Aim
To agree the key components of education needs linked to delivery of care for people at risk of and living with frailty.
To improve awareness and understanding of frailty and its management; and make recommendations for future delivery of education.
Objectives
PHASE 1:
- Identify and engage with education providers and scoping existing education programmes relating to frailty
- Identify key staff groups and request involvement
PHASE 2:
- Work with experts by experience to ensure that the importance of developing an understanding of matters to individual service users and carers is built into education programmes
- Make recommendations for future education needs of statutory and non-statutory staff groups to ensure a focus on frailty is included in programmes
- Consider the learning needs of non-professionals who may be involved in supporting people living with frailty
- Consider how awareness of ageing well and prevention of frailty can be included in education programmes
Identify and make recommendations to build on existing training platforms.
Arrangements
The Task and Finish Group will meet on a regular basis, with a schedule of dates agreed in advance. Venues and times will take account of the needs of members. Virtual meetings will be considered where possible. Papers for meetings should be issued at least one week prior to each meeting. Co-Chairs should ensure that all members have sufficient opportunity to contribute to discussion and that no decisions are taken outside of the group. Administrative and business / managerial support for the group will be provided by the Public Health Agency.
Accountability
The group will receive direction from and be accountable to the Expert Advisory Panel on Frailty and will provide an update for consideration on a quarterly basis. The Task and Finish Group will also take account of the advice of the Expert by Experience Community in the development of all plans and recommendations.
Deliverables and Timescales
| Item | Deadline | Notes |
| Phase 1: Scoping of Existing education and learning programmes
· Issue survey throughout frailty network to seek information from members on training / education programmes (both formal and informal)
· Analysis of findings and discussion by full group |
December 2019 / Jan 2020
22 or 29 Jan 2020 |
Develop questionnaire and test with T&F group members prior to issue to full network
|
| Update to Expert Panel | Feb 2020 | Date – TBA |
| Develop action plan for Phase 2 | Feb / March 2020 | |
| Update to Expert Panel | 18/3/2020 | Sign off of Phase 1 |
Key Documents / Data Requirements
Delivering Together 2026 – “every one of us to lead long, healthy and active lives. People today want to lead full and productive lives, staying independent for longer. In line with wider societal changes, we all expect improved access, choices and control when it comes to public services… Therefore, we want to see a future in which:
- people are supported to keep well in the first place with the information, education and support to make
- informed choices and take control of their own health and wellbeing;
- when they need care, people have access to safe, high quality care and are treated with dignity, respect
- and compassion;
- staff are empowered and supported to do what they do best; and
- our services are efficient and sustainable for the future
Programme for Government 2016-21 – Outcome 4: We enjoy long, healthy, active lives. This outcome is about improving the health of everyone, giving them the best opportunity to live longer and healthier lives. It is about ensuring that people get the right care, of excellent quality, at the time of need. It is about keeping people healthy, preventing them from needing health interventions. In part, this means giving people the information and support they need to make healthy lifestyle choices. It also means tackling issues related to deprivation and poverty that are linked to poor health outcomes.
The Role of the Executive We will make our contribution by:
Creating an excellent health service; ensuring people get the right treatment at the time of need.
Implementing excellent public health strategies and interventions which aid people to live healthier lives and give them the means to do so.
- Providing people with the right information to allow them to make educated and informed choices about how to live their lives in a healthier way.
- Providing children with the best start in life, supporting parents in their role.
- Tackling poverty and deprivation.
PHA Corporate Plan 2017-21 – “All older adults are enabled to live healthier and more fulfilling lives”. The following actions were identified to support this:
- develop and implement multi-agency healthy ageing programmes to engage with and improve the health and wellbeing of older people;
- promote appropriate intervention programmes within all settings to prevent, detect and manage mental ill health and its consequences;
- promote inclusive, inter-generational physical and mental health messages and initiatives that enable longer, healthier and more fulfilling lives;
- protect the health of older adults through immunisations and screening;
- support programmes and initiatives, including research, e-health and technology-based approaches, that promote independence and the PHA is seeking to move to a more outcomes based approach and self –management.
Rethinking Frailty: What really matters to older people (Age NI 2018) – key points:
- The subject of frailty is one that is important to older people in Northern Ireland.
- The terminology is not viewed in a positive light, with the word frailty being associated with loss of independence, inability to look after oneself and a decline in wellbeing.
- The view of frailty does not fit with what older people believe makes a good life; physical wellbeing, psychological and emotional wellbeing and independence.
- Older people do not identify with the term frail and feel that use of this term may act as a barrier for older people in seeking help and support.
- Older people believe frailty encompasses difficulties beyond physical wellbeing including mental wellbeing, social contact and financial security. The services that they feel would be beneficial reflect this scope.
- There is an opportunity for older people to engage with support at a range of contact points and older people’s view of frailty, in that it is not inevitable, shows an opportunity for support.
BGS Fit for Frailty Parts 1 & 2 (see recommendations to support agreement of outcome measures)
Part 1: https://www.bgs.org.uk/sites/default/files/content/resources/files/2018-05-23/fff_full.pdf
Part 2: https://www.bgs.org.uk/sites/default/files/content/resources/files/2018-05-23/fff2_full.pdf
https://www.england.nhs.uk/ourwork/clinical-policy/older-people/frailty/frailty-resources/
NICOLA – https://www.qub.ac.uk/sites/NICOLA/
TILDA – https://tilda.tcd.ie/
Frailty Core Capabilities Framework: http://frailtyicare.org.uk/wp-content/uploads/2018/09/Dawn-Moody-.pdf
https://www.skillsforhealth.org.uk/services/item/607-frailty-core-capabilities-framework
sample programmes / modules:
https://www.edgehill.ac.uk/health/cpd-modules/management-of-frailty-hea4178/
Membership
| Loretta Gribben | Nursing | PHA | loretta.gribben@hscni.net |
| Cerri Louise McAvoy | ACAH Clinical Sister | SHSCT | Cerri-louise.mcavoy@southerntrust.hscni.net |
| Angela Gemmell | Physio | SHSCT | Angela.Gemmell@southerntrust.hscni.net |
| Katherine Hudson | Dietitian | NHSCT | katherine.hudson@northerntrust.hscni.net |
| Natalie Irwin | OT | BHSCT | natalie.irwin@belfasttrust.hscni,net |
| Julie Jess | Falls Lead | SET | julie.jess@setrust.hscni.net |
| Ann Murray | Age NI | Age NI | a.murray.hbay@btinternet.com |
| Fiona McCallion | AHP Senior Education Manager | Clinical Education Centre | |
| Lynne McCausland | Community Pharmacist | Southern ICP | lynnemccausland@btinternet.com |
| Dr Deborah Coleman | Lecturer | QUB | d.j.coleman@qub.ac.uk |
| Dr Sarah Penney | Course Director Health & Welbeing, Pathway lead Global Health | UU | s.penney@ulster.ac.uk |
| Prof. Assumpta Ryan | Professor of Ageing and Health | UU | aa.ryan@ulster.ac.uk |
| Anne Timoney | Nurse Education Consultant | CEC | Anne.Timoney@cec.hscni.net |
| Joanne Coogan | Service Improvement – Dementia | BHSCT | joanne.coogan@belfasttrust.hscni.net |
| Dr Mark Bowman | Consultant Geriatrician | SE Trust | Mark.bowman@setrust.hscni.net |
| Dr Aileen McSorley | Consultant / NIBGS | TBC | Aileen.McSorley@setrust.hscni.net |
| Linda Wray | Croft Community | Linda.wray@croftcommunity.com | |
| Dr Nigel Hart – Invited | GP Assistantship Lead / AD for Primary Care | QUB | n.hart@qub.ac.uk |
| NI Medical & Dental Training Association (NIMDTA) – Invited | |||
| NI Social Care Council (NISCC) – Invited | |||
| Dom Care Provider – TBC | |||
| Mandy Mitchell | Director | Independent Care Homes Providers | mandy.mitchell@healthcareirelandgroup.com |
| Jennifer Moore | Independent Care Homes Providers | Jenleo.clanrye@gmail.com |