Continuing Professional Development CPD and RCSLT

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Continuing Professional Development (CPD) and
RCSLT

• Dominique Lowenthal
• Royal College of Speech and Language Therapists
• Professional Development Services Manager

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Today

• Todays objective
• RCSLT supports PD
• About CPD
• HPC and CPD

• The online CPD diary
• The CPD Toolkit
• Programme of CPD Activities
• Questions

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Where has the impetus for CPD come from?

• Shift in public perceptions of professionalism
• Compensation culture
• Emphasis on standards and accountability for CPD
• Its no longer acceptable to stand still

• Clinical governance agenda and now KSF
• Demand for evidence of learning may increase post
  Shipman
• HPC audit of SLTs CPD from 2009

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Measuring CPD

• Inputs (measuring hours, activities, or a points
  system)
• Outcomes
• What have I learned?
• How has this CPD activity had an impact on my
  practice and been of benefit to service users?
• Robust reflection

• A mixture of the two

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Physiotherapy

• CSP uses an outcomes based approach
• Independent physios have an input (hours) based
  approach
• CSP recommend 6 days a year
• Physios encouraged to maintain a portfolio of
  their learning
• Emphasis on individual responsibility and
  self-evaluation

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SLP Australia

• SLPs must maintain CPD to be certified
• CPD inputs and outcomes recorded
• 60 points over 3 years (no less than 20 hrs per
  year)
• Points attributed to different CPD activities
• Independent study 1 point per article read
• Attendance at seminar 1 point per hour
• Student supervision 3 points per 3rd /4th
  year student

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SLP USA

• SLPs Certificate of Clinical Competence (CCC)
  linked to their CPD standards
• 30 CPD hours over 3 years mandatory from
• 1 January 2005
• Emphasis on inputs

• Unsupervised study does not count as CPD
• Hours can be obtained via
• ASHA accredited courses
• University accredited courses
• Employer sponsored in-service courses

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Knowledge Skills Frameworkand CPD

• CPD linked more explicitly to career progression
  than ever before

• RCSLT KSF guidance is within the CPD Toolkit
  as a link in the CPD diary review an
  activity section

• CPD Diary forum

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HPC and CPD

• HPC standards came into effect in July 2006
• Compliance with standards is a requirement of
  registration
• Emphasis on outcomes and a range of activities

• 2.5 of SLTs will be audited for period 2007
  2009. All other SLTs will self-declare they have
  undertaken CPD.
• Guidance on HPC RCSLT web pages - and SLT
  sample profiles

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The HPC CPD Standards

• HPC Registrants must
• Maintain a continuous, up-to-date and accurate
  record of their CPD activities
• Demonstrate that their CPD activities are a
  mixture of learning activities relevant to
  current or future practice
• Seek to ensure that their CPD has contributed to
  the quality of their practice and service delivery

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The HPC CPD StandardsCont

• HPC Registrants must
• Seek to ensure that their CPD benefits the
  service user
• Present a written profile containing evidence of
  their CPD upon request

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HPC audit requirements

• Front cover
• Contents page
• Summary of practice history for the last 2 years
  (max 500 words)
• Statement of how Standards of CPD have been met
  (maximum 1500 words) on the pro-forma provided

• Documentary evidence to support the statement
• RCSLT has produced samples of summaries and
  statements which have been approved now jointly
  badged with HPC. These are in the RCSLT CPD
  Toolkit.

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Extract From HPC Sample Profile
Peer Observation In order to improve my skills
in working with refugee children, I spent several
sessions shadowing a more experienced colleague.
We undertook several home visits and schools, and
I attended two multi disciplinary meetings with
her. I also observed a bilingual co-worker with a
small parent group. During the therapy sessions
I used the RCSLT peer observation guidance to
record my observations. I found this experience
very helpful, as it gave me practical ideas as
well as helpful insights into working
effectively. Following the observation sessions,
the therapist agreed to become my mentor. This
relationship has contributed greatly to my
confidence in working with the children and their
families.
Continued
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Extract From HPC Sample Profile
During each mentoring session, (we meet every 6
weeks) we record the objectives for the session,
the outcome of the session, and agreed action
plans. Working in a highly pressurised
environment where there are children and families
with such huge needs can create the feeling that
no progress will ever be made by a service like
mine. The communication needs of a child are
often very low down the priority list for
families who literally have nothing when they
arrive in the UK. Understanding about the
communication context is therefore vital to the
outcome of therapy. This is possibly the aspect
of my work that has changed most over the last
two years, as I have begun to understand how to
work within the communication environment to
greater effect.
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Sample evidence table for HPC
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HPC CPD Process

• Each registrant makes a self-declaration at each
  registration renewal that they continue to meet
  the Councils Standards for CPD
• In 2009, sample audits of registrants taken at
  random from each section of the Register
• Submission of a profile of evidence by
  registrants selected for sample audit
• Assessment of the profile against the Standards
  of CPD using appropriate and experienced Partners

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HPC Timeline
April 2008
2009 HPC Audit SLTs
July 2006 HPC Standards Come into effect
April 2007
First auditable year. 3 month window
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What is the role of RCSLT in CPD?

• To enhance professional practice through..
• setting standards
• monitoring quality
• commissioning of post registration CPD
• to support RCSLT members in meeting HPC and
  employer requirements (diary, toolkit, advice)

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RCSLT the key to success with CPD
Linked to HPC requirements
CPD based on self assessment
Linked to KSF
Support SLTs working outside the NHS
Linked to RCSLT certification

• RCSLT Support
• CPD toolkit
• CPD Online diary
• Online Forum/FAQs
• Telephone/email support
• CPD opportunities

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The new RCSLT CPD scheme..

• Clear standards for CPD
• CPD linked to certification
• Support SLTs, SLTAs, TIs
• Clear links to HPC and KSF
• A recommended number of hours for CPD but
  emphasis on outcomes/ reflection

RCSLTs new scheme is the outer doll. By doing
30 hours of CPD per year you should have
sufficient evidence to meet the requirements of
your employer and HPC.
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Setting standardsRCSLT Standards for CPD from
April 2006

• Amount Undertake a minimum of 30 hours per
  year
• Type Undertake a mix of CPD activities
• Record Maintain an up-to-date record (3
  months)
• Reflective Maintain a record of the outcome of
  the learning

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Types of CPD

• To include a range of work based, formal, self
  directed learning and professional activity
• HPC requires a range of activity, which must be
  clearly reflected on and documented.
• How do you know if its CPD?
• HPC will be looking for these questions to be
  answered
• (1) How has CPD enhanced my service delivery?
  (2) how has it been of benefit to service users?

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Programme of CPD activities

• Vision The RCSLT vision is to add value to the
  profession in supporting members with CPD
  opportunities that will be relevant at all stages
  of their career pathway.
• RCSLT sought members opinions on CPD through a
  questionnaire
• Programme will be based on members feedback and
  will be approved by the RCSLT Professional
  Development and Standards Board and RCSLT Council

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Record of CPD

• Must be an up-to-date record of CPD activity, and
  must include a reflective account of the outcome
  of learning
• Evidence will take different forms
• (e.g. NHS therapists might use local PDP forms,
  Independent therapists can use RCSLT PDP form
  both can use reflective practice)
• Records can then be used for RCSLT, HPC and KSF
  purposes

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Providing supportThe RCSLT CPD toolkit

• Guidance on..
• Personal Development Plans
• Reflective writing
• Significant event analysis
• CPD and audit
• CPD and peer review
• CPD and mentoring

• HPC requirements for CPD
• KSF and CPD
• NOS and CPD

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RCSLT Online CPD Diary

• Trusts and Health Boards have their own format
  and requirements for appraisals and PDPs so there
  was no way for this system to fit in exactly with
  what people need to produce/present locally.

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Providing support and quality monitoring The
CPD diary

• Allows SLTs to record CPD activity and
  reflections on learning
• Complies with HPC
• Compatible with KSF
• Allows RCSLT to
• provide members with information on CPD
  activities
• monitor no. hours and provide support to
  therapists/assistants if needed.
• Target specific SLTs to provide views on policy
  and news

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The old RCSLT log system
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Example of the level of reflection expected by
RCSLT and HPC

• Clinical Leadership Course
• In my 2007 PDP, my manager and I agreed that
  there was a need to develop my leadership skills,
  as I had not received any formal training in this
  area. I was given the opportunity to enrol on a
  clinical leadership course
• locally. Although the course was demanding in
  terms of time, and I had concerns about its
  impact in the short term on my work, I found very
  quickly that there were benefits not only for me
  but for my team.

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Example of the level of reflection expected by
RCSLT and HPC

• As a result of going on this course, I had a
  better understanding of the role of leadership in
  a health setting, and observed some examples of
  good practice in leadership which I felt I could
  translate into my own setting. I also received
  new insights into my own skills and abilities,
  and was introduced to the challenges of 360
  degrees appraisal for the first time. As a team,
  we are now considering how we might introduce
  this system alongside the KSF Developmental
  Review process.

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RCSLT CPD Diary

• RCSLT will input details of CPD events it is
  running.  
• The diary is set up so that RCSLT can audit 5 of
  practicing therapists every year at random. Plan
  to do first audit in Jan 2009 (9 months before
  HPC audit)
• The Head of PD at RCSLT and the Professional
  Development Services Manager at RCSLT can see
  details of all users diary.
• You must respect client and colleague
  confidentiality in your diary. Particularly with
  SEAs (significant event analysis) use initials
  and numbers.

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RCSLT Online CPD Diary

• The diary is a recording and storage system not a
  word processing package - we have not tried to
  re-invent Microsoft Word!  That's why there's no
  spell check.  You can however, cut and paste
  between the diary and Microsoft Word. Or use
  ieSpell a free spell check program for web pages

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CPD Diary Techie Tips

• The best way to use the diary is to record CPD as
  you go along - do something every month/6 weeks -
  once you've input the basics you can always go
  back and edit.
• The diary doesnt accept blank spaces in the
  reflective sections so once you have input the
  details of an activity you have to also add some
  text in the other boxes even if it's just 123 or
  TBC.  

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CPD Diary Techie Tips

• If you are working on the diary and just type
  into it for more than 45 mins you'll lose any
  details that havent been saved or updated the
  diary needs commands in order to recognise
  activity.
• FAQshttp//www.rcslt.org/cpd/cpd_faqs

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Most frequently asked questions

• How do I reflect on activities that occur more
  than once. For example, student training where
  the student attends one day on a weekly basis. Do
  I need to reflect on each day or just add one
  entry for the whole placement?
• The same query applies to formal courses and
  research activities which may happen once a month
  or once a week.

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• It depends on whether you want to reflect on
  every session that you have with a student. For
  HPC purposes you need to demonstrate that the CPD
  you do has been of benefit to service users
  and/or has enhanced service delivery.
• You need to think about this activity in terms
  what you have gained from the supervision for
  your own professional development rather than the
  amount of time you have spent supervising.
• You could record all the student supervision you
  have done during the last 3 months as a single
  entry in the diary and record the different ways
  this has helped you develop under different
  activities within that. This will help you to
  your reflections on what you have learned as a
  result of doing those student supervisions.
• You might be able to work out, that you have
  spent xx number of hours reflecting on the work
  and yy number of hours putting together an action
  plan for how you might do work with your next
  group of students.

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FAQ answer continued
It's similar for courses/conferences.  Not every
part of the conference or course has to be
reflected on and you might want to break the
course down into the lectures and workshops
components and reflect on these aspects
discretely - the diary allows you to do
this. Research activities could be categorised
differently depending on whether you are
discussing the research with colleagues or at a
SIG or if you are undertaking self-directed study
as part of the research.
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FAQ - Webquest
To find the answers to these questions and much
more please visit the FAQs http//www.rcslt.org/
cpd/cpd_faqs

• How should part-time SLTs record their CPD?
• How will RCSLT audit CPD?
• I am on maternity leave, do I still need to do
  CPD?
• What kind of CPD activities are 'Other'?

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So what do RCSLT members think of the CPD Diary?

• Some
• people
• think
• like this...

Its very nice. I just wish they could add a
spa.
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but most members think like this
Thanks to you and your team for setting this all
up, I certainly appreciate all the hard work
you've put in on this project and think it's a
real credit to you all that it's so easy to use. 
Online CPD stuff looks great - should be much
better to keep up to date with the reflections
etc Thanks for all your work on our behalf! The
system is the best compromise for all the diverse
CPD functions we have. I am delighted that our
profession is leading the way. This is very user
friendly, like having an experienced and kindly
relative taking you through a procedure which you
were dreading but was actually OK, and dare I say
it pleasurable!
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Thank you

• CPD initiatives should be driven by a desire to
  improve the quality of what is delivered to
  clients.not by a fear of what might be imposed
  by others.
• Cartoon Source Financial Times 14/11/2005

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Feedback

• To help us continually improve, we greatly
  appreciate and welcome your views, suggestions
  and comments.
• Dominique.Lowenthal_at_rcslt.org
• Thank you.