E-KSF Post Outline
High Intensity Therapist
High Intensity Therapist (Band 7)
Post/Job Title
Reporting to (post)
Job Purpose
Pay Band
Keywords
Core/
Specific
Number
High Intensity Therapist
To work in a multi-disciplinary team assessing and treating clients with moderate common mental health issues, anxiety and depression
Band 7
Mental health, therapist.
Dimension
Second Gateway
(Full Outline)
Level
Indicator
Foundation Gateway
(Subset Outline)
Level
Indicator
Core
C1
COMMUNICATION
4
A,B,C,D,E,F
4
A,B,C,D,E,F
Core
C2
PERSONAL AND PEOPLE
DEVELOPMENT
4
A,B,C,D,E,F,G,H
3
A,B,C,D,E,F,G
Core
C3
HEALTH, SAFETY AND
SECURITY
3
A,B,C,D,E
3
A,B,C,D,E
Core
C4
SERVICE IMPROVEMENT
3
A,B,C,D,E,F,G
3
A,B,C,D,E,F,G
Core
C5
QUALITY
3
A,B,C,D,E,F,G
3
A,B,C,D,E,F,G
Core
C6
EQUALITY AND DIVERSITY
2
A,B,C,D
2
A,B,C,D
Specific
HWB1
1
A,B,C,D,E
1
A,B,C,D,E
Specific
HWB2
4
A,B,C,D,E,F,G,H,I
4
A,B,C,D,E,F,G,H,I
Specific
HWB3
3
A,B,C,D,E,F,G,H
3
A,B,C,D,E,F,G,H
PROMOTION OF HEALTH AND
WELLBEING AND PREVENTION
OF ADVERSE EFFECTS TO
HEALTH AND WELLBEING
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
HWB6
Specific
HWB7
Specific
IK2
High Intensity Therapist
ENABLEMENT TO ADDRESS
HEALTH AND WELLBEING
NEEDS
2
A,B,C,D,E
2
A,B,C,D,E
ASSESSMENT AND TREATMENT
PLANNING
2
A,B,C,D,EF,G
2
A,B,C,D,EF,G
INTERVENTIONS AND
TREATMENTS
4
A,B,C,D,EF,G,H
3
A,B,C,D,EF,G,H,I
INFORMATION COLLECTION
AND ANALYSIS
1
A,B,C,D
1
A,B,C,D
2
E-KSF Post Outline
High Intensity Therapist
C1 - COMMUNICATION
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 4: Develop and maintain communication with people on some complex
matters, issues and ideas and/or in some complex situations
Level 4: Develop and maintain communication with people on some complex
matters, issues and ideas and/or in some complex situations
Level indicators:
a)
identifies:- the range of people involved in the communication
potential communication differences
relevant contextual factors
broader situational factors, issues and risks
b)
communicates with people in a form and manner which:
is consistent with their level of understanding, culture, background and
preferred ways of communicating
is appropriate to the purpose of the communication and its longer term
importance
is appropriate to the context
c)
anticipates barriers to communication and takes action to improve
communication
d)
is proactive in seeking out different styles and methods of
communicating to assist longer term needs and aims
e)
takes a proactive role in producing accurate and complete records
of the communication consistent with legislation, policies and
procedures
f)
f) communicates in a manner that is consistent with legislation,
policies and procedures.
Level indicators:
a)
identifies:- the range of people involved in the communication
potential communication differences
relevant contextual factors
broader situational factors, issues and risks
b)
communicates with people in a form and manner which:
is consistent with their level of understanding, culture, background and
preferred ways of communicating
is appropriate to the purpose of the communication and its longer term
importance
is appropriate to the context
c) anticipates barriers to communication and takes action to improve
communication
d) is proactive in seeking out different styles and methods of
communicating to assist longer term needs and aims
e) takes a proactive role in producing accurate and complete records of the
communication consistent with legislation, policies and procedures
f) f)
communicates in a manner that is consistent with legislation,
policies and procedures.
3
E-KSF Post Outline
High Intensity Therapist
Examples of Application:
Examples of Application:
Communication with:
- Clients and their carers, family, and other agencies. Colleagues and co-workers
and the public.
- Use highly developed verbal and non-verbal skills to understand and
communicate client’s context.
- Conducts CBT based psychological assessments to identify client’s
psychological needs.
- assesses areas of risk and act accordingly to agreed protocols.
Participate in regular clinical and case management supervision.
- Sensitivity to different cultural needs and barriers to understanding.
- Advocate on behalf of the client and the service.
- Facilitating processes e.g. client contracts
- Present and explain psychological concepts to those who are unfamiliar with
them.
- 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 e.g. helps client fill in forms
- Environmental 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 therapy process.
- Ethical awareness and responsibility of therapist, re child protection, self harm
and harm to others.
- Understanding and trained in personal safety
- Changing methods of communication as needed to ensure client is fully able to
understand procedures.
- Use of interpreters if available and knowledge of how to contact them
- Awareness of and compliance with all trust policies / legal and service
operational policy evidenced by reading and signing off.
- Completes patient records in line with Data Protection Act
and consent in PCT and in line with management records
- Follows professional governing body legal guidance.
- Compliance with data recording within the service, i.e. contacts, clinical data on
data base.
- Participates in research and audit.
- Complete all mandatory training.
Communication with:
- Clients and their carers, family, and other agencies. Colleagues and co-workers
and the public.
- Use highly developed verbal and non-verbal skills to understand and
communicate client’s context.
- Conducts CBT based psychological assessments to identify client’s
psychological needs.
- assesses areas of risk and act accordingly to agreed protocols.
Participate in regular clinical and case management supervision.
- Sensitivity to different cultural needs and barriers to understanding.
- Advocate on behalf of the client and the service.
- Facilitating processes e.g. client contracts
- Present and explain psychological concepts to those who are unfamiliar with
them.
- 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 e.g. helps client fill in forms
- Environmental 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 therapy process.
- Ethical awareness and responsibility of therapist, re child protection, self harm
and harm to others.
- Understanding and trained in personal safety
- Changing methods of communication as needed to ensure client is fully able to
understand procedures.
- Use of interpreters if available and knowledge of how to contact them
- Awareness of and compliance with all trust policies / legal and service
operational policy evidenced by reading and signing off.
- Completes patient records in line with Data Protection Act
and consent in PCT and in line with management records
- Follows professional governing body legal guidance.
- Compliance with data recording within the service, i.e. contacts, clinical data on
data base.
- Participates in research and audit.
- Complete all mandatory training.
4
E-KSF Post Outline
High Intensity Therapist
C2 - PERSONAL AND PEOPLE DEVELOPMENT
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 4: Develop oneself and others in areas of practice
Level 3: Develop oneself and contributes to the development of others
Level indicators:
Level indicators:
a)
evaluates the currency and sufficiency of own knowledge and practice
against the KSF outline for the post and identifies own development needs and
interests
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)
others
b) identifies own development needs and sets own personal development
objectives in discussion with his/her reviewer
develops and agrees own personal development plan with feedback from
c)
generates and uses appropriate learning opportunities and applies own
learning to the future development of practice
c) takes responsibility for own personal development and maintains own
personal development portfolio
d)
encourages others to make realistic self assessments of their application
of knowledge and skills challenging complacency and actions which are not in the
interest of the public and/or users of services
d) makes effective use of learning opportunities within and outside the workplace
evaluating their effectiveness and feeding back relevant information
e)
e) enables others to develop and apply their knowledge and skills in practice
enables others to develop and apply their knowledge and skills
f) contributes to the development of others in a manner that is consistent with
legislation, policies and procedures
f)
actively promotes the workplace as a learning environment encouraging
everyone to learn from each other and from external good practice
g) contributes to developing the workplace as a learning environment.
g)
alerts managers to resource issues which affect learning, development
and performance
h)
develops others in a manner that is consistent with legislation, policies and
procedures.
5
E-KSF Post Outline
High Intensity Therapist
Examples of Application:
Examples of Application:
-critically appraises new and changing theoretical models and develops new
knowledge and skills in a new area and keeps up to date with evidence –based
practice
a) Keeps up to date with clinical issues, research and developments and their
impact on own practice e.g.

Participates in critical analysis of own practice through structured
reflection and peer review
reviews what is being done well now and areas for development with
practice and line manager’s feedback and reflective practice

- Clinical supervision and case management and therapeutic outcomes
measures.
Accesses and uses NICE guidelines
b) Identifies own objectives by:

participating in personal development reviews

Actively reflecting upon and critically appraising own practice in the
light of evidence
seeking feedback from others and identifies areas for further individual
development
- PDP /KSF sets own personal and professional training and development needs
and shares own knowledge and skills.
- Data collection to inform audit and research and service outcomes and use of IT
/ trust email / service data base.
c) Implements and evaluates own personal development plans through:
- Ensuring own well being by work-life balance and managing own stress.

- Following NICE guidance for evidence based therapies.




- continuing evidence of courses / learning.
- Taking part in PDP/KSF review and identifying achievements and further needs.
Working with a supervisor and case manager to achieve own learning
contract and personal development plan
Prioritising own interventions arising form action planning
Using opportunities for developing own leadership potential
Maintaining a professional portfolio
Demonstrating achievement in practice of competency and standards
through professional portfolio of evidence
- Learning on and off the job and through courses as identified with line manager.
d) Participates in the life-long learning development opportunities by:

Accessing and utilising learning materials from a wide variety of sources to
inform professional practice

Participating in rigorous reflective practice as a supervisor and supervisee

Attending mandatory training
- Recording learning and developments in portfolio.
- Acting as a role model to trainees.
-provides feedback and encourages others
- Provide clinical supervision.
6
E-KSF Post Outline
High Intensity Therapist
Examples of Application cont’d):
e) Values, accesses and contributes towards support and development
mechanisms of team members by:

Alerting others to the learning resources and opportunities available
locally
f) Supports the development of others with reference to local and national guidelines
e.g.
g) Contributes to developing an effective learning environment in practice for all
by:

Using a range of different teaching methods to enable patient/client
learning

Contributing to a non-blame learning culture
Contributing to and supporting shared governance mechanisms that enable
learning to be implemented
7
E-KSF Post Outline
High Intensity Therapist
C3 - HEALTH, SAFETY AND SECURITY
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 3: Promote best practice in health, safety and security
Level 3: Promote best practice in health, safety and security
Level indicators:
Level indicators:
a)
-
identifies:
the risks involved in work activities and processes
how to manage the risks
how to help others manage risk
a)
-
identifies:
the risks involved in work activities and processes
how to manage the risks
how to help others manage risk
b)
-
undertakes work activities consistent with:
legislation, policies and procedures
the assessment and management of risk
b)
-
undertakes work activities consistent with:
legislation, policies and procedures
the assessment and management of risk
c)
monitors work areas and practices and ensures they:
are safe and free from hazards
conform to health, safety and security legislation, policies, procedures
and guidelines
c)
monitors work areas and practices and ensures they:
are safe and free from hazards
conform to health, safety and security legislation, policies, procedures
and guidelines
d)
d)
takes the necessary action in relation to risks
e)
identifies how health, safety and security can be improved and takes
action to put this into effect.
takes the necessary action in relation to risks
e)
identifies how health, safety and security can be improved and takes
action to put this into effect.
8
E-KSF Post Outline
High Intensity Therapist
Examples of Application :
Examples of Application :
Mandatory courses to be completed and noted in portfolio
Mandatory courses to be completed and noted in portfolio
Good working knowledge of risk management- evidenced through training and
practice.
Good working knowledge of risk management- evidenced through training
and practice.
Awareness of and compliance with trust policies e.g. risk management, suicide,
child protection.
Awareness of and compliance with trust policies e.g. risk management,
suicide, child protection.
Evidenced case management and supervision
Evidenced case management and supervision
Compliance communication e.g. Client and supervision contracts
Compliance communication e.g. Client and supervision contracts
Case notes kept up to date and any risks noted evidenced by e.g. case
management
Case notes kept up to date and any risks noted evidenced by eg case
management
Attends Case management on a regular basis
Attends Case management on a regular basis
Supervision, attends regularly and follows all guidelines
Supervision, attends regularly and follows all guidelines
Adhering to policies on client contact
Adhering to policies on client contact
Adhering to policies on personal safety
Adhering to policies on personal safety
Knowledge of incident reporting
Knowledge of incident reporting
Adhering to guidance for lone working
Adhering to guidance for lone working
Initiates, with line manager, and implements appropriate changes to risk
management.
Initiates, with line manager, and implements appropriate changes to risk
management.
Reports on critical incidents and /or emergencies
Reports on critical incidents and /or emergencies
Acts on risk issues evidenced through case notes, supervision and case
management.
Acts on risk issues evidenced through case notes, supervision and case
management.
9
E-KSF Post Outline
High Intensity Therapist
C4 - SERVICE IMPROVEMENT
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 3: Appraise, interpret and apply suggestions, recommendations and
directives to improve services
Level 3: Appraise, interpret and apply suggestions, recommendations and
directives to improve services
Level indicators:
Level indicators:
a)
Awareness of areas for potential service improvement
a)
Awareness of areas for potential service improvement
b)
-
balances and prioritise competing interests
b)
-
balances and prioritise competing interests
c)
constructively undertakes own role in improving services as agreed and
to time, supporting others effectively during times of change and working with
others to overcome problems and tensions as they arise
c)
constructively undertakes own role in improving services as agreed and
to time, supporting others effectively during times of change and working with
others to overcome problems and tensions as they arise
d)
Follows, policies and strategies until they are firmly embedded in the
culture inspiring others with values and a vision of the future whilst acknowledging
traditions and background
d)
Follows, policies and strategies until they are firmly embedded in the
culture inspiring others with values and a vision of the future whilst acknowledging
traditions and background
e)
enables and encourages others to:
understand and appreciate the influences on services and the reasons
why improvements are being made
offer suggestions, ideas and views for improving services
alter their practice in line with agreed improvements
share achievements
challenge tradition
e)
enables and encourages others to:
understand and appreciate the influences on services and the reasons
why improvements are being made
offer suggestions, ideas and views for improving services alter
their practice in line with agreed improvements
share achievements
challenge tradition
f)
evaluates with others the effectiveness of service improvements and
agrees that further action is required to take them forward
f)
evaluates with others the effectiveness of service improvements and
agrees that further action is required to take them forward
g)
Aware of draft policies and strategies and their effect on users and the
public and makes recommendations for improvement
g)
awareness of draft policies and strategies and their effect on users and
the public and makes recommendations for improvement
10
E-KSF Post Outline
High Intensity Therapist
Examples of Application:
Examples of Application:
Contributing to the implantation of client evaluation forms.
Contributing to the implantation of client evaluation forms.
Helping others to understand the need for change and learn from change.
Helping others to understand the need for change and learn from change.
Examples of innovation to extend client choice evidenced by e.g. moving client to
a different venue
Examples of innovation to extend client choice evidenced by e.g. moving client to a
different venue
Supervision records signed off
Supervision records signed off
The use of psychometrics e.g. CORE,TAG.
The use of psychometrics e.g. CORE,TAG.
Liaison with other services evidenced by e.g. appropriate signposting of client
according to care pathways
Liaison with other services evidenced by e.g. appropriate signposting of client
according to care pathways
Internal team communication e.g. meetings, case management
Internal team communication e.g. meetings, case management
Cascading knowledge to the team evidenced by eg.business meetings
Cascading knowledge to the team evidenced by eg.business meetings
Adhering to policies on client contact evidenced by e.g. client contracts
Adhering to policies on client contact evidenced by e.g. client contracts
NICE Guidance follows e.g. evidenced based practise
NICE Guidance follows e.g. evidenced based practise
Evidence based practice/ practice based evidence. E.g. number of sessions of
therapy
Evidence based practice/ practice based evidence. E.g. number of sessions of
therapy
11
E-KSF Post Outline
High Intensity Therapist
C5 - QUALITY
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 3: Contribute to improving quality
Level 3: Contribute to improving quality
Level indicators:
Level indicators:
a) Acts consistently with legislation, policies, procedures and other
quality approaches and promotes the value of quality approaches to
others
a)
Acts consistently with legislation, policies, procedures and other
quality approaches and promotes the value of quality approaches to
others
b)
Understands own role in the organisation and its scope and identifies
how this may develop over time
b)
Understands own role in the organisation and its scope and identifies
how this may develop over time
c)
Works as an effective and responsible team member and enables
others to do so
c)
Works as an effective and responsible team member and enables
others to do so
d)
Prioritises own workload and organises and carries out own work in a
manner that maintains and promotes quality
d)
Prioritises own workload and organises and carries out own work in a
manner that maintains and promotes quality
e)
Evaluates the quality of own and others’ work and raises quality
issues and related risks with the relevant people
e)
Evaluates the quality of own and others’ work and raises quality
issues and related risks with the relevant people
f)
Supports the introduction and maintenance of quality systems and
processes in own work area
f)
Supports the introduction and maintenance of quality systems and
processes in own work area
g)
Takes the appropriate action when there are persistent quality
problems
g)
Takes the appropriate action when there are persistent quality
problems
12
E-KSF Post Outline
High Intensity Therapist
Examples of Application:
Examples of Application (contd):
Identify and disseminate best practice- evidenced in team meetings and case
management notes.
Identify and disseminate best practice- evidenced in team meetings and case
management notes.
Care Pathway Protocol, knowledge and adherence too
Care Pathway Protocol, knowledge and adherence too
Follows NICE Guidance e.g. evidenced based practise
Follows NICE Guidance e.g. evidenced based practise
Identifies new projects to support quality improvement and development of own
role – evidenced in case management, KSF appraisals and PDP
Identifies new projects to support quality improvement and development of own
role – evidenced in case management, KSF appraisals and PDP
PCT/IAPT Service targets evidenced by e.g. FAA wait times
PCT/Iapt Service targets evidenced by e.g. FAA wait times
Compliance with clinical governance
Compliance with clinical governance
Consistent positive outcomes in clinical practice evidenced by e.g. evaluation
forms
Consistent positive outcomes in clinical practice evidenced by e.g. evaluation
forms
Working within an ethical framework.
Working within an ethical framework
Monitoring own competency and fitness to practice evidenced through clinical
supervision and case management.
Monitoring own competency and fitness to practice evidenced through clinical
supervision and case management.
Case notes kept up to date with any relevant risks noted.
Case notes kept up to date with any relevant risks noted.
Attendance at Supervision and the signing off of notes
Attendance at Supervision and the signing off of notes
Case management records signed off
Case management records signed off
Using psychometrics for assessment and discharge evidenced by e.g. use in
referral to another service
Using psychometrics for assessment and discharge evidenced by e.g. use in
referral to another service
Provides formal and informal guidance evidenced by e.g. communication in
business meetings
Provides formal and informal guidance evidenced by e.g. communication in
business meetings
Internal team communication e.g. Business meetings and e-mails.
Internal team communication e.g. Business meetings and e-mails.
Reflect on feedback, outcomes to evaluate service improvements- evidenced
through service improvement and improvements in clinical practise.
Reflect on feedback, outcomes to evaluate service improvements- evidenced
through service improvement and improvements in clinical practise.
13
E-KSF Post Outline
High Intensity Therapist
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
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
b)
choices
-
acts in ways that:
acknowledge and recognise people’s expressed beliefs, preferences and
c)
c)
takes account of own behaviour and its effect on others
takes account of own behaviour and its effect on others
respect diversity
value people as individuals
d)
identifies and takes action when own or others’ behaviour undermines
equality and diversity.
d)
identifies and takes action when own or others’ behaviour undermines
equality and diversity.
Examples of Application:
Awareness of equality and diversity legislation and their impact on consentevidenced through training and practice
Examples of Application:
Awareness of equality and diversity legislation and their impact on consentevidenced through training and practice
Acting on discrimination-evidenced e.g. Own practice and supervision.
Acting on discrimination-evidenced e.g. Own practice and supervision.
Awareness of cultural differences and values-evidenced in e.g. case notes.
Awareness of cultural differences and values-evidenced in e.g. case notes.
Patient led services and awareness of improving service to allow a more equitable
service e.g. Access for disabled.
Patient led services and awareness of improving service to allow a more equitable
service e.g. Access for disabled.
Consent to engage in therapy evidenced by eg client contracts
Consent to engage in therapy evidenced by e.g. client contracts
The use of other communication resources e.g. Handouts.
The use of other communication resources e.g. Handouts.
Adhering to equal opportunities policies evidenced by e.g. awareness of gender
issues
Adhering to equal opportunities policies evidenced by e.g. awareness of gender
issues
14
E-KSF Post Outline
High Intensity Therapist
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:
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
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
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
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
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
e)
records and reports back fully on the activities undertaken and alerts
others in the team to any issues that arise during the activities
15
E-KSF Post Outline
High Intensity Therapist
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
b)
Enables patients and users to identify health related goals that are
important to them building on their own strategies for maintaining their
health
Examples of Application:
Obtains informed consent prior to all activities including assessment,
having addressed any issues that people may have.
Identifies strategies with patients and users for achieving their own
health promotion goals
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 prior to all activities including assessment, having
addressed any issues that people may have.
Identifies strategies with patients and users for achieving their own health
promotion goals
d)
Aware of the specific legal and ethical implications of therapy interventions,
treatments and therapies supported by a mentor/clinical supervisor
e)
Keeps accurate care records and alerts the multi-disciplinary team to any
issues
c)
d)
Aware of the specific legal and ethical implications of therapy
interventions, treatments and therapies supported by a mentor/clinical
supervisor
e)
Keeps accurate care records and alerts the multi-disciplinary team to
any issues
16
E-KSF Post Outline
High Intensity Therapist
HWB2 - ASSESSMENT AND CARE PLANNING TO MEET PEOPLE’S HEALTH AND WELLBEING NEEDS
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 4: Assess health and wellbeing needs and develop, monitor and review
care plans to meet those needs
Level 4: Assess health and wellbeing needs and develop, monitor and review
care plans to meet those needs
Level indicators:
Level indicators:
a)
explains clearly to people:
own role, responsibilities and accountability
the information that is needed from the assessment of health and
wellbeing needs and who might have access to it
the benefits and risks of the assessment process and alternative
approaches
the outcomes of assessment
options within care plans and associated benefits and risks
b)
respects people’s dignity, wishes and beliefs; involves them in shared
decision making; and obtains their consent
c)
plans and uses assessment methods that are appropriate for needs,
and uses processes of reasoning that
are appropriate for the cbt needs of the people concerned
s/he has the knowledge, skills and experience to use effectively
are based on available evidence
obtain sufficient information for decision making including gaining
assessment information from other practitioners
d)
follows processes of reasoning which:
balance additional information against the overall picture of the
individual’s needs to confirm or deny developing hypotheses
e)
interprets all of the information available and makes a justifiable
assessment of:
people’s health and wellbeing
their related complex needs and prognosis
risks to their health and wellbeing in the short and longer term
transferring and applying her/his skills and knowledge to address the complexity
of people’s needs
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 to meet people’s complex
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
a)
explains clearly to people:
own role, responsibilities and accountability
the information that is needed from the assessment of health and
wellbeing needs and who might have access to it
the benefits and risks of the assessment process and alternative
approaches
the outcomes of assessment
options within care plans and associated benefits and risks
b)
respects people’s dignity, wishes and beliefs; involves them in shared
decision making; and obtains their consent
c)
plans and uses assessment methods that are appropriate for needs,
and uses processes of reasoning that
are appropriate for the cbt needs of the people concerned
s/he has the knowledge, skills and experience to use effectively
are based on available evidence
obtain sufficient information for decision making including gaining
assessment information from other practitioners
d)
follows processes of reasoning which:
balance additional information against the overall picture of the
individual’s needs to confirm or deny developing hypotheses
e)
interprets all of the information available and makes a justifiable
assessment of:
people’s health and wellbeing
their related complex needs and prognosis
risks to their health and wellbeing in the short and longer term
transferring and applying her/his skills and knowledge to address the complexity
of people’s needs
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 to meet people’s complex
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
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E-KSF Post Outline
High Intensity Therapist
g)
coordinates the delivery of care plans, feeding in relevant information to
support wider service planning
h)
monitors the implementation of care plans and makes changes to better
meet people’s health and wellbeing needs.
i)
Monitors the implementation of care plans and makes changes to better
meet people’s health and wellbeing needs.
g)
coordinates the delivery of care plans, feeding in relevant information to
support wider service planning
h)
monitors the implementation of care plans and makes changes to better
meet people’s health and wellbeing needs.
i)
Monitors the implementation of care plans and makes changes to better
meet people’s health and wellbeing needs.
Examples of Application:
Examples of Application:
a) Considers and applies legal, ethical and professional perspectives when
planning care strategies.
a)
Considers and applies legal, ethical and professional perspectives when
planning care strategies.
b)
Acts by enabling new ways of working, and influences colleagues’ practice
by: knowing the patient and demonstrating moral integrity.
b)
Acts by enabling new ways of working, and influences colleagues’ practice
by: knowing the patient and demonstrating moral integrity.
c)
Uses their knowledge for requiring other interventions and enabling patientfocused benchmarks to be integrated into patient assessment and care
planning processes.
c)
Uses their knowledge for requiring other interventions and enabling patientfocused benchmarks to be integrated into patient assessment and care
planning processes.
d)
Demonstrates clear lines of accountability in delivering services within the
established practice by demonstrating skilled know how and displaying
creative, innovative and challenging behaviour (appropriately within the
boundaries of professional conduct )
d)
Demonstrates clear lines of accountability in delivering services within the
established practice by demonstrating skilled know how and displaying
creative, innovative and challenging behaviour (appropriately within the
boundaries of professional conduct )
e)
Uses knowledge to use information relevant to care provision that will
enhance the experience of the user e.g. liaises with other agencies
e)
Uses knowledge to use information relevant to care provision that will
enhance the experience of the user e.g. liaises with other agencies
f)
Gets quickly to the heart of the matter by interpreting all information in a
knowledgeable way using skills of differential diagnosis
f)
Gets quickly to the heart of the matter by interpreting all information in a
Knowledgeable way using skills of differential diagnosis
g)
Uses analytical skills to understand and use data in clinical practice.
g)
Uses analytical skills to understand and use data in clinical practice.
h)
Co-ordinates care planning by developing computer literacy.
h)
Co-ordinates care planning by developing computer literacy.
i)
Monitors the quality of care plans to ensure the service user is being
provided with effective, evidence-based care.
i)
Monitors the quality of care plans to ensure the service user is being
provided with effective, evidence-based care.
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E-KSF Post Outline
High Intensity Therapist
HWB3 - PROTECTION OF HEALTH AND WELLBEING
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 3: Implement aspects of a protection plan and review its effectiveness
Level 3: Implement aspects of a protection plan and review its effectiveness
Level indicators:
Level indicators:
a) works in partnership with others to identify and assess the nature, location and
seriousness of the particular risks
a) works in partnership with others to identify and assess the nature, location and
seriousness of the particular risks
b) prioritises own work in line with areas of highest risk coordinating own actions
with anyone else involved
b) prioritises own work in line with areas of highest risk coordinating own actions
with anyone else involved
c) contacts people who are at risk taking the necessary action if difficulties are
encountered
c) contacts people who are at risk taking the necessary action if difficulties are
encountered
d) explains to people the purpose for the contact, any requirements for statutory
enforcement, what people are required to do to comply with statutory enforcement
and what will happen if they fail to comply and involves them in shared decision –
making
d) explains to people the purpose for the contact, any requirements for statutory
enforcement, what people are required to do to comply with statutory enforcement
and what will happen if they fail to comply and involves them in shared decision –
making
e) prepares for and undertakes the protective interventions that s/he is
responsible for as part of the protection plan in a manner that
is consistent with evidence-based practice, legislation, policies and
procedures
is appropriate to the people concerned
is appropriate for the setting
maintains health and safety
e) prepares for and undertakes the protective interventions that s/he is responsible
for as part of the protection plan in a manner that
is consistent with evidence-based practice, legislation, policies and
procedures
is appropriate to the people concerned
is appropriate for the setting
maintains health and safety
f) undertakes own work in ways which manage risk and are consistent with
statutory enforcement
f) undertakes own work in ways which manage risk and are consistent with statutory
enforcement
g) works with other members of the protection team to plan, monitor and review
the effectiveness of the protection plan
g) works with other members of the protection team to plan, monitor and review the
effectiveness of the protection plan
h) records and reports on the aspects of the overall protection plan for which s/he
is responsible consistent with legislation, policies and procedures
h) records and reports on the aspects of the overall protection plan for which s/he is
responsible consistent with legislation, policies and procedures
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E-KSF Post Outline
High Intensity Therapist
Examples of Application:
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 and priorities any risk issues and liaises with agencies and follows risk
policies.
a) Follows care pathways and protocols for risk
b) Ensures that all information is given to the person to enable shared decision
making and priorities any risk issues and liaises with agencies and follows risk
policies.
c) Has knowledge and understanding of policies and procedures that are
consistent i.e. guidance around child protection issues and takes action
c) Has knowledge and understanding of policies and procedures that are
consistent i.e. guidance around child protection issues. And takes action
d) Knows what emergency plans are in place and who to contact in case of
emergency
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 and acts within evidenced – based practice to ensure safety
e) Keeps records of all incidents and report on appropriate documentation to
the appropriate person and acts within evidenced – based practice to ensure
safety
f) Assesses and monitors risk and notes in records and in supervision and case
management.
g) Liaises with MDT, case manager and supervision and other health professionals
to plan and monitor risk.
f) Assesses and monitors risk and notes in records and in supervision and case
management.
g) Liaises with MDT, case manager and supervision and other health professionals
to plan and monitor risk.
h) records all risk issues in case notes and with case manager and in supervision
.h) records all risk issues in case notes and with case manager and in supervision
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E-KSF Post Outline
High Intensity Therapist
HWB4 - ENABLEMENT TO ADDRESS HEALTH AND WELLBEING NEEDS
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 2: Enable people to meet ongoing health and wellbeing needs
Level 2: Enable people to meet ongoing health and wellbeing needs
Level indicators:
Level indicators:
a) offers information to the team on how to meet people’s health and wellbeing
needs and effective ways of doing this based on observations and own
experience
a) offers information to the team on how to meet people’s health and wellbeing
needs and effective ways of doing this based on observations and own experience
b) respects people’s dignity, wishes and beliefs; involves them in shared decision
making; and obtains their consent
b) respects people’s dignity, wishes and beliefs; involves them in shared decision
making; and obtains their consent
c) effectively prepares for and undertakes activities to enable people to meet their
ongoing needs consistent with the care plan, legislation, policies and procedures
c) effectively prepares for and undertakes activities to enable people to meet their
ongoing needs consistent with the care plan, legislation, policies and procedures
d) promptly alerts the team to any risks
d) promptly alerts the team to any risks
e) reports and records activities undertaken and how health and wellbeing needs
are changing and feeds back on the appropriateness of the activities for the people
concerned
e) reports and records activities undertaken and how health and wellbeing needs
are changing and feeds back on the appropriateness of the activities for the
people concerned
Examples of Application:
Examples of Application:
a) Identifies and meets the information needs of individual patients’/users through
team briefings and clinical governance mechanisms
a) Identifies and meets the information needs of individual patients’/users through team
briefings and clinical governance mechanisms
b) Supports patients in becoming self-sufficient in own decision-making with
regard to patient-focused therapy as well as other areas important to them
b) Supports patients in becoming self-sufficient in own decision-making with regard to
patient-focused therapy as well as other areas important to them
c) Acts as a resource to the patient/client and health care assistants within the
clients therapy.
c) Acts as a resource to the patient/client and health care assistants within the clients
therapy.
Enables patients to access other resources for specialist information pertaining
to the client group and their rights
Enables patients to access other resources for specialist information pertaining to the
client group and their rights
d) Maintains awareness of who to alert when there are risks to address
d) Maintains awareness of who to alert when there are risks to address
e) Uses up to records as a means of informing the immediate clinical team within
the realms of confidentiality key health and wellbeing activities being undertaken
as well as ongoing progress
e) Uses up to date records as a means of informing the immediate clinical team within
the realms of confidentiality key health and wellbeing activities being undertaken as well
as ongoing progress
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E-KSF Post Outline
High Intensity Therapist
HWB6 - ASSESSMENT AND TREATMENT PLANNING
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 2: Contribute to the assessment of physiological and/or psychological
functioning
Level 2: Contribute to the assessment of physiological and/or psychological
functioning
Level indicators:
Level indicators:
a)
discusses the assessment to be undertaken with the work team and
understands his/her own role in the overall assessment and the
activities to be undertaken
a)
discusses the assessment to be undertaken with the work team and
understands his/her own role in the overall assessment and the activities
to be undertaken
b)
respects individuals’ dignity, wishes and beliefs; involves them in shared
decision making; and obtains their consent for the assessment to be
undertaken
b)
respects individuals’ dignity, wishes and beliefs; involves them in shared
decision making; and obtains their consent for the assessment to be
undertaken
c)
identifies appropriate methods, techniques and equipment for different
activities and individuals and prepares appropriately taking into account
any risks
c)
identifies appropriate methods, techniques and equipment for different
activities and individuals and prepares appropriately taking into account
any risks
d)
undertakes and records assessment activities as agreed with the care
team, following established protocols/procedures and consistent with
legislation, policies and procedures
d)
undertakes and records assessment activities as agreed with the care
team, following established protocols/procedures and consistent with
legislation, policies and procedures
e)
monitors individuals during assessment activities and takes the
appropriate action in relation to any significant changes or possible risks
e)
monitors individuals during assessment activities and takes the
appropriate action in relation to any significant changes or possible risks
f)
reports assessment findings in the appropriate format to the people who
need them
f)
reports assessment findings in the appropriate format to the people who
need them
g)
offers to the team his/her own insights into the health and well-being
needs and wishes of the people concerned and makes suggestions on
the treatment that might be needed.
g)
offers to the team his/her own insights into the health and well-being needs
and wishes of the people concerned and makes suggestions on the
treatment that might be needed.
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E-KSF Post Outline
High Intensity Therapist
Examples of Application:
Examples of Application:
a) Respect diversity. Shared decision making based on clear infor
mation obtain consent, verbal, written or implied.
a) Respect diversity. Shared decision making based on clear information
obtain consent, verbal, written or implied.
b) Identifies: intervention/treatment; involve others (e.g. HV, GP,
CPN).
b) Identifies: intervention/treatment and
involve others (e.g. HV, GP, CPN).
c) Preparation to involve knowledge of patient history, technique/intervention, environment
and risk issues.
c) Preparation to involve knowledge of patient history, technique/intervention, environment and
risk issues
d) Ensure interventions are in line with Trust and professional polic
ies/guidelines e.g. evidence based practice and effective team wor
king.
d) Ensure interventions are in line with Trust and professional policies/gui
delines e.g. evidence based practice and effective team working.
e) Monitor - outcome measures. Action may be direct/indirect e.g.
refer to other agency, liaison with colleague.
e) Monitor - outcome measures. Action may be direct/indirect e.g.
refer to other agency, liaison with colleague.
f) Review treatment through reassessment, outcome measures,
patient satisfaction and goals. Modification may be using different
treatment technique within CBT, referral to other agency.
f) Review treatment through reassessment, outcome measures,
patient satisfaction and goals. Modification may be using different treat
ment technique within CBT, referral to other agency.
g) Inform client, other member of MDT etc. of the outcomes.
g) Inform client, other member of MDT etc. of the outcomes.
Keep accurate and logical notes
Keep accurate and logical notes in line with Trust and professional
guidelines e.g. records/note keeping policy.
i) Monitors risk
I HAVE NO EXAMPLES I CAN CALL ON – YOU WILL NEED TO CONSIDER
YOUR OWN
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E-KSF Post Outline
High Intensity Therapist
HWB7 - INTERVENTIONS AND TREATMENTS
Second Gateway (Full Outline)
Foundation Gateway (Subset Outline)
Level 4: Plan, deliver and evaluate interventions and/or treatments when there are
some complex issues and/or serious illness
Level 3: Assist in providing interventions and/or treatments
Level indicators:
Level indicators:
a)
checks with relevant sources of information to confirm the tasks to be
undertaken in relation to interventions and/or treatments
a)
respects individuals’ dignity, wishes and beliefs; involves them in shared
decision making; and obtains their consent
b)
identifies with the people concerned:
goals for the specific interventions / treatments 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 interventions / treatments given the complexity
of the issues and/or the seriousness of the illness
relevant care pathways
the involvement of other people and/or agencies
relevant evidence-based practice and/or clinical guidelines / theories
and models
any specific precautions or contraindications to the proposed
interventions / treatment and takes the appropriate action
how to manage potential risks
c)
undertakes interventions / treatments in a manner that is consistent with:
evidence-based practice and/or clinical guidelines / theories and models
multidisciplinary team working
his/her own knowledge, skills and experience
legislation, policies and procedures
applying own skills, knowledge and experience and using considered
judgment to meet individual’s complex needs
d)
takes the appropriate action to address any issues or risks
e)
evaluates the effectiveness of the interventions / treatments and makes
any necessary modifications
f)
provides effective feedback to inform the overall treatment plan
g)
makes complete records of the interventions / treatments undertaken,
people’s health and wellbeing, needs and related risks
h)
responds to, records and reports any adverse events or incidents
relating to the intervention/treatment with an appropriate degree of urgency.
b)
respects individuals’ dignity, wishes and beliefs; involves them in shared
decision making; and obtains their consent for the activities to be undertaken
c)
undertakes specified tasks correctly, and in line with legislation, policies
and procedures and/or established protocols
d)
monitors individuals whilst carrying out the tasks and identifies and reports
any changes in the individual’s health and wellbeing
e) records activities and outcomes consistent with legislation, policies and
procedures.
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/treatments 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
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E-KSF Post Outline
High Intensity Therapist
Examples of Application:
Examples of Application:
a) Uses CBT approaches
a) Uses a CBT approach when implementing the agreed plan in partnership with the
patient, respecting their dignity, privacy and choices
Agrees the goals with the patient and also appropriate time frames
b)
Provides appropriate intervention, treatments and therapies for a specific client
group.
Provides multi-skilled interventions, treatments and therapies relevant to the client
c) uses evidenced – based therapy
b) Identifies with the patient the factors that might influence achievement of the
treatment plan e.g. mobility, mood, fears.
Liaises with other agencies in relation to achieving the plan and minimising the risks e.g.
GP’s, HV’s
d)
Acts on issues arising from risk assessments
c) Prepares the environment and the patient psychologically for the
treatment/intervention to be undertaken
e)
Evaluates therapy interventions
Provides and evaluates interventions
d) Applies evidence-based protocols and guidelines to minimise side-effects of
treatments
f)
Uses business meetings to provide feedback and case management and
supervision
e) Monitors and acts on changes in the patient during the treatment/intervention
g)
Keeps accurate, up to date records of care.
h)
Records all adverse incidents appropriately and follows up the incident with action
to remedy the issue
f) Continually evaluates interventions in partnership with the patient and multi-disciplinary
team making changes as appropriate
g) Provides feedback to multi-disciplinary team on treatment plan and changes and case
management and supervisor
h) Records in patient documentation, interventions, treatments and outcomes
i) Records and reports risks in patient’s records responding promptly with appropriate
action
25
E-KSF Post Outline
High Intensity Therapist
IK2 - INFORMATION COLLECTION AND ANALYSIS
Second Gateway (Full Outline
Foundation Gateway (Subset Outline)
Level 1: Collect, collate and report routine and simple data and information
Level 1: Collect, collate and report routine and simple data and information
Level Indicators:
a)
collects and collates data/information effectively and to time, using set
systems and consistent with legislation policies and procedures
b)
confirms that the data/information meets pre-set quality criteria and
reports any quality issues
c)
maintains the integrity of data/information using agreed procedures
d)
reports the data/information clearly in the required format at the time
agreed
Level Indicators:
Examples of Application:
a)
collects and collates data/information effectively and to time, using set systems
and consistent with legislation policies and procedures
b)
confirms that the data/information meets pre-set quality criteria and reports any
quality issues
c)
maintains the integrity of data/information using agreed procedures
d)
reports the data/information clearly in the required format at the time agreed
Examples of Application:
a) - Identifies questions to be asked of the data. E.g. what are the standards to be
audited? With line manager
a) - Identifies questions to be asked of the data. E.g. what are the standards to be
audited? With line manager
- Identifies the type of data necessary to provide answers e.g. of
quantitative data such as audit data.
- Identifies the type of data necessary to provide answers e.g. of quantitative
data such as audit data.
B) - Selects and uses evidence-based tools that inform clinical decisionmaking
B) - Selects and uses evidence-based tools that inform clinical decisionmaking
c) - Ensures informed consent and anonymity in obtaining and using data for
audit
c) - Ensures informed consent and anonymity in obtaining and using data for
audit
- evaluates the data/information arising from evidence-based tools and clinical
audit used to assist decision-making
evaluates the data/information arising from evidence-based tools and clinical audit
used to assist decision-making
26
I HAVE NO EXAMPLES I CAN CALL ON – YOU WILL NEED TO CONSIDER
YOUR OWN
E-KSF Post Outline
Examples of Application:
High Intensity Therapist
Examples of Application:
d) - Presents data/information and evaluation projects to e.g. business
meetings
Complies with legislation, policies and procedures in relation to the
Management of information, confidentiality, privacy and dignity, equality
and diversity, anonymity and informed consent
d) Presents data/information and evaluation projects to e.g. business
meetings
Complies with legislation, policies and procedures in relation to the
Management of information, confidentiality, privacy and dignity, equality
and diversity, anonymity and informed consent
27
E-KSF Post Outline
High Intensity Therapist
Manager’s Name:………………………………….
Employee’s Name:……………………………………..
Manager’s signature: ………………………………..
Employee’s signature: ………………………………..
Date Agreed: …………………………………………
Date agreed: ……………………………………………
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