Welcome
Val Shannon
NW Core Skills Project Manager
Future workforce & Lancashire Cumbria Region
NW Core Skills Programme
Core Skills Leads Action Meeting
June 2013
Agenda:
09:30
- Welcome
- Purpose for sub region group
- Implementing the Core Skills Phases
- Review of the Content Mapping
- Share Data
- SNAP Project
12:30
- Lunch
Purpose for Sub Region Group
Val Shannon
NW Core Skills Project Manager
Future workforce & Lancashire Cumbria Region
Purpose for
Sub Region Group
 Opportunity for Core Skills Leads to meet
 Share best practice
 Work collaboratively
 Make the Core Skills work locally
 More hands on, practical sessions
 Alternates with Regional Events
A Core Skills
Organisation looks like…
 Their training is Core Skills aligned
 They share Core Skills data with partner organisations
 They recognise Core Skills training delivered externally
 They don’t repeat needless training
 Their training delivery is flexible and efficient
 Their training has a recognisable quality and standard
Responsibilities of a
Core Skills Lead

Point of contact between the organisation and the NWCSP Team.

Links with internal stakeholders, ie Executive Sponsor, SMEs, IG.

Authority/Influence to work across L&D, Med Ed and Pract Ed.

Maintain the organisation’s Core Skills Programme Action Plan.

Plan, coordinate and collect requested Core Skills information.

Share intelligence with the NWCSP team on wider developments.

Escalate the need for additional support if not progressing
within time frames.
Discussion 1
 What do you see the sub region groups achieving?
 What is the 1 Core Skills Lead responsibility you feel
you will need support for?
 What is the 1 area relating to the Core Skills that your
organisation can support others?
 What is the 1 area relating to the Core Skills that your
organisation needs further assistance?
Implementing the Core Skills Phases
Seán Bradbury
NW Core Skills Programme Manager
North West Workforce Delivery Unit
Core Skills Phases
C&M Dashboard
 See handout
Phased Approach
Readiness
Implementation
Recognition
Share Data
Alignment
Engagement
Realisation
Organisation Dashboard:
Lancashire Care NHS FT
Phase 1 - Engagement
Phase 2 - Alignment
5
Phase 3 - Share Data
5
4
5
4
4
3
3
2
3
2
2
1
1
1
Phase 4 - Recognition
Phase 5 - Realisation
5
5
4
4
3
3
2
1
2
1
Discussion 3
 Is the Phase Document and Action Plan useful?
 What are the gaps in the phases and steps
between what you have put and what we have?
 What is the 1 step you feel will be the most
difficult to achieve?
Review of the Content Mapping
Seán Bradbury
NW Core Skills Programme Manager
North West Workforce Delivery Unit
The reasons for the tool
 Momentum behind Core Skills and resources developed
have allowed proactive organisations to run with it
 Need a level of assurance and central view point
for wider system benefits:
- Reduced Duplication
- Greater portability
- Collaboration between organisations
- ‘Preferred Supplier List’ of delivery options
 Opportunity to align with the National Framework
NW & UK Alignment % by NHS Trust - Cheshire & Merseyside
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Completed Mapping Tool Results - UK Alignment % by Course (Level 1)
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Fire Safety
Moving &
Conflict
Equality, Resuscitation Health &
Infection Safeguarding Safeguarding Information
(L1)
Handling (L1) Resolution Diversity &
(L1)
Safety (L1) Prevention & Children (L1) Vulnerable Governance
(L1)
Human Rights
Control (L1)
Adults (L1)
(L1)
(L1)
% Trusts Partially Aligned
% Trusts Fully Aligned
Discussion 2
 How do we achieve full alignment to the UK
Framework?
 How long will it take your organisation to achieve full
alignment?
And is there anything we can do to speed this up?
 What is the 1 area relating to the Core Skills that your
organisation can support others?
 What is the best way to address the common gaps?
Break
Share Data
Tim Grocott
Junior Doctors Project Manager
Core Skills Register
• What is it?
• Online application capable of storing core skill learning
records. Basic Functionality
• Who is it for?
• Junior Doctors & Students
• Who has developed it?
• Skills for Health
• When is it available?
• Currently
Phase 3: Core Skills Register
Step 3.1: Information Sharing
• Information Sharing Protocol Agreement
• Signature (page 7)
• Information governance related implications paper
• Supporting brief
• Privacy Notice
Papers are available on the NWCSP website or from FW Project
Manager
Phase 3: Core Skills Register
Step 3.2: Data Reporting (ensuring your data is transferable)
•
Minimum data set requirements
• Existing system comparison
• Amendments
• Ensure data completeness (data quality check)
• Test procedure
Minimum Dataset: Students
CSR Complete Data Set
CSR Minimum Data Set: Doctor In Training
Training Data
Personal Information
Title
First Names
First Names
Last Name
Last Name
email
email
Learner Type
Learner Type
Date of Birth
Telephone
Job Role
Professional Body
Registration number
Level
Organisation Name
Organisation Code
employee/student id number
Skill Code
Course Name
Date Completed
Training Provider
Method of delivery
Assessment Status
Score
Organisation Name
Organisation Code
employee/student id number
Skill Code
Course Name
Date Completed
Training Provider
Method of delivery
SNAP
Kieran Kelly
SNAP Services Project Manager
SN@P Numeracy Assessment
and Education
Assuring the NHS and practice
partners of the numerical competence
of the current and future nursing
workforce through the use of a
Standardised Numerical Assessment
Process
National HSJ Patient Safety Awards 2013
Background / Drivers
• Nursing and Midwifery Council (NMC) concerns
• Medication errors and incidents throughout UK
• Increasing service provider organisation assessment of
new and experienced staff entering their employment
– Wasteful and possibly invalid assessments
– Significant numbers of staff fail assessments
• Several HEI and provider organisations turned to costly
independent provider solutions
• Primary target group were HEI’s however interest grew
from NHS organisations
Project Proposal
To form a region wide, cross sector collaboration
of key organisations to plan, design and produce
a Standardised Numeracy Assessment Process
(SNAP).
Including:
–Colleges of FE
–Higher Education Institutes
–NHS Service providers
Initial Support and Links
•
•
•
•
Council of Deans of Health (Northwest)
NHS Northwest Strategic Health Authority
Skills for Health
Wirral Health Informatics Service(WHIS)
Ultimate Outcome: SN@P
Outcomes/Benefits:
– Free resource open to customer
Organisations for independent learning and
formal assessment
– Designed as an engaging interactive, virtual
world learning experience
– Valid and trusted as an assessment process
to prepare for and confirm numerical
competence across sectors
– Standardised in level and approach
30
Enabling Ordinary Practice
SNAP provides NHS Staff with an online freely accessible numeracy
tool to allow them to administer safe practice to patients through:
•Accessing the practice assessments to improve Confidence and
Competence when dealing with drug calculations and administration
•Independently monitoring their progress to ensure they are working
with sufficient numeracy skills
•Assessing their clinical knowledge as well as assuring numerical
ability
•Taking formal assessments assigned by Ward Manager’s to ensure
they are competent with core numeracy skills and clinical
administration
SNAP within the NHS
Errors in medication delivery due to prescribing or
administering the wrong dose remain a common cause of
patient safety incidents. The use of an online standardised
numeracy assessment tool has allowed NHS Organisations
across England to utilise the resource as:
•Part of assuring numerical competency throughout IV Drug
Administration study days for new and existing staff
•Part of the recruitment and selection process for newly
qualified staff
•An independent learning and assurance tool for existing
Allied Health Professional staff
•A resource to support continuing professional development
(CPD) through providing a learning forum to prepare for
course and job interviews
Current Collaboration
Collaboration Recruitment
129 organisations throughout England registered
including, Service Providers, HEI’s, Colleges of FE
Average Monthly Usage:
Peak Season: 3500 – 4000 between Nov-Apr / Aug - Oct
Low Season: 1000 – 2000 between May – July
Flying Start for England preceptorship project link
SN@P in the UK
User Reviews
What value is SNAP having within your Organisation?
•‘It is adding quality to the numeracy assessments’ (Wirral
University Teaching Hospitals)
•‘Standardisation for numeracy assessment. Results are
linked with ESR so remain on staff members employment
record within the UK.’ (Kent Community Health)
•‘It is of great value’ (Stockport NHS Foundation Trust)
What impact has SNAP had on your staff?
•‘Provides registered practitioners with the opportunity to
revise drug calculations.’ (St Helens and Knowsley NHS
Trust)
•‘A very positive one as many staff fear formal assessments.
The SNAP tool
The SNAP tool –
Registration.........
Registration – Data security
ADMINISTRATOR
Registering as a Snap Administrator allows you to:
•Approve registration requests from colleagues/students within your
organisation
•Manage SNAP Accounts within your organisation
•Create / View assessments
•Assign formal assessments to other users i.e. Students or Staff
•Generate reports to display results of assessments taken
•Add Cohorts / Directorates and Departments to the site
Logging on……
Administrators Homepage
User Homepage
General Numeracy Level 2
A patient weighs
10½ st. Given that
14 lbs equals one
stone, and one lb is
approximately equal
to 450g convert the
patients weight to
kilograms.
The scale of the
drawing of your
new office is
1cm:2m. If the
length of the
office on the
scale drawing is
3.5cm, what is
the actual length
of your new
office in metres?
Clinical Numeracy Level 1
A palliative care patient is
prescribed 50 mg of morphine
to be infused over a 24 hour
period. The morphine
ampoules are available in
10mg/mL. Sodium Chloride
0.9% should be added as the
dilutent. How many ampoules
of morphine are required?
Clinical Numeracy Level 2
A patient with pneumonia is
prescribed meropenem
1gram three times/day. The
prepared volume is 100mL
sodium chloride 0.9%. If it
should be infused over 1530 minutes, what is the
minimum and maximum
rates of infusion in mL/hour?
Syringe Question
A 76 year old male patient
was admitted with a heart
attack is prescribed Morphine
5mg intravenously for the
pain. Ampoules of Morphine
contain 10mg in 1mL. How
much morphine needs
drawing up to give this dose?
Reviewing a Staff / Student’s
Assessment
SNAP Learning Resources
•S4H Literacy and Numeracy
Tool
•Maths for Medicine
•Moving on Website
•BBC Bitesize and Mathswise
sites
•British National Formulary
(BNF)
•Children's BNF
Service Development
•
•
•
•
•
On-going evaluation and promotion
Provide SNAP training workshops
Keen to share and discuss developments
SNAP Education
Collaborative work with the Core Skills
Framework to improve safe medicines
management through further training
SN@P Assessment and
Education……
Enabling Ordinary Practice
Further Queries

The Programme Team are available to support
and provide assistance

Contact Seán Bradbury, the Programme Manager:
sean.bradbury@nhs.net

Contact Val Shannon, Future Workforce Project Manager & Lancashire &
Cumbria Regional Manager
Valerie.shannon@lancashirecare.nhs.uk

Contact Zafi Bisti, the Programme Office Manager:
coreskills.programme@nhs.net

The Core Skills resources and tools
are available freely on the CM tPCT website:
www.cmtpct.nhs.uk/core-skills