Parallels in Training Techniques A Quality Approach Nicky Sharpe Moving & Handling Lead RGN MSc PGCE NAMDET Conference 2014

Why? Medical Devices Legislation CQC MHRA Patients Moving & Handling Legislation CQC MHRA Patients Staff X Staff

Who Can Train Moving & Handling?

National Back Exchange Multi professional organisation Excellence in all aspects of moving and handling. Registered Member –Qualifications –Experience –Evidence

How Do We Ensure Quality

NBE Standards guidance only Guidance re qualifications / experience of trainers, content and duration of training, training strategy and management commitment. –Induction people handling: 1 – 2 days –Refresher people handling: 3 hours –Ratio of trainer to trainees: 1:8 NBE Standards in Manual Handling 2010

Reality at STH – Induction Central Induction: –Information leaflet re STH systems –20 minutes basic principles – practical Local Induction –3 month completion –Practical related to equipment & local systems –Duration of training variable between areas

Reality at STH - update E – learning update – all mandatory topics. Annually all staff Information re what’s new in last year

Reality at STH – Refresher Via local cascade keytrainer –1 – 3 hours depending on level of risk –Frequency 1 or 3 yearly – outlined in TNA –Predominately practical problem solving

Cascade Training Model

Return on Investment Do we measure the impact of training interventions? If so – how? If we don’t measure the impact – how do we justify the cost?

1 Preferences Keytrainer course content relevant to workplace Satisfaction, Reaction and Action objectives 100& - commit to cascade training / identify course is relevant to work areas / intention to use the training in the workplace 2 Learning needs Improvement in staff knowledge Learning objectives Successfully pass knowledge assessment test / complete risk assessment documentation task / complete action plan in conjunction with the ward manager 3 Job performance / implementation needs To perform safe patient moving and handling techniques Application / implementation objectives - KT & Manager Keytrainer delivering cascade training Patient handling risk assessments accurate & up to date Ensure that staff comply with the handling techniques outlined in the risk assessment. Appropriate equipment used for patient handling 4 Business needs Reduction in staff injury Impact objectives 10% reduction in moving and handling incidents where there is non compliance with risk assessment controls 10% reduction in staff personal injury claims 5 ROINet Programme Benefit This compares the benefit of the training programme with the cost of running it.

Compliance v Competence Why do we repeat training with staff performing well? How do we know staff are performing well? Is absence of untoward incidents an indicator of good performance?

M&H v Medical Devices Training

Do we need to ….?

The Future???? All Wales Manual Handling Passport Derbyshire Inter Agency Group Scottish Manual Handling Passport –Assessment in workplace determining training requirement How can we replicate this across the UK?

Summary Where are we now Credible team Cascade system Benchmark Measure impact – only with keytrainers Moving Forward Measure impact:- –patient care Friction / nerve damage Discharge arrangements Promotion of rehabilitation Falls –Staff safety Incidents Sickness Litigation

Over to you…

References Abdi Ltd (2010) Measuring the Impact of Learning and Performance Improvement Investments. 2 Day ROI Institute Competency Building Workshop for NHS Yorkshire and the Humber All Wales NHS Manual Handling Training Passport and Information Scheme. (2007) C Cavendish (2013) Review of healthcare assistants and support workers in NHS and social care. Department of Health Derbyshire Inter-Agency Group (2011) Care Handling of People in Hospital, Community and Educational Settings. A Code of Practice (2nd edition). National Back Exchange. (2010) Standards in Manual Handling, 3rd Edition. Scottish Government (2014) Scottish Manual Handling Passport Scheme