Date post: | 12-Jun-2015 |
Category: |
Health & Medicine |
Upload: | department-of-health |
View: | 1,257 times |
Download: | 2 times |
1
Transforming the Workforce with the Calderdale Framework
Lesley Horton Dental Services Manager
Shaun Raval Associate Dental Director
24th March 2011
Calderdale Framework
Recognised workforce planning tool focusing on tasks rather than jobs– Skills to plan workforce as vacancies arise– Skill sharing, blurring boundaries– Skills in delegation, delegating tasks safely
and effectively– Competency based workforce
2
3
WHY BOTHER ! ?
4
National Context: Leitch Report - The skills agenda High Quality Care for All – Darzi
review Skills for Health Health & Social Care Bill 2007 A High Quality Workforce 2008 Transforming Community Services
2009
5
Local Context:
Demographics of workforce
Reduction in investment
Increased demand for community based services
6
Reasons for delegation and skill sharing:
Improves patient experience – ‘right person at the right time with the right skills’
Increasing demand on services Maintain service quality whilst
controlling costs
7
Risks in delegation (professional)
Variation in what is delegated
Variation in how task is to be delivered
Variation in documentation
8
Risks in Delegation (assistants):
Lack of skill/training to fulfil task (unknown competence)
Unable to understand /follow written plan
Unsure when to seek help/abort task
Boundary not clear
9
Potential Benefits of The Calderdale Framework
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
10
So, How do You do it……?
11
1Awarene
ss Raising
2 Service Analysi
s
3Task
Analysis
4Competenc
y Identificati
on
5Supporti
ng Systems
6Trainin
g
7Sustaini
ng
7 Stages to Successful
Implementation
12
New Ways of working:
Tasks mainlyKnowledge &Skill based
Tasks mainly Skill& Rule based
Qualified staff;consider
Blurring professionalboundaries
Allocate to Level 4worker
Tasks Knowledge& Skill based
with protocols available
Delegate to Level 2/3worker
13
Risks Managed Through:Competences: Reduce variation in WHAT tasks aredelegated & HOW they are deliveredDocumentation: Standardised Communication: Clarity re : when to seek help/stop Feedback & supervision.ValidationProfessional review
14
So What…….??
Meeting the QIPP Agenda
Quality – provides evidence based careInnovation – new ways of working across
professional boundariesProductivity – freeing up specialists to
provide specialist carePrevention – patients not waiting for
care/rehabilitation
15
16
Outcomes
Competency based workforce
Consistency
Transferable, flexible workforce
Cultural changes
Improved patient pathway, reduced length of stay
Improved patient experience, less ‘hand offs’
Valued workforce, clarity re roles and responsibilities
Dental service
Staff awareness
Staff training
Champions
Role of Champions Ensure local core competences are created in your service area Ensure local service specific competences are generated in your
area Ensure appropriate staff are trained in local core and service
specific competences Ensure all multidisciplinary staff are aware of their role in developing
and implementing the Calderdale Framework Ensure induction process for staff in each area includes local
service specific competences Feedback to steering group and contribute to evaluation of the
implementation of the Calderdale framework via the Project Implementation Group
Raise the profile of the Calderdale framework both to internal and external markets
Lead the Dental implementation team in delivering the Calderdale framework and agreed outcomes
Dental service
Dental Working Group, (re-training)Complete Service analysisTask analysisDevelop templatesAgree Competency TitlesComplete CompetenciesValidate Competencies
Competency Title
For each sub task discuss and gain consensus on the following statements.
GO Stop & ConsiderRisk Identified
Comments –Can this risk be managed ?
Is information gathering +/- decision making involved ?
Is clinical reasoning involved ?(if YES, would a protocol make this safe?)
Is the task carried out frequently?
If clinical – is response to the task immediate?
If clinical does the task require high levels of manual skill?
If clinical is this reversible?
Is ongoing assessment & reasoning required throughout the task in order to adjust input?
Is the task procedure complex?
Are protocols available to follow? Or could protocols be written to support the task?
Are the consequences of error serious?
Is the probability of error occurring high?
Dental competencies
GA paediatric exodontiasPlaque IndicesTopical Fluoride applicationDomiciliary AssessmentOral hygiene for nurses & hospital staff
(cross over from community hospitals)Oral health promotion
Contact details;[email protected]@nyypct.nhs.uk
Further information;http://www.evidence.nhs.uk/aboutus/Page
s/AboutQIPP
23