0 Health Education Kent, Surrey and Sussex Surrey Workforce Update “Through creative partnerships we shape and develop a workforce that impacts positively.

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Health Education Kent, Surrey and Sussex

Surrey Workforce Update

“Through creative partnerships we shape and develop a workforce that impacts positively on health and wellbeing for all”

Introduction

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The purpose of this presentation is :-

• To provide an update on the process followed to date • To provide an update on the 5 year workforce forecasts for

Surrey as presented at a recent workforce workshop• To provide an update on the education commission requests

for 2015/16 and any discrepancies• To gain the Partnership Councils view on the forecasts and

commissions and agree any actions• To present the feedback from the County Workshop

14/15 Outcomes

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Overall response• 22 workforce and education commissioning templates sent out• 22 workforce and education commissioning templates returned• 22 organisations completed both workforce and education commissioning

returns to a degree• 17 completed the CPD template but not to the level of detail hoped for.

Challenges• Medical workforce forecasts• Five year forecasts• Occupation Code issues• Monitor Returns

Local Provider ReturnsAggregated within County and Overall KSS Workforce Plan

National Workforce Plan

Workforce Planning Process

SSK

EducationCommissions Health Education

Institutions

Input of Healthcare Professionals

Sense Check and Triangulate with• Providers• Commissioners• Each Profession• Regionally

Sense Check and Triangulate with• Providers• Commissioners• Each Profession• Regionally/

Nationally

The Year Ahead – Timescales and Process

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Template and Process

February March April May June July August Sept October Dec-14 Jan-15 Feb-15

County Workshops

10th July HEKSS Workforce Planning and education commissioning event

30th May Return of HEKSS Template from providers

NHS TDA 5 year plan

NHS TDA 2 year plan

Workforce Planning Timeline

HEKSS Workforce forecast and education commissioning template released

NHS TDA1 year plan

Monitor 5 year plan

Monitor 5 year plan,Second cut

Monitor 5 Year Plan final

HEKSS return of Demand/ Forecast Template to HEE

25th September HEKSS return Investment Plan to HEE

HEE Formal board sign off of Workforce Plan

HEE National Workforce plan published

HEKSS Local Workforce Plan published

Planning

Triangulation

Plan Sign-Off

Publication

NICE Safe Staffing Guidelines

• NICE is developing evidence based guidelines setting out safe staffing for the NHS. This will include reviewing and endorsing staffing tools

• The focus of work will be on nursing and midwifery, including nursing support.

• The guidelines will help ensure an appropriate balance of staff numbers and skill mix on wards and in other settings

• As this new guidance programme develops other elements of the healthcare team may be included

www.nice.org.uk/About/What-we-do/Our-Programmes/NICE-guidance/NICE-guidelines/NICE-safe-staffing-guidelines

http://www.nice.org.uk/About/What-we-do/Our-Programmes/NICE-guidance/NICE-guidelines/NICE-safe-staffing-guidelines

http://www.nice.org.uk/About/What-we-do/Our-Programmes/NICE-guidance/NICE-guidelines/NICE-safe-staffing-guidelines

• covers staffing for nursing in adult inpatient wards in acute hospitals

• identifies organisational and managerial factors - from trust to ward level

• sets indicators to be used to demonstrate information on whether safe nursing care is being provided

• identifies red flag events which warn when nurses in charge of shifts must act immediately to ensure they have enough staff to meet the needs of patients on that ward

• no recommended nurse/patient ratio - providing patient centred care more complex.

Safe Staffing Guidelines

Nursing Forecasts

ABOVE BASED ON ACTUAL EDU COMMS FOR 2015-16, ACTUAL MARCH 2014 SIP AND FTE DEMAND FORECAST FROM 2014 TO 2019

142.00

2523.09

2819.212933.44 2947.12 3001.85 3058.59 3118.36

0.00

500.00

1000.00

1500.00

2000.00

2500.00

3000.00

3500.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP

2014 FTEBASELINE DEMAND

2015 FTE DEMANDFORECAST





Adult NursingSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EAR

LIES

T IM

PA

CT

OF

CH

AN

GE


42.00

375.52401.86

422.83 432.83 432.83 432.83 432.83

0.00

50.00

100.00

150.00

200.00

250.00

300.00

350.00

400.00

450.00

500.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







Midwifery TotalSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EAR

LIES

T IM

PA

CT

OF

CH

AN

GE


38.00

190.93204.90

196.19 189.68 189.68 189.68 189.68

0.00

50.00

100.00

150.00

200.00

250.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







Mental Health NursingSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EA

RL

IES

T

IMP

AC

T O

F C

HA

NG

E


3.00

121.69127.72 127.65 127.60 127.60 127.60 127.60

0.00

20.00

40.00

60.00

80.00

100.00

120.00

140.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







Paediatric NursingSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EAR

LIES

T IM

PA

CT

OF

CH

AN

GE

Nursing Commissions

18-month M

idwifery

progra

mme

3-year

Midwifery

progra

mme

Adult Nursi

ng

Children

's Nursi

ng

Learn

ing Disa

bility

Mental

Health

Nursing

0

20

40

60

80

100

120

140

160

12

32

139

25

6

40

7

35

142

25

10

38

SURREY - Nursing Commissions 2015-16

2014-15 2015-16

Community Nursing Forecasts


12.00

67.5172.26

75.62 77.98 80.36 81.74 83.14

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







District NursingSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EA

RL

IES

T IM

PA

CT

OF

CH

AN

GE


24.00

172.31180.52

191.93200.55

209.18217.83

226.50

0.00

50.00

100.00

150.00

200.00

250.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







Health VisitorsSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EAR

LIES

T IM

PA

CT

OF

CH

AN

GE


6.00

47.86

55.3560.47

65.5970.71

75.8478.97

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







School NursingSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EA

RL

IES

T

IMP

AC

T O

F C

HA

NG

E

Community Nursing Commissions

District Nursing Health Visitors Paediatric Nursing Practice Nursing School Nursing0

10

20

30

40

50

60

13

50

30

6

12

24

30

6

SURREY - Community Nursing Commissions 2015-16

2014-15 2015-16

AHP Forecasts


22.00

277.21 281.64 287.65 291.17 296.04 298.28 300.51

0.00

50.00

100.00

150.00

200.00

250.00

300.00

350.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







Occupational TherapistsSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EA

RL

IES

T

IMP

AC

T O

F C

HA

NG

E


17.00

438.28 445.13466.88 477.17 484.11 490.07

427.58

0.00

100.00

200.00

300.00

400.00

500.00

600.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







PhysiotherapistsSURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EA

RL

IES

T

IMP

AC

T O

F C

HA

NG

E


11.00

175.83

196.29206.54

217.04 217.04 217.04 217.04

0.00

50.00

100.00

150.00

200.00

250.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







Radiography (Diagnostic)SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EA

RL

IES

T

IMP

AC

T O

F C

HA

NG

E


14.00

95.64

111.86 113.86 114.86 115.86 116.86 117.86

0.00

20.00

40.00

60.00

80.00

100.00

120.00

140.00

2015-16 EDUCOMMS

2014 ACTUAL FTESIP







Radiography (Therapeutic)SURREY - Education Commissions 2015-16 v FTE Demand Forecast 2014-2019

EA

RL

IES

T

IMP

AC

T O

F C

HA

NG

E

AHP CommissionsCh

irop

odis

ts/P

odia

try

Dia

gnos

tic R

adio

grap

hers

Die

ticia

ns

Occ

upati

onal

The

rapi

sts

Ope

ratin

g D

epar

tmen

t Pra

ctitio

ners

Ort

hopti

sts

Para

med

ics

Phys

ioth

erap

ists

Pros

theti

sts/

Ort

hotis

ts

Sono

grap

hers

Spee

ch a

nd L

angu

age

Ther

apis

ts

Ther

apeu

tic R

adio

grap

hers

Ult

raso

und

0

5

10

15

20

25

30

0

7 7

27

12

0 0

11

02 1

16

20

119

22

10

0 0

17

0

4 3

14

2

SURREY - Allied Health Professional Commissions 2015-16

2014-15 2015-16

FeedbackA workshop was held at the end of August to share with providers and CCG colleagues the revised workforce forecasts and proposed education commissions for 2015/16.Main areas of feedback• Adult Nursing – commissions look to meet demand. Further consideration needed

about placement capacity given vacancy factors.• District Nursing – commissions don’t look to meet demand. Needs further work.• Midwifery – overall commissions going down. Need to make decision about the 18

month programme.• AHP commissions don’t match the direction of travel of the forecasts.• Lack of practice educators for Health Visitors and School Nurses needs to be

addressed.• Broadening the Foundation Programme hasn’t been factored into the plans. Need

to look at Advanced Practice, Physicians Associates and Medical Technicians as a solution.

• CPD – need to ensure this matches with the future direction of health services.

0 Health Education Kent, Surrey and Sussex Surrey Workforce Update “Through creative partnerships we shape and develop a workforce that impacts positively.

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