Angela Willis A multi – agency approach for Gloucestershire that supports the National Dementia...
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Transcript of Angela Willis A multi – agency approach for Gloucestershire that supports the National Dementia...
![Page 1: Angela Willis A multi – agency approach for Gloucestershire that supports the National Dementia Strategy.](https://reader036.fdocuments.in/reader036/viewer/2022082411/5697c0111a28abf838ccbc7a/html5/thumbnails/1.jpg)
Angela Willis
A multi – agency approach for Gloucestershire that supports the National
Dementia Strategy
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Background and Development
• Emerging evidence – local, regional and national•The work of Gloucestershire’s Older People’s Mental Health Training Group – benchmarked best practice & undertook learning needs analysis• Partnerships for Older People’s Project (POPP) provided funding which enabled focus on dementia training• A countywide strategy for dementia training & education – first draft March 2008• Alignment with national strategy and local priorities – final draft September 2009
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Challenges• Low skills base• Huge staff numbers • Different cultures / organisations• Patchy and disjointed training provision / packages• Need for cost effective and sustainable approach
Critical Challenges• How to embed the learning into everyday practice?
- the role of the Dementia Link Worker (DLW)- In-reach specialist support
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Key outcome
• To improve the quality of individual centred dementia care, through the development of dementia knowledge, skills and confidence throughout Gloucestershire’s Health & Social Care workforce
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Aims
• To develop a confident and competent workforce to meet both current and future demand
• To deliver a systematic and consistent multi-agency pathway and staged development model
• To achieve core workforce competencies• To ‘kite mark’ training / introduce dementia ‘passport’• To ensure learning is embedded into practice to improve
the quality of person centred dementia care
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Related Objectives
• To work in partnership to meet a shared, outcome focussed framework
• To work with training & education providers to develop their capacity
• To promote the development of a learning culture- increasing learning opportunities and addressing sustainability issues
• To align approach within wider training and qualification frameworks (both existing and new)
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How?
A three year implementation plan which…..• builds on successful pathway model for care homes• is jointly funded and resourced• Is overseen by the dementia training & education group,
reporting to Gloucestershire’s Dementia PMB
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The pathway
• Dementia e-learning• Dementia local learning resources which
include bite size training (hard copy packs and interactive e-versions)
• Dementia training days one and two• Dementia level 2 Award (now QCF)
All of above supported in practice by DLW
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The role of the DLW
• Provides a link between theory & practice – translating learning into person centred practice
• Uses the on-site dementia learning resources to develop other staff
• Promotes interests of person with dementia• Works with other DLW’s for peer support and
sharing of best practice
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How are DLW’s supported?
• Three new roles of Dementia Education Nurses (DEN) develop & support DLW’s
• Undertake enhanced dementia link worker training pathway, includes best practice forums and trainer / coaching skills
• Once qualified they participate in DLW CPD programme
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Priorities
• The Strategy aims to be inclusive of a wide range of groups and services
• Dementia training days and E-Learning have been developed and are available for all
• In accordance with agreed priorities the following groups are being supported with dedicated resources……….
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Priority Groups (2010/11)
• Care Homes (as in 2009/10)• Domiciliary Care •Community Hospitals• Managers • Primary Care Facilities • Carers
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Where are we now?
• Dementia training & education pathways agreed for care homes, domiciliary care, intermediate care, primary care and community hospitals •Practising Dementia Link Workers in 87% of our Care Homes, 25 DLW’s being developed in domiciliary care and DLW model now agreed for Community Hospitals• Excellent uptake of all learning resources•New dementia leadership programme introduced
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Where are we now (continued)
• Significant cross-sector working to embed learning into practice
• Joint PCT & LA funding agreed• Carers Education developments• Resources being accessed by Housing, wider
community groups, carers and PA’s• Alignment with End of Life Care education• Successful CPD programme for DLW’s
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Evaluation to date
• Greater knowledge, skills and confidence within care homes reported by managers, DLW’s, staff and relatives
• Evidence of higher quality person centred dementia care
• Emerging evidence of reduction in referrals to NHS• Successful pathway model • Identified as ‘innovative practice’ by SHA review team
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The future• To maintain the knowledge, skills and attributes of those trained-
sustainability the key!• Addressing the needs of primary care - increasing knowledge and
skills of General Practitioners• Designated support and links to Community Dementia
Nursing• Flexible approaches
• Meeting the needs of local communities, local companies, businesses
• Cultural competence and sensitivity
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The future
• Develop DLW’s for community hospitals• Year three priority areas to be agreed - includes wider
community development • Ensure pathway meets competency requirements for new
dementia qualifications on the Qualifications & Credits Framework
• Secure sufficient and long term funding• Evaluate impact on people living with dementia
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