Workforce Development Report

Q1 2013/14

Ros Alstead
Director of Nursing & Clinical
Standards

Caring, safe and excellent

1
 Clinical & Professional Development (CPD) activity Q1

1. Clinical development for staff in Bands 1 to 4 – trust wide across all divisions
•Current activity includes:
Health Care Assistant Development programme
Medical Terminology
Vocational qualifications (apprenticeships, awards & diplomas) in Health &Social Care, Community Mental health,
Older Adults Mental Health and Dementia care.
•Several recent reports have implications for future development solutions for those in Bands 1-4 (Francis report, Cavendish report, National
Standards for Health Care Support Workers). Scoping of current provision is underway in order to define our future needs against the
recommendations set out in these reports.

2
 Clinical & Professional Development (CPD) activity Q1

2. Clinical Skills Development with an emphasis on general/physical health skills.

• To date this has predominately involved clinicians working within Community Division and Children & Families Division but is being
extended to include staff working across the trust.
• A range of clinical skills are covered including: bowel and bladder care, tissue viability and specifically pressure ulcer damage, leg ulcer
management, nasogastric tube insertion, venepuncture, intravenous infusions, smoking cessation, syringe driver training, oral health and
non medical prescribing updates.
• Piloted two 4 day Physical Health Skills course (in partnership with Oxford Brookes University) for mental health nurses. We plan to run 3
further programmes in partnership with OBU during 2013/14 before bringing the course in –house .
• All of the above address key priorities from service divisions and enable positive action to be taken in response to SIRIs.

3. Clinical Skills – mental/forensic health specific

• Current activity includes:
– Cognitive behavioural therapy skills
– Psycho-social skills training for family interventions,
– Psychological interventions for psychosis.
• Whilst mainly for Mental Health & Forensic Services workforce, other staff within Community Services and Children’s & Family Division
will benefit in future.

4. Clinical Supervision / preceptorship / mentorship.

Current activity includes:
• The design, development and implication of a new supervision e learning programme.
• Regular supervision training for both 121 and group sessions. Advanced supervisors sessions also delivered.
• Bespoke sessions with individual services to help develop a culture for effective supervision practice. (Examples include: community
nursing, health visiting, physiotherapy & community mental health. teams
• A rolling 12 month preceptorship programme for all newly qualified health care professionals.
• Mentor updates to ensure professionals meet NMC /HCPC CPD requirements.

5 Other – Conferences
Administration and co-ordination function of local conference or departmental study days to ensure that staff are equipped with the
required skills and knowledge to provide safe, effective and high standards of person centred care.
 CPD forward plans
Action
To be able to report on a number of ‘essential’ clinical skills training
activities as a percentage of workforce trained.
Delivery of 3 Physical Health Skills courses (each of 4 days) by year-
end.
Review training and development opportunities for clinical support
workers in bands 1 to 4. To ensure that the trust training strategy is
responsive to recommendations set out in the Cavendish report
Date and type of clinical supervision activity to be recorded by
supervisee on L&D portal in order to evidence that appropriate
supervision is taking place.
Work with service divisions to ensure that staff are appropriately
equipped to meet the changing requirements of the new care
pathway delivery.
Co-ordinate Trust wide planning and delivery of other CPD
interventions funded externally by Higher Education Thames Valley
Update
Working with Community Services Division to establish which job
roles require ‘essential’ training activity to be assigned to a training
matrix.
In partnership with divisional leads establish a business case for
delivery of this programme to be brought in–house from April 2014 to
meet the ongoing training need across the trust.
Scoping exercise to be undertaken to determine how teams / service
areas currently ensure that health care support workers meet the
national minimum standards for their role. This will inform future
strategy development.
Technology Enhanced Learning team within L&D currently
developing software to capture this data.
Initial scoping of areas requiring training interventions.
In 2012/13 year this delivered clinical skills development for more
than 800 staff. Q1 returns have yet to be submitted for the current
year.
4
 Leadership, Team & Individual Skills (LTIS) activity Q1
Overview
The LTIS team delivers a wide variety of non-clinical development programmes for all staff (clinical & non-clinical) in the Trust including Team
days which are designed specifically to meet team needs using a mixture of MBTI and Belbin accredited programmes. This supports one of the
key strategic objectives to improve team-working.

Qtr 1 - Skills Course Attendance

2013

350
300
250 Bands 1-4
200 Leadership
150
100 PDR
50
Team Days
0
Coaching

Bespoke LTIS initiatives

• 25 ward based staff trained to support a new nurse
starting in the Trust who is profoundly deaf enabling her
to communicate clearly and confidently with the team.
• Touch-typing skills to support District Nurses to input
into RIO for effectively.
• Refresher Minute Taking Skills for the Trusts PA’s.
• Designed and delivered Soft Skills Development to
Dieticians

Leadership
• With the launch of the National Leadership Academy,
13 staff have taken up places on the Core Programmes.

5
 Leadership, Team & Individual Skills (LTIS) - Course Breakdown
Bands 1-4 Leadership PDR Team Days Coaching

Time Management Managers as Leaders Introduction to PDR MBTI Team day Coaching Skills for
Assertiveness Introduction to Management PDR Masterclass Belbin Team day Managers
Personal Effectiveness First Line Managers Programme Me & my Appraisal Specific Request Advanced Coaching
Communication Skills (Accredited with Oxford Brookes) Appraisee workshop Team days Skills for Managers
Touch Typing Personal Effectiveness E-KSF workshop (ILM Accredited)
Minute Taking Managing Conflict KSF workshop
IT Skills – including Managing Self & Others PDR Refresher
Word, Excel, PowerPoint Masterclass
Managing Meetings
Working & Managing Change
Successful Communication Skills
Working Relationship
Management
Managing Sickness Absence
Disciplinary & Grievance
Managing Sickness Absence

LTIS forward plans

Further specific development programmes currently being designed include:
• School Nurses Leadership Skills programme
• Bladder & Bowel Managing conflict strategies programme
• Therapists Leadership Skills Awareness programme
• Health Visitors Managing Conflict and Safer Recruiting Skills
• Resource Nurse Competency Skills Development Programme
• Swindon Community CAMHS Minute Taking Skills Development Programme
• Efficient administration pilot (accredited by ILM)

PDR review
• The Trust PDR process is under review to incorporate a values based approach.
6
 Patient & Personal Safety Training (PPST) Framework
PPST is a framework designed to enhance patient safety and ensure safe working practices. Each of us has a duty to meet the standards required through
PPST, either through completing training or demonstrating competence. There are 6 categories of risk for groups of staff reflecting the types of role
performed. The risk based approach is to ensure that training is more relevant and better focussed on the right roles within the Trust.

Level 1 Level 2 Level 3 Trust performance – Qtr1 June 2013

(Individual Nominated)

Care Programme
Equality & Diversity
Approach (CPA) Medical Educational &
Fire Clinical Supervision
Clinical Risk &
Health & Safety
Management
Medical Educational
Induction (CRAM)
Supervisors Annual
Complaints Review of Competence
Infection Prevention Progression PPST Level 1 – Target 100% Overall improvement of 8
Dual Diagnosis
& Control (IPC) percentage points
Falls Awareness
Medical Educational
Prevention & Food Hygiene Supervisors Supporting
Management of the Trainee
Violence &
Information
Aggression (PMVA) Medical Workplace
Governance
Based Assessment
Moving & Handling
Medicines Fire Marshal
Resuscitation Management
PPST Level 2 – Target 85% Overall improvement of 4
First Aid – Appointed
Safeguarding percentage points to 94% of Target
Person
Mental Capacity
Act H&S Care Risk & Safety
Management
Mental Health Act

H&S Working Safely

Safe & Supportive
Observations Root Cause Analysis
Risk Group Risk Group RiskSecurity
Group Risk Group Risk Risk Group
1 2 3 4 Group 6
Awareness 5
PPST Level 3 (Individual nominated) – Target 100%
Ward Community Supervision
Ward Community Non Others Overall improvement of 19 percentage points
Based Based Based Non Based Non Clinical
Registered Registered Registered Registered Patient
contact 7
 Technology Enhanced Learning (TEL)
Over 50% of PPST is now available via eLearning, reducing costs on travel and time away from patient care.. eAssessments have been
introduced to further reduce the time required to demonstrate knowledge. The L&D TEL team have delivered/are working on the following:

TEL Development Project Comments Delivery

TEL Content Developed and Implemented

• Infection Prevention &Control (IP&C) Developed with the IP&C team. To support the new training strategy to reduce the requirement for classroom Qtr 1
(6000 staff) attendance.

• Falls Awareness (800 staff) Developed with the Falls team for staff groups on Community In-patient wards. Qtr 1

• Equality & Diversity eAssessments Developed with TVHE for all staff groups. Qtr 1
(6000 staff annually)

• On Line Policy Matrix (6000 staff) Developed with the Leading Improvement & Innovation team. Providing direct on line access to relevant Qtr 1
policies for all staff.

TEL Forward Plans

• Food Hygiene (1600 staff) Developed awaiting policy approval to be assigned to relevant matrices. Qtr 2

• Medicines Management Developing training modules to enable direct content access to target specific staff groups. Qtr 2

• Information Governance eAssessments Developed with TVHE for all staff groups Qtr 2
(6000 staff annually)

• Smoking Cessation eLearning developed with TVHE for specific staff groups Qtr 2

• Pressure ulcer eLearning developed with TVHE for specific staff groups Qtr 3

• Induction landing portal for new starters Providing new starters online access to information /learning materials before starting Induction programme Qtr 3

• Resuscitation eLearning (4000 staff annually) Learning content improvements Qtr 3

• Safeguarding eAssessments Development with TVHE for all staff groups. Qtr 4

• Supervision Date and type of clinical supervision activity to be recorded by supervisee on L&D portal in order to evidence Qtr 4
that appropriate supervision is taking place.

• Pilot to develop ‘virtual classroom’ Fire training non inpatient staff annual awareness updates. Can be applied to other subjects if successful. Qtr 4
environment Subject to Funding bid with TVHE.

8
 Performance & Development Reviews (PDRs)

Position at end of Qtr 1 June 2013 Target 100% - Position at 16th September
showing improvement at 84%
PDR cycle - April to June
Numbers
148
92
431
51
152
874

Medical Staff & Dentists have annual appraisal reviews and are outside the PDR cycle
Target 100% - Position at 16th September
Position at end of Qtr 1 June 2013 showing improvement at 77%

Numbers
14
0
6
19
39

Actions taken – Ongoing monthly report reminders to individuals and line managers. Internet announcements, Divisional Directors
meeting update, HR QIC.
Oxon Community Services - Large teams – Urgent Care, Re-ablement & District Nursing – Line manager ratio to direct reports challenging