A Competence Framework

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A Competence Framework for Coronary Heart Disease
Developing the Competence Framework
Name of Presenter Organisation
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A Competence Framework for Coronary Heart Disease
What is a Competence Framework?

• Covers all the activities carried out by all
  workers in the defined area
• Describes the performance expected of workers as
  they are carrying out these activities
• Specifies the knowledge, skills and personal
  qualities needed for each activity
• Allows workers to be recruited, inducted and
  developed in an effective and efficient way
• Provides the basis for objective assessment of
  workers performance, and accreditation if
  required

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Key Purpose of the CHD Area
Enable people to improve their health and
wellbeing, and support them by providing efficient
, effective, equitable and high quality coronary
heart disease services in partnership with
individuals, families, communities and
professionals.
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Functional Map of CHD
D. Collaborative Working
A. Policy Strategy
G. Diagnosis Assessment
H. Care Management
B. Resource Management
F. Testing
I. Service Delivery
E. Risk Reduction
C. Research, Evaluation Improvement
Individuals
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Functional Map of CHD - Example of a Key Area
GA. Assess individuals and diagnose the presence
and nature of heart failure GB. Assess
individuals needs for cardiac rehabilitation
G. Diagnosis Assessment
Individuals
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Example of a Unit Unit Summary
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Example of a Unit Scope of Competence
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Example of a Unit Elements
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Example of a Unit Performance Criteria
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Example of a Unit Knowledge and Skills
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Example of a Unit Knowledge and Skills
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Example of a Unit Knowledge and Skills
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Example of a Unit Knowledge and Skills
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Primary Prevention CHD Competence Framework
EA1 Contribute to developing environments and
communities that reduce risk of CHD
EC1 Implement a programme to identify and assess
people with CHD and those at significant risk of
CHD
EB1 Help people to understand the lifestyle
factors associated with CHD and take decisions to
reduce their risk of CHD
EB2 Refer people to specialist services that may
help reduce their risk of CHD and its effects
EA2 Work with others to promote health and
wellbeing and reduce risks within settings
EC2 Assess individuals with CHD and those at
significant risk of CHD and help them take action
to reduce their risk
IA Units Provide support to enable individuals to
make lifestyle changes eg smoking, alcohol
reduction, cardioprotective diet, body weight,
physical activities, exercise sessions
EA3 Develop and disseminate information and
advice about CHD and how to reduce the risk of CHD
ID2 Prescribe medication for individuals at risk
of or with CHD
EC3 Monitor and evaluate programmes to identify
and assess people with CHD and those at
significant risk of CHD
ID3 Enable individuals to use drugs in reducing
the impact of CHD on their health and wellbeing
EA4 Promote and protect the populations health
and wellbeing
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Heart Failure Competence Framework
EC2 Assess individuals with CHD and those at
significant risk of CHD and help them take action
to reduce their risk
HC1 Enable individuals to carry out routine tests
at home
HA2 Agree cardiac rehabilitation plans with
individuals
GA1 Assess and investigate individuals with
suspected heart failure
HA1 Develop and agree care management plans with
individuals diagnosed with heart failure
HB1 Deliver care management plans for individuals
diagnosed with heart failure
HB4 Evaluate care management plans and prepare a
discharge plan with individuals with heart
failure
GA2 Develop a diagnosis of heart failure
IE6 Provide end of life care for individuals
ID Units Provide drugs and oxygen for individuals
F Units Carry out clinical tests
IE7 Support individuals through bereavement
EB Units Help people adopt lifestyles that reduce
the risk of CHD
IA Units Provide support to enable individuals to
make lifestyle changes
IE Units Provide personal care for individuals
and their carers
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Cardiac Rehabilitation Competence Framework
GB1 Assess individuals physical, psychological
and social needs for cardiac rehabilitation
HA2 Agree cardiac rehabilitation plans with
individuals
IA Units Provide support to enable individuals to
make lifestyle changes, eg smoking, alcohol
reduction, cardioprotective diet, body weight,
physical activities, exercise sessions
HB3 Deliver, monitor and evaluate individuals
cardiac rehabilitation plans
IF Units Work with individuals to help them
undertake occupational non-occupational
activities
ID2 Prescribe medication for individuals at risk
of or with CHD
EB1 and EB2 Help people adopt lifestyles that
reduce the risk of CHD
HC2 Support individuals to access and use
community services and facilities
ID3 Enable individuals to use drugs in reducing
the impact of CHD
HC3 Support individuals to live at home
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Secondary Prevention CHD Competence Framework
EC1 Implement a programme to identify and assess
people with CHD and those at significant risk of
CHD
EB1 Help people to understand the lifestyle
factors associated with CHD and take decisions to
reduce their risk of CHD
EB2 Refer people to specialist services that may
help reduce their risk of CHD and its effects
HB3 Deliver, monitor and evaluate cardiac
rehabilitation plans
EC2 Assess individuals with CHD and those at
significant risk of CHD and help them take action
to reduce their risk
IA Units Provide support to enable individuals to
make lifestyle changes eg smoking, alcohol
reduction, cardioprotective diet, body weight,
physical activities, exercise sessions
ID2 Prescribe medication for individuals at risk
of or with CHD
HB4 Evaluate care management plans and prepare a
discharge plan with individuals with heart failure
EC3 Monitor and evaluate programmes to identify
and assess people with CHD and those at
significant risk of CHD
ID3 Enable individuals to use drugs in reducing
the impact of CHD on their health and wellbeing
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Uses for the Competence Framework
Strategic objectives
Human resource management and development
Workforce planning
Recruitment selection
Job design
Organisational culture
Succession Promotion
Induction
Career development
Quality assurance
Training development
Performance management
Good practice
Continuing personal professional development
Assessment
Partnership development
Recognition
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Case Studies
Blackburn with Darwen PCT CHD Nurses Bradford
City PCT Community Rehabilitation Worker Guys
and St Thomass Hospital - Specialist
Pharmacists Kings College Hospital
Rehabilitation Nurses N. Devon District Hospital
Heart Failure Nurses Salford PCT Cardiac
Rehabilitation Support Worker Stockport MBC
Fitness Trainers Stockport MBC Local
Implementation Team Sunderland Teaching PCT
Heart Failure Nurses