The Somerset Health and Social Care Network (SHSCN) which includes Musgrove Park Hospital, Way Ahead Care, Care Focus (South West) CIC and Somerset College, is a unique partnership of public and private sector providers set up with the ambition to transform the training and development approach used in the Health and Social Care workforce in Somerset by creating a more sustainable approach.  A key area for development is the introduction of younger people in the workforce, where this has previously not happened.  Our programme engages, develops and progresses them as apprentices on the wards and in domiciliary care.

There were a range of challenges identified including:

 Domiciliary Care provision in Somerset is expected to grow by 12% with a continuing decrease in acute care through the NHS, applying pressure on the domiciliary care market

 Higher than national staff turnover rate in Domiciliary Care because of low pay,  lone working, anti-social hours and  a number of rural areas. There is also an ageing workforce bringing a need to build sustainable talent pipelines

 There is a distinct barrier between acute and community care teams in relation to facilitated discharges and preventing admissions (preventative care) – which needs to be reduced in line with government’s agenda for healthcare (Caring for our Future)

 A duplication of training across employers

 A need for the transformation of the workforce - Personalisation and for the re-ablement strategy – staff need to be able to deliver a wider variety of support, additional to traditional home care e.g. adult education – this needs to be done with a reduced income (UKHCA – stats)

 Hard to reach groups - 16-18 year old apprentices in Domiciliary Care and health

This is a unique approach to workforce development across health and social care to try and establish increased future capacity.

The future vision for this project includes developing the workforce to prevent or delay acute admissions into hospital or to provide better continuity during the discharge process, with staff being trained in both social and clinical care settings which will provide an enhanced patient journey.

Trainees gain valuable skills and experience in each sector,  enhancing their  CV as well as securing  the transferable skills and confidence that will help them progress into either employment or an apprenticeship in Health or Social care.

Amanda Middleton

Project Lead, Care Focus (South West) CIC

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