This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies.Find out more here

GET INVOLVED

To discuss how you and your organisation can get more involved with The Work Foundation, please contact us.

Call 020 7976 3575 or email info@theworkfoundation.com

CONTACT

Karen Steadman
Senior Researcher
Email
Karen Steadman

Fitting health care workers to patient needs – lessons from Australia

Authors: Karen Steadman Karen Steadman

25 July 2013

Looking at some of the recommendations from the Kings Fund on the NHS and Social Care workforce, I’m reminded of similar discussions going on in Australia in recent years about the rural and remote health workforce, where there is considerably difficultly responding to the health care needs of Australia’s widely dispersed population.  Though Australia’s geography present a very different scenario from what we see in the UK, some of the ideas being investigated there are just as pertinent in our context – the focus must be on building a health workforce and designing roles specifically to fit patient needs.

Standing out in particular are the need for more integrative teams, and for changes to the job design- through the expansion of the existing scope of practice of some health workers and the development of new assistant roles. Some observations from my Australian experience are below: 

As highlighted in the Kings Fund report, there is a need to develop teams, not just individual professional groups. In order to develop integrative teams that understand each others roles and can work together in an effective, cooperative, and co-dependent way, team members must know what it is their colleagues do, and that they all share the same values. This is about more than just knowing what each others role is – its about sharing a common language, its about understanding, and its about having a mutual respect for each others work. In order for this to occur, team members don’t need to just work with each other, but they need to learn with each other from an early stage – to develop their own working models of their profession within the context of other professions practice.   Inter-professional teams, require inter-professional education.

Obviously different professions will have different clinical education, but we must remember that being an excellent clinician is not just about the clinical skills.  There are a number of professional attributes which cross the boundaries of a given specialism, that can and should be learnt together across the professions – these include communication, clinical leadership, cultural awareness and respect, person-centred care and ethics. By learning these together, whatever the discipline, health students will have the opportunity care professionals will have the to ’learn with, from and about each other to improve collaboration and the quality of care’(Centre for the Advancement of Interprofessional Education).

The need to ‘Align the workforce to work, not the other way round’ is also a vital point. Bounded professional groupings and inflexible ‘scope of practice’ can be a barrier to providing effective care in a modern multi-disciplinary setting. We only need to look at the success of models of expanded practice here and overseas, such as Nurse Practitioners (winning their hard fought battle for prescribing rights) and new assistant roles, such as Physician Assistants, reducing the burden on more specialist clinicians, to see the value of developing new roles to fill profession gaps.

 It will not be an easy job, but the health care workforce needs to be realigned to reflect the needs of the health service and the needs of patients – for too long we have tried (and failed) to squeeze profession shaped workers into need shaped holes.

Comments in Chronological Order (Total 8 Comments)

sadsa

17 Jun 2014 6:28AM

If you are in need of funds fast from a settlement that hasn’t started paying, then look no further than presettlementfundings.com. With us, you know you are being provided with the highest quality services to ease the stress of your settlement process. We know getting the funds you need can be difficult and time consuming—not with us. settlement funding

sadsa

17 Jun 2014 6:43AM

Thank you for this. ??? ?????? ????????

sas

19 Jun 2014 6:46AM

This article is awesome! dika.ir

maria

03 Aug 2014 12:43PM

I've just decided to create a blog, which I have been wanting to do for a while. Thanks for this post, it's really useful! See more at : www.stuffynose.net

mckinley hill condominiums

15 Sep 2014 9:44PM

You will be missed.the one spot where as a venue and fan I could look by what ever edges I picked.mckinley hill condominiums

php training institute noida

15 Sep 2014 10:27PM

I do ruminate that you can communicate regarding this subject. php training institute noida

rasoio elettrico

16 Sep 2014 9:40AM


I should utter entirely that its excellent! The blog is informational further always generate wonderful things. rasoio elettrico

Cheap Poster Frame

19 Sep 2014 9:57AM

This is precise charming to apprehend this blog too it's really educational for the primers.Cheap Poster Frame