Graduate careers in the health sector - Alan Simmons Careers Specialist, Health Careers - AGCAS
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Graduate careers in the health sector Alan Simmons Careers Specialist, Health Careers www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
A whistle stop tour of… Context Roles in the health sector Patient journey Getting in Pay Trends, changes and new roles Resources from Health Careers Using the NHS Jobs website www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
The Worlds Biggest Employers This figure includes NHS staff in Wales, Scotland and Northern Ireland too www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Public health ‘core’ and ‘wider’ workforce c40,000 staff in England work in ‘core’ public health roles above level 5 of the Public Health Skills and Knowledge Framework Additionally c4,000 health trainers (below level 5 of PHSKF) Estimated 15-20 million people in over 170 occupations work in the ‘wider’ public health workforce. www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Mental health services But around 70%Treatment of centres healthcare is delivered outside of hospitals! Doctors’ surgeries Ambulance services Walk-in centres www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
…and then there are other organisations supporting the delivery of healthcare, including… www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
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 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 2018 (approximately!) Support to doctors & nurses (eg HCAs, Doctors & dentists admin) 9% Healthcare scientist & 23% AHP support staff (eg therapy assistants, admin) Nurses & midwives 5% 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 & estates Managers 9% ambulance staff 5% 3% 2% www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers - 14 role ‘groupings’ Allied health professions Medical associate professions Ambulance service team Midwifery Dental team Nursing Doctors Pharmacy team Health informatics Psychological therapies Healthcare science Public health Managers Wider healthcare team www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Patient journey 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 They arrange opinion of 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 www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk 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 www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
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 www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Getting in www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Entry points (depending on the role) Through an apprenticeship (intermediate, advanced, higher or degree level) Straight into job/training position After a course at a further education college By taking an approved university degree Alan Simmons CareersAfter Specialth Education a degree England After experience gained outside of the NHS 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: Can be assessed in a number of ways including through: – pre-screening assessments – values based interviewing techniques – role play – written responses to scenarios – assessment centres Do you have what it takes? If you’re applying for a support role in the NHS, try the E-values tool at: http://nhsvaluestool.e-lfh.org.uk/ www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Undergraduate opportunities www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
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!) www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Opportunities for graduates – clinical Scientist Training Programme (STP) Trainee biomedical scientists (few posts now, STP & PTP main routes to pathology) Physician associate training Arts therapists (music, drama & art therapy) Psychological wellbeing practitioners, psychologists – (clinical, counselling, forensic, health areas) 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 Six streams: Financial management General management Human resource management Informatics management Policy and strategy management (new in 2017) Health analysis (new in 2017) Other “non-scheme” opportunities e.g.: Public health Health informatics (e.g. librarians, statisticians) Operational management Engineering etc. www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Examples of graduate vacancies advertised in the NHS in the last 2 months 2.1 (no degree discipline specified) Graduate project DMC Healthcare, £23K Experience in/understanding of business operations support London including finance, IT, HR and marketing Relevant qualification/experience in administration of Post Graduate Central and NW educational training course, + 2 years general secretarial/ AfC4 admin experience Course c£20k London NHS Administrator Foundation Trust Experience of dealing with members of the public Degree desirable 2:1 or higher degree in psychology or health sciences Northumberland, Tyne related degree Research AfC5 c£23k & Wear NHS Assistant Foundation Trust Previous experience in administering psychological assessments with good level of practical skill Good degree in numerate discipline University Hospitals Programmer AfC6 Knowledge & experience of programming in MUMPS/ c£28k Birmingham NHS Analyst Caché & at least one other language eg Perl, Java, Delphi, Foundation Trust C# or C++ Hospice Educated to degree level or equivalent Sporting and Knowledge of principles of good donor management or St Rocco’s Hospice, Challenge £20K customer care Warrington Events Awareness of legal and financial aspects of licensing and Fundraiser charity law As advertised www.healthcareers.nhs.uk on@HealthCareersUK NHS Jobs www.jobs.nhs.uk advice@healthcareers.nhs.uk
Examples of graduate vacancies advertised in the NHS in the last 2 months Educated to at least degree level in economics Post-graduate qualification (Masters/ PhD) in relevant AfC6 NHS Improvement, Economic Analyst discipline, or experience of working as an economist at an c£28k London equivalent level Knowledge of statistics and econometrics BSc Hons in appropriate biological degree Quality Assurance £22 - Public Health England, Practitioner £27k Manchester In depth understanding of quality procedures and control and relevant legal standards Undergraduate degree (any discipline) Clinical Evidence University Hospitals AfC6 Based Information c£28k Coventry & Advanced searching using the internet and databases Service Specialist Warwickshire NHS Trust Understanding of the concept of evidence based practice Information Analysis & NHS Digital £22k 2:1 Bachelor’s degree (any discipline) or equivalent Statistics Graduate (Leeds or London) Trainee* Graduate trainee – £19 - Dorset Clinical Degree level, or working toward equivalent qualification Project Support £22k Commissioning Group Experience of project support Graduate Trainee Northumberland Tyne Educated to degree level £22 - Technology Risk and Wear NHS £28k Experienced of a range of software packages and tools Assurance Auditor Foundation Trust As advertised on@HealthCareersUK www.healthcareers.nhs.uk NHS Jobs www.jobs.nhs.uk advice@healthcareers.nhs.uk (Except *NHS Digital website)
Pay www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Pay Staff on NHS terms and conditions Agenda for change (rates from 1-4-18) Covers the vast majority of staff in the NHS Has 9 “bands” (levels), ranging from band 1 (£17,460 per annum) to band 9 (£84,507 to £102,506) Example: starting salary for newly qualified nurse or physiotherapist is bottom of band 5 (£23,023) NB London allowances (up to 20%) payable on top of these figures Doctors and dentists – separate pay system Very senior managers – separate pay system Staff in public health roles NHS terms and conditions Local government terms and conditions Other terms and conditions 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 June 2018 Standards approved for delivery include: Standards in development include: LEVEL 7 LEVEL 7 Specialist community and public health nurse Arts therapist Advanced clinical practitioner Physicians associate LEVEL 6 LEVEL 6 Registered nurse Diagnostic radiographer (degree) Healthcare science practitioner (degree) Dietitian (degree) Podiatrist (degree) Occupational therapist (degree) Operating department practitioner (degree) LEVEL 5 Physiotherapist (degree) Nursing associate Paramedic (degree) Dental technician Psychological wellbeing practitioner HR consultant/partner Social worker (degree) LEVEL 4 Speech and language therapist (degree) Associate ambulance practitioner Therapeutic radiographer (degree) Data analyst Healthcare science associate For the latest situation regarding health www.healthcareers.nhs.uk sector apprenticeships, visit @HealthCareersUK Skills for Health website advice@healthcareers.nhs.uk (Healthcare Apprenticeships Standards Online): http://haso.skillsforhealth.org.uk/
Apprenticeship update as at June 2018 Standards being explored include: Standards closed (not being considered at present) include: LEVEL 7 Specialist community and public health nurse Health trainer Clinical academic fellow Housekeeper LEVEL 6 Ophthalmic technician Midwife (degree) Porter Ward clerk LEVEL 4 Orthodontic therapist LEVEL 3 Clinical simulation technician Library, information and archive services assistant NHS Jobs For the latest situation regarding health www.healthcareers.nhs.uk sector apprenticeships, visit @HealthCareersUK Skills for Health website advice@healthcareers.nhs.uk (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 www.healthcareers.nhs.uk Future: A draft health and care @HealthCareersUK workforce strategy advice@healthcareers.nhs.uk 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 www.healthcareers.nhs.uk Future: A draft health and care @HealthCareersUK workforce strategy advice@healthcareers.nhs.uk 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 www.healthcareers.nhs.uk Future: A draft health and care @HealthCareersUK workforce strategy advice@healthcareers.nhs.uk for England to 2027 (Health Education England, December 2017)
Resources from Health Careers www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Contact details Email: advice@healthcareers.nhs.uk Tel: 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 Rotating carousel of images Share pages through with links to further information social media Quick access to information about careers in the NHS, medical By registering for an account, careers and public health careers some of these tiles will be personalised, based on your interests Quick links to key content 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 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 Working in the NHS Working in public health Working in social care (brief) Overseas health professionals Pay and benefits The 6C’s Making Every Contact Count UK health systems FAQs – working in health Step www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website Detailed Info on 250+ roles Roles grouped under categories Overview of each category Details for each role include: Working life Entry requirements Training Pay Further information Real life stories and videos Compare roles feature Step www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website Course finder Is a health career right for you? (Exploring your options, transferable skills, changing your career etc.) Improving your chances (Gaining experience, planning your career) Study and training: (At secondary school/FE college, apprenticeships & cadetships, considering or at university, Graduate training opportunities etc.) Looking for a job Developing your health career Returning to a health career Careers advisers and teachers Step Resources Events www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website Register for an account and: Personalise your home page Save searches Save compared roles Bookmark pages Register for newsletter Change your password Step 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
Statutory regulatory bodies for 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 www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers website - course finder Selecting ‘Accelerated’ searches for graduate- entry programmes Use drop down options in filters to search for courses www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers course finder results page Course title HEI contact details HEI Brief course details – Direct link to mode of study, length HEI website of course, level of qualification www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
For example: page on graduate opportunities www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Other resources that may be of interest include... Infographics Update – termly e-newsletter for careers professionals www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Social media channels Twitter - around 18,800 Instagram – around followers 800 followers You Tube - around 200 videos LinkedIn Facebook www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Health Careers service – developments 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 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 Piloted in 60 primary schools across England in early 2018 www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
Using the NHS Jobs website www.healthcareers.nhs.uk @HealthCareersUK www.jobs.nhs.uk advice@healthcareers.nhs.uk End
NHS Jobs website (England & Wales) Browse vacancies by career groupings Simple search facility. USE KEYWORDS! Advanced Search for search feature employers in your region Register for job alerts by email How to apply, hints on applications and interviews etc www.healthcareers.nhs.uk @HealthCareersUK www.jobs.nhs.uk advice@healthcareers.nhs.uk
Using the “keywords or job reference” field… LOOKING FOR VACANCIES RELATED EXAMPLES OF RESULTING JOB TRY SEARCH TERMS SUCH AS… TO… VACANCIES “healthy eating”, “diet”, “food”, Lifestyle support worker NUTRITION “allergy”, “health promotion”, Health development practitioner “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”, Rehabilitation assistant SPORT SCIENCE “stroke”, “physiology”, “cardiac Health improvement practitioner rehabilitation” Cardiac physiologist “laboratory”, “pathology”, “public Training administration asst. (pathology) LIFE SCIENCES health”, “healthcare science”, “health Medical laboratory assistant – advanced protection” Newborn screening data manager “health improvement”, “health Health promotion resource & info. officer PUBLIC HEALTH protection”, “substance misuse”, Integrated care drugs worker “smoking cessation” Administrator (working at a prison) www.healthcareers.nhs.uk @HealthCareersUK www.jobs.nhs.uk advice@healthcareers.nhs.uk
@HealthCareersUK @Alan_Simmons Any questions? One DWP word www.healthcareers.nhs.uk @HealthCareersUK advice@healthcareers.nhs.uk
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