Using JBI COnNECT to Implement Best Practice across NHSGG

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Using JBI COnNECT to Implement Best Practice
across NHSGGC (Rehabilitation Assessment
Directorate)
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Elaine Burt and Marie McAloon NHS GGC
(RAD), GCU
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BackgroundNHS GGC(RAD) in conjunction with
GCU secured monies from NHSQIS in April 2009 to
roll out JBI COnNECT across the Directorate,
building on the RAD Community of Practice project
undertaken in 2008
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Directorate Profile

• RAD aims to achieve an integrated and whole
  system approach to assessment, rehabilitation
  enablement in the care of older people and those
  with long-term conditions
• Manages Acute services which include frail
  elderly, palliative care, falls, physical
  disability, stroke and AHP services, as well as a
  range of community services including Care Homes.

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Directorate Sites

• WEST
• Blawarthill, Drumchapel, Western and Gartnavel
  General Hospital
• NORTH EAST
• Stobhill, GRI Lightburn
• SOUTH
• Mansionhouse Unit, Mearnskirk House Southern
  General (Langlands PDRU)
• CLYDE
• RAH, Johnstone, Inverclyde and Vale of Leven

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Ageing Population

• The number of people aged over 75 years is
  projected to rise by nearly 81 by 2031. Leading
  to an increasing number of frail older people
  needing hospitalisation for multiple episodes of
  care (SG 2007).
• Over 15 million people in the UK currently have a
  long term condition, and as the number of older
  people is projected to increase significantly so
  the number will increase as will the demand for
  health care.

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Nursing Practice Development

• Today the more dynamic areas of nursing practice
  are to be found within care of the elderly and
  disability settings. Nursing older people is
  core business and the use of JBI will enable
  evidence based care to be implemented
  consistently

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Why the NHS needs JBI NOW!

• Early figures on the knowledge and skills of
  SCNS indicate (Senior Charge Nurse Review)
• Out of 3 cohorts (120 SCNS) across NHS GGC,
  only 27 have a first degree
• Coupled with a mature workforce within the RAD
  Directorate could assume there has been limited
  formal research training
• Huge Directorate 1000 trained staff -
  geographically dispersed ---

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• Subsequently
• RAD wished to explore effective mechanisms to
  ensure best practice is currently implemented and
  support SCNs and trained staff..rather than
  wait for 3-5 years for some to complete their
  first degree/research training.
• Build on the earlier project RAD Community of
  Practice) which offered bite-sized chunks on
  the notion of evidence-based practice

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Also, need a resource that is SMART that can
complement and enable the implementation of other
healthcare policy initiatives for example,
Better Health, Better Care (SG 2007), which is
where JBI comes into play
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• One of the first CQIs to be implemented across
  all Health Boards in Scotland is the falls
  statement.
• Timely, as the statement refers to NHSQIS (BPS)
  and JBI as resources.

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Way Forward for NHSGGC (RAD Directorate)As
part of the Implementation Group (JBI) the
intention is to use JBI resources to enhance the
Practice Development Journey (PD), in this
instance building on RAD CoP project. Caledonian
Development Model(Tolson et al 2008)
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To achieve this end and begin the PD
journey the project has 2 strands.1. Look at
bigger picture Benchmark audit - (n1000)
trained staff across RAD to determine degree
status and current knowledge on JBI (NHS has had
JBI licence for almost 2years)
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Based on findings from benchmark audit
develop a 5 point action plan to cascade and
utilise JBI resources across RAD. Use the
knowledge and skills of CoP members,
facilitators, link nurses and the PEFs to share
info through mentors- staff- students, face2face
and using CoPRe-audit similarities to PDSA
cycles
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2. To address the perceived lack of
first degree statusRe-package work based
learning modules for Nursing the Older Adult
(part of BSc. Professional Development programme)
using JBI resources as one educational
strategyValues/Dignity based framework
underpins all module content.Finally, and..
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most important of all!

• As a Directorate, be able to move forward with
  confidence that we are providing best practice
  to patients across RAD.

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References

• Scottish Government (2007), Better Health, Better
  Care Action Plan, Scottish Government Health
  Directorate.
• Tolson D et al (2008) Achieving evidence-based
  practice impact of the Caledonian Development
  Model, 16682-692.

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• For further information and your JBI COnNECT
  password please contact
• elaine.burt_at_ggc.scot.nhs.uk
• marie.mcaloon_at_ggc.scot.nhs.uk