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Case Study I

Boost for training in drugs

The Government is turning to vocational training in its latest move to tackle the country’s growing drug problem. A major review of the training of drug workers is being carried out in an attempt to improve the quality of help offered to users of street drugs.

The number of people seeking help for drug problems has doubled in the past 10 years. With hundreds of voluntary organisations involved in the rehabilitationand treatment of drug users, it is not known what proportion of staff are qualified for their jobs, or to what level. In an attempt to clear the mist, a review of training requirements is being carried out in a joint initiative, led by the Home Office and supported by the Department of Health.

They will commission an outside organisation to look at the way workforce data is collected and make recommendations about what training is needed for the future in a move which could see colleges and private training providers playing a bigger role. Government figures suggest that £1 invested in helping people with addiction can save society £9 by taking the strain off the criminal justice system and reducing the number of offences by users feeding their habit. Despite the lack of data, the National Treatment Agency, the NHS organisation responsible for drug work, has set ambitious targets for training. It says, by 2008, 75 per cent of non-professionally-trained staff should be at or working towards a level 3 (A-level) qualification, meeting national occupational standards which have already been drawn up for the wider health and social care sector. With many of these staff having no prior qualifications, the NTA admits the target is ambitious. Colin Bradbury, treatment delivery manager at the NTA, said: “The challenge and focus is now very much in ensuring that the workforce is sufficiently competent and has the skills to meet the requirements of the client group it serves.

Everyone acknowledges that more work needs to be done in this area.” The NTA’s targets also stipulate that 60 per cent of professionallytrained staff should be undertaking professional development and 90 per cent of managers should be doing, or have done, management training. John Rogers, chief executive of Skills for Health, said: “We havecome a long way in the past three years. We have national occupational standards. The situation is less than perfect, in the sense that people are not able to put their fingers on the figures straight away, but we are working towards that.” Already, he says the size of the workforce has been increased to take account of the increasing number of users seeking help. “We have increased the numbers but, now, the focus will be very much on quality and workforce development,” he said.

Jo designs course for staffwho include former users

The Blenheim Project is tucked away in the deceptively fashionable Portobello Road in London’s Notting Hill. Its frontage could easily be mistaken for one of the immodestly priced cafés which populate the area, but the activity behind the genteel facade is little different to hundreds of similar charities across the country. It serves as a safe environment and source of support and treatment for users of street drugs — increasingly crack cocaine. The charity is being renamed the Blenheim CDP as a result of a merger with the Community Drug Project, also based in London. Many of the staff from both organisations have qualified with health and social care NVQs. While these will have included units on drug work, few of their teaching sessions will have been specifically structured for drug workers. Jo Palmieri, responsible for training at the Blenheim, says she regards this lack of focus on the reality of the drug workers’ experience as one of the chief weaknesses of health and social care training programmes on offer.

The course is seen by some as too far removed from the reality of drug work, making it harder to recruit and retrain people. Ms Palmieri has developed a new 10-month NVQ course with Lynn James, who owns Quay Assessment Training, a private provider. It will run for the first time from January, providing NVQ level 3 (A-level equivalent) qualifications on a programme specifically for drug workers. The core will cover areas such as communication, health and safety, and personal development. Each candidate will take on an additional four units of more specific skills. What makes the training different is that the tutors, including those provided by Blenheim CDP itself, will have specialist knowledge of the drugs field and the students will be from the same area of work. Ms Palmieri said: “The NVQ in health and social care includes drugs, but quite often they will find themselves in a room where most people are not working with drugs. So often the trainers would not have that specialist knowledge and the assessors would not be professionally competent in the drugs field. ” She is passionate about the abilities of the staff at the Blenheim. Many of them are former drug users. She said their special understanding of vulnerable people “is the main reason our clients keep coming back”.

Yet getting them to a level 3 qualification will not be easy in all cases, with some lacking basic schooling. She said: “They will have to take responsibility for some of their own learning if necessary by going to college and catching up if they have no previous qualifications. But they will end up with a qualification to show for all the talent which we know they have.” The course is funded by Barnet College, a centre of vocational excellence for health. Miss James has worked in the City, where she has seen drugs destroy the careers — and lives — of some high-flying professional people. She said: “I know from experience that, however clever you are, you can be vulnerable. “We are not likely to make money out of this but I’m in the privileged position of being able to do a couple of things that I think are worth doing whether they make money or not.”

Case Study II

The Project: Quay Assessment Training –Star Care

Background to the project

Qualifying the Social Care Workforce is a major plank of Government Policy in health and social care. The Care Standards Act (2000) set specific targets and deadlines for National Vocational Qualification (NVQ) achievement, with the longer term objective that all care workers will hold qualifications appropriate to their job role and grade. This was a major shake-up for the sector: care workers traditionally have a wealth of knowledge, skill and experience, but relatively few held formal qualifications of any type and fewer still the specific awards now cited as the national minimum standard. In 2002, domiciliary care employers in the London Borough of Southwark decided to meet the challenge in partnership with each other and the Social Services Department. Together they identified the volume of new NVQ awards the sector would need to achieve Care Standard Act targets.

They made a realistic assessment of the individual pressure on care workers (now required to gain a job-essential qualification); the stress on services in sustaining a major programme of learning and, crucially, the gap between funding currently available for training and the cost of running a successful NVQ programme. ESF/LSC co-financing was identified as a potential source of support and funding. Social Services Training Section offered to coordinate a bid to the 2002 funding round. That bid encapsulated an ambitious plan –to apply the successful model of NVQ delivery that Quay Assessment Training had developed for the Council’s in-house care workers across a much greater number of learners, from a much bigger range of organisations. The bid was successful and from it, StarCare I was launched. Through this project, 210 Care workers embarked on their NVQ Level 2 award. The programmes were delivered by two Assessment Centres, Quay Assessment Training and Lambeth College. When StarCare I completed, in June 2004, over 80% of the care workers has achieved their award. Several more achieved shortly afterwards.

The crowning accolade for StarCare was winning the London Central LSC 2004 Award for Championing Equality and Diversity.Brokerage for Skills is a direct successor to StarCare. The overall programme has now expanded to offer NVQs at Levels 2, 3 and 4. Care workers from Day Services and Residential Homes are increasingly represented and a new NVQ Assessment Centre, DDL has joined the partnership. The NVQs themselves are funded from a variety of sources, but this time the ESF/LSC resource is targeted at providing the crucial support and training candidates need to prepare for and succeed in their Award. The Star Care Brokerage for Skills Project has two main objectives:

1. To improve small to medium sized enterprises (SMEs) general access to Skills for Life training and vocational short courses

2. To deliver direct support to 200 SME employees to help them achieve a National Vocational Qualification in Care.

The Project targets those people in the care workforce who need most help to gain qualifications and thus, secure their place in the labour market. To achieve its ends, the project forges links across a wider partnership and create collaborative systems for the lasting benefit of the care sector.

Did you know the average carer on this project visits a minimum of 5 clients per week, therefore this ESF funded project is benefiting over 1000 people who receive care in Southwark alone (plus those who are receiving the training)

Training and Support

Training and Support One great ambition this project realises is to create a culture of learning among its beneficiaries. Every carer passes on learning to their counterparts. Many of the learners currently working towards Level 3 awards gained their Level 2 with StarCare 1 –this places them in an ideal position to mentor and encourage their colleagues. Training is provided on the job –assessors shadow the learner’s en situ, witness statements and testimonies can be used along with evidence from the learner’s portfolios to show the knowledge and understanding gained to prove they have the competence to do the job and gain the qualification.

Targeting

97 per cent of the learners from this project are from disadvantaged backgrounds, BME, lone parents etc. More traditional routes to self-development (eg through evening classes etc) are not open to many care workers, who may be balancing their demanding job with child care and other family commitments. Employers find it difficult to cover staff absence at the level most day-release courses require, especially if a lot of their staff are working part time. Wholly work-based NVQs are not always the answer, because some learners need protected space for training, portfolio building and the support of peers. Many learners on this project are the main breadwinner for the family and have no time to go college –therefore this project is an excellent way for them to learn. Many of the learners on this project have additional needs such as English for Speakers of Other Languages (ESOL) or literacy problems.

Outcomes to date

All of the learners on this project may have faced redundancy had they not been supported to gain essential NVQs. The NVQ will certainly improve career prospects, whether this is reflected in better pay, a wider range of job opportunities or access to higher levels of learning and self-development.

Many learners on the project said that their VQ certificate was the only certificate they have ever held!

From the employers perspective this project will:

       .  Help people to gain a recognised qualification
       .  Show competencies matched with knowledge and experience  
       .  Instils the belief in people that they can do the job well
       .  Show the individual is qualified and competent.

ESF Matters –making a difference to people’s lives

The Project Beneficiaries

Grace has already completed her NVQ Level 2 in Care and is working towards her Level 3 qualification. She has worked in the industry for more than 10 years in various care jobs in hospitals and hospices. Grace explained the importance of her having gained her NVQ Level 2 in Care through this project as without it she wouldn’t be able to carry on her work in the industry. Grace says that her NVQ has helped her to build on the years of experience she has already gained through working in the industry but that the knowledge of how to do this in a structured manner has really helped her. She explained how she has learnt to communicate with clients in difficult and often stressful situations –Grace works a lot with the elderly and says it is important to put them at ease and make them comfortable and happy –often she is treated like part of the family, communication, compassion and professionalism are paramount.Grace said that she found the units on Health and Safety, First Aid, Working with the Elderly, Communications and Food Hygiene particularly useful –she said she really enjoys the course even though it is hard work! Akeem said that he is finding the NVQ Level 3 more challenging than the NVQ he has already gained.

He has been in care work since 1994 and feels that doing the NVQ has pulled together all the things he already knew and helped him with the things he didn’t. LeftAkeem is passionate about his job and wants to make sure that his clients have the best care possible. Previously Akeem was doing things that he wasn’t necessarily confident doing but the training has helped him to become more confident and know what to do in many situations. For example, in the past when elderly clients have fallen over he wasn’t one hundred per cent sure about the correct way to pick them up without causing further injury to the client or indeed himself! The Health and Safety NVQ unit has taught how to do this in a safe and effective manner.

Ngozi has been working in care for years to put her children through education, her daughter has just gained her degree and Ngozi thought it was her turn!

Funding

The Project is funded £277,075, it will finish in 2007.

For further information on the project please contact Lynn James on 020 8302 4821.

For further information about European Social Funding please visit:

www.esf.gov.uk            www.londoncentrallsc.gov.uk           www.go-london.gov.uk

Learning and Skills Council

The LSC exists to make England better skilled and more competitive. We are responsible for planning and funding high-quality vocational education and training for everyone. We have a single goal: to improve the skills of England’s young people and adults to world-class standards. Our vision is that by 2010, young people and adults in England have the knowledge and skills matching the best in the world and are part of a truly competitive workforce. Established in 2001, we work nationally, regionally and locally from a network of offices across the country.

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