Revised Public Health Skills and Knowledge Framework (PHKSF) Opportunity to COMMENT December 2015
This presentation gives you - • feedback on the consultation that took place earlier this year • an outline of the work that we have done since • an idea of what the revised framework looks like • an opportunity to comment on what you see 2
The consultation report – Feb/Mar 2015 • this is a report on a series of workshops, and an on-line survey across the UK, where we asked the public health workforce what changes should be made to the Public Health Skills and Knowledge Framework (PHSKF) Click here for report (click ‘open hyperlink’) 3
What the workforce told us The feedback we received from the workforce was that the Framework should : • be simplified • have fewer levels • avoid jargon • have fewer descriptors • be better aligned with other levers • include the full range of activity carried out by individuals • heighten the profile of certain areas eg: health inequalities 4
what we do how we do it Technical Behaviour Context Delivery Competence Measure, monitor and report population health, wellbeing and Working with and health inequalities Principles and Values Leadership through Policies and Strategies Promote population and community health and wellbeing, and address social determinants and Working in Partnership Ethical and Reflective health inequalities and through Communication Practice Collaboration Protect the public from risks to health and wellbeing Compliance with workplace legislation and Working in a Competitive Programme and Project corporate policy and Contract Culture Management protocol Work to, and for, the evidence base, Consultation showed conduct research, and provide expert advice Prioritisation and workforce want ‘an Working with Political management of public and Democratic Systems resources at a Audit, evaluate and and with a range of inclusive approach to population / systems re-design services and organisational cultures level (for best health interventions to skills’ ie: full range of outcomes for improve health investment) outcomes and reduce activity health inequalities 5
Positioning of the new PHSKF (system alignment) Training route to professional competence / registration (Faculty specialty curriculum) Experiential routes to professional competence / registration ( specialist portfolio eg: CESR, UKPHR, practitioner portfolio eg: CIEH, UKPHR) Work-based learning PHSKF staff development; supervision; coaching /mentoring; accredited registers; apprenticeship programmes Educational Qualifications pre and post registration eg: SVQs, NVQs, Allied Health Professional/Environmental Health/Nursing degrees; post-graduate programmes (MPH, FETP, SCPHN); accredited training Modernising Scientific Careers professional competence registration with HCPC 6
Framework to profile public health activity that - • is system-wide and at scale • is geared towards integration • takes responsibility for leadership at all levels • builds capacity through the wider workforce • is outcomes driven including the reduction of health inequalities • embeds sustainable solutions • supports and enables individuals and communities to have more control over decisions that affect them and their health and wellbeing • is considered to be value for money and cost-effective 7
proposed areas, domains and functions these can be used for individuals to map themselves against (no-one is likely to be able to demonstrate them all, so the map acts as a ‘menu’). The functional map can also be used by employers to plot job descriptions and identify required skill sets for the workforce 8
Domain A1 function A2.1 AREA of Domain A2 function A2.2 activity A Domain A3 function A2.3 Technical function A2.4 Domain A4 function A2.5 Domain A5 PUBLIC HEALTH Domain B1 AREA of Overarching Function B3.1 Domain B2 purpose or activity B Function B3.2 function Contextual Domain B3 Function B3.3 Domain B4 Domain C1 AREA of Domain C2 activity C Delivery Domain C3 Domain C4 9
Principles guiding the organisation of the Framework to provide an architecture to describe the activities and Purpose of the Framework functions undertaken by the public health workforce Answers the question - What does ‘public health’ do? Overarching Eg: improves population health outcomes and reduces purpose for Public health inequalities between individuals, groups and Health communities, through coordinated system-wide action AREA AREA AREA AREAS - show the different sections of activity ie: A B C Technical, Contextual, and Delivery DOMAINS – describe a group of functions carried out Domain A1 by the workforce Domain B1 Domain C1 FUNCTIONS – describe something that one person can function A2.5 do – can be attributable to an individual in their role. If Function B3.3 the descriptor is too broad, or includes too many Function C4.1 actions, then it may need to be split down 10
Overall Purpose of Public Health PUBLIC HEALTH improves population health outcomes and reduces health inequalities between individuals, groups, and communities, through coordinated system-wide action 11
Domains of activity A1 A2 A3 A4 A5 Measure, monitor Promote population Protect the public from Work to, and for, the Audit, evaluate and and report and community environmental hazards, evidence base, re-design services population health health and communicable disease, conduct research, and interventions to and wellbeing, health wellbeing, and other health risks, and provide expert improve health risks, use of services, addressing the social while addressing advice outcomes and and health determinants of inequalities in risk reduce health inequalities health and health exposure and inequalities inequalities outcomes B3 B1 B4 B2 Work with, and through, Work collaboratively across Work in a competitive Work within political and policies and strategies to contract culture to improve the system to improve democratic systems and improve health outcomes health outcomes and health outcomes and with a wide range of and reduce health reduce health inequalities reduce health inequalities organisational cultures to inequalities improve health outcomes and reduce health inequalities C3 C1 C2 C4 Design and manage Provide leadership to drive Communicate to improve Prioritise and manage programmes and projects to improvement in health health outcomes and resources at a population/ improve health and reduce outcomes and the reduce health inequalities systems level to acheive inequalities reduction of health equitable health outcomes inequalities an d return on investment 12
AREA A: Technical A1.1 source, obtain and organise data/information PUBLIC HEALTH A1.2 Interpret and present data and Domain A1 information improves Measure, monitor population health and report outcomes and A1.3 manage data and information reduces health population health inequalities and wellbeing, between A1.4 Forecast data needs and develop data individuals, health risks, use capture methods groups, and of services, and communities, through health A1.5 Assess and manage risks associated coordinated inequalities with using and sharing data and information, system-wide action data security and intellectual property A1.6 Collate and analyse data to produce intelligence that informs decision making, planning, implementation and evaluation 13
A2.1 Influence community action by AREA A: Technical empowering communities, using participatory, engagement and asset-based approaches PUBLIC HEALTH A2.2 Advocate for public health principles Domain A2 and action to improve the determinants of improves health and wellbeing Promote population health outcomes and population and A2.3 Design universal provision and reduces health community health interventions while responding inequalities and wellbeing, between proportionately to levels of need within the individuals, addressing the community groups, and social communities, A2.4 Implement sustainable and multi- through determinants of facetted programmes, interventions or coordinated health and health system-wide services across agencies to address complex action inequalities problems A2.5 Facilitate change (behavioural and/or cultural) in organisations, communities and individuals 14
A3.1 Assess and manage international, AREA A: Technical national or local hazards and risks to health Domain A3 A3.2 Assess and manage outbreaks, incidents Protect the public and single cases of contamination and from communicable disease, locally and across PUBLIC HEALTH environmental boundaries improves hazards, population health A3.3 Target and implement nationwide communicable outcomes and interventions designed to off-set ill-health reduces health disease, and other inequalities (eg: screening, immunisation) health risks, while between addressing individuals, A3.4 Plan for emergencies and develop groups, and inequalities in risk national or local resilience to a range of communities, exposure and through potential threats coordinated outcomes system-wide A3.5 Mitigate risks to the public’s health action using different approaches such as legislation, licensing, policy, education, fiscal measures 15
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