Liberating the NHS: Developing the Healthcare Workforce ...

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Two-way accountability needs to be developed. HEE needs to be accountable toskills networks as well as the other way round. For example, in commissioning moreor fewer education and training posts than are the aggregate of local plans HEEneeds to provide incentives for local skills networks and take on any riskAccountability frameworks should be broadly the same across the country but mayneed to allow for differing models of development for skills networks.Q15: How do we ensure the right checks and balances throughout all levels of thesystem? Streamlining and clarity of roles throughout the whole NHS system Strong governance frameworks within skills networks and accountability frameworksbetween HEE, skills networks and clear relationships with CQC and Monitor Ensuring that the checks protect the operational delivery of education and trainingand that workforce development is not continually interrupted by funding issues Service commissioning needs to increase workforce quality standards throughincluding workforce quality standards within contracts in order to drive providerworkforce development High level of transparency throughout the system.Q16: How should the governance of HEE be established so that it has theconfidence of the public, professions, healthcare providers, commissioners ofservices and higher education institutions? A voted system for the majority of membership TransparencyRepresentation for Skills for Health/Care and other non-NHS stakeholdersComposition should avoid the perception of medical dominance recognising thebreadth of clinical leadership in healthcare.Q17: How do we ensure that the Centre for Workforce Intelligence is effective inimproving the evidence base for workforce planning and supports both localhealthcare providers and HEE? Ensure clarity of role for CfWI and describe in more detail how fixed or flexible Ensure rigorous quality assurance of data and clear relationships and roles betweenCfWI and the NHS Information Centre Ensure strong links with the NHS Commissioning Board – service commissioningneeds to drive workforce planning Previous comment on improving data quality of ESR Previous comment on recognising and establishing processes for dealing withcommercial tensions between organisations Strong relationships between CfWI and skills networks, with skills networkscontributing to performance monitoring of CfWI.South Central Strategic Health Authority – DHW Consultation Response 8
Q18: How should we ensure that sector-wide education and training plans areresponsive to the strategic commissioning intentions of the NHS CommissioningBoard? Agree that NHS Commissioning Board is represented on HEE for checks andbalances Strongest line should be from the NHS Commissioning Board to GP commissionersthrough to healthcare providers and skills networks to ensure local responsibility andnot create a tension between top down and bottom up (recognising that may thencreate tension between NCB and GP commissioners)Q19: Who should have responsibility for enforcing the duties on providers inrelation to consultation, the provision of workforce information, and cooperationin planning the workforce and in the planning and provision of professionaleducation and training? This responsibility should lie with the skills networks as part of self-regulation andmanagement working with CQC, Monitor and CfWI This would mean that the skills networks would need to be able to legally implementsanctions and incentives This should follow the principle that nothing is done nationally that can be donelocally.Q20: What support should Skills for Health offer healthcare providers duringtransition? Ensure that the system supports development of bands 1-4 of the workforce (checksand balances) and link to existing work such as the National Transferable RolesNetwork Provide advice and guidance for GP consortia and emerging skills networks Continue the much valued current tasks and functions throughout the transitionperiod.Q21: What is the role for a sector skills council in the new framework? As has already been suggested, a streamlined system should include the work of thesectors skills council as fully integrated into HEE and the skills network framework Representation at HEE and skills network “boards” Working alongside skills networks to continued role of support to and for providers ofWidening Participation and the development of the Bands 1-4 workforce includingapprenticeships.Q22: How can the healthcare provider skills networks and HEE best secure clinicalleadership locally and nationally? Ensure clinicians are represented locally and nationally and engaged in workforcedevelopment Ensure links between local and national clinicians – preferably through existingstructures such as professional bodies and networks Integrate HEE and NLC for a streamlined system Create whole career approach involving inter-professional leadership at all levels toensure that we develop people able to take on these roles.South Central Strategic Health Authority – DHW Consultation Response 9
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