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Empower your staff to lead workforce change through Functional Analysis. Pippa Hodgson Regional Director, Skills for Health. Functional Analysis – What is it?. A methodology for competence based workforce design based on quality provision of care along a patient pathway. It supports:

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empower your staff to lead workforce change through functional analysis

Empower your staff to lead workforce change through Functional Analysis

Pippa Hodgson

Regional Director, Skills for Health

functional analysis what is it
Functional Analysis – What is it?

A methodology for competence based workforce design based on quality provision of care along a patient pathway.

It supports:

Service improvement

Workforce redesign

Education design and commissioning

Workforce planning

Requires high levels of expert engagement and builds consensus

functional analysis
Functional Analysis

Functions / Competences

Level of Skill

Context

x

x

=

health functional map
Health Functional Map

Organises functions required for effective health care

Groups and increasingly differentiates between functions.

Lowest level is a reference competence that represents one function that is done by a individual.

slide6

Functional Analysis

Functions / Competences

Level of Skill

Context

x

x

=

slide7

9

More Senior Staff

8

ConsultantPractitioners

7

Advanced Practitioners

6

SeniorPractitioners

5

Practitioners

4

AssistantPractitioners

3

Senior Assistants/Technicians

2

Support Workers

1

Initial Entry Level Jobs

Career Framework

slide8

Functional Analysis

Functions / Competences

Level of Skill

Context

x

x

=

context
Context

The ‘extra’ ingredient:

The predictability of the situation / individual

The availability of others with higher/different levels of skill

Volume v. risk

Frequency

Complexity

…….. Your service

context one integrated trauma services
Context OneIntegrated Trauma Services

Major Trauma

> 45 minute journey

Rehabilitation

Major Trauma Centre

Transferred to major trauma centre if required

Injured patient

< 45 minute journey

Rehabilitation

Trauma Unit

context two national end of life care programme
Context two: National End of Life Care Programme
  • Final Year of Life – Service Improvement approach
  • Functional Analysis:
    • 5 trajectories
      • Organ Failure
      • Cancer
      • Frailty
      • Other terminal
      • Sudden death
        • plus dementia
    • 9 points on the pathway,
  • 39 health and social care professionalsinvolved
step four
Step Four:

Skill level:

Generic

Enhanced

Specialist

Common Core Competences

Assumptions/notes = richness

Timings

slide18
Care After Death: Point 7 on Pathwayone-off event, timed in minutes(no separately identified dementia figures)
national end of life care programme what they said
National End of Life Care Programme...what they said….

Good to feel part of a process which will affect the way care is delivered in the future

Community Nurse

Health and social care

working together

Clinical Education Lead, Hospice

Being able to look at things in a much more

structured way so that nothing was missed

Domiciliary Care Provider

Being involved!

Respiratory Nurse Specialist

Pioneering …..

PCT QUIPP Lead

Looking atthe pathway from

different points…

Local Authority Carer

context 3 long term neurological conditions
Context 3:Long term Neurological Conditions

1) New cases presenting (incidence)

2) Empowering people with low level needs

5) People admitted to hospital with a primary diagnosis of LTnC

6) People admitted to hospital with a secondary diagnosis of LTnC

3a) People transitioning to more complex needs

3b) People whose needs are complex - care co-ordination

Progress of the condition

7) People supported at home as an alternative to hospital admission with a primary diagnosis of LTnC

Crisis/acute event

9) People transitioning to palliative care

8) People supported at home as an alternative to hospital admission with a secondary diagnosis of LTnC

4) Supporting people with palliative needs

10) Last days of life

slide23

Generic Skills - Education

Basic Information

Common/Core Competences:

long term neurological conditions
Long term Neurological Conditions

1) New cases presenting (incidence)

2) Empowering people with low level needs

5) People admitted to hospital with a primary diagnosis of LTnC

6) People admitted to hospital with a secondary diagnosis of LTnC

3a) People transitioning to more complex needs

3b) People whose needs are complex - care co-ordination

Progress of the condition

7) People supported at home as an alternative to hospital admission with a primary diagnosis of LTnC

Crisis/acute event

9) People transitioning to palliative care

8) People supported at home as an alternative to hospital admission with a secondary diagnosis of LTnC

4) Supporting people with palliative needs

10) Last days of life

ltnc indicative workforce shifts
LTnC Indicative Workforce Shifts

No baseline – built on best practice

10 year time period

Apply policy shifts

Specialist care early on

Reduce crisis admissions to hospital

Increase deaths out of the acute sector

Results in

Much less generic capacity than first anticipated

A small amount less of enhanced capacity required

Less specialist capacity in hospital

More specialist capacity in the community

25

slide26

Functional Analysis

Functions / Competences

Level of Skill

Context

x

x

=

builds on existing skills
…builds on existing skills

Functions / Competences

Level of Skill

Context

x

x

=

Existing Skills

& Knowledge

Education

Content & Level

Qualification

how it all fits together
How it all fits together…..

Nationally Transferable roles

Team Skills & Gaps

Career framework roles

Functions / Competences

Level of Skill

Context

x

x

=

Defining and creating roles

Employability Matrix

Workforce Planning

Steps 3 & 4

how it all fits together 2
How it all fits together (2)

Functions / Competences

Level of Skill

Context

x

x

=

Existing Skills

& Knowledge

Education

E-learning

Literacy & Numeracy

Assessment

Content & Level

Qualification

Learning Design Principles

Apprenticeships

Core standards Assistant Practitioner

Skills Passport

functional analysis1
Functional Analysis

9

More Senior Staff

8

Consultant Practitioners

7

Advanced Practitioners

6

Senior Practitioners

5

Practitioners

4

Assistant Practitioners

3

Senior Assistants/Technicians

2

Support Workers

1

Initial Entry Level Jobs

100%

would recommend

the process to a colleague.

functional analysis so what service do we offer
Functional Analysis - So what service do we offer?

A facilitated process over 3 months with high

levels of clinical & expert engagement

(3-4 workshops) to reach clinical consensus

Workbook used by:

  • Service Commissioners
  • Education Commissioners
  • Service Improvement Leads
  • Workforce Leads

…….TALK TO US