Health Practitioner Development Scheme Sally James 29 th April 2014 - - PowerPoint PPT Presentation

West Midlands’ Public Health Practitioner Development Scheme

Sally James 29th 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 & guidance Thinking & doing Us repeating

• urselves!

Introductions on your tables

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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

Rob Cooper, Sally James (Workforce Deanery)

Accredited by City & Guilds Regulated through UKPHR practitioner standards Regulated by GMC & UKPHR

Advanced Practitioner (West Midlands proposed future scheme)

(portfolio & exam e.g. Part A DFPHM

• r equivalent

professional exam)

Specialist Top-Up Training Scheme [current cohorts to complete but closed to new applicants] (retrospective portfolio) Higher Specialist Training Programme (Faculty Curriculum, Part A & Part B MFPHM examination)

Higher Apprenticeship in Public Health (NVQ Level 4, work- based learning) Practitioner portfolio development

Health Trainer (RSPH Level 2 & City & Guilds Level 3)

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

• nly 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 Scheme & is accepted Practitioner commences learning sets (3) & attends masterclasses Practitioner submits evidence & commentaries to assessor, demonstrating competence against the UKPHR standards Practitioner submits complete assessed portfolio to Scheme Coordinator All activity recorded on Assessment Log for complete audit trail Assessor assesses evidence & reports back to applicant & Scheme Coordinator Local Verification Panel meets (chair Rob Cooper) & makes recommendation to UKPHR Verifier undertakes initial verifier check Practitioner applies to UKPHR Registration Panel in London (£95 regn fee + £25 admin fee) Practitioner admitted to Register & issued with registration number

12-18 mths

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

• thers 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

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 Who are the Public Health Practitioner workforce?

Public Health Skills & Careers Knowledge Framework: level 5

Level 5 Has autonomy in specified areas, continually develops

• wn area of work and supports others to understand it.

May contribute to a programme of work in multi-agency

• r multi-disciplinary environment.

Level 6 Has autonomy and responsibility in coordinating complex work, reflecting wider and deeper expertise in

• wn 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

• 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

Background & context: regulation & registration in PH

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.

What does registration mean?

• 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

Development of the practitioner standards

• Four key areas
• 12 standards
• Each standard described by indicators of effective practice
• Knowledge supports practice

The UKPHR Practitioner Standards for registration

Professional & ethical practice Technical competence Application of PH competence Underpinning skills and knowledge

• 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

Brief summary of 12 standards

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

Date 2014 Masterclass Topic 14th Jan NEW Planning for Healthy Communities (inc. wider determinants, update on policy and structure, what achieves healthier communities & how do we get the process right) 28th Jan NEW Injury prevention (inc. road safety, home safety / water safety / occupational safety etc) 26th Feb Design, implementation & evaluation of health promotion interventions (includes determinants of health & health inequalities) 12th Mar NEW Commissioning & Public Health – a practical guide 7th Apr Health promotion & disease prevention – theories & models of behaviour change 30th Apr Health Economics & Economic Evaluation - assessing evidence of effectiveness TBC 13th May Data: understanding & uses (basic statistics, epidemiology terms & concepts, population sampling, measures of odds & ratios etc) 21st May Leadership & collaborative working to improve population health & wellbeing – engaging communities, engaging health professionals 3rd Jun Introduction to Mental Wellbeing & Public Mental Health 18th Jun Climate change, planning & health, sustainability 2nd Jul Presentation Skills 9th July  Recognising & proactively addressing legal & ethical issues  Policy & strategy development & assessment TBC 3rd Sept People Centred Public Health TBC 15th Sept Beyond critical appraisal of research & evidence 1st Oct NEW The impact of Genomics on Public Health

Provides quality assurance through:

– Assessor / verifier training (59 assessors, 11 verifiers) – Moderation

• Sample of applications (up to 100%) moderated before

accreditation

• Moderator assists with problem areas for interpretation

– Retrospective audit of processes – UKPHR Registration Panel considers outcome of Verification regarding consistency – Appeal process

Support from the UKPHR

Benefits of registration to employers:

• allows Local Authorities to recruit disciplined & experienced public

health practitioners systematically & to be confident they keep their skills updated

• cite registrants having greater strategic awareness; enhanced ability

to lead projects; greater awareness of personal & professional development needs; more use of “public health language”; an ability to set their work within the framework of public health; & confidence in their role and ability

• standardized approach that registration brings together with the

reflective thinking that practitioners need to do in order to achieve registration indicate both a safe foundation of skills & the ability of a practitioner to build on that foundation

• registration will strengthen practitioners’ professional autonomy &

give an assurance to employers about quality practice

Benefits of registration to public:

• Reassurance of a formally registered

workforce with a code of conduct & specific level of competence

• Public confidence in the professionalism &

integrity of the practitioner workforce

• Assures the public that practitioners will be

held to account for their action

Benefits of registration to practitioners:

recognition of their competence to do their job confidence to know they are competent external validation of their work, professional achievements & career development improved morale belonging to a wider community of practice defined by shared standards and core values

Your portfolio

Items of work samples that demonstrate your knowledge, skills, abilities and standards of practice A valuable visual tool that you can use throughout your career to:  assess your professional development  interview effectively  negotiate job offers  prepare for performance appraisals  manage career transitions  track accomplishments & successes Brings everything together in one place

What is included in a portfolio?

 Evidence of your competence against 12 standards  All portfolios are unique  Explicit and systematic presentation of evidence in 3- 4 commentaries (your “story”)  Will include some reflective writing demonstrating practical application of theory and learning from this

Assessment log

• An important open document between applicant &

assessor & SJ, providing full audit trail

• Applicant must list & date the title(s) of their evidence

against each sub-section / indicator of a standard

• Assessor’s decision: adequate, clarification, resubmission,

dated, & assessor comment on why evidence does / does not meet standard

UKPHR Essentials e.g.

Knowledge, understanding and application: For every single indicator there must be evidence of learning, understanding of that learning (in the commentary) & an example of how the learning has been applied in practice

…and no apologies for repeating that message over & over again throughout today!

• Min. of 3 discrete pieces of work (your “story”),

each supported by a commentary & evidence

• At least 2 pieces of work across standards 5-8 (PH

technical areas)

• Half of the evidence should be from past 3 years

(at time of applic. for Registration)

• 1 box file of evidence, or electronic equivalent
• Data confidentiality

Amount and currency of evidence

Different types (written, visual recorded, observation etc.)

e.g. minutes, reports, emails, posters, leaflets, certificates, qualifications, testimonials, presentations, evidence reviews etc etc etc

… to demonstrate acquisition of knowledge, understanding & application of knowledge

• A summary & a ‘commentary’ to explain context & role, &

reflective notes

• Data confidentiality
• Half of evidence should be recent i.e. past 3 years
• 1 box file of evidence (or electronic equivalent)

What constitutes evidence?

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The assessment process

• Assessors need not be registered public health

professionals but will have sound knowledge of public health

• Appointed by HEWM following successful completion of

UKPHR 1.5 day training

• Allocated to practitioners by Scheme Co-ordinator when

you have a commentary ready to be assessed

• Relationship with the applicant – agreement on

communication

• Assessor-mentor boundary

Selection criteria for assessors

Practitioner applies to local Scheme & is accepted Practitioner commences learning sets (3) & attends masterclasses Practitioner submits evidence & commentaries to assessor, demonstrating competence against the UKPHR standards Practitioner submits complete assessed portfolio to Scheme Coordinator All activity recorded on Assessment Log for complete audit trail Assessor assesses evidence & reports back to applicant & Scheme Coordinator Local Verification Panel meets (chair Rob Cooper) & makes recommendation to UKPHR Verifier undertakes initial verifier check Practitioner applies to UKPHR Registration Panel in London (£95 regn fee + £25 admin fee) Practitioner admitted to Register & issued with registration number

12-18 mths

Accepted Clarification

• Assessor believes there is evidence to meet standard but

more detail/ clarity needed

• Usually submitted within one month of request

Resubmission

• Assessor believes evidence is inadequate & new evidence

needed

• Usually submitted within 3 months of request

If resubmission/clarifications needed for more than half of evidence, applicant may need further training

Outcome of assessment

Do not have to submit all evidence to Assessor at the same time

– Recommend ‘formal’ agreement between practitioner and assessor on communication – Estimated number of commentaries + evidence – Dates for submission of commentaries – Turnaround time for assessor feedback per commentary (3 weeks) – Preferred contact method(s) etc.

Relationship with assessor

Assessor

• Agrees assessment

contract

• Assesses evidence
• Completes assessment

log

• Feeds back outcome

Should not provide guidance and input to draft commentaries

Assessor & Mentor boundary

Mentor

• Facilitates process of

self directed learning

• Gives advice on self

assessment against standards Is not carrying out an assessment

Learning Sets

When all standards have been met the assessor will sign off your portfolio ready for verification

Verifiers are registered PH specialists (GMC, GDC, UKPHR) with at least 3 years at consultant level; their role is independent scrutiny (not 2nd assessment)

• 3-4 facilitated learning sets
• Held locally
• Compulsory attendance 
• Compulsory preparation work  
• Optional informal learning sets in-between

Support provided by Janet Baker & Patrick Saunders of Public Health Potential

Learning sets

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Reflective writing, writing a commentary & putting a portfolio together

Commentaries (your “story”)

Evidence for each standard needs to be accompanied by a commentary to give background information & help the assessor to make sound judgements on your evidence. A commentary might contain information on:

• The context for the work
• Your own role in the work
• How you acquired the knowledge to support the work
• Your understanding of the issues, gained from your learning
• How you have applied that knowledge in this piece of work
• Precisely how you believe the evidence demonstrates the

particular standard, relating directly to the wording in each sub- section of the standard

• A reflection on your learning from this work, what went well,

what you would do differently’

• Signposts the assessor to the supporting evidence
• Sets out context and role of applicant
• Shows how knowledge acquired
• Shows understanding & application of knowledge
• How the evidence demonstrates the particular

standard, relating directly to the wording in each sub-section of the standard

• A reflection on learning from the work

A commentary…

Key components of a commentary

 Title - basic description of subject of summary  Competencies / standards claimed  Context  Methodology / approach  The project, what you did, why, how, what went well, less well etc.  Outcomes & impact  Reflection  List of supporting evidence

Reflective writing

• Should help to demonstrate what was learnt from doing

the work, your role, and what you might do differently if you were to do a similar piece of work in the future

• Should demonstrate critical analysis of your own practice
• Look at how the work could be improved, what you would

do differently and why, what was learnt, & how you have applied this subsequently

Why reflection?

• Expectation that practitioners reflect on what is

currently being done & why & improve /change practice as a result.

• Relates theory to practice - reflection is one of

the most important factors in achieving this

• synthesis. Unless this link is made then

knowledge is of little practical value.

Reflective writing

• What did I do?
• What lessons have I learnt?
• What challenges did I face and how did I address

these?

• What would I do differently in the future, and why?
• How have I applied my learning from this

experience?

• Where am I now and what do I need to do next?

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• When all standards are assessed as being met &

agreed by WM Verification Panel, applicant must apply within 3 months to UKPHR for registration

• Application form, CV, testimonial, reference, £25

admin fee + £95 subscription fee

• Application considered by UKPHR Registration

Panel

• Registration valid for 5 years with annual re-

registration fee of £95

• CPD the basis of demonstrating fitness to practice

Final steps to achieving registration

Next steps…

Project plan

Standards mapping Learning contract Learning set attendance Masterclass participation Commentary submission Assessment of whole portfolio On the Register!

Thank you for listening & thank you for all your work today Any questions?

Contact details

Sally James Public Health Workforce Specialist Health Education West Midlands St Chad’s Court 213 Hagley Road Birmingham B16 9RG Sally.james@wm.hee.nhs.uk

• Tel. 0121 695 2481

http://www.westmidlandsdeanery.nhs.uk/PublicHealth/PHPractitioners.aspx Janet Baker & Patrick Saunders Public Health Potential janet@publichealthpotential.com patricksaunders@sky.com

• Tel. 07428111241