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Health Innovation Network Health Education South London Membership Council.

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Presentation on theme: "Health Innovation Network Health Education South London Membership Council."— Presentation transcript:

1 Health Innovation Network Health Education South London Membership Council

2 Welcome to the inaugural South London Membership Council Awards for Innovation, Diffusion and Excellence in Healthcare Education and Training 22 October 2013

3 Outstanding Contribution to the Local Community Gillian Harman

4 Gillian Harman from Bromley Healthcare was nominated for this award due to her outstanding work and leadership to improve the care, experience and quality of service for patients with Leg Ulcers in Bromley. Gill leads Bromley Healthcare’s Leg Ulcer Assessment Service which provides access to specialist service assessments, quality treatment and care planning. Gill has been instrumental in setting-up and running the Mottingham Leg Club - the first of its kind in London. Through Gill’s leadership, the service has: Improved clinical care – bringing healing rates down from 21 to five weeks Improved service quality – with very high patient, practice nurse and GP satisfaction. Over 95% of patients surveyed said they would recommend the service to a friend. Improved cost effectiveness – reducing overall costs to commissioners as a result of fewer contacts, appropriate use of dressing products, and reduced secondary care activity. The Mottingham Leg Club team (Gill is 2nd from left)

5 Best Learning and Development Strategy Adult Safeguarding and Dementia team at Guy's & St Thomas' NHS Foundation Trust

6 Lead by the Chief Nurse and supported by the Safeguarding Adults and Dementia Team at GSTT, ‘Barbara’s Story’ was delivered as part of a one hour teaching session raising awareness of the vulnerability and dignity issues facing many elderly patients. Viewing of the first episode of Barbara’s Story was mandatory and over 12,000 employees attended the training. The presence of a variety of people in the audience allowed for discussions to take place between staff from widely differing disciplines that ordinarily might not have had the opportunity to meet and exchange ideas. The first episode of Barbara’s Story is now part of the GSTT induction programme for all staff and helps embed positive attitude and compassionate behaviour needed for the care of all patients. Informal feedback from staff has highlighted how GSTT employees are far more aware of how an older patient feels in a strange hospital environment and how staff interactions and hospital environment can impact on the cognitive function of patients. Guy’s and St Thomas’ NHS Foundation Trust (GSTT) have developed an innovative training tool called ‘Barbara’s Story’ as part of a campaign to raise awareness of dementia for all of its staff. The training tool comprises of a DVD that highlights an older person’s experience whilst visiting an outpatient department in a busy hospital.... the key elements of compassion, kindness, understanding and consideration towards others could be applied to all patients in the Trust.

7 Assistant Clinical Technologist Apprentice Scheme King's College Hospital NHS Foundation Trust Widening Participation Initiative of the Year

8 To address this issue King’s College Hospital NHS Foundation Trust has developed an apprenticeship route into Healthcare Science careers for school leavers and those with personal circumstances that have forced them away from mainstream education (young mum's, young carers, those with long term medical conditions or juvenile convictions). King's Assistant Clinical Technologist Apprentice Scheme (ACTAS) has successfully integrated young people from the local community with basic numeracy and literacy qualifications into the Healthcare Science workforce. The Apprentices are trained to assist with the management, maintenance and use of medical equipment in diverse clinical environments, including Medical Engineering & Physics, Renal Technology, Theatres and the Emergency Department. The transferable skills they learn on this Scheme are the first step onto a career path in a variety of Healthcare and Healthcare Science related careers. Over the last decade school leavers and those without degrees have found it increasingly difficult to access to Healthcare Science careers. There are significant numbers of school leavers and others who may want to develop their skills in a practical, rather than academic environment, but are blocked from doing so by degree-only entry.

9 Widening Participation Initiative of the Year Staynton Brown Harlene Dandy-Hughes Mel Taylor, Sarah Candy Guy's & St Thomas' NHS Foundation Trust Through a widening participation strategy, the team work with external partners to support young people into work experience and employment, ensuring equality of access and diversity of candidates. The Trust is pioneering two e-mentoring programmes for young people in education and people not in education, employment or training respectively. We have seen the expansion of Apprenticeships into different areas of the Trust. More people now see them as an exciting and viable career route, offering greater flexibility in training the workforce of the future. The programmes include: The Autism Project - supporting people with Autism to gain qualifications and skills to find work. Hands up for Health - aimed at giving young people practical and experiential understanding of their health and safety through the GSTT simulation centre.

10 St George's Healthcare NHS Trust Education & Development Team The Trust has been working in partnership with a local school, to provide a year’s work experience placement for five students with learning disabilities. The aim of the project was to provide the students with employment skills and to prepare the students to secure independent paid employment. The students rotated through the organisation gaining experience in three different areas. It was very quickly realised that each of the students had a great deal to offer and developed employment skills at every stage. The project has proved an outstanding success for both the students and the Trust, with one of the students gaining employment with us and another on a long time work trial. Two students have been able to access College courses as a result of their experience, and one student has attended a number of job interviews using skills and experience gained during his work placements on the project. Widening Participation Initiative of the Year

11 Excellence and Innovation in Healthcare Education and Training Dr Mehool Patel Anne Ellis & the Medical Education Department Lewisham Healthcare NHS Trust The department has developed several new initiatives including a robust educational governance structure to monitor and improve quality of education for all trainees, and regular educational appraisals of trainers to ensure GMC compliance. The department was instrumental in implementing the Hospital at night (H@N) team. The department was one of the first to introduce formal induction for trainees, long before it became mandatory. They have successfully developed ‘state of the art’ simulation facilities that now delivers training in a multi-professional environment without compromising patient safety. They have strong links with local GPs including a well- developed monthly GP professional development programme. Since 2010, the department has hosted 30 school students from diverse socio-economic backgrounds and ethnicities in Lewisham, aiming to enthuse young people to pursue a career in healthcare.

12 Excellence and Innovation in healthcare education and training CARDS project Faculty of Health Social Care and Education Kingston & St George’s University of London The Communication And Respect for people with Dementia: Student learning (CARDS) education programme aims to improve knowledge, experience and confidence, enabling healthcare students to support and communicate with people with dementia whilst improving links between the Higher Education Institutes and care homes. CARDS consists of an Introductory Programme and a Care Home Experience. The first utilises existing online resources and class based sessions, including an interactive workshop where students learn practical communication techniques, using empathy, reminiscence and active listening. People with dementia and their carers have been involved in the project from its inception and a person with dementia and a carer are active members of the steering group. Evaluation has demonstrated positive outcomes for and residents. This innovative programme benefits all stakeholders; students’ communication skills and confidence are improved; they gain insight into a care home environment. The CARDS programme provides future opportunities for care home staff development as well as potential research in collaboration with the University with a view to further improve and develop services.


14 GAGV Is a tailored curriculum which aims to effectively address the attitudes and negative influences that support and lead to offending behaviour, educating young people about making safe choices. Lessons are all carefully planned by leading experts in the field, and form part of an integrated structured curriculum plan. GAGV is kept current by a diverse team of academics, surgeons, educators, police officers, gang experts, and specialists in curriculum design and assessment. Specially trained facilitators (many with backgrounds in education and youth work) support accredited uniform police officers in its delivery to ensure that lessons are engaging and messages are effectively and meaningfully delivered. Sessions are dynamic and incorporate adaptable drama, debate, and discussions, which educate and inform through engaging the pupils rather than sensationalising the topics. Inter-professional Collaboration of the Year Association of Surgeons of Great Britain and Ireland The Royal College of Surgeons The Home Office Metropolitan Police Service: Safer Neighbourhood Teams, Safer Schools Partnerships, Central Operations, Specialist Operations, and Specialist Crime Directorates Growing against Gangs & Violence

15 As of July 2012, GAGV had been delivered in ten London boroughs including Lambeth, Lewisham, Merton, Wandsworth, Croydon and Southwark GAGV is now supported officially by the Home Office as a model of best practice in the cross party review, it is the intervention of choice for the Metropolitan Police and now represents the largest scheme of its type in Europe. a whole community approach Building on this success, by June 2013, GAGV had been delivered in 14 London boroughs to more than 35,000 young people, in over 280 schools, equating to over 120,000 pupil hours of positive, academically prepared and evaluated preventative engagement.

16 The South East London Specialist Registrar (SpR) training programme in Geriatric Medicine provides a comprehensive holistic experience to 27 trainees within a multi-professional and multi-ethnic environment that incorporates a mixture of university teaching and inner-city district general hospital and community-based settings serving patient populations from a wide range of socio-economic and ethnic backgrounds. Best Healthcare Education and Training Programme Dr Jonathan Birns Dr Mehool Patel South East London Geriatric Medicine Training Programme Group The South East London programme is consistently oversubscribed without vacancies and has a waiting list created by a request for an ‘Inter-Deanery’ transfer. Within the last five years, all trainees ‘graduating’ from the programme have obtained consultants posts immediately and most have continued to work within SE England. More than 90 per cent of trainees obtain their specialty certificate examinations (SCE) at their first attempt. The programme is led by a dynamic Training Management Group that meets regularly to facilitate effective clinical and educational supervision, helping to promote a culture of prompt identification of SpRs’ learning needs. The Group has a successful process for managing trainees in difficulty. The training programme has been established to develop first-class Geriatricians delivering safe, cost-effective health care, using the latest techniques and knowledge for the local population and beyond, whilst continuing to educate progressive generations of doctors and allied healthcare professionals.

17 GSTT accommodates approximately 570 pre-registration nursing and midwifery students. The team strives to provide excellent clinical placements for our undergraduate learners and have not lost a student through poor clinical experience for two years. The team are continually exploring new placement areas, especially in children’s services and community. Pre- registration education needs to be increasingly focused on the patient pathway rather than locality based and the team is working with our HEI partners to reflect this in training Best Healthcare Education and Training Programme The Clinical Education Team at Guy's & St Thomas' NHS Foundation Trust

18 Innovation We received 90 innovation applications and made 14 allocations Three applications were highly commended

19 This project will underpin the Bone Health Service, helping to reduce falls and injury in Kingston. It aims to: Maximise opportunities for patients to engage with their care through a membership website that will help them to track their own progress and access resources to support self-help and long-term lifestyle change. Support patient care by helping our teams better understand the benefits of their work. Support professionals with resources and online training packages to ensure that a consistent and high quality approach is taken to the delivery of exercise services for people across Kingston. Provide an attractive and accessible website to promote healthy lifestyles and well-being. The web-tool, once developed, will help build an innovative and effective service, joining together the work of all front line community teams to support residents with bone health conditions. Activate Kingston: Interactive web-based specialist exercise information and training tool Charlie Knell Aniko Szucs Abby Peters Sandra O'Hagan Public Health Department, Royal Borough Kingston

20 There are discussions underway to provide rotations to Queen Mary Hospital both from GP VTS and CMT providing a unique opportunity for CMT trainees to experience multi-professional working, community clinics, day hospital, rehabilitation wards and community long term condition management. This scheme proposes a pilot of placing two CMT doctors for two months in the Queen Mary Hospital scheme where they will experience in a supervised environment, learning objectives integrated and mapped to the CMT curriculum, multi-professional team working, communication and conflict resolution, additional skills of community based decision making, long term care. Building understanding in integrated healthcare: A pilot project in community based integration within Core Medical Training Indranil Chakravorty The integration of the community healthcare provision in South West London based at Queen Mary Hospital, Roehampton with St George’s Healthcare NHS Trust provides a unique opportunity for co-locating core medical training with community-based provision.

21 Drawing on expertise from the Schools of Health and Social Care and Computing & Mathematical Sciences, Maritime City has been developed for use in child safeguarding training; this award will enable the development team to adapt the established platform to develop a training tool for dementia care. Maritime City is an innovative tool, which draws on ‘serious’ gaming technology to provide an interactive approach to training. The ‘game’ provides a substitute for role-play, allowing the student to re-visit and reappraise their decision-making, providing a novel and safe way for health and social care students and professionals to visit, reflect on and revisit the scenario. Over the past two years Maritime City has been used in our undergraduate and post-graduate social work programmes, as well as our post-graduate award in child safeguarding. It has also been employed extensively in our child protection study days. The aim is to work in partnership with our local NHS partners and service users to develop a scenario which can be built into our existing gaming platform. Maritime City University of Greenwich Dr Karen Cleaver, Jan Webb, Prof Lachlan McKinnon, Prof Liz Bacon, Ryan Flynn, Avril Hocking, James Lambert This award is to enable the University of Greenwich, in collaboration with NHS partners in South East London, to further develop an already established training tool, Maritime City.

22 Sutton and Merton IAPT launched two pilots in 2012 aimed at helping patients with long-term health conditions to manage their mental health problems with a view to reducing the demand on physical health care services. Their proposed project will build on the work of their Long-Term Conditions and ERID pilots to create a sustainable model of delivery to improve patient care. The innovative element of the project will be the diffusion of Cognitive Behavioural Therapy (CBT) skills across the professional healthcare workforce through training and inter-professional learning. In this way, expertise that currently resides within the IAPT team will be disseminated to GP practices and other healthcare teams so that they are able to teach patients psychological strategies for managing their long-term condition more effectively. Developing Cognitive Behavioural Therapy (CBT) skills Kathy Burn St Christopher’s Hospice St Christopher’s Hospice will develop a distinct and unique set of Qualifications Credit Framework (QCF) accredited units, which when combined, will create a new vocational qualification (Award / Certificate) in CBT skills for clinical staff working in physical health. Units will be tailored to support health care professionals to address the psychological needs of patients with long term, chronic or life-limiting physical health issues including cancer. The new qualification will also provide practical skills training and assessment of competence, which is currently unavailable in the UK through existing accredited courses. The proposed outcome of this project is a range QCF accredited units in CBT. These units will comprise a blend of knowledge and practical skills training which will equip physical health professionals to effectively recognise and work with patients’ psychological distress. In combination these units will form a nationally recognised pathway from introductory awards in basic CBT skills, to a certificate, with the aim in future of developing an accredited diploma. Long-term conditions healthcare training strategy Steve Sheward Sutton & Merton IAPT These submissions were brought together by the Awards Panel and will now work together funded through a single award.

23 A highly innovative partnership approach that puts academic research and pedagogic techniques in the hands of communities most affected by HIV and sexual health morbidity in South East London. More than knowledge exchange, it builds lasting partnerships between the University and traditionally excluded local communities, transforming the power-relationships that most often pertain in applied health research and dissolving distinctions between ‘researcher’ and ‘researched’. As one cycle of research is completed, new priorities emerge for further research. In this way, research capacity is built over time within communities, and the community becomes gradually empowered in relation to the organisation of sexual health and HIV services. As this is a pilot, a simultaneous internal evaluation process will be carried out by academic partners. Piloting a Sexual Health/HIV Prevention Community Based Research Partnership in South East London Peter Keogh University of Greenwich Greg Ussher The Metro Centre

24 CoolTan Arts will develop effective partnerships with statutory and voluntary and agencies – summed up as integrated care delivery of psychosocial care thus prevention of crisis. The types of psychosocial care CoolTan Arts (CA) will deliver will be based on therapeutic intervention in a community setting. This will cut the costs of mental ill health associated with prescriptions and GP time, public expenditure associated with unemployment, sick leave, crime and early retirement – at the same time as the population ages. CoolTan Arts will demonstrate and promote effective integration within and between health, community, primary, acute, social care and education services though the development wellbeing advisors who will be a link between GP’s and access to social interventions. We will establish a responsive model of support that makes adjustments for the different needs of different groups and enable Clinical Commissioning Groups (CCGs) and local authorities to put patients, service users and carers of all ages and communities at the heart of health and care commissioning systems and processes. A `Vision for Change` Mental Health Wellbeing advisers Michelle Baharier CoolTan Arts CoolTan Arts will design an integrated model to address the cost from the rising need caused by mental ill health, social isolation and the need to involve the local community and user organisations in reducing costs, meeting both health and social care priorities for face to face services and promotion of mental health.

25 An eLearning package designed by the Alcohol work stream of the Health Innovation Network working in partnership with the South London and Maudsley NHS Foundation Trust Addictions Clinical Advisory Group supported by the clinically-led Trust Education and Training department. The department has extensive experience of producing high quality high definition eLearning products utilising the ‘lived experience’ of our service users and where appropriate carers to inform our work The eLearning package would allow for the collection of activity data on use, and qualitative feedback on impact, based upon participant evaluation and on any clinical audits of practice that may be undertaken in the organisations who adopt its use. This innovative package will convert and transport knowledge across pathways and provide the ability to transpose knowledge from one area of practice to others - a new and emerging area of e-learning development. We developed a new package covering smoking cessation in mental health care, in just under eight months over 1,000 members of staff were trained. Development of an alcohol eLearning package in mental health and physical health care pathways Carolyn Green, South London and Maudsley NHS Foundation Trust Lucy Reid, Head of Libraries and eLearning Emily Finch, Addictions CAG Clinical Director

26 Bringing the six C’s to the End of Life Care of people in Nursing Homes, Residential Homes and their own homes aims to increase the numbers of people being cared for and dying in their place of choice. This will be achieved by offering a series of five day RCN accredited courses improving the skills of nursing staff and care workers to deliver high quality End of Life Care in community settings. The course is a collaboration between hospice, commissioners and residential/nursing homes and social services providers which are co-funding attendance of their staff, demonstrating the need for the course to up-skill staff, as well as demonstrating to staff that they are valued. The course will improve the integration of care homes and social service care with the hospice as the hub of End of Life Care, as well as with district nurses and other community services, by enhancing the understanding of the role of each service in supporting patients at the end of life. Quality Improvement: Bringing the Six C’s to End of Life Care Carrie Chill, Merton CCG Clare Sullivan, Sutton CCG Gail Linehan, St Rapheal’s Hospice

27 The impact of poor communication and/or teamwork on patient experience has far reaching implications in terms of patient satisfaction, and in regard to clinical care and outcomes. Timely, effective management of patient concerns or complaints is an essential component in the process of understanding, recognition and reassurance in terms of staff learning and improvements in care. This project intends to expand on an existing framework of multidisciplinary clinical skills simulation training to include the often more challenging aspects of customer care, kindness and communication. It will use the rich experiential data obtained from listening to patient stories to develop a training package for midwives and doctors. The project focuses on improving understanding of ‘the woman’s journey through maternity services’ and the impact of staff actions or behaviours on this experience. Utilising stories gained from recent feedback from women, a small company of actors will re-enact the scenarios, producing a series of short films delivering the key messages. Both positive and negative feedback will be used to inform the scenarios. Training will be ongoing, and delivered within a multidisciplinary forum. Listening to Learn: Using women's stories to improve care and communication in obstetrics and midwifery Marion Louki St George’s Healthcare NHS Trust

28 User involvement transforms the culture of healthcare. It is as essential for the success of evidence- based care and is recommended in governmental guidance worldwide. The joint clinical and academic Department of Rheumatology at KCH/KCL has a long track record and commitment of user involvement in teaching, joint publications and research since 2005. Innovative approaches to improve the experience for individuals with long-term muscular-skeletal diseases will be used by an Independent Patient Group to develop educational support, and innovative IT solutions (including a mobile rheumatology app) to translate research into routine practice. Central to the project is a commitment to a ‘trialogue’ between patients, clinicians and academics that will offer multiple direct benefits to our service users by: Improving patient education Ensuring comprehensive capture of key clinical outcomes, e.g. disability Offering all patients access to research participation and results Evaluation will assess patients’ experiences, patient reported outcomes and access to research. Rheumatology 2020: Group Rheumatology Initiative Involving Patients (GRIIP) Heidi Lempp, Clinical Trials Group, Academic Rheumatology, KCL

29 This project will develop an innovative D/deaf awareness e-learning package featuring professionally produced D/deaf patient e-narratives, a BSL fingerspelling reference, e-training guides illustrating effective communication across the hearing loss spectrum, how to utilise interpreters and e-medical information.The development of the package will be an inter-professional, patient-centred collaboration between hearing, hard of hearing and D/deaf academics, students, healthcare professionals, interpreters, patients and community members. The package will enable King’s healthcare students to improve their D/deaf awareness knowledge and to gain effective communication strategies prior to registration in their respective fields of practice. The resource will also be shared with qualified health professionals to spread D/deaf awareness best practice and thus, increased access to healthcare for HoH and D/deaf patients. Communicating with D/deaf and hard of hearing patients: a training package for healthcare students and professionals Elaine Gill Tiffany Wade King's College Hospital NHS Foundation Trust

30 Bromley’s vision of diabetes care is that every person with diabetes will receive personalised care from trained primary care clinicians with faster access to specialist advice as and when required. The objective is to design, implement and evaluate new ways of developing primary care workforce in the area of diabetes to enable primary care to offer a higher quality of care and outcomes and iron out the variability of standards of care for patients. To develop a training package which will provide theory, practical simulations of Type 1 and Type II diabetic management followed by shadowing support (from Diabetes Specialist Nurses (DSN)/ Consultant) and assessment, leading to individual accreditation based on a competency framework for each GP and practice nurse. Accredited GPs and Nurses can progress to a Train the Trainers programme to enable skills to be cascaded across the practice. This will help smaller and larger practices that are unable free up staff to attend off site training. Pushing the Boundaries of Diabetes Care in Primary Care Dr Atul Arora Improving education and training in Diabetes in Bromley. The model is centred around facilitating and providing good education programme and backing it up with ongoing practical support and training to improve the quality of care for our Diabetic population.

31 People with serious mental illness (SMI) and diabetes are at increased risk of poor health outcomes and premature death. The project will consider people with schizophrenia who have an allocated care coordinator and live in the community and seeks to assess whether brief educational intervention will increase uptake of the nine care processes as well as bringing about improvement in blood pressure control, glycaemic control and control of blood lipids as well as quality of life measures. Phase one of the project will seek to identify whether a brief educational intervention, initially without a motivational component, for mental health care coordinators will have an impact on access for people with schizophrenia and diabetes to the nine essential care processes for diabetes. (Diabetes UK, 2012). There are no structured educational programmes targeted at people with diabetes and SMI. There is no nationally audited data to show whether the uptake of the nine diabetes care processes in people with SMI fails to match that for people without SMI, although anecdotal and locally audited evidence from primary care would certainly suggest this to be the case. 1. Blood glucose level measurement 2. Blood pressure measurement 3. Cholesterol level measurement 4. Retinal screening 5. Foot and leg check 6. Kidney function testing (urine) 7. Kidney function testing (blood) 8. Weight check 9. Smoking status check. Achieving the nine care processes for people with diabetes and serious mental illness comorbidity: an educational intervention for care coordinators Charles Gostling, Lewisham Healthcare NHS Trust Richard Haslam, South London and Maudsley Trust 9 essential care processes for diabetes

32 HIGHLY COMMENDED The implementation of the buddy scheme for nursing and midwifery students at the University of Greenwich Mandy Stevenson University of Greenwich Medicines adherence in diabetes: developing a community of learning including hospital and community pharmacy and expert patients Nilesh Patel Kingston University Developing online resources to accelerate the diffusion and implementation of a rehabilitation programme (ESCAPE-pain) for people with chronic joint pain Michael Hurley St Georges University of London and Kingston University


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