HCS Career Framework, KSFs and NOS

Tony Parkin, 28 June 2006

HCS Career Framework Whitley Bands AfC Bands

8

7

6

5

4

3

1

2

9

1

4

3

2

7

6

5

8d

8c

8b

9

8a

Consultant Director

Consultant Practitioner

Advanced Practitioner

Senior Practitioner

Practitioner

Assistant Practitioner

Senior Assistant

Assistant

Assistant

MLA ATOsATO MTO1MTO2 MTO3MTO4 MTO5

(BMS) AB8-9 B10-13

B14-16 B17-19B20-22 B23-34

C C*

Whitley Bands AfC Bands Whitley Bands

BMS3

MTO5

MTO3

MTO2

MTO1

MLA/ATO

sATO

1

4

3

2

7

6

5

8d

8c

8b

9

8a

B14-16

B10-13

B23-24

B20-22

B17-19

C-HOD

C

Pre-RegA-U

Number of labs

March 2006

HCS Career Framework AfC Bands

8

7

6

5

4

3

1

2

9

1

4

3

2

7

6

5

8d

8c

8b

9

8a

Consultant Director

Consultant Practitioner

Advanced Practitioner

Senior Practitioner

Practitioner

Assistant Practitioner

Senior Assistant

Assistant

Assistant

C/C*

B23-24/C

B17+

B10-16

MTO2-3

MTO1

MLA

3

2

HCS Career Framework AfC Bands

8

7

6

5

4

3

1

2

9

1

4

3

2

7

6

5

8d

8c

8b

9

8a

Consultant Director

Consultant Practitioner

Advanced Practitioner

Senior Practitioner

Practitioner

Assistant Practitioner

Senior Assistant

Assistant

Assistant

C/C*

B23-24/C

B17+

B10-16

MTO2-3

MTO1

MLA

3

2

HCS Career Framework AfC Bands

8

7

6

5

4

3

1

2

9

1

4

3

2

7

6

5

8d

8c

8b

9

8a

Consultant Director

Consultant Practitioner

Advanced Practitioner

Senior Practitioner

Practitioner

Assistant Practitioner

Senior Assistant

Assistant

Assistant

Clinical Scientist

Genetic Technologist

Support Worker

?

Levels ofRegistration

8

7

6

5

4

3

1

2

9Consultant Director

Consultant Practitioner

Advanced Practitioner

Senior Practitioner

Practitioner

Assistant Practitioner

Senior Assistant

Assistant

Assistant

1 2 76543 98d8c8b8a

Reg

Reg

Clinical ScientistGenetic TechnologistSupport Worker

AU

Knowledge and Skills Framework

Agenda for Change – Knowledge and Skills Framework (NHS KSF)

“The NHS Knowledge and Skills Framework (NHS KSF) defines and describes the knowledge and skills which NHS staff need to apply in their work in order to deliver quality services. It provides a single, consistent, comprehensive and explicit framework on which to base review and development of staff.” (October 2004)

www.dh.gov.uk/PolicyAndGuidance/HumanResourcesAndTraining/ModernisingPay/AgendaForChange/fn/en

NHS KSF – 30 Dimensions

• 6 Core Dimensions

• Job Specific Dimensions

• Communication• Personal and People

Development• Health, Safety and Security• Service Improvement• Quality• Equality and Diversity

• 10 Health and Wellbeing• 3 Estates and Facilities• 3 Information and Knowledge• 8 General

NHS KSF – Job Specific Dimensions

• Promotion of health and wellbeing and prevention of adverse effects to health and wellbeing

• Assessment and care planning to meet people’s health and wellbeing needs

• Protection of health and wellbeing• Enablement to address health and

wellbeing needs• Provision of care to meet health and

wellbeing needs• Assessment and treatment planning• Interventions and treatments• Biomedical investigation and

intervention• Equipment and devices to meet health

and wellbeing needs• Products to meet health and wellbeing

needs

• Systems, vehicles and equipment

• Environments and buildings

• Transport and logistics

• Information processing

• Information collection and analysis

• Knowledge and information resources

• Learning and development

• Development and innovation

• Procurement and commissioning

• Financial management

• Services and project management

• People management

• Capacity and capability

• Public relations and marketing

NHS KSF – Each Dimension – 4 Levels

• Level 1

• Level 2

• Level 3

• Level 4

• Make changes in own practice and offer suggestions for improving services

• Contribute to improvement of services

• Appraise, interpret and apply suggestions, recommendations and directives to improve services

• Work in partnership with others to develop, take forward and evaluate direction, policies and strategies

Eg. Core 4 Service Improvement:

  Dimension

MLA(Band 2-

3)

MTO1(Band 3-

4)

MTO2(Band 5)

MTO3(Band 6)

Reg Clin Sci (Band

7)

Principal (Band 8a)

Principal/Cons

(Band 8b)

Consultant(Band 8c)

Consultant/HOD (Band

8d-9)

1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d 1st 2d

Core1 1 1 1 2 2 2 2 2 2 3 3 4 4 4 4 4 4 4

Core2 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 4 4 4

Core3 1 1 1 1 1 2 2 2 2 2 3 3 3 4 4 4 4 4

Core4 1 1 1 1 1 2 2 2 2 2 3 3 3 4 4 4 4 4

Core5 1 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 4

Core6 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 2 2 2

HWB8

1 1 1 1 1 2 2 2 2 3 3 4 4 4 4 4 4 4

IK1 1 1 1 1 1 1 1 2 2 2 2 3 3 3 3 3 3 4

IK2     1 1 1 2 2 2 2 2 2 3 3 3 3 3 3 4

G1             1 2 2 2 3 3 3 3 4 4 4 4

G2                 2 2 2 3 3 3 4 4 4 4

G6             1 2 1 2 2 3 3 3 3 3 4 4

Planning Training – Knowledge and Skills Framework

NHS KSF – Payscale Gateways

Foundation Gateway – after 12 months – to check postholder meets the basic demands of their post, based on subset of KSF profile for post

Second Gateway• Pay Band 1 Before final point• Pay Bands 2-4 Before first of last two points• Pay Bands 5-7 Before first of last three points• Pay Band 8, each of A-D Before final point• Pay Band 9 Before final point

To confirm postholder applying knowledge and skills to consistently meet the full demands of their post, as set out in the full KSF profile for post

KSF Dimension AfC Band 5 – First Gateway AfC Band 5 – Second Gateway

Core1Communication

Level 2 Communicate with a range of people on a range of matters

Level 2 Communicate with a range of people on a range of matters

Core2Personal and people development

Level 2 Develop own skills and knowledge and provide information to others to help their development

Level 2 Develop own skills and knowledge and provide information to others to help their development

Core3Health, safety and security

Level 1 Assist in maintaining own and others’ health, safety and security

Level 2 Monitor and maintain health, safety and security of self and others

Core4Service improvement

Level 1 Make changes in own practice and offer suggestions for improving services

Level 2 Contribute to the improvement of services

Core5Quality

Level 1 Maintain the quality of own work Level 2 Maintain quality in own work and encourage others to do so

Core6Equality and diversity

Level 1 Act in ways that support equality and value diversity

Level 1 Act in ways that support equality and value diversity

HWB8Biomedical investigation and intervention

Level 1 Undertake tasks to support biomedical investigations and/or interventions

Level 2 Undertake and report on routine biomedical investigations and/or interventions

IK1 Information processing

Level 1 Input, store and provide data and information

Level 1 Input, store and provide data and information

IK2Information collection and analysis

Level 1 Collect, collate and report routine and simple data and information

Level 2 Gather, analyse and report a limited range of data and information

National Occupational Standards

Generic NOS

CommonNOS

Discipline-specific

NOS

Individual Role/Job

Profile for Grade/Role

National Occupational Standards:

http://www.skillsforhealth.org.uk

Competences

Completed National Competences

Healthcare Science

DH

HCS Competency Framework

1 2 3 4

Associate Practitioner

Practitioner

Specialist Practitioner

Advanced Practitioner

Consultant

SfH

National Occupational Standards:

Deliver services to aid treatment, including prevention, and management of cytogenetic disorders in patients and families

Plan investigations to meet clinical needs

Define cytogenetic investigations required to meet clinical need – See Function J4

Select techniques and equipment for planned cytogenetic investigations – See Function C

Obtain cytogenetic preparations for analysis

CYTOGEN 1 Obtain mitotic preparations by suspension harvesting techniques for chromosomal staining or fluorescence in situ hybridisation

CYTOGEN 2 Obtain mitotic preparations by in situ harvesting techniques for chromosomal staining or fluorescence in situ hybridisation

CYTOGEN 3 Prepare mitotic figures for chromosomal analysis

CYTOGEN 4 Prepare specimens for fluorescence in situ hybridisation analysis of interphase nuclei

Investigate by cytogenetic methods to respond to clinical questions

CYTOGEN 5 Investigate mitotic preparations for cytogenetic alteration or abnormalities

CYTOGEN 6 Investigate interphase preparations for cytogenetic alteration or abnormalities

Communicate information to support management and treatment of patients and families

CYTOGEN 7 Report results of investigations with clinical interpretation

CYTOGEN 8 Support patient or family management

CYTOGEN 9 Collate information to assist the future management and care of patients and their families

Cytogenetics Specific National Occupational Standards

Generic NOS Number of NOS

A Equipment A1 – A5

B Protocols B1 – B4

C Specimens C1 – C8

D Interpret and report D1 – D4

E Health and Safety E1 – E3

F Management F1 – F23

G Training and Development G1 – G12

H Research and Development H1 – H15

I Patient Care I1 – I11

J Advise and inform J1 – J7

Ref no.

CYTOG3 Title Prepare chromosome spreads for cytogenetic analysis

OVERVIEWThis standard relates to the preparation of metaphase chromosomes in order to determine the constitutional or acquired karyotype of normal, abnormal or malignant tissue. It embraces (1) conventional analysis including solid staining, G banding, C banding and other differential or selective staining techniques for visualizing chromosome banding or structure; (2) fluorescence in situ hybridisation (FISH) of mitotic chromosomes; and (3) comparative genomic hybridisation (CGH). See function C NOS

You must be able to: You must know and understand:

a) Prioritise cases for preparation of chromosome spreads by reason for referral and other influencing factorsb) Pre-treat slides or coverslips as appropriate for the intended analysisc) Clearly identify factors affecting the quality of the stained preparationd) Take appropriate action to enhance the quality of the stained preparatione) Prepare FISH probes suitable for the investigation type and in accordance with relevant protocolsf) Generate and capture image of stained chromosomes g) Locate cells ready for analysish) Record process accurately, legibly and with sufficient detail to meet audit requirements

1.Application of appropriate SOPs2.How to prioritise cases for preparation of chromosome spreads and the factors influencing this3.Characteristics of the reagents used for staining4.Staining characteristics of the chromosomes under the different conditions that may occur5.The range of methods applicable to different types of specimen and/or investigation and their limitation6.The relationships between chromosome structure and staining patterns7.When and how to apply adjustments and corrective action to improve the quality of staining 8.Internal QA standards9.The types of preparation that require special storage and relevant storage conditions10.Documentation relevant to sample processing and its completion, including audit requirements11.Appropriate timescale to report results and professional guidelines12.How to produce a permanent image using image capture equipment13.Health and Safety requirements of cytogenetic investigations14.Range and requirements for associated documentation

HCS Career PathwayDiscipline

Cytogenetics - Practitioner Stage Five

KEYWORK LEVEL- a= accountable, u – unsupervised, s = supervised

K&U LEVEL - g = general awareness, b – basic knowledge, d = detailed knowledge, a – advanced

NOS ref

Overview Pc ref K&U ref Work level K&U level Roles

Cytog 1 Note that at this stage the worker would potentially be trained to perform this function across all sample types.

a-c, e, f, g, i – r

1, 3 - 6, 8 - 11, 13 – 18, 21 – 23

All except e

e 9 – 10

1, 3-6, 8, 11, 13 – 18, 21 – 23

Cytog 2 Note that at this stage the worker would potentially be trained to perform this function across all sample types.

a, b, d-g, i-o 1, 3 - 6, 8 - 11, 13 –18, 21, 22

All except e

e 9- 10

1, 3 - 6, 8, 11, 13 – 18, 21, 22

Cytog 3 Would be trained to perform solid banding, G-Banding and potentially a range of routine FISH probes only

b – h 1, 4, 6-10, 11-14

All except c, d and g

c, d and g

6, 7, 9, 11

1, 3, 4, 8, 10 12-14

Cytog 4 Would be trained to perform this potentially with a broader range of routine probe sets

d- k 1, 2, 4- 7, 10 –16

All except i

i 1, 2, 4-7, 10 – 16

Cytog 5 Applied to a limited range of samples using brightfield or fluorescence microscopy

b-h, j, k, n-p 1-3, 5-10, 15, 19-26

All 2, 4, 5, 6, 8-10, 15, 19-21

1, 3, 7, 22-26

NOS ref

Overview Pc ref K&U ref Work level K&U level Roles

Cytog 6

Applied to a limited range of samples

b-g, i, k-l, o  

1-6, 8-10 12-13, 15-17

    All 2, 3, 4, 9-10

1, 5-6, 8, 12-13, 15-17

     

Functn A

Equipment    

      A3, A4, A5, A6

  A3,A4,A5,A6

     

Functn B

Developing Protocols, Procedures and methods

  

      B2, B3

  B2, B3

     

Functn C

Specimens    

    C4-C11, &C14-C18

      C4-C11, &C14-C18

   

Functn D

Interpret results/ Clinical advice

      D5       D5    

Functn E

Health and Safety       E3 E1, E2

  E1, E2

E3    

Functn F

Management         F10-F12, F16 & F17

  F10-F12, F16 & F17

     

Functn G

Training and Professional development

        G9, G10

  G9, G10

     

Functn I

Patient care         I15   I15      

Functn J

Advice on Services         J7     J7    

CE14 Monitor Cryobanks         CE14

    CE14

   

END OF PRESENTATION