SETTING THE SCENE

Training the Trainers and Building Capacity

Kath Sharman – Consultant RGN, RCNT, RNT, Cert Ed, Bsc (Hons) MA

OBJECTIVES

• To increase awareness of the materials available from the WiPP website – Self Care for People Project

• To develop an understanding of how the training manuals can be used

• To consider SCSTC as a cost efficient way of managing workloads

• To understand the staged process for implementing the SCST courses

• To gather ideas on building capacity to run courses within own organisation

Self Care for People – Integrated Documents

Self Care for Trainers Training the

Trainers

Self Care Skills

Training

Course

Training Manuals

Self Care for People Skills Training Course (SCSTC)

• Flexible training course – 9 hours – peer led

• 6 activities (1 hr 30 mins)

• Self care self empowerment – health belief model

• Motivation and behavioural change

• Social aspects of health – self esteem and confidence building

• Psychological aspects of health – stress and anxiety management

• Physical aspects of health – healthy eating and exercise

• Managing conditions and sign-posting

• Reviews x 3

Self Care

Skills

Training

Course

Training Package for SCS Trainers

• Ideally trainers will have completed the SCST course as a participant

• Will undertake 2, 3 or 5 day training, depending on experience and qualifications

• Upon successful completion will have a comprehensive training package to cascade SCST course to others

Training Manuals

Training The Trainers – 2/3 days training

Role of trainers Identification of individual needs Self development – Johari Window –

communication skills (Egan & Rogers)

Review of six activities – management of Power Points

Conducting and analysing assessments (self esteem, self care and anxiety scores)

Risk assessment and confidentiality Future planning and preparation for

teaching

Training the

Trainers

Training The Trainers – +2 days training

• Facilitation and group management skills

• Group Development – Tuckman• Group Roles• Leadership Styles• Learning Styles• Conflict Management• Managing Difficult People• Skills Development and

assessment of training competence

Training the

Trainers

TRAINING COMPETENCE (pg 71)

• To have a clear understanding of the safety and comfort of a group and staff

• To be able to create a friendly and safe atmosphere to encourage discussion

• To enable participants to understand the content of the course

• To enable participants to say what they want to get out of the course

• To be able to explain an activity clearly • To be able to manage a group• To be able to sum up the course and find out what

people have learnt• To be able to evaluate a group session

SELF CARE AND CRITICAL REFLECTION

• Looking after yourself as a trainer

• Developing competence

• Reflective Models• Confidentiality• Risk Management &

Risk Assessments• Quality Assurance

Self Care for

Trainers

WHO SHOULD FACILITATE SELF CARE COURSES?

• At the Citizen’s Summit, 33% said they thought support for self care should come from a trained peer.

Our Health, our care, our say…

33%

How can we do that?

Deliver the Self Care Skills Training Course – identify possible trainees (6 Activities 1 hr 20 mins per activity)

Run level one – Training the Trainer Course – 3 days with future Trainers

Identify Community Workers or Volunteer Trainers ie future course deliverers

Download the WiPP materials

Identify two experienced Trainers in the Organisation or PCT

STAGE 1

STAGE 3

STAGE 4

STAGE 5

Run level two – Training the Trainer Course – 2 days with future Trainers

Experienced Trainers co-train with new Trainers, working through achieving competency levels

STAGE 6

STAGE 7

Additional disclosure training may be

needed

STAGE 2

Decide on target population

/group

Decide on target population

/group

Attend WiPP Workshop

Run in house or bring in external Lead Trainer

DOES SELF CARE BUILD CAPACITY?

0

10

20

30

40

50

60

70

80

90

100

Yes No

GP Survey: is too much being asked of General Practice? ¹

• 86% thought professionals in their local GP practice should provide more support to help them manage their own health and well-being³

86%

Our Health, our care, our say…

How can we do that??

Psychiatric Morbidity Survey (2001)

Prevalence of depression 26% - 36%. Stress and Anxiety higher.

Of these - 75% present to the GP.

Of these, only 50% recognised as 80% present to GP with somatisation.

Of these only 37.5% will be diagnosed and offered a treatment plan.

62.5% will be left to take care of themselves and are highly likely to return to GP for further

consultations

EXAMPLE WORKLOAD MANAGEMENT

WORKLOAD MANAGEMENT

In Practice GP population of 10,000

Prevalence of depression 26% - 36%. Stress and Anxiety higher.2,600 – 3,600 pts

Of these - 75% present to the GP.1,950 – 2,700 pts

Of these, only 50% recognised as 80% present to GP with somatisation.

945 – 1,320 pts

Of these only 37.5% will be diagnosed and offered a treatment plan.

62.5% will be left to take care of themselves591 – 825 pts

Majority will return to GP for further consultations

IS THE SELF CARE SKILLS TRAINING COURSE COST

EFFECTIVE?

COST ANALYSIS – based on 591 pts (26%)

Treatment Plan Costs £ per year (based on Secta, NICE 2004)

GP 94,337.28(£159.62 per patient)

Brief Counselling 141,840 (£240 per patient)

Medication 302,331.96(£511.56 per patient)

Self Care Skills Training Courses

16,200 (£34.38 per patient –

much less if VT)

BUILDING CAPACITYFREES GP/NURSES TO DO OTHER THINGS

MINOR AILMENTS LONG TERM ILLNESS

COURSE COSTS

• SCSTC – run over 6 weeks (20 courses per year) based on 15 people attending each course = £34.38 per course participant

• SCSTC – run over 3 weeks (20 courses per year) based on 15 people attending each course = £26 per course participant

IN COMPARISON Sick leave costs in the UK are around £1.75 billion – accounting 176 million days off per

year averaging 6.8 days per employee

BENEFITS TO EMPLOYERS

More motivated staffHigher productivity

Improved health benefits Reduced sickness and absence

Happier and more confident workforce

WHAT DO I DO NEXT?

Discuss how you could take this further in your

own organisation

www.wipp.nhs.uk