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News

This page shows the latest news and developments relating to social care providers within the Vale of York area. For the latest training and development news and events please follow this link, and to view the full back catalogue of the Partners in Care Weekly Bulletin please follow this link.

03 December 2019- Alert: Risk of death and severe harm from ingesting superabsorbent polymer gel granules

 NHS England and Improvement have released a National Patient Safety Alert applicable to services including care homes, community settings and hospices.

 Superabsorbent polymer gel granules (including sachets, mats and loose powder) are used to reduce spillage onto bedding, clothing and floors when patients use urine bottles or vomit bowls, or when staff move fluid-filled containers (eg washbowls, bedpans). In 2017, NHS Improvement issued a Patient Safety Alert1 warning of the asphyxiation risk associated with the use of these gel granules. A patient died after ingesting a sachet of gel granules that had been left in a urine bottle in their room.

 Since 2017, there have been a further 12 reported incidents of ingestion by patients; two patients died, and two patients required emergency treatment. These involved polymer gel products left in their urine bottles or vomit bowls or left for nearby patients to use. These incident reports, and NHS purchasing patterns, suggest providers have been relying on local awareness raising rather than reviewing their overall approach to the use of these products. As a result of these incidents, and new guidance reinforcing that polymer gels are only required for exceptional infection control purposes this alert requires any organisation still using these products to protect patients by introducing strict restrictions on their use.

 Information on actions required are detailed through this link. The deadline for actions to be complete is 01 June 2020.

 If you have any queries relating to this alert, please contact patientsafety.enquiries@nhs.net with the reference NatPSA/2019/002/NHSPS

03 December 2019- Skills for Care Update

Angela Thompson updated the December Partners in Care Forum on the latest workforce and development developments in the Vale of York areas. These included:

• The “Every Day is Different” recruitment campaign 

• The “A Question of Care: A Career For You” tool which can act as a  pre interview test or screening tool.

• Funded leadership development programmes for both current managers and aspiring managers.

• Workshops to improve confidence in mentoring.

Further information can be found in the meeting slides.

03 December 2019- Oral Care in Health Settings

Suzy Smith from North Yorkshire County Council and Ciaran Ferris from the CCG are conducting a piece of work around oral health care on the back of the  recent CQC report “Smiling Matters”. They are investigating holding workshops for care homes/domiciliary providers to help implement best practice.

If you would like to be involved in this work please contact  Suzanne.Smith@northyorks.gov.uk and ciaran.ferris3@nhs.net

25 November 2019- Guidance on Using Social Media

With Christmas approaching, partners from across the Vale of York are understandably keen to share what is happening  in their organisation.  The Nursing and Midwifery Council have produced a set of guidance that may be of assistance in deciding what is and isn’t appropriate to share through social media, and how to balance the benefits from and responsibilities of its use. The main principles of the guidance are:

  • Be informed
  • Think before you post
  • Protect your professionalism and your reputation

The guidance applies to registered nursing staff, but also the same principles apply to other colleagues and management staff.

To read the guidance please follow this link

25 November 2019- Social Care Digital Self-Assessment

Skills for Care working in partnership with Digital Social Care to create a digital self-assessment tool for social care employers.

The free online tool will help to measure:

  • How capable staff are in harnessing the benefits of digital tools and skills
  • Whether they have the right infrastructure in place to use more digital tools.

It will also help employers to understand where they may have gaps that could be preventing them from working in a more digital way. Once completed, an email report will be sent based on the responses and include ‘top tips’ and resources to help employers progress on their digital journey.

To Access the tool, please follow this link.

18 November 2019- Care Sector Flu Jab Awards Scheme

 Following on from the success of last year, NHS England and NHS Improvement and Public Health England have re-launched an awards scheme to recognise the efforts made by the care sector, care homes, hospices and domiciliary care providers who have achieved a high level of flu vaccine uptake for their staff.

 As you will be well aware, all care sector staff who have direct contact with residents/clients/patients should have the flu vaccine to help protect vulnerable patients and clients.

 Flu and its complications are one of the main reasons that people get admitted to hospital from the care sector, particularly during winter. The flu immunisation programme is a highly successful public health intervention that saves many lives each year. Flu kills an average of 8,000 people every year. If more of us get the jab, we are giving ourselves and those we care for, the best protection against an unpredictable virus.

 Individual organisations are encouraged to self-report their staff flu uptake, then based on the percentage of staff who have received the flu vaccine by 31 March 2020, certificates will be awarded based upon the following uptake:

 70% of staff or above – gold accreditation

60-69% of staff – silver accreditation

50-59% of staff – bronze accreditation

 For more information please contact gil.ramsden@nhs.net

 Resources to help you promote the flu vaccination are available to download and order on the Public Health England website.  To view a full briefing please follow this link, and for a poster you can display in your home this link.

18 November 2019- Reduce length of stay: New e-learning resource

A new e-learning tool called ActNow has been developed for health and care staff to help them prevent delayed transfers of care. The tool can be used by nurses, allied health professionals and care staff to ensure patients have the best outcomes possible following care received in hospital. It includes resources to help staff take prompt practical actions and use every opportunity to ensure patients are cared for in the best place.

Please pass them on to relevant colleagues and teams within your organisations. If you would like any further information about Act Now Home First support, please contact emma.self@nhs.net

05 November 2019- Medical Device Alert: T34 Syringe Driver Pumps (3rd edition models only)

Please find an alert sent by the Medicines and Healthcare Products Regulatory Authority relating to 3rd edition models of the T34 syringe driver pumps. They are advising all use of these pumps is stopped until updated instructions for use and BodyCommTM V3.0 software are released. This is due to reports of errors and inconsistencies in instructions for use, incompatibility of software with the pumps and changes to battery life.

 The deadline set for actions to be underway is 05 November, and to be completed 19 November. Details of how to raise any queries around this are included in the alert, the reference to quote will be MDA/2019/038

28 October 2019- Care Home Capacity Tracker- Listing of Short Stay Services

 Following consultation with all stakeholder groups, the national Capacity Tracker User Group are implementing changes to how the tracker records transitional vacancy types. This option will shortly cease to exist and has been replaced with the following short stay services to provide additional flexibility and improve the current Capacity Tracker functionality. The new options which will be available are:

  •  Discharge to Assess
  • Intermediate Care
  • Reablement Support
  • Rehabilitation
  • Respite Care

 Care Homes can now update their profiles on the Capacity Tracker to show that they offer short stay services and would be willing to consider requests to fill their current vacancies on this basis. Any Care Homes whose current profile shows that they offer Transitional as a long term vacancy type will need to deselect this option and where applicable replace with the short stay services they offer. Similarly, those care homes that are willing to consider short term placements for their current vacancies should update their profile to reflect this choosing the short stay services they will consider by following the attached guidance note. This in effect has the potential to give care homes an additional route to filling their current vacancies.

 For more information please find the full briefing through this link. If you have any further queries please contact sam.varo@nhs.net

28 October 2019- Stop and Watch Success at Apple Tree Care Home

Congratulations to Apple Tree Care Home who have completed Stop and Watch training, and are now are successfully using the tool effectively to recognise and respond to deterioration in residents. Deputy Manager Sharon Clemitt received a certificate on Thursday to recognise the work their staff have undertaken to embed Stop and Watch tool in the home.

28 October 2019- HCV Excellence Centre: October Bulletin

Please find the latest bulletin from the Humber, Coast and Vale Excellence Centre through this link. This edition includes updates on rotational apprenticeships, the establishment of a health and social care careers working group for York, career pathways and skills passports.

21 October 2019- Well Done Alison!

Congratulations to Alison Redhead, Manager of Minster Grange who was a finalist in Thursday’s York Press Community Pride Awards. Alison was nominated in the Health Service Hero category for being an exemplary example of a caring, committed and passionate nursing home manager who is dedicated to ensuring that the service provided is of the highest standard.

21 October 2019- Tips From a Manager: How to Manage Flu Season in Your Provider

Linda Donnellan-Beevers from Amarna House Care Home has kindly provided the below summary of how she manages her home during flu season, to give ideas you could implement in your setting.

“We are doing the flu clinic again this year and I put up flyers. All staff are welcome to have one, and my residents have all completed consent forms we are have wine and cheese after for the brave. This will be our second successful year and everyone looks forward to it because we make it fun but with a serious note on the importance. I liaised with the GP and District nurses and we agreed to hold flu clinics on site. I encouraged staff to let the GP practice know they worked here and they were added to the list. I achieved 98% staff vaccinated last year . Boots also gave me cards to give out for free flu jabs for health workers and 5 staff used this service. We were also awarded the Gold award for vaccinating staff from NHS England and Improvement”

21 October 2019- International Infection Prevention Week: 13-19 October 2019

Please find through this link the latest bulletin from Infection, Prevention, Control produced for International Infection Prevention Week which details 10 steps to protect residents from infection. All IPC bulletins for domiciliary providers and care homes are available through their website. Recent topics include norovirus, hand hygiene, nutrition and hydration and personal protective equipment.

14 October 2019- NICE Quality Improvement Resource

The National Institute for Clinical Effectiveness (NICE) have developed a resource to help providers and commissioners of adult social care to map NICE guidelines against CQC key lines of enquiry. The tool can be used to

• Find quality statements (from our quality standards)

• Look at recommendations (from our managing medicines guidelines)

• Start conversations with provider colleagues to agree ways to improve quality of care in your area

• Agree ways to measure quality improvements.

To access the tool please follow this link

14 October 2019- Social Care Institute for Excellence Bulletin

The Social Care Institute for Excellence produce a bulletin that may be of interest to partners. The October edition includes guidance on strengths based leadership, dementia awareness e-learning, and a webinar on giving medicines covertly. To register for the bulletin please follow this link.

06 October 2019- Fire Door Safety Week

September 23 - 29 marked #FireDoorSafetyWeek, an awareness week  launched in 2013 in response to a legacy of fire door neglect. The campaign aims raise awareness of the role that fire doors play in protecting life and property. 

Often fire doors are neglected and not maintained properly, which can have devastating effects. Issues around the installation of fire doors are often seen by the fire service, and building owners are encouraged to check the operation and condition of their fire doors and report those that aren't satisfactory.

Resources and more information on how to ensure you are doing everything possible to maintain fire doors and more can be found on the Fire Door Safety Week website.

06 October 2019- Adrenaline and Flu Update from Partners in Care

Following discussions at the last Partners in Care around adrenaline and flu PGD’s, Karen Lepper has asked that the following guidance be shared.

A PGD is not needed for adrenaline 1:1000 up to 1mg for intramuscular use in anaphylaxis as it is listed in Schedule 19 of the Human Medicines Regulation 2012 which allows administration without a prescription for the purpose of saving life in an emergency.

If organisations are considering offering to immunise their own staff the flu vaccine, this resource should be used.

06 October 2019- Skills for Care Nursing News Bulletin

Skills for Care have launched a new Nursing News subscription facility on their website aimed exclusively at adult social care managers delivering services with nursing.  This gives update on their work to support the 41,000 nurses in adult social care. The first bulletin includes information from the NMC and newly released videos around the role of Nursing Associate. To subscribe to these bulletins and for more information please follow this link.

30 September 2019- T34 Ambulatory Syringe Driver Pumps

Please follow this link to view a updated guidance from the MHRA on all models of T34 ambulatory syringe drivers. This focuses on cleaning and disinfection practices, as function may be affected by fluid getting into the pump and building up over time. Contact details for any queries around this field alert are available through the link, with the reference code to quote MDA/2019/030.

25 September 2019- September Partners in Care Forum

A big thank you to all our partners who took the time from their day to attend last week’s forum. There was a fantastic attendance of 30 individuals from across the care sector, primary care, local authority, mental health and medicines management. The group took part in detailed discussion around experiences of discharge, CHC funding processes, and how the supply of continence product service could be improved. Partners also heard about the benefits of completing the Data Security Protection Toolkit, how to prepare for flu season and issues around medication.

25 September 2019- Data Security Protection Toolkit

Peter Adeyemo from NHS England and Improvement attended the September Partners in Care Forum, to advise on how both care homes and domiciliary providers can complete DSPT and what benefits this can provide. It was emphasised the importance of effective communication to support effective care provision and the need to comply with data protection legislation. By completing the entry level self-assessment (14 questions) access to NHS Mail can be achieved, which can provide a more secure method of digitally sharing information. For more information on NHS Mail and how it can benefit your organisation, please click this link to view an explanatory video. The slides from the presentation at the meeting can be found in the meeting slides.

To contact Peter please email peter.adeyemo1@nhs.net

25 September 2019- Flu Preparations

Peter Hudson from Public Health England and Phillippa Press from City of York Council gave an update to the group on how to access vaccinations for both residents and staff. They also gave tips on how to ensure you are prepared for flu season, including:

  • Designating a named member of staff as a flu champion
  • Keeping a log of residents who have consented to or declined vaccination
  • Keeping a log of staff who have been vaccinated.
  • Displaying flu information in communal staff areas.

Full information from the update can be found in the meeting slides.

16 September 2019- Risks associated with 'fixed' furniture

A recent Regulation 28 Coroner’s Report to CQC has highlighted risks associated with the use of ‘fixed’ furniture in care home rooms. ‘Fixed’ furniture means cupboards, tables, chairs and so on that are fixed to the floor so that they cannot move. Sadly, the resident of a care home died recently when they fell from their bed at night, trapping their head between their bed and some fixed furniture next to it. Becoming trapped was a significant contributor to their death. Regulation 12 of the Regulated Activities Regulations requires that services are run in a safe way. A key requirement in doing so are assessments of risks to people’s safety, including in relation to premises and equipment. Providers will be familiar with this requirement and most are diligent in meeting it. Following this recent sad event, we would like to remind providers to include specific potential hazards relating to the use of fixed furniture in your continuous assessments of environmental risks, in both care homes and care at home services. Most fixed furniture is perfectly safe but may be positioned in such a way as to present avoidable hazards for some people in some circumstances. More information on risk assessment in care settings can be found on the Health and Safety Executive website.

25 September 2019- StatLock  Usage

Hayley Clayton from the continence team at York Teaching Hospital NHS Foundation Trust attended the September Partners in Care Meeting, and updated that use of StatLocks in the hospital have resumed. These need to be changed weekly, and can be prescribed in packs of 5. It is planned for training in their use to be delivered for all care homes and domiciliary providers, but in the meantime please find a guide to their use through this link.

A series of bowl and bladder and catheterisation training dates are available through our training pages.

25 September 2019- Skills for Care September Update

To view the slides for the latest update from Skills for Care, please follow this link. This includes information on:

  • How to utilise the Adult Social Care – Workforce Data Set (ASC-WDS)
  • The developing new managers and deputies guide
  • The 2019-20 Workforce Development Fund
  • Manager Induction Standards e-learning
  • The Department for Health and Social Care’s “Every Day is Different” campaign.
  • Guide to Improvement to assist in meeting and exceeding CQC standards.

09 September 2019- React To Resources

In addition to the React to Red and React to Falls training offered by the CCG, NHS England and Improvement have introduced a series of further free training resources specifically aimed at supporting the care sector. This includes the newly launched React to Infection which covers how to identify, manage and prevent flu and norovirus. The pack for this programme contains information on managing outbreaks, standard precautions and includes a short video to use in your training sessions. Other training resources available include React to Moisture, React to Feet and React to Malnutrition and Dehydration For more information on the resources please follow this link.

09 September 2019- Infection Prevention Control Bulletins: Norovirus

With flu season approaching, IPC have created a bulletin for care homes and for domiciliary providers. These contain a series of guidance around how to stop the spread of infection, as well as steps to take if you or your staff show symptoms of norovirus.

04 September 2019- React to Red Nominated for Health Service Journal Patient Safety Award 2019

The CCG are delighted to announce that the React to Red programme has been shortlisted for a Health Service Journal Patient Safety Award. The programme delivers face to face training on pressure ulcer prevention, which thanks to the unwavering determination of care home staff to keep their residents safe from harm has seen a 75% reduction in pressure ulcers reported by participating Vale of York care homes. The Quality and Nursing team will present to a panel of judges in September before winners are announced at a ceremony in November. This follows another shortlisting for the scheme in the Nursing Times Awards in the “Care for Older People” category, judging for which will also take place in September with winners announced in October. Thank you to all the hard working care staff in our area for their contribution to these nominations.

04 September 2019- Join Dementia Research

Over 20,000 study participants have been involved in vital research thanks to Join Dementia Research.  The innovative service allows anyone to register their interest in dementia research so that they can be matched to potential studies they may be eligible to take part in.  Stats released on Monday 5 August 2019, show 20,167 participants in total have now been recruited to studies.  This is wonderful news, and an important milestone for Join Dementia Research. Launched back in February 2015 in response to the Challenge on Dementia, the service has made it easier than ever for people living in the UK to take part in dementia research.   If you haven’t already signed up and are keen to support Join Dementia Research please take a moment to log on and register

To view JDR’s research volunteer and study data please follow this link.

27 August 2019- Oral Care in Care Homes

The CCG is interested to hear from all care homes about their experiences around oral health care.

• Do you carry out oral health assessments on newly admitted residents?

• Do you know how and when to access dental care for you residents?

We’re starting to gather some information to see where we can help you improve the oral care of your residents, so please get in touch about what you think the challenges are around oral health. If you have any ideas of what help you overcome these please contact Ciaran.ferris3@nhs.net

27 August 2019- Statlock Catheter Fixation Devices

The Statlock catheter fixation device was stopped at York Teaching Hospital NHS Foundation Trust last year following a number of incidents where a small number of patients had developed pressure ulcers associated with the use of the fixation devices. The incident reports identified key themes:

Staff were unaware of how to apply the Statlocks properly  – the catheter should be placed in the statlock device before it is attached to the skin

  • The Statlocks were incorrectly applied which caused drag on the catheter
  • Pressure Ulcers were caused by pulling and pressure from the catheter as there was no flexibility when secured by the device
  • Recommendations to change the device every 5-7 days was not followed due to supply issues

Having reviewed the key issues it has been decided that the Trust will reintroduce the use of the Statlocks but ensure training has been provided first. For any comments or queries around this please contact Clare.O'Brien@YORK.NHS.UK

20 August 2019- Stop and Watch Tool: Congratulations Hilltop Manor

Following training on how to use the Stop and Watch tool which helps recognition and responding to deterioration in residents , Hilltop Manor have been using the tool with good effect since December. The tool has supported their care decisions and helped communication with other health professionals including residents GPs, and they have put in place processes to improve handover and communication across the team. Congratulations to Alison and the team at Hilltop.

12 August 2019-Welcoming Ciarán

The CCG are delighted to welcome Ciarán Ferris, who has joined the Quality and Nursing team as a Clinical Leadership Fellow. Ciaran qualified from dental school in 2010 and has worked within a range of sectors including primary care, community and dental hospitals. She has spent the last 7 years working within Maxillofacial surgery both in Scotland and for the last five years at York Hospital. This change in direction and pace will prove exciting for her and she is keen to contribute towards supporting the delivery of high quality provision of care for Vale of York residents. Ciarán can be contacted at ciaran.ferris3@nhs.net

06 August 2019- End of Life Care Strategy 2019-2024

In conjunction with our partners involved in end of life care across the Vale of York, the CCG has developed and published a strategy with the aim of ensuring all those at the end of life receive tailored and co-ordinated care. The aims of the strategy have been guided by feedback from local communities and stakeholders, including a session at Partners in Care in September 2018. These aims are:

  • Each person is seen as an individual
  • Each person gets fair access to care
  • Maximising comfort and wellbeing
  • Care is coordinated
  • All staff are prepared to care
  • Each community is prepared to help

A citizens charter has been created, setting out for members of the public what they can expect from end of life care in Vale of York in a brief, easy to read document.  To access both the strategy, charter and for further information please follow this link.

29 July 2019- Keeping Residents Safe in Warm Weather

Following on from the very high temperatures experienced in the Vale of York last week, please find national guidance from Public Health England on how to keep residents in nursing and residential homes safe. This includes a checklist to identify residents at greatest risk, keeping residents cool and how to plan in advance of future extreme temperatures. Also available through this link is general PHE guidance on protecting yourself in warm weather.

23 July 2019- Audiology in Care Homes

Emily Wilson from the audiology team at York Teaching Hospital NHS Foundation Trust attended Partners in Care to give an update on how care homes can assist residents to get the maximum benefit from their hearing aids. Tips included:

• Using the coloured spots to distinguish between right (red) and left (blue)

• Battery life of hearing aids generally varies between 5 and 7 days.

• Hearing aids can be cleaned with non-corrosive wipes, and open fit hearing aids can be cleaned with a pipecleaner if unscrewed.

• A service for a hearing aid is recommended every 6 months.

Further details of the discussion can be found in the minutes from the meeting. Emily also brought a draft care plan to the meeting that can be completed by an audiologist for a resident and used upon admission to a hospital ward or discharge to a care home. If you have any feedback around this form or any queries on audiology please contact Emily.Wilson@york.nhs.uk

23 July 2019- IPC Policies for Care Home Settings

Infection Prevention Control have updated and revised their policies for care home settings. These are available to download for free through the website or can be bought as a hard copy set, and can be adopted by providers for use in their care home. Further information can be found through the latest IPC bulletin, which also contains information around the new IPC website and an upcoming IPC leads event.

17 July 2019- July Partners in Care Forum

A big thank you to all those partners who joined us in Easingwold for the July meeting of Partners in Care. The group welcomed Emily Wilson from the Audiology Team at York Teaching Hospitals NHS Foundation Trust, who gave an interactive presentation on how to ensure residents are getting the maximum benefit from their hearing aids. The presentation which included guidance on battery life, cleaning and servicing can be found in the slide pack from the meeting.

There were also updates about how to open your home to nurse mentor placements, how to get involved in the React to Falls Prevention Programme, use of creams and fentanyl patches and the introduction of contracts between providers and continuing healthcare.

The minutes and slides from the meeting are available through this link, along with resources from previous meetings and dates of upcoming meetings.

17 July 2019- Trans-Dermal Patches Tracker

Following the discussion around patches at last week’s Partners in Care, St Leonards Hospice have shared a tracker which they use to monitor the use of patches. The tracker can be accessed through this link and is used to record the below information:

• That the patch is in the location where it was applied

• Signature of staff to say they have checked that it is the kind of patch, correct dose and in correct position. ( At the Hospice this is carried out twice a day, usually at some time during the early shift and then repeated on the late shift. A Registered Nurse is usually the person who signs the chart as they usually carry out the checks as part of the medication round) 

08 July 2019- Dispensing Creams Update

It has been brought to the attention of the CCG there have been some instances where topical preparations such as creams and ointments supplied via the District Nurse team do not have labels or directions meaning care staff do not have the information needed to apply them.

 The District Nursing (DN) teams obtain dressings and some topical preparations through a supplier called ONPOS to give to people directly instead of needing a prescription. This means supply of these items is quicker and more direct to support care for the person. However, this also means there is no dispensing label and the directions on how much to apply, where to apply the preparation and how often it should be applied need to be given in another way for care providers.

 Following on from this issue being raised, we have had conversations with the DN team leaders who have advised that care plans should be provided by the DNs and these should state how and where the preparation should be applied. The DN team leaders have been asked to remind all DNs to ensure they are leaving copies of care plans and if there are creams/ointments left to ensure the directions are clear.

 The details provided can be used by the care provider to prepare entries on the MAR chart and/or supplementary information for creams/ointments such as a TMAR. A blank supplementary information form is attached to this email which can be used if wished to record the information. A copy of the DNs care plan should be kept with the person’s MAR chart or in their care records at the home.

 Staff can write the person’s name on the packaging in order to identify it as belonging it to that person if necessary. The date of opening should be recorded on the packaging for creams or ointments with a short shelf life once opened.

 Going forward, if there are instances where DNs are not leaving care plans with directions, could these please be reported to jhussain1@nhs.net with as many specific details as possible, such as the person’s details, the date of the visit, name of DN and name of care home. With these details we can feedback to the DN team leaders to improve the system as a whole

17 June 2019 - Medicines in health and adult social care

CQC have produced a report sharing the learning from risks and good practice in medicines optimisation. a report sharing the learning from risks and good practice in medicines optimisation, which they have found on our inspections. 
Medicines optimisation is the safe and effective use of medicines to enable the best possible outcomes for people. It also looks at the value that medicines deliver, making sure that they are both clinically and cost effective, and that people get the right choice of medicines, at the right time, with clinicians engaging them in the process. CQC have categorised the most common areas of risk with medicines across regulated health and adult social care services. You can read these in more detail, along with suggested actions for all health and social care providers in the main report which can be accessed through this link.

11 June 2019 - Getting Informed, Getting Prepared

The Social Policy Research Unit at the University of York have developed Getting Informed, Getting Prepared. This is a website features videos and guidance for those looking fund their own their or the care of others, including animations on who to talk around meeting the cost of care and looking for care.

To access the website please follow this link

11 June 2019 - Innov-age Magazine

Innov-age is a free magazine developed to raise awareness and share best practice surrounding the care of older people. The most recent issue was devoted to medicines optimisation, and previous issues have been based around frailty, digital health, wound care and respiratory health. Further information and to view the June issue please follow this link.

4 June 2019 - Pressure ulcers reduced in York care homes thanks to CCG’s approach

NHS Vale of York Clinical Commissioning Group (CCG) has initiated NHS England’s ‘React to Red’ pressure ulcer prevention training with care staff to reduce the number of elderly people experiencing pressure ulcers primarily in care settings. 

Residents in care homes often have complex care needs, are increasingly frail and are therefore at high risk of developing pressure ulcers.

An intensive face-to-face training programme - delivered by the CCG’s project team - has resulted in a 75% decrease in the incidence of reported pressure ulcers in care homes within the Vale of York, contributing to increased quality of life for residents.

Michelle Carrington, the CCG’s Executive Director of Quality and Nursing said: “Whilst recognising 95% of pressure ulcers are preventable, they remain a significant healthcare problem for the most vulnerable with implications such as pain, reduced mobility, social isolation and increased dependency on health and social care services.

“Care home staff in the Vale of York are applying knowledge and skills from the React to Red training programme to effectively promote skin integrity and recognise early signs of damage.

“Many care homes have recognised the benefits of the programme, each embracing the programme wholeheartedly and with compassionate care and embedding the work into induction and annual refresher training and we hope this will enable the positive impact to be sustained.”

Thanks to the programme other health issues have been identified relating to nutrition and hydration, and mobility and continence. These were able to impact on the reduction of other harms in the elderly such as falls, Urinary Tract Infection (UTI) and Acute Kidney Injury (AKI).

03 June 2019- Thank you to Our Partners in Care

Thank you to those that attended the Partners in Care meeting on Thursday 23 May, it was fantastic to see so many representatives from partners across the Vale of York engaging in such positive and collaborative discussion. In total a fantastic 30 colleagues from 20 different organisations and 10 care providers joined us in Riccall. The meeting heard:

  • Updates on the upcoming large scale transformation of the District Nursing Team
  • Planned introduction of contracts between care providers and Continuing Healthcare.
  • Wide ranging discussion around hospital discharge
  • Draft work on the hospital passport

The minutes of the meeting and slide packs presented at the meeting are available through this link, as are dates of future meetings.

03 June 2019-  Dementia Awareness Week 2019

The Social Care Institute for Excellence has designed an e-learning course to raise awareness of dementia among care staff. The course counts towards Tier 1 of the National Dementia Training Standards.

This video from the Alzheimer’s Society may also be useful.

03 June 2019 - Norovirus, hand hygiene and the ageing bowel

Caroline Gent from the Infection Prevention and Control Team gave May's Partners in Care an update on the number of norovirus outbreaks in 2018-19 and how these had affected care homes in our area.  Read more about this in the slide packs from the meeting. Take a look at this useful video and read about system guidance for viral respiratory conditions and viral gastroenteritis.

21 May 2019 - Do you know exactly what a registered nurse in social care does?

If not, this is your chance to find out. Skills for Care are delighted to announce that for the first time a statement of role, knowledge and skills for the 42,000 registered nurses working in social care has been launched. It’s called ‘Registered nurses: recognising the responsibilities and contribution of registered nurses within social care’. It provides a description of the complex role that nurses undertake and demonstrates the way that they not only use all of their nursing knowledge, but also contribute to important national health and social care agendas. Find out more and download the statement here.

7 May 2019 - Transporting Patients in Slings

Yorkshire Ambulance Service have informed the CCG of a serious incident involving a patient being injured by slipping from a wheelchair whilst travelling in a hoist sling. One of the areas of learning identified was that the sling had contributed to the patient slipping from the wheelchair. The main recommendation from the report was that patients should no longer be transported in hoist slings, and that was to continue with this practice was un safe.

Available through these links is the letter and poster that has been distributed to the care and nursing homes that YAS collect patients from. If there is a specific medical or clinical need that the patient still needs to travel in a hoist sling then a specific risk assessment at the point of booking can be arranged. This can take up to 72 hours to complete.    

 

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