workforce and dementia care 10 th may 2011
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Workforce and Dementia Care
10th May 2011
Diane BardsleyDevelopment Consultant,
South West Development Centre
raising standards, improving outcomes, promoting excellence in health and care
“We want places like this where people can get to know you and understand what you are feeling and experiencing – you don’t call them staff you call them friends” (Client, Forget-me-not day centre, Swindon)
“Well you felt from day one really that the care staff all have an understanding and an experience of dementia….some of the youngsters who have looked after mum now in the later stages are just unbelievable, just amazing”
(Relative, Badgeworth Court, Cheltenham)
“The staff actually care about the people,they actually care whether they are happy” (Relative, Guild House, Gloucester)
raising standards, improving outcomes, promoting excellence in health and care
Key challenges• Currently 2.75 million health and social care
staff estimated to be working with people with dementia
• Potential growth of workforce• Diversity of workforce and differing needs• Financial constraints• Organisational change
raising standards, improving outcomes, promoting excellence in health and care
Workforce issues to be aware of• Dementia strategy – objective 13 ‘An informed
and effective workforce’• Care Quality Commission Regulations 21 - 23• Qualifications and Credit Framework• Dementia Core Principles• Dementia education and training for GPs and
practice staff • Workforce Training and Education Development
Action Plan – qualifications at different levels
Inputs vs OutcomesINPUT – what do we bring
to situation?• Starts with occupations• Describes the skill and
knowledge base each occupation brings to a situation
OUTCOME – focus on what needs to be done and to what quality – not who does it or where it is done
• Starts with functions• Describes what
successful outcomes need to look like and involve
raising standards, improving outcomes, promoting excellence in health and care
Dementia care training
• Recognised needs across workforce • Gaps in pre-registration training• Large numbers of staff need dementia training
as part of CPD• Wide range of training available – much has no
accreditation• Gaps in access and issues over releasing staff• Concerns around costs of accredited training• Range of good practice – need to share• Variable quality of dementia trainers• Lack of evaluation of practical impact
raising standards, improving outcomes, promoting excellence in health and care
Learning approaches
STAGE 1
Classroom training
STAGE 2
E Learning
STAGE 3
Blended learning
STAGE 4
Social Learning
STAGE 5
Collaborative learning/
working
Top-down control
Bottom up control
Formal Learning Informal Learning
raising standards, improving outcomes, promoting excellence in health and care
DEMENTIA WORKFORCE COMMISSIONING GUIDANCE
DEMENTIA CARE WORKFORCE RESOURCES
3 step pathway
Dementia workbooks & bite sized presentations
LEARNING & EDUCATION
LIBRARY
INNOVATIVE PRACTICE - NEW ROLES, NEW WAYS OF
WORKING IN DEMENTIA
Good practice vignettes
SOUTH WEST DEMENTIA
WORKFORCE NETWORK
ACCREDITED TRAINERS KITEMARK
NEW CPD LEARNING PLATFORM
Learn4Health
EVALUATION OF GLOS MODEL
South WestProjects
GP
EDUCATION
raising standards, improving outcomes, promoting excellence in health and care
Regional Dementia Workforce Network
• Open to all sectors. Bi-monthly meetings• Share positive practice in learning and
development activity• Share innovative practice and ideas• Influence and inform the SWDP resources• Cover topics and issues identified by network• Influence and inform Learn4Health
raising standards, improving outcomes, promoting excellence in health and care
• Step 1 Essential dementia awarenessA workbook, bite-sized presentations and links for further knowledge to give a basic level of dementia awareness. Relevant to anyone and for induction for all staff within health and social care settings
• Step 2 Further knowledge in dementia Building on Step 1 this offers a workbook, bite sized presentations and links to further knowledge and resources. For anyone working in a health and social care setting either registered or non-registered, families and those caring for a person with dementia and for people whom may be in positions to share learning eg managers, supervisors etc
• Step 3 Specific topicsStep 3 builds on Step 1 & 2 and includes material on specific topics relevant to a qualified and skilled worker whom may wish to learn more about specific dementia topics such as ‘Managing behaviours that challenge us’ ‘learning disabilities and dementia’, younger onset, ethnicity and dementia
Learning library
SCIE resources
Workforce Resources Learning Pathway
raising standards, improving outcomes, promoting excellence in health and care
Learn4HealthNHS South West Workforce Development
Consortium led by Tribal Consulting Limited Partners: King’s College London, Skills for HealthBazian,
raising standards, improving outcomes, promoting excellence in health and care
Operating Principles – Employer Led and Owned
12
Learning and
development
Level of learning determined by level and depth of content and level of autonomy
Blind to qualification and pay band
Leaner develops own learning plan gaining approval with line manager
Learner centred
Promotes matrix approach based on the competencies needed to deliver care in and across each of the pathways
Mapped to the KSF
Multi-disciplinary/Agency
Open to all health and social care providers in the South West
Available form any web enabled environment
Clinical Pathway centred
A hierarchy of learning including a common core
Workplace assessments to ensure safe and best practice
Access for carers in their primary role over time
Access
raising standards, improving outcomes, promoting excellence in health and care
GovernanceAdditional
Commissioning sub-group
Contract Management
Group
EmployerOversight
(Editorial) Group
TechnicalSub-group
Maternity& NewBorn
OptimisingElective
Care
MentalHealth
Long TermConditions
Children & YoungPeople
StayingHealthy
UrgentCare
Pathway groups
raising standards, improving outcomes, promoting excellence in health and care
New roles
• Dementia Link Workers
• Primary Care Liaison
• Dementia Advisors• Dementia
Champions• Dementia Leads
New ways of working
• Plymouth 5 min teach
•YDH ‘An Hour to remember’
•Befriending
•Dementia Care Mapping
raising standards, improving outcomes, promoting excellence in health and care
Outcomes of Gloucestershire Dementia Link Worker model
• Greater knowledge, skills and confidence within care homes reported by managers, DLWs, staff and relatives
• Evidence of higher quality person centred dementia care • Reduction in referrals to NHS• Reduction in anti-psychotic medication
Workforce commissioningCommissioning plans need to be informed and based on a practical understanding of the capacity and capability of the local labour market to respond to changing demands.
Procurement plans take account of the quantity and quality of the workforce needed to meet service priorities.
Contracts support employers to undertake business planning and workforce planning to meet standards of safety and quality.
Accreditation systems, particularly where neither the service nor the workforce is subject to professional regulation
Supporting organisations led by people who use services help individual ‘personal employers’ to plan their care and support workforce.
Creating learning organisations. Supporting local qualification and training programmes in higher education, further education and the community education sector. (adapted Skills for Care et al 2010)
raising standards, improving outcomes, promoting excellence in health and care
Dementia Integrated Care Pathway
Prevention IdentificationAssessment
& Diagnosis
Early Intervention
&treatment
Living well with
dementia End of Life
(London Healthcare 2009)
Learning matrix – QCF levels alongside an integrated care pathway
Level 8Professional post grad, research
Level 7Post grad (Master level)
Level 6Advanced skills training (BA level)
Clinical leadership
Level 5Entry professional graduate employment
Advise on choice of therapeutic interventions
Manage pain relief
Level 4Specialised education and training (HNC)
MCA, Dols, safeguarding
Enable carers to support the individual with dementia
Level 3Qualified/skilled worker
Provide clinical information to individuals
Person centred thinking and planning
Support individuals at EOL
Level 2Entry to employment
understand dietary requirements
Understand the need to safeguard
Level 1
prevention Identification Assessment &
diagnosis
Early intervention & treatment
Living with dementia
End of life
raising standards, improving outcomes, promoting excellence in health and care
Commissioning the dementia workforce
1. What have you done? 2. What helped you achieve this?3. What do you need to do in the future?4. What are the challenges?5. In light of the above answers and for
commissioners for the future what information do you feel would be helpful?
6. How would you like this information to be presented?
raising standards, improving outcomes, promoting excellence in health and care
Diane Bardsley
diane.bardsley@swdc.org.uk
South West Dementia Partnership Website:
http://www.southwestdementiapartnership.org.uk
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