Paper J LINCOLNSHIRE LOCAL EDUCATION AND TRAINING COUNCIL MINUTES OF A MEETING HELD ON 23rd September, 2014 2.00-4.00pm Large Conference Room, Greetwell Place Lincoln PRESENT Jane Lewington Chief Executive, ULHT (Chair) Helen Smith HEEM Workforce Lead (Lincolnshire) Elaine Stasiak Deputy Director HR & OD, ULHT Dr Isabel Perez Consultant in Public Health, LCC Maz Fosh Director HR and Transformation, LC Debra Burley Chief Executive, LMC Vicki Sharpe Strategic People Mgt Advisor, LCC Ruth Allarton Head of Department AHP, SHU Liz Ball Deputy Director Nursing, ULHT Tracy Pilcher Chief Nurse, South Lincolnshire CCG Nicky Fothergill Clinical Education Manager, EMAS Katherine McMillan Pharmacist, ULHT IN ATTENDANCE Sharan Watkinson Julie Seddon Jeanette Shepherd (Minutes) Jade Feavyour (HEEM) Workforce Development & Planning Manager (HEEM) Workforce Development & Planning Manager Workforce Planning Administrator Graduate Management Trainee 1. Welcome, Introductions and apologies Action Apologies were received from:- Gary Thompson, Colin Costello, Ian Warren, David Knight, Julie Stevens, Sunday Ikhena, Sara Owen, Jayne Storey, Melanie Weatherley 2. Minutes of the previous meeting The minutes of the previous meeting held on 22 nd agreed as a true and accurate record. July, 2014 were There were no declarations of interest. Developing people for health and healthcare East Midlands Local Education and Training Board www.em.hee.nhs.uk @EastMidsLETB
3. Matters Arising/Action Log LETC governance arrangements - paper yet to be amended. ES to bring to next meeting. Re-structure of HEEM JL to write to Kaye Burnett regarding priority of workforce team/resource/staffing. ES JL 4. Chairs Update LHAC Phase 3 now formally in place. Phase 2 documents formally issued. Local organisations now to take forward work, focusing on the establishment of neighbourhood community teams. David Farrelly, HEEM, to establish group to share learning from transformation activity from across the East Midlands PWC stepping down from workforce modelling. Mike Young, Finance Lead, LHAC, to pick up, but some big gaps. Workforce and OD Programme Board to be link. had invited Mike Young to attend next Workforce and OD Programme Board. Must ensure we have workforce connection with each of the local expert reference groups. ES and JL to ensure workforce link into ULHT s Clinical Strategy Implementation group. ES, JL Beyond Transition Phase 1 completed. 4 national Directors now appointed. Janice Stevens appointed as Midlands and East Director. Dr Simon Gregory appointed as Director of Education and Quality, Midlands and East. Sheona Macleod remaining as Post Graduate Dean. Simone Jordan made the decision to leave the N. Phase 2 is in a state of flux; looking at structures and staffing levels. LETB manager interviews took place last week; yet to be informed of the outcome. When Phase 2 engagement process becomes clear, we need to ensure that we, as the Lincolnshire community, respond with the Lincolnshire perspective on what this would mean for us. to keep LETC briefed on the consultation process and co-ordinated response. 5. Workforce Development and Education Investment Plan 2015-18 The paper suggested the initial priority areas to be considered were Care of Children and Young People and Care of the Frail Elderly. Some comments on the paper:- o The Governing Body supported the development of methodology; how do we keep the curriculum appropriate and manageable? o Enhancing the preceptorship into the workplace. JL to feedback to LETB; ensure cross section of both HEI Provider and Service Provider to aid balanced debate and JL 2
clearer outcomes. o JL strongly felt scope or preceptorship should include the medical workforce. Please send any further detailed comments to within the next 2 weeks. All 6. Investment Plan 2014-15/re-investment plans/finance update Slippage Re-investment options outlined in paper D1. Wider Workforce includes apprenticeships. Our share was 121,376. JL stated our priority was to get clinical apprenticeships up and running and was concerned about pace of the programme. Return to Practice, adult nursing workforce 2 education programmes running, Derby and Northampton. No local viable cohort; need 12-15 nurses. National Return to Practice campaign being launched on 29 th September. What does that look like? to investigate. Can we complement that and run a local campaign? LB to co-ordinate. Can the Local Authority support by getting messages out to schools? JL stated that we need to be clear how organisation s bid against the Lincolnshire allocation within slippage. Establish processes around Primary Care (as not sub-group in place). Flexible funding The Trusts had been informed of their share of the flexible funding pot (50% between the 3 Trusts). All 3 main partner organisations to produce risk/impact assessment of only receiving 50%. Risk assessment to in 2 weeks please. Individual organisation s/groups to develop business cases against the other 50% and slippage devolved. To be submitted to in 3 weeks. to draft process for accepting bids and reporting mechanism to LETC. Sheffield Hallam University had LBR funding that was not taken up; related to a broad portfolio. LB VS ULHT,LC, LPfT ULHT,LC, LPfT 7. East Midlands Leadership Academy This paper was considered by the LETB. David Farrelly, Director of System Development, HEEM, to lead a working group to consider the future commissioner relationship between HEEM and EMLA. All agreed that EMLA had been responsive and supportive to Lincolnshire, but there was a need to ensure that all leadership development activity was aligned. 8. East Midlands Advanced Clinical Practice Framework This paper to be formally referred to the Lincolnshire Strategic Learning and Professional Education Group in order to develop a consistent framework across Lincolnshire and the East Midlands. The group would report back to the LETC. An initial view was that the paper was too nurse focussed/too 3
narrow and should broaden thinking around AHPs, other therapies and Paramedics. There was also concern that in the absence of a national framework, every LETB might be developing frameworks (that could look different). 9. Medical Recruitment Update This paper updated the LETC on progress in addressing the regional challenges in postgraduate recruitment. East Midlands had the lowest fill rate at 62.2%. Going out to recruit GPs in the 3 rd round. There was no degree of confidence in the East Midlands that we would fill all our GP training places. East Midlands ranked 12 th out of 13 LETBs for overall trainee satisfaction. How can we address some of the specifics that had been identified in the trainee survey? Can we use slippage to address some of these issues? We need to understand what it is that we are not doing that other areas are. JL suggested that we approach Sheona Macleod s department to see if they could do a project around best practice which we could then do a self-assessment against. 10. Medical Trainee Distribution Project Update on progress with the trainee distribution project. A stakeholder event 6 th October to debate the programme plan and the individual workstreams. Sheona Macleod, Postgraduate Dean, very supportive of Lincolnshire JL suggested a half day workshop to discuss:- o How we educate our educators o Curriculum mapping o How we use Fellowships A Lincolnshire medical workforce strategy was being developed but medical input is poor. JuS and to meet with Craig Smith, Associate Post-graduate Dean for Lincolnshire, to discuss., JuS 11. Supporting Lincolnshire MF asked for more information; names of the project leads and spending allocations/financial rigour. 12. Dementia Mapping Project The proposal was written by Diana Moss, who was commissioned by Derbyshire. However, national standards were currently being established around competences. asked if we wait for the national standards or proceed with the proposal. It was agreed to proceed. Tracy Pilcher agreed to be the LETC sponsor. TP 13. Practice Learning Review The preferred option of the Practice Learning Review was option 3; to dis-establish the IPLU; providers adopt a matrix working 4
approach to the management of practice learning; however more work was required. LB and and the project group are undertaking more detailed work around impact assessment before final recommendation, the impact assessment will be based on Yorks and Humber best practice framework guidance. LB, 14. Any other business EMAS JL asked about training for paramedics and LBR funding. Diploma programmes were run by Sheffield Hallam University and University of Northampton. EMAS looking at internally supported route for emergency care assistants (band 3) exploring as pilot with distance learning. LBR funding through the same pot of monies accessed through most East Midlands universities. No clinical apprenticeships. Not many placements in Lincolnshire. 15. Date and time of next meeting Telecon: 29 th October, 2.30pm-4pm 25 th November, 2pm-4pm, Large Conference Room, Greetwell Place There being no further business, the meeting closed at 4pm 5