The Calderdale Framework (CF) is an evidence-based workforce transformation tool.
Led by clinicians, the framework provides a 7-step format to facilitate a ‘best for patient, best for system’ approach and can be implemented in both acute and community settings across varied teams and professions. It provides opportunities to optimise workforce capacity, supporting staff to work to top of scope, identifying opportunities to skill-share and delegate, standardise patient care and improve service efficiencies.
The below graphic provides an overview of the 7 stages:
The CF methodology is a formal, risk managed and structured framework which creates quality, efficient, responsive, and clinically governed services by:
The Calderdale Framework was first introduced into Aotearoa New Zealand in 2015 by the Te Waipounamu Executive Directors of Allied Health for the then five Te Waipounamu District Health Boards. It was part of a strategic approach envisioned to expand the capacity and capability of an allied health assistant workforce and to support professional skill sharing within allied health services. Read their position statement on CF implementation.
In 2018 a Cultural and Diversity position statement  was developed and recommendations integrated within the framework. This document has been prepared for facilitators as a guide to cultural considerations in relation to implementation of the Calderdale Framework.
The implementation of the Calderdale Framework was initiated within the Allied Health workforce however, the methodology is applicable across health workforces and as a methodology for change has had recognition by the Te Waipounamu Directors of Nursing and has been used in nursing-specific workforce projects.
There is continuing and active use of the methodology across the Te Whatu Ora Te Waipounamu region in all 5 districts. Opportunities to engage with scientific and technical services has also commenced in a number of districts.
The workforce team for the Te Waipounamu region has also supported the training and uptake of the Calderdale Framework in other areas of New Zealand, notably within the central North Island and also Northland.
The Calderdale Framework is applied under license and has defined steps and processes, with an extensive library of resources to support each of the process steps. The success of its application is dependent on the training of Facilitators in its use. The CF training programme is offered by Calderdale Framework Practitioners and supported by the workforce team for the Te Waipounamu region.
The first step of the training pathway is the Foundation Workshop. Participants who have completed the Foundation Workshop can then elect to undertake the CF Facilitator training programme.
The Facilitator Workshop is offered over approximately 4 days – 3-day Stage 1 workshop and 1-day Stage 2 workshop. The workshops are scheduled about 6 months apart. As part of the training, CF trainees are to:
Clinical Task Instructions (CTIs) that have recently been developed and published for regional use in Te Waipounamu and Northland Te Tai Tokerau are placed on this website for an initial three-month period for general feedback.
The UK founders of the Calderdale Framework, Jayne Duffy and Rachael Smith, visited Christchurch in November 2016. In the short videos below, they answer five key questions for Anne Buckley, Allied Health Facilitator and Project Manager. Read more here about their visit to Christchurch.
Video 1: About the Framework
Video 2: Key factors for success
Video 3: Lean for the workforce
Video 4: Business as usual
Video 5: The role of champions
View the Te Waipounamu Calderdale Framework channel, with all five videos.
This small RCT looks at skill sharing using Calderdale Framework methodology in the acute medical setting. Key findings reported include: ‘Descriptive outcomes indicated that patients receiving the new model of care underwent more comprehensive and prompt assessments in the health domains included than those in standard care, and demonstrated more positive health and functional outcomes at 1-, 3-, and 6-month follow-up.’
Kartner M, Murtagh D, Bennetts M, et al. Randomised controlled trial of a trans-professional healthcare role intervention in an acute medical setting. Journal of Interprofessional Care. 2017;31:190-198.
Assessing the implementation process and outcomes of newly introduced assistant roles
A qualitative study to examine the utility of the Calderdale Framework as an appraisal tool. Video abstract – Prof. Susan Nancarrow, published December 2012.
For further information please contact:
Nicola Westend Nicola.Westend@siapo.health.nz
Te Wai Pounamu South Island Calderdale Framework Facilitator
 Acknowledgement Hector Matthews, Executive Director, Māori and Pacific Health, Canterbury District Health Board and Te Waipounamu Workforce Development Hub Steering Group.