North West Core Skills Programme
Regional Stakeholder Event
Wednesday 15th January 2014
Core Skills
Stakeholder Event – 15th January 2014
09:00
- Registration
09:30
- Welcome
- New Developments
- Core Skills Working in Practice
- Where’s your Organisation up to?
10:40
- Refreshments
11:00
- Maximising the Existing Systems
- The Potential of Assessment
- Where Next? – Future Priorities
- Questions & Closing Remarks
12:30
- Lunch
Welcome
Professor Ged Byrne
Director of Education and Quality
Health Education North West
Welcome &
Context for today
 HE NW gives full backing and support to the
North West Core Skills Programme and its progress
 Core Skills needs to be seen as generic across the NW
 Fundamental to patient care and reducing risk
 Continuation of Education - ‘Cradle to Grave’
starts with the Core Skills
 Follow you through your lifetime in the NHS
Student – Post Grad – Wider Workforce – CPD
 We can’t wait – Needs to Happen NOW!
Congratulations
 The programme has already received the recognition
of winning the HSJ Efficiency Award
 Now it has been made a finalist for the national
Lean Healthcare Awards 2014 for
Improving Services through Training & Development
 Winner to be announced 6th February 2014
New Developments
Seán Bradbury
NW Core Skills Programme Manager
NW Integrated Workforce Unit
Nick Stafford
Skills for Health &
NW Core Skills Programme
New Developments
 Education Materials
 PARE
 Information Sharing Protocol Agreement
 Core Skills Register v1.2
 National Progress
Core Skills
Education Materials
 Version 2.0 aligned to the UK Core Skills Framework
 Developed with:
SMEs in the NW
Liverpool John Moores University
Moseley Multimedia
 Materials Available:
Powerpoint Presentation
Trainer / Facilitator Notes
Reader / Workbook
Assessment
eLearning
Core Skills
Education Materials
 Enhancements:
Information Governance added
Increased Question Bank
Randomised Questions
Reader / workbook included
Outcomes linked to content
Compatible with Mobile Devices
Core Skills
Education Materials
Available On:
 Equality, Diversity & Human Rights
NLMS
HE COOP
 Fire Safety
NLMS
HE COOP
 Health, Safety & Welfare
NLMS
HE COOP
 Moving & Handling
NLMS
HE COOP
 Infection Prevention & Control
NLMS
HE COOP
 Information Governance
NLMS
HE COOP
 Safeguarding Adults
NLMS
HE COOP
 Safeguarding Children
NLMS
HE COOP
 Conflict Resolution
24 / 01 / 2014
 Resuscitation (Adult & Child)
31 / 01 / 2014
CSR & PARE Project
PARE = Practice Assessment
Record & Evaluation
HE COOP
LMS
Training Data
HEI / FE
College
Core Skills
Register
PARE
Project
Placement Data
NHS
Trust
ISPA Update
 Reviewed in October / November 2013
 Feedback / queries from a number of organisations
 C&M Information Governance Forum consulted
 Updated version finalised in December 2013 and to be
released in January 2014
 Additions include:
Breach & Escalation Process
Privacy Impact Assessment
Appendices Updated
Partner Organisations Added
 Your organisation needs to sign the ISPA
before you can access the Core Skills Register
Core Skills
Register v1.2
 v1.1
 Platform upgrade
 Access Control enhancements
 Penetration Testing (PIA)
 v1.2
 Priority enhancements following pilot
 Roadmap for further enhancements and scalability = v2.0
Sector
Skills Councils
England
Scotland
Northern Ireland
Wales
Health
NHS
Acute
Foundation
Mental Health
Provider
Specialist
Etc
Independent
Contractors
Related
Voluntary
Dental Practices
HEI & FEI Health
Programmes
Hospices
General Practices
MOD Health
Macmillan
Optometrists
Prison Health
Marie Curie
Pharmacies
Social Care
(Health)
Etc
Etc
Etc
UK Core Skills Training Framework
Independent
Providers
Bupa
Care UK
Spire
Outsourced
services
Etc
CSTF
Registrations
North
West
26
8
If not done already, need to ensure your organisation has
registered for the UK Core Skills Training Framework
CSTF
Declarations
North
West*
35
* The NWCSP has submitted all Core Skills Alignment Declarations
it has received to Skills for Health this month
If not done already, need to ensure your organisation
has submitted its Declaration to the NWCSP
Core Skills in Practice
Tim Grocott
Junior Doctor Project Manager
NW Core Skills Programme
Mark Burke
Future Workforce Project Manager
NW Core Skills Programme
Core Skills
Working in Practice
 Junior Doctor Mandatory Training Passport Project
• Work stream Update
• Case Study
• Examples
 Future Workforce Project
• Work stream update
• Case Study
• Examples
Junior Doctor Mandatory
Training Passport Project
 North Western Deanery
• Aligned to NW Framework – UK Mapping Completed
• Core Skills Register data alignment – Completed
 Mersey Deanery
• Aligned to NW Framework – UK Mapping Completed
• Core Skills Register data alignment – Completed
Mersey Deanery
 Existing Passport model in operation (WIT System)
 Integrated with programme work
 Next steps: • Pilot the maintenance of placement information & learner
records on the Core Skills Register
• Launch the Shared Training Service hosted by StHK: aiming
to assess the benefits of a shared service model
Mersey Deanery
CORE SKILLS REGISTER
Learning
Records
Personal Details
Organisational
Links
North Western Deanery
 Central E-Learning Platform (E-Induction – Foundation Only)
• Integrated into specialty Inductions - August 2013 pilot
• Integrated into specialty Inductions - February 2014
 Next steps: -
• Final process/procedural refinements
• To embed as Business As Usual this year
North West Footprint
NORTH WEST
CORE SKILLS REGISTER
Learning
Records
Personal Details
Organisational
Links
Case Studies
• Central Manchester University Hospitals
• University Hospital South Manchester
Central Manchester
University Hospitals
 400 Junior Doctor Placements
 One Central E-Learning System
 An organisation with Multiple sites
 Taken part in 2 pilot phases
 Historically achieved 80% + JD compliance
Central Manchester
University Hospitals
Project Implementation:  E-Learning duplication exercise undertaken
 Induction timetable & subject matter expert consultation
 New processes in place monitoring compliance
 Junior Doctor survey strongly supportive of this approach
 Efficiency:
2 hours 40 minutes per Junior Doctor
 49% JDs CSF Compliant BEFORE rotation
UHSM
 235 Junior Doctor Placements
 Face to face & E-Learning induction combined
 Taken part 2 pilot phases
 Historically achieved 65% JD Compliance
UHSM
 Organisation specific information available (duplication
review)
 Induction timetable & subject matter expert consultation
 New processes in place monitoring compliance
 Efficiency: 3 hours 30 minutes per Junior Doctor
 57% JDs CSF Compliant BEFORE rotation
Case Study Summary
• Evidence the proposed Passport model is feasible
• Junior Doctor
• Administrative/Management perspective
• Forecast: 85%
• 12’411 learning records (1’773 JDs)
Case Study Summary
Success
• Core Skills Register crucial (accuracy/timings)
• Enhancements
• Evolve
• Lead Employer has a vital role to play
Trust
August Compliance
February Compliance
FIVE BOROUGHS
92%
TBC – Est Aug – 85%
BLACKPOOL
NA
33%
BOLTON
86%
61%
CENTRAL MANCHESTER
60%
49%
EAST LANCASHIRE
87%
66%
LANCASHIRE TEACHING
HOSPITALS
NA
53%
PENNINE ACUTE
NA
29%
SALFORD ROYAL
NA
38%
STOCKPORT
38%
33%
TAMESIDE
71%
41%
THE CHRISTIE
30%
34%
SOUTH MANCHESTER
78%
57%
MORECAMBE BAY
90%
72%
WRIGHTINGTON
62%
41%
Case Study Summary
“Having moved 3 times in one year and having to complete
3 lots of training is not an efficient use of my skills or time”
“Please don't keep repeating induction at every rotation,
it creates a workload on the staff grades at the
new hospital and delayed patient care”
“Please strip this down to the bare minimum so we can
spend induction actually doing useful things
that will have a direct influence on our daily clinical work”
“Good idea, not quite working yet”
Future Workforce
HEI Current Position
 HEIs (10 in the NW, delivering 77 Programmes)
 All 10 have at least 1 programme Core Skills aligned
67 % programmes aligned (52 out of 77)
 7 HEIs submitted Core Skills Alignment Declaration
40 % programmes aligned Declared (31 out of 77)
 3 HEIs Aligned and Declared for all their programmes
 Data Validation with 4 HEIs
 Data transferable between HEI Systems & CSR
Future Workforce
HEI Next Steps
 Complete validation of data with HEIs
 Upload data onto Core Skills Register
 2000+ students to be on CSR by end of January
 Training Data already being uploaded
 Need to capture Placement Data
 Data Validation – working with 4 HEIs
 Continue work with trusts
on preparation for placement intakes
FE Student Journey
NW
Skills
Academy
Academic
Training
FE
College
Vocational
Training
Core Skills
Register
NHS /
Non NHS
Future Workforce
FE Current Position
 17 FE Colleges (Cadets and other Health related learning)
 65 % of Colleges Core Skills aligned
(11 out of 17)
 41 % of Colleges submitted Core Skills Declaration
(7 out of 17)
 17 Colleges are working towards alignment
 9 Colleges using the HE COOP platform
 HE Coop hosts the latest Core Skills education materials
 Acknowledged that colleges will deliver Core Skills
to their wider health care students
Future Workforce
FE Next Steps
 50% of FE Colleges will have students undertaking
Core Skill training via the HE COOP by end January
 Confirm UK alignment with none HE COOP users
 Validate FE data before upload to CSR
Future Workforce
What’s happening NOW
 University of Salford:
 Are using the HE COOP platform
 700 students have completed Core Skills training
 Across 11 Healthcare Programmes
 Students on placement with 34 providers
Salford Student Placement Providers
Future Workforce
What’s happening NOW
 Greater Manchester West Mental Health NHS FT:
 Receive 200+ students on placement from Salford
 Students on placement NOW
 Aware of Core Skills training received by students
 Modified Induction to accommodate students
 Agreed protocol with Salford to manage by exception
 CSR to be introduced
to streamline and automate process
Where’s your Organisation up to?
Seán Bradbury
NW Core Skills Programme Manager
NW Integrated Workforce Unit
Where’s your
Organisation up to?
 Progress against Implementation Model
 Dashboards
 Alignment Declaration
 ISPA
 Acceptance of External Training
Progress against
Implementation Model
Phases
Step 1
Step 2
Step 3
Step 4
Step 5
Phase 1
Engagement
Exec
Support
Core Skills
Lead
Project
Meeting
Assess
Readiness
Action Plan
Phase 2
Alignment
Engage SMEs Complete
Content
Mapping Tool
Ensure
Content
is Aligned
Sign off By
Organisation
Submit
Evidence
to NWCSP
Phase 3
Share Data
Sign Info
Sharing
Protocol
Data
Reporting
In Place
Process for
Sharing Core
Skills
Skills Register Go Live with
Admin/
Core Skills
Training
Register
Phase 4
Recognition
Agree to
Accept
Training
Introduce
Check for
Compliance
Introduce
Flexible
Training
Sign off by
Organisation
Submit
Evidence
to NWCSP
Phase 5
Realisation
Embed
Measure
Audit
Business As
Usual
Continuous
Improvement
Progress against
Implementation Model
Phases
Step 1
Step 2
Step 3
Step 4
Step 5
Phase 1
Engagement
97 %
97 %
97 %
97 %
97 %
Phase 2
Alignment
97 %
87 %
62 %
54 %
54 %
Phase 3
Share Data
63 %
43 %
40 %
15 %
15 %
Phase 4
Recognition
71 %
14 %
14 %
15 %
15 %
Phase 5
Realisation
0%
0%
0%
0%
0%
Dashboards
 NHS Organisations
 HEIs
 FE Colleges
Core Skills
Alignment Declaration
 21 NHS Trusts (54%) have submitted Declarations
(291 out of 387 subjects aligned – 75%)
 7 HEIs (70%) have submitted Declarations
(31 out of 77 programmes aligned – 40%)
 7 FE Colleges (41%) have submitted Declarations
 35 Organisations in NW have submitted Declarations
More than any other region
ISPA &
Recognition of Training
 25 NHS Trusts (63%) have signed the ISPA
 6 HEIs (60%) have signed the ISPA
 4 FE Colleges (24%) have signed the ISPA
 28 NHS Trusts (71%) have agreed to recognise training
 No data for HEIs or FE Colleges
Key Metrics
Current
Position
Target –Mar 2014
97%
100%
Number of NHS organisations in the NW
CSF Aligned
54%
75%
Number of Healthcare Programmes in the
NW working towards Alignment
100%
100%
Number of Healthcare Programmes in the
NW Aligned
40%
(68%)
75%
Number of organisations committed to
recognise external Core Skills aligned
training
71%
50%
Estimated level of duplication avoided
TBC
50%
Level of engagement of organisations in
the NW in supporting developments
TBC
75%
Key Activity
Numbers
of NHS Organisations in the NW
Key
Activity
working towards Alignment
Break & Networking
Core Skills
Stakeholder Event – 15th January 2014
09:00
- Registration
09:30
- Welcome
- New Developments
- Core Skills Working in Practice
- Where’s your Organisation up to?
10:40
- Refreshments
11:00
- Maximising the Existing Systems
- The Potential of Assessment
- Where Next? – Future Priorities
- Questions & Closing Remarks
12:30
- Lunch
Maximising the Existing Systems
Lee Holmes
Chair of the NW OLM SIG
Lancashire Care NHS Foundation Trust
Nick Stafford
Skills for Health &
NW Core Skills Programme
Implementation Model
Readiness
Realisation
Implementation
Recognition
Share Data
Alignment
Engagement
Phase 3 – Share Data
Enabling Core Skills Training Data
to be Shared with other Organisations
Step 5:
Go Live
Step 1:
Sign Info
Sharing
Protocol
Step 2:
Data
Reporting
In Place
Step 3:
Process
for
Sharing
Core
Skills
Step 4:
Skills
Passport
Admin &
Training
Sector
Skills Councils
England
Scotland
Northern Ireland
Wales
Health
Care &
Development
Leisure
NHS
Etc
Acute
Foundation
Mental Health
Provider
Specialist
Etc
Independent
Contractors
Related
Voluntary
Dental Practices
HEI & FEI Health
Programmes
Hospices
General Practices
MOD Health
Macmillan
Optometrists
Prison Health
Marie Curie
Pharmacies
Social Care
(Health)
Etc
Etc
Etc
UK Core Skills Training Framework
Independent
Providers
Bupa
Care UK
Spire
Outsourced
services
Etc
Sector
Skills Councils
England
Scotland
Northern Ireland
Wales
Health
Care &
Development
Leisure
NHS
Etc
Independent
Contractors
Related
Voluntary
Independent
Providers
HEI & FEI Health
Programmes
Acute
Bupa
Use
existing
Management
Systems
DentalLearning
Practices
Hospices
Foundation
Care UK
MOD Health
General Practices
Macmillan
withHealth
CSTF Optometrists
minimum data
set
Mental
Spire
Prison Health
Marie Curie
Provider
Specialist
LMS
HR
HR
Etc
Pharmacies
LMS
HR
Etc
HR
Social Care
LMS
(Health)
HR
HR
Etc
Etc
LMS
HR
HR
UK Core Skills Training Framework
Outsourced
services
LMS
HR
HR
Etc
Sector
Skills Councils
England
Scotland
Northern Ireland
Wales
Health
Care &
Development
Leisure
NHS
Etc
Independent
Contractors
Related
Voluntary
Independent
Providers
HEI & FEI Health
Programmes
Acute
Bupa
Use
existing
Management
Systems
DentalLearning
Practices
Hospices
Foundation
Care UK
MOD Health
General Practices
Macmillan
withHealth
CSTF Optometrists
minimum data
set
Mental
Spire
Prison Health
Marie Curie
Provider
Specialist
LMS
HR
HR
Etc
Pharmacies
LMS
HR
Etc
HR
Social Care
LMS
(Health)
HR
HR
Etc
Etc
LMS
HR
HR
UK Core Skills Training Framework
Outsourced
services
LMS
HR
HR
Etc
Phase 3 – Share Data
Enabling Core Skills Training Data
to be Shared with other Organisations
Step 5:
Go Live
Step 1:
Sign Info
Sharing
Protocol
Step 2:
Data
Reporting
In Place
Step 3:
Process
for
Sharing
Core
Skills
Step 4:
Skills
Passport
Admin &
Training
Sector
Skills Councils
England
Scotland
Northern Ireland
Wales
Health
Care &
Development
Leisure
NHS
Etc
Acute
Foundation
Mental Health
Provider
Specialist
LMS
HR
HR
Etc
Independent
Contractors
Related
Voluntary
Dental Practices
HEI & FEI Health
Programmes
Hospices
General Practices
MOD Health
Macmillan
Optometrists
Prison Health
Marie Curie
Pharmacies
Social Care
LMS
(Health)
HR
Etc
LMS
HR
Etc
HR
HR
Etc
Core Skills Register
LMS
HR
HR
Independent
Providers
Bupa
Care UK
Spire
Outsourced
services
LMS
HR
HR
Etc
Core Skills
Codes & Naming Conventions
FS 01 01 A 2 = Fire Safety
• Course Name
• Level
• Version Number
• Assessed (A) / Non-Assessed (N)
• Refresher period (in years)
Subject
Course
Level
Version
Assessed
Refresher
Example
Fire Safety
FS
01
02
A/N
2
FS0102N2
Moving & Handling
MH
01 / 02
02
A/N
3 (Level 1)
1 (Level 2)
MH0202A1
Conflict Resolution
CR
01
02
A/N
3
CR0102A3
Equality, Diversity &
Human Rights
ED
01
02
A/N
3
ED0102A3
Resuscitation
RE
01
02
A/N
0
RE0102N0
Resuscitation Adult
RA
02 / 03
02
A/N
1
RA0202A1
Resuscitation Paed
RP
02 / 03
02
A/N
1
RP0302A1
Resuscitation
Newborn
RN
02 / 03
02
A/N
1
RN0202A1
Health, Safety &
Welfare
HS
01
02
A/N
3
HS0102A3
Infection Prevention
and Control
IP
01 / 02
02
A/N
3 (Level 1)
1 (Level 2)
IP0102A3
Safeguarding
Children
SC
01 / 02 /
03
02
A/N
3
SC0202A3
Safeguarding
Adults
SA
01
02
A/N
3
SA0102A3
Information
Governance
IG
01
02
A/N
1
IG0102A2
Core Skills
National Competences
 Allows Core Skills to move and be accredited
within ESR and the IAT process
 Supports movement of the wider workforce
and between NHS organisations
 Developed by National ESR Team
and available NOW
 Use of competences audited by Skills for Health
 Need to follow a set process before can use
Process for
National Competences
1.
Complete
Core Skills
Mapping
2.
Submit to NWCSP
Core Skills
Declaration
3.
Recorded on
Skills for Health
Organisation List
4.
Confirmation
from NWCSP on
which competences
you can use
www.skillsforhealth.org.uk
eLearning
and OLM
 All the new Version 2.0 Core Skills Education Materials
to be available on the NLMS
 The materials are UK aligned, therefore you can attach
the national competencies to them
(once declaration submitted)
 eLearning support to be maintained
with the existing arrangements
CSR and
ESR Shared Training Centre
 STHK as Lead Employer set up Shared Training Centre
for Mersey Deanery Junior Doctors with own VPD
 11 out of 21 organisations part of the Shared Training Centre
 STHK trialling combined use of Shared Training Centre
and Core Skills Register for Junior Doctors
 Collective Benefits:
 Shared Training Centre allows training to be recorded in
one central place for all rotation organisations
 Core Skills Register allows rotation organisations to
see completed Core Skills training earlier
Going Forward
 Encourage Organisations using ESR & OLM
to use the Core Skills National Competences
 declare
 Continue to work with the NWCSP
 Next OLM SIG is on the 28th January 2014
 Contact Details
Lee Holmes
Learning Systems Manager
e-mail: Lee.Holmes@lancashirecare.nhs.uk
Tel: 07432 610001
The Potential of Assessment
Assessment – anticipate a increasing focus
and expectation
‘It is possible for staff to be “trained”
and for the training to have no
effect’
(Skills for Health Unpublished)
Expectations: General movement
focusing on outcome and impact
Accountability: Organisational
Assurance and Personal
achievement
Recognition: Enable recognition
and accreditation
Promote Improvement: Teaching
and Learning and practice
Characteristics of Assessment
• Linked to assessable educational aims and outcomes
• Transparent
• Focus on impact and improvement
• Comprehensive and multifaceted
• Motivational
• Promote reflection and further learning
• Generates meaningful data which is Reliable and Valid
Assessment Dimensions
What are we seeking to
Assess
When to Assess
• Prior/Programme Entry
• Knowledge
• Skills
• Values and Attitude
• Behaviours
• Key transition points
during learning process
• Programme completion /
Exit
• Follow Up
E-assessment Project
Seeking to deliver
• Assessment framework for UK Core Skills Framework
• Start of a question bank of Multiple Choice Questions related
to each of the Core Skills Framework
• Standardised Paper based assessment for local use and
adaptation
• An e-assessment version
• Template for scenario based assessment
Workshop 1
Workshop Task:
The greater use of Pre assessment for Core Skills knowledge and
understanding would help promote learner motivation and reduce
unnecessary duplication.
Workshop Question
What common processes/arrangements do we need to put in place
to support confidence and effective use of pre-assessment?
Think about, What, Why and How
Time: 25mins
Where Next - What are the Future Priorities
Thinking about Priorities
Subjects
Which, Why
& What is
already
available
System and Processes
Groups
Who next
and When
What is required
for further
efficiency &
confidence
Workshop 2
Workshop: 3 Tasks Time: 30minutes
1). Review the proposed subjects:
• What is the level of agreement for their priority and wider
relevance. Identify any related local developments that could be
used as a ‘starter for 10’.
2). Who Next?
• Which staff group(s) should be next priority for rollout of CSF
and why?
3). System and Processes:
• Are there any additional system/processes needed to support
delivery and achieve benefits? If so identify one and write a brief
description of the requirement.
Proposed Subjects that might be included in a
Clinical Skills Framework
Standards
•
Clinical Governance
• Clinical Health records keeping
Venesection
• IV Cannulation/Venepuncture
•
Aspects of Blood Sampling and
Transfusion Process and Safety
Drugs
• Medicines management
Clinical Risk/Assessment
•
•
•
•
Acting in Medical Emergencies/Care of the
deteoriating patient
Use of Early Warning Scores
Respiratory Care (Airway Management and
interventions)
Venous Thrombo-embolism/
Wound Management
•
•
•
Aseptic Non touch
technique
Basic Wound
Management
Pressure ulcer care
Communication
•
Mental Capacity
•
Consent
•
Dementia Care
•
Breaking bad news
•
Care of the Dying
Questions
& Closing Remarks
Lunch & Networking