1. Managing performance to Improve Practice: Appraisal & Development Paddie Blaney, Cathal McKervey and Janel De Gouzman

2. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 This session; Two parts of the development framework that are currently being used by colleagues to help manage performance and improve practice Feedback from a manager where staff have been using these tools Feedback from a staff nurse who started to use the tools herself and is helping to spread the word

3. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 ? Competency Profile In order to help ensure the best standards of care for the public, how could we give nurses or midwives a way of assessing how they performed (in the main areas of their practice) so that they and their managers would be better placed to identify their development needs?

4. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Appraisal? From the 2005 workforce development survey over 7000 registrants told us that: Only 56% had an annual appraisal. Only 49% found Appraisal Fairly or Very Beneficial. and of those who had an appraisal:

5. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Supervision? From the 2005 workforce development survey over 7000 registrants told us that: Only 33% had supervision sessions to support their role. Some 69% found Supervision Fairly or Very Beneficial. But that of those who had supervision sessions:

6. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Agenda for Change and KSF  The NHS KSF, on which the development review process is based, is designed to: ● Identify the knowledge and skills that individuals need to apply in their post. ● Help guide the development of individuals. ● Provide a fair and objective framework on which to base review and development for all staff. ● Provide the basis of pay progression in the service.

7. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Competency Profile: how was it developed? Looked internationally Identified seven Domains reflective of modern nursing and midwifery practice across all settings Each domain has between 12 to 31 performance indicators Face validated the Competency Profile with over 1200 registrants across Northern Ireland

8. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Competency Profile: what can it do? Assess yourself against performance indicators for level of development needed Ask others (peers, managers and direct reports) to assess your level of development need Save and print off a pictorial or numerical indication of your development need areas across the seven domains Match them to KSF if relevant Use for planning your own development, or for appraisal with your manager or use in your supervision sessions

9. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Domains ( each has between 12-31 performance indicators ) 1.Communication and interpersonal relationships 2.Care provision and management 3.Developing self and others 4.Ethical and legal practice 5.Quality improvement 6.Technology competence 7.Partnership working Make well structured verbal presentations! need a lot of developmentneed a lot of development need some developmentneed some development am well developedam well developed not applicablenot applicable Convey an understanding of my duty of care. need a lot of developmentneed a lot of development need some developmentneed some development am well developedam well developed not applicablenot applicable I develop motivation and enthusiasm in partnership meetings. need a lot of developmentneed a lot of development need some developmentneed some development am well developedam well developed not applicablenot applicable I understand the capability and applicability of information technologies. need a lot of developmentneed a lot of development need some developmentneed some development am well developedam well developed not applicablenot applicable

10. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 ?Portfolio How could we promote and support life long learning by nurses and midwives so as they could be continuously learning and developing in order to improve the standard of care they give to the public?

11. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 State of ever-readiness!!

12. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Accessible Electronic Portfolio: 1.Help you become a reflective long term learner 2.Help you bring together a range of evidence that tracks your professional journey for appraisal 3.Provide a record of ongoing professional development for re-registration purposes with the NMC (regulatory body) 4.Help you plan for your career development and for interview preparation

13. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 The df electronic portfolio includes; Employment history Personal achievements Evidence log Learning and development Log Reflective diary CV type pages

14. NIPEC “Improving Practice, Improving Care” Conference, Galgorm Manor, 21 st May 2008 Portfolio Competency Profile