Health Innovation Network
Health Education South London
Membership Council
Welcome to the inaugural
South London
Membership Council
Awards for Innovation,
Diffusion and Excellence
in Healthcare Education
and Training
22 October 2013
Outstanding Contribution
to the Local Community
Gillian Harman
The Mottingham Leg Club team (Gill is 2nd from left)
Through Gill’s leadership, the service has:
Gillian Harman from Bromley Healthcare was
nominated for this award due to her
outstanding work and leadership to improve the
care, experience and quality of service for
patients with Leg Ulcers in Bromley.
Gill leads Bromley Healthcare’s Leg Ulcer
Assessment Service which provides access to
specialist service assessments, quality
treatment and care planning. Gill has been
instrumental in setting-up and running the
Mottingham Leg Club - the first of its kind in
London.
• Improved clinical care – bringing healing
rates down from 21 to five weeks
• Improved service quality – with very high
patient, practice nurse and GP
satisfaction. Over 95% of patients
surveyed said they would recommend
the service to a friend.
• Improved cost effectiveness – reducing
overall costs to commissioners as a
result of fewer contacts, appropriate use
of dressing products, and reduced
secondary care activity.
Best Learning and
Development Strategy
Adult Safeguarding and Dementia team
at Guy's & St Thomas' NHS Foundation
Trust
Guy’s and St Thomas’ NHS Foundation Trust (GSTT) have
developed an innovative training tool called ‘Barbara’s
Story’ as part of a campaign to raise awareness of
dementia for all of its staff. The training tool comprises of a
DVD that highlights an older person’s experience whilst
visiting an outpatient department in a busy hospital.
... the key
elements of
compassion,
kindness,
understanding
and consideration
towards others
could be applied
to all patients in
the Trust.
Lead by the Chief Nurse and supported by the Safeguarding Adults
and Dementia Team at GSTT, ‘Barbara’s Story’ was delivered as
part of a one hour teaching session raising awareness of the
vulnerability and dignity issues facing many elderly patients.
Viewing of the first episode of Barbara’s Story was mandatory and
over 12,000 employees attended the training. The presence of a
variety of people in the audience allowed for discussions to take
place between staff from widely differing disciplines that ordinarily
might not have had the opportunity to meet and exchange ideas.
The first episode of Barbara’s Story is now part of the GSTT
induction programme for all staff and helps embed positive attitude
and compassionate behaviour needed for the care of all patients.
Informal feedback from staff has highlighted how GSTT employees
are far more aware of how an older patient feels in a strange
hospital environment and how staff interactions and hospital
environment can impact on the cognitive function of patients.
Widening
Participation
Initiative of the
Year
Assistant Clinical Technologist
Apprentice Scheme
King's College Hospital NHS
Foundation Trust
Over the last decade school leavers and
those without degrees have found it
increasingly difficult to access to
Healthcare Science careers.
There are significant numbers of school
leavers and others who may want to
develop their skills in a practical, rather
than academic environment, but are
blocked from doing so by degree-only
entry.
To address this issue King’s College Hospital NHS Foundation Trust has developed an apprenticeship
route into Healthcare Science careers for school leavers and those with personal circumstances that have
forced them away from mainstream education (young mum's, young carers, those with long term medical
conditions or juvenile convictions).
King's Assistant Clinical Technologist Apprentice Scheme (ACTAS) has successfully integrated young
people from the local community with basic numeracy and literacy qualifications into the Healthcare
Science workforce.
The Apprentices are trained to assist with the management, maintenance and use of medical equipment
in diverse clinical environments, including Medical Engineering & Physics, Renal Technology, Theatres
and the Emergency Department. The transferable skills they learn on this Scheme are the first step onto
a career path in a variety of Healthcare and Healthcare Science related careers.
Widening
Participation
Initiative of the
Year
Staynton Brown
Harlene Dandy-Hughes
Mel Taylor, Sarah Candy
Guy's & St Thomas'
NHS Foundation Trust
Through a widening participation strategy, the team
work with external partners to support young people
into work experience and employment, ensuring
equality of access and diversity of candidates.
The Trust is pioneering two e-mentoring
programmes for young people in education and
people not in education, employment or training
respectively. We have seen the expansion of
Apprenticeships into different areas of the Trust.
More people now see them as an exciting and viable
career route, offering greater flexibility in training the
workforce of the future.
The programmes include: The Autism Project supporting people with Autism to gain qualifications
and skills to find work. Hands up for Health - aimed
at giving young people practical and experiential
understanding of their health and safety through the
GSTT simulation centre.
Widening
Participation
Initiative of the
Year
St George's Healthcare NHS Trust
Education & Development Team
The Trust has been working in partnership with a local school, to provide a year’s work experience
placement for five students with learning disabilities. The aim of the project was to provide the students with
employment skills and to prepare the students to secure independent paid employment.
The students rotated through the organisation gaining experience in three different areas. It was very
quickly realised that each of the students had a great deal to offer and developed employment skills at every
stage.
The project has proved an outstanding success for both the students and the Trust, with one of the students
gaining employment with us and another on a long time work trial.
Two students have been able to access College courses as a result of their experience, and one student
has attended a number of job interviews using skills and experience gained during his work placements on
the project.
The department has developed several new
initiatives including a robust educational
governance structure to monitor and improve
quality of education for all trainees, and
regular educational appraisals of trainers to
ensure GMC compliance.
Excellence and
Innovation in
Healthcare
Education and
Training
Dr Mehool Patel
Anne Ellis
& the Medical Education
Department
Lewisham Healthcare NHS
Trust
The department was instrumental in
implementing the Hospital at night (H@N)
team. The department was one of the first to
introduce formal induction for trainees, long
before it became mandatory. They have
successfully developed ‘state of the art’
simulation facilities that now delivers training
in a multi-professional environment without
compromising patient safety. They have strong
links with local GPs including a welldeveloped monthly GP professional
development programme.
Since 2010, the department has hosted 30
school students from diverse socio-economic
backgrounds and ethnicities in Lewisham,
aiming to enthuse young people to pursue a
career in healthcare.
Excellence and
Innovation in
healthcare
education and
training
CARDS project
Faculty of Health
Social Care and Education
Kingston & St George’s
University of London
The Communication And Respect for people with
Dementia: Student learning (CARDS) education
programme aims to improve knowledge, experience
and confidence, enabling healthcare students to
support and communicate with people with
dementia whilst improving links between the Higher
Education Institutes and care homes.
CARDS consists of an Introductory Programme and
a Care Home Experience. The first utilises existing
online resources and class based sessions,
including an interactive workshop where students
learn practical communication techniques, using
empathy, reminiscence and active listening.
People with dementia and their carers have been
involved in the project from its inception and a
person with dementia and a carer are active
members of the steering group. Evaluation has
demonstrated positive outcomes for and residents.
This innovative programme benefits all
stakeholders; students’ communication skills and
confidence are improved; they gain insight into a
care home environment. The CARDS programme
provides future opportunities for care home staff
development as well as potential research in
collaboration with the University with a view to
further improve and develop services.
Inter-professional Collaboration of the Year
Growing against Gangs & Violence
GAGV Is a tailored curriculum which aims to effectively
address the attitudes and negative influences that support and
lead to offending behaviour, educating young people about
making safe choices.
Lessons are all carefully planned by leading experts in the
field, and form part of an integrated structured curriculum plan.
GAGV is kept current by a diverse team of academics,
surgeons, educators, police officers, gang experts, and
specialists in curriculum design and assessment.
Specially trained facilitators (many with backgrounds in
education and youth work) support accredited uniform police
officers in its delivery to ensure that lessons are engaging and
messages are effectively and meaningfully delivered.
Sessions are dynamic and incorporate adaptable drama,
debate, and discussions, which educate and inform through
engaging the pupils rather than sensationalising the topics.
Association of Surgeons of Great Britain
and Ireland
The Royal College of Surgeons
The Home Office
Metropolitan Police Service:
Safer Neighbourhood Teams,
Safer Schools Partnerships,
Central Operations, Specialist Operations,
and Specialist Crime Directorates
a whole
community
approach
GAGV is now supported officially by the Home Office as a
model of best practice in the cross party review, it is the
intervention of choice for the Metropolitan Police and now
represents the largest scheme of its type in Europe.
As of July 2012, GAGV had
been delivered in ten London
boroughs including Lambeth,
Lewisham, Merton,
Wandsworth, Croydon and
Southwark
Building on this success, by
June 2013, GAGV had been
delivered in 14 London
boroughs to more than
35,000 young people,
in over 280 schools, equating
to over 120,000 pupil hours of
positive, academically
prepared and evaluated
preventative engagement.
Best
Healthcare
Education
and Training
Programme
Dr Jonathan Birns
Dr Mehool Patel
South East London
Geriatric Medicine
Training
Programme Group
The South East London Specialist Registrar (SpR) training
programme in Geriatric Medicine provides a comprehensive holistic
experience to 27 trainees within a multi-professional and multi-ethnic
environment that incorporates a mixture of university teaching and
inner-city district general hospital and community-based settings
serving patient populations from a wide range of socio-economic and
ethnic backgrounds.
The South East London programme is consistently oversubscribed
without vacancies and has a waiting list created by a request for an
‘Inter-Deanery’ transfer.
Within the last five years, all trainees ‘graduating’ from the programme
have obtained consultants posts immediately and most have
continued to work within SE England. More than 90 per cent of
trainees obtain their specialty certificate examinations (SCE) at their
first attempt.
The programme is led by a dynamic Training Management Group that
meets regularly to facilitate effective clinical and educational
supervision, helping to promote a culture of prompt identification of
SpRs’ learning needs. The Group has a successful process for
managing trainees in difficulty.
The training programme has been established to develop first-class
Geriatricians delivering safe, cost-effective health care, using the
latest techniques and knowledge for the local population and beyond,
whilst continuing to educate progressive generations of doctors and
allied healthcare professionals.
GSTT accommodates approximately 570 pre-registration
nursing and midwifery students. The team strives to provide
excellent clinical placements for our undergraduate learners
and have not lost a student through poor clinical experience for
two years.
The team are continually exploring new placement areas,
especially in children’s services and community. Preregistration education needs to be increasingly focused on the
patient pathway rather than locality based and the team is
working with our HEI partners to reflect this in training
Best
Healthcare
Education
and Training
Programme
The Clinical
Education Team at
Guy's & St Thomas'
NHS Foundation
Trust
Innovation
We received 90 innovation applications
and made 14 allocations
Three applications were highly
commended
Activate
Kingston:
Interactive
web-based
specialist
exercise
information and
training tool
Charlie Knell
Aniko Szucs
Abby Peters
Sandra O'Hagan
Public Health Department,
Royal Borough Kingston
This project will underpin the Bone Health Service,
helping to reduce falls and injury in Kingston.
It aims to:
•
Maximise opportunities for patients to engage with their
care through a membership website that will help them to
track their own progress and access resources to support
self-help and long-term lifestyle change.
•
Support patient care by helping our teams better
understand the benefits of their work.
•
Support professionals with resources and online training
packages to ensure that a consistent and high quality
approach is taken to the delivery of exercise services for
people across Kingston.
•
Provide an attractive and accessible website to promote
healthy lifestyles and well-being.
•
The web-tool, once developed, will help build an innovative
and effective service, joining together the work of all front
line community teams to support residents with bone
health conditions.
Building understanding
in integrated healthcare:
A pilot project in
community based
integration within Core
Medical Training
Indranil Chakravorty
The integration of the community healthcare
provision in South West London based at
Queen Mary Hospital, Roehampton with St
George’s Healthcare NHS Trust provides a
unique opportunity for co-locating core
medical training with community-based
provision.
There are discussions underway to provide
rotations to Queen Mary Hospital both from GP
VTS and CMT providing a unique opportunity for
CMT trainees to experience multi-professional
working, community clinics, day hospital,
rehabilitation wards and community long term
condition management.
This scheme proposes a pilot of placing two CMT
doctors for two months in the Queen Mary
Hospital scheme where they will experience in a
supervised environment, learning objectives
integrated and mapped to the CMT curriculum,
multi-professional team working, communication
and conflict resolution, additional skills of
community based decision making, long term
care.
This award is to enable the University of Greenwich, in
collaboration with NHS partners in South East London, to
further develop an already established training tool,
Maritime City.
Drawing on expertise from the Schools of Health and Social
Care and Computing & Mathematical Sciences, Maritime
City has been developed for use in child safeguarding
training; this award will enable the development team to
adapt the established platform to develop a training tool for
dementia care.
Maritime City is an innovative tool, which draws on ‘serious’
gaming technology to provide an interactive approach to
training.
The ‘game’ provides a substitute for role-play, allowing the
student to re-visit and reappraise their decision-making,
providing a novel and safe way for health and social care
students and professionals to visit, reflect on and revisit the
scenario.
Over the past two years Maritime City has been used in our
undergraduate and post-graduate social work programmes,
as well as our post-graduate award in child safeguarding. It
has also been employed extensively in our child protection
study days. The aim is to work in partnership with our local
NHS partners and service users to develop a scenario which
can be built into our existing gaming platform.
Maritime City
University of
Greenwich
Dr Karen Cleaver,
Jan Webb,
Prof Lachlan McKinnon,
Prof Liz Bacon,
Ryan Flynn, Avril Hocking,
James Lambert
Developing
Cognitive
Behavioural
Therapy (CBT)
skills
Kathy Burn
St Christopher’s Hospice
St Christopher’s Hospice will develop a distinct and unique set of Qualifications Credit
Framework (QCF) accredited units, which when combined, will create a new vocational
qualification (Award / Certificate) in CBT skills for clinical staff working in physical
health. Units will be tailored to support health care professionals to address the
psychological needs of patients with long term, chronic or life-limiting physical health
issues including cancer. The new qualification will also provide practical skills training
and assessment of competence, which is currently unavailable in the UK through
existing accredited courses.
The proposed outcome of this project is a range QCF accredited units in CBT. These
units will comprise a blend of knowledge and practical skills training which will equip
physical health professionals to effectively recognise and work with patients’
psychological distress. In combination these units will form a nationally recognised
pathway from introductory awards in basic CBT skills, to a certificate, with the aim in
future of developing an accredited diploma.
These submissions were brought together by the Awards Panel and will now
work together funded through a single award.
Long-term
conditions
healthcare
training strategy
Steve Sheward
Sutton & Merton IAPT
Sutton and Merton IAPT launched two pilots in 2012 aimed at helping patients with
long-term health conditions to manage their mental health problems with a view to
reducing the demand on physical health care services. Their proposed project will
build on the work of their Long-Term Conditions and ERID pilots to create a
sustainable model of delivery to improve patient care.
The innovative element of the project will be the diffusion of Cognitive Behavioural
Therapy (CBT) skills across the professional healthcare workforce through training
and inter-professional learning. In this way, expertise that currently resides within the
IAPT team will be disseminated to GP practices and other healthcare teams so that
they are able to teach patients psychological strategies for managing their long-term
condition more effectively .
Piloting a Sexual
Health/HIV
Prevention
Community
Based Research
Partnership in
South East
London
A highly innovative partnership approach that puts academic research
and pedagogic techniques in the hands of communities most affected
by HIV and sexual health morbidity in South East London. More than
knowledge exchange, it builds lasting partnerships between the
University and traditionally excluded local communities, transforming
the power-relationships that most often pertain in applied health
research and dissolving distinctions between ‘researcher’ and
‘researched’.
As one cycle of research is completed, new priorities emerge for further
research. In this way, research capacity is built over time within
communities, and the community becomes gradually empowered in
relation to the organisation of sexual health and HIV services.
As this is a pilot, a simultaneous internal evaluation process will be
carried out by academic partners.
Peter Keogh
University of
Greenwich
Greg Ussher
The Metro Centre
CoolTan Arts will develop effective partnerships
with statutory and voluntary and agencies –
summed up as integrated care delivery of
psychosocial care thus prevention of crisis. The
types of psychosocial care CoolTan Arts (CA) will
deliver will be based on therapeutic intervention in
a community setting. This will cut the costs of
mental ill health associated with prescriptions and
GP time, public expenditure associated with
unemployment, sick leave, crime and early
retirement – at the same time as the population
ages.
CoolTan Arts will demonstrate and promote
effective integration within and between health,
community, primary, acute, social care and
education services though the development
wellbeing advisors who will be a link between GP’s
and access to social interventions.
We will establish a responsive model of support
that makes adjustments for the different needs of
different groups and enable Clinical Commissioning
Groups (CCGs) and local authorities to put
patients, service users and carers of all ages and
communities at the heart of health and care
commissioning systems and processes.
A `Vision for
Change`
Mental Health Wellbeing
advisers
Michelle Baharier
CoolTan Arts
CoolTan Arts will design an integrated
model to address the cost from the
rising need caused by mental ill health,
social isolation and the need to involve
the local community and user
organisations in reducing costs, meeting
both health and social care priorities for
face to face services and promotion of
mental health.
An eLearning package designed by the Alcohol work stream of the Health
Innovation Network working in partnership with the South London and Maudsley
NHS Foundation Trust Addictions Clinical Advisory Group supported by the
clinically-led Trust Education and Training department. The department has
extensive experience of producing high quality high definition eLearning products
utilising the ‘lived experience’ of our service users and where appropriate carers to
inform our work
The eLearning package would allow for the collection of activity data on use, and
qualitative feedback on impact, based upon participant evaluation and on any
clinical audits of practice that may be undertaken in the organisations who adopt
its use.
This innovative package will convert and transport knowledge across pathways
and provide the ability to transpose knowledge from one area of practice to others
- a new and emerging area of e-learning development.
We developed a new package covering smoking cessation in mental health care,
in just under eight months over 1,000 members of staff were trained.
Development of an alcohol eLearning package in
mental health and physical health care pathways
Carolyn Green, South London and Maudsley NHS Foundation Trust
Lucy Reid, Head of Libraries and eLearning
Emily Finch, Addictions CAG Clinical Director
Quality Improvement:
Bringing the Six C’s to End of Life Care
Carrie Chill, Merton CCG
Clare Sullivan, Sutton CCG
Gail Linehan, St Rapheal’s Hospice
Bringing the six C’s to the End of Life Care of people in Nursing Homes, Residential Homes and
their own homes aims to increase the numbers of people being cared for and dying in their place
of choice. This will be achieved by offering a series of five day RCN accredited courses
improving the skills of nursing staff and care workers to deliver high quality End of Life Care in
community settings.
The course is a collaboration between hospice, commissioners and residential/nursing homes
and social services providers which are co-funding attendance of their staff, demonstrating the
need for the course to up-skill staff, as well as demonstrating to staff that they are valued.
The course will improve the integration of care homes and social service care with the hospice
as the hub of End of Life Care, as well as with district nurses and other community services, by
enhancing the understanding of the role of each service in supporting patients at the end of life.
Listening to
Learn:
Using women's
stories to
improve care
and
communication
in obstetrics and
midwifery
Marion Louki
St George’s Healthcare
NHS Trust
The impact of poor communication and/or teamwork on
patient experience has far reaching implications in terms of
patient satisfaction, and in regard to clinical care and
outcomes. Timely, effective management of patient
concerns or complaints is an essential component in the
process of understanding, recognition and reassurance in
terms of staff learning and improvements in care.
This project intends to expand on an existing framework of
multidisciplinary clinical skills simulation training to include
the often more challenging aspects of customer care,
kindness and communication. It will use the rich
experiential data obtained from listening to patient stories
to develop a training package for midwives and doctors.
The project focuses on improving understanding of ‘the
woman’s journey through maternity services’ and the
impact of staff actions or behaviours on this experience.
Utilising stories gained from recent feedback from women,
a small company of actors will re-enact the scenarios,
producing a series of short films delivering the key
messages. Both positive and negative feedback will be
used to inform the scenarios. Training will be ongoing, and
delivered within a multidisciplinary forum .
Rheumatology 2020: Group Rheumatology
Initiative Involving Patients (GRIIP)
Heidi Lempp, Clinical Trials Group, Academic
Rheumatology, KCL
User involvement transforms the culture of healthcare. It is as essential for the success of evidencebased care and is recommended in governmental guidance worldwide.
The joint clinical and academic Department of Rheumatology at KCH/KCL has a long track record and
commitment of user involvement in teaching, joint publications and research since 2005.
Innovative approaches to improve the experience for individuals with long-term muscular-skeletal
diseases will be used by an Independent Patient Group to develop educational support, and innovative
IT solutions (including a mobile rheumatology app) to translate research into routine practice.
Central to the project is a commitment to a ‘trialogue’ between patients, clinicians and academics that
will offer multiple direct benefits to our service users by:
•Improving patient education
•Ensuring comprehensive capture of key clinical outcomes, e.g. disability
•Offering all patients access to research participation and results
Evaluation will assess patients’ experiences, patient reported outcomes and access to research.
Communicating with
D/deaf and hard of
hearing patients:
a training package
for healthcare
students and
professionals
Elaine Gill
Tiffany Wade
King's College Hospital
NHS Foundation Trust
This project will develop an innovative D/deaf
awareness e-learning package featuring professionally
produced D/deaf patient e-narratives, a BSL
fingerspelling reference, e-training guides illustrating
effective communication across the hearing loss
spectrum, how to utilise interpreters and e-medical
information.The development of the package will be an
inter-professional, patient-centred collaboration
between hearing, hard of hearing and D/deaf
academics, students, healthcare professionals,
interpreters, patients and community members.
The package will enable King’s healthcare students to
improve their D/deaf awareness knowledge and to
gain effective communication strategies prior to
registration in their respective fields of practice. The
resource will also be shared with qualified health
professionals to spread D/deaf awareness best
practice and thus, increased access to healthcare for
HoH and D/deaf patients.
Improving education and training in Diabetes in
Bromley. The model is centred around facilitating and
providing good education programme and backing it up
with ongoing practical support and training to improve
the quality of care for our Diabetic population.
Bromley’s vision of diabetes care is that every person with diabetes
will receive personalised care from trained primary care clinicians
with faster access to specialist advice as and when required. The
objective is to design, implement and evaluate new ways of
developing primary care workforce in the area of diabetes to enable
primary care to offer a higher quality of care and outcomes and iron
out the variability of standards of care for patients.
To develop a training package which will provide theory, practical
simulations of Type 1 and Type II diabetic management followed by
shadowing support (from Diabetes Specialist Nurses (DSN)/
Consultant) and assessment, leading to individual accreditation
based on a competency framework for each GP and practice nurse.
Pushing the
Boundaries of
Diabetes Care
in
Primary Care
Accredited GPs and Nurses can progress to a Train the Trainers
programme to enable skills to be cascaded across the practice. This
will help smaller and larger practices that are unable free up staff to
attend off site training.
Dr Atul Arora
9
essential care
processes for
diabetes
1. Blood glucose level measurement
2. Blood pressure measurement
3. Cholesterol level measurement
4. Retinal screening
5. Foot and leg check
6. Kidney function testing (urine)
7. Kidney function testing (blood)
8. Weight check
9. Smoking status check.
People with serious mental illness (SMI) and diabetes are at
increased risk of poor health outcomes and premature death. The
project will consider people with schizophrenia who have an
allocated care coordinator and live in the community and seeks to
assess whether brief educational intervention will increase uptake
of the nine care processes as well as bringing about improvement
in blood pressure control, glycaemic control and control of blood
lipids as well as quality of life measures.
Phase one of the project will seek to identify whether a brief
educational intervention, initially without a motivational
component, for mental health care coordinators will have an
impact on access for people with schizophrenia and diabetes to
the nine essential care processes for diabetes. (Diabetes UK, 2012).
There are no structured educational programmes targeted at
people with diabetes and SMI. There is no nationally audited data
to show whether the uptake of the nine diabetes care processes
in people with SMI fails to match that for people without SMI,
although anecdotal and locally audited evidence from primary
care would certainly suggest this to be the case.
Achieving the nine care processes for people with
diabetes and serious mental illness comorbidity:
an educational intervention for care coordinators
Charles Gostling, Lewisham Healthcare NHS Trust
Richard Haslam, South London and Maudsley Trust
HIGHLY COMMENDED
The implementation of the buddy scheme for nursing
and midwifery students at the University of Greenwich
Mandy Stevenson
University of Greenwich
Medicines adherence in diabetes: developing a
community of learning including hospital and
community pharmacy and expert patients
Nilesh Patel
Kingston University
Developing online resources to accelerate the diffusion
and implementation of a rehabilitation programme
(ESCAPE-pain) for people with chronic joint pain
Michael Hurley
St Georges University of London and Kingston University