University Hospitals of Derby and Burton NHS Foundation Trust

University Hospitals of Derby and Burton NHS Foundation Trust

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Name of lead inspector: Jo Brodrick, Ofsted Inspector

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Inspection dates: 25 and 26 October 2023

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Address:

Uttoxeter Road Derby DE22 3NE Monitoring visit: University Hospitals of Derby and Burton NHS Foundation Trust 25 and 26 October 2023

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Context and focus of visit

Ofsted undertakes to carry out monitoring visits to all newly directly funded providers of apprenticeship training provision funded by the Education and Skills Funding Agency 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 ‘Monitoring visits’ and ‘Monitoring visits to providers that are newly directly publicly funded’. The focus of these visits is on the themes set out below.

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Context and focus of visit

University Hospitals of Derby and Burton NHS Foundation Trust provides a range of medical services for adults and children across Derbyshire and Staffordshire. The trust started direct delivery of apprenticeships in 2022. In addition, the trust is a subcontractor for a medium-sized further education college and a university. It does not work with subcontractors.

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Context and focus of visit

At the time of the monitoring visit, there were six apprentices on the healthcare support worker standard at level 2. Apprentices are based in Derbyshire and Staffordshire. Apprentices are taught in person in classrooms and on the wards across the trust. A very small number study mathematics and English qualifications alongside their apprenticeship. All apprentices are adults.

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Reasonable progress

Leaders have a clear rationale for the curriculum they offer and how this supports their workforce needs, as well as those of the wider health and social care sector. Leaders have planned carefully the transition to become an employer provider. They wisely commenced with a small number of apprentices.

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Reasonable progress

Leaders have invested substantially in new training facilities to ensure that apprentices can access learning across the trust sites. All teaching staff are registered nurses and have extensive experience in a range of clinical roles. They hold appropriate teaching or assessing qualifications. Leaders have created clinical learning support roles to support specialist on-the-job training. Learning support staff provide flexible and bespoke training that helps apprentices improve their clinical skills. Monitoring visit: University Hospitals of Derby and Burton NHS Foundation Trust 25 and 26 October 2023 Leaders ensure that the requirements of an apprenticeship are followed. They make sure that apprentices are on the right course and have well-planned on- and off-the- job training. This enables apprentices to develop substantial new knowledge, skills and behaviours.

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Reasonable progress

Leaders sensibly structure the health curriculum. The diploma qualification and the care certificate are logically planned. This means that apprentices are not overwhelmed with work.

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Reasonable progress

Leaders have appropriate arrangements in place for apprentices’ final assessments. Staff prepare apprentices well for these assessments. The small number who have completed achieve high grades.

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Reasonable progress

Leaders monitor apprenticeship courses closely and understand their key strengths and weaknesses. They recognise that current quality assurance activities do not provide sufficient insight into the apprenticeship provision. Leaders have recently developed a new quality cycle in order to identify trends and ensure more timely improvements. It is too early to judge the impact of these changes.

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Reasonable progress

There is a comprehensive governance structure in the trust that ensures sufficient scrutiny and oversight of the apprenticeships. The various tiers of governance have an appropriate understanding of the strengths and weaknesses.

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Reasonable progress

Trainers carry out suitable initial assessment activities, which they use to plan the curriculum. They focus early on topics to help apprentices work safely and care for patients. As a result, apprentices with no prior experience of healthcare independently conduct tasks on the ward and become confident to raise concerns with more qualified staff.

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Reasonable progress

In lessons, trainers explain new topics well and make clear links between subjects. They make suitable adaptations to the curriculum and use questions effectively. However, trainers do not systematically plan sufficient opportunities to recap and revise key topics. This means that apprentices do not always have a thorough enough knowledge of challenging topics, such as legislation.

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Reasonable progress

Trainers recognise that they need to work more effectively to develop apprentices’ knowledge and skills in mathematics and English. Apprentices who need to study these subjects do not do so early enough in the course.

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Reasonable progress

Trainers provide apprentices with helpful verbal feedback. However, written feedback is not of the same high quality, and too often trainers praise work that is only of an Monitoring visit: University Hospitals of Derby and Burton NHS Foundation Trust 25 and 26 October 2023 acceptable standard. Trainers do not focus enough on how to develop written work or encourage apprentices to make improvements. They do not sufficiently support the small number of apprentices who struggle with writing assignments. Apprentices make at least expected progress. If they fall behind, trainers work well with ward managers to plan support for apprentices. This includes one-to-one, bespoke training on the wards to enhance skills development that enables apprentices to catch up.

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Reasonable progress

Apprentices benefit from extra training tailored to their specialisms. For example, apprentices working with elderly patients complete additional training on dementia. All apprentices complete clinical swaps and shadowing activities across a wide variety of wards. This broadens their knowledge of jobs in the trust and enables them to consider future career options.

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Reasonable progress

Leaders and managers have suitable policies and procedures in place to identify risks and maintain close oversight of safeguarding. There is a well-developed culture of safeguarding in the trust.

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Reasonable progress

The designated safeguarding lead is highly experienced, and all staff undertake annual safeguarding training. Appropriate processes are in place to ensure the safer recruitment of staff who work with apprentices.

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Reasonable progress

Apprentices complete a level 3 safeguarding course that includes the ‘Prevent’ duty, female genital mutilation, human trafficking and duty of candour. Apprentices review case studies to contextualise their knowledge and as a result become confident to identify and refer concerns.

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Reasonable progress

Apprentices tell inspectors that they feel safe. Monitoring visit: University Hospitals of Derby and Burton NHS Foundation Trust 25 and 26 October 2023 regulates and inspects to achieve excellence in the care of children and young people, and in education and skills for learners of all ages. It regulates and inspects childcare and children’s social care and inspects the Children and Family Court Advisory and Support Service (Cafcass), schools, colleges, initial teacher training, further education and skills, adult and community learning, and education and training in prisons and other secure establishments. It assesses council children’s services, and inspects services for children looked after, safeguarding and child protection.

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Reasonable progress

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