New care models in Health creating Practice · Outcomes: Diabetes Prevention in Practice •Nurse...
Transcript of New care models in Health creating Practice · Outcomes: Diabetes Prevention in Practice •Nurse...
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New care models in Health creating
Practice
Louise Brady Practice Nurse, Community & Primary Care Lead NHS Manchester CCG’s
GPN Advisor NHS Alliance Executive
Lynda Sherlock Patient Educator, Artist, Poet &Person!
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A Magical Experience!!
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What did I learn as a nurse?
• The foundation for peer support is spontaneous , it’s natural and it occurs with ease, when there is mutual agreement of ‘what is helpful’
• Less correcting, and more Connecting!
• 147 RTC evidence base for peer 2 peer ( Nesta)
• Nursing as a whole offers communities a rich architecture of care, knowledge & skill base to tap into to
• Combine that knowledge & support with the abundance of local knowledge & skill that exists within our communities, & we have a rich tapestry of care.
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Impact
• Health inequalities are estimated to account for over £5.5bn annually in healthcare costs to the NHS in England each year
• Enabling ‘at risk groups’ to become more health literate has potential for social & economic impact and savings to the NHS.
• Only 30% of GP surgeries have information that is accessible to people with learning disabilities.
• North Manchester Peer group: 500 members Learning disabilities Aim: 2 support a 10% increase in LD Care. PN Key to connect with communities
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Impact
Heart failure: Co-design PN developing information in partnership with Patients to drive up quality of accessible information ‘health literacy’ – tested against information standard Published & peer reviewed.
‘How do you sell failure?’ You can’t .... We need HOPE
Nick Hartshorne –Evans @iamnickevans
http://www.magonlinelibrary.com/doi/abs/10.12968/pnur.2015.26.10.500
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City Wide Nurse Mentorship Group •Excellent Feedback •Knowledge increased Shared learning Partnership work Vertical & horizontal integration Due a 6 month formal evaluation August 2016
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Outcomes: Diabetes Prevention in Practice
• Nurse Led by Practice nurse: 17 Patients
• Total weight loss 52kg waist circumference 53cm
• Reduction in BP, lipids, fasting glucose
• Post prandial glucose level dropped by 1.7mmols from a baseline of 8.2mmols to 6.5mmols.
• At 1 yr follow up: average weight increase 0.8kg but 3kg below mean weight at start of programme.
• Increased wellbeing scores, patient experience & peer support. Published & peer reviewed.
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•A more efficient, rewarding and person centered way to improve outcomes , at individual & population level •Also known as shared medical appointments (SMA’s) •Clinical consultations that take place in a supported group setting that have a strong evidence base . •One of the High impact Actions outlined in GP Forward View Alison Manson Group Consultations Programme Lead, The ELC Programme
Moving towards Group Consultations
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•Alternative way of seeing patients more patients 1:1 in less time •Consultation model that also delivers peer support •A way of supporting a group of people who have a similar condition ( 10 -15) •1.5 – 2 hour session with clinician present for around 45 mins
The aim & ambition
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Health creation is: The enhancement in health and wellbeing that occurs when individuals and communities achieve a sense of purpose, hope, mastery and control over their own lives & immediate environment.
People need
... to be well
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The 5 features of health creating practices • Listening and responding • Truth-telling • Strengths-focus • Self-organising • Power-shifting
Meet Rose Oldham! https://itnproductions.wistia.com/medias/x7n
esfu4ej
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Infecting the UK health system with wellness http://www.nhsalliance.org/becomeamember
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Health creating Practice..social movement for fun friendship! #twitterdisco
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**Supporting the Children of Grenfell Tower**
#twitterdisco Fundraising
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Meeting Lynda, learning about Art, Poetry & Music!
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Lynda Sherlock.. Who am I? A patient, A Poet... A dancer & a... Person! Nurse & Patient Partnerships: My Story, My Journey.. Through Art & Disco....
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Let’s talk about Diag-nonsense !
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What hinders Health creating practices?
Diag- nonsense.... & Labels
Judgement, & not seeing gifts & Potential
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• not feeling Listened too..... •Truth telling... In Health & service •Having no confidence, & feeling alone • Seeing disability before they see me
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What Supports me.. & enable’s my health to flourish?
• People who care, and are in touch with humanity •Good nursing care, & partnership working •Using my Art, dancing & Poetry to support my health •Having people around me who I can trust
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Brain Train.. A Poem by Lynda Sherlock
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Sharing my Poetry, Artwork, & getting involved in singing and dancing, supports my Mental & Physical Health
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http://www.artshealthandwellbeing.org.uk/appg-inquiry/
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Poetry & Depression
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How can we work together to co- produce better solution for nurses & people?
•Co- design, working together.. Being human! • Friendships & bonds In equal partnership with local people •Nurturing each other supports nursing teams!
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Thank you for listening Lynda & louise!
Twitter: @LasLynda
@louisebrady17