Chaplaincy Standards and Capability Framework

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Chaplaincy Standards and Capability Framework

• Presenting
• Iain Macritchie and David Mitchell

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The New Truth

• The spiritual cat is out of the religious bag!...
  Chaplaincy is in retreat forming a kind of
  consultancy service, while coal face workers such
  as nurses are more involved in spiritual support
• Wright (2005) The New Truth, Nursing Times, 19,
  (4), 28-29

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What do chaplains do?

• If spiritual care can be provided by all
  Healthcare professionals why do we need
  chaplains?
• Chaplains need to define their role and explain
  their specialist skills and expertise
• Chaplaincy needs to demonstrate and evidence its
  value

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NHS Education for Scotland (NES)

• Scoping Study Recommendations (2005)
• Develop Standards (published 2007)
• Develop Capabilities (published 2008)
• NES Strategic Plan 2007/8
• The NES Healthcare Chaplaincy Unit will support
  the provision of a broader based chaplaincy for
  the whole health community, through greater
  integration of chaplains into the healthcare
  team.
• A post graduate qualification for healthcare
  chaplains will be commissioned and a capability
  framework developed.

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A Three Tier Process

• Chaplaincy and Spiritual Care in NHSScotland
  (2008) Revised Guidance (Formerly NHS HDL (2002)
  76)
• What can patients expect from NHS
• Standards for NHSScotland Chaplaincy Services
  (2007)
• What can Trusts expect from Chaplaincy Services
• Tool to Audit Chaplaincy Services
• Spiritual and Religious Care Capabilities and
  Competencies for Healthcare Chaplains (2008)
• What is required of individual chaplains in
  practice
• A basis for Chaplaincy Education and Continuing
  Professional Development

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Partnership Working

• Professional Organisations
• AHPCC, CHCC, SACH
• Chaplaincy Academic Accreditation Board
• Faith Communities (Interfaith Council)
• Higher Education Institutions
• NHS Management
• UK Wide (HCC)

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Why reinvent the wheel?

• We can use these for reference
• NHS HDL (76) 2002
• AHPCC (2006) Chaplaincy Standards 2nd Edition
• MCCC (2003) Spiritual and Religious Care
  Competencies for Palliative Care
• MFGHC (2005) Chaplaincy Standards
• SYSHA (2003) Caring for the Spirit
• DoH (2004) NHS Knowledge Skills Framework

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Standards for NHSScotland Chaplaincy Services

• Spiritual and Religious Care
• Access to Chaplaincy Services
• Partnership with Faith Communities and Belief
  Groups
• Staff Support
• Education, Training and research
• Resources
• Chaplaincy to the Hospital or Unit

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Feedback on Standards

• Standards have helped define chaplaincy services
• Helpful language that managers understand
• The Audit Tool has enabled chaplaincy services to
  show strengths and identify gaps (resource needs)
• Wider UK Picture
• NHS in Wales is adopting the standards
• Professional organisations and MFGHCC in England
  are considering a proposal to adopt the standards

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Who are the Capabilities and Competencies for?
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Capabilities or Competencies

• competence describes what individuals know or are
  able to do in terms of knowledge, skills and
  attitudes at a particular point in time
• capability describes the extent to which an
  individual can apply, adapt and synthesise new
  knowledge from experience and continue to improve
  his or her performance

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Essential Shared Capablilities

• Developed by Department of Health and National
  Institute for Mental Health in England. Adapted
  for chaplaincy
• Working in partnership
• Respecting diversity
• Practising ethically
• Challenging inequality
• Identifying the needs of people using chaplaincy
  services
• Providing safe and responsive patient care
• Promoting best practice
• Promoting rehabilitation approaches
• Promoting self care and empowerment
• Pursuing personal development and learning

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Chaplaincy Framework

• Structured under four domains
• Knowledge and skills for professional practice
• Knowledge for practice
• Practicing ethically
• Communication Skills
• Education and training
• Spiritual and religious assessment and
  intervention
• Spiritual assessment and intervention
• Religious assessment and intervention
• Institutional practice
• Team working
• Staff support
• Chaplain to the hospital or unit
• Reflective practice
• Reflective practice
• Personal spiritual development

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Linked to Standards and KSF

• Integration with Chaplaincy Standards
• Advice from other NES Departments on KSF
• LINK dont MAP to the Knowledge Skills Framework
• LINK shows there is common ground and leaves room
  to negotiate locally
• MAP gives a requirement to meet in full and in
  experience is restrictive and problematic

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Using the Framework

• The framework can be used
• for self-assessment
• as a means of planning personal development
• as a means of planning team development
• as a guide to developing education and training
• as a guide to developing work-based learning.
• CPD linked to the Professions CPD Portfolio
• Used in conjunction with Mentorship

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Using the Capabilities and Competences Framework

• NES has commissioned a Post Graduate Certificate
  in Healthcare Chaplaincy as part of an MSc.
  Degree
• Wider UK Picture
• NHS in Wales is adopting the Framework
• Professional organisations and MFGHCC in England
  are considering a proposal to adopt the Framework
• Higher Education Institutions in England and
  Wales are meeting to develop their chaplaincy
  and spiritual care education

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Chaplaincy Standards and Capability Framework

• Presenting
• Iain Macritchie and David Mitchell