Competence and compliance in health estates training

MAINTAINING COMPLIANCEWhat every Premises Manager needs to know
Competence and Training

What I’ll be talking about
What needs to be compliant?
Compliant to what?
Who needs to be compliant?
What does the guidance say?
What is competence?
How do you develop competence?
Is being compliant good enough?

A specialist residential Training and Conference centre with unique training facilities.
Based on a 220 acre site located in the South West of England.
An established business with 40 years of experience in the ‘industry’.(Formerly part of the NHS)
Over 100 courses in our training curriculum all delivered by UK experts.
Eastwood Park – An Overview

Healthcare Support Services Training:What we do and who we do it with
The Institute of Physics and Engineering in medicine

What needs to be compliant?
The service?
The product?
The organisation?
ALL OF THE ABOVE?

Compliant to what?
Legislation
Codes of Practice
International Standards
Care Quality Commission inspection standards
NHS Guidance
HTMs etc themselves draw on others
JCI (US/int’l standard)
Etc, etc…

Who needs to be compliant?
The hospital
Departments
Managers
Technicians (AP/CP)
Operators
Suppliers
Contractors
External named roles
ALL OF THE ABOVE?

“All personnel employed in the operation and maintenance of critical engineering services, including maintenance personnel and operators, should receive adequate, documented training.”
Training, information and communications policy manual
Spaceforhealth.nhs.uk
The starting point for our journey – The document formerly known as…

What does the guidance say?HTM 02-01
Dedicated Chapter
“7 - Training and communication”
Guidance for all roles
CP/AP/AE and others
Refresher guidance and schedule
Specific
Learning content
Learning outcomes

What does the guidance say?HTM 04-01 b
Para 5.2 “Competence”
Not very specific
“…a programme of staff training…”

Paragraph 1.25
“Training and education”
Mentions CPD
“professionals” must register “not less than 5 hours’ training over a period of 5 years.”

Appendix 7 – Qualification and Training Requirements
Lists required qualifications and experience
Training specified by duration and topic

What does the guidance say or imply about personal compliance?
It could be summarised as:
You need training
You need experience
You need accreditation
You need CPD and refresher training
and
You need to be COMPETENT

Occupational Competence is:
The ability to perform, to agreed occupational standards, in the workplace
TRAINING DOES NOT EQUAL COMPETENCE

From ACoP L8 - Legionalla
Para 45, page 16

Competence is about…
‘The application of:
knowledge,
understanding,
skills and
attitudes
in a defined range of situations, to meet predetermined occupational standards’

How do we attain the components of competence?
Knowledge
Understanding
Skills
Attitudes
All to be demonstrated in context (workplace) to the standards expected

How it works with NVQs and Apprenticeships
Sector Skills Councils
Awarding Bodies

To develop competence you need to …
Define and/or develop service standards and career pathways
2. Audit & assess existing compliance to these standards

3. Identify the training needs related to service delivery to these standards
4. Design appropriate learning solutions to meet these training needs

5. Deliver effective training & support
6. Assess & Accredit competence
7. Evaluate benefits and Service compliance

A Competence Development Model
Determine Standards
(for the service in the Country)
Based on HTMs?
Re-audit/assess?
Audit/Assess
compliance to Standard
(In practice)
Evaluate
Training
Added value?
At organisation or Service level
Identify training needs
Using role
Competencies
Accreditation
Assess
Competence
Design training
(to meet needs)
Workplace Support
Pilot training
Deliver Training

The Competence Spectrum
Competent
Conscious
competence
Unconscious
competence
Unconscious
Conscious
Conscious
incompetence
Unconscious
incompetence
Incompetent

So what are you to do to be compliant?
If the guidance is not clear or consistent, hedge your bets and do all of the above!!
Look to ensure:
Appropriate training is available
Accreditation is sought
CPD is recorded
Competence is measured and reviewed
Experience is nurtured and shared

But is being compliant good enough?
If a car just scrapes through its MOT it is compliant
… but would you be happy driving it??
How long will it remain compliant?
Where's the added value?

http://www.learningrocks.co.uk	269
http://www.learningrocks.co.uk	269

Competence and compliance in health estates training

by danroddyep on Oct 03, 2011

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Competence and compliance in health estates training — Presentation Transcript