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Supporting self care in primary care - a training package for health and social care professionals

 

Overview

Self care – ‘The care taken by individuals towards their own health and well being, and includes the care extended to their children, family, friends and others in neighbourhoods and local communities’Self Care – A Real Choice:

Self Care Support – A Practical Option
DH, 2005

 

Welcome to the multidisciplinary training package for supporting self care. These workshop notes have been written as a guide for you as the trainer/facilitator and are designed to help you undertake the training workshops for PCTs, practices and other care agencies that form an integral part of the programme. These notes are an abbreviated guide. If you would like more details on facilitating the training workshops, please refer to the Self care champions handbook.

These notes provide practical guidance for planning each workshop for PCTs, general practice or other care agencies and offer suggested timings for delivery of each element of the training programme. They are only a guide so you should adapt the timings and content as you feel necessary to suit your audience and the time you have available.

 

The workshops

There are two sets of three workshops. One set is for individual general practices, groups of general practices or other care agencies, while the second set is for PCTs.

Each series of workshops needs to be run in sequence and can, including the interim work, take approximately 6–12 months to complete.

It is proposed (where possible) that individuals attend all three facilitated workshops. Some PCTs/ practices may want to organise additional facilitated meetings or subgroup meetings – the exact arrangements will depend on your local preferences and capacity.

There will be pre-work and interim work for the PCT, practice or other care agency to complete as the training moves forward. See various workshops for further information.

Resources and tools

This training package incorporates a variety of tools to support the establishment of a culture to support self care within the NHS.

The tools are materials to use interactively with the participants at certain times within the training workshops (see the workshop delivery sections within each set of workshop notes for a complete list of the tools that are available and the time required for their completion). The tools are provided as guidance so you can adapt them or use others as you feel appropriate. You can print off the tools that have been provided in the training package and give them to the participants to complete.

For further information on the training for PCTs, please see Chapter 3 – Getting organised for supporting self care as a primary care organisation from the 'Supporting self care in primary care' book.

 

How to use this guide

Within the proposed breakdown for each workshop, links are provided for all of the materials you will need – these can be accessed by clicking on the appropriate title.

  • Once you click on the title of each item you need, it will open in a new window on your computer
  • You will then be able to:

– save the document to your computer by pressing the right-hand mouse button and scrolling down to ‘save’

– print off copies for the participants and/or to write your own notes on by clicking the right-hand mouse button and scrolling down to ‘print’

Each of the resources and tools is coded for quick-and-easy reference on their suggested use with one of the icons below.

 

Workshop Planning

Who to invite

– You need to aim to engage between 6–12 people at each training session, with representation from the list below.

 

Individual
Work to be carried out by each individual
Pairs
Work to be carried out in pairs
Presentation
A presentation by the facilitator/trainer
Group work
Work to be carried out as a group
Open
A subject to be discussed as a group
Time
The amount of time, in minutes, allocated to that section of the training workshop
Example
Links directly to tools and a variety of relevant documents

 

PCT training workshops
Practice training workshops
Coordinator of strategy action plan and subsequent change GP (one or more), including the clinical lead for self care topics
Coordinator with other PCT initiatives and priorities, and other stakeholders, eg outof- hours and emergency care, long-term conditions, Expert Patients Programme, minor ailments
  • Nursing team:
  • practice nurse
  • community nurse
  • health care assistant
  • Public health representative Practice manager
    Finance and other resources Community pharmacist
    Education and training lead Administrator/receptionist
    Clinical governance lead

    Allied health professionals:

  • physiotherapist
  • dietician
  • speech therapist
  • occupational health
  • GP lead, eg medical director Patient representative
    Coordinator to liaise between discipline groups, eg general medical practice teams, community staff, allied health professionals, pharmacy teams, PCT management, health trainers, specialist doctors and nurses etc Voluntary groups
    Representative from the PCT board Social care representative
    Communication team representative  
    Patient and public involvement lead  
    Social care representative  
    Commissioning manager  
    How to invite

    – Secure interest with the PCT/practice/care agency team by determining whether self care is
    a priority for them

    – Secure agreement for attendance at the three training workshops

    >> You may wish to copy and paste the text provided into an email, letter or promotional flyer Example invitation or use this Example flyer

    – Give the team as much notice as possible as many PCTs/practices get booked up several months in advance. It may also be advisable to book all three of the training workshops at the same time to guarantee time with the team to complete the training

    >> check who has responded to you and approximately 4 weeks before the workshop chase up anyone who has not replied

    >> confirm attendance 1 week before the workshop

     

    Timings for the training workshop

    – The workshops will ideally take 2–3 hours each. However, people’s other commitments may make this difficult.
    You may, therefore, want to consider one of the alternative options below

    Alternatives

    • Split each workshop described in the workshop notes into 2 or 3 shorter workshops
    • Depending on your participants, reduce the amount of information you provide by adapting the presentations and materials accordingly – this will require more preparation time on your behalf and familiarity with your participant’s knowledge level
     

     

    Running a workshop – top tips

    Location

    – Book a room at the PCT/practice (or an off-site venue) large enough to hold the number of people you are expecting

    >> book this room as far in advance as possible and hold the booking on the selected dates until you know which date is best and how many are attending

    – The room will need to have:

    >> a flip chart and pens

    >> a projector for you to connect your computer to for the presentations (or take one with you)

    >> windows – this may sound simple, but being able to see the world and have the option of fresh air can help keep people’s interest for longer!

    – Make provision for morning/afternoon coffee breaks as well as lunch. You may choose to have the refreshments outside of the meeting room

    Adapting presentations

    – The slides within the presentation created for this training package are there for you to pick and choose those that you feel are appropriate for your audience. Please adapt them as you feel necessary

    – There are a few of slides on the Working in Partnership Programme (the organisation supporting this project) included at the end of the slide set. You may or may not wish to present this information depending on your audience and the time available

    Tools and resources

    – Look through the workshop delivery sections within each set of workshop notes to see which tools/resources are recommended

    – Take time to print out paper copies of all the tools and resources, and make your own notes on how to deliver each item. This will give you an understanding of how they work and enable you to determine the best way to deliver them to the participants to keep their interest and enthusiasm for completing them

    Handouts for participants

    – Make sure you have enough paper copies of the tools you intend using with participants throughout a workshop (see the workshop delivery sections within each set of workshop notes for a full list)

    – Make sure you have enough copies of the interim work handouts to give to each of the participants at the end of the training workshop (see workshop delivery below for full list)

     

    Tip – handouts work better if printed double-sided and in colour. However, if printed single-sided, make sure you staple the two sheets together so instructions for the tools do not get separated from the tools themselves. Also, double check everything is clear to read if printing in black and white

     

    • Background knowledge – what you need to know before commencing the training

    >> You may find it useful to read through the documents listed below as the materials for the training package refer to them and their content in detail.

    >> You need to feel comfortable enough with their content to be able to answer questions and queries that may arise from the teams at the workshops.

    >> The sections of the policy documents most relevant to the programme have been highlighted in the table below.

     

    Documents
    Weblink
    Relevant sections
    Our health, our care, our say: a direction for community services www.dh.gov.uk/ Chapter 5
    Promoting Optimal Self Care www.dorsetsomerset. nhs.uk/documents/ PromotingOptimalSelfCare. pdf Useful information throughout document
    The Self Care Challenge: A Strategy for Pharmacists in England www.rpsgb.org.uk/pdfs/ selfcarechallengeres.pdf Useful information throughout document
    Supporting people with long term conditions to self care – A guide to developing local strategies and good practice www.dh.gov.uk/selfcare Useful information throughout document
    The NHS Improvement Plan www.dh.gov.uk/ Chapter 3, particularly Chapter 9,
    Supporting People with Long Term Conditions www.dh.gov.uk/ Chapter 1,
    Chapter 2,
    Chapter 4
    Chapter 5,
    Annex 2
    Choosing Health: Making Healthy Choices Easier www.dh.gov.uk/ Chapter 5
    New General Medical Services Contract www.bma.org.uk/ap.nsf/ Content/NewGMScontract/ $file/gpcont.pdf Chapter 6,
    Better Information, Better Choices, Better Health www.dh.gov.uk/ Chapter 2, Chapter 3
    Self Care – A Real Choice: Self Care Support – A Practical Option www.dh.gov.uk/selfcare Useful information throughout document
    Wanless Report www.dh.gov.uk/ Chapter 1,
    Chapter 2
    Chapter 6,
    Chapter 7,
    Chapter 9

     

    • Useful background reading

    – Public attitudes to self care. Baseline survey www.dh.gov.uk/selfcare

    – Self care support. A compendium of practical examples across the whole system of health
    and social care www.dh.gov.uk/selfcare

    – Self care support. Baseline study of activity and development in self care support in PCTs and local areas www.dh.gov.uk/selfcare

    – Research evidence on the usefulness of self care support networks for care of people with minor ailments, acute illness and long term conditions and those taking initiatives to stay healthy www.dh.gov.uk/selfcare

    – Department of Health/MORI 2005 survey – Public Attitudes to Self Care www.dh.gov.uk/selfcare

    – Joining Up Self Care – report www.pagb.co.uk

    – Promoting Optimal Self Care www.dh.gov.uk/selfcare