UKPHR Public Health Register Public Health Wales Practitioner
UKPHR Public Health Register Public Health Wales Practitioner Registration Scheme Assessor Training Day 1 24 th July 2017 1
THANK YOU! } } Practitioner assessment and registration cannot happen without you You are custodians of the standards We will provide support What are your reasons for becoming an assessor? UKPHR Public Health Register
UKPHR Public Health Register Context and update 3
Purpose of the UKPHR }The UKPHR aims to protect the public and promote public confidence in public health practice through: • Setting and promoting standards for admission to the Register and for remaining on the register (with FPH and other standard setting bodies) • Publishing a Register of competent professionals • Dealing with registered professionals who fail to meet the necessary standards UKPHR Public Health Register
What does registration mean? }Registration is a public statement that you, as members of a professional group, agree to meet and maintain standards of good practice appropriate to the work that you do. }Assessment regulation. of competence is key part of UKPHR Public Health Register
The story so far - 1 } } Since 2003, UKPHR has been the voluntary regulator for Multi-disciplinary PH specialists (general and defined) – over 600 registrations 2006: the 4 UK Health Departments commissioned UKPHR to scope a regulatory framework for practitioners and in 2008 to implement. 2009 implementation postponed by Review of Regulation 2010 decision to pilot UKPHR Public Health Register
The story so far - 2 } } } April 2011 practitioner route to the Register opened Oct 2015 Annual Report 14 registrations from Wales, now 26 (out of 299 across the UK 11 schemes in operation (see next slide) 400 plus practitioners working towards registration Over 100 assessors and verifiers trained UKPHR Public Health Register
U. K. Picture NB not including East Midlands because funding for 2017 -18 has not been found
Scheme 31 March 2015 Sept 2016 May 2017 East of England 0 10 12 East Midlands 0 0 2 Kent, Surrey and Sussex 43 61 72 London 0 14 14 North East of England 0 4 10 Thames Valley 5 18 21 South West of England 7 16 23 Wessex 33 49 57 West Midlands 35 42 49 Scottish Boards 13 21 22 Wales 13 23 26
The story so far (3) } Nearly 300 in the Register } PHE Report ‘Fit for the Future’ } HEE Public Health Practitioner Scheme Deep Dive Evaluation } Revalidation scheme adopted February 2017 } Review of the process, standards and guidance under way
Assessing competence – a devolved system } } } Potentially large numbers of practitioners wishing to register Therefore centralised approach (as for specialists) not feasible or appropriate Assessment and verification undertaken and coordinated through local schemes UKPHR cannot accept direct applications from individuals outside of local schemes You cannot join a scheme from outside its ‘geographical’ area UKPHR Public Health Register
Advantages of devolved system } } } Moves assessment of competence nearer to the workplace Enables a more supportive and supported approach for practitioners UKPHR works in partnership with public health development leads and local networks of assessors and verifiers UKPHR Public Health Register
Feedback: 3 perspectives } [Practitioner]“It allows the world to know that we are ‘up to scratch’, that we are fit for purpose” } [Scheme coordinator] “. . . saw this as a structure and a ‘hook’ to help develop a culture of learning within the public health system” } [Employer] “. . . individuals aware of strengths and development needs. . credible workforce in all sectors. . ability to plan the workforce and flex capacity. . more motivated workforce means better health outcomes”
UKPHR Public Health Register The standards and the process 14
Public Health Skills & Career Framework UKPHR Public Health Register
Developing the standards } } } Used PHSCF as source document level 5 (autonomous practice) Also NHS KSF and NOS for PH Principles of: ◦robustness; simplicity; cost effective implementation; focus on PH practice linked to assessment of risk; Two rounds of extensive consultation Input from PH experts from broad range of backgrounds UKPHR Public Health Register
Level of practice } The standards are pitched at the level where practitioners become autonomous professionals ◦ Require core knowledge base to enable them to work with a considerable degree of autonomy ◦ Work is managed rather than supervised – organise own work and contribute to service developments } Level is the minimum standard necessary – useful also as benchmark for more senior staff to build on UKPHR Public Health Register
Submitting evidence to assessor } Applicants gather evidence against standards ◦ See Supporting Information document ◦ Examples and explanatory notes ◦ Glossary – indication of expected knowledge – standards 5 – 8 especially } } Assessment is a supportive process Do not have to submit all evidence to assessor at the same time: getting one commentary assessed early is useful UKPHR Public Health Register
The standards } } Four key areas 12 standards Application of PH competence Technical competence Professional & ethical practice Underpinning skills and knowledge } } Each standard described by indicators of effective practice – 42 (8 sub-indicators) Knowledge supports practice UKPHR Public Health Register
Summary of the 12 standards } } Standards 1 -4: professional and ethical practice ◦ Recognise and address ethical dilemmas/issues ◦ Act within limits of own competence, seek advice ◦ Act in ways that promote equality and diversity ◦ Develop and improve own and others’ practice Standards 5 -8: Technical competencies in public health practice ◦ Health and wellbeing/reduction of health inequalities ◦ Deal appropriately with data and information ◦ Assess evidence of effectiveness ◦ Identify risks to health and wellbeing UKPHR Public Health Register
Summary of standards -2 } Standard 9: Application of the technical competencies ◦ Work collaboratively on programmes to improve health and wellbeing outcomes that demonstrate the technical competencies ◦ Need not be personally led work; demonstrate understanding of how programme developed } Standards 10 -12: Underpinning skills and knowledge ◦ ◦ Public health policies and strategies Working in teams, relationships, partnership working Note difference between standard 9 and standard 11 Effective communications UKPHR Public Health Register
Support from the UKPHR-1 } Provides written material ◦ Framework and Guidance for applicants, assessors and verifiers ◦ Supporting Information for applicants (with examples and glossary) ◦ Role specification for assessors and verifiers } Provides support and training ◦ Applicants introductory day ◦ Verifier training session ◦ Assessor training days UKPHR Public Health Register
Support from the UKPHR-2 } Provides quality assurance through: ◦ Moderation Sample of applications (up to 100%) moderated before registration Moderator will assist with problem areas for interpretation Participate in Verification Panels, assessor teleconferences ◦ Retrospective audit of processes ◦ UKPHR Registration Panel has overview of Verification Panels (consistency) and recommends registration to Registration Approvals Committee } Appeal process for applicants UKPHR Public Health Register
GROUP WORK 1 } } } Have a go – a mental exercise Imagine you are a public health practitioner applying for assessment Think of a real person if you can How would you put together evidence for your assessor Start with standard 5 and move on to other standards if you have time Think about what is enough for Level 5 and what is MORE THAN enough, i. e. Level 6 plus UKPHR Public Health Register
UKPHR Public Health Register Assessment process 25
Who can be an Assessor? Assessors are nominated by the scheme and approved by UKPHR Minimum requirements in Annex Ømust satisfactorily complete UKPHR training Ømust have at least 2 years experience at senior level in PH Øup to date CPD Øskilled in assessing evidence Øthoroughly conversant with standards Øsupportive yet impartial Øable to give the role priority and necessary time Assessors allocated to practitioners via scheme coordinator UKPHR Public Health Register
Relationship with practitioner } Recommend ‘formal’ agreement between practitioner and assessor on communication ◦ Estimated number of pieces of work ◦ Dates for submission of work ◦ Turnaround time for assessor feedback ◦ Preferred contact method if problems with times etc UKPHR Public Health Register
Assessors and mentors } } } Assessor Agrees assessment contract Assesses evidence Completes assessment log Feeds back outcome Must not provide guidance and input to draft commentaries Mentor } Facilitates process of self directed learning } Gives advice on self assessment against standards Is not carrying out an assessment UKPHR Public Health Register
Assessment log • Open document between applicant and assessor and provides full audit trail • The applicant must list the title(s) of their evidence against each indicator of effective practice • Assessor completes A, C or R • MUST justify decision in the comments column – why is evidence adequate (or not)? UKPHR Public Health Register
Clarifications and resubmissions } } } Clarification ◦ Assessor believes there is evidence to meet standard but more detail/ clarity needed ◦ Usually submitted within one/two months of request* Resubmission ◦ Assessor believes evidence is inadequate & new evidence needed ◦ Usually submitted within 3/6 months of request* *Local scheme decision UKPHR Public Health Register
Partial acceptance } } } When can partial acceptance be used? Must be preceded by a request for clarification Must justify decision to use PA and not acceptance, clarification or resubmission Be clear on what requires further evidence Will require evidence from a different piece of work Use will be scrutinised! UKPHR Public Health Register 31
Outcomes of assessment } Nearly always, assessor will be confident all standards have been met and that applicant implements the ethical framework } Very occasionally ◦ Assessor may still have concerns which the applicant accepts. ‘Bank’ competencies and resubmit entire portfolio at a later date. Further learning and development ◦ Assessor may still have concerns which applicant does not accept. Go to verification stage. UKPHR Public Health Register
Verification process } } } Verifiers are registered public health specialists with at least 3 years at consultant level Check the assessment has been carried out appropriately – independent scrutiny (QA role) Verification is not a second assessment Verifiers meet as the local Verification Panel The Panel may interview assessors Verification Panel decision is final (apart from moderation processes and formal appeals) UKPHR Public Health Register
UKPHR Public Health Register Types of evidence and commentaries 34
What is evidence? } Actual competence is a necessary, but not sufficient, requirement to pass portfolio assessment } Presentation of evidence to demonstrate competence is important } Commentaries – what is a ‘good’ commentary? UKPHR Public Health Register
GROUP WORK 2 } 1. As an assessor, what would you expect from a ‘good’ commentary } 2. When assessing for the underpinning knowledge within each standard, what are you looking for? Where will you find it? } 3. What about understanding of knowledge? UKPHR Public Health Register
Commentaries } } } Signpost the assessor to the supporting evidence Set out context and role of applicant How knowledge acquired Understanding and application of knowledge How the evidence demonstrates the particular standard, relating directly to the wording in each sub-section of the standard A reflection on learning from the work UKPHR Public Health Register
Types of evidence } } Different types of evidence ◦ Written reports from work setting; write-up of case studies or observation of colleagues ◦ Videos, DVDs (accompanying commentary) ◦ Observation possible for standards 11 and 12 (observation proformas provided) ◦ Detailed testimonials with accompanying commentary ◦ Could be from other settings, e. g. voluntary work Knowledge and understanding and application of knowledge in evidence UKPHR Public Health Register
Amount and currency of evidence } } } Minimum of 3 discrete pieces of work (commentaries plus evidence) At least 2 pieces of work across areas 5 -8 (PH technical areas) Half of the evidence items should be from past 3 years (at time of application for registration) 1 box file of evidence, or electronic equivalent Data confidentiality UKPHR Public Health Register
GROUP WORK 3 } } } Review a “real” commentary Look at the assessment log as you work through the signposted standards ◦ How would you fill in the assessment log? What would you be looking for in the evidence? What level is this applicant working at? Is this a “good” commentary? UKPHR Public Health Register
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