Annual Report 2019-20

Putting the care in careers

Joined Up Careers Annual Report 2019-20 1 Welcome from Joined up Care Derbyshire

Currently our health and care is provided by lots of than ever before. We have formed a partnership, separate but linked organisations. Old divides between known as Joined Up Care Derbyshire, this is hospitals and family doctors, between physical and and Derbyshire’s Sustainability and Transformation mental health, and between NHS and council services, Partnership (STP). mean that too many people are experiencing disjointed care. For example, if you have a long-term condition As part of this joined-up approach, we are working or more than one long-term condition, you will have with health and care teams across Derbyshire to to navigate lots of different organisations, who do help them adapt their service to meet future patient not always talk to one another, and that can make it needs. This involves assessing the health of local difficult for people. communities, now and in the future, and ensuring we have the right staff, with the right skills, based in the By re-organising how health and social care support right place, to meet those needs. Joined Up Careers people to manage their health and wellbeing we can Derbyshire is central to our workforce planning to make services more seamless, efficient and better for meet current and future demands. We welcome this those using them. The vision is to plan future services first annual report from Joined Up Careers Derbyshire together so people can have the best start in life, stay and look forward to seeing the progress made in well, age well and die well. subsequent years.

To meet this vision, local councils, care homes and For more information on Joined Up Care Derbyshire, different parts of the NHS in Derby and Derbyshire visit: joinedupcarederbyshire.co.uk – hospitals, family doctors, mental health teams and others – are working together more closely Vikki Taylor Vikki Taylor Joined Up Care executive lead

2 Welcome from Joined up Careers Derbyshire

Welcome to our first annual report, we hope you Progress has been significant since that time and find this useful in learning more about the aims and such is the sense of achievement that we felt it was objectives of Joined Up Careers Derbyshire and the now appropriate to bring together past successes achievements that have been realised to date. and future plans in a core document. Assuming we maintain this sense of momentum, and that Joined Up Joined Up Careers Derbyshire was originally formed Careers Derbyshire continues to be funded in future as the ‘Derbyshire Health and Social Care Talent years, we anticipate this being the first of many such Academy’ back in 2016, established to co-ordinate a annual reports. range of activities designed to meet the three project deliverables set out below: This annual report covers our main areas of interest and involvement in the local health and social care 1. Attraction and Recruitment – focusing on sector, working with partner organisations across the attracting and increasing the numbers of new entrants city and county in promoting a skilled workforce fit for to the health and social care workforce in general and the ever-changing modern day and future challenges. also targeting geographical locations where there are recruitment challenges We would encourage you to find out more about our work and explore the opportunities to get involved 2. Traineeships and Apprenticeships – to provide and help shape our various work project areas. From pre-apprenticeship opportunities and support a working with apprentices to becoming a workplace clear talent pipeline to support the delivery of the champion for your profession, there are many ways in Derbyshire STP which you can help influence the workplace of today and tomorrow. 3. Retention and Progression – at a minimum to maintain existing staffing levels to meet turnover and reduce service disruption Susan Spray Susan Spray Joined Up Careers programme lead

Joined Up Careers Derbyshire Annual Report 2019-20 3 About us

Joined Up Careers Derbyshire brings together local partner organisations to Joined up support the current and future health and social care workforce. Careers It seeks to find the best candidates for roles within the (partnership of employers) health and social care sector of Derby and Derbyshire – and support them on their career journey. Chesterfield Royal Our health and social care workforce is without question our greatest asset, but also our biggest Derby and Derbyshire Clinical challenge. With staff shortages, high turnover in some Commissioning Group areas and examples of poor workplace experiences, these are just a few factors that can impact the quality of care. With an ageing population and a rising number Derbyshire Community Health Services of people with chronic and complex conditions we need to use the health and social care workforce Derbyshire County Council differently and respond to new patient pathways in Derbyshire Healthcare order to meet the rising demand. We are part of Joined Up Care Derbyshire, the DHU Health Care Sustainability and Transformation Partnership (STP), University Hospitals helping individuals and teams work in new ways of Derby and Burton to meet the ever changing needs of patients and the public. East Midlands Ambulance Service

Engagement with the future workforce Young people who did four or more activities in school were less likely to become NEET (not in education, employment or training).

46 or half of all secondary schools are meeting Joined up Careers partners to learn about the world of working in health and social care = 7000 students.

4 Derbyshire workforce There are almost 42,000 FTE in the health and social care workforce of Derby and Derbyshire across 350 different roles. Local 14,500 5,500 2,500 Acute Community Primary Care challenges 26% 8% vacancy 4,200 in adult social care (local authorities) of the adult rate in adult social *Adult social care private voluntary sector – 14,700 social care care employment *48% of data recorded workforce are is continuing to over aged 55 increase This means 1 in 11 of the Derby and Derbyshire population are working in health and social care Occupational shortages across many smaller but vital professions Only 14% of the workforce within Aging workforce, more staff retiring the county has a disability Growth in nursing required to support the Government commitment

Adding value 41 schools Return to Work engaged Practice Step into Work experience

4,500 Inclusive individuals visited recruitment Rotational our exhibitions approaches Levy sharing apprenticeship

Centralised Sector vacancies Based Work The Derbyshire Enrichment Academies offer sessions

Joined Up Careers Derbyshire Annual Report 2019-20 5 Employment

Skills for Care estimates that, The Derbyshire Observatory records the in the East Midlands region: unemployment rate for all the districts in Derbyshire. 7.8% of roles in adult social The highest overall unemployment is care were vacant, equivalent to Erewash with 2,005 people. 10,000 vacancies The lowest is at any one time. Derbyshire Dales with 305.

Engagement with 113 Derbyshire care homes by Joined Up Careers Derbyshire in December 2019 found the following vacancies:

68 2 2 5 care vacancies team leader domestic vacancies nurse vacancies (60%) vacancies (1.7%) (1.7%) (4.4%)

1 1 1 activity worker administrator cook (0.8%) (0.8%) (0.8%)

Recruitment and employment Joined Up Careers Derbyshire works in partnership To support the Derbyshire ‘Model of Care’ (how with health organisations and local authorities future care will be delivered) and the new NHS Long to support the current and future workforce. We Term Plan, Joined up Careers Derbyshire is working are working across the health and care system to with local organisations to re-design care aimed at help implement the priorities set out in the Interim developing fully integrated, community-based services People Plan, Health Education ’s Talent for across the city and county. We are working with key Care, Widening Workforce Participation Strategy stakeholders to support integrated ‘place’ teams to and the NHS Long Term Plan, including workforce create new roles which will reduce pressure on hospital development, recruitment and retention as well as services and boost out-of-hospital care. promoting career and employment opportunities throughout the city and county.

6 “We just wanted to say a massive thank you again for supporting our year nine Industry Day. We really appreciate and value your time in coming out to speak to our students to help raise aspirations and to inspire them in their career choices.” Tim Taylor, Aspirations Careers Employability Coordinator, Schools and colleges Murray Park School

We play an active role within schools and colleges, In the last 12 months, we have held workplaces, and the wider community, promoting all 109 events with schools. that is best about working in health and social care. For young people we offer enrichment workshops We are currently engaging with (practical, interactive sessions that complement the 46 schools across Derby and health and social care curriculum), mock interviews (helping prepare students for the world of work), Derbyshire. and one-to-one careers coaching. We also deliver We estimate that our work has engaged with workshops in specialist areas such as values, maths in a care setting, first aid, safeguarding, and 7,000 students over the past year. dementia to students.

Allestree Woodlands School pupils, participants in a CV workshop: The pupils certainly found the presentation interesting and a number of I now have a bigger knowledge of what to write.

them have shown an interest in pursuing I think that they (the presenters) are really helpful some of the options. As a careers teacher, it

and friendly and kind. opened up a world of opportunities that would not normally have been covered in such detail. Thought it would be boring but it was very

I would be very interested in having more informative and helpful. presentations from Joined Up Careers and would welcome the opportunity to discuss Before it was intimidating and I didn’t have any idea future topics and dates. how to write a good CV. Now I know exactly how to make my CV engaging and interesting for employers. St Thomas More School

Joined Up Careers Derbyshire Annual Report 2019-20 7 Private, voluntary and independent (PVI) sector

We work with private, voluntary and independent and Pensions to run ‘sector based work academies’ organisations to provide tailored support on workforce providing work placements, training and employment priorities, including targeted recruitment campaigns, opportunities for jobseekers. sharing best practice, and identifying opportunities for Sector-based work academies are a way to provide workforce development. direct employment into the care sector. The scheme In conjunction with the D2N2 Local Economic can help those who are ready to work, and receiving Partnership, Joined Up Careers Derbyshire offers benefits, to secure employment. They are designed a system-wide approach to inclusive recruitment to help care employers meet immediate and future and support for social mobility. We have teamed up recruitment needs as well as recruiting a workforce with Job Centre Plus and the Department for Work with the right skills.

A PVI sector recruitment event at Chesterfield Job Centre in 2019 saw 19 customer enquiries and 16 job applications for Heathcotes and eight enquiries and eight job applications for Millennium Care. Successfully facilitated the transfer of unspent apprenticeship levy from the local authority to non levy paying organisations within the independent sector to support the development of 17 care workers to undertake the Trainee Nursing Associate programme.

Our apprenticeship levy open day in 2019 attracted 27 delegates. The apprenticeship levy is a levy on UK employers to fund new apprenticeships. It is charged at a rate of 0.5% of an employer’s paybill.

8 Work experience

Work experience is an excellent way of ensuring portal launched in 2020 provides students and people are aware of career and vocational pathways members of the public with a modern approach to that may be available to them in health and social care. accessing pre-employment opportunities in health and social care. It is aimed at improving the awareness of Employers, students, parents and educators generally careers and inspiring young people to get the skills recognise the benefits of participation in work they need for a better future. experience programmes. Gaining real-life experiences can have a positive impact on a student’s development Recognising that in order to build our future workforce and transition into the world of work, and there are we need to modernise our offer to attract millennials also benefits for employers. and zillenials, we are adding to interactive experiences with the latest augmented reality technology. This In the past 12 months, Joined Up Careers Derbyshire technology is planned to be used in promoting health has introduced a harmonised and simplified approach careers via mobile apps. to accessing work experience, providing greater equality and accessibility for all. A single site online

Joined Up Careers Derbyshire Annual Report 2019-20 9 Celebration day for allied health professionals

Joined Up Careers Derbyshire supported the national celebration of the achievements of our allied health professionals in October 2019. In the month The day of celebration saw national, regional and local featuring the AHPs’ NHS organisations showcase the diversity of AHP careers and highlight the wonderful work they do for celebration, the Twitter public and patients. channel of Joined Up Careers Joined Up Careers Derbyshire had a stand at a Derbyshire gained celebration event hosted at the Royal Derby Hospital and covered proceedings on social media throughout the day. more than 12,000 Joined Up Careers Derbyshire brings together local ‘impressions’, partner organisations to support the current and future or opportunities health and social care workforce. It seeks to find the best candidates for roles within the health and social to view, its tweets. care sector of Derby and Derbyshire – and support them on their career journey.

10 Apprenticeships

In 2018-19 we saw the successful completion of the first cohort of our innovative integrated health and social care apprenticeship pilot. This programme has offered individuals a 15-month rotational Finn Irani apprenticeship scheme across health and social health and social care organisations, including private and voluntary care apprentice: sector organisations. Apprentices receive on-the- job training and qualify for a care certificate and level two apprenticeship in health and social care. I would recommend it (the The programme has seen apprentices undertake apprentice programme). It’s been placements at Royal Derby Hospital and London quite good because you’ve got Road Community Hospital with University Hospitals of Derby and Burton, Kingsway Hospital with Derbyshire different placements every three Healthcare, St Oswald’s Hospital with Derbyshire months. I think maybe if you didn’t like Community Health Services (DCHS), Perth House the first placement you would have with Derby City Council and DCHS, the emergency thought health and social care wasn’t department streaming service and district nursing teams with DHU Health Care, and within the private, for you whereas with this you got to voluntary and independent sector with Inspirative Arts, see different areas. Derby Private Health and Derwent Lodge (Rethink). There were also Chesterfield-based placements with Chesterfield Royal, Derbyshire County Council, DCHS Clay Cross Community Hospital, Derbyshire Healthcare’s Killamarsh community mental health team, and private, voluntary and independent sector Cora Maxfield placements with Langdale Lodge and Cherry Tree health and social House. care apprentice:

What I enjoyed was seeing different things in different placements. From a care home to A&E is a big difference because you see some things day-to-day in a care home, and you know the residents and what they’re like, to A&E where you get some difficult patients, major injuries and stuff like that. We also went on a day on the ambulances which was really good because you get to go Watch the full video online at: around with them and see what you https://www.youtube.com/ watch?v=x1Tc2oMyB1Y get called to.

Joined Up Careers Derbyshire Annual Report 2019-20 11 Support for professionals to return to practice

Joined Up Careers Derbyshire has given its full Cathy Winfield, executive chief nurse, University support to the NHS in Derby and Derbyshire in Hospitals of Derby and Burton, said: “People who encouraging healthcare professionals who have had a have chosen a career in healthcare at some point in break in their career to return to practice. their lives will have done so because they possess the core attributes needed to work in a healthcare The health service wants to see nurses, midwives and setting - compassion, care and the desire to make a allied health professionals come back to their health difference - and we believe that returnees not only have and social care careers – and is offering free university their clinical experience to offer but also these valuable course places and a bursary of at least £500 to help assets which are needed to provide high quality patient with costs such as travel, childcare and books, with care. Healthcare may have changed over the years but a potential support package of up to £3,000 to cover the one thing that remains the same is that our patients the duration of the course. need compassionate, nurturing staff to care for them NHS staff touch the lives of more than one million when they are at their most vulnerable. people who live in Derby and Derbyshire, caring “It takes courage to step back into a career after a break for each and every one of them with care and which is why we will support returnees throughout their compassion when it matters most. There are journey back into practice with a structured programme vacancies waiting for returnees in both health and of support including a designated supervisor, a learning social care roles in Derby and Derbyshire. plan created around specific learning requirements and The return to practice programme, led by Health support from our Practice Learning Support Unit with Education England, supports the commitments made sourcing a placement area to complete the required in the NHS Long Term Plan to recruit more people into supervised practice.” the workforce and ensure staff have rewarding jobs Nurses makes up the largest part of the NHS and work in a positive culture. workforce. It is known that nurses leave the profession The move to encourage more professionals to return for a variety of reasons. Some have children or start to practice is timely with 2020 being the International a new career, while others retire. Many want to come Year of the Nurse and Midwife. back but do not know they can or where to start. NHS organisations in Derby and Derbyshire are keen to Lynn Andrews, director of nursing and patient care support nurses and midwives on their journey back at Chesterfield Royal Hospital NHS Foundation with useful information on financial support, where to Trust, said: “As a nurse for over 30 years I have find courses and tips on applications and interviews. seen the role of the nurse evolve and develop into a graduate profession with additional technical skills and Allied health professionals (AHPs) are the third largest competencies. However, what always remains at the workforce in the NHS. In the main they are degree- core of our role is the unique relationship we have with level professions. AHPs cover 14 different professions: our patients, their families and their loved ones, and art therapists, drama therapists, music therapists, the ability we have as nurses to ‘make a difference’ chiropodists/podiatrists, dietitians, occupational through our care and compassion. therapists, operating department practitioners, orthoptists, osteopaths, paramedics, physiotherapists, “We acknowledge that returning to practice can be a prosthetists/orthotists, radiographers, and speech and scary step but we will provide you with a supportive language therapists. The return to practice programme environment, surrounded by colleagues who want to enables AHPs and healthcare scientists that have left help you succeed and a dedicated education team their professions to re-enter and gain their Health and who will develop a wrap-around work based learning Care Professions Council registration. package designed around your specific requirements. We hope you take this opportunity to return renewed, invigorated and feeling confident and enthusiastic For further information about the about your future career as a nurse.” Return to Practice programme, in the first instance please contact Joined Up Careers Derbyshire on 01629 532415 or email [email protected]

12 Return to practice A case study

Derby-based physiotherapist Sophie Dales has successfully made the transition back to work following a career break and having three children. Here she talks about how returning to practice with a welcoming hospital team has boosted her confidence – and impressed her young family! Sophie takes five minutes out from her busy role at Royal Derby Hospital to explain more… Sophie Following seven-and-a-half years off work bringing Dales up her family, physiotherapist Sophie Dales admits to feeling a little daunted about taking the first steps back physiotherapist, into the workplace. Royal Derby She had the first of her three children in 2010 and Hospital returned to work after maternity leave for a little while but with plans for a bigger family and her husband’s work taking him away from home a lot, Sophie decided “I’m really pleasantly surprised about where I am. I to leave the NHS in 2011. Now with a son, aged nine had been looking at re-directing my career away from years, and two daughters, aged seven and four years, general rehabilitation towards women’s health and that Sophie felt the time was right to resume her career. It is what I have been able to achieve. As a mum, it’s a was not a decision taken lightly and it was one that big passion for me, and I know a lot of ‘mum friends’, Sophie had been very concerned about. who have had certain issues, and it really hit home that this was the group of people I wanted to work with. I “I think it was probably after having my youngest, have managed to re-direct my return to practice with Daisy, that I knew I needed to start thinking about the women’s health team and hope to continue along work again. So probably for years I procrastinated this path. around trying to get a job that fitted into school hours or thinking about trying to go back to physio. I started Everyone here has been really working on a volunteer basis in the schools and with the pre-schools and I’m still on their committees. I just supportive, generous and understanding got to a point where I really wanted to have a go at in helping me return to practice and getting my career back.” work around dropping the kids off at Having grown up in Buckinghamshire, upon graduation school and picking them up. Sophie worked as a rotational band five at St George’s Hospital, London. She went on to work as a band six “It’s an anxious time – you’re putting yourself in a very in the community before securing a rotational rehab vulnerable position when you’ve been safely at home role at Royal Derby Hospital in 2006. with your kids for so long, to come back, trying to act professionally, trying to dredge up all this clinical Sophie continues: “Because the Royal Derby is information that’s in there somewhere, learn new where I used to work I knew some of the managers systems, and working with new staff. But everyone was and staff still, so I emailed the therapy manager at very supportive. It’s just the normal demand of being a Royal Derby Hospital and asked if they could support working mum, you have to get used to the change in a physiotherapist returning to practice. They were routine and managing all these different areas. That’s very welcoming and mentioned support from Health the biggest challenge - changing my whole work-life Education England.” balance - but actually I’ve really enjoyed being back at Now working 22.5 hours a week filling a secondment work. I’ve enjoyed working in a team again and in an role at the Royal Derby, Sophie is delighted at the way area that really interests me, so I feel very lucky.” her return has worked.

Joined Up Careers Derbyshire Annual Report 2019-20 13 Website resource

This year Joined Up Careers Derbyshire launched our new website - joinedupcareers.co.uk – with a bright, modern design and fully revised content. The website dovetails in to the design feel of the Joined Up Care Derbyshire website and has all the features you would expect from a purpose-built site. It operates across all devices, mobile, tablets and desktop PCs, Our new website has links to lots of useful content, hosts a number of entertaining and informative videos, and promotes operates across the various social media channels – including Twitter all devices and Facebook – of Joined Up Careers. There is a It hosts a number huge amount of jobs and careers information, both on of entertaining the site and signposted from it. It contains latest job vacancies from partner organisations, and a new work and informative experience directory was launched in early 2020. videos

14 The year ahead

Looking forward to the next 12 months we have several key projects which are set to continue the Health and Social Care support for our current and future workforce: Workforce Champions Joined Up Careers Derbyshire have successfully People Strategy recruited a network of more than 40 individuals from a range of professional groups across its partner We are supporting Joined Up Care Derbyshire, the organisations to support with inspiring the next body that brings together partner organisations from generation of health and social care employees. across the city and county, on their People Strategy. The network of positive role models have been invited This strategy seeks to map out how care needs to to work with Joined Up Careers in school engagement be delivered to our population in the future, the type work, and as contribution is on a voluntary basis there and number of workforce roles that will be needed to is no commitment to a set number of hours or even the deliver this, and support local organisations in order to type of support that is offered. The network will help to equip individuals and teams with the necessary skills promote the sector by raising awareness of the varied and training. and exciting opportunities health and social care has to offer through writing a one-off case study, recording a video talking about a role/journey into the sector, European Social Fund helping with mock interviews or coming along with us In partnership with Nottingham City Council, Joined to school careers events to speak to students on a Up Careers Derbyshire is part of a collaborative bid one-to-one basis. for £1.4 million of European Social Funding to provide support/recruit unemployed or inactive people into careers in the health and social care sector. As a key Step into Work delivery partner, the consortia will attract additional Joined Up Careers was one of five successful funds to Joined Up Careers to increase the number partnerships nationally to receive allocated funding to of staff working in this area. At the time of publication support the rollout of the Step into Work programme of this report, we are awaiting the outcome of the bid. in conjunction with Talent for Care at Health Education England. Health and Social Care Over the next 12 months, the Step into Work pilot will deliver off-the-shelf pre-employment programmes for Rotational Apprenticeship adults (19+) across health and social care partners in Partners of Local Workforce Action Board have given Derbyshire to improve shortages in workforce supply support and financial commitment to implementing for entry-level roles. a second, larger cohort commencing in summer Joined Up Careers aim to increase engagement with 2020. The independently evaluated programme has the local community by adopting a number of widening provided a series of recommendations from the first participation strategies to improve representation from cohort, resulting in a number of improvements for minority groups in the workforce. the innovative programme during its second cohort. Moving to a single host employer, the system wide apprenticeship will build on the rotational placements to include housing, primary care, place teams in addition to areas where we have identified workforce shortages such as learning disabilities. The success of the system based mechanism for developing rotational posts across Derbyshire are now being considered in other professions including pharmacy and allied health professionals.

Joined Up Careers Derbyshire Annual Report 2019-20 15 Further information

You can contact us via: Call: 01629 532415 Write: Joined Up Careers Derbyshire, Derbyshire County Council, County Hall, Matlock, DE4 3AG Email: [email protected] Website: www.joinedupcareers.co.uk

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