Workforce Development ReportQ1 2013/14

Ros AlsteadDirector of Nursing & Clinical Standards

Caring, safe and excellent1

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Clinical & Professional Development (CPD) activity Q1

1. Clinical development for staff in Bands 1 to 4 – trust wide across all divisions•Current activity includes:

Health Care Assistant Development programmeMedical TerminologyVocational qualifications (apprenticeships, awards & diplomas) in Health &Social Care, Community Mental health,

Older Adults Mental Health and Dementia care. •Several recent reports have implications for future development solutions for those in Bands 1-4 (Francis report, Cavendish report, National Standards for Health Care Support Workers). Scoping of current provision is underway in order to define our future needs against the recommendations set out in these reports.

Clinical & Professional Development (CPD) activity Q1

2. Clinical Skills Development with an emphasis on general/physical health skills. • To date this has predominately involved clinicians working within Community Division and Children & Families Division but is being extended to include staff working across the trust. • A range of clinical skills are covered including: bowel and bladder care, tissue viability and specifically pressure ulcer damage, leg ulcer management, nasogastric tube insertion, venepuncture, intravenous infusions, smoking cessation, syringe driver training, oral health and non medical prescribing updates.

• Piloted two 4 day Physical Health Skills course (in partnership with Oxford Brookes University) for mental health nurses. We plan to run 3 further programmes in partnership with OBU during 2013/14 before bringing the course in –house .

• All of the above address key priorities from service divisions and enable positive action to be taken in response to SIRIs.

3. Clinical Skills – mental/forensic health specific • Current activity includes:

– Cognitive behavioural therapy skills– Psycho-social skills training for family interventions,– Psychological interventions for psychosis.

• Whilst mainly for Mental Health & Forensic Services workforce, other staff within Community Services and Children’s & Family Division will benefit in future.

4. Clinical Supervision / preceptorship / mentorship.

Current activity includes:• The design, development and implication of a new supervision e learning programme. • Regular supervision training for both 121 and group sessions. Advanced supervisors sessions also delivered. • Bespoke sessions with individual services to help develop a culture for effective supervision practice. (Examples include: community

nursing, health visiting, physiotherapy & community mental health. teams• A rolling 12 month preceptorship programme for all newly qualified health care professionals. • Mentor updates to ensure professionals meet NMC /HCPC CPD requirements.

5 Other – Conferences

Administration and co-ordination function of local conference or departmental study days to ensure that staff are equipped with the required skills and knowledge to provide safe, effective and high standards of person centred care.

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CPD forward plans

Action Update

To be able to report on a number of ‘essential’ clinical skills training activities as a percentage of workforce trained.

Working with Community Services Division to establish which job roles require ‘essential’ training activity to be assigned to a training matrix.

Delivery of 3 Physical Health Skills courses (each of 4 days) by year-end.

In partnership with divisional leads establish a business case for delivery of this programme to be brought in–house from April 2014 to meet the ongoing training need across the trust.

Review training and development opportunities for clinical support workers in bands 1 to 4. To ensure that the trust training strategy is responsive to recommendations set out in the Cavendish report

Scoping exercise to be undertaken to determine how teams / service areas currently ensure that health care support workers meet the national minimum standards for their role. This will inform future strategy development.

Date and type of clinical supervision activity to be recorded by supervisee on L&D portal in order to evidence that appropriate supervision is taking place.

Technology Enhanced Learning team within L&D currently developing software to capture this data.

Work with service divisions to ensure that staff are appropriately equipped to meet the changing requirements of the new care pathway delivery.

Initial scoping of areas requiring training interventions.

Co-ordinate Trust wide planning and delivery of other CPD interventions funded externally by Higher Education Thames Valley

In 2012/13 year this delivered clinical skills development for more than 800 staff. Q1 returns have yet to be submitted for the current year.

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Leadership, Team & Individual Skills (LTIS) activity Q1OverviewThe LTIS team delivers a wide variety of non-clinical development programmes for all staff (clinical & non-clinical) in the Trust including Team days which are designed specifically to meet team needs using a mixture of MBTI and Belbin accredited programmes. This supports one of the key strategic objectives to improve team-working.

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100150200250300350

Qtr 1 - Skills Course Attendance2013

Bands 1-4

Leadership

PDR

Team Days

Coaching

Bespoke LTIS initiatives• 25 ward based staff trained to support a new nurse starting in the Trust who is profoundly deaf enabling her to communicate clearly and confidently with the team.• Touch-typing skills to support District Nurses to input into RIO for effectively.• Refresher Minute Taking Skills for the Trusts PA’s.• Designed and delivered Soft Skills Development to Dieticians

Leadership• With the launch of the National Leadership Academy, 13 staff have taken up places on the Core Programmes.

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Leadership, Team & Individual Skills (LTIS) - Course Breakdown

Bands 1-4 Leadership PDR Team Days Coaching

Time ManagementAssertiveness

Personal EffectivenessCommunication Skills

Touch TypingMinute Taking

IT Skills – including Word, Excel, PowerPoint

Managers as LeadersIntroduction to Management

First Line Managers Programme (Accredited with Oxford Brookes)

Personal EffectivenessManaging Conflict

Managing Self & Others Masterclass

Managing MeetingsWorking & Managing Change

Successful Communication SkillsWorking Relationship

ManagementManaging Sickness Absence

Disciplinary & GrievanceManaging Sickness Absence

Introduction to PDRPDR Masterclass

Me & my AppraisalAppraisee workshop

E-KSF workshopKSF workshopPDR Refresher

MBTI Team dayBelbin Team daySpecific Request

Team days

Coaching Skills for Managers

Advanced Coaching Skills for Managers

(ILM Accredited)

Further specific development programmes currently being designed include:• School Nurses Leadership Skills programme• Bladder & Bowel Managing conflict strategies programme• Therapists Leadership Skills Awareness programme• Health Visitors Managing Conflict and Safer Recruiting Skills• Resource Nurse Competency Skills Development Programme• Swindon Community CAMHS Minute Taking Skills Development Programme• Efficient administration pilot (accredited by ILM)

PDR review• The Trust PDR process is under review to incorporate a values based approach.

LTIS forward plans

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Patient & Personal Safety Training (PPST) Framework

Level 1 Level 2 Level 3 (Individual Nominated)

Equality & Diversity

Fire

Health & Safety

Induction

Infection Prevention & Control (IPC)

Prevention & Management of

Violence & Aggression (PMVA)

Moving & Handling

Resuscitation

Safeguarding

Care Programme Approach (CPA)

Clinical Risk & Management

(CRAM)

Complaints

Dual Diagnosis

Falls Awareness

Food Hygiene

Information Governance

Medicines Management

Mental Capacity

Act

Mental Health Act

Safe & Supportive Observations

Security

Awareness

Supervision

Medical Educational & Clinical Supervision

Medical Educational Supervisors Annual

Review of Competence Progression

Medical Educational Supervisors Supporting

the Trainee

Medical Workplace Based Assessment

Fire Marshal

First Aid – Appointed Person

H&S Care Risk & Safety Management

H&S Working Safely

Root Cause Analysis

PPST is a framework designed to enhance patient safety and ensure safe working practices. Each of us has a duty to meet the standards required through PPST, either through completing training or demonstrating competence. There are 6 categories of risk for groups of staff reflecting the types of role performed. The risk based approach is to ensure that training is more relevant and better focussed on the right roles within the Trust.

Risk Group 1

Risk Group 2

Risk Group 3

Risk Group 4

Risk Group

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Risk Group 6

Ward Based

Registered

Community Based

Registered

Ward Based Non Registered

Community Based Non Registered

Non Clinical Patient contact

Others

Trust performance – Qtr1 June 2013

PPST Level 1 – Target 100% Overall improvement of 8 percentage points

PPST Level 2 – Target 85% Overall improvement of 4 percentage points to 94% of Target

PPST Level 3 (Individual nominated) – Target 100% Overall improvement of 19 percentage points

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Technology Enhanced Learning (TEL)

TEL Development Project Comments Delivery

TEL Content Developed and Implemented

• Infection Prevention &Control (IP&C) (6000 staff)

Developed with the IP&C team. To support the new training strategy to reduce the requirement for classroom attendance.

Qtr 1

• Falls Awareness (800 staff) Developed with the Falls team for staff groups on Community In-patient wards. Qtr 1

• Equality & Diversity eAssessments (6000 staff annually)

Developed with TVHE for all staff groups. Qtr 1

• On Line Policy Matrix (6000 staff) Developed with the Leading Improvement & Innovation team. Providing direct on line access to relevant policies for all staff.

Qtr 1

• Food Hygiene (1600 staff) Developed awaiting policy approval to be assigned to relevant matrices. Qtr 2

• Medicines Management Developing training modules to enable direct content access to target specific staff groups. Qtr 2

• Information Governance eAssessments (6000 staff annually)

Developed with TVHE for all staff groups Qtr 2

• Smoking Cessation eLearning developed with TVHE for specific staff groups Qtr 2

• Pressure ulcer eLearning developed with TVHE for specific staff groups Qtr 3

• Induction landing portal for new starters Providing new starters online access to information /learning materials before starting Induction programme Qtr 3

• Resuscitation eLearning (4000 staff annually) Learning content improvements Qtr 3

• Safeguarding eAssessments Development with TVHE for all staff groups. Qtr 4

• Supervision Date and type of clinical supervision activity to be recorded by supervisee on L&D portal in order to evidence that appropriate supervision is taking place.

Qtr 4

• Pilot to develop ‘virtual classroom’ environment

Fire training non inpatient staff annual awareness updates. Can be applied to other subjects if successful. Subject to Funding bid with TVHE.

Qtr 4

TEL Forward Plans

Over 50% of PPST is now available via eLearning, reducing costs on travel and time away from patient care.. eAssessments have been introduced to further reduce the time required to demonstrate knowledge. The L&D TEL team have delivered/are working on the following:

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Performance & Development Reviews (PDRs)

Position at end of Qtr 1 June 2013PDR cycle - April to June

Numbers14892

43151

152

874

Numbers1406

19

39

Medical Staff & Dentists have annual appraisal reviews and are outside the PDR cycle

Target 100% - Position at 16th September showing improvement at 84%

Target 100% - Position at 16th September showing improvement at 77%

Actions taken – Ongoing monthly report reminders to individuals and line managers. Internet announcements, Divisional Directors meeting update, HR QIC. Oxon Community Services - Large teams – Urgent Care, Re-ablement & District Nursing – Line manager ratio to direct reports challenging

Position at end of Qtr 1 June 2013