NES Physiotherapy Education Advisory Sub Group as at Sept 2013 Summary Table of Key Education-related Issues for the Physiotherapy Workforce Level 8 on the Career Framework for Health 8.1. Senior AHPs require on-going access to Leadership skills with a regularly running or recognised leadership course. One-off and inconsistent provision makes access to developing leadership skills challenging. ...... 2 8.2. Access to appropriate CPD courses for consultant roles is an issue. .......................................................... 2 8.3. Encourage 5pt credit leadership courses. .................................................................................................... 2 8.4. Agreed minimal level of education for consultants and advanced practitioners. .......................................... 2 Level 7 7.1. (more senior/ specialist courses at SCQF level 11). Practitioners require a uniform approach to delivering specialist training in clinical areas. Currently sporadic provision especially for static staff. Standardised educational packages would be useful e.g.: ................................................................................................ 3 o X-ray training (ordering) ............................................................................................................................ 3 o Supplementary prescribing ....................................................................................................................... 3 o Injection therapy........................................................................................................................................ 3 7.2. Discrepancy regarding Supplementary prescribing educational need & provision. There is an opportunity to use Learnpro .................................................................................................................................................................. 3 Level 6 6.1. Level 6/7 (senior/specialist) practitioners require a uniform approach to delivering/ access specialist training in clinical areas e.g.: .................................................................................................................................... 4 o Leadership ................................................................................................................................................ 4 o Maintaining specialist skills. ...................................................................................................................... 4 o Specialist clinical knowledge & skills in current best practice accessible to all ......................................... 4 Level 5 5.1. Scottish Government policy requires a shift in staff levels from Acute to Community. Therefore, NES should support the capacity for student placement provision in Community settings. ............................................. 4 Clarification of roles..................................................................................................................................... 4 5.2. Health Improvement is a growing requirement for AHPs in relation to the Quality strategy. NES should assist in identifying methods through which staff and student knowledge can be increased within budget and staff capacity, the identification of core health promotion skills should be identified and ensured that all roles across the Career Framework have these. ......................................................................................... 4 5.3. Staff are requiring to know about Functional Capacity Evaluation. Identifying core outcome measures and the skills to undertake the evaluations should be undertaken. This will assist in addressing employability and return to work issues. ............................................................................................................................ 5 5.4. NES should address the issue that the new Protection for Vulnerable Groups Scheme (PVG) means that AHP students will need to pay for their own disclosure whereas nursing students will not. There needs to be a consistent NMAHP approach ............................................................................................................... 5 5.5. There is the need for a mechanism to identify core educational needs in key areas of physiotherapy across Scotland and then identify aspects of transferability, validation and identifying who agrees content and evaluation etc. .............................................................................................................................................. 5 5.6. Students are concerned about staff having less access to ACE training to enhance the quality of the student placement experience. .................................................................................................................... 5 Level 4 4.1. NES should explore the use of support worker roles to assist in the education of pre-registration students as the future skill mix is changing and capacity will reduce for placement provision.................................... 5 Level 3 3.1. A key priority for NHS Scotland is to support Boards in writing support worker competencies and how to assess these. At present Boards are investing a large amount of effort into developing their own competencies with no consistent approach. ................................................................................................ 6 3.2. There is a need to translate national support worker guidance about their roles into job descriptions and practice. Ideally, a central group/ network for supporting a consistent approach to competency development is needed. A central portal or network to facilitate sharing between and within Boards would be useful. The professions should be supported to develop core competencies for key clinical areas. .............................. 6 3.3. Centrally developed and locally used competencies will help the transferability of learning across Boards and services and across roles...................................................................................................................... 6 3.4. Support should be given to Boards to help clinicians assess and sign-off competencies to help raise the quality assurance of the competency approach within the clinical area. ...................................................... 6 Page 1 NES Physiotherapy Education Advisory Sub Group as at Sept 2013 NES Physiotherapy Education Advisory Sub Group – WORKPLAN Education Related Issues National Health Boards CSP & SIGs Scot Gov HEIs & Colleges Health Board Level 9: More Senior Staff Level 8: Consultant Practitioners 8.1. Senior AHPs require on-going access to Leadership skills with a regularly running or recognised leadership course. One-off and inconsistent provision makes access to developing leadership skills challenging. NMAHP Consultant meetings. Prof Doc at GCU, QMU & RGU 8.2 Access to appropriate CPD courses for consultant roles is an issue. 8.3 Encourage 5pt credit leadership courses. 8.4 Agreed minimal level of education for consultants and advanced practitioners. Level 7: Advanced Practitioners Page 2 Ayrshire & Arran Good to Great (Band 7 to 8) Lothian’s Delivering Leadership Excellence Action Progress/ Barriers NES Physiotherapy Education Advisory Sub Group as at Sept 2013 Need to create a 7.1 (more senior/ specialist courses at mechanism to identify SCQF level 11) practitioners require a specialism core learning uniform approach to delivering specialist and education to share training in clinical areas. Currently sporadic resources across all provision especially for static staff. boards. Standardised educational packages would be useful e.g.: o X-ray training (imaging requesting) o Supplementary prescribing EDD resources to support WBL packages development Standards of practice to be used to meet specialised recruitment. CSP Accreditations kitemark Policy driver’s e.g. safe prescriptio n, quality strategy and rehab framework. Post-graduate: MSc modules in prescribing, MSK, Neuro and sports rehab module. (specialist specific courses McKenzie, Bobath) Short course in medicine management (RGU) PEF Programme o Injection therapy There is a module at QMU for Radiographic Imaging for Physiotherapists (QMU) (could these be accredited programmes?) 7.2 Discrepancy regarding Supplementary prescribing educational need & provision. There is an opportunity to use Learnpro Research programmes available from HEIs QMU developing a Sup & Indep prescribing course Page 3 Workbook for Band 5, 6, and 7 e.g. MSK, community Lothian Pain, Lanarkshire Band 5. Tayside Workbooks for Band 5, 6, 7 MSK, Community, Orthopaedics & Stroke. NES Physiotherapy Education Advisory Sub Group as at Sept 2013 Level 6: Senior Practitioners Educational Priority NES Leadership Course 6.1 Level 6/7 (senior/specialist) practitioners require a uniform approach to delivering/ access specialist training in clinical areas e.g.: CSP & SIGs Scot Gov Providing clinical KSF – generic. courses in their Quality Strategy. special interest group, SIG. HEIs & Colleges Health Board Action Progress Health Board Action Progress PG Cert Ed at the HEIs to support provision of education locally o Leadership o Maintaining specialist skills. o Specialist clinical knowledge & skills in current best practice accessible to all 6.2 NHS Staff need to understand the third sector and to be familiar with local services that are available Educational Priority Several AHP Consultant secondments Level 5: Practitioners NES CSP & SIGs Solutions group – now 5.1 Scottish Government Policy requires a dissolved? Reinstate shift in staff levels from Acute to support Community. Therefore, NES should support the capacity for student placement provision in Community settings. Big priority in line with change fund. Clarification of roles. 5.2 Health Improvement is a growing requirement for AHPs in relation to the Quality strategy. NES should assist in identifying methods through which staff and student knowledge can be increased within budget and staff capacity, the identification of core health promotion skills should be identified and ensured that all roles across the Career Framework have these. Self management skills are needed throughout the workforce Suicide prevention training. Scot Gov All levels in uni courses have Mental Health written in and Health Improvement. National AHP leads for Dementia, Mental Health and Vocational rehab. Survey and prereg training education work – Mental Health. (Executive Summary) Be aware of other agencies to help address health promotion. Page 4 HEIs & Colleges Still pushing for placements. Still patchy provision of placements. Limited by capacity. AHP Actions Group? Physio representation. Poor Mental Health Provision. Level 2 Existing Pain Training. Assessment. COSMIC workshops – Champions Of Self Management In Care (COSMIC) currently in its infancy offering free training (Sarah for me information) NES Physiotherapy Education Advisory Sub Group as at Sept 2013 Ergonomics courses 5.3 Staff are requiring to know about Functional Capacity Evaluation. Identifying core outcome measures and the skills to undertake the evaluations should be undertaken. This will assist in addressing employability and return to work issues. QMU provide Physical Activity & Health Masters module (covers relevant aspects of Voc Rehab) Support the use of Fit Notes by practitioners CSP Board aware AHP Federation Scotland written letter 5.4 NES should address the issue that the new Protection for Vulnerable Groups Scheme (PVG) means that AHP students will need to pay for their own disclosure whereas nursing students will not. There needs to be a consistent NMAHP approach 5.5. There is the need for a mechanism to identify core educational needs in key areas of physiotherapy across Scotland and then identify aspects of transferability, validation and identifying who agrees content and evaluation etc. HEI Academic Heads Addressing 10. Flying start offers individual opportunity for training. Is there an opportunity to link to more robust learning outcomes? 10. Skills for Health work recommendation. (?) Will they be financially rewarded? Require to link to their scope of practice. Require to be linked to HCSW competencies that they have. 10. Support from HEIs to NHS boards to accredit work books and learning outcomes. Scoping of ACE training accessibility by members Level 4: More Senior Staff 5.6. Students value practice educators that are ACE accredited to enhance the quality of the student placement experience. 4.1. NES should explore the use of support worker roles to assist in the education of pre-registration students as the future skill mix is changing and capacity will reduce for placement provision. Practice Placement agreements Would the unions need to be consulted with this? Scope out the views of the CSP and associate members. Recommendations would need to scope out activities that SW could supervise. Is this really appropriate? Do they have the knowledge to underpin? Page 5 10. Some health boards Lanarkshire, Tayside, and NHS GGC developing work based learning workbook Scoping of ACE training accessibility by members NES Physiotherapy Education Advisory Sub Group as at Sept 2013 Level 3: Senior support Workers Educational Priority ES CSP & SIGs Scot Gov HEIs & Colleges Health Board Action Progress Action Progress Sharing within and across Boards would be helpful. 3.1. A key priority for NHS Scotland is to support Boards in writing support worker competencies and how to assess these. At present Boards are investing a large amount of effort into developing their own competencies with no consistent approach. 3.2. There is a need to translate national support worker guidance about their roles into job descriptions and practice. Ideally, a central group/ network for supporting a consistent approach to competency development is needed. A central portal or network to facilitate sharing between and within Boards would be useful. The professions should be supported to develop core competencies for key clinical areas. 3.3. Centrally developed and locally used competencies will help the transferability of learning across Boards and services and across roles. 3.4. Support should be given to Boards to help clinicians assess and sign-off competencies to help raise the quality assurance of the competency approach within the clinical area. Educational Priority NES CSP & SIGs Scot Gov HEIs & Colleges Health Board Level 2: Healthcare Support Workers CPD for HCSW Recommendations to NES from the Physiotherapy Advisory Group: Working Across Sectors NES require to think about how to support the knowledge of staff working within the leisure sector to support the transfer of a consistent approach and key health messages across health professionals and sectors. Quality of Work Based Learning NES should focus on assisting Boards in using principles of credit rating to develop consistent educational resources (e.g. workbooks/ online resources) for different levels of the workforce and specialism’s. NES should assist clinicians and services in using the Scottish Credit and Qualifications Framework and work based assessment and impact evaluation in the workplace for different levels of the workforce. A mechanism/ network/ roles to enable this to happen is required so that guidance is accessible when needed. This will assist in meeting the requirement for recognised transferable learning between Boards. NES should support the use of SCQF principles as there seems to be a need for support from NES. NES should support projects to move along using the SCQF principles. Some projects of developing work based learning modules for physio in mental health have stalled at the moment. Page 6 NES Physiotherapy Education Advisory Sub Group as at Sept 2013 Work Based Learning Infrastructure The reduction in duplication of effort and educational resources can be achieved through working with the Practice Development Network. Having local and national Learning and Development Networks would assist the dissemination of information and help identify national priorities to identify national pieces of work. NES could assist with guidance on developing translational tools for clinicians to take research findings and implement into practice. NES require to provide guidance and tools for services to undertake learning needs analysis within a clinical area and to help clinicians translate the findings into competency frameworks to help develop staff knowledge and skills. Working with HEIS NES should focus on assisting Boards to work with HEIs in writing courses and how to go about gaining accreditation from recognised bodies e.g. CSP. Boards should be supported to consider developing courses that are relevant to voluntary sector and charity employees also. This will assist in meeting the requirement for recognised transferable learning between Boards and sectors. NES should support HEIs and Boards to dialogue to ensure that pre-reg courses are fit for purpose Investment should be proportional to clinical risk. NES resources to map to other requirements e.g KSF, HPC Page 7