10 th October 2013

1. 10th October 2013 The delivery of 21st century services – the implications for the evolution of the Healthcare Science workforce Joan Fletcher

5. Drivers for action • Clinical and scientific changes to patient care pathways • The need to support new service configurations designed around patients • Technology will change business and service models and have a major impact on scientific services • Patient demographics and other social, economic and environmental factors are key drivers in the system • .

8. Clinical and scientific advances driving changes to patient care New cancer therapies Bioinformatics Stem cell technology Virtual Physiological Human Genomic medicine Regenerative medicine Genome sequencing Bio banks Tissue engineering

9. New service configurations designed around patients Transparency and social networking Multiple chronic conditions Personalised medicine Care closer to home Consolidation and rationalisation Choice and competition in the health market

10. Technology changing business and service models Innovations Point of care testing Mobile IT devices Molecular diagnostics Digital imaging and pattern recognition Genomics Robotics and high through put analysers Biosensors Implantable and external monitoring devices Enablement technologies Mass spectrometric methods Multifunctional equipment Brain-computer interface technology telemedicine 3D printing Computerised image interpretation

11. Patient demographics and other social, economic and environmental factors Financial constraints Public health challenges Increasing number of older people New economic players in health sector International market for healthcare Environmental sustainability Antibiotic resistance Impact of the EU Mobile population Population migration patterns Pandemics

12. Changing roles, skills and knowledge • Financial pressures are driving improved productivity and the streamlining and co-ordination of services • Advances in technology and the way care is delivered are changing the roles of scientists • Scientists increasingly integrated into patient pathways and working as part of the multi disciplinary team • Flexible working across specialisms and care settings in roles and places of work largely unfamiliar to the workforce today • Speeding up of adoption of new technology and a step change in technology and efficiency • New roles focused on technology • Genomic medicine and bioinformatics impacting on the whole scientific workforce

13. Education and training • Investment in CPPD essential to maintaining competence in a fast changing environment • Modular, fast turnaround development programmes so workforce is able to adapt the application of its skills and knowledge quickly • Introduction of programmes that will equip the workforce to face the challenges ahead, particularly the leadership challenge • Increase in clinical training capacity

14. Leadership • The future workforce needs strong leadership to meet the challenges facing it • Leaders need to : • focus on changing culture and building the confidence of their colleagues • be influential and have a strong voice, leading across a range of professions and breaking down barriers • provide strong scientific leadership and professional accountability to avoid fragmentation of the workforce • be clinical experts and innovators driving the adoption of new technology and involved in service development • encourage and lead research within a culture of evidence based care • The leaders of 2030 are entering the workforce now

15. It is important for scientists to act now • New technology will have a major impact on service efficiency and the scientific workforce need to be at the forefront, driving its introduction • Scientists will be have an essential role in quality assuring new services in primary care and the community to ensure the safety and accuracy of those services • The Modernising Scientific Careers education and training programmes and career development framework enables scientists to seize the opportunities

16. Cultural change, a different way and mind set going forward • Flexible working across specialisms and care settings • Support for service reconfiguration • Quality assurance of diagnostics in less traditional settings outside the hospital • Dissemination of innovative technologies at home and internationally • Advocacy and leadership for healthcare science across the complex stakeholder landscape

17. For time and the world do not stand still. Change is the law of life. And those who look only to the past or the present are certain to miss the future. John F. Kennedy