1. Quality Education for a Healthier Scotland Improving Practice Elaine Kwiatek, Education Projects Manager, NES

2. Quality Education for a Healthier Scotland Aims for Today Outline the project Introduce the resources Describe the training Talk about highlights, challenges and solutions Share outcomes What NES are doing now Consider future of PBS

3. Quality Education for a Healthier Scotland Why Improve Practice? People with Learning Disabilities (PWLD)are at greater risk of experiencing psychological difficulties The risk factors for psychological difficulties affect a greater proportion of PWLD than people without LD Medicalisation of behaviour Diagnostic overshadowing Attributions made about PWLD Institutional to community care – what has changed?

4. Quality Education for a Healthier Scotland NES – What we did Educational resource aimed at Support Workers was published by NES 2014 Focus on Improving Practice through Positive Behavioural Support NES decided to roll out a training programme Trainers recruited from throughout Scotland to facilitate the use of the resource with support workers in their own area of practice.

5. Quality Education for a Healthier Scotland The Process Trainers Toolkit Project lead The five trainers workshops 2 cohorts Impact and momentum

6. Quality Education for a Healthier Scotland The Resource Improving Practice – Supporting people with learning disabilities whose behaviour is perceived as challenging Educational Resource The resource is for Support Workers who work with people with learning disabilities who may display behaviours perceived as challenging.

7. Quality Education for a Healthier Scotland The Structure 4 Units – book and online  An introduction to values based care and behaviour  Positive behaviour support  Building bocks to a meaningful life  Person-centred approaches to managing crisis

8. Quality Education for a Healthier Scotland Resource for Trainers Trainers Toolkit Provides information and guidance on preparing Trainers for their facilitation role in the workplace. Structure of Trainers Toolkit 2 units  An exploration of teaching, facilitating and learning theories  Facilitation in Practice

9. Quality Education for a Healthier Scotland Themes for the workshops Day 1 - Value based care & getting orientated Day 2 – PBS & communication

10. Quality Education for a Healthier Scotland Themes for the workshops Day 3 – Active support plans & skills development Day 4 – Reactive & restrictive practice

11. Quality Education for a Healthier Scotland Themes for the workshops Day 5 – Future facilitation & evaluation

12. Quality Education for a Healthier Scotland Typical training day Trainers come prepared Reflect on things so far inc. positive practice Groupwork focussing on themes of the unit being covered in the resource CPD around being a trainer using Trainers Toolkit as guide Guest speakers Plan for next training day Get feedback, then review

13. Quality Education for a Healthier Scotland Where are we now? Cohort 1 25 Trainers – mainly nursing staff across boards 41 Support Workers

14. Quality Education for a Healthier Scotland Training– Cohort 2 Increased number due to level of demand. 36 Trainers worked with 77 support workers Multiagency approach – Health, Social Work, 3 rd Sector, Care Inspectorate Multidisciplinary approach – nursing, social workers, SLT, OT, service provider management

15. Quality Education for a Healthier Scotland Cohort 1

16. Quality Education for a Healthier Scotland Cohort 2

17. Quality Education for a Healthier Scotland Change in behaviours Has there been any change to parameters of behaviour? Scatterplots

18. Quality Education for a Healthier Scotland

19. Anecdotal - feedback Difference to practice ? “complete transformation” “improved quality of life as result of Active Support Plan” “increased opportunity to make choices and develop skills” “professionals leave us sheets to complete, these are intimidating, I had no idea what to do” “we thought we were providing PBS but we were not”

20. Quality Education for a Healthier Scotland Challenges Resources - time Attitudes, values and culture Need for management support Creating a movement - logistics Widespread workforce across agencies and disciplines Need for synergy between agencies and disciplines Cont….

21. Quality Education for a Healthier Scotland Challenges Facilitating meaningful service user involvement Not knowing what we don’t know and thinking we know what we don’t CPD – how do trainers keep up to date

22. Quality Education for a Healthier Scotland Solutions CoP Masterclasses Introduction Day Ongoing review and response to feedback Mix of disciplines and agencies – awareness of shared and specific knowledge and skills cont…

23. Quality Education for a Healthier Scotland http://www.knowledge.scot.nhs.uk/improvingpractice.aspx

24. Quality Education for a Healthier Scotland Solutions Involvement of People First Joint work with ENU Feedback at strategic event Reflective space Learning Contract Guest speakers Trainers as facilitators Student involvement

25. Quality Education for a Healthier Scotland This Year NES now undertaking impact evaluation to examine if new knowledge and skills in PBS are being translated into practice Examine how education in PBS can contributing to changes in quality of life for people with learning disabilities

26. Quality Education for a Healthier Scotland This year Masterclasses the embedding, spread and sustainability of the trainer’s work. Respond to ongoing learning needs, support networking, build resilience and develop solutions to any barriers share best practice

27. Quality Education for a Healthier Scotland What we hope to see happen next Community of Practice Governance Strategy Buy in at all levels Reflective capacity – know what we don’t know and don’t think we know what we don’t Embrace shared and specific knowledge and skills across disciplines and agencies Sustain and embed in practice

28. Quality Education for a Healthier Scotland Thankyou for listening