Partners for Integration Report – The story so far

The Integration story: Trust, engagement, relationship building, and innovation. Join us as we highlight collaboration, improvement and shared values on the integration journey.

On Thursday 5th September, Partners for Integration are hosting their annual event; join us as we showcase & celebrate collaboration and innovation across HSCP areas. People are at the heart of integration; whether that’s people who access care and support, colleagues across HSCPs sharing knowledge and skills or the independent and 3rd sector care providers delivering valuable services. Scottish Care’s Partners for Integration team plays a vital role in the  delivery of integrated health and social care services and supports; building relationships with key stakeholders to create a shared vision, supporting the delivery of local and national improvement programmes, contributing to strategic planning and local engagement, these are some examples of the work currently underway in different Partnership areas. Come and meet the team, hear about our role in integration and how we can support the improvement journey.

Guest speakers at the event will include:

Judith Proctor: Chief Officer, Edinburgh Health and Social Care Partnership

David Rowland: Professional Advisor, Directorate for Health & Social Care Integration Scottish Government

Diana Hekerem: Head of Transformational Redesign, Improvement Hub (ihub), Healthcare Improvement Scotland.

Contacts:

Julia White [email protected] 07946 517228

Janice Cameron [email protected] 07719 063980

Interim National Leads, Partners for Integration

 

Partners Report 2019 ff

 

 

#deliveringintegration

Partners for Integration National Event – 5 September 2019

The story so far – Insight Sessions & World Café

Scottish Care will be holding a Partners for Integration event on Thursday 5th September, 9:30am at Hanover Scotland, 95 McDonald Road, Edinburgh, EH7 4NS. The event is open to Scottish Care members and social care partners and is free of charge to attend.

This event consists of speakers from different organisations such as Edinburgh HSCP, Scottish Government, Scottish Care and Healthcare Improvement Scotland. There will also be a number of insight sessions which focuses on the work of Partners for Integration, including:

1. Improving care and support.

We will explore the quality of hospital discharge from the viewpoint of care services across Scotland. At a time when the number of agencies involved in discharge planning seems to be ever expanding there is a need for us all to work together and ensure that the discharge process is of the highest quality.

Covering issues of quality, process and communication the session will be based on experiences and examples of good practice. There will be opportunity for participants to come together to map out where change can be made nationally and locally.

2. Improvement through workforce development.

You will hear about 3 innovative projects that have had a role in developing the workforce using Improvement Methodology.

  1. Continence project – South and North Lanarkshire H&SC Partnership
  2. Care cooks course – working collaboratively across all sectors to create a practical solution to supporting people with dysphagia – Highland H&SC Partnership
  3. Pressure Ulcer Prevention awareness training programme across all care providers to reduce the incidence of pressure ulcers – Perth &Kinross H&SC Partnership

3. Engagement, representation, consultation, integration.

Independent Sector Leads (ISL’s) undertake a wide range of direct and indirect engagement within the Partnerships in which they work. In many areas the ISL holds a position on the Integration Joint Board and in all, undertakes considerable strategic planning and support of the Independent Sector. During this Insight Session several ISL’s from different Partnerships will draw upon their experiences and share the benefits, opportunities and successes that the role brings. It will give you an opportunity to experience the work taking place in your own and other Partnership areas and to take part in growing and strengthening this.

4.Using Data to Improve Information.

Good information is the cornerstone of good decision-making at every level.  Our priorities are changing: but are we really creating better, more integrated care and support?  The Accounts Commission (2014) stated that the length of time people live in good health has not increased in line with life expectancy, and that current arrangements for older people’s care are not sustainable.  As demand for services increases so do the high-level aspirations for quality care.

In this session we will look at how we can use good information to improve care.

World Café Tables

The Independent Sector Leads at their world café tables will describe a project or improvement plan they have been involved in .The Leads will take 5/10mins to describe the project ,why and how they set it up , what outcomes they achieved or were the outcomes achieved.

There are 10 tables and the sessions will allow for participation at 4 tables:

  • Sensory awareness – Hearing and sight loss.
  • Living and dying well collaborative.
  • Glasgow City Deal.
  • Care About Physical Activity.
  • Quality Improvement workshops.
  • Care Inspectorate Improvement checklist.
  • My Home Life.
  • Dementia – Johns Campaign, dementia training
  • Aberdeen City Integrated Provider Forum/Care Home consultation.
  • Improvement through focusing on diet and nutrition (IDDSI).

Places for this event are limited, if you would like to attend please email [email protected] to register.

Celebrating John’s Campaign as part of Carers Week

Caregivers across Edinburgh came together on Wednesday 12 June to celebrate Johns Campaign and highlight the work undertaken over the last year.

John’s Campaign was founded in November 2014 by writers Nicci Gerrard and Julia Jones and endorsed by the NHS in 2016. It was established in memory of Nicci’s father John Gerrard who had Alzheimer’s. After being hospitalised with leg ulcers, caregiver access was restricted which left John and his carers distressed and he sadly passed away while in hospital.

John’s Campaign recognises the important role of those family members who care for people who are living with dementia. Behind its simple statement of purpose lies the belief that carers should not just be allowed but should be welcomed, and that a collaboration between the person living with dementia and all connected with them is crucial to their health and their well-being.

Currently within Edinburgh Health and Social Care Partnership, 65 care homes (statutory, independent and voluntary) pan Edinburgh promote and support Johns Campaign.

The pledge made by all Edinburgh care homes states:

‘Care homes in Edinburgh welcome and support carers of people living with dementia, or other life limiting conditions. We understand that as a carer your knowledge and expertise can make a huge difference to how people become comfortable and contented within our care homes. If you wish we would encourage you to be involved in aspects of planning and delivering effective person centred care for the person as you know them best’.

 

One care home highlights a small but significant change in line with Johns Campaign:

‘We have had some excellent interactions with family members. One entire family moved in for the week leading up to a Residents death – we gave them a lounge ( which was conveniently next to their mothers room) and they stayed here with us using staff showers, being fed by the kitchen and spending very special time together.  Another gentleman comes to see his wife and have his meals with her. Another visitor comes every Wednesday to have breakfast with his friend. Our door is never closed and visitors know they can come and see their loved one/ friends whenever they would like to.’

 

Scottish Care, as the representative body for independent sector social care services, supports and encourages the adoption of the Johns Campaign.

This carers’ week we want people to know that we will support and encourage them if they would like to be involved in providing care. The role and experience of families, friends, and carers have supporting and comforting people through any illness, but critically dementia, is absolutely invaluable.

New Scottish Care Blog: Elaine McCourtney

I would like to discuss a subject which I find deeply fascinating and intriguing, but more importantly, it’s one which really matters to me: how we can make a difference in an individuals’ life through good conversations.

It is crucial, I believe, that I deliver in my role, and try to make a difference for everyone I come into contact with, regardless of the reason that brings us together. They could be my managers, my colleagues, the care and support staff and other professionals, the individuals we provide care and support for, or indeed, my family and friends. We are all individuals who deserve to be treated as the independent, fascinating people we are.

Dare I say it, but let’s forget the National Care Standards for just a moment. I, like many others brought up in the 1970’s and 80’s, understood and shared the positive, ‘old-fashioned’ values of being respectful, keeping true to your morals, demonstrating self-discipline, keeping a firm determination, and thinking of others and not just oneself. The National Care Standards Principles very much mirror these values. They propagate the ability to empathise with respect. It promotes a compassionate dignity and a responsiveness to need. Many of us already commend and admire these principles in our private lives, as we know the true value they hold in our relationships and in communication with others. So why then, in our working lives, do we need a manual to sanctify what should be so self-obviously apparent?

When we step back from our subjective view, we may even notice that as a society, we show tremendous exertion in obtaining personal rights and liberties, whilst all too often neglecting the responsibilities that these entail. This is a sad indictment, but one that I come across all too often. Within health and social care, this tendency is continuously impacting our roles. Some individuals are resolute in acquiring their rightful due, whilst disregarding the duty they have to themselves and others in our workforce.

Personal Outcomes are at the heart of the Scottish Government’s policy and, if used effectively, should go some way to reverse a dependency culture that is manifest, and re-instate a positive value and focus on responsibility and resilience. With a quick change of perception, and a touch of empowerment, we can change the recipe; we can build a model of a responsible society.

We all know why we have to change. In addition to the values and principles I have mentioned, our demographics are changing. Our population is getting older; there are more illnesses and multi- morbidity. This is set against the backdrop of decreasing financial resources, cuts in services, and lower funding in many other vital public sector bodies.

When I was first employed in my role with Social Care Services, I used to wonder how I would interpret someone’s ‘personal outcomes’ after a brief introduction. We really have to understand that individual, and what matters most to them, in a short space of time. The same is true when inducting a new member of staff, too. Whether you are supervising a team or mentoring a specific colleague, you are aware that what matters to them and what impacts them will also impact yourself.

What I have learned over the years, throughout my various experiences, is that a good conversation can inform us of an individual’s outcomes.  After the initial greeting, once the pleasantries are over, we can then begin to connect. However, conversing is a skill some of us are better at than others. Our purpose – why we need this information – will motivate and direct the progression of holding a meaningful good conversation with someone.  If it is an individual we have not seen for a while, we may ask them what they have been doing; to catch up with them. If it is someone we are in regular contact with, we might chat about a specific topic from a previous conversation. If we are sharing instructional learning we should have the specific training and skills to do this effectively, for different learning styles.

So, what is a Good Conversation?  It is a process, with applied techniques and skills, for the facilitator to use while with an individual.  The techniques support an individual to share their issues, investigate their opportunities, make use of their abilities and strengths, and display resilience, in order to achieve what is important to them. These methods include listening skills, with deeper listening, various types of exploratory questioning, asset mapping, and measuring what is important to them; scaling/scoring how they can to improve on this.

Good conversation skills and techniques are so vitally essential to empowering change in resilience in the lives of the individual’s support. Still maintaining their personal rights but shifting more towards their personal outcomes. I am a campaigner at Good Conversations training courses that the same skills and techniques can also positively impact on the resilience of our staff teams. How do we change society as a whole? Well, we are making the first ripples and that is important to me.

 

Elaine McCourtney

Scottish Care Liaison Officer, Dumfries & Galloway

 

Integrate, Innovate, Imitate – tickets now available

Registration is now open for our upcoming showcase of the Partners for Integration work.

The event is taking place on 4 September at the Teacher Building in Glasgow and is a must for all those with an interest in social care integration.

Click below to find out more about the day itself and how to secure your place at this free event.

#innovatecare

Upcoming integration event – 4 September

INTEGRATE, INNOVATE, IMITATE

Teacher Building, Glasgow – 4 September

The Partners for Integration and Improvement team are delighted to host an event which showcases how effective partnership working with the independent sector can foster innovation and good practice across the integrated health and social care setting. The Local Integration Leads are proud of their contribution to service development and improvement having facilitated better outcomes for those who access care and support, and better value for commissioners. The Three I’s is an opportunity to share impact through stories of success and top tips to achieving it.

The event will bring together independent sector providers of health and social care, those involved in commissioning services, senior managers, regulators, colleagues from statutory and third sectors, improvement experts and many others with an interest in service development and person-led care.

As well as key speakers on setting the scene for improvement the event will include workshops, each of which will focus on 4 key themes:

  • Palliative care and end of life
  • Dementia
  • Care at the time of transition
  • Assessment and support planning

By attending the workshops, delegates will have the opportunity to hear from those directly involved in the development of innovative approaches to service delivery and new initiatives.

This event is a must for those with an interest in innovation and improvement.

A full programme and information on how to secure your place will be available soon.

‘Sharing good practice in Krakow’, Blog from Margaret McKeith

What is the link between Prof. Jason Leitch, pressure ulcers and Krakow? Up until March of this year I would have said “none”. However, an invitation to co-present a poster at this year’s European Wound Management Association Conference (EWMA) made the link very clear and was an excellent opportunity to fly the flag for Scotland’s independent sector on an international platform.

Prof. Jason Leitch (Clinical Director, The Quality Unit, Scottish Government) announced his aim that pressure ulcers were to be reduced by 50% in all care settings by December 2017. He shared this with delegates at the NHS Scotland event in 2015 and set the Reducing Pressure Ulcers in Care Homes Improvement programme’s wheels in motion.

This programme was a collaboration between the Care Inspectorate, Healthcare Improvement Scotland (Scottish Patient Safety programme) and Scottish Care, and saw for the first time, our three organisations working on such an improvement project. This is detailed on the microsite developed as part of the process www.pressureulcers.scot.

Having being involved in this since the onset and very aware of its success, I was delighted when Joyce O’Hare (Improvement Advisor, Care Inspectorate) took the lead in developing a poster abstract to be submitted to the EWMA conference being held in Krakow. Joyce’s abstract was accepted and we were invited to prepare a poster. With an emphasis on collaborative working, integration of health and social care and improvement methodology, Joyce worked with Jill Gillies (HIS) and me in preparing and submitting the poster. We were delighted when this was selected and we were invited to present this to delegates from around Europe. With support from Scottish Care and the Care Inspectorate, Joyce and I set off for Krakow on 9th May.

RPUCH postert Krakow 2018

 

Although our presentation was short our poster was on display for the duration of the conference. Our collaborative approach, the independent care home sector, the role of the Local Integration Leads, our commitment to improvement and the opportunities created by integration were all shared. With an audience consisting of such a wide range of health professionals from across Europe we feel we certainly put our sector and organisations we represent on the map.

 

Margaret McKeith

National Lead

Partners for Integration and Improvement

 

Guest Post from Local Integration Lead, Rene Rigby

Test of Change

We are living and working in an inter-connected environment. The use of email for sending messages, exchanging information and assisting with workflow is common place across the public sector. There are many links between the health and care system, but it’s often difficult for health and care professionals to share information. Access to the right information about patients and users of services at the right time is essential to ensure continuity of care.

When patients are discharged from hospital, care homes are still receiving information about that individual by fax, in person or post. Often, key pieces of information are not received at all. This makes it difficult for care homes to prepare for a new patient’s/resident’s arrival or the return of a resident who has been in hospital. As well as being inefficient and slow, paper-based communication is not a secure delivery method.

Lothian Unscheduled Care Board have agreed to fund costs for a one year test of change –Secure emails access for all care independent care homes (circa 103) in Lothian. Each care home will be provided with up to three nhs.net accounts for a period of one year. Care homes coming on stream during the next few months have also been included in this test of change.

CEO’s or equivalent of each individual independent care home must sign the Data Sharing Contract, as must the staff identified as secure email recipients. Following on from this each identified recipient must sign a NHS Lothian User ID Request Form

The provision of secure emails to all care homes in Lothian will markedly improve communications between care homes general practice and social work. Specifically, it will enable faster discharge of patients through the electronic communication of patient assessments and subsequent discussions rather than this being by post.

Secure email will transform how healthcare organizations in Lothian share and work collectively to provide coherent joined up services for the people concerned the public. Good timeous information underpins good care and on-going support.

Care homes will benefit greatly from having a consistent electronic transfer of medical discharge summaries (typically sent to a GP within 24 hours). This will enable the care home to fully prepare their service for supporting people discharged from hospital by preparing for the persons needs well in advance of their arrival.

Pre admission assessments will be carried out and shared timeously thus supporting early discharge to the care home and help improve the efficiency of the discharge process generally.

Secure emails offers the potential to share Anticipatory Care Plans from statutory services. E.g Person moving into a care home. Referrals, assessments, multidisciplinary review summaries, flu vaccine consent forms will be immediately accessible to care homes. Opportunities for Tissue Viability, Health Protection, Care Home Liaison, CPN’s and pharmacy specialists instant ability to network and support and safely communicate sensitive information with care home staff.

Other benefits are the ability to send and receive patient/resident information quickly and securely. No confusion from messages taken over the phone or illegible writing on faxes. Improved awareness of care home staff in relation to  information governance rules on handling patient information. Secure paper trail in place for example, time emails were sent, removal of fax machines which are costly and require maintenance. Costs of postage for partnership reduced. Reciprocal communication time by health and social care professionals markedly reduced and this initiative supports positive change in service.

This test of change Secure e-mail access for care homes in Lothian should seek to demonstrate measurable improvement in outcomes either directly to individuals or indirectly through improved service design and delivery. There will be on going monitoring to make sure the project is achieving the desired results and to demonstrate the impact of the project to others; as well as to identify issues or problems as they arise within the project so that actions can be taken to change or redesign the project while it is in progress.

 

Rene Rigby

Local Integration Lead, Edinburgh City