Transcript An Update on KSF Progress in RMPD

A Structured Approach to the
KSF in a Large Medical
Physics Department
Andy Lecomber & Phil Harrison
Regional Medical Physics Department
Royal Victoria Infirmary & Freeman Hospital
Newcastle upon Tyne
KSF – What is it?
• The Knowledge & Skills Framework
• one of 3 key strands within Agenda for
Change:
– terms and conditions
• hours of working, overtime rates, annual leave
– job evaluation
• equal pay for work of equal value
– NHS KSF
• training requirements
KSF - Main Purpose
• defines and describes the knowledge and
skills which NHS staff need to apply in their
work in order to deliver quality services
• forms basis of pay progression mechanism
Pay Structure
PAY BANDS
9
8
7
6
5
4
3
2
1
Every job is
evaluated &
assigned to a
pay band on
national scale
Pay Structure
PAY BANDS
9
Incremental Pay Points
within each Band
8
7
6
GATEWAY
5
KSF FULL OUTLINE
defines the SKILLS &
KNOWLEDGE
required to perform
that job
4
3
2
1
GATEWAY
KSF FOUNDATION
OUTLINE defines basic
SKILLS & KNOWLEDGE
expected of person recently in
post
(6 - 12 months)
Dimensions identify broad functions
30 Dimensions
6 Core
24 Specific
30 Dimensions
6 Core
Communication
24 Specific
10 Health & Wellbeing
Personal & People Development
Service Improvement
Health, Safety & Security
3 Information & Knowledge
3 Estates & Facilities
Quality
Equality & Diversity
8 General
The ‘broad function’ angle
HWB6: Assessment
and treatment planning
30 Dimensions
6 Core
24 Specific
Communication
Personal & People Development
HWB 1
HWB 2
HWB 3
IK 1
IK 2
IK 3
EF 1
EF 2
EF 3
G1
G2
G3
HWB 4
HWB 5
HWB 6
HWB 7
HWB 8
HWB 9
HWB10
Service Improvement
Health, Safety & Security
IK2: Information
collection & analysis
Quality
Equality & Diversity
EF1: Systems,
Vehicles and equipment
G4
G5
G6
G7
G8
G2: Development
and innovation
G1: Learning and
development
30 Dimensions
6 Core
24 Specific
Communication
Personal & People Development
HWB 1
HWB 2
HWB 3
IK 1
IK 2
IK 3
EF 1
EF 2
EF 3
G1
G2
G3
HWB 4
HWB 5
HWB 6
HWB 7
HWB 8
G4
G5
G6
G7
G8
HWB 9
HWB10
Service Improvement
Health, Safety & Security
Quality
Equality & Diversity
Every dimension
has four levels
representing
increasing complexity
within that skill area
L4
L3
L2
L1
Design, plan, implement and evaluate
learning and development programmes
Plan, deliver and review interventions
to enable people to develop
Enable people to learn and develop
Assist with learning and development
activities
30 Dimensions
6 Core
24 Specific
Communication
Personal & People Development
HWB 1
HWB 2
HWB 3
IK 1
IK 2
IK 3
EF 1
EF 2
EF 3
G1
G2
G3
HWB 4
HWB 5
HWB 6
HWB 7
HWB 8
G4
G5
G6
G7
G8
Service Improvement
Health, Safety & Security
Quality
Equality & Diversity
Every dimension
has four levels
representing
increasing complexity
within that skill area
L4
L3
L2
L1
Every level has
‘a number’ of
indicators
HWB 9
HWB10
Developing a KSF Outline
• Decide which Dimensions are relevant to the
post
• Decide what is an appropriate Level for each
Dimension
• Check that ALL the Indicators associated with
each Dimension / Level can be met
• Determine the Areas of Application most relevant
to the work of the post-holder
• Identify Examples of Evidence from the work of
the post-holder that can be used to meet the
requirements of the Indicators
– Identified for post by post-holder & manager
Developing KSF Outlines for RMPD
• ARL tasked with helping implement KSF
consistently in RMPD
• Developed a KSF Outline Matrix
(Dimension & Level only) for all RMPD
staff based on:
– National Occupation Standards data for
Scientific & Technical staff
– ‘Approved’ NuTH Trust Outlines for
Administrative & Clerical staff
NOS HealthCare Science Competencies
• Available on DoH website
– http://www.skillsforhealth.org.uk/view_framework.php?id=73
• List of 646 competencies covering all
aspects of healthcare science practice
• Grouped into 57 sets applicable to
activities in specific areas
• Each competency linked to a KSF
Dimension and Level
NOS Competencies – KSF Links
A1
A2
A3
A4
A5
A6
Level 1
Level 2
Level 3
Level 4
CORE
HWB
EF
IK
G
NOS HealthCare Science Competencies
HCS_A
6 general competences on equipment evaluation, commissioning, calibration, routine QA, PPM
HCS_AN
8 competences on investigations of the autonomic nervous system
HCS_AUD
15 competences on Audiology examinations
HCS_B
4 general competences on developing and planning clinical procedures, investigation strategies and
long term, multidisciplinary care pathways
HCS_BM
2 competences on the conduct of a multi component clinical movement analysis test, and the
interpretation and reporting on biomechanical data for detailed patient evaluation
HCS_CARD
9 competences on the performance of both diagnostic and therapeutic cardiac procedures on inpatient
or outpatient adults or children
HCS_CCT
4 competences on critical care equipment selection, set-up, operation and performance monitoring
HCS_CM
4 competences on the development of new clinical measurements, scientific support to existing
techniques, or provision of a highly specialised clinical measurement service
HCS_D
5 competences on presentation and reporting of clinical investigation results, including confidentiality
issues
HCS_DX
10 competences on X-ray equipment QA services
HCS_E
4 competences on risk assessment, MHSW & incident reporting
HCS_EMD
20 competences on medical equipment evaluation, procurement, maintenance and management
HCS_F
23 competences on management and direction of Medical Physics organisations
HCS_G
12 competences on provision and management of HCS learning programmes
HCS_H
15 competences on identification of areas for, and management of, R&D activities, including
presentation of findings and translation into service
HCS_I
18 competences on dealing with patients, including receipt and management during clinical
procedures and subsequent aftercare and reporting
NOS HealthCare Science Competencies
HCS_J
7 competences on what is expected of an expert in a Medical Physics discipline
HCS_MPHYS
14 general competences covering a number of key areas in a Medical Physics department
HCS_MR
8 competences on installation, operation and safety of MRI scanners, including interpretation of images
and reporting
HCS_N
9 competences on investigation or monitoring of neurophysiological function
HCS_NC
14 competences on the provision of a nuclear medicine service, including both non- and imaging tests
HCS_NIR
13 competences on the provision of diagnostic and therapeutic NIR services, including both protocol
development and safety considerations
HCS_OVS
16 competences on ophthalmic assessment, including some on assessment of electrophysiological
function
HCS_R
15 competences on radiopharmacy procedures
HCS_REHAB
5 competences on the prescription, manufacture and subsequent management of assitive technology
for individual use
HCS_RP
30 competences on the provision of radiation protection advice, including equipment and source
calibration and management, personnel monitoring and waste management
HCS_RTP
37 competences on the provision of a radiotherapy service, including the development and
implementation of treatment planning processes, equipment maintenance and manufacture of assistive
devices, measurement of dose delivered and advice on patient management
HCS_SS
11 competences on the provision of a sleep study service
HCS_UD
9 competences on the conduct of urodynamic investigations
HCS_UPT
10 competences on the provision of a medical ultrasound equipment QA and safety service for both
diagnostic and therapeutic applications
HCS_VT
3 competences on vascular ultrasound measurement
Linking NOS Data to RMPD
Competencies applied uniformly across RMPD:
NOS
Competency
Set
Number of
Competences
in Set
Area of Application
HCS_MPHYS
14
key areas in a Medical
Physics department
HCS_E
4
risk assessment
HCS_H
15
R&D activities
Linking NOS Data to RMPD
Competency sets used for specific subject areas:
NOS
Competency Set
Number of
Competences in
Set
Subject Area(s) to which
Applied
HCS_AUD
15
Audiology
HCS_BM
HCS_REHAB
2
5
Bio-/Rehabilitation
Engineering
HCS_DX
HCS_MR
10
8
Diagnostic Radiology
HCS_EMD
20
Equipment Evaluation,
Electronics
HCS_G
12
Training Schemes
HCS_NC
HCS_R
14
15
Nuclear Medicine
Linking NOS Data to RMPD
Competency sets used for specific areas of application:
NOS
Competency Set
Number of
Competences in
Set
Subject Area(s) to which
Applied
HCS_NIR
13
Non-Ionising Radiations
30
Radiation Protection
Diagnostic Radiology
Nuclear Medicine
Radiotherapy
HCS_RTP
37
Radiotherapy Physics
Radiotherapy Technology
Mould Room
Dosimetry
HCS_UPT
HCS_VT
10
3
Ultrasound
HCS_RP
Linking NOS Data to RMPD
Competency sets used for physiological measurement /
clinical instrumentation:
NOS Competency
Set
Number of
Competences in
Set
Area of Application
HCS_AN
8
autonomic nervous system tests
HCS_CARD
9
cardiac procedures
HCS_CCT
4
critical care equipment
HCS_CM
4
clinical measurements
HCS_N
9
neurophysiological assessment
HCS_OVS
16
ophthalmic electrophysiology
HCS_SS
11
sleep studies
HCS_UD
9
urodynamics
Linking NOS Data to RMPD
NOS
Competency Set
Number of
Competences in
Set
Area of Application
HCS_J
7
what is expected of a Medical
Physics Expert
applied to radiation subjects where there is a legislative requirement for a
Medical Physics Expert (Radiotherapy, Nuclear Medicine, Diagnostic
Radiology/Radiation Protection)
HCS_B
4
care pathway planning and
investigation strategies
HCS_F
23
Medical Physics management
applied to categories of staff (Head of Unit, Head of Department) rather than
subject areas
Linking NOS Data to RMPD
NOS Competency
Set
Number of
Competences in
Set
Area of Application
HCS_A
6
equipment assessment and
maintenance
applied to services for which assessing equipment performance is a major
aspect of the work
HCS_D
5
clinical investigation reporting
applied to services in which clinical reporting is a regular task
HCS_I
18
dealing with patients
applied to services having significant direct patient contact
A
Audiological Science
Bioengineering
A
N
P
A
U
D
B
B
M
C
A
R
D
C
C
T
C
M
P
P
P
Bone Mineral
Assessment
Clinical
Instrumentation
Computing
P
P P
P
P P
P
Dosimetrists
Electronics
Equipment Evaluation
Head of Department /
Unit
E
F
G
H
I
J
P
P P
P
P
P
P P
P
P
P
P P
P
P
P
P
P
P
P
P P
P
P
P
D
X
M
P
H
Y
S
P
P
P
Critical Care Physics
Diag. Rad. / Rad. Prot.
P
D
E
M
D
P
P
P P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
M
R
N
N
C
N
I
R
O
V
S
R
R
E
H
A
B
R
P
R
T
P
S
S
U
D
P
P
P
P P
P
P P
P
P
U
P
T
V
T
A
Mechanical
Workshop
A
N
A
U
D
B
B
M
C
A
R
D
C
C
T
C
M
D
P
D
X
E
E
M
D
F
G
H
I
J
M
P
H
Y
S
M
R
N
N
C
N
I
R
O
V
S
R
R
E
H
A
B
R
P
R
T
P
P
P
P
P
P P
P
P
P P P
P
P
P P
P
P
P P
P
P
P
P P P
P
P P
Radiotherapy
Technology
P
P
P
P
P
Rehabilitation
Engineering
P
P
P P
P
P
P
P P
P
Mould Room
Nuclear Medicine
Non-Ionising
Radiations
P
P
P
Physiological
Measurement
Radiotherapy Physics
P
P
P P
P
P
P
P
Training Management
Ultrasound
P
P
P
P
P
S
S
U
D
U
P
T
V
T
P
P
P
P
P
P
P
P
P P
P
P P
Combining Competency Sets
HCS_A
+
HCS_E
+
HCS_H
+
HCS_MPHYS
+
HCS_RTP
=
OVERALL
‘ENVELOPE’
CORE
HWB
EF
IK
G
Results of Analysis
Frequency of occurrence within subject area:
HWB
CORE
EF
<10%
10-20%
IK
>20%
G
72
54
41
Audiological Science
Bioengineering
Bone Mineral Assess.
Clinical Instr.
Computing
Critical Care Physics
Diag. Rad. / Rad. Prot.
Dosimetry
Electronics
Equipment Evaluation
Head of Dept. / Unit
Mech. Workshop
Mould Room
Nuclear Medicine
Non-Ionising Radiation
Phys. Measurement
Radiotherapy Physics
Radiotherapy Tech.
Rehab. Engineering
Training Management
Ultrasound
Number of Level 1s
Number of Level 2s
Number of Level 3s
Number of Level 4s
113
39
95
94
70
59
59
78
44
88
137
65
111
126
76
54
45
60
9
9
44
3
0 0 0 0
0 111 12 0
5 77 51 27
0 2 7 69
0
0
1
0
0
3
10
35
0
0
0
1
8 28
43 51
106 47
25 30
0
12
7
2
0
0
11
1
28
54
97
4
0
6
0
28
0 7 3
0 1 123
1 0 93
3 0 6
0
0
4
2
0
0
49
12
14
2
22
0
7
29
59
84
0
3
1
0
Developing a KSF Outline
• Identify skills required to undertake the
role described in the Job Description
• Identify the appropriate Core Dimension
Levels required to represent the skills work
of the post
• Identify the Specific Dimensions (how
many?) and Levels required to represent
the skills not covered by Core Dimensions
Bands & Specific Dimensions
• Distribution of RMPD staff bands following
assimilation
120
Number
100
80
60
40
20
0
2
3
4
5
6
7
8a 8b 8c 8d
AfC Band
Technical Staff
Scientific Staff
9
Setting Levels for Core Dimensions
• Core 1 (Communications) ranges between levels 2 and 4
across all specialities, so propose:
– Level 2 for posts in bands 1, 2, 3 & 4
– Level 3 for posts in bands 5, 6 & 7
– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
• Core 2 (Personal and People Development) levels have
been set using the assumption that Principal and
Consultant grades will have more responsibility for
developing their staff than will Senior and Junior grades,
so propose:
– Level 2 for posts in bands 1, 2, 3 & 4
– Level 3 for posts in bands 5, 6 & 7
– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
Setting Levels for Core Dimensions
• Core 3 (Health, Safety and Security) ranges between
levels 2 and 4 across all specialities, so propose:
– Level 2 for posts in bands 1, 2, 3 & 4
– Level 3 for posts in bands 5, 6 & 7
– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
• Core 4 (Service Improvement) ranges between levels 2
and 4 across all specialities, so propose:
– Level 2 for posts in bands 1, 2, 3 & 4
– Level 3 for posts in bands 5, 6 & 7
– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
Setting Levels for Core Dimensions
• Core 5 (Quality) ranges between levels 3 and 4 across
all specialities, so propose:
– Level 3 for posts in bands 1, 2, 3, 4, 5, 6 & 7
– Level 4 for posts in bands 8a, 8b, 8c, 8d & 9
• Core 6 (Equality and Diversity) levels have been set to
the lowest values appropriate for their observance:
– Level 1 for posts in bands 1, 2, 3, 4, 5, 6 & 7
– Level 2 for posts in bands 8a & 8b
– Level 3 for posts in bands 8c, 8d & 9
Selecting Specific Dimensions
• General guidance recommends ≤ 7 Specific
Dimensions
• NuTH AfC office advice is to have no more than
4–5
• Therefore assigned:
–
–
–
–
–
5 specific dimensions for Band 9 posts
4 specific dimensions for Band 8c & 8d posts
3 specific dimensions for Band 8a & 8b posts
2 specific dimensions for Band 5, 6 & 7 posts
1 specific dimension for Band 2, 3, 4 & 5 posts
30 Dimensions
6 Core
24 Specific
Communication
nal & People Development
HWB 1
HWB 2
HWB 3
IK 1
IK 2
IK 3
EF 1
EF 2
EF 3
G1
G2
G3
HWB 4
HWB 5
HWB 6
HWB 7
HWB 8
G4
G5
G6
G7
G8
Service Improvement
ealth, Safety & Security
Quality
Equality & Diversity
L1
L2
L3
L4
HWB 9
HWB10
How to use the ‘KSF Tool’
• The ‘Workshop Method’…
– Identify your speciality and band on the KSF
Tool
How to use the ‘KSF Tool’
• The ‘Workshop Method’…
– Identify your speciality and band on the KSF
Tool
– Identify the recommended Core Dimension
Levels
How to use the ‘KSF Tool’
• The ‘Workshop Method’…
– Identify your speciality and band on the KSF
Tool
– Identify the recommended Core Dimension
Levels
– Identify the number of Specific Dimensions
suggested for post, and select appropriate
Levels for each
Study each highlighted dimension to determine
which 2 apply and at which level
(using the Specific Dimensions Table in
conjunction with the KSF Handbook)
Specific Dimensions Table
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…
– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each
chosen Level
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…
– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each
chosen Level
– For each Dimension
• Complete the relevant ‘Outline Detail’ form
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…
– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each
chosen Level
– For each Dimension:• Complete the relevant ‘Outline Detail’ form
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…
– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each
chosen Level
– For each Dimension:• Complete the relevant ‘Outline Detail’ form
• Identify the ‘Areas of Application’
ultranucmeonics
Or your own suggestion…
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…
– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each
chosen Level
– For each Dimension:• Complete the relevant ‘Outline Detail’ form
• Identify the ‘Areas of Application’
How to use the ‘KSF Tool’
• The ‘Workshop Method’ continued…
– Use the KSF Handbook to check that
EVERY Indicator can be achieved for each
chosen Level
– For each Dimension:• Complete the relevant ‘Outline Detail’ form
• Identify the ‘Areas of Application’
• Suggest ‘Examples of Evidence’
ultranucmeonics
6
Full vs Foundation Outlines
• Full Outline specifies the skills required of
a fully-trained individual performing the
work
• Foundation Outline specifies the skills that
must have been achieved after 1 year in
post
• Foundation Outline levels set one level
below the value specified for the Full
Outline
RMPD website KSF Page
KSF Outline Library