Select Committee on Health Written Evidence


Supplementary evidence submitted by Wyn Jones (WP 41A)

  I am unsure of the protocol of the Health Select Committee (HSC) so I thought I would contact you in the first instance. I did attend the session last week, in the public gallery and note a number of points I would have liked to raise had I been in front of the committee. I would hope these points could be considered by the members of the committee.

    —  The role of the PCT should be key in the future as they provide the service strategy for providers to deliver against. In addition I believe there is a need to monitor the NHS on a health economy basis, in particular I am concerned that as service provision becomes more fluid because of Independent sector provision and shifts to primary care a number of organisations will be left with staff who they have to make redundant if the process is not managed effectively. The redundancy costs would inhibit a productive health economy, even if individual organisations can demonstrate their own efficiency. I have further information on this issue if the committee require it.

    —  I am concerned over the capacity of the Department of Health and the new Strategic Health Authorities to deliver their agenda given the pressure on management costs. Although I accept that improvements can and must be made.

    —  I believe that integration of workforce planning across staff groups, in particular medical and non-medical and professional and non-professional, is essential for the future of the service. Also there is a need to integrate across finance and activity. The ISIP process is the right philosophy but in reality to date has not delivered an integrated approach for workforce development and planning.

    —  This review of workforce development and planning has proved useful in uncovering the range of processes, tasks and strategies required for workforce planning, I believe a useful outcome from the Committee's review would be a map of who is responsible and who is involved in workforce planning within the current NHS structure. In the future this map could be used to ensure the responsibilities are not lost in other re-organisations of the service.

    —  Within the LDP process the limit of three years does provide a problem for education commissioning, in West Yorkshire I developed an additional proforma which expanded the LDP one to include all key staff groups and to extend the timeframe to five years. Some organisations had problems completing the form as there was little evidence of the long term strategy for the organisation, however, it did provide us with more evidence for education commissioning.

    —  There was a discussion around financially changed organisations recruiting staff, I believe that organisations must control their recruitment and clinical managers must not be allowed to recruit as they see fit, but there are a number of scenarios where it will make sense for an organisation to recruit, even if they have financial difficulties; these include, ensuring a service is safe for patients/users, reducing the reliance of agency staff, delivering increased activity which will provide increased income under Payment By Results.

    —  There was a discussion on the impact on staff on Agenda for Change Bands one to four. In West Yorkshire I led a partnership with the local Learning and Skills Council. As a result of the partnership we have secured £1.4 million over three years to support training, development and employment opportunities of these Agenda for Change bands through LSC, Regional Development Agency and European Social Funding commissioning process. In addition the partnership has just agreed 500 train to gain places for NHS Yorkshire and the Humber organisations, these are level 2 qualifications and equate to approximately £600,000.

  I would be happy to provide further information on any of the points I have raised. If you have any queries please let me know.

Wyn Jones

Workforce Planning Manager, NHS Yorkshire and the Humber

8 January 2007





 
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