Networking Sharing and Learning with the AHP Practice

Networking, Sharing and Learning with the AHP Practice Education Network, Paramedics and Healthcare Chaplains 5/6 March 2019 Return to Practice Workshop Alex Urqhuart Susan Shandley Julie Gillespie

NHS Education for Scotland Aim – The AHP workforce ( in Scotland) will have access to evidence based guidance to facilitate a consistent approach in supporting returners to practice. • Develop AHP RTP guidance for supervised practice. • Liaise with the NES design team to produce an electronic publication • Design, deliver and evaluate a workshop on the new RTP guidance for PEL network.

NHS Education for Scotland DRAFT Allied Health Professionals (AHP) Return to Practice Guidance. Supervised Practice Placement

NHS Education for Scotland HCPC Return to Practice requirements

NHS Education for Scotland Updating Requirements Period out of practice 0 -2 years Requirements No requirement 2 -5 years 30 days of updating (210 hours) 5 years or more 60 days of updating (420 hours)

NHS Education for Scotland Supervised practice Formal study Private study

NHS Education for Scotland

NHS Education for Scotland Scope of Practice Your scope of practice is the area or areas of your profession in which you have the knowledge, skills and experience to practise lawfully, safely and effectively, in a way that meets our standards and does not pose any danger to the public or to yourself.

NHS Education for Scotland

NHS Education for Scotland Identifying your learning needs for Continuing Professional Development(CPD) and Career Development https: //learn. nes. nhs. scot/1828/identifying-and-supporting-your-continuing-professionaldevelopment-cpd-and-career-development This e-learning module will take you through an interactive journey using the NES post registration career development framework. This will help identify your current level of practice and learning needs across the four pillars of practice and support you to develop your personal development plan.

NHS Education for Scotland Pillar Analysis and CPD Planner • How will you develop your knowledge and skills in the areas you have identified for development ?

NHS Education for Scotland Writing Great Applications for Learning and Development Opportunities https: //learn. nes. nhs. scot/1770/identifying-and-supporting-your-continuingprofessional-development-cpd-and-career-development/writing-greatapplications-for-learning-and-development-opportunities This e-learning module will help you develop the skills and confidence to write high quality applications when applying for learning and development opportunities such as the AHP Career Fellowship Scheme and the NMAHP ehealth leadership programme.

NHS Education for Scotland

NHS Education for Scotland PEL role in RTP • Point of contact for returnee and supervised practice setting • Gate keeper • Facilitator • Share the guidance

NHS Education for Scotland What you told us…

NHS Education for Scotland

Professions of those returning to practice Occupational Therapist t s i r t a i d o P Radiographer Dietitian Speech & Language Therapist Physiotherapist

NHS Education for Scotland Table top Activity -One • Challenges, Concerns and Top Tips!

Managing Had a request from a Dietitian but expectation the service was unable to offer to of staff and support this due to large numbers of student practice placements and return to resulting lack of staff capacity practice person. No challenges Challenge is lack of clear process and variation in practice in Highland with - currently nursing and midwifery are developing a RTP policy (in response to potential funding to support RTP nurses) paperwork - some of the information will be helpful however unclear as to what will apply to AHPs and if funded placements to be available for all RTP. However a positive was smooth process for honorary contract (unpaid) recently and Highland funded the RTP OT PVG application. our Board do not support or provide honorary contracts, so using the paperwork in the draft RTP doc was not suitable Our AHP leads have agreed to create a band 3 generic JDF which we could use to employ people for the period of their RTP placement - this is in process and possibly not moved forward from being an idea. Our HR department suggested this and is supportive of no, we have an agreed and clear process and now use the guidance the SLWG created last year. No problems following the process which was established based in Fife based on the NHS Tayside one. Only question that tends to come up is what the RTP should wear Difficult to navigate the procedures which are often led by nursing colleagues who of course have a very different process. Seeking clarity from the organisation is a challenge, local agreement around uniforms and PVG etc can also be a challenge. Ensuring that the learner is clear about there learning needs can also be an issue, tend to use EP self ass to provide some clarity when required Challenges around individuals who have trained out with the UK which is different although follows similar HCPC process. Lack of clarity on their previous knowledge and skills and the large amount of hours required not appealing to staff groups. HR process always takes some time! Challenges IN supporting RTP? In FV we did not have a policy and this was written and approved 2018. FV HR does not have honorary contracts. HR supportive in writing and commenting on the design of the policy in order to be approved locally. Policy based on NHS Tayside.

What do you hear from clinicians regarding perceived concerns & risks from supporting RTP supervised placements? time and concern that they are assessing but we discuss this in the initial meeting what to expect they can do while on placement? generally supportive That they are overwhelmed with undergraduate students so don't have time to supervise a RTP individual Clinicians needing support from PEL to understand navigate the placement learning objectives, perceptions of responsibility for signing off people "competency to practice" locally there were concerns as the person returning possibly worked here and with people years before, and the negative stories from the past and concerns remain under the surface and colour people's expectations "

Concerns cont… Reassurance that the supervising clinician is not making judgement on the returnee fitness to practice as this is the responsibility of the returnee to evidence this in their paperwork. Again fear and rightly so in my mind about some of our european counterparts standard of training. How essentially we are retraining them or introducing brand new areas and knowledge which essentially is not RTP. Mostly clinicians looking for guidance and happy to support placements if know what is needed - I have shared Grampian and Forth Valley guidance. Tend to meet with the clinicians to discuss it before the RTP starts. Think the main concern is that they are not assessing the RTP competence to practice - just signing off the hours, but any issues they contact HCPC. That we provide the right level of support, concerns regarding over powering versus nurturing I hear voiced concerns regarding signing off paperwork for competence. Lack of understanding as to what would be involved. How much support is required, time to provide support, who is accountable

NHS Education for Scotland Table Top Activity – Two Your feedback on the guidance document

NHS Education for Scotland Questions and Answers with HCPC

NHS Education for Scotland Next steps and actions

NHS Education for Scotland Standards of proficiency Occupational therapists |

NHS Education for Scotland HCPC RTP Page https: //www. hcpcuk. org/globalassets/resources/guidanc e/returning-to-practice. pdf