The WRaPT team worked collaboratively with partner organisations to collate workforce data in a uniform format across the various providers; acute and community health, social care, primary care and third sector. Utilising a consistent structure enabled thorough analysis of the positional and characteristic make up of each of the partner organisations, to further their understanding of current capacity and profile.

By utilising a single repository WRaPT also enabled Work Stream Leads and Senior Responsible Officers (SROs) to review teams and services across the region and identify those that fell within scope for their programme, forming detailed work stream profiles to enable:

• Understanding the composition of staff groups and roles within a service or pathway
• Improved understanding of provider relationships across pathways
• Identification of staff groups with aging populations for comparison against training profiles to identify future likely shortages
• Comparison of services/workstreams against the local population to ensure that recruitment and training programmes are working in an appropriate way within Equality and Diversity requirements
• Clear understanding of the makeup of each service, which organisations are involved and how much resource was being deployed

What did WRaPT do for Better Care Together?

• Ensured there was a common platform for data comparison across the partner organisations where it was easy to update and/or modify the data if changes to the teams, services or activity occurred.
• Allowed us to start conversations with work streams around how BCT could develop consistency of roles across the system and between the partners (the same roles exist in different Trusts, but variance in activity and responsibilities).
• Helped identify groups of staff who would benefit from reskilling / retraining – and looking at how this would align to HEE commissioning process or any new programmes being offered nationally and regionally i.e. Holistic Assessor, Nursing Associate, ECG Training.
• Helped develop an understanding of how the work stream / services mapped into each Integrated Care Community (ICC) and where there may be overlap, streamlining service redesigns and minimising duplication of effort.
• The WRaPT data has set a foundation that can now be built upon for further workforce modelling. The initial baselines collated from WRaPT are the first steps in informing a BCT workforce repository.
• Population-centric workshops have been introduced Bay-wide for service managers and stakeholders to enable and encourage a skills-led redesign of the service. Competency Based Planning sessions with relevant clinical leaders, commissioners and service managers are being undertaken to look at possible workforce scenarios and to map the skills identified for each service against the WRaPT baseline.
• The redesigned pathways from WRaPT have been subject to a ‘Check and Challenge’ panel to validate the planned workforce changes prior to the implementation phase. HEE and the New Care Models team formed part of the panel for the Musculoskeletal service redesign. Discussion took place around the introduction of new roles, best practice, national and local intelligence / benchmarks and assessment against population trends and health.