Mandatory Training Policy

Mandatory Training Policy Policy HR 16 January 2008

Document Management Title of document Mandatory Training Policy Type of document Policy HR 16 Description Target Audience To ensure that all staff have skills and competencies to deliver health care services in a safe and competent manner All NtPCT employed Staff Author Department Directorate Training Department Training Department Corporate Services and Human Resources Approved by Governance Committee Date of approval January 2008 Version Number 1 Next Review Date 31 March 2010 Related Documents Superseded Documents Incident Reporting Policy None Internal distribution External distribution Availability Contact details (of main contact for this document) All ratified policies, strategies, procedures and protocols are published on the Trust Intranet and Public Website Name: Sandra Wright Address: Highfield, Northampton Tel: 01604 615329 Email: Sandra.wright@northants.nhs.uk HR 16 Mandatory Training Policy Page 2 of 20

CONTENTS 1.0 Introduction...4 2.0 Definitions...4 3.0 Mandatory Training Programme...5 3.1 Full List of Mandatory Training (Also see Appendix 1)...5 3.2 Mandatory Training Programme for Trust Volunteers Table...9 4.0 Responsibilities...9 5.0 Best Practice...11 6.0 Equal Opportunities...12 7.0 Monitoring and Evaluating...12 8.1 Reporting Mechanisms and Management of Non-attendance...13 8.2 Management of Non-attendance...13 9.0 Integration with other Trust Policies...14 10.0 Review of Policy...14 11.0 Please see Appendix One as overleaf...14 Appendices Appendix 1 - Mandatory Training Needs Matrix.. 15 Appendix 2 Policy Screening Impact.20 HR 16 Mandatory Training Policy Page 3 of 20

1.0 Introduction 1.1 Northamptonshire Teaching Primary Care Trust ( the Trust ) has a clear responsibility to ensure all directly employed staff have the appropriate skills and competencies to deliver health care services in a safe and competent manner to meet corporate objectives, by providing a comprehensive programme of mandatory training. 1.2 As part of the Trust s drive to provide excellence in education and development, this policy describes the provision of a comprehensive programme of mandatory training which all Trust employed staff will need to undertake, as well as the frequency and duration of training. 1.3 The policy is intended to assist managers in identifying programmes of mandatory training relevant to the specific groups of staff they manage, and to provide guidance on accessing training. 1.4 Mandatory training covers a range of compulsory training subjects. 1.5 All Trust employed staff must undertake Core Mandatory Training, this will include bank staff and those on temporary contracts. 1.6 Non-executive directors working on behalf of the Trust will be expected to undertake and will have direct access to Mandatory Training. 1.7 Volunteers working on behalf of the Trust will be expected to undertake and will have direct access to a specific programme of Mandatory Training. 1.8 The policy provides for equal opportunity of access to mandatory training for all staff groups including staff that work part time, evening or night shifts, and for those with physical or other difficulties. 1.9 This policy is available for adoption by all Trust Independent Contractors, and the Trust would encourage them to do so. 1.10 The Trust recognises the role of the Knowledge and Skills Framework (KSF) in identifying key skills and competencies for all staff, excluding doctors, dentists and senior managers who have contracts outside Agenda for Change. It will ensure future reviews of this policy reflect the needs of staff to meet KSF requirements as they become clear. 2.0 Definitions 2.1 STATUTORY REQUIREMENTS: Education and training that is required to fulfil legislative and Trust policy procedures. 2.2 MANDATORY TRAINING: A range of compulsory training subjects identified as a Statutory Requirement, meeting a duty of care to patients and staff or where it is recognised as best practice. HR 16 Mandatory Training Policy Page 4 of 20

2.3 CORE MANDATORY TRAINING: The core training requirements attendance is compulsory for all Trust employed staff and volunteers. 3.0 Mandatory Training Programme Table 3.1 below describes the full extent of mandatory training to be provided by the Trust for Trust employed staff, non-executive directors and volunteers. 3.1 Full List of Mandatory Training (Also see Appendix 1) Type of Training CPR/Anaphylaxis general (Adult & Paediatric) Fire Safety Training Level 1/2/3 Child Protection level 1 (see child protection training strategy for further detail) Child protection level 2 Staff groups for whom training applicable All clinical staff & staff who come into contact with patients/clients. All PCT employed staff, locums and voluntary staff. The level accessed will depend upon position and work placement. All new staff, staff who have not attended an in the last three years, and all staff who are not in direct contact with children and their families All staff who work in an environment where they have contact with children and their families Driver of mandatory status NHS Litigation Authority Resuscitation Council Patient Contracts Fire Precautions Act 1972 Workplace Regulations 1997 Agenda for Change - KSF Climbie Report Area Child Protection Guidelines Climbie Report Area Child Protection Guidelines Frequency of training Annual Induction and Annual s. Within 3 months of appointment Updates every 3 years Within three months of appointment Update every 2 years Duration 3 1/2 hours Circa one hour 2 hours Update 2 hours 3 hours HR 16 Mandatory Training Policy Page 5 of 20

Child Protection level 3 Equality and Diversity Corporate Induction and Local Induction Conflict Resolution For staff who have predominant contact with children and their families All staff All new Employees on permanent, fixed term and locum contracts. All staff to have received this training by 2008 Climbie Report Area Child Protection Guidelines Agenda for Change KSF Race Relations Amendme nt Act Trust Policy NHS Litigation Authority Working Together Learning Together Agenda for Change - KSF Secretary of State Directive CFSMS Policy Agenda for Change - KSF Within three months of employment Annual (which can include training from other sources) Within 12 months of joining organisation and s every 3 years, or when there is a change to legislation Corporate Induction within 1 month of appointment. Local induction on appointment and whenever a person changes jobs within the organisation All staff to have received training by 2008 3 yearly lasting 1.5 hrs for frontline staff. TBC E-learning up to two hours for those with KSF level 1-2. For those with levels 3-4 KSF at least half day annually Corporate Induction two/three days depending upon whether clinical/nonclinical. Local Induction over 2 months. ¾ day HR 16 Mandatory Training Policy Page 6 of 20

Health and Safety Infection Control Display Screen Equipment training Inanimate Manual Handling (inanimate objects) Manual Handling Moving Patients All staff All professional clinically qualified staff and nonqualified clinical support staff All new and existing VDU users who use a computer for periods of one hour or more on a daily basis. All clinical and non clinical staff without patient handling responsibilities All staff responsibilities for handle patients or using patient handling equipment Health and Safety legislation Agenda for Change - KSF NHS Litigation Authority Controls Assurance Display Screen Equipment Regulations 1992 / 2002 Agenda for Change KSF Manual Handling Operations Regulations 1992 Health and Safety Legislation Agenda for Change - KSF Manual Handling Operations Regulations 1992 Health and Safety Legislation Agenda for change - KSF At Induction and d every 3 years. Up date 3 yearly At Corporate Induction and whenever work station changes. At Induction and d every 3 years Within 2 months of appointment and annual s Two hours E-learning up to 3 hours Circa 1 hour 3 hours One day 1 day s HR 16 Mandatory Training Policy Page 7 of 20

Aid (for those already appointed first aiders, or those who are requested to take on first aid responsibility for a designated area or department) Food Hygiene (CIEH Foundation Certificate) Safeguarding Vulnerable Adults Level 1 Safeguarding Vulnerable Adults Level 2 Mental Capacity Act Designated and Appointed Persons All staff with responsibility for handling food All new staff and those staff who do not have client/patient contact. Aid at Work Act 1981 Food Safety Legislation No Secrets Annual of CPR. Rest of programme d every 3 years following training Within 3 months of appointment Updates every 5 years At Induction for new staff. E-learning programme for all other staff. All clinical staff. No Secrets Attendance at Workshops for Clinical staff. Update period not currently specified. All new staff and staff who have client/patient contact. Mental Capacity Act 2005 Falls Training All staff NHS Litigation Authority At Induction followed by attendance at workshops for Clinical staff. Update period not currently specified. At Induction. Update period not currently specified. Aider 4 days training + 2 day Appointed Person 2 day training + 1 day refresher One day ½ day s 2 hour session HR 16 Mandatory Training Policy Page 8 of 20

Information Governance Introduction to Risk Management Introduction to Health & Safety for Managers. All Staff Managers, Supervisors, Directors Managers, Supervisors, Directors NHS Litigation Authority NHS Litigation Authority Health & Safety Legislation At Induction and then followed up by e- Learning programme. Update 3 yearly. Within 6 months of appointment. One off session E-Learning programme 1.5 hours. 1/2 Day 1 Day 3.2 Mandatory Training Programme for Trust Volunteers Table Type of training Frequency Duration Corporate Induction (by Before appointment Two Hours Voluntary Services Manager) Local Induction During first 4 weeks of N/A incorporating Fire Safety appointment Equality and Diversity E learning Inanimate Manual 3 years ½ day Handling Health and Safety 3 years Display Screen Equipment (where applicable) within 3 months of employment Circa 1 hour Food Hygiene (CIEH Foundation Certificate) where applicable Within 3 months of appointment Updates every 5 years Conflict resolution by 2008 ¾ day 4.0 Responsibilities 4.1 Corporate One day ½ day s The Chief Executive has Corporate responsibility for the management of Mandatory Training Northamptonshire Teaching PCT will fund mandatory training for all Trust employed staff, non-executive directors and volunteers. The Governance Committee on behalf of the NtPCT Board will be responsible for ratifying this policy. HR 16 Mandatory Training Policy Page 9 of 20

The Training and Development Forum will be responsible for overseeing and monitoring the implementation of this policy. The Director of Corporate Services has overall responsibility for the management of mandatory training within the NtPCT. 4.2 Training Department To compile a list of Mandatory training requirements for both clinical and non-clinical staff. To compile a register of internal and external mandatory training providers and resources. This register will confirm responsibility for arranging and supporting specific mandatory training sessions, including identifying the budget holder (if appropriate), advertising training sessions, booking venues, processing applications, recording attendance and issuing certificates of completion (if required). To evaluate all training provision, making changes as appropriate and providing feedback to trainers, managers and the Training and Development Forum. To compile a register of internal and external venues suitable for training purposes, meeting the equal opportunity requirements specified below. To develop a database to record attendance and nonattendance of staff at mandatory training sessions. 4.3 Managers (including Directors) To allow staff time to access Mandatory Training by whatever method it is delivered to include e-learning. To ensure staff attend all relevant training, including s, at the required frequency. To ensure staff attend training on which they are booked and to attend for the full duration. To notify the Training Department if staff are unable to attend a booked session with a valid reason. To build attendance at mandatory training into the individual s regular appraisal reviews and Personal Development Plan (PDP). To enable staff to transfer learning from the training into everyday practice. To monitor and resolve issues of persistent nonattendance with staff. To keep the Training Department aware of any mandatory training they arrange locally. HR 16 Mandatory Training Policy Page 10 of 20

4.4 Staff To attend all relevant mandatory training. To attend the session on which they are booked. To make suitable provision to ensure they can attend for the duration of a booked session. To inform their line manager and the Training Department when they are unable to attend a booked session. To keep up to date personal records of training attended. To apply learning in their jobs. To plan and review training attended with their manager as part of their Appraisal Reviews and Personal Development Plan (PDP). 4.5 Internal and External Trainers 5.0 Best Practice To keep up to date with the latest best practice in the subject of their training and to built this into training programmes. To ensure that training programmes are delivered with due consideration for staff learning needs, including (but not limited to) those with visual, hearing and literacy difficulties. To ensure participants complete an attendance register and to return relevant information and documentation to the Training Department within agreed time scales. 5.1 To ensure that the core business of the organisation is supported through staff development, there are some additional training programmes that should be undertaken by staff to allow them to provide the best service possible. These will be described in the table below, and it will be for the manager and the individual together to decide which are the appropriate programmes for individuals to attend. 5.2 These courses can be used to support the individual to attain evidence for KSF dimensions. Type of Training Frequency Duration Consent ½ day Complaints Procedures ½ day and PALs Incident Reporting ½ day Risk Management ½ day Recruitment and 1 day retention Appraisal skills ½ day HR 16 Mandatory Training Policy Page 11 of 20

Appraisal and KSF ½ day Customer Care ½ day (managing expectations) 6.0 Equal Opportunities 6.1 The Training Department will work with managers and trainers to arrange for training to be accessible for staff groups who work part time, on evening or night shifts and / or who find it impossible to attend training run between 9am and 5pm. However Managers are expected to support their staff to attend mandatory training within these hours as much as possible. 6.2 Managers have the responsibility to facilitate all staff access to mandatory training. 6.3 Trainers will be required to deliver programmes with due consideration for staff including (but not limited to) those with physical, visual, hearing and literacy difficulties. 6.4 The Training Department and relevant Managers will ensure that training is held at venues that are accessible to people with disabilities including wheelchair access. 7.0 Monitoring and Evaluating 7.1 Attendance records The Training Department will enter attendance and nonattendance on a training database. The Training Department will notify managers of their staff s failure to attend and reasons for this, if known, regularly. All trainers will be required to ensure participants complete attendance register and to return relevant information to the Training Department within agreed time scales. 7.2 Evaluation An evaluation form will be developed by the Training Department to enable participants to give feedback to trainers, the Training Department, line managers and for participants own development portfolio. This form to be used at the end of every training session to gather feedback on design and delivery of training, perceived learning and participants implementation aims in the workplace. HR 16 Mandatory Training Policy Page 12 of 20

Trainers will be required to use this evaluation form at every training session, build in sufficient time for participants to complete at the end of a training session, and to forward completed forms to the Training Department. Where Service Managers have arranged mandatory training locally they will be required to ensure that trainers use this evaluation form at every training session, build in sufficient time for participants to complete at the end of a training session, and to forward completed forms to the Training Department. 7.3 Attendance Targets Due to the significant challenge in achieving compliance with this policy within its provider services NtPCT has set a series of targets to be achieved as follows: 50% of all staff by 31 st March 2009 75% of all staff by 31 st March 2010 90% of all staff by 31 st March 2011 The above targets will be reviewed annually by the Governance Committee as part of its annual review of this Policy. 8.0 Reporting Mechanisms and Management of Non-attendance 8.1 Reporting Mechanisms The Training Department will provide regular reports on attendance to the Training and Development Forum. The Training and Development Forum will report annually on the implementation of the Mandatory Training Policy and levels of staff compliance to the PEC. The Training Department will provide regular reports to service managers on attendance and non-attendance at mandatory training for their staff groups. The Training Department will provide regular reports on attendance of Mandatory Training to the Health and Safety Committee. 8.2 Management of Non-attendance It is recognised that on occasions domestic and operational requirements can interfere with attendance at training sessions. If a member of staff is unable to attend a booked sessions they or their manager are required to notify the Training Department at least 48 hours before HR 16 Mandatory Training Policy Page 13 of 20

the course date, with a valid reason for not attending the session. If cancellation occurs on the day of the course e.g. due to sickness, family emergency etc., the Training Department should be notified by the member of staff or their manager as soon as is reasonably possible. In extreme cases the Training and Development Forum retain the right to charge managers of staff who persistently fail to attend courses or sessions (3 or more consecutive occasions of non-attendance), who do not notify the Training Department of their non-attendance or do not provide a valid reason for non-attendance. This charge will be a nominal ( 50) for each instance and will be applied in particular to those sessions purchased from an external provider. When staff do not complete a whole session or course the Training Department, in conjunction with the trainer, may also decide whether their level of attendance is sufficient to issue a certificate of completion for their personal development portfolios. The Training Department will notify the member of staff and their line manager if this is the case and the member of staff will be required to attend another session. 9.0 Integration with other Trust Policies This policy links with the following Trust Policies: Corporate and Local Induction Policy. Study Leave Policy. Appraisal & Personal Development Policy incorporating The NHS KSF. Child Protection Policy. Manual Handling Policy. 10.0 Review of Policy This Policy will be reviewed annually, on the anniversary of its ratification by the Trust Board. 11.0 Please see Appendix One as overleaf. HR 16 Mandatory Training Policy Page 14 of 20

Mandatory Training Needs Matrix for Northamptonshire Teaching PCT For all Clinical, Non-Clinical and Non Executive Directors Community Nurses (includi ng DNs; Community Matrons; Staff Nurses Health Visitors, School Nurses & N NEB Admin / clerical Staff (with no patient/client contact) Admin / clerical staff (with patient / client contact) Health Care Assistant/Health Care Support Worker Therapy Staff / Assistants All Ward Based Staff Managers/ Supervisors non clinical Managers/ Supervisors clinical Dental Staff Medical Staff Porters Cleaners Caterers Non Executive Directors & Directors Corp Ind Start Local Ind Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start Start CPR / Anaphylaxis Manual Hand Patients - 1 day - 1 day - 1 day - 1 day - 1 day - 1 day - 1 day Inanimate Hand Objects Fire Safety Level 1 Fire Safety Level 2 Fire Safety Level 3 3 3 3 2 3 3 3 Annual

Mandatory Training Needs Matrix for Northamptonshire Teaching PCT For all Clinical, Non-Clinical and Non Executive Directors Child Protect Level 1 Child Protect Level 2 Child Protect Level 3 Community Nurses (including DNs; Community Matrons; Staff Nurses Ind Update 2 Health Visitors, School Nurses & NNEB Ind Admin / clerical S taf f (with no patient/client contact ) Admin / cler ical staff (with patient / client contact) Health Care Assistant/Health Care Support Worker Therapy Staff / Assistants Ind Ind Ind All Ward Based Staff Ind Managers/ Supervisors non clinical Managers/ Supervisors clinical Dental Staff Medical Staff Porters Cleaners Caterers Non Executive Directors & D irectors Ind Ind Ind Ind Ind Ind Ind Update 2 Update 2 Update 2 Update 2 Update 2 Update 2 Or annual Or annual Or annual Or annual (depending on (depending on (depending on (depending on contact with contact with contact with contact with families/children families/children families/children families/children Update 2 Update 2 Update 2 Equality & Diversity Conflict Resol 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 HR 16 Mandatory Training Policy Page 16 of 20

Mandatory Training Needs Matrix for Northamptonshire Teaching PCT For all Clinical, Non-Clinical and Non Executive Directors Community Nurses (including DNs; C ommunity Matr ons; Staff Nurses Health Visitors, School Nurses & NNEB Admin / clerical Staff (with no patient/client contact) Admin / clerical staff (with patient / client contact) Health Care Assistant/Health Care Support Worker Therapy Staff / Assistants All Ward Based Staff Managers/ Supervisors non clinical Managers/ Supervisors clinical Dental Staff Medical Staff Porters Cleaners Caterers Non Executive Directors & Directors Infect Cont incl. Hand Hygiene Display Screen Awareness Food Hygiene Mental Capacity Act See policy See policy Ind (Good Practice) See policy See policy See policy Ind (Good Practice) Ind Ind Ind Ind Ind Ind See policy See policy Start & d 5 Safeguarding Vulnerable Adults Level 1 HR 16 Mandatory Training Policy Page 17 of 20

Mandatory Training Needs Matrix for Northamptonshire Teaching PCT For all Clinical, Non-Clinical and Non Executive Directors Community Nurses (including DNs; Community Matrons; Staff Nurses Health Visitors, School Nurses & NNEB Admin / clerical Staff (with no patient/client contact) Admin / cler ical staff (with patient / client contact) Health Care Assistant/Health C are Support Wor ker Therapy Staff / Assistants All Ward Based Staff Managers/ Supervisors non clinical Managers/ Supervisors clinical Dental Staff Medical Staff Porters Cleaners Caterers Non Executive Directors & D irectors Safeguarding Vulnerable Adults Level 2 Aid for for for for for for for for for for for for for for for Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Appointed Falls Training (Good Practice) (Good Practice) HR 16 Mandatory Training Policy Page 18 of 20

Mandatory Training Needs Matrix for Northamptonshire Teaching PCT For all Clinical, Non-Clinical and Non Executive Directors Community Nurses (including DNs; C ommunity Matr ons; Staff Nurses Health Visitors, School Nurses & NNEB Admin / clerical Staff (with no patient/client contact) Admin / clerical staff (with patient / client contact) Health Care Assistant/Health Care Support Worker Therapy Staff / Assistants All Ward Based Staff Managers/ Supervisors non clinical Managers/ Supervisors clinical Dental Staff Medical Staff Porters Cleaners Caterers Non Executive Directors & Directors Intro to Risk Management Health & Updated Updated Updated Safety COSSH Information Governance 1 3 yearly 3 yrly 3 yearly 3 yearly 3 yearly 3 yrly 3 yrly 3 yrly 3 yrly 3 yrly 3 yrly 3 yrly 3 yrly 3 yrly 3 yrly HR 16 Mandatory Training Policy Page 19 of 20

Policy Impact Assessment Screening Tool Name of Directorate:_Corporate Services and HR Policy being assessed:_mandatory Training Date of Assessment:_December 2007 Assessment Carried out by:_sandra Wright Policy Title Who is affected Statutory requirements Full Assessment Needed Yes / No Priority High / Medium / Low Mandatory Training All PCT employed staff NHSLA KSF No HR 16 Mandatory Training Policy Page 20 of 20