"Riding the bumpy seas". Or the impact of the Knowledge Skills Framework component of the Agenda for Change initiative on staff in intermediate care settings

Alex McClimens, Susan Nancarrow, Anna Moran, Pamela Enderby, Caroline Mitchell

Research output: Contribution to journalArticle

3 Citations (Scopus)
11 Downloads (Pure)

Abstract

This paper explores the compatibility of the recently modernised NHS pay structure, 'Agenda for Change' (AfC) with the workforce flexibilities arising within intermediate care services in the NHS in England. The findings reported here were an unanticipated outcome of a larger, Department of Health (England) study which explored the impact of workforce flexibility on the costs and outcomes of older peoples' community based services. The research coincided with the introduction of AfC, and, as such workforce flexibility was a strongly emergent theme from focus groups which involved 11 teams as part of the larger study. In principle, it appears that both intermediate care and AfC should support the concepts of interprofessional working, blurring of role boundaries and role substitution, however the findings from this study suggest otherwise. In particular, intermediate care was described as a largely non-hierarchical service structure where staff roles expand horizontally to take on a broad plethora of generic tasks. In contrast, AfC promotes a hierarchical framework for career progression which recognises and rewards defined skills, expertise and responsibility. From this perspective, AfC was seen to reward specialisation rather than generalism, and had difficulty differentiating between and rewarding staff with broad generalist roles
Original languageEnglish
Pages (from-to)70-79
Number of pages10
JournalJournal of Interprofessional Care
Volume24
Issue number1
DOIs
Publication statusPublished - Jan 2010

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