The Dementia Training and Education Strategy for Gloucestershire

8/7/2019 The Dementia Training and Education Strategy for Gloucestershire

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Angela Willis

A multi agency approach for

Gloucestershire that supports the NationalDementia Strategy


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Background and Development

Emerging evidence local, regional and national

The work of Gloucestershires Older Peoples MentalHealth Training Group benchmarked best practice &undertook learning needs analysis

Partnerships for Older Peoples Project (POPP) providedfunding 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 Gloucestershires 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-agencypathway and staged development model

To achieve core workforce competencies

To kite mark training / introduce dementia passport

To ensure learning is embedded into practice to improvethe quality of person centred dementia care


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Related Objectives

To work in partnership to meet a shared, outcomefocussed framework

To work with training & education providers to developtheir 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 Gloucestershires Dementia PMB


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The pathway

Dementia e-learning

Dementia local learning resources which

include bite size training (hard copy packs andinteractive 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 DLWs for peer support and

sharing of best practice


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How are DLWs supported?

Three new roles of Dementia Education

Nurses (DEN) develop & support DLWs

Undertake enhanced dementia link workertraining 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, primarycare and community hospitals

Practising Dementia Link Workers in 87% of our Care

Homes, 25 DLWs 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 PAs

Alignment with End of Life Care education Successful CPD programme for DLWs


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Evaluation to date

Greater knowledge, skills and confidence within care

homes reported by managers, DLWs, staff andrelatives

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 DLWs for community hospitals

Year three priority areas to be agreed - includes widercommunity 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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The Dementia Training and Education Strategy for Gloucestershire

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