Using The Calderdale Framework to implement a work based education programme for the Support Workers, within the CREST at CDHB.

Vicki Prout


The CREST Multi-disciplinary Team provides support to clients over 65 years following discharge from hospital.  The CREST model relies on the Physiotherapists providing daily exercise programmes for clients to regain their independence, these plans are executed daily by the KSW’s. Currently this education is classroom based and there is no clinical review of their competence.

The CF method ensures quality, is patient focused and leads to work based education on tasks and functions that are necessary to deliver patient focused treatment. This project will implement the Clinical Task Instructions (CTI’s) to certify that all KSW receive a consistent mechanism of training. Daily rehabilitation tasks are completed competently, safely and effectively to a high clinical standard to CREST community dwellings elders.

Rationale / Change question /scope of change

Research shows that keeping Elders in hospital has many negative consequences and Kleinpell et al (2008) demonstrated the greatest rehabilitation gains for this client group can be made within their home environment. Allied Heath recruitment is difficult in Canterbury, services within CDHB regularly has vacancies[5]. It is imperative that we are utilising these specialist professions effectively, simple tasks can be delegated to non-registered health professionals. Nancrow (2005) report that CF CTI’s provide confidence in delegation for the health professionals, and for the KSW, confidence in what tasks are within their boundaries.


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