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HCS Career Framework, KSFs and NOS Tony Parkin, 28 June 2006.

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Presentation on theme: "HCS Career Framework, KSFs and NOS Tony Parkin, 28 June 2006."— Presentation transcript:

1 HCS Career Framework, KSFs and NOS Tony Parkin, 28 June 2006

2 HCS Career FrameworkWhitley Bands AfC Bands 8 7 6 5 4 3 1 2 9 1 4 3 2 7 6 5 8d 8c 8b 9 8a Consultant Director Consultant Practitioner Advanced Practitioner Senior Practitioner Practitioner Assistant Practitioner Senior Assistant Assistant MLA ATO sATO MTO1 MTO2 MTO3 MTO4 MTO5 (BMS) A B8-9 B10-13 B14-16 B17-19 B20-22 B23-34 C C*

3 Whitley Bands AfC Bands Whitley Bands BMS3 MTO5 MTO3 MTO2 MTO1 MLA/ATO sATO 1 4 3 2 7 6 5 8d 8c 8b 9 8a B14-16 B10-13 B23-24 B20-22 B17-19 C-HOD C Pre-Reg A-U Number of labs March 2006

4 HCS Career Framework AfC Bands 8 7 6 5 4 3 1 2 9 1 4 3 2 7 6 5 8d 8c 8b 9 8a Consultant Director Consultant Practitioner Advanced Practitioner Senior Practitioner Practitioner Assistant Practitioner Senior Assistant Assistant C/C* B23-24/C B17+ B10-16 MTO2-3 MTO1 MLA 3 2

5 HCS Career Framework AfC Bands 8 7 6 5 4 3 1 2 9 1 4 3 2 7 6 5 8d 8c 8b 9 8a Consultant Director Consultant Practitioner Advanced Practitioner Senior Practitioner Practitioner Assistant Practitioner Senior Assistant Assistant C/C* B23-24/C B17+ B10-16 MTO2-3 MTO1 MLA 3 2

6 HCS Career Framework AfC Bands 8 7 6 5 4 3 1 2 9 1 4 3 2 7 6 5 8d 8c 8b 9 8a Consultant Director Consultant Practitioner Advanced Practitioner Senior Practitioner Practitioner Assistant Practitioner Senior Assistant Assistant Clinical Scientist Genetic Technologist Support Worker ? Levels of Registration

7 8 7 6 5 4 3 1 2 9 Consultant Director Consultant Practitioner Advanced Practitioner Senior Practitioner Practitioner Assistant Practitioner Senior Assistant Assistant 127654398d8c8b8a Reg Clinical Scientist Genetic Technologist Support Worker AU

8 Knowledge and Skills Framework

9 Agenda for Change – Knowledge and Skills Framework (NHS KSF) The NHS Knowledge and Skills Framework (NHS KSF) defines and describes the knowledge and skills which NHS staff need to apply in their work in order to deliver quality services. It provides a single, consistent, comprehensive and explicit framework on which to base review and development of staff. (October 2004) www.dh.gov.uk/PolicyAndGuidance/HumanResourcesAndT raining/ModernisingPay/AgendaForChange/fn/en

10 NHS KSF – 30 Dimensions 6 Core Dimensions Job Specific Dimensions Communication Personal and People Development Health, Safety and Security Service Improvement Quality Equality and Diversity 10 Health and Wellbeing 3 Estates and Facilities 3 Information and Knowledge 8 General

11 NHS KSF – Job Specific Dimensions Promotion of health and wellbeing and prevention of adverse effects to health and wellbeing Assessment and care planning to meet peoples health and wellbeing needs Protection of health and wellbeing Enablement to address health and wellbeing needs Provision of care to meet health and wellbeing needs Assessment and treatment planning Interventions and treatments Biomedical investigation and intervention Equipment and devices to meet health and wellbeing needs Products to meet health and wellbeing needs Systems, vehicles and equipment Environments and buildings Transport and logistics Information processing Information collection and analysis Knowledge and information resources Learning and development Development and innovation Procurement and commissioning Financial management Services and project management People management Capacity and capability Public relations and marketing

12 NHS KSF – Each Dimension – 4 Levels Level 1 Level 2 Level 3 Level 4 Make changes in own practice and offer suggestions for improving services Contribute to improvement of services Appraise, interpret and apply suggestions, recommendations and directives to improve services Work in partnership with others to develop, take forward and evaluate direction, policies and strategies Eg. Core 4 Service Improvement:

13 Dime nsion MLA (Band 2- 3) MTO1 (Band 3- 4) MTO2 (Band 5) MTO3 (Band 6) Reg Clin Sci (Band 7) Principal (Band 8a) Principal/ Cons (Band 8b) Consultant (Band 8c) Consultant/ HOD (Band 8d-9) 1st2d1st2d1st2d1st2d1st2d1st2d1st2d1st2d 1s t 2d Core1111222222334444444 Core2111222233334444444 Core3111112222233344444 Core4111112222233344444 Core5111112222333344444 Core6111111122222222222 HWB 8 111112222334444444 IK1111111122223333334 IK2 1112222223333334 G1 122233334444 G2 2223334444 G6 121223333344 Planning Training – Knowledge and Skills Framework

14 NHS KSF – Payscale Gateways Foundation Gateway – after 12 months – to check postholder meets the basic demands of their post, based on subset of KSF profile for post Second Gateway Pay Band 1Before final point Pay Bands 2-4Before first of last two points Pay Bands 5-7Before first of last three points Pay Band 8, each of A-DBefore final point Pay Band 9Before final point To confirm postholder applying knowledge and skills to consistently meet the full demands of their post, as set out in the full KSF profile for post

15 KSF DimensionAfC Band 5 – First GatewayAfC Band 5 – Second Gateway Core1 Communication Level 2 Communicate with a range of people on a range of matters Core2 Personal and people development Level 2 Develop own skills and knowledge and provide information to others to help their development Core3 Health, safety and security Level 1 Assist in maintaining own and others health, safety and security Level 2 Monitor and maintain health, safety and security of self and others Core4 Service improvement Level 1 Make changes in own practice and offer suggestions for improving services Level 2 Contribute to the improvement of services Core5 Quality Level 1 Maintain the quality of own workLevel 2 Maintain quality in own work and encourage others to do so Core6 Equality and diversity Level 1 Act in ways that support equality and value diversity HWB8 Biomedical investigation and intervention Level 1 Undertake tasks to support biomedical investigations and/or interventions Level 2 Undertake and report on routine biomedical investigations and/or interventions IK1 Information processing Level 1 Input, store and provide data and information IK2 Information collection and analysis Level 1 Collect, collate and report routine and simple data and information Level 2 Gather, analyse and report a limited range of data and information

16 National Occupational Standards

17 Generic NOS Common NOS Discipline -specific NOS Individual Role/Job Profile for Grade/Role National Occupational Standards: http://www.skillsforhealth.org.uk Competences Completed National Competences Healthcare Science DH

18 HCS Competency Framework 1 2 3 4 Associate Practitioner Practitioner Specialist Practitioner Advanced Practitioner Consultant SfH National Occupational Standards:

19 Deliver services to aid treatment, including prevention, and management of cytogenetic disorders in patients and families Plan investigations to meet clinical needs Define cytogenetic investigations required to meet clinical need – See Function J4 Select techniques and equipment for planned cytogenetic investigations – See Function C Obtain cytogenetic preparations for analysis CYTOGEN 1 Obtain mitotic preparations by suspension harvesting techniques for chromosomal staining or fluorescence in situ hybridisation CYTOGEN 2 Obtain mitotic preparations by in situ harvesting techniques for chromosomal staining or fluorescence in situ hybridisation CYTOGEN 3 Prepare mitotic figures for chromosomal analysis CYTOGEN 4 Prepare specimens for fluorescence in situ hybridisation analysis of interphase nuclei Investigate by cytogenetic methods to respond to clinical questions CYTOGEN 5 Investigate mitotic preparations for cytogenetic alteration or abnormalities CYTOGEN 6 Investigate interphase preparations for cytogenetic alteration or abnormalities Communicate information to support management and treatment of patients and families CYTOGEN 7 Report results of investigations with clinical interpretation CYTOGEN 8 Support patient or family management CYTOGEN 9 Collate information to assist the future management and care of patients and their families Cytogenetics Specific National Occupational Standards

20 Generic NOS Number of NOS A Equipment A1 – A5 B Protocols B1 – B4 C Specimens C1 – C8 D Interpret and report D1 – D4 E Health and Safety E1 – E3 F Management F1 – F23 G Training and Development G1 – G12 H Research and Development H1 – H15 I Patient Care I1 – I11 J Advise and inform J1 – J7

21 Ref no. CYTOG3TitlePrepare chromosome spreads for cytogenetic analysis OVERVIEW This standard relates to the preparation of metaphase chromosomes in order to determine the constitutional or acquired karyotype of normal, abnormal or malignant tissue. It embraces (1) conventional analysis including solid staining, G banding, C banding and other differential or selective staining techniques for visualizing chromosome banding or structure; (2) fluorescence in situ hybridisation (FISH) of mitotic chromosomes; and (3) comparative genomic hybridisation (CGH). See function C NOS You must be able to:You must know and understand: a) Prioritise cases for preparation of chromosome spreads by reason for referral and other influencing factors b) Pre-treat slides or coverslips as appropriate for the intended analysis c) Clearly identify factors affecting the quality of the stained preparation d) Take appropriate action to enhance the quality of the stained preparation e) Prepare FISH probes suitable for the investigation type and in accordance with relevant protocols f) Generate and capture image of stained chromosomes g) Locate cells ready for analysis h) Record process accurately, legibly and with sufficient detail to meet audit requirements 1.Application of appropriate SOPs 2.How to prioritise cases for preparation of chromosome spreads and the factors influencing this 3.Characteristics of the reagents used for staining 4.Staining characteristics of the chromosomes under the different conditions that may occur 5.The range of methods applicable to different types of specimen and/or investigation and their limitation 6.The relationships between chromosome structure and staining patterns 7.When and how to apply adjustments and corrective action to improve the quality of staining 8.Internal QA standards 9.The types of preparation that require special storage and relevant storage conditions 10.Documentation relevant to sample processing and its completion, including audit requirements 11.Appropriate timescale to report results and professional guidelines 12.How to produce a permanent image using image capture equipment 13.Health and Safety requirements of cytogenetic investigations 14.Range and requirements for associated documentation

22 HCS Career Pathway DisciplineCytogenetics - PractitionerStageFive KEY WORK LEVEL- a= accountable, u – unsupervised, s = supervised K&U LEVEL - g = general awareness, b – basic knowledge, d = detailed knowledge, a – advanced NOS ref OverviewPc refK&U refWork levelK&U levelRoles Cytog 1Note that at this stage the worker would potentially be trained to perform this function across all sample types. a-c, e, f, g, i – r 1, 3 - 6, 8 - 11, 13 – 18, 21 – 23 All excep t e e9 – 10 1, 3- 6, 8, 11, 13 – 18, 21 – 23 Cytog 2Note that at this stage the worker would potentially be trained to perform this function across all sample types. a, b, d-g, i-o1, 3 - 6, 8 - 11, 13 –18, 21, 22 All excep t e e9- 10 1, 3 - 6, 8, 11, 13 – 18, 21, 22 Cytog 3Would be trained to perform solid banding, G-Banding and potentially a range of routine FISH probes only b – h1, 4, 6-10, 11- 14 All excep t c, d and g c, d and g 6, 7, 9, 11 1, 3, 4, 8, 10 12- 14 Cytog 4Would be trained to perform this potentially with a broader range of routine probe sets d- k1, 2, 4- 7, 10 – 16 All excep t i i1, 2, 4-7, 10 – 16 Cytog 5Applied to a limited range of samples using brightfield or fluorescence microscopy b-h, j, k, n-p1-3, 5-10, 15, 19-26 All2, 4, 5, 6, 8- 10, 15, 19- 21 1, 3, 7, 22- 26

23 NOS ref OverviewPc refK&U refWork levelK&U levelRoles Cytog 6Applied to a limited range of samples b-g, i, k-l, o 1-6, 8-10 12- 13, 15-17 All2, 3, 4, 9- 10 1, 5-6, 8, 12- 13, 15- 17 Functn A Equipment A3, A4, A5, A6 Functn B Developing Protocols, Procedures and methods B2, B3 Functn C Specimens C4- C11, & C14- C18 C4- C11, & C14- C18 Functn D Interpret results/ Clinical advice D5 Functn E Health and Safety E3E1, E2 E3 Functn F Management F10- F12, F16 & F17 Functn G Training and Professional development G9, G10 Functn I Patient care I15 Functn J Advice on Services J7 CE14Monitor Cryobanks CE1 4

24 END OF PRESENTATION


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