Trish HillBusiness West Employment and

Skills Partnership

Professor Sarah Watson Fisher Managing Director

Healthcare Challenges

Aims

• National & Local• Short and long term • Opportunities • Solutions

National and International

• Social • Quality• Access• Cost

4

Local

• Large geographical area with dispersed, rural population

• High numbers of older citizens (19.6% aged 65+)• Long term conditions and dementia care • Integration of care • High percentage of young people not in

education, employment or training• Limited local employment opportunities in some

areas, ie Cornwall

5

Short term objectives

• Values and Beliefs • Accountability• Leadership • Ageing population • Long term conditions • Dementia • Workforce

6

Long term objectives

• Technological developments in:- – Communication – Healthcare – Environment

• Patients perceptions• Workforce

7

Solutions?

• Genomics • Technological changes • Change in skills and knowledge • Change in healthcare delivery

8

Lucy Blandford Chair of the Wider Workforce Network

(North)

The Widening ParticipationPhilosophy in the South West

Aim

• Widening Participation in South West Healthcare

• Apprenticeships – Why?• Higher Apprenticeships – the drivers• Future Objectives

History

• Bob Fryer National Director for Widening Participation in Learning at the Department of Health (Learning for a change)

• Joint Investment Framework • Leitch (level 2 workforce)• Apprenticeships • Widening Participation Strategy SW

11

Widening Participation

‘Widening Participation’ is a term consistently used to describe the processes and strategies aimed at those who are under represented or under participating in learning. These groups are described as ‘those on low incomes, those without qualification, the unskilled, part-time and temporary workers, older adults, those with literacy, numeracy or learning difficulties, disaffected youth and some minority ethnic groups’ (Tight, 1998).

12

Widening participation had a consistent message and definition

• Fair access to opportunities for learning and training (HEE mandate 8 & 10)

• Raising awareness of education and its benefits to patient outcomes (HEE mandate 8 & 10)

• Raising aspirations (HEE mandate 8 & 10)

• Raising achievement (HEE mandate 8 & 10)

• Raising quality and assurance (HEE mandate 8 )

13

Apprenticeships -Why • Across Southwest 28 Apprentices in 2008; 2013 over 3500 • Benefits derived from engaging in apprenticeships:

– Widening pool of people entering by establishment of a vocational pathway into several occupations (1)

– Increasing flow of young people into NHS where establishments had an ageing workforce (1)

– Structured learning programme for existing staff leading to level 2 and 3 qualifications (1)

– Improved staff retention through career progression (2)– A well qualified, highly skilled and motivated workforce that

meets the needs of existing and new patient pathways and service models

14

Higher Apprenticeships – the drivers

• Global pressures • Government direction• Local Enterprise Partnerships objectives

including economic stability and sustainability • Current and future service delivery needs(e.g.

Cornwall) • The Francis and Winterbourne View reports

16

The importance of Vocational Pathways

17

Future: what we know

• Service delivery is changing• Healthcare sector supporting national and

local objectives and are experienced at responding

• Established partnerships between employer and Education Providers

• Increasing requirement for education delivery to be flexible

22

Future: what is required

• Security of supply and control: viable and sustained employment and education models that widen access

• A concerted effort to engage and widen participation in learning

• More effective partnerships • Clear, articulated career pathways to staff

employed across the Region.

23

References (1)• ‘Learning for a Change in Healthcare’ First report to the Department of

Health and the NHS from Professor R H Fryer CBE, National Director for Widening Participation in Learning (2006). http://www.workforce.derbys.nhs.uk/Portals/0/WF%20Strategy/Policy%20Docs/Learning%20for%20a%20Change%20in%20Healthcare%20December%2006.pdf

• A report of an evaluation of the NHS South West Joint Investment Framework; http://eprints.uwe.ac.uk/13824/

• Prosperity for all in the global economy – world class skills. Final Report; http://www.delni.gov.uk/leitch_finalreport051206[1]-2.pdf

• Quality with Compassion: the future of nursing education; http://www.williscommission.org.uk/__data/assets/pdf_file/0007/495115/Willis_commission_report_Jan_2013.pdf

24

References (2)• Employer investment in apprenticeships in the health sector, Hogarth,

Gambin and Baldfauf (2012) http://www.apprenticeships.org.uk/About-Us/~/media/Documents/Publications/Net-Benefits-to-Employers-of-Apprenticeships-in-He.ashx (1)

• Apprenticeships: http://www.nhsemployers.org/PlanningYourWorkforce/SupportWorkforce/DevelopingYourSupportWorkforce/Pages/Apprenticeships.aspx (2)

• South West Observatory: http://www.swo.org.uk/• Transforming care: A national response to Winterbourne View Hospital

(2012) https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/213215/final-report.pdf

• Report of the Mid Staffordshire NHS Foundation Trust Public Enquiry, Executive Summary (2013) http://www.midstaffspublicinquiry.com/sites/default/files/report/Executive%20summary.pdf

25

Higher Level ApprenticeshipsNational Apprenticeship ServiceRichard Daulton.5th November 2013

27Higher Level ApprenticeshipsNational Apprenticeship Service: Definition and Drivers

Higher Level Apprenticeships enable individuals in employment to develop the technical knowledge and competence to perform a defined job. They are an approach to workforce development and enhancing business performance.

• Critical to the economy respond to employers’ higher level skills needs support enhanced business performance a route for individuals career aspirations enhance social mobility - progression

• Government support and investment priming investment fund (2011) vocational funding focus is via Apprenticeships Advanced Learning Loans (24+)

28Higher Level ApprenticeshipsNational Apprenticeship Service: Recognition

A Higher Level Apprenticeship is a recognised learning framework at:

• Level 4 (Certificate of Higher Education) e.g. Accounting, Business & Administration, Project Management

• Level 5 (Foundation Degree) e.g. Health (Assistant Practitioner), Management, Human Resource Management, Care Leadership and Management

• Level 6 (Bachelor’s Degree) e.g. Facilities Management

• Level 7 (Masters Degree) e.g. Professional Services (Tax, Audit, Accountancy)

29Higher Level ApprenticeshipsNational Apprenticeship Service: Ambition and Progress

Ambition (2015)• 22,000 starts (England) with 4,500 employers investing• 50 “live” frameworks on offer

Progress (2012/13)• 8,800 starts (England). 1 in 6 are from the South West

• 38 “live” frameworks (12 in development). Includes: Health (Assistant Practitioner), Management, Business Administration,Accounting, Human Resources, Care Leadership, IT

• HESW funding for Wider Workforce including Higher Level Apprenticeships

30Higher Level ApprenticeshipsNational Apprenticeship Service: NHS employers

Apprenticeship growth in the South West

• 1,130 starts (all levels) 2012/13: +12% over 2011/12 (- 8% nationally)

• 540 starts at Advanced level – progression potential

• 50 starts at Higher levels

• HESW 2013/14 funding for Wider Workforce including Higher Level Apprenticeships is a substantial boost.

31Higher Level ApprenticeshipsNational Apprenticeship Service: Useful Links

• Apprenticeships:

http://www.apprenticeships.org.uk Tel.: 08000 150 600 

• Higher Level Apprenticeships:

http://www.apprenticeships.org.uk/employers/the-basics/higher-apprenticeships.aspxwww.apprenticeships.org.uk/employers/the-basics/higher-enticeships.aspx://• National Apprenticeship Service:

Richard.daulton@apprenticeships.gov.uk Mobile: 07880 736 709 richard.daulton@apprenticeships.gov.uk

/ http://www.apprenticeships.org.uk/

32Higher Level ApprenticeshipsNational Apprenticeship ServiceRichard Daulton.5th November 2013

Break

Foundation Degree and Higher Apprenticeship in Healthcare Practice

South Devon Healthcare NHS Foundation Trust

Anna Heath, Alison Milner and Jane Gidman

A 2 year FdSc Healthcare Practice in partnership with South Devon College (SDC)

Seconded and direct entry students Seconded students from South Devon

Healthcare Foundation Trust (SDHCFT) Management support for internal seconded

Trainee Assistant Practitioners (TAPs) Clinical placements/Honorary Contracts for

direct entry TAPs

Partnership working

Band 4 Assistant Practitioner role within the NHS

Progression to SDC Level 6 Healthcare Practice

Plymouth University (PU) agreement that the FdSc Healthcare Practice programme is one of the academic routes to apply for Degree student nurse training

Discussion with PU regarding awarding the FdSc to relevant students that cannot continue

Progression

Competencies decided by managers Expert staff teach National Occupational

Standards Skills for Health standards are utilised for

the competency levels of a Band 4 Consistent QA processes with PU

Quality Assurance

Level 4

Module Code Module Title No. of Credits

Core / Optional

SOUD1135  Skills for Healthcare Practice 20 Core

SOUD1136  Foundations of Healthcare Practice 20 Core

SOUD1278  Human Growth and Development 20 Core

SOUD1129  Developing Research and Practice 20 Core

SOUD1137  The Care Process 20 Core

SOUD1138 

Diverse Perspectives on Health and Illness 20 Core

Level 5

Module Code

Module Title No. of Credits

Core / Optional

HEAB273  Evidence Based Practice 20 Core

HEAB221  Changing Practice 20 Core

SOUD2143 

Health Promotion 20 Core

SOUD2142 

Law and Ethics in Practice 20 Core

HEAB202R Long Term Conditions Care Management 20 Optional

HEA293R Core Skills of the Care of Critically ill adults in Acute Care Areas 20 Optional

HEAB223  Specialist Knowledge and Skills for Practice 20 Optional

CAE207  Independent Study Module 20 Optional

SOUD2008 

Management: People, Projects and Provision 20 Optional

Level 5

Module Code

Module Title No. of Credits

Core / Optional

Transferability of Competencies, which include four core competencies:

1. Allocate and check work within your team2. End of life care3. Effective discharge planning4. Risk management

Specialist Skills

New roles

With the specialist knowledge and skills for practice modules new tasks and responsibilities have been incorporated into the AP role.

See information sheet for breakdown of skills based on specialist areas

SDC, SDHCFT and PU have worked in partnership to map the FdSc to the Specification of Apprenticeship Standards for England Document (SASE)

Full compliance has been established

Dual award

Creating a standard approach across the NHS: Core skills provide transferability across the workplace

Recognises those who have worked full time in the NHS whilst completing FdSc

SASE Compliant

Progression from SDHCFT Level 3 Apprenticeship for Workforce Development

BSc (Hons) Healthcare Practice Top-up at South Devon College

Exciting new Band 5 opportunities

Student case studies

Partnership supporting progression in the NHS

Health and Social Care module for the community based students to support their holistic practice

Inclusion of Medicines Management Competencies for relevant students

Introduction of Psychology option modules

Future Developments

North Devon Healthcare NHS Foundation Trust commenced the FdSc programme September 2013

On going discussions with: Devon Partnership Derriford Devon Prisons

Where next

Questions

Faculty of Health and Life Sciences

FdSc. Healthcare Science

First cohort: 9th September 2013

Dr Carolyn Paul

Programme Manager for Biomedical and Healthcare Sciences

BSc = HCS PractitionerFdSc = HCS

Associate

Programme Considerations

• Programme delivery must be accessible and flexible. • Should include part-time taught courses, distance

learning and blended learning options.• Should be training for the ‘role’ in line with Higher

Level Apprenticeships • Must carry academic credit to ensure individuals are

eligible to progress to the practitioner training programme (PTP).

• To maximise the scope for career progression, the MSC models for the provision of these programmes are drawn from the PTP curricula.

Liaison• Divisional Workforce Groups / SW MSC Implementation

Board - regular meetings 2011-12

• Department of Health MSC Team – meeting with UWE and employers July 2012

• Meetings with Cogent, Skills Sector Council for the Science Based Industries

• Employer Liaison Group (JTO) Working Party• FdSc Applied Bioscience Technology• FdSc Chemical Science

• Programme Validation November 2012

FdSc. Healthcare Science

Principles in Healthcare Science(Core Skills/Professional Working)

Year 1 Year 2

Professional Aspects of HCS(Multi-discipl/Professional Port.)

Scientific Basis of Life(Cells/Biochemistry/Genetics)

Pathophysiology of Disease(Integrated case studies)

Anatomy & Physiology(A&P – content selection)

Scientific Measurement(Data collection/analysis/instrum.)

Healthcare Science in Practice(Content selection: role-relevant)

FdSc. Healthcare Science

Training for a role: CHOICE• Professional Practice Portfolio

– Is the student endpoint the FdSc?– Is the student endpoint the BSc?

• A&P (Yr 1) HCS in Practice (Yr 2)– Is the student based in a Life

Sciences or Physiological Sciences setting?

– Which specialism? – Mixed setting?

• How is this Managed?

Principles in Healthcare Sci.(Core Skills/Professional Work)

Year 1 Year 2

Professional Aspects of HCS(Multi-discipl/Professional Port.)

Scientific Basis of Life(Cells/Biochemistry/Genetics)

Pathophysiology of Disease(Integrated case studies)

Anatomy & Physiology(A&P – content selection)

Scientific Measurement(Data collection/analysis/instrum)

Healthcare Science in Practice(Content selection: role-relevant)

Negotiated Learning Contract

• Employer• Employee/student• UWE

Block 1 Year 1

FdSc. Anatomy & Physiology (30 credit)3 Credit “Units”

• Cells to tissues• Homeostasis

Intro

• Gastrointestinal• Urinary/Renal

Visceral systems

• CNS• ANS

Nervous System

• Endocrine system• Female

endocrinology

Endocrinology

• Electrophysiol.• Pressure and

ventilation

CVRS 1

• Muscle S/F• Skeletal

Support systems

• Terminology• Diagnostic imaging

Clinical Anatomy

• Male/Female anatomy

• Embryology

Reproduction

• Synapses• Nerve conduction

Nerve Function

• Mechanics• Blood pressure

Vascular System

• Sleep 1• Sleep 2

Sleep Science

•Cardiac development•Respiratory 2

CVRS 2

Core (all)

Optional (HCS LS/PS)

Core (HCS PS)

SELECT: 10 Units from 12

Healthcare Science in PracticeComplete 4 from 11 themed units:

1. Applied genetics

2. Biology of Microorganisms

3. Blood & Tissue Sciences

4. Immunology & Disease

5. Human Physiology

6. CVRS Physiology

7. Cardiac Physiology A

8. Cardiac Physiology B

9. Pathophysiology of CVRS

10. Respiratory & Sleep A

11. Respiratory & Sleep B

• Indicate choice at start of year 1

• Review at start of year 2

• Captured in Learning Contract

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2

Se

pt

Oct

No

v

De

c

Fe

b

Jan

Ma

r

Ap

r

Ma

y

Jun

Jul

Au

g

6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 1 2

1 week

Year 1: 4 weeks teaching/assessment at UWE

1 week2

weeks

Weeks

Se

pt

Oct

No

v

De

c

Fe

b

Jan

Ma

r

Ap

r

Ma

y

Jun

1 week

Year 2: 3 weeks and 2 days teaching/assessment at UWE

1 day1 day2

weeksWeeks

Pattern of DeliveryCourseworkCompetency PortfolioExam

Jul

Au

g

Induction Block: FdSc Healthcare Science Dates: 9th – 20th September 2013

MORNING(9:00-10:00)

MORNING(10:00-11:00)

MORNING(11:00-12:00)

LUNCH AFTERNOON13:00-14:00

AFTERNOON14:00-15:00

AFTERNOON15:00-16:00

MONDAY WELCOMEProg Manager

Student advisers

PROGRAMME INTRO

Prog Man

Meet student buddies for

lunch

LAB INDUCTION LIBRARY TOUR / INDUCTION

TUESDAY *GENERAL COMPUTER INDUCTION

MODULE INTROPoD

Tutorial

MODULE INTROSBL

Tutorial

*BLACKBOARD SBL PRACTICAL(standard curve)

WEDNESDAY TUTOR MEETING

PoD PRACTICAL(Haem)

STUDY SKILLSReferencing

PoD PRACTICAL(Clin Chem)

THURSDAY *DISCUSSION BOARDS

PoD PRACTICAL(Cell Path)

STUDY SKILLSExaminations / assessments

PoD PRACTICAL(EIA)

FRIDAY SBL PRACTICAL(Genetics)

SBLTutorial

PoD Tutorial

Induction Block: FdSc Healthcare Science Dates: 9th – 20th September 2013

MORNING(9:00-10:00)

MORNING(10:00-11:00)

MORNING(11:00-12:00)

LUNCH AFTERNOON13:00-14:00

AFTERNOON 14:00-15:00

AFTERNOON15:00-16:00

MONDAY MODULE INTROA&P

*QUIZZES A&PHORACE(2H7/8)

A&P PRACTICAL(Dissection)

*ONLINE SUBMISSION

TUESDAY MODULE INTROPHS

PHSTutorial

A&P PRACTICAL(GTT)

WEDNESDAY PHSTutorial

A&P PRACTICAL(respiratory) FREE TIME

THURSDAY Student

MENTOR TRAINING

*PHSTutorial

*COLLABORATE

JOINTCOLLABORATE

*PORTFOLIOS

JOINTPORTFOLIOS

Learning Contract

JOINTcoffee

Learning Contract

breakfastREGISTER

coffeeWELCOME SAMPLE

TEACH

LUNCH

FRIDAYAccess to On-site Learning Resources

Drop-in sessions with module Leaders/TutorEND

Any given fortnightWeek Tuesday Wednesday Thursday Friday

A A&P Online ‘Lecture’ PHS 1hr tut PoD Online

‘Lecture’ SBL 1hr tut

B PHS Online ‘Lecture’ A&P 1hr tut SBL Online

‘Lecture’ PoD 1hr tut

A&P = Anatomy & PhysiologyPoD = Pathophysiology of DiseasePHS = Principles in Healthcare ScienceSBL = Scientific Basis of Life

Lec = Lecture. Asynchronous online deliveryTut = Tutorial. Synchronous group tutorial online

Mode of Delivery

• Work based training~ 2d/week work-based training (role)

• Blended / technology enhanced learning~ 1d/week engaging with online

learning/assessment

FdSc to BSc• BSc (Hons) available in:• Healthcare Science (Life Sciences)

– Accredited by Health Education England– Accredited by the Institute of Biomedical

Science – Approved by the Health & Care

Professions Council • Healthcare Science (Physiological

Sciences)– Accredited by Health Education England

Year 1Year 2Year 3

AugSep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

Final Year of BSc. Pattern of Delivery for Healthcare Sciences

Vacation

Term dates

Assessment periods

Placement/Workplace

Year 1Year 2Year 3

Step on to Pathways in:Blood SciencesCellular SciencesGenetic SciencesInfection SciencesCardiac PhysiologyRespiratory & Sleep PhysiologyWhere FdSc learning has not been specific to a pathway, some top-up study may be required before transitioning onto the BSc.

Year 1Year 2Year 3

AugSep Oct Nov Dec Jan Feb Mar Apr May Jun Jul

Final Year of BSc. Pattern of Delivery for Healthcare Sciences

Vacation

Term dates

Assessment periods

Placement/Workplace

Year 1Year 2Year 3

Semester 12 x specialist modulespathway-dependent

Semester 2Research ProjectProfessional Practice module

Student Support

Academic Personal tutor

Visiting Tutor

Module Leader

Programme Manager

Student Support ServicesAccess to all services• Remotely via webpages• On site during block week

Access to Academic Support

Face-to-face: block weeks / site visitsScheduled virtual office hoursUnscheduled: discussion board / email

Peer Group Support

Established during initial block week

Personal Academic Tutor Group

Face-to-faceScheduledUnscheduled

Student Advisers Library Disability / Access needs

IT Support

Any Questions?

Lunch and NetworkingPlease fill out and return your

evaluation form