Bradford District Care NHS Trust

Low Secure Service

"The Prospect Population Centric methodology provided an excellent tool for engaging staff in the change process and led to improvements in ownership and the design of services and the workforce.”

Valerie Rhodes,Service Improvement & Innovation Lead, Bradford District Care Trust


The Low Secure service began a workforce re-design project with the following objectives:
- To improve (in 2008) the outcomes for service users

- To meet specific performance indicators

- To create a career pathway for non-registered staff

- To develop a culturally and spiritually sensitive service.



By using the Prospect Population Centric Workforce-planning Model to support this work, service users were placed at the heart of the project.

This encouraged staff engagement and ensured that the solutions would be owned by the team.

The project was led by a service manager and a HR manager who had been trained in using the Prospect model. A multi disciplinary steering group was established to support the engagement across the team.


A number of workshops were run over ten months to review the population using the Prospect model, identifying the services required (including and asking service users for their views). This led to the identification of skills, knowledge and competences and finally future roles. The competences were mapped to the Skills for Health framework.

The activity built a participatory approach to service redesign and increased ownership of the process from all the staff, including mystery shopping and media analysis.




The project has resulted in new roles at the non-registered level being developed which have  apositive impact on service delivery but also appear to have had a positive impact on retention rates (although there are other factors which could have influenced this key metric).
A number of possible new roles emerged from the completed project including:

- Generic workers at Agenda for Change Band 3

- A physical health worker

- A community worker with a focus on social inclusion

- A therapy practitioner

- A service user post, and

- A knowledge and training worker.

The team prioritised the development of new roles starting with the addition of 6 WTE Band 3 generic workers who were employed from the existing band 2 workforce.

This was followed by the development of assistant practitioner roles with a specialist psychology remit, the job descriptions were developed on a regional basis using the competencies developed and in May 2011 3 WTE assistant practitioners were appointed. The AP’s wereappointed from the Low Secure work force with all applicants having an existing psychology degree, which they had not previously been able to use in their previous lower banded roles.


The service worked with staff and service users and also tapped into the support and expertise of the West Yorkshire Life Long Learning Network (hosted by the University of Bradford).
Further training and learning will be supported by the Trust and local Further Education and Higher Education institutes.
NHS Yorkshire and the Humber supported the project including the public health agenda around “Every Contact Counts".