A Capability Framework for Working in Acute …

1 A Capability Framework for Working in Acute Mental Health CareThe values, skills, and knowledge needed to deliver high quality care in a full range of Acute settingsACKNOWLEDGEMENTSNHS Education for Scotland would like to sincerely thank everyone from across Scotland, and the UK who contributed to the development of this Framework . We would also like to acknowledge the contributions of the project group and Working group and thank them for their time and of the Project Group commissioned to develop the Framework and the Working Group who guided the project are shown in Appendix IPage 3 ContentsIntroduction What is a Capability Framework ?

2 Why develop this Framework ? Who is the Framework for? How should the Framework be used? The structure of the Framework How does the Framework relate to other mental health Capability and career frameworks? Key legislative and policy drivers that have informed the development of the Framework The Framework Rights, values and recovery focussed practice Supporting recovery from Acute crisis Making a difference in Acute care Sharing positive risk taking Supporting Implementation Learning to support the development of the capabilities Activities and initiatives to support a positive change agenda in Acute care services in Scotland Generic Capability frameworks on which this Framework builds Useful References/Sources Useful Websites Appendices Appendix I Members of the Project and

3 Working Groups Appendix II Four Overarching Themes for Advanced Practice Appendix III Underpinning Principles for Advanced Practice Appendix IV The Knowledge and Skills Framework (KSF) Dimensions, Levels and indicators relating to the Acute Care Capability Framework 44556889121822262930313233343536 Page 4 IntroductionWhat is a Capability Framework ? Capability (or ability) frameworks describe the values, skills and knowledge that people should have to help them to do high quality work.

4 Whilst the Framework was principally developed for nurses, a range of disciplines and workers, Working in Acute care settings could also use this develop this Framework ?Recent national policy documents, such as Rights, Relationship and Recovery - The Report of The National Review of Mental Health Nursing in Scotland and Delivering for Mental Health, have highlighted the important role of Acute mental health services and care. This has led to a positive agenda for development providing a welcome move away from merely identifying the problems and shortcomings of Acute care, towards providing guidance, support and targets that will have a positive impact for those who use and provide Acute services.

5 Acute care in Scotland is developing to provide a full range of services including crisis resolution teams, crisis centres and intensive home care and treatment. These services are provided by a range of agencies including health and the voluntary sectors, and operate alongside in-patient care settings. Delivering for Mental Health outlines a range of future developments including Acute In patient Forums and Crisis Services Standards and HEAT targets1 for mental health services. This Framework supports this policy drive and aims and in a later section we outline a range of activities and initiatives that have been put in place by the Scottish Government and other organisations to support this positive change agenda.

6 HEAT target from Delivering for Mental Health Target 3. We will reduce the number of readmissions (within one year) for those who have had a hospital admission of over 7 days by 10% by the end of December 2009 There are also a number of other training developments that have complemented the development of this Framework including the Ten Essential Capabilities Training Materials (Scotland) and Realising Recovery- A National Framework for Learning and Training in Recovery Focused What is a HEAT target?

7 HEAT (Health Improvement, Efficiency, Access, Treatment) targets are a core set of Ministerial objectives, targets and measures for the NHS. There are four mental health HEAT targets in Delivering for Mental 5 Who is the Framework for? In developing the capabilities that are specific to Acute care, close attention has been paid to what makes Acute care different for nurses, service users, and other mental health workers in comparison to other areas of mental health care. In particular the Framework pays close attention to: The purpose of Acute care The impact of the environment in which Acute care is provided (whether this is in hospital or community) The impact of Acute care on peoples rights, recovery and relationships This Framework aims not to duplicate other general Capability frameworks that inform the work of pre and post registration mental health nurses and a list of other relevant mental health Capability frameworks is presented in the references section.

8 This Framework sets out a range of capabilities for all nurses Working in Acute care and then a further set of capabilities as nurse s progress their careers. However this Framework does not intend to limit people s development, indeed many practitioners may be aspiring to and achieving capabilities beyond their particular career stage and this should continue to be should the Framework be used?For nurses and service managers : to guide personal development planning by highlighting the support and development needed to promote effective Working , and career progression in Acute care, which maps with the NHS Knowledge and Skills Framework (see Appendix IV)For service users and their families/carers : to explain the key skills, knowledge and attitudes that they should expect from nurses in Acute care education and training organisations.

9 To guide the development of training and educational activities and programmes specific to Acute 6 The structure of the FrameworkThe Framework is divided into four key areas. Under each of the four areas the key capabilities are in bold with further detail about each Capability bullet pointed Four AreasArea 1 Rights, values and recovery focused practiceAs well as having knowledge of legislation and associated guidance that relates to Acute care, nurses must be capable of recognising how legislation and principles inform values, and safeguard the rights of all service users and carers/family members.

10 The capabilities in this area are also informed by the knowledge, values, and skills necessary for developing recovery focused Acute care and 2 Supporting recovery from Acute crisisThis area includes capabilities about the nurse s role within Acute care in supporting people s recovery journeys by forming positive and optimistic relationships, which build on people s strengths. Area 3 Making a difference in Acute careThis includes capabilities about developing skills in prioritising time for face-to-face contact, offering therapeutic interventions - including social, psychological and pharmacological interventions, and providing a therapeutic 4 Sharing positive risk taking This area includes capabilities that help nurses to actively and meaningfully involve people in a shared responsibility for assessment of risk, risk management.