New online video training for care home staff

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New training video supports care home staff to detect deterioration

Wessex and the West of England Academic Health Science Networks (AHSNs), funded by Health Education England, have collaborated to produce a series of free videos and e-learning materials to support staff working in care homes to care for residents who are at risk of deterioration.

As recognised in a recent paper supported by North East and North Cumbria AHSN, identifying acute illness including sepsis amongst older adults in care homes can be difficult and opportunities to initiate appropriate care may be missed, if illness is not recognised promptly.

The short videos describe how to take measurements from residents correctly (such as blood pressure and oxygen saturation), spot the signs of deterioration, and prevent the spread of infection.

You can also access the films as part of the full training on Health Education England’s e-Learning for Healthcare (e-LfH) Hub (www.e-lfh.org.uk), an educational web-based platform that provides quality assured online training content for the UK’s health and care workforce, from this link.

Natasha Swinscoe, national lead for patient safety for the AHSN Network said:

‘Patient safety is a guiding principle for all AHSNs. Our care homes report highlighted numerous successes that AHSNs have had working with care homes across the country. Collectively, these have the potential to save many lives and tens of millions of pounds.’

Guidance for care home staff to register for an account

To register for e-Learning for Healthcare, visit https://portal.e-lfh.org.uk/Register.

Select the ‘Register’ button. Select the option ‘I am a care home or hospice worker’ then enter your care home / hospice name or postcode and select it from the options available in the drop-down list. Finally enter your care home / hospice registration code and select ‘Register’. You may need to see your employer to get this code.

If your employer does not have a code, then they need to contact the e-LfH Support Team. The Support Team can either give the employer the registration code or arrange a bulk upload of all staff here.

Detailed instructions on how to gain access are available here and a quick start guide to the e-LfH hub available here.

A tale of my grandfathers and the revolution in cardiovascular disease prevention

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A tale of my grandfathers and the revolution in cardiovascular disease prevention

Laura Semple, Programme Director for Diabetes & Stroke Prevention at Health Innovation Network, reflects on how new prevention techniques might have changed her grandparents’ lives.

I’ve often wished I’d had the chance to meet my grandfathers, Gerry and David. They were both fascinating and spirited people, who led interesting lives. Gerry travelled the world, had a successful career in industry and loved fishing for trout in the Welsh countryside. David worked in finance for London Transport and enjoyed vintage cars.

Sadly, I didn’t get to meet them because, like many people of their generation, they died too soon from cardiovascular disease in the 1970s and early 1980s.

This part of my family history is far from unique. It’s also a big reason why I find it so rewarding to be part of the movement of committed people working to prevent cardiovascular deaths in this country. February is National Heart Month and I’m thoughtful about the real progress that we’re seeing in south London in this area.

One of the main drivers of cardiovascular disease in the UK that Gerry and David grew up in was a lack of understanding around the impact of certain foods and other lifestyle aspects on heart health. It was very common to eat a high fat diet and the true scale of tobacco-related harm was not yet understood. But since the 1970s we have gained a rich understanding of the impacts of diet, exercise, tobacco and medication on heart health.

What’s more, we now have risk models, which enable us to accurately predict how likely it is that someone will have a heart attack or stroke in the next 10 years, simply by knowing their BMI, blood pressure, cholesterol and blood glucose measurements today.

This all makes me wonder just how different it could have been for Gerry and David. Not only are we now able to offer preventative care that extends lives, but crucially these are also improving the quality of those lives.

At its core, most of our work is really about giving Londoners the support they need to live full lives without the burden of diabetes and cardiovascular disease.

The first success to highlight on the prevention front is south London’s contribution to the Academic Health Science Network’s national stroke prevention programme.

Atrial Fibrillation (AF) is one of the most common types of irregular heart rhythm and contributes to one in five strokes. If Gerry and David had been born 20 years later, there’s a good chance that they could have been two of the more than 4,500 additional south Londoners whose AF has been newly detected since 2017.

The latest national stroke audit data shows that in the two years to March 2019 there were approximately 150 fewer AF-related strokes in south London than would have been expected from the previous years’ data. This is 150 Gerrys, Davids, Simones, Ritas, Mohammeds, and many others, who are still thriving as a result. We’ve recently published the results of our innovative work in improving AF detection through mobile ECG devices here and an ongoing pilot of 14-day ECG patches on page 12 of Cardiac Rhythm News January 2020 here.

Then there’s diabetes.

This is a major driver of cardiovascular disease and it’s simply astonishing how much our experience and understanding has transformed since Gerry and David were alive. Back in the 1960s and 1970s, we were not as good at detecting type 2 diabetes, so some people lived with the condition for many years without a diagnosis, which in itself increased their risk of preventable ill health.

In general, there was far less freedom and choice for people with diabetes in how they lived their lives, with many being told to stick to rigid set diets.

But in 2020, we believe in giving people with diabetes as much freedom as possible to live the lives they want, without diabetes getting in the way. South London has a formidable partnership of colleagues committed to minimising the impact of diabetes on citizens’ lives. Together we represent 12 clinical commissioning groups, 12 local authorities, seven acute hospitals, two universities, the King’s Health Partners Institute of Diabetes, Endocrinology and Obesity, the Applied Research Collaborative, several industry partners and community organisations like the Wandsworth Community Empowerment Network The last two years has seen a major focus on type 2 diabetes prevention, with over 30,000 south Londoners referred to the NHS.

I’m curious as to what Gerry, David and their friends might have chosen if they had had access to Diabetes Book & Learn, a radical move to scrap the previous postcode lottery of self-management support for people with diabetes. In this new system, south Londoners are learning how to live well with diabetes at a time and place that works for them in their busy lives, with different languages, digital options, evening and weekend courses and telephone coaching all available.

Would Gerry and David’s employers have supported their access to diabetes education through the learnings of our Think Diabetes report?

People with type 2 diabetes are also increasingly taking charge and setting the agenda for their doctors and nurses in the innovative You & Type 2 programme in primary care.

Would Gerry and David’s employers have supported their access to diabetes education through the learnings of our Think Diabetes report? This was supported by former Labour Party deputy leader Tom Watson. Many forward-thinking employers are using the recommendations in this report to offer support directly in the workplace.

At its core, most of our work is really about giving Londoners the support they need to live full lives without the burden of diabetes and cardiovascular disease. Healthy living is far from easy. People need holistic and non-judgemental support and this is why the offer of psychological support is built into Diabetes Book & Learn and many other new services.

There is a great deal more to do to prevent cardiovascular disease and exciting plans are afoot to do even more to tackle the longstanding health inequalities in our region. For now, I’m asking everyone who has played a role in the great progress so far to take a moment this heart month to remember the strides we have made together and renew our energy to take this to the next level.

If you are keen to join the fantastic team of people saving lives by preventing cardiovascular disease in south London please visit our webpages on diabetes and cardiovascular.  Alternatively, get in touch with me on laurasemple@nhs.net. This year we will be focussing on cholesterol and blood pressure as well as continuing to support our members with AF detection and improvements in diabetes care. The more collaborators we have, the more lives we can save.

I know that Gerry and David would be only too happy to see that things are different and getting even better, for the generations who came after them.

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NB: Gerry and David are not the grandfathers’ real names.

‘Travel to learn, return to inspire’

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‘Travel to learn, return to inspire’

Health Innovation Network’s Director of Operations, Rebecca Jarvis, is currently in Japan as part of her Churchill Fellowship exploring alternatives to care homes for older people.

Earlier this year, I was awarded a Churchill Fellowship to explore alternatives to long term institutional care for older people. I specifically chose to focus my research on this area because we have an ageing population in the UK with increasing demand on care services. Most people say they would not want to live in a care home when they become very old but they do not consider what the alternative could be, let alone actively plan for it. They carry on living in their own home which is maybe bigger than they need, but full of memories which are hard to let go of. And then crisis hits – a bad fall, or a partner dying and suddenly they can’t manage on their own, or make it to the upstairs loo, and then what? The hospital is desperate to free up the bed for the next patient, families and friends cannot provide around the clock care and suddenly there is pressure to move into a care home.

I selected Japan and New Zealand the two destinations for my Fellowship as Japan is a super-ageing society with 28 per cent of the population aged over 65, expected to rise to 38 per cent by 2015. Since the introduction of the long-term care insurance system in 2000, a range of community based alternatives to institutional care have been developed. New Zealand has a well-developed retirement village sector with some of the most advanced regulation and legislation in the world.

But this is not all about us learning from Japan. When we hosted a delegation from the International Longevity Centre (ILC) in Japan in August this year we were able to reciprocate the learning and used it as an opportunity to showcase some of the great initiatives underway in south London to support older people to remain physically and mentally active. The delegation was particularly interested in visiting reablement services, such as the Bexley reablement team where they have demonstrated particularly impressive outcomes in terms of reducing risk of frailty, and the Nelson Health Centre in Merton where the HARI (Holistic Assessment, Rapid Investigation) team of nurses, physiotherapists, occupational therapists and pharmacists help people recover from falls and other injuries / illnesses, reducing the number of hospital visits by an impressive 50% in their pilot year alone. When it was my turn to be hosted by the ILC as part of my visit to Japan, it felt like meeting up with old friends.

On the surface, we might seem like two very different countries, but when you reflect more closely the UK and Japan actually have more in common than we think. Geographically, both are ‘island countries’ on the edge of a large continental landmass. Politically, both have constitutional monarchies and both have a closer relationship with the USA than their European or Asian neighbours. And population-wise, both countries are ageing societies which, although this is more acutely observed in Japan, means that both countries are facing significant pressures on their health and care systems.

Japan is also experiencing a declining birth rate which is resulting in what they call a ‘piggy back’ situation; essentially meaning that where previously there have been two working age adults to support one older person, there will soon only be one working age adult to support one older person, meaning economically it is more crucial than ever before to ensure that the right provisions are being put in place accommodate for this.

Whilst the problems are similar in both countries, we are tackling them in different ways. For example, the Japanese health and care system has yet to make use of social prescribing, something that has increased in popularity in the UK as a way of addressing the ‘non health’ needs that were often raised by patients when they went to their GP. This was something our Japanese delegates were especially keen to hear about. Also, unlike the UK, the voluntary sector is very different in Japan and they don’t have large national charities providing services and support. A talk by Bexley councillors, commissioners, and people working for the Bexley voluntary service council, explained to the delegation from Japan about the massive impact that even a small charity could have in terms of the support it provides to vulnerable people.

Instead, Japan has the Long Term Care insurance system, introduced in 2000, and which everyone pays into from the age of 40 and as such a range of different models of community based care have been funded to support people in he own homes and communities. I have been fortunate enough to witness some of these initiatives first hand, such as the Silverwood Ginmokusei in Chiba Prefecture, the closest I’ve seen to a true alternative to a residential care home, providing accommodation for older people, many of whom have dementia and care needs, centred around a community space and an appealing restaurant, literally jutting out into the community. Residents work in the restaurant and sweet shop, and members of the community regularly drop by for lunch and the primary school kids drop in after school on their way home.

I also visited what is described as a small-scale multifunctional nursing home called Okagami in Kanagawa Prefecture. It provides support for people who have care and nursing needs but want to keep on living in their own homes. The facility looks like a family home in a residential area. There are six small rooms around a communal area. The clients can receive a range of support from a short stay in one of the six rooms, taking part in a group activity at the day centre, using the bath or receiving care and nursing support at home. The real benefit of this kind of facility is the flexibility it brings. Some people register as clients but only use the home care service or day care service. One client is over 90 and wants to continue living on her own in her own home, but she feels a bit nervous about it, so stays overnight at the centre from Monday to Friday and goes home at weekends. Many people use this facility as a safety net. It’s there for them in case they need it and it can respond flexibly to their needs. I didn’t imagine that I would see something that could support people with such severe care and nursing needs to continue to live in their own homes. There is no doubt that if it wasn’t for Okagami, many of these people would need to be in a care home.

There are many similarities in our approach as well. Professor Yoko Matsuoka from Kasei University in Tokyo eloquently described the paradigm shift in thinking in both countries, as moving from an approach of ‘doing for’ and ‘providing services’, to ‘doing with’ and generating solutions with the community. Both countries understand that older people themselves have a wealth of experience and skills which can they can contribute to support people to age well.

It is really fascinating learning about the Japanese health and care system, and how they are not only coping with, but embracing their “super ageing” population. Next week I will be leaving Japan for New Zealand to start the second leg of my Fellowship, which has one of the highest proportions of older people living in retirement communities in the world. I am particularly interested in why New Zealanders choose to move into a retirement village community and what their expectations are of these initiatives.

The Churchill Fellowship slogan is ‘travel to learn, return to inspire’. I am learning so much about alternatives to long term institutional care for older people on my travels and am looking forward to sharing what I’ve learn when I get back. It would be fantastic if we could adopt some of these good ideas from overseas in south London. After all, as an Academic Health Science Network, we are in a good position to try something new.

Read more about Rebecca’s experiences in Japan and New Zealand by signing up to her blog.

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The new GP contract didn’t mention innovation once. Yet the space it opens up for innovation is exciting, and we should seize it

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The new GP contract didn’t mention innovation once. Yet the space it opens up for innovation is exciting, and we should seize it

Dr Caroline Chill, Clinical Director for Healthy Ageing at Health Innovation Network looks at the potential of the new contract to support innovation.

I’ve worked in primary care for over 30 years, and have been involved in leadership and innovation for most of them. GPs have a history of being innovative with the early coded electronic health record systems being a prime example. In recent years, it has felt like this innovation has been stifled by increasing workload, staffing pressures and ever changing contractual requirements. I’ve seen innovation talked about in countless different ways and these days it seems to me that policy makers are falling over themselves to describe initiatives as ‘innovative’ or to talk about the potential to improve care through innovation but with less commitment to support the delivery of innovation in practice. So, I was fascinated to see how this would be expressed in our new GP contract which to my surprise did not mention the word ‘innovation’ at all. Not a single mention, despite the contract being extremely innovative.

An obvious area relates to support for Primary Care Networks and additional staffing. The aim of Primary Care Networks is to connect the primary care teams to help deliver more integrated and comprehensive local services, to allow new models of care to emerge and to support higher levels of self-care. From 1July, 1,259 Primary Care Networks become operational and backed by nearly £1.8 billion funding over five years with most of England’s nearly 7,000 GP practices participating.

Additionally, the interim NHS workforce plan and dubbed the “People Plan” was published in June.  This focuses on three key areas – recruiting more staff; making the NHS a great place to work; and equipping the NHS to meet the challenges of 21st century healthcare.  It re commits the government to delivering 5,000 full time equivalent GPs “as soon as possible” as well as nearly 6,000 extra nurses, and the creation of “nursing associates” offering a career route from care support into registered nursing.

The GP contract acknowledges the fact that the additional staff we need in general practice will not come from doctors and nurses alone. The money available through the contract can be used to help recruit a much broader range of professionals – Initially the scheme will meet 70% of the costs of additional clinical pharmacists, physician associates, first contact physiotherapists, and first contact community paramedics; and 100% of the costs of additional social prescribing link workers.

I think it will be down to the primary care networks to find innovative ways to recruit, train, support, mentor and part fund these new roles. This is no simple task as the existing training and skills of these professionals will need to be strengthened and adapted for working in community settings, where there is less supervision and where patients need holistic care, encompassing multiple physical, social and psychological issues.

I believe GPs will rise to this challenge and seize the opportunity. . It could be the beginning of a new, more modern and holistic way for patients to experience general practice.

Increasing the numbers of physiotherapists and other community-trained staff could lead to another important shift. Take MSK as an example which includes chronic knee, hip and back pain, has a major impact on an individual’s quality of life and society. It is the second most common reason for GP visits, accounts for around 25% of all GP consultations and is estimated that 9.3 million working days are lost in the UK to MSK problems.

An intervention that relieves chronic joint pain, called Joint Pain Advice , already exists and can be delivered by a wide range of professionals and lead to lasting improvements in pain. The model focuses on reducing reliance on painkillers through exercise and education. Trained professionals, who could be physiotherapists, community health trainers, or others provide a series of face-to-face consultations, working collaboratively with people with hip and/or knee osteoarthritis and/or back pain, focusing on supporting self-management. The programme consists of up to four 30-minute face-to-face consultations between the advisors and people with hip or knee osteoarthritis (OA) or back pain. Patients attend an assessment where they discuss their lifestyle, challenges and personal goals and then jointly develop a personalised care plan that gives tailored advice and support based on NICE guidelines for the management of OA. They are then invited to attend reviews after three weeks, six weeks and six months to access further tailored support and advice. This has the potential to reduce pressure on existing physiotherapy services and potentially reduce demand for GP follow up consultations.

To date, more than 500 patients have used the service led by physiotherapists. In a previous pilot in Lewisham, south London, they reported less pain, better function and higher activity levels. A high satisfaction rate was achieved which included reduced BMI, body weight and waist circumference and has led to fewer GP consultations, investigations and onward referrals.

In addition to the patient benefits, for every £1 spent on the programme there is a saving to the health and social care system of up to £4, according a Social Return on Investment (SROI) analysis.

Why not embed this training into these new roles? This could genuinely help deliver one of the aims of PCNs to empower people to self-care and improve the quality of life for people living with MSK pain. This one example could radically change the approach for addressing the needs of people living with MSK pain helping them to become fitter, more active and more empowered,  provided that the additional funding for primary care staffing does not result in reduced provision in other sectors.

Primary care will find countless other ways of using new staff to do more in primary care. While this doesn’t magically reduce our workload in practices, it has the potential to shift it and makes it easier for patients to access a broader range of professionals in community settings without the need for referrals to hospital.

These initiatives alone will not be enough to completely transform and modernise primary care but they are a great starting point. Change is easy to talk about but difficult and complex to enact. Even innovations that will lead to significant savings will often require upfront investment of resources, time and goodwill. The introduction of state based indemnity is very welcome to help retain experienced GPs, however,  changes to pension contributions and tax implications may have an equal and opposite effect impacting  the number of sessions doctors are choosing to work.

For me the key headlines which make the new GP contract so innovative and exciting are the significant increased staff funding, support for the development of Primary Care Networks, a five-year timeline and introduction of state based indemnity.  What we now need is the time and space to deliver.

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