This document summarizes a presentation about how NICE guidelines can help improve care for older people. It discusses three NICE guidelines on home care, care for older adults with multiple long-term conditions, and transitions between hospital and community care. Common themes across the guidelines include person-centered care, supporting carers, assessment and care planning, integrated working, and information sharing. The presentation provides examples of how practitioners can apply the guideline recommendations in their work.
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
Transforming Care: Share and Learn Webinar – 30 November 2017NHS England
Topic One: “What does good look like: Person-centred support to promoting positive outcomes for people with learning disability and autism”.
Guest speaker: Professor Julie Beadle-Brown, Professor in Intellectual and Developmental Disabilities at the Tizard Centre, University of Kent
This presentation introduces an evidence based practice framework for promoting positive outcomes for people with a learning disability, autism or both, including those who may display behaviours described as challenging. It considers what is needed for successful implementation, with a particular focus on practice leadership and introduce a tool for assessing and monitoring implementation. Participants can download the “What does good look like” guide and tool from https://www.unitedresponse.org.uk/what-does-good-look-like
Topic Two: High Impact Actions for service improvement and delivery by Transforming Care Partnerships.
Guest speaker: Emma Stark, Improvement Manager, Sustainable Improvement Team, NHS England
This presentation gives an in-depth reminder of the High Impact Actions for service improvement and delivery by Transforming Care Partnerships (TCP). Published a year ago this month, the High Impact Actions aim to help TCPs make the biggest strides forward in supporting people of all ages with a learning disability, autism or both to have a home within their community, be able to develop and maintain relationships and get the support they need to live health, safe and rewarding lives, thereby reducing the number of people in inpatient settings.
Learning Disabilities: Share and Learn Webinar – 18 May 2017NHS England
This webinar focuses on the Model Service Specification for Community Based Forensic Support and aims to explain core functions that need to be in place locally in order to provide effective specialist Community-based Forensic Support to meet the needs of adults with a learning disability, autism or both who display behaviours that challenge which have led to contact with the criminal justice system, or where there is risk of this.
Community Wellbeing - What has Social Prescribing got to offer Public Health
IPH, Open, Conference, Belfast, Northern, Ireland, Dublin, Titanic, October, 2014, Public, Health
Transforming Care: Share and Learn Webinar – 29 March 2018NHS England
Topic One: "The ERIN Initiative"
Guest speakers: Susan Holloway, NHS Chorley & South Ribble CCG and NHS Greater Preston CCG and Sheila Roberts, Lancashire Care NHS Foundation Trust
The aim of "The ERIN (Education, Resources, Interventions and Networking) Initiative" is to provide a local, accessible, responsive, early assessment and intervention service for children aged 0-5 years who may be placed on the pre-school Autism Spectrum Disorder (ASD) pathway.
This webinar reports on the progress made during a pilot which commenced on 1st October 2017 to implement a service which deals with complex/challenging behaviors of children who may or may not go on to have a diagnosis with autism.
Topic Two: An introduction and brief overview of the Source4Networks platform
Session led by Rob Cockburn, Sustainable Improvement Team, NHS England
This topic provides an introduction and brief overview of the Source4Networks platform and its potential to support the Transforming Care Programme.
Transforming Care: Share and Learn Webinar – 30 November 2017NHS England
Topic One: “What does good look like: Person-centred support to promoting positive outcomes for people with learning disability and autism”.
Guest speaker: Professor Julie Beadle-Brown, Professor in Intellectual and Developmental Disabilities at the Tizard Centre, University of Kent
This presentation introduces an evidence based practice framework for promoting positive outcomes for people with a learning disability, autism or both, including those who may display behaviours described as challenging. It considers what is needed for successful implementation, with a particular focus on practice leadership and introduce a tool for assessing and monitoring implementation. Participants can download the “What does good look like” guide and tool from https://www.unitedresponse.org.uk/what-does-good-look-like
Topic Two: High Impact Actions for service improvement and delivery by Transforming Care Partnerships.
Guest speaker: Emma Stark, Improvement Manager, Sustainable Improvement Team, NHS England
This presentation gives an in-depth reminder of the High Impact Actions for service improvement and delivery by Transforming Care Partnerships (TCP). Published a year ago this month, the High Impact Actions aim to help TCPs make the biggest strides forward in supporting people of all ages with a learning disability, autism or both to have a home within their community, be able to develop and maintain relationships and get the support they need to live health, safe and rewarding lives, thereby reducing the number of people in inpatient settings.
Learning Disabilities: Share and Learn Webinar – 18 May 2017NHS England
This webinar focuses on the Model Service Specification for Community Based Forensic Support and aims to explain core functions that need to be in place locally in order to provide effective specialist Community-based Forensic Support to meet the needs of adults with a learning disability, autism or both who display behaviours that challenge which have led to contact with the criminal justice system, or where there is risk of this.
Learning Disabilities: Share and Learn Webinar – 11 May 2017NHS England
This webinar focuses on the Model Service Specification for Enhanced/Intensive support and aims to explain the core functions that need to be in place in the community in order to support people with a learning disability, autism or both who display behaviours that challenge which place themselves or others at risk of serious harm; or for whom the nature or degree of risk might otherwise lead to exclusion, placement breakdown, and admission to inpatient services.
The webinar includes real life examples of how some Transforming Care Partnerships have approached the development of these functions.
Learning Disabilities: Share and Learn Webinar – 26 January 2017NHS England
Topic One: Developing a cross system workforce plan for the learning disabilities workforce
Guest speakers: Lisa Proctor, Workforce Specialist, Midlands and East and Marie Lancett, Workforce Specialist South, Health Education England, Christiana Evans, Locality Manager (South West), Skills for Care and Marc Lyall, Regional Director – West of England, Skills for Health
This session is designed to help Transforming Care Partnerships who are developing a workforce plan for the learning disabilities workforce in their locality. It gives an overview of workforce planning methodology and describes how you can use pen pictures to think about the workforce needs in relation to the requirements of the individuals that you serve. It also explains how planning your workforce should work alongside your service planning and service redesign. There are also signposts to sources of information that may be useful in developing a TCP workforce plan.
Topic Two: Employing expert by experience in commissioning
Guest speakers: Catherine Keay (Transforming Care Manager) and Jo Minchin (Autism Expert by Experience), South West Lincolnshire CCG
This topic covers the role of experts by experience when they are directly employed by a Clinical Commissioning Group. It outlines a dual role in relation to Care and Treatment Reviews with the CCG and involvement of people with lived experience and their carers through the Lincolnshire Autism Partnership Board and working groups, specifically the Involvement and Collaboration Group (the A Team Network). The session also covers progress with CTRs for people with autism from a CCG and EbE perspective, including local CCG CTRs, reasonable adjustments and accessibility, barriers and areas for development and achievements to date.
Learning Disabilities: Share and Learn WebinarNHS England
Topic One: Enhanced Care Service (ECS)
Guest speakers: Caroline Kirby - Interim Lead Complex Needs Commissioner, Angie Simmons - Team Leader, Enhanced Care Service (ECS), Ted Page - Behavioural Nurse Specialist (ECS)
and Rachel Barrett – Expert by Experience, Speakeasy Now
The presentation reflects on good practice around avoiding hospital admission in Worcestershire who have developed an enhanced care service working proactively in the community.
Topic Two: Strategic resettlement, personalisation at scale and pace
Guest speaker: Pól Toner, Head of Improvement, NHS England
The presentation considers Strategic Resettlement, which is part of the Improvement and Enablement function of the Learning Disability Programme. It is being put in place to support the delivery of a transformational change to close inpatient services and develop the appropriate scale of personalised community care for people with a learning disability and/or autism who display behaviour that challenges, as set out in Building the Right Support. The function provides additional support to local systems to accelerate discharges where appropriate, focusing specifically on patients with the most complex needs and a long length of stay (over 5 years).
Learning Disabilities: Share and Learn Webinar – 30 March 2017NHS England
Topic: How can we meet the needs of children with complex behavioural challenge?
Guest speakers: Dame Christine Lenehan, Director,
Council for Disabled Children and Sue North, Acting Lead for Children and Young People Workstream, Transforming Care, Learning Disabilities Programme, NHS England
This webinar focuses on the work of the Lenehan Review which looked at children and young people with a diagnosis of learning disability, autism, mental health, challenging behaviour. Why does the system struggle currently and what could be done to change it so that children and young people have better outcomes.
Learning Disabilities: Share and Learn Webinar Thursday 27 October 2016Paul Goulding
Topic one: What helps makes a successful Care and Treatment Review?
Guest speakers:
Anne Webster, Clinical Lead, Learning Disability Programme, NHS England
Gavin Harding, MBE, Learning Disability Advisor, Learning Disability Programme, NHS England
Maggie Graham, Learning Disability Programme, NHS England
The presentation focused on everyone’s role in a Care and Treatment Review and explored the vital role of the chair of the panel, the expert advisers and also people who attend a panel, for example the role of an advocate at a CTR.
The presentation was also provided an update on the policy refresh, what is happening and when, and a discussion about the role of the learning disability advisers in the programme.
Topic Two: Guidance for TCPs in relation to Children and Young People
Guest Speaker: Phil Brayshaw, NHS England
The presentation considered how Transforming Care Partnerships can plan and deliver local support and services for children, young people and their families. This is ahead of the publication of “Developing support and services for children and young people with learning disabilities and/or autism” later this year (November).
The presentation also considered each of the 9 principles of the Service Model: Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: Service model for commissioners of health and social care services, how they relate specifically to children and young people and what this will mean in terms of local commissioning intentions going forwards.
Guest speakers: Siobhan Gorry and Sarah Jackson - NHS England and Carl Shaw and David Gill – Learning Disability advisors
Understand about unnecessary admission to hospital and avoid lengthy stays, ensuring treatment has clearly defined outcomes, planning for discharge from admission (CTR policy)
Learn about specific pathways that will enable children and young people to remain with or near to family and get the support they need aligned to the service model
Hear about innovative ideas to be tested/evaluated of supporting CYP and families through a grants process
Understand how children and young people with LD and/or autism can leave school with a good education, health and care plan or other transition plan that supports their transition to adulthood leading to better outcomes for them and their families.
Stomp - one year on presentation july 2017NHS England
NHS England marked the first anniversary of the STOMP project on Tuesday 04 July with a review of the year and the launch of a play by the MiXIT theatre group in Newcastle. The group includes people with a learning disability, autism or both and shows the effects that over-medication can have on the health and wellbeing of individuals and their families.
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
This workshop brought together, for the first time, the pioneers and the partner organisations of the Integrated Care and Support programme. It focused on building a learning community that will help develop, share and spread knowledge and solutions at scale and pace across the country.
More information: http://www.nhsiq.nhs.uk/news-events/events/integrated-care-and-support-pioneers-inaugural-workshop.aspx
More about the integrated care and support pioneers programme: http://www.nhsiq.nhs.uk/7862.aspx
Sharing and Learning Together to Deliver High Quality End of Life Care for AllNHS Improving Quality
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Presentations from the Sharing and Learning Together to Deliver High Quality End of Life Care for All event held on
Tuesday 24 June 2014, Congress Centre, London, WC1B 3LS
#nhsiqeolcare
Learning Disabilities: Share and Learn Webinar – 11 May 2017NHS England
This webinar focuses on the Model Service Specification for Enhanced/Intensive support and aims to explain the core functions that need to be in place in the community in order to support people with a learning disability, autism or both who display behaviours that challenge which place themselves or others at risk of serious harm; or for whom the nature or degree of risk might otherwise lead to exclusion, placement breakdown, and admission to inpatient services.
The webinar includes real life examples of how some Transforming Care Partnerships have approached the development of these functions.
Learning Disabilities: Share and Learn Webinar – 26 January 2017NHS England
Topic One: Developing a cross system workforce plan for the learning disabilities workforce
Guest speakers: Lisa Proctor, Workforce Specialist, Midlands and East and Marie Lancett, Workforce Specialist South, Health Education England, Christiana Evans, Locality Manager (South West), Skills for Care and Marc Lyall, Regional Director – West of England, Skills for Health
This session is designed to help Transforming Care Partnerships who are developing a workforce plan for the learning disabilities workforce in their locality. It gives an overview of workforce planning methodology and describes how you can use pen pictures to think about the workforce needs in relation to the requirements of the individuals that you serve. It also explains how planning your workforce should work alongside your service planning and service redesign. There are also signposts to sources of information that may be useful in developing a TCP workforce plan.
Topic Two: Employing expert by experience in commissioning
Guest speakers: Catherine Keay (Transforming Care Manager) and Jo Minchin (Autism Expert by Experience), South West Lincolnshire CCG
This topic covers the role of experts by experience when they are directly employed by a Clinical Commissioning Group. It outlines a dual role in relation to Care and Treatment Reviews with the CCG and involvement of people with lived experience and their carers through the Lincolnshire Autism Partnership Board and working groups, specifically the Involvement and Collaboration Group (the A Team Network). The session also covers progress with CTRs for people with autism from a CCG and EbE perspective, including local CCG CTRs, reasonable adjustments and accessibility, barriers and areas for development and achievements to date.
Learning Disabilities: Share and Learn WebinarNHS England
Topic One: Enhanced Care Service (ECS)
Guest speakers: Caroline Kirby - Interim Lead Complex Needs Commissioner, Angie Simmons - Team Leader, Enhanced Care Service (ECS), Ted Page - Behavioural Nurse Specialist (ECS)
and Rachel Barrett – Expert by Experience, Speakeasy Now
The presentation reflects on good practice around avoiding hospital admission in Worcestershire who have developed an enhanced care service working proactively in the community.
Topic Two: Strategic resettlement, personalisation at scale and pace
Guest speaker: Pól Toner, Head of Improvement, NHS England
The presentation considers Strategic Resettlement, which is part of the Improvement and Enablement function of the Learning Disability Programme. It is being put in place to support the delivery of a transformational change to close inpatient services and develop the appropriate scale of personalised community care for people with a learning disability and/or autism who display behaviour that challenges, as set out in Building the Right Support. The function provides additional support to local systems to accelerate discharges where appropriate, focusing specifically on patients with the most complex needs and a long length of stay (over 5 years).
Learning Disabilities: Share and Learn Webinar – 30 March 2017NHS England
Topic: How can we meet the needs of children with complex behavioural challenge?
Guest speakers: Dame Christine Lenehan, Director,
Council for Disabled Children and Sue North, Acting Lead for Children and Young People Workstream, Transforming Care, Learning Disabilities Programme, NHS England
This webinar focuses on the work of the Lenehan Review which looked at children and young people with a diagnosis of learning disability, autism, mental health, challenging behaviour. Why does the system struggle currently and what could be done to change it so that children and young people have better outcomes.
Learning Disabilities: Share and Learn Webinar Thursday 27 October 2016Paul Goulding
Topic one: What helps makes a successful Care and Treatment Review?
Guest speakers:
Anne Webster, Clinical Lead, Learning Disability Programme, NHS England
Gavin Harding, MBE, Learning Disability Advisor, Learning Disability Programme, NHS England
Maggie Graham, Learning Disability Programme, NHS England
The presentation focused on everyone’s role in a Care and Treatment Review and explored the vital role of the chair of the panel, the expert advisers and also people who attend a panel, for example the role of an advocate at a CTR.
The presentation was also provided an update on the policy refresh, what is happening and when, and a discussion about the role of the learning disability advisers in the programme.
Topic Two: Guidance for TCPs in relation to Children and Young People
Guest Speaker: Phil Brayshaw, NHS England
The presentation considered how Transforming Care Partnerships can plan and deliver local support and services for children, young people and their families. This is ahead of the publication of “Developing support and services for children and young people with learning disabilities and/or autism” later this year (November).
The presentation also considered each of the 9 principles of the Service Model: Supporting people with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition: Service model for commissioners of health and social care services, how they relate specifically to children and young people and what this will mean in terms of local commissioning intentions going forwards.
Guest speakers: Siobhan Gorry and Sarah Jackson - NHS England and Carl Shaw and David Gill – Learning Disability advisors
Understand about unnecessary admission to hospital and avoid lengthy stays, ensuring treatment has clearly defined outcomes, planning for discharge from admission (CTR policy)
Learn about specific pathways that will enable children and young people to remain with or near to family and get the support they need aligned to the service model
Hear about innovative ideas to be tested/evaluated of supporting CYP and families through a grants process
Understand how children and young people with LD and/or autism can leave school with a good education, health and care plan or other transition plan that supports their transition to adulthood leading to better outcomes for them and their families.
Stomp - one year on presentation july 2017NHS England
NHS England marked the first anniversary of the STOMP project on Tuesday 04 July with a review of the year and the launch of a play by the MiXIT theatre group in Newcastle. The group includes people with a learning disability, autism or both and shows the effects that over-medication can have on the health and wellbeing of individuals and their families.
Southwark and Lambeth-based projects Knee High Design Challenge, Diabetes Modernisation Initiative and Pathway explore what it takes to maintain change in the local healthcare system: understanding the issue & adapting to ever-changing context; gathering & maximising evidence; and building & maintaining meaningful relationships.
Find out more at www.gsttcharity.org.uk
On 9 February 2016 Guy's and St Thomas' Charity brought together health professionals, decision-makers, voluntary organisations, patient representatives and others in Lambeth and Southwark to explore ways of improving health by looking outside the confines of healthcare. We wanted to showcase and discuss approaches to improving health outcomes which tackle the wider aspects that impact on people’s wellbeing – from housing to education or social connections.
Speakers:
- Imogen Moore – Citizens UK
- Jeremy Swain – Thames Reach
- Catherine Pearson – Healthwatch Lambeth
- Ollie Smith – Guy’s and St Thomas’ Charity
Find out more about the event and our work supporting new ideas in health at www.gsttcharity.org.uk
This workshop brought together, for the first time, the pioneers and the partner organisations of the Integrated Care and Support programme. It focused on building a learning community that will help develop, share and spread knowledge and solutions at scale and pace across the country.
More information: http://www.nhsiq.nhs.uk/news-events/events/integrated-care-and-support-pioneers-inaugural-workshop.aspx
More about the integrated care and support pioneers programme: http://www.nhsiq.nhs.uk/7862.aspx
Sharing and Learning Together to Deliver High Quality End of Life Care for AllNHS Improving Quality
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Presentations from the Sharing and Learning Together to Deliver High Quality End of Life Care for All event held on
Tuesday 24 June 2014, Congress Centre, London, WC1B 3LS
#nhsiqeolcare
A new model of care for general practice, pop up uni, 10am, 2 september 2015NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
Nick Goodwin: making a success of care co-ordinationThe King's Fund
Nick Goodwin, Chief Executive at the International Foundation for Integrated Care, looks at how care could be better co-ordinated around people with complex needs, and the challenges around delivering joined-up care.
You can view the webinar recording below.
This hour long webinar with Helen Wheatley will provide an insight into the development of the NICE guideline "Transition from children's to adult's services". It will outline key recommendations from the guideline as well as providing an overview of good practice in transitions.
Aimed at: Frontline practitioners working with children and young people and their families
This session provides an overview of a rapid scoping review on the role of public health working with shelters serving people experiencing houselessness completed in 2022 by the National Collaborating Centre for Methods and Tools (NCCMT) in collaboration with the National Collaborating Centre for Infectious Diseases (NCCID). The review identified examples of public health collaborating with shelters to deliver public health programs and services, or to support shelter staff on public health topics. NCCID used the review in an Institute that explored opportunities to improve communications and programming that work for shelter clients and shelter staff. Join us to learn more about the results of this rapid scoping review, and to discuss possibilities for increased collaboration among public health and shelters.
LTC year of care commissioning early implementer sites workshop held on 1 December 2014. Featuring Dr Martin McShane, Rob Meaker and Renata Drinkwater.
Commissioning from non-traditional providersAge UK
Slides from Dr Sue Roberts, Northumbria Foundation Trust and Linsley Charlton, HealthWORKS Newcastle presentation from the long terms conditions conference.
Much has been written about telecare, and the evidence regarding its use is the subject of debate.
As well as looking at the existing evidence on telecare, this webinar will look at the findings from a new study looking at the use of telecare and put forward ideas for developing practice.
Aimed at: Commissioners and practitioners in adult social care.
View the recording of this webinar.
Partners and subscribers have full access to recorded webinars. Please note: you will need to login to your RiPfA account.
Evidence and policy suggests that people with multiple needs and exclusions often struggle to engage with services because of the way those services are set up. People may be well known to agencies and professionals but may not have been able to make and sustain changes in their lives. This webinar will provide an overview of the issues facing adults with multiple needs and exclusions. Due to agreements with the individuals involved, in the recording we are unable to show Leah’s story and Tommy’s story. These segments have been removed from the recording. If you have any queries please email: help@ripfa.org.uk
The Care Act 2014 introduces new responsibilities for councils in relation to prevention, the provision of information and advice and the promotion of well being, as well as giving new rights to carers, introducing a care spending cap for self-funders and a minimum eligibility threshold for care and support.
An informative overview of all the resources available in our delivery programme, and crucially how you can get the most out of them. Aimed at Link Officers, workforce development, advanced practitioners and other champions.
Presented by Gerry Nosowska with guests Fiona Richardson (Skills for Care/Oxford Brookes) and Shalini Norris (Access to Advocacy, Lancashire). This webinar explores: the changes to the law regarding information, advice and advocacy and how these fit with the wider aims of the Care Act and the related challenges, and some examples of how these are being addressed in different areas.
These informative webinars are designed for busy professionals to support the dissemination and use of the publications in each mailing. They are an opportunity to learn more about our resources - the topic, target audience, links to key policy issues and how they can be used in practice.
The latest in our series of informative Care Act webinars, this session explored the challenges of the new eligibility criteria, examined the pros and cons of different approaches to resource allocation and looked at the question of transparency.
The DoLS have been heavily criticised since their introduction and were described as "not fit for purpose" in a critical 2014 report by a House of Lords select committee, which recommended that they should be replaced (House of Lords Select Committee on the MCA, Mental Capacity Act 2005: Post Legislative Scrutiny (2014) HL Paper 139).
NICE has a long track record of producing guidelines for health and in 2013 expanded its responsibility to include social care. It is important that social care colleagues are aware of the forthcoming NICE Social Care Guidelines and Quality Standards. As part of our work with the National Collaborating Centre for Social Care (NCCSC) which is responsible for developing the NICE Social Care Guidelines, RiP/fA are holding a free webinar for colleagues across the social care sector.
This session presents and discusses the key messages from the RiPfA Key Issue: Enablement in Dementia and and the forthcoming Practice Tool of the same title (Jan 2016). We will share examples of good practice and gather your views on a practice tool we are developing on this topic. The session will explore what it means to promote 'enablement', why it matters, consider what the challenges are and help you to identify a variety of approaches practitioners can follow, as well as the actions managers and commissioners need to take to support this.
Aimed at: Frontline practitioners and team managers working with people who are living with dementia and their families. Commissioners of dementia services, dementia leads in older people teams and mental health teams.
Led by Dr Adi Cooper, this interactive webinar draws on local authorities' experience of leading effective safeguarding with the new requirements of the Care Act. We will invite questions from attendees in advance of the webinar, discuss common issues and queries with the input of colleagues from practice, and share information about what is working effectively in this area. We anticipate a focus on implementing a 'Making Safeguarding Personal' approach into practice.
Aimed at: Practitioners and managers involved in safeguarding adults
Staff in social care need to be resilient in order to manage the uncertainty and impact of their work. By working thoughtfully and sustainably, they are able to promote well-being in others. This webinar is for practitioners and those who support them. It provides insight into theory and research, and supports you to build resilience in practice.
This webinar follows on from the RiPfA Family Group Conferencing with Adults workshop (London, June 2017). The webinar content will be drawn from the workshop and is intended as a recap for those who attended, or as an overview for those who did not attend but would like to find out more about this subject. We strongly encourage you to book a training room to screen the webinar and use it as a space to discuss how you might develop a similar service in your area.
The webinar will:
Provide a brief introduction to the origins, principles and processes of FGCs with adults.
Provide an overview of FGCs within the context of legislative frameworks which support adult social care (eg, the Care Act 2014; Making Safeguarding Personal 2010).
Provide an overview of the research/evidence base on the effectiveness of adult FGCs.
Share practice ideas for setting up an FGC service, or for further developing an FGC service which has already begun*.
Share ideas for developing a simple framework to measure the effectiveness of adult FGCs in your organisation*.
*These ideas will support the development of a RiPfA resource looking at evaluating the impact of a family group conference service with adults (to be published in October 2017).
Aimed at: All those involved in adult family group conferences, including senior leaders, managers and coordinators who already run or are looking to set up a family group conference service for adults.
Around 155 Safeguarding Adults Reviews (SARs) have been commissioned or conducted in the two years following the implementation of the Care Act 2014. The Act states that SARs should promote 'effective learning and improvement action to prevent future deaths or serious harm occurring again' (14.164). But is there a consensus about what makes an effective SAR?
In this webinar, Professor Jill Manthorpe discusses what we know as a result of her extensive work in this area.
Aimed at: Safeguarding leads, Safeguarding Adults Board Chairs, Safeguarding Adults Board managers, Safeguarding Adults Reviews lead reviewers, multi-agency members of Safeguarding Adults Boards.
This webinar is designed to support outcomes-based working. It can sometimes be a challenge for practitioners to accurately capture the outcomes-focused nature of a conversation so that the written record reads as a reflection of a conversation which is focused on outcomes rather than a task and process account.
The webinar provides an overview of some of the practice challenges and solutions to support practitioners in recording outcomes conversations.
Aimed at: Practitioners and managers across social care and wider services for adults.
Adult family group conferences (FGCs) encourage and empower an adult and their family/support network to use their own strengths and resources to make plans for the future. Conferences can be used in a wide variety of ways, including with people who self-neglect; with young adults at transition to adult services, and with people living with dementia to make decisions about their future care and support needs.
FGCs with adults can also support Making Safeguarding Personal, bringing together the adult at risk and their family to explore options and support them to make decisions.
This one-day Knowledge Exchange Workshop will bring together agencies who either run or aspire to set up an adult family group conference service. It will provide a forum for:
Sharing knowledge and expertise on setting up and running a service with adults.
Consider ways of evaluating the impact that FGCs can have on outcomes for adults and their families.
The workshop will also inform the development of a RiPfA publication which will support Family Group Conferences with adults.
Aimed at: All those involved in adult family group conferences, including senior leaders, managers and coordinators who already run an FGC service with adults. Also those with an aspiration to set up/run a service within their organisation.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
Improving the quality of care and support for older people: How can the NICE guidelines help? Webinar
1. NICE Collaborating Centre for Social Care
Improving the quality of care and support
for older people: How can the NICE
guidelines help?
Lisa Smith: Research in Practice for Adults
2. NICE Collaborating Centre for Social Care
• Overview of NICE guideline development
• Highlights and recommendations from the guidelines:
– Home care: delivering personal care and practical support
to older people living in their own homes
– Older people with social care needs and multiple long term
conditions
– Transition between inpatient hospital settings and
community or care home settings for adults with social
care needs
• What does that mean for practice?
3. NICE Collaborating Centre for Social Care
POLL- Are you using the NICE
guidelines in your practice? Yes/No
4. NICE Collaborating Centre for Social Care
National Institute for
Health and Care
Excellence (NICE)
Commissioner
Social Care
Institute for
Excellence (SCIE)
Lead partner
Personal Social
Services Research
Unit
(PSSRU)
Evidence for Policy
and Practice
Information and
Co-ordinating
Centre
(EPPI)
Research in
Practice
(RiP)
Research in
Practice for Adults
(RiPfA)
5. NICE Collaborating Centre for Social Care
• Address transition to/from other services
• Recognise the diversity of the social care workforce
• Make links with wider policy and regulatory context
• Focus on choice, control and independence
• Draw on different types of knowledge
• Recognise importance of both process and outcome
• Adopt a broad analytic perspective
• Use preference-weighted measures and/or modelling
• Complement economic analyses with GDG/expert opinion
Guidance should explicitly address the
need for integrated working
Social care interventions and outcomes are
complex and multi-dimensional
Measuring and valuing the effects of
interventions needs pragmatism
6. NICE Collaborating Centre for Social Care
Research evidence
Practice evidence
Evidence on views and experiences
People who use services, carers, practitioners, commissioners
7. NICE Collaborating Centre for Social Care
Scope
Baseline
service
assessment
Systematic
evidence
review
Expert opinion
8. NICE Collaborating Centre for Social Care
Home Care: delivering personal care and
practical support to older people living in
their own homes
9. NICE Collaborating Centre for Social Care
Need for guideline
• In 2013/14 883,000 people in UK made use of home care support; 326
million hours of care was delivered (UKHCA, 2015)
• Nearly ¾ of these are supported by local authority but year-on-year decline
in numbers of people state-funded (UKHCA, 2015)
• A number of reports into the home care sector have raised concerns about
the quality of services
• Key issues identified include people using home care services experience
poor support, neglect and/or compromised dignity and human rights
(EHRC, 2011)
• Some home care workers may not have the knowledge or skill of how best
to care for people - particularly in relation to dementia – and how to work
in a coordinated way (CQC, 2013)
10. NICE Collaborating Centre for Social Care
Recommendation themes
Creative Commons license image credit: jbarahona.com
CHOICE,
CONTROL,
DIGNITY AND RESPECT
ENSURING CARE IS PERSON-CENTRED
PROVIDING INFORMATION INTEGRATED WORKING
RECRUITING, TRAINING AND
SUPPORTING WORKERS
DELIVERING HOME CARE
ENSURING SAFETY AND SAFEGUARDING
PEOPLE
PLANNING HOME CARE
11. NICE Collaborating Centre for Social Care
Implementation challenges
• Delivering services that support the aspirations, goals
and priorities of the person
• Working together to ensure care and support is
coordinated
• Strategic partnership working to deliver high quality and
integrated home care
12. NICE Collaborating Centre for Social Care
Older people with social care needs and
multiple long term conditions
13. NICE Collaborating Centre for Social Care
Need for guidance
• Most users of adult social care services have one or more LTC. Estimated
annual health and social care cost per person per year is £3,000 for
those with one LTC, and to £8000 for those with three (compared to
£1000 to those without)
• Having one or more LTCs places people at greater risk of mental health
problems, but services may not identify the need for assessment and
treatment
• People are less likely to be able to self manage a physical health
condition if they are struggling with mental ill health
• There is evidence that older people who have had a long-term mental
health problem have poorer physical health outcomes than the general
population
14. NICE Collaborating Centre for Social Care
Recommendation themes
Creative Commons license image credit: jbarahona.com
CHOICE,
CONTROL,
DIGNITY AND RESPECT
IDENTIFYING AND ASSESSING SOCIAL
CARE NEEDS
INTEGRATED CARE PLANNING
SUPPORTING CARERS
TRAINING HEALTH AND SOCIAL
CARE PROFESSIONALS
DELIVERING CARE
PREVENTING SOCIAL ISOLATION
15. NICE Collaborating Centre for Social Care
Implementation challenges
• Empowering older people with social care needs and
multiple long-term conditions and their carers to
choose and manage their own support
• Empowering practitioners to deliver person-centred
care
• Integrating different care and support options to
enable person-centred care
16. NICE Collaborating Centre for Social Care
Transition between inpatient hospital settings
and community or care home settings for adults
with social care needs
17. NICE Collaborating Centre for Social Care
Need for guidance
• The negative effects of poor transitions are felt both at the
system and individual level (House of Commons, 2003; Lynch,
2011)
• Figures released for Jan 2014 show that on the last of the
month, 2683 patients in acute care settings had a Delayed
Transfer of Care (DTOC), during the month there were a total of
123,306 delayed days, 69.4% of delays were attributable to the
NHS, 24.6% were attributable to social care and 6% were
attributable to both agencies
18. NICE Collaborating Centre for Social Care
Creative Commons license image credit: jbarahona.com
CHOICE,
CONTROL,
DIGNITY AND RESPECT
DISCHARGE PLANNING
PERSON CENTRED CARE
Recommendation themes
COMMUNICATION AND INFORMATION
SHARING
INTEGRATED WORKING
SUPPORT AND TRAINING FOR CARERS
ASSESSMENT AND CARE PLANNING
19. NICE Collaborating Centre for Social Care
Implementation challenges
• Improving understanding of person-centred care
• Ensuring health and social care practitioners
communicate effectively
• Changing how community and hospital-based staff
work together to ensure coordinated, person-centred
support
20. NICE Collaborating Centre for Social Care
Common themes
• Person-centred care
• Supporting carers
• Assessment and care planning
• Integrated working
• Information and communication
22. NICE Collaborating Centre for Social Care
Person-centred care
• Use the guideline to support you to understand gaps the
resources on the NICE website include baseline
assessment tools
• Learning from Making Safeguarding Personal
• Outcomes focused ways of working
• Co-production
• http://www.nationalvoices.org.uk/
http://www.thinklocalactpersonal.org.uk/
http://www.scie.org.uk
23. NICE Collaborating Centre for Social Care
Supporting carers
• Use the Care Act 2014 as a lever
• Co-production
• Training for carers (Caring with confidence)
• Skills for Care resources
• NHS commitment to carers
• Work with local carer groups
24. NICE Collaborating Centre for Social Care
Assessment and care planning
• Care Act 2014 principles:
– Begin with person’s views, wishes, feelings and beliefs
– Think about prevention
– Don’t make assumptions
– Ensure participation
– Balancing adult and carer needs
– Protection from abuse and neglect
– Minimising restrictions
• Good assessments lead to good care planning
25. NICE Collaborating Centre for Social Care
Integrated working
• Multiple models of integrated working
• Guidelines contain a lot of detail as to how this can be
achieved
– Joint training opportunities
– Establish named care coordinator roles
– Review local relationships
• Better Care Fund - how to guide
26. NICE Collaborating Centre for Social Care
Information and communication
• Importance of good information for people
• Opportunity for making good use of advocacy with
requirements of the Care Act 2014
• Good communication:
– Improved coordination, therefore a better experience and
outcome
– Clarity about the needs and preferences of individuals
• Information sharing protocols
• IT systems..
27. NICE Collaborating Centre for Social Care
How might the guidelines help?
• Useful framework
• Provides some leverage where there might be resistance
to change
• Conscious competence
• Enable organisations to identify gaps as well as areas of
good practice
28. NICE Collaborating Centre for Social Care
POLL- do you now know how you
might use the guidelines? Yes/No
29. NICE Collaborating Centre for Social Care
Have you any examples of good
practice that demonstrate the
implementation of guideline
recommendations?
32. NICE Collaborating Centre for Social Care
• Workshop details
• https://www.ripfa.org.uk/latest-news/news-improving-the-quality-of-care/
• www.nationalvoices.org.uk
• www.thinklocalactpersonal.org.uk
• www.scie.org.uk
• www.skillsforcare.org.uk
• www.carers.org
• www.carersuk.org
• https://www.england.nhs.uk/ourwork/pe/commitment-to-carers/
• Skills for Care
• Information and advice workbook (attached) could not find a web link
• Link to Sam’s Story
• http://www.kingsfund.org.uk/audio-video/joined-care-sams-story
• Better Care Fund
• https://www.england.nhs.uk/ourwork/part-rel/transformation-fund/bcf-plan/
33. NICE Collaborating Centre for Social Care
• Links to the guidelines
• https://www.nice.org.uk/guidance/ng27/chapter/Recommendations
• https://www.nice.org.uk/guidance/NG21/chapter/Recommendations
• https://www.nice.org.uk/guidance/ng22/chapter/Recommendations
• Social services and well-being act for Wales
• http://gov.wales/topics/health/socialcare/act/?lang=en
• http://www.legislation.gov.uk/anaw/2014/4/contents
Editor's Notes
Different types of knowledge
Reviewing evidence in context
Impact at the individual and system levels
Hospital discharge, readmission, LoS, ED visits,
Explore in further detail poor experience for the individual and their family
Explore further poor outcomes- less independence, social isolation, less choice and control, health outcomes, risk of re-admission,
Poor experience- dissatisfaction with care, worry for family about risks at home, feeling dependent, reliance on family, giving information multip
Question- anything else?
Theoretically nothing- these are all things that we do already- what the guidelines serve to do in many ways is a re-inforcement of what ‘good’ looks like in social care.
Thoughts from the chatpod- is there anything we need to do differently?
Is there anything in your local area that you could do differently to support good person-centred practice? Outcomes focused? Making Safeguarding Personal
http://www.scie.org.uk/publications/elearning/person-centred-practice/
http://www.nationalvoices.org.uk/evidence
Person-centred care involves placing people at the forefront of their health and care. It ensures people retain control, helps them make informed decisions and supports a partnership between individuals, families and services.
Some of the main components of person-centred care involve:
• supporting self-management
• supporting shared decision-making
• enhancing experience of healthcare
• improving information and understanding, and
• promoting prevention
Learning from making safeguarding personal
Outcomes focused.
Not ‘what’s the matter with me, but what matters to me?’
IS THERE ANYTHING THAT YOU NEED TO DO DIFFERNETLY
The Care Act sets out parity of esteem for carers, so that they are able to gain support from the Local Authority in their own right. This is a step change in the delivery of care and support for carers.
Carers Trust and Carers UK resources
http://www.skillsforcare.org.uk/Documents/Topics/Supporting-carers/Common-core-principles-for-working-with-carers.pdf
http://php.york.ac.uk/inst/spru/research/summs/confidence.php
https://www.carersuk.org/news-and-campaigns/news/caring-with-confidence-new-programme-for-carers
https://www.england.nhs.uk/ourwork/pe/commitment-to-carers/
riPfA are currently doing some work on behalf of DH to develop tools to support good practice with carers- we recently held a workshop with carers- we asked the group to talk about their wish list for practice do’s and don’ts
Practice do’s and don’ts
DO
• Be calm and human
• Explain what a carers assessment is (that it’s about our needs, not an assessment of our caring ability)
• Set out expectations
• Talk about what can be done, rather than what can’t
• Ask the carer if they would like a joint assessment or not
• Be knowledgeable of services and possible options for help
• Come prepared, having read the notes
• See the carer as an asset
• Make me feel as if I’m in a support network helping to support the person I care for – not that it’s a battle I have to fight against everyone else
• See beyond me as just a carer
DON’T
• Use jargon or buzzwords (both in writing and when speaking)
• Don’t appear to be, or be in a rush
• Be overly clinical/detached
• Don’t say you’re going to do something if it’s not realistic
• Don’t assume can do forms/paperwork without support
• Don’t be afraid of saying “I’ll get back to you as I don’t know the answer”
• Don’t say ‘only the carer’
• Don’t make assumptions about the carers likes or abilities
CHATPOD QUESTION IS THERE ANYTHING YOU NEED TO DO DIFFERENTLY?
SCIE resources
RiPfA resources
What the evidence says
Arguably good assessment underpins person centred care
Wealth of resources- see end slide.
The guidance also make some specific reference to forward planning- particularly with discharge planning- and also links in to information sharing and good communication.
King’s Fund
RiPfA resources
Vanguards, pioneers, better care fund
The King’s Fund report Place-based systems of care argues that providers of services should work together to improve health and care for the populations they serve. This means organisations collaborating to manage the common resources available to them rather than each organisation adopting a ‘fortress mentality’ in which it acts to secure its own future regardless of the impact on others. The King's Fund November 2015
Managers need to assess the factors affecting integrated working in their areas, and motivate and support practitioners to adopt attitudes and behaviours that support person‑centred approaches. Changing attitudes can be challenging, particularly if there are pressures on staff time and resources, and local capacity (or knowledge of alternative sources of support) is limited.
What can health and social care managers do to help?
Review local relationships across health, social care, housing and the voluntary sector and identify areas for improvement. Resources and organisations that can help include:
The Local Government Association, NHS England and their partners' resources and tools to improve integrated working through the Better Care Programme. The LGA's Integration and the Better Care Fund is a summary of programmes relating to integrated working for health and wellbeing boards, local authorities and their partners in the health and voluntary sectors. This includes the Better Care Exchange, which offers the opportunity to share learning across systems, and a series of practice guides, such as How to work together across health, care and beyond.
The Department of Health‑funded evaluation of the Homeless Hospital Discharge Fund shows that joint working across sectors reduces delayed transfers of care for homeless people with social care needs.
The Social Care Institute for Excellence's Dying at home: the case for integrated working provides examples from practice, including case studies showing how working together can help to meet people's preferences.
Establish a change programme that includes staff training based on the principles of the Care Act and the Mental Capacity Act, and the ambitions set out in the NHS Five Year Forward View. Depending on local needs and circumstances, the programme could draw on approaches identified in the Social Care Institute for Excellence's Organisational change in social care study resource.
What can commissioners, providers and voluntary sector and community organisations do to help?
Use existing forums or create new opportunities to meet people who use services and carers to review the quality of services for people living at home. Existing forums that could be used include health and wellbeing boards, quality forums and provider alliances.
Use this guideline to review what training about common health conditions is available for home care workers. Draw on examples of good person-centred practice to inform local health and wellbeing planning and help commissioning plans realise the intentions of the Care Act.
Consider innovative approaches and services that can support people to maintain links with their family and local community. The SCIE guide on commissioning home care for older people includes some practice examples to stimulate ideas.
Working across boundaries
Traditionally, health and social care services that support older people with social care needs and multiple long‑term conditions focus on managing separate health conditions, and the system is complex to navigate. Systems and structures may need to change to help professionals to work across service boundaries and specialisms.
To do this, managers and commissioners could:
Establish named care coordinators locally and ensure they have the authority to provide continuity of support and amend care and support plans as needed. Share information about their role and responsibilities widely to make sure it is fully understood.
Provide care coordinators with the necessary training and support based on a clear understanding of their role, and the skills and knowledge they need.
Review local relationships across health, social care and the voluntary sector and identify where more support is needed to work across service boundaries and professions. Resources such as The How to… guides produced to support the Better Care Fund can help with this.
https://www.england.nhs.uk/wp-content/uploads/2015/06/bcf-user-guide-03.pdf.pdf
Good information resources- pull in the Skills for Care stuff
Generally people do not have a good understanding of adult social care and there may be stigma in approaching it (ADASS, 2011). Often people first seek information at a time of crisis (Bottery and Holloway, 2013). Information is affected by the complexity of the system and language used, and lack of join up between services. Since councils gatekeep services, it can be difficult for them to provide independent information. The quality of information is not always reliable, and technology can provide barriers to access. . (Anderson, 2011) There are more specific barriers for particular groups, for example, older people are less likely to use the internet or call centres (Horton, 2009), BME groups face cultural and linguistic barriers (Zahno and Rhule, 2008), self-funders may not be seen as a priority (Hudson and Henwood, 2009), and many people face difficulties with communication or capacity (IDEA, 2009). People who face stigma are less likely to engage with social care (RiPfA, 2013). People are more likely to seek information if they believe it will be available and accessible, relevant and understandable, useful and trustworthy. Involving customers in planning how information and advice are provided, having an organisational strategy and joining up with other agencies all help. Organisations should use a range of formats, media and places to provide information (IDEA, 2009). The third sector, including organisations led by users, can provide more independent information and advice to navigate the system (RiPfA, 2011b, 2012b). Tailored information and support is particularly important for groups who face barriers (Putting People First, 2009); often they will need face-to-face support (Zahno and Rhule, 2008). Personal relationships with individuals are important for access to information and advice. Social care staff and other professionals need skills and tools to signpost and advise people (Newbronner et al, 2011). Ideally, information and advice would be followed up on, and information services reviewed (RiPfA, 2013).
Good communication systems enable:
improved coordination of care and, therefore, a better experience for the person and improved outcomes
practitioners to have a clear understanding about people's health, social care and support needs and preferences and the role practitioners need to play to promote wellbeing
They might also enable more efficient and cost‑effective use of resources.
Poor coordination of care, and poor communication between and within teams, can lead to poorer outcomes and a poor experience of care. Local health and social care organisations need to establish communications protocols, procedures and systems. These should make best use of technology to enable data‑sharing between all practitioners involved in the care and support of people in the area (subject to information governance protocols).
Protocols for sharing information with people, their families and carers also need to be established to ensure that all communication arrangements are understood and used by all relevant practitioners.
IT systems are oft cited as the reason why information isn’t shared and why there isn’t good enough communication- Sam Jones Director, New Care Models- so heads up the Vanguards
To illustrate the point, she cited her 89 year old father-in-law, who is still defiantly living at home but is looked after by a team of 27 health and social care professionals – people who, because of the system in which they operate, aren’t able to communicate or coordinate properly with each other. “We have data that doesn’t cross populations, funding streams that don’t work and national policy that doesn’t encourage care around patients.”
Does the Vanguard programme actually narrow choice – and is there a hint that they are not entirely democratically accountable? Not so, she insists. All seven arm’s length bodies have sponsored the care model programme and the systems really are working together. And, any accusation of Vanguards being elitist was firmly dismissed. “There have to be leaders, people who go first – and we should be behind them,” she says.
WHAT DO YOU THINK THE PRACTICE NEEDS TO LOOK LIKE?