Shared HD Care Course:

Overview & outcomes

The Shared HD Care Programme2011 - 2013

Funded:

Aim: to change the relationship between patients and staff from…

Passive receiver to active participantCare deliverer to facilitator

By engaging patients in their own dialysis treatment

Education programme and resources

We hoped that it would provide a better quality of experience for HD patients and improve their mental and physical health

• Fluid accumulation

• Phosphate control

• Bacteraemia

• Patient satisfaction

• Hospital admissions

• Efficiency

• Patient engagement

• Qualitative data

• Equality

Measurements

Patient engagement

Equality and Satisfaction

Have you been asked if you would like to get involved in your care?

Would you recommend Shared HD Care to another patient?

Results:53% patients are participating in 5 or more tasks (PMU)

“This programme has given me my life back” [David Sheffield]

Shared Care represents freedom! It’s an opportunity to regain

some semblance of your former life!”

[Christopher Sheffield]

Shared Care represents freedom! It’s an opportunity to regain

some semblance of your former life!”

[Christopher Sheffield]

“Doing Shared Care has given me more understanding & control towards my treatment” [Mike-Hull]

As a Result of the programme…

Patients have more choice

•Resources

•Website www.shareddialysis-care.org.uk

•E-learning

•3 National learning events ‘sharing the sharing’

•CQUIN

•TJ Award gold and silver for training programme and partnership

•RIF for the course to train 100 staff outside of Y&H

Degrees of sharedshared haemodialysis care

180 (2011 – 2012) 18 +1 (paeds)

2

12

410

22

11

1

Number of Staff trained in each region from to date

(further 32 booked)

Sharing Haemodialysis Care Course For

NursesDay 1

Focuses on:

•How the delegates feel about the concept of SHC

•The evidence and background to SHC

•How they as individuals learn

•Patient perspective

‘’I have learnt some valuable things about

myself as well as patient needs’’

“I now see patients as partners in their care”

“I now see patients as partners in their care”

Sharing Haemodialysis Care Course For

Nurses

• Use of Motivational interviewing techniques

• Exploring Barriers & how these can be overcome

“When can we find time to teach?”

“Our patients are set in their ways!”

Day 2

Focuses on developing change in the way nurses view patients and care

“I have learned how to change peoples thinking

without coercion!”

Sharing Haemodialysis Care Course For

NursesDay 3

Focuses on:

•Practicalities of teaching

•Understanding Change

•How to maintain that mind-set of relationship change

“Compassion has been put to the top of the list. It’s all

about the patient!”“Its given me skills to

teach, pick up feedback and change

accordingly”

As a Result of the national training and the CQUIN…

Shared Haemodialysis care has become a national brand

It has moved into paediatric care – subsequent knock on

Seconded Shared Care Roles e.g. Bristol, South London

Adapted courses e.g. Nottingham

Resources shared throughout UK and adapted for individual area use

E-learning programme adopted by other trusts

Strong network of renal nurses for sharing practice

Thank you!