1. Supporting NHS Wales to Deliver World Class Healthcare Workforce Development Unit Reforming Education and Training for Healthcare Support Workers in the NHS in Wales

2. Population Context 20042007201120162021Trend Under 15572k556k540k534k543k Over 65602k629k666k685k703k Young and older population 1970 to 2026

3. Health Service Context Out-patients waiting listsNHS Beds £ Million2001200220032004 Health spend 2,8423,1683,6804,035

4. Typical Christmas Tree

5. 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

6. 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

7. KSF Post Outline Development Review Personal Development Plan linked to NOS Learning which accrues credit (CQFW) Credit banked in the CPD Portfolio

8. The Credit and Qualifications Framework for Wales (CQFW) 9 Levels of Education 10 Learning Hours = 1 Credit Covers all accredited learning including non-formal

9. Education Levels The editors decision is final! Credit and Qualifications Framework Wales (CQFW) Scottish Credit and Qualifications Framework (SCQF) European Qualification Framework (EQF) Version 1 Examples of Awards and Qualifications Across the UK 8 7 6 5 4 3 2 1 Entry 12 11 10 9 8 7 6 5 4 3 2 1 Access 8765432187654321 Doctorate Masters Degree FD/HND HNC NVQ3/A Level GCSE A-C/NVQ2 GCSE D-E Basic Skills

10. The Reform of Vocational Education in Wales Higher Education Sector Doctorates Masters Degree Degrees Diplomas Certificates QCF (UK) “Full-fat” qualifications Occupational Competence NVQs/Some BTECS etc Position here decided by the SQS Includes 14-19 (Welsh Bacc, A, GCSE) Quality Assured Lifelong Learning Adult and Continuing Ed Work Based Learning Non-regulated but accredited learning Non-formal and informal learning

11. 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

12. NHS Wales Accredited Learning Panel Established to bring a clinical governance approach to accredited learning in the NHS in Wales for the non- regulated, 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

13. 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

14. 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

15. 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

16. 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

17. David Aged 67 Left school at 14 Coal miner for 33 years Labourer for 10 years Heart condition and long term breathing problems

18. 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

19. 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)

20. 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 mike.cole@nliah.wales.nhs.uk www.nliah.wales.nhs.uk “Supporting NHS Wales to deliver world class healthcare”