NHS EMployERS ANNuAl REviEw 2013/14 - NHS Confederation/media/Employers... · NHS EMployERS ANNuAl...

1www.nhsemployers.org

MARCH 2014

NHS EMployERSANNuAl REviEw2013/14

SUPPORTING THE NHS WORKFORCE: 2013/14 HIGHLIGHTS

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The past year has often been referred to as the year ‘post-Francis’. Since February

2013 the NHS has responded to the Francis report recommendations and it’s clear that there are tangible cultural changes. Safe staffing has risen up the agenda, there is increased awareness of

whistleblowing, recruiting for values and a growing appreciation of the link between

staff experience and patient care. One year on, the February 2014 staff survey results also show

improvements in most indicators, including key areas such as staff engagement.

This hasn’t all happened by chance though. This has happened because of the actions of managers and leaders on the ground. NHS Employers has worked hard to ensure that the NHS workforce has the support it needs to implement these changes and help them deliver safe, effective and compassionate patient care. Here we take a look at some of the highlights of our work in 2013/14, and look ahead to our priorities in 2014/15.

Dean Royles, Chief Executive, NHS Employers


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wOrkiNg lONgEr rEviEw• Developedapubliccallforevidencetoallowemployersandotherorganisationstocontributetothereview.

• Supported‘bigconversation’eventsintruststounderstandhowstaff,managersandpatientsfeelabouttheraisedretirementage.

• SubmittedrecommendationsfromthereviewtoHealthDepartments.

www.nhsemployers.org/wlr

valuES-baSEd rEcruiTmENT• HeldtwonationaleventswithHealthEducationEnglandfor130delegates,showcasingvalues-basedrecruitmentinactionandplansforthenewnationalworkprogramme.

• Recruited75partnerorganisationstotheprogramme.

• Publishedavaluesmappingtoolandselfassessmentreadinesscheck.

www.nhsemployers.org/values

SuppoRTiNG THE NHS woRKFoRCE

2013/14 HiGHliGHTS

pENSiONS• Continueddiscussionsrepresentingemployerinterestsonthedetailsofthenewpensionschemebeingintroducedin2015.

• SuccessfullydevelopedaconsultancyservicetoprovideemployerswithadditionalsupportandatailoredplanfortheimplementationofautoenrolmentintheNHS.

•Workedinpartnershiptodevelopjointproposalsonthefuturegovernancearrangementsofthepensionscheme.

www.nhsemployers.org/pensions

carE makErS• DeliveredaprogrammeofcommunicationsacrossNHSorganisationstohelpcreateanetworkof1,000CareMakersbyApril2014.

• IncreasedawarenessofCompassioninPracticeacrossNHS-commissionedservices.

• ThroughtheCareMakerprogramme,workedtoembedthevaluesandbehaviourssetoutinthe6Cs,tosupporttransformingNHSculture.

www.nhsemployers.org/caremakers

a leading workforce campaign delivered by



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SOcial mEdia•WorkedwithtrustsandNHSchiefexecutivestodriveapermissiveuseofsocialmediaintheNHS,usingtheconversation#NHSEngage

• EncouragedaculturalshiftintheuseoftechnologyintheNHStopromotetransparency.

• DevelopedarangeoftoolsandresourcestoencouragetheuseofsocialmediaintheNHS.

www.nhsemployers.org/socialmedia

EmplOymENT cHEckS• Publishedrevisedguidanceforemployersonemploymentcheckrequirements.

• Providedsupporttoemployersonlegislationchangesaroundobtainingdisclosureandbarringchecksandtheintroductionoftheupdateservice.

www.nhsemployers.org/employmentchecks

raiSiNg cONcErNS• Providedresourcesandaccesstoexpertiseforemployerstohelpincreasestaffawarenessofhowtoraiseconcernsandensureunderstandingofthenewlegislativerequirements.

• Publishedupdatedguidanceontheuseofsettlementagreementsandconfidentialityclauses.

• Providedemployerviewstonationalbodiesonthepreferreddirectionoffurtherpolicyandtheimportanceofjoined-upworkingacrossthesystem.

www.nhsemployers.org/raisingconcerns

iNTErNaTiONal rEcruiTmENT• DevelopedaregularonlinenewslettertokeepemployersuptodatewiththetopicalnewsandthelatestdevelopmentsinUKimmigrationrules.

• Conductedaworkforcesupplysurvey,theresultshavebeenusedthroughouttheyeartorepresentemployerviewstotheHomeOffice,MigrationAdvisoryCommitteeandDHandtohelptargetouremployerresourcesandinformationeffectively.

www.nhsemployers.org/immigration

THE FraNciS rEpOrT•Workedwith,andcollectedviewsfrom,employerstoprovideanemployerresponsetotheFrancisreport.

• ProvidedtheDHwithaviewonpracticalimplementationastheresponsestotheworkforce-relatedrecommendationsweredeveloped.

• ProvidedemployerresponsestotheCavendish,Berwick,KeoghandHart/Clwydreviewsandensuredtimelyfeedbacktoemployersontheirrecommendations.

www.nhsemployers.org/francis

HEalTH viSiTiNg• Throughour‘shareandlearn’networkmeetingsandourvirtualnetwork,kepthealthvisitorproviderorganisationsuptodateonnationalpolicydevelopmentsandsharedbestpractice,ideasandsolutions.

• Reinforcedexistingresourcesanddevelopednewonestohelpemployersmeetthehealthvisitorimplementationplan.

•Workedinpartnershipwithothernationalorganisationstoofferemployerandemploymentviewsontheworkforceaspectsofthehealthvisitorimplementationplan.

www.nhsemployers.org/Healthvisiting

www.nhsemployers.org/socialmedia



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STaFF ENgagEmENT•Providedresourcestosupportimprovingstaffengagement,includingamajorupdateofourstaffengagementonlineresources.

• Analysedkeyissuesfrom2012staffsurveydata,whichshowedimprovementinstaffengagementwithintheNHS.

• Organisedsharingandexchangeofinformationthroughouremailnetworkandwebinarprogramme.

• RaisedemployerconcernsoverplansfortheStaffFriendsandFamilyTest,whichsecuredchangestotheoriginalplans.

www.nhsemployers.org/staffengagement

SOcial parTNErSHip FOrum (SpF)• PutinplacemechanismstoensureallrelevantpartnersarefullyincorporatedintotheSPFnationalforumandsubgroups.

• EnsuredeffectivepartnershipworkingarrangementswerefurtherbuiltonintheSPFregions.

• TookforwardworkarisingfromtheFrancisReportandGovernment’sresponse.

•WorkedwithallSPFpartnerstolaunchanewSPFwebsite.

www.nhsemployers.org/SpF

NurSiNg rEvalidaTiON•WorkedwiththeNursingandMidwiferyCounciltoensuretheyhadaccesstoemployers’viewsintheNHSastheydevelopedtheirplansforrevalidation.

• Providedupdatesandinformationtosupportlocalcommunications.

• DevelopedanemployerresponsetotheconsultationbasedonlisteningtotheviewsofHRandnursingleaders.

www.nhsemployers.org/nursing

pErSONal, Fair aNd divErSE (pFd) campaigN• Developedvideosandpodcastsofambassadortrustssharingtheirjourneys.

• SupportedtheNHS65thanniversarywiththepublicationoftheBMEtrailblazersseries.

• DesignedanddevelopedaPFDapp.• LedonthedeliveryofthesecondNHSEquality,DiversityandHumanRightsWeek.

www.nhsemployers.org/pFd

OrgaNiSaTiONal dEvElOpmENT (Od)• HostedthefirstevernationalNHSconferenceonODinpartnershipwiththeNHSLeadershipAcademy.

• PublishedarticlesandresourcesfromODexperts,sharinggoodpracticeandbuildingODcapabilityacrosstheNHS.

• SupportedsevenkeynationalODprojectsincollaborationwithcolleaguesacrosstheNHS.

www.nhsemployers.org/Od

HEalTH aNd wEllbEiNg•MaintainedtherelevanceandpriorityofstaffhealthandwellbeinginthenewNHSinfrastructure.

• Supportedlinemanagerstoincreasecompetenceinmanagingstaffhealthandwellbeing,reducingsicknessabsenceandimprovingstaffengagement.

• IncreasedboardengagementthroughtheNHSEmployersVirtualBoardandTopLeaders’Forum.

www.nhsemployers.org/healthyworkforce




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TOTal rEward• HelpeddevelopHRskillstoenabletruststobuildtheirownlocalrewardstrategy.

• LaunchofTotalRewardStrategyToolkit.• SupportingthepilotofTotalRewardStatements.

www.nhsemployers.org/reward

SkillS•Workedwithkeypartnerstoproducecoherentplansforstrategydevelopmentandcross-governmentworking.

• ContinuedtohelptheNHSdeveloplocalstrategiestoincreasepartnershipworkingwithJobCentrePlus.

• Furthertestedthee-mentoringconceptanddevelopedabusinesscasemodelthatwilldeliverqualityandcosteffectiveness.

www.nhsemployers.org/skills

mOdErNiSiNg SciENTiFic carEErS (mSc)• AspartoftheprojectgroupledbytheHealthandSocialCareInformationCentre,createdanew,comprehensivemethodofclassifyingthehealthcarescienceworkforceontheElectronicStaffRecord.

• Deliveredaseriesof‘shareandlearn’networkmeetings,bringingtogetherhealthcarescienceleadsfromacrosstheNHStodiscusslocaldevelopments,opportunitiesandchallengesassociatedwithMSC.

www.nhsemployers.org/modernisingscientificcareers

mEdical pay aNd wOrkFOrcE• AgreedheadsoftermsfornegotiationsforconsultantsanddoctorsintrainingandbeganformalnegotiationswiththeBMA.

• Revisedguidanceonemployinglocums,payprotection,andmaternity.

•WorkedwithHEEtosupporttheBetterTrainingBetterCareprogramme.

• RepresentedemployerviewsintheShapeofTrainingReview.

• Continuedworkonmedicallocumslinkedtorevalidation.

www.nhsemployers.org/medicalworkforce

STaFF SEaSONal Flu campaigN• Supportedtruststoachieverecord-breakingfluvaccinationuptakeinEngland.

• Supportedlowerachievingorganisationstoraisetheiruptake.

• IdentifiedandsharedinnovativeapproachestoincreasingfluvaccinationuptakeamongNHSstaff.

• ExpandedthecampaigntosupporthealthcareworkerfluvaccinationinWales.

www.nhsemployers.org/flu

Hr ENgagEmENT SErvicE• CreatedopportunitiesfortheHRcommunityandstakeholderstorespondtopolicydevelopmentandimplementation.

• EstablishednationalnetworkstosupportHRdirectorsinKeoghtrustsandHR/workforceleadersinCommissioningSupportUnits.

• PublishedtoolsandmaterialsfromtheLondonStreamliningprojecttosupportwiderrollout.



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SHapE aNd EducaTiON OF THE wOrkFOrcE• PromotedgoodpracticefromNHStrustswhohaveusededucationandtrainingtosupportservicechangeandimprovement.

• Ensuredemployerandemploymentviewswereconsideredinthedevelopmentofnationalpolicy.

• Keptemployersuptodateontheirresponsibilitiesandactionswithregardtoeducationandtrainingissues.

•Producedandpromotedexamplesofemployers’goodpracticeinstudentplacementprovision.

www.nhsemployers.org/education

NON-mEdical pay• ContinuedpartnershipworkthroughtheNHSStaffCouncil,toensurethatthenationalpayandconditionsarefitforpurposeandsustainable.

• ProvidedadviceandsupportforlocalemployersimplementingthenewAgendaforChangeflexibilities.

• Developedastrong,employer-focusedsubmissiontotheNHSPayReviewBodyforthe2014/15payround.

www.nhsemployers.org/agendaforchange

EqualiTy aNd divErSiTy• Providedstrategicsupporttotheageingworkforceworkstream.

• GrewthePFDbrandamonghealthandsocialcareorganisations,aswellasnon-NHSorganisationssuchasfireandrescue,policeandprisonservices.

• SupportedtheEqualityandDiversityCounciltokeepuptodateonthelatestthinkingaroundequalityanddiversity,inthecontextoffuturereformsoftheNHSandsocialcare.

www.nhsemployers.org/equalityanddiversity

primary carE cONTracTiNg• SuccessfullynegotiatedchangestotheGeneralMedicalServices(GMS)contractonbehalfofNHSEnglandfor2014/15andpublishedsupportingguidanceforareateamsandGPpractices.

• Publishedupdatedversionsoftheguidestocommunitypharmacyandgeneralpractice.

www.nhsemployers.org/gms www.nhsemployers.org/pharmacy


SUPPORTING THE NHS WORKFORCE: 2014/15 PRIORITIES

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THE FraNciS rEpOrT• Supportemployerswithpost-Francisactivitybyembeddingitintoourallofourworkprogrammes.

www.nhsemployers.org/francis

carE makErS• IdentifyandembedrobustregionalCareMakersstructures.

• ContinuetoincreaseawarenessofCompassioninPracticeandthe6CsacrossNHS-commissionedservices.

• AgreeandsecureapermanentfundingmodelfortheCareMakerprogramme.


SuppoRTiNG THE NHS woRKFoRCE

2014/15 pRioRiTiES

pENSiONS• Supporttheimplementationofanew2015NHSPensionSchemeandemerginggovernancearrangements.

• Representemployerviewsondiscussionsrelatingtoanewcontributionstructureforthe2015scheme.

• EnsureNHSorganisationshaveaccesstoinformationandguidance,designedspecificallyforemployers,onallaspectsoftheNHSPensionScheme.

www.nhsemployers.org/pensions

valuES-baSEd rEcruiTmENT• ProduceasingleframeworkwithHEEforemployersanduniversitiestosupporttheimplementationofvalues-basedrecruitmentstrategiesandprocesses.

• Ensureprogressofactivityinwidercontextofembeddingvalues-drivenbehaviouracrossallemploymentpractice.

• Hostpartnerlearningworkshopsthatprovideaccesstoexpertiseandleading-edgethinking.

• Provideaccesstotrainingonvalues-basedinterviewingtechniques.

www.nhsemployers.org/values

raiSiNg cONcErNS• Ensureemployershaveaccesstoideasandcasestudiesarounddevelopinganopenculture.

• Providemanagerswithaccesstoresourcesandsupporttoencourageopennessinteamsandtheimportanceoftimelyfeedbacktostaff.

• Representemployerviewsandactivitytonationalbodiesastheydeveloppolicyinthisarea.

• Ensurethedifferencesbetweenraisingconcernsandwhistleblowingarepresentedandheard,byprovidingaleadingandexpertvoicetothepublicdebate.

www.nhsemployers.org/raisingconcerns




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HEalTH viSiTiNg• Continuetoprovideaforumforhealthvisitingserviceandworkforcemanagerstosharetheirworkforce-relatedexperiences,astheyworktodeliverthehealthvisitingimplementationplan.

• Reinforceexistingresourcesanddevelopawiderangeofworkforce-relatedtoolsforemployers.

• Providetailoredsupportandworkforceexpertiseto30employers,tohelpthoseorganisationsworktowardstheirhealthvisitorrecruitmentandretentiontargets.

www.nhsemployers.org/Healthvisiting

EmplOymENT cHEckS• Continuetoprovideexpertadviceandguidanceonemployerresponsibilitiesaroundsaferrecruitmentprocesses.

•WorkinpartnershipwiththeHomeOfficeandtheDisclosureandBarringServicetoensureemployerviewsarerepresentedastheydeveloptheirsystem.


iNTErNaTiONal rEcruiTmENT• Continuetoprovideexpertadviceandguidanceonemployerresponsibilitiesaroundethicalinternationalrecruitmentandmanagedmigration.

• Usetheintelligencewehavecollectedtotargetsupportaroundsupplyissues,solutionsandeffectiveinternationalrecruitment.

• Continuetoworkinpartnershipwithkeystakeholderstoensureemployerviewsarerepresentedinthedevelopmentofimmigrationpolicyandprocesses.

www.nhsemployers.org/immigration

SkillS• ContinuepartnershipworkingwithJobCentrePlusandNHSorganisationstodeliverlocalrecruitmentefficienciesandemployment.

• Promoteandpublishgoodpracticeonapprenticeshipsandemployingyoungpeople.

www.nhsemployers.org/skills

pErSONal, Fair aNd divErSE (pFd) campaigN• GrowourPFDchampionsnetworkacrosstheNHSandthepublicsector.

•WorkwithambassadorstointegratethePFDmodelfurtherintoorganisations’culture.

• UsesocialmediatopromoteourPFDchampions’stories.

• DeliverthethirdEquality,DiversityandHumanRightsWeek.

www.nhsemployers.org/pFd

NurSiNg rEvalidaTiON• ContinuetoworkwiththeNMCandemployersastheproposalsforrevalidationaredevelopedthroughout2014.

• Engagewithandreceiveupdatesfromtheotherprofessionalregulatorswhoaredevelopingplansforrevalidationoftheirregistrants.

www.nhsemployers.org/nursing

STaFF ENgagEmENT•Supportemployerstosustainstaffengagementandmaximisethebenefitsforpatientcare.

• SupportemployerstoimplementtheStaffFriendsandFamilyTest.

• Delivernewsupportforlinemanagers,linkingtootherprogrammessuchasCompassioninPractice,healthandwellbeingandpartnershipworking.

www.nhsemployers.org/staffengagement


www.nhsemployers.org/HealthVisiting


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SOcial parTNErSHip FOrum (SpF)•WorkwiththeDH,NHSEngland,HEEandNHStradeunionstoensureemployerscaninfluencetheworkforceimplicationsofpolicies.

• ContinuetosupporttheregionalSPFsandencourageacollectiveapproachwithnationalSPFtoensureinformationsharing.

• PromotepartnershipworkingatalllevelsintheNHS.

www.nhsemployers.org/SpF

OrgaNiSaTiONal dEvElOpmENT (Od)•WorkwithcolleaguesacrosstheNHStocreatetoolsandresourcestoimprovepatientcarethroughOD.

• UseappliedODtechniquesandculturechangemethodologytosupportorganisationstobuildcompassionateculturesofcare.

• ContinuetosupportODnetworksbyprovidingaforumtoconnect,shareandlearninpersonandvirtually.

www.nhsemployers.org/Od

TOTal rEward• BuildontheTotalRewardToolkitwithmoresharedlearningandresources.

• HelpsupporttheNHSwiththeintroductionofTotalRewardStatements.

• Developanengagementnetworkforstrategicreward.

www.nhsemployers.org/reward

STaFF SEaSONal Flu campaigN•Workwithnationalstakeholderstoestablishaunifiedstatementsupportinghealthcareworkerfluvaccination.

• Continuetoprovideresourcestosupportlocalfluleads.

•Workwithnationalstakeholderstodevelopandimprovethereportingsystemforfluvaccinationuptakedata.

• Supportfluleadstoimprovefluvaccinationuptakeinnursesandmidwives.

www.nhsemployers.org/flu

HEalTH aNd wEllbEiNg• ContinuetopromoteboardengagementthroughtheNHSEmployersVirtualBoard.

• Provideguidanceandtoolsaroundhealthandwellbeingmetricsandevaluation.

• Createanonlinesicknessabsenceresourceformanagers.

• DevelopanNHSmeasureofemotionalwellbeingtosupportstaff.

• Developamentalhealthtrainthetrainerprogrammeformanagers.

www.nhsemployers.org/healthyworkforce

NaTiONal wOrkFOrcE ENgagEmENT SErvicE• StrengthentheeffectivenessofanationalengagementservicethroughsharingHRpracticeanddevelopingtherangeofstakeholdersandcross-sectorlinks.

• SupportHRprofessionaldevelopmentthroughtheHRdirectorChairsnetworkandthejointstrategywithNHSEnglandandHealthcarePeopleManagementAssociation.

• StrengthencapacityandeffectivenessacrossNHSEmployers,addressingkeychallengessuchaspay,seven-dayservicesandservicereconfiguration.




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mOdErNiSiNg SciENTiFic carEErS (mSc)• ContinuetosupportlocalimplementationofMSCbyrepresentingemployers’views,providingexpertadviceonworkforceandemploymentissuesandthesharingofgoodpractice.

• Supportdevelopmentofnewtrainingandcareerprogressionprogrammes,thereviewofhealthcarescienceAgendaforChangenationalprofilesandcontinuetosupportpromotionofhealthcaresciencecareers.

www.nhsemployers.org/modernisingscientificcareers

mEdical pay aNd wOrkFOrcE•Negotiatechangestoconsultants’andjuniordoctors’contractualarrangements.

• DevelopevidenceforsubmissiontotheDDRB.

•WorkwithHEEtosupportqualityimprovementsinpostgraduatemedicaleducationandtraining.

• Representemployers’viewsinplanstochangethestructureofmedicaltraining.

• SupportNHSEnglandtoimprovethequalityofmedicallocums.

www.nhsemployers.org/medicalworkforce

NON-mEdical pay• SupportemployerrepresentativesontheNHSStaffCounciltoseekfurtherchangestonationalpayandconditionstoensuretheyremainsustainable.

• ProvideadviceandguidancetohelplocalemployersmakeeffectiveuseoftheAgendaforChangeflexibilities.

• Developastrong,employer-focusedsubmissiontotheNHSPayReviewBody.

• Continuetoprovidehigh-qualitytrainingintheNHSJobEvaluationScheme.

www.nhsemployers.org/agendaforchange

EqualiTy aNd divErSiTy• CelebratethecontributionofadiverseworkforcetotheworkoftheNHSthroughEquality,DiversityandHumanRightsWeekandothermethods.

•WorkwithNHSEnglandtosupporttheobjectivesoftherefreshedEqualityandDiversityCouncil.

• DevelopareputationasE&Dworkforceexperts.

• SupportNHSorganisationstoimplementtheEqualityDeliverySystem(EDS2).

www.nhsemployers.org/equalityanddiversity

primary carE cONTracTiNg•WorkwithNHSEnglandtonegotiatechangestotheGeneralMedicalServicesandGeneralDentalServicescontractsandnewservicesfortheCommunityPharmacyContractualFrameworkfor2015/16.

• Publishguidancetosupportanynegotiatedchanges.

www.nhsemployers.org/gms www.nhsemployers.org/pharmacy


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SHapE aNd EducaTiON OF THE wOrkFOrcE•WorkcloselywithHEEtoensureemployerviewsandemploymentissuesareconsideredinthedevelopmentofnationalpolicy.

• Keepemployersuptodateontheirresponsibilitiesandactionsemergingfrompolicy.

• ContinuetopromoteandshowcaseNHStrustswhouseeducationandtrainingtosupportservicechangeandimprovement.


wOrkiNg lONgEr rEviEw• Supporttherecommendationsandoutcomesofthereview,workingcloselyinpartnershipwithemployers,tradeunionsandthehealthdepartments.

www.nhsemployers.org/wlr


NHS EMployERSThe NHS Employers organisation is the voice of employers in the NHS, supporting them to put patients first. our vision is to be the authoritative voice of workforce leaders, experts in HR, negotiating fairly to get the best deal for patients.

Wehelpemployersmakesenseofcurrentandemerginghealthcareissuestoensurethattheirvoiceisfrontandcentreofhealthpolicyandpractice.Wekeepthemuptodatewiththelatestworkforcethinkingandexpertopinion,providingpracticaladviceandinformation,andgeneratingopportunitiestonetworkandshareknowledgeandbestpractice.

WeworkwithemployersintheNHStoreflecttheirviewsandactontheirbehalfinfourpriorityareas:

•payandnegotiations•recruitmentandplanningtheworkforce•healthyandproductiveworkplaces•employmentpolicyandpractice.

TheNHSEmployersorganisationispartoftheNHSConfederation.

Acknowledgements ThistoolkitwasdraftedbyAlexTalbott(@a_double_tt)

Contact

Formoreinformationonhowtobecomeinvolvedinourwork,email [email protected] www.nhsemployers.org [email protected]

@nhsemployers

NHSEmployers

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PublishedMarch2014.©NHSEmployers2014.Thisdocumentmaynotbereproducedinwholeorinpartwithoutpermission.TheNHSConfederation(Employers)CompanyLtd.RegisteredinEngland.Companylimitedbyguarantee:number5252407Ref:EINF34801

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