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61 Designing a finance education programme for clinicians

Background We believe that clinicians want to deliver the most effective care possible, and that doing so involves understanding how to improve value. We wish to empower clinicians by increasing their knowledge and understanding of the financial context in which they work, providing them with the tools to work alongside management and finance colleagues in decision-making. We plan to develop a finance education programme for clinicians. As part of its initial development, we sought the views of clinicians (nurses, doctors and allied health practitioners) in the Cardiac Intensive Care Unit (CICU) in GOSH, in order to understand their baseline knowledge of, interest in and engagement with healthcare finance, and to discover the preferred format and content of the programme. Methods A web-based online survey was sent out to all nurses, doctors and allied health professionals, at all levels of seniority, working in the CICU. Following the initial results of this survey, face-to-face interviews will be held with smaller focus groups of clinicians in order to explore more fully the responses and themes. Results There have been 68 responses to the online survey and focus-group interviews are planned. Almost 90% rated their knowledge and understanding of how money flows from the government to the ‘front line’ as very poor or minimal, and 82% rated their knowledge of the flow of money within the hospital similarly. Amongst the most interesting responses were the fact that only one third agreed that clinicians need to understand about healthcare finance in order to do a good job day-to-day and a similar proportion feel responsible for how government money is spent in the NHS. The preferred learning format was one-hour sessions in small groups. Conclusions Self-assessed baseline knowledge of healthcare finance amongst clinicians on CICU is generally low. These data will help inform the development of an education programme that meets their learning needs.