Clinical Psychology: Future Training, Funding,

Transcript:Clinical Psychology: Future Training, Funding,:
Clinical Psychology: Future Training, Funding, Leadership & Management Professor Tony Lavender, Salomons Centre for Applied Psychology, Canterbury Christ Church University Association of Clinical Psychology Inaugural Conference: Edinburgh Thursday 28 March 2019 Clinical Psychology: Future Training, Funding, Leadership & Management NHS Background: Financial Context. Threats to CP Training Funding: History, Issues, Response and Progress. Clinical Psychology: A Positive Story The Challenges Leadership & Management in the Profession The Future Background: Financial Context 2008 Financial Crash 2010 Election of Conservative administration policy of austerity – reducing public sector expenditure. 2010 -17 NHS spared the worst but still significantly affected Health Care Expenditure 1997 Total health care spend £59.9 billion Public Sector £44.1 billion Private Sector £10.8 billion 2009 Total health care spend £136.4 billion Public Sector £114.8 billion Private Sector £ 21.6 billion 2015 Total health care spend £185 billion Public Sector £147 billion Private £38 billion 1997 – 2008 Annual Average Rate of Growth 8.1% 2009/10 - 2015 Annual Average Rate of Growth 2.6% (Kings Fund 1% - 09/10-18/19) 2019/20 – 2023/24 Annual Average Rate of Growth 3.4% (3.6% in first two years) 1948 – 1918 Annual Average Rate of Growth 3.7% Source ONS Background: Changes to funding of nurse and AHP training Council of Deans 2014/15 Proposals - move from fees paid by the NHS to loans - bursaries to loans also discussed Rational for Change - NHS benchmark fee less than 9k undergraduate fee - Avoid annual conflict with university over fee price - Bursary not enough to live on, part time jobs required and no access to loans - Frees the cap on places (however placements still restrict expansion) - Reduce NHS expenditure - In line with other undergraduate arrangements Background: Changes to funding of nurse and AHP training Government (George Osborne) announced change in November 2015 From August 2017 intake - Fees and bursaries replaced by loans Early days but – 8% (11% England) drop in nurses accepting place 2016 to 2018 - 42.3% drop in applications from over 25s 2016 to 2018 - particular concern for mental health and LD nursing 2017 and 2018 – Attrition still averaging 24% (Health Foundation, 2018) Implications for Clinical Psychology and other Postgraduate Entry Schemes Oops! Didn’t think about those programmes/students If generalise to Postgraduate programmes (e.g. CP & IAPT training) it’s problematic because: 1. Converting salaries and fees paid to a loan system creates an unbearable debt burden -