Doctorate of Clinical Psychology University of Exeter

Reflective Organisational Practice (ROP) series

Niki Buckingham (NB), Eugene Mullan (EM), Tony Wainwright (TW)

(2015 – 18)

Key:

GMC = Generalisablemetacompetencies PA = Psychological assessment PF = Psychological formulation PI = Psychological intervention E = Evaluation R = Research PPSV = Personal and professional skills and values CT = Communicating and teaching OSIL = Organisational and systemic influence and leadership

Overarching Principles

ROP Framework

UNDERSTANDING SERVICE CONTEXTS

To influence leadership environments, it is essential to understand the service context. This is difficult to achieve because we are part of that context so it is vital to develop conscious competence through the application of psychology and generalising clinical skills. It is important to have an understanding of the organisation, policy and professional contexts as well as the process of service transformation as change and improvement are a continuous part of the landscape. Both critical reflective and values based practice, drawing upon the evidence base, guide this process of continuously seeking to understand and make sense of service context.

-Working in Systems series

Work groups (NB)
Teams (NB)
Organisations (NB)

- Professional, Policy & Service context series

Policy and professional context (EM TW)
Service structure (EM TW)
Service transformation (EM TW)

1)UNDERSTANDING SERVICE CONTEXTS - Learning outcomes

Working in Systems series

Work groups - Teams – Organisations (Convenor NB)

Trainees will be able to:

Explain the importance of understanding organisational systems, particularly with reference to the core professional and organisational competencies required of clinical psychologists (GMC PF OSIL)

Be able to apply their knowledge of small group process and clinical groupwork skills in a work group setting (GMC PF PI OSIL)

Be able to apply their knowledge and skills of the systemic family therapy model in a work group setting (GMC PF PI OSIL)

Be able to describe the likely impact of change in organisational systems, and on organisational culture (GMC PF PI R OSIL)

Demonstrate the ability to think in a reflective, reflexive and evaluative way about organisational systems (GMC PF E PPSV OSIL)

Professional, Policy & Service context series

(Convenors EM, TW)

Policy and professional context

Trainees will be able to:

Identify key policy and professional areas of development and change within the National Health Service and emerging mixed health and social care economy. (GMC, OSIL)

Develop the skills for managing the large information flow concerning policy. (GMC, OSIL)

Demonstrate an awareness of the legislative and national planning context of service delivery and its impact on clinical practice and the meaning of different policy initiatives. (GMC, OSIL)

Understand the impact of governmental policy and other key influences e.g. The NHS Constitution; National Institute for Health and Care Excellence; The Increasing Access to Psychological Therapies (IAPT) programme; The Health and Care Professions Council; The British Psychological Society and its Division of Clinical Psychology. (GMC, OSIL, PPSV)

Service structure

Trainees will be able to:

Understand the NHS structures, organisations and purposes. (GMC, OSIL)

Gain an appreciation of the way in which the NHS relates to the communities it serves e.g. the public, key stakeholders, the broader health and social care community, non-statutory/independent sector, NHS hierarchy and other political structures. GMC, OSIL, PPSV)

Understand the structure of commissioning, both the national and local clinical commissioning arrangements. GMC, OSIL)

Service transformation

Trainees will be able to:

Understand the legislative and national planning contexts for service delivery and clinical practice in which service transformation can occur (OSIL)

Develop the capacity to adapt practice to different organisational contexts for service delivery, as service transformation requires a whole system understanding. (OSIL)

Develop the capacity for indirect influence of service delivery to facilitate service transformationby bringing psychological influence to bear in the service delivery of others (OSIL)

Become effective at working with users and carers to facilitate their involvement in service planning and delivery as part of service transformation (OSIL)

Understand the of change processes in service delivery systems (OSIL)

Understand and work with quality assurance principles and processes including informatics systems that may determine the relevance of clinical psychology work within healthcare systems. (OSIL, E)

Recognise malpractice or unethical practice in systems and organisations and know how to respond to this, and be familiar with ‘whistleblowing’ policies and issues. In addition to recognise the importance of positive approaches (for example appreciative inquiry) for facilitating service change (OSIL)

2)VALUES BASED PRACTICE

In the ROP strand influencing leadership environments is guided by values based practice, emphasising self and other compassion, ethically aware decision making and action, and diversity aware practice, through the application of psychology and generalising clinical skills.

-Resilience series

Personal resilience (NB)
System resilience (NB)

-Decision making and ethical practice series

Ethical practice (TW)
Ethical decision making (TW)

-Diversity series

Different environments (PB HS)
Diverse cultures (PB HS)

2)VALUES BASED PRACTICE - Learning outcomes

Resilience series

Personal resilience & System resilience (Convenor NB)

Trainees will be able to:

Explain the importance of self care and building resilience as individual practitioners, particularly with reference to the core professional and organisational competencies required of clinical psychologists (GMC PPSV R OSIL)

Demonstrate the ability to design and implement a self care protocol (GMC PPSV)

Explain the importance of promoting resilience in systems, at the level of work group, team and organisation, particularly with reference to the core professional and organisational competencies required of clinical psychologists (GMC PF R OSIL)

Demonstrate the ability to recognise and promote resilient processes in organisational systems (GMC PF PI CT OSIL)

Decision making and ethical practice series

Ethical practice - Ethical decision making (Convenor TW)

Ethical practice

Trainees will be able to:

To demonstrate awareness of ethical issues and the skills to manage them. (GMC, OSIL, PPSV, PA, PI, E, CT)

To have a clear understanding of the origins of codes of ethics and practice and their rationale. (GMC, OSIL, PPSV, PA, PI, E, CT)

To use the BPS Code of Ethics and Conduct in guiding their clinical work. (GMC, OSIL, PPSV, PA, PI, E, CT)

To be able to use the HCPC Code of Ethics and Conduct in guiding their clinical work. (GMC, OSIL, PPSV, PA, PI, E, CT)

Ethical decision-making

Trainees will be able to:

Be familiar with the four component model of ethical decision making. (GMC, OSIL, PPSV, PA, PI, E, CT, R)

Gain an understanding of psychological approaches to ethical practice through working on ethical scenarios based on work in moral psychology and other disciplines. (GMC, OSIL, PPSV, PA, PI, E, CT, R)

Understand how change processes or other organisational factors influence and impact on service delivery systems. (GMC, OSIL, PPSV, PA, PI, E)

Diversity series

Different environments - Diverse cultures (Delivered by Hannah Sherbersky & Paul Beckley)

Trainees will be able to:

Appreciate the importance of working with those who have direct experience of services, carers and others (e.g. voluntary agencies) to facilitate their effective involvement in service planning and delivery. (GMC, OSIL, PPSV, PA, PI, E, CT)

Be aware of the clinical, professional and social context within which the work is undertaken with particular reference to social and other e.g. health inequalities(GMC, OSIL, PPSV, PA, PI, E, CT)

Be able to apply their knowledge of the cultural diversity of the population so that an effective and values based service can be provided. (GMC, OSIL, PPSV, PA, PI, E, CT)

3)INFLUENCING SERVICE CONTEXTS

The ROP strand defines leadership as influencing the service context; leadership is conceptualised as dynamic, existing in the interaction of people in context, and equally important to clinical psychologists in designated (formal) and non-designated (informal) leadership positions. There are a number of roles frequently taken on by clinical psychologists, such as consultation, which can be understood as leadership opportunities, so learning to be influential in these roles through the application of psychology and generalising clinical skills is important. Trainees need to develop their own unique skills of influencing service context; this process is supported by an examination of models in the literature, models in practice and the competencies required by the profession. Both critical reflective and values based practice, drawing upon the evidence, guide these processes.

-Leadership roles series

Consultation (NB)
Teaching and Learning (NB)
Commissioning & Service development (EM TW)
Public & community health intervention (EM TW)

-Leadership development series

Leadership theory (NB)
Leadership in practice (EM TW)
Leadership competencies (EM TW)

3)INFLUENCING SERVICE CONTEXTS – Learning outcomes

Leadership roles series

Consultation (Convenor NB)

Trainees will be able to:

Explain the importance of consultation in clinical practice, particularly with reference to the core professional and organisational competencies required of clinical psychologists (GMC OSIL)

Explain the importance of negotiation, preparation and review with consultees in both formal and informal settings so a shared efficient process is achieved (GMC CT E OSIL)

Distinguish between process and content expertise in the consultancy role (GMC PF)

Explain how consultation can be undertaken within a framework of the core therapeutic models (GMC PA PF PI)

Demonstrate the ability to think in a reflective, reflexive and evaluative way in a consultancy role (GMC E PPSV OSIL)

Teaching and Learning (Convenor NB)

Trainees will be able to:

Explain the importance of developing knowledge about learning processes and teaching skills, particularly with reference to the core professional and organisational competencies required of clinical psychologists (GMC CT OSIL)

Demonstrate an ability to deliver across a range of delivery approaches ranging from formal presentations to facilitating experiential learning (PI CT OSIL)

Commissioning & Service development

(Convenors EM, TW)

Trainees will be able to:

Understand the history and current system whereby services are commissioned and the relevant issues for psychology and related services. (GMC, OSIL)

To apply the knowledge of psychology to develop ideas that may be used in service development and continuity through influencing commissioning decisions and decision-makers. (GMC, OSIL,R)

To identify areas where services are effective and to apply those models to enhancing local approaches. (GMC, OSIL,R)

Public & community health intervention

(Convenors EM, TW)

Trainees will be able to:

Understand social approaches to intervention; for example, those informed by community, critical, and social constructionist perspectives (GMC I PPSV OSIL )

Develop the capacity to adapt practice to different organisational contexts for service delivery. This should include a variety of including public health approaches and other social and community approaches (GMC I PPSV OSIL )

Leadership development series

Leadership theory (Convenor NB)

Trainees will be able to:

Locate leadership approaches in the leadership models literature and therefore recognise there is no one model of leadership but a dominant model which will change over time (GMC, OSIL)

Understand their own development in the context of the leadership models literature, and the approaches of others (GMC, OSIL, PPSV)

Leadership in practice (Convenors EM, TW)

Trainees will be able to:

Develop an appreciation of the challenges and opportunities presented by the profession of clinical psychology to take a leadership role in different contexts. (GMC, E, OSIL, R)

To explore the ways those with current leadership and strategic roles can incorporate this into their ongoing professional life.(GMC, E, PPSV, OSIL)

Leadership competencies (Convenors EM, TW)

Trainees will be able to:

Understand the evidence-base for effective leadership and how to work different leadership environments (GMC, OSIL, R, PI)

Link the goals for leadership development identified on clinical placements with the teaching materials (GMC, OSIL, R)

To develop a working plan for personal leadership development based on the leadership competences in the BPS and NHS leadership academy models. (GMC, OSIL)