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Using The Calderdale Framework to Meet the Workforce Challenge

Using The Calderdale Framework to Meet the Workforce Challenge. Rachael Smith & Jayne Duffy Calderdale & Huddersfield NHS Foundation Trust. The Calderdale Framework: a transformational tool for a competent & flexible workforce.

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Using The Calderdale Framework to Meet the Workforce Challenge

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  1. Using The Calderdale Framework to Meet the Workforce Challenge Rachael Smith & Jayne Duffy Calderdale & Huddersfield NHS Foundation Trust

  2. The Calderdale Framework:atransformational tool for a competent & flexible workforce • CF is the result of evaluation & further development of Saunders original Functional Model of Delegation. • www.healthcareworkforce.nhs.uk/fc (R Smith & J Duffy 2008) • R Smith & J Duffy ‘Developing a competent & flexible workforce using the Calderdale Framework’ IJTR 2010; 17(5):254-262

  3. The Calderdale Framework 1 Awareness Raising 2 Service Analysis 7 Sustaining 7 Stages to Successful Implementation 3 Task Analysis 6 Training 5 Supporting Systems 4 Competency Identification

  4. Early Implementer Project • Use The Calderdale Framework to implement the SfH Career Framework (AHP staff) • Explore development of Level 4 (Assistant Practitioner) • Explore new ways of working Levels 6/7 (blurred boundary working) • Explore new learning programmes to support new ways of working

  5. A Competence Based Career Framework More senior staff 9 Consultant practitioners 8 Advanced practitioners 7 Senior practitioners 6 Practitioners 5 Assistant practitioners 4 Senior assistants/technicians 3 Support workers 2 Initial entry – level jobs 1

  6. For Organisations Consistency & Safety Reduction in Risk Efficient & Effective Improved Productivity Flexible Competent Workforce Improved Patient Experience Employer of Choice Provider of Choice For Teams & Individuals Builds Effective Teams around the Patient Personal & Team development needs-Links to KSF Clear Roles & Responsibilities Safe Skill Sharing Transferable Skills Job Satisfaction Advantages of Competency Approach Using the Calderdale Framework

  7. Calderdale Framework – New Ways of Working ! Qualified staff: consider blurring professional boundaries Tasks mainly knowledge & skill based Allocate to Level 4 worker Tasks knowledge & skill based with protocols available Tasks mainly Skill & Rule based Delegate to Level 2/3 worker

  8. How it fits together….

  9. Education Partners • University of Huddersfield • University of Bradford

  10. OUTCOMES TO DATE FROM THIS PROJECT: • Level 4 role: work based learning (competencies) & educational requirement identified. • Level 6/7 role: work based learning (competencies) & educational requirement identified. • NOS based Job descriptions created. • Example of Nationally Transferable Roles (Assistant Practitioner in Orthopaedics) • Assistant Practitioner Posts secured in service. • Evaluation plan in place

  11. Meeting National Standards • Core Standards for Assistant Practitioners(Skills for Health 2009) • Supervision, accountability & delegation of activities to support workers (Intercollegiate Information Paper 2006 CSP, RCSLT, BDA, RCN) • The National Education and Competence Framework for Assistant Critical Care Practitioners (DH 2008) • HPC (Standard 6)

  12. Predicted Cost Benefit: Early Orthopaedic Discharge Service • Band 7 (pay point 3) = £16.66 per hour • Band 4 (pay point 3) = £ 9.84 per hour • Blurred Boundary working negates multiple band 7 visits saving £16.66 per hour. • Band 4 substitution where appropriate saves £6.82 per hour

  13. Next Steps for The Calderdale Framework • Evaluate impact of Assistant Practitioner role • Evaluate impact of blurred boundary working • Implementing SfH Career Framework across CT&R Directorate (adult services) using The Calderdale Framework • Develop training programme for The Calderdale Framework Practitioners (to aid and quality assure diffusion)

  14. Contact details: • Jayne.duffy@cht.nhs.uk • Rachael.smith@cht.nhs.uk Course information: http://www.ennovations.co.uk/calderdale-framework-workshop

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