Transcript Document

Multidisciplinary
Rural Generic (Health and Social Care)
Support Worker:
Supporting Person Centred Care
Fiona Fraser – Project lead RRHEAL
www.rrheal.scot.nhs.uk
Quality Education for a Healthier Scotland
Remote and Rural Healthcare Educational
Alliance/RRHEAL
NHS Education for Scotland/NES
Multidisciplinary
• Access, Rural specific content & support for Remote
and Island learners the key issues to be addressed by
RRHEAL.
• RRHEAL provides assistance to remote and island NHS
Boards and Partnerships, being a linking force between
healthcare services, partnerships and education
providers.
Quality Education for a Healthier Scotland
Delivering for Remote and
Rural Health
+
Remote and Rural
Implementation Group
Multidisciplinary
RRHEAL to
“To pursue generic support
worker roles and supporting
educational frameworks”
Scoping study with SSSC
outlined potential for Generic
Support Worker
http://www.scotland
.gov.uk/Resource/D
oc/222087/005973
5.pdf
Quality Education for a Healthier Scotland
Multidisciplinary
•ISBN 978 92 4 156401 4 (NLM classification: WA 390)
•© World Health Organization 2010Educational
Significant international
evidence base supporting
change –
• Need more, but not more
of same!
• Quantity
• Quality
• Relevance
Quality Education for a Healthier Scotland
Multidisciplinary
Quality Education for a Healthier Scotland
Multidisciplinary
•ISBN 978 92 4 156401 4 (NLM classification: WA 390)
•© World Health Organization 2010Educational
Significant international
evidence base supporting
change –
• Need more, but not more
of same!
• Quantity
• Quality
• Relevance
Quality Education for a Healthier Scotland
NES & SSSC outlined potential for Generic
Support Worker
Multidisciplinary
“Clear and increasing” demand in both health and social care
services for range of support workers who provide direct
care, with indication of benefits to health and social care
workers at a local level.
RRIG action plan 2008 described developing a
Generic (Health and Social Care) Support Worker
an essential component for required stratified workforce.
- RRHEAL to develop an appropriate education programme
to support development of this role.
Quality Education for a Healthier Scotland
Generic Support Worker (GSW)
“Why”
• Changing population needs
• Recruiting a sustainable workforce
• Creating career opportunities
Quality Education for a Healthier Scotland
Multidisciplinary
Generic Support Worker – Why...
• Future models of health and social care
delivery based on integrated teams
demonstrating a range of competencies,
defined by client need
• Person centeredness
• Remote and Island staff teams/different skill
sets required
Quality Education for a Healthier Scotland
Multidisciplinary
Our Orkney Our Health – transforming clinical
services;
Multidisciplinary
• Generalist skill set
• Multi- skilling and multi tasking – a breadth of
knowledge and
experience required of
post holders
• Lone working and
associated challenges
with supervision
• Time spent on travel (e.g.
single visit to Isles can
take a full day)
Recognition
• Health and social care staff require Core Skills
and Competencies
• Reduce multiple visits from different disciplines
• Care individualised and delivered appropriate to
individual needs
Focus ono Fostering enablement and building self care
o Multi- professional assessment of needs
o Supporting independence and ensuring a
rehabilitative approach
o Ability to support identification of complex
needs
o Using telehealth and telecare
o Case management approach
Quality Education for a Healthier Scotland
How....
• Developing a responsive and sustainable workforce (desirable
employment)
• Creative team working and Integration
• Shared competencies
• Solutions ... Developing sustainable and affordable services
Multidisciplinary
Generic (health and social care) Support
Worker
-
To support delivery of core outcomes
Supporting lead health and social care professionals
Increasing efficiency with improved service and responsiveness to
clients
Quality Education for a Healthier Scotland
The Partnership that is
Orkney Health and Care
• Competency mapping
• Educational mapping
• Workshop – supporting service
improvement
Quality Education for a Healthier Scotland
Multidisciplinary
Competency Mapping
Multidisciplinary
• Compare and contrast the competency statements
for existing health and care workers with draft job
description for the RGSW
• Map with existing competencies
• Identify existing service gaps and opportunities for
service improvement that the RGSW may provide in
large and small island settings
• Capability framework
• Mapping of core competencies
Quality Education for a Healthier Scotland
Capability Framework
Multidisciplinary
• A capability framework is a broad outline of what practitioners
should be able to do in practice
• Capability frameworks usually supported by discipline-specific
competency frameworks detailing the level of expertise required
• Framework incorporates practice learning outcomes:
– details what practitioners should be able to achieve
– captures the notion of capability as current competence combined
with the development of future potential competence (Price, 2004)
Quality Education for a Healthier Scotland
The RGSW Framework
• Broad areas of capability under five headings:
– Knowledge for Practice
– The Multi-professional Approach
– Practising Ethically
– Care and Intervention
– Personal, Professional and Service Development
• Practice learning outcomes
• Indicative key content that would be required in education and
work-based learning programmes for the RGSW
• Links to the NHS Knowledge and Skills Framework (KSF)
• Links to relevant National Occupational Standards (NOS)
Quality Education for a Healthier Scotland
Multidisciplinary
Multidisciplinary
Quality Education for a Healthier Scotland
Using the Framework
Multidisciplinary
The Framework can be used to:
• Support the development of the RGSW role
• Guide the development of education and training (including
work-based learning, short courses, study days, online learning
or accredited programmes of study)
• Support, guide and facilitate staff development through PDP
• Support self assessment and planning personal development
Quality Education for a Healthier Scotland
Educational Mapping
Multidisciplinary
• The content section of the capability framework mapped against
training currently delivered by Orkney College UHI as an SVQ
Award, using the identified NOS as a guide.
• Candidates would be required to complete (or have completed)
four mandatory Units, two ‘fixed’ optional units covering the
largest variety of outcomes, and two optional modules
• Other learning and development options were also identified
including those available through induction in both health and
social care settings, NHS LearnPro modules, other NES &
SSSC resources
Quality Education for a Healthier Scotland
Multidisciplinary
Quality Education for a Healthier Scotland
The Workshop
To explore how the RGSW role
may support service improvement
within the context and challenges
of integrated care delivery in
Orkney using the NES Skills
Maximisation Toolkit (SMT)
process
Multidisciplinary
•
•
provides a step-by-step process to
support service re-design and allows
those involved to be clear about the
skills and skill mix needed to provide
good quality services
workbook focuses on the client journey
and looks at three stages:
– clarifying the client journey – what’s
happening now?
– capturing uniqueness – what’s the
best contribution?
– creating improvement – making it
happen, capturing impact
Quality Education for a Healthier Scotland
Process adapted
Stage 1: Clarifying the client journey
• Prior to the workshop:
– project team identify and map typical client journeys
– steps and activities that are involved when a user begins
their journey
– how do patients/clients and their families access the
service?
Stage 2: Capturing uniqueness
• consider who is currently undertaking each of the tasks and
activities
• discuss and agreed which of these demand the unique
contribution from the qualified practitioner, and what could be
done by the RGSW
• identify other issues that need to be taken into account
Quality Education for a Healthier Scotland
Multidisciplinary
Multidisciplinary
Stage 3: Creating improvement
• focused on the work that can be undertaken by the RGSW,
suggesting changes that can be made to result in a positive
impact on the patient journey, on the team and on team-working.
• making suggestions about what can be done to improve the
service, focusing on the role of the RGSW
• making suggestions for the way forward
Quality Education for a Healthier Scotland
Intended Outcomes
Multidisciplinary
By the end of the workshop participants had;
•
•
•
•
•
•
considered who is currently undertaking each of the tasks and activities
discussed and agreed which of these demand the unique contribution
from the qualified practitioner, and what could be done by the RGSW
identified other issues that need to be taken into account
focused on the work that can be undertaken by the RGSW, have
suggested changes that can be made to result in a positive impact on
the patient journey, on the team and on team-working.
made some suggestions about what can be done to improve the
service, focusing on the role of the RGSW
made suggestions for the way forward
Quality Education for a Healthier Scotland
Summary of Outcomes
Great deal of support for development of the GSW role
• GSW role could contribute to :
– a smoother client journey
– a more person-centred approach to care
– better outcomes for the service user and their family
• Reduce the need for hospital admissions
• Facilitate earlier discharge
• Reduce re-admissions
• Allow people to return to their own homes rather than a care
home
www.rrheal.scot.nhs.uk
Quality Education for a Healthier Scotland
Multidisciplinary
GSW Requires ....
• Wide range of knowledge and skills including:
–
–
–
–
–
–
–
diplomacy
communication
assertiveness
organisational skills
nursing skills
home care skills
AHP related skills
• Aware of the limit of their knowledge, skills and
professional boundaries
Quality Education for a Healthier Scotland
Multidisciplinary
Summary of Challenges
• Challenges related to
– GSW training
– Support & supervision
– Funding
– Clinical governance
• Education programmes would need to be:
– available locally
– flexible
– use a blended approach
• Access to continuing professional development and the
application and engagement of new technology key
Quality Education for a Healthier Scotland
Multidisciplinary
Moving forward
Multidisciplinary
• Competency and educational mapping informed final revision of
Orkney job description and development of the GSW role
• Current National Occupational Standards (NOS) and SVQ Units
have been mapped to the job description and framework
• **Educational Case Studies** present options for GSW dev’t
• Informing development of Generic Support Worker roles in a
number of Boards and Partnerships
Quality Education for a Healthier Scotland
Progress.........
Multidisciplinary
RRHEAL Reporting
 Development of Rural Generic (Health and Social
Care) Support Worker Roles: Summary of National
Policy, Reporting and Progress April 2014
 Options for educational development of new and
existing Rural Generic (health ad Social Care)
Support Worker Roles April 2014
 SG Short Life Working Group for the health and
Social Care Support Worker now currently guiding
next stage developments.
www.rrheal.scot.nhs.uk
Quality Education for a Healthier Scotland
Multidisciplinary
www.rrheal.scot.nhs.uk
Quality Education for a Healthier Scotland
Argyll & Bute CHP
Multidisciplinary
• Pragmatic approach to setting up the health and social care
team
• Rehabilitation support workers currently employed within the OT
service and provide assistance to physiotherapists
• Training provided for home care teams and the independent
sector
• These support workers are delivering generic care and receive
training dependant on what is required by the individual service
user
• Review of what nursing staff are doing and why they are
providing multiple assessments with multiple people going in to
one home is being carried out; can someone do it all?
Quality Education for a Healthier Scotland
Western Isles
Multidisciplinary
• Recruitment and retention is an ongoing challenge
• Developing career pathways for health and social care roles and
mapping support worker roles to skills, competencies and
qualifications
• Pre-employment scholarship for support workers
• RGSW role being explored
• Rehabilitation support worker in post working closely with
physiotherapists
• Pilot underway of ‘Hospital at Home’
• Some support workers are employed by both organisations and
some mandatory induction
Quality Education for a Healthier Scotland
Shetland
Multidisciplinary
• Currently no plans to develop a RGSW role
• Consideration being given to joint learning and
development
• Recently appointed a Director of Health and Social
Care to lead the integration agenda
Quality Education for a Healthier Scotland
Stakeholder Agreement
• Mapping of existing job descriptions
• Identify gaps in RGSW job description
THEN AGREED:
• RGSW role should be at level 3 on the NHS Career
Framework (Senior Healthcare Support Worker).
This equates to SCQF level 7 (SVQ3/ HNC)
• Develop a framework which outlines the RGSW
capabilities and areas of responsibility, and map
these to NHS KSF and existing National
Occupational standards (NOS)
Quality Education for a Healthier Scotland
Multidisciplinary
Multidisciplinary
Quality Education for a Healthier Scotland
Multidisciplinary
Quality Education for a Healthier Scotland