north west healthcare science event workforce profiling
TRANSCRIPT
North West Healthcare Science Event
Workforce profiling
Workforce profiling25th October 2011
Sorry to keep picking on pathology, but . . .
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Variation in the cost per test is (still) wide
This chart shows the cost of people per test for semi-automated biochemistry tests
The interquartile range shows nearly fourfold variation!
Workforce profiling25th October 2011
. . . and this is reflected in the profile of the workforce
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Three similar trusts doing similar work
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The same is true in Haematology
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And in Histopathology
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But less so in Microbiology
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The workforce challenge (1)
Current service
Workload
Systems, processes, technology
Workforce
Reprofiled workforce
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The workforce challenge (2)
Future serviceCurrent service
Workload
Systems, processes, technology
Workforce
Reconfigured workload
Redesigned systems, processes, technology
Reprofiled workforce
The
Nic
hols
on C
halle
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Tools to help analyse the profile of the workforce
There are three tools:
Pathology Physiological sciences Physical sciences and engineering
The tools will help you to gain the evidence you need to support your plans for the workforce. In particular, they will help you
to understand in some detail what your people do, and how much of their time they spend doing it
to pinpoint and challenge inefficiency and ineffectiveness
to reconfigure your workforce to concentrate on activities that add value and
to understand how changes in workload will translate into demand on and for the workforce
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Processes, activities and tasks – 9 processes
01 Plan the service
02 Work with users and purchasers of pathology
03 Manage and develop people
04 Provide the service (includes some user-defined tasks)
05 Manage other resources (not people)
06 Manage and administer the service
07 Manage and administer quality, health and safety
08 Improve the service
09 Other support tasks (user-defined)
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Processes, activities and tasks – Process 04 has 10 activities
0401 Create samples
0402 Transport samples to the laboratory
0403 Prepare samples for testing
0404 Perform tests
0405 Interpret and communicate the result of tests
0406 Dispose of samples
0407 Manage and work in the mortuary
0408 Manage and work in the blood bank
0409 Provide other services
0410 Other direct tasks (user-defined)
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Processes, activities and tasks – Activity 0404 has 6 tasks
040401 Perform or initiate fully automated tests (automated and tracked systems)
040402 Perform semi-automated tests (some automation but not, for example, tracked)
040403 Perform routine manual tests
040404 Perform complex manual tests
040405 Perform point-of-care testing
040406 Record test results
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Allocate time (effort) to tasks
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Create a baseline profile
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Reprofile the workforce
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The impact of reprofiling (1)
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The impact of reprofiling (2)
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So what impact does a change in volume have?
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The demand for each task flexes uniquely according to its sensitivity to changes in volume
If the volume of tests increases by 50% in Biochemistry:
The number of Band 2s increases by 42% (because the profile of work is highly sensitive to changes in the volume of tests)
The number of Band 4s hardly increases at all (because the profile of work is highly insensitive to changes in the volume of tests)
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In summary
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Tools to help with reprofiling
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Consider reprofiling in the context of reconfiguration
Future serviceCurrent service
Workload
Systems, processes, technology
Workforce
Reconfigured workload
Redesigned systems, processes, technology
Reprofiled workforce
The
Nic
hols
on C
halle
nge
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