As presented to IHEEM on 29 September 2011.

1. MAINTAINING COMPLIANCEWhat every Premises Manager needs to know Competence and Training

3. Compliant to what?

4. Who needs to be compliant?

5. What does the guidance say?

6. What is competence?

7. How do you develop competence?

9. Healthcare Support Services Training:What we do and who we do it with The Institute of Physics and Engineering in medicine

10. What needs to be compliant? The service? The product? The organisation? ALL OF THE ABOVE?

11. Compliant to what? Legislation Codes of Practice International Standards Care Quality Commission inspection standards NHS Guidance HTMs etc themselves draw on others JCI (US/int’l standard) Etc, etc…

12. Who needs to be compliant? The hospital Departments Managers Technicians (AP/CP) Operators Suppliers Contractors External named roles ALL OF THE ABOVE?

13. “All personnel employed in the operation and maintenance of critical engineering services, including maintenance personnel and operators, should receive adequate, documented training.” Training, information and communications policy manual Spaceforhealth.nhs.uk The starting point for our journey – The document formerly known as…

14. What does the guidance say?HTM 02-01 Dedicated Chapter “7 - Training and communication” Guidance for all roles CP/AP/AE and others Refresher guidance and schedule Specific Learning content Learning outcomes

15. What does the guidance say?HTM 04-01 b Para 5.2 “Competence” Not very specific “…a programme of staff training…”

16. What does the guidance say?HTM 01-05 Paragraph 1.25 “Training and education” Mentions CPD “professionals” must register “not less than 5 hours’ training over a period of 5 years.”

17. What does the guidance say?HTM 06-02 Appendix 7 – Qualification and Training Requirements Lists required qualifications and experience Training specified by duration and topic

18. What does the guidance say or imply about personal compliance? It could be summarised as: You need training You need experience You need accreditation You need CPD and refresher training and You need to be COMPETENT

19. Occupational Competence is: The ability to perform, to agreed occupational standards, in the workplace TRAINING DOES NOT EQUAL COMPETENCE

20. From ACoP L8 - Legionalla Para 45, page 16

22. understanding,

23. skills and

24. attitudes in a defined range of situations, to meet predetermined occupational standards’

25. How do we attain the components of competence? Knowledge Understanding Skills Attitudes All to be demonstrated in context (workplace) to the standards expected

26. How it works with NVQs and Apprenticeships Sector Skills Councils Awarding Bodies

27. To develop competence you need to … Define and/or develop service standards and career pathways 2. Audit & assess existing compliance to these standards

28. To develop competence you need to … 3. Identify the training needs related to service delivery to these standards 4. Design appropriate learning solutions to meet these training needs

29. To develop competence you need to … 5. Deliver effective training & support 6. Assess & Accredit competence 7. Evaluate benefits and Service compliance

30. A Competence Development Model Determine Standards (for the service in the Country) Based on HTMs? Re-audit/assess? Audit/Assess compliance to Standard (In practice) Evaluate Training Added value? At organisation or Service level Identify training needs Using role Competencies Accreditation Assess Competence Design training (to meet needs) Workplace Support Pilot training Deliver Training

31. The Competence Spectrum Competent Conscious competence Unconscious competence Unconscious Conscious Conscious incompetence Unconscious incompetence Incompetent

32. So what are you to do to be compliant? If the guidance is not clear or consistent, hedge your bets and do all of the above!! Look to ensure: Appropriate training is available Accreditation is sought CPD is recorded Competence is measured and reviewed Experience is nurtured and shared

33. But is being compliant good enough? If a car just scrapes through its MOT it is compliant … but would you be happy driving it?? How long will it remain compliant? Where's the added value?