Supporting the NMAHP workforce across the Career Framework for Health

A wide range of learning and development opportunities currently support nurses midwives and allied health professionals (NMAHP) to deliver high quality care in NHSScotland

These initiatives although targeted at different groups of staff collectively offer a joined up approach to workforce development Together these initiatives can help individuals teams and NHS Boards consider how they can best meet their own current and future learning and development needs and those of staff at different stages of their professional and career development

What is the Career Framework for Health

The Career Framework for Health is a 9-level framework designed to support workforce development and career planning (Skills for Health 2006 Scottish Government 2009) Roles are grouped according to their level of complexity and responsibility and the level of experience and learning required to carry them out Each level is clearly labelled from lsquoSupport Workerrsquo through various levels of practitioners to lsquoSenior Staffrsquo By grouping jobs within a career ladder the framework shows how different jobs build on one another to allow progression up and across that ladder

NES uses the Career Framework for Health as a way of describing where a particular educational solution is focused It is an enabling framework that supports both career development and workforce planning allowing role exemplars to be developed at each level and these to be linked to educational levels skills and competencies This provides an opportunity for

bull Service leads and workforce planners to map such role exemplars against service need

bull Educationalists to develop provision targeted at specific competencies andor at the appropriate levels

bull Practitioners to see and work towards key steps in their career path

It is important to view the Career Framework for Health in relation to other related frameworks such as Agenda for Change job banding Confusion can arise as each framework uses the same numbering system of 1-9 There is however no direct correlation between the frameworks

The NHS Knowledge and Skills Framework (NHS KSF) remains the overarching development framework for most NHS staff within their existing roles Both the NHS KSF and the Scottish Credit and Qualifications Framework (SCQF) are referenced in NES resources to ensure a joined up approach to development is taken and to maximise the individual contribution of each framework

LEVEL 9 - MORE SENIOR STAFFStaff with ultimate responsibility for decision-making and full on-call accountability

LEVEL 8 - CONSULTANT PRACTITIONERSStaff working at a very high level of clinical expertise andor have responsibility for planning servicesNon-clinical examples might be for example lsquoDivisional Managerrsquo

LEVEL 7 - ADVANCED PRACTITIONERSExperienced clinical practiioners with high level of skill and theoretical knowledge Will make high level clinical decisions and manage own workloadNon-clinical staff will typically be managing a number of service areas

LEVEL 6 - SENIOR PRACTITIONERSA higher degree of autonomy and responsibility than level 5 in the clinical environmentNon-clinical staff who woulld be managing a number of service areas

LEVEL 5 - PRACTITIONERSRegistered practitioners consolidating pre-registration experience and getting ready for a higher level of functioning

LEVEL 4 - ASSISTANT PRACTITIONERSSome work involving protocol based care under the supervision of a registered practitionerNon-clinical roles can include IT support worker and Technician

LEVEL 3 - SENIOR HEALTHCARE SUPPORT WORKERSHigher level of responsibility than Healthcare Support WorkerNon-clinical roles can include ward clerk and community food worker

LEVEL2 - HEALTHCARE SUPPORT WORKERSWorks under the direction and supervision of healthcare professionals and supports the multidisciplinary team in the delivery of high quality careNon-clinical examples are housekeeper and receptionist

LEVEL1 - SUPPORT WORKERSNon-clinical staff in roles that require very little formal education such as catering assistant or domestic assistant

Develoment Learning Needs Analysis Tool for Consultant Practitioners

Advanced Practice Toolkits and succession planning

Senior Charge Nurse Educational Development Framework

Senior AHP Learning and Development Framework

Effective Practitioner

Ready4Work

Early Clinical Career Fellowships

Flying Start NHSreg

Healthcare Support Worker Development

HCSW toolkit including induction standards and codes

HNCSVQPDA Development

Me

nto

rship

at e

very le

vel

Underpinned by the K

nowledge and S

kills Fram

ework (K

SF

) and S

cottish Credit Q

ualifications Fram

ework (S

CQ

F)

Clin

ical A

cad

em

ic Ca

ree

rs (Clin

ical E

du

catio

n a

nd

Clin

ical R

ese

arch

)

L e a d e r s h i p

Development

ReferencesScottish Government (2009) Curam Nurses Midwives and Allied Health Professionals working for

Scotlandrsquos health Scottish Government EdinburghScottish Government (2009b) Guidance on Career Framework for Health Scottish Government Edinburgh

What is the Career Framework for Health

The Career Framework for Health is a 9-level framework designed to support workforce development and career planning (Skills for Health 2006 and Scottish Government 2009) Roles are grouped according to their level of complexity and responsibility and the level of experience and learning required to carry them out Each level is clearly labelled from lsquoSupport Workerrsquo through various levels of practitioners to lsquoSenior Staffrsquo It provides a useful visual tool to help individuals plan their career paths more easily By grouping jobs within a career ladder the

Career Framework for Health

Educational Support Examples

How the Workforce is Supported in Practice Learning and development in practice are core professional activities and the supporting infrastructure for nurses midwives and allied health professions includes managers practice developers educators facilitators mentors and supervisors

Nationally the network of Practice Education Facilitators (PEFs) for nursing and midwifery and Practice Education Leads (PELs) for allied health professionals have been joined by

bull The Care Home Education Facilitators (CHEFs) have been established and are supported by NES

bull NES has established a national network of Practice Educators (PEs) as part of the NES Nursing and Midwifery Strategy to enhance our support in NHS Boards As NES employees the PEs are hosted within NHS Boards and their role is to strengthen the existing NHSScotland practice education infrastructure The PE focus is on ensuring access to learning and development resources directly relevant to clinical care closer to where nurses and midwives practice

Find out more at httpwwwnesscotnhsukeducation-and-trainingby-disciplinenursing-and-midwiferypractice-educationaspx

and

httpwwwnesscotnhsukeducation-and-trainingby-disciplineallied-health-professionspractice-educationaspx

Advanced Practice Children and Young PeopleThree modules were developed at Scottish Credit amp Qualifications Framework (SCQF) Level 11 to support the Advanced Practice pillarsbull PathophysiologyforAdvancedChildHealthPractitionersbull AdvancedPaediatricDecisionMakingbull AdvancedPaediatricPracticeforAHPsandNurses

These modules can form the foundation for any future educational programmes at Masters level

Find out more at wwwknowledgescotnhsukchild-servicescommunities-of-practicescottish-paediatric-advanced-practice-networkeducation-and-coursesadvanced-practice-courses-and-msc-modulesaspx

The Scottish Paediatric Advanced Practice Network (SPAPN) was established in July 2009 to support Paediatric Advanced Practitioners in role or in a trainee position NES continues to support this group

Find out more at wwwknowledgescotnhsukchild-servicescommunities-of-practicescottish-paediatric-advanced-practice-networkaspx

For more information and to contact initiative leads please contact

Carol Curran

e carolcurrannesscotnhsuk

t 0131 313 8138

Po

st Re

gistra

tion

Ca

ree

r De

velo

pm

en

t F

ram

ew

ork

DevelopmentLearningNeedsAnalysisToolforConsultantNurses Midwives and Allied Health ProfessionalsAs part of a succession planning pathway piloted between 2006 and 2007 a DevelopmentalLearningNeedsAnalysisToolwasdevelopedwhichcanbeusedtosupport this group of staff identify and meet their ongoing educational needs

Find out more at wwwnesscotnhsukpublications-and-resourcespublications-searchaspxtitle=DNAT

Version 3 - August 2012

Examples of learning and development which are linked to the Career Framework for Health are outlined below

Early Clinical Career Fellowships (ECCF)The Early Clinical Career Fellowships are an opportunity for highly enthusiastic talented and motivated nurses and midwives to develop personally professionally and academically at an early stage in their career The fellowships can have a positive impact on patient care delivery both now and in the future through focused support and maximisation of leadership potential

Each Fellowship comprises supported Masters Education Action Learning Masterclasses and Mentorship Cohorts to date include ECCF Pilot ECCF 2011 ECCF 2012

Find out more at wwwnesscotnhsukeducation-and-trainingby-disciplinenursing-and-midwiferycareers-and-recruitmentearly-clinical-career-fellowshipsaspx

Flying Start NHSreg Flying Start NHSreg is the unique contemporary web based learning programme for newlyqualifiednursesmidwivesandalliedhealthprofessionalsDesignedtobecompleted by all newly qualified practitioners within their first year in practice in NHS Scotland to enhance confidence and capability The programme is learner directed and designed to encourage good practice development for a life long learning journey

With a continual cycle of website developments to meet the needs of an ever evolving healthcare system Flying Start NHSreg is designed to encourage structured learning in partnership with mentors and line management to ensure completion of a portfolio of evidence of learning

Flying Start NHSreg provides support to over 25000 practitioners within a variety of healthcare settings both in the United Kingdom and Australia

Find out more at wwwflyingstartscotnhsuk

AHP Careers Fellowship Scheme The AHP Careers Fellowship Scheme is a funding initiative for AHPs including support staff and assistant practitioners working in Scotland to apply and be considered for financial education support for education and learning opportunities in identified priority categories The priority categories are flexible and can change each year The categories will be agreed in consultation with AHP stakeholders including the NES AHP Advisory Forum and its uni-professional sub-groups and think tanks

This is a recurrent fund therefore bids can be made for funds required over a number of years

Find out more at wwwnesscotnhsukeducation-and-trainingby-disciplineallied-health-professionscareer-fellowship-schemeaspxPost-RegistrationCareerDevelopmentFrameworkfor

Nurses Midwives and Allied Health Professionals in ScotlandThePostRegistrationCareerDevelopmentFrameworkprovidessupportanddirectionfor the continuing professional development of nurses midwives and allied health professionals (NMAHPs) It identifies key aspects of practice transferable across discipline specific and speciality groups The Framework is unique as it provides for the first time a consistent benchmark for all NMAHPs

This Framework provides an overarching infrastructure for career development bringing together other NES initiatives supporting learning and development across the Career Framework for Health eg Flying Start NHSreg Effective Practitioner Advanced Practice It also provides structure and cohesion for context and speciality specific professional and competency frameworks

ThePostRegistrationCareerDevelopmentFrameworkhelpsindividualsplantheircareer development more easily Practitioners and managers can use the Framework to identify their own development needs and those of others

Find out more at wwwcareerframeworknesscotnhsuk

Effective Practitioner InitiativeThe Effective Practitioner is a national initiative providing work based learning resources and support for level 5 and 6 nurses midwives and allied health professionals across NHSScotland It recognises and values the critical role this large group of staff play in the day-to-day care delivery in NHSScotland

The resources include a self assessment tool lots of bite sized learning activities which can be undertaken as part of day to day work and signposts to useful information and learning The resources are updated regularly and users can sign up to receive alerts to tell them what is new

The initiative assists practitioners to deliver safe effective and person-centred care and is the vehicle by which this group of staff supports the implementation of the Healthcare Quality Strategy for NHSScotland It can assist individuals and teams to maximise their contribution to the delivery of quality patient care and can support them to evidence theirongoingdevelopmentforKSFmaintainingregistrationandCPDpurposes

Find out more at wwweffectivepractitionernesscotnhsuk

Initiatives to support development

eecti epractitioner

Supporting and Valuing Nurses Midwives and Allied Health Professionals

in Practice

Senior AHP Education andDevelopment Framework

Clinical Academic Research Careers National Guidance for Clinical Academic Research Careers for Nursing Midwifery and Allied Health Professions was developed by a multi-disciplinary working group with members representing NHSScotland NHS Boards Universities NMAHP Research Unit and Clinical Research Centres and has informed an NHS BoardUniversity partnersrsquo implementation scheme

Find out more at wwwnesscotnhsukmedia241642nmahp_national_guidance_for_clinical_academic_research_careers__mar_2011pdf

Healthcare Support Worker ProjectClinical healthcare role development continues to be a priority for health boards Working with key stakeholders the HCSW Toolkit continues to be developed to support managers and educators with role development tools and resources The learning framework and supporting resources for HCSW Mandatory Induction Standards makes up one section of the HCSW Toolkit The Guide to Healthcare Support Worker Education and Role Developmentwasupdatedin2010

Find out more at wwwhcswtoolkitnesscotnhsuk

NES has coordinated a range of learning opportunities relevant for support staff including on line learning and college based learning Some learning is specific to a client group eg child health other learning focuses on uni-professional support staff such as HNC for physiotherapy and speech and language therapy support A Community of Practice for support workers is under development

Find out more at wwwknowledgescotnhsukhcswaspx

SeniorChargeNurseEducationalDevelopmentFrameworkThe senior charge nurse role has gone through significant review and renewal over the past two years under the national Leading Better Care initiative

The national process has been supported through the Senior Charge Nurse DevelopmentFrameworkwhichhasbeenwidelyadoptedandembracedbytheseniorcharge nurse cohort their managers and some aspiring senior charge nurses

Find out more at wwwevidenceintopracticescotnhsukleading-better-careaspx

Advanced Nursing Practice Toolkit This is a repository for resources specifically created to support the development and sustainability of advanced practice roles across NHSScotland

It provides an overview of the work being undertaken in Scotland to support advanced practice including an educational framework developmental learning needs analysis tool and service needs analysis tool

Originally developed for nurses it has also been used to guide advanced practice developments for other healthcare professionals and includes links to other related projects eg the educational development framework for senior charge nurses

Find out more at wwwadvancedpracticescotnhsuk

SeniorAHPEducationampDevelopmentFrameworkTheSeniorAHPEducationandDevelopmentFramework(NES2012)providesnationalguidance on leadership capabilities for Senior AHPs who have responsibility for leading and managing services or teams

The Framework assists Senior AHPs and those aspiring to this role to identify their learning and development needs and support them in accessing learning opportunities to enhance their leadership skills in the following key areas of practice

bull Enhancingsafeandeffectiveclinicalpractice

bull Enhancingthepatientexperience

bull Managinganddevelopingtheperformanceoftheteam

bull Contributingtothedeliveryoftheorganisationrsquosobjectives

It also provides guidance for managers and KSF reviewers to support their staff development

The framework is accessible on the Senior AHP website which hosts a range of resources and learning activities to support leadershio development

Find out more at wwwseniorahpnesscotnhsuk

AHPAdvancedPracticeEducationandDevelopmentFramework (Musculoskeletal) (For Occupational Therapists Orthotists Physiotherapists Podiatrists Prosthetists and Radiographers)

The Framework provides national guidance on the capabilities within the 4 pillars of practice (clinical leadership facilitating learning and research) expected of AHPs working as Advanced Practitioners (and those aspiring to this role) within musculoskeletal services (MSK) services

The Framework also guides managers and KSF reviewers in supporting their staff development and is accessible on the AHP Advanced Practice (MSK) website which hosts learning activities and resources to support development of these capabilities

Find out more at wwwahpadvancedpracticenesscotnhsuk

Examples of learning and development which are linked to the Career Framework for Health are outlined below

Early Clinical Career Fellowships (ECCF)The Early Clinical Career Fellowships are an opportunity for highly enthusiastic talented and motivated nurses and midwives to develop personally professionally and academically at an early stage in their career The fellowships can have a positive impact on patient care delivery both now and in the future through focused support and maximisation of leadership potential

Each Fellowship comprises supported Masters Education Action Learning Masterclasses and Mentorship Cohorts to date include ECCF Pilot ECCF 2011 ECCF 2012

Find out more at wwwnesscotnhsukeducation-and-trainingby-disciplinenursing-and-midwiferycareers-and-recruitmentearly-clinical-career-fellowshipsaspx

Flying Start NHSreg Flying Start NHSreg is the unique contemporary web based learning programme for newlyqualifiednursesmidwivesandalliedhealthprofessionalsDesignedtobecompleted by all newly qualified practitioners within their first year in practice in NHS Scotland to enhance confidence and capability The programme is learner directed and designed to encourage good practice development for a life long learning journey

With a continual cycle of website developments to meet the needs of an ever evolving healthcare system Flying Start NHSreg is designed to encourage structured learning in partnership with mentors and line management to ensure completion of a portfolio of evidence of learning

Flying Start NHSreg provides support to over 25000 practitioners within a variety of healthcare settings both in the United Kingdom and Australia

Find out more at wwwflyingstartscotnhsuk

AHP Careers Fellowship Scheme The AHP Careers Fellowship Scheme is a funding initiative for AHPs including support staff and assistant practitioners working in Scotland to apply and be considered for financial education support for education and learning opportunities in identified priority categories The priority categories are flexible and can change each year The categories will be agreed in consultation with AHP stakeholders including the NES AHP Advisory Forum and its uni-professional sub-groups and think tanks

This is a recurrent fund therefore bids can be made for funds required over a number of years

Find out more at wwwnesscotnhsukeducation-and-trainingby-disciplineallied-health-professionscareer-fellowship-schemeaspxPost-RegistrationCareerDevelopmentFrameworkfor

Nurses Midwives and Allied Health Professionals in ScotlandThePostRegistrationCareerDevelopmentFrameworkprovidessupportanddirectionfor the continuing professional development of nurses midwives and allied health professionals (NMAHPs) It identifies key aspects of practice transferable across discipline specific and speciality groups The Framework is unique as it provides for the first time a consistent benchmark for all NMAHPs

This Framework provides an overarching infrastructure for career development bringing together other NES initiatives supporting learning and development across the Career Framework for Health eg Flying Start NHSreg Effective Practitioner Advanced Practice It also provides structure and cohesion for context and speciality specific professional and competency frameworks

ThePostRegistrationCareerDevelopmentFrameworkhelpsindividualsplantheircareer development more easily Practitioners and managers can use the Framework to identify their own development needs and those of others

Find out more at wwwcareerframeworknesscotnhsuk

Effective Practitioner InitiativeThe Effective Practitioner is a national initiative providing work based learning resources and support for level 5 and 6 nurses midwives and allied health professionals across NHSScotland It recognises and values the critical role this large group of staff play in the day-to-day care delivery in NHSScotland

The resources include a self assessment tool lots of bite sized learning activities which can be undertaken as part of day to day work and signposts to useful information and learning The resources are updated regularly and users can sign up to receive alerts to tell them what is new

The initiative assists practitioners to deliver safe effective and person-centred care and is the vehicle by which this group of staff supports the implementation of the Healthcare Quality Strategy for NHSScotland It can assist individuals and teams to maximise their contribution to the delivery of quality patient care and can support them to evidence theirongoingdevelopmentforKSFmaintainingregistrationandCPDpurposes

Find out more at wwweffectivepractitionernesscotnhsuk

Initiatives to support development

eecti epractitioner

Supporting and Valuing Nurses Midwives and Allied Health Professionals

in Practice

Senior AHP Education andDevelopment Framework

Clinical Academic Research Careers National Guidance for Clinical Academic Research Careers for Nursing Midwifery and Allied Health Professions was developed by a multi-disciplinary working group with members representing NHSScotland NHS Boards Universities NMAHP Research Unit and Clinical Research Centres and has informed an NHS BoardUniversity partnersrsquo implementation scheme

Find out more at wwwnesscotnhsukmedia241642nmahp_national_guidance_for_clinical_academic_research_careers__mar_2011pdf

Healthcare Support Worker ProjectClinical healthcare role development continues to be a priority for health boards Working with key stakeholders the HCSW Toolkit continues to be developed to support managers and educators with role development tools and resources The learning framework and supporting resources for HCSW Mandatory Induction Standards makes up one section of the HCSW Toolkit The Guide to Healthcare Support Worker Education and Role Developmentwasupdatedin2010

Find out more at wwwhcswtoolkitnesscotnhsuk

NES has coordinated a range of learning opportunities relevant for support staff including on line learning and college based learning Some learning is specific to a client group eg child health other learning focuses on uni-professional support staff such as HNC for physiotherapy and speech and language therapy support A Community of Practice for support workers is under development

Find out more at wwwknowledgescotnhsukhcswaspx

SeniorChargeNurseEducationalDevelopmentFrameworkThe senior charge nurse role has gone through significant review and renewal over the past two years under the national Leading Better Care initiative

The national process has been supported through the Senior Charge Nurse DevelopmentFrameworkwhichhasbeenwidelyadoptedandembracedbytheseniorcharge nurse cohort their managers and some aspiring senior charge nurses

Find out more at wwwevidenceintopracticescotnhsukleading-better-careaspx

Advanced Nursing Practice Toolkit This is a repository for resources specifically created to support the development and sustainability of advanced practice roles across NHSScotland

It provides an overview of the work being undertaken in Scotland to support advanced practice including an educational framework developmental learning needs analysis tool and service needs analysis tool

Originally developed for nurses it has also been used to guide advanced practice developments for other healthcare professionals and includes links to other related projects eg the educational development framework for senior charge nurses

Find out more at wwwadvancedpracticescotnhsuk

SeniorAHPEducationampDevelopmentFrameworkTheSeniorAHPEducationandDevelopmentFramework(NES2012)providesnationalguidance on leadership capabilities for Senior AHPs who have responsibility for leading and managing services or teams

The Framework assists Senior AHPs and those aspiring to this role to identify their learning and development needs and support them in accessing learning opportunities to enhance their leadership skills in the following key areas of practice

bull Enhancingsafeandeffectiveclinicalpractice

bull Enhancingthepatientexperience

bull Managinganddevelopingtheperformanceoftheteam

bull Contributingtothedeliveryoftheorganisationrsquosobjectives

It also provides guidance for managers and KSF reviewers to support their staff development

The framework is accessible on the Senior AHP website which hosts a range of resources and learning activities to support leadershio development

Find out more at wwwseniorahpnesscotnhsuk

AHPAdvancedPracticeEducationandDevelopmentFramework (Musculoskeletal) (For Occupational Therapists Orthotists Physiotherapists Podiatrists Prosthetists and Radiographers)

The Framework provides national guidance on the capabilities within the 4 pillars of practice (clinical leadership facilitating learning and research) expected of AHPs working as Advanced Practitioners (and those aspiring to this role) within musculoskeletal services (MSK) services

The Framework also guides managers and KSF reviewers in supporting their staff development and is accessible on the AHP Advanced Practice (MSK) website which hosts learning activities and resources to support development of these capabilities

Find out more at wwwahpadvancedpracticenesscotnhsuk