News Flash: The programme has been selected for the Delivering Integrated Care for Older People with Frailty event at The King’s Fund on 15 March 2016. 1

BACKGROUND

THE STORY SO FAR

Thursday, 28th JanuaryEdwinstowe House, near MansfieldLimited Spaces available

Wednesday, 3rd FebruaryEveryday Champions Centre, NewarkSpaces available

Thursday, 4th FebruaryRichard Herrod Centre, CarltonFull but register interest for future events

There are around 20,000 older people living with frailty across Nottinghamshire and Nottingham.Members of Nottinghamshire Local Education and Training Council (LETC) are working together to improve care for older people with frailty through an innovative toolkit and supporting training programme that aims to:

• Enable supported self-care;

• Promote integrated assessment;

• Foster multi-professional and multi-agency learning and working;

• Deliver consistent education and training standards.

The programme is funded by Health Education East Midlands (HEEM) and its direction and development have been shaped by professionals and older people with frailty working together.

The Steering Group is chaired by HEEM Transformation and LETC Lead, with senior workforce representatives from Local Authorities. Multi-professional, cross-organisational ‘Expert Advisory Panel’ and ‘User Group’ have provided input into the content and design of the toolkit and training events, whilst a small group of older people with frailty, their families and carers, have directed case studies.

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The first wave of training events and the launch of the Frailty Toolkit took place in October 2015.To date, over 150 health and care professionals representing more than 20 organisations from across the NHS, Adult Social Care, Private and Third sector providers have joined the programme.

Throughout the training days, participants from many different roles have worked together in multi-disciplinary teams.

92% of participants rated the training effective or very effective in achieving the

learning outcomes, whilst networking, including multi-agency working is the most frequently mentioned ‘best thing about the event’ feedback.

The training events in early 2016 are filling up fast. See above for details of dates, locations and how you or your staff can join the programme.

Inside you can find out more about the toolkit and training and what participants have been saying about the different aspects from the Frailty Fulcrum, Toolkit App and Multi-Agency Events, to the Virtual Reality Simulation, Co-designed Case Study Exercises and Supported Self-care Plan.

UPCOMING EVENTS

92% of participants rated the training ‘effective’ or ‘very effective’ in achieving the

learning outcomes

Go to frailtytoolkit.org/trainingevent

For more information visit: www.pcdc.org.uk/events/frailty-toolkit-training or contact info@pcdc.org.uk

Places will be allocated on a first come first serve basis subject to achieving a balanced cohort across health and care providers.

Enabling Supported Self-Care for Older People Across Nottinghamshire:The Frailty Toolkit & TrainingNovember 2015

BOOK YOUR PLACE ONLINE

News Flash: The programme has been selected for the Delivering Integrated Care for Older People with Frailty event at The King’s Fund on 15 March 2016. 2

Introduction to App is great and can’t wait to use it.

FRAILTY TOOLKIT APP

MULTI-AGENCY TRAINING EVENTS

Accessed through your web browser, this easy to navigate Toolkit includes frailty and supported self-care learning materials, planning templates, directory of resources, and case studies demonstrating practical applications.

Available on any smart phone, tablet or computer connected to the internet, you can access the resources at any time for further learning and to help you in your work with people with frailty.

Participants work in multi-agency, multi-professional teams throughout a very interactive day. Supported self-care themes - empowerment, motivation and capability building - run throughout.

Morning sessions focus upon understanding frailty, skills for supported self-care, and identifying ‘helps and hindrances’ to joint-working.

Afternoon sessions cover practical application through interactive case-based exercises.

89% of participants said they were ‘likely’ or ‘very likely’ to recommend training to colleagues

I liked being able to network with other organisations - knowing what is available and how to access their skills.

93% of training event participants said they were ‘likely’ or ‘very likely’ to share the Toolkit with colleagues

News Flash: The programme has been selected for the Delivering Integrated Care for Older People with Frailty event at The King’s Fund on 15 March 2016. 3

SUPPORTED SELF-CARE PLANToo often our systems of care can overlook what is really important to individuals, particularly older people living with frailty. The toolkit and training recognises this.

The process of supported self-care planning explores the importance of promoting independence and individual choice, and of accepting and managing risk along the way.

The person-centred, holistic planning template used in the training empowers care professionals to support practical changes in an individual’s life by applying their knowledge and skills to help identify individual goals and to create a ‘plan on a page’.

FRAILTY FULCRUMThis new model articulates the complex nature of frailty. By exploring the balance and interaction of all the different aspects of an older person’s life, care professionals can use this model to identify opportunities to build resilience and thereby improve quality of life for older people with frailty.

The model is introduced through a short animation and underpins the holistic approach to assessment used throughout the training day.

91%of participants rated the ease of understanding key messages as ‘good ’ or ‘excellent’ for the Frailty Fulcrum animation

Great self-care plan which is easy to use.

I liked the supported self-care plan and feel it would be a useful tool alongside our own assessment plan.

I would like to be able to:

What is really important to me now?

Domain

What is helping me?What is getting in the way?

Opportunities

Social

Environment

Physical

Environment

Systems

of Care

Psychological

Status

Long Term

Conditions

Acute Health

Events

To do

WhoWhen Progress

Simple concept but works when seen in a visual way. Good use of balance.

VIRTUAL REALITY SIMULATION

CO-DESIGNED CASE STUDY EXERCISES

How does it feel to be an older person with frailty living at home? Using our newly developed virtual reality simulation, we put you in the shoes of that person.

This part of the training helps develop empathy with those whom we care for, as well as building awareness and observational skills, and introducing the related case study exercise.

The Toolkit and the Training events have been co-designed with a small number of older people living with frailty.

These individuals and their families have kindly shared their stories, creating person-centred case studies that bring to life the principles and the tools. They highlight the practical application of supported self-care at different stages of frailty and settings of care.

Through the training events they provide memorable experiences of how the Frailty Fulcrum and Supported Self-Care Plan work together to optimise an individual’s quality of life.

Very innovative in looking at how impairment affects function and, more to the point, of the feelings associated with impairment.

90% of participants felt the case scenarios were an ‘effective’ or ‘very effective’ way to achieve learning outcomes

Loved getting to grips with real-life cases. Seeing the story through.

90% of participants felt that the VR simulation was either ‘good ’ or ‘excellent’ in terms of helpfulness in building empathy / walking in shoes of an older person with frailty

PROJECT CONTACTS Jane McCombeHealth Education East Midlands j.mccombe@nhs.net

Elaine MitchellNottinghamshire Local Education & Training Council (LETC) elaine.mitchell@nottinghamcity.gov.uk

Dr Dawn MoodyCourse Clinical Tutor and GPSI Frailty and Care of Older people dawn@fusion48.net

David SeymourProject Lead david@fusion48.net