Dietetic Support Worker Competency Framework January 2014 © January 2010 Permission granted to reproduce for personal and educational use only. Commercial copying, hiring or lending without the written permission of the BDA is prohibited. Review date January 2018

Table of Contents Section 1 ......................................................................................................................................................................................................................................... 4 Introduction .................................................................................................................................................................................................................................... 4 1.1

Competency Framework .................................................................................................................................................................................................. 4

1.2

Summary of KSF outline for clinical role .......................................................................................................................................................................... 4

Section 2 ......................................................................................................................................................................................................................................... 5 Skills for Health Core Standards .................................................................................................................................................................................................. 5 2.1

Communication ................................................................................................................................................................................................................ 5

2.2

Personal and People Development ................................................................................................................................................................................. 6

2.3

Health, Safety And Security ............................................................................................................................................................................................. 6

2.4

Service Development ....................................................................................................................................................................................................... 7

2.5

Quality .............................................................................................................................................................................................................................. 7

2.6

Equality, Diversity and Rights .......................................................................................................................................................................................... 8

2.7

Hwb1 Promotion of Health & Prevention of Adverse Effects ........................................................................................................................................... 8

2.8

Hwb6 Assessment and Treatment Planning .................................................................................................................................................................... 9

2.9

Hwb7 Interventions and Treatment ................................................................................................................................................................................ 10

2.10

Ik2 Information Collection & Analysis ............................................................................................................................... Error! Bookmark not defined.

Section 3 ............................................................................................................................................................................................. Error! Bookmark not defined. Skills for Health competencies summary information ................................................................................................................... Error! Bookmark not defined. Section 4 ............................................................................................................................................................................................. Error! Bookmark not defined. Template Example of an Assistant Practitioner (Band 4) Competency Framework .................................................................... Error! Bookmark not defined.

Page | 3

Section 1 Introduction 1.1

Competency Framework

A competency framework can be used as a working tool to demonstrate the competence of an individual to carry out particular duties through a variety of assessment methods, including for example, production of work products and direct observation by a qualified member of staff. Competency frameworks should be linked to the KSF outline of a Dietetic Support Worker to enable professional development and maintained governance standards, including safe practice. The competencies below are taken from the skills for health library and could be used for a variety of Dietetic Support Worker roles. They have been linked to KSF dimensions to support local use. A competency framework example has also been included which outlines the skills required for a Dietetic Support Worker in a clinical setting. Others can be developed locally using the same principles.

1.2

Summary of KSF outline for clinical role

Core dimensions: 1 Communication 2 Personal and people development 3 Health, safety and security    

4 Service development 5 Quality 6 Equality, diversity and rights

HWB1 Promotion of health & prevention of adverse effects; HWB6 Assessment and treatment planning; HWB7 Interventions and treatment; IK2 Information collection & analysis Page | 4

Section 2 Skills for Health Core Standards 2.1

Communication

HSC233:

Relate to and interact with individuals

CfA203:

Maintain customer relations

CfA206:

Deal with visitors

GEN21:

Interact with individuals using telecommunications

HSC369:

Support individuals with specific communication needs

HSC31:

Promote effective communication for and about individuals

CHS174:

Advise and inform others on services

CHS100:

Develop relationships with individuals with long term conditions

HSC3100:

Participate in inter-disciplinary team working to support individuals

GEN18:

Give presentations to groups

GEN22:

Communicate effectively with individuals. This competence replaced HI36, LTCN2 and EUSC_15 during rationalisation of the database.

HSC21:

Communicate with, and complete records for individuals

GEN17:

Contribute to the discharge of an individual into the care of another service

Page | 5

2.2

2.3

Personal And People Development M&L A2:

Manage your own resources and professional development

HSC23:

Develop your knowledge and practice

HSC33:

Reflect on and develop your practice. This competence replaced PH03.01, DIAB_CA2 and DANOS AC1 during rationalisation of the database.

Health, Safety And Security CHS6:

Move and position individuals

GEN96:

Maintain health, safety and security practices within a health setting. This competence has replaced GEN3.

HSC22:

Support the health and safety of yourself and individuals. This competence replaced Diab_HE2 and DANOS DB3 during rationalisation of the database

HSC32:

Promote, monitor and maintain health, safety and security in the working environment. This competence replaced HCS E3, Diab_HE3 and DANOS BD4 during rationalisation of the database.

Page | 6

2.4

Service Development M&L A3:

Develop your personal networks

GEN13:

Synthesise new knowledge into the development of your own practice This competence replaced HI25 and HCS J7 during rationalisation of the database.

2.5

Quality HSC241:

Contribute to the effectiveness of teams

GEN63:

Act within the limits of your competence and authority

CfA202:

Work within your business environment

CM B7:

Manage the use of physical resources

GEN12:

Reflect on and evaluate your own values, priorities, interests and effectiveness

Page | 7

2.6

Equality, Diversity And Rights HSC330:

Support individuals to access and use services and facilities

HSC24:

Ensure your own actions, support the care, protection and well-being of individuals. This competence replaced Diab_DA2 during rationalisation of the database.

2.7

HSC3116:

Contribute to promoting a culture that values and respects the diversity of individuals

HSC234:

Ensure your own actions, support the equality, diversity, rights and responsibilities of individuals

Hwb1 Promotion Of Health & Prevention Of Adverse Effects CM G4: Communicate with individuals groups and communities about promoting their health and wellbeing in a defined caseload

Page | 8

2.8

Hwb6 Assessment And Treatment Planning CM D6:

Empower families, carers and others to support individuals with long term conditions

HSC3103:

Contribute to raising awareness of health issues

HSC398:

Contribute to assessing the needs of individuals for therapeutic programmes to enable them to manage their behaviour

Diab GA1:

Assess and advise individuals with suspected diabetes

Diab HA8:

Enable individuals with diabetes to monitor their blood glucose levels

AHP26:

Provide support to individuals to develop their skills in managing dysphagia

AHP27:

Assist others to monitor individuals’ attempts at managing dysphagia

CHS59:

Respond to referrals of individuals with health conditions

CHS93:

Agree a dietary plan for patients with a specified medical condition. This competence replaced RenRL2 during rationalisation of the database

Page | 9

2.9

Hwb7 Interventions And Treatment CfA201:

Carry out your responsibilities at work

CM D4:

Implement specific parts of individualised programmes of care

CHD HO2:

Assist in delivering the care plan for individuals needing care

MH29:

Support individuals during activities to improve their physical health and wellbeing

GEN58:

Receive requests for assistance, treatment or care

CHS126:

Conduct handover between healthcare personnel

CHS56:

Provide clinical information to individuals

GEN59:

Direct requests for assistance, care or treatment using protocols and guidelines

CHS3:

Administer medication to individuals

CHS66:

Support individuals to manage their medication

CHS16:

Undertake care for individuals with nasogastric tubes

LLUK L11:

Enable learning through demonstrations and instruction

CM E3:

Enable individuals to use assistive devices and assistive technology

CHS145:

Provide support to individuals to manage their body weight. This competence has replaced AHP8.

CHS146:

Monitor individuals’ progress in relation to managing their body weight and nutrition. This competence has replaced AHP9 Page | 10

CHS147:

Administer oral nutritional products to individual

CHS149:

Monitor and review individuals’ progress in relation to maintaining optimum nutritional status. This competence has replaced AHP14.

DYS1:

Undertake protocol-guided swallow screening/ assessments

CHS15:

Insert and secure nasogastric tubes. This competence has replaced AHP12.

CHS17:

Carry out extended feeding techniques to ensure individuals' nutritional and fluid intake

CHS19:

Undertake physiological measurements. This competence replaced HCS I4, Diab_FA1, Diab_FA5, HCS361 and DANOS AH6 during rationalisation of the database.

CHS148:

Provide information and advice to individuals on eating to maintain optimum nutritional status. This competence has replaced AHP13.

GEN14:

Provide advice & information to individuals on how to manage their own condition

2.10 Ik2 Information Collection & Analysis CHS168:

Obtain a patient/client history. This competence replaced EUSC01.

EUSC02:

Obtain supporting information to inform the assessment of an individual

Page | 11

Section 3 Skills for Health competencies summary information A number of the skills for health competencies listed above can be used for the differing roles of a Dietetic Support Worker; below is a brief description of the competence and where it could be used. NB: Users of the following competencies will need to ensure that practice reflects up to date information and policies.

3.1

CHS145: Provide Support To Individuals To Manage Their Body Weight

This workforce competence covers providing specialist support services to help individuals to manage their body weight at optimum nutritional levels. This may be individuals who are overweight and those who need to gain weight. In the context of this competence the term individual refers only to adults and older children.

3.2

CHS146: Monitor Individuals’ Progress In Relation To Managing Their Body Weight And Nutrition

This workforce competence is about providing specialist monitoring services to help people evaluate their progress and re-establish goals and targets to manage their body weight and improve nutritional health and well-being. In the context of this competence the term individual refers only to adults and older children.

Page | 12

3.3

CHS147: Administer Oral Nutritional Products To Individuals

This workforce competence covers your role in preparing and administering nutritional products to individuals and monitoring of the effects. This role is complex and will not be the role of all care staff, only those designated to undertake this activity according to their expertise and employers decisions. This workforce competence is intended to be used in a variety of care settings including hospitals, nursing and residential homes, hospices, and community settings including the individuals own home and GP surgeries.

3.4

CHS148: Provide Information And Advice To Individuals On Eating To Maintain Optimum Nutritional Status

This workforce competence covers providing support to individuals to maintain optimum nutritional status by offering advice and information.

3.5

CHS149: Monitor And Review Individuals’ Progress In Relation To Maintaining Optimum Nutritional Status

This workforce competence covers monitoring and reviewing an individual's progress in relation to maintaining optimum nutritional status.

3.6

DYS1: Undertake Protocol-Guided Swallow Screening/ Assessments

This competence is about the initial screening and/or assessment of individuals who present with difficulties swallowing liquids (including saliva) and solids. It covers recognition and identification of swallowing difficulties and implementation of protocol-guided actions. The practitioner will refer individuals with swallowing difficulties for a comprehensive dysphagia assessment using processes, and within timescales, specified in local protocols. It is essential that the potential risks presented by the problems associated with dysphagia are recognised and action taken with the appropriate degree of urgency. This competence is for practitioners who are not specialists in dysphagia, but who have appropriate training and responsibility for identifying individuals with swallowing difficulties. This includes practitioners who work across primary and secondary health care, social services and education. Page | 13

3.7

CHS15: Insert And Secure Nasogastric Tubes

This workforce competence covers the insertion of nasogastric tubes following agreed protocols and procedures as and when directed. All of these activities must be undertaken using an aseptic technique.

3.8

CHS17: Carry Out Extended Feeding Techniques To Ensure Individuals' Nutritional And Fluid Intake

This workforce competence covers feeding individuals using techniques other than oral feeding. These methods include Percutaneous Endoscopic Gastrostomy (PEG) feeds, nasogastric (NG) tube feeds and subcutaneous fluid infusions. This workforce competence does not cover intravenous techniques for giving fluids.

3.9

CHS19: Undertake Physiological Measurements

This workforce competence covers taking and recording physiological measurements as part of the individuals care plan. Measurements include: blood pressure both by manual and electronic; pulse rates and confirming pulses at a variety of sites e.g. pedal pulses; pulse oximetry; temperature, respiratory rates, peak flow rates; height; weight; body mass index (BMI); girth. These activities could be done in a variety of care settings, including hospitals wards and other departments including out patients, nursing homes, the individuals own home, GP surgeries etc. The recording of such measurements must take into account the individuals overall condition, and the delegation of these measurements to you may change as the individual's condition changes, and sometimes this skill will fall outside of your role and responsibility. Any adverse conditions may result in other members of the care team undertaking these measurements.

Page | 14

3.10 CHS92: Review And Monitor A Patient’s Nutritional Wellbeing This competence is about identifying the dietary needs of the patient and negotiating with them a nutritional plan that the patient is likely to sustain. Tension can occur when staff are not cognisant of religious, cultural, social and age customs and requirements and the implications these can have on the patient's lifestyle and habits.

3.11 CHS93: Agree A Dietary Plan For Patients With A Specified Medical Condition This competence is about supporting an patient with a specified medical condition to make and sustain dietary and lifestyle changes using a dietary plan. The dietary plan should be agreed with the patient, and with their carer (s) if the patient chooses to involve them.

3.12 GEN12: Reflect On And Evaluate Your Own Values, Priorities, Interests And Effectiveness This workforce competence covers reflecting on and evaluating your own values, interests, priorities and effectiveness in practice to enable you to understand your own actions and reflect on the effectiveness of your interaction with others. The workforce competence applies to all workers in the health and social care sector who are accountable for their own actions and responsible for their own development. This includes registered and unregistered staff.

3.13 GEN13: Synthesise New Knowledge Into The Development Of Your Own Practice The workforce competence covers your role in incorporating and embedding new knowledge into practice. The new knowledge may come from reflecting on and evaluating your own practice or from finding out about and utilising the developments made by others. This workforce competence is intended to support good practice in action research and the development of evidence-based practice. The workforce competence applies to all workers in the health and social care sector who are accountable for their own actions and responsible for their own development. This includes registered and unregistered staff. Page | 15

3.14 GEN14: Provide Advice & Information To Individuals On How To Manage Their Own Condition This workforce competence covers establishing individuals' requirements for information and providing advice and information to enable them to manage their condition, adopting a suitable lifestyle to optimise their health and wellbeing. The term ‘individual' in this workforce competence is taken to mean anyone with whom you come into contact whether they are service users, their family or significant others, colleagues, or other professionals. You need to relate to each person as someone with their own particular needs for information and advice and develop a full understanding of their requirements and how these can best be met. This workforce competence depends on your being able to communicate information effectively, and being responsive to any queries.

3.15 GEN18: Give Presentations To Groups This workforce competence is about giving presentations to groups. The groups could be colleagues or support groups or others in the community requiring information about a topic that is within your area of work. The activities that might be relevant to this workforce competence include: identifying individual needs and learning styles; choosing appropriate presentation techniques; structuring presentations; and adapting presentations to take account of technology-based learning.

3.16 GEN22: Communicate Effectively With Individuals This workforce competence is about communicating effectively with individuals. People completing this workforce competence will be working directly with individuals and will be expected to communicate effectively with key people and others who are important to the tasks being undertaken. Those taking this workforce competence will also be expected to use their initiative and follow organisational procedures in times of crisis.

3.17 GEN96: Maintain Health, Safety And Security Practices Within A Health Setting This workforce competence relates to the continuous and consistent attention of each individual maintaining their health, safety and security practices within a health setting to protect themselves and others during all work activities and will be assessed in conjunction with other standards. It also covers personal security and access to working environments. Page | 16

This competence does not cover the personal security of patient information data

3.18 HSC21: Communicate With, And Complete Records For Individuals This workforce competence covers communicating with individuals in all types of health and social care settings. This involves working with individuals and others to identify the best forms of communication, listening and responding to individuals’ questions and concerns, communicating with individuals using their preferred method of communication, and accessing and updating records and reports, for and about individuals.

3.19 HSC22: Support The Health And Safety Of Yourself And Individuals This workforce competence is about keeping yourself, individuals and others that you are responsible for, safe and secure within the working environment. This involves carrying out health and safety checks before you begin work activities, ensuring your own actions support health and safety in the place you work, and taking action to deal with emergencies.

3.20 HSC233: Relate To And Interact With Individuals This workforce competence covers relating to and interacting with individuals. This involves identifying the relationship needs of individuals, developing effective relationships with them and monitoring and altering the relationships to meet changing needs.

3.21 HSC234: Ensure Your Own Actions, Support The Equality, Diversity, Rights And Responsibilities Of Individuals This workforce competence covers the underpinning values and principles that must be demonstrated in every aspect of your daily work with individuals, key people and others. It is applicable to all workers in all health and social care settings. This competence involves respecting the rights and interests of individuals, treat everyone equally and in ways that respects diversities and differences and acting in ways that promote the individuals' confidence in you and your organisation. Page | 17

3.22 HSC24: Ensure Your Own Actions, Support The Care, Protection And Well-Being Of Individuals This workforce competence covers supporting the care, protection and well-being of individuals. This involves relating to and supporting individuals in the way they choose, treating people with respect and dignity, and assisting in the protection of individuals from danger, harm and abuse.

3.23 HSC31: Promote Effective Communication With, For And About Individuals This workforce competence covers promoting effective communication with, for and about individuals. This involves identifying ways of communicating effectively on difficult, complex and sensitive issues, supporting others to communicate and updating and maintaining records and reports.

3.24 HSC3116: Contribute To Promoting A Culture That Values And Respects The Diversity Of Individuals This workforce competence covers contributing to ensuring that the environment and culture in which you work values and respects the diversity of individuals. This involves contributing to identifying methods and processes that ensure each individual is valued and respected, contributing to implementing methods and processes that encourage individuals to value and respect each other, and Identifying and using the life experiences of individuals as a resource to promote a culture that values and respects everyone.

3.25 CHS168: Obtain A Patient/Client History This workforce competence covers gathering information to obtain a relevant history from the individual and where appropriate a third party to establish the health status and needs of the individual to support and inform their assessment, intervention, care or treatment plan

Page | 18

3.26 EUSC02: Obtain Supporting Information To Inform The Assessment Of An Individual This workforce competence covers gathering information to support and inform the assessment of the health status and needs of an individual requiring medical assistance.

3.27 HSC33: Reflect On And Develop Your Practice This workforce competence covers reflecting on, evaluate and taking action to enhance your own knowledge and practice.

3.28 GEN17: Contribute To The Discharge Of An Individual Into The Care Of Another Service This workforce competence is about supporting the discharge of individuals from a health care service once the decision to discharge has been taken by an appropriate practitioner. This workforce competence is suitable for anyone who is expected to assist in the discharge of an individual from the health care services. Discharge may be into the care of other health or social services or into the individual's own care, which includes care provided by family members and/or significant others. The workforce competence includes clinical discharge procedures and covers the checking of discharge notes, the transmission of information and, in the case of individuals being discharged into their own care, the provision of advice and information on their after-care.

3.30 HSC32: Promote, Monitor And Maintain Health, Safety And Security In The Working Environment This workforce competence covers keeping yourself, individuals and others for whom you are responsible, safe and secure within your working environment and minimising risks arising from emergencies. Users of this competence will need to ensure that practice reflects up to date information and policies.

Page | 19

Section 4 Template Example of a Dietetic Support Worker (band 3) Competency Framework Form for Developing an NHS KSF Outline for a Post Title of Post: Dietetic Support Worker NHS KSF Dimension

Needed for Post

1

2

3

4

Level for Post - Notes

Core Dimensions – relate to all posts 

1 Communication

Y

2 Personal and People Development

Y



3 Health, Safety and Security

Y



4 Service Improvement

Y



5 Quality

Y



6 Equality and Diversity

Y



Level one at Foundation Gateway



Specific Dimensions Health and Well being

Page | 20

HWB1 Promotion of health and well being and prevention of adverse effects to health and well being HWB2 Assessment and Care Planning to meet people’s health and well being needs HWB3 Protection off health and well being HWB4 Enablement to address health and well being needs

Y



Y



HWB5 Provision of care to meet health and well being needs HWB6 Assessment and treatment planning HWB7 Interventions and treatments

Page | 21

NHS KSF Dimension

Needed for Post

1

2

3

4

Level for Post - Notes

HWB8 Biomedical Investigation and intervention HWB9 Equipment and devices to meet health and well being needs HWB10 Products to meet health and well being needs Estates and Facilities EF1 Systems, Vehicles and equipment EF2 Environments and buildings EF3 Transport and logistics Information and Knowledge IK1 Information and Processing

Page | 22

IK2 Information collection and analysis

Y

 Hospital Dietitian only

IK3 Knowledge and information resources General G1 Learning and development G2 Development and Innovation G3 Procurement and Commissioning G4 Financial management G5 Services and Project management G6 People Management G7 Capacity and capability G8 Public relations and marketing

Page | 23

Generic KSF Outline/Competencies for a Dietetic Support Worker (Band 3) Dimension 1: Communication. Level 2: Communicates with a range of people on a range of matters Indicator a) Communicates with range of people on a range of matters in a form that is appropriate to them and the situation:

Examples of Application

Date Achieved

-Establishing and maintaining contact with different people e.g. Relatives, Patients and Colleagues -Arranging appointments -Sharing information and opinions -Reporting any changes required

b) Improves the effectiveness of communication through the use of communication skills

-Demonstrate listening skills -Asking and answering questions and giving explanations -Demonstrate non-verbal skills and body language. -Uses different methods to communicate eg texts, telephone, note writing

c) Constructively manages barriers to effective communication

-Modifying the style/form of communication to suit the individual or situation `Page 24

Signature

-Present a positive image of her/himself and the service -Simplifying the content -Using communication aids d) Keeps accurate and complete records consistent with legislation, policies and procedures

-Maintain accurate up to date documentation in all records, electronic and paper. -Demonstrate a complete awareness of confidentiality.

e) Communicates in a manner that is consistent with relevant legislation, policies and procedures

-Would obtain authorisation from caseload holder or line manager prior to disclosing any information. -Communicate/feedback client needs to the Senior and carry out any action required. -Be aware of the Data Protection Act and follow local codes of practice to ensure appropriate action is taken to safeguard confidential information.

`Page 25

Dimension 2: Personal and People Development. Level 1: Contributes to own personal development. Indicator

Examples of Application

a) With help from others identifies:

-Recognise limitations of knowledge/skills and seek help/advice appropriately.

whether he/she can carry out the tasks within own job - what s/he needs to learn to do current job better - when h/she needs help b) Reviews his/her work against the KSF outline for the post with his/her reviewer and identifies own learning needs and interests -

Date Achieved

-Able to self assess what he/she needs to do to learn and develop within the role

-Demonstrate an awareness of own performance through reflection and evidence within personal development portfolio. -Develops and maintains their own Portfolio, Performance Development -Knowledge of KSF -Takes part in clinical supervision -To aim to balance work life balance and personal well being

`Page 26

Signature

c) Produces with his/her reviewer a personal development plan

-Plan and contributes fully to the PM&DR process

d) Takes an active part in agreed learning activities and keeps a record of them

-Attendance at relevant training events to maintain clinical competence as identified at PM & DR Maintains own portfolio of learning

e) Evaluates the effectiveness of learning activities for own development and the job

-Reflects on learning which has taken place and how practice may be changed accordingly Maintains own portfolio of learning

`Page 27

Dimension 3: Health, Safety and Security. Level 1: A ssi st in m ain taining o wn an d o th e r s’ h e alth , safe ty an d se c u r ity Indicator Examples of Application a) Acts in ways that are consistent with legislation, policies and procedures for maintaining own and others health, safety and security

Date Achieved

-Demonstrate an understanding of the following policies/Guidance and acts accordingly - Infection control. -Risk management/Incident reporting -Moving and Handling -Personal Safety/Lone worker.

b) Assists in maintaining a health safe and secure working environment for everyone who is in contact with the organisation

-Educate patients, carers and other staff in managing risks and ensure the following: -Checking the safety of fittings and fixtures and reporting any defects -Care of equipment and environment. Correct disposal of waste -Appropriate and secure use of IT -Security systems and alarms -Being immunised to protect self and others from specific health risks -Taking part in risk assessments

`Page 28

Signature

c) Works in a way that minimizes risks to health, safety and security

-Driving safely if appropriate -Effective hand hygiene -Adheres to all policies and procedure relating to health and safety -Using organisational security measures -Taking responsibility for health and safety of self, staff, patients and carers and ensure adherence to relevant policies

d) Summons immediate help for any emergency and takes the appropriate action to contain it

Reporting situations promptly and efficiently and supporting other members of staff in a emergency -Reporting of significant events to Senior -Awareness of how and who to summon in an emergency

e) Reports any issues at work that may put health, safety and security at risk

Reports to Senior necessary

`Page 29

Dimension 4: Service Improvement Level 1: Assist in maintaining and developing services.

Indicator

Examples of Application

Date Achieved

a) Discusses with line manager/work team the changes that need to be made in own practice and the reasons for them

-Inform Senior of progress or adverse effects from local policies or strategies

b) Adapts own practice as agreed and to time seeking support if necessary.

-Changes practice according to updated policies and strategies as necessary and as instructed by manager

c) Effectively carries out task related to evaluating services when asked

-Participates with audit. -Participates with developing services for clients. -Works closely with public and users of services

d) Passes on to the appropriate person constructive views and ideas on improving services for users and the public

-Shares experience and knowledge with others. -Feedback patient information and own ideas regarding service provision -Contributes in team meetings/briefings.

e) Alerts line manager/work team when direction, policies and strategies are adversely affecting users of services or the public

-Communicates effectively with Senior re treatment plans which are not effective

`Page 30

Signature

Dimension 5: Quality. Level 2: Maintain quality of own work and encourages others to do so

Indicator

Examples of Application

Date Achieved

a) Acts consistently with legislation, policies procedures and other quality approaches and encourages others to do so

-Follows clinical policies and procedures. -Assists with regular clinical/documentation audit as required. -Recognises the meaning of quality procedures on how work is carried out and acts consistently with them -Support others to do the above

b) Works within limits of own competence and levels of responsibility and accountability in the work team and organisation

-Identifies issues in own work area or whilst supervising others and takes action to remedy them. -Recognise own limitations and be aware of when there is a need to refer to a Senior

c) Works as an effective and responsible team member

-Arrives promptly and alerts others if late -Liases with Senior Colleagues -Carries out own duties to a high standard - Makes suggestions on how quality in own work area can be improved `Page 31

Signature

d) Prioritises own workload and organises own work to meet these priorities and reduces risks to quality

-Organises workload logically and efficiently according to need and urgency for each day.

e) Uses and maintains resources efficiently and effectively and encourages others to do so

- Prepare equipment, materials and self appropriately for the work being carried out. -Uses, maintains, handles and stores equipment and materials efficiently, effectively and safely. -Alerts relevant person if problems arise regarding faulty equipment etc -Encourages others to do above

`Page 32

Dimension 6: Equality, Diversity and Rights. Level 2: Support people’s equality, diversity and rights. Indicator

Examples of Application

Date Achieved

a) Recognises the importance of people’s rights and acts in accordance with legislation, policies and procedures

-Beliefs and preferences might include: -How individuals like to be addressed and spoken to. -Adheres to legislation, policies and procedures -Maintains privacy

b) Acts in ways that:

-Diet.

-Acknowledges and recognise peoples expressed beliefs, preferences and choices.

-Education and expectations.

-Respect diversity

-Privacy and dignity

-Value people as individuals

-Faith or beliefs

-Personal care

-Applies changes in treatments according to individuals needs and cultural preferences etc

`Page 33

Signature

c) Takes account of own behaviour and its effect on others.

-Explaining to others why their behaviour is discriminatory. -Evaluates behaviour and interaction with individuals

d) Identifies and takes action to address discrimination and oppression

-Has an awareness of relevant Policies and procedures i.e. Equal opportunities, harassment and Bullying, Racial Discrimination. -Reports any concerns to manager

`Page 34

Dimension HWB4:Enablement to address health and well being Level 1: Help people meet daily health and well being needs

Indicators

Examples of Application

Date Achieved

a). Respects people’s dignity, wishes and beliefs, involves them in shared decision making; and obtains their consent for specific activities

-Able to respect patients wishes regarding their care and decisions when refusing intervention

b) Prepares appropriately for the activity to be undertaken

-Understands the need for appropriate preparation prior to intervention being carried out

-Recognises the need to obtain consent for any care they are to carry out

-Able to follow infection control procedures with regard to hand washing disposal of waste etc -Is aware of equipment needed prior to attending a client c) Supports people throughout helping them to meet their own health and well being needs as much as possible

-Encourages people to help become as independent as they are able with the activities of daily living -Advised re methods of health promotion as appropriate

`Page 35

Signature

d) Undertakes activities as delegated and consistent with legislation, policies and procedures

-Aware of current legislation, policies and procedures relevant to work -Carries out activities as delegated by Senior Person -Maintains confidentiality

e) Promptly alerts the relevant person when there are changes in individuals health and well being or any possible risks

-Recognises and reports to Senior any deterioration or changes in peoples health and well being

f) Records and reports activities and any risks to the relevant person

-Maintains and updates electronic and paper records and reports accurately and promptly as activities have been carried out

`Page 36

DimensionHWB7: Interventions and Treatments Level 1: Assist in providing interventions and or treatments Indicator

Examples of Application

The worker: a) Checks with relevant sources of information to confirm the tasks to be undertaken in relation to interventions and/or treatments

-Checks treatment plan to confirm duties/patients to be carried out

Date Achieved

-Refers to senior staff to ensure information is correct and up to date -Asks questions as necessary and carries out duties to a high standard -Is aware of own limitations and refers back to senior staff if not competent and confident to carry out the tasks

b) Respects individuals’ dignity, wishes and beliefs; involves them in shared decision making; and obtains their consent for the assessment to be undertaken

-Able to respect patients wishes regarding their care and decisions when refusing treatment or care

c) Undertakes specific tasks correctly and in line with legislation, policies and procedures and/or established protocols

-Works under instruction and to agreed treatment plan

-Recognises the need to obtain consent for any care they are to carry out

-Consults with senior member of staff if any problems or concerns -Ensure patient is comfortable and happy with treatment and provide reassurance as necessary

`Page 37

Signature

d) Monitors individuals whilst carrying out the tasks and identifies and reports any changes in the individuals health and well being

-Awareness of contraindications or precautions to any interventions/treatments to be delivered -Observes the client during consultation for any changes in condition or adverse effects -Reports any adverse effects immediately to senior member of staff - Dietitians only - Monitoring of food record charts/calculations and calories intakes

e) Record activities and outcomes consistent with legislation, policies and procedures

-Makes accurate, clear and concise records of treatment undertaken -Awareness of, and adheres to the Data Protection Act

`Page 38

Dimension IK2 Information collection and analysis – Hospital Dietetics Only Level 1: Collect, collate and report routine and simple data

Indicator

Examples of Application

a) Collects and collates data/information effectively and to time using set systems and consistent with legislation, policies and procedures

-Inputs information from food record charts

b) Confirms that the data/information meets pre set quality criteria and reports quality issues

-Analyses any discrepancies eg protein or calorie intake

c) Maintains the integrity of data/information using agreed procedures

As for b

Date Achieved

-Reports back to dietitian

-Maintains confidentiality -Adheres to Data Protection Act

d) Reports the data/information clearly in the required format at the time agreed

-Reports information to relevant Therapist on day of input

`Page 39

Signature

Foundation Gateway if different from Full Outline Dimension 5: Quality. Level 1: Maintain quality of own work

Indicator

Examples of Application

Date Achieved

a) Complies with legislation, policies procedures and other quality approaches relevant to the work being undertaken

-Follows clinical policies and procedures. -Assists with regular clinical/documentation audit as required. -Recognises the meaning of quality procedures on how work is carried out and acts consistently with them

b) Works within limits of own competence and levels of responsibility and refers issues beyond these limits to relevant people

-Identifies issues in own work area and takes action to remedy them.

c) Acts responsibly as a team member and seeks help if necessary

-Arrives promptly and alerts others if late

-Awareness of when the need is to refer to a Senior Person

-Liases with senior colleagues. -Carries out own duties to a high standard -Is aware of limitations and knows when to seek advice `Page 40

Signature

d) Uses and maintains resources efficiently and effectively

- Prepare equipment, materials and self appropriately for the work being carried out. -Uses, maintains, handles and stores equipment and materials efficiently, effectively and safely. -Alerts relevant person if problems arise regarding faulty equipment etc

e) Reports problems as they arise, solving them if possible

-Alerts relevant person if problems arise regarding faulty equipment etc -Is aware of limitations and knows when to seek advice

`Page 41