling, spread and adoption of innovation in the NHS have not worked effectively in the past (ref Innovation Health and Wealth) – education and training has an important role to play in this process.

Recognition that experience and outcomes of education must enable flexible adaptable staff, responsive to innovation, research and new technologies, if they are to meet the developing needs of the population.

The solutions to these complex challenges are not all within the direct control of the LETB, but a significant contribution will be made through developing the capacity, capability and behaviours of the workforce through our strategy, investment and partnership working.

Productivity and impact

There are currently 10 strands to the LETB delivery to ensure the capacity, capability for innovation and service improvement within the whole workforce for the benefit of patients. These will be managed within a single programme to ensure alignment and maximise the impact.

The programme aims to identify, explore and capitalise on best practice and economies of scale to increase and maximise impact. The programme is currently spread across all directorates of the LETB and is brought together through shared experience and learning. There are interdependencies between the work streams described and the wider work LETB directorates and working groups.

To progress the work streams as a programme the innovation directorate will work with all parties to establish and monitor project initiation documents, sharing periodic update reports to offer learning, connections and to ensure economies of scale. Most of the projects within the programme are currently in the early adoption stage.

Project Leads

More details are available from the programme lead: Orlando.Hampton@nhs.net

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