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2019 Annual Review Self Assessment Document 2019 ANNUAL REVIEW SELF ASSESSMENT DOCUMENT JULY 2019 NHS EDUCATION FOR SCOTLAND 2019 Annual Review 1 2019 ANNUAL REVIEW CONTENTS Page Self Assessment: At a Glance 2 Introduction 4 THEME 1: AN EXCELLENT WORKFORCE 7 1.1 Recruiting and Training Key Healthcare Staff 7 1.2 Undergraduate and Pre-Registration Education 11 1.3 The Workplace Learning Environment 13 THEME 2: IMPROVED QUALITY 15 2.1 Safe, Effective and Person-centred Care 15 2.2 Quality Improvement Education 18 2.3 Organisational, Leadership and Management Development 20 THEME 3: NEW MODELS OF CARE 22 3.1 Primary Care 22 3.2 Workforce Planning Data 25 3.3 Support Workers and Practitioner Role Development 26 3.4 Improving Health and Tackling Health Inequalities 28 THEME 4: ENHANCED EDUCATIONAL INFRASTRUCTURE 32 4.1 Digital Resources 32 4.2 Educational Support Roles and Networks 34 4.3 Targeted Educational Support 36 THEME 5: AN IMPROVED ORGANISATION 39 5.1 Supporting, Developing and Planning the NES Workforce 39 5.2 Efficient and Effective NES Corporate Resources 42 APPENDIX 1: References 46 APPENDIX 2: Strategic Themes: Impact Outcomes 47 for 2018-19 APPENDIX 3: Quality Education for a Healthier Scotland, 53 Strategic Framework 2014-19 Key Outcomes for 2014-19 NHS EDUCATION FOR SCOTLAND 2019 Annual Review 2 2018-19 SELF ASSESSMENT AT A GLANCE As a national health board, our role is delivery of education, training and workforce development to support a skilled, person- centred workforce which is well prepared to respond to the demands placed on our health and care services. During 2018-19 we provided a wide range of initiatives and programmes which support national priorities and policy drivers including Everyone Matters: 2020 Workforce Vision, public sector reform, and health and social care integration. An overview of some of our key achievements is presented below. To provide the future medical workforce to UK standards and improve the attractiveness of Scotland as a career destination, during 2018-19 we supported 5,699 trainee doctors in approximately 296 programmes and achieved an expansion of the overall numbers of doctors in training in Scotland. We became the lead employer for all GP, Occupational Medicine and Public Health trainees delivering an improved recruitment and employment experience for doctors and dentists in training. To ensure learning environments through excellence in supervision, we delivered a number of initiatives including improvements to the Scottish Training Survey to support postgraduate medical training quality management processes; new appraiser events for 122 clinicians and refresher courses for 66 primary and secondary care doctors; development of quality indicators for the Quality Management of the Practice Learning Environment for pre-registration nursing and midwifery training; and launch of our Healthcare Science Zone on our TURAS Learn platform. In line with our Digital Strategy to provide always available, personalised educational resources and services accessible from any device we launched our TURAS People application to support the national Lead Employer model for medical trainees. We enhanced TURAS Training Programme Management to provide increased functionality, further developed TURAS Learn to deliver course booking capability and additional learning content, and extended TURAS Appraisal to the Executive and Senior Manager cohort. NHS EDUCATION FOR SCOTLAND 2019 Annual Review 3 To improve flexible access to multi-professional learning materials in support of the 2020 Workforce Vision we delivered a new suite of online QI resources for the public sector workforce; provided 279 in-practice infection control training sessions for dental teams across Scotland; delivered clinical skills training for 950 staff; patient safety within complex healthcare systems for 400 NHS Scotland staff; and launched the Scottish Infection Prevention and Control Education Pathway resources on TURAS Learn for all staff across the social care sector in Scotland. To embed values and professionalism and enhance access to education for new models of care we delivered initiatives to support person-centred care including a range of educational resources to enhance care for the bereaved; dementia masterclasses for 150 health and social care services staff; a new SCQF Unit in oral health improvement to facilitate delivery of key oral health messages; and a framework for maternal and infant mental health, hosted on TURAS Learn To improve access to learning, qualifications and education for healthcare support workers, we developed a new resource pack in support of Scotland’s Youth Employment Strategy to raise awareness of careers in NHS Scotland for young people; we piloted our Digital Matters learning programme with Estates and Facilities staff and produced a suite of supporting video case studies; and delivered a bespoke GP Learning Pathway comprising a portfolio of resources to 124 pharmacy technicians and pharmacists. In support of the Everyone Matters: 2020 Workforce Vision we delivered a portfolio of leadership and management programmes across public services. We provided a range of initiatives and interventions with partnerships with the Scottish Social Services Council, professional and cross-sector bodies. Our Leading for the Future programme was delivered to 120 staff from across Scotland and an Executive Coaching Programme to support the well-being and resilience of GPs was provided for 125 participants. The Collaborative Leadership in Practice programme was provided to five locality groups; and Project Lift, a new approach to executive level appraisal, leadership development and talent management was launched in June 2018. NHS EDUCATION FOR SCOTLAND 2019 Annual Review 4 INTRODUCTION We are the national NHS Board with responsibility for education, training and workforce development for those who work in and with NHS Scotland. We have a Scotland-wide role in undergraduate, postgraduate and continuing professional development and we work collaboratively with our partners in Scottish Government, NHS Boards, social care, the academic sector and UK professional bodies and regulators. We support people to develop rewarding and fulfilling careers by enhancing their experience and delivering high-quality educational resources and learning environments. Our vision as the people and workforce organisation for NHS Scotland is a skilled and sustainable workforce for a healthier Scotland. This document has been prepared for our 2019 Annual Review and illustrates a selection of our achievements during 2018-19 which support the Health and Social Care Delivery Plan1 and the quality ambitions of safe, effective and person-centred care2. As well as national policy drivers, our work activities were also aligned to our Strategic Framework for 2014-19; Annual Operational Plan 2018-19; our Digital Strategy; People and Organisational Development Strategy 2014-17 (extended to 2018); and our stakeholder priorities. We have a key focus in working collaboratively and the deployment of our expertise, resources and digital leadership to support the Health and Social Care Delivery Plan and the triple aim of better health, better care and better value at a local, regional and national level. Our work in the areas of education and training, workforce systems, workforce planning data, Once for Scotland services, improving the employment experience, and organisational and leadership development reflect our continued commitment to transformational change and new models of delivery which cross traditional public services boundaries. This report references the final year of our Strategic Framework 2014 - 2019. The Framework sets out our work under five themes supported by planned impact outcomes (Appendix 2) and the nine key outcomes (Appendix 3) which describe how we will innovate in specific areas of our business to support public service reform and the workforce development required to achieve the 2020 Vision3. In addition to contributing to the aims of the Health and Social Care Delivery Plan, these themes and outcomes support delivery of the National Clinical Strategy4 and Realistic Medicine5. NHS EDUCATION FOR SCOTLAND 2019 Annual Review 5 Our Annual Operational Plan 2018-19 was informed by the Health and Social Care Delivery Plan 2016; the Everyone Matters: 2020 Workforce Vision; the Digital Health and Care Strategy 2018, key national targets; and our stakeholder priorities. The National Performance Framework includes the target to Increase Healthy Life Expectancy and we have aligned with this through our work in mental health; children and young people; oral health improvement; support for people with care needs; and palliative and end of life care and bereavement. We continue to demonstrate our support of the Everyone Matters: 2020 Workforce Vision and the key themes identified from our stakeholder priorities through our focus on recruitment and retention, youth employment and careers, role development, digital transformation, mental health, statutory and mandatory training, workforce planning, leadership and management development, as well as the six NHS Scotland improvement priorities of: health inequalities and prevention, antenatal and early years, person-centred care, safe care, primary care, and integration. We have a key role to play in delivering the Digital Health and Care Strategy6 which identified the need for better data sharing and access, digital leadership, a national digital platform for service and business systems, and greater systems integration. At
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