Workforce Transformation Projects

2021-22 Workforce Transformation Projects

To support the ambitions of the NHS Long Term Plan and ‘We are the NHS: People Plan 2020/21 action for us’, the HEE mandate is focused around developing a 21st century workforce with the right skills, values and behaviours to ensure high quality care for patients. Central to this support is also the opportunity for HEE to work with stakeholders to act as an enabler for local workforce transformation initiatives.

System wide and individual partnership projects were welcomed to support:

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The initial launch of a specific project or programme of work

Scale and spread of an already established project or programme of work

Robust evaluation of a current project or programme of work

To read more about each of the current projects, please click on each of the tabs below

Organisations and systems were given the opportunity to bid for funding to support one of the following workforce transformation initiatives through a formal procurement process with focus on:

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Mental Health Simulation Training For Pharmacy Workforce In Secondary Care

East London NHS Foundation Trust

Background

There is a well-known gap from undergraduate to clinical practice in pharmacy around interactions with people living with mental illness. NHS Long Term plan highlights the need to develop services and workforce in different sectors to provide the right level of care for people with mental illness (integrated care). Therefore, pharmacy staff must gain confidence and competence to support people with mental illness. Simulation training provides invaluable opportunities for participants to reflect on how they interact with mental health patients and MDT, providing the skills to manage potentially stressful and emotive situations they are likely to encounter in healthcare settings.

ELFT

Project Aim

ELFT is leading this project and specialises in mental health and community health services. Neighbouring acute trust-Barts Health NHS is part of North East London integrated care systems (ICS). Participants will include pharmacists and technicians from both Trusts.

The primary focus is to increase the pharmacy workforce’s confidence in supporting and caring for patients with mental health illnesses by being inclusive. The focus will be on soft skills, values, and behaviours such as communication skills when supporting people with mental illness or their carers. Additionally, it also reduces stigmas and empowers team members to provide a safe, effective, and equitable service.

Project Objectives

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To be more familiar with mental health conditions including within a substance misuse & learning disabilities context

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To build confidence in formulating treatment plans in mental health

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To be able to have effective communication (verbal and non-verbal) when interacting with people with mental illness

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To gain confidence in talking to patients in distress

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To gain confidence in taking appropriate history

Outputs

The aim is to develop a minimum of 5 scenarios via collaborative co-production with service users and multi-disciplinary team members. The next step would be to pilot and then run these scenarios around mental health, including learning disabilities and substance misuse. Our learners would include pharmacists and medicines management technicians from ELFT and Barts and the training would take place in person at ELFT’s experiential learning centre. The evaluation to highlight the expected outcomes will be via a pre-and post survey that would explore the learning objectives and aims.

Project Team

Name

Organisation

Role

Andrea Okoloekwe

East London NHS Foundation Trust

Accountable Officer

Simmy Daniel

East London NHS Foundation Trust

Project Lead

Information for project 2021-22 coming soon

Implementation Plan To Enhance The DMS Service And Improve Clinical Competencies Of Our Ward Based Pharmacy Technicians

Kingston Hospital NHS Foundation Trust

Background

The NHS Long Term Plan

Part of the NHS long term plan is to ensure better treatment for cardiovascular patients and prevent premature deaths for people with heart problems. In order to ensure these specialist patients are optimally cared for we need to enhance the clinical service our MMTs provide through training and education.

Kingston

At Kingston we are keen to expand the use of the Discharge Medicines Service (DMS) beyond the referrals to community pharmacy we currently make for patients discharged with compliance aids e.g., Monitored Dose Systems (MDS). Our Trust was one of the first in the Southwest London area to implement PharmOutcomes to make these referrals and we believe there are significant benefits to our patients in expanding the referral service we can offer. Currently Pharmacy Technicians are not involved in making DMS referrals. We propose that our Pharmacy Technician workforce is further integrated into a clinical setting by training them to identify specific patients and making referrals.

Our initial focus will be referrals for Acute Coronary Syndrome (ACS) and heart failure patients that are newly started on cardiac drugs. Cardiac patients require regular monitoring such as up titration, amendment of doses and are also started on several drugs with a polypharmacy risk due to harmful effects and interactions. Feedback from the medical admissions team has highlighted multiple cardiac readmissions that would benefit from Pharmacy Technician input and community referrals on discharge.

Project Aim

The aim of this project is to expand the use of the DMS service for cardiac patients newly started on ACS or heart failure medicines and enhance the clinical competencies of our MMT workforce.

Project Objectives

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Design and develop guidance and training programmes to ensure the ward-based pharmacy technicians are appropriately trained to provide the DMS service patients newly started on heart failure or ACS medicines

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For ward-based pharmacy technicians to appropriately refer patients newly started on ACS or heart failure medicines via PharmOutcomes to their nominated community pharmacy

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To deliver training and learning

Outputs

The expected outputs from this project are:

Patients on newly started ACS or heart failure medicines will be counselled and referred to primary care on discharge. This will increase compliance and patient safety which will reduce hospital re-admissions due to medication related harm. Patients /relatives will be asked to complete a patient satisfaction survey after counselling has been given, to confirm how useful they have found the information provided to them on discharge.

By enhancing our DMS service this will support the smooth transition of care between secondary and primary care.

Advancing the training for our pharmacy technicians will expand their clinical roles and will allow them to provide greater support in a patient facing roles, which will provide increased job satisfaction.

Project Team

Name

Organisation

Role

Judith Foy

Kingston Hospital NHS Foundation Trust

Accountable Officer

Roshni Thoppil

Kingston Hospital NHS Foundation Trust

Accountable Officer

Kunali Patel

Kingston Hospital NHS Foundation Trust

Project Lead

Sima Pankhania

Kingston Hospital NHS Foundation Trust

Project Lead

Developing A Mental Health Training Programme For Community Pharmacy

Maudsley Learning, South London and Maudsley NHS Foundation Trust

Background

This project’s key focus is on developing the Pharmacy workforce, which strongly aligns with the HEE LaSE Pharmacy team 2021/22 business priorities, NHS Mental Health Implementation Plan 2019/20 – 2023/24, the NHS People Plan and NHS Long Term Plan priorities for pharmacy workforce, education, and training across London, Kent, Surrey and Sussex. Pharmacists have been identified as harbouring huge potential in aiding the NHS Mental Health Implementation Plan 2019/2020, however remain neglected in training provision, unsure exactly how to connect with the wider healthcare system, and often not supported directly to work with mental health

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Project Aim

A key aim of this project is to provide added value by developing a mental health training programme of complementary resources to support the treatment, prevention and promotion of skills for the pharmacy workforce and meet learners’ needs through online simulation training, masterclass, and digital resources. We aim to encourage collaboration and sharing of best practice to fit with local organisations and ICS level priorities through an innovative approach.

The project represents a unique collaboration between an NHS Trust, Kings Health Partner trusts, Academic Health Science Centre, SE and SW London ICS’s, and a Local Pharmaceutical Committee.

Project Objectives

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Develop the current pharmacy workforce to meet the changing skills requirements of new service models by delivering high-quality education, supporting trainees to gain skills and awareness for adults with mental illness, severe mental illness and those at risk of suicide

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Support quality and outcomes improvement throughout the programme, involving Senior Consultants, Subject Matter Experts and established pharmacy networks to design and deliver the programme, ensuring that evaluations allow continuous improvement

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Encourage increased understanding through multi-disciplinary and peer learning to contextualise the role that pharmacists can play in providing mental healthcare

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Foster sustainability by encouraging continued learning through our virtual learning hub

Outputs

By the end of the project, we aim to have developed and delivered 4 Simulation training courses and 4 Masterclass sessions to around 208 pharmacists across London, Surrey, Kent and Sussex. An evaluation of the programme and full report will explore learner experience, impact and sustainability. In addition, we are looking to disseminate our work in the form of a submission to a relevant conference or journal once the project comes to a close.

Information about the simulation and masterclass courses available can be found below.

Project Team

Name

Organisation

Role

Tom Gray

South London and Maudsley NHS Foundation Trust

Accountable Officer

Soumitra Burman-Roy

South London and Maudsley NHS Foundation Trust

Project Lead

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Olivia Scott

South London and Maudsley NHS Foundation Trust

Project Team

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Tom Gray

South London and Maudsley NHS Foundation Trust

Project Team