Renal Unit Informatics: Professionalisation

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Renal Unit InformaticsProfessionalisation

• Brian Derry
• Director of Information
• The Leeds Teaching Hospitals NHS Trust
• brian.derry_at_leedsth.nhs.uk

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HR in the NHS Plan

• Three Strands of Pay Modernisation
• Agenda for Change
• Consultant Contract
• GMS Contract

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The present system is

• Too complex
• Multitude of pay scales/grades allowances
• Allowances are outdated
• Mix of national local systems
• Open to equal value claims
• Prevents development of new roles/jobs

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Agenda for Change key elements

• Job Evaluation System 9 Pay Bands
• Common package of Terms Conditions of Service
• Knowledge Skills Framework

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Job Evaluation Pay Bands

• 16 factors in NHS JE Scheme
• Knowledge Skills (5 factors)
• Responsibilities (6 factors)
• Freedom to Act (1 factor)
• Effort Environment (4 factors)
• 250 Job Profiles agreed published

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Job Evaluation Factors Knowledge Skills

• Communications Relationship Skills
• Knowledge, Training Experience
• Analytical Judgemental Skills
• Planning Organisational Skills
• Physical Skills

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Job Evaluation Factors Responsibility

• 6. Patient / Client Care
• 7. Policy Service Development
• 8. Financial Physical Resources
• 9. Human Resources
• 10. Information
• 11. Research Development

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Job Evaluation Factors

• Freedom to Act Factor
• 12. Freedom to Act
• Effort Environment Factors
• 13. Physical Effort
• 14. Mental Effort
• 15.Emotional Effort
• 16. Working Conditions

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Knowledge Skills Framework
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Knowledge Skills Framework what is it for?

• Identify the knowledge skills that people need
  to use in their job.
• Help guide personal development
• Provide a fair objective means of reviewing
  personal development
• Provides a basis for pay progression

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KSF how is it used?
Joint evaluation of applied learning and
development
Individuals undertake supported learning
development
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KSF what is in it?

• 30 Dimensions 6 core 24 specific
• 4 Levels to each dimension
• Indicators to explain requirements
• Examples of their application
• Referenced to national quality assured standards
  / competencies etc.

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6 Core Dimensions
NHS KSF
Communication
Equality Diversity
Personal People Development
Service Improvement
Quality
Health, Safety Security
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24 Specific Dimensions
NHS KSF
Health Well-being HWB 1-10
Information Knowledge IK 1-3
CORE
Estates Facilities EF 1-3
General G 1-8
Facilities
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KSF what it isnt

• Description of behaviours or attitudes
• Definition of knowledge skills
• Determinant of JE Score or Pay Band

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Job profiles
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Approach Taken for Informatics Roles
1. Gather an understanding of current Profiles,
industry standards (ITIL), and the process
adopted by HfMA
2. Collate list of current National NHS IT Job
Titles
8. Review revise generic JPs and address any
issues
JAQs
JAQs
JAQs
JAQs
Profile matrix
JAQs
GJPs
3. Identify potential profile matrix, groupings,
job families
7. Obtain feedback from JEWP on sample generic JPs
Profile matrix
GJP1
GJP2
4. Per profile, collect a number of Job
Descriptions /JAQs. Aim to capture the majority
of IMT Roles
JAQs
JAQs
6. Build Generic Profile per profile label
JAQs
GJP
JAQs
JPs
JAQs
Profiles
JDs
5. Assess JDs /JAQs , ensuring consistency of
groupings against potential profiles
Profile .n
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Grad Level
Degree experience
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10 things to know about job profiles

• A profile is not a job description
• Profiles describe general characteristics of jobs
• Profile names are NOT job titles
• There are DH rules about Knowledge, Training
  Experience levels which link to Bands

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10 things to know about job profiles

• Freedom to Act relates to whether you are
  supervised or managed
• Job Evaluation Handbook defines some terms
  specifically E.g continuous, light/moderate
• Low patient/client care scores will be balanced
  by higher scores in e.g. information resources

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10 things to know about job profiles

• Even Band 8 will not score the highest levels in
  all 16 factors
• For 14 of the 16 factors you can be one level
  higher or one level lower
• Profiles are developed in partnership with
  management and Trade Unions

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Further information

• Policy on Agenda for Change
• www.doh.gov.uk/agendaforchange
• Implementation of Agenda for Change
• www.modern.nhs.uk
• HI update
• www.informatics.nhs.uk/news/afc