CHS Clinical Education Team End of Year Report March 2016

CHS Clinical Education Team End of Year Report March 2016 1

Chapter Content Page Number Chapter Content Introduction of the team with photos 3-4 10.0 Policies 18 1.0 Introduction 5 11.0 E-Learning Packages 18 2.0 3.0 Clinical Skills Training 1 st April 2015 March 31 st 2016 Table A Core CHS Planned Clinical Training Additional & ADHOC Training sessions Table B Adhoc CHS Training Table C Adhoc Training provided for MHSOP Table D Adhoc training for FYPC / AMH / LD 4.0 CHS HCSW Essential Skills Programme 12 14.0 Page Number 6-9 12.0 Acute Illness Management (AIM) Course 18 10-12 13.0 The Enriched Model of Dementia Care 18 Care in the last days of life champions network, 5.0 Trainee Assistant Practitioners 12 15.0 Dementia Champions Group 19 6.0 External Work with Nursing & Residential Homes 13-14 16.0 Meetings 20 7.0 Clinical Rounds 15 8.0 Preceptorship Table I shows numbers of Preceptee s since December 2014 16-17 9.0 District Nursing 18 17.0 Additional Training & New Developments Rotherham Ear Care Training Show me you know Template Competency Development Organisational Coaching Inside Out Of Mind Film Forget Me Not 19 20-21 2

2015/16 Clinical Education Team End of Year Report This year the Clinical Education Team was sad to lose Rebecca Goodband who has returned to clinical practice. In October we welcomed Janine Mason to the team as a Business & Admin Apprentice, Janine will work with the team for the next year whilst she studies for a Business & Admin award. The team now consists of 3x Band 7 Clinical Education Leads and 4x Band 6 Clinical Trainer/ Practice Development Nurses. David Leeson RGN, BA, SPDN, CPT, QN. David is an education lead and champions the specialist role of the District Nurse, is active in the development of LCAT (Leicester Clinical Procedure Assessment Tool) assessors whilst also nurturing and supporting clinical staff to fulfil their potential. His hobbies include gardening, cooking, travel and the odd bit of magic. Debbie Leafe RGN, BSc (Hons) SPDN, PGCE, QN. Debbie is an education lead and keen advocate for District Nurse training. She is involved with the Trainee Assistant Practitioner programme, training around dementia awareness, older peoples care and falls prevention. She has also helped develop the Health & Social Care training, and set up a dementia champions group for staff. She loves nature and being outdoors and her hobbies include yoga, walking and gardening. Lesley Tooley RGN, BSc (Hons), SPDN, PGCE, QN. Lesley is an education leads and is currently the LPT lead for Preceptorship. Lesley also has a keen interest in the development of the Trainee Assistant Practitioners, Student District Nurses and embedding Clinical Supervision into practice. Lesley enjoys being outdoors she is a busy gardener, walking her dog, Max; she also enjoys meals out with friends, reading, scrabble and a good film. Elaine Liquorish RGN, BSc, SPDN, Assoc. Member CIPD. Elaine works part time but is full time in her passion about learning and development being particularly interested in the professional development of the Health Care Support Worker, and leading on the design and delivery of the CHS HCSW skills programme. She champions supporting staff to improve their performance and is an Organisational Coach. Elaine enjoys finding time for volunteering as a Parish Nurse, reading, astronomy, eating great food and supporting her son s football team. 3

Sue Swanson RGN, BSc (Hons), SPDN, PGCE. Sue is enthusiastic about supporting the learning and development of all healthcare staff and has been utilising her creative skills in the production of resources and in writing songs for TAP celebrations. Sue has a very lively dog called Digby which takes her out walking. Sue also loves travelling, painting and decorating and eating out. Sue is also looking forward to being a Grandma in the autumn so the knitting needles will be clicking! Colin Bourne RMN, BSc (Hons), MA Nursing. Colin is the only member of the team with in depth mental health knowledge and experience. This has proved invaluable in his dedicated work with the Mental Health for Older Persons staff, and input in the training packages for the Nursing /Residential Home training. Colin loves fishing, watching Leicester City and driving nice cars. Julie Neville SEN, RGN, BSc. Julie is involved primarily with supporting and developing the clinical skills of the Community Hospital staff, especially in the development of a Fluids study day to help staff get prepared for caring for the increased sub-acute patients during the left shift. Julie loves reading, crafty things, shopping and supporting her daughters dancing career Janine Mason Business Admin Apprentice. Janine is the education team s administrator and deals with all the general office tasks as well as our bookings. Janine is a keen learner thus has completed her level 1 and 2 Excel course and Power Point level 1, in the short time of being with the team. Janine loves cooking, drawing, animals and partaking in activities with her daughter. 4

1.0 Introduction 1.1 The Clinical Education Team provide clinical training & support to clinicians in CHS and the wider LPT as required. We also provide training and support to staff within the wider Leicestershire Healthcare community working within Nursing and Residential Homes. Training is delivered in either a classroom setting or with individual clinicians in a face to face clinical setting. 1.2 Our philosophy is that we provide education that promotes high quality person centred care where ever that might be. The clinical training sessions we deliver are designed to support nursing and healthcare, and support staff to develop safe clinical skills in practice. Our training is evidence based; patient focussed; reflects learning from incidents and complaints; is linked to Leicestershire Partnership Trust [LPT] policies, and when appropriate demonstrates correct practical procedures. Following training staffs are assessed within practice using the Leicestershire Clinical Assessment Tool [LCAT]. 1.3 Within LPT CHS; the team coordinate the delivery of 20 core sessions, which run throughout the year. Some of these sessions are run by CHS s specialist teams including: the Tissue Viability Team who deliver Tissue Viability and Leg Ulcer Management training; the Continence Team who run Catheterisation, DRE, and Continence Assessment; the Long Term Conditions team who deliver a Long Term Conditions Day, which focuses on COPD and Heart Failure. 1.4 In addition to the core sessions, the team deliver many ad hoc sessions in response to incidents or the bespoke learning needs of individuals or teams. Often these are in response to an incident or complaint, but not always. 5

2.0 Clinical Skills Training 1 st April 2015 March 31 st 2016 2.1 All Core Clinical Skills sessions are available to book via ulearn and include: Catheterisation Delivered by the continence team, this session is attended by all qualified nurses, trainee Assistant Practitioners and Assistant Practitioners. It is a one off but staff can attend as often as they like to re-fresh themselves. The CET team have also done 2 sessions for Cohort 3 TAPs and 3 sessions for ANPs. COPD & Heart Failure Delivered by the Long Term Conditions Team. This session is attended by Qualified Nurses, Trainee Assistant Practitioners and Assistant Practitioners. Clinical Assessment & Care Planning; This facilitated training day forms a key part of a CQC action plan to improve holistic assessment and care planning within clinical areas. The content is designed to address the findings from an LIA event and in response to staff challenges experienced in practice. This session is available to all qualified nurses, Trainee Assistant Practitioners and Assistant Practitioners. To address the particular training needs in each service area, the programme is designed as three separate days: there is a day for CHS community staff using SystmOne (co-trained with SystmOne Leads), a day for CHS Inpatient staff with a focus on discharge planning and the use of Nerve Centre and a day for MHSOP staff using RIO. However, each day is based around generic principles of holistic person centred assessment & SMART care planning. IV Therapy, Central Lines and T34 Syringe Drivers; this day is for all qualified nurses working in a community or in-patient setting. Community teams delivering planned care are now being requested to complete IV administrations (previously covered by the unscheduled teams) therefore a refresher on the care of the cannula and the VIP score is included in this day. Staff are then encouraged to complete the fluids day as necessary (see details below). Due to the concern about the need for an update in the administration of IVs by the planned teams an extra day for this training has been offered via ULearn, as well as adhoc IV sessions at bases. Fluid Day; this day covers sub-cut and IV administration and cannulation. These days are now available via ULearn on a monthly basis. 6

Digital Rectal Examination [DRE]; this day is delivered by the Continence team. Leg Ulcer Management Delivered by the Tissue Viability Team, this session is attended by qualified nurses, Trainee Assistant Practitioners and Assistant Practitioners. Diabetes; This one day interactive course is for staff within CHS whose role involves them in the administration of insulin and the care of patients with diabetes. It is attended by qualified nurses, Trainee Assistant Practitioners and Assistant Practitioners. The content focuses on promoting safe, competent practice in many aspects of diabetes management supported by local policy, current literature and national guidance. Continence Assessment; this day is delivered by the Continence Team. This session is attended by qualified nurses, trainee Assistant Practitioners and Assistant Practitioners. Tissue Viability, Pressure Ulcers & Chronic Oedema; this day is delivered by the Tissue Viability Team. This session is attended by qualified nurses, trainee Assistant Practitioners and Assistant Practitioners. Venepuncture; this session is appropriate for all grades of staff who take blood as part of the clinical role. This year the team have also been teaching in-patient staff how to take blood cultures in line with the move to more sub-acute care and the sepsis pathway. Cannulation; for qualified nurses within community hospitals and community nursing teams who are required to undertake cannulation as part of their role. This year, to try and assist with the problems staff have with gaining competence once they have completed training, UHL have allowed practice opportunities within Leicester Royal Infirmary A&E department. (Unfortunately to date this opportunity is still not fully utilised). The wards do have access to ANPs for support in cannulation practice and LCAT assessment. Clinical Observations and Vital Signs; although aimed at un-registered staff, this session is open to any staff who might require a refresher. The session contains training on how to take and record a full range of physiological observations, including a manual blood pressure. It also explores the role, responsibilities and actions of the staff member in identifying deterioration in a patient s condition. 7

Falls for Community Staff; this session is aimed at community staff. In-Patient staff receive Falls Awareness via falls champions. Dementia awareness; this session is accessed by all grades of CHS staff including Allied Health Professionals. ECG; these sessions are run within In-Patient settings because of needing to use the ECG machine from the ward, this session can be accessed by all mental health services, inpatient and community and prison nurses. LCAT initial Assessor Training & LCAT Updates; for registered staff who have a teaching and assessing qualification. We also offer update training for staff that have been LCAT assessing for a number of years. During 2015/16 the LCAT register has been thoroughly overhauled and a live register is maintained by the workforce directorate. A new training session has been devised and successfully launched by the team including a new video showing how a good LCAT assessment should be run. To help strengthen the LCAT process the team have successfully led on the development and implementation of a competency template called show me you know show me you can which is now embedded into the delegation policy for LPT. Care of the Older Person: This session was initiated in 2015 to develop an awareness of the many facets of caring for frail older people both in the community and community hospital setting. The full days training covers ageism and the ageing process, frailty, falls, dementia, loneliness, depression and safeguarding. A person centred scenario approach is used throughout the day. 8

Table A: Core CHS Planned Clinical Training Table A demonstrates the number of staff who have attended core sessions & number of sessions delivered throughout 2015-16. Core Training Sessions Catheters DRE Continence Assessment COPD & Heart Failure Community Care Planning & Assessment MHSOP Care Planning & Assessment In-Patient Care Planning & Assessment Central Lines & T34 Fluids Day Tissue Viability Pressure Ulcer Prevention Total Staff Trained Number of sessions 82 84 66 46 54 44 9 87 45 201 6 6 6 5 9 8 1 5 7 - Core Training Sessions Total Staff Trained Number of Sessions LCAT LCAT Update Clinical Obs & Vital Signs Falls Dementia Preceptor Guidance Venepuncture ECG Care of the Older person 27 21 48 60 30 2 60 35 14 75 4 7 8 6 4 2 7 6 4 6 Leg Ulcers 9

3.0 Additional Training Sessions 3.1 The team have always delivered a number of sessions on an ad-hoc basis in response to demands within practice. Table B demonstrates the ad-hoc sessions delivered to CHS staff throughout the year, table C demonstrates ad-hoc sessions delivered for MHSOP, whilst Table D demonstrates the ad-hoc sessions delivered to staff outside of CHS. Table B: Adhoc CHS Training CHS Community Ad Hoc sessions venepuncture IV Anaphyla xis SystmOne Support PICC line Falls awareness MSK Physiotherapy Ear Care Training for TAP's Diabetes for Preceptee s Vital signs and deteriorating patient for Preceptee s Care Plannin g In- Patients Number of sessions held Total Staff Trained 1 4 4 5 1 3 2 1 1 1 6 7 4 9 8 28 11 9 7 9 Total number of sessions 23 Total Staff Trained 92 CHS In-Patient Ad Hoc sessions Venepuncture IV Blood Cultures Cannulation Additional Fluid Days ECG Deteriorating patient Sub cut Track & Trigger T34 Falls Number of Sessions Total number of Staff Trained 7 5 14 7 1 1 2 2 3 1 1 29 23 48 32 6 7 32 9 13 4 7 Number of sessions 42 Total number of staff 210 10

MHSOP Ad Hoc Sessions Mental Health Act for HCSW Gaining consent Accountabilit y SSKIN Safe & Therapeutic Obs Side Effects of Psychiatric Meds Falls Dementia Brain & Behaviour Person Centred Care Planning Enrichment Model Venepunctu re ECG Total Staff Trained Number of sessions 3 3 5 8 7 1 2 1 2 2 11 10 6 61 Total Staff Trained 32 16 42 61 30 7 16 5 12 14 143 40 47 465 Table C: Ad hoc Training Provided for MHSOP The numbers for MHSOP also includes AMH staffs who have attended CHS Venepuncture and ECG Training. Table D: Adhoc Training Provided to FYPC and AMH/LD Ad Hoc sessions AMH LCAT Total Staff Trained 40 11

4.0 CHS Health Care Support Worker Essential Skills Programme led by Elaine Liquorish 4.1 Following the introduction of the LPT Care Certificate Standards, this programme altered to a one day Fundamental Clinical Skills Day for HCSWs new to CHS. It includes supporting people to maintain personal care, maintaining skin integrity, catheter care and ANTT. Despite wide publicity for the programme across CHS and efforts for wide engagement with teams, booking numbers remained low and 4 programmes were cancelled. However, CET members have continued to respond to individual requests to support HCSWs clinically within service areas. In addition, a bespoke three day HCSW Essential Skills Programme for CHS HCSWs joining ICS teams as part of the Better Care Together Left Shift Stream Project has been designed and delivery started. This is in partnership with Therapy teams. A new HCSW Clinical Nursing Skills Competency Framework has also been developed as part of this work and is now rolling out in the ICS Teams. Collaborative working continues with both the Widening Participation Team and the LPT Learning and Development team for unregistered staff support. 5.0 Trainee Assistant Practitioners [TAPs] 5.1 In the period April 2015 to March 2016, Cohorts 1 & 2 qualified as Assistant Practitioners. Cohorts 1 & 2 studied a 2 year Foundation Degree at Derby University. Cohort 1 completed April 2015, and Cohort 2 complete summer 2015. Cohorts 1 & 2 were taken from our existing HCA Community workforce. 5.2 Cohort 3 was recruited over the summer of 2014 and will complete a 20 month programme in June 2016. They are studying at South Leicester College [SLC]. Cohort 3 was recruited externally, with only 1 of the 27 TAPs having prior community nursing experience. 5.3 We have supported all 3 cohorts of TAPs by doing clinical rounds; this involves working a shift with the TAP and then giving written & verbal feedback, the feedback is based on the LCAT tool, covering the areas of communication, safety, infection prevention, procedural competence & team working. 12

5.4. Our latest Cohort is Cohort 4. Cohort 4 has been taken from our existing CHS In-Patient workforce. They started in January 2016 with a group from the UHL wards, giving our staff an excellent opportunity to share ideas with their UHL counterparts. UHL are now the education provider for the Trainee Assistant Practitioner programme. 6.0 External Work with Nursing and Residential Homes 6.1 In November of 2013 the Clinical Education Team was commissioned by West Leicestershire CCG to provide a Specialist Support Service for Nursing Home staff within their locality. In June 2015 the service remit was expanded to include training senior carers within 70 Residential Homes in the locality. The overall aim of both contracts is to up skill staff in order to reduce avoidable hospital admissions and improve the quality of the care provided by parts of the sector. Table E below shows the numbers of staff trained from Nursing Homes by topic. Table F below shows the numbers of staff trained from Residential Homes by topic. 6.2 The service we offer has been based on a collaborative approach, working with the homes and the CCG and other partners to get as much buy in as possible. We offer a range of training sessions tailored to the different needs of nursing homes and residential homes. Hospice at Home and Tissue Viability have also contributed to this project throughout the year. In addition to the scheduled training, the team have made several visits to homes where the CCG has detected increased avoidable admissions to hospital and we have been able to offer advice or provide bespoke ad hoc training. 6.3 Plans for 2016/17 include maintaining the suite of training topics on offer but reducing the amount offered in order to fill each session rather than run session for too few people. However to balance this the team will be planning visits to every home in the WLCCG locality in order to encourage homes that have not availed themselves of opportunities to do so and actively encourage RNs to engage with the revalidation process. 13

Table E Numbers of Nursing Home staff trained by topic 2015/16 Nursing Home Training Total Staff Trained Day 1 Hospital Admission & Avoidance Check for Change Day 2 Day 2 End of Life Day 3 Diabetes /COPD/ Heart Failure Day 4 Vital Signs Venepuncture Catheterisation Total Staff Trained 55 50 52 23 15 38 23 256 Table F Numbers of Residential Home staff trained by topic 2015/16 Chart to show staff trained from residential homes by topic Q1-4 2015/16 Check for Change The deteriorating Patient Falls UTI Total Staff Trained Total Staff Trained by Study Day 52 19 29 100 14

7.0 Clinical Rounds 7.1 As a team we support CHS staff in their clinical practice areas within Community Hospitals, Community Nursing Teams and MHSOP Wards. Individual feedback is given in the form of a report based upon the LCAT framework following clinical rounds; this can be used within professional portfolios and will also contribute to the NMC revalidation process for Registered Nursing Staff. If appropriate, we can undertake LCAT assessments as part of the clinical round process. We also provide support and advice to the wider clinical team whilst undertaking clinical rounds. Table G Demonstrates the clinical rounds undertaken within the team during 2015/16. Table H: Clinical Rounds Undertaken within the Clinical Education Team TAPS Newly Qualified support visits Newly Qualified Clinical Rounds DN Students HCSWs Staff Total Number of Clinical Rounds 47 31 43 14 4 39 178 15

8.0 Preceptorship 81 The team actively supports Preceptorship, and continue to support Lesley in her role as Preceptorship Lead for LPT. 8.2 LPT Preceptorship includes 6 Development days, a standardised approach to medicines assessment; Preceptee s receive a Preceptorship folder which contains generic competencies appropriate to any newly qualified nurse. The team are continuing to support other divisions to adopt the LCAT tool to enable the newly qualified to have a robust assessment process. 8.3 Table I shows the numbers of Preceptee s who have been through LPT Preceptorship since Dec 2014 Division Cohort 1 Completed Dec 2015 Status Cohort 2 complete April 2016 Status Cohort 3 Complete Dec 2016 Status Cohort 4 Start May 2016 MHSOP 9 CHS In-Patients CHS Community 13 Adult Mental Health Learning Disabilities 2 22 3 0 Left All completed 1 moved to CHS Community 3 left LPT 3 Left [2 left prisons] 1 left 2 0 left 0-1 6 2 moved to CHS Community 12 6 0 left 10 Includes 1 R2P 3 left LPT Includes 1 R2P 1 has left LPT 1 + 1 R2P 16 2 left 18 1 gone to LD 2 1 0 left 3-0 6 FYPC CAMHS 4 0 0-1 - 2 Total 53 started 7 left LPT All 47 remaining are signed off 32 started 1 left LPT/1 Mat Leave 24/30 remaining are signed off 44 started 4 have left LPT 15/40 are completed to date 13 16

8.4 All 69 Newly Qualified staff nurses to CHS & MHSOP have been seen in their clinical area at least once in their first 6 months, in the first instance this is to welcome the newly qualified and to introduce them to Preceptorship, following this Preceptee s are given the opportunity to work clinically with someone from the team. This is an opportunity to give feedback, help with LCAT assessment and discuss issues in practice. 8.5 Since November Lesley and Julie have been supporting a Graduate Rotation Programme which is an exciting project being funded by Better Care Together. The programme is a joint collaboration between UHL & LPT. It gives a unique opportunity for newly qualified staff nurses to work across UHL and CHS in-patient settings focussing on the needs of the frail older person. The 2 year programme allows opportunity for a number of insight visits and will allow those on the programme to exit with modules in mentorship and the frail older person. 9.0 District Nursing 9.1 Two nurses qualified as District nurses in Oct 2015. However one has already left the trust whilst the other is on maternity leave. 9.2 LPT recruited 1 student to the District Nurse course who commenced her training in Sept 2015. She is being actively supported by one of our clinical educators/practice Teachers and is on target to qualify in Oct 2016. In total, the team has four Qualified Practice Teachers who are able to sign off District Nursing students. 9.3 The team has been actively championing the need for the Specialist Practitioner Qualification (District Nursing) in the face of a national shortage of qualified District Nurses. As part of the drive to encourage more staff to take this pathway we have been working with DMU to create and validate a degree level District Nurse course to run alongside the masters level course. This was finally validated in March 2016. 9.4 We have been advertising for and interviewing potential candidates for the District Nursing Course starting in Sept 2016 and have had encouraging responses from our workforce. We hope to be training at least 7 District Nurses from Sept 2016. 17

10.0 Policies 10.1 Over the past year a number of policies/ guidelines have been updated by the team in order to better support clinicians. These include: The Delegation of Tasks Policy, Anaphylaxis policy, IV medication and Cannulation Policies, Venepuncture Policy, Central Lines Policy, and the T34 Syringe Driver Policy plus an Appendix concerning the Removal of PICC lines. The Verification of an unexpected death guidelines and Neuro Observation guidelines and Preceptorship Policy are currently being worked on by various team members. 11.0 E-Learning Packages 11.1 The team successfully produced the content for two E-Learning packages specifically aimed at CHS staff. One package concerns the safe management and administration of seasonal vaccinations, whilst the other relates specifically to anaphylaxis. Both have been very well received and are being accessed by clinicians. 12.0 Acute Illness Management (AIM) Course 12.1 Planning for this course began in June 2014, working with an outside provider. The courses themselves have been running from June 2015 and are due to complete in August 2016 with 10 courses having run so far. To date we have trained 151 CHS inpatient RNs in Acute Illness Management. This work has assisted the safe left shift of patients from acute services to our sub- acute beds in community hospitals. Due to the success of this initiative plans are now being drawn up to commission the AIM course for HCAs working on our wards. 13.0 The Enriched Model Of Dementia Care 13.1 In September 2014,Hazel May, an Occupational Therapist and specialist in dementia care, was seconded to MHSOP for 6 months as project lead to roll out training on Tom Kitwood s enriched model of dementia care. This was in response to an increase in falls on wards within MHSOP and a concern about some of the dementia care approaches adopted on the wards. The model is now being embedded into MHSOP through 90 minute 18

table top training which the team are helping to support and deliver with other staff. This project is managed through the person centred care group at MHSOP. Further training has been held in 2015 with 4 one day sessions delivered predominantly for staff within MHSOP. Table top training continues to be cascaded on the wards. The project has been well evaluated and there are plans to roll it out to other staff within CHS, including junior Doctors. 14.0 Care In The Last Days Of Life Champions Network 14.1 Throughout August and September 2014 the new framework for Care in the last days of Life Care was launched across LPT. In 2015 the CQC issued an improvement notice to LPT in respect of not having embedded the initiative within the organisation sufficiently well. As part of the reply to this a network of Last days of Life Champions was set up in February 2016. Champions have been charged with cascade training within their locality and for ensuring that the Priorities of Care become well embedded. The clinical Education team and their in house partners the Hospice at Home Team will be setting up 3 study days over the coming year to help support the work of the Champions. 15.0 Dementia Champions Group 15.1 In May 2014 the team supported the development of a dementia champions group for staff in CHS. The purpose of the Group is to promote best practice in person-centered care for people with dementia across CHS. The group meets 4 times a year and strives to improve patient care by providing information and support for patients, carers, colleagues and other disciplines. Speakers are invited to the group and information shared from practice. The group is currently working on developing resource folders for all clinical areas. The group continues to meet 3 monthly and share best practice and discuss developments in Dementia care. The group focuses on new initiatives and current issues in practice. Recent meetings have focused on the issue for carers of people with dementia. A carer was invited to talk to the group about the difficulties caring for her father who has Alzheimer s disease. The group also discussed Johns campaign which impacts on visiting times for relatives of people with dementia. 19

16.0 Meetings 168.1 Representatives from the team attend the following meetings: Falls group; SING; Community Hospitals Clinical Network Meeting; Community Services Clinical Network Meeting; Community Hospitals Governance Meeting; Community Services Governance Meeting; Learning and Development Meeting; Health Care Support Worker Steering Group; Community Nursing Professional Meeting; Information Governance, Records Management and Information and Technology Group; CHS Documentation Group; Clinical Audit and Effectiveness; Trust Wide Education Group; LPT Preceptorship Meetings; LLR Preceptorship Meetings; CHS Wider Governance Meeting; MHSOP Quality and Governance. MHSOP New Ways of working meeting 17.0 Additional Training / New Developments The team have been commissioned to provide 2 external training sessions this year. One was for a Nursing Home in Warwickshire on the subject of the Deteriorating Patient and the other was for LOROS staff on Central Lines. Both sessions delivered by Sue. 17.1 Rotherham Ear Care Training 17.2 Between January 2016 and April 2016 the team have organised and had delivered licenced ear care training for our CHS District Nursing teams. A total of 2 sessions ran each taking 12 staff that was new to the skill. We have dates for a further 3 initial sessions and 2 half day updates to run after April 2016 through to June 2016. In total this will mean that each District Nurse Team will have 2 staff trained who are new to the skill and 1 staff member who has received an update. 17.3 Show me you Know and Show me you Can Template Competency Development In an effort to address the absence of standardised assessment of knowledge and understanding as well as behaviours and skills during assessment of clinical skills, during 2015 members of the CET led a T&F Group to develop a robust tool to be used alongside LCAT. Using National Occupational Standards and LPT Policies, this emerged as a Show Me You Know, Show Me You Can framework. A suite of competencies covering six high risk 20

skills together with a template is now complete and has been sent out to all LCAT assessors. It is envisaged this suite of competencies will grow and be stored on ULearn or E-Source for easy access. 17.4 Organisational Coaching To further enhance the CET offering of Learning and Development solutions, Elaine Liquorish has completed an ILM Level 5 Organisational Coaching Certificate. During 2015, Elaine has provided 15 hours of Organisational Coaching to a variety of staff across LPT. 17.5 Inside Out of Mind Film: Further to the success of the theatre production of Inside Out of Mind that 206 of our staff managed to see with many of the staff taking part in follow up workshops. The team will be helping to facilitate the viewing of a filmed version of the play at the Planetarium Leicester. We hope to be able to have around 200 staff attend to see the film and then take part in workshops discussing the impact of nursing people with dementia and exploring the emergent themes. 17.6 Forget Me Not: Building on the success of Inside Out of Mind the team have been engaged in commissioning a performance poet to perform his one man show to staff. Rob Gee is a Registered Nurse working in mental health and regularly tours his work across the UK and Canada. It is anticipated that Rob will give 5 performances of his show to LPT staff in September 2016 catering for approximately 40 people at each show. The production lasts for approximately 50 minutes this will be followed by a short break then a workshop of up to 1 hour 30 mins. The workshop will have three key themes; seeing the person not the dementia, whistleblowing and changing the cultures of care. 21