Collaborative: COVID-19 Update www.improvement.nhs.uk @NatPatSIP - PowerPoint PPT Presentation

National Patient Safety Improvement Programmes Managing Deterioration West of England Learning Disability Collaborative: COVID-19 Update www.improvement.nhs.uk @NatPatSIP Delivered by: Led by: NHS England NHS Improvement

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You can ask questions via the Zoom chat room… At any time during the webinar you’ll have the opportunity to submit your question to First click onto chat at the today’s presenters. To do so, just type bottom of your zoom screen your question into the chat. As time allows, the presenters will address as many questions as they can during the Q&A session at the end of the presentation. There will be an optional 30 minute virtual coffee break after the session if you have more questions that we don’t cover in the If you have any questions or tech issues please let us session. know in the chat We will share all slides and a transcript of the chat after the session. 4 | National Patient Safety Improvement Programmes

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National Patient Safety Improvement Programmes Managing Deterioration West of England Learning Disability Collaborative: COVID-19 Update www.improvement.nhs.uk @NatPatSIP Delivered by: Led by: NHS England NHS Improvement

Today's speakers Nathalie Delaney Kevin Elliott Reuben Collings Alice Franklin-Draisy Sian Davies Hannah Little Alison Tavaré 7 | National Patient Safety Improvement Programmes

Overview of content Local update Local update National COVID-19 (Milestones (Brandon update virtual ward Trust) Trust) Annual health RESTORE2 Remote checks and flu Q&A training consultations immunisation 8 | National Patient Safety Improvement Programmes

Potential for 4 waves 9 | National Patient Safety Improvement Programmes

CQC data on deaths of people with a learning disability 10 | National Patient Safety Improvement Programmes

What next? •Virtual consultations – where appropriate •Hospitals at home •Annual health checks •Flu immunisations | National Patient Safety Improvement Programmes 11

The Milestones Trust (Reuben Collings) 12 | National Patient Safety Improvement Programmes

The Brandon Trust (Alice Franklin-Draisey) Keep on keeping on Making the best of what we’ve got New ways of working 13 | National Patient Safety Improvement Programmes

COVID-19 virtual ward (Alison Tavaré) 14 | National Patient Safety Improvement Programmes

RESTORE2 TM > It is designed to support homes and health professionals to: • Recognise when a resident may be deteriorating or at risk of physical deterioration • Act appropriately according to the resident’s care plan to protect and manage the resident • Obtain a complete set of physical observations to inform escalation and conversations with health professionals • Speak with the most appropriate health professional in a timely way to get the right support • Provide a concise escalation history to health professionals to support their professional decision making. 15 | National Patient Safety Improvement Programmes

Free training and resources available • Visit https://carehomesrestore2trainthetrainer.eventbrite.co.uk to book • Please do promote to care providers that you feel would benefit • YouTube videos and e-LfH – accessible 24/7 including for night staff; e-LfH is certified ​ • Virtual training wrapped around the training videos to provide interactive training and support 16 | National Patient Safety Improvement Programmes

Virtual care round (Sian Davies) > Planning is key > Mutually agreed time and staff available to conduct the video consultation > Prepared list and baseline information > Protected time > Working smarter, preventing delays in treatment > Feedback from patients and their loved ones > Case study > Highlights > The future 17 | National Patient Safety Improvement Programmes

Digital support for care homes > Really helpful website with lots of info: • https://www.digitalsocialcare.co.uk/ > Register and use NHSmail or get your existing email accredited. > Allows access to MS Teams and other tools for virtual ward rounds • Link to register > Internet connection deals for care homes: • https://www.nhsx.nhs.uk/covid-19-response/social-care/internet-connection-deals-care-homes/ > CQC Guidance to support digital Agenda: • Technology in Care • How technology can support high-quality care 18 | National Patient Safety Improvement Programmes

POLL 1: Have you had experience of virtual annual checks? 19 | National Patient Safety Improvement Programmes

Annual health checks (Hannah Little) > Annual Health checks • Shielding • Isolation especially if supportive living > Proposed pathway • Letter explaining the process sent to patient • Collation of information pre appointment • Initial video consultation with review of specific concerns. Able to include family and carers • Review face to face if issues identified • Otherwise offer face to face review and blood tests when appropriate 20 | National Patient Safety Improvement Programmes

Annual health checks (Hannah Little) > Annual Health checks • Shielding Q1: What do you think you can do to support • Isolation especially if supportive living virtual health checks? > Proposed pathway • Letter explaining the process sent to patient • Collation of information pre appointment • Initial video consultation with review of specific concerns. Able to include family and carers • Review face to face if issues identified • Otherwise offer face to face review and blood tests when appropriate 21 | National Patient Safety Improvement Programmes

Flu immunisations (Hannah Little) Q2: How might we have a successful flu vaccination programme this year? Q3: Do you anticipate any challenges? 22 | National Patient Safety Improvement Programmes

Key messages (Nathalie Delaney) > COVID-19 has presented a challenge for the learning disability community > Physiology is important > RESTORE2 training is available virtually > Care is going to have to be delivered differently through remote consultation and care rounds > Annual Health Checks and flu immunisations are going to be a challenge > Digital support is available > We will have a 'new normal' and you are not alone! 23 | National Patient Safety Improvement Programmes

National Patient Safety Improvement Programmes Managing Deterioration Q&A (Nathalie Delaney) www.improvement.nhs.uk @NatPatSIP Delivered by: Led by: NHS England NHS Improvement

Rollout handbook > These slides can be used in conjunction with the RESTORE2 Rollout Handbook (April 2020) which gives more detail and training scenarios and optional competency assessments. 25 | National Patient Safety Improvement Programmes

> Short e-learning available at https://learning.respectprocess.org.uk > What is ReSPECT? (12 minutes) > Who is ReSPECT for? (4 minutes) > How to care for someone with a ReSPECT form (10 minutes) > Visit www.weahsn.net/respect for more information and resources > Contact respect@weahsn.net 26 | National Patient Safety Improvement Programmes

https://www.england.nhs.uk/coronavirus/publication/pulse-oximetry- to-detect-early-deterioration-of-patients-with-covid-19-in-primary- and-community-care-settings/ 27 | National Patient Safety Improvement Programmes

Video consulting resources https://www.phc.ox.ac.uk /research/resources/vide o-consulting-in-the-nhs 28 | National Patient Safety Improvement Programmes