DEVELOPING THE PRIMARY DEVELOPING THE PRIMARY CARE WORKFORCECARE WORKFORCE

Helen Broadbent

Director of Modernisation and OD

Bradford South & West PCT

All sorted…..All sorted…..

• Workforce LDP

• HR in the NHS Plan

• Liberating the Talents

• Primary Care Workforce Planning Framework

• etc etc etc

• JDI

Our objective is to liberate the talents and skills of all the workforce so that every patient gets the right care in the right place at the right time

GMS/PMS contract

Developing new services

10 key roles for nursing

Valuing generalists

Integration across boundaries

There is an ambitious vision of what primary care will look like in

the future – delivering fast, convenient,

integrated and high quality services

Primary Care Trusts can ill afford not to harness and develop the skills of this workforce

Developing specialist roles

So what are we doing exactlySo what are we doing exactly

• Do we know what the primary care workforce is?

• Do we know what we want it to be?

• Do we know how we’re going to get from A to B

• Can we accept that A to B is not a linear process and learn to live with that

The Primary Care WorkforceThe Primary Care Workforce• Patients• Voluntary and Community Sector• Admin, clerical and management staff• Unqualified health care staff• Nurses • Doctors• AHPs• Dentists• Pharmacists• Opticians• Dental Nurses• Pharmacy technicians• Counter Assistants• Dispensing technicians• etc etc etc

Knowing a bit more about AKnowing a bit more about A

• Recruitment and retention• The market• Sickness, stress, morale, motivation• Efficiency• Diversity• Safety and risk• History• Culture and environment

So where is BSo where is B

• Service strategies and plans

• OD plan

• Efficiency

• Vision

• Best practices

• A from another perspective

B in terms of the workforceB in terms of the workforce

• Specialist roles• Generalist roles• Skill mix• More and different leaders• Empowerment• Highly trained and appropriately skilled• Safe and effective• Efficient• Attitude and behaviour

A to BA to B

• Do not develop the workforce in isolation

• Try a bit of over supply (for a change)

• Take risks

• Culture, style, leadership …… provide the fertile soil to grow the new workforce

• Engage

A few examplesA few examples

• Staff Nurse development programme• District Nursing and Health Visiting

• Health Care Assistants

• Pathways to Health

• GPwSI

• NwSI

• Nurse Practitioners – specialist roles

And finallyAnd finally

• Don’t expect to get it right all the time

• Don’t worry too much about what right is

• It’s not a science

• Take risks (lots of them)

• Small changes

• Be driven by some need but don’t wait for everything to line up before you do something