Public Health Career Framework Peninsula Teaching Public Health

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Career Framework Public Health ASSISTANT PRACTITIONERS/ ASSOCIATE PRACTITIONERS Health Visitor/HV Assistant, Healthcare Assistant, Qualified Social Worker, Educator of Welfare Officers SENIOR HEALTHCARE ASSISTANTS/TECHNICIANS Health Visitor Assistant, Healthcare Assistant, Resources Officer, Community Chef 4 3 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, Sure. Start Support Staff INITIAL ENTRY LEVEL JOBS Health Activist, Community Food Worker, Healthcare Assistant, Teaching Assistant, Breast Feeding Counsellor, Support Worker, Sure. Start Support Staff 2 1

Career Framework Public Health MORE SENIOR STAFF Director of Public Health (DPH), Consultant in Public Health, Network Director CONSULTANT PRACTITIONERS Consultant in Public Health, Director of Environmental Health Public Health Specialist (vol reg fully accreditied) 9 8 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 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 PRACTITIONERS Children’s Family Nurse, Health Improvement Manager, Environmental Health Officer, Nutrition Advisor (Health Promotion), Practice Nurse, Mental Health Nurse 7 6 5

Qualification Frameworks 9 8 7 6 NQF 9 Higher Awards / Post Graduate Diplomas / Degrees / Honours Professional and Occupational Awards & Qualifications Foundation Degrees 4 3 2 1 11 7 10 6 Vocational Awards A levels 2 Apprenticeships / NVQ / SVQ GCSE 1 National education framework for qualifications/career development Source: Health Informatics NOS Masterclass 2006 (Jenny Wall - September 2004) 9 5 3 Access courses etc 12 8 4 5 SCQF Entry 8 7 6 5 4 3 2 1

Skills Escalation 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

Public Health Skills Escalation (not Af. C banding) n io s s e e al R n gu f o r P Senior Assistant 3 4 Advanced Practitioner 5 Resource Officer Consultant Practitioner Welfare Officer Consultant Director Consultant Practitioner Principal EHO Practice Nurse/ SCPHN 9 8 Head of Health Improvement 6 Vocational 1 degrees Support Workers Foundation degree in PH NVQs health & social Care 2 7 Senior Specialist Practitioner Qualified Practitioner Associate Practitioner io lat Consultant Director Vocational MSc/MPH Ph. D

Career framework for health Non-clinical Older People Radiography Medical Care Public Health Board Level Director Consultant Geriatrician Radiologist Physician Director of Public Health General Manager Consultant AHP Consultant Imaging Radiog-rapher Nurse Consultant Public Health Consultant/ Specialist Ambulance Service Area Community Matron, Highly Specialist Nurse Advanced Practitioner Radiography Advanced Practitioner (Medical Care) Principal EHO Public health dietician Systems Analyst Specialist Nurse, Case Manager, DN Team Leader Radiography – Extended Role Dietitian/Nutrition Specialist SCPHN, Health Improvement Manager 5 Payroll Manager Community , District and Practice Nurse Radiographer Nurse, Environmental Health Officer 4 Team Leader - Finance Assistant Practitioner Radiography Assistant Practitioner (Nursing) Assistant Practitioner Personal Assistant Senior Healthcare Assistant, Lifestyle Assistant Senior Healthcare Assistant Senior HCA’s, Health Trainers 2 Admissions Clerk Health and Social Care Asst Assistant Technical Officer Health Visitor Health and Social Care Assistants, Health Trainers 1 Porter Care Assistant Junior Healthcare Support Worker 9 8 7 6 3 Assistant, Domestic Health and Community Activist