Gateshead Health NHS Foundation Trust

Gateshead Health NHS Foundation Trust Monitoring visit report

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Name of lead inspector: Jacquie Brown Her Majesty’s Inspector

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Address:

Queen Elizabeth Hospital Sheriff Hill Gateshead NE9 6SX Monitoring visit: Gateshead Health NHS Foundation Trust, 7–8 August 2019

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Context and focus of visit

From October 2018, Ofsted undertook to carry out monitoring visits to all newly directly funded providers of apprenticeship training provision which began to be funded from April 2017 or after by ESFA and/or the apprenticeship levy. This monitoring visit was undertaken as part of those arrangements and as outlined in the Further education and skills inspection handbook, especially the sections entitled ‘Providers newly directly funded to deliver apprenticeship training provision’ and ‘Monitoring visits’. The focus of these visits is on the three themes set out below.

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Context and focus of visit

Gateshead Health NHS Foundation Trust (the trust) is an employer training provider based in Gateshead. The trust received funding in 2017 to deliver levy-funded and non-levy-funded apprenticeships. The trust currently has 19 apprentices. Ten apprentices are on a standards-based apprenticeship in healthcare support (including therapy services) at level 2. Nine apprentices are on a business administration framework apprenticeship at level 2.

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Reasonable progress

Leaders and managers have a clear strategy for developing their provision and ensuring that it meets apprenticeship requirements. Their process for selecting and recruiting apprentices is rigorous. They recruit apprentices with integrity.

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Reasonable progress

Managers ensure that apprentices who do not have English and mathematics qualifications at level 2 enrol on functional skills courses. All these apprentices have achieved functional skills English and mathematics qualifications at level 2 during their programme. Managers also ensure that apprentices who already have level 2 English and mathematics qualifications when they enrol develop their knowledge and skills further.

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Reasonable progress

Leaders make good use of feedback from apprentices to make changes to the programmes. For example, apprentices said that they would like more clinical teaching, and managers responded by redesigning the programme to incorporate this.

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Reasonable progress

Managers implement appropriate quality assurance arrangements, including effective oversight of subcontracting arrangements. They evaluate the quality of the apprenticeship provision and identify accurately the strengths and most of the areas Monitoring visit: Gateshead Health NHS Foundation Trust, 7–8 August 2019 for improvement. Managers provide effective support to staff to help them improve. As a result, staff deliver high-quality training to apprentices.

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Reasonable progress

Governance arrangements are rigorous. Governors provide effective support and challenge to members of the trust. They hold senior leaders to account for the effectiveness of their leadership and the quality of apprenticeships.

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Reasonable progress

Managers have a successful approach to promoting equality and diversity. Assessors check and extend apprentices’ knowledge of these topics regularly. As a result, apprentices have a good understanding of how to treat patients fairly, and they understand the importance of respect and tolerance.

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Reasonable progress

Leaders do not ensure that all apprentices receive appropriate careers information, advice and guidance. This means that too many apprentices are unclear about their next steps and have not had sufficient opportunity to consider their career options following the training.

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Reasonable progress

Apprentices benefit from a comprehensive induction. At the start of the programme, tutors identify correctly what apprentices need to work on. They use this information effectively to plan learning.

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Reasonable progress

Apprentices develop substantial new knowledge, skills, understanding and behaviours throughout their apprenticeship. Workplace mentors provide effective opportunities for apprentices to develop their vocational knowledge, skills and behaviours. For example, they allow apprentices to shadow them in their roles and involve them in patient care.

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Reasonable progress

Assessors plan off-the-job learning thoroughly. Apprentices benefit from high-quality off-the-job training that helps to develop their knowledge, skills, understanding and behaviours. Assessors set clear expectations for apprentices before employment. They prepare apprentices effectively for end-point assessment, and apprentices are clear about the requirements. Many apprentices aim for distinction grades and know what they need to do to achieve them.

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Reasonable progress

Assessors provide helpful feedback to apprentices. They assess their work regularly and fairly. Assessors provide clear guidance on what apprentices need to do to improve the standard of their work. Written work is attractively presented. Apprentices’ use of grammar is good. Apprentices develop to a good standard the behaviours that they require for their job role. All apprentices improve in confidence and are able to speak articulately to patients and doctors. Monitoring visit: Gateshead Health NHS Foundation Trust, 7–8 August 2019 Assessors in healthcare do not review systematically the progress that apprentices make in developing their knowledge, skills and behaviours. Workplace mentors provide specific feedback about apprentices’ clinical knowledge and skills. However, reviews of apprentices’ on- and off-the-job progress are not coordinated. Actions set for apprentices focus too heavily on completing qualification units rather than on the

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Reasonable progress

knowledge, skills and behaviours that they need to develop. A few managers are unclear about the support that they should provide to their apprentices in the workplace.

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Reasonable progress

Managers have appropriate safeguarding policies and procedures in place to safeguard apprentices, including a process for recording and responding to safeguarding concerns. Apprentices comply with rigorous health and safety processes in the workplace to keep themselves safe.

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Reasonable progress

Managers follow thorough safe recruitment procedures when employing new staff to ensure that they are suitable to work with apprentices. Staff, including the designated safeguarding lead, have appropriate training to safeguard apprentices effectively.

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Reasonable progress

Managers ensure that apprentices complete appropriate training in safeguarding. Apprentices have a very good understanding of safeguarding, which they apply in the workplace. However, a few apprentices only have a very basic understanding of the risks associated with radicalisation and extremism.

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Reasonable progress

Managers have been slow to compile a ‘Prevent’ duty risk assessment and implement an action plan. As a result, it is too soon to see the impact of actions in the plan on apprentices and staff. Monitoring visit: Gateshead Health NHS Foundation Trust, 7–8 August 2019 the guidance ‘Raising concerns and making a complaint about Ofsted’, which is available from Ofsted’s website: www.gov.uk/government/publications/complaints-about-ofsted . If you would like Ofsted to send you a copy of the guidance, please telephone 0300 123 4234, or email enquiries@ofsted.gov.uk .

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Reasonable progress

Learner View Learner View is a website where learners can tell Ofsted what they think about their college or provider. They can also see what other learners think about them too. To find out more go to www.learnerview.ofsted.gov.uk .

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Employer View Employer View is a website where employers can tell Ofsted what they think about their employees’ college or provider. They can also see what other employers think about them too. To find out more go to www.employerview.ofsted.gov.uk .

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the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gsi.gov.uk .

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