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Gloucestershire’s Dementia Training & Education Strategy. A multi agency approach which supports the national dementia strategy Angela Willis. Alignment with national strategy:. Supports all three high level objectives Explicitly linked to objective 13: - PowerPoint PPT Presentation
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Gloucestershire’s Dementia Training & Education Strategy
A multi agency approach which supports the national dementia strategy
Angela Willis
Alignment with national strategy:
Supports all three high level objectives
Explicitly linked to objective 13:
“to have an informed and effective workforce for people with dementia”
Our strategy prioritises care homes’ needs (objective 11) through the development of a training & support pathway
What informed the strategy?Growing understanding of need – local and national research evidence
Identification of priority groups
Benchmarking best practice:
- Skills for Care knowledge sets
- NICE / SCIE guidelines
- Existing development programmes
Learning Needs Analysis
- Poor knowledge & skills
- Learning styles
- Operational / organisational needs
More recently – The National Dementia Strategy
Key Outcome:
To improve the quality of person centred dementia care within Gloucestershire’s H&SC workforce, through the development of dementia knowledge, skills and competence
Supporting outcomes
Integrated pathway across H&SC
Utilize & co-ordinate expertise
Instil confidence
Best practice
Blended learning approach
Accessible & sustainable
Staged development model
Align with wider competencies, training & qualification pathways
Formal recognition of individual learning
Challenges
Low skills base
Huge staff numbers
Different cultures / organisations
Time factor
Different packages of training
Patchy and disjointed training provision across H&SC
Many priority groups
Critical challenge
How to embed the learning into everyday practice?
• the role of the Dementia Link Worker
• in-reach specialist support
Approach
•Vision
•Research
•Stakeholder engagement
•Cross sector working
•Local needs analysis
•Align with emerging national drivers
•Agree priorities
Basic Essential Dementia Awareness: E-Learning
•Dementia E-learning commissioned by Gloucestershire
•SCIE E-learning
•SCILS
•All above promoted and supported
Basic Essential Dementia Awareness – 3 file resource pack
• Resource File – Powerpoint presentations, workbooks, E-learning
• Research File – Alzheimer’s Society Fact Sheets, NICE guidelines, CSCI ‘See me’, research articles
• Admin File – Skills for Care knowledge set progress logs, certificates
Specialist Training Programme
DAY ONE
An Introduction to and analysis of the nature and causes of dementia, delirium and depression. An examination of various strategies for working with individuals in these situations
DAY TWO
Person Centred Care - including behaviours that challenge us: wandering and aggression
The role of the Dementia Link Worker (DLW)•Provides a link between theory and practice – translating learning into person centred practice
•Uses the on-site dementia learning resources to develop other staff members
•Promotes best interests of person with dementia
•Works with other DLW’s for peer support and sharing best practice
How are DLW’s supported?
•Two new roles of Care Homes Education Nurses (CHEN) created mid 2008
•DLW’s undertake the full pathway themselves and undertake additional trainer / coaching skills training
•Participate in regular facilitated Best Practice Forum (BPF)
•Regular contact and support from CHEN (and wider Care Homes Support Team)
Where are we now?
All care homes have on-site 3 file dementia learning resources
48% of our care homes have a trained and supported DLW
Excellent uptake of E-learning, bite size training, training days and BPF
Significant cross sector working to embed learning into practice through role of dementia CHEN
Joint PCT and LA funding agreed to implement three year county wide T&E strategy
Evaluation to date
Greater knowledge, skills and confidence reported by managers, DLW’s, staff and relatives
Emerging evidence of higher quality person centred dementia care
Emerging evidence of reduction in referrals from care homes to NHS
Successful pathway model (meets supporting outcomes)
Where next?
Three year dementia T&E strategy being finalised, builds on care home model
Joint PCT and LA funding agreed to implement strategy
Priorities for 09/10 include:
Complete coverage for care homes
Develop pathway to include end of life care (objective 12)
Build on model for domiciliary care and primary care (objective 6)