Parallels in Training Techniques A Quality Approach

Nicky SharpeMoving & Handling Lead

RGN MSc PGCE0114 2266409

nicky.sharpe@sth.nhs.uk

NAMDET Conference 2014

Why?

Medical Devices

Legislation

CQC

MHRA

Patients

Moving & Handling

Legislation

CQC

MHRA

Patients

StaffX Staff

Who Can Train Moving & Handling?

National Back Exchange

• Multi professional organisation

• Excellence in all aspects of moving and handling.

• Registered Member – Qualifications– Experience– Evidence

How Do We Ensure Quality

NBE Standardsguidance only

• Guidance re qualifications / experience of trainers,

content and duration of training, training strategy and

management commitment.

– Induction people handling: 1 – 2 days

– Refresher people handling: 3 hours

– Ratio of trainer to trainees: 1:8

NBE Standards in Manual Handling 2010

Reality at STH – Induction

• Central Induction:– Information leaflet re STH systems

– 20 minutes basic principles – practical

• Local Induction – 3 month completion

– Practical related to equipment & local systems

– Duration of training variable between areas

Reality at STH - update

• E – learning update – all mandatory topics.

• Annually all staff

• Information re what’s new in last year

Reality at STH – Refresher

• Via local cascade keytrainer

– 1 – 3 hours depending on level of risk

– Frequency 1 or 3 yearly – outlined in TNA

– Predominately practical problem solving

Cascade Training Model

Return on Investment

Do we measure the impact of training interventions?

If so – how?

If we don’t measure the impact – how do we justify the cost?

1

Preferences Keytrainer course content relevant to workplace

Satisfaction, Reaction and Action objectives 100& - commit to cascade training / identify course is relevant to work areas / intention to use the training in the workplace

2

Learning needsImprovement in staff knowledge

Learning objectivesSuccessfully pass knowledge assessment test / complete risk assessment documentation task / complete action plan in conjunction with the ward manager

3

Job performance / implementationneedsTo perform safe patient moving and handling techniques

Application / implementation objectives - KT & ManagerKeytrainer delivering cascade trainingPatient handling risk assessments accurate & up to date Ensure that staff comply with the handling techniques outlined in the risk assessment.Appropriate equipment used for patient handling

4

Business needs Reduction in staff injury

Impact objectives 10% reduction in moving and handling incidents where there is non compliance with risk assessment controls

10% reduction in staff personal injury claims

5

ROI Net Programme BenefitThis compares the benefit of the training programme with the cost of running it.

Compliance v Competence

• Why do we repeat training with staff performing well?

• How do we know staff are performing well?

• Is absence of untoward incidents an indicator of good performance?

M&H v Medical Devices Training

Do we need to ….?

The Future????

• All Wales Manual Handling Passport

• Derbyshire Inter Agency Group

• Scottish Manual Handling Passport

– Assessment in workplace determining training requirement

How can we replicate this across the UK?

Summary

Where are we now

• Credible team• Cascade system• Benchmark• Measure impact – only

with keytrainers

Moving Forward

• Measure impact:-– patient care

• Friction / nerve damage

• Discharge arrangements

• Promotion of rehabilitation

• Falls

– Staff safety• Incidents

• Sickness

• Litigation

Over to you…

References

• Abdi Ltd (2010) Measuring the Impact of Learning and Performance Improvement Investments. 2 Day ROI Institute Competency Building Workshop for NHS Yorkshire and the Humber

• All Wales NHS Manual Handling Training Passport and Information Scheme. (2007)

• C Cavendish (2013) Review of healthcare assistants and support workers in NHS and social care. Department of Health

• Derbyshire Inter-Agency Group (2011) Care Handling of People in Hospital, Community and Educational Settings. A Code of Practice (2nd edition).

• National Back Exchange. (2010) Standards in Manual Handling, 3rd Edition.

• Scottish Government (2014) Scottish Manual Handling Passport Scheme