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Public Health Career Framework. Peninsula Teaching Public Health Network Learning Event March 29 th Future Inn, Plymouth Kevin Elliston, Consultant in Public Health Acknowledgement for Career Framework information: Jenny Wright, Public Health Resource Unit, Oxford, www.phru.nhs.uk.
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Public Health Career Framework Peninsula Teaching Public Health Network Learning Event March 29th Future Inn, Plymouth Kevin Elliston, Consultant in Public Health Acknowledgement for Career Framework information: Jenny Wright, Public Health Resource Unit, Oxford, www.phru.nhs.uk
The Public Health Career Framework • The NHS Career Framework • Why a public health career framework • What is it? • Who is it for? • What does it look like? – to date! • How it has been developed? • Next stages
Why a Career Framework is needed? Key Drivers • Public Health is high on the political agenda • Widening health inequalities; major public health issues in the spot light every day • Need for collective, strong response from public health workforce • Public confidence in competent, regulated workforce • Need for flexibility/the next generation will be different! • Agenda for Change and KSF (NHS)
Current Situation for Public Health • Emphasis to date on the specialist area of practice • Practitioners - scattered workforce, regulation of some groups • Different pieces of work underway • Career pathways unclear
What is the PH Career Framework? • A route map for public health • Competency-based • Spans whole workforce • CMO definition of Public Health Workforce Broader public health workforce Public Health Practitioners Public Health Specialists
Who is the PH Career Framework for? • Current public health workforce, i.e. working in public health fields • Future workforce - people wishing to enter public health • Education/training commissioners • Employers • Workforce planners
9 More Senior Staff 8 Consultant Practitioners 7 Advanced Practitioners 6 Senior Practitioners 5 Practitioners 4 Assistant Practitioners 3 Senior Assistants/Technicians 2 Support Workers 1 Initial Entry Level Jobs NHS Career Framework (not AfC bands)
How does it help an organisation? • Workforce planning • Workforce modelling • Workforce implications of service redesign • Succession planning
How does it help an individual? • Illustrates career opportunities • Supports movement in all directions • Skills escalation concept based on competencies • Removes the silos and allows for open discussion of workforce challenges
What are the Career Framework’s functions? Personal Development Organisational Development Career Framework for Public Health Service Improvement
How has the PH Career Framework developed? • DH England commissioned ‘Skills for Health’ to develop a public health career framework • Public Health Resource Unit, under contract to DH England, commissioned to provide public health support • SfH UK wide
Principles in the development • Clear, easy to use, “simple”, widely applicable, useful • Focus on the “essence” of the career • Made use of existing work • Hierarchy, step-wise progression • No duplication
Stages in Development • 2 bottom-up, multiagency, multiprofessional • 2 day residential workshops • Extensively field tested, England & Wales
Refining and communicating December 06/January 07 • Checking for consistency • Early communications Feb/March 07 • Road test/pilot • “Spring” 07 • Consult • Final product • Web-based interactive version
Other UK work which will feed in… • UKVR project to map practitioner registration (Lillian Somervaille leading) • Work on the health intelligence workforce (Katie Enock leading for England DH) • Development of higher specialist training routes in the defined domains • FPH Public Health Practitioner development project
9 More Senior Staff 8 Consultant Practitioners 7 Advanced Practitioners 6 Senior Practitioners 5 Practitioners 4 Assistant Practitioners 3 Senior Assistants/Technicians 2 Support Workers 1 Initial Entry Level Jobs Career Framework (not AfC bands)
Career Framework Public Health ASSISTANT PRACTITIONERS/ ASSOCIATE PRACTITIONERS Health Visitor/HV Assistant, Healthcare Assistant, Qualified Social Worker, Educator of Welfare Officers 4 SENIOR HEALTHCARE ASSISTANTS/TECHNICIANS Health Visitor Assistant, Healthcare Assistant, Resources Officer, Community Chef 3 SUPPORT WORKERS Health Activist, Youth Worker, Health Visitor Assistant, Health Trainers, School Nurse, Community Development Worker, Healthcare Assistants (who work with HVs), Care Assistant, Care Worker, SureStart Support Staff 2 INITIALENTRY LEVEL JOBS Health Activist, Community Food Worker, Healthcare Assistant, Teaching Assistant, Breast Feeding Counsellor, Support Worker, SureStart Support Staff 1
Career Framework Public Health MORE SENIOR STAFFDirector of Public Health (DPH), Consultant in Public Health, Network Director 9 CONSULTANT PRACTITIONERS Consultant in Public Health, Director of Environmental Health Public Health Specialist (vol reg fully accreditied) 8 ADVANCED PRACTITIONERS Public health specialist (doing vol reg but not accredited) Qualified Senior School Nurse, Public Health Dietitian/Nutrition Specialist, Specialist Smoking Advisor, Head of Health Promotion, Health Visitor 7 SENIOR PRACTITIONERS/SPECIALIST PRACTITIONERS Dietitian/Nutrition Specialist, Health Visitor, School Nurse, Health Promotion, Children’s Family Nurse, Health Improvement Manager, Environmental Health Officer, Practice Nurse, Specialist Smoking Advisor 6 PRACTITIONERS Children’s Family Nurse, Health Improvement Manager, Environmental Health Officer, Nutrition Advisor (Health Promotion), Practice Nurse, Mental Health Nurse 5
Qualification Frameworks NQF NQF SCQF SCQF 12 12 9 9 9 Higher Awards / Post 11 11 8 8 Graduate Professionaland 8 Occupational - 7 7 10 10 Awards& Diplomas / Degrees / 7 Qualifications 6 6 Honours 9 9 5 5 6 Foundation Degrees 8 8 4 4 7 7 5 6 6 3 3 4 2 2 Vocational Awards Alevels 5 5 4 4 1 1 Apprenticeships / NVQ / SVQ GCSE 3 Access courses etc 3 3 Entry Entry 2 2 2 1 1 1 Source: Health Informatics NOS Masterclass 2006 (Jenny Wall - September 2004) National education framework for qualifications/career development
Skills Escalation Agenda for change bands roughly correspond to career framework levels
Consultant Director Consultant Practitioner 9 Professional Regulation Consultant Director 8 Advanced Practitioner Consultant Practitioner Senior Specialist Practitioner 7 Head of Health Improvement PhD Qualified Practitioner 6 Associate Practitioner Principal EHO 5 Practice Nurse/ SCPHN Vocational MSc/MPH Senior Assistant 4 Welfare Officer 3 Assistant Vocational degrees 2 Resource Officer 1 Foundation degree in PH Support Workers NVQs health & social Care Public Health Skills Escalation (not AfC banding)
Career framework for health Non-clinical Older People Radiography Medical Care Public Health Board Level Director Consultant Geriatrician Radiologist Physician Director of Public Health 9 General Manager Consultant AHP Consultant Imaging Radiog-rapher Nurse Consultant Public Health Consultant/ Specialist 8 Ambulance Service Area Community Matron, Highly Specialist Nurse Advanced Practitioner Radiography Advanced Practitioner (Medical Care) Principal EHO Public health dietician 7 Systems Analyst Specialist Nurse, Case Manager,DN Team Leader Radiography – Extended Role Dietitian/Nutrition Specialist SCPHN, Health Improvement Manager 6 Payroll Manager Community ,District and Practice Nurse Radiographer Nurse Nurse, Environmental Health Officer 5 Team Leader - Finance Assistant Practitioner Assistant Practitioner Radiography Assistant Practitioner (Nursing) Assistant Practitioner 4 Personal Assistant Senior Healthcare Assistant,Lifestyle Assistant Senior Healthcare Assistant Senior Healthcare Assistant Senior HCA’s, Health Trainers 3 Admissions Clerk Health and Social Care Asst Assistant Technical Officer Health Visitor Assistant, Health and Social Care Assistants, Health Trainers 2 Porter Care Assistant Junior Healthcare Support Worker Domestic Health and Community Activist 1