Supporting Best Practice

A Training Strategy for Child Health Services in Cumbria

High satisfaction Delighted

P3: Skills that would pleasantly surprise service users and commissioners

2
Performance (e.g. lighter bike = more efficient bike) P2: The more skilled the practitioner, the more effective the practice

Delighters (unexpected e.g. extra gears on a bike)

Fully implemented high quality performance Absent quality for performance not achieved

Threshold / basic (must haves, expected e.g. brakes on a bike)

Leadership Challenges
Throughout the project, commissioners were developing specifications for child health services in Cumbria; there was no way of knowing exactly what to train staff to do. Any strategy had to be abstract and flexible enough to meet the demands of these emerging expectations. Therefore, the project had to work from first principles and look at what training would support all child health staff to deliver best practice. Any service for children needs first to be safe and ethical, it has to be effective in producing a good health outcome, and give the children and families of Cumbria the best experience

P1: Make sure all practice is safe

Low satisfaction Disgusted

A Kano diagram illustrates the relationship between service features and customer satisfaction. The above Kano diagram illustrates the 3 training strategy priorities and how they map onto Kanos 3 zones of customer satisfaction.

Overview of the Project

Transforming Community Services led to reconstituted child health services in Cumbria Partnership NHS Foundation Trust (CPFT). Originally, training was arranged by a trust wide Learning Network providing for generic training needs, with small, service-specific training budgets for individual staff needs. CPFT recognised the need to support training during the integration of community services. The project aimed to: 1. Develop a training strategy to prioritise and plan training for childrens services across the trust. 2. Commission training for 2012-13 to develop and maintain the necessary skills and competencies within the workforce. 3. Ultimately, to Support Best Practice.

Results
A clear rationale for prioritising training congruent with Darzis (2008) 3 aspects of quality: Priority 1: Basic Skills - essential for safe services to children Priority 2: Performance skills - improve these and effectiveness improves Priority 3: Delighter skills - improve the service users experience beyond expectations A 2012-2013 Training Plan across community child services, including commissioning ~15k of governance training (P1) and ~30k of training in the Solihull Approach (P2 & P3) A Training Needs Analysis for assessing and therefore addressing individual and collective training needs, allowing identification of opportunities to develop P2 (Performance) and P3 (Delighter) skills.

Contact Information Tim Atkin Consultant Clinical Psychologist (Child & Family) tim.atkin@cumbria.nhs.uk 01229 841305