Originally developed in the United Kingdom by Effective Workforce Solutions, the Calderdale Framework is a workforce development tool that engages frontline staff at all levels to ensure safe and effective patient centred care. It provides a clear and systematic method for reviewing skill mix, developing new roles, identifying new ways of working and facilitating service redesign. The Calderdale Framework has been applied extensively to health services and is transferable to any setting. It can enable delegation to support staff or skill sharing between professional staff. identifying tasks carried out in teams
There are seven stages to successful implementation of Calderdale Framework:
1. Awareness Raising - to engage all involved staff at the outset.
2. Service Analysis - this step is critical to establish potential changes that can be made. It is an objective process.
3. Task Analysis - consensus around altered practice is gained using decision making tables. Cost benefit considerations are integral to this stage.
4. Identification/Generation of Local Clinical Task Instructions - accepted tasks are identified or written as local clinical task instructions.
5. Supporting Systems - communication networks are developed and understood. This is key to managing delegation risks and assuring quality.
6. Training - qualified staff learn to delegate effectively whilst support staff are competency trained.
7. Sustainability - becomes part of organisational induction and mandatory training.
Clinical training instructions have been developed to support delegation and sharing of identified tasks.
More information on the Calderdale Framework in a Queensland Health setting can be found in the Calderdale Framework information sheet (PDF 115 kB) and in clinical education settings in the Calderdale Framework in Pre-entry Education (PDF 287 kB) information sheet.
- Clinical task instructions
- Framework for Local Implementation and Support of Skill-sharing and Delegation Practice for Allied Health Services in the Queensland Public Health System (PDF 365 kB)
- Guidelines for allied health professionals developing delegation skills (PDF 72 kB)
- Guidelines for delegation to allied health assistants (PDF 176 kB)