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PSEC - Coggle Diagram
PSEC
Solutions
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created suite of band 8a role JDs for the organisation to use to develop ACP roles across all pillars leadership, education, research and clinical
Introduction of career framework at STH in line with national picture so Trust can offer progression beyond band 7 for these dynamic staff
acp governance framework and job planning documents outline minimum standards to ensure consistency in non clinical time to allow ACPs to undertake SI work to improve patient outcomes
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Developed ACP appraisal system mapped to national ACP framework for trainee and qualified ACPs known as CASP
we plan to utilise CASP to demonstrate the level of practice and support staff to transition to B8a roles
CASP developed at STH, adopted by HEE/NHSE and used across all NEY
We have plans to roll out our career framework across the organisation, with a plan to reassess the impact of this work in 12 & 24 months
we hope this work will improve retention of this valuable workforce and stabilise the workforce, deliver the people promise and the Trust Strategy
if our work is successful and we can return our attrition to 2021 rates we could support a cost avoidance to the Trust of £4.4M
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Reasons
Market Forces
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desire for relevant training, time and opportunities, recognition of contribution
pay and reward
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nationally and locally ACPs paid at Band 8a - STH historically paid band 7, local agreement many years ago.
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if wanted to progress beyond band 7 at STH needed to leave ACP altogether - loss of experienced clinician
Retention
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over 60 left in last 3years, 30+ last year
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impact huge - it affects morale/burn out on staff/teams they leave from but also patients and wider Trust
detailed financial modelling demonstrated £116K to retrain replacement, total cost to organisation £7M
impact on services huge - experienced ACP replaced with novice trainee, take 3 years to qualify
affects Trusts ability to deliver recovery plan &operational targets for acute/emergency care, cancer and outpatients
retention vital to deliver LTWFP - could be 900 at STH and we cant meet that need with the attirition rates
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