NHS England funds £2 million to boost system-wide leadership development

NHS England has funded a £2 million programme to help 23 areas kick-start or boost leadership development activities to support and inspire workforce in health systems across England from GPs, consultants and therapists to nurses, social workers and managers.

The programme builds on learning from five successful leadership models: Frimley Health and Care 2020 Programme, Surrey Heartlands Academy, Fylde Coast 100 Systems Leader Programme, North Cumbria and Leading Greater Manchester.

Their results have shown the importance of equipping individuals with the right skills necessary to drive change and identify new ways of working and collaborating with health, social care and third sector organisations.

The funding will support systems to develop locally tailored programmes, investing in both newly established and experienced leaders to increase their system leadership capability.

Full detail at NHS England


Trans-disciplinary advanced allied health practitioners for acute hospital inpatients: a feasibility study

International Journal for Quality in Health Care, Volume 31, Issue 2, March 2019, Pages 103–109

To explore cost-efficiency, safety and acceptability of trans-disciplinary advanced allied health (AH) practitioners for acute adult general medicine inpatients.

Design: Quasi-experimental feasibility study.
Setting: Three acute general medical units in an Australian urban hospital.
Participants: Two hundred and fifty-six acute hospital inpatients.
Main Outcome Measures: Cost-efficiency measures included AH service utilization and length of stay (LOS). Patient outcomes were functional independence, discharge destination, adverse events, unplanned admissions within 28 days, patient satisfaction and quality of life data on admission, and 30 days post-discharge. Ward staff were surveyed regarding satisfaction with the service model, and advanced health practitioners (AHPs) rated their confidence in their own ability to meet the performance standards of the role.
Results:Patients allocated to AHPs (n = 172) received 0.91 less hours of AH intervention (adjusted for LOS) (95% confidence intervals (CI): −1.68 to −0.14; P = 0.02) and had 1.76 days shorter LOS relative to expected (95%CI: 0.18–3.34; P = 0.03) compared with patients receiving standard AH (n = 84). There were no differences in patient outcomes or satisfaction. AHPs demonstrated growth in job satisfaction and skill confidence.
Conclusions: Trans-disciplinary advanced AH roles may be feasible and cost-efficient compared with traditional roles for acute general medical inpatients. Further development of competency frameworks is recommended.

Closing the gap: Key areas for action on the health and care workforce

Closing the gap: Key areas for action on the health and care workforce


  • Staffing is the make-or-break issue for the NHS in England. Workforce shortages are already having a direct impact on patient care and staff experience.
  • Urgent action is now required to avoid a vicious cycle of growing shortages and declining quality. The workforce implementation plan to be published later this year presents a pivotal opportunity to do this.
  • This report sets out a series of policy actions that, evidence suggests, should be at the heart of the workforce implementation plan.
  • They will require investment of an extra £900 million per year by 2023/24 into the budget of Health Education England.
  • Recognising the close interrelationship between the NHS and social care, the report also recommends a series of policy changes to improve recruitment and retention in social care.

The Topol Review

Health Education England | February 2019 | Topol review

The Topol Review, led by cardiologist, geneticist, and digital medicine researcher Dr Eric Topol and produced by HEE, explores how to prepare the healthcare workforce, through education and training, to deliver the digital future.

Image source: topol.hee.nhs.uk

The Topol Review is now published and it makes recommendations that will enable NHS staff to make the most of innovative technologies such as genomics, digital medicine, artificial intelligence and robotics to improve services. These recommendations support the aims of the NHS Long-Term Plan, and the workforce implementation plan, helping to ensure a sustainable NHS.


The Topol Review Preparing the healthcare workforce to deliver the digital future 


About the Topol Review 

See also:

The Health Foundation Preparing health care workforce for a digital future will require Herculean effort at all levels

The Daily Telegraph Alexa-like bots will listen out for suicidal patients under NHS technology revolution

The Guardian Robots and AI to give doctors more time with patients, says report

Graduate management trainees to work in urgent and emergency care

HSJ| September 2018 | Graduate management trainees to work in urgent and emergency care

A new collaboration between NHS Improvement and NHS Leadership Academy has been announced, the collaboration will place management trainees on the NHS Graduate scheme into A& E and ambulance trusts. The pilot will involve Two graduate trainees will spend time with North West Ambulance Services Trust, University Hospitals of Morecambe Bay and Salford Royal FTs. Another two will work at Yorkshire Ambulance Service, Leeds Teaching Hospitals and Hull and East Yorkshire Hospitals trusts (Source: HSJ).


Read the full story at HSJ 


12 million people to benefit from better joined up NHS and social care work

NHS Improvement | May 2018| 12 million people to benefit from better joined up NHS and social care work

Over 12 million people will soon benefit from better joined up NHS and social care as four more areas, covering four and a half million extra people, are given more control to improve local services.


NHS England chief Simon Stevens and Ian Dalton, head of NHS Improvement, have called on the NHS to ‘supercharge’ integration as Gloucestershire, West Yorkshire and Harrogate, Suffolk and North East Essex and North Cumbria will join the ten areas already part of the integrated care development programme (NHS Improvement).

The full news item is available at NHS Improvement 

Allied Health Professions supporting patient flow

This quick guide demonstrates how NHS emergency care, in particular patient flow through the health and care system, benefits from allied health professionals | NHS Improvement

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Bringing the AHP workforce into patient flow planning can improve quality, effectiveness and productivity.

Each section gives a brief overview of the contribution that AHPs have made to deliver safe, effective patient care and flow, followed by case studies which demonstrate how AHPs:

  • work in the community keeping people safe and well at home
  • ‘front door’ assess, diagnose and treat patients in emergency departments, ambulatory care and assessment units
  • support avoidance of hospital admission
  • enable early rehabilitation and reducing overnight admissions
  • drive ‘Home First’ (discharge to assess) to avoid in-hospital deconditioning of frail, older people.

Full detail: Quick guide: allied health professions supporting patient flow