Leadership and Partnerships in nursing, health and social education and practice; does this work and how effective is it?

Mrs Tracy Small

Dr Barbara Wood

Mrs Joanne Garside

The University of Huddersfield…

• Strategic UK location• An attractive region• Offers the best of town and country

Huddersfield

Leeds

Manchester

Providers: fit for purpose

• Workforce plan and develop to ensure

fit for purpose and quality

• Competence-based training needs

analysis

Education P

roviders

• Provis

ion fit fo

r purpose

• Opportu

nity fo

r new provis

ion

Education Commissioners

• Quality assurance of provision

• Commission new provision

Commissioners

• Desc

ribe w

orkforce

competencie

s in

commiss

ioned servi

ces

• Links

to quality

assurance

and

outcomes

Human ResourcesWorkforce planning and development,

education and training, workforce

wellbeing

A partnership approach

SHA

Service Providers

UniversitiesWorkforce Strategic

Plan

The tripartite relationship

Our Journey to Effective Partnership Working…..

• What?

• Why?

• Who?

• How?

• When?

What?

• Partnership Leads Group

– A formal model of partnership between the University of Huddersfield and our health service partners.

– Clear terms of reference• Strategic intelligence gathering and information

sharing• Planning role• Innovative, not risk averse• Informs future education developments

Why?

• To enable us to be more proactive and flexible

• To develop true partnership in achieving service and workforce goals and targets towards quality patient care

• To increase efficiency and effectiveness

• To make sure education is clinically driven

(Dept of Health 2008)

Who?

• University staff in senior and key positions in the School

• Named individuals in senior and key positions in the health service partners

• Skills– Knowledge of the School/Trust business– Vision and the ability to innovate– Authority to implement– Negotiation skills– Good team worker– Good ambassador

How?

Channels of Communication

Trust representative

University representative

PartnershipLeadsGroup

Strategic Health Education Partnership(SHEP)

When?

• 1-2-1 meetings between partners monthly

• Partnership Leads Group meetings quarterly

• SHEP meetings bi-monthly

• Evaluation and celebration annually

Results?

• Clear personal contacts as ‘first port of call’• Faster development of new programmes• ‘Patch wide’ understanding of our work• Whole greater than the sum of its parts• Range of new initiatives• Inter-professional approach• Excellent, trusting working relationships

and…………….

Partnership Leads

Its jolly good fun!!

The Acute Illness Course

Background

• Changes In health care provision

• McQuillan et al (1998) – Suboptimal care • DH and Modernisation Agency (2003)

Patients at-risk, deteriorating, or recovering from critical

illness are not always well managed…Current education does not

properly equip healthcare providers to care for critically ill patients,

particularly those outside designated critical care departments.

• Collaboration – The acute illness course (2006)

The Acute Illness Course

• Aim. – Developing clinical knowledge and skills of staff caring for

acutely ill patients • Theory embedded in Practice – Practice supported by Theory

Teaching strategies • Lectures, problem based debates/discussions/sharing practices • Simulated Practice & Clinical placements within alternative clinical

areas

Assessment strategies • Portfolio – application of theory to practice• Simulated Clinical Scenario• Choice

Evaluation

• ‘I now feel more confident in care that I provide to my patients. In acute situations I feel more able to stay in control because I am able to understand more about what’s happening.’

• ‘This course has been excellent……It has helped me develop myself personally and professionally. I feel a lot more confident at work and colleagues have praised me.’

• ‘It’s great, you don’t want people to go on a course for the sake of it ….they have got to want to do it and they have got to want to develop clinically.’ Manager

More recently

• National Patient Safety Agency (2007): Safer care for the acutely ill patient: learning from serious incidents.

• National Institute for Health and Clinical Excellence (2007): Acutely ill patients in hospital: Recognition of and response to acute illness in adults in hospital.

Future developments • NICE (2009) Competencies• Practice Modules • Masters level

References

• DH and Modernisation Agency (2003); The National Outreach Report. London. NHS Modernisation Agency

• McQuillan, P. et al (1998); Confidential inquiry into quality of care before admission to intensive care. BMJ, Vol. 316, 20 June 1998, pp1853-1858.

• National Institute for Health and Clinical Excellence (2007): Acutely ill patients in hospital: Recognition of and response to acute illness in adults in hospital. London. National Institute for Health and Clinical Excellence.

• National Patient Safety Agency (2007): Safer care for the acutely ill patient: learning from serious incidents. London. The National Patient Safety Agency.

Thank you for listening

Questions?