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Transforming the shape of your workforce:The case for transformationDean RoylesDirector, <strong>NHS</strong> <strong>Employers</strong>22 nd March 2011


Transforming the shape of yourworkforce?Understanding:• Your service needs now and in the future• Your current workforce• The drivers for change• Opportunities• Your future workforce• The role of HR• Efficiency? Productivity? Both?


The drivers for change


Drivers for changePolitical• Health and Social Care Bill• The QIPP challenge• Liberating the <strong>NHS</strong>: developing the healthcareworkforceHealthcare• Desire to improve quality of care• Care delivered closer to home• Increasing long term, complex healthcare conditions


Drivers for changeSocial• Ageing population• Ageing workforce• Generation X, Generation YProfessional• Pre-registration nursing education• Modernising scientific careers


Drivers for changeWorkforce• Sustainability of supply• Immigration policiesFinancial• Efficiency savings• Cost improvement programme• Reducing agency spend• The QIPP challenge


The QIPP Challenge£incomeexpenditureprojected real income based on CSRprojected expenditure based on current trendsproductivityQIPP Gap =£20 bncash1997 2011 2015


Benefits of transformation• Flexible workforce that can meet changing needs• Improve staff morale• Help recruitment• Aid retention and career progression• Create clarity of expectations through careerframeworks• Pay bill control• Staff engagement


What does this mean for HR/workforcemanagers?• HR/workforce responsibility to help meet thesechallenges and opportunities• Need to:– Recognise the scope of the registeredprofessional– Understand shape of support workforce– Identify skills require for workforce– Develop education and training programmes– Benchmarking


Changing purpose of HRHR profession has changed –“shift from a primary focus on supporting linemanagers to manage their people well, to aprimary focus on ensuring your organisation hasthe sustainable capability it needs to deliver itsaims both today and in the future”


Example dashboard


Liberating the <strong>NHS</strong>: developing thehealthcare workforce• Consultation closes on 31 st March 2011• Your opportunity to influence new system• Challenging timeframes• Developing skills networks• Local leaders leading workforce planning• Impact on support workforce?• Opportunities? Challenges?


The <strong>NHS</strong> ConstitutionThe <strong>NHS</strong> belongs to the people.It is there to improve our health and well-being,supporting us to keep mentally and physicallywell, to get better when we are ill and, when wecannot fully recover, to stay as well as we can tothe end of our lives. It works at the limits ofscience – bringing the highest levels of humanknowledge and skill to save lives and improvehealth. It touches our lives at times of basichuman need, when care and compassion arewhat matter most.


The <strong>NHS</strong> Constitution – values• Respect and dignity.• Commitment to quality of care.• Compassion.• Improving lives.• Working together for patients.• Everyone counts.


The <strong>NHS</strong> Constitution – staff pledges• To provide all staff with clear roles andresponsibilities and rewarding jobs for teams andindividuals.• To provide all staff with personal development andaccess to appropriate training.• To provide support and opportunities for staff tomaintain their health, well-being and safety.• To engage staff in decisions that affect them.• Meaning, belonging, hope, growth.


Next steps• Take strategic, organisation-wide approach• Consider options for support workforce• Consider advanced practice• Identify local service needs• Set clear objectives• Articulate the benefits• How can <strong>NHS</strong> <strong>Employers</strong> support you?


Questions?<strong>NHS</strong> <strong>Employers</strong> represents trusts in England on workforceissues and helps employers to ensure the <strong>NHS</strong> is a placewhere people want to work.Our areas of work include developing the support workforce,nursing education, modernising scientific careers, action onhealth visiting, flexible workforce, health work and wellbeing,pay and negotiations and employment policy and practice.www.nhsemployers.orgtwitter.com/nhsemployersdeanroyles@nhsemployers.org

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