Present: In attendance: Scott Binyon, Head of MPET, DH Elisabeth Jelfs, Director of Policy, Council of Deans of Health Monica Hirst, UNISON

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1 Present: Nursing and Midwifery Professional Advisory Board Boardroom, Woburn House, 20 Tavistock Square, London, WC1H 9HQ 12 th June :00 16:30 Meeting Notes David Foster, Deputy Director of Nursing, DH (Co-Chair) Julia Gale, Professional Advisory Board Secretary, DH Jan Draper, Head of Nursing, Faculty of Health and Social Care, The Open University (for the Council of Deans) Jacque Gerrard, England Director, Royal College of Midwives Andrew Cumella, PAB Boards Administrator, DH Rita Newland, Director of Education, Nursing and Midwifery Council Kathy Branson, Head of Education and Development, East of England Multi-Professional Deanery Obi Amadi, Lead Professional Officer, Unite/CPHVA Howard Catton, Head of Policy, Royal College of Nursing Rona McCandlish, Professional Officer, DH Gail Adams, Head of Nursing, Unison Sarah Faulkner, Head of Leadership, Centre for Workforce Intelligence Pauline Watts, Clinical Lead Community Practice, DH Caroline Waterfield, Deputy Head of Employment Services, NHS Employers In attendance: Scott Binyon, Head of MPET, DH Elisabeth Jelfs, Director of Policy, Council of Deans of Health Monica Hirst, UNISON Via teleconference Joe McArdle, Assistant Director of Education and Commissioning, NHS North West SHA Helen Langton, Pro Vice Chancellor and Executive Dean, Faculty of Health and Life Sciences, University of the West of England (Co-Chair) Apologies Christina Pond, Skills for Health Peter Grummitt, Policy lead, Workforce Directorate DH Liz Kidd, Senior Policy Manager Workforce Education Policy, DH Sue Hart, Head of Non-Medical Education, DH Pauline Milne, Deputy Head of Education and Development, East of England SHA Michelle Mello, National Implementation Director, E4E, NHS West Midlands Vicki Finlay, Professional Officer, DH Lay 1. Welcome and Apologies: The Chair welcomed everyone to the meeting. 1

2 2. Notes from the 16 th May 2012 Meeting The minutes of the meeting held on 16 th May were accepted as an accurate record of the meeting, with the removal of the line regarding degree level registration in paragraph six under item Matters arising and review of actions 3.1 Workforce assurance metrics sub group The Board were informed that Peter Grummitt had been unable to speak to Lisa Hughes. This item will be held over to the next meeting. 3.2 Proposal for a project to examine and make recommendations on best practice in recruiting, training and inducting nurses Joe McArdle updated the Board on the work done to explore student recruitment. His research has shown universities do explore attitudes and values on recruitment. Seven out of the fifty-four Universities that responded used externally validated tools to measure attitudes and values. In all cases, NHS staff participated in the direct recruitment of students, with over sixty percent of applicants seen by NHS staff. The Board were informed that Jane Cummings, NHS Commissioning Board Chief Nursing Officer, had a copy of the draft report. The Board raised the following points: Joe McArdle will bring a list of key recommendations, slides and datasets from the research to the July Board meeting. The importance of involving the right range of people in the interview process was raised. NHS Employers had done previous work on this area, with mixed results regarding what was successful. The involvement of the NHS is very important in values based interviews. The new system provides more opportunities for success, as service providers will have more ownership over students and the quality of their experience. ensure this item progresses Joe McArdle to circulate recruitment report, once available 3.3 Education and training commissions The Board referred to a paper tabled by Joe McArdle. The medical commission figures were not available, and will be shared with the Board once verified and validated. The medical figures would provide a full picture and help inform discussions. The commissions for the clinical professions, along with current workforce figures, will be discussed at the July Board meeting as a workshop. Agency staffing numbers are also an important issue for consideration. The figures used will relate to NHS staff. Joe McArdle will assist in the structure of this workshop. The scenario work previously undertaken by Jim Buchan will also inform discussions. The Board were informed that the Council of Deans have undertaken work looking at five-year trends in commissioning. The Board agreed on the need to create hypotheses regarding commissioning trends. A discussion in November would also help influence longer term discussions. The risk of acting too late on the issue was raised, as was the need to think forward for the next three years. The Chair discussed the need to get the narrative right regarding advice to the shadow Local Education and Training Boards (LETBs). The Centre for Workforce Intelligence has undertaken work to identify risks and trends, which could be a starting point for discussions. 2 Scott Binyon to share medical commission figures, when available get out the figures from workforce

3 The Board moved on to discuss the papers tabled by Joe McArdle. The disparity in the datasets was noted. The first paper ( Quarter 4 Commission out-turn) relates to the actual performance, as reported to by the four SHA Clusters. The medical figures are not included, but figures for other professions are. The second paper went to the Workforce Availability Policy and Programme Implementation Group (WAPPIG) meeting in March, and relates to the Quarter 3 returns. The paper reports the full picture for England, as well as that of the nine non-london Strategic Health Authorities. The Board discussed the papers, with the following issues being raised: The SHAs provide a narrative to explain the figures, such as why they have not been recruiting to target. There is a need for clarity between planned commissions, actual commissions, commissions based on attrition and the output levels. The numbers of professionals without jobs has not been considered. The Board has national oversight on this issue and needs to be making comments on workforce data trends. Complacency needs to be avoided, and the Board needs to look at workforce data on a regular basis. There are many different factors in the datasets influencing the figures. The information can be used to create robust narrative, though care must be taken not to be preoccupied with issues of supply. The narrative on health visitor numbers needs clarity. The Chair raised the need for a complex discussion on the issue, with an output being a letter to Sir Keith Pearson, Chair of Health Education England. 3.4 Medical Education England Programme / Transition Advisory meeting Letter to Sir Keith Pearson to be produced at the July meeting The Chair informed the Board that he had given Julie Moore the Board s comments. 3.5 Continuing Professional Development The Chair informed the Board that the East of England Continuing Professional Development report still needed to be circulated. 4. Multi Professional Education and Training and apprenticeships circulate East of England CPD report Scott Binyon informed the group of the Multi Professional Education and Training (MPET) process. MPET for 2012/13 has been distributed to the Strategic Health Authorities with the Service Level Agreement setting out expectations of what MPET will fund. SHAs then provide the Department of Health with an investment plan, after which bilateral meetings are held. Due to this being a transition year, trilateral meetings have been held, involving the SHAs, Health Education England, Local Education and Training Boards and the Department of Health. WAPPIG is currently responsible for signing off the Service Level Agreement. In the future, Health Education England will be responsible for MPET, distributing an SLA and monitoring the SHAs. The Department of Health will be responsible for securing MPET investment. There are four MPET workstreams, focusing on financial strategy, financial governance, tariffs and the education and training levy. In the financial governance workstream, there is a working group to be established on how the future SLA will work, with Chris Jeffries (Acting Director of Workforce and Education, NHS North West) leading. The tariffs workstream is split into three; Scott Binyon to share Terms of Reference of SLA working group, when 3

4 non-medical and undergraduate medical in secondary care postgraduate medical in secondary care primary care medical available There are also plans to undertake a reference costing exercise and DH is working with a number of providers to identify the costs associated with delivering education and training and to design templates to help providers collect the costs. The education and training levy workstream is investigating how to raise the MPET funding, which could be a potential levy. This potential levy could be introduced across all healthcare providers, not just the NHS. Scott Binyon opened up the discussion, with the following points being made: There will be changes to the Non-Medical Education and Training (NMET) budget. A number of funding categories will be developed, including a future workforce element, an educational support category, a management costs category, a development funding category (currently unnamed) and a national activities category. Pay for doctors will go to the pay review body. It is unclear what oversight there will be on private providers for continuing professional development. The MPET funding is the responsibility of the SHAs, and in future, the Local Education Training Boards. The transition phase needs to be reinforced. Health Education England needs to encourage organisations to work co-operatively when developing courses and outcomes. The continuing professional development equity across the professions issue also requires attention. In the SLA, some policy initiatives are given more prominence than others. The Board can analyse them and make recommendations on the SLA. The non-medical tariff can be used to drive up the standards of clinical practice placements. It would be helpful if the data on 2012/13 anticipated MPET spend was shared. It has not been finally agreed how many Local Education Training Boards there will be. circulate papers on NMET surplus returns and 2012/13 MPET spend plans 5. Nursing and Care Quality Forum The Chair informed the Board that the Prime Minister had written back after receiving a letter from the Nursing and Care Quality Forum. The Prime Minister said that he is supportive, and is expecting more in six weeks time. Influencing the Forum can be discussed at the July Board workshop. The Chair raised the possibility of inviting Sally Brearley to the Board s September meeting. invite Sally Brearley to the September meeting 6. Case for degree level registration This item was deferred. 7. Risk Register Joe McArdle reported to the Board on the Risk Register. The Risk Register outlines the key risks, and any new risks should be raised. The Board agreed that the document contained a fair reflection of risks for the coming year. The following points were made in the discussion on this item: Some risks are more strategic than others. In terms of the influencing workforce planning and development risk it was 4

5 agreed it was a red risk rather than amber. The risk relating to the Centre for Workforce Intelligence needs revising with Sarah Faulkner. The Risk Register will be discussed at the September Board meeting. 8. Clinical Academic Careers Programme update Rona McCandlish informed the Board that a note on progress will be produced for the July Board meeting, and a report in September. A Board member requested a weblink to encourage individuals to apply for the programme. 9. Lord Willis Commission on Nurse Education Joe McArdle to discuss with Sarah Faulkner changes to CfWI risk Rona McCandlish to update Board on CATP progress Rona McCandlish to circulate a link to CATP to encourage individuals to apply Howard Catton briefed the Board on Lord Willis Commission. The Commission will formulate recommendations and has taken written evidence, with oral evidence due to be heard. The Commission will produce a report by the end of Prescribing Competency Framework The Chair informed the Board that the paper tabled on this item was for information. 11. Health Select Committee report on education, training and workforce planning The Chair tabled a paper summarising the Health Select Committee report, for information. 12. CPD Task and Finish Group report This item will be held over to the next agenda. 13. Any other business 13.1 Nursing and Midwifery Council consultation on fee increases Gail Adams raised the Nursing and Midwifery consultation on fee increases. The consultation is open until August. The Board noted the NMC s consultation The regulatory landscape Howard Catton raised the possibility of a future discussion on the regulatory landscape, due to the changes in the Council for Healthcare Regulatory Excellence and the Law Commission s review. This could take place later in the year Apprenticeships ensure this item is discussed The Board were informed by Caroline Waterfield that there have been nine thousand extra clinical and non-clinical apprenticeship posts available. An article in the Nursing Standard included examples of these posts and their positive effects. The Board needs to consider whether it should promote apprenticeships when discussing Local Education Training Boards. Warwick University has also been 5 Caroline

6 researching the value that apprenticeships provide the NHS. The Board were informed that NHS Employers have been pressuring employers to consider employing apprentices. A question was raised as to whether apprenticeships were paid. Caroline Waterfield would check the details. Next Meeting 14:00 16:30 18 th July 2012 Room 136B Skipton House, 80 London Road, London, SE1 6LH Waterfield to check whether apprenticeships are paid or not Future PAB Meetings 17 th September 10 th October 13 th November 12 th December 6

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