E-KSF Post Outline KSF Post Outline – Low intensity Worker (Band 5) PO237 Post/Job Title Reporting to (post) Job Purpose Pay Band Keywords Core/ Specific Number Core C1 Core C2 Core Low intensity worker (Band 5) To work as part of a multi-disciplinary team to ensure high standards of assessment and treatment for patients with common mental health needs. Band 5 Common mental health, Psychological treatments, guided self help. Dimension Second Gateway (Full Outline) Level Indicator Foundation Gateway (Subset Outline) Level Indicator 3 A,B,C,D,E,F 3 A,B,C,D,E,F 3 A,B,C,D,E,F,G 2 A,B,C,D,E,F C3 COMMUNICATION PERSONAL AND PEOPLE DEVELOPMENT HEALTH, SAFETY AND SECURITY 2 A,B,C,D,E,F 2 A,B,C,D,E Core C4 SERVICE IMPROVEMENT 2 A,B,C,D,E,F 1 A,B,C,D,E Core C5 QUALITY 2 A,B,C,D,E,F 1 A,B,C,D,E Core C6 2 A,B,C,D 2 A,B,C,D 1 A,B,C,D,E 1 A,B,C,D,E 3 A,B,C,D,E,F,G 2 A,B,C,D,E,F 2 A,B,C,D,E 1 A,B,C EQUALITY AND DIVERSITY Specific HWB1 Specific HWB2 Specific HWB3 PROMOTION OF HEALTH AND WELLBEING AND PREVENTION OF ADVERSE EFFECTS TO HEALTH AND WELL-BEING ASSESSMENT AND CARE PLANNING TO MEET PEOPLE’S HEALTH AND WELLBEING NEEDS PROTECTION OF HEALTH AND WELLBEING 1 E-KSF Post Outline Specific HWB4 Specific HWB7 Specific IK1 ENABLEMENT TO ADDRESS HEALTH AND WELLBEING NEEDS 1 A,B,C,D,E,F 1 A,B,C,D,E,F INTERVENTIONS AND TREATMENTS 3 A,B,C,D,E,F,G,H,I 2 A,B,C,D,E,F,G INFORMATION PROCESSING 1 A,B,C,D,E 1 A,B,C,D,E 2 E-KSF Post Outline C1 - COMMUNICATION Second Gateway (Full Outline) b) Foundation Gateway (Subset Outline) Level 3: Develop and maintain communication with people about difficult matters and /or in difficult situations. Level 3: Develop and maintain communication with people about difficult matters and /or in difficult situations. Level indicators: Level indicators: a) Identifies the range of people likely to be involved in the communication, any potential communication differences and relevant contextual factors a) a) Identifies the range of people likely to be involved in the communication, any potential communication differences and relevant contextual factors b) Communicates with people in a form and manner that: is consistent with their level of understanding, culture, background and preferred ways of communicating Is appropriate to the purpose of the communication and the context in which it takes place. encourages effective participation of all involved b) Communicates with people in a form and manner that: is consistent with their level of understanding, culture, background and preferred ways of communicating Is appropriate to the purpose of the communication and the context in which it takes place. encourages effective participation of all involved c) Recognises and reflects on barriers to effective communication and modifies communication in response. c) Recognises and reflects on barriers to effective communication and modifies communication in response. d) Provides feedback to other workers on their communication at appropriate times d) Provides feedback to other workers on their communication at appropriate times f) Keeps accurate and complete records of activities and communication consistent with legislation, policies and procedures e) Keeps accurate and complete records of activities and communication consistent with legislation, policies and procedures f) Communicates in a manner that is consistent with legislation, policies and procedures. f) Communicates in a manner that is consistent with legislation, policies and procedures. 3 E-KSF Post Outline Examples of Application Examples of Application a) Communication with: - Clients and their carers, family, and other agencies. Colleagues and coworkers and the public. - Use developed verbal and non-verbal skills to understand and communicate client’s context. - Conduct assessment to identify client’s needs within a manualised process. - Conduct risk assessment and act accordingly to agreed protocols. - Participate in regular clinical and case management supervision. a) Communication with: - Clients and their carers, family, and other agencies. Colleagues and coworkers and the public. - Use developed verbal and non-verbal skills to understand and communicate client’s context. - Conduct assessment to identify client’s needs within a manualised process. - Conduct risk assessment and act accordingly to agreed protocols. - Participate in regular clinical and case management supervision. b) - Sensitivity to different cultural needs and barriers to understanding. - Advocate on behalf of the client and the service. -offers manualised based therapy appropriate to client needs - Facilitating processes. -Use motivational skills. - Sharing decision making with others including users of services. - Liaise with referrer and others involved to ensure clients psychological needs / therapy out come are communicated, by using written / oral and electronic methods. Awareness of barriers and boundaries b) - Sensitivity to different cultural needs and barriers to understanding. - Advocate on behalf of the client and the service. -offers manualised based therapy appropriate to client needs - Facilitating processes. -Use motivational skills. - Sharing decision making with others including users of services. - Liaise with referrer and others involved to ensure clients psychological needs / therapy out come are communicated, by using written / oral and electronic methods. Awareness of barriers and boundaries c) Environment that is conducive for therapy, i.e. quiet, safe and private. - Checking correct data in relation to client’s history. - Giving client information re service and manualised therapy process. - Ethical awareness and responsibility of therapist, re child protection, self harm and harm to others. - Understanding and trained in conflict resolution. c) Environment that is conducive for therapy, i.e. quiet, safe and private. - Checking correct data in relation to client’s history. - Giving client information re service and manualised therapy process. - Ethical awareness and responsibility of therapist, re child protection, self harm and harm to others. - Understanding and trained in conflict resolution. d) - Modifying methods of communication as needed to ensure client is fully able to understand procedures. - Use of interpreters if available. d) - Modifying methods of communication as needed to ensure client is fully able to understand procedures. - Use of interpreters if available. e) - Awareness of and compliance with all trust policies / legal and service operational policy. e) - Awareness of and compliance with all trust policies / legal and service operational policy. f) Completes patient records in line with Data Protection Act and consent. - Follows professional governing body legal guidance. - Compliance with data recording within the service, i.e. contacts, clinical data on database. - Participates in research and audit. - Complete all mandatory training. f) Completes patient records in line with Data Protection Act and consent. - Follows professional governing body legal guidance. - Compliance with data recording within the service, i.e. contacts, clinical data on database. - Participates in research and audit. - Complete all mandatory training. 4 E-KSF Post Outline C2 - PERSONAL AND PEOPLE DEVELOPMENT Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 3: Develop oneself and contribute to the development of others Level 2: Develop own knowledge and skills and provide information to others to help their development Level indicators: a) reflects on and evaluates how well s/he is applying knowledge and skills to meet current and emerging work demands and the requirements of the KSF outline for his/her post b) identifies own development needs and sets own personal development objectives in discussion with his/her reviewer c) Takes responsibility for own personal development and maintains own personal development portfolio d) Makes effective use of learning opportunities within and outside the workplace evaluating their effectiveness and feeding back relevant information e) Enables others to develop and apply their knowledge and skills in practice f) Contributes to the development of others in a manner that is consistent with legislation, policies and procedures g) Contributes to developing the workplace as a learning environment. Level indicators: a) Assesses and identifies: Feedback from others on own work How s/he is applying knowledge and skills in relation to the KSF outline for the post own development needs and interests in the current post What has been helpful in his/her learning and development to date? b) Takes an active part in the development review of own work against the KSF outline for the post with their reviewer and suggests areas for learning and development in the coming year c) takes responsibility for own personal development and takes an active part in learning opportunities d) evaluates the effectiveness of learning opportunities and alerts others to benefits and problems e) Keeps up-to-date records of own development review process f) Offers information to others when it will help their development and/or help them meet work demands. Examples of Application: Examples of Application: a) Indicator a) Reflective practice and line manager’s feedback. Clinical supervision and case management and therapeutic outcomes measured. - Reflective practice and line manager’s feedback, shadowing and ongoing learning on the job. -Supervision and case management and therapeutic outcomes measures. PDP/R and sets own personal and professional training and development needs with manager Use of IT/Trust e-mail/service data base Ensuring own wellbeing by work-life balance and managing own stress. Following NICE guidance for evidence based therapies. Evidence of courses/learning. Indicator b) b) - takes part in the PDP/R /KSF with line manager feedback to develop personal and professional training and development needs. 5 E-KSF Post Outline Examples of Application (cont’d): Examples of Application (cont’d): c) Indicator c) -with agreement from manager takes part in study and training courses - Use of IT / trust email / service database. - Ensuring own well being by work-life balance and managing own stress. Taking part in PDP review and identifying achievements and further needs. Learning on and off the job and from others. Arranges courses as identified with line manager. Recording learning and developments in portfolio. Provide information and advice to clients, carers and others. Provide clinical supervision d) Indicator d) Shadowing and learning on the job and on courses e) f) Indicator e) Evidence of courses / learning. - Taking part in PDP review and identifying achievements and further needs. - Recording learning and developments in portfolio. Acting as a role model to trainees Indicator f) g) Cascades information to others as evidenced within business meetings. - Provide information and advice to clients, careers if appropriate and others whilst learning on the job and with monitoring for supervision and case management. 6 E-KSF Post Outline C3 - HEALTH, SAFETY AND SECURITY Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 2: Monitor and maintain health, safety and security of self and others Level 2 Monitor and maintain health, safety and security of self and others Level indicators: a ) Identifies and assesses the potential risks involved in work activities and processes for self and others Level indicators: a) Identifies and assesses the potential risks involved in work activities and processes for self and others b) identifies how best to manage the risks c) identifies how best to manage the risks c) Undertakes work activities consistent with: - Legislation, policies and procedures - The assessment and management of risk d) Takes the appropriate action to manage an emergency summoning Assistance immediately when this is necessary f) reports actual or potential problems that may put health, safety and security at risk and suggests how they might be addressed f) Supports others in maintaining health, safety and security. Examples of Application: c) Undertakes work activities consistent with: - Legislation, policies and procedures - The assessment and management of risk d) Takes the appropriate action to manage an emergency summoning Assistance immediately when this is necessary e) reports actual or potential problems that may put health, safety and security at risk and suggests how they might be addressed f) Supports others in maintaining health, safety and security. Examples of Application: a) Knowledge of lone working policies and knowledge of risks to client re: self harm, harm to others and child protection issues a) Knowledge of lone working policies and knowledge of risks to client re: self harm, harm to others and child protection issues b) Working knowledge of risk assessment of client and acts according to protocols and liaises with appropriate organisations b) Working knowledge of risk assessment of client and acts according to protocols and liaises with appropriate organisations c) Case management to monitor case load and risk issues Attending regular supervision Mandatory courses Complying with Trust risk assessment procedure c) Case management to monitor case load and risk issues Attending regular supervision Mandatory courses Complying with Trust risk assessment procedure d) Mandatory courses and knowledge of PCT emergency policies d) Mandatory courses and knowledge of PCT emergency policies e) Completion of appropriate paper work e) Completion of appropriate paper work f) Knowledge of risk and incident form filling f) Knowledge of risk and incident form filling 7 E-KSF Post Outline C4 - SERVICE IMPROVEMENT Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 2: Contribute to the improvement of services Level 1: Make changes in own practice and offer suggestions for improving services Level indicators: Level indicators: a) practice - Discusses and agrees with the work team The implications of direction, policies and strategies on their current a) Discusses with line manager / work team the changes that need to be made in own practice and the reasons for them The changes that they can make as a team The changes s/he can make as an individual How to take the changes forward b) Adapts own practice as agreed and to time seeking support if necessary c) Effectively carries out tasks related to evaluating services when asked b) Constructively makes agreed changes to own work in the agreed timescale seeking support as and when necessary d) Passes on to the appropriate person constructive views and ideas on improving services for users and the public c) Supports others in understanding the need for and making agreed changes e) Alerts line manager / work team when direction, policies and strategies are adversely affecting users of services or the public d) Evaluates own and other’s work when required to do so completing relevant documentation e) Makes constructive suggestions as to how services can be improved for users and the public f) Constructively identifies issues with direction, policies and strategies in the interests of users and the public. 8 E-KSF Post Outline Examples of Application: Examples of Application: Constructively suggests improvements e.g. Takes part in business meetings, emails to manager. Takes part in regular case management and supervision/ mentoring Training, supervision and shadowing Helping others to understand the need for change and learn from change eg. acting as a role model to trainees. Service evaluation forms. Examples of innovation to extend client choice. Responding to evaluation findings Supervision records and regular attendance and signing off supervision forms. NICE Guidance and IAPT targets. The use of psychometrics and minimum data set. Evidence based practice/ practice based evidence. Liaison with other services and follows care pathways evidenced by e.g. Client notes and supervision and case management. Internal team communication e.g. meetings, case management, e-mails Cascading knowledge to the team evidenced by e.g. business meeting contributions Adhering to policies on client contact. E.g. risk Service evaluation questionnaires. Adheres to and has knowledge of NICE Guidance .e.g. evidenced based practise 9 E-KSF Post Outline C5 - QUALITY Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 2: Maintain quality in own work and encourage others to do so Level 1: Maintain the quality of own work Level indicators: Level indicators: a) Acts consistently with legislation, policies, procedures and other quality approaches and encourages others to do so a) Complies with legislation, policies, procedures and other quality approaches relevant to the work being undertaken b) Works within the limits of own competence and levels of responsibility and accountability in the work team and organisation c) b) Works within the limits of own competence and responsibility and refers issues beyond these limits to relevant people Works as an effective and responsible team member d) Prioritises own workload and organises own work to meet these priorities and reduce risks to quality e) Uses and maintains resources efficiently and effectively and encourages others to do so f) issues. Monitors the quality of work in own area and alerts others to quality 10 c) Acts responsibly as a team member and seeks help if necessary d) Uses and maintains resources efficiently and effectively e) Reports problems as they arise, solving them if possible. E-KSF Post Outline Examples of Application: Examples of Application: Has knowledge of and adheres to care pathway protocols evidenced by E.g. referrals to other services and evidenced based practise a) Care Pathway Protocol. NICE Guidance Supervision PCT/IAPT / Service targets. Knowledge and adherence to NICE Guidance and IAPT PCT and IAPT/ Service targets met evidenced by e.g. wait times for FAA Compliance with clinical governance b) Supervision and case management. Consistent positive outcomes in clinical practice evidenced by evaluation forms and psychometrics (Minimum data set) c) Case management and supervision. Within clusters learning to screen and organising appointments. Case management and supervision, screening and organising appointments and telephone work. d) Learning to have a good working knowledge of Manualised therapy and minimum data set. Monitoring own competency and fitness to practice evidenced through clinical supervision and case management and a good working knowledge of manualised therapy e) Compliance with data recording, contacts clinical notes and database Case notes regular updated and risks noted Attends regular supervision and case management and notes signed off Using psychometrics with every assessment and discharge and were appropriate in intervention Internal team communication e.g. Business meetings and e-mails. 11 E-KSF Post Outline C6 - EQUALITY AND DIVERSITY Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 2: Support equality and value diversity Level 2: Support equality and value diversity Level indicators: Level indicators: a) Recognises the importance of people’s rights and acts in accordance with legislation, policies and procedures b) Acts in ways that: acknowledge and recognise people’s expressed beliefs, preferences and choices respect diversity value people as individuals c) Takes account of own behaviour and its effect on others d) Identifies and takes action when own or others’ behaviour undermines equality and diversity. a) Recognises the importance of people’s rights and acts in accordance with legislation, policies and procedures b) Acts in ways that: acknowledge and recognise people’s expressed beliefs, preferences and choices respect diversity value people as individuals c) Takes account of own behaviour and its effect on others d) Identifies and takes action when own or others’ behaviour undermines equality and diversity. Examples of Application: Examples of Application: Acting in accordance with legislation, policies and procedures Acting in accordance with legislation, policies and procedures b) -Providing a service which is sensitive to race, culture and diversity b) -Providing a service which is sensitive to race, culture and diversity c) Acknowledgement of the gender preference. c) Acknowledgement of the gender preference. d) Reporting on issues that make it difficult for some service users to access the service. d) Reporting on issues that make it difficult for some service users to access the service. 12 E-KSF Post Outline HWB1 - PROMOTION OF HEALTH AND WELLBEING AND PREVENTION OF ADVERSE EFFECTS TO HEALTH AND WELLBEING Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 1: Contribute to promoting health and wellbeing and preventing adverse effects on health and wellbeing Level 1: Contribute to promoting health and wellbeing and preventing adverse effects on health and wellbeing Level indicators: a) Identifies factors which have a positive and negative affect on health and wellbeing and how it can be promoted and adverse effects prevented b) enables people to view health and wellbeing as a positive aspect of their lives c) Enables people to be involved in activities and make their own decisions about them consistent with people’s views and beliefs d) Undertakes planned activities with people with their agreement consistent with legislation, policies and procedures e) Records and reports back fully on the activities undertaken and alerts others in the team to any issues that arise during the activities. Level indicators: a) Identifies factors which have a positive and negative affect on health and wellbeing and how it can be promoted and adverse effects prevented b) enables people to view health and wellbeing as a positive aspect of their lives c) Enables people to be involved in activities and make their own decisions about them consistent with people’s views and beliefs D) Undertakes planned activities with people with their agreement consistent with legislation, policies and procedures e) Records and reports back fully on the activities undertaken and alerts others in the team to any issues that arise during the activities. Examples of Application: Examples of Application: a) Provides health promotion in a way that empowers the patients/users yet helps them to become aware of the factors that negatively and positively contribute to their health and the strategies to manage these factors a) Provides health promotion in a way that empowers the patients/users yet helps them to become aware of the factors that negatively and positively contribute to their health and the strategies to manage these factors b) Enables patients and users to identify health related goals that are important to them building on their own strategies for maintaining their health c) Obtains informed consent, including assessment. Identifies strategies with clients for achieving their own health promotion goals within manualised therapy. c) Obtains informed consent, including assessment. Identifies strategies with patients and users for achieving their own health promotion goals within manualised therapy. d)Aware of the specific legal and ethical implications of interventions, treatments and therapies supported by a mentor/clinical supervisor d) Aware of the specific legal and ethical implications interventions, treatments and therapies supported by a mentor/clinical supervisor e) Keeps accurate care records and alerts the multi-disciplinary team to any issues especially risk. e) Keeps accurate care records and alerts the multi-disciplinary team to any issues especially risk. b) Enables patients and users to identify health related goals that are important to them building on their own strategies for maintaining their health 13 E-KSF Post Outline HWB2 - ASSESSMENT AND CARE PLANNING TO MEET PEOPLE’S HALTH AND WELLBEING NEEDS Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 3: Assess health and wellbeing needs and develop, monitor and review care plans to meet specific needs Level 2: Contribute to assessing health and wellbeing needs and planning how to meet those needs Level indicators: a) Plans the assessment of people’s health and wellbeing needs and prepares for it to take place b) explains clearly to people: own role, responsibilities and accountability the information that is needed from the assessment and who might have access to it the benefits and risks of the assessment process and alternatives approaches c) Respects people’s dignity, wishes and beliefs; involves them in shared decision making; and obtains their consent d) Uses assessment methods and processes of reasoning that are based on available evidence are appropriate for the people concerned obtain sufficient information for informed decision making s/he has the knowledge, skills and experience to use effectively are consistent with legislation, policies and procedures e) Considers and interprets all of the information available and makes a justifiable assessment of people’s health and well-being, related needs and risks and explains the outcomes to those concerned f) Develops and records care plans that are appropriate to the people concerned and: are consistent with the outcomes of assessing their health and wellbeing needs identify the risks that need to be managed have clear goals involve other practitioners and agencies when this is necessary to meet people’s health and wellbeing needs and risks are consistent with the resources available note people’s wishes and needs that it was not possible to meet g) monitors the implementation of care plans and makes changes to meet people’s needs Level indicators: 14 a) explains the purpose of assessing health and wellbeing needs to the people concerned b) respects people’s dignity, wishes and beliefs; involves them in shared decision making; and obtains their consent c) assists in the assessment of people’s health and wellbeing and related needs and risks as agreed with the care team and consistent with legislation, policies and procedures d) records and reports back accurately and fully on the assessments undertaken and risks identified e) offers to the team his/her own insights into the health and well-being needs and wishes of the people concerned f) makes suggestions on the care, protection and support that will be needed and how this might relate to his/her own work. E-KSF Post Outline Examples of Application: a) Examples of Application: Obtains informed consent, including for assessment. Ensures clients are cared for in an environment suited to their needs Physically, psychologically and socially a) Assesses the ability and motivation of the client as suitable for manualised therapy and telephone work. Identifies the psychological, social, cultural developmental of the person in relation to planning manualised therapy Identifies the individual’s coping and adjustment strategies, their motivation and support mechanisms b) c) Is accountable and responsible for own actions in assessment and therapy planning ensuring continuity of care and follows care pathways’ .risk Enables the person’s own informed decision making Acts in ways that acknowledge persons right to make own decisions and recognises their responsibilities Demonstrates moral integrity in relationship with clients. Knowledge of policies and clinical guidelines and implements actions and arising from own reflections and clinical supervision b) c) 15 Explains process of manualised therapy, including assessment and obtains consent. Ensures patients are cared for in an environment suited to their needs Physically, psychologically and socially Assesses the ability and motivation of the client as suitable for manualised therapy. Identifies the psychological, social, cultural needs of the person in relation to planning manualised therapy. Involves client in shared decision making in assessment and therapy planning ensuring continuity of care and follows care pathways,eg risk and may be observed work Enables the person’s own informed decision making Acts in ways that acknowledge persons right to make own decisions and recognises their responsibilities Demonstrates moral integrity in relationship with clients. Awareness of policies and clinical guidelines and implements actions with line manager arising from own reflections and clinical supervision E-KSF Post Outline Examples of Application (contd): Examples of Application (contd): d) d) Acts on feedback derived from a range of sources including the clients own preferences, evidence-based guidelines. Uses an evidence-based and manualised assessment approach in order to identify therapy needs. In partnership with client undertakes an assessment of the client to accurately determine actual and potential problems that might require intervention Adjusts assessment and history taking into account age , gender and cultural background of the person Acts on the specific legal and ethical implications of interventions, treatments and therapies supported by a mentor/clinical supervisor and recognition of vulnerability because of disability. g) e) f) Uses clients own preferences as a source of evidence amongst others to inform decision-making within manualised therapy. Documents clear and accurate information about the client arising from the assessment and manualised therapy process and communicates this to others Plans care required within available resources ensuring client’s acts on feedback derived from a range of sources including the clients own preferences, evidence-based guidelines. Uses an evidence-based and manualised assessment approach in order to identify therapy needs. In partnership with client undertakes an assessment of the client to accurately determine actual and potential problems that might require intervention Adjusts assessment and history taking into account age, gender and cultural background of the person Acts on the specific legal and ethical implications of interventions, treatments and therapies supported by a mentor/clinical supervisor and recognition of vulnerability because of disability. e) g) communicates with others regarding client. Uses clients own preferences as a source of evidence amongst others to inform decision-making within manualised therapy. f) Prioritises care required within available resources ensuring clients needs are met. 16 Documents clear and accurate information about the client arising from the assessment and manualised therapy process and needs are met with support from supervisor and case manager and mentor. E-KSF Post Outline HWB3 - PROTECTION OF HEALTH AND WELLBEING Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 2: Contribute to protecting people at risk Level 1: Recognise and report situations where there might be a need for protection Level indicators: Level indicators: a) Contacts people who are at risk taking the necessary action if difficulties are encountered b) Explains to people the purpose for the contact, relevant regulatory powers, whether information will be confidential or disclosed and involves them in shared decision making c) Prepares for and contributes to protective interventions in a manner that is consistent with legislation, policies and procedures is appropriate to the people concerned is appropriate for the setting maintains the health and safety of the people themselves, self and others d) takes appropriate and immediate action in response to contingencies e) Records and reports the interventions consistent with legislation and relevant policies and procedures. a) Identifies signs that people are at risk and that there might be a need for protective measures b) Reports any suspicions of risk to the appropriate people and/or organisations consistent with legislation, policies and procedure c) Examples of Application: Signs that people are at risk might relate to:individuals who are in danger of / are being harmed and/or abused e.g. vulnerable adults or children - individuals who are in danger of / are neglecting or harming themselves. - aspects in systems and cultures that put people at risk - aspects of the environment that put people at risk Examples of Application: a) Follows care pathways and protocols for risk. b) Ensures that all information is given to the person to enable shared decision making c) Has knowledge and understanding of policies and procedures that are consistent i.e. guidance around child protection issues. d) Knows what emergency plans are in place and who to contact in case of emergency e) Keeps records of all incidents and report on appropriate documentation to the appropriate person Records and reports any information that is available on the risks. Risks to health and wellbeing: - risks to emotional health and wellbeing - risks to physical health and wellbeing - risks to social health and wellbeing Legislation, policies and procedures: - all Trust policies - data protection - information and freedom of information Information that is available on the risks might include what the worker: - sees ,- hears ,- measures, - is told 17 E-KSF Post Outline HWB4 - ENABLEMENT TO ADDRESS HEALTH AND WELLBEING NEEDS Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 1: Help people meet daily health and wellbeing needs Level 1: Help people meet daily health and wellbeing needs Level indicators: Level indicators: respects people’s dignity, wishes and beliefs; involves them in shared decision making; and obtains their consent for specific activities prepares appropriately for the activity to be undertaken supports people throughout helping them to meet their own health and wellbeing needs as much as is possible undertakes activities as delegated and consistent with legislation, policies and procedures promptly alerts the relevant person when there are changes in individuals’ health and wellbeing or any possible risks Records and reports activities and any risks to the relevant person. a) b) c) d) e) f) a) b) c) d) e) f) Examples of Application: Indicator a) respects people’s dignity, wishes and beliefs; involves them in shared decision making; and obtains their consent for specific activities prepares appropriately for the activity to be undertaken supports people throughout helping them to meet their own health and wellbeing needs as much as is possible undertakes activities as delegated and consistent with legislation, policies and procedures promptly alerts the relevant person when there are changes in individuals’ health and wellbeing or any possible risks Records and reports activities and any risks to the relevant person. Examples of Application: Indicator a) asks the clients permission prior undertaking any care activity explains to the client what is being done and why asks the clients permission prior undertaking any care activity explains to the client what is being done and why Indicator b) Indicator b) prepares the relevant work environment for activities i.e. room prepares self egg reads notes Indicator c) prepares the relevant work environment for activities i.e. room prepares self i.e. reads notes Indicator c) Monitors risks Monitor any risks 18 E-KSF Post Outline Examples of Application contd: Examples of Application contd: Indicator d) Indicator d) Clarifies with case manager the tasks that need to be undertaken aware of policies, procedures and guidelines that govern any relevant therapy activities Indicator e) Indicator e) Is able to demonstrate the Trust's policies and procedures in the event of an emergency. Informs staff of changes in client’s condition and behavior. Is able to demonstrate the Trust's policies and procedures in the event of an emergency. informs staff of changes in clients conditions and behaviours Indicator f) Indicator f) clarifies with case manager the tasks that need to be undertaken Aware of policies, procedures and guidelines that govern any relevant care activities. informs line manager when delegated tasks have been completed accurately reports back findings/observations accurately records in notes the therapy activities that have been undertaken 19 informs case manager when delegated tasks have been completed accurately reports back findings/observations accurately records in care plans the care activities that have been undertaken E-KSF Post Outline HWB7 - INTERVENTION AND TREATMENTS Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 3: Plan, deliver and evaluate interventions and/or treatments Level 2: Contribute to planning, delivering and monitoring interventions and / or treatments Level indicators: Level indicators: a) Respects individuals’ dignity, wishes and beliefs; involves them in shared decision making; and obtains their consent b) Identifies with the individuals concerned: goals for the specific activities to be undertaken within the context of the overall treatment plan and the individual’s physiological and/or psychological functioning the nature of the different aspects of the intervention / treatment the involvement of other people and/or agencies relevant evidence-based practice and/or clinical guidelines any specific precautions or contraindications to the proposed interventions / treatments and takes the appropriate action c) prepares appropriately for the intervention / treatment to be undertaken d) undertakes the intervention / treatment in a manner that is consistent with: evidence-based practice and/or clinical guidelines / established theories and models Multidisciplinary team working his/her own knowledge, skills and experience legislation, policies and procedures and/or established protocols e) monitors individuals’ reactions to interventions/treatment and takes the appropriate action to address any issues or risks f) reviews the effectiveness of the interventions/treatments as they proceed and makes any necessary modifications g) Provides feedback to the person responsible for the overall treatment plan on its effectiveness and the health and wellbeing and needs of people h) Makes accurate records of the interventions/treatment undertaken and outcomes i) Responds to, records and reports any adverse events or incidents relating to the intervention/treatment with an appropriate degree of urgency. a) Discusses the individual’s treatment plan and their related condition / illness with the care team and understands his / her own role in delivering interventions and / or treatments within the plan b) Respects individuals’ dignity, wishes and beliefs; involves them in shared decision making; and obtains their consent for the interventions and / or treatments to be undertaken c) Identifies any specific precautions or contraindications to the proposed interventions / treatments and takes the appropriate action d) prepares for, undertakes and records interventions / treatments correctly e) Supports and monitors people throughout promptly alerting the relevant person when there are unexpected changes in individuals’ health and wellbeing or risks f) Provides information to the team on how individuals’ needs are changing and feedback on the appropriateness of the individual’s treatment plan when there are issues g) responds to, records and reports any adverse events or incidents relating to the intervention / treatment with an appropriate degree of urgency 20 E-KSF Post Outline Examples of Application: a) Examples of Application: Respect diversity. Shared decision making based on clear information obtain consent, verbal, written or implied. b) Identifies: intervention/treatment (e.g. Manualised management); involve others (e.g. HV, GP, CPN). a) c) Preparation to involve knowledge of client history, technique/intervention, environment. b) Identifies: intervention/treatment (e.g. Manualised management); involve others (eg. HV, GP, CPN).may be observed work d) Ensure interventions are in line with Trust and professional policies/guideline e.g. evidence based practice and effective team working. Respect diversity. Shared decision making based on clear information obtain consent, verbal, written or implied. c) Preparation to involve knowledge of client history, technique/intervention, environment. e) Monitor - outcome measures. Action may be direct/indirect e.g. refer to other agency, liaison with colleague. d) Ensure interventions are in line with Trust and professional policies/guideline e.g. evidence based practice and effective team working. f) Review treatment through reassessment, outcome measures, patient satisfaction and goals. Modification may be using different treatment e) Monitor - outcome measures. Action may be direct/indirect e.g. refer to other agency, liaison with colleague. technique, referral to other agency. f) Review treatment through reassessment, outcome measures, patient satisfaction and goals. Learning to modify may be using different treatment technique, referral to other agency. Inform client, other member of MDT etc. of the outcomes with case manager and mentor and within supervision g) Inform client, other member of MDT etc. of the outcomes. h) Keep accurate and logical client notes, in line with Trust and professional guidelines e.g. records/note keeping policy. i) Monitors risk g) Keep accurate and logical client notes, in line with Trust and professional guidelines e.g. records/note keeping policy. Monitors risk with guidance from clinical supervision and case management. 21 E-KSF Post Outline IK1 - INFORMATION PROCESSING Second Gateway (Full Outline) Foundation Gateway (Subset Outline) Level 1: Input, store and provide data and information Level 1: Input, store and provide data and information Level indicators: Level indicators: a) - Inputs data and information accurately and completely: using the correct formats consistent with legislation, policies and procedures a) - Inputs data and information accurately and completely: using the correct formats consistent with legislation, policies and procedures b) uses available automated facilities for checking the data/information and for resolving difficulties in using applications b) uses available automated facilities for checking the data/information and for resolving difficulties in using applications c) finds and provides requested data/information using agreed procedures and formats c) finds and provides requested data/information using agreed procedures and formats d) maintains the integrity of data/information using agreed procedures d) maintains the integrity of data/information using agreed procedures e) stores data/information safely and correctly e) stores data/information safely and correctly Examples of Application: Examples of Application: Areas/Activities relating to post a. Inputs data as required on Trust electronic systems ensuring at all times it is accurate, sufficient and meets all policy and procedural requirements. Areas/Activities relating to post a. Inputs data as required on Trust electronic systems ensuring at all times it is accurate, sufficient and meets all policy and procedural requirements. b. Uses help functions and automatic checkers within applications to ensure that information is accurate. b. Uses help functions and automatic checkers within applications to ensure that information is accurate. c. Finds and provides appropriate data and information taking into account confidentiality requirements and other relevant Trust policies and procedures. c. Finds and provides appropriate data and information taking into account confidentiality requirements and other relevant Trust policies and procedures. d. Understanding of the Data Protection Act. d. Understanding of the Data Protection Act. e. Uses Data Protection Act and Caldicott guidelines as required to store data safely and correctly. e. Uses Data Protection Act and Caldicott guidelines as required to store data safely and correctly. 22 E-KSF Post Outline Manager’s Name:…………………………………. Employee’s Name:…………………………………….. Manager’s signature: ……………………………….. Employee’s signature: ……………………………….. Date Agreed: ………………………………………… Date agreed: …………………………………………… 23