1. Shared HD Care Course: Overview & outcomes

2. The Shared HD Care Programme 2011 - 2013 Funded: Aim: to change the relationship between patients and staff from… Passive receiverto active participant Care deliverer to facilitator By engaging patients in their own dialysis treatment Education programme and resources We hoped that it would provide a better quality of experience for HD patients and improve their mental and physical health

3. Fluid accumulation Phosphate control Bacteraemia Patient satisfaction Hospital admissions Efficiency Patient engagement Qualitative data Equality Measurements

4. Patient engagement

5. Equality and Satisfaction Have you been asked if you would like to get involved in your care? Would you recommend Shared HD Care to another patient?

6. Results: 53% patients are participating in 5 or more tasks (PMU) “This programme has given me my life back” [David Sheffield] Shared Care represents freedom! It’s an opportunity to regain some semblance of your former life!” [Christopher Sheffield] Shared Care represents freedom! It’s an opportunity to regain some semblance of your former life!” [Christopher Sheffield] “Doing Shared Care has given me more understanding & control towards my treatment” [Mike-Hull]

7. As a Result of the programme… Patients have more choice Resources Website www.shareddialysis-care.org.ukwww.shareddialysis-care.org.uk E-learning 3 National learning events ‘sharing the sharing’ CQUIN TJ Award gold and silver for training programme and partnership RIF for the course to train 100 staff outside of Y&H shared Degrees of shared haemodialysis care

8. 180 (2011 – 2012) 18 +1 (paeds) 2 12 4 10 22 11 1 Number of Staff trained in each region from to date (further 32 booked)

9. Sharing Haemodialysis Care Course For Nurses Day 1 Focuses on: How the delegates feel about the concept of SHC The evidence and background to SHC How they as individuals learn Patient perspective ‘’I have learnt some valuable things about myself as well as patient needs’’ “I now see patients as partners in their care”

10. Sharing Haemodialysis Care Course For Nurses Use of Motivational interviewing techniques Exploring Barriers & how these can be overcome “When can we find time to teach?” “Our patients are set in their ways!” Day 2 Focuses on developing change in the way nurses view patients and care

11. “I have learned how to change peoples thinking without coercion!”

12. Sharing Haemodialysis Care Course For Nurses Day 3 Focuses on: Practicalities of teaching Understanding Change How to maintain that mind-set of relationship change “Compassion has been put to the top of the list. It’s all about the patient!” “Its given me skills to teach, pick up feedback and change accordingly”

13. As a Result of the national training and the CQUIN… Shared Haemodialysis care has become a national brand It has moved into paediatric care – subsequent knock on Seconded Shared Care Roles e.g. Bristol, South London Adapted courses e.g. Nottingham Resources shared throughout UK and adapted for individual area use E-learning programme adopted by other trusts Strong network of renal nurses for sharing practice

14. Thank you!