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

Workforce and Dementia Care

10th May 2011

Diane BardsleyDevelopment Consultant,

South West Development Centre

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

“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)


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


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

Inputs vs OutcomesINPUT – what do we bring

to situation?• Starts with occupations• Describes the skill and

knowledge base each occupation brings to a situation

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


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


Learning approaches

STAGE 1

Classroom training

STAGE 2

E Learning

STAGE 3

Blended learning

STAGE 4

Social Learning

STAGE 5

Collaborative learning/

working

Top-down control

Bottom up control

Formal Learning Informal Learning


DEMENTIA WORKFORCE COMMISSIONING GUIDANCE

DEMENTIA CARE WORKFORCE RESOURCES

3 step pathway

Dementia workbooks & bite sized presentations

LEARNING & EDUCATION

LIBRARY

INNOVATIVE PRACTICE - NEW ROLES, NEW WAYS OF

WORKING IN DEMENTIA

Good practice vignettes

SOUTH WEST DEMENTIA

WORKFORCE NETWORK

ACCREDITED TRAINERS KITEMARK

NEW CPD LEARNING PLATFORM

Learn4Health

EVALUATION OF GLOS MODEL

South WestProjects

GP

EDUCATION


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


• Step 1 Essential dementia awarenessA 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 topicsStep 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

Learning library

SCIE resources

Workforce Resources Learning Pathway


Learn4HealthNHS South West Workforce Development

Consortium led by Tribal Consulting Limited Partners: King’s College London, Skills for HealthBazian,


Operating Principles – Employer Led and Owned

12

Learning and

development

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

Promotes matrix approach based on the competencies needed to deliver care in and across each of the pathways

Mapped to the KSF

Multi-disciplinary/Agency

Open to all health and social care providers in the South West

Available form any web enabled environment

Clinical Pathway centred

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


GovernanceAdditional

Commissioning sub-group

Contract Management

Group

EmployerOversight

(Editorial) Group

TechnicalSub-group

Maternity& NewBorn

OptimisingElective

Care

MentalHealth

Long TermConditions

Children & YoungPeople

StayingHealthy

UrgentCare

Pathway groups


New roles

• Dementia Link Workers

• Primary Care Liaison

• Dementia Advisors• Dementia

Champions• Dementia Leads

New ways of working

• Plymouth 5 min teach

•YDH ‘An Hour to remember’

•Befriending

•Dementia Care Mapping


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

Workforce commissioningCommissioning 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)


Dementia Integrated Care Pathway

Prevention IdentificationAssessment

& Diagnosis

Early Intervention

&treatment

Living well with

dementia End of Life

(London Healthcare 2009)

Learning matrix – QCF levels alongside an integrated care pathway

Level 8Professional post grad, research

Level 7Post grad (Master level)

Level 6Advanced skills training (BA level)

Clinical leadership

Level 5Entry professional graduate employment

Advise on choice of therapeutic interventions

Manage pain relief

Level 4Specialised education and training (HNC)

MCA, Dols, safeguarding

Enable carers to support the individual with dementia

Level 3Qualified/skilled worker

Provide clinical information to individuals

Person centred thinking and planning

Support individuals at EOL

Level 2Entry to employment

understand dietary requirements

Understand the need to safeguard

Level 1

prevention Identification Assessment &

diagnosis

Early intervention & treatment

Living with dementia

End of life


Commissioning the dementia workforce

1. What have you done? 2. What helped you achieve this?3. What do you need to do in the future?4. What are the challenges?5. In light of the above answers and for

commissioners for the future what information do you feel would be helpful?

6. How would you like this information to be presented?


Diane Bardsley

[email protected]

South West Dementia Partnership Website:

http://www.southwestdementiapartnership.org.uk

Documents

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