North West Core Skills ProgrammeRegional Stakeholder Event

Wednesday 15th January 2014

Core SkillsStakeholder Event – 15th January 2014

09:00 - Registration

09:30 - Welcome

- New Developments

- Core Skills Working in Practice

- Where’s your Organisation up to?

10:40 - Refreshments

11:00 - Maximising the Existing Systems

- The Potential of Assessment

- Where Next? – Future Priorities

- Questions & Closing Remarks

12:30 - Lunch

Welcome

Professor Ged ByrneDirector of Education and QualityHealth Education North West

Welcome &Context for today

HE NW gives full backing and support to the

North West Core Skills Programme and its progress

Core Skills needs to be seen as generic across the NW

Fundamental to patient care and reducing risk

Continuation of Education - ‘Cradle to Grave’

starts with the Core Skills

Follow you through your lifetime in the NHS

Student – Post Grad – Wider Workforce – CPD

We can’t wait – Needs to Happen NOW!

Congratulations

The programme has already received the recognition

of winning the HSJ Efficiency Award

Now it has been made a finalist for the national

Lean Healthcare Awards 2014 for

Improving Services through Training & Development

Winner to be announced 6th February 2014

New Developments

Seán BradburyNW Core Skills Programme ManagerNW Integrated Workforce Unit

Nick StaffordSkills for Health &

NW Core Skills Programme

New Developments

Education Materials

PARE

Information Sharing Protocol Agreement

Core Skills Register v1.2

National Progress

Core SkillsEducation Materials

Version 2.0 aligned to the UK Core Skills Framework

Developed with: SMEs in the NW

Liverpool John Moores

University

Moseley Multimedia

Materials Available: Powerpoint Presentation

Trainer / Facilitator Notes

Reader / Workbook

Assessment

eLearning

Core SkillsEducation Materials

Enhancements: Information Governance added

Increased Question Bank

Randomised Questions

Reader / workbook included

Outcomes linked to content

Compatible with Mobile Devices

Core SkillsEducation Materials

Equality, Diversity & Human Rights NLMS HE COOP

Fire Safety NLMS HE COOP

Health, Safety & Welfare NLMS HE COOP

Moving & Handling NLMS HE COOP

Infection Prevention & Control NLMS HE COOP

Information Governance NLMS HE COOP

Safeguarding Adults NLMS HE COOP

Safeguarding Children NLMS HE COOP

Conflict Resolution 24 / 01 / 2014

Resuscitation (Adult & Child) 31 / 01 / 2014

Available On:

CSR & PARE Project

PAREProject

HEI / FECollege

Core SkillsRegister

NHSTrust

HE COOPLMS

Training Data

Placement Data

PARE = Practice Assessment Record & Evaluation

ISPA Update

Reviewed in October / November 2013

Feedback / queries from a number of organisations

C&M Information Governance Forum consulted

Updated version finalised in December 2013 and to be

released in January 2014

Additions include: Breach & Escalation Process

Privacy Impact Assessment

Appendices Updated

Partner Organisations Added

Your organisation needs to sign the ISPA

before you can access the Core Skills Register

v1.1

Platform upgrade

Access Control enhancements

Penetration Testing (PIA)

v1.2

Priority enhancements following pilot

Roadmap for further enhancements and scalability = v2.0

Core Skills Register v1.2

England WalesScotlandNorthern Ireland

Sector Skills Councils

NHS IndependentProviders

IndependentContractors

UK Core Skills Training Framework

Related Voluntary

Health

CSTFRegistrations

NorthWest

26

8

If not done already, need to ensure your organisation has registered for the UK Core Skills Training Framework

CSTF Declarations

NorthWest*

* The NWCSP has submitted all Core Skills Alignment Declarations it has received to Skills for Health this month

If not done already, need to ensure your organisation has submitted its Declaration to the NWCSP

35

Core Skills in Practice

Tim GrocottJunior Doctor Project ManagerNW Core Skills Programme

Mark BurkeFuture Workforce Project Manager

NW Core Skills Programme

Core SkillsWorking in Practice

Junior Doctor Mandatory Training Passport Project

• Work stream Update

• Case Study

• Examples

Future Workforce Project

• Work stream update

• Case Study

• Examples

Junior Doctor Mandatory Training Passport Project

North Western Deanery

• Aligned to NW Framework – UK Mapping Completed

• Core Skills Register data alignment – Completed

Mersey Deanery

• Aligned to NW Framework – UK Mapping Completed

• Core Skills Register data alignment – Completed

Mersey Deanery

Existing Passport model in operation (WIT System)

Integrated with programme work

Next steps: -

•Pilot the maintenance of placement information & learner

records on the Core Skills Register

•Launch the Shared Training Service hosted by StHK: aiming

to assess the benefits of a shared service model

Mersey Deanery

Learning Records

Personal Details Organisational Links

North Western Deanery

Central E-Learning Platform (E-Induction – Foundation Only)

• Integrated into specialty Inductions - August 2013 pilot

• Integrated into specialty Inductions - February 2014

Next steps: -

• Final process/procedural refinements

• To embed as Business As Usual this year

North West Footprint

Learning Records Personal Details Organisational

Links

Case Studies

• Central Manchester University Hospitals

• University Hospital South Manchester

Central Manchester

University Hospitals

400 Junior Doctor Placements

One Central E-Learning System

An organisation with Multiple sites

Taken part in 2 pilot phases

Historically achieved 80% + JD compliance

Central Manchester

University Hospitals

Project Implementation: -

E-Learning duplication exercise undertaken

Induction timetable & subject matter expert consultation

New processes in place monitoring compliance

Junior Doctor survey strongly supportive of this approach

Efficiency: 2 hours 40 minutes per Junior Doctor

49% JDs CSF Compliant BEFORE rotation

UHSM

235 Junior Doctor Placements

Face to face & E-Learning induction combined

Taken part 2 pilot phases

Historically achieved 65% JD Compliance

UHSM

Organisation specific information available (duplication

review)

Induction timetable & subject matter expert consultation

New processes in place monitoring compliance

Efficiency: 3 hours 30 minutes per Junior Doctor

57% JDs CSF Compliant BEFORE rotation

Case Study Summary

• Evidence the proposed Passport model is feasible

• Junior Doctor

• Administrative/Management perspective

• Forecast: 85%

• 12’411 learning records (1’773 JDs)

Case Study Summary

Success

•Core Skills Register crucial (accuracy/timings)

• Enhancements

• Evolve

•Lead Employer has a vital role to play

Trust August Compliance February Compliance

FIVE BOROUGHS 92% TBC – Est Aug – 85%

BLACKPOOL NA 33%

BOLTON 86% 61%

CENTRAL MANCHESTER 60% 49%

EAST LANCASHIRE 87% 66%

LANCASHIRE TEACHING HOSPITALS 

NA 53%

PENNINE ACUTE NA 29%

SALFORD ROYAL NA 38%

STOCKPORT 38% 33%

TAMESIDE  71% 41%

THE CHRISTIE 30% 34%

SOUTH MANCHESTER 78% 57%

MORECAMBE BAY  90% 72%

WRIGHTINGTON 62% 41%

SCHOOL OF PSYCHIATRY 99% TBC – Est Aug – 95% (235)

Case Study Summary

“Having moved 3 times in one year and having to complete

3 lots of training is not an efficient use of my skills or time”

“Please don't keep repeating induction at every rotation,

it creates a workload on the staff grades at the

new hospital and delayed patient care”

“Please strip this down to the bare minimum so we can

spend induction actually doing useful things

that will have a direct influence on our daily clinical work”

“Good idea, not quite working yet”

Future WorkforceHEI Current Position

HEIs (10 in the NW, delivering 77 Programmes)

All 10 have at least 1 programme Core Skills aligned

67 % programmes aligned (52 out of 77)

7 HEIs submitted Core Skills Alignment Declaration

40 % programmes aligned Declared (31 out of 77)

3 HEIs Aligned and Declared for all their programmes

Data Validation with 4 HEIs

Data transferable between HEI Systems & CSR

Future WorkforceHEI Next Steps

Complete validation of data with HEIs

Upload data onto Core Skills Register

2000+ students to be on CSR by end of January

Training Data already being uploaded

Need to capture Placement Data

Data Validation – working with 4 HEIs

Continue work with trusts

on preparation for placement intakes

FE Student Journey

FECollege

Core SkillsRegister

NHS / Non NHS

NWSkills

Academy

AcademicTraining

VocationalTraining

Future WorkforceFE Current Position

17 FE Colleges (Cadets and other Health related learning)

65 % of Colleges Core Skills aligned

(11 out of 17)

41 % of Colleges submitted Core Skills Declaration

(7 out of 17)

17 Colleges are working towards alignment

9 Colleges using the HE COOP platform

HE Coop hosts the latest Core Skills education materials

Acknowledged that colleges will deliver Core Skills

to their wider health care students

Future WorkforceFE Next Steps

50% of FE Colleges will have students undertaking

Core Skill training via the HE COOP by end January

Confirm UK alignment with none HE COOP users

Validate FE data before upload to CSR

Future WorkforceWhat’s happening NOW

University of Salford:

Are using the HE COOP platform

700 students have completed Core Skills training

Across 11 Healthcare Programmes

Students on placement with 34 providers

Salford Student Placement Providers

Future WorkforceWhat’s happening NOW

Greater Manchester West Mental Health NHS FT:

Receive 200+ students on placement from Salford

Students on placement NOW

Aware of Core Skills training received by students

Modified Induction to accommodate students

Agreed protocol with Salford to manage by exception

CSR to be introduced

to streamline and automate process

Where’s your Organisation up to?

Seán BradburyNW Core Skills Programme ManagerNW Integrated Workforce Unit

Where’s yourOrganisation up to?

Progress against Implementation Model

Dashboards

Alignment Declaration

ISPA

Acceptance of External Training

Progress againstImplementation Model

Phases Step 1 Step 2 Step 3 Step 4 Step 5

Phase 1 Engagement 

ExecSupport

Core SkillsLead

Project Meeting

AssessReadiness

Action Plan

Phase 2Alignment

Engage SMEs Complete ContentMapping Tool

Ensure Contentis Aligned

Sign off ByOrganisation

Submit Evidenceto NWCSP

Phase 3 Share Data 

Sign Info SharingProtocol

Data ReportingIn Place

Process for Sharing Core Skills

Skills RegisterAdmin/ Training

Go Live with Core Skills Register

Phase 4 Recognition 

Agree to AcceptTraining 

Introduce Check for Compliance

Introduce FlexibleTraining

Sign off by Organisation

Submit Evidenceto NWCSP

Phase 5Realisation 

Embed Measure Audit Business AsUsual

ContinuousImprovement

Progress againstImplementation Model

Phases Step 1 Step 2 Step 3 Step 4 Step 5

Phase 1 Engagement 

97 % 97 % 97 % 97 % 97 %

Phase 2Alignment 97 % 87 % 62 % 54 % 54 %

Phase 3 Share Data 

63 % 43 % 40 % 15 % 15 %

Phase 4 Recognition 

71 % 14 % 14 % 15 % 15 %

Phase 5Realisation 

0 % 0 % 0 % 0 % 0 %

Dashboards

NHS Organisations

HEIs

FE Colleges

Core SkillsAlignment Declaration

21 NHS Trusts (54%) have submitted Declarations

(291 out of 387 subjects aligned – 75%)

7 HEIs (70%) have submitted Declarations

(31 out of 77 programmes aligned – 40%)

7 FE Colleges (41%) have submitted Declarations

35 Organisations in NW have submitted Declarations

More than any other region

ISPA & Recognition of Training

25 NHS Trusts (63%) have signed the ISPA

6 HEIs (60%) have signed the ISPA

4 FE Colleges (24%) have signed the ISPA

28 NHS Trusts (71%) have agreed to recognise training

No data for HEIs or FE Colleges

Key Metrics

Key Activity

Key Activity Current Position

Target –Mar 2014

Numbers of NHS Organisations in the NW working towards Alignment

97% 100%

Number of NHS organisations in the NW CSF Aligned

54% 75%

Number of Healthcare Programmes in the NW working towards Alignment

100% 100%

Number of Healthcare Programmes in the NW Aligned

40%(68%)

75%

Number of organisations committed to recognise external Core Skills aligned training

71% 50%

Estimated level of duplication avoided TBC 50%

Level of engagement of organisations in the NW in supporting developments

TBC 75%

Break & Networking

Core SkillsStakeholder Event – 15th January 2014

09:00 - Registration

09:30 - Welcome

- New Developments

- Core Skills Working in Practice

- Where’s your Organisation up to?

10:40 - Refreshments

11:00 - Maximising the Existing Systems

- The Potential of Assessment

- Where Next? – Future Priorities

- Questions & Closing Remarks

12:30 - Lunch

Maximising the Existing Systems

Lee HolmesChair of the NW OLM SIGLancashire Care NHS Foundation Trust

Nick StaffordSkills for Health &

NW Core Skills Programme

Engagement

Alignment

Share Data

Realisation

Implementation Model

Readiness Implementation

Phase 3 – Share Data

Step 1:Sign InfoSharingProtocol

Enabling Core Skills Training Datato be Shared with other Organisations

Step 2:DataReportingIn Place

Step 3:ProcessforSharingCoreSkills

Step 4:SkillsPassportAdmin &Training

Step 5:Go Live

England WalesScotlandNorthern Ireland

Leisure

Etc

Sector Skills Councils

Care & Development

NHS IndependentProviders

IndependentContractors

UK Core Skills Training Framework

Related Voluntary

Health

England WalesScotlandNorthern Ireland

Leisure

Etc

Sector Skills Councils

Care & Development

NHS IndependentProviders

IndependentContractors

UK Core Skills Training Framework

Related Voluntary

Health

HRHRLMSHRHRLMS

HRHRLMSHRHRLMS

HRHRLMS

Use existing Learning Management Systems with CSTF minimum data set

England WalesScotlandNorthern Ireland

Leisure

Etc

Sector Skills Councils

Care & Development

NHS IndependentProviders

IndependentContractors

UK Core Skills Training Framework

Related Voluntary

Health

HRHRLMSHRHRLMS

HRHRLMSHRHRLMS

HRHRLMS

Use existing Learning Management Systems with CSTF minimum data set

Phase 3 – Share Data

Step 1:Sign InfoSharingProtocol

Enabling Core Skills Training Datato be Shared with other Organisations

Step 2:DataReportingIn Place

Step 3:ProcessforSharingCoreSkills

Step 4:SkillsPassportAdmin &Training

Step 5:Go Live

England WalesScotlandNorthern Ireland

Leisure

Etc

Sector Skills Councils

Care & Development

NHS IndependentProviders

IndependentContractors

Core Skills Register

Related Voluntary

Health

HRHRLMSHRHRLMS

HRHRLMSHRHRLMS

HRHRLMS

FS 01 01 A 2 = Fire Safety

•Course Name

•Level

•Version Number

•Assessed (A) / Non-Assessed (N)

•Refresher period (in years)

Core SkillsCodes & Naming Conventions

Subject Course Level Version Assessed Refresher Example

Fire Safety FS 01 02 A / N 2 FS0102N2

Moving & Handling MH 01 / 02 02 A / N 3 (Level 1)1 (Level 2)

MH0202A1

Conflict Resolution CR 01 02 A / N 3 CR0102A3

Equality, Diversity & Human Rights

ED 01 02 A / N 3 ED0102A3

Resuscitation RE 01 02 A / N 0 RE0102N0

Resuscitation Adult RA 02 / 03 02 A / N 1 RA0202A1

Resuscitation Paed RP 02 / 03 02 A / N 1 RP0302A1

Resuscitation Newborn

RN 02 / 03 02 A / N 1 RN0202A1

Health, Safety & Welfare

HS 01 02 A / N 3 HS0102A3

Infection Prevention and Control

IP 01 / 02 02 A / N 3 (Level 1)1 (Level 2)

IP0102A3

Safeguarding Children

SC 01 / 02 / 03

02 A / N 3 SC0202A3

Safeguarding Adults

SA 01 02 A / N 3 SA0102A3

Information Governance

IG 01 02 A / N 1 IG0102A2

Core SkillsNational Competences

Allows Core Skills to move and be accredited

within ESR and the IAT process

Supports movement of the wider workforce

and between NHS organisations

Developed by National ESR Team

and available NOW

Use of competences audited by Skills for Health

Need to follow a set process before can use

Process forNational Competences

Complete Core Skills

Mapping

Submit to NWCSPCore Skills Declaration

Recorded onSkills for Health

Organisation List

Confirmationfrom NWCSP on

which competences you can use

1.

2.

3.

4.

www.skillsforhealth.org.uk

eLearningand OLM

All the new Version 2.0 Core Skills Education Materials

to be available on the NLMS

The materials are UK aligned, therefore you can attach

the national competencies to them

(once declaration submitted)

eLearning support to be maintained

with the existing arrangements

CSR andESR Shared Training Centre

STHK as Lead Employer set up Shared Training Centre

for Mersey Deanery Junior Doctors with own VPD

11 out of 21 organisations part of the Shared Training Centre

STHK trialling combined use of Shared Training Centre

and Core Skills Register for Junior Doctors

Collective Benefits:

Shared Training Centre allows training to be recorded in

one central place for all rotation organisations

Core Skills Register allows rotation organisations to

see completed Core Skills training earlier

Going Forward

Encourage Organisations using ESR & OLM

to use the Core Skills National Competences

declare

Continue to work with the NWCSP

Next OLM SIG is on the 28th January 2014

Contact Details

Lee Holmes Learning Systems Manager e-mail: Lee.Holmes@lancashirecare.nhs.uk Tel: 07432 610001

The Potential of Assessment

Assessment – anticipate a increasing focus and expectation

Expectations: General movement focusing on outcome and impact

Accountability: Organisational Assurance and Personal achievement

Recognition: Enable recognition and accreditation

Promote Improvement: Teaching and Learning and practice

‘It is possible for staff to be “trained” and for the training to have no effect’

(Skills for Health Unpublished)

Characteristics of Assessment

• Linked to assessable educational aims and outcomes

• Transparent

• Focus on impact and improvement

• Comprehensive and multifaceted

• Motivational

• Promote reflection and further learning

• Generates meaningful data which is Reliable and Valid

Assessment Dimensions

When to Assess

• Prior/Programme Entry

• Key transition points during learning process

• Programme completion / Exit

• Follow Up

What are we seeking to Assess

• Knowledge

• Skills

• Values and Attitude

• Behaviours

E-assessment Project

Seeking to deliver

• Assessment framework for UK Core Skills Framework

• Start of a question bank of Multiple Choice Questions related to each of the Core Skills Framework

• Standardised Paper based assessment for local use and adaptation

• An e-assessment version

• Template for scenario based assessment

Workshop 1

Workshop Task:

The greater use of Pre assessment for Core Skills knowledge and understanding would help promote learner motivation and reduce unnecessary duplication.

Workshop Question

What common processes/arrangements do we need to put in place to support confidence and effective use of pre-assessment?

Think about, What, Why and How

Time: 25mins

Where Next - What are the Future Priorities

Thinking about Priorities

Subjects Which, Why & What is

already available

Groups Who next and When

System and Processes What is required

for further efficiency &confidence

Workshop 2Workshop: 3 Tasks Time: 30minutes

1). Review the proposed subjects:

• What is the level of agreement for their priority and wider relevance. Identify any related local developments that could be used as a ‘starter for 10’.

2). Who Next?

• Which staff group(s) should be next priority for rollout of CSF and why?

3). System and Processes:

• Are there any additional system/processes needed to support delivery and achieve benefits? If so identify one and write a brief description of the requirement.

Proposed Subjects that might be included in a Clinical Skills Framework

Standards

• Clinical Governance

• Clinical Health records keeping

Venesection

• IV Cannulation/Venepuncture

• Aspects of Blood Sampling and Transfusion Process and Safety

Drugs

• Medicines management

Clinical Risk/Assessment

• Acting in Medical Emergencies/Care of the deteoriating patient

• Use of Early Warning Scores

• Respiratory Care (Airway Management and interventions)

• Venous Thrombo-embolism/

Wound Management

• Aseptic Non touch technique

• Basic Wound Management

• Pressure ulcer care

Communication

• Mental Capacity

• Consent

• Dementia Care

• Breaking bad news

• Care of the Dying

Questions& Closing Remarks

Lunch & Networking