Building bridges across the generations: Embedding intergenerational work within and beyond the NHS
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The document discusses a social movement called "Ffrind i mi/Friend of Mine" created in Wales to combat loneliness and social isolation across generations. It embedded intergenerational programs between schools, care homes, and the community. Benefits included reduced prescription of anti-psychotics in care homes, experiential learning for students interested in healthcare careers, and maintaining older adults' sense of worth. Moving forward, the presenters aim to expand intergenerational twinning partnerships and research into the programs' impact.
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Building bridges across the generations: Embedding intergenerational work within and beyond the NHS
- 1. Building Bridges Across the Generations Embedding intergenerational work within and beyond the NHS Tanya Strange, Associate Director of Nursing Claire Jordan, Lead Nurse, Patient Engagement and Education Generations Working Together Conference 4th March 2020
- 2. Aims of Presentation The beginning: loneliness and social isolation Social movement (Ffrind i mi/Friend of Mine) Intergenerational practice (pre and post strategy) Partnership working School Curriculum: ‘buy-in’ and ‘fit’ Local examples Benefits Going forward
- 3. Aneurin Bevan University Health Board Population of over 639,000 21% of the total population of Wales 5 Local Authorities
- 4. Loneliness: A Public Health Issue? • As harmful as smoking 15 cigarettes a day (Age UK, 2015) • Increased chance of an early death by 50% (Age UK, 2015) • Heart attack and stroke: 30% increased risk (Valtorta et al, 2016) • Dementia: Loneliness increases risk of clinical dementia (Wilson et al, 2007)
- 5. A Prescription for Loneliness? 2015 - 79.5 million prescriptions in Wales. 5 million were anti-depressants – more than double previous decade. 2016 - 30% increase in anti-depressants prescribed to children in Wales. NHS Wales Shared Service Partnership 2017 2017 - 80.4 million prescriptions - 5.6 million anti-depressants 2017- Drugs for dementia up 1,473%. 11,000 in 2002, almost 179,000 in 2017.
- 6. The birth of Ffrind i mi/Friend of Mine • Engagement event and feedback • Need to ask the question! What matters to people • Partnership approach- #CountMeIn combatting loneliness and promoting social inclusion • Social Movement • Informed by public feedback and current policies • Befriending Service/ Trademarked
- 7. Start of the Social Movement Partnership Board #CountMeIn- Ffrind i Mi Volunteers Blind date! Website www.ffrindimi.co.uk Bespoke Volunteer Training Conversational BSL Mums without Mums Friendship Clubs Memory Gardens Bi-Lingual Scrabble Clubs Job Centre/Claimants Animal Therapy- dogs, hens
- 8. Care Homes and Hospital Wards
- 9. Bingo and Beyond! “I'm bored” “I'm lonely” “The staff are lovely but I’ve got no-one to talk to” “I'm fed up of bingo!” Lack of meaningful activity Intergenerational Practice
- 10. Intergenerational Practice- PRE STRATEGY • 10 care homes and 8 schools • Dementia Friends Training • Intergenerational ‘Bake Off’ • Exclusion/Lack of Social Confidence • School Visits • Digital Heroes • Pen Friends • Intergenerational Exercise • Gardening/Memory Gardens • Falls Reduction: ‘Pimp My Zimmer’- BBC World News • Anti-psychotic prescribing
- 11. • Dementia • No family/friends • Aggressive/resistive • Self harm • Sedated • Increased falls Intergenerational Practice • Digital Heroes- Pigeon Racing • 50% reduction in anti-psychotic prescribing • 100% reduction in PRN • Chicken Coup/ ‘In Charge’ • School Visits/ Tuck Shop • Diversion Therapy • “ We now FIM rather than sedate”
- 12. Experiential Learning I want to be: “a nurse” “a paramedic” “a doctor” “I want to work here when I’m older” (nursing home) “I like going to the hospital because I have had a lot of information about becoming a nurse or a paramedic. I enjoy seeing the patients every week, it makes me happy to know that I am changing their day.” “ I want to be a dementia nurse” Fill the anticipated care gap
- 13. Developing an Intergenerational Strategy Draft
- 14. Anchors Effects of loneliness and isolation on all ages Older people maintaining their sense of worth/purpose and combatting loneliness Children reaching their potential School Curriculum Compassionate Communities
- 15. The School Curriculum (3-16 years) 6 Areas of Learning and Experience Expressive Arts Health and Well-being Humanities Languages, Literacy and Communication Mathematics and Numeracy Science and Technology “What children are missing is experiential learning” (Professor Donaldson) 4 Purposes • Ambitious, capable learners • Enterprising, creative contributors • Ethical, informed citizens • Healthy, confident individuals
- 16. Supporting the Curriculum = Embedding Intergenerational Practice Some Examples
- 17. Science and Technology Digital Heroes Digital Companions Electronic Patient Feedback (College Students)
- 18. ‘Pimp my Zimmer’ Learning and Experience • Health and Well-being • Humanities • Expressive Arts
- 19. Languages, Literacy and Communication Bi Lingual Scrabble Clubs Welsh Game Conversational British Sign Language
- 20. Expressive Arts
- 21. Health and Well-being Soil to Plate Food for Life Intergenerational Dining Allotments
- 22. Progress to Date Intergenerational Strategy and Toolkit www.ffrindimi.co.uk/resources Shared/increased partnerships 72 care homes twinned with 84 primary schools/uniformed cadets 15 ‘secondary’ schools- Welsh Baccalaureate Training: Teachers and children Care Home Staff Training Colleges- hair and beauty, electronic patient feedback 200+ Digital Heroes Digital Companions Mental Health- anti-psychotic prescribing Health and Social Care Books Research
- 23. Benefits Learning doesn’t just need to take place in the classroom
- 26. Going Forward More Twinning! Pupil Referral Units NEETS Youth Offending Teams Learning Disabilities Colleges Pen Pals (including professional) Coloured Walking Frame study Anti-psychotic reduction Intergenerational dining/allotments Research- IP Singing for Lung Health/Choirs Corporate Volunteering Policy Professional
Editor's Notes
- Tanya and Claire
- Me Didn’t start out as intergenerational practice at all
- Me 7 health boards Named after the founder of the NHS Aneurin Bevan who lived in Blaenau Gwent
- Me Can affect anyone at any age 2015 - 79.5 million prescriptions in Wales. 5 million were anti-depressants – more than double previous decade. 2016 - 30% increase in anti-depressants prescribed to children in Wales. NHS Wales Shared Service Partnership 2017 2017 - 80.4 million prescriptions - 5.6 million anti-depressants 2017- Drugs for dementia up 1,473%. 11,000 in 2002, almost 179,000 in 2017.
- Me Mention here about the Doctor who had audited the number of attendances
- Claire Partnership approach to combatting loneliness and promotes social inclusion Addressing the wider determinant of health Mention the engagement event and feedback in this slide
- Claire Mention who is on the Partnership Board Over 100 befrienders Blind date approach
- Claire Pre Strategy…………………… CHAaT volunteers are already supporting older people in care homes and some of those volunteers are willing to offer an additional arm to their role to enable them to befriend people. Care homes themselves are taking up the #countmein challenge, from cooks, to activities co-ordinators, residents, relatives and nursing staff. Libraries- reading groups in care homes. Pimp My Zimmer had started in a minority of homes, and some local homes had decided to start a pen pal initiative where their residents wrote to each other. But more needed to be done. So many older people were not engaged in meaningful activity.
- Claire The evidence shows that: Older people need a sense of purpose and feeling that they belong is important Older adults who participate in social and leisure activities are more likely to say they feel well Good social relationships are associated with positive health effects for individuals Staying physically active protects health and good physical health makes an important contribution to overall well being Being lonely or socially isolated has been associated with health problems and early death. Isolation causes depression and makes older people more vulnerable to abuse Intergenerational practice bridges the gap between generations and has positive impacts on well being for all who participate
- Claire
- Tanya
- Tanya Exposing children to experiential learning and hearing their feedback was the real catalyst for us agreeing that we needed an intergenerational strategy. When you hear a 10 year old child saying that visiting older people on the hospital ward has led her to want to be a dementia nurse is something that we wanted to harness. Significant pressures re dom care market and if we don’t get the workforce discharges will always be delayed. Written by children for children introduce to the concept of a career in health and social care. Sell and then produce new books
- Tanya Was a framework in Wales ‘Bringing Generations Together’ that had been published in 2012. It hadn’t really been considered June 2018- Held an intergenerational conference Drafted a strategy with a vision and mission statement and sent it out beforehand 52 partners- health board, local authorities, care homes, hospital wards, schools, housing associations, police, uniformed cadets, universities, colleges, job centres, voluntary organisations, etc On the day mapped care homes and schools and invited them to twin Main feedback was for a toolkit. This strategy is supported by a toolkit
- Tan Loneliness Kills (Joseph Rowntree Foundation). When we started to talk about this and speak to people affected by loneliness, our partners wanted to help. This started a social movement. Older people, particularly those living in long term care had no sense of purpose, weren’t engaged in meaningful activity and almost ‘shut off’ from their communities. Teachers told us that there was a real need to provide out of school learning experiences and if we were really serious about bringing generations together, then we needed to increase opportunities for generations to get together. The new school curriculum for Wales really helped us to focus our efforts and embedding this in the intergenerational strategy got immediate ‘buy in’ from the schools. But more than that, we wanted Gwent to be a more compassionate community, a community that embraced and used our rich community assets.
- Tanya Donaldson School Curriculum- buy in The four purposes are that all children and young people will be: Ambitious, capable learners who are ready to learn throughout their lives. Enterprising, creative contributors who are ready to play a full part in life and work. Ethical, informed citizens who are ready to be citizens of Wales and the world. Healthy, confident individuals who are ready to lead fulfilling lives as valued members of society. 6 areas of learning: The six Areas of Learning and Experience recommended by the Donaldson Review are: Expressive Arts Health and Well-being Humanities Languages, Literacy and Communication Mathematics and Numeracy Science and Technology
- Tanya We found that through the intergenerational strategy, supporting the school curriculum by bringing older and younger generations together really started to embed intergenerational practice. We will outline just a few examples of how this work supports learning and experience, primarily for children but also across generations.
- Claire
- Claire How many involved?
- Claire
- Claire
- Claire
- Tanya Published and shared intergenerational strategy and toolkit Mention training in progress Intergenerational dining- food poverty/allotments
- Tanya Learning doesn’t need to just take place in the classroom. What we have enabled through this intergenerational work is experiential learning. Also more older people are now visiting schools to share their knowledge.
- Tanya Tom- sang solo in an intergenerational choir- the first time he had performed solo Older people are now more digitally connected. Digital activity is more readily used as diversional therapy which in turn is reducing sedative medication Intergenerational ‘bake off’ is enabling older people to maintain their skills, and are teaching younger people to cook Older people are showing children how to plant seeds and grow vegetables, something that will be expanded in our soil to plate initiative The pen pal initative is expanding enabling older people to maintain their writing skills and the joy on their faces when they receive a letter from their younger pen pal is wonderful More older people are now going into school to engage in educational sessions More and more care homes are adopting pets, giving them a sense of purpose and a talking point for all generations
- Tanya Ambitious, capable learners who are ready to learn throughout their lives. Enterprising, creative contributors who are ready to play a full part in life and work. Ethical, informed citizens who are ready to be citizens of Wales and the world. Healthy, confident individuals who are ready to lead fulfilling lives as valued members of society.
- Not in education employment or training