SOUTH WARWICKSHIRE NHS FOUNDATION TRUST Meeting Board of Directors Date 28 April 2010 Subject Annual Training and Development Report Enclosure T Nature of item For information For approval For decision Decision required (if any) The Board is invited to receive and note this report. General Information Report Author Lead Director Caroline Samouelle, Associate Director Organisational Development Ann Pope, Director of Human Resources Received or approved by Meeting Date Resource Implications Revenue Capital Workforce Use of Estate Funding Source Freedom of Information Confidential (Y/N) (if yes, give reasons) Final/draft format No Ownership Trust Intended for release to the public Yes Decision Made Final South Warwickshire NHS Foundation Trust Report to Board of Directors – 28 April 2010 Annual Training and Development Report Executive Summary The report gives an overview of the Trust’s training and development activity for 2009/10 within the context of the Learning Group’s objectives for the year. Specifically included is a summary of external assurance reviews which were undertaken in relation to undergraduate nurse and medical education programmes which are delivered in partnership with local universities. The widening participation agenda has been a particular focus over the past year and we hope to be able to expand our number of apprentices. Looking forward, the key objectives for 2010/11 have been agreed by the Learning Group. Supported by a successful bid to the Coventry and Warwickshire Workforce Locality Stakeholder Board we will be leading a project to work collaboratively with other local healthcare providers to develop generic mandatory training competencies, appraisal documentation, etc to facilitate transition of staff across the local health economy. -1- 2009/2010 Annual Training and Development Report “We must ensure that our workforce is empowered to deliver innovative and pioneering healthcare. Developing existing staff is essential to the “High Quality Care for All” (Darzi, 2008) ambition of providing high quality patient centred services enabling staff to keep abreast of advancing techniques and supporting Continued Professional Development” David Nicholson, Chief Executive NHS - The Operating Framework for the NHS in England 2009/2010 Introduction Requests to access both internal and external training and development opportunities over the past year have once again risen significantly. Over 900 applications in the past year have been received by the Learning Group (a multi professional group of staff who commission and authorise training on behalf of the Trust). The group continues to ensure that applications meet both organisational and strategic objectives as well as optimising available resources. Whilst a challenge during the past financial year, the combination of careful budgeting and proactively seeking and accessing external funding opportunities, has meant that training budgets have remained in balance, as well as supporting the vast majority of applications. This is borne out by the Staff Survey which stated that 73% of staff had received taught training in the past 12 months. The Trust continues to work collaboratively with other local healthcare providers as well as local colleges and universities. In particular the Trust has been able to utilise the training opportunities provided by the Strategic Health Authority and Government Agencies in supporting the Widening Participation Agenda. The Learning and Development Objectives set in the last report to Board have been met. These were: To ensure funding was targeted to meet key Trust strategic and operational priorities in line with the Trust’s objectives The development of a competency based first line manager development programme (see page 11) Continue to expand learning and development opportunities for staff in Agenda for Change bands 1-4 (see pages 7, 10) To continue to support the appraisal process (see page 3) To establish a Health Care Assistant Development Programme (see page 7) The development and implementation of work experience programmes for our local school children (see page 10) Continue to work with the Communications Manager to ensure that training opportunities are widely communicated. Of particular note was the implementation of a Health Care Assistant Development Programme and supporting Medical Secretarial staff to achieve qualifications in medical terminology and administration. The appointment of a work experience coordinator across Warwickshire has enabled local school children to attend taster days as well as structured work experience programmes Appraisal Appraisal figures from the 2009-2010 staff survey show a significant increase in appraisals undertaken within the Trust rising from 49% in 2008 to 76% in 2009. The Trust continues to support appraisal with regular training sessions provided internally for both appraisers and appraisees. Appraisal data is now downloaded onto ESR, giving precise data against Trust headcount. A key priority for the Learning Group for 2010/2011 will be to improve the level of appraisal as well as review and update existing documentation to provide added value to the process. -1- The Learning Group Now in the 6th year since its inception, the Group continues to expand its core membership which also now includes the Trust contracted staff G4S. The multi-professional focus of the group (Operating Department Practitioners to Medical Secretaries) enables the group to remain both objective and fair in the commissioning of training and education from a Trust wide perspective. A key objective for the group in the forthcoming year will be to prioritise funding using the departmental training plans in anticipation of reduced externally available training income. Clinical and Non Clinical Mandatory Training Group This sub group of the Learning Group formed in 2008 is now firmly embedded in the Learning and Development function. Those staff responsible for delivering Mandatory Training attend the bi monthly meetings, along with representatives from the Governance Team, to ensure that the group fully complies with the Care Quality Commission and NHS Litigation Authority requirements. The mandatory training needs analysis is reviewed on an annual basis. The expansion of the Trust’s Nursing Bank and reacquisition of the Nicol Unit and Minor Injuries Unit at Stratford Hospital has meant that additional training dates have had to be added to the Mandatory Training calendar to meet Trust demand. Mandatory Training for Non-Clinical Staff Following suggestions to provide more structure to non clinical mandatory training a half day session was introduced in July 2009. February 2010 saw the inclusion of Basic Life Support and Infection Prevention training. These sessions have been widely attended and evaluation has been excellent. Mandatory Training Attendance from 1st April 2009 - 31st March 2010 1250 staff attended Clinical Mandatory Training 125 staff attended Non Clinical Mandatory Training (From July 2009) The content of the Clinical and Non Clinical Mandatory Training Programmes are outlined in Appendix A and Appendix B -2- Training Budgets Organisational Development Supported with a Trust allocated budget of £93,000, the diagram below highlights the 43 wards and departments who received at least £300 of funding. The total number of applications to access this budget was 583. This once again demonstrates the commitment by the Learning Group to ensure that all departments have access to and are supported by this budget. Organisational Development Budget A&E Beaumont Castle Chaplaincy Charlecote Clinical Education Corporate Day Surgery Discharge Planning Dugdale Estates Fairfax Finance Gastroenterology General Management General Medicine Governance Gynaecology Hatton w ard Hearing Services Hospital at Night Hotel Services HR Intensive Care ITSS MacGregor Machen Eye Unit Malins/CCU Maternity Medical Division Medical Measurement Nicholas Occupational Therapy Orthopaedics Outpatients Outreach Pharmacy Physiotherapy Radiology SCBU Spiritual Care Squire Surgical Division Theatres Tissue Viability -3- Externally Accessed Training Budgets Learning Beyond Registration The Trust receives, based on nursing and allied health professional headcount, funding from the Strategic Health Authority to support CPD for these groups of staff. 2009/2010 allocation was £70,207 and this supported 146 applications. To access this funding the Trust submits a predictive training plan based on anticipated spend for the forthcoming year. The chart below identifies how that funding was accessed by in 2009/2010. 23 Hour Learning Beyond Registration 48 Hour A &E Anaesthetics Audiology Aylesford Unit Beaumont Castle Charlecote Colorectal Cancer Nursing Team Corporate Critical Care Day Surgery DVT Service Endoscopy Fairfax GU Clinic Hospital at Night Intensive Care MacGregor Malins Mary Ward Maternity Medicine Nursing & Quality Occupational Therapy Outpatients Orthopaedics Physiotherapy Radiology SCBU Theatres Urology Victoria Willoughby -4- The Joint Investment Framework (Funding from the Strategic Health Authority and the Learning Skills Council) This current funding stream supports the Widening Participation Agenda for those staff in Agenda for Change bands 1 to 4 and who do not have a higher professional qualification. To date the Trust has accessed over £29,000 of funding to support a wide variety of educational opportunities. Last year 75 Trust staff accessed NVQ qualifications at level 2 and level 3 as well as ECDL, Minute Taking, and First Aid Training. Widening Participation Agenda Anaesthetics Booked Admissions Colposcopy Endoscopy Fairfax Finance Gastroenterology Governance Human Resources IM & T Infection Control Medical School Medical Secretaries Opthalmology Outpatients Paediatrics Pharmacy Radiology Rheumatology Squire Surgical Appliances Surgical Division Theatres Tissue Viability Victoria Healthcare Assistant (HCA) Development Programme This programme, designed by the Trust’s Clinical Skills Educators enables HCAs in the Trust to develop the skills and knowledge required to deliver safe and effective care. HCAs make an important contribution to the care of patients and are a valued member of the clinical team. The programme aims to give HCAs the opportunity to develop their practice and meets the requirements for an HCA in line with the NHS Knowledge and Skills competency framework. To date 45 HCAs have committed themselves to the programme, of which 27 have completed, or nearly completed, their competencies. -5- Clinical Education and Resuscitation The Resuscitation service has trained in the past 12 months, 1,250 staff who have direct patient contact in “basic and in hospital support” which includes training in automated external defibrillation. Medical staff receive life support training and assessment specific to their role at induction, which includes a full day paediatric training programme for all doctors commencing in Paediatrics and Accident and Emergency. The Resuscitation department has also trained 54 staff this year in Acute Life Threatening Events Recognition course (a course designed to teach healthcare staff how to anticipate, recognise and prevent critical illness at an early stage). The aim of the course is to train staff on the aspects of acute illness with the aim of reducing hospital mortality and admission into the Intensive Care Department. The department has also trained another 48 staff in Immediate Life Support courses equipping staff to be effective members of the Cardiac Arrest Team as well as supporting another 3 courses to recertify existing staff with this qualification. In March 2010 the Resuscitation Team underwent its 4 yearly assessment by the Resuscitation Council. Feedback was excellent. Of particular commendation was the high quality of training delivered as well as the organisation of the course. Clinical Skills and Education The Clinical Skills Educators have continued to deliver a wide variety of clinical skills within the Clinical Skills Facility. This multi professional teaching facility has enabled 516 Nursing staff and 565 medical students to receive training in a wide range of clinical skills such as Venepuncture, IV therapy training, Cannulation and Infusion Device Training. Subject to funding, it is hoped to expand the existing training available to include arterial blood gas training and IV drug administration. Undergraduate Nurse Education The Trust continues to provide supported placements for students from Coventry University. These placements are supported by over 235 of Trust staff qualified in mentoring and assessing. For the quarter January to March 2010 the Trust saw the highest number of supported student weeks ever at 740. This was an increase of 415 weeks from the previous quarter October to December 2009. The Nursing and Midwifery Council undertook a review in December 2009. Coventry University and the Trust received an overall rating of “good” but Trust delivered practice learning received “outstanding” in all areas. The Trust Practice Facilitators were singled out for excellent mentor registers and partnership working. The recently implemented audit tool “Learning Environment Educational Profile” was considered excellent. Undergraduate Medical Education The Trust has once again seen an increase in the number of Medical Students allocated to the Trust from the University of Warwick together with the additional income this generates. The Trust continues to participate fully in teaching for all 4 years of the Graduate Entry Programme. The expansion of more Clinical Teaching Fellows to support teaching delivery now totalling 7, (3 in Medicine, 2 in Surgery and 2 in Obstetrics and Gynaecology). The recent Quality Monitoring visit -6- in October 2009 by the SHA and University commended the Trust for its excellent teaching programmes and models of delivery, and the University stated that they would like to see this practice adopted by other Trusts locally. The benefits of these posts are two-fold for the Trust: They help support the Trust to meet European Working Time Directive rota compliance in these specialties as well as being able to offer more bedside and small group teaching for students. Evaluation of our teaching remains excellent but does pose problems for the Trust and University staff with many students expressly wishing to have placements at Warwick! The Clinical Skills Educators continue to work with the University to ensure that the skills delivered meet the requirements of the GMC document “Tomorrows Doctors 2009”. The Widening Participation Agenda In addition to supporting and develop staff in bands 1 to 4, as outlined on page 7, the Trust is working to increase its numbers of apprenticeships. The Trust currently has 5 apprentices based in administration and in the Pharmacy Department. It is hoped to increase this number further to help support national and regional initiatives to employ more people onto work based training programmes. The Trust is hoping to support apprenticeship programmes within the Medical Secretarial function as well as in an Operating Department Practitioner development programme. Work Experience A work experience co-ordinator has been appointed to support work experience initiatives within Warwickshire. This was possible because of funding allocated to the Trust from the SHA. Collaborative working with NHS Warwickshire, the Partnership Trust and George Eliot Hospital, has meant that a full time post has been appointed to, to support all organisations. The Trust has received significant support since the appointment of the postholder in June 2009 and many work experience placements have now been created. Taster days for local schools have already taken place and have received a high profile in the local media. Feedback from both the pupils and schools so far has been excellent. Of particular note is the enthusiasm of staff members to support and participate in work experience programmes. Leadership and Management Development The Trust has committed significant funding to support management development training during the past 12 months. This has been by delivering an “in house” management development programme based on the Health and Safety Executive Management Standards, as well as a Leading Empower Organisation’s 3 day programmed delivered by Leeds University. Over 60 staff undertook one or other of the programmes and feedback has been excellent. Expanding on this work, and following feedback from the staff engagement sessions delivered by the Chief Executive, work has been undertaken to develop a first line manager competency programme (see appendix C) This programme has been piloted since February and will be mandatory for all new line managers from April 1st 2010. The content of the programme is designed to give managers practical support in their day to day work and encompasses a wide variety of topics including how to manage sickness absence, report writing and budget management. Trust leadership competencies have also been developed, along with a competency assessment framework for senior managers, which will form part of appraisal documentation where appropriate. -7- Commissioning for 2010 Identified as an urgent requirement for clinical staff through the departmental training plans submitted in February 2010, the Trust has already commissioned dementia training for clinical staff. This programme will commence in April 2010. Root Cause Analysis and Root Cause Analysis update training is another identified priority area and this has been commissioned to take place later in the year. The Trust has also commissioned team building training and will be working with the Divisional teams to identify areas where support is required. Summary The Trust has delivered a wide variety of training and development opportunities during the past 12 months and continues to be resourceful as well as proactive in identifying and supporting organisational development needs. The Learning Group continues to have an active and committed membership and the group itself is keen to promote all types of learning including elearning and collaborative learning opportunities with other local healthcare providers. The quality of collated training data has never been as good, and this is of particular benefit when information is required to meet the requirements of the Care Quality Commission and NHS Litigation Authority standards. The data also allows the Learning Group to refer to previous funding commitments if needed if prioritisation should be required. There is now regular evaluation of both internally delivered and externally delivered training and a includes benefits analysis to monitor effectiveness. The 2010 Trust Training Directory lists the wide variety of opportunities available to qualified and unqualified, clinical and non clinical, as well as contracted staff. The Clinical Skills Facility continues to provide excellent clinical training and it is hoped to increase the current staffing levels and types of courses offered. By doing this, the Trust can then provide the opportunity to income generate from other local healthcare providers where there is a great demand for this type of skills training. Training and Development Objectives for 2010/2011 To embed the leadership competencies and senior management competency framework as well as evaluate the effectiveness of the first line manager competency development programme. To support the organisational development initiatives presently being undertaken at Stratford Hospital in conjunction with the Kings Fund To apply and access additional training opportunities by continuing to work collaboratively with local colleges and higher educational providers as well as any initiatives supported and funded by the SHA Review appraisal documentation and add value to the appraisal process by more targeted training for managers. To support the SHA’s Quality Improvement Productivity, Performance and Partnership (QIPPP) agenda by developing local generic HR documentation to aid easier transition of staff across the local health economy To be proactive and collaborative with other local healthcare providers, in a challenging financial climate, by developing shared training programmes with particular reference to staff in Agenda for Change bands 1 to 4 -8- To promote the excellent training and development locally and regionally being delivered by Trust staff to support undergraduate trainees To increase Clinical Skills provision to ensure that the clinical workforce are equipped to provide high quality care to patients -9- Appendix A Clinical Mandatory Training 08.45 In hospital Life Support(Julie Lyons/Claire Pahal) 11:00 Outreach/Observations These sessions to be attended by Nurses, Midwives, HCAs, ODPs and Doctors Early Warning Scores (Outreach Team) 11:15 Coffee 11.30 Infection Prevention Allied Health Professionals, Porters, Phlebotomists, Pathology and any other clinical staff join mandatory training at this point. (Christine Georgeu) 12.30 Lunch 13.00 Child Protection and Vulnerable Adults (Helen Walton/Maggie Ward) 14.00 Food Hygiene (Sarah Edwards) 14:15 Blood products Basic Life support Nurses, Midwives, HCAs, ODPs and Doctors (Sarah Haley) AHPs, Porters and Phlebotomists (Claire Pahal) 15.00 Tea and Coffee Break 15.15 Waste Disposal (Amit Mistry) 15.45 Equality And Diversity (H.R Team) 16.00 Information Governance (Sara Owens) 16.45 Close For further information on Mandatory Training please refer to the Trust Training Needs Analysis Booklet: - 10 - Appendix B Non-Clinical Mandatory Training Timetable 1.30 Basic Life Support 25Mins This session covers the basic techniques of life support. Infection Control 20Mins This session covers the importance of infection control in the hospital environment Fire Training 35Mins Knowledge & Understanding in Fire Risk Assessment Customer Service 15Mins Session covering the importance of customer service within the NHS; how we communicate, handling complaints and understanding why people get angry 3.05 Coffee Break 15Mins 3.20 Information Governance 30Mins Julie Lyons x 4939 1.55 Christine Georgeu/Kate Wheeler x 4190 2.15 John Mooney x 4863 2.50 Janet Bonser x 8020 Jane Wheelan x 4676 Vanessa Brown x 8332 Sara Owens x 4707 Sarah Harris x 4594 3.50 Waste Disposal 20Mins Equality And Diversity 15Mins Child Protection 15Mins Amit Mistry x 4601 4.10 HR Team Laura Bick x 4307 Heather x 8088 4.25 Helen Walton x 8037 4.45 Close Session covering legislation and guidance and how to improve the way personal/sensitive information is handled This session covers different types of waste and how to dispose of it safely. Provide an awareness of Equality and Diversity issues in the workplace Understand basic Child Protection Processes. Enclosure C DEVELOPING OUR MANAGERS Background One of the Trust’s key objectives is to improve staff satisfaction across the organisation and this paper sets out our strategy for achieving this. We believe that the conduct of individuals should clearly reflect what the organisation “stands for” and how the organisation wishes to be seen by the outside world. In support of this the Trust developed a Leadership Charter (Appendix A) in 2007 which defines nine principles to be followed by individuals in leadership roles. Issues and concerns In the past 2 years we have seen a number of indicators that we need to further embed a more engaging leadership culture within the organisation. These include: The 2008 National Staff Survey where 22% of respondents reported that they had experienced bullying from a colleague or manager in the past year; Recent Wellbeing Surveys which highlighted some concern around: internal communication; consultation with staff; bullying and lack of feedback from managers; The staff engagement programme which highlighted issues around: communications; feedback; recognition and consultation. We know from the extensive research available, including that undertaken by the Health and Safety Executive and the Chartered Institute of Personnel and Development, that commitment, trust and staff engagement have a significant and positive impact on staff wellbeing, motivation and morale and that this subsequently enhances standards and quality of care. We also understand, both from the available research and from what our own staff tell us that the behaviours of our managers and leaders have a more significant effect than our policies, procedure and systems. Development of leadership competencies We believe that the next step for us is to agree a set of leadership competencies (Appendix B). In the development of these we have considered whether we think leaders at different levels of the organisation need different leadership behaviours to be effective and, as such, have developed a set of leadership competencies for line managers and a further set, which describe more developed leadership behaviours, for senior managers (e.g. General Managers, Assistant General Managers, Matrons). Central to these competencies is our Leadership Charter and the competencies can be mapped back to it. In order to support our senior managers to achieve the leadership competencies described, an assessment tool has been developed (Appendix C). This is a simple assessment which could be used for self assessment or to gain some multi-source feedback. It is intended that, in the first year, it is used as a self assessment tool as part of the manager’s preparation for their appraisal. It will then form the basis for the discussion around leadership competence which takes place in the appraisal which will then inform the personal development plan (PDP). In order to provide a useful toolkit for ensuring communications and appraisals are managed and rolled out appropriately, a set of core generic objectives has been developed for all line managers. (Appendix D) Supporting our line managers The Trust is committed to supporting managers at all levels to understand their responsibilities. Line Managers Induction Programme The Trust recognises that, in order to provide effective leadership and support to their team, managers need a portfolio of skills and knowledge to help them in their day to day role and in managing difficult or challenging situations. A modular management induction programme (Appendix E) has been developed which covers the full range of: human resources; business and financial management skills. Implementation will take a three phased approach: Existing line managers with identified skills gaps will be enrolled on to the programme The training will be mandatory for all newly appointed first line managers as part of their induction Aspiring line managers who have been identified through the Trust’s appraisal process will be enrolled on to the programme in order to provide them with the skills and knowledge prior to commencing any line management role. This programme encompasses all core skills and will form the basis of more individual personal development plans for our managers. Coaching and Mentoring For line managers: The HR Department has a list of managers from within the organisation who are competent and willing to act as coaches for line managers. Managers who participate in one of the Trust’s Management and Leadership programmes will be assigned a coach to work with them for at least the duration of the programme. For senior managers: Where a senior manager’s PDP includes gaining access to a coach it is likely that this would be with an external coach. The Trust has access to a small number of coaching opportunities through the Coventry and Warwickshire Workforce Locality Stakeholder Board and occasionally through the Strategic Health Authority. This HR Team will have information of what is currently available. In addition the Executive Team are often able, through their professional networks, to provide assistance with identifying a suitable coach for a senior manager. The Trust’s Psychology Team are available to offer mentoring support to senior managers as a key part of their personal development. 1 LEADERSHIP CHARTER The following 9 principles will be followed by all individuals in leadership roles within the Trust. In particular Executive Directors will act as role models in demonstrating these behaviours; 1. PATIENTS Providing healthcare to patients is our primary focus, everything we do should be seen in the context of providing the best healthcare within available resources. 2. MEETINGS Meetings will start on time and will run for a predetermined time. Where practical mobile phones will be turned off and mobile e-mail devices will not be used. The meeting will stick to its intended purpose and if possible any relevant papers will be circulated in advance and apologies and or deputies provided where necessary. 3. COMMUNICATION Communications should be delivered respectfully and where practical face to face. Letters and email should be responded to within 5 working days when directly sent to an individual. The copying of e-mail communications to multiple recipients should be restricted to those who need to know and who are not expected to respond. All communications should be clear and free from unnecessary jargon. 4. INVOLVEMENT Where practical, decisions should be properly thought through and open to challenge at the stage of their formation. Through this, consultation is encouraged as a means of improving the outcome. 5. CLARITY OF PURPOSE The Trust should have clear aims and objectives and these should be reflected in the roles and objectives set for individual members of staff. 6. FEEDBACK Feedback and challenge is encouraged. It should not be aggressive but honest and open and used as a means of improving performance and relationships. 7. WORKLOAD The NHS is an environment where there is always something to be done. In this context, while expectations and priorities should be made clear, the workload of individuals should be appreciated. 8. WORKING LIFE We will engender a positive atmosphere throughout the Trust making peoples working lives and environments as positive and conducive to good quality patient care as possible. 9. RECOGNITION We will recognise the contribution of each and every member of staff providing support for their personal development and promoting the culture of a learning organisation. Glen Burley Chief Executive South Warwickshire General Hospitals NHS Trust Area of competence Line Manager Senior Manager Communications (Leadership Charter 3) Understands the importance of person to person communication and the limitations of electronic communication. Approachable and not status conscious. Able to resolve problems. Able to receive and disseminate information in a way which is appropriate for the audience. Encourages others to think about improvements in their area. Develops productive working relationships. Empowers team to make decisions without fear of blame. Exceptional communicator; inspires others; infectious enthusiasm; able to communicate the vision of the organisation. Approachable and not status conscious. Demonstrates genuine attentiveness to others. Able to negotiate a successful outcome. Encourages strategic thinking Encourages questioning/new approaches and solutions to problems Consults and involves others in decision making; open to criticism and disagreement Enables others to take decisions Has a clear vision and able to draw others into achievement of vision Clarifies objectives and boundaries Decisive when required; prepared to take difficult decisions and risks when appropriate Involvement (Leadership Charter 4) Clarity (Leadership Charter 2 and 5) Feedback (Leadership Charter 6) Able to translate department/service objectives into individual objectives. Helps individuals understand how they fit into the organisation and how their role contributes to the department and Trust objectives. Honest and consistent in behaviour. Able to acknowledge mistakes, misunderstandings and errors and to apologise when necessary. Gives honest, timely feedback. Listens to others Honest and consistent in behaviour. Encourages critical feedback of him/herself Able to create and maintain teams of people who are able to trust each other and to be critical without fear and in the knowledge that lessons can be learnt and applied Area of competence Line Manager Senior Manager Support (Leadership Charter 7, 8 and 9) Demonstrates an understanding of other person’s thoughts, experiences and ideas. Supportive when mistakes are made. Recognises and considers individual needs. Develops a culture of mutual support and respect within the team. Delegates effectively. A desire to develop the potential of others. Able to facilitate change sensitively, understanding the impact on individuals. Gains confidence of staff through sensitivity to needs. Supportive when mistakes are made. Confronts a conflict at the time of the conflict. Resolves disputes. Shows general concern: coaches; mentors; has positive expectations of what individuals/teams can achieve Delegates effectively. A desire to develop the potential of others Able to facilitate change sensitively, understanding the impact on individuals LEADERSHIP BEHAVIOURAL COMPETENCIES – PERFORMANCE ASSESSMENT CRITERIA SENIOR MANAGERS Assessment tool In order to support senior managers, the attached leadership tool has been developed. Based on the senior leadership behavioural competencies (see Appendix B), it provides a mechanism for self assessment. Senior managers should consider each of the areas of competence below, then self score their current level of competence using the self scoring indicator sheet attached at Appendix D. This information can then be used in preparation for a development discussion with their manager when meeting for their annual appraisal and personal development planning session. As a result of this discussion, an action / development plan should be agreed with their line manager. This should identify opportunities to use the manager’s strengths to maximum benefit and to address competencies where a development need has been recognised, ensuring these are completed within agreed timescales. Senior managers who have direct reports who are also in senior management roles should ensure that those direct reports also self score using the leadership behavioural competencies assessment tool and that they review these and discuss with to them during a development discussion, agreeing an action / development plan with the direct report. LEADERSHIP BEHAVIOURAL COMPETENCIES – PERFORMANCE ASSESSMENT CRITERIA SENIOR MANAGERS AREA OF COMPETENCE 1 Poor communicator 5 7 9 Good communicator Excellent communicator Exceptional communicator Makes no attempt to inspire others with ideas Has an action plan for developing communications skills, and for communicating positive messages to encourage others Able to communicate ideas in a positive way Engages others in ideas and vision for achieving these Inspires others Lacks enthusiasm for tasks and makes no attempt to enthuse or motivate others Working towards presenting ideas in a positive and motivating way Enthusiastic about tasks and communicates this to others Developing ability to communicate organisational vision Able to communicate the vision of the organisation Remains aloof from team and is not easily accessible Visits team to check on work in progress at own convenience Encourages team to approach him/herself and to raise issues of interest or concern Approachable but not status conscious Poor listening skills and does not demonstrate interest in issues affecting others Understands the need to improve listening skills and has an action plan for addressing issues affecting others Manages team effectively; holds regular team meetings where key information is imparted COMMUNICATIONS (Leadership Charter 3) 3 Poor negotiating skills with little evidence of achieving successful outcomes Developing negotiating skills through planned activities Listens to others before making decisions Possesses good negotiating skills but may not always achieve mutually positive outcomes Demonstrates desire to consult with others before embarking on initiatives Good negotiator Infectious enthusiasm Demonstrates genuine attentiveness to others Able to negotiate successful outcomes LEADERSHIP BEHAVIOURAL COMPETENCIES – PERFORMANCE ASSESSMENT CRITERIA SENIOR MANAGERS AREA OF COMPETENCE INVOLVEMENT (Leadership Charter 4) 1 3 5 7 Focuses on day to day management tasks and encourages staff to do the same Understands the need for building strategic goals for team and is working towards developing these Has identified strategic goals for team and shared these with team members collectively and individually Invites team to contribute to strategic developments in team meetings, etc Encourages strategic thinking – embedded in culture of team Discourages new ideas and initiatives from staff and directs own solutions Understands the need to listen to staff inputs and has an action plan for encouraging staff to contribute to policy and service development Listens to staff ideas and initiatives and consults team on policy and service development Working towards open dialogue with team Encourages questioning/new approaches and solutions to problems Takes others ideas and suggestions into account when making decisions Working towards joint discussions and consultative style of decision-making Consults and involves others in decision making Takes decisions in isolation without consultation of team or others Discusses decisions with key staff in team 9 Uncomfortable with criticism – does not ask for feedback or comment from others Accepts the need to invite feedback but uncomfortable in dealing with it Invites feedback from others and can cope with criticism Developing culture in team to encourage open feedback Open to criticism and disagreement Does not delegate ownership or responsibility to others Recognises the need to delegate more effectively Delegates appropriately Empowers others to take decisions with appropriate support Enables others to take decisions LEADERSHIP BEHAVIOURAL COMPETENCIES – PERFORMANCE ASSESSMENT CRITERIA SENIOR MANAGERS AREA OF COMPETENCE CLARITY (Leadership Charter 2 and 5) 1 Is unable to translate Trust vision and key objectives into own work area 3 5 Working towards developing a vision for team and defining key objectives for self and team Has a clear vision and a clear set of leadership commitments based on Trust key objectives. Personal and team objectives are unclear with no system for measurement of success All Appraisals undertaken and planned for the year Indecisive about the way forward Has an action plan in place for developing decision making and risk management skills Wavers over difficult decisions and is unwilling to take risks Sets clear objectives based on Trust key objectives and is able to communicate these clearly to team. Makes decisions but does not always make time to involve others or consult on initiatives 7 9 Communicates vision effectively to others. Has a clear vision and is able to draw others into achievement of vision Agrees objectives with team members in context of wider organisational goals. Clarifies objectives and boundaries Building on decision making skills; developing risk management skills Decisive when required Prepared to take difficult decisions and risks when appropriate LEADERSHIP BEHAVIOURAL COMPETENCIES – PERFORMANCE ASSESSMENT CRITERIA SENIOR MANAGERS AREA OF COMPETENCE FEEDBACK (Leadership Charter 6) 1 Behaviour towards others is inconsistent and not always open and honest Unwilling to accept criticism and does not encourage feedback from others 3 Has an action plan to treat individuals consistently – e.g. using appraisal, development opportunities Does not cultivate trust and openness in team Understands need to accept feedback and working towards being able to accept it in a constructive way Does not encourage open and honest exchange of ideas Unsure how to deal with conflicts within team Culture of fear of expressing own views exists within team Working towards developing open communication within team, e.g. at team meetings 5 7 9 Treats individuals consistently Team developing culture of open and honest behaviour Honest and consistent in behaviour Accepts criticism and feedback but does not actively encourage it Able to deal comfortably with critical feedback Encourages critical feedback of him/herself Delegates work effectively to team members but does not encourage individuals to work together to achieve results Developing trust and confidence of team Able to create and maintain teams of people who are able to trust each other, to be critical without fear and in the knowledge that lessons can be learned and applied. Team functions as a set of individuals Developing a no blame learning culture where lessons can be learned from mistakes LEADERSHIP BEHAVIOURAL COMPETENCIES – PERFORMANCE ASSESSMENT CRITERIA SENIOR MANAGERS AREA OF COMPETENCE SUPPORT (Leadership Charter 7, 8 and 9)) 1 3 Does not demonstrate sensitivity to or understanding of needs of staff Has an action plan for providing support for staff, e.g. through planned appraisals and PDPs Apportions blame when mistakes are made Understands need to discuss and review mistakes with individuals to gain further insight Takes a passive stance towards conflict; seeks to avoid conflict where possible Has identified need to deal more effectively with conflict and has a plan for addressing with team 5 7 9 Can evidence discussion of individual staff needs through appraisal process Working towards a culture of open sharing of issues within team Gains confidence of staff through sensitivity to needs Can evidence system to review learning points with team when mistakes are made Developing a supportive management style Supportive when mistakes are made Can demonstrate understanding of likely areas of conflict for the team and their individual roles and has shared this with the team Manages conflict effectively – ensuring consistency of treatment for both sides Confronts a conflict at the time of the conflict LEADERSHIP BEHAVIOURAL COMPETENCIES ASSESSMENT CHART Area of competence Rating of performance Communication (Leadership Charter 3) 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 9 10 Involvement (Leadership Charter 4) Clarity (Leadership Charter 2 and 5) Feedback (Leadership Charter 6) Support (Leadership Charter 7,8 and 9) Name __________________ Date __________________ Please indicate where you believe your performance against these competencies is currently positioned. Assessment criteria are attached for guidance. CORE GENERIC OBJECTIVES FOR ALL LINE MANAGERS Appraisal Ensure a structured appraisal is undertaken for each member of staff in the team within the 2009-10 financial year. This to include: o Review of objectives from previous year o Discussion about what has gone well and what the individual has achieved o Discussion about what has not gone well and identification of appropriate learning points and individual’s development needs Ensure each member of staff has a Personal Development Plan with identified goals and development needs. This to include: o Discussion about individual’s own aspirations, preferences and development options o Action plan recording training and development interventions identified Communications Hold weekly team meetings with all staff (ensuring communication is made with part-time/night staff who may be unable to attend these). These to include: o Feedback from team brief on a monthly basis o Updates on changes, initiatives or progress of projects relevant / of interest to the group o The opportunity for all members of the team to raise issues of interest or concern. A template for use in encouraging staff to suggest items for discussion is available Line Managers’ Induction Programme CONTENTS Introduction 2 Recruitment and Selection Workshop 3 Manager’s Role in Induction 4 Sickness Absence Management 5 Managing Work-related Stress 6 Appraisal Training for Reviewers 7 Managing Budgets 8 Managing Maternity, Annual and Special Leave 9 Management Development 10 Trust Management Development Programme 11 Report Writing and Preparation of Business Cases for Managers 12 Communications and Team Building 13 Health and Safety Training for Managers 14 Support for you 15 Record of Completion of Induction Modules 16 On Completion 17 February 2010 1 Introduction Welcome to the Trust’s new Line Manager’s Induction Programme. You may have been recently appointed to a management post, have recently joined the Trust or be completing the programme to update your skills and knowledge. In order to provide effective leadership and support to your team, you need a portfolio of skills and knowledge to help you in your day to day role and in managing difficult or challenging situations. The Trust has developed this programme in order to give you the opportunity to attend a suite of learning and development workshops designed to underpin your competence as a manager. The workshops have been designed to be both informative and participative and are delivered in small learning sets. This booklet outlines the content of the management induction programme which you will be expected to complete within 1 year of being appointed into your line management role. February 2010 2 Recruitment and Selection Workshop This workshop is essential for all managers, especially those who will be acting as Chair of an interview panel. Managers also have a responsibility to ensure that any staff in their team who will be sitting on an interview panel attend the training. The workshop provides: an update on the recruitment and selection policy and procedures an understanding of the role of the recruiting manager an appreciation of importance of and reasons for preemployment checks key preparations for interview best practice in interview skills This workshop is held regularly throughout the year. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 3 Manager’s Role in Induction This workshop is designed to support managers in understanding the induction process and the importance of their role in this. It is a lunchtime session, lasting approximately 1.5 hours. The workshop is designed to advise on: the benefits of a well organised and planned induction and the impact on staff retention what should be covered in the corporate induction process and what new starters need to have done to meet mandatory and statutory Trust requirements what should be covered in a local induction what is covered within the Trust’s Induction Policy This workshop is held regularly throughout the year. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 4 Sickness Absence Management The half day workshop outlines the Trust’s policy and procedures for managing sickness absence. The objectives of the workshop are: To act as an introduction to managing long and short term sickness absence with the updated policy and guidance notes. To clarify the roles and responsibilities of line managers, Occupational Health and Human Resources in the management of sickness To support managers in the practicalities of managing sickness, setting improvement targets, monitoring and reviewing attendance This workshop is held regularly throughout the year. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 5 Managing Work-related Stress Once you have attended the Sickness Absence Management workshop, you should attend this complementary workshop which looks in more detail about managing sickness absence or potential absence caused by stress. It is primarily aimed at supporting managers to prevent the working environment from becoming stressful and managing others’ stress, but it also includes advice on managing your own stress. The workshop covers: Recognising the signs and symptoms of stress Understanding the causes of stress Understanding how to carry out stress risk assessments Managing stress related absence and return to work Techniques for managing your own stress The workshop is a half day session held twice a year – normally in March and September. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 6 Appraisal Training for Reviewers An effective appraisal is an invaluable tool for you as a manager and for the member of staff being appraised. It is an opportunity for you to sit down with your team on a one to one basis to discuss their issues, and if done well, it can motivate, reward and support the individual, reducing stress and absence levels and making the team work more cohesively. The half day workshop has the following objectives: Understand the link between appraisals/Personal Development Reviews (PDRs), the NHS Knowledge and Skills Framework (KSF) and organisational objectives Describe the purpose of an appraisal, and its benefits Describe the skills, behaviour and attitude required for effective PDR meetings with staff How to structure a PDR meeting Describe the features of and understand the importance of giving effective constructive feedback The importance of tracking and monitoring the outcomes of a PDR meeting, including setting and reviewing objectives; planning activities and actions that need to be implemented The workshop is held regularly throughout the year, and one to one sessions can be made available if required. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 7 Managing Budgets Understanding and managing your budget is an essential part of your role as a line manager. This half day workshop is aimed at supporting managers to read and interpret their budget statements. This involves techniques required for ensuring that budgets are monitored and in balance throughout the financial year, identifying and dealing with any cost pressures encountered. The objectives are for managers: To be able to understand and interpret monthly budget statements To identify any cost pressures and flag appropriately To monitor expenditure to ensure a balanced budget To understand the resources they have, ensuring delivered within allocated budget Where appropriate, understanding sources of income, funding and income generation The workshop is a half day session. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 8 Managing Maternity, Annual and Special Leave This workshop provides advice and guidance on the legal position and Trust policies when dealing with applications from staff for annual; maternity; adoption; paternity; parental; and special leave. The workshop outlines: Current maternity leave guidelines and procedures Current adoption leave guidelines and procedures Current paternity, parental (maternity support) and parental leave guidelines and procedures Entitlements, calculation and accrual of annual leave Guidelines for managers on how to assess and decide upon applications fro special leave Clarification of roles and responsibilities of line managers and Human Resources in the management of leave. This half day workshop is held regularly throughout the year. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 9 Management Development As part of your induction programme, you will be able to attend a management development training course. This will either be in the form of a Leading Empowered Organisations (LEO) course, or on the Trust’s internally developed Management Development Programme. You should discuss with your manager which would be more appropriate for you and ensure that you are booked on to one or the other within 6 months of commencing your new role. a) Leading Empowered Organisations (LEO) The LEO programme is a 3 day workshop run by Leeds University in conjunction with the Centre for Development of Healthcare Policy and Practice. The programme provides practical tools for leaders to create an environment where responsibility, innovation and change are supported. It aims to enhance decision making, communications skills, problem solving, relationship building, innovation and creativity. Day One of the programme includes a conceptual framework of management and leadership approaches, responsibility, authority and accountability. Day Two explores empowerment and leadership development, building relationships and developing capacity. Day Three focuses on leading change and action planning. February 2010 10 Please contact the Education Office on ext 8088 to find out about course availability. b) Trust Management Development Programme The Trust management development programme is a modular course run over 7 sessions. It covers the leadership competencies identified by the Trust as essential to managers, based on the Leadership Charter. These 7 modules, each lasting half a day, will run over a period of approx. 20 weeks, and includes sessions such as; Developing leadership skills and motivating teams Change Management Supervision Skills Negotiation Skills Communication Skills Participants will be expected to complete a developmental workrelated project/assignment as part of the course in order to embed the learning acquired during this programme. Please contact the Education Office on ext 8088 to find out about course availability February 2010 11 Report Writing and Preparation of Business Cases for Managers The report writing course is designed to support managers in structuring and presenting reports for the appropriate forum. It also describes the process for preparing a business case. This is a half day course. The objectives are: Describe the process for planning the content of the report Describe the process for structuring the report Discuss ways of presenting key information Discuss ways of presenting data Explore techniques for expressing ideas clearly and succinctly. Explain guidance on preparing a business case, using the Trust template This half day workshop is held regularly throughout the year. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 12 Communications and Team Building This half day workshop supports managers in planning and delivering communications to their teams effectively. The workshop covers: The importance and value of team brief The responsibilities of managers to provide information and updates to team members The value of regular communication and team meetings in helping to improve team work, morale and motivation, and in reducing stress levels Consideration of the most effective communication style/medium to use in different situations Planning a team building event The importance of encouraging feedback This half day workshop is held regularly throughout the year. Please book a place via the Electronic Study Leave System on the Trust intranet. February 2010 13 Health and Safety Training for Managers This workshop is designed to outline the health & safety laws and regulations; Trust’s policies and procedures involved in managing issues of health and safety; implementing safe systems of work and the carrying out of Risk Assessments This one day course will cover the following objectives: To act as an introduction to how to manage health and safety in the ward/department for new managers or as a refresher session for more experienced managers. To provide an interactive discussion around the relevant health and safety laws and regulations and the procedures involved in managing safe systems of work. To discuss implementing Trust Policies and Procedures in their area. To clarify the roles and responsibilities of line managers concerning health and safety. To support managers in risk assessments and health and safety audits. To provide an interactive discussion around managing stress in the workplace. February 2010 14 Support for you…… To support you personally as you embark upon this programme of development, you may wish to take up the opportunity to have either a coach or a mentor assigned to you. A coach could provide you with the broad experience and knowledge associated with your job or a mentor could provide you with knowledge, and skills to support you in your own personal development The Trust has an established a database of both clinical and non clinical mentors and coaches within the Trust who have been trained to undertake this type of support. Should you require any further information, or would like to take up any offer of support, please contact the Education Office on extension 8088 or 4386 Your future development….. Either during or after the completion of this programme, you should be thinking about how you wish to develop or expand your learning. This should be done as part of your appraisal and supported by a jointly agreed personal development plan with your own line manager. The Trust Training Manual provides information about a wide variety of both internal and external training opportunities available to all staff. February 2010 15 Record of Completion of Induction Modules Management Development Programme modules Name of workshop Date attended Recruitment & Selection Managers’ Role in Induction Sickness Absence Management Managing Work-related Stress Appraisal Training for Reviewers Managing Budgets Managing Annual, Maternity and Special Leave LEO or Trust Management Development Programme (delete as appropriate) Report Writing and Preparing Business Cases Communications and Team Building Health and Safety February 2010 16 Signature of course leader On completion Congratulations! You have completed the Trust’s induction programme for line managers. We hope the knowledge and skills you have gained, together with the network of colleagues you will have met along the way, will help you in feeling increased confidence in your management and leadership competence, as you lead your team successfully through the changes and challenges that meet us in the future. Please ensure that having completed this programme, you arrange to meet with your manager to give him/her feedback on the contents and to discuss your future development needs. February 2010 17 Notes February 2010 18