Our Response to the Scottish Government Consultation on the new National Health and Social Care Standards
The Scottish Government recently undertook a public consultation to seek view on the new National Health and Social Care Standards. You can view our full response to the consultation here – MHL Response to National Care Standards Consultation
New in research and policy
You may wish to dip into the care home enquiry by John Kennedy who works for the Joseph Rowntree Foundation Trust. This report is based on experience and listening to folk at the frontline and it flies the flag for relationship centred practice:
http://www.jrf.org.uk/sites/files/jrf/Care_home_inquiry_FULL_0.pdf
Current Projects
Enhancing dignity through caring conversations funded by Queens Nursing Institute for Scotland and Burdett trust for Nursing – developed an educational resource which helps staff to use appreciative inquiry to enhance caring conversations within care homes.
Find out more.
Previous Research
Exploring the experiences of staff, residents and families in care homes to support the design of new care homes in West Dumbarton (2014). For full report click on this link Report West Dunbartonshire
Tolson D, Dewar B and Jackson G (2014) Quality of Life and Care in the nursing home, Journal of Medical Directors Association, 15, 3 154-157.
Dewar, B. (2014) Key note address. Creating Connections through Caring Conversations. Queens Nursing Institute Annual Conference.
http://www.qnis.org.uk/conference-2014/
Enhancing Dignity through Caring Conversations: Final Report for Queen’s Nursing Institute Scotland by Professor Belinda Dewar and Tamsin MacBride, University of West of Scotland
This report discusses an appreciative inquiry project into enhancing dignity through caring conversations funded by the Queen’s Nursing Institute and the Burdett Trust for Nursing. The aim was to celebrate and develop excellent human interaction that promotes dignity between community nurses, residents and families in care homes. This was done through co- designing, implementing and evaluating an educational intervention with and for people in a care home setting.
This report discusses an appreciative inquiry project into enhancing dignity through caring conversations funded by the Queen’s Nursing Institute and the Burdett Trust for Nursing. The aim was to celebrate and develop excellent human interaction that promotes dignity between community nurses, residents and families in care homes. This was done through co- designing, implementing and evaluating an educational intervention with and for people in a care home setting.
Dewar B and Cook F (2014) Developing compassion through a relationship centred leadership programme, Nurse Education Today.
http://www.sciencedirect.com/science/article/pii/S0260691714000069
Sharp C, Kennedy J, McKenzie I, and Dewar B (2013) Caring to Ask: how to embed caring conversations into practice across North east Glasgow http://library.nhsggc.org.uk/mediaAssets/CHP%20Glasgow/Caring%20to%20Ask%20-%20%20ISP%20FINAL%20report%20Dec%202013.pdf
Dewar B and Sharp C (2013) Appreciative dialogue for co-facilitation in action research and practice development, International Practice Development journal, 3,12, 1-7.
(Register via http://www.fons.org/login-zone/registration-form.aspx and then once that’s done, your paper is http://www.fons.org/library/journal/volume3-issue2/article7)
A JRF report on what is needed to support quality of life in care homes.
JRF Report on Care Home Quality of Life
JRF report on care-home-quality-of-life-summary
JRF report on Commissioning relationship centred care in Essex: an evaluation (2012). This reports explores how local authority commissioners can work with the care home sector to ensure older people consistently receive high-quality, relationship-centred care.
Care in Essex Evaluation
Care-Essex-Evaluation-Summary
A report on supporting community visiting in Essex care homes (2014). The report describes and evaluates the volunteer community visiting scheme. The role of the volunteer community visitor was to visit a care home every week, to befriend residents, become critical friends of the care home and witness the evolving culture of the care home.
Community Visiting – Summary
My Home Life: Quality of Life in Care Homes: a review of the Literature (2007) Help the Aged by The National Care Homes Research and Development Forum.
MHL QofL in Care Homes – Lit Review
A summary of the literature that underpins the My Home Life programme. http://www.scie.org.uk/publications/guides/guide15/files/myhomelife-summary.pdf
McGill and Brockbank (2004) The Action Learning Handbook. Routledge
Regal Care implementation of the Assured Compliance solution, with a focus on quality and leadership programmes, enables the organisation to be financially sound and fit for purpose to address the needs of high-dependency dementia residents.
Education
Advancing Practice (Care and Practice Improvement)
MSc Advancing Practice C&PI print flyer
MSc in Later Life Studies
http://www.uws.ac.uk/msclaterlifestudies/
Policy Context
The 20:20 Vision: In 2011, Nicola Sturgeon MSP, Cabinet Secretary for Health, Wellbeing and Cities Strategy set out her strategic vision for achieving sustainable quality in the delivery of healthcare services across Scotland, in the face of the significant challenges of Scotland’s public health record, our changing demography and the economic environment.
The 2020 Vision provides the strategic narrative and context for taking forward the implementation of the Quality Strategy, and the required actions to improve efficiency and achieve financial sustainability.
The Scottish Government’s 2020 Vision is that by 2020 everyone is able to live longer healthier lives at home, or in a homely setting and, that we will have a healthcare system where:
- We have integrated health and social care
- There is a focus on prevention, anticipation and supported self-management
- When hospital treatment is required, and cannot be provided in a community setting, day case treatment will be the norm
- Whatever the setting, care will be provided to the highest standards of quality and safety, with the person at the centre of all decisions
- There will be a focus on ensuring that people get back into their home or community environment as soon as appropriate, with minimal risk of re-admission
The integration of health and social care: Integration of health and social care is the Scottish Government’s ambitious programme of reform to improve services for people who use health and social care services. Integration will ensure that health and social care provision across Scotland is joined-up and seamless, especially for people with long term conditions and disabilities, many of whom are older people.
http://www.scotland.gov.uk/Topics/Health/Policy/Adult-Health-SocialCare-Integration
The Joint Improvement Team (JIT) is a uniquely positioned strategic improvement partnership between the Scottish Government, NHSScotland, COSLA (Convention of Scottish Local Authorities) and the Third, Independent and Housing Sectors. We are governed by the Joint Improvement Partnership Board, of which you can read more about below.
We provide a range of practical improvement support and challenge including knowledge exchange, developmental innovation and improvement capacity and direct practical support to local health, housing and social care partnerships across Scotland. We champion the identification, development, evaluation, spread and adoption of good practice to accelerate the pace of improvement towards the Scottish Government’s vision for 2020; a vision that includes the aims that each of us is able to lead a longer, healthier life at home or in our own choice of setting in an integrated health and social care environment – which includes an increasing focus on prevention, anticipation and supported self-management.
They have several key action areas to support service developments and improvements: these include
- Reshaping Care for Older People;
- Care at Home;
- Talking Points: User and Carer Involvement
- Commissioning;
- Intermediate Care
Find out more at www.jitscotland.org.uk.