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					Patient and Public Involvement Knowledge and Skills for the NHS and Social Care Workforce A guide for staff preparing PPI evidence for development review

[This model document (Ref: 1.2) has been developed for organisations that provide or commission health care. Where there are [brackets] this indicates that you should either delete or adapt to your local context]

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Patient and Public Involvement Knowledge and Skills for the NHS and Social Care Workforce A guide for staff preparing PPI evidence for development review

The Knowledge and Skills Framework (KSF) The NHS KSF is made up of 30 competences called dimensions. The dimensions identify broad functions that are required by the NHS to enable it to provide a good quality service to the public. Six of the dimensions are core which means that they are relevant to every post in the NHS. The core dimensions are: 1 Communication 2 Personal and people development 3 Health, safety and security 4 Service improvement 5 Quality 6 Equality and diversity. The other 24 dimensions are specific – they apply to some but not all jobs in the NHS. Although the social care workforce has not adopted the Knowledge and Skills Framework there is broad applicability across the workforce. Patient and Public Involvement (PPI) related competences are evident throughout the KSF core and specific dimensions. Clearly some members of the workforce will have post outlines that include a significant number of these PPI competences, particularly those who are in central PPI posts within an organisation such as PPI managers and Patient Advice and Liaison officers. However all members of the workforce have some PPI competences in their post outlines because five of the core dimensions contain these competences. This document does not attempt to cover all the PPI competences within the KSF. What it aims to do is to provide examples of the sort of evidence that staff might negotiate with managers and reviewers that can be used as part of the development review process to demonstrate their knowledge and skills in PPI for the six core dimensions1. The aim of this document is to ensure that staff possess a baseline of knowledge and skills to involve patients and the public effectively and are able to effectively provide evidence of knowledge and skills. We have provided this in a simple quick reference list for each of the core dimensions under the heading of PPI knowledge and skills required. There are a number of ‘cross-cutting themes’ (themes that span all dimensions) and these have not been duplicated in the quick reference lists and appear only once in the most relevant area.
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The NHS KSF does not identify any PPI competences directly within core dimension 3 (health, safety and security).

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Further guidance for staff and managers on the KSF and the PPI knowledge and skills contained within it can be found in Ref: 1.1 Mapping Patient and Public Involvement Competencies within the NHS Knowledge and Skills Framework Further guidance for managers on developing and presenting evidence of PPI knowledge and skills is contained within Ref: 1.3 A quick reference guide for reviewers

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Core dimension 1: Communication

PPI knowledge and skills required: You should: 1. Know how to communicate with users of services (including patients and clients), carers, groups (including families), the public and their representatives in a way that ensures that they are involved appropriately. 2. Be aware of different forms of communication to facilitate involvement including electronic channels and understand barriers to communication. 3. Know how to communicate in a way that is consistent with legislation, policies and procedures relating to involvement and people’s rights to be involved in decisions about their own care including ‘Choice’. Evidence: You might negotiate to provide the following evidence at the development review interview:    An example of when you adapted communication to suit particular service users of different ages, understanding, culture, and in different environments. An example of when you have been involved in giving information to a service user. An example of where you have received feedback from a service user and what you did with that feedback.

Your evidence might take the form of:  Written information that you provided for a patient.  A reflection written by you about an event that happened.  A testimonial provided by a colleague about a particular piece of work you have undertaken.  Results/report of an audit or review (patient information should be removed).

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Core dimension 2: Personal and people development

PPI knowledge and skills required: You should: 1. Understand your personal development needs in relation to Patient and Public Involvement and the requirements of the post.

Evidence: You might negotiate to provide the following evidence at the development review interview:   Evidence of reflection on an activity that included involving a service user or carer in a decision. An example of when you sought feedback from a patient or client about his or her own personal development.

Your evidence might take the form of:  Written information that you provided for a patient.  A reflection written by you about an event that happened.  A testimonial provided by a colleague about a particular piece of work you have undertaken.  Results/report of an audit or review (patient information should be removed).

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Core dimension 3: Health, safety and security The NHS KSF does not identify any PPI competences within this dimension explicitly.

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Core dimension 4: Service improvement

PPI knowledge and skills required: You should: 1. Understand the ways in which you can seek feedback on services in formal and informal (including ad hoc) ways. 2. Understand ways in which the organisation seeks feedback on services and how that feedback influences service improvement. 3. Know how service users influence decision making within the area of work.

Evidence: You might negotiate to provide the following evidence at the development review interview:    An example of when you have been involved in formal service evaluation which has involved service users and/or carers. An example of how an organisation-wide feedback process has to led to change in the area of work or a near area of work. An example of service user input within the organisation.

Your evidence might take the form of:  Written information that you provided for a patient.  A reflection written by you about an event that happened.  A testimonial provided by a colleague about a particular piece of work you have undertaken.  Results/report of an audit or review (patient information should be removed).  A report of a service evaluation that you played a part in.

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Core dimension 5: Quality

PPI knowledge and skills required: You should: 1. Understand how the governance structures within the organisation support involvement activity. 2. Understand the limits of your role and the role of the wider team members in undertaking involvement activity. 3. Be aware of the roles and responsibilities of key professionals and workers from other agencies that you have regular contact with in relation to involvement activity. Evidence: You might negotiate to provide the following evidence at the development review interview:    An example of when information about involvement was reported to the Board or a committee reporting to the Board e.g. a complaint, an audit, a survey. An example demonstrating that you understand the need to protect volunteers within the organisation. Evidence of understanding of roles and responsibilities of other workers with whom you have regular contact about an involvement issue.

Your evidence might take the form of:  Written information that you provided for a patient.  A reflection written by you about an event that happened.  A testimonial provided by a colleague about a particular piece of work you have undertaken.  Results/report of an audit or review (patient information should be removed).  Documentation from a complaint or a concern that you were involved with.

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Core dimension 6: Equality and diversity

PPI knowledge and skills required: You should: 1. Understand and respect issues and legislation surrounding equality and diversity issues as they affect involvement activities. Evidence: You might negotiate to provide the following evidence at the development review interview:   An example of when you sought feedback about a service from a service user who might be considered to be seldom heard. An example demonstrating that you were aware of equality and diversity legislation or policy when interacting with a service user, carer or another worker around an involvement issue.

Your evidence might take the form of:  Written information that you provided for a patient.  A reflection written by you about an event that happened.  A testimonial provided by a colleague about a particular piece of work you have undertaken.  Results/report of an audit or review (patient information should be removed).  Documentation from a complaint or a concern that you were involved with.

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