Andy Lecomber & Phil Harrison
Regional Medical Physics Department
Royal Victoria Infirmary & Freeman Hospital
Newcastle upon Tyne
A Structured Approach to the KSF in a Large Medical
Physics Department
KSF – What is it?
• The Knowledge & Skills Framework
• one of 3 key strands within Agenda for Change:– terms and conditions
• hours of working, overtime rates, annual leave
– job evaluation• equal pay for work of equal value
– NHS KSF• training requirements
KSF - Main Purpose
• defines and describes the knowledge and skills which NHS staff need to apply in their work in order to deliver quality services
• forms basis of pay progression mechanism
Pay Structure
Every job is evaluated & assigned to a pay band on national scale
PAY BANDS
9
8
7
6
5
4
3
2
1
Pay StructurePAY BANDS
9
8
7
6
5
4
3
2
1
Incremental Pay Points within each Band
GATEWAY
KSF FULL OUTLINE defines the SKILLS &
KNOWLEDGE required to perform
that job
KSF FOUNDATION
OUTLINE defines basic SKILLS & KNOWLEDGE
expected of person recently in post (6 - 12 months)
GATEWAY
30 Dimensions
6 Core 24 Specific
Dimensions identify broad functions
30 Dimensions
6 Core 24 Specific
Communication
Personal & People Development
Service Improvement
Health, Safety & Security
Quality
Equality & Diversity
10 Health & Wellbeing
3 Information & Knowledge
3 Estates & Facilities
8 General
30 Dimensions
6 Core 24 Specific
Communication
Personal & People Development
Service Improvement
Health, Safety & Security
Quality
Equality & Diversity
HWB 1 HWB 2 HWB 3 HWB 4 HWB 5 HWB 6 HWB 7 HWB 8 HWB 9 HWB10
IK 1 IK 2 IK 3
EF 1 EF 2 EF 3
G 1 G 2 G 3 G 4 G 5 G 6 G 7 G 8
The ‘broad function’ angle
HWB6: Assessmentand treatment planning
IK2: Informationcollection & analysis
EF1: Systems,Vehicles and equipment
G2: Developmentand innovation
30 Dimensions
6 Core 24 Specific
Communication
Personal & People Development
Service Improvement
Health, Safety & Security
Quality
Equality & Diversity
HWB 1 HWB 2 HWB 3 HWB 4 HWB 5 HWB 6 HWB 7 HWB 8 HWB 9 HWB10
IK 1 IK 2 IK 3
EF 1 EF 2 EF 3
G 1 G 2 G 3 G 4 G 5 G 6 G 7 G 8
L 4
L 3
L 2
L 1
Every dimensionhas four levelsrepresentingincreasing complexitywithin that skill area
Assist with learning and developmentactivities
Enable people to learn and develop
Plan, deliver and review interventionsto enable people to develop
Design, plan, implement and evaluatelearning and development programmes
G1: Learning anddevelopment
30 Dimensions
6 Core 24 Specific
Communication
Personal & People Development
Service Improvement
Health, Safety & Security
Quality
Equality & Diversity
HWB 1 HWB 2 HWB 3 HWB 4 HWB 5 HWB 6 HWB 7 HWB 8 HWB 9 HWB10
IK 1 IK 2 IK 3
EF 1 EF 2 EF 3
G 1 G 2 G 3 G 4 G 5 G 6 G 7 G 8
L 4
L 3
L 2
L 1
Every dimensionhas four levels
Every level has‘a number’ ofindicatorsrepresenting
increasing complexitywithin that skill area
Developing a KSF Outline
• Decide which Dimensions are relevant to the post
• Decide what is an appropriate Level for each Dimension
• Check that ALL the Indicators associated with each Dimension / Level can be met
• Determine the Areas of Application most relevant to the work of the post-holder
• Identify Examples of Evidence from the work of the post-holder that can be used to meet the requirements of the Indicators– Identified for post by post-holder & manager
Developing KSF Outlines for RMPD
• ARL tasked with helping implement KSF consistently in RMPD
• Developed a KSF Outline Matrix (Dimension & Level only) for all RMPD staff based on:– National Occupation Standards data for
Scientific & Technical staff– ‘Approved’ NuTH Trust Outlines for
Administrative & Clerical staff
NOS HealthCare Science Competencies
• Available on DoH website– http://www.skillsforhealth.org.uk/view_framework.php?id=73
• List of 646 competencies covering all aspects of healthcare science practice
• Grouped into 57 sets applicable to activities in specific areas
• Each competency linked to a KSF Dimension and Level
CORE HWB EF IK G
A1 A2 A3 A4 A5 A6
Level 1Level 2Level 3Level 4
NOS Competencies – KSF Links
HCS_A 6 general competences on equipment evaluation, commissioning, calibration, routine QA, PPM
HCS_AN 8 competences on investigations of the autonomic nervous system
HCS_AUD 15 competences on Audiology examinations
HCS_B 4 general competences on developing and planning clinical procedures, investigation strategies and long term, multidisciplinary care pathways
HCS_BM 2 competences on the conduct of a multi component clinical movement analysis test, and the interpretation and reporting on biomechanical data for detailed patient evaluation
HCS_CARD 9 competences on the performance of both diagnostic and therapeutic cardiac procedures on inpatient or outpatient adults or children
HCS_CCT 4 competences on critical care equipment selection, set-up, operation and performance monitoring
HCS_CM 4 competences on the development of new clinical measurements, scientific support to existing techniques, or provision of a highly specialised clinical measurement service
HCS_D 5 competences on presentation and reporting of clinical investigation results, including confidentiality issues
HCS_DX 10 competences on X-ray equipment QA services
HCS_E 4 competences on risk assessment, MHSW & incident reporting
HCS_EMD 20 competences on medical equipment evaluation, procurement, maintenance and management
HCS_F 23 competences on management and direction of Medical Physics organisations
HCS_G 12 competences on provision and management of HCS learning programmes
HCS_H 15 competences on identification of areas for, and management of, R&D activities, including presentation of findings and translation into service
HCS_I 18 competences on dealing with patients, including receipt and management during clinical procedures and subsequent aftercare and reporting
NOS HealthCare Science Competencies
HCS_J 7 competences on what is expected of an expert in a Medical Physics discipline
HCS_MPHYS 14 general competences covering a number of key areas in a Medical Physics department
HCS_MR 8 competences on installation, operation and safety of MRI scanners, including interpretation of images and reporting
HCS_N 9 competences on investigation or monitoring of neurophysiological function
HCS_NC 14 competences on the provision of a nuclear medicine service, including both non- and imaging tests
HCS_NIR 13 competences on the provision of diagnostic and therapeutic NIR services, including both protocol development and safety considerations
HCS_OVS 16 competences on ophthalmic assessment, including some on assessment of electrophysiological function
HCS_R 15 competences on radiopharmacy procedures
HCS_REHAB 5 competences on the prescription, manufacture and subsequent management of assitive technology for individual use
HCS_RP 30 competences on the provision of radiation protection advice, including equipment and source calibration and management, personnel monitoring and waste management
HCS_RTP 37 competences on the provision of a radiotherapy service, including the development and implementation of treatment planning processes, equipment maintenance and manufacture of assistive devices, measurement of dose delivered and advice on patient management
HCS_SS 11 competences on the provision of a sleep study service
HCS_UD 9 competences on the conduct of urodynamic investigations
HCS_UPT 10 competences on the provision of a medical ultrasound equipment QA and safety service for both diagnostic and therapeutic applications
HCS_VT 3 competences on vascular ultrasound measurement
NOS HealthCare Science Competencies
Linking NOS Data to RMPDCompetencies applied uniformly across RMPD:
NOS Competency
Set
Number of Competences
in SetArea of Application
HCS_MPHYS 14key areas in a Medical Physics department
HCS_E 4 risk assessment
HCS_H 15 R&D activities
Linking NOS Data to RMPDCompetency sets used for specific subject areas:
NOS Competency Set
Number of Competences in
Set
Subject Area(s) to which Applied
HCS_AUD 15 Audiology
HCS_BM
HCS_REHAB
2
5Bio-/Rehabilitation
Engineering
HCS_DX
HCS_MR
10
8Diagnostic Radiology
HCS_EMD 20Equipment Evaluation,
Electronics
HCS_G 12 Training Schemes
HCS_NC
HCS_R
14
15Nuclear Medicine
Linking NOS Data to RMPDCompetency sets used for specific areas of application:
NOS Competency Set
Number of Competences in
Set
Subject Area(s) to which Applied
HCS_NIR 13 Non-Ionising Radiations
HCS_RP 30
Radiation Protection
Diagnostic Radiology
Nuclear Medicine
Radiotherapy
HCS_RTP 37
Radiotherapy Physics
Radiotherapy Technology
Mould Room
Dosimetry
HCS_UPT
HCS_VT
10
3Ultrasound
Linking NOS Data to RMPDCompetency sets used for physiological measurement / clinical instrumentation:
NOS Competency Set
Number of Competences in
SetArea of Application
HCS_AN 8 autonomic nervous system tests
HCS_CARD 9 cardiac procedures
HCS_CCT 4 critical care equipment
HCS_CM 4 clinical measurements
HCS_N 9 neurophysiological assessment
HCS_OVS 16 ophthalmic electrophysiology
HCS_SS 11 sleep studies
HCS_UD 9 urodynamics
Linking NOS Data to RMPD
NOS Competency Set
Number of Competences in
SetArea of Application
HCS_J 7what is expected of a Medical
Physics Expert
applied to radiation subjects where there is a legislative requirement for a Medical Physics Expert (Radiotherapy, Nuclear Medicine, Diagnostic
Radiology/Radiation Protection)
HCS_B 4care pathway planning and
investigation strategies
HCS_F 23 Medical Physics management
applied to categories of staff (Head of Unit, Head of Department) rather than subject areas
Linking NOS Data to RMPD
NOS Competency Set
Number of Competences in
SetArea of Application
HCS_A 6equipment assessment and
maintenance
applied to services for which assessing equipment performance is a major aspect of the work
HCS_D 5 clinical investigation reporting
applied to services in which clinical reporting is a regular task
HCS_I 18 dealing with patients
applied to services having significant direct patient contact
AAN
AUD
BBM
CARD
CCT
CM
DDX
EEMD
F G H I J
MPHYS
MR
NNC
NIR
OVS
R
REHAB
RP
RTP
SS
UD
UPT
VT
Audiological Science
Bioengineering
Bone Mineral Assessment
Clinical Instrumentation
Computing
Critical Care Physics
Diag. Rad. / Rad. Prot.
Dosimetrists
Electronics
Equipment Evaluation
Head of Department / Unit
AAN
AUD
BBM
CARD
CCT
CM
DDX
EEMD
F G H I J
MPHYS
MR
NNC
NIR
OVS
R
REHAB
RP
RTP
SS
UD
UPT
VT
Mechanical Workshop
Mould Room
Nuclear Medicine
Non-Ionising Radiations
Physiological Measurement
Radiotherapy Physics
Radiotherapy Technology
Rehabilitation Engineering
Training Management
Ultrasound
HCS_E
HCS_H
HCS_MPHYS
+
+
+
=
CORE HWB EF IK G
OVERALL‘ENVELOPE’
HCS_RTP
HCS_A
+
Combining Competency Sets
CORE HWB EF IK G
Results of Analysis
Audiological ScienceBioengineeringBone Mineral Assess.Clinical Instr.
ComputingCritical Care PhysicsDiag. Rad. / Rad. Prot.Dosimetry
ElectronicsEquipment Evaluation
Head of Dept. / UnitMech. WorkshopMould RoomNuclear MedicineNon-Ionising RadiationPhys. MeasurementRadiotherapy PhysicsRadiotherapy Tech.
Rehab. EngineeringTraining ManagementUltrasound
Number of Level 1sNumber of Level 2s 9
Number of Level 3sNumber of Level 4s
443
72
9050
0111
772
012517
00
2769
0
31035
0001
043
106
25
8514730
281272
0011
1
0
54974
286028
001
3
0100
7123
936
3042
004912
0222
0
14295984
7310
0010
0
5441113
39959470
5959784488137
65111
126
76
544560
Frequency of occurrence within subject area: <10% 10-20% >20%
• Identify skills required to undertake the role described in the Job Description
• Identify the appropriate Core Dimension Levels required to represent the skills work of the post
• Identify the Specific Dimensions (how many?) and Levels required to represent the skills not covered by Core Dimensions
Developing a KSF Outline
Bands & Specific Dimensions
• Distribution of RMPD staff bands following assimilation
0
20
40
60
80
100
120
2 3 4 5 6 7 8a 8b 8c 8d 9
AfC Band
Nu
mb
er
Technical Staff Scientific Staff
Setting Levels for Core Dimensions
• Core 1 (Communications) ranges between levels 2 and 4 across all specialities, so propose:– Level 2 for posts in bands 1, 2, 3 & 4– Level 3 for posts in bands 5, 6 & 7– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
• Core 2 (Personal and People Development) levels have been set using the assumption that Principal and Consultant grades will have more responsibility for developing their staff than will Senior and Junior grades, so propose:– Level 2 for posts in bands 1, 2, 3 & 4– Level 3 for posts in bands 5, 6 & 7– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
Setting Levels for Core Dimensions
• Core 3 (Health, Safety and Security) ranges between levels 2 and 4 across all specialities, so propose:– Level 2 for posts in bands 1, 2, 3 & 4– Level 3 for posts in bands 5, 6 & 7– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
• Core 4 (Service Improvement) ranges between levels 2 and 4 across all specialities, so propose:– Level 2 for posts in bands 1, 2, 3 & 4– Level 3 for posts in bands 5, 6 & 7– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
Setting Levels for Core Dimensions
• Core 5 (Quality) ranges between levels 3 and 4 across all specialities, so propose:– Level 3 for posts in bands 1, 2, 3, 4, 5, 6 & 7– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
• Core 6 (Equality and Diversity) levels have been set to the lowest values appropriate for their observance:– Level 1 for posts in bands 1, 2, 3, 4, 5, 6 & 7– Level 2 for posts in bands 8a & 8b– Level 3 for posts in bands 8c, 8d & 9
Selecting Specific Dimensions
• General guidance recommends ≤ 7 Specific Dimensions
• NuTH AfC office advice is to have no more than 4–5
• Therefore assigned:– 5 specific dimensions for Band 9 posts– 4 specific dimensions for Band 8c & 8d posts– 3 specific dimensions for Band 8a & 8b posts– 2 specific dimensions for Band 5, 6 & 7 posts– 1 specific dimension for Band 2, 3, 4 & 5 posts
30 Dimensions
6 Core 24 Specific
Communication
Personal & People Development
Service Improvement
Health, Safety & Security
Quality
Equality & Diversity
HWB 1 HWB 2 HWB 3 HWB 4 HWB 5 HWB 6 HWB 7 HWB 8 HWB 9 HWB10
IK 1 IK 2 IK 3
EF 1 EF 2 EF 3
G 1 G 2 G 3 G 4 G 5 G 6 G 7 G 8
L 1
L 2
L 3
L 4
How to use the ‘KSF Tool’
• The ‘Workshop Method’…– Identify your speciality and band on the KSF
Tool
How to use the ‘KSF Tool’
• The ‘Workshop Method’…– Identify your speciality and band on the KSF
Tool– Identify the recommended Core Dimension
Levels
How to use the ‘KSF Tool’
• The ‘Workshop Method’…– Identify your speciality and band on the KSF
Tool– Identify the recommended Core Dimension
Levels– Identify the number of Specific Dimensions
suggested for post, and select appropriate Levels for each
Study each highlighted dimension to determine which 2 apply and at which level(using the Specific Dimensions Table in conjunction with the KSF Handbook)
Specific Dimensions Table
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each chosen Level
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each chosen Level
– For each Dimension• Complete the relevant ‘Outline Detail’ form
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each chosen Level
– For each Dimension:-• Complete the relevant ‘Outline Detail’ form
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each chosen Level
– For each Dimension:-• Complete the relevant ‘Outline Detail’ form• Identify the ‘Areas of Application’
Or your own suggestion…
ultranucmeonics
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each chosen Level
– For each Dimension:-• Complete the relevant ‘Outline Detail’ form• Identify the ‘Areas of Application’
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each chosen Level
– For each Dimension:-• Complete the relevant ‘Outline Detail’ form• Identify the ‘Areas of Application’• Suggest ‘Examples of Evidence’
Risk assessment
(a)(b)(c)(d)(e)
H&S audit
(b)(c)(e)
Attendance at
mandatory training
(b)(d)
ultranucmeonics 6
Full vs Foundation Outlines
• Full Outline specifies the skills required of a fully-trained individual performing the work
• Foundation Outline specifies the skills that must have been achieved after 1 year in post
• Foundation Outline levels set one level below the value specified for the Full Outline
RMPD website KSF Page
KSF Outline Library
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