Developing a healthier future
Corporate Plan 2012 -2013
© NHS Education for Scotland 2012. You can copy or reproduce the information in this document for use within NHS Scotland and for non commercial educational purposes. Use of this document for commercial purposes is permitted only with the written permission of NES.
ISBN: 978-0-85791-027-1
NHS Education for Scotland Corporate Plan 2012 – 2013
Introduction
This year we celebrate our tenth anniversary. This gives us the opportunity to reflect on our development as an organisation from education and training for a small number of professional groups, to supporting the whole healthcare workforce and increasing our work across health and social care. Last year the Christie Commission set the scene for reform in Scotland, calling for a systematic and coordinated approach to workforce development across our public sector. This corporate plan represents our response to the reform agenda and our support for the NHSScotland Quality Strategy and the 2020 vision of one integrated health and social care service. It describes the detailed education and training activities which support care provided to the highest standards of quality and safety, with the person at the centre of all decisions.
This plan also represents the second year of delivering Quality Education for a Healthier Scotland, our strategic framework for 2011-14. Last year we focused on establishing a platform for change and this year we are embarking upon the changes that will make our services more efficient, streamlined and consistent in response to the economic downturn and the challenges we face across public services.
Lindsey Burley
Chair
Malcolm Wright
Chief Executive
The Background to this Plan
Our vision: Quality Education for a Healthier Scotland
Our mission: to provide educational solutions that support excellence in healthcare for the people of Scotland
We are the special health board responsible for supporting NHS frontline services delivered to the people of Scotland through education, training and workforce development. Our work helps to ensure services are safe, effective and patient centred through a well trained workforce. Increasingly the focus is on prevention and self management in a community setting and our commitment to delivering improvement means that we are increasingly working not just in health but also across social care. We support national outcomes and the
NHS Scotland Quality Strategy and 2020 vision of integrated health and social care services and this plan also supports our strategy Quality Education for a Healthier Scotland and the national policy priorities outlined below:
· the Quality Strategy
· health and social care integration
· primary care
· support workers
· leadership
· early years
· mental health
We will support each of these areas by strengthening our multi-professional work and throughout the next year we are delivering a range of improvement programmes to develop a better integrated organisation supported by processes and structures which are more efficient, streamlined and consistent.
We identify priorities through a well established engagement and intelligence gathering process which puts partnership at the heart of what we do. We work closely with NHS Boards, professional and regulatory bodies, the Scottish Government, the education and social care sectors and other government agencies key to education, in order to inform our future plans and develop our products and services. Allied to our core business of education and training for the healthcare professions, our engagement processes have identified a need for support in priority areas such as health and social care integration, primary care, service and role re-design, quality improvement, workforce planning, e-learning and leadership development. You will see a number of these areas reflected in our 2012-13 plans under our six strategic themes which reflect the areas prioritised by our partners:
· education to create an excellent workforce
· improving quality
· reshaping the NHS work force
· responding to new patient pathways
· developing innovative educational infrastructure
· delivering our aims through a connected organisation
Both this corporate business plan and our strategy can be found
www.nes.scot.nhs.uk/about-us/planning-and-performance.aspx
Theme 1: Education to Create an Excellent Workforce
Principal Quality Outcomes:
· Healthcare is safe for every person, every time
· Everyone has a positive experience of healthcare
Our core business is the recruitment and training of key healthcare professionals which meets regulatory standards and supports safe, effective and patient centred services. We deliver education and training for doctors, dentists and the dental team, pharmacists, nurses, midwives, allied health professionals, clinical psychologists, healthcare scientists, optometrists, healthcare chaplains and administrative, clerical and support staff. During 2012/13 we are committed to delivering improvements aimed at establishing new processes and structures which will enable our core business to be delivered more consistently and efficiently.
We work in partnership through strong professional networks with NHS Boards, education institutions and professional and regulatory bodies, supported by an integrated engagement process at NHS Board and regional work. This helps us to understand the education and training priorities of frontline services and ensures that they are developed and delivered in partnership.
Below we outline the strategic objectives which support our Education to Create an Excellent Workforce theme.
1. We will deliver consistent evidence-based excellence in education for improved care Improvement
Improvement
Work with NHS Boards, education institutions and professional bodies to ensure the delivery of education for the healthcare professions to standards of excellence defined by the regulatory bodies.
Outcome(s)
A consistent evidence-based range of education which meet regulatory standards and will help the healthcare professions achieve revalidation.
Benefit
High Quality healthcare professionals delivering excellence in person-centred effective and safe frontline care to the people of Scotland.
2. We will ensure best use of the additional cost of teaching (ACT) funding.
Improvement
Work with higher education and NHS Boards to establish quality and performance standards for ACT funding which ensure effective delivery of undergraduate education in medicine and dentistry and widen the benefit of ACT to all healthcare professions.
Outcome(s)
Quality management systems for medical and dental ACT which ensures consistent quality assured undergraduate education delivered through NHS Boards which has a positive impact for all healthcare professions.
Benefits
A health service which contributes to the production of high quality professional graduates within a system that provides best value for money and can effectively demonstrate how ACT funding is being used to benefit the whole healthcare team at the frontline of service delivery.
3. We will continue to build coordinated joint working and engagement with our partners.
Improvement
Further improve the engagement process with our partners and develop our joint recruitment, selection, assessment and supervision processes for frontline training programmes within the healthcare professions.
Outcome(s)
A coordinated engagement process which informs planning and helps deliver consistent recruitment, selection, assessment and supervision for frontline clinical training.
Benefit
A healthcare workforce delivering frontline services with the right skills, in the right place at the right time sharing and applying knowledge and good practice.
Education to Create an Excellent Workforce
Medicine
The largest element of our budget is used to support medical education and training. Our medical team manage the postgraduate training of doctors in foundation and specialty training as well as study leave, clinical academic training, flexible training, careers guidance, trainer development and training for doctors in difficulty. We also support the five Scottish medical schools through Additional Costs of Teaching (ACT) funds for undergraduate teaching.
Over the next few years we face a range of challenges and during 2012-13 we will implement a new medical structure based upon a professionally led executive team, supported by better integrated support functions across our four postgraduate deaneries. These changes will introduce a consistent model for how postgraduate medical education is delivered across Scotland, while maintaining regional teams to link with local medical schools and NHS
· Medical Training Grades
During 2012-13 we will recruit to and deliver; (1) 54 foundation programmes; (2) 175approved specialty training programmes (including hospital base GP's); (3) a network of training programme directors and educational supervisors to support trainees and;(4) study leave for doctors in training to ensure all mandatory training and education courses are planned and completed. LDPA I 1
· GP Specialty Training
We will deliver general practice specialty training (GPST) to GMC standards to ensure GPs are fully trained and able to work independently in community practice. During2012-13 we will; (1) recruit to all GPST programmes offered in Scotland (up to 290);(2) train all assessors for their role and ensure that the recruitment process is quality managed and; (3) aim to reduce the number of trainees requiring additional training and support to below 30 (around 1096 of the total). LDPH2
· Specialty Training Boards
We will focus our Specialty Training Boards (STBs) on the quality agenda in order to meet GMC standards and to ensure the educational impact is assessed. During 2012-13 we will continue to develop the role of STBs in the Quality Framework and timetabled reporting to meet workforce planning requirements and reconfiguration of training programmes.
· Medical Act
We will continue to implement three strands of performance management for medical ACT funding - faculty development, quality management, and measurement of teaching. During 2012-13 we will continue to roll out the Measurement of Teaching programme to identify teaching time in consultant job plans and we will commence job planning with quantification of teaching time in place by the end of March 2013. LDPA14
· Train the Trainer (SCOTS)
We will lead a faculty development work programme with a range of educational supervisors for the role through the work of the National Training Development Group. During 2012-13 we will deliver SCOTS to at least 500 participants .
· Quality Management
We will deliver quality management for postgraduate medical training through our educational governance arrangements.
· Generic Courses
We will streamline and align our deanery based course design, delivery and development to achieve consistency in how we meet GMC curricular standards. During 2012-13 we will complete a review and establish a consistent national process by the end' of August 2012 in line with implementation of our new medical structure.
· Educational Governance
We will embed internal and external educational governance aligned with GMC standards to ensure a high quality medical workforce and support for training programme directors. During 2012-13 we will; (1) complete an initial review of the trainee/trainer ratio in primary and secondary care and; (2) introduce revised governance arrangements for agreeing training grade numbers.
· Consultant Appraisal
During 2012-13 we will: (1) provide six training courses for up to 144 experienced appraisers and seven training courses for up to 126 new appraisers (including up to 28 new GP appraisers); (2) continue to offer networking opportunities through a conference in September 2012 and; (3) encourage the uptake of the Scottish Online Appraisal Resource (SOAR) in secondary care with the aim of at least six NHS Boards adopting the system by March 2013.
· Refugee Doctors
We will give refugee doctors practical support and financial assistance to sit and pass the 1ELTS English exam, and the medical exams PLAB1 and PLAB2 which will enable them to practise in the UK. During 2012/13 we will support up to 16 refugee doctors through this programme.
Dentistry
We manage postgraduate training and general professional education covering the whole dental team and we support undergraduate dental education through dental ACT funds. We also support additional dental student places and are partners in delivering a national network of Teach and Treat centres to train dental and dental therapy students in a supervised clinical environment. Through our dental vocational training (DVT) schemes we prepare practitioners to work in the NHS general dental service (GDS). We also deliver postgraduate training and associated study leave for the hospital (HDS) and salaried (SDS) dental services and we provide dental nurse induction and training.
Since 2005 our dental team has played a leading role in the implementation of the national Dental Action Plan to improve access to NHS dental services across Scotland. During the last year we have analysed our activity and cost base and as a result during 2012-13, we will develop and implement an improvement programme to put in place a more efficient and consistent model' for how dental education and training is delivered across Scotland.
· Dental Vocational Training (VT)
We will deliver VT for dental graduates to ensure they are trained and able to work safely and effectively in the general dental service (GDS). In 2012-13 we will provide170 VT training places for trainees to achieve completion by July 2012; (2) ensure that 100% of dental VTs undergo assessment and; (3) establish options for further automation of our assessment process. LDPA12
· Dental Therapy Vocational Training
We will provide VT for dental therapy graduates to improve access to NHS dental care in the community. During 2012-13 we will review the current delivery model to pilot part-time training.
· Hospital Dental Service
We will provide Senior House Officer Dental Foundation (SHO/DF2) and Specialist Registrar (StR) training to GDC standards for specialist oral healthcare provided by the Scottish hospital dental service (HDS). During 2011-12 we will provide; (1) 77 SHO/DF2 and 40.5 StR training places, (2) an educational supervisor for each of these trainees in line with the Dental Gold Guide recommendations and; (3) study leave for HDS trainees to ensure all mandatory training and education courses are planned and completed .LDPA12
· Salaried Dental Service
We will provide postgraduate training places and continuing professional development for the salaried dental service (SDS). During 2012-13 we will complete the training of 56 SDS trainees and we will provide an Adults with Incapacity training programme to meet legislative requirements. LDPA12
· Undergraduate Dentistry
We will manage the funding flow for additional dental undergraduate student places to ensure there is an adequate supply for the dental workforce. During 2012-13 we will provide additional funding to ensure the graduate output of the dental schools meets expected output of Scottish dental graduates (167) by the end of December 2012
· Dental Act
We will deliver a system that monitors the undergraduate teaching activity supported by dental ACT funds and ensures these resources are used effectively. During 2012-13 we will produce an annual report and complete six monthly review meetings for each of the dental schools detailing activity and spend against ACT funds and the use of uplift funds by NHS Tayside and NHS Greater Glasgow and Clyde. LDPA14