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NVQs and Modenisation

The Skills Escalator

The NHS Plan sets out a vision of a modernised NHS, redesigned around the patient's journey, to radically improve the patient's experience. The opportunity for all staff to learn and develop is a crucial factor in achieving this goal.

The Skills Escalator is the structure by which the NHS will enable all levels of the workforce to acquire new skills and invest in professional development. Staff are encouraged through a strategy of lifelong learning to constantly renew and extend their skills and knowledge giving them greater influence over their careers.

The Skills Escalator is also about attracting a wider range of people to work within the NHS. This offers the dual benefit of growing the NHS workforce whilst also tackling problems of longer-term unemployment and social exclusion, which have such a high correlation with poor health.

The picture below shows how the idea of the Skills Escalator links together the NQF (National Qualifications Framework) and the Career Framework While these links are not exact relationships, and there are overlaps, they give an impression of how learning links to progression in the NHS.

 

What is the Skills Escalator?

Career Framework

[part of diagram]

  More Senior Posts

  Consultant Practitioner

  Advanced Practitioner

  Specialist Practitioner

  Qualified Practitioner

  Assistant Practitioner

  Senior Assistant

  Assistant

  Supporting roles

[part of diagram]

[part of diagram]

[part of diagram]

 

 

National Qualifications Framework

The level indicators in the National Qualifications Framework (NQF) are a guide to the range of qualifications and levels available. They describe the learning and achievement that happens at each level and show how the skills and knowledge relate to job roles. The indicators are not intended to be precise or comprehensive – they are working guides.

Further information about the National Qualifications Framework can be found on the Qualifications and Curriculum Authority website.

NQF Level

Level Description

Sample Qualifications

Entry

Entry level qualifications recognise basic knowledge and skills and the ability to apply learning in everyday situations under direct guidance or supervision. Learning at this level involves building basic knowledge and skills and is not geared towards specific occupations.

Entry Level

Level 1

Level 1 qualifications recognise basic knowledge and skills and the ability to apply learning with guidance or supervision. Learning at this level is about activities which mostly relate to everyday situations and may be linked to job competence.

NVQ 1;

GCSEs Grades D-G

Level 2

Level 2 qualifications recognise the ability to gain a good knowledge and understanding of a subject area of work or study, and to perform varied tasks with some guidance or supervision. Learning at this level involves building knowledge and/or skills in relation to an area of work or a subject area and is appropriate for many job roles.

NVQ 2;

GCSEs Grades A*-C

Level 3

Level 3 qualifications recognise the ability to gain, and where relevant apply a range of knowledge, skills and understanding. Learning at this level involves obtaining detailed knowledge and skills. It is appropriate for people wishing to go to university, people working independently, or in some areas supervising and training others in their field of work.

NVQ 3;

A levels

Level 4

Level 4 qualifications recognise specialist learning and involve detailed analysis of a high level of information and knowledge in an area of work or study. Learning at this level is appropriate for people working in technical and professional jobs, and/or managing and developing others.

NVQ 4;

Certificate of Higher Education

Level 5

 

Level 5 qualifications recognise the ability to increase the depth of knowledge and understanding of an area of work or study to enable the formulation of solutions and responses to complex problems and situations. Learning at this level involves the demonstration of high levels of knowledge, a high level of work expertise in job roles and competence in managing and training others. Qualifications at this level are appropriate for people working as higher grade technicians, professionals or managers.

Diplomas of Higher Education and Further Education; Foundation Degrees; Higher National Diplomas; BTEC

Registered Healthcare Practitioner

Level 6

Level 6 qualifications recognise a specialist high level knowledge of an area of work or study to enable the use of an individual’s own ideas and research in response to complex problems and situations. Learning at this level involves the achievement of a high level of professional knowledge and is appropriate for people working as knowledge-based professionals or in professional management positions.

Bachelors Degrees; Graduate Certificates and Diplomas

Level 7

Level 7 qualifications recognise highly developed and complex levels of knowledge which enable the development of in-depth and original responses to complicated and unpredictable problems and situations. Learning at this level involves the demonstration of high level specialist professional knowledge and is appropriate for senior professionals and managers.

Masters Degrees; Postgraduate Certificates and Diplomas

Level 8

Level 8 qualifications recognise leading experts or practitioners in a particular field. Learning at this level involves the development of new and creative approaches that extend or redefine existing knowledge or professional practice.

Specialist awards; Doctorates

 

 

 

Career Framework

The Career Framework, produced by the NHS Modernisation Agency, aims to provide a guide or NHS and partner organisations on the implementation of a flexible career and the skills escalator concept, enabling and individual with transferable, competency-based skills to progress in a direction which meets workforce, service and individual needs.

CF level

CF Level Name

CF Level Description

1

Initial Entry Level Jobs

Jobs such as ‘Domestics’ or ‘Cadets’ requiring very little formal education or previous knowledge, skills or experience in delivering, or supporting the delivery of healthcare.

2

Support Workers

Frequently with the job title of ‘Health Care Assistant’ or ‘Health Care Technician’ – probably studying for or has attained NVQ Level 2.

3

Senior Healthcare Assistants/Technicians

This is a higher level of responsibility than support worker, probably studying for or have attained NVQ Level 3, or Assessment of Prior Experiential Learning (APEL).

4

Assistant/Associate Practitioners

Probably studying for Foundation degree, BTEC higher or HND. Some of their remit will involve them in delivering protocol-based clinical care that had previously been in the remit of registered professionals, under the direction and supervision of a state registered practitioner.

5

Practitioners

Most frequently registered practitioners in their first and second post-registration / professional qualification jobs.

6

Senior/Specialist Practitioners

Staff who would have a higher degree of autonomy and responsibility than ‘Practitioners’ in the clinical environment; or who would be managing one or more service areas in the non-clinical environment.

7

Advanced Practitioners

Experienced clinical professionals who have developed their skills and theoretical knowledge to a very high standard. They are empowered to make high-level clinical decisions and will often have their own caseload. Non-clinical staff at Level 7 will typically be managing a number of service areas.

8

Consultant Practitioners

Staff working at a very high level of clinical expertise and/or have responsibility for the planning of services.

9

More Senior Staff

Staff with the ultimate responsibility for clinical caseload decision-making and have full on-call accountability.

 

 

KSF – Knowledge and Skills Framework

The NHS Knowledge and Skills Framework (KSF) and Personal Development Review (PDR) process is designed to apply across the whole of the NHS to support the future development of you as an employee and of the organisation. This section provides basic information about the process to assist you in developing your understanding of it.

A KSF handbook is available from your KSF lead, Training Manager or line manager. Click here to download a KSF pocket guide.

The KSF – purpose   

The KSF is designed to:

    • Identify the knowledge and skills that you need to apply in your post
    • Help guide your development
    • Make sure your personal development review is fair and objective
    • Support your pay progression
    • Improve performance
    • Assist with career planning (if desired).

The KSF – overview

The KSF is made up of key skill areas called dimensions. There are 30 dimensions in total and each one has four levels. Six dimensions are core and are included in every job. 24 are specific and certain ones will apply to particular jobs.

Core Dimensions

Specific Dimensions

Core Dimensions

Specific Dimensions

     

Download further information about the Core Dimensions

 

Download further information about the Specific Dimensions

Core Dimensions

The core dimensions underpin the fundamental principles and values of working in the NHS and apply to all job roles.

Health and Well Being Dimensions

These are aimed mainly at staff in clinical roles and will include such aspects as health promotion and protection, assessment and care planning, delivery of care, interventions and treatments, biomedical investigation, products and equipment to meet health and well being needs.

Estates and Facilities Dimensions

These are aimed primarily at staff working in support roles such as catering, porters, housekeeping, stores, maintenance etc., and include topics such as environment and buildings, transport and logistics.

Information and Knowledge Dimensions

These are aimed mainly at staff working in administrative roles within support services e.g. Finance and Information, Health Informatics and HR, but may include any other member of staff who has a key role in managing or dealing with information.

General Dimensions

General dimensions include aspects of wider responsibilities or certain support service functions such as people and financial management, PR, development and innovation.

KSF Outlines

Every job will have a KSF outline that will show the dimensions and levels needed for that job.

This will include all the core dimensions and some of the specific dimensions. The range and number of specific dimensions will vary from job to job. A typical KSF outline will have between two and six specific dimensions. The KSF outline for a post is developed in partnership between managers and staff.

Your manager will discuss your KSF outline with you before and during your personal development review.

The details behind each of these dimensions (called indicators) will be given to you by your manager so that you have a full KSF outline for your post. It will be important for you to get to know and understand your outline and to gather evidence to show that you are applying your skills. Your manager will give you guidance in how to do this.

The KSF Performance and Development Review process (PDR)

Your KSF outline will be used in the personal development review process to set your objectives and plan your training and development needs. A review meeting will take place at least annually.

The process looks like this:

The KSF Performance and Development Review process (PDR)

Remember:

  • Both you and your manager will input to the discussion and decisions;
  • The review will help you to reflect on the past year's performance, consider your strengths and development areas, and plan for future improvements and goals;
  • Informal meetings and feedback should also take place throughout the year.

Further information about the KSF and how the Dimensions fit in with the National Competences can be found on the Skills for Health website.

 

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