Careers in the health sector: What's new? - Alan Simmons Careers Specialist, Health Careers - Prospects Events
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Content: Background/context Patient journey Getting in Trends, changes and new roles Resources from Health Careers Using the NHS Jobs website
This figure includes NHS staff in Wales, Scotland and Northern Ireland too www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
IT’S NOT JUST DOCTORS, NURSES, MIDWIVES & PARAMEDICS! www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Staff in the NHS 2017 (approximately!) Support to doctors & nurses (eg HCAs, Doctors & dentists admin) 9% Healthcare scientist & 23% AHP support staff (eg therapy assistants, admin) 5% Nurses & midwives 28% Support to ambulance staff (eg HCAs, maintenance ) 1% Central functions (HR, finance etc) Healthcare scientists 9% 4% Allied health Health informatics professions (AHPs) 2% Hotel, property Qualifed Managers 9% & estates ambulance staff 5% 3% 2% www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
His friend dials 999 & Danny’s Danny speaks to an playing falls & emergency medical Example of a patient journey football injures his despatcher, who leg despatches an ambulance Take him to Paramedic & Porter helps A&E transport emergency care department assistant assess Danny into of local the building situation hospital Triage nurse gets second Danny’s Triage nurse opinion of They arrange details are recorded by Example of a patient journey assesses his leg emergency an X-ray medicine taken by a receptionist doctor diagnostic radiographer And a A His leg is biomedical phlebotomist broken and scientist in takes some needs the path lab blood surgery checks it out Danny has surgery. The team Porter Danny’s cared includes an takes for by a orthopaedic Danny children’s surgeon, to the nurse & HCA anaesthetist, ODP, theatre nurse, & ward HCA
Clean Before he’s He has laundry from discharged, his food orthopaedic Example of a patient journey prepared by a chef linen and laundry staff surgeon sees him on the ward He sees a He’s then physiotherapist transported at home for home by an follow up ambulance care rehabilitation assistant from treatment the PTS The GP He sees prescribes But Danny’s his GP and still in pain him some the medication and goes back practice to his doctors’ from the nurse pharmacist surgery A few weeks An occupational A few days later, later, Danny’s therapy support the district nurse playing football worker visits to comes to remove again! check he’s his stitches progressing
Examples of staff that Danny didn’t see Staff that Danny saw but who contributed to his ‘patient journey’ paramedic emergency medical despatcher emergency care assistant biomedical scientists porter chefs receptionist linen and laundry staff triage nurse security staff emergency medicine doctor gardeners diagnostic radiographer IT staff phlebotomist estates maintenance staff orthopaedic surgeon clinical scientist in radiation safety anaesthetist physics operating department practitioner managers theatre nurse accountants health care assistant human resources staff children’s nurse communications and PR staff ambulance care assistant health informatics staff physiotherapist librarians GP (general practitioner) decontamination science staff practice nurse pharmacist district nurse occupational therapy support worker
Since Health & Social Care Act 2012… NHS Acute (hospital) or other NHS organisation Private healthcare provider GP Social Enterprise/ Community Interest Clinical Commissioning Group Company GP GP Nurse Other Consultant healthcare professionals Charity GP GP GP
Getting in www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Enter at different levels (depending on the job) Through an apprenticeship/job/training After a course at a further education college By taking an approved university degree After a degree After experience gained outside of the NHS www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Apprenticeship vacancies* in the NHS (examples) in the last 3 months Apprentice healthcare support Healthcare apprentice Sheffield Torquay worker Apprentice web developer Rotherham Apprentice electrician Birmingham Nurse degree apprenticeship Morecambe Bay Apprentice specialist rehabilitation Liverpool engineer (degree apprenticeship) Apprentice medical East Sussex Occupational therapy assistant engineering technician Chesterfield apprentice Healthcare science assistant Taunton Apprentice nursery nurse London apprentice Apprentice clinical support Non clinical apprenticeships – Leeds Cheshire worker gardener; painter & decorator Apprentice assistant Healthcare science practitioner Norfolk apprenticeship (neurophysiology) Salford management accountant (level 6) *As advertised on NHS Jobs www.jobs.nhs.uk Candidates should also search on the National Apprenticeships website: www.findapprenticeship.service.gov.uk/apprenticeshipsearch
Undergraduate opportunities
Opportunities at university (clinical) Dental hygiene* Medicine** Dental technology Midwifery Dental therapy* Nursing Dietetics Occupational therapy Dentistry** Orthoptics Environmental health Operating department practice Healthcare science (audiology) Paramedic science Healthcare science (blood sciences, Pharmacy cellular sciences, infection sciences) Physiotherapy Healthcare science (cardiac physiology) Podiatry/chiropody Healthcare science (clinical engineering) Prosthetics and orthotics Healthcare science (genetics science) Radiography – therapeutic & diagnostic Healthcare science (medical physics) Speech & language therapy Healthcare science (neurophysiology) Healthcare science (respiratory & sleep sciences) www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Opportunities for graduates (brief and in general terms!)
Opportunities for graduates – clinical Scientist Training Programme (STP) (8,000+ applicants for c280 places) Trainee biomedical scientists (few posts now, STP & PTP main routes to pathology) Physician associate training Arts therapists (music, drama & art therapy) Psychologists – (clinical, counselling, forensic, health areas), psychological wellbeing practitioners Accelerated/shortened (by way of APEL) programmes for graduates: Dentistry** Dietetics* Environmental health Medicine** Nursing* Occupational therapy* Physiotherapy* Radiography* (therapeutic and diagnostic) Speech & language therapy* www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Opportunities for graduates - non-clinical Graduate Management Training Scheme (any degree discipline). Six streams: Financial management For entry in 2018, around 17,800 General management applicants. Human resource management No. of places on scheme to be Informatics management confirmed (in 2017, there were 132 Policy and strategy management (new in 2017) places) Health analysis (new in 2017) Other “non-scheme” opportunities e.g.: Health informatics (e.g. librarians, statisticians) Operational management Engineering etc. www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Will you fit in? If you apply for a job or apprenticeship vacancy with the NHS, or a university course with placements in the NHS, you’ll need to show how you think the values of the NHS Constitution apply in your everyday work: Do you have what it takes? If you’re applying for a support role in the NHS, try the E-values tool: http://nhsvaluestool.e-lfh.org.uk/ www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Trends, changes and new roles www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Apprenticeship update as at Feb 2018 Standards approved for delivery include: Standards in development include: LEVEL 6 LEVEL 7 Registered nurse Arts therapist Healthcare science practitioner Physicians associate LEVEL 5 LEVEL 6 Nursing associate Diagnostic radiographer (degree) Dental technician Dietitian (degree) HR consultant/partner Occupational therapist (degree) Operating department practitioner (degree) LEVEL 4 Physiotherapist (degree) Associate ambulance practitioner Paramedic (degree) Data analyst Podiatrist (degree) Healthcare science associate Psychological wellbeing practitioner LEVEL 3 Social worker (degree) Business administrator Speech and language therapist (degree) Dental nurse Therapeutic radiographer (degree) For the latest situation regarding health sector apprenticeships, visit Skills for Health website (Healthcare Apprenticeships Standards Online): http://haso.skillsforhealth.org.uk/
Apprenticeship update as at Feb 2018 Standards being explored include: Standards closed (not being considered at present) include: LEVEL 7 Specialist community and public health nurse Health trainer LEVEL 6 Housekeeper Midwife (degree) Ophthalmic technician Porter LEVEL 4 Ward clerk Orthodontic therapist LEVEL 3 Clinical simulation technician Library, information and archive services assistant For the latest situation regarding health sector apprenticeships, visit Skills for Health website (Healthcare Apprenticeships Standards Online): http://haso.skillsforhealth.org.uk/
Trends, changes and new roles 1/3 Nursing associate: ➢ new role between healthcare assistant and registered nurse ➢ regulated by the Nursing and Midwifery Council ➢ piloted in 2016/17 – two intakes of 1,000 associates each (over 8,000 healthcare support workers applied for a place) ➢ pilot scheme - 84% female, 16% male; ages 18-65 (main recruits 24-35); 95% retention end of Q2; 4% with level 2 qualification, 3% with degree. ➢ additional 5,000 NAs to be recruited starting in 2018 (2,500 by April and 2,500 in September) and further 7,500 in 2019. Will be level 5 apprenticeship ➢ current projections - over 45,000 qualified nursing associates by 2027, with an expected 17,000 NAs also having completed additional training to become registered nurses by this date. Medicine 500 additional places at medical school starting in 2018 Graduate Management Training Scheme will grow to an intake of 500 per annum by 2021, and 1,000 per annum beyond that. Source: Facing the Facts, Shaping the Future: A draft health and care workforce strategy for England to 2027 (Health Education England, December 2017)
Trends, changes and new roles 2/3 Emergency Department Workforce Plan ➢ Around 30% of physician associates work in emergency medicine and current training pipeline will increase significantly to 3,200 in 2019. ➢ Advanced clinical practitioners (ACPs) will grow as part of emergency team with 135 paramedics applying recently to be part of the ACP in emergency departments programme. ➢ Continue to expand number of medical training posts (in emergency medicine) with 300 doctors starting training in each of the next four years. Genomics 100,000 Genomes Project (announced in 2012), sequences whole genomes in individuals with rare diseases and their family members, and in patients with cancer. ➢ introducing new genomic medicine service into NHS in October 2018 ➢ training for 114 clinical scientists on Scientist Training Programme (STP) programmes associated with genomic medicine ➢ training for 30 genomic medicine Higher Specialist Scientist Training posts ➢ 550 Masters in Genomic Medicine places commissioned across 10 universities Source: Facing the Facts, Shaping the Future: A draft health and care workforce strategy for England to 2027 (Health Education England, December 2017)
Trends, changes and new roles 3/3 Mental Health Workforce Plan - 21,000 additional posts needed to deliver the specified service improvements. NHS to employ 19,000 new staff across the system by 2020 of these: ➢ 11,000 will be core clinical professions (e.g. nurses, occupational therapists or doctors) ➢ 8,000 will be new roles such as peer support workers and personal wellbeing practitioners. Cancer Workforce Plan : 200 new clinical endoscopists and 300 reporting radiographers to increase early diagnosis capacity. General Practice Forward View: double the growth rate for doctors in general practice. By 2020 there will be 5,000 more doctors alongside 5,000 other clinical professionals working in primary care Source: Facing the Facts, Shaping the Future: A draft health and care workforce strategy for England to 2027 (Health Education England, December 2017)
Do you have a view about the Strategy e.g. about…? What measures are needed to secure the staff the system needs for the future; and how can actions already under way be made more effective? How can we ensure the system more effectively trains, educates and invests in the new and current workforce? What more can be done to ensure all staff, starting from the lowest paid, see a valid and attractive career in the NHS, with identifiable paths and multiple points of entry and choice? How can we better ensure the health system meets the needs and aspirations of all communities in England? What does being a modern, model employer mean to you and how can we ensure the NHS meets those ambitions? If you do, please respond by 5.00pm Friday 23 March at: https://consultation.hee.nhs.uk/
Examples of routes into nursing in England Registration with the NMC She takes a He completes a 4-year shortened/ nursing degree He goes through the She takes a shortened 2-year Nurse First accelerated apprenticeship in nursing degree programme in full-time mental health nursing apprenticeship in learning disability pre-registration learning disability degree in adult nursing with a view to nursing fast track leadership nursing She takes a 3-year He takes an 18-month full-time opportunities in the advanced pre-registration future apprenticeship in degree in children’s health & social care Universities piloting She gets nursing Examples where he works as a of Trusts advertising in 2017: She takes 2-year recognition of her senior healthcare vacancies include: • Hertfordshire training as a nursing He first degree through • Norfolk Community support Health & worker with • gets recognition King’s College of associate Care NHS Trust his first degree London APEL patients with mental ill • University Hospitals • Edge Hill through APEL Southampton NHS Trust health • University Hospitals of Morecambe Bay NHS Foundation Trust Carmel has 5 GCSEs Nigel has GCSEs in Phil has a first degree Kelly has a first Shipa has 3 A-levels • Leeds Teaching Hospitals A-C including maths maths NHSand English. He in human biology. degree in in chemistry, Trust and English. She has a works as a healthcare He’s interested in a psychology. She’s psychology and p/t job in a school with assistant and leadership role in interested in adult English and wants to students with special completes the Care learning disability nursing be a children’s nurse needs. A job she loves. Certificate nursing www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Resources from Health Careers www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Contact details advice@healthcareers.nhs.uk Health Careers PO Box 27079 Glasgow G3 9EJ 0345 60 60 655 www.healthcareers.nhs.uk (main site) www.stepintothenhs.nhs.uk (for 14-19 year olds) www.facebook.com/HealthCareersUK www.youtube.com/users/nhscareers Twitter @HealthCareersUK www.linkedin.com/company/health-careersuk/ www.instagram.com/healthcareers/ www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers literature Organisations can order copies of these by contacting Health Careers www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website (top of home page) Search the site Share pages through social media Rotating carousel of images with links to further information Quick access to information about NHS careers, medical careers and If you register for an account, public health careers some of these tiles will be personalised, based on your interests Quick links to key content CF Sum www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website (bottom of home page) Read our latest Access our videos Twitter posts Find out more about Latest news from the NHS values and Health Careers behaviours (essential if you’re Download resources applying for any job, (e.g. lesson plans, apprenticeship or careers booklets, course with infographics etc.) placements in the NHS) Events calendar Links to our social media channels Detail Step www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website Information on 250+ Course finder roles Events calendar Roles grouped under News categories Choosing your options Details for each role Gaining experience include: (incl. WEX & ➢ Working life volunteering) ➢ Entry requirements Considering university ➢ Training Planning your career ➢ Pay Developing your career ➢ Further information Resources Real life stories For those providing Videos careers IAG: Compare up to 3 roles ➢ Teaching resources side-by-side ➢ FAQs FAQs www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website – compare roles feature Select up to 3 roles from the drop down list Compare bite-size information about the selected roles side-by-side: Role overview Training and qualifications required Expected working hours and salary range Desirable skills and values Prospects Related roles www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers Statutory website regulatory course bodies for finder health staff Dentists Arts therapists (art, music and Midwives Dental hygienists drama therapists) Nurses Dental technologists Biomedical scientists Dental therapists Clinical scientists Dental nurses Dietitians Clinical dental technicians Doctors Hearing aid dispensers Orthodontic therapists Occupational therapists Operating department practitioners Environmental Orthoptists health professionals Orthotists/prosthetists Pharmacists Pharmacy technicians Paramedics Physiotherapists Podiatrists Osteopaths Practitioner psychologists Radiographers Optometrists Social workers (England only) Dispensing opticians Chiropractors Speech & language therapists Step
Most course titles are as you’d expect, but… Speech and language therapy Therapeutic radiography Speech and Language Therapy Radiography (therapeutic) Psychology and Speech Therapy Radiotherapy Human Communication Radiotherapy and Oncology Speech and Language Sciences Therapeutic Radiography Language Pathology Radiography (Radiotherapy and Oncology) Speech and Language Pathology Radiotherapy and Oncology in Practice Clinical Communication Studies Dental hygiene/Dental therapy Dental Therapy Dental Hygiene Oral Health Sciences Dental Hygiene and Dental Therapy
Courses leading to registration: Using speech and language therapy as an example www.ucas.com
Health Careers website - course finder Use drop down options in filters to search for courses www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website - course finder Select career area www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers course finder results page Using the Health Careers course finder lists 16 undergrad courses leading to registration as a SLT with the Health and Care Professions Council (25 incl p/grad) Course title HEI contact details HEI Direct link to HEI website Brief course details – mode of study, length of course, level of qualification Step www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Step into the NHS website (14-19 year olds) Real-life examples of Link to Social WEX placements media Career “mapper” – short quiz to suggest possible careers 66 roles listed www.stepintothenhs.nhs.uk
Other resources from Health Careers include... Work experience Toolkit for WEX Co-ordinators in schools Lesson Plans Annual schools competition for year 8/9 students Update – termly e-newsletter for Patient journeys careers (teaching resource) Occasional webchats professionals for careers advisers Infographics and teachers www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Social media channels Twitter - around 18,300 Instagram – around followers 350 followers You Tube - around 200 videos LinkedIn Facebook www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers service – developments Improved navigation on main Health Careers website autumn 2017 NHS primary school resources – main objective: ➢ To mitigate the risk of primary school age students not considering the NHS and its professions as a future career opportunity by: ❖ increasing awareness of the NHS as an employer and the jobs people do ❖ challenging gender stereotypical views of health professions, eg men are doctors and nurses are women ➢ Currently piloting with 60 primary schools across England Career tool: ➢ Career questionnaire to generate career ideas in the health sector ➢ Accessed through the Career planning section of the Health Careers website ➢ Users answer a number of questions on a like to dislike scale ➢ Hopefully available later in 2018 www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Using the NHS Jobs website www.jobs.nhs.uk
NHS Jobs website (England & Wales) Browse vacancies by career groupings Simple search facility. USE KEYWORDS! Search for Advanced employers in your search feature region Register for job alerts by email How to apply, hints on applications and interviews etc. End www.jobs.nhs.uk
Using the “keywords or job reference” field… LOOKING FOR EXAMPLES OF RESULTING JOB VACANCIES RELATED TRY SEARCH TERMS SUCH AS… TO… VACANCIES “healthy eating”, “diet”, “food”, ONE YOU weight loss adviser NUTRITION “allergy”, “health promotion”, Healthy lifestyle coach “nutrition”, “lifestyle” Assistant nutritionist/dietitian “talking therapies”, “counselling”, Substance misuse practitioner PSYCHOLOGY “mental health”, “low intensity”, “high Wellbeing Coordinator intensity”, “IAPT” Mental health advisor - trainee “marketing”, “project”, “payroll”, Marketing coordinator ADMINISTRATION “finance”, “communication”, “record- Employment services officer (recruitment) keeping” Finance assistant “exercise”, “fitness”, “lifestyle”, Cardiac rehabilitation exercise instructor SPORT SCIENCE “stroke”, “physiology”, “cardiac Health improvement practitioner rehabilitation” Respiratory exercise physiologist “laboratory”, “pathology”, “public Lead health and safety adviser (PHE) LIFE SCIENCES health”, “healthcare science”, “health Medical laboratory assistant protection” Newborn screening data manager “health improvement”, “health Health improvement practitioner PUBLIC HEALTH protection”, “substance misuse”, Integrated care drugs worker “smoking cessation” Population health intelligence promotion manager www.jobs.nhs.uk End
@HealthCareersUK @Alan_Simmons Thank you!
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