1. Developing measuring and maintaining competence in new nursing roles, skills and advanced practice Ann Close, Care Quality Commission May 26 th 2009

2. Development of competencies Factors leading to the development of new roles, skills and advanced practice Identifying competencies Achieving and maintaining competency Measuring competence Why is it important? Overview

3. Development of competencies What makes a good nurse? Presence of mind Gentleness of heart Accuracy of memory Observation Forethought Hints for Hospital Nurses 1877

4. Defining competency ‘Ability to assess plan, implement and evaluate care’ (UKCC 1983) ‘Combination of skills, knowledge, attitudes values and abilities that underpin effective and/ or superior performance in a professional/ occupational area ( ANMC 2000) ‘Combination of attributes enabling performance of a range of professional tasks to the appropriate standard’ (Gonczi et al 1990)

5. Factors in new role development Darzi’s 6 challenges Demands for safe, effective, personalised care Practitioners fit for purpose, more productive and efficient Demand for greater accountability Drive for quality and safety Policy changes

6. Identify what competencies are required Context Outcomes – what does someone do Clearly defined standards to measure performance At a particular point in time Knowledge, skills and abilities

7. Indentifying competencies Service being provided Relevant NSF, clinical guidelines Professional head AFC and KSF national profiles NMC guidance Rcn / Rcm guidance Regulator reports

8. Achieving and maintaining competence Joint responsibility Understand expectations Learning opportunities Appraisal / review Supervision Coaching Mentoring Involvement in professional activities Self motivation

9. Measuring competence Self assessment Peer review Review of patient / user satisfaction Evaluation of patient / user outcomes Audit of practice Benchmarking Review of incidents

10. Makes contribution explicit Offers basis for judgement of practice improvement Alerts to where action is required Provides evidence and assurance of quality / improvement Supports revalidation / accreditation and registration Supports lifelong learning and development improvement Benefits

11. And finally…. Using competencies to measure performance is helpful…. If you don’t know how you are performing then its difficult to make improvements…. Continuous improvement is essential for maintaining high standards of effective and safe care

12. Thank you