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Reforming Education and Training for Healthcare Support Workers in the NHS in Wales Workforce Development Unit Supporting NHS Wales to Deliver World Class Healthcare Population Context 2004 2007 2011 2016 2021 Under 15 572k 556k 540k 534k 543k Over 65 602k 629k 666k 685k 703k Trend Young and older population 1970 to 2026 Health Service Context Out-patients waiting lists £ Million Health spend NHS Beds 2001 2002 2003 2004 2,842 3,168 3,680 4,035 Typical Christmas Tree Scoping Healthcare Support Workers 2004 • • • • • • • • 16,000 staff – about 20% of total workforce Significant variety – 147 professions Some “intriguing” titles Little training other than mandatory health and safety Few recognised qualifications Little accredited training and learning Little transferable learning credit Training duplicated The National Framework Create a Framework which : Assists in delivering the KSF Is based in National Occupational Standards Supports skills escalation Enables workers to achieve CREDIT in line with the CQFW Enables the acquisition of qualifications where appropriate Enables a comprehensive coverage of learning from full qualifications to small amounts of recognised learning to support the variety of employer needs KSF Post Outline Development Review Personal Development Plan linked to NOS Learning which accrues credit (CQFW) Credit banked in the CPD Portfolio The Credit and Qualifications Framework for Wales (CQFW) The unit model 9 Levels of Education 10 Learning Hours = 1 Credit Covers all accredited learning including non-formal Content (Unit format) Title Level Credit Value Learning Outcomes Level: Entry, 1 - 8 Assessment Criteria The learner can: The learner should be able to: 1. 1.1 1.2 etc. 2. etc. 2.1 2.2 etc. Volume: 1 Credit = 10 hours Learning Time Education Levels The editors decision is final! Credit and Qualifications Framework Wales (CQFW) 8 7 6 5 4 3 2 1 Entry Scottish Credit and Qualifications Framework (SCQF) 12 11 10 9 8 7 6 5 4 3 2 1 Access European Qualification Framework (EQF) Version 1 Examples of Awards and Qualifications Across the UK 8 7 6 5 4 3 2 1 Doctorate Masters Degree FD/HND HNC NVQ3/A Level GCSE A-C/NVQ2 GCSE D-E Basic Skills The Reform of Vocational Education in Wales QCF (UK) “Full-fat” qualifications Occupational Competence NVQs/Some BTECS etc Position here decided by the SQS Includes 14-19 (Welsh Bacc, A, GCSE) Other Issues for Embedding • Web-based database of credit rated and accredited learning “Off the shelf” • New Qualifications (BIT NVQ) • Credit bank on the e-KSF • Trade Unions on board • Awarding Bodies Forum • Credit for Patients NHS Wales Accredited Learning Panel • Established to bring a clinical governance approach to accredited learning in the NHS in Wales for the nonregulated, non-formal and informal accredited learning • Chaired by Healthcare Inspectorate Wales Education QA specialist • Moderation by NLIAH Education specialist • Membership includes: • • • • • Skills for Health Healthcare Science education and training managers Allied Health Professions educationalists Nursing and midwifery educationalists Professional bodies NHS Accredited Learning Panel Criteria Checking methodology aligned with Skills for Health methodology for QCF endorsement Learning must be • The Learning must adhere to the principles of the Credit Common Accord (CQFW) • The programme has been built by a CQFW Recognised Body • The programme is mapped to the National Occupational Standards so that learners can use their achievement as evidence to support NVQs. • The programme content is mapped to NHS KSF dimensions and levels. • The programme has been built in line with the Sector Skills Council Design Principles Quality Criteria Established for All Accredited Learning in the NHS • • • • • • • • • • Title Level (CQFW) Learning Hours (Credits) Learning Outcomes Assessment Criteria National Occupational Standards links NHS KSF Dimensions and levels Key Skills Mapping Target learners/aims Overall proportionality Process • • • • • • • • • • Unit/Award submitted with application to WDU Logged in database and prepared for checking Panel checking day Feedback form completed and returned to the awarding body (person submitting) Awarding body responses on the same form Iterative process Formal panel for endorsement Letter to awarding body confirming endorsement and support for inclusion on CQFW Marketed throughout NHS Wales via the NLIAH Improvement Portal Feedback via Awarding bodies forum Credit Units Endorsed • 60+ AHPs and Nursing Credit Rated Units approved • Further 79 HCSW units in the system • Plans to extend to Management and Leadership Levels • Model used is a European first and is being looked at by local government and industry • NLIAH/NHS Wales is at the forefront of using Credit for recognising knowledge and skills in work based learning David • Aged 67 • Left school at 14 • Coal miner for 33 years • Labourer for 10 years • Heart condition and long term breathing problems Credit for Patients Using the Credit and Qualifications Framework for Wales (CQFW) to enable patients to earn learning credit in managing their own long term conditions so that •They can be better motivated to keep well •Learning is better embedded •Credits can be used for Lifelong Learning and Further Education Pilot Study 2007/8 • NHS Wales in partnership with the Open College Network Wales • Patients/Carers earning credit in managing their: • • • • • • Diabetes Cardiac Rehabilitation Depression Stroke carers Cancer carers (2008) OT in Mental Health (2008) Contact Mike Cole Senior Workforce Education and Development Manager Workforce Development Unit National Leadership and Innovations Agency for Healthcare Innovation House Bridgend Road Llanharan CF72 9RP 01443 233333 Direct Line: 01443 233464 [email protected] www.nliah.wales.nhs.uk • “Supporting NHS Wales to deliver world class healthcare”