West Midlands’ Public Health Practitioner Development Scheme Sally James 29 th April 2014
Aims: • Clarify our expectations & support available • Review the competencies • See example portfolios • Explore your evidence • Re-affirm your commitment • Speak to a real live one … and get started !
Get ready for lots of … Information Thinking & Us repeating & guidance doing ourselves!
Introductions on your tables
www.hee.nhs.uk www.wm.hee.nhs.uk
Overview of the Scheme & what registration with the UKPHR means
The start of your journey to becoming a member of a wider community of practice defined by shared standards & core values
West Midlands Public Health Careers Escalator Accredited by City & Regulated through UKPHR practitioner standards Regulated by GMC & UKPHR Guilds Specialist Top-Up Higher Specialist Advanced Training Scheme Training Programme [current cohorts to (Faculty Curriculum, Practitioner complete but Part A & Part B MFPHM (West closed to new examination) applicants] Midlands (retrospective portfolio) proposed future scheme) Practitioner (portfolio & exam e.g. Part A DFPHM Higher portfolio or equivalent Apprenticeship development professional exam) in Public Health (NVQ Level 4, work- based learning) Health Trainer (RSPH Level 2 & City & Guilds Level 3) Rob Cooper, Sally James (Workforce Deanery)
To be accepted onto the UKPHR Register: Join a local scheme Produce a portfolio of evidence to demonstrate competence against the 12 practitioner standards Demonstrate knowledge, understanding & application of knowledge in practice for each indicator & standard Portfolio assessed & verified at level 5 PHSKF
To be accepted onto the local WM Scheme: Minimum of two years’ public health experience, usually at level 5 on PHSKF or above Self assessment against PHP standards. Able to demonstrate broad range of relevant experience with only a few gaps, each of which should be relatively easy to address within the timescale Commitment to completing portfolio in 18 months Commitment from line manager & DPH for support, attendance at learning sets & relevant CPD events to address ‘gaps’, to a maximum of 8 days in the period specified.
Practitioner applies to local Practitioner admitted to Register Scheme & is accepted & issued with registration number Practitioner applies to UKPHR Practitioner commences learning Registration Panel in London sets (3) & attends masterclasses (£95 regn fee + £25 admin fee) Practitioner submits evidence & Local Verification Panel meets commentaries to assessor, (chair Rob Cooper) & makes demonstrating competence recommendation to UKPHR against the UKPHR standards 12-18 mths Assessor assesses evidence & Verifier undertakes initial verifier reports back to applicant & check Scheme Coordinator Practitioner submits complete All activity recorded on assessed portfolio to Scheme Assessment Log for complete Coordinator audit trail
What is a Public Health Practitioner? ‘The term public health practitioner is designed to describe a level of practice not a specific job role or type of job.’ Source: UKPHR
What level of responsibility do practitioners have? • Responsibility for specific areas of public health work, continually developing their area of work & supporting others to understand it • Likely to contribute to multi-agency/multi- disciplinary programmes of work • Generally working as part of a larger team led by someone working at a higher level Source: UKPHR
Who are the Public Health Practitioner workforce? PH practitioners work in a range of settings and may not have public health in their job title… • Some will already be assessed/ regulated in a PH area (e.g. on SCPHN part of NMC, in PH nutrition, through CIEH) • Some may be regulated but not in a PH field (e.g. as a nurse but not on SCPHN) • Some will not be regulated at all nor will they have been through any assessment of competence in PH
Public Health Skills & Careers Knowledge Framework: level 5 Level 5 Has autonomy in specified areas, continually develops own area of work and supports others to understand it. May contribute to a programme of work in multi-agency or multi-disciplinary environment. Level 6 Has autonomy and responsibility in coordinating complex work, reflecting wider and deeper expertise in own area of work. Able to develop, facilitate and contribute to programmes of work in multi-agency or multi-disciplinary environment. Level 7 Has autonomy and expertise in areas of public health. Will lead on areas of work within a defined field.
Examples of practitioners on the West Midlands’ Scheme • Health Trainer Service Manager • Stop Smoking Outreach Worker • Teenage Pregnancy Lead • Healthy Weight Coordinator • Health Inequalities Coordinator • Public Health Clinical Evidence Reviewer • Children's Physical Activity Development Worker • Early Years Food & Nutrition Adviser • Walking & Cycling for Health Development Worker • Infant Feeding Coordinator • Public Health Information Analyst • Alcohol Practitioner • Health Improvement Coordinator • Health Advisor / Cardiac Rehab Phase 1V Instructor / Pulmonary Maintenance Instructor • Oral Health Improvement Officer • Obesity Coordinator …………………… etc etc
Background & context: regulation & registration in PH Since 2003 UKPHR has been voluntary regulator for MD PH Specialists (general and defined) From 2006 the 4 UK Health Departments commissioned UKPHR to develop a regulatory framework for PH practitioners January 2009 DH(E) announced a regulatory review of PH & asked UKPHR to delay implementation of practitioner registration ... In meantime 4 pilots commenced with a locally devolved assessment process (Wales, South Central, West Mids, & Kent Medway) Now 8 schemes across UK & full roll-out planned
What does registration mean? Registration is a public statement that you, as members of a professional group, agree to meet and maintain standards of good practice appropriate to the work that you do. Assessment of competence is key part of regulation.
Development of the practitioner standards • Used PHSKF as source document up to and including level 5 (autonomous practice) • Also drawn from NHS KSF and NOS for PH • Principles of: robustness; simplicity; cost effective implementation; focus on PH practice linked to assessment of risk; feedback on what is needed • Two rounds of extensive consultation • Input from PH experts from broad range of backgrounds • Fully supported by Faculty of Public Health
The UKPHR Practitioner Standards for registration • Four key areas • 12 standards Application of PH competence Technical competence Professional & ethical practice Underpinning skills and knowledge • Each standard described by indicators of effective practice • Knowledge supports practice
Brief summary of 12 standards • Standards 1-4: professional and ethical practice – Recognising and addressing ethical dilemmas and issues – Acting within limits of own competence, seeking advice – Acting in ways that promote equality and diversity etc – Developing and improving own and others’ practice • Standards 5-8: Technical competencies in public health practice – Health and well-being and reduction of health inequalities – Dealing appropriately with data and information – Assessing evidence of effectiveness – Identifying risks to health and wellbeing • Standard 9: Application of the technical competencies – Working collaboratively on programmes to improve health and wellbeing outcomes that demonstrate the technical competencies • Standards 10-12: Underpinning skills and knowledge – Public health policies and strategies – Working in teams, relationships, partnership working – Effective communications
Support available through West Midlands Public Health Practitioner Development Scheme • Preparation for registering with UKPHR against practitioner standards through portfolio development support • Masterclasses in CPD priority areas (mainly delivered by Higher Specialist Trainees) • Facilitated learning sets (3), mentoring, peer support
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