Healthcare Support Workers in Scotland: Evaluation of a National Pilot of Standards and Listing in Three NHS Boards

DescriptionThis report presents the findings of a national pilot which tested arrangements for an employer-led model of regulation and listing of healthcare support workers (HCSWs) in three NHS Scotland health boards.
ISBN9780755975464
Official Print Publication DateJune 2009
Website Publication DateJune 05, 2009

Listen

Anne Birch & Claudia Martin, Scottish Centre for Social Research
ISBN 978 0 7559 7546 4 (Web only publication)
This document is also available in pdf format (884k)

CONTENTS

ACKNOWLEDGEMENTS

EXECUTIVE SUMMARY

1 BACKGROUND AND INTRODUCTION
INTRODUCTION
BACKGROUND
CONSULTATION ON THE REGULATION OF HEALTHCARE SUPPORT STAFF
UK DEVELOPMENTS IN REGULATION POLICY
BACKGROUND TO THE SCOTTISH PILOT
RELATED POLICY AND RESEARCH DEVELOPMENTS
REPORT STRUCTURE

2 THE EVALUATION
AIMS AND OBJECTIVES OF THE EVALUATION
METHODOLOGY
SUMMARY

3 IMPLEMENTATION OF THE PILOT
INTRODUCTION
PERCEPTIONS OF THE EARLY STAGES OF IMPLEMENTATION
EARLY PERCEPTIONS OF CORE CONCEPTS
PARTNERSHIP, HCSW AND PATIENT/PUBLIC REPRESENTATION TO THE PILOT
DEVELOPMENT OF THE PILOT
SUMMARY

4 DEVELOPMENT OF PILOT PROCESSES
INTRODUCTION
WPS TRAINING AND SUPPORT
THE ASSESSMENT PROCESS AND MATERIALS
FIT WITH KNOWLEDGE AND SKILLS FRAMEWORK AND PERSONAL DEVELOPMENT PLANNING AND REVIEW ( PDPR)
THE DISCLOSURE SCOTLAND APPLICATION PROCESS
THE OCCUPATIONAL LIST
SUMMARY

5 NUMBERS & PROGRESS OF HCSWS
INTRODUCTION
NUMBER OF HEALTHCARE SUPPORT WORKERS RECRUITED AND PROGRESS
NUMBERS COMPLETING THE OBSERVATION AND ORAL ASSESSMENT PROCESS
SUMMARY

6 PILOT OPERATION - VIEWS ON RECRUITMENT
INTRODUCTION
THE RECRUITMENT PROCESS IN OPERATION
VIEWS OF PARTICIPATING HEALTHCARE SUPPORT WORKERS
VIEWS OF NON-PARTICIPANT HCSWS
SUMMARY

7 PILOT OPERATION - VIEWS ON LEARNING AND ASSESSMENT
INTRODUCTION
PILOT SITE STAKEHOLDER PERCEPTIONS
HEALTHCARE SUPPORT WORKER VIEWS ON LEARNING AND ASSESSMENT
STAKEHOLDER VIEWS ON THE DEFINITION OF 'HEALTHCARE SUPPORT WORKER'
SUMMARY

8 NHS BOARD SELF-ASSESSMENT & PEER REVIEW
INTRODUCTION
DEVELOPMENT OF THE MATERIALS AND PROCESSES
PARTICIPATING STAKEHOLDER PERCEPTIONS OF THE BOARD SELF-ASSESSMENT AND REVIEW PROCESS
VIEWS ON THE EMPLOYER CODE OF PRACTICE AND COMPLIANCE MONITORING
SUMMARY

9 QUALITY ASSURANCE OF INDUCTION STANDARDS AND PILOT PROCESSES
INTRODUCTION
HCSW INDUCTION STANDARDS - QUALITY ASSURANCE
ORGANISATIONAL DEVELOPMENT ( OD) EXERCISE
INTERNAL PILOT REPORTING SYSTEMS
SUMMARY

10 CONSULTATIVE WORKSHOP
INTRODUCTION
ISSUES ARISING DURING THE WORKSHOP
THE VOTING QUESTIONS AND RESULTS
SUMMARY

11 SUMMARY AND RECOMMENDATIONS
INTRODUCTION
IMPLEMENTATION
INDUCTION STANDARDS FOR HEALTHCARE SUPPORT WORKERS
CODE OF CONDUCT FOR HEALTHCARE SUPPORT WORKERS
CODE OF PRACTICE FOR NHSSCOTLAND EMPLOYERS AND COMPLIANCE MONITORING
THE OCCUPATIONAL LIST
POTENTIAL TO IMPROVE PATIENT SAFETY AND PUBLIC PROTECTION

12 REFERENCES

ANNEXE A. GLOSSARY
ANNEXE B. GROUPS FOR INCLUSION IN PILOT
ANNEXE C. OUTPUTS FROM CONSULTATION ON REGULATION (SCOTLAND)
ANNEXE D. MEMBERSHIP OF NATIONAL (SCOTLAND) GROUP FOR THE REGULATION OF HEALTHCARE SUPPORT WORKERS
ANNEXE E. MEMBERSHIP OF 4 COUNTRY STEERING GROUP*
ANNEXE F. MEMBERSHIP OF WORKING GROUP
ANNEXE G. PRINCIPLES UNDERPINNING THE 'REGULATION OF HEALTHCARE SUPPORT WORKERS' PROJECT
ANNEXE H. NUMBERS OF HEALTHCARE SUPPORT WORKERS IN NHSSCOTLAND
ANNEXE I. DESCRIPTION OF PILOT PROCESSES
ANNEXE J. OTHER POLICY DEVELOPMENTS AND RESEARCH
ANNEXE K. THE INDUCTION STANDARDS
ANNEXE L. MEMBERSHIP OF NHSQIS NATIONAL PROJECT GROUP
ANNEXE M. MEMBERSHIP - PILOT SITES' STEERING GROUPS
ANNEXE N. WORKSHOP - ELECTRONIC VOTING RESULTS
ANNEXE O. RESPONSE FROM SURVEYS
ANNEXE P. EVALUATION QUESTIONNAIRE TO HEALTHCARE SUPPORT WORKER VOLUNTEERS TO PILOT

Index of Tables
TABLE 2.1: SURVEY RESPONSE HCSW PARTICIPANT & WPS, NON-PARTICIPANT HCSW
TABLE 4.1 NUMBER OF WORKPLACE SUPERVISORS
TABLE 4.2 WORKPLACE SUPERVISOR SURVEY RESPONSE
TABLE 5.1 NUMBER RECRUITED HCSWS BY PILOT SITE
TABLE 5.2 VOLUNTEERS BY STAGES OF THE PROCESS
TABLE 5.3 HCSW RECRUITS BY PILOT SITE AND JOB GROUPING
TABLE 5.4 HCSW RECRUITS BY PILOT SITE AND JOB TITLE
TABLE 5.5 HCSW RECRUITS BY SERVICE GROUP
TABLE 5.6 ASSESSMENT COMPLETED AFTER INITIAL MEETING WITH WPS
TABLE 5.7 ASSESSMENT COMPLETED BY JOB GROUPING
TABLE 5.8 ASSESSMENT COMPLETED BY JOB TITLE
TABLE 7.1 EVIDENCE OF PREVIOUS ACHIEVEMENT
TABLE 7.2 THE STANDARDS POTENTIAL TO AFFECT HCSW'S WORK
TABLE 7.3 KSF AND PDPR
FIGURE 1 RECRUITMENT AND ASSESSMENT MATERIALS
TABLE 0.1 SURVEY RESPONSE RATES
TABLE 0.2 PERCENTAGE OF EACH SURVEY RETURNS BY PILOT SITE
TABLE 0.3 HCSW PARTICIPANTS BY JOB CATEGORY
TABLE 0.4 HCSW PARTICIPANTS BY WORKING PATTERN
TABLE 0.5 HCSW PARTICIPANTS BY SERVICE AREA
TABLE 0.6 HCSW PARTICIPANTS BY WORK LOCATION
TABLE 0.7 HCSW PARTICIPANTS BY POST
TABLE 0.8 WPS BY JOB CATEGORY
TABLE 0.9 WPS BY WORKING PATTERN
TABLE 0.10 WPS BY SERVICE AREA
TABLE 0.11 WPS BY WORK LOCATION
TABLE 0.12 NON-PARTICIPANT HCSWS BY JOB CATEGORY
TABLE 0.13 NON-PARTICIPANT HCSWS BY WORKING PATTERN
TABLE 0.14 NON-PARTICIPANT HCSWS BY SERVICE AREA
TABLE 0.15 NON-PARTICIPANT HCSWS BY WORK LOCATION
TABLE 0.16 INITIAL COMMUNICATIONS
TABLE 0.17 GETTING INVOLVED WITH THE PILOT
TABLE 0.18 PARTICIPANTS EARLY CONCERNS
TABLE 0.19 REASONS FOR TAKING PART
TABLE 0.20 TIME SPENT ON PILOT
TABLE 0.21 HCSW & WPS SUPPORT FOR THE PILOT

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

This report is available on the Scottish Government Social Research website only
www.scotland.gov.uk/socialresearch.

Page updated: Monday, June 01, 2009