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 |

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Specific Dimensions |

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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:

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