Keep Well Practitioners’ Network

Friday 23rd November 2007

Keep Well Programme and Learning and Development Support

Vibha PankajLearning and Development Adviser

NHS Health Scotland

Introduction

• Overview of Health Scotland Approach to capacity building

• Keep Well Learning and Development Programme

• Partnerships supporting KW

Health Scotland approach to WFD

• Build local capacity of health boards for training delivery

• Widening participation of staff from partner agencies involved in providing follow-up and anticipatory care

• Use of appropriate pedagogy, design and products to support learning

Capacity building • Develop Trainers

– Health Behaviour Change– Health Improvement- Developing Effective Practice– Scottish Mental Health First Aid

• Develop an eLearning strategy– Health Impact assessment training– Let’s Make Scotland More Active

• Conduct national training needs assessment • Provide Leadership for Health Improvement

Programme• Develop Health Improvement Trainer’s network

Approaches to Learning

• Brain friendly learning techniques, accelerated learning principles, participatory methods

• Learning Networks/alliances – e.g. Physical activity health alliance, Food and Health

Alliance etc

• Blended Learning

• Action Learning

Practice & Learning Group

The Practice and Learning Group provides a forum

for effectivepractice to be shared and its

application delivered more

widelythrough the

development of new learning

opportunities for local staff.

• Seeks to improve reach, access and methods of engagement with primary care services

• Generates evidence of successful, evaluated approaches to identify and engage with those who are at particular risk,

• Supported by service redesign, identifying what aspects of service provision will be changed to improve access for the target population and to free up GP time to allow them more time with patients.

• The successful identification and engagement with hard to reach individuals living in our most deprived communities is viewed as the most critical aspect of this programme.

To support implementation of Keep Well journey by developing skill base across partnership staff

a) Developing knowledge, understanding & skills

b) Developing local training capacity for KW areas and peer support

c) Support capacity of KW teams to develop and implement local innovative practice

d) Training needs assessments and evaluation

Aim of LWD programme

1. Health Behaviour Change and Health Inequalities Training

(a) Learning Objectives

• Identify and discuss causes of health inequalities and ways in which the Keep Well programme could contribute to reducing them.

• Identify common theoretical models of behaviour change and summarise the key elements of the stages of change model.

• Outline the evidence for effectiveness of brief interventions and brief motivational interviewing and identify key principles common to both.

• Apply strategies (based on motivational interviewing) to guide consultations about behaviour change

• Identify and appraise ways to improve practice using feedback from peers and the trainer.

Key Developments

(b) Participants

Nurses

community

AHP

HV

CSW

HCA

GP

HI/PHP

Managers

SW

PA

Slice 12

(c) Evaluation feedback of HBC training

A. Increased skills, knowledge and strategies for negotiating behaviour change (215)

B. Positive comments on presentation, delivery and learning methods (136)

C. Enhanced personal and practice development (120)

D. General positive comments about the course (63)

E. Increased skills and knowledge about health inequalities / life circumstances (57)

F. Increased knowledge and skills for engaging with and empowering clients and groups (49)

Theme A

Theme B

Theme C

Theme D

Theme E

Theme F

(d) Learning and further developments • Training pack - credit levelled at SCQF level

7

• Follow-up support for practitioners

• Supervision and coaching

• Support from manager indicating support for ongoing learning

Health Behaviour Change (HBC) – Health Scotland courses

• Health Behaviour Change training for Trainer • Alcohol related harm and brief interventions (for

practitioners)• Alcohol related harm and brief interventions –

Training for Trainer• Evaluation of a range of HBC training courses

being delivered by Health Scotland

(a) Learning Objectives• Develop skills to help communicate effectively with hard to reach

groiups of patients

• Be able to identify specific barriers to communication with target groups and have planned how to overcome them

• Learn techniques that will help deal with resistance and difficult behaviour

(b) Participants• Health care support workers, Practice nurse, Community

animators, Link worker, Alcohol counsellor, Employment officer, Community garden coordinator, Customer service adviser, volunteer coordinator

2) Improving Communication Skills with hard to reach groups

(a) Aims of programme

• To introduce community engagement, its meaning, and the potential benefits to both service providers and service users

• To explore the place of community engagement in health improvement, PFPI, community health initiatives and regeneration

• To review possible approaches to community engagement, and the strengths and weaknesses of each

• To introduce the National Standards for Community Engagement, and how they can be used in practice

• Introduce the follow up programme for that is planned

• Use LEAP approach (Learning Evaluation and Planning) to help users in identifying their needs and issues, the outcomes

3) Effective Community Engagement Support Programme

Some examples of local progress in Wave I pilot areas• Negotiated support programme with each KW

pilot – may include– Assessment of community engagement– Identification of areas for development– Support to the above– Further briefing or training– Linking community engagement to an

integrated planning approach

Other ongoing learning and development activities• Local LWD groups

• Keep Well sharing learning events• Smoking cessation brief interventions training – Ash Scotland • Clinical knowledge skills, Advanced assessment skills

(accredited courses) • Development programme for support workers within primary

care• NHS Education - Health Inequalities Educational Website

eLearning resource– Putting Health inequalities lens into practice (newly qualified NMAHPs)– Anticipatory Care eLearning module (specialist NMAHPs)

Further Information visit: http://www.healthscotland.com/learning/index.aspx

Or by contacting:LWDteam@health.scot.nhs.uk

Vibha.pankaj@health.scot.nhs.uk

Lunch and Networking

Local Practice Presentations

(1) Lynne Simpson, NHS Lothian – Ardmoor Room

(2) Heather Craig, NHS Lanarkshire – Adam Room

(3) Sheilagh MacFarlane & Sydney Brand – NHS Tayside – Teacher Room