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Workforce and Dementia Care 10 th May 2011

Workforce and Dementia Care 10 th May 2011. Diane Bardsley Development Consultant, South West Development Centre.

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Workforce and Dementia Care 10 th May 2011

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  1. Workforce and Dementia Care10th May 2011 Diane Bardsley Development Consultant, South West Development Centre

  2. “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

  3. 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

  4. 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 raising standards, improving outcomes, promoting excellence in health and care

  5. INPUT – what do we bring to situation? Starts with occupations Describes the skill and knowledge base each occupation brings to a situation Inputs vs Outcomes 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

  6. 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

  7. Learning approaches Top-down control Bottom up control Formal Learning Informal Learning raising standards, improving outcomes, promoting excellence in health and care

  8. DEMENTIA CARE WORKFORCE RESOURCES 3 step pathway Dementia workbooks & bite sized presentations SOUTH WEST DEMENTIA WORKFORCE NETWORK LEARNING & EDUCATION LIBRARY South West Projects DEMENTIA WORKFORCE COMMISSIONING GUIDANCE NEW CPD LEARNING PLATFORM Learn4Health GP EDUCATION INNOVATIVE PRACTICE - NEW ROLES, NEW WAYS OF WORKING IN DEMENTIA Good practice vignettes EVALUATION OF GLOS MODEL ACCREDITED TRAINERS KITEMARK raising standards, improving outcomes, promoting excellence in health and care

  9. 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

  10. Workforce Resources Learning Pathway • Step 1 Essential dementia awareness A 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 topics Step 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 SCIE resources Learning library raising standards, improving outcomes, promoting excellence in health and care

  11. Learn4Health NHS South West Workforce Development Consortium led by Tribal Consulting Limited Partners: King’s College London, Skills for Health Bazian, raising standards, improving outcomes, promoting excellence in health and care

  12. Operating Principles – Employer Led and Owned 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 Clinical Pathway centred Open to all health and social care providers in the South West Available form any web enabled environment Learning and development 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 Multi-disciplinary/Agency Promotes matrix approach based on the competencies needed to deliver care in and across each of the pathways Mapped to the KSF raising standards, improving outcomes, promoting excellence in health and care 12

  13. Governance Contract Management Group Additional Commissioning sub-group Employer Oversight (Editorial) Group Technical Sub-group Mental Health Maternity & New Born Optimising Elective Care Long Term Conditions Children & Young People Staying Healthy Urgent Care Pathway groups raising standards, improving outcomes, promoting excellence in health and care

  14. New ways of working • Plymouth 5 min teach • YDH ‘An Hour to remember’ • Befriending • Dementia Care Mapping New roles • Dementia Link Workers • Primary Care Liaison • Dementia Advisors • Dementia Champions • Dementia Leads raising standards, improving outcomes, promoting excellence in health and care

  15. 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 raising standards, improving outcomes, promoting excellence in health and care

  16. Workforce commissioning Commissioning 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)

  17. Dementia Integrated Care Pathway Early Intervention & treatment Living well with dementia End of Life Prevention Identification Assessment & Diagnosis (London Healthcare 2009) raising standards, improving outcomes, promoting excellence in health and care

  18. Learning matrix – QCF levels alongside an integrated care pathway

  19. Commissioning the dementia workforce • What have you done? • What helped you achieve this? • What do you need to do in the future? • What are the challenges? • In light of the above answers and for commissioners for the future what information do you feel would be helpful? • How would you like this information to be presented? raising standards, improving outcomes, promoting excellence in health and care

  20. Diane Bardsley diane.bardsley@swdc.org.uk South West Dementia Partnership Website: http://www.southwestdementiapartnership.org.uk raising standards, improving outcomes, promoting excellence in health and care

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