Health Education England

Last updated

Health Education England
Type Non-departmental public body
Staff
2,259 (2019/20) [1]
Website www.hee.nhs.uk OOjs UI icon edit-ltr-progressive.svg

Health Education England (HEE) is an executive non-departmental public body of the Department of Health and Social Care. Its function is to provide national leadership and coordination for the education and training within the health and public health workforce within England. It has been operational since June 2012.

Contents

In November 2021 it was announced that the organisation would be merged with NHS England by April 2023. It was suggested[ by whom? ] that this would make responsibilities for workforce planning much clearer and make it easier to develop the workforce strategy needed to meet current and future demand for services. [2]

The merger was completed in April 2023, and HEE become the new Workforce, Training and Education Directorate within the national NHS England organisation. [3]

Functions

Key functions of HEE include: [4]

History

HEE was one of the new bodies set out in the NHS reforms of April 2012. [5] Originally established as a special health authority on 28 June 2012, it became a non-departmental public body (NDPB) on 1 April 2015 under the provisions of the Care Act 2014. [4]

Dr Navina Evans, Chief Executive of East London NHS Foundation Trust, a psychiatrist, was appointed Chief Executive in March 2020, succeeding Prof Ian Cumming. [6]

In August 2020, Dr Harpreet Sood was appointed as Health Education England (HEE) Non-Executive Director. [7]

In November 2021, it was announced that HEE would merge with NHS England. [8]

Plans

Its third national workforce plan, published in December 2015, provides for an increase of nearly 15% in nurses and doctors trained by 2020. This is planned to lead to an increase of 21,133 qualified adult nurses, 6039 hospital consultants and 5381 General Practitioners after allowing for retirement and staff turnover. [9]

NHS knowledge and library services

HEE leads on the strategic development of NHS knowledge and library services. The national NHS knowledge and library services team at HEE is responsible for procuring core digital knowledge resources on behalf of the health and care workforce and trainees. [10]

National Health Service (England) has 177 autonomous library services largely based in acute hospitals, but also in mental health and community health services. These deliver knowledge services to trainees and staff. In large cities, particularly in London, a small number of universities offer knowledge services to NHS staff as well as to students. [11]

In 1997, national guidance on NHS library and information services observed duplication and lack of co-ordination, partly arising from complex funding arrangements. Health Service Guideline HSG (97) 47 concentrated on enabling equitable access to the knowledge base for all healthcare professionals irrespective of their discipline, by requiring the development of multi-professional library and information services. It required that each Hospital Trust in England draw up a library and information strategy. [12]

A digital library service for the NHS in England called the National electronic Library for Health (NeLH) was launched in 1998, later becoming the National Library for Health (NLH). Management of this service was transferred to NICE, the National Institute for Health and Care Excellence in 2008. [13]

In 2012, organisational changes saw the transfer of the regional leads responsible for NHS libraries, and their budgets, into HEE, for the first time bringing all of them together within a single organisation.[ citation needed ]

Knowledge for Healthcare

The first five-year strategy, “Knowledge for Healthcare: a development framework 2015-2020” was published in December 2014 and envisioned by planners to be a 15-year programme of work. [11] A programme manager was appointed for one year following publication to establish a programme and project management infrastructure through which the work could be effectively progressed and reviewed. Following successes, the regional teams were formed into a single national team and the decision was made to appoint a national lead. The programme manager is now a full-time and permanent post, and the postholder is responsible for leading and sustaining a coherent national approach.[ citation needed ]

Through 2019–20, the HEE reviewed their strategy. The Carter review of operational productivity and performance in English NHS Acute hospitals in 2016 signalled the need for greater use of evidence and data to engage business managers and clinical leaders.[Varela] The Long-Term plan, published in 2019, spoke of the “strong scientific tradition of evidence-based decisions about care” [14] and the need for ready access to decision support. [14] It featured several workstreams, including mobilising evidence and organizational knowledge; patients, carers and the public; resource discovery; quality and impact; and workforce planning and development. The second five-year strategy was published in January 2021. [10]

HEE's aim in developing and continuing to publish iterations of the national strategy for NHS knowledge and library services is to:

HEE during the COVID-19 pandemic

The national HEE team supported the wider NHS system during the COVID-19 pandemic. [15] HEE launched a bank of Coronavirus literature searches and a collection of COVID-19 current awareness bulletins, with users recognising that: “They are willing to share the work they are doing with other services in the NHS and recognising that in many cases this only needs to happen once.” [16]

Junior Doctors controversies

In February 2016, the chief executive of HEE Ian Cumming sent a letter to all the chief executives of NHS Foundation trusts indicating that the organisation could cut funding for training posts in any trust which refused to impose the new juniors doctor contract. [17] In January 2017, emails seen by the newspaper The Independent showed that HEE sent drafts of the letter to the Department of Health and that the Secretary of State for Health Jeremy Hunt was aware of the letter prior to publication. [18]

In May 2017 the Court of Appeal decided that the organisation could be considered as an employer of junior doctors, in relation to whistle blowing claims brought via an Employment Tribunal, through the case of Dr Chris Day. Dr Day claimed he was discriminated against as a whistle blower but later acknowledged, as part of a settlement agreement, that HEE had acted in good faith towards him. [19] However, there is evidence to suggest that the settlement was forced upon Dr. Day and he continues to appeal. [20] [21]

Related Research Articles

<span class="mw-page-title-main">Department of Health and Social Care</span> Ministerial department of the UK Government

The Department of Health and Social Care (DHSC) is a ministerial department of the Government of the United Kingdom. It is responsible for government policy on health and adult social care matters in England, along with a few elements of the same matters which are not otherwise devolved to the Scottish Government, Welsh Government or Northern Ireland Executive. It oversees the English National Health Service (NHS). The department is led by the Secretary of State for Health and Social Care with three ministers of state and three parliamentary under-secretaries of state.

Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin, exposed the high mortality rate for paediatric cardiac surgery at the Bristol Royal Infirmary. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:

A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish.

Cambridge University Hospitals NHS Foundation Trust is a British public sector healthcare provider located in Cambridge, England. It was established on 4 November 1992 as Addenbrooke's National Health Service Trust, and authorised as an NHS foundation trust under its current name on 1 July 2004.

Mark Douglas Britnell is an English business executive. He is a senior partner at the professional services firm KPMG and a global healthcare expert. He was the chairman and senior partner for healthcare, government and infrastructure at KPMG International until September 2020.

<span class="mw-page-title-main">NHS Confederation</span> Membership body for organisations that commission and provide National Health Service services

The NHS Confederation, formerly the National Association of Health Authorities and Trusts, is a membership body for organisations that commission and provide National Health Service services founded in 1990. The predecessor organisation was called the National Association of Health Authorities in England and Wales.

<span class="mw-page-title-main">NHS Scotland</span> Publicly-funded healthcare system in Scotland

NHS Scotland, sometimes styled NHSScotland, is the publicly–funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland, supported by seven special non-geographic health boards, and Public Health Scotland.

The Health and Social Care Select Committee is a Departmental Select Committee of the British House of Commons, the lower house of the United Kingdom Parliament. Its remit is to examine the policy, administration and expenditure of the Department of Health and Social Care (DHSC) and its associated agencies and public bodies. The Clerks of the Committee are Previn Desai and Joanna Dodd.

<span class="mw-page-title-main">NHS Education for Scotland</span>

NHS Education for Scotland (NES) is an education and training body and a national (special) health board within NHS Scotland.

The National electronic Library for Health (NeLH) was a digital library service provided by the NHS for healthcare professionals and the public between 1998 and 2006. It briefly became the National Library for Health and elements of it continue to this day as NHS Evidence, managed by the National Institute for Health and Care Excellence, and a range of services provided by Health Education England's Library and Knowledge Service Leads.

St Andrew's Healthcare is a large independent charity based at St Andrew's Hospital in Northampton, which provides psychiatric services. It also has sites in Essex, Birmingham and Nottinghamshire. It runs specialist services for adolescents, men, women and older people with mental illness, learning disability, brain injury, autism and dementia and hosts the National Brain Injury Centre. It is a psychiatric hospital and service provider that caters for individuals requiring inpatient care and rehabilitation, and step-down housing.

Healthcare in England is mainly provided by the National Health Service (NHS), a public body that provides healthcare to all permanent residents in England, that is free at the point of use. The body is one of four forming the UK National Health Service as health is a devolved matter; there are differences with the provisions for healthcare elsewhere in the United Kingdom, and in England it is overseen by NHS England. Though the public system dominates healthcare provision in England, private health care and a wide variety of alternative and complementary treatments are available for those willing and able to pay.

The National Institute for Health and Care Research (NIHR) is the British government's major funder of clinical, public health, social care and translational research. With a budget of over £1.2 billion in 2020–21, its mission is to "improve the health and wealth of the nation through research". The NIHR was established in 2006 under the government's Best Research for Best Health strategy, and is funded by the Department of Health and Social Care. As a research funder and research partner of the NHS, public health and social care, the NIHR complements the work of the Medical Research Council. NIHR focuses on translational research, clinical research and applied health and social care research.

NHS Professionals supplies clinical and non-clinical temporary staff to the NHS and provides workforce services to health and care organisations. It operates a membership base of healthcare professionals who work flexible shifts and longer-term placements at more than 130 acute and community NHS Trusts and other health and care organisations across the UK and the Channel Islands. The company reports its Bank Members worked 4.6 million shifts and provided 39 million hours of care in the 2021–22 financial year.

<span class="mw-page-title-main">NHS England</span> Oversight body for the National Health Service in England

NHS England, formerly the NHS Commissioning Board, is an executive non-departmental public body of the Department of Health and Social Care. It oversees the budget, planning, delivery and day-to-day operation of the commissioning side of the National Health Service in England as set out in the Health and Social Care Act 2012. It directly commissions NHS general practitioners, dentists, optometrists and some specialist services. The Secretary of State publishes annually a document known as the NHS mandate which specifies the objectives which the Board should seek to achieve. National Health Service Regulations are published each year to give legal force to the mandate.

<span class="mw-page-title-main">NHS Improvement</span> Non-departmental health service oversight body in England

NHS Improvement (NHSI) was a non-departmental body in England, responsible for overseeing the National Health Service's foundation trusts and NHS trusts, as well as independent providers that provide NHS-funded care. It supported providers to give patients consistently safe, high quality, compassionate care within local health systems that are financially sustainable.

Manchester University NHS Foundation Trust is an NHS Acute Foundation Trust which operates 10 hospitals throughout Greater Manchester. It is the largest NHS trust in the United Kingdom, with an income of £2.2bn and 28,479 staff in 2021–2022.

In England, an integrated care system (ICS) is a statutory partnership of organisations who plan, buy, and provide health and care services in their geographical area. The organisations involved include the NHS, local authorities, voluntary and charity groups, and independent care providers. The NHS Long Term Plan of January 2019 called for the whole of England to be covered by ICSs by April 2021. On 1 July 2022, ICSs replaced clinical commissioning groups in England.

The Health Services Safety Investigations Body (HSSIB) is a fully independent arm's length body of the Department of Health and Social Care. HSSIB came into operation on 1 October 2023. It investigates patient safety concerns across the NHS in England and in independent healthcare settings where safety learning could also help to improve NHS care.

<span class="mw-page-title-main">Stephen Powis</span> National medical director for NHS England

Sir Stephen Huw Powis is a renal medicine consultant and has been the National Medical Director of NHS England since 2018. Previously he was the chief medical officer at the Royal Free London NHS Foundation Trust. He is also a professor at University College London.

Ahalia Navina Evans is a British former child and adolescent psychiatry consultant who has been the Chief Workforce, Training & Education Officer of NHS England since April 2023. She was previously the chief executive officer of East London NHS Foundation Trust between 2016 and 2020 and chief executive of Health Education England between 2020 and 2023.

References

  1. "Annual Report and Accounts 2019-20" (PDF). Health Education England. Retrieved 13 March 2021.
  2. "Exclusive: Health Education England to be merged into NHSE". Health Service Journal. 17 November 2021. Retrieved 27 December 2021.
  3. "NHS Digital and NHS England complete merger". NHS Digital. Retrieved 15 October 2023.
  4. 1 2 "About Health Education England". Health Education England. Retrieved 13 June 2015.
  5. "Implementation of the Health and Social Care Act". British Medical Journal. 3 April 2013. Retrieved 18 April 2013.
  6. "Chief leaves trust after 25 years for national role". Health Service Journal. 26 March 2020. Retrieved 26 March 2020.
  7. "Dr Harpreet Sood appointed to Health Education England's board". digitalhealth. 26 August 2020. Retrieved 15 September 2020.
  8. "Health Education England to be merged into NHSE". HSJ. 17 November 2021. Retrieved 6 October 2022.
  9. "Health Education England reveals plan to deliver 80k additional NHS staff". Health Service Journal. 23 December 2015. Retrieved 28 February 2016.
  10. 1 2 "Knowledge for Healthcare: A strategic framework for NHS Knowledge and Library Services in England 2021-2026" (PDF). Health Education England. 2021.
  11. 1 2 3 "Knowledge for Healthcare: A Development Framework for NHS Library and Knowledge Services in England 2014-2020" (PDF). Health Education England. 2014.
  12. Hall, Angela; Blackburn, Helen (January 2021). "From Paper to Infinity…". Library Knowledge Services (North). Retrieved 9 May 2022.
  13. Lee, Hui N. (1 March 2003). "National Electronic Library for Health (NeLH)". BMJ Evidence-Based Medicine. 8 (2): 38. doi: 10.1136/ebm.8.2.38 . ISSN   2515-446X. PMC   56651 . S2CID   70806711.
  14. 1 2 "The NHS long term plan". NHS Long Term Plan. 2019.
  15. "Responding to COVID-19 in the National Health Service in England: positive changes and learning for Knowledge for Healthcare". Journal of the European Association for Health Information and Libraries.
  16. McLaren, Catherine (20 July 2020). "Knowledge for Healthcare: responding to Covid-19". CILIP News & Press: Health sector. Retrieved 8 February 2022.
  17. Elgot, Jessica (17 February 2016). "Hospital trusts threatened with cuts if they refuse to impose new contracts". The Guardian.
  18. Khan, Shehab (5 January 2017). "Emails show Jeremy Hunt's Department of Health 'colluded' with 'independent' body to impose junior doctor contracts" . The Independent. Archived from the original on 9 May 2022.
  19. Linton, Shaun (5 May 2017). "Junior doctors get new whistleblowing protection after HEE loses court case". Health Service Journal. Retrieved 5 May 2017.
  20. Cooper, Benedict (5 June 2020). "'I was left to fight alone for NHS whistleblowing protection'". The Guardian. Retrieved 2 October 2018.
  21. Norman Lamb (3 July 2019). "Whistleblowing". Parliamentary Debates (Hansard) . United Kingdom: House of Commons.