managing professional competence & behaviour workshop
DESCRIPTION
‘Handling Concerns' Support timely & effective management of individuals’ performance concerns - Good practice in handling performance difficulties Foster a consistent & fair approach Provide clear information for those who have a concern or have difficulty (DoH & NCAS, 2006)TRANSCRIPT
Managing Professional
Competence & Behaviour
Workshop
Review of Professional Regulation
• Regulation of non-medical healthcare professionals (Foster, 2006)
• Good Doctors, Safer Patients (Donaldson, 2006)
• White Paper Trust Assurance and Safety – Regulation of Health Professionals in 21st Century (2007)
Provide professionals with the opportunity to improve practice
Deal swiftly & fairly with concerns & complaints
‘Handling Concerns'• Support timely & effective
management of individuals’ performance concerns -
• Good practice in handling performance difficulties
• Foster a consistent & fair approach • Provide clear information for those
who have a concern or have difficulty (DoH & NCAS, 2006)
Definitions• Competence
– knowledge, skills, attitudes, values & judgements which result in performance that satisfies a range of expected competencies
• Performance – What is actually done that can be
influenced by capacity, willingness & opportunity to perform
NIPEC (2006) Competency Profile Foundation Paper
Definitions• Poor Performance
– A significant failure or series of failures to satisfy one or more competencies Performance (NIPEC,2004)
• Lack of Competence– Lack of Knowledge, skill or judgement
of such a nature that the registrant is unfit to practise safely & effectively in any field which the registrant claims to be qualified or seeks to practise
(NMC,2004)
Managing Performance Continuum
Overview1. Ongoing support for growth in professional
competence and performance ‘normal interventions’
2. An individual experiencing or displaying difficulty
‘additional interventions’
3. An individual whose performance continues to fail or is defined as ‘poor’
‘more substantial interventions/capability process’
Handling Concerns about the Performance of
Healthcare Professionals(DoH & NCAS, 2006)
• Good practice in preventing problems (selection & induction)
• Early recognition & support• Effective collection of evidence &
documentation• Understanding why certain groups
of practitioners get into difficulty
Managing Performance‘Normal Interventions’
Relevant Policies & Statutory Requirements
Existing Processes●Code of Conduct●PREP●Appraisal Policy●Supervision Policy●Absenteeism Policy● Capability Procedure●Disciplinary Procedure●NMC guidance reporting lack of competence
● Induction ● Preceptorship ● Appraisal/ Development Review ● Supervision ● Rotas:Skill / Competency mix ● Use of Team/staff/other meetings ● L&Dactivities: planned/adhoc; formal / informal
Managing Performance‘Normal Interventions’
Existing Processes – what is working? NIPEC 2005 Survey•Induction•Preceptorship•Appraisal/Development Review – •Supervision –
•Rotas: Skill/Competency mix•Use of Team/staff/other meetings•L&D activities: planned/adhoc; formal/informal
56%(49%fairly/beneficial)
33% (69%fairly/beneficial)
–Organisations funded most/all = 70%
Existing Processes
Managing Performance‘Additional Interventions’
Relevant Policies & Statutory Requirements
•Code of Conduct•PREP•Policies: Appraisal, Supervision, Absenteeism •Capability Procedure•Disciplinary Procedure•NMC guidance reporting lack of competence
Managing Performance‘Additional Interventions’
Relevant Policies & Statutory Requirements
Existing Processes •Triggers
•Frequency/Intensity•Occupational Health
•Preceptorship•Supervision•Rotas: Skill/Competency mix•L&Dactivities: planned/adhoc; formal/informal
Should also consider Should also consider additional support additional support
•mentoring, shadowing, buddyingmentoring, shadowing, buddying•behavioural coaching, behavioural coaching,
•possibly limit scope of practicepossibly limit scope of practice
Existing Processes
Managing Performance‘More Substantial Interventions’
Relevant Policies & Statutory Requirements
•Code of Conduct•PREP•Policies: Appraisal, Supervision, Absenteeism •Capability Procedure•NMC guidance reporting lack of competence•Disciplinary Procedure
Managing Performance‘More Substantial Interventions’
May consider additional support eg mentoring, shadowing,
buddy, likely to limit scope of practice
Existing Processes •Triggers
•Frequency/Intensity•Occupational Health
•Preceptorship•Supervision•Rotas: Skill/Competency mix•Mentoring•L&Dactivities: planned/ adhoc; formal/informal•Stages within capability process
Should also consider Should also consider additional support additional support
•mentoring, shadowing, buddyingmentoring, shadowing, buddying•behavioural coaching, behavioural coaching,
•Likely to limit scope of practiceLikely to limit scope of practice
Discussion
Do you recognise the continuum?
Would it be useful to consider each stage and identify
if further focus would benefit managers?
Group Discussion
• Identify what aspects of each stage of the Managing Performance Continuum could be done better?
(one stage each table)
• Prioritise the aspects that need addressed
• Identify the 3 most important/urgent and how they may be addressed & by whom
INTRODUCTION• Managing poor performance –
Development Framework project 2003-2006 (capability procedures)
Definition of Poor Performance
Poor performance is defined as “a significant failure, or a series of repeated failures to satisfy
one or more competencies”.
The degree of poor performance can be a result of a variety of factors which could be linked to
capacity, willingness or opportunity.
Capacity can include variables such as health, knowledge and skills, intelligence, level of education, stamina and motor skills.
Willingness can include variables such as motivation, anxiety, attitude, norms and values, perceived role expectation, job status.
Opportunity can include variables such as tools, equipment, materials and supplies, working conditions, leader behaviour, time and pay
INTRODUCTION• Managing poor performance –
Development Framework project 2003-2006 (capability procedures)
• Interest increasing significantly but focus still mainly at “poor performance”
CONTINUUM
Managing Performance Continuum
‘Stars! ‘ Main Body of Staff‘Routine’
‘More challengin
g/ capability’
CONTINUUM
Managing Performance Continuum
? ? ?Level of manager’s
interventions
Today's challenge -
Examine the topic and identify if anything more
needs to be done, and if so what and how?