Case Studies

Calderdale & Huddersfield NHS Foundation Trust

The Therapy and Rehabilitation directorate used CF initially to provide assurance that our therapy support workforce was competency trained at both levels 2 and 3 on the career framework. This improved safety and quality for patients (Smith & Duffy, 2010)

The work was rolled out into nursing .The HCA workforce (level 2 and 3) is now competency trained in core, delegated nursing competencies. Work is underway to identify service specific competencies across the Trust to expand the HCAs role in line with patient need. This training was accredited to NVQ awards, which were service specific and achieved within 5 months in conjunction with the development and use of a rigorous CPD portfolio which contained robust reflective accounts.

This work was highly commended in the 2008 HSJ Awards

Use of CF to develop our Assistant Practitioner workforce (level 4) (WYLLN 2011) has led to over 25 AP posts within the Therapy and Rehabilitation Directorate, each one meeting Skills for Health Standards () for AP. This has resulted in no loss of quality to patients and resulted in a cost: task benefit. In the Accessible Home teams, this also resulted in a waiting time reduction of 28 weeks.

This work took us to the HSJ Awards final in 2010

Trans disciplinary skill sharing across our AHP workforce has resulted in a reduction of multiple assessments and treatments and reduced waiting times. A RCT in Australia is about to be published: key findings were, patients preferred it, staff preferred it and there was no difference in outcomes between this new way of working and traditional roles.

An exciting recent development is skill sharing between OT and social work staff. It is predicted on the fractured neck of femur pathway that for patients requiring reablement on discharge up to a 5 day reduction in length of stay is a realistic expectation.
CF was also a key tool in the success of integrating our health and social care reablement workforce at all levels on the career framework, again this has maximized rehabilitation opportunities and there has been a reduction in complex packages as an outcome.

We were finalists in the 2013 HJS Awards with this work

Most recently we have used CF to identify new roles; those of hybrid support worker (levels 2 and 3) between therapy and nursing. These roles will contribute to the 7 day working agenda.

We are now exploring Advanced Clinical Practice roles, (level 8) which is a fantastic opportunity for our staff and again will meet patients’ needs enabling us to meet the challenges of diminished F1 and F2 numbers whilst ensuring safe and effective treatment. Work based learning has been captured into academic credit for these roles too, adding value to the learners as well as improving services to patients.
The current financial pressures in the NHS, felt locally, give rise to an urgent need to review the skill mix and skill sets in our workforce thus ensuring we make the most effective and efficient use of this valuable resource whilst maintaining quality. The availability of the Calderdale Framework within our therapy services has supported this activity.
I am confident that the scale, of what we have achieved, would not have been possible without use of the Calderdale Framework.”

Nicola Sheehan
Clinical Lead Therapies and Rehabilitation

Use the links below to view or download a range of Calderdale Framework training posters (PDFs).

Using the Calderdale Framework to develop hybrid support workers…

Using the Calderdale Framework to develop the Assistant Practitioner role…

Using the Calderdale Framework to develop an integrated health and social care workforce…

The Calderdale Framework training pathway…