Health Education England Business Plan 2018/19
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Health Education England Health Education England Business Plan 2018/19 Developing people for health and healthcare www.hee.nhs.uk Contents Foreword and Introduction ...................................................................................................................4 1. Priorities and Goals...............................................................................................................................6 2. Strategic Context .................................................................................................................................16 3. Description (about HEE) ..................................................................................................................18 4. Management and Organisational Structures .......................................................................20 5. Drivers of Change .............................................................................................................................22 6. Strategies and Outline Action Plans ........................................................................................23 7. Financial Requirements ...................................................................................................................24 8. Accountability ......................................................................................................................................27 9. Appendix Summary Business Plan 2018/19 .........................................................................29 3 Foreword and Introduction Foreword from our Chairman and Our commitment remains to deliver high-quality Chief Executive education and training to support the NHS in ensuring it gets the right people, with the right skills, values and The NHS turns 70 this year and together behaviours in the right place, at the right time and in the right numbers. Improving the quality and safety of with social care is responding to changing healthcare stays firmly at the top of our agenda, but in patient needs. New treatments for a response to a national move to integrated care, a shifting growing and ageing population mean that policy landscape and the United Kingdom exit from the European Union we are changing and 2018/19 will be a the pressures on the service, particularly the year of significant development. workforce, are greater than they have ever been and Health Education England (HEE) is Making a difference to the NHS responding to that challenge. We continue to be responsible for future Health and care staff, who make up 13 percent of all workforce supply and will play a central people in employment in the UK, are the single biggest role in supporting local and national investment we make. The NHS wage bill is almost two- thirds of its entire operational budget. That is why getting organisations in making decisions about the right workforce strategy is critical to the sustainability their workforce priorities through data, of high-quality health and care services. analysis and forecasts. Following extensive consultation, this year will see the We will continue to grow our frontline workforce in launch of a new health and care workforce strategy response to provider demand, especially in priority areas ‘Facing the Facts, Shaping the Future’. This will be the such as nursing, primary care, mental health, urgent and first workforce strategy for 25 years and puts staff front emergency care and maternity services. Achieving this will and centre in designing a new health and care system require more investment in recruitment and training. for the next 70 years. A future in which we harness new technology, new medicine and new ways of working to A continued focus on the current workforce, supporting ensure patients continue to get what the Commonwealth initiatives such as better retention, return to practice after Foundation has once again crowned, the best health time out of the workforce and workforce transformation service in the world. can also make a difference to the frontline quickly and effectively. This will require increased flexibility as local The draft published last December for consultation also Sustainability and Transformation Partnerships (STPs) and heralded the launch of several reviews such as the Topol Integrated Care Systems (ICSs) develop new models of Review into how technology and other developments care in accordance with population need in their area. As are likely to change roles and functions of clinical staff a result, roles and places of work will evolve in line with and education and training. In addition, the Review that changes to clinical practice and the shape of health care. I will be leading as Chair of HEE will see a Commission established to look at staff and learner mental health and We will deliver the changes needed to improve the wellbeing to report by the end of the year. productivity of the workforce in partnership with other Arm’s Length Bodies (ALBs) and STPs (and ICSs) through the Local Workforce Action Boards (LWABs) established by HEE. 4 This Business Plan provides a roadmap for the next year This Business Plan also clarifies HEE’s core business and beyond, strengthening our corporate framework areas which now includes ‘Leadership Services’ as that clearly outlines how HEE adds value to our ultimate we continue to embed and enhance the role of the outcome of improving the quality and safety of healthcare NHS Leadership Academy and maintain our focus on to the population and patients of England. high-quality education and training as we continue to take responsibility for the commissioning of clinical This Business Plan also identifies our priorities and the placements, postgraduate education, doctors in training core business areas of HEE that we know, working and support the trainees who are the future of our NHS with partners locally and nationally, we must excel at to on a daily basis. achieve our priorities and mission. This year will present even greater challenges, but It also provides a focus for staff setting their own local through a concentration on self-identified enablers plans and objectives and provides greater accountability of performance, that will enhance our capacity and against which our Executive Team can be held to capability to perform our core business better than account by the HEE Board and the organisation can be ever, we are confident that with the support of the held accountable by Parliament and the people we seek partnerships we have made across the system we will to serve. deliver what we have set out to do. We have followed the six broad priority areas that HEE’s role as strategic leaders for the NHS workforce correlate with the system’s aspiration for the NHS in continues to be at the centre of a sustainable and the Five Year Forward View (FYFV) and our Mandate successful NHS. We will forge ahead in 2018/19, building with the Department of Health and Social Care (DHSC), on our partnerships and our commitment to delivery and namely, Cancer; Mental Health and Learning Disabilities; so continuing to make a real difference to the NHS and Maternity; Primary Care; Urgent and Emergency Care; patients across England. Population Health and Prevention. There is more detail about the plan to tackle those later in this document. The priorities described in this Business Plan and the changes we are making to our organisation will ensure we deliver: • The deliverables in HEE’s Mandate 2018/19. • Our contribution to the DHSC’s Single Departmental Plan and the Five Year Forward View (FYFV) • Support for the Sustainability and Transformation Partnerships and an ‘evolved’ version of an STP, known Sir Keith Pearson JP DL Professor Ian Cumming OBE as an Accountable Care System (ACS), that is working as a locally integrated health system. This work will be place-based and led locally by the Local Workforce Action Boards (LWABs). 5 1. Priorities and Goals Our priorities for 2018-19 These priorities align with the FYFV and are also contained in the DHSC Mandate to HEE for 2018/19. Our key workforce priorities for 2018/19 They will be delivered at a local and national level. Integrating care will be vital to the delivery of all these have been agreed with our ALB partners priorities and the system vision for healthcare overall in to ensure they are mutually reinforcing and terms of high quality and safe healthcare for all. support service need. The NHS Five Year Forward View Next Steps document The priority areas are: wanted to ‘make the biggest move to integrated care of any major western country’ and Five Year Forward 1. Cancer (including diagnostics) View ‘vanguards’ saw promising results in terms of lower growth of hospital admissions and emergency inpatient 2. Mental Health and Learning bed days. Disabilities HEE’s local offer is through the workforce arm of 3. Primary Care Sustainability Transformation Partnerships (STPs), namely the Local Workforce Action Boards (LWABs) and will be largely based around these priority areas. However, ‘one 4. Urgent and Emergency Care size doesn’t fit all’ and working with our partners HEE will be flexible and responsive to any priorities that are 5. Maternity justifiable and unique to their particular STP footprint and will agree who needs to do what to deliver them. 6. Population Health and Prevention 6 What we will do in 2018/19 2. Mental Health and Learning Disabilities The narrative below provides an overview of what HEE will be doing over the course of 2018/19. The FYFV pointed out that one-in-four of us will