Public Health Nurse (HV) Competency Framework (Band 6)

Transcription

1 Public Health Nurse (HV) Competency Framework (Band 6) July 2017 Review - July

2 Foreword This competency framework for Public Health Nurse (HV) has been developed in conjunction with the Healthy Together service specification to be delivered within Leicestershire Partnership Trust (LPT). It is expected to be used alongside the Healthy Together Standard Operating Guidance (SOG) The framework was developed out of a service need for a robust delegation process and to identify competencies for safe practice. The aim of this document is to provide a general overview of the knowledge and skills required for a Public Health Nurse (HV) working within Healthy Together in Leicester City, Leicestershire and Rutland. The document is intended to be used for the Public Health Nurse (HV) induction processes. Competencies are expected to be met during the first year of preceptorship to ensure the practitioner is working in line with the job description. The Service: The service we offer in Leicester Partnership Trust (LPT) is laid out in the Healthy Together Standard Operating Guidance (2017). This document sets out the minimum expected contact, assessment and delivery of care Healthy Together should deliver. The service offered will be dependent upon the holistic assessment of the child and family which will determine whether this universal pathway is appropriate or if further intervention is required. The following statements apply to all client contacts: Whole Family Centred Approach: Practitioners working within Healthy Together will work together to connect those involved with families, children s centres, schools, voluntary services and community groups to better safeguard and improve the health of individuals, families and the community by supporting whole family approaches, Future in Mind and place-based working. Equality and Diversity: Leicestershire Partnership Trust is committed to ensuring equality and Human Rights are central to the delivery of healthcare services. The trust s aim is to eliminate health inequalities and promote equal access for all. All practitioners in Healthy Together are expected to promote equality and diversity within their practice. Duty of Care: These competencies reflect current evidence in child health and the growing health improvement agenda. The Healthy Child Programme (DOH 2009) is the guidance which underpins the work undertaken by a practitioner working within Healthy Together and highlights the key role that they play in improving the health and wellbeing of children, as part of an integrated approach to supporting children and families. An effective, universal, preventative and early intervention service has a crucial role in working collaboratively to identify the number of at risk children and young people. The 2

3 service aims to reduce the risk of this client group becoming the most vulnerable adults in the future. Early intervention and long term investment will support the children, young people and their families to reach their full potential. The document gives clear guidance on the minimum standard expected of the Public Health Nurse (HV) working within Healthy Together at Band 6 level. Safeguarding: All healthcare professionals have a duty to safeguard the welfare of those children with whom they come into contact and to consider the needs of children in all relevant aspects of their work e.g. multi-agency working ( and Professionals must act in accordance with the Local Safeguarding Childrens Boards for Leicester, Leicestershire and Rutland, (LLR) and organisational policy and procedures if abuse or neglect is suspected. Guidance is also provided for all practitioners in the Healthy Together Standard Operating Guidance (2017). Parameters of Practice: Delegation Delegation of care must always take place in the best interest of the patient or client and the decision to delegate must always be based on an assessment of the client s needs. The decision to delegate is the sole responsibility of the NMC registrant based on their professional judgement. NMC registrants retain responsibility and accountability for the delegated duties. NMC registrants may only delegate aspects of care to a person whom has been deemed competent and should assure themselves that the person fully understands what is required. No member of Healthy Together should feel pressurised into delegating or accepting a delegated task (NMC 2015). Any contact must be documented within the Leicestershire Partnership Trust nursing electronic record system SystmOne in line with the organisations current record keeping policy (2014) and for a child less than 5 years also in the National Personal Child Health Record (PCHR/Red book). Accountability The Named Public Health Nurse (HV) will remain accountable for the delegated work undertaken by members of the team, ensuring that the work is appropriate for the competencies of the team member to whom the work is delegated. Training The Public Health Nurse (HV) new to the organisation will be expected to attend core mandatory training and role specific training before they commence in practice. They will also be responsible for attending mandatory training as per the requirements of the 3

4 organisation, role specific training as stated in the Healthy Together training matrix and also to identify any training that might enhance their practice. All new band 6 SCPHN, Public Health Nurse (HV) will be expected to have completed a preceptorship these competencies work alongside the (SN) role spans the 5-19 remit. Their remit will be determined by the Clinical Team Leaders (CTL) and the needs of the team. Research and Innovation It is essential that practitioners understand the evidence that underpins the practice they are delivering and the importance of research and innovation in improving the quality of our service delivery. Service Evaluation All practitioners must be aware of the importance of service user feedback in the planning and delivery of Healthy Together. Practitioners must be able to demonstrate the use of feedback mechanisms for example Friends and Family Test and an ability to share this information with the accountable practitioners. Digital Offer Staff are expected as part of their role to understand and signpost to core LPT Family, Young People and Children s Service digital offerings. Positively promote a digital first approach and offer families and young people a choice of a paper-free, self-service culture where service access and efficiency is improved through use of websites, chat health apps and other digital platforms. Achieving competency Competencies are set out in five sections: Domain Competency required Training required Applicable policies and guidelines provided. It is expected that the Public Health Nurse (HV) will have read and understood the related policies or guidelines for safe practice and this will be assessed by the mentor when signing off the competencies. This document is also intended to be used to provide greater understanding of the role of the Public Health Nurse (HV) for other members of Healthy Together, Leicestershire Partnership Trust and other partner agencies. Competency can be assessed by Clinical Team Leaders, Lead Practice Teachers and Public Health Nurses (HV/SN). All competencies do not need to be signed off by the same person, however all Public Health Nurses (HV) must have an allocated mentor/preceptor. This can be the line manager. The mentor/preceptor/line manager must meet with the Public Health Nurse (HV) to formulate a plan for completion of the competencies. Complete Appendix 1. Interim meetings can be arranged through the process of achieving competency however, a 4

5 final interview must be completed within 6 months when full competency has been achieved with the mentor/ preceptor/ line manager. Competency can be achieved through a variety of formats which may include evidence of training, shadowing, observation, LCAT assessments, discussion and reflection. Training requirements are listed in the competency table. Public Health Nurse (HV) are required to collate evidence to support the completion of competencies which should be recorded in the evidence column of the table. These can then be discussed with the person signing off the competency. Where the competency requires the practitioner to deliver a package of care directly with a child/young person/ family there must be evidence of either SCPHN training competency, LCAT assessment or observation providing proof of competency before the practitioner begins working on their own. When competency has been achieved for each area the final page must be completed by the person assessing with the name, signature and date completed. 5

6 Public Health Nurse (HV) Domains Competencies Training Required Applicable Policy or Nutrition Breast Feeding Is able to promote and support Attend breast feeding Healthy Together SOG (2017) breast feeding from the training (including antenatal period through to all annual updates) Guidance for feeding infants and the universal Healthy child pre-school age children (DOH programme contacts including 2011) (18) bumps to baby s session. Promote Healthy Start and Vitamin D. Joint infant feeding policy Support breast feeding mothers and their partners with queries and concerns. All Public Health Nurses (HV) to be aware of infant feeding co-ordinator s role. Maternal and Child Nutrition (NICE 2008 updated 2011) PH 11 See UNICEF re conversation on feeding Develop relationships and work in partnership with peer supporters. Demonstrate understanding of physical and emotional barriers to feeding. Is able to signpost mothers and their partners to digital support available. 6

7 Understand Baby Friendly Level 3 Status. To increase breast feeding rates to meet national and local targets. Formula Feeding To promote safe feeding practice as per current Department of Health (2011). Include formula feeding within the antenatal Bumps to Babies programme. Breast Feeding training (including infant Feeding training) Under 5 s nutrition. Healthy Together SOG (2017) Guidance for feeding infants and pre-school age children (DOH 2011) (18) To be able to give evidence based guidance around sterilisation of bottles and storage of formula feeds. Healthy Diet 0-5 Able to provide information and guidance relating to healthy nutrition to children, young people and families. Able to give evidence based advice from weaning to all aspects of nutrition to families, children and young people and to sign post appropriately when concerns are identified. Under 5 s nutrition Childhood Nutrition 5-19 years Healthy Together SOG Additional resources can be obtained from Leicestershire Nutrition and Dietetic Services 7

8 Recognises when families may require support beyond their remit and seeks advice or refers to another service. Promote eating for good health. To discuss diet management and to identify any concerns e.g. meal time routines prolonged use of bottles/dummies. 0-5 years Can accurately weigh and plot on both SystmOne and PHCR as per World Health Organisation growth charts including weight, length, height and head circumference for both term and preterm babies and for children up to five years. Is aware and knows how to access WHO growth charts for children with Downs Syndrome and premature infants. Can accurately work out BMI Growth Monitoring Healthy growth training Healthy Growth (2016) Healthy Together SOG ( 2017) Downs Pathway (2015) All SCPHN students and new starters to attend session as essential to role training 8

9 for children. 0-5 years (including Universal Healthy Child Programme contacts) Recognises deviation from the normal for example when plotting centiles (see Healthy growth guidelines) and knows when to refer to GP or dietician. To be able to undertake all 5 mandated universal contacts as cited in the Healthy Together SOG ( 2017) Physical Assessment of the Child (including fine and gross motor skills) Promotional guide Healthy Together SOG ( 2017) training antenatal new birth review 6 weeks month review 2 year integrated review To have knowledge and skills to assess all child development up to 5 years of age. ASQ tools to be used to support assessment. Recognises when a child needs referring to another service e.g. GP, Speech and Language. ASQ training Perinatal Mental Health training New Birth Infant assessment training Solihull training Nutrition for under 5s. Universal Plus Criteria Paths as cited in Healthy Together Standard Operating Guidance ( 2017) LCAT assessment on one of the Universal healthy child programme contacts Assessment as part of New Birth assessment training 9

10 Has knowledge on the Healthy Together Universal Plus criteria packages of care and can deliver these or sign post to the appropriate team member or agency. Basic Care 0-5 years If concerns remain after a package of care is able to complete the Discharge Support Tool on SystmOne and discuss with peer or CTL as required. Are able to discuss the role of the Public Health Nurse (HV) and provide information on how to access the service via advice clinics and/or digital offer. Able to advise and support parents and carers about appropriate basic care for example: Healthy Together SOG (2017) skin care, care of eyes, care of mouth, nappy changing genital care 10

11 bathing childcare routine toileting/continence basic hygiene personal hygiene diet emotional health and wellbeing Minor Ailments and Hospital Discharge Give anticipatory guidance for minor childhood illness and ailments including: nappy rash skin care, including cradle cap and management of dry skin care of the Umbilicus infantile Eczema reflux milk intolerance teething (this is not an exhaustive list) Is able to assess the follow up required for a child under one Healthy Together SOG (2017) New birth assessment training Neonatal Jaundice guidance Neonatal pathway Physiotherapy helpline Hospital Discharge NICE GUIDELINES; Feverish Illness in children (NICE CG47) Constipation in children and Young People (NICE CG99) Diarrhoea and Vomiting (NICE CG84) 11

12 that requires support following pathway admission to either hospital or minor injury setting. Managing eczema Has understanding of conditions that fall outside of normal parameters or practice and sign post appropriately. Neonatal Jaundice. Hospital Discharge pathway ( 2017) Joint Infant Feeding Policy Neurological disorders and how to identify signs e.g. delay in gross motor development and SMA. Hypospadias, tongue tie and refer in a timely and appropriate way. Able to follow antenatal and neonatal screening pathways and sign post appropriate for example. Blood Spot pathway Neonatal Care pathway Blood Spot pathway Hepatitis B pathway Hepatitis B pathway 12

13 Recognising symptoms of sick child/acute health Demonstrate awareness of the signs of a sick child. Aware of the signs of an acutely sick child e.g. Meningitis. Adult and Paediatric basic life support training NICE GUIDELINES: Feverish Illness in children (NICE CG47) Refer to Emergency Service. LPT Resuscitation Policy Surveillance and Assessment of the Populations Health and Wellbeing in Designated Neighbourhoods Is able to search for health needs, identify and analyse public health data. Is able to coordinate neighbourhood priorities ensuring that key public health priorities are addressed. Evaluates surveillance data critically to target and plan local preventative health programmes within local communities. Use data collected throughout the year to contribute to the annual report for the Commissioners, clearly Population Health Healthy Together SOG (2017) 13

14 evidencing how the key performance indicators are being met. Behaviour Work in partnership with multiagency workers to deliver preventative health initiatives. Promote early intervention of any identified family health need. Social Development/ Assessment of the Child Healthy Together Healthy Together SOG (2017) SOG ( 2017) Promotional guides To assess parental, emotional and social health. Has extensive knowledge of behaviour management techniques and strategies and has the ability to deliver, teach and promote these models to parents for topics such as: Me You and Baby Too relationship training Solihull positive parenting training general behaviour sleep temper tantrums aggressive behaviour biting pulling hair (this list is not exhaustive) To demonstrate the ability to 14

15 offer age appropriate advice of play and importance of social interaction and socialisation. Able to plan, implement and evaluate specific packages of care and delegate some packages of care to Healthy Child Programme Practitioners and support workers. Speech and Language To lead groups in conjunction with another member of Healthy Together or partner organisation in response to local need i.e. Bumps to Babies/ Next Steps/ play groups/ Solihull groups. Has knowledge and can assess speech and language milestones and referral criteria. Referral to audiology service if required. Communication from the start training. Heathy Together SOG (2017) Let s Get Talking communication pathway Refers to Let s Get Talking groups which are led by Healthy Child Programme Practitioners within the team Children identified with more complex needs (SEND). Autism Spectrum Disorder training ASQ Training 15

16 Healthy Bladder and Healthy Bowel Has extensive knowledge and understanding of healthy bladder and bowel from an infant to age 5 years Health Bladder and Bowel Training Is able to lead healthy bladder and bowel workshops Healthy Bladder and Bowel Is able to give public health advice relating to toileting, fluid intake and nutritional requirement Able to refer to tier 2 services for children with more complex toileting needs. Is able to identify red flags in relation to continence and refer appropriately. SEND Able to provide advice/support to families where complex health needs are identified. Completes universal contacts and universal plus packages of SEND Understands the role of the Public Health Nurse ( children with additional needs 0 19) within in Leicestershire and Rutland Healthy Together SOG (2017) 16

17 care, referring appropriately. Infant Mental Health Has knowledge of the Public Health Nursing offer and local offer for children with additional needs for example when to complete a Section 23 and Education Health Care Plan. To promote at all universal contacts the importance of secure attachment (infant mental health). The importance of developing a secure relationship between the parents/child. Emotional Health and Wellbeing Promotional guides Solihull Responsive parenting Me You and Baby Too Healthy Together SOG (2017) promotional guides Solihull Responsive parenting Maternal Mental Health Health enhancing activities Is able to assess perinatal maternal mental illness by using Nice Guideline as stated in Healthy Together (SOG). Undertake health promotion in all aspects of their work and refers to other services for additional support if required e.g.: Perinatal mental health training Perinatal mental health pathways Health Promotion Making every contact count (MECC) Brief Intervention for smoking Healthy Together SOG (2017) Royal Society for the Prevention of Accidents of undertaking a group session and/ or participating in public health campaigns oral health Contraception updates 17

18 breast Feeding Child Accident Prevention Trust smoking Breast Feeding healthy Bladder/Bowel training nutrition physical Activity Oral Health updates school readiness accident Prevention Accident prevention drugs and alcohol immunisation home Safety sexual Health teenage Pregnancy (This list is not exhaustive) All Public Health Nurses (HV) should be competent to provide information and support on 1:1 basis or in group, demonstrating good group planning and facilitation skills. It is expected that all will undertake annual sessions for delivering group work such as Bumps To Babies. Delivery of a Bumps to Babies or other group teaching session Public Health Campaigns To have knowledge of the plan for public health campaigns for Healthy Together and support the Healthy Child Programme Healthy Together SOG (2017) Model for Health 18

19 Practitioners and Support Visiting Workers in taking a lead in planning delivering and evaluating health displays and events on key Healthy Together topics related to 5 high impact area themes. Health Fayres To support the Healthy Child Healthy Together SOG (2017) Programme Practitioner and Support Workers to coordinate health fairs with direction from the Public Health Nurse in local neighbourhoods in line with the high impact areas. Family Needs Understands the Healthy Together offer around Family Health e.g.: Family Health Me You and Baby Too Healthy Together SOG (2017) Universal Partnership Plus relationships housing financial contraception advice bereavement and when to sign post on to other services Understands Healthy Together offer with families with more complex needs Vulnerable Families RHA form training Healthy Together SOG (2017) from LAC team 19

20 e.g. early start LAC early Help Safeguarding Safeguarding To identify any safeguarding Safeguarding training Healthy Together SOG (2017) concerns as per policy 0-5 years Safeguarding 0-5 years To identify risk/stressors to prevent escalation concerns and sign post to early intervention support services Be vigilant for signs and symptoms of abuse to support early identification of vulnerable children including: Female Genital Mutilation Fabricated and Induced Illness Domestic Violence and Child Sexual Exploitation Whole family approach training Safeguarding training as per policy Safeguarding Children Practice Guidance (2016) When to suspect child maltreatment (NICE - CG89) Competency guidelines for safeguarding Children (NP095) Domestic Violence Policy (2017) Training Safeguarding supervision Awareness and understanding of policy guidelines, identify own level of responsibility and role of Named Nurse. Whole family approach training Attendance at safeguarding 20

21 ALS group and/or 1; 1 supervision as a minimum required. To attend core group and conference as required. CONI Communication Timely communication with safeguarding supervisors named nurses and referral to other agencies, social care, early help, and domestic violence. Understand the CONI offer. The role of the CONI coordinator. Follows the CONI pathway. Demonstrates active listening and observational skills. Can observe and interpret other s body language and non-verbal communication cues. Specialist Roles (ONLY Coni Healthy Together SOG (2017) Coordinators to attend Basic Life Support training required for Coni pathway their role) Safe Practice Healthy Together SOG (2017) Equality & Human Rights Policy Security Policy NMC Code (2015) Health, Safety & Welfare at Work 21

22 Is able to use and evaluate the Policy assessment framework as a guide, to the Public Health Nurse. Has an understanding of responsibility, accountability and delegation. Ensures timely and robust feedback to members of her team. Information Governance Strategic Management Framework (2017) Dress Code and Uniform Policy (2016) Lone Worker Policy (2013) Agile Working (2017) Acts in a professional manner at all times. Following the NMC Code. Is non-judgemental and discriminatory in manner demonstrating the trusts values? Clinical supervision All Public Health Nurses should have and document clinical supervision (minimum of 4 times per year). This is essential for their knowledge, competency and assuming responsibility for their own practice, and enhances patient/client protection and safety of care. Clinical supervision training LPT Clinical Supervision Policy of clinical supervision 22

23 Record Keeping Record keeping and Healthy Together SOG (2017) and care planning training Documentation Can document accurately in written, electronic and Parent Held Child Records (PHCR) within 24 hours of contact. Recognises the importance of accurate and timely record keeping and can maintain confidential records and information. Mental Capacity Act e- learning training. Trust Risk Assessment Policy Record Keeping Policy and management of the quality of health records (2014) Information Governance Strategic Management Framework (2017) Training record record keeping audit Review of records by CTL. Keeps an accurate and up to date diary on SystmOne and follows trust policy regarding confidential information. Able to record using the assessment framework, documenting the intervention and agreed care plans or templates. Is aware of Gillick competence and Fraser guidelines and the importance of consent. Understands how to record data correctly within the SystmOne record to support SystmOne training and required updates Information Governance training Trust Risk Assessment Policy Approved Abbreviations Guidance (2016) Framework for the Assessment of Children in Need and their Families (DoH 2000) Delegation Policy (2015) NMC (2015) Delegation of duties to non- regulated staff 23

24 the KPI targets. Information Governance Able to record using the assessment framework, documenting the intervention and agreed care plans. Trust risk assessment policy Healthy Together SOG (2017) Training Date Training record Record Keeping audit Maintain timely, accurate, clear and complete records, including the use of electronic formats, using appropriate and plain language within the agreed 24 hour time frame. SystmOne training and required updates Record Keeping Policy and Management of the quality of health records (2014) Review of records by CTL SystmOne training and required updates. Information Governance training. Information Governance training Information Governance Strategic Management Framework (2017) Personal Development ChatHealth Websites Virtual Clinics Keeps data and records safely and securely. For discussion further study or career development /secondment opportunities through discussion with line manager at annual appraisal. Understands the importance of promoting LPT digital products to children young people and Digital Training in ChatHealth Healthy Together SOG (2017) 24

25 Webchats families and promotes at every available opportunity i.e. health fayre 1:1 appointments. Leadership Understands the role of Ambassador for ChatHealth. Sign posts to websites as an alternative to leaflets and other resources. Provides support advice and supervision for neighbourhood Healthy Together preschool age team Completes appraisal for Healthy Child Programme Practitioners and Healthy Child Programme Support Workers Acts as a mentor or preceptor for new members of staff. Signs off competencies for members of staff. Raises concerns with team leader about team members where performance issues are identified. Leadership Covey training We improve training 25

26 Blood Spot Testing Undertakes team meetings to ensure that work is undertaken within the time frame specified within the KPI s. Understands the role of the blood spot testers and when to refer. Understand the KPIs around National targets and the importance of fast referral. Have completed the All blood spot testers additional competences. Additional Neighbourhood Roles To attend antenatal and neonatal screening updates To attend blood spot testing meetings. See blood spot competencies Sharps Video on u learn Blood spot pathway Practice assessment (LCAT) Mentor Community Nurse Prescribing All Public Health Nurses (HV) are required to mentor pre and post registration nurses. Public Health Nurses are Community Nurse prescribers (V100/V150/B300) as part of their role. Recorded on Blood Spot Testing database To attend mentor annual update recorded on LPT database Attend community nurse prescribing updates Medicine Management training on ulearn recorded on LPT database Community Nurse prescribing policy NMC Standards Dates of mentor update Dates of training updates and documented at clinical supervision 26

27 References Department of Health (2000) Framework for the Assessment of Children in Need and their Families London, DCSF Department of Health (2009) Healthy lives, brighter futures. The strategy for children and young people s health London DCSF Department of Health (2009) Using the new UK- World Health Organisation 0-4 years growth chart (available at: ref 12892) Department of Health (2016) Records Management code of practice for health and social care, London DoH Leicestershire Partnership NHS Trust (2014) Healthy Growth Pathway. Available on LPT intranet Leicestershire Partnership NHS Trust (2014) Discharge Pathway. Available on LPT intranet Leicestershire Partnership NHS Trust (2014) Record Keeping and the Management of the Quality of Health Records Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Combined UHL, LPT, LLR Alliance Cardiopulmonary Resuscitation Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Joint Infant Feeding Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Sexual Health Pathway. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Lone Worker Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2015) Delegation Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Dress Code and Uniform Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Security Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Approved Abbreviation Guidance. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Policy and for Professionals who are responding to Domestic Violence/abuse experienced by clients. Available on LPT intranet Leicestershire Partnership NHS Trust (2016) Safeguarding Children Practice Guidance. Available on LPT intranet Leicestershire Partnership NHS Trust (2017) Domestic Violence Policy. Available on LPT intranet 27

28 Leicestershire Partnership NHS Trust (2017) Equality and Human Rights Policy. Available on LPT intranet Leicestershire Partnership NHS Trust (2017) Information Governance Strategic Management Framework. Available on LPT intranet Leicestershire Partnership NHS Trust (2017) Baseline Health Assessment Guidance. Available on LPT intranet Leicestershire Partnership Trust (2017) Healthy Together Standard Operating Guidance Leicestershire Partnership NHS Trust (2017) on Assessing Risk in Public Health Nursing. Available on LPT intranet Leicestershire Partnership NHS Trust Health and safety policy. Available on LPT intranet Leicestershire Partnership NHS Trust Healthy Growth Care Pathway (2017). Available on LPT intranet Leicestershire Partnership NHS Trust (2017) Healthy Together Standard Operating Guidance LSCB Procedures and Practice (2016) NICE (2006) Brief Interventions and referral for smoking cessation (PH1) (available at NICE (2009) When to Suspect Child Maltreatment (CG89) (available at Nursing and Midwifery Council (2015) The Code: Professional Standards of Practice and Behaviour for Nurses and Midwives, London For further references, NICE evidence, please see LPT Standard Operating Guidance (2017). 28

29 Preliminary Interview This will take place within the first week and a time frame for completion of the competencies will be agreed. The aim of this interview is for the Public Health Nurse (HV) (SCPHN) and Preceptor and Mentor to: Establish the supportive role of the preceptor and mentor. Review the Public Health Nurse (HV) s professional and clinical learning and identity transferable skills to clarify learning needs and further development required to carry out the role competently. Discuss individual learning needs and the Public Health Nurse (HV) s preferred learning style. However this might not always be practically possible to accommodate. Develop an induction plan and learning opportunities and agree a plan for learning support. This will be based on individual need and regular evaluation. An initial appraisal to be completed within three months of start date. from this competency document should be used to inform the preparation for appraisal. Appendix 1 Preliminary Interview Summary and Action Plan Identified Learning / Development Needs Action Plan / How this will be achieved 29

30 Public Health Nurse (HV) signature: Mentor s Signature:.. Preceptors Signature:. Date: Date: Date:. Appendix 2 30

31 Final Interview/Action Plan This will take place within six months of the Public Health Nurse (HV) s start date to review the competencies and ensure sufficient evidence is available to demonstrate that those competences have been successfully achieved. This interview demonstrates and records the progress to date, all further learning/ development required and agreed times that this needs to be completed by. Learning / Development Achieved How this has been achieved. 31

32 Appendix Months Further Learning / Development Needed Action Plan / How this will be achieved 32

33 Appendix 4 Record of 1:1 sessions, discussions and support offered and evidence of competence. Topics Discussed Actions Required Appendix 5 Public Health Nurse (HV) Signature:... Date: Mentor s Signature:.. Date: Preceptors Signature: Date:. 33

34 Training Record (as per organisation requirements) TITLE DATE TITLE DATE Appendix 6 34

35 Witness Statement Description of Event / Competency Witnessed: Public Health Nurse (HV) Signature: Date: Witness Signature: Date:.. 35

36 Healthy Together Public Health Nurse (HV) Sign off Sheet Competency Sign off date Signature Print name Breast Feeding Nutrition Formula Feeding Healthy Diet years Growth Monitoring Physical Assessment of the Child (including fine and gross motor skills) 0-5 years (including Universal Healthy Child Programme Contacts) Basic Care 0-5 years Minor Ailments Recognising symptoms of sick child / acute health Behaviour Social Development / Assessment of the Child Speech and Language Healthy Bladder and Healthy Bowel Infant Mental Health Maternal Mental Health Heath enhancing activities Emotional Health and Wellbeing Health Promotion Public Health Campaigns Health Fairs Family Needs Family Health 36

37 Universal Partnership Plus Safeguarding 0-5 years CONI Communication Vulnerable Families Safeguarding Specialist Roles Safe Practice Clinical Supervision Record keeping and documentation Information Governance Personal Development ChatHealth Websites Virtual Clinics Webchats Blood spot testing Digital Additional Neighbourhood Roles Mentor Community Nurse Prescribing Overall Sign off for all competencies to be completed by CTL All competencies achieved Date of Final Sign off Signature Print name 37