THE SENATE PATHWAY APPROVAL REPORT (Core and/or Franchised Provision) A confirmed report of the event held on 3 March 2009 to consider the approval of the following pathways: PG Dip High Intensity Psychological Therapies Faculty of Health & Social Care Delivery of Pathways at Anglia Ruskin University, Cambridge, Chelmsford & Peterborough Quality Assurance Division SECTION A – OUTCOME SUMMARY 1. INTRODUCTION 1.1 The purpose of the event was to consider the approval of the PG Dip High Intensity Psychological Therapies. 1.2 The pathway will be located in the Mental Health & Learning Disabilities Programme, Department of Mental Health & Learning Disabilities in the Faculty of Health & Social Care. 2. CONCLUSIONS 2.1 The Panel recommends to the Senate the approval of the following pathway: PG Dip High Intensity Psychological Therapies Approval, once confirmed, will be for an indefinite period, subject to Anglia Ruskin’s continuing quality assurance procedures. Delivery will be full-time study with a minimum/maximum cohort size of 10-30 per intake. 2.2 The Panel recommends to the Senate the approval of 3 new modules for delivery. The full titles of all new modules are provided in section D of this report. 2.3 Conditions Approval is subject to the following conditions which were set by the Panel. A copy of the response must be lodged with the Executive Officer by the date(s) detailed below: 2.3.1 2.4 Details of Condition Deadline Response to be considered by The Proposal Team shall review and resubmit the PSF and MDFs to ensure amendments are made in line with the Technical Report and the discussions held at the Approval Event. 2 April 2009 Chair, Technical Officer & Executive Officer Recommendations The following recommendations for quality enhancement were made by the Panel. A copy of the responses to the recommendations listed below must be lodged with the Executive Officer. The Faculty Board for the Faculty of Health & Social Care will consider the responses at its meeting of 1 June 2009: 2.4.1 Details of Recommendation It is recommended that the Proposal Team provides a more user friendly Student Handbook which includes specific references to: Quality Assurance Division Deadline 27 April 2009 The Proposal Team’s research interests/connections to teaching ; and Details of who students contact in any difficult situations. 2 Confirmed 2.5 Issues Referred to the Senate (or appropriate standing committee) The Panel did not identify any institution-wide issues requiring the attention of the Senate or the appropriate standing committee of the Senate: Quality Assurance Division 3 Confirmed SECTION B – DETAIL OF DISCUSSION AND PANEL CONCLUSIONS 3 RATIONALE 3.1 The Mental Health & Learning Disabilities department at Anglia Ruskin had been commissioned by the East of England Strategic Health Authority to develop and deliver a PG Dip High Intensity Psychological Therapies. The development of the pathway was part of the Department of Health’s national strategy to improve access to psychological therapies for people who have a mental illness. A contract had been agreed with the Strategic Health Authority (SHA) that between 20-30 students would commence on the pathway in April 2009 with further intakes in September 2009 and April 2010. 3.2 It was noted that this proposal would form part of the post-graduate portfolio of the Faculty of Health and Social Care and enhances the psychological therapies profile of the Mental Health and Learning Disabilities Department. 4 CURRICULUM DESIGN, CONTENT AND DELIVERY 4.1 A discussion took place regarding the use of the word ‘competency’ in relation to study at level 4: whether it appropriately reflected, in academic terms, the required level of attainment. The Proposal Team explained that it is a term referred to in the national curriculum and is understood by the industry as highly skilled and knowledgeable but appreciated it might not necessarily appear so to others. With regard to the Learning Outcomes (LOs), the Proposal Team was confident that these reflected the appropriate academic level but in order to re-assure the Panel it was agreed that these would be reviewed accordingly. 4.2 The Proposal Team confirmed that it was appropriate to have the initial module Fundamentals of Cognitive Behavioural Therapy set at level 4, as in addition to core competencies for Cognitive Behavioural Therapy being included on this module, students would also be expected to demonstrate a high level of critical engagement/analysis. 4.3 The entry requirements detailed in box 17 of the PSF were raised and it was agreed that it would be useful to add some examples of what constitutes relevant previous experience and training, as it was not clear that a candidate would need to have both academic and practical experience. In terms of the actual selection process, it was noted that joint interviews involving the Trust and Anglia Ruskin would take place but that Anglia Ruskin would be able to use its academic judgement to decline entry to the pathway any applicant it considered unsuitable. 4.4 The Panel felt that the ethical issues/challenges relating to the subject had not come through sufficiently in the documentation. In particular, the Panel had concerns surrounding the consent and confidentiality aspects associated with using patients. Whilst the Proposal Team sought to provide the Panel with the re-assurance it was looking for, the Panel considered that further information was necessary. Accordingly, the Proposal Team was asked to provide further information detailing such issues which should include the Proposal Team’s stance on the various aspects and how these will be put into practice. [Executive Officer’s Note: Subsequent to the approval event, additional information in relation to ethical issues/challenges was provided by the Proposal Team Leader which was reviewed by the Panel, all of whom who agreed it adequately addressed the concerns raised at the approval event.] 4.5 The need to have ‘pre-requisites’ was raised as the Panel noted that this could have an impact on a student who failed at the first attempt and, as such, would not be allowed to start the next module. It was agreed that it would be more appropriate to use ‘Pathways to which this module is restricted’ in box 5 of the PSF. In addition, this would also protect Quality Assurance Division 4 Confirmed against any of the pathway modules being used as stand-alone, as previous experience and/or engagement in the field of CBT was considered essential in order to undertake these modules. 4.6 The monitoring of the relationship between Anglia Ruskin and the placement provider and contingency strategies were explored. The Proposal Team advised the Panel that the pathway leader would have regular meetings with placement supervisors and students to ensure the process was working smoothly. Also, each Trust has a lead that the pathway leader would work and meet with. In respect of mentors, it was noted that those acting in this capacity would have met certain national standards i.e. be accredited, although not necessarily the mentorship qualification, and that in preparation for their role, would be required to undertake a two-day workshop followed by ongoing support from the pathway leader. The Panel was of the view that the Proposal Team would benefit form having in place a clear and robust statement detailing the relationship between the Trusts and Anglia Ruskin in relation to this pathway which should include protocol for monitoring quality assurance and, where necessary, remediation on any or all aspects of student placement experience and that these should also be appropriately referenced in the Student Handbook. The comment was duly noted by the Proposal Team. [Executive Officer’s Note: Subsequent to the approval event, additional information detailing the roles and responsibilities in relation to clinical supervision in placement for the pathway was provided by the Proposal Team and met with the Panel’s satisfaction.] 4.7 The Panel noted the various teaching and learning methods to be used on the pathway, in particular the strategies for classroom teaching of cognitive behavioural therapy. It was felt that the combination of academia and practice is a good model for employer engagement. 4.8 The Panel asked whether any thought had been given as to how best to gauge the success of the pathway, as the Proposal Team would have the tools available to audit this. It was felt this could make a very interesting project, possibly linking into a research project e.g. evaluating the outcomes. The suggestion was duly noted by the Proposal Team. 5 ASSESSMENT STRATEGY 5.1 The Proposal Team was advised that under Anglia Ruskin’s Academic Regulations all elements of assessments have to be competed with the module. It was therefore not possible for the ‘portfolio’ element of assessment to run over the 3 modules yet only be submitted for formal marking at the end of the pathway. The Panel noted that to become BABCP accredited, student would be required to provide, amongst other things, a portfolio of evidence. Accordingly, the Panel suggested the ‘portfolio’ element on each of the MDFs be changed to a ‘professional learning log’ which would be assessed on a pass/fail basis as part of module and, at the end of the pathway, the 3 professional learning logs could be combined to make up the portfolio, thus meeting the BABCP requirements. It was agreed that the Proposal Team would make the necessary changes. 5.2 A discussion took place regarding the modules Cognitive Behavioural Therapy for Anxiety Disorder and Cognitive Behavioural Therapy for Depression with the Panel seeking clarification as to whether these were discrete modules given that the assessments and LOs appeared almost identical. The Proposal Team was able to demonstrate to the Panel’s satisfaction that the two clinical conditions were very different on a conceptual basis but that in terms of the LOs there would be similarity and, as such, two separate modules were necessary. It was also noted that both MDFs should contain the same detailed description as regards ‘clinical audio tape & portfolio’ in box 9 - Assessment. 5.3 Further discussion took place regarding the modules Cognitive Behavioural Therapy for Anxiety Disorder and Cognitive Behavioural Therapy for Depression in relation to the Quality Assurance Division 5 Confirmed different learning (intellectual, practical, affective & transferable skills) a student would achieve when progressing from one to the other. The Proposal Team confirmed that the clinical skills are quite different, as are the clinical measurements. Also, a student would be made aware of the different types of diagnostic schemes. The Panel noted the response. 5.4 The Panel was keen to know more about the CTS-R assessment grading tool which would be used to assess the practice portfolio. The Proposal Team explained that it is a nationally recognised tool which uses a scale of 0-6, with 6 equalling excellent, and that for this pathway, the proposed minimum standard level would be 3. The Panel questioned whether level 3 of the tool would appropriately reflect academic level 4 attainment and requested further clarification from the Proposal Team. [Executive Officer’s Note: Subsequent to the approval event, the Proposal Team provided sufficient supporting information which confirmed that the criteria to be used for assessment would be framed in such a way that would make them unambiguously consistent with Anglia Ruskin’s level 4 expectations.] 5.5 The Panel was provided with a written rationale from the Proposal Team as to why a higher minimum qualifying mark of 40% should be permitted for all modules on the pathway. The Panel accepted the rationale, which was as follows: The pathway is part of the National Curriculum that requires practitioners to demonstrate high levels of competency and evidence based practice. This is required in order to achieve ‘public protection’ as defined for example in the Nursing & Midwifery Councils Professional Standards; Comparable HEIs have a qualifying mark of 40% for this type of pathway e.g. graduate worker; The contract placed with Anglia Ruskin University by the Strategic Health Authority requires the Department to fully comply with the National curriculum and the expected standards contained therein; The qualifying mark of 40% is the sector standard for courses teaching practical skills in cognitive behavioural therapy. 5.6 The Panel commended the Proposal Team on its use of the Harvard Referencing system throughout the documentation. 6 STAFFING, LEARNING RESOURCES AND STUDENT SUPPORT 6.1 The Proposal Team confirmed that there was sufficient resource in terms of teaching and learning and that it had the support of the Faculty. 7 DOCUMENTATION 7.1 The Panel recommended the Proposal Team provide a more user friendly version of the Student Handbook (Recommendation 2.4.1). 7.2 The Proposal Team was advised that the Technical Report would be distributed with the Outcome Report and would list the technical and other changes required to the PSF and MDFs, in addition those discussed at the event. It was noted that these would need to be submitted electronically to the Technical Officer. (Condition 2.3.1) Quality Assurance Division 6 Confirmed 8 CONFIRMATION OF STANDARDS OF AWARDS 8.1 The Panel confirmed that the proposed PG Dip High Intensity Psychological Therapies pathway satisfied the University’s Academic Regulations with regard to the definitions and academic standards of Anglia Ruskin awards and, hence, the QAA’s Framework for Higher Education Qualifications. DRAFT UNCONFIRMED CONFIRMED FILE REF OFFICE FILE REF Quality Assurance Division 7 6 April 2009 6 April 2009 date report agreed as confirmed Confirmed SECTION C – DETAILS OF PANEL MEMBERSHIP AND PROPOSAL TEAM Internal Panel Members: Chris Curran (Chair) Head of Department, Educational Studies & Director of Studies, Faculty of Education Lorna O’Reilly Head of Department - Acute Care Faculty of Health & Social Care External Panel Members: Dr. Victoria Galbraith Senior Lecturer, Psychology & Health Sciences University of Worcester Andy Peel Senior Lecturer, School of Health University of Northampton Executive Officer: Sara Elliott Faculty Quality Assurance Officer Quality Assurance Division, Academic Office Technical Officer: Alex Toole, Academic Regulations Officer Quality Assurance Division, Academic Office Members of Proposal Team: Steve Wood Head of Department, Mental Health & Learning Disabilities Faculty of Health & Social Care Sue Kerr Deputy Head & Programme Leader, Department of Mental Health & Learning Disabilities Faculty of Health & Social Care Jo Trosh Senior Lecturer in Mental Health Department of Mental Health & Learning Disabilities Faculty of Health & Social Care Lisa Palmer Principal Cognitive Behaviour Therapist Oxford Cognitive Therapy Centre David Westbrook Consultant Clinical Psychologist Director, Oxford Cognitive Therapy Centre Quality Assurance Division 8 Confirmed SECTION D – OUTCOME DATA Programme Department Faculty Collaborative Partner New/amended Awards Approved (nb intended awards Mental Health & Learning Disabilities Mental Health & Learning Disabilities Faculty of Health & Social Care Title(s) of Named Pathway(s) Attendance mode and duration High Intensity Psychological Therapies Full-time only, not intermediate awards) PG Dip Validating body (if not Anglia Ruskin University) Professional body accreditation Proposal Team Leader Month and Year of the first intake Standard intake points Maximum and minimum student numbers Date of first Conferment of Award(s) Any additional/specialised wording to appear on transcript and/or award certificate Date of next scheduled Periodic Review Awards and Titles to be deleted (with month/year of last regular conferment) Steve Woods April 2009 30-10 NEW MODULES APPROVED DO430025S - Fundamentals of Cognitive Behavioural Therapy DO445001S - Cognitive Behavioural Therapy for Anxiety Disorders DO445002S - Cognitive Behavioural Therapy for Depression Quality Assurance Division 9 Confirmed