18 May 2021 Wessex AHSN Healthy Ageing Launch of Tier 1, 2a and 2b frailty education e-learning and associated materials Development of e-learning ...
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Wessex AHSN Healthy Ageing Launch of Tier 1, 2a and 2b frailty education e-learning and associated materials Development of e-learning modules to support a standard approach to training to support those caring for patients living with frailty 18 May 2021
Todays’ session
This lunch time session will provide an opportunity for colleagues to hear about the:
• Development of the frailty e-learning service improvement project, following the Wessex Acute Frailty Audit in 2018
• Work undertaken by our acute expert group to identify best practice approaches
• Development of e-learning materials by Hampshire Hospitals NHS Foundation Trusts
• Opportunities that arose with collaborating with the London Clinical Frailty Network and Catherina Nolan, Clinical Project Manager and
Clinical Lead Occupational Therapist at Kings College Hospital NHS Foundation Trust
• Development and launch of the e-learning approach
• Communication and spread plans
• Uptake to date (a rapidly changing picture demonstrating the approach is meeting need)
• Plans for the programme
You will be given information on how to access to the e-learning and will be signposted to the AHSN developed education implementation
toolbox (including posters/leaflets and solutions to potential barriers) to help you embed the approach within your organisation
Please pop your name and organisation in the chat bar
There will be opportunities to ask questions via the chatbox at the end of the session
#NHSfrailtyfocus
Thank you for all your contributions towards this innovative and novel
approach. The e-learning is now…
https://portal.e-lfh.org.uk/Component/Details/683810, or via Frailty - e-Learning for Healthcare.
https://wessexahsn.org.uk/projects/315/wessex-acute-frailty-education-and-awareness
#NHSfrailtyfocus
The development of a frailty education and awareness approach in Wessex
The Wessex AHSN journey
Following on from the publication of the National Institute for Health Research (NIHR) Dissemination Centre ‘Comprehensive Care:
Older people living with frailty in hospitals’ themed review in 2017, the Wessex Acute Frailty Audit in 2018 looked at the standard
of care that is provided for a person living with frailty in our local acute hospitals.
The Wessex Acute Frailty Audit clearly identified that:
1. There was a lack of mandatory, formalised, structured induction or annual training across Wessex
2. If training is provided it is carried out face-to-face with small groups of staff
3. Information on who has carried out training and taken part in the training is not routinely held within organisations
4. Colleagues were unable to access standardised training (appropriate to their role/need), resulting in patchy awareness and
knowledge across Wessex, signalling a need to develop a structured, more formalised approach as part of a service
improvement focus
“The development of a standard approach to training will enable accessibility to all staff groups and
increase awareness of frailty across the region with the potential for better care for patients living with
frailty”
https://wessexahsn.org.uk/img/projects/21062019%20Evaluation%20Report%20Wessex%20Acute%20Frailty%20Audit%202019%20v2.pdf
The impact and power of networks and building on best practice: Frailty education and awareness
Frailty screening
best practice
standards
2017 Publication of Wessex AHSN February
2018 Wessex Acute 2 x Service Improvement
NIHR Comprehensive 2019 workshop
Frailty Audit projects identified pan
Care: Older People living 50 attendees
100% completion across Wessex + 1 Community Development of a
with frailty in hospitals 5 National leaders in
9 hospital sites Frailty Audit standardised frailty
themed review attendance
education approach
e-LfH Tier 1/Tier 2a/Tier
2b frailty e-learning and
supporting resources (11
modules) aligned to Skills
for Health Framework
launched 10th May 2021
1300 launches to date
* As of 10/5/2021
#NHSfrailtyfocus
London Clinical Frailty Network
The London Clinical Frailty Network was formed in January 2019 in
response to need across London for a clinical network that
addressed frailty specifically.
Initial work scoped a state of play for frailty across London and this
included what workforce education was available.
In London, we found that frailty education was:
• Localised to an organisation
• Sporadic in location
• Non standardised
London Clinical Frailty Network
What we found
Screening for frailty concerns-magnified during
Covid-19 surge 1
Missed opportunities to utilise full workforce to top
of their license
No transferable and recognised education
programme for a migrating workforce pan London
London Clinical Frailty Network
Into the unknown
The London Clinical Network for Frailty applied and secured
funding from Health Education England’s Urgent and
Emergency Care Workforce Collaborative for London in
November 2019
Work commenced immediately in collaboration with
Imperial College Healthcare NHS Trust and Wessex AHSN
(Dec 2019)
A MOU was agreed and signed off and the exciting
collaboration commenced
The power of networks and collaboration to deliver at pace
The e-learning toolkit was developed over 3 phases, over an 18-month period and involved both Wessex AHSN Healthy Ageing
collaborators and linkage in December 2019 with the London Clinical Frailty network, enabling a broader, national offer.
Work was paused as the build phase was planned due to wave 1 of Covid-19
April 2019- March 2020: Wessex AHSN
• Review of exemplar learning approaches and education June 2020 – March 2021: Wessex AHSN
offers including Dorset HealthCare University NHS • Development of Tier 1 e-learning with Hampshire Hospitals
Foundation Trust Foundation Trust (including train the trainer approach)
• Running of interactive, co-produced event with 25 frailty • Production of frailty education implementation toolbox
experts to identify key attributes of a structured e-learning
(including frequently asked questions, hints and tips,
offer
checklists and posters)
• Development of Tier 1/ Tier 2 best practice resources with
University of Southampton and Bournemouth University • Development of evaluation templates and focus group
• Development of frailty education leaflets/posters/resources approaches
• Identification of barriers to implementing education into
organisations (with solutions)
December 2019 – March 2021
• Collaboration with London Clinical Frailty Network, Kings College London NHS Trust, Imperial College London, NHS Trust and Health Education England
• Development of Tier 1/Tier 2a/Tier 2b by subject matter experts - 11 modules for national use
• Development of comprehensive communications plan
• Launch of Frailty, E-Learning for Excellence in Frailty Identification, Assessment and Personalised Care via e-LfH
The 5 Ms approach
• Utilising the 5 Ms of gerontology this programme delves in the multi-system complexity of frailty
• 5 M’s comprises of Mind, Mobility, Medications, Multi-complexity and Matters most. It is a simple framework which encompasses all
the elements which are important when considering holistic care of older adults, whatever setting you are in or profession or sector you
work in
• The e-learning programme focuses on Tier 1 and Tier 2 levels
• Tier 1 is designed to meet the learning needs of the public, third sector staff, porters, security staff, reception staff in primary, secondary
and community services. The Tier 1 learning module provides an awareness and understanding of what frailty is; how it is identified;
frailty management and support available
• Tier 2 is split into 2a and 2b. This is because the breadth of the workforce included requires a wide-ranging skill set. The concept of 2a and
2b was created to ensure that the information is tailored to the right level depending on professional role and work settingWhat is so novel about this approach?
• It is a free, standardised approach and accessible to all, making frailty everyone's’ business – it is one click away!
• Aligned with national and regional Ageing Well strategies for improvement
• Developed into interactive bite sized modules, using plain English
• Developed by subject matter experts delivering direct patient care across Wessex and London
• Peer reviewed supplementary resources available
• Accessible across all platforms – online, mobile, tablet
Why is this training important for individuals living with frailty?
1. The training provides a voice for others to understand and adapt their practice to meet their needs
2. Promotes positive ageing to promote the importance of ageing well
Why is this training important for organisations?
1. Easy for individuals and organisations to complete, ensuring that all have a universal understanding of the importance of
recognising frailty
1. Free implementation materials complement the e-learning offer
2. Aligned to the Skills for Health frailty competencies
3. Signposting to relevant resources that offer support and advice within health and social careInteractive learning, videos, resources and knowledge checks https://portal.e-lfh.org.uk/Component/Details/683810, or via Frailty - e-Learning for Healthcare.
Additional Wessex AHSN developed resources available for use
1. Implementation toolbox includes, 2. Holistic approaches for assessing people 3. Communication with people
posters, leaflets, links to additional living with frailty living with frailty
educational resources, examples of https://wessexahsn.org.uk/img/projects/13%
frailty education strategies, frailty 20- https://wessexahsn.org.uk/img/projects/23%2
education evaluation templates, %20Holistic%20Approaches%20for%20assess 0-
solutions to barriers to ing%20people%20living%20with%20Frailty% %20Communicating%20with%20people%20livi
implementation and FAQs 20v4.pdf ng%20with%20Frailty%20v3.pdf
https://wessexahsn.org.uk/healthy-
ageing-frailty-toolboxCommunications and spread plan
National and local feedback
“Clear, structured, easily accessible resource, understandable to
all. Frailty is everyone's’ business.”
(Patient A)
“After undertaking this training, I feel empowered to ask for
what is best for my mother; putting her needs at the centre of
decision-making, keeping her independent and at home.”
(Carer)Uptake and spread so far *As of 11/5/2021
Session Name Content Interactivity Presentation Self
assessments
Mind 5 5.00 5.00 5.00
Mobility 4.8 4.60 4.80 4.80
Multi-complexity 5 5.00 5.00 5.00
What matters most 5 5.00 5.00 5.00
Overall 4.90 4.7 4.90 4.80
/5 /5 /5 /5What went well and not so well..
Successes Challenges
1. Truly collaborative approach at pace and scale, 1. Positioning the frailty education offer against
demonstrating the art of the possible across systems the backdrop of competing Covid-19 training
and geography, when the patient is put at the heart provision
of the development
2. e-LfH awareness of the importance of raising
2. Removal of organisational barriers – a shared awareness of frailty to support the
purpose to deliver a standardised approach to frailty rebuilding/recovery of services post Covid-
education 19
3. Good communication and feedback structure with all 3. Impact of purdah delayed formal launch by
stakeholders = co-produced by clinical experts and one month
frailty champions
4. Opportunity for colleagues across both networks and
systems to contribute to the final offer allowing
innovation
5. Championed by local and national leaders
6. A shared passion for improving the lives of
individuals living with frailtyNext steps
What can you do to support the spread
For the programme Outcomes and uptake of the e-learning?
1. 6 month evaluation – review of uptake and
1. Complete the training!
change in practice
2. Share the e-learning with your local
2. Development and publication of case studies
training and development teams
to showcase change in practice and to
3. Champion for your organisation
embed approach
4. Share with your professional bodies
3. 6 month review with Adrian Hayter National
5. Actively promote via social media with
Clinical Director, Ageing Well
colleagues and friends
4. Celebration of the collaboration with NHS
6. Encourage your organisation to implement
Benchmarking and the resultant service
the e-learning using the Wessex AHSN
improvement projects via podcast
developed resources
5. Collaboration with NHS Benchmarking to
7. Feedback your experiences and share
explore potential of updating training
where it has changed local practice within
questions in national frailty audit
your setting
6. Wessex AHSN running acute frailty audit
8. Support the Wessex AHSN acute frailty
Autumn 2021
audit Autumn 2021 to help spread and
adoption
#NHSfrailtyfocusQuestions?
Cheryl.davies@wessexahsn.net
@WessexAgeing @WessexAHSN
#NHSfrailtyfocus
catherina.nolan@nhs.net
@NHSLdn_CN
Tier 3 frailty training for advanced practice can be found at:
https://www.bgs.org.uk/elearning/frailty-identification-and-interventionsYou can also read
