Wakefield General Practice Workforce Transformation Strategy

At the New Models of Care board yesterday we presented our strategy for general practice workforce transformation over the next three years. Below is a summary of what we said:

Aim of the Strategy

To expand, develop and deliver the general practice (wider primary care) workforce by 2020. Ensuring we have the right people (confident, engaged and motivated) with the right skills, values and behaviours, which results in a workforce who collaboratively support self-management and deliver wrap around health, care and well being services which embodies the ‘Triple Aim’ of patient experience, health outcomes and financial effectiveness.

Five Key Priority Areas:

       Workforce Strategy and Planning
       Enhancing and Growing Systems Leadership
       Growing Talent and Securing Resilience
       New roles, new ways or working
       Staff Engagement (Culture Change)

1 Workforce Strategy and Planning

To identify, analyse and predict the future workforce requirements for General Practice.
Initiatives
To improve the availability and quality of workforce intelligence we will be focused on achieving the following:
       Submission of workforce data by all practices to the HEE Y&H workforce tool
       Workforce Data Sharing Agreements in place for all Wakefield GP practices
       With Connective Care partners adopt a workforce and activity planning tool.
       Use of scenario based workforce modelling to inform planning

2 Enhancing and Growing System Leadership

Ensure that General Practice has clinical and managerial leaders who will collectively develop and support the general practice workforce .
Initiatives
       Development of professional development and leadership programme
       Delivery and/or commissioned training of professional development and leadership programme, to include:
      ILM Level 5 Award for Practice Managers
      New clinical skills programme (HCA, GPN, Practitioner)
      Professional Practice and Development
      Effective Communication
      Motivational Interviewing
      Finance Workshop
      Managers Workshop
      Incident Investigations
      CQC in Primary Care
       Collaborative working with development of a STP wide nurse leadership programme

3 Growing Talent and Securing Resilience

Attracting, recruiting, retaining and developing a resilient workforce to deliver safe good quality care
Initiatives
       Delivery and/or commissioned local training of professional development, leadership and clinical programmes
       Participate in development of roles/training e.g. ACP, ANP, GPN Ready, PA, Leadership Fellows, Apprenticeships etc.
       Engagement with recruitment and careers events locally and nationally 
       Pilot internship (BTEC students) programme, evaluating and developing future internship/talent programme
       Pilot Widening Access to Healthcare project with Leeds University
       Support OU to Registered Nurse Degree Apprenticeships
       Participation in the International GP recruitment programme
       Ongoing delivery of Nurse Engagement, Non-Medical Prescribing meetings and TARGET events 
       Ongoing workforce engagement events ensuring feedback is incorporated into future plans and events  
       Working towards standardised mandatory and essential training matrix
       Clinical Supervision and Preceptorship programmes

4 Redesign – New roles and new ways of working

Innovating and adapting our workforce by creating, piloting and embedding new ways of working and new roles into the infrastructure of our delivery models to benefit our patients and help realise our place based outcomes
Initiatives
       Map new roles and new ways of working, transfer learning and evaluate the impact on transformational progress e.g. Care Navigator, Physio first, Pharmacy first
       Explore development of a Physician Associate rotational programme
       Develop the Primary Practitioner role within the IAPT service
       Recruitment and training of IAPT therapists to support people with long term conditions
       Develop learning and development frameworks for new roles, align to national and local competency frameworks
       Explore development of a  virtual practice, flexible employment routes and opportunities for new models of employment
       Participation in local careers fairs, events and engagement exercises

5 Staff Engagement (Culture Change)

Actively engage the workforce to support the cultural change programme required to support transformation for integration in Wakefield and the capacity and competence of the workforce to be strengthened
Initiatives
       Develop a communication and engagement strategy with NHS Wakefield CCG Communication and Engagement Team. Engagement will include collaboration with:
       Patient and public
       Federations
       Connecting care partners
       Local universities and schools 
       Ongoing workforce engagement activities and events including launch of this strategy at the GP Membership meeting in  December 2017
       Ongoing professional development and educational events delivered by WGPWDA

The strategy was strongly supported by the NMoC board and the next steps are:

       To identify resources to deliver strategy in 2018/19
       Bring sustainability paper to NMoC board in January


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