Brief Description of new or planned policy | Which Chapter of the "Better Health, Better Care - A Discussion Document" does this policy fit? | Provisional Timescale for implementation | Brief Description of Potential impact on NHSS Workforce. |
Pharmacy | | | |
Explore the use of community pharmacies as Walk-in Healthy Living Centres | 1 and 7 | Pilots to commence from Autumn 2007. Extension / implementation from Spring 2008 | Community pharmacists may require some additional training to support a wider range of services, including diagnostics services. Training will be required for Pharmacist Assistants to support pharmacists in delivering some of the services Extended roles for community pharmacists and their support staff. |
Introduce a Consultant Grade for Hospital Pharmacy Practitioners | 2 | By December 2008 | Modernisation of the hospital pharmacy career structure in line with AfC Investment in the existing pharmacy workforce. |
Nursing | | | |
Development of Advanced Practice roles for Nurses and AHPs | 1 & 2 | Autumn 2008 | Greater clarity regarding structure and competence of roles at 6 and 7 on Career Framework. Would support better planning and implementation of these roles. Linked to Education through NES and Workforce through NMWWP project. |
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Development of Advanced Practice roles for Nurses and AHPs | 1 & 2 | Autumn 2008 | Greater clarity regarding structure and competence of roles at 6 and 7 on Career Framework. Would support better planning and implementation of these roles. Linked to Education through NES and Workforce through NMWWP project. |
Structuring and development of Healthcare Support Worker and Assopciate Practitioner roles | 1 & 2 | Spring 2009 | Greater clarity regarding structure and competence of Clinical Support roles at 2, 3 and 4 on Career Framework. Would support better planning and utilisation of these roles. Linked to Education through NES and Workforce through NMWWP project. |
Maternity Care Assistants | 1,2 | Autumn 2008 | New role and career development, enhancing skill mix |
ASD | | | |
More timely, complete and accurate completion of electronic records including full use of CHI number | Mainly relevant to Chapter 2 - Best Value, but also 7 - continuous improvement | SMR return target set for 2008 | Recognition that in a number of Boards more, and more experienced coders required - Lothian already tackling this. Performance need to be improved and sustained |
Mental Health | | | |
Mental Healthcare Link Workers in Schools | Promotion, Prevention and Care (2005) Delivering for Mental Health (2006) | By end of 2008 | Limited but might have an impact on a number of different community roles such as CAMHS, school nurses, health visitors, community mental health nurses, as well as teachers or other groups. |
Basic mental health training for those who look after, looked after and accommodated children. | As above | By end of 2008 | Need to attend training using a competency based approach. May be issues around supervision which probably need some thought. |
All new staff working in child and adolescent mental health should complete the New to CAMHS training within a year of taking up post. | Promotion, Prevention and Care (2206) | Within a year of taking up post | All new staff working with children with mental health problems but predominantly nurses. |
65% of NHS CAMHS staff in every NHS Board area should have accessed advanced professional training. Increased to 80% by 2010. | Promotion, Prevention and Care (2005) | Access to training. NES working on this. | Provide support through management, leadership and other training materials. |
Introduction of Peer Support Workers in Mental health | Delivering for Mental Health (2006) Mental Health Peer Support Workers, Conference report (2007) | Pilot to be completed by end of 2008 in 3 Board areas. | This is a new role to the NHS and mental health. In involves someone who has had lived experience of mental illness being employed in mainstream services as part of the team providing care and treatment. |
Increase the number of staff who can offer evidence based psychological therapies | Doing Well by People with Depression (2006) Delivering for Mental Health (2006) NES Phase 1 Plan (2007) | By end of 2010 | Need to target front line community/primary care mental health staff. Nurses, OT's, psychologists. |
Train frontline mental health services, primary care and A&E staff to be educated in using suicide assessment tools/suicide prevention training. | Delivering for Mental Health (2006) Competency Framework (draft - consultation (20th Sep)) | By end of 2010 | Impact of training will be accident and emergency staff, practice nurses, GP's, psychiatrists, receptionists, health visitors. |
All mental health nurses will have undertaken values based training by June 2008. | Rights, Relationships and Recovery (2006) | By June 2008. | All mental health nursing staff. |
Progressive competency based frameworks will be developed for mental health nursing in the areas of acute and crisis and older people's mental health nursing | Rights, Relationships and Recovery (2006) | End of 2007 | All mental health nurses working in acute, crisis and older peoples care. |
Mental Health nurses prescribing | Rights, Relationships and Recovery (2006) | Locally by end of 2008. | Potentially all mental health nurses. |
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A new national framework for pre-registration mental health nursing programmes | Rights, Relationships and Recovery (2006) | By end of 2008 | All mental health nursing students |
Develop structured education programme for Mental Health Support Workers. | Rights, Relationships and Recovery (2006) | End of 2007 | SVQ levels 1, 2 and 3 for all support workers |
Public Health | | | |
Introduction of Catering and Nutritional Specifications for Hospital Food | 1 | Introduce from Spring 2008 | Do not anticipate any increase in staff. There may be a need for training associated with the Specifications. |
Introduction of Human Papillomavirus vaccinations for 12/13 year old girls. | 5 | Vaccinations to commence Autumn 2008 | Impact on nursing staff for vaccinations. |
Community Care Division | | | |
Implementation of NHS Carer Information Strategies - With measures to identify carers; provide information and carer training; and carer awareness training for staff. | 5 | Strategies in place from May 2007 with additional measures to be submitted by end October 2007 for approval. | Staffing implications generally low. Primary impact is in training NHS staff on carer awareness. |
Child and Maternal Health | | | |
Development of the National Delivery Plan for Specialist Children's Services in Scotland | 5 | Early Summer 2008 (although key elements already being implemented due to service exigencies) | Individual workstreams are identifying workforce requirements as part of their remit which will feature as a key element of the National Delivery Plan. Also development of new roles for nursing, AHP and other staff see as underpinning service redesign in the future. |
Implementation of Delivering a Healthy Future and Action Framework for Children and Young People's Health in Scotland. | 5 | Currently in the process of implementation covering 2007 -2010 | Specific sections have identified workforce as a key element of delivering improvement in services and to meet European Working Time Legislation requirements. Also contains sections on workforce, education training and development with specific actions for the Health and Well-Being Directorate NES, NHS Boards and RPG's. |
Food and Health | | | |
Health Improvement and Strategy | | | |
Primary care re-design to extend and mainstream the targeted anticipatory care begun under Have a Heart Paisley, Keepwell etc | 4, 1, 3, 5 | From Sept 2007 | Keepwell has been the catalyst for the development of new models for engaging patients. This work is in its infancy, but the task of engaging patients has called on different competencies from primary care practice. This is being met by extending the role of primary care staff and by employing staff with community work and health coaching skills. The boundary between the NHS workforce and those of other public service staff has become blurred, or rather dealt with differently in different settings and CHPS. |
Role out of health improvement performance targets and arrangements. | 4, 6 | Summer 2008 | A working group is currently reviewing the performance management targets for Health Improvement and health inequalities. This will produce replacements for the H element in HEAT, and more. The targets it selects may create demand for workers with particular skills. Likely targets currently are smoking cessation, breast feeding, and brief alcohol interventions. Performance managing these will likely lead to service developments and associated staff developments. |
Sharing of learning from national health demonstration projects beyond their lifetime, ie March 2008 onwards for Healthy Respect and HaHP; Continuing emerging reports from Starting Well on skill mix teams and change management | 4, 3, 5 | March 2008 onwards and as evaluation reports/findings are produced | Various, to be confirmed as findings emerge - may be learning on whether/what works in relation to health coaching; skill mix teams; achieving change across multi-disciplinary teams eg health & social work; intensive support in targeting more vulnerable individuals |
A wait of no more than 18 weeks from GP referral to treatment | 7 | December 2011 | This programme will stimulate significant changes in the skillmix and composition of the NHS workforce in both primary and secondary care. For example, there will be a further shift of tasks from doctors to non-medical professions, and the development in non-clinical roles. |
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