1. Public Health Career Framework Peninsula Teaching Public Health Network Learning Event March 29 th Future Inn, Plymouth Kevin Elliston, Consultant in Public Health Acknowledgement for Career Framework information: Jenny Wright, Public Health Resource Unit, Oxford, www.phru.nhs.uk

2. The Public Health Career Framework The NHS Career Framework Why a public health career framework What is it? Who is it for? What does it look like? – to date! How it has been developed? Next stages

3. Why a Career Framework is needed? Key Drivers Public Health is high on the political agenda Widening health inequalities; major public health issues in the spot light every day Need for collective, strong response from public health workforce Public confidence in competent, regulated workforce Need for flexibility/the next generation will be different! Agenda for Change and KSF (NHS)

4. Current Situation for Public Health Emphasis to date on the specialist area of practice Practitioners - scattered workforce, regulation of some groups Different pieces of work underway Career pathways unclear

5. What is the PH Career Framework? A route map for public health Competency-based Spans whole workforce CMO definition of Public Health Workforce Broader public health workforce Public Health Practitioners Public Health Specialists

6. Who is the PH Career Framework for? Current public health workforce, i.e. working in public health fields Future workforce - people wishing to enter public health Education/training commissioners Employers Workforce planners

7. More Senior Staff 9 Consultant Practitioners 8 Senior Practitioners 6 Advanced Practitioners 7 Practitioners 5 Assistant Practitioners 4 Senior Assistants/Technicians 3 Support Workers 2 Initial Entry Level Jobs 1 NHS Career Framework (not AfC bands)

8. How does it help an organisation? Workforce planning Workforce modelling Workforce implications of service redesign Succession planning

9. How does it help an individual? Illustrates career opportunities Supports movement in all directions Skills escalation concept based on competencies Removes the silos and allows for open discussion of workforce challenges

10. What are the Career Framework’s functions? Career Framework for Public Health Personal Development Organisational Development Service Improvement

11. How has the PH Career Framework developed? DH England commissioned ‘Skills for Health’ to develop a public health career framework Public Health Resource Unit, under contract to DH England, commissioned to provide public health support SfH UK wide

12. Principles in the development Clear, easy to use, “simple”, widely applicable, useful Focus on the “essence” of the career Made use of existing work Hierarchy, step-wise progression No duplication

13. Stages in Development 2 bottom-up, multiagency, multiprofessional 2 day residential workshops Extensively field tested, England & Wales

14. Refining and communicating December 06/January 07 Checking for consistency Early communications Feb/March 07 Road test/pilot “Spring” 07 Consult Final product Web-based interactive version

15. Other UK work which will feed in… UKVR project to map practitioner registration (Lillian Somervaille leading) Work on the health intelligence workforce (Katie Enock leading for England DH) Development of higher specialist training routes in the defined domains FPH Public Health Practitioner development project

16. More Senior Staff 9 Consultant Practitioners 8 Senior Practitioners 6 Advanced Practitioners 7 Practitioners 5 Assistant Practitioners 4 Senior Assistants/Technicians 3 Support Workers 2 Initial Entry Level Jobs 1 Career Framework (not AfC bands)

18. INITIAL ENTRY LEVEL JOBS Health Activist, Community Food Worker, Healthcare Assistant, Teaching Assistant, Breast Feeding Counsellor, Support Worker, SureStart Support Staff SUPPORT WORKERS Health Activist, Youth Worker, Health Visitor Assistant, Health Trainers, School Nurse, Community Development Worker, Healthcare Assistants (who work with HVs), Care Assistant, Care Worker, SureStart Support Staff SENIOR HEALTHCARE ASSISTANTS/TECHNICIANS Health Visitor Assistant, Healthcare Assistant, Resources Officer, Community Chef ASSISTANT PRACTITIONERS/ ASSOCIATE PRACTITIONERS Health Visitor/HV Assistant, Healthcare Assistant, Qualified Social Worker, Educator of Welfare Officers 4 1 2 3 Career Framework Public Health

19. PRACTITIONERS Children’s Family Nurse, Health Improvement Manager, Environmental Health Officer, Nutrition Advisor (Health Promotion), Practice Nurse, Mental Health Nurse 8 5 6 7 SENIOR PRACTITIONERS/SPECIALIST PRACTITIONERS Dietitian/Nutrition Specialist, Health Visitor, School Nurse, Health Promotion, Children’s Family Nurse, Health Improvement Manager, Environmental Health Officer, Practice Nurse, Specialist Smoking Advisor ADVANCED PRACTITIONERS Public health specialist (doing vol reg but not accredited) Qualified Senior School Nurse, Public Health Dietitian/Nutrition Specialist, Specialist Smoking Advisor, Head of Health Promotion, Health Visitor CONSULTANT PRACTITIONERS Consultant in Public Health, Director of Environmental Health Public Health Specialist (vol reg fully accreditied) MORE SENIOR STAFF Director of Public Health (DPH), Consultant in Public Health, Network Director 9 Career Framework Public Health

20. National education framework for qualifications/career development 9 8 6 7 5 4 3 2 1 Qualification Frameworks

21. More Senior Posts Consultant Practitioner Advanced Practitioner Senior or Specialist Practitioner Qualified Practitioner Assistant Practitioner Senior Assistant Assistant Supporting roles Agenda for change bands roughly correspond to career framework levels Skills Escalation

22. Public Health Skills Escalation (not AfC banding) Assistant Associate Practitioner Qualified Practitioner Senior Specialist Practitioner Advanced Practitioner Consultant Practitioner Senior Assistant Consultant Director Support Workers Resource Officer Practice Nurse/ SCPHN Principal EHO Welfare Officer Head of Health Improvement Consultant Practitioner Consultant Director 99 88 7 7 6 6 5 5 4 4 3 3 2 2 1 1 NVQs health & social Care Foundation degree in PH Vocational degrees Vocational MSc/MPH PhD Professional Regulation

23. General Manager Ambulance Service Area Systems Analyst Payroll Manager Team Leader - Finance Personal Assistant Admissions Clerk Porter Board Level Director Non-clinical Consultant AHP Community Matron, Highly Specialist Nurse Specialist Nurse, Case Manager,DN Team Leader Community,District and Practice Nurse Assistant Practitioner Senior Healthcare Assistant,Lifestyle Assistant Health and Social Care Asst Care Assistant Consultant Geriatrician Older People Consultant Imaging Radiog-rapher Advanced Practitioner Radiography Radiography – Extended Role Radiographer Assistant Practitioner Radiography Senior Healthcare Assistant Assistant Technical Officer Junior Healthcare Support Worker Radiologist Radiography Nurse Consultant Advanced Practitioner (Medical Care) Dietitian/Nutrition Specialist Nurse Assistant Practitioner (Nursing) Senior Healthcare Assistant Health Visitor Assistant, Domestic Physician Medical Care Public Health Consultant/ Specialist Principal EHO Public health dietician Principal EHO Public health dietician SCPHN, Health Improvement Manager Nurse, Environmental Health Officer Assistant Practitioner Senior HCA’s, Health Trainers Health and Social Care Assistants, Health Trainers Health and Community Activist Director of Public Health Public Health 99 88 7 7 6 6 5 5 4 4 3 3 2 2 1 1 Career framework for health