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1 Public Health Nurse (HV) Competency Framework (Band 6) July 2017 Review - July 2018
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Public Health Nurse (HV)
Competency Framework
(Band 6)
July 2017
Review - July 2018
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Foreword
This competency framework for Public Health Nurse (HV) has been developed in
conjunction with the Healthy Together service specification to be delivered within
Leicestershire Partnership Trust (LPT). It is expected to be used alongside the Healthy
Together Standard Operating Guidance (SOG) 2017.
The framework was developed out of a service need for a robust delegation process and to
identify competencies for safe practice. The aim of this document is to provide a general
overview of the knowledge and skills required for a Public Health Nurse (HV) working within
Healthy Together in Leicester City, Leicestershire and Rutland.
The document is intended to be used for the Public Health Nurse (HV) induction processes.
Competencies are expected to be met during the first year of preceptorship to ensure the
practitioner is working in line with the job description.
The Service:
The service we offer in Leicester Partnership Trust (LPT) is laid out in the Healthy Together
Standard Operating Guidance (2017). This document sets out the minimum expected
contact, assessment and delivery of care Healthy Together should deliver. The service
offered will be dependent upon the holistic assessment of the child and family which will
determine whether this universal pathway is appropriate or if further intervention is required.
The following statements apply to all client contacts:
Whole Family Centred Approach:
Practitioners working within Healthy Together will work together to connect those involved
with families, children’s centres, schools, voluntary services and community groups to better
safeguard and improve the health of individuals, families and the community by supporting
whole family approaches, Future in Mind and place-based working.
Equality and Diversity:
Leicestershire Partnership Trust is committed to ensuring equality and Human Rights are
central to the delivery of healthcare services. The trust’s aim is to eliminate health
inequalities and promote equal access for all. All practitioners in Healthy Together are
expected to promote equality and diversity within their practice.
Duty of Care:
These competencies reflect current evidence in child health and the growing health
improvement agenda.
The Healthy Child Programme (DOH 2009) is the guidance which underpins the work
undertaken by a practitioner working within Healthy Together and highlights the key role that
they play in improving the health and wellbeing of children, as part of an integrated approach
to supporting children and families.
An effective, universal, preventative and early intervention service has a crucial role in
working collaboratively to identify the number of ‘at risk’ children and young people. The
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service aims to reduce the risk of this client group becoming the most vulnerable adults in
the future. Early intervention and long term investment will support the children, young
people and their families to reach their full potential.
The document gives clear guidance on the minimum standard expected of the Public Health
Nurse (HV) working within Healthy Together at Band 6 level.
Safeguarding:
All healthcare professionals have a duty to safeguard the welfare of those children with
whom they come into contact and to consider the needs of children in all relevant aspects of
their work e.g. multi-agency working (http://www.lrsb.org.uk and http://www.lcitylscb.org).
Professionals must act in accordance with the Local Safeguarding Childrens Boards for
Leicester, Leicestershire and Rutland, (LLR) and organisational policy and procedures if
abuse or neglect is suspected. Guidance is also provided for all practitioners in the Healthy
Together Standard Operating Guidance (2017).
Parameters of Practice:
Delegation
Delegation of care must always take place in the best interest of the patient or client and the
decision to delegate must always be based on an assessment of the client’s needs.
The decision to delegate is the sole responsibility of the NMC registrant based on their
professional judgement.
NMC registrants retain responsibility and accountability for the delegated duties.
NMC registrants may only delegate aspects of care to a person whom has been deemed
competent and should assure themselves that the person fully understands what is required.
No member of Healthy Together should feel pressurised into delegating or accepting a
delegated task (NMC 2015).
Any contact must be documented within the Leicestershire Partnership Trust nursing
electronic record system SystmOne in line with the organisations current record keeping
policy (2014) and for a child less than 5 years also in the National Personal Child Health
Record (PCHR/Red book).
Accountability
The Named Public Health Nurse (HV) will remain accountable for the delegated work
undertaken by members of the team, ensuring that the work is appropriate for the
competencies of the team member to whom the work is delegated.
Training
The Public Health Nurse (HV) new to the organisation will be expected to attend core
mandatory training and role specific training before they commence in practice. They will
also be responsible for attending mandatory training as per the requirements of the
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organisation, role specific training as stated in the Healthy Together training matrix and also
to identify any training that might enhance their practice. All new band 6 SCPHN, Public
Health Nurse (HV) will be expected to have completed a preceptorship these competencies
work alongside the (SN) role spans the 5-19 remit. Their remit will be determined by the
Clinical Team Leaders (CTL) and the needs of the team.
Research and Innovation
It is essential that practitioners understand the evidence that underpins the practice they are
delivering and the importance of research and innovation in improving the quality of our
service delivery.
Service Evaluation
All practitioners must be aware of the importance of service user feedback in the planning
and delivery of Healthy Together. Practitioners must be able to demonstrate the use of
feedback mechanisms for example Friends and Family Test and an ability to share this
information with the accountable practitioners.
Digital Offer
Staff are expected as part of their role to understand and signpost to core LPT Family,
Young People and Children’s Service digital offerings.
Positively promote a digital first “approach£ and offer families and young people a choice of
a paper-free, self-service culture where service access and efficiency is improved through
use of websites, chat health apps and other digital platforms.
Achieving competency
Competencies are set out in five sections:
Domain
Competency required
Training required
Applicable policies and guidelines
Evidence provided.
It is expected that the Public Health Nurse (HV) will have read and understood the related
policies or guidelines for safe practice and this will be assessed by the mentor when signing
off the competencies. This document is also intended to be used to provide greater
understanding of the role of the Public Health Nurse (HV) for other members of Healthy
Together, Leicestershire Partnership Trust and other partner agencies.
Competency can be assessed by Clinical Team Leaders, Lead Practice Teachers and Public
Health Nurses (HV/SN). All competencies do not need to be signed off by the same person,
however all Public Health Nurses (HV) must have an allocated mentor/preceptor. This can
be the line manager. The mentor/preceptor/line manager must meet with the Public Health
Nurse (HV) to formulate a plan for completion of the competencies. Complete Appendix 1.
Interim meetings can be arranged through the process of achieving competency however, a
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final interview must be completed within 6 months when full competency has been achieved
with the mentor/ preceptor/ line manager.
Competency can be achieved through a variety of formats which may include evidence of
training, shadowing, observation, LCAT assessments, discussion and reflection. Training
requirements are listed in the competency table. Public Health Nurse (HV) are required to
collate evidence to support the completion of competencies which should be recorded in the
evidence column of the table. These can then be discussed with the person signing off the
competency. Where the competency requires the practitioner to deliver a package of care
directly with a child/young person/ family there must be evidence of either SCPHN training
competency, LCAT assessment or observation providing proof of competency before the
practitioner begins working on their own.
When competency has been achieved for each area the final page must be completed by
the person assessing with the name, signature and date completed.
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Public Health Nurse (HV)
Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Nutrition Breast Feeding Is able to promote and support
breast feeding from the antenatal period through to all the universal Healthy child programme contacts including bumps to baby’s session. Promote Healthy Start and Vitamin D. Support breast feeding mothers and their partners with queries and concerns. All Public Health Nurses (HV) to be aware of infant feeding co-ordinator’s role. Develop relationships and work in partnership with peer supporters. Demonstrate understanding of physical and emotional barriers to feeding. Is able to signpost mothers and their partners to digital support available.
Attend breast feeding training (including annual updates)
Healthy Together SOG (2017) Guidance for feeding infants and pre-school age children (DOH 2011) (18) Joint infant feeding policy www.healthstart.nhs.uk Maternal and Child Nutrition (NICE 2008 updated 2011) PH 11 See UNICEF re conversation on feeding
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Understand Baby Friendly Level 3 Status. To increase breast feeding rates to meet national and local targets.
Formula Feeding
To promote safe feeding practice as per current Department of Health Guidelines (2011). Include formula feeding within the antenatal Bumps to Babies programme. To be able to give evidence based guidance around sterilisation of bottles and storage of formula feeds.
Breast Feeding training (including infant Feeding training) Under 5’s nutrition.
Healthy Together SOG (2017) Guidance for feeding infants and pre-school age children (DOH 2011) (18)
Healthy Diet 0-5
Able to provide information and guidance relating to healthy nutrition to children, young people and families. Able to give evidence based advice from weaning to all aspects of nutrition to families, children and young people and to sign post appropriately when concerns are identified.
Under 5’s nutrition Childhood Nutrition 5-19 years
Healthy Together SOG Additional resources can be obtained from Leicestershire Nutrition and Dietetic Services www.inds.nhs.uk
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Recognises when families may require support beyond their remit and seeks advice or refers to another service. Promote eating for good health. To discuss diet management and to identify any concerns e.g. meal time routines prolonged use of bottles/dummies.
Growth Monitoring
0-5 years Can accurately weigh and plot
on both SystmOne and PHCR
as per World Health
Organisation growth charts
including weight, length, height
and head circumference for
both term and preterm babies
and for children up to five
years.
Is aware and knows how to
access WHO growth charts for
children with Downs Syndrome
and premature infants.
Can accurately work out BMI
Healthy growth training
Healthy Growth Guidelines (2016) Healthy Together SOG ( 2017) Downs Pathway (2015)
All SCPHN students and new starters to attend session as essential to
role training
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
for children.
Recognises deviation from the
normal for example when
plotting centiles (see Healthy
growth guidelines) and knows
when to refer to GP or
dietician.
Physical Assessment of the Child (including fine and gross motor skills)
0-5 years (including Universal
Healthy Child Programme
contacts)
To be able to undertake all 5 mandated universal contacts as cited in the Healthy Together SOG ( 2017)
antenatal
new birth review
6 weeks
10 – 12 month review
2 year integrated review
To have knowledge and skills to assess all child development up to 5 years of age. ASQ tools to be used to support assessment. Recognises when a child needs referring to another service e.g. GP, Speech and Language.
Promotional guide training ASQ training Perinatal Mental Health training New Birth Infant assessment training Solihull training Nutrition for under 5s.
Healthy Together SOG ( 2017) Universal Plus Criteria Paths as cited in Healthy Together Standard Operating Guidance ( 2017)
LCAT assessment on one of the Universal
healthy child programme contacts
Assessment as part of New Birth assessment
training
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Has knowledge on the Healthy Together Universal Plus criteria packages of care and can deliver these or sign post to the appropriate team member or agency. If concerns remain after a package of care is able to complete the Discharge Support Tool on SystmOne and discuss with peer or CTL as required. Are able to discuss the role of the Public Health Nurse (HV) and provide information on how to access the service via advice clinics and/or digital offer.
Basic Care 0-5 years
Able to advise and support
parents and carers about
appropriate basic care for
example:
skin care,
care of eyes,
care of mouth,
nappy changing
genital care
Healthy Together SOG (2017)
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
bathing
childcare routine
toileting/continence
basic hygiene
personal hygiene
diet
emotional health and
wellbeing
Minor Ailments and Hospital
Discharge
Give anticipatory guidance for minor childhood illness and ailments including:
nappy rash
skin care, including
cradle cap and
management of dry
skin
care of the Umbilicus
infantile Eczema
reflux
milk intolerance
teething
(this is not an exhaustive
list)
Is able to assess the follow up
required for a child under one
Healthy Together SOG (2017) New birth assessment training Neonatal Jaundice guidance Neonatal pathway Physiotherapy helpline Hospital Discharge
NICE GUIDELINES;
Feverish Illness in children (NICE – CG47)
Constipation in children and
Young People (NICE – CG99)
Diarrhoea and Vomiting (NICE –
CG84)
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
that requires support following
admission to either hospital or
minor injury setting.
Has understanding of
conditions that fall outside of
normal parameters or practice
and sign post appropriately.
Neonatal Jaundice.
Neurological disorders and
how to identify signs e.g. delay
in gross motor development
and SMA.
Hypospadias, tongue tie and
refer in a timely and
appropriate way.
Able to follow antenatal and
neonatal screening pathways
and sign post appropriate for
example.
Blood Spot pathway
Hepatitis B pathway
pathway Neonatal Care pathway Blood Spot pathway Hepatitis B pathway
Managing eczema
Hospital Discharge pathway (
2017)
Joint Infant Feeding Policy
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Recognising symptoms of
sick child/acute health
Demonstrate awareness of the
signs of a sick child.
Aware of the signs of an
acutely sick child e.g.
Meningitis.
Refer to Emergency Service.
Adult and Paediatric basic life support training
NICE GUIDELINES:
Feverish Illness in children (NICE – CG47)
LPT Resuscitation Policy
Population Health
Surveillance and Assessment of the Populations
Health and Wellbeing in Designated
Neighbourhoods
Is able to search for health needs, identify and analyse public health data. Is able to coordinate neighbourhood priorities ensuring that key public health priorities are addressed. Evaluates surveillance data critically to target and plan local preventative health programmes within local communities. Use data collected throughout the year to contribute to the annual report for the Commissioners, clearly
Healthy Together SOG (2017)
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
evidencing how the key performance indicators are being met. Work in partnership with multi-agency workers to deliver preventative health initiatives.
Social Development/ Assessment of the Child
Behaviour Promote early intervention of
any identified family health
need.
To assess parental, emotional
and social health.
Has extensive knowledge of
behaviour management
techniques and strategies and
has the ability to deliver, teach
and promote these models to
parents for topics such as:
general behaviour
sleep
temper tantrums
aggressive behaviour
biting
pulling hair (this list is not exhaustive)
To demonstrate the ability to
Healthy Together SOG ( 2017) Promotional guides Me You and Baby Too relationship training Solihull positive parenting training
Healthy Together SOG (2017)
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
offer age appropriate advice of
play and importance of social
interaction and socialisation.
Able to plan, implement and
evaluate specific packages of
care and delegate some
packages of care to Healthy
Child Programme Practitioners
and support workers.
To lead groups in conjunction with another member of Healthy Together or partner organisation in response to local need i.e. Bumps to Babies/ Next Steps/ play groups/ Solihull groups.
Speech and Language
Has knowledge and can
assess speech and language
milestones and referral criteria.
Referral to audiology service if
required.
Refers to Let’s Get Talking groups which are led by Healthy Child Programme Practitioners within the team Children identified with more complex needs (SEND).
Communication from the start training.
Autism Spectrum Disorder training ASQ Training
Heathy Together SOG (2017) Let’s Get Talking communication pathway
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Healthy Bladder and Healthy
Bowel
Has extensive knowledge and
understanding of healthy
bladder and bowel from an
infant to age 5 years
Is able to lead healthy bladder
and bowel workshops
Is able to give public health
advice relating to toileting, fluid
intake and nutritional
requirement
Able to refer to tier 2 services
for children with more complex
toileting needs.
Is able to identify red flags in
relation to continence and refer
appropriately.
Health Bladder and Bowel Training Healthy Bladder and Bowel
SEND
SEND Able to provide advice/support to families where complex health needs are identified. Completes universal contacts and universal plus packages of
Understands the role of the Public Health Nurse ( children with additional needs 0 – 19) within in Leicestershire and Rutland
Healthy Together SOG (2017)
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
care, referring appropriately. Has knowledge of the Public Health Nursing offer and local offer for children with additional needs for example when to complete a Section 23 and Education Health Care Plan.
Emotional Health and Wellbeing
Infant Mental Health
To promote at all universal
contacts the importance of
secure attachment (infant
mental health).
The importance of developing
a secure relationship between
the parents/child.
Promotional guides Solihull Responsive parenting Me You and Baby Too
Healthy Together SOG (2017) promotional guides Solihull Responsive parenting
Maternal Mental Health
Is able to assess perinatal maternal mental illness by using Nice Guideline as stated in Healthy Together (SOG).
Perinatal mental health training Perinatal mental health pathways
Healthy Together SOG (2017)
Health Promotion
Health enhancing activities
Undertake health promotion in
all aspects of their work and
refers to other services for
additional support if required
e.g.:
oral health
Making every contact count (MECC) Brief Intervention for smoking Contraception updates
Royal Society for the Prevention
of Accidents
www.rospa.com
Evidence of undertaking a group session and/ or participating in public
health campaigns
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
breast Feeding
smoking
healthy Bladder/Bowel
nutrition
physical Activity
school readiness
accident Prevention
drugs and alcohol
immunisation
home Safety
sexual Health
teenage Pregnancy
(This list is not exhaustive)
All Public Health Nurses (HV)
should be competent to
provide information and
support on 1:1 basis or in
group, demonstrating good
group planning and facilitation
skills. It is expected that all will
undertake annual sessions for
delivering group work such as
Bumps To Babies.
Breast Feeding training Oral Health updates Accident prevention
Child Accident Prevention Trust
Delivery of a Bumps to Babies or other group
teaching session
Public Health Campaigns
To have knowledge of the plan for public health campaigns for Healthy Together and support the Healthy Child Programme
Healthy Together SOG (2017) 4 – 5 – 6 Model for Health
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Practitioners and Support Workers in taking a lead in planning delivering and evaluating health displays and events on key Healthy Together topics related to 5 high impact area themes.
Visiting
Health Fayres To support the Healthy Child
Programme Practitioner and
Support Workers to coordinate
health fairs with direction from
the Public Health Nurse in local
neighbourhoods in line with the
high impact areas.
Healthy Together SOG (2017)
Family Health
Family Needs Understands the Healthy Together offer around Family Health e.g.:
relationships
housing
financial
contraception advice
bereavement and when to sign post on to other services
Me You and Baby Too
Healthy Together SOG (2017)
Vulnerable Families
Universal Partnership Plus
Understands Healthy Together offer with families with more complex needs
RHA form training from LAC team
Healthy Together SOG (2017)
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
e.g.
early start
LAC
early Help
Safeguarding
Safeguarding
0-5 years
Safeguarding 0-5 years
To identify any safeguarding concerns To identify risk/stressors to prevent escalation concerns and sign post to early intervention support services Be vigilant for signs and symptoms of abuse to support early identification of vulnerable children including:
Female Genital Mutilation
Fabricated and Induced Illness
Domestic Violence and Child Sexual Exploitation
Awareness and understanding
of policy guidelines, identify
own level of responsibility and
role of Named Nurse.
Attendance at safeguarding
Safeguarding training
as per policy
Whole family
approach training
Safeguarding training
as per policy
Whole family
approach training
Healthy Together SOG (2017) Safeguarding Children Practice Guidance (2016) When to suspect child maltreatment (NICE - CG89) www.lrlscb.org. Competency guidelines for safeguarding Children (NP095) Domestic Violence Policy (2017)
Training Safeguarding supervision
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
ALS group and/or 1; 1
supervision as a minimum
required.
To attend core group and
conference as required.
Timely communication with
safeguarding supervisors
named nurses and referral to
other agencies, social care,
early help, and domestic
violence.
Specialist Roles
CONI Understand the CONI offer.
The role of the CONI
coordinator.
Follows the CONI pathway.
(ONLY Coni Coordinators to attend Basic Life Support training required for their role)
Healthy Together SOG (2017) Coni pathway
Safe Practice
Communication Demonstrates active listening and observational skills.
Can observe and interpret other’s body language and non-verbal communication cues.
Healthy Together SOG (2017)
Equality & Human Rights Policy
Security Policy
NMC Code (2015)
Health, Safety & Welfare at Work
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Is able to use and evaluate the assessment framework as a guide, to the Public Health Nurse.
Has an understanding of responsibility, accountability and delegation. Ensures timely and robust feedback to members of her team. Acts in a professional manner at all times. Following the NMC Code. Is non-judgemental and discriminatory in manner demonstrating the trusts values?
Policy
Information Governance
Strategic Management
Framework (2017)
Dress Code and Uniform Policy
(2016)
Lone Worker Policy (2013)
Agile Working Guidelines (2017)
www.nmc.org.uk/standards/code/
Clinical supervision
All Public Health Nurses should have and document clinical supervision (minimum of 4 times per year). This is essential for their knowledge, competency and assuming responsibility for their own practice, and enhances patient/client protection and safety of care.
Clinical supervision training
LPT Clinical Supervision Policy www.nmc.org.uk
Evidence of clinical supervision
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Record Keeping and
Documentation
Can document accurately in
written, electronic and Parent
Held Child Records (PHCR)
within 24 hours of contact.
Recognises the importance of
accurate and timely record
keeping and can maintain
confidential records and
information.
Keeps an accurate and up to date diary on SystmOne and follows trust policy regarding confidential information.
Able to record using the
assessment framework,
documenting the intervention
and agreed care plans or
templates.
Is aware of Gillick competence
and Fraser guidelines and the
importance of consent.
Understands how to record
data correctly within the
SystmOne record to support
Record keeping and care planning training Mental Capacity Act e-
learning training.
Trust Risk
Assessment Policy
SystmOne training
and required updates
Information Governance training Trust Risk
Assessment Policy
Healthy Together SOG (2017)
Record Keeping Policy and
management of the quality of
health records (2014)
Information Governance
Strategic Management
Framework (2017)
Approved Abbreviations Guidance (2016)
Framework for the Assessment
of Children in Need and their
Families (DoH 2000)
Delegation Policy (2015)
NMC (2015) Delegation of duties
to non- regulated staff
Training record record keeping audit
Review of records by CTL.
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
the KPI targets.
Information Governance
Able to record using the assessment framework, documenting the intervention and agreed care plans. Maintain timely, accurate, clear and complete records, including the use of electronic formats, using appropriate and plain language within the agreed 24 hour time frame. SystmOne training and
required updates.
Information Governance training. Keeps data and records safely and securely.
Trust risk assessment
policy
SystmOne training
and required updates
Information Governance training
Healthy Together SOG (2017) Record Keeping Policy and
Management of the quality of
health records (2014)
Information Governance
Strategic Management
Framework (2017)
Training Date Training record
Record Keeping audit
Review of records by
CTL
Personal Development
For discussion further study or career development /secondment opportunities through discussion with line manager at annual appraisal.
Digital
ChatHealth Websites
Virtual Clinics
Understands the importance of
promoting LPT digital products
to children young people and
Training in ChatHealth
Healthy Together SOG (2017)
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Webchats families and promotes at every
available opportunity i.e. health
fayre 1:1 appointments.
Understands the role of
Ambassador for ChatHealth.
Sign posts to websites as an
alternative to leaflets and other
resources.
Leadership
Leadership Provides support advice and supervision for neighbourhood Healthy Together preschool age team Completes appraisal for Healthy Child Programme Practitioners and Healthy Child Programme Support Workers Acts as a mentor or preceptor for new members of staff. Signs off competencies for members of staff. Raises concerns with team leader about team members where performance issues are identified.
Covey training We improve training
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Domains Competencies Training Required Applicable Policy or Guidelines
Evidence
Undertakes team meetings to ensure that work is undertaken within the time frame specified within the KPI’s.
Additional Neighbourhood Roles
Blood Spot Testing
Understands the role of the blood spot testers and when to refer. Understand the KPIs around National targets and the importance of fast referral. Have completed the All blood spot testers additional competences.
To attend antenatal and neonatal screening updates To attend blood spot testing meetings. See blood spot competencies Sharps Video on u learn Recorded on Blood Spot Testing database
Blood spot pathway
Practice assessment (LCAT)
Mentor All Public Health Nurses (HV) are required to mentor pre and post registration nurses.
To attend mentor annual update recorded on LPT database
Dates of mentor update
Community Nurse
Prescribing
Public Health Nurses are Community Nurse prescribers (V100/V150/B300) as part of their role.
Attend community nurse prescribing updates Medicine Management training on uLearn recorded on LPT database
Community Nurse prescribing policy NMC Standards
Dates of training updates and
documented at clinical supervision
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References
Department of Health (2000) Framework for the Assessment of Children in Need and their Families London, DCSF Department of Health (2009) Healthy lives, brighter futures. The strategy for children and young people’s health London DCSF Department of Health (2009) Using the new UK- World Health Organisation 0-4 years growth chart (available at: www.orderline.dh.gov.uk ref 12892) Department of Health (2016) Records Management code of practice for health and social care, London DoH Leicestershire Partnership NHS Trust (2014) Healthy Growth Pathway. Available on LPT intranet Leicestershire Partnership NHS Trust (2014) Discharge Pathway. Available on LPT intranet Leicestershire Partnership NHS Trust (2014) Record Keeping and the Management of the Quality of Health Records Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Combined UHL, LPT, LLR Alliance Cardiopulmonary Resuscitation Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Joint Infant Feeding Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Sexual Health Pathway. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Lone Worker Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Delegation Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Dress Code and Uniform Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Security Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Approved Abbreviation Guidance. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Policy and Guidelines for Professionals who are responding to Domestic Violence/abuse experienced by clients. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Safeguarding Children Practice Guidance. Available on LPT intranet Leicestershire Partnership NHS Trust (2017) Domestic Violence Policy. Available on LPT intranet
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Leicestershire Partnership NHS Trust (2017) Equality and Human Rights Policy. Available on LPT intranet
Leicestershire Partnership NHS Trust (2017) Information Governance Strategic Management Framework. Available on LPT intranet Leicestershire Partnership NHS Trust (2017) Baseline Health Assessment Guidance. Available on LPT intranet Leicestershire Partnership Trust (2017) Healthy Together Standard Operating Guidance Leicestershire Partnership NHS Trust (2017) Guidelines on Assessing Risk in Public Health Nursing. Available on LPT intranet Leicestershire Partnership NHS Trust Health and safety policy. Available on LPT intranet Leicestershire Partnership NHS Trust Healthy Growth Care Pathway (2017). Available on LPT intranet Leicestershire Partnership NHS Trust (2017) Healthy Together Standard Operating Guidance LSCB Procedures and Practice (2016) www.lrlscb.org NICE (2006) Brief Interventions and referral for smoking cessation (PH1) (available at www.nice.org.uk) NICE (2009) When to Suspect Child Maltreatment (CG89) (available at www.nice.org.uk) Nursing and Midwifery Council (2015) The Code: Professional Standards of Practice and Behaviour for Nurses and Midwives, London For further references, NICE evidence, please see LPT Standard Operating Guidance (2017).
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Preliminary Interview
This will take place within the first week and a time frame for completion of the competencies will be agreed.
The aim of this interview is for the Public Health Nurse (HV) (SCPHN) and Preceptor and Mentor to:
Establish the supportive role of the preceptor and mentor.
Review the Public Health Nurse (HV)’s professional and clinical learning and identity transferable skills to clarify learning needs and further development required to carry out the role competently.
Discuss individual learning needs and the Public Health Nurse (HV)’s preferred learning style. However this might not always be practically possible to accommodate.
Develop an induction plan and learning opportunities and agree a plan for learning support. This will be based on individual need and regular evaluation.
An initial appraisal to be completed within three months of start date. Evidence from this competency document should be used to inform the preparation for appraisal. Appendix 1
Preliminary Interview Summary and Action Plan
Identified Learning / Development Needs Action Plan / How this will be achieved
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Public Health Nurse (HV) signature:…………………………… Date:………………………………
Mentor’s Signature:………………………………………………………….. Date:………………………………
Preceptors Signature:…………………………………………………………. Date:…………………………….
Appendix 2
31
Final Interview/Action Plan
This will take place within six months of the Public Health Nurse (HV)’s start date to review
the competencies and ensure sufficient evidence is available to demonstrate that those
competences have been successfully achieved.
This interview demonstrates and records the progress to date, all further learning/
development required and agreed times that this needs to be completed by.
Learning / Development Achieved How this has been achieved.
32
Appendix 3
6-12 Months
Further Learning / Development Needed Action Plan / How this will be achieved
33
Appendix 4
Record of 1:1 sessions, discussions and support offered and evidence of competence.
Topics Discussed Actions Required
Appendix 5
Public Health Nurse (HV) Signature:…..………………………….… Date:………………………………
Mentor’s Signature:………………………………………………………….. Date:………………………………
Preceptors Signature:…………………………………………………………Date:………………………………….
34
Training Record (as per organisation requirements)
TITLE DATE TITLE DATE
Appendix 6
35
Witness Statement
Description of Event / Competency Witnessed:
Public Health Nurse (HV) Signature:…………………………Date:……………………………………
Witness Signature:……………………………………… ………… Date:………………………………………………..
36
Healthy Together Public Health Nurse (HV) Sign off Sheet
Competency Sign off date Signature Print name
Nutrition
Breast Feeding
Formula Feeding
Healthy Diet 0-5
Growth Monitoring
0-5 years
Physical Assessment of the Child (including fine and gross motor skills)
0-5 years (including Universal Healthy Child Programme Contacts)
Basic Care 0-5 years
Minor Ailments
Recognising symptoms of sick child / acute health
Social Development / Assessment of the Child
Behaviour
Speech and Language
Healthy Bladder and Healthy Bowel
Emotional Health and Wellbeing
Infant Mental Health
Maternal Mental Health
Health Promotion
Heath enhancing activities
Public Health Campaigns
Health Fairs
Family Health Family Needs
37
Vulnerable Families
Universal Partnership Plus
Safeguarding
Safeguarding 0-5 years
Specialist Roles
CONI
Safe Practice
Communication
Clinical Supervision
Record keeping and documentation
Information Governance
Personal Development
Digital
ChatHealth Websites Virtual Clinics Webchats
Additional Neighbourhood Roles
Blood spot testing
Mentor
Community Nurse Prescribing
Overall Sign off for all competencies to be completed by CTL
All competencies achieved
Date of Final Sign off
Signature Print name
