Validation of clinical task instructions (competencies) to support expanded scope and delegation practice

Date & Time

Nov 11th at 9:30 AM until 9:45 AM


New horizons for models of care 


Rating ( votes)

Chairs: Kelly-Ann Bowles

Ilsa Nielsen, A/Prof Alison Pighills

Alicia Jensen (1), Ilsa Nielsen (2), Dr Alison Pighills (3), Andrea Hurwood (4)

1 Mackay Hospital and Health Service, Mackay Base Hospital, P.O Box 5580, Mackay Mail Centre, Mackay, QLD 4741
2 Allied Health Professions' Office of Queensland, Level 6, William McCormack Place (Stage 2), 5B Sheridan Street, Cairns QLD 4870,
3 Mackay Hospital and Health Service, Mackay Base Hospital, P.O Box 5580, Mackay Mail Centre, Mackay, QLD 4741
4 Allied Health Professions' Office of Queensland, Level 1, 15 Butterfield St, Herston QLD 4006.

Delegation of clinical tasks to support workers and skill sharing tasks between professions have been identified as key strategies to improve consumer access and the capacity and sustainability of allied health services. Queensland public health services have identified the need for resources to support work-place based training of delegated and skill shared tasks.

More than 40 workforce redesign projects have been implemented since 2011 in Queensland Health using
the Calderdale Framework. Projects included the development of “clinical task instructions” (CTI),
procedural documents used for training and competency assessment for delegation and skill shared tasks. To capitalise on local teams' time investment in CTI development, a common format and standardised terms have been adopted, and a statewide structure of coordination and validation have been implemented. CTIs identified for development are flagged through a statewide network to avoid duplication. A three-step
validation process reviews the construction of the CTI as a competency document, its clinical content and
alignment to best practice, and its educational validity through statewide networks. Approved CTIs are
published on the internet.

More than 150 CTIs have been developed and are progressing to publication. CTIs are clustered by clinical
area including; activities of daily living and function, mobility and transfers, communication, diet and nutrition, swallowing, psycho-social, and foot care. Increasingly, allied health teams are able to expediently
implement workforce development and redesign processes using the published resources, limiting the
development burden on clinicians.

Significant time investment is required to establish and maintain collaborative mechanisms and to implement
a common understanding of the purpose, structure and content standards for competency documents.

However, adopting a statewide collaborative approach to workforce resource development can support large
scale outputs and minimise duplication of investment by small clinical teams with high competing demands.