Topic
Reference
Courses
Target Staff Groups
Frequency
Delivery Method/s
Child Protection Group 1 Admin & Clerical Staff in clinical teams, Managers, AHP's and Pharmacists. Healthcare Assistants and Allied Health professional Assistants in Inpatients, Volunteers, Temporary workers in the above settings
On appointment/once - A&C Staff, Managers, AHP's, Pharmacists. On appointment and then 3 yearly – HCA’s and AHP Assistants in Inpatients, Volunteers
Face to face, Trust Induction. E-learning, (Workbook for, Mgrs, Pharmacists)
Child Protection Group 2 Staff in regular/intense irregular contact with children/paprents: Qualified nurses, Social workers, Psychologists, Allied Health Professionals, Doctors, Counsellors, CARAT workers, Community HCAs & AHP Assistants, DNLD HCA's
3 yearly Face to face
Child Protection Group 3 For all staff who work predominantly with children, young people and their parents/carers who require more specific training. These are staff working in Children’s Services, Perinatal Services, Community Specialist Support Team, qualified staff in Early Intervention Teams, Crisis Resolution Teams, Community Mental Health Teams and Social Workers.
3 yearly min. Annually recommended.
Face to face
Conflict Resolution Training - Non clinical staff Admin & Clerical. Corporate Services. Managers. Once, then as identified at Face to face
Safeguarding Children
Statutory - Children Act 1989 and 2004 Every Child Matters 2003
'Working Together to Safeguard Children' 2010, HCSA Reg 11, Safeguarding Children and Young People: Roles and Competencies for Health Care Staff Intercollegiate Document ( DoH 2006)
Rationale - CQC Outcomes & Risk
CQC Outcome 7 - focuses on safeguarding people who use
services from abuse and requires the Trust to "ensure that Government and local guidance about safeguarding people from abuse is accessible to all staff and put into practice." In particular the Trust needs to minimise the risk and likelihood of abuse occurring.
Risks Include: Harm, injury or death to a child. Trust reputation.
Professional Reputation and dismissal.
Conflict Resolution Training - Non clinical staff Admin & Clerical. Corporate Services. Managers. Once, then as identified at PDR
Face to face
Promoting Safer and Therapeutic Services (Included in MAPA training)
All Clinical Staff, Doctors, All CARATS Workers, All Social Workers
Once, then as identified at PDR
Face to face
Equality and Diversity All employees, Registered Managers Once, then as identified at PDR
Face to face, Trust Induction, E-learning, Workbook
Equality Impact Assessment Nominated persons Once then as required Face to face.
Fire Safety (Local Procedures) Level 1 All employees on first day of employment as part of local induction checklist
Once on appt. Face to face
Fire Safety Basic Instruction Level 2 All Employees working in non ward-based areas 2 Yearly Face to face, E-learning
Fire Safety Instruction and Evacuation Level 3 All Employees working in ward-based areas Yearly Face to Face
CQC Outcome 10, Focuses on the Safety & Suitability of premises
and requires the Trust to make sure that people who use services and people how work in or visit the premises are "in safe,
accessible surroundings that promote their well-being, are protected against the risk of unsafe or unsuitable premises, and are
compliant with any legal requirements". Risks include: Loss of life. Property loss. Corporate
Fire Safety Statutory - HASWA & Fire Safety Order
2005 HSCA Reg 15
CQC Outcome 7 focuses on safeguarding people who use services
from abuse and requires the Trust to protect others from the negative effect of any behaviour by people who use services. CQC
Outcome 14 requires the organisation to ensure staff are properly
trained and specifically that there are "clear procedures followed in
practice, monitored and reviewed, that are implemented when staff are subject to violence, harassment or bullying by other staff or people who use services.
Equality and Diversity Statutory - Equality Legislation
HSCA Reg 17
CQC Outcome 1, Requires staff who work in the Trust to
"recognise the diversity, values and human rights of people who use services CQC Outcome 25 requires registered persons to
"uphold and promote the rights and meet the diverse needs of
people who use their service and follow current legislation" Risks include: Breach of Equality legislation. Trust reputation.
Discrimination/Harassment claims. Conflict Resolution
Statutory - Secretary of State - CFSMS
National Syllabus, HSCA Reg 11, NHSLA Standard 3 Safe Environment - Criterion 9: Violence & Aggression. NHSLA TNA Minimum Data Set
Frequency
Delivery Method/s
Fire Safety for Fire Wardens/Fire Marshalls Employees nominated as fire wardens/fire marshals in ward-based areas
3 Yearly Face to face.
Fire Safety for Directors and Senior Persons Registered Managers 2 Yearly Face to face.
Health and General Awareness (includes Risk Management level 1, Slips, trips & falls)
All employees, Registered Managers 3 Yearly Face to face initial training as part of induction, Updates by e-learning Display Screen Equipment (VDU Risk
Assessment)
All Managers. Nominated persons 3 Yearly E-learning
First Aid Appointed Persons Appointed persons 3 Yearly Face to face
First Aid At Work Appointed persons Once Face to face
First Aid At Work Refresher Appointed persons 3 Yearly Face to face
Risk Management Level 1 All employees 3 Yearly Face to face initial training
Manslaughter/Prison sentences. Heavy financial penalties to organisation
Statutory - HASWA, The Management of
Health and Safety at Work Regulations 1999, HSCA Reg 15, NHSLA Standard 1 Governance Criterion 4: Risk Awareness Training for Senior Management, NHSLA Standard 3 Safe Environment Criterion 1: Secure Environment & Criterion 5: Slips, Trips & Falls
CQC Outcome 10 focuses on the Safety & Suitability of premises
and requires the Trust to make sure that people who use services and people how work in or visit the premises are "in safe,
accessible surroundings that promote their well-being, are protected against the risk of unsafe or unsuitable premises, and are compliant with any legal requirements" .CQC Outcome 11 focuses
on safety, availability and suitability of equipment and requires the Trust to ensure people "are not at risk of harm from unsafe or
unsuitable equipment" Risks include: HASWA
breached. HSE Improvement notice. Risk to Health. Sickness absence. Possible litigation and compensation claims.
Health & Safety
Risk Management Level 1 All employees 3 Yearly Face to face initial training as part of induction, Updates by e-learning Risk Management Level 3 Registered Managers. Service Managers. Ward
Managers & Team Leaders (band 7)
3 yearly Face to face initial training then updates via e-learning
Risk Management
HSCA reg 17, HSCA Reg 10, NHSLA Standard 2 Competent & Capable Workforce - Criterion 7: Clinical Risk Assessment, NHSLA TNA Minimum Data Set
Clinical Risk Management Level 2 All Qualified Nurses, Social Workers & AHPs, All Psychologists, Pharmacists & Doctors, All clinical managers and team leaders
3 yearly Face to face initial training, Update by e-learning
Infection Control - Clinical Staff Inpatient Doctors, Nursing & Support Staff, AHP's require annually. Psychologists, Pharmacists, CARAT workers, Community staff & Social Workers 3 yearly.
Yearly or 3 yearly Face to face, workbook, e-learning
Infection Control - Non Clinical staff Maintenance and Estates Staff, Domestic Staff Yearly Face to face, workbook, e-learning
Infection Control
Statutory - The Health Act 2006 (revised
2008), Code of Practice for the Prevention and Control of Healthcare Associated Infections, HSCA reg 12, Standard 2: Competent & Capable Workforce Criterion 8: Hand Hygiene Training & NHSLA Standard 4: Clinical Care Criterion 9: Infection Control, NHSLA TNA Minimum Data Set
CQC Outcome 8, focuses on cleanliness and infection control and
requires the Trust to comply with the requirements of the Code of Practice for health and adult social care on the prevention and
control of infections".
Risks include: Illness or death to patients, staff or visitors. Trust
reputation loss. Litigation
absence. Possible litigation and compensation claims.
CQC Outcome 2 focuses on consent to care and treatment and
requires the Trust to "manage risk through effective consent procedures". Outcome 16 focuses on assessing and monitoring the quality of service provision and requires the Trust to "identify, monitor and manage the risks to people who use, work in or visit the service" and "improve the service by learning from adverse events, incidents, errors and near misses" Risks include: Harm or death to patients. Litigation. Poor clinical practice
Frequency
Delivery Method/s
Safe Load Handling - Theory & Practice plus Patients Low Risk
All DNLD Community Nurses & Healthcare Support Workers, All Older Adults Community Nurses and HCSWs, All Community AHPs & AHP Assistants working in above inpatient settings
2 Yearly Face to face
Safe Handling - Theory & Practice plus High Risk Patients
All Older People’s In patient Mental Health Nurses & Healthcare Support Workers
Specialist Services Community Nursing Teams All AHPs & AHP Assistants working in above inpatient settings
Yearly Face to face
Safe Handling - Train the Trainer 3 Day Course Nominated persons On appointment Face to face
Safe Handling - Update for Key trainers Nominated persons Yearly Face to face
CQC Outcome 10 focuses on the Safety & Suitability of premises
and requires the Trust to make sure that people who use services and people how work in or visit the premises are "in safe,
accessible surroundings that promote their well-being, are protected against the risk of unsafe or unsuitable premises, and are compliant with any legal requirements" .CQC Outcome 11 focuses
on safety, availability and suitability of equipment and requires the Trust to ensure people "are not at risk of harm from unsafe or
unsuitable equipment" Risks include: HASWA
breached. HSE Improvement notice. Risk to Health. Sickness absence. Possible litigation and compensation claims.
Safe Handling
Statutory - Manual Handling Regulations
1992, NHSLA Standard 2 Competent & Capable Workforce - Criterion 9: Moving & Handling Training, TNA Minimum Data Set
Frequency
Delivery Method/s
AED & Airway Management Qualified Nurses & Doctors - Inpatients. 3 Yearly Face to face
Anaphylaxis/Basic Life Support All clinical staff working in an inpatients setting require annually. Community staff require face to face training 3 yearly with workbook in intervening years. Psychologists to complete face to face training on commencement - once only. Workbooks available for CARAT's, Doctors and Trainee Psychologists plus as supplementary resource for Specialist Community Teams. Anaphlaxis training required annually for all qualfiied nurses and will be included in medicines management training. Workbook for Anaphylaxis can be completed in alternate years.
Once (Pscyhologists) Yearly (Inpatient staff) or 3 yearly (Community Staff)
Face to face, workbook, e-learning
Do Not Attempt Resuscitation All Doctors. Qualified Nurses working in Older Peoples Services
Community Specialist Nursing Teams Specialist School Nurses
Senior Managers of Inpatient Services
Once, then as identified at PDR
Face to face, Workbook
Dual Diagnosis
NHSLA Standard 4 Clinical Care - Criterion 3: Management of Service Users with a Dual Diagnosis of Mental Health Problems & Substance Misuse, NHSLA TNA Minimum Data Set
Dual Diagnosis All Doctors, Nurses, Social Workers, Healthcare Support Workers and AHP’s working in Forensic Mental Health, Adult and Older Peoples Mental Health, DNLD and Specialist Services – Community & In-patient (excluding Substance
Once, then as identified at PDR
Face to face.
Resuscitation
Resuscitation Council Guidelines, NHSLA Standard 4 Clinical Care - Criterion 9: Resuscitation, NHSLA TNA Minimum Data Set
CQC Outcome 4 focuses on the care and welfare of people who
use services and that "staff will quickly recognise when a person
who uses services becomes seriously ill.... and requires treatments and immediately responds to their needs" Resuscitation Council
(UK) says all Trusts must provide at least annual BLS training to all
clinical staff with a duty to respond.
Risks includes: Potential loss of life, reputation, litigation.
CQC Outcome 16 focuses on assessing and monitoring the quality
of service provision and requires the Trust to "identify, monitor and manage the risks to people who use, work in or visit the service" and "improve the service by learning from adverse events, incidents, errors and near misses" Risks include: Harm or death to TNA Minimum Data Set
Misuse teams and Inclusion Services
Food Safety in Catering Level 2 Award Catering, Ward Housekeepers, Porters, AHP’s with specific food training roles, clinical staff working on Kinver, LSU, and Norton
3 Yearly Face to Face
Food Safety General Awareness Inpatient staff who do not fall into the above category and AHPs/AHP Assistants
3 Yearly Face to Face or Workbook Introduction to Information Governance All employees who have access to personal
information
Once, then as identified at PDR
E-learning
Information Governance - The Beginners Guide All employees who do NOT have access to personal information. Catering, Housekeeping (Except ward housekeepers), Portering, Maintenance & Estates
Once, then as identified at PDR
E-learning
DMI - 5 Day Foundation Violence & Aggression (Initial)
Inpatient Nurses, Forensic Mental Health Services, Mental Health including Older Peoples Services, Inpatient Healthcare Support Workers, AHPs & AHP Assistants
Once only Face to face
DMI - 2 Day Foundation Violence & Aggression (Update)
Inpatient Nurses, Forensic Mental Health Services, Mental Health including Older Peoples Services, Inpatient Healthcare Support Workers, AHPs & AHP Assistants
Yearly Face to face
DMI - 2 Day Specialist Violence & Aggression (Initial)
Inpatient Nurses, Inpatient Healthcare Support Workers, AHPs, AHP Assistants working in Kinver, Birmingham Tier 4 Service, Oak House, Castle Lodge, West Bank, Friary Day Centre, Tamworth Link, Kingsley Day Services and Community Staff
Once only Face to face
MAPA
Health & Safety at Work Act, HSCA reg 23, NHSLA Standard 3 Safe Environment - Criterion 9: Violence & Aggression, NHSLA Standard 4 Clinical Care - Criterion 1 Rapid Tranquillisation, NHSLA
Information Governance
CQC Outcome 21 focuses on records and requires the Trust to "manage risk through effective procedures about records to ensure that " people who use services can be confident that their personal records for their care, treatment and support are properly managed". Risks include: Reputational. Breach of duty of care.
Breach of DPA. Potential financial penalties
CQC Outcome 7 focuses on safeguarding people who use services
from abuse and requires the Trust to protect others from the negative effect of any behaviour by people who use services. CQC
Outcome 14, requires the organisation to ensure staff are properly
trained and specifically that there are "clear procedures followed in
practice, monitored and reviewed, that are implemented when staff are subject to violence, harassment or bullying by other staff or people who use services. Risks include: HASWA breached. HSE Food Safety
patients or general public. Homicide. Litigation. Poor clinical
CQC Outcome 5 focuses on meeting nutritional needs and requires
the Trust to make sure that "the food and drink they provide
supoprts health" and specifically that it is "handled stored, prepared and delviered in a way that meets the requirements of the Food Safety act 1990 ." Risks include: Food poisoning of staff or
patients. Financial penalties
HSCA Reg 20, NHSLA Standard 4 Clinical Care - Criterion 4: Health Record Keeping Standards
Legislative Requirement - Food Safety Act 1990
Frequency
Delivery Method/s
Mental Capacity Act & Advance Directives
Mental Capacity Act 2005, HSCA reg 17, HSCA Reg 13
Mental Capacity Act & Advance Directives All Community Nurses
All Nurses working in an inpatient setting All Psychologists
All Doctors
All Allied Health Professionals
Once, then as identified at PDR
Face to face.
Mental Health Act Mental Health Act 1983, HSCA reg 17,
HSCA Reg 13
Mental Health Act All Community Nurses
All Nurses working in an inpatient setting All Psychologists
All Doctors
All Allied Health Professionals
* In Children’s Services required only for staff working within CAMHS
Once, then as identified at PDR
Face to face.
Medicines Management All doctors 3 yearly Face to face.
CQC Outcome 9 focuses on the management of medicines, and CQC Outcome 2 focuses on consent to care and treatment and
explicitly requires the Trust to ensure that "staff understand the
circumstances in which written consent must be taken, the way in which written consent must be documented, what to do when the wishes of the person who uses the service conflict with their care, welfare and safety needs or with those acting on their behalf" CQC Outcome 9 focuses on the management of medicines and requires
staff to understand "the arrangements for requesting a second
opinion in relation to medicines for people detained under the Mental Health Act". Risks include: Inappropriate treatment of patients, Litigation. Reputation.
CQC Outcome 2 focuses on consent to care and treatment and
explicitly requires the Trust to ensure that "staff understand the
circumstances in which written consent must be taken, the way in which written consent must be documented, what to do when the wishes of the person who uses the service conflict with their care, welfare and safety needs or with those acting on their behalf" CQC Outcome 9 focuses on the management of medicines and requires
staff to understand "the arrangements for giving medicines covertly where this is needed in accordance with the Mental Capacity Act".
Risks include: Inappropriate detention or treatment of patients.
Public safety risk. Patient safety risk.
Medicines Management
HSCA Regulation 13, NHSLA Standard 4 Clinical Care - Criterion 6: Medicines Management, NHSLA TNA Minimum Data Set
Medicines Management All doctors
All Community Nurses (ex Childrens) All Nurses working in an inpatient setting (ex Childrens)
* In Children’s Services required only for staff working within CAMHS
3 yearly Face to face.
Local Induction Programme All new employees Within 1 week of commencing employment
Face to face.
Trust Corporate Induction for New Employees All new employees Within 12 weeks of commencing employment
Face to face, e-learning
Trust Health & safety Induction for New employees All new employees Within 12 weeks of commencing employment
Face to face, e-learning
Safeguarding Vulnerable Adults
No Secrets' DoH 2000, HSCA Reg 11, NHSLA Standard 3 Safe Environment - Criterion 3: Safeguarding Adults, NHSLA Minimum Data Set
Safeguarding Vulnerable Adults All Community Nurses and Healthcare Support Workers, All Nurses and Healthcare Support Workers in an inpatient setting, All Doctors, All Psychologists, All AHPs, A&C Staff working in clinical areas
3 yearly Face to face
CQC Outcome 9 focuses on the management of medicines, and
requires the Trust to ensure that we provide personalised care through effective use of medicines, manage risk through effective procedures about medicines handling, and specifically that "staff
handling medicines have the competency and skills needed" , Risks include: Illness or death of patients through drugs errors.
Litigation. Lost of Trust and Professional reputation.
CQC Outcome 14 focuses on supporting workers and requires the
Trust to ensure that people who use services receive care treatment and support from staff who are competent to carry out their roles. Specifically that "all staff receive a comprehensive induction that
takes account of recognised standards in the sector and is relevant to the workplace and their role". Risk include:Higher staff
turnover. Poor practice. Poor safety. Loss of reputation
CQC Outcome 7 - focuses on safeguarding people who use
services from abuse and requires the Trust to "ensure that Government and local guidance about safeguarding people from abuse is accessible to all staff and put into practice." In particular the Trust needs to minimise the risk and likelihood of abuse occurring. Risks Include: Harm, injury or death to a patient. Trust reputation. Professional Reputation and dismissal
Induction
HSCA Reg 23, NHSLA Standard 2 Competent & Capable Workforce - Criterion 1: Corporate Induction, Criterion 2: Local Induction of Permanent Staff & Criterion 3: Local Induction of Temporary Staff, TNA Minimum Data Set
Frequency
Delivery Method/s
NHSLA Standard 2 Competent & Capable Workforce Criterion 4: Clinical Supervision, NHSLA TNA Minimum Data Set
Clinical Supervision for Supervisors Clinical staff acting as clinical supervisors (excludes psychologists)
Once, then as identified at PDR
Face to face
NHSLA Standard 3 Safe Environment - Criterion 3: Safeguarding Adults
Understanding Sexual Abuse Nurses & Healthcare Support Workers Inpatient & Community
CARATS Workers
AHPs & AHP Assistants Inpatient & Community Psychologists
Doctors
Once, then as identified at PDR
Face to face
NHSLA Standard 3 Safe Environment - Criterion 3: Safeguarding Adults & Criterion 9: Violence & Aggression
MAPA - Challenging Behaviour for Older People's Services
All Nurses and Healthcare Support Workers working in Older Peoples Services
Yearly Face to face.
Essential Professional Development - Clinical Skills
CQC Outcome 7 - focuses on safeguarding people who use
services from abuse and requires the Trust to "ensure that Government and local guidance about safeguarding people from abuse is accessible to all staff and put into practice." In particular the Trust needs to minimise the risk and likelihood of abuse occurring. Risks Include: Harm, injury or death to a patient. Trust reputation. Professional Reputation and dismissal
CQC Outcome 14 focuses on supporting workers and requires the
Trust to ensure that people who use services receive care treatment and support from staff who are competent to carry out their roles. Specifically that, " supervisory or support arranegments are in
place, monitored and reveiwed, for all staff involved in delviering care, treatment and support" and "a support structure is in place for supervision which includes one-one sessions or group meetings" Risks include: Poor governacne & clincial pracice
CQC Outcome 7 focuses on safeguarding people who use services
from abuse and requires the Trust to protect others from the negative effect of any behaviour by people who use services. CQC
Outcome 14, requires the organisation to ensure staff are properly
trained and specifically that there are "clear procedures followed in practice, monitored and reviewed, that are implemented when staff are subject to violence, harassment or bullying by other staff or people who use services. Risks include: HASWA breached. HSE
NHS Constitution, Trust Policy
Appraisal (Personal Development Review) Managers, Supervisors and Team Leaders Once, then as identified at PDR
Face to face, E-learning
ACAS Code of Practice, Trust Policy
Grievance and Disputes Managers, Supervisors and Team Leaders Once, then as identified at PDR
Face to face, E-learning
NHSLA Standard 3 Safe Environment - Criterion 8: Harassment & Bullying, NHSLA TNA Minimum Data Set
Harassment and Bullying Managers, Supervisors and Team Leaders Once, then as identified at PDR
Face to face, E-learning
CQC Outcome 14 focuses on supporting workers and includes
ensuring that "staff are supported to do their work in a safe working
environment where risk of violence, harassment and bullying are assessed and minimised" Risks include: Poor performance and practice. Risk to quality of service provision. Unfair dismissal claims. CQC Outcome 14 focuses on supporting workers and requires the
Trust to ensure that staff are properly trained, supervised and appraised, specifically that " the development of staff is supported through a regular system of appraisal that promotes their professional development and reflects any relevant regulatory and/or professional requirements. Risks include: Risks of incompetence leading to poor performance and practice. Risk to quality of service provision. Low morale, high staff turnover.
CQC Outcome 14 focuses on supporting workers and to esnure "there is an open culture in the service which allows staff to feel supported to rasie concerns without any fear of recrimination" Risks include: Poor performance and practice. Risk to quality of service provision. Unfair dismissal claims. Compensation + Financial penalties
people who use services. Risks include: HASWA breached. HSE Improvement notice. personal injury.. Sickness absence. Possible litigation. Patient death. Staff injury/absence/death. Corporate manslaughter. Poor clinical practice.
Frequency
Delivery Method/s
NHSLA Standard 3 Safe Environment - Criterion 2: Sickness Absence
Managing Attendance Managers, Supervisors and Team Leaders Once, then as identified at PDR
Face to face, E-learning
HSCA reg 21, NHS Employment Check Standards
Recruitment and Selection and Interviewing Skills Managers, Supervisors and Team Leaders Once, then as identified at PDR
Face to face, E-learning
Public Interest Disclosure Act 1998 NHS Counter Fraud & Security Management Service.
Whistleblowing and Fraud Managers, Supervisors and Team Leaders Once, then as identified at PDR
Face to face, E-learning
CQC Outcome 14 focuses on supporting workers and to esnure
"there is an open culture in the service which allows staff to feel supported to rasie concerns without any fear of recrimination" Risks
include: Loss of reputation. Financial loss. Criminal proceedings. CQC Outcome 12 focuses on requirements relating to workers and
includes ensuring that "there are clear procedures followed in
practice…when staff are not well enough to work" Risks include: Poor performance and practice. Risk to quality of service provision. Unfair dismissal claims. Compensation + Financial penalties CQC Outcome 12 focuses on requirements relating to workers and
requires the Trust to esnure that "staff are recruited following
effectvie recruitment and selection procedure that complies with legislation about employment, eqialities and human rights" Risks include: Poor performance and practice. Risk to quality of service provision. Unfair dismissal claims. Compensation + Financial penalties
