Calderdale Framework | Te Whatu Ora - Te Tai Tokerau

Calderdale Framework

The Calderdale Framework (CF) provides a systematic method to review skill mix and roles within a service, with the development of new roles and new ways of working, leading to improved workforce efficiencies.  

Across Northland DHB, 20 CF Facilitators across two cohorts have been trained over the past two years.  The Facilitators work across several professions, including Physiotherapy, Occupational Therapy, Nursing and Psychology. 

Eight cohort 1 Facilitators were congratulated in March for completing their training and became fully credentialed as Calderdale Framework Facilitators.

Image – From left Tanya Mortensen, Liz Williams, Alison Riddle, Carol Green – Nateele Howarth, Loraine Hamm, Dr Nick Chamberlain, Karen Boyce-Bacon, Carleen Davis

The credentialed Facilitators are qualified to continue to apply the framework across other delegation and skill sharing projects across Northland DHB. 

Northland DHB's credentialed Facilitators are: 

  1. Michelle Cleary (Clinical Nurse Manager, CYM, Whangarei)
  2. Loraine Hamm (Speech Language Therapist, Whangarei)
  3. Tiffany Jones (Occupational Therapist, Whangarei)
  4. Alison Riddle (OT & Speech Language Therapist, Whangarei)
  5. Liz Williams (Clinical Nurse Specialist, Whangarei)
  6. Nateele Howarth (Physio, BOI)
  7. Carol Green – (Physio, Kaitaia)
  8. Vicki Fryer – (OT, Kaitaia) 

Across Northland, five Calderdale Framework projects have been implemented with a number of outcomes achieved across various services. In Public Health, kaiāwhina were upskilled to throat swab children who report having a sore throat, freeing up public health nurses (PHNs) for other duties. This project's outcomes included increased job satisfaction for both kaiāwhina and PHNs and reduced FTE cost, which enabled two more kaiāwhina to be employed to support throat swabbing.     

Another example is Northland DHB's Paediatric Speech Language Therapy (SLT) service, where the preparation time before starting the Videofluoroscopic Studies of Swallowing was delegated to a health care assistant, saving 13.5 hours of SLT clinical time during 2020 despite resource constraints and Covid-19 impact.  There was an increase in studies by 42 percent from 2019 to 2020.  Waiting time for studies requested before June 2020 averaged 182 days and after this date, it reduced to an average of 34 days.

At the moment, 15 CF projects are underway and at various stages of implementation. There are several projects in the pipeline awaiting facilitator availability. 

So far, 15 clinical task instructions have been approved for use in Northland, enabling each of those tasks to be delegated to kaiāwhina and Allied Health assistants. 

Calderdale Framework Foundation Days are regularly held across Northland DHB to provide participants with the foundation skills required to support trained facilitators to implement the Calderdale Framework in their own team. The workshop provides participants with an understanding of the CF’s seven stages, along with the opportunity to simulate the use of the CF tools.


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