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!
A Magical Experience!!
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.
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
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
City Wide Nurse Mentorship Group •Excellent Feedback •Knowledge increased Shared learning Partnership work Vertical & horizontal integration Due a 6 month formal evaluation August 2016
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.
•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
•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
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
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
Infecting the UK health system with wellness http://www.nhsalliance.org/becomeamember
Health creating Practice..social movement for fun friendship! #twitterdisco
**Supporting the Children of Grenfell Tower**
#twitterdisco Fundraising
Meeting Lynda, learning about Art, Poetry & Music!
Lynda Sherlock.. Who am I? A patient, A Poet... A dancer & a... Person! Nurse & Patient Partnerships: My Story, My Journey.. Through Art & Disco....
Let’s talk about Diag-nonsense !
What hinders Health creating practices?
Diag- nonsense.... & Labels
Judgement, & not seeing gifts & Potential
• not feeling Listened too..... •Truth telling... In Health & service •Having no confidence, & feeling alone • Seeing disability before they see me
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
Brain Train.. A Poem by Lynda Sherlock
Sharing my Poetry, Artwork, & getting involved in singing and dancing, supports my Mental & Physical Health
http://www.artshealthandwellbeing.org.uk/appg-inquiry/
Poetry & Depression
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!
Thank you for listening Lynda & louise!
Twitter: @LasLynda
@louisebrady17