Cultural barriers and solutions related to the implementation of flexible working: review of the literature

Cultural barriers and solutions related to the implementation of flexible working: review of the literature [FutureNHS – registration required]
Kings Fund 2021

• In the NHS People Plan there is a strong focus providing staff the opportunity to work flexibly, with the ambition to make flexible working the norm. This review of the literature by the Kings Fund seeks to understand how to implement a flexible working culture in the NHS.
• See the FutureNHS Flexible working in the NHS workspace for other articles and research [registration required]

The future of NHS human resources and organisational development

The future of NHS human resources and organisational development
NHS England 22 November 2021

• This report outlines the ten-year strategy for the human resources (HR) and organisational development (OD) services in the NHS. It is aimed at HR and OD directors, chief people officers, HR and OD practitioners, managers, leaders and anyone with an interest in HR and OD.

Attracting, supporting and retaining a diverse NHS workforce

Attracting, supporting and retaining a diverse NHS workforce
Nuffield Trust 8 November 2021 

• This report examines the representation of under-served groups and provides a set of recommendations for change as the NHS strives to become an exemplar of equality, diversity and inclusion.

NHS health and wellbeing framework

NHS health and wellbeing framework
NHS England 4 November 2021

• This framework is a high-level culture change toolkit aimed at health and wellbeing staff, human resources (HR) and organisational development (OD) staff, HR and OD directors, wellbeing guardians, managers and leaders, and anyone with an interest in health and wellbeing. It is made up of four documents: strategic overview; elements of health and wellbeing; diagnostic tool; and implementation guide.

Multi-professional team-working The experience and lessons from COVID-19

Multi-professional team-working The experience and lessons from COVID-19
Academy of Medical Royal Colleges, October 2021

• This report focuses on what lessons has been learned about the enablers for and barriers to effective multi-professional team-working. Drawing on interviews with workers across different specialties, healthcare settings and regions, it explores five key themes that have shaped experiences of multi-professional team-working during the pandemic and outlines ten principles for improvement.

Guidance for Integrated Care Boards

Guidance on Integrated Care Systems
NHS England 19 August 2021

• NHS England has published more guidance for ICSs including:
• Interim guidance on the functions and governance of the integrated care board - proposed core components of integrated care board (ICB) governance arrangements.
• HR framework for developing integrated care boards - key activities, responsibilities and/or considerations required at a national, regional, system and organisational level for dealing with the change processes required to affect the transfer and the transition to ICSs.
• Building strong integrated care systems everywhere: guidance on the ICS people function – supplementing the ICS Design Framework and building on the NHS People Plan. It is intended to help NHS system leaders and their partners support their ‘one workforce’ by delivering key outcome-based people functions from April 2022.
• Part of  NHS England Integrated Care Systems: Guidance

NHS Providers next day briefing - integrated care board governance

NHS Providers 20 August 2021

• This document summarises the NHS England governance guidelines and provides detailed commentary on the ICB functions and governance guidance, model constitution and ICS people guidance.

Covid-19 return to work in the roadmap out of lockdown

Covid-19 return to work in the roadmap out of lockdown
Society of Occupational Medicine 31 March 2021

• These guidelines, published in collaboration with the University of Glasgow, are aimed at workers, employers and health practitioners to increase understanding of the risks of returning to work and the appropriate work-related control measures that could be implemented. Presenting a simple, stepwise approach, the document outlines the multiple factors needed to be considered in the Covid-19 return to work assessment.

How might leadership roles evolve in integrated health and care systems?

How might leadership roles evolve in integrated health and care systems?
SCIE March 2021

• This report for the NHS leadership Academy explores some of the implications of the Long Term Plan and its supporting plans on leadership within local health and care systems, the roles that may emerge over time, and what knowledge, skills and support leaders need in the future. The report provides an overview of research carried out to better understand how leadership roles are changing in the health and social care leaders sector, especially in collaborative and integrated health and care systems.

Understanding different bereavement practices and how our colleagues may experience grief

Our NHS People: Understanding different bereavement practices and how our colleagues may experience grief
NHS England 11 January 2021

• A bereavement resource which recognises the diversity of NHS staff.

General Practice Workforce Interactive dashboard

General Practice Workforce Interactive dashboard
NHS Digital

• The dashboard includes a variety of interactive charts displaying different characteristics of staff, workforce data, and information about practices.
• Data includes 
• CCG maps including average no of patients per practice by CCG, %headcount over 55yrs, staff per 100k patients, permanent GPs
• FTE by staff group

Workforce Race Equality Standard (WRES): Indicators for the NHS medical workforce

Workforce Race Equality Standard (WRES): Indicators for the NHS medical workforce
NHS England updated 7 September 2020

• A bespoke set of WRES indicators have been developed for the NHS medical workforce. This document outlines the rationale for these indicators and explains how they will work. A full set of data against these indicators will be presented as part of the annual WRES data report for NHS trusts.
• There are eleven indicators for the medical workforce. Four of the indicators reflect variation in career progression and pay, six represent medical staff perceptions of how they are treated by colleagues, employing organisations and patients, and one highlights the diversity of the councils and boards of medical institutions.

Enablers to flexible working infographic

Enablers to flexible working infographic
NHS Employers 3 August 2020

• Following employer engagement, NHS Employers have identified nine enablers to flexible working, highlighted in this infographic.

WE ARE THE NHS: People Plan 2020/21 - action for us all

WE ARE THE NHS: People Plan 2020/21 - action for us all
NHS England 30 July 2020

• This document sets out what the people of the NHS can expect – from their leaders and from each other – for the rest of 2020 and into 2021. The principles it sets out apply across all organisations, and to all involved in providing or commissioning NHS care.

Neighbourhood Integration Project

Neighbourhood Integration Project
NHS Confederation July 2020

• The Neighbourhood Integration Project aims to capture the successes and share the learning from areas where local service integration was already well underway. 
•  The project has drawn together case studies on how more joined up care has been delivered in four localities- Haringey and Islington, Leeds, Luton and Norfolk. It has also produced three briefings looking at how partnerships have resolved common operational challenges that so often hold back the integration agenda – around workforce, governance and shared working practices.
• This project is a collaboration between NHS Providers, the NHS Confederation, the National Association of Primary Care, the Association of Directors of Adult Social Services and Association of Ambulance Chief Executives.

Developing and evaluating workplace health interventions: employer toolkit

Guidance: Developing and evaluating workplace health interventions: employer toolkit

PHE 17 July 2020

• This toolkit provides guidance for employers to develop their offer of workplace health interventions.

Risk assessments for NHS staff

Risk assessments for staff
NHS Employers 28 May 2020

• This guidance for NHS organisations on how to enhance their existing risk assessments particularly for at-risk and vulnerable groups within their workforce. This includes workers returning to work for the NHS, and existing team members who are potentially more at risk due to their race and ethnicity, age, weight, underlying health condition, disability, or pregnancy. This guidance is applicable, with appropriate local adaptations, in all healthcare settings.

Rising to the challenge of multimorbidity

Rising to the challenge of multimorbidity [Editorial]
BMJ 2020; 368:l6964 doi: https://doi.org/10.1136/bmj.l6964 (Published 06 January 2020)

• The multimorbidity trend presents challenges to the entire medical profession, from general practice and community care to acute and long term hospital settings. Greater specialisation, especially for hospital based doctors, has improved our ability to treat single diseases, but unless we react to the increase in multimorbidity it will disadvantage the increasing proportion of patients with multiple seemingly unrelated diseases. 
•  Good vertical integration exists from bench to bedside for a single condition or disease, but there is little or no horizontal integration between diseases that often coexist. This will require an intellectual shift and rethinking some elements of our research, training, and practice in virtually every discipline.

A Place to Work: System approaches to workforce challenges in the NHS

A Place to Work: System approaches to workforce challenges in the NHS

NHS Providers December 2019

• This briefing aims to explore how trusts are working with their staff and with local partners to enable the health and care workforce to adapt to new ways of collaborative working in systems, and to support the aim of integrated, joined up care.

Fit for the Future: Workforce Roadmap

Fit for the Future: Workforce Roadmap
RCGP December 2019

• This Workforce Roadmap outlines the actions that are required to achieve RCGPs vision for the workforce in 2030. This includes effective workforce planning informed by better data, enhanced education and training in general practice, increased efforts for recruitment and returning staff, and significant efforts to improve the workload and wellbeing for GPs and the whole general practice team.
• Part of the RCGP Fit for the Future vision.

A Place to Work

A Place to Work
NHS Providers 10 December 2019

• This briefing aims to explore how trusts are working with their staff and with local partners to enable the health and care workforce to adapt to new ways of collaborative working in systems, and to support the aim of integrated, joined up care.