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Parallels in Training Techniques A Quality Approach
Nicky Sharpe Moving & Handling Lead RGN MSc PGCE NAMDET Conference 2014
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Why? X Staff Medical Devices Moving & Handling Legislation CQC MHRA
Patients Legislation CQC MHRA Patients Staff X Staff
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Who Can Train Moving & Handling?
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National Back Exchange
Multi professional organisation Excellence in all aspects of moving and handling. Registered Member Qualifications Experience Evidence
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How Do We Ensure Quality
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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
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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
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Reality at STH - update E – learning update – all mandatory topics.
Annually all staff Information re what’s new in last year
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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
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Cascade Training Model
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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?
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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 ROI Net Programme Benefit This compares the benefit of the training programme with the cost of running it.
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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?
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M&H v Medical Devices Training
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Do we need to ….?
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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?
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Summary Where are we now Moving Forward Credible team Cascade system
Benchmark Measure impact – only with keytrainers Measure impact:- patient care Friction / nerve damage Discharge arrangements Promotion of rehabilitation Falls Staff safety Incidents Sickness Litigation
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Over to you…
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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
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