New World

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New World New Partnerships New Roles Siân
Walker Carole Williams
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New Roles New Types of Worker Why?

• National Drivers for Change
• Sub-regional bid to pilot change
• Skills for Care funded training programme
• Fitted with local Reprovision Strategy
• Need for more diverse services
• Less of a traditional approach
• Staff development
• Commitment to work with PCT partners

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What is a New Type of Worker in Adult Care

• Different approaches around the country
• Staff with new knowledge skills trained at
  NVQ 3 (Health Award)
• Extending beyond the Care Assistant role
• Changing the model of work
• Developing accountability responsibility
• Closer partnership working with Community Nursing

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So whats in it for residents?

• Residents get the right care at the right time by
  the appropriately skilled worker
• Residents and relatives receive more detailed
  information which assists in choices
• No unnecessary moves
• Good end of life care
• Prevention of inappropriate hospital admission

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What does the training look like?

• Skin care/ prevention of breakdown
• Promotion of continence
• Physiological measurements
• Competencies collection, testing specimens and
  blood glucose monitoring
• Minor wound care , treatments and dressings
• Medication
• Reflection and development of practice

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So isnt this all what Care Assistants should be
doing anyway? SW

• Well yes but
• Residents in care homes have increasing
  dependencies
• We are planning for the future
• This is about culture change
• ..and Adult Care is also moving towards
  integration with the PCT.. So it is an example of
  integrated working at the front end

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What works well in Bath NE Somerset?

• Staff are informed and involved in moving to new
  Community Resource Centres which is tangible
• Partnership with PCT an integrated model with
  an In-Reach Nursing team funded by DH as a
  separate pilot
• Integrated management model
• Links with mental health teams

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So what doesnt work so well?

• Some communication issues and some professional
  jealousies!
• All this is happening whilst we are doing single
  status, restructuring the service and a number of
  other changes
• Questions are beginning to be asked about pay

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So what are the outcomes so far?

• From Relatives
• it was such a relief for me that mum could
  stay in her home for her last few days of life
• a night on a hospital trolley would have been
  a terrible nightmare
• For Residents early detection of illness
• Comparing a previous year of acute hospital
  admissions seeing a 50 reduction with the new
  service

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Our model ensures

• Care is delivered in the right place, at the
  right time, by the right person
• Integration is seen as a key to care of older
  people