Earl Mountbatten Hospice
Education and training programme
2017 / 2018
Education and training in end of life care for health and social care workers across the Isle of Wight and beyond. Independently rated Outstanding by the CQC in March 2017
DELIVERED BY HIGHLY KNOWLEDGEABLE TRAINERS WHO WORK IN END OF LIFE CARE. VERY INFORMATIVE. course delegate
EXCELLENT TRAINING DELIVERED EXTREMELY WELL. I PARTICULARLY ENJOYED THE PARTICIPATION SESSIONS. course delegate
About Earl Mountbatten Hospice Earl Mountbatten Hospice has been the Isle of Wight’s only hospice for 35 years. It provides expert medical, nursing and domiciliary end of life care support to over 600 at home (including care homes) on any one day. This is backed up by a 16 bedded inpatient unit, a bespoke self-help, day and rehabilitation centre – the John Cheverton Centre, based at the hospice, as well as by a unique hospital team which supports people to either die in hospital, or to return home with a comprehensive care package following hospital admission. Earl Mountbatten is known for innovation across the UK and beyond, and is the lead provider of end of life education on the Isle of Wight. It has an academic relationship with the University of Southampton and is the foremost provider of training and education to other health and social care organisations, underpinning practice with a solid foundation. These organisations include the NHS, GPs, District Nurses, Nursing and Residential Homes and Domiciliary Care agencies. Support is also given to hospices in developing countries, as well as a twinning arrangement between our own hospice and Archangel Michael Hospice in Cyprus. Providing education to the general public has also increasingly become a part of what Earl Mountbatten offers, challenging attitudes towards death, dying and bereavement to allay fears through supporting people to plan their end of life wishes well in advance. Our innovative Social Programme provides the whole community with a concert series, art gallery and delicious cuisine at the Sunflower Café. This allows anyone to come and find out more about our hospice and its services. We want people to see that the hospice is a normal, kind and warm place where people can share experiences and create good memories together For more information visit www.iwhospice.org Follow us on Twitter @EarlMBHospice and on Facebook “Earl Mountbatten Hospice” Earl Mountbatten Hospice, Halberry Lane, Newport, Isle of Wight PO30 2ER Registered Charity No. 1039086 3
Contents About Earl Mountbatten Hospice
3
Foreword
5
Overview
7
Calendar of courses 2017 / 18
8
EMH Facilities
9
End of Life Care – introductory level
10
End of Life Care – senior level
11
Caring for people with dementia at the end of life
12
Practical community-based sessions
13
Supporting people with long-term conditions
14
Supporting people with Motor Neurone Disease
15
Psychology and bereavement
16
35th anniversary conference
18
Transport and location details
19
4
Foreword The Modern Hospice Movement is 50 years old in 2017. Earl Mountbatten Hospice also celebrates 35 years of serving our Isle of Wight community at the same time. Both of these anniversaries mark outstanding achievements. Education has always been an important part of the trio which makes up the core elements of what good and effective end of life care should look like. The trio is made up of providing good CARE, which, of course, goes without question; influencing others through EDUCATION and also taking opportunities to RESEARCH effectively into what we are offering so that we are always at our best, without fail. High quality and outstanding care provision for those people in the last years of life has always been central to Earl Mountbatten Hospice’s philosophy and vision. However, our aim is also to influence back into the broader Health and Social Care system. We do this through offering expert training and education opportunities for the NHS, including General Practice and District Nursing, the Local Authority, and also Care and Residential Homes and Domiciliary Care agencies. The Commission into the Future of Hospice Care, published in 2013, outlined the responsibility of hospices to work towards a workforce that is fit for the future. Our unique and bespoke programme of education opportunities underpins our commitment to this responsibility. Out recent Care Quality Commission rating as Outstanding gives us the perfect base from which to work. We want every key partner we work alongside to be able to offer outstanding services together with us. Our expertise, experience, competence and confidence fully equips us to do this through effective education, training and leadership. Our new 2017 / 18 Education Programme also highlights our commitment to our wider local community. As well as leading on high quality end of life training and support for all our Health and Social Care partners, we also begin to offer a unique public education programme which is available to our entire community. We take the responsibility to change and develop people’s attitudes towards the work that we do, and also preparing the general public for thinking about their end of life wishes well in advance, very seriously. Our website advertises a unique Social Programme, and we encourage everyone to engage with us positively through this.
Good education and training, delivered by the right people at the right time can change and improve the future of our health and social care landscape. Our absolute aim is always to be the best that we can be. We also have an expectation that those agencies who work alongside us will live up to our ambition. We hope that our training programme offers something for you, your organisation and your colleagues. We are happy to create more bespoke training opportunities when they are needed. We encourage you to be in touch with us and to support us to develop what else might be needed. We are very much at your service. You will see that our 35th Anniversary Conference in November brings together leaders and those with influence from across the whole of the UK. This will give us an exceptional opportunity to share our experiences and to learn about the broader issues that face end of life care developments across the wider system. We hope that you will join us. As the lead provider of End of Life Care education and training across the Isle of Wight, we welcome you to join together with us in improving, extending and developing the outstanding services that our community so deserves and needs for the future.
Nigel Hartley CEO Earl Mountbatten Hospice
Overview In 2016 Earl Mountbatten Hospice [EMH] developed a programme of training packages around End of Life Care for all community partners including: Residential, Nursing Home and Domiciliary Care providers. Since January we have extended these training sessions to HM Prisons Isle of Wight and Isle of Wight Council staff. We have also welcomed training assessors from the Isle of Wight College as well as HTTP Training Enterprise and St Mary’s Hospital staff. “Frontline staff often lack training in delivering basic end of life care. Only 29 per cent of doctors and 18 per cent of nurses received pre-registration training in end of life care, and there is a lack of formal training for staff working in care homes. Positive experiences of care are often linked to being treated by staff that understood, appreciated and empathised with the end of life situation”. [National Audit Office 2008] By sharing this knowledge and skills, and introducing staff to some of the hospice’s clinical team who deliver the training as well as work alongside them in the community, it is hoped that the outcome will be an improvement in the standard of care and the ability to support people in their preferred place of care. Ultimately it is hoped that this will prevent unnecessary hospital admissions in the last hours of life and help people to get home when they have been in hospital. “Good end of life care should mean that people are treated with dignity and respect and, where possible, in their preferred place of care. Some people receive high standards of care in their final weeks, days and hours, but others do not. Organisations responsible for the care of people approaching the end of their life need to improve the planning and delivery of services particularly support in the community”. [Tim Burr, head of the National Audit Office, 2008] Since July 2016, around 114 care staff have attended the end of life training programmes delivered by the hospice’s experts. Additionally, 152 care staff have attended the Dementia and End of Life Care programme. These programmes are delivered via three sessions each month and have been positively evaluated by those attending. 7
Calendar of courses 2017 / 18 2017
End of Life Care – introductory level
2018
11 April
16 January
16th May
20th February
13th June
13th March
th
th
All Sessions are from 9 am until 1 pm – Booking is essential – please see Page 14 for booking details.
11th July 12th September 17th October 21st November 19th December
End of Life Care – senior level
13th April
18th January
18th May
22nd February
15th June
15th March
All Sessions are from 9 am until 1 pm – Booking is essential – please see Page 14 for booking details.
13th July 14th September 19th October 23rd November 21st December
Caring for people with dementia at the end of life
12th April
17th January
17th May
21st February
14th June
14th March
12th July 13th September 16th October 22nd November 18th December
All Sessions are from 9 am until 1 pm – Booking is essential – please see Page 14 for booking details.
EMH facilities
9
End of Life Care – introductory level This course is designed for new and less experienced staff, but those also wishing to attend the senior level session. Aim: The aim of the study day is to familiarise staff with illness trajectories, transitions, barriers and obstacles within palliative care. This will include conversing with GPs, District Nurses and other professionals to share information and concerns. Supporting people to remain in their home or preferred place and avoiding unnecessary hospital admissions. Each session will include: What is Palliative Care? Recognising Dying. Communication / Difficult conversations. Dignity, Compassion and Spirituality. Style: Interactive, with examples and discussion. PowerPoint presentation. Certificate of Attendance: Will be awarded at the end of the day, following completion of the evaluation form.
How to book Booking is essential. To book this session, please contact Valerie Sprack, Training Co‑ordinator at Earl Mountbatten Hospice by phone (01983) 529511 or email valerie.sprack@iow.nhs.uk If you have any questions about the content of this session please contact Linda Prendergast, Project Co-ordinator by phone (01983) 529511 or email linda.prendergast@iwhospice.org
I ESPECIALLY LIKED THE RELAXED MANNER OF SPECIALISTS – EASY TO UNDERSTAND.
TRAINERS WERE APPROACHABLE AND KNOWLEDGEABLE.
IT’S GIVEN ME THE CONFIDENCE AND TOOLS TO DEAL WITH END OF LIFE CLIENTS.
End of Life Care – senior level This course is designed for experienced staff and senior carers. It is recommended that those wishing to attend should also attend the Introduction to End of Life Care sessions first. Aim: To work to identify patients who are at the end of life and then provide the appropriate support: in particular improving the co-ordination of care, continuity, quality of communication and the provisions of bereavement care. “Two thirds of people would prefer to die at home, but in practice only about one third actually do”. (Higginson 2003) Each session will include: Managing Symptoms in Palliative and End of Life Care: Exploring the palliative care needs of patients. To appraise current tools for assessing complex symptoms in advanced disease and to highlight the importance of advance care planning in early disease. Palliative and End of Life Care Emergencies – Time to Act: Examining palliative care emergencies and their treatment. To look at what constitutes an emergency and how this can be managed. How to prevent unnecessary hospital admissions. 11
Skin and pressure area care at the end of life. Enhanced Communication skills “Beyond the Basics”: Enhance and develop participant’s communication skills when handling difficult communication issues, such as imparting distressing information, managing distressed / angry patients and responding to difficult questions. Style: Interactive, with examples and discussion. PowerPoint presentation. Certificate of Attendance: Will be awarded at the end of the day, following completion of the evaluation form. How to book Booking is essential. To book this session, please contact Valerie Sprack, Training Co‑ordinator at Earl Mountbatten Hospice by phone (01983) 529511 or email valerie.sprack@iow.nhs.uk If you have any questions about the content of this session please contact Linda Prendergast, Project Co-ordinator by phone (01983) 529511 or email linda.prendergast@iwhospice.org
Caring for people with dementia at the end of life This course is designed for all staff. Aim: To work to identify patients who have a dementia and are at the end of life and provide the knowledge and skills to support them to remain in their preferred place of care and death, preventing unnecessary hospital admission in the last days and hours of life. Each session will include: What is dementia? A virtual dementia tour. Dementia Line Up. Dementia and End of Life Care. Communication tips. Style: Interactive, with examples and discussion. PowerPoint presentation.
How to book Booking is essential. To book this session, please contact Valerie Sprack, Training Co‑ordinator at Earl Mountbatten Hospice by phone (01983) 529511 or email valerie.sprack@iow.nhs.uk If you have any questions about the content of this session please contact Jill George, Admiral Nurse, by phone (01983) 529511 or email jill.george@iwhospice.org
I ESPECIALLY LIKED THE RELAXED ATMOSPHERE. EVERY QUESTION I HAD WAS ANSWERED.
Certificate of Attendance: Will be awarded at the end of the day, following completion of the evaluation form.
WE COULD ALL JOIN IN AND IT BECAME A GROUP DISCUSSION – EVERYTHING WAS EXPLAINED CLEARLY.
Practical community-based sessions Following on from the classroom, there is an opportunity for Domiciliary Care Provider staff from across the Island to work alongside Earl Mountbatten Hospice’s Community Team in people’s homes, to share experience and role model best practice in end of life care. Ultimately EMH would like to develop a way to share packages of care with their community partners in order to meet the demands of the more complex care packages which often result in failed or delayed discharges. EMH have identified that with shared care packages and more education to care providers and clinicians the quality of care and communication should provide positive results for patients and their families with a result of fewer hospital / hospice admissions in the last days of life and better patient and family experiences around high quality end of life care. These shared packages and working practices aim to ensure that these patients are able to remain in their place of choice for longer and where possible until death.
13
Supporting people with long-term conditions Long term conditions are defined by the Department of Health as “those conditions that cannot, at present, be cured, but can be controlled by medication and other therapies. The life of a person with a long term condition is forever altered – there is no return to ‘normal”. People with long term conditions are twice as likely to be admitted to hospital, will stay in hospital disproportionately longer, and account for over 60 per cent of hospital bed days used. Most people who need long term residential care have complex needs from multiple long term conditions. Earl Mountbatten Hospice is hosting these educational sessions with the support of Specialist Nurses who provide direct support to people who have a long term health condition. These sessions will be informative and give an opportunity to share knowledge in order to help those affected across our community.
Monday 30 th October 2017 Session
Presenter
Frailty 9.00 – 10.00 Dementia Awareness 10.00 – 11.00 Break 11.00 – 11.15 Chronic Kidney Disease 11.15 – 12.15 Heart Failure 12.15 – 13.15
Diane Goring Nurse Consultant Jill George Admiral Nurse
Vicky Scovell Palliative Care Nurse Practitioner Georgina Newnham Community Heart Failure Nurse Specialist
To book a place, please contact Valerie Sprack, Training Coordinator, Earl Mountbatten Hospice on 529511 or e-mail valerie.sprack@iow.nhs.uk
14
Supporting people with Motor Neurone Disease Motor Neurone Disease (MND) is a progressive neurodegenerative disease that attacks the upper and lower motor neurones. Degeneration of the motor neurones leads to weakness and wasting of muscles, causing increasing loss of mobility in the limbs, and difficulties with speech, swallowing and breathing. Most people with MND are cared for by a professional team which includes neurologists, specialist nurses, physiotherapists, speech and language therapists, occupational therapists, dieticians and counsellors. Each problem that arises is assessed and dealt with, as far as possible, by the relevant members of the team. Earl Mountbatten Hospice is hosting these educational sessions with the support of the specialist workers who provide direct support to those affected by MND. These sessions will provide an awareness of symptoms and often rapidly changing landscape with the opportunity to share knowledge for the benefit of those we support in our community.
Tuesday 4th July 2017 Wednesday 13th December 2017 Session
Presenter
What is Motor Neurone Disease 12.30 – 13.30 Dietician 13.30 – 14.30 Break 14.30 – 14.45 Speech and Language Therapy 14.45 – 15.45 Managing Mobility 15.45 – 16.30
Lena Parkes EMH Staff Nurse Sophie Oatley Dietician
Emma Pugh SALT Elise Kendall Physiotherapist
To book a place, please contact Valerie Sprack, Training Coordinator, Earl Mountbatten Hospice on 529511 or e-mail valerie.sprack@iow.nhs.uk
15
Psychology and Bereavement Children, Death and Dying Part 1 The first part of the course aims to give the participants a theoretical overview and understanding of normal and complicated bereavement responses in children. It also looks at grief responses in relation to developmental stages. Children, Death and Dying Part 2 Part 2 of this course takes a more practical focus and considers potential challenges to supporting children with death and bereavement. It aims to enhance skills, knowledge and confidence in how to talk to children. It also includes how to support the adults around the child with responding to the child’s reaction to death and bereavement. This course is aimed at any individual who wishes to extend their knowledge in understanding and supporting children with bereavement. Children, Death and Dying Part 1
Children, Death and Dying Part 2
11am to 12:00pm, 30 June 2017
12.00 to 1.30pm, 30th June 2017
9.30 to 10.30am, 8th September
10:30am to 12pm, 8th September 2017
th
Working with bereaved adults Part 1 This course is designed to provide an understanding of bereavement and the current psychology of loss and how it impacts on individuals and families dealing with illness and death. Working with bereaved adults Part 2 The second part of the course introduces theoretical knowledge to enhance communication skills when working with the bereaved by using case studies and role play. Also included is an experiential exercise to add dimension to our consideration of loss and its meaning. The course aims to extend existing knowledge and skills and improve confidence in working with death and bereavement. This course is aimed at individuals working with people facing death and supporting people with bereavement across all health and social care settings. Understanding & Working with Adult Bereavement Part 1
Understanding & Working with Adult Bereavement Part 2
1:30pm to 4pm, 12th July 2017
1pm to 3:30pm, 19th July 2017
9am to 11:30am, 12th October 2017
1:30pm to 4pm, 19th October 2017
Psychology and Bereavement Communication and Managing Difficult Conversations This course is aimed at those who regularly contribute to the management of care of people approaching the end of life. It aims to equip them to listen to, and sensitively explore needs and preferences, regarding issues of care. Attention will also be paid to greater involvement of patients and families in end of life decision-making. Through exploration of theoretical principles of communication, and practical elements, the course will encourage participants to reflect on their own misconceptions, blocks and anxieties. 12:30pm to 4:30pm, 4th October 2017 Psychological Issues at the End of Life This course is aimed at those who regularly contribute to the management of care of people approaching the end of life. It explores the psychological issues associated with dying and issues such as suffering and psychological coping. Delegates will gain an understanding of therapeutic approaches to common psychological problems at the end of life, and ways to ease psychological distress. 9am to 12noon, 29th November 2017 How to book Please note that where there are two parts to a course, delegates only need to book once and a place will be reserved for both parts. Certificates of attendance will be provided on completion of education sessions that can be used as evidence of Continued Professional Development (CPD). To book a session, please contact Valerie Sprack, Training Co-ordinator at Earl Mountbatten Hospice by phone (01983) 529511 or email valerie.sprack@iow.nhs.uk If you have any questions about our Psychology & Bereavement Training, please contact Dr Jane Hazeldine, Director of Psychosocial and Spiritual Care by phone (01983) 533776 or email jane.hazeldine@iwhospice.org 17
3 November 2017 New Holmwood Hotel Cowes, Isle of Wight
Save the date!
35th ANNIVERSARY
CONFERENCE INNOVATION AND EXCELLENCE IN END OF LIFE CARE Register your interest by emailing comms@iwhospice.org For more information, visit the 'Professionals' area www.iwhospice.org
Speakers Nigel Hartley CEO, Earl Mountbatten Hospice Confirmed speakers Nigel Hartley CEO, Clark, University ten Hospice Professor David of Glasgow Professor David Cla of Glasgow Chris Pointon, Co-fo mynameis ChrisClaire Pointon, Co-founder Henry CEO, National Council for Palliative Care Dr Ros Taylor, Clinical Director, HospiceHospice UK Dr Ros Taylor MBE, UK
35th ANNIVER
RY
FOR BOOKING INFORMATION AND REGISTRATION VISIT WWW.IWHOSPICE.ORG AND SEARCH FOR "CONFERENCE"
How to get here By car There is parking for staff, volunteers and visitors in our on-site car parks. However, the site can become very busy and you may need to park in the residential streets nearby. By bus If using the frequent Route 9 between Newport and Ryde, or the Route 5 between East Cowes and Newport, you can get off at the Seaclose or Medina Leisure Centre stops and walk up Halberry Lane to the site. This will be less than half a mile in each case. A slightly shorter walk is available using the hourly Route 39 from Newport Bus Station, if you get off at Atkinson Drive – you are advised to check details on Southern Vectis’ website.
Earl Mountbatten Hospice social programme
Art Gallery
Sunflower CafĂŠ
9:00am to 5:00pm, every day
8:00am to 8:00pm, Monday to Thursday, 8:00am to 4:00pm Friday, 10:00am to 4:00pm Saturday & Sunday
Main hospice building
John Cheverton Centre
Death Chat
Craft Evenings
Community Choir
6:00pm, every Monday
6:00pm, every Tuesday
6:00pm, every Wednesday
John Cheverton Centre
John Cheverton Centre
John Cheverton Centre
Concerts
Knit and Natter
Singing for Wellbeing
7:30pm – 9:30pm, first Thursday of each month
11:00am to 12:30am, every Thursday
11:00am to 12:30pm, every Friday
John Cheverton Centre
John Cheverton Centre
John Cheverton Centre
Open House Fridays
Sunday Lunch
Last Friday of the month
11:30am to 2:00pm, every Sunday
Please book by calling Erika on (01983) 217320
John Cheverton Centre