strengthening the commitment

Strengthening the commitmentStrengthening the commitment

Dr Ben ThomasDr Ben ThomasProfessional Nursing AdviserProfessional Nursing AdviserDepartment of HealthDepartment of HealthEnglandEngland

Work so far: UKWork so far: UK

UK Steering groupUK Steering groupEasy read summaryEasy read summaryAcademic networkAcademic networkUK collaborativeUK collaborativeLeadership workshopsLeadership workshops

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NHS Education for ScotlandNHS Education for Scotland

DH - Leading the nation's health and care

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England Implementation Group

•Representation from all major Stakeholders•People with learning disabilities and Carers engaged & consulted•Members identified to take a lead for recommendations•Communication Strategy•Social media•Identifying and disseminating examples best practice


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Progress so far:

•Nurse Academic Network•LDNAN Action Plan•8 Dissemination events•Nursing Standard Award•Outcome Measurement (HEF)•Independent Sector Event x 3•Acute Hospital Care Event x 3•System for disseminating best practice•Engaged other professional groups


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Determinants of Health (In)equalities as outcome measures

Determinant 1

Social factors

e.g. poverty, poor housing,

unemployment, social isolation

Determinant 2

Genetic & biological

conditions

Determinant 3

Personal health risks &

behaviours

e.g. self-harm, poor diet, lack of

exercise

Determinant 4

Communication difficulties

& reduced health

literacy

Determinant 5

Access to healthcare provision


Link to Health Equality Framework on NDTi site:

http://www.ndti.org.uk/publications/other-publications/health-equality-framework-HEFguide/

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Next steps:

•Scope services•Scope current career pathways•Link to 6Cs & WinterbourneView & ‘Patients First and Foremost’•Learning Disabilities Nursing contribution to Public Health •Progress report by September•Launched leadership programme


Patients first and foremost

• Preventing problems• Detecting problems quickly• Taking action promptly• Ensuring robust accountability• Ensuring staff are trained and motivated


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How are we measuring up?• CQC visits nearly 150 services• 3,400 people in NHS funded beds• 1,200 people in Assessment & Treatment• Capacity and consent• Safeguarding• Use of restraint, poor recording & monitoring• Management of medicines• Care planning and record keeping• Respect and involvement• Staffing and safety


Where are we now?• People in hospital when they don’t need to be there• Placed far from home and staying there too long• Long-term care rather than treatment and assessment• Poor co-ordination between agencies• Inappropriate poor care


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A mandate from the Government to the NHSCB April 2013 to March 2015•Open every possible window into performance•Strengthen quality accounts•Reduce premature deaths in adults with learning disabilities•Ensure that CCGs work with local authorities to ensure people with learning disabilities receive safe, appropriate, high quality care•Services are local & people remain in their communities•Reduction on inpatient care


Contact detailsDr Ben [email protected]@BenT_DH


mailto:[email protected]

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CNO’s 6Cs – Part One

How does it translate in learning disability nursing?What do the 6Cs mean to you?What actions would you take to imbed the 6Cs?Provide an example of good practice using the 6Cs


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6 areas of action

1. Maximise independence and wellbeing2. Provide positive experience of care3. Deliver and measure high quality care4. Build and strengthen leadership5. Right staff, right skills, right place 6. Support positive staff experience


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CNO’s 6Cs – Part Two

What do the Action Areas mean to you?What is specific to learning disability nursing under each action?What’s missing from the document?What does ‘making every contact count’ mean for learning disability nursing – good practice examples?


strengthening the commitment

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