Evaluating the application of the Buurtzorg principles in Scotland

evaluation

by Ben Lukins, Programme Manager, Healthcare Improvement Scotland. Follow Ben on Twitter @blukins1.

At the start of December we held a workshop exploring the evaluation of neighbourhood care at a national and local level. The workshop was well-attended and included academics with evaluation backgrounds, staff from some of the Scottish test sites, representatives from Buurtzorg, staff from the Public Health Agency in Northern Ireland and individuals from our national partners.

The importance of reflecting the local context was recognised and it was acknowledged that there was a richness in the qualitative information, drawn from staff’s experiences.  The group reflected that the evaluation was about looking at how the principles of Buurtzorg had been applied and not about evaluating the principles themselves.

Buurtzorg principles in Scotland

We spent time determining the principles that were being applied in Scotland and agreed on the following:

  • Putting the person at the centre of holistic care.
  • Building relationships with people to make informed decisions about their own care, which promotes wellbeing and independence with active involvement of family, neighbours and the wider community, where appropriate.
  • Everyone, including support functions, enabling person-centred care at the point of delivery.
  • Small self-organising, geographical-based teams.
  • Professional autonomy.

Continue reading “Evaluating the application of the Buurtzorg principles in Scotland”

Meet Ben Lukins!

ben_bwI would like to take the opportunity to introduce myself as the Programme Manager with Healthcare Improvement Scotland, responsible for coordinating the work on applying the principles of Buurtzorg to develop Scottish models of neighbourhood care.

I have been reflecting on how quickly time has flow by since coming into post in September. From the offset I was keen to immerse myself in Buurtzorg to understand the model, and to think about how we as a national body could best support the local work in Scotland.  A key part of this has been meeting with a number of people from different organisations, backgrounds and professions who have been part, or are keen to be part, of this work.

This has been a great opportunity to listen to myriad perspectives and thoughts. I have been struck by the enthusiasm of those I have talked to, many of whom are motivated by achieving the best possible outcomes for people, as well as making the role of those providing care truly fulfilling. The Buurtzorg model resonates so powerfully for so many, as it brings to the surface the reason they came into the caring profession, drawing from the richness that comes from building and sustaining meaningful relationships. Continue reading “Meet Ben Lukins!”

How care homes in Argyll and Bute are working to reduce falls

By Laura Dobie, Knowledge and Information Skills Specialist, Healthcare Improvement Scotland

On 5th December I went along to the Argyll and Bute Care Homes Quality Improvement for Falls Prevention event. It was a really interesting day, and it was great to hear about the work that care home staff are doing to reduce falls and improve quality of life for their residents.

PDSAs and data

Dr Christine McArthur, Project Lead, introduced the day and Sheila Morris, Occupational Therapy Care Home Lead, gave an overview of Plan Do Study Act cycles and the role of data in improvement. She emphasised the importance of carrying out small tests of change and having a clear plan.

The project participants then had the opportunity to discuss a case study of a 72-year-old lady who had had a number of falls, considering risk factors such as polypharmacy and multiple complex conditions, and reviewing the data in the falls diary to identify whether there was a pattern to her falls.

The care home staff observed that people are increasingly coming in to care homes with more mobility problems and multiple conditions and co-morbidities. Sheila commented that everyone in the care home sector is at risk of falling and should have a multifactorial falls assessmentContinue reading “How care homes in Argyll and Bute are working to reduce falls”

Scottish Ambulance Service Falls and Frailty Pathways Action Group first meeting

capture

On 25th November 2016 the Living Well in Communities team from Healthcare Improvement Scotland’s Improvement Hub (ihub) supported the first meeting of the Active and Independent Living Improvement Programme (AILIP) and Scottish Ambulance Service Falls and Frailty Action Group. This Storify summarises the discussions from the day. Presentations and other resources can be accessed on the Falls and Bone Health Community site.

 

Anticipatory Care Planning: Time to Make it Happen

acpdocThe latest Anticipatory Care Planning: Time To Make It Happen event took place on 16th November at the Royal College of Surgeons with participants from across the health and social care sector.

This was the second of three interactive workshops in which delegates learn about the emerging examples of good practice and help influence the future development of Anticipatory Care Planning (ACP) across Scotland.

It was another busy day comprising three plenaries, three breakout sessions, and four updates from the tests of change highlighted at the first meeting.

Welcome and Opening Remarks 

Diane Murray (Associate Chief Nursing Officer, Scottish Government)
Dr Stuart Cumming (National Clinical Lead, Anticipatory Care Planning)

Janette Barrie (National Clinical Lead, Anticipatory Care Planning)
Sheila Steel (Associate Improvement Advisor, Anticipatory Care Planning)

Diane started proceedings with a personal story on the power of why, and the ways ACP matters to her. Stuart and Janette introduced the work so far, what’s progressed and looked to the future. All three providing a reminder that:

Anticipatory care is about people of all ages. Anticipatory care is everyone’s business.

Continue reading “Anticipatory Care Planning: Time to Make it Happen”

Living Well With Dyslexia

This post was written by Lianne McInally, Improvement Advisor, Living Well in Communities. You can follow Lianne on Twitter @LianneMcInally1.

dawLast week was Dyslexia Awareness Week. It also coincided with Occupational Therapy week. As an occupational therapist whose son is dyslexic it seemed fitting to share our journey so far.

Cian was born in October 2005 and I was incredibly proud as a mum when he took his first steps at 10 months and was walking by his first birthday. He talked quickly too and for those of you who know me that should come as no surprise!

He was a very active toddler who didn’t like to stand still for too long. He wasn’t interested in jigsaws or building bricks. He would prefer to drive tractors and play football. He was clever. He knew the various signs as we drove to and from nursery. He was able to tell you the numbers on the buses and where they went. All before starting school.

His transition report from preschool nursery to school was glowing. He had good pencil control, could recognise and write his name. There were no concerns.

In School 

Cian started primary school. One day a week I collected his friend from school. Often she would have her homework out and neatly finished before Cian had started. I noticed that despite being one of the youngest in the class she was coping better with the homework than Cian. People kept saying not to worry as often girls start quicker and boys aren’t interested at that stage. I don’t know how many times someone said he’s probably just a lazy boy!

With reading, Cian seemed to memorise the story and often used pictures to guess what was happening. At parent’s night in Primary 1 and 2 we discussed how things didn’t seem to click with writing. Cian was given a handwriting programme and we faithfully completed this as extra homework, even during the summer holidays. Despite this, his progress did not appear to equate with all the extra help.

Cian complained of headaches, sore stomachs and was diagnosed with childhood migraine. He also complained of fuzzy eyes and that the words jumped on the page.

visual_stress
An example of visual stress from the British Dyslexia Association

Continue reading “Living Well With Dyslexia”

Discussions from the Scottish Care New Models of Care workshop

older-people-exercise

This post was written by Laura Dobie, the Living Well in Communities Knowledge and Information Skills Specialist. You can follow Laura on Twitter at @LauraKnowledge.

On Friday 21st October I went along to Scottish Care’s new models of care workshop. It was a really interesting day filled with discussions on the future of care delivery, which highlighted examples of innovation and good practice in care from across Scotland – and further afield.

Legislative and policy context

Donald Macaskill, CEO of Scottish Care, facilitated the workshop discussions and gave a summary of the myriad policy publications and legislation which are having an impact on the care sector:

There was also the uncertainty of Brexit, and the possible impact that it could have on staffing and funding. The National Living Wage implementation, NHS cost efficiencies, the reform of the care home contract, reform of care at home and housing support, reform of NHS boards and local government elections in May 2017 will all have an impact on the sector. Continue reading “Discussions from the Scottish Care New Models of Care workshop”

A Living Well in Communities Event: Behind The Scenes

This post was written by Sara Turner, the Living Well in Communities Admin Officer. You can follow Sara on Twitter @turnersara99.

The day has come.

It’s something you have been planning (so much planning…) for weeks, if not months and it’s finally here!

For me, there’s usually a dash of excitement as you jump out of bed. Sometimes it’s the sleepless night, tossing and turning, panicking that you are going to sleep through your 3 alarms, or that you’ve forgotten something and need to get to the venue to put your mind at rest.

You have been hawk-like, watching Eventbrite, monitoring numbers and answering queries, making sure those registered have included all the relevant details, but most importantly spelt their name correctly.

Continue reading “A Living Well in Communities Event: Behind The Scenes”