UKPHR Annual Conference 2015 “Building Value in Practitioner Registration” #PHPCelebration
Welcome to the East of England! Dr Alistair Lipp Head of School of Public Health (HEE) Deputy Regional Medical Director (NHS England) www.hee.nhs.uk www.eoe.hee.nhs.uk
Objectives of the day • Celebration of practitioners attaining professional registration in Public Health Practice • Identify the value of registration and explore how this can be increased • To recognise the contribution Assessors, Verifiers and Mentors have made to the schemes • To explore how to improve support provided by schemes • Provide a forum for CPD and networking • To share best practice when commencing and implementing a new practitioner registration scheme www.hee.nhs.uk www.eoe.hee.nhs.uk
East of England Scheme- the story so far… Alix Sheppard East of England Scheme Coordinator (HEE) Youth Health Movement Adviser (RSPH) www.hee.nhs.uk www.eoe.hee.nhs.uk
UK Public Health Register UKPHR perspective and current coverage David Kidney, Executive Director & Pav Sull, Registration Services Manager
Set up in 2003 Filling a regulatory gap for multidisciplinary PH specialists who were not doctors or dentists Registering practitioners since 2011 Devolved to local areas - Standards are national - Professor Bryan Stoten became Chair in 2012 Reformed governance -
Department of Health planned to transfer specialists from UKPHR to HCPC - but has postponed legislation If Specialist register transferred to HCPC Protected title, CPD, no revalidation Our focus now: CPD, revalidation and routes to registration.
West of Scotland North East Public Health Wales East of England West Midlands North East & Central London Thames Valley Kent, Surrey & South West Sussex Wessex
31 March 2014 31 March 2015 Current ’current’ and ‘lapsed’ Specialists 562 630 639 Specialty Registrar n/a n/a 1 Practitioners 78 149 177 TOTALS 684 779 817 SLOW INCREASE IN CURRENT FIGURES IS DUE TO RETIRED/RELINQUISHED REGSITRANTS AT COMMON SPECIALIST RENEWAL DATE, 1 ST JULY
UK Public Health Register, 18c Mclaren Building, 46 Priory Queensway, Birmingham, B4 7LR register@ukphr.org Tel. 0121 296 4370 www.ukphr.org
Value: A Practitioner’s perspective Jo Trueman Milton Keynes Drug and Alcohol Commissioner (East of England Scheme) Melissa Juniper Public Health Development Lead, Hampshire (Wessex Scheme) www.hee.nhs.uk www.eoe.hee.nhs.uk
DRAFT FRAMEWORK Public Health Skills and Knowledge Framework - REVIEW Opportunity to COMMENT Oct/Nov 2015 Claire Cotter, Programme Manager, Workforce Development claire.cotter@phe.gov.uk
What this presentation covers • key messages from the consultation • considerations for the new framework • how we have started the functional mapping process • how we are presenting and describing public health functions • how you can tell us what you think 14
Report of consultation – Feb/Mar 2015 • the Public Health Skills and Knowledge Framework (PHSKF) is being reviewed • the UK-wide public health workforce have been consulted (Feb/Mar 2015) on how they would like it to change – see report Click here for report (click ‘open hyperlink’) 15
Headlines from the consultation The public health workforce across the UK requested that a revised PHSKF: • is simplified • has fewer levels • avoids jargon • has fewer descriptors • is better aligned with other levers • includes the full range of activity • heightens the profile of certain areas eg: health inequalities 16
A proposed new function-led structure for the Framework 17
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 18
Positioning of the new PHSKF (system alignment) 19 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) PHSKF Work-based learning 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
Themes profiled throughout the Framework • activity that is system-wide and at scale • activity geared towards integration , examples would include: • integrated commissioning • integrated service delivery • integration of prevention and care • integration of physical and mental health and wellbeing • a public health workforce that takes responsibility for leadership at all levels of practice and cross-sector working • capacity building through the coordination and mobilisation of the wider workforce • activity that is outcomes driven including the reduction of health inequality • activity that embeds sustainable solutions to multi-factoral problems • activity that supports and enables individuals and communities to have more control over decisions that affect them and their health and wellbeing 20
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 21
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 22
Principles behind the organisation of the descriptors 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 23
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 24
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