Post on 26-Mar-2015
transcript
Anne WelshHead of ClinicAction Heart, DudleyBACR Annual Conference 7th October 2010
• NHS Heart Improvement National Project– Elderly– Female– Black & minority
ethnic– Deprivation– Employment– Travel/Geography– Identify barriers
Health Inequalities – Local
Health Inequalities – Local
• Patient and staff discussions/consultation (Patient Involvement)
• Learning Difficulties• Sensory/Physical Impairment• ‘Shy’/lacking confidence• Language Barriers
• Hard to Reach/Hard to Keep
Action Heart Phase III programme
• 3 ‘one to one’ sessions
• ‘Hard to Keep’ time?
• Limited resources
“Former patients are trained to provide continued seamless support and surveillance for those individuals requiring further assistance in settling into
Buddy System
the Action Heart Phase III programme”
Buddy System
Requirements• Ex Action Heart cardiac patient• Desire to help other cardiac patients• Empathetic approach/listening ear• Physical ability to demonstrate use of
equipment/warm up etc.• Two hour commitment per week
Training (25 hours)–Listening Skills Course–Use of equipment, demonstration
methods–Theory/Principles of exercise,
understanding exercise programmes–Basic understanding of cardiac
conditions/signs and symptoms
Buddy System
• Further training
– Attendance at Action Heart Education Programme
– Cardiac misconceptions
– Manual handling
– Optional: basic cardiopulmonary resuscitation
Further shadowing in clinic by staff until proficient and confident
Buddy System
What the role is not!
Setting boundaries
• A replacement for staff• A counselling opportunity• Medical consultation
Buddy System
Eight volunteers
(choice of day/time of attendance)• 6 men 2 women
2 retired nurses,
2 retired teachers,
1 retired local government officer,
1 schools inspector,
1 retired school caretaker,
1 bus driver
Buddy System
Mrs P, severe anxiety, lacking in confidence, reclusive since heart condition
Mr R, partially sighted, never accessed a gym
Mrs B, speaks little English, unable to read or write
Mr K, understanding/memory/retention issues following stroke, left sided weakness
Buddy System
• Patient Survey
“The staff are fantastic but the buddies have more time to help me. I would not have continued if the buddies had not been there to support me.”
“ the buddies are so helpful, kind, wonderful and provide excellent advice”
Buddy System
• Buddies have flourished
–expert listeners, –encouragers, – friends, – information givers, – thriving role models –excellent staff/patient interface
Buddy System
What the Buddies say
“I enjoy all aspects of the role…
meeting,
supporting, getting to know
interesting people. Seeing patients
improve is all very satisfying”
Completed 18 months 155 ‘needy’ patients supported 27 hours/week of Buddy cover Positive satisfaction survey Reduced early drop out rate? Enhanced patient/staff links Ready to recruit/train new Buddies
Outcomes
• Innovative and effective intervention• Cost effective• Enhances patient/staff interface• Captures patient expertise• Increased referrals• A Win-Win situation!• Is this a model for using patient
experience in the NHS?
Summary
• Thanks
to our Buddies
to our Patient Involvement groups
to the BACR
…………………..and to you for listening
• Any questions