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Using the Calderdale Competency Framework to Assure Quality. Dr Alison Pighills Jan Tallett. Background to the project. Context of intermediate care services Rehabilitation Health Care Support Worker posts (RHCSWs) Clinical background of RHCSW staff. (Smith and Duffy 2009 SfH report).
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Using the Calderdale Competency Framework to Assure Quality Dr Alison Pighills Jan Tallett
Background to the project • Context of intermediate care services • Rehabilitation Health CareSupport Worker posts (RHCSWs) • Clinical background of RHCSW staff
Example: Community Hospitals & Community Support Teams Toileting Personal care assess, plan, treat, liaise evaluate, discharge 2 Service Analysis Medication Equipment Mobilise Treatment Wound care Function Exercise (Smith and Duffy 2008)
TASK ANALYSIS KNOWLEDGE BASED SKILL BASED RULE BASED (Smith and Duffy 2008)
Skill Mix Review Qualified staff Blurring professional boundaries Tasks mainly Knowledge & Skill based Delegate to support staff. Tasks mainly Skill & Rule based ( Smith and Duffy 2008)
Progress to date • Core competencies purchased - workbooks produced • Rolling training programme established • Service specific and supplementary workbooks in progress • Embedding – sign off, supervision, JPDR • Re-evaluation of skills - annual questionnaire • Reviewing competencies and grounding in evidence • Link to Skills for Health NOS • Link to NVQ3
Case studies • OT student / physiotherapy graduate • Existing HCSW • Nursing home assistant
Future developments • Accreditation • Rollout of the CF across BACHS BUs (initially Children’s Complex Team, Pulmonary Rehabilitation, Community Matrons) • Blurred boundary working (BBW) pilot with qualified practitioners • Research project on the effectiveness / cost effectiveness of BBW
Joint working with WYLLN • Accreditation • Involvement in research project & academic outputs – collaborative research • Curriculum development • Therapists as clinical practice educators • Mentorship / clinical supervision
Contact details Alison Pighills Alison.pighills@bradford.nhs.uk Jan Tallett Jan.tallett@bradford.nhs.uk