Parallels in Training Techniques
A Quality Approach
Nicky Sharpe
Moving & Handling Lead
RGN MSc PGCE
0114 2266409
nicky.sharpe@sth.nhs.uk
NAMDET Conference 2014
Why?
Medical Devices
Moving & Handling
 Legislation
 Legislation
 CQC
 CQC
 MHRA
 MHRA
 Patients
 Patients
X Staff
 Staff
Who Can Train Moving & Handling?
National Back Exchange
• Multi professional
organisation
• Excellence in all
aspects of moving
and handling.
• Registered Member
– Qualifications
– Experience
– Evidence
How Do We Ensure Quality
NBE Standards
guidance only
• Guidance re qualifications / experience of trainers,
content and duration of training, training strategy and
management commitment.
– Induction people handling: 1 – 2 days
– Refresher people handling: 3 hours
– Ratio of trainer to trainees: 1:8
NBE Standards in Manual Handling 2010
Reality at STH – Induction
• Central Induction:
– Information leaflet re STH systems
– 20 minutes basic principles – practical
• Local Induction
– 3 month completion
– Practical related to equipment & local systems
– Duration of training variable between areas
Reality at STH - update
• E – learning update – all mandatory topics.
• Annually all staff
• Information re what’s new in last year
Reality at STH – Refresher
• Via local cascade keytrainer
– 1 – 3 hours depending on level of risk
– Frequency 1 or 3 yearly – outlined in TNA
– Predominately practical problem solving
Cascade Training Model
Return on Investment
Do we measure the impact of training interventions?
If so – how?
If we don’t measure
the impact – how do
we justify the cost?
1
2
3
4
Preferences
Keytrainer course
content relevant to
workplace
Satisfaction, Reaction and Action objectives
100& - commit to cascade training / identify course is relevant to
work areas / intention to use the training in the workplace
Learning needs
Improvement in staff
knowledge
Learning objectives
Successfully pass knowledge assessment test / complete risk
assessment documentation task / complete action plan in
conjunction with the ward manager
Job performance /
implementation
needs
To perform safe patient
moving and handling
techniques
Application / implementation objectives - KT & Manager
Keytrainer delivering cascade training
Patient handling risk assessments accurate & up to date
Ensure that staff comply with the handling techniques outlined in
the risk assessment.
Appropriate equipment used for patient handling
Business needs
Impact objectives
Reduction in staff injury 10% reduction in moving and handling incidents where there is
non compliance with risk assessment controls
10% reduction in staff personal injury claims
ROI
5
Net Programme Benefit
This compares the benefit of the training programme with the
cost of running it.
Compliance v Competence
• Why do we repeat training with staff performing
well?
• How do we know staff are performing well?
• Is absence of untoward incidents an indicator of
good performance?
M&H v Medical Devices Training
Do we need to ….?
The Future????
• All Wales Manual Handling Passport
• Derbyshire Inter Agency Group
• Scottish Manual Handling Passport
– Assessment in workplace determining training
requirement
How can we replicate this across the UK?
Summary
Where are we now
• Credible team
• Cascade system
• Benchmark
• Measure impact – only
with keytrainers
Moving Forward
• Measure impact:– patient care
•
•
•
•
Friction / nerve damage
Discharge arrangements
Promotion of rehabilitation
Falls
– Staff safety
• Incidents
• Sickness
• Litigation
Over to you…
References
•
Abdi Ltd (2010) Measuring the Impact of Learning and Performance
Improvement Investments. 2 Day ROI Institute Competency Building
Workshop for NHS Yorkshire and the Humber
•
All Wales NHS Manual Handling Training Passport and Information
Scheme. (2007)
•
C Cavendish (2013) Review of healthcare assistants and support workers in
NHS and social care. Department of Health
•
Derbyshire Inter-Agency Group (2011) Care Handling of People in Hospital,
Community and Educational Settings. A Code of Practice (2nd edition).
•
National Back Exchange. (2010) Standards in Manual Handling, 3rd Edition.
•
Scottish Government (2014) Scottish Manual Handling Passport Scheme