Hazel Winning AHP Lead Officer DHSSPS

Hazel Winning AHP Lead Officer DHSSPS

Promoting service and role redesign to AHPs to increase capacity and add value to service delivery. Ensuring robust governance arrangements, including supervision, are in place to ensure the safe delivery of high quality care for service users and staff. The role of AHPs in the delivery of local, integrated, high quality patient-centered services.

The DUP's Edwin Poots and Nelson McCausland are being replaced as Stormont ministers Jim Wells will replace Mr Poots as health minister DUP leader Peter Robinson new ministerial team Stormont faces a shortfall of more than 200m in its budget for the current financial year

Population of 1.8 million people Older people & disabled children Fastest growing population in the UK Number of people over 75 will increase by 40% Population of 85 years of age will increase 19% by 2014 and to 58% by 2020 Increasing numbers with chronic conditions such as hypertension, diabetes obesity and asthma -Account for 50% of GP referrals individuals with LTC often have multiple conditions Ill health smoking Obesity,alcohol and drug misuse Inequalities in the health of the population Legacy of the troubles -50,000 injured Changing demands! 4

Advise to minister,senior policy and professional colleagues on AHP issues Leading the development and implementation of AHP focused polices and projects Working closely with colleagues across Departmental and HSC to develop AHP services in line with existing strategies Respond to assembly business and private office decision-making, policy Workforce

Department HSCB (Incl LCGs) PHA RQIA PCC Trusts BSO Agencies NDPBs Key Stakeholders Independent Assurance Performance Management

Fundamental change required: Transforming Your Care review of HSC in NI-John Compton Healthcare for London- a Framework for Action- Prof Lord Ara Darzi The Scottish Governments Shifting the Balance of Care Framework Programme of Changes across Health and Care Systems NHS Wales 5 Year Vision for NHS in Wales We all aspire to the right care in the right place at the right time Using resources to best effect etc.

Transforming Your Care Fit and Well/Quality 2020 AHP Strategy-Improving Health and Well-being through Positive Partnerships Children's Reviews acute/schools Physical Disability Strategy RQIA Strategic Priorities 9

4 Strategic Themes : Promoting person centred practice and care Delivering safe and effective practice and care Maximising resources for success Supporting and developing the AHP workforce The increasing demand for AHP services requires that those in leadership roles ensure the skills are in place to enable the AHP workforce to meet the challenges for implementing new models of practice and care (Edwin Poots MLA, Minister of Health, Social Services and Public Safety Strategy for the Allied Health Professions in Northern Ireland 2012-2017)

Strategy Regional Implementation Steering Board/Implementation Board RIB Action plans 2013-14 and 2014-15 Established a SWDG/ECG Appointment of Business Contracts Manager for Nursing, Midwifery and AHPs, DHSSPS

Consider how workforce planning, learning & development can support the development of AHP workforce Provide a Regional Forum and Strategic Leadership for the AHP workforce Provide a strategic context for AHP Education Commissioning Overall Focus: Clinical and Leadership education & training provision

Oversee the process of commissioning education, learning and development opportunities Programmes commissioned to meet Service Need Lead to improved service delivery and patient outcomes Ensure allocated resources are used to best effect Report to SWDG on performance and training outcomes Opportunities for Multi-professional education Openness and transparency

Postgraduate AHP Education Commissioning Cycle Approved ECG Plan shared with Education Providers (March/April) SWDG/ECG Planning Workshop (early May) First Draft of ECG Plan Submitted (mid September) University Application Process commences (May/June) ECG meeting (March) Finalise and Agree ECG Plan Workshop Preparations Continual Identificatio n of training needs within service areas SWDG Meeting /ECG meeting (early October) Consider First Draft of ECG Plan Performance Management ECG Plan Costed (January) Final Draft of ECG Plan Submitted (December) Provisional ECG Plan shared with Education Providers (December) ECG meeting (December) Consider Final Draft of ECG Plan

Key component of safe and effective care Clinical and social care governance Essential for development of our AHP workforce must demonstrate competence through continuing professional development which includes evidence of supervision Review of Public Administration 15

Minister launched policy on 2 nd April 2014 roll out training regionally for all AHP staff target March 2015 every HSC AHP will have completed foundation training

Strategic Operational Professional Performance management Demand /capacity Personal

It is never easy to win but it is a lot easier to win when you play well. The key is winning golf tournaments when you are not playing so well. Managing your game is some thing that I feel that I am still learning to do Rory McIlroy It is better to lead from behind and put others in front, especially when you celebrate victory when nice things occur. You take the front line when there is danger then people appreciate your leadership Nelson Mandela It always seems impossible until its done. Nelson Mandela

Conviction Courage Compassion Communication Emmanuel Gobillot 2013 Follow the Leader

Strategy Regional Implementation Steering Board SWDG/ECG postgraduate/undergraduate training the shift from hospital-based to communitybased care services provided by voluntary, community and private HSC providers - better integration new technologies - more efficient and integrated service delivery AHP Leadership Training programmes Governance Assurance Framework Workforce review- skill mix, care pathways 20

Independent prescribing for podiatrists and physiotherapists Direct referral to physiotherapy Early discharge models,rehab teams rapid response services etc Reablement services Rehabilitation models stroke, ICAT models Regional Wheelchair service hub and spoke modeltraining-service user/professional staff Housing Review outcomes eg: ToolKit

1. 17 Integrated Care Partnerships 2. Resettlement 3. Primary PCI 4. Primary Care Infrastructure 5. Reablement 6. Self Directed Support/Direct Payments 7. Delivering Choices 8. Domiciliary Care Review 9. GP Out of Hours, 111 and HSC Online 10. Carers 11. Stroke Services 12. NIAS See Treat Refer protocols Key driver for new care pathways for FREDs People no longer living in hospital; delivery of Bamford 24/7 working saving lives, better outcomes for heart patients Facilities to bring more services locally instead of hospital Promoting independence and better recovery at home Choice and control with user / caregiver as partner in care Supporting people to die in the place of their choice Ensuring the model is fit for future & promotes quality and safety Better access and information to respond to people s needs Better access to respite and short breaks Reduction in bed days and earlier discharge Reduction in A&E attendances and better pt experience

Intelligence is the ability to adapt and change -Stephen Hawkins Effective leadership is not about making speeches or being liked; leadership is defined by results not attributes Thankyou for listening! -Peter Drucker hazel.winning@dhsspsni.gov.uk