HCS Career Framework, KSFs and NOS Tony Parkin, 28 June 2006.
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Transcript of HCS Career Framework, KSFs and NOS Tony Parkin, 28 June 2006.
HCS Career Framework, KSFs and NOS
Tony Parkin, 28 June 2006
HCS Career Framework Whitley Bands AfC Bands
8
7
6
5
4
3
1
2
9
1
4
3
2
7
6
5
8d
8c
8b
9
8a
Consultant Director
Consultant Practitioner
Advanced Practitioner
Senior Practitioner
Practitioner
Assistant Practitioner
Senior Assistant
Assistant
Assistant
MLA ATOsATO MTO1MTO2 MTO3MTO4 MTO5
(BMS) AB8-9 B10-13
B14-16 B17-19B20-22 B23-34
C C*
Whitley Bands AfC Bands Whitley Bands
BMS3
MTO5
MTO3
MTO2
MTO1
MLA/ATO
sATO
1
4
3
2
7
6
5
8d
8c
8b
9
8a
B14-16
B10-13
B23-24
B20-22
B17-19
C-HOD
C
Pre-RegA-U
Number of labs
March 2006
HCS Career Framework AfC Bands
8
7
6
5
4
3
1
2
9
1
4
3
2
7
6
5
8d
8c
8b
9
8a
Consultant Director
Consultant Practitioner
Advanced Practitioner
Senior Practitioner
Practitioner
Assistant Practitioner
Senior Assistant
Assistant
Assistant
C/C*
B23-24/C
B17+
B10-16
MTO2-3
MTO1
MLA
3
2
HCS Career Framework AfC Bands
8
7
6
5
4
3
1
2
9
1
4
3
2
7
6
5
8d
8c
8b
9
8a
Consultant Director
Consultant Practitioner
Advanced Practitioner
Senior Practitioner
Practitioner
Assistant Practitioner
Senior Assistant
Assistant
Assistant
C/C*
B23-24/C
B17+
B10-16
MTO2-3
MTO1
MLA
3
2
HCS Career Framework AfC Bands
8
7
6
5
4
3
1
2
9
1
4
3
2
7
6
5
8d
8c
8b
9
8a
Consultant Director
Consultant Practitioner
Advanced Practitioner
Senior Practitioner
Practitioner
Assistant Practitioner
Senior Assistant
Assistant
Assistant
Clinical Scientist
Genetic Technologist
Support Worker
?
Levels ofRegistration
8
7
6
5
4
3
1
2
9Consultant Director
Consultant Practitioner
Advanced Practitioner
Senior Practitioner
Practitioner
Assistant Practitioner
Senior Assistant
Assistant
Assistant
1 2 76543 98d8c8b8a
Reg
Reg
Clinical ScientistGenetic TechnologistSupport Worker
AU
Knowledge and Skills Framework
Agenda for Change – Knowledge and Skills Framework (NHS KSF)
“The NHS Knowledge and Skills Framework (NHS KSF) defines and describes the knowledge and skills which NHS staff need to apply in their work in order to deliver quality services. It provides a single, consistent, comprehensive and explicit framework on which to base review and development of staff.” (October 2004)
www.dh.gov.uk/PolicyAndGuidance/HumanResourcesAndTraining/ModernisingPay/AgendaForChange/fn/en
NHS KSF – 30 Dimensions
• 6 Core Dimensions
• Job Specific Dimensions
• Communication• Personal and People
Development• Health, Safety and Security• Service Improvement• Quality• Equality and Diversity
• 10 Health and Wellbeing• 3 Estates and Facilities• 3 Information and Knowledge• 8 General
NHS KSF – Job Specific Dimensions
• Promotion of health and wellbeing and prevention of adverse effects to health and wellbeing
• Assessment and care planning to meet people’s health and wellbeing needs
• Protection of health and wellbeing• Enablement to address health and
wellbeing needs• Provision of care to meet health and
wellbeing needs• Assessment and treatment planning• Interventions and treatments• Biomedical investigation and
intervention• Equipment and devices to meet health
and wellbeing needs• Products to meet health and wellbeing
needs
• Systems, vehicles and equipment
• Environments and buildings
• Transport and logistics
• Information processing
• Information collection and analysis
• Knowledge and information resources
• Learning and development
• Development and innovation
• Procurement and commissioning
• Financial management
• Services and project management
• People management
• Capacity and capability
• Public relations and marketing
NHS KSF – Each Dimension – 4 Levels
• Level 1
• Level 2
• Level 3
• Level 4
• Make changes in own practice and offer suggestions for improving services
• Contribute to improvement of services
• Appraise, interpret and apply suggestions, recommendations and directives to improve services
• Work in partnership with others to develop, take forward and evaluate direction, policies and strategies
Eg. Core 4 Service Improvement:
Dimension
MLA(Band 2-
3)
MTO1(Band 3-
4)
MTO2(Band 5)
MTO3(Band 6)
Reg Clin Sci (Band
7)
Principal (Band 8a)
Principal/Cons
(Band 8b)
Consultant(Band 8c)
Consultant/HOD (Band
8d-9)
1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d
Core1 1 1 1 2 2 2 2 2 2 3 3 4 4 4 4 4 4 4
Core2 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 4 4 4
Core3 1 1 1 1 1 2 2 2 2 2 3 3 3 4 4 4 4 4
Core4 1 1 1 1 1 2 2 2 2 2 3 3 3 4 4 4 4 4
Core5 1 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 4
Core6 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2
HWB8
1 1 1 1 1 2 2 2 2 3 3 4 4 4 4 4 4 4
IK1 1 1 1 1 1 1 1 2 2 2 2 3 3 3 3 3 3 4
IK2 1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 4
G1 1 2 2 2 3 3 3 3 4 4 4 4
G2 2 2 2 3 3 3 4 4 4 4
G6 1 2 1 2 2 3 3 3 3 3 4 4
Planning Training – Knowledge and Skills Framework
NHS KSF – Payscale Gateways
Foundation Gateway – after 12 months – to check postholder meets the basic demands of their post, based on subset of KSF profile for post
Second Gateway• Pay Band 1 Before final point• Pay Bands 2-4 Before first of last two points• Pay Bands 5-7 Before first of last three points• Pay Band 8, each of A-D Before final point• Pay Band 9 Before final point
To confirm postholder applying knowledge and skills to consistently meet the full demands of their post, as set out in the full KSF profile for post
KSF Dimension AfC Band 5 – First Gateway AfC Band 5 – Second Gateway
Core1Communication
Level 2 Communicate with a range of people on a range of matters
Level 2 Communicate with a range of people on a range of matters
Core2Personal and people development
Level 2 Develop own skills and knowledge and provide information to others to help their development
Level 2 Develop own skills and knowledge and provide information to others to help their development
Core3Health, safety and security
Level 1 Assist in maintaining own and others’ health, safety and security
Level 2 Monitor and maintain health, safety and security of self and others
Core4Service improvement
Level 1 Make changes in own practice and offer suggestions for improving services
Level 2 Contribute to the improvement of services
Core5Quality
Level 1 Maintain the quality of own work Level 2 Maintain quality in own work and encourage others to do so
Core6Equality and diversity
Level 1 Act in ways that support equality and value diversity
Level 1 Act in ways that support equality and value diversity
HWB8Biomedical investigation and intervention
Level 1 Undertake tasks to support biomedical investigations and/or interventions
Level 2 Undertake and report on routine biomedical investigations and/or interventions
IK1 Information processing
Level 1 Input, store and provide data and information
Level 1 Input, store and provide data and information
IK2Information collection and analysis
Level 1 Collect, collate and report routine and simple data and information
Level 2 Gather, analyse and report a limited range of data and information
National Occupational Standards
Generic NOS
CommonNOS
Discipline-specific
NOS
Individual Role/Job
Profile for Grade/Role
National Occupational Standards:
http://www.skillsforhealth.org.uk
Competences
Completed National Competences
Healthcare Science
DH
HCS Competency Framework
1 2 3 4
Associate Practitioner
Practitioner
Specialist Practitioner
Advanced Practitioner
Consultant
SfH
National Occupational Standards:
Deliver services to aid treatment, including prevention, and management of cytogenetic disorders in patients and families
Plan investigations to meet clinical needs
Define cytogenetic investigations required to meet clinical need – See Function J4
Select techniques and equipment for planned cytogenetic investigations – See Function C
Obtain cytogenetic preparations for analysis
CYTOGEN 1 Obtain mitotic preparations by suspension harvesting techniques for chromosomal staining or fluorescence in situ hybridisation
CYTOGEN 2 Obtain mitotic preparations by in situ harvesting techniques for chromosomal staining or fluorescence in situ hybridisation
CYTOGEN 3 Prepare mitotic figures for chromosomal analysis
CYTOGEN 4 Prepare specimens for fluorescence in situ hybridisation analysis of interphase nuclei
Investigate by cytogenetic methods to respond to clinical questions
CYTOGEN 5 Investigate mitotic preparations for cytogenetic alteration or abnormalities
CYTOGEN 6 Investigate interphase preparations for cytogenetic alteration or abnormalities
Communicate information to support management and treatment of patients and families
CYTOGEN 7 Report results of investigations with clinical interpretation
CYTOGEN 8 Support patient or family management
CYTOGEN 9 Collate information to assist the future management and care of patients and their families
Cytogenetics Specific National Occupational Standards
Generic NOS Number of NOS
A Equipment A1 – A5
B Protocols B1 – B4
C Specimens C1 – C8
D Interpret and report D1 – D4
E Health and Safety E1 – E3
F Management F1 – F23
G Training and Development G1 – G12
H Research and Development H1 – H15
I Patient Care I1 – I11
J Advise and inform J1 – J7
Ref no.
CYTOG3 Title Prepare chromosome spreads for cytogenetic analysis
OVERVIEWThis standard relates to the preparation of metaphase chromosomes in order to determine the constitutional or acquired karyotype of normal, abnormal or malignant tissue. It embraces (1) conventional analysis including solid staining, G banding, C banding and other differential or selective staining techniques for visualizing chromosome banding or structure; (2) fluorescence in situ hybridisation (FISH) of mitotic chromosomes; and (3) comparative genomic hybridisation (CGH). See function C NOS
You must be able to: You must know and understand:
a) Prioritise cases for preparation of chromosome spreads by reason for referral and other influencing factorsb) Pre-treat slides or coverslips as appropriate for the intended analysisc) Clearly identify factors affecting the quality of the stained preparationd) Take appropriate action to enhance the quality of the stained preparatione) Prepare FISH probes suitable for the investigation type and in accordance with relevant protocolsf) Generate and capture image of stained chromosomes g) Locate cells ready for analysish) Record process accurately, legibly and with sufficient detail to meet audit requirements
1.Application of appropriate SOPs2.How to prioritise cases for preparation of chromosome spreads and the factors influencing this3.Characteristics of the reagents used for staining4.Staining characteristics of the chromosomes under the different conditions that may occur5.The range of methods applicable to different types of specimen and/or investigation and their limitation6.The relationships between chromosome structure and staining patterns7.When and how to apply adjustments and corrective action to improve the quality of staining 8.Internal QA standards9.The types of preparation that require special storage and relevant storage conditions10.Documentation relevant to sample processing and its completion, including audit requirements11.Appropriate timescale to report results and professional guidelines12.How to produce a permanent image using image capture equipment13.Health and Safety requirements of cytogenetic investigations14.Range and requirements for associated documentation
HCS Career PathwayDiscipline
Cytogenetics - Practitioner Stage Five
KEYWORK LEVEL- a= accountable, u – unsupervised, s = supervised
K&U LEVEL - g = general awareness, b – basic knowledge, d = detailed knowledge, a – advanced
NOS ref
Overview Pc ref K&U ref Work level K&U level Roles
Cytog 1 Note that at this stage the worker would potentially be trained to perform this function across all sample types.
a-c, e, f, g, i – r
1, 3 - 6, 8 - 11, 13 – 18, 21 – 23
All except e
e 9 – 10
1, 3-6, 8, 11, 13 – 18, 21 – 23
Cytog 2 Note that at this stage the worker would potentially be trained to perform this function across all sample types.
a, b, d-g, i-o 1, 3 - 6, 8 - 11, 13 –18, 21, 22
All except e
e 9- 10
1, 3 - 6, 8, 11, 13 – 18, 21, 22
Cytog 3 Would be trained to perform solid banding, G-Banding and potentially a range of routine FISH probes only
b – h 1, 4, 6-10, 11-14
All except c, d and g
c, d and g
6, 7, 9, 11
1, 3, 4, 8, 10 12-14
Cytog 4 Would be trained to perform this potentially with a broader range of routine probe sets
d- k 1, 2, 4- 7, 10 –16
All except i
i 1, 2, 4-7, 10 – 16
Cytog 5 Applied to a limited range of samples using brightfield or fluorescence microscopy
b-h, j, k, n-p 1-3, 5-10, 15, 19-26
All 2, 4, 5, 6, 8-10, 15, 19-21
1, 3, 7, 22-26
NOS ref
Overview Pc ref K&U ref Work level K&U level Roles
Cytog 6
Applied to a limited range of samples
b-g, i, k-l, o
1-6, 8-10 12-13, 15-17
All 2, 3, 4, 9-10
1, 5-6, 8, 12-13, 15-17
Functn A
Equipment
A3, A4, A5, A6
A3,A4,A5,A6
Functn B
Developing Protocols, Procedures and methods
B2, B3
B2, B3
Functn C
Specimens
C4-C11, &C14-C18
C4-C11, &C14-C18
Functn D
Interpret results/ Clinical advice
D5 D5
Functn E
Health and Safety E3 E1, E2
E1, E2
E3
Functn F
Management F10-F12, F16 & F17
F10-F12, F16 & F17
Functn G
Training and Professional development
G9, G10
G9, G10
Functn I
Patient care I15 I15
Functn J
Advice on Services J7 J7
CE14 Monitor Cryobanks CE14
CE14
END OF PRESENTATION