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GERRY MC KEATING

GERRY MC KEATING. MODERN MATRON AND CLINICAL CHAMPION FOR OLDER PEOPLE AT UNIVERSITY HOSPITAL LEWISHAM MEMBER OF THE STEERING GROUP FOR BGOP. AS MODERN MATRON I MANAGE: 135 BEDS STROKE REHABILITATION UNIT DAY HOSPITAL FALLS WARD 4 GENERAL ELDERLY CARE WARDS. NURSING HOME AT CHISLEHURST

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GERRY MC KEATING

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  1. GERRY MC KEATING • MODERN MATRON AND CLINICAL CHAMPION FOR OLDER PEOPLE AT UNIVERSITY HOSPITAL LEWISHAM • MEMBER OF THE STEERING GROUP FOR BGOP

  2. AS MODERN MATRON I MANAGE: 135 BEDS STROKE REHABILITATION UNIT DAY HOSPITAL FALLS WARD 4 GENERAL ELDERLY CARE WARDS NURSING HOME AT CHISLEHURST ALEXIS CLINIC (HIV) DERMATOLOGY UNIT SEVERAL CLINICAL NURSE SPECIALISTS INCLUSING FALLS AND PARKINSON’S ELDERLY CARE DIVISION AT UNIVERSITY HOSPITAL LEWISHAM

  3. DEPARTMENT OF HEALTH A TOOLKIT FOR OLDER PEOPLE’S CHAMPIONS JULY 2004

  4. OLDER PEOPLE’S CHAMPIONS TOOLKIT WRITTEN BY: ROS LEVENSON - INDEPENDENT CONSULTANT FOR THE DEPARTMENT OF HEALTH

  5. TOOLKIT 2ND TOOLKIT - JULY 2004

  6. The Older People’s National Service Framework (NSF) introduced the idea of Older People’s Champions • Individuals who would play a key role in promoting the interests of older people, particularly in Health and Social Care

  7. QUOTE “In general Champions are people with a desire to improve older people’s services and are willing to work together and use their influence to stand up for the interests of older people. They have a role in ensuring older people have access to information about local services and plans for older people. All Champions will be committed to rooting out age discrimination in access to treatment and services and helping to implement the NSF and related services for older people.” Department of Health website, April 2003

  8. WHO IS THE TOOLKIT FOR? • Practice guide for lay people who are Older People’s Champions - those who are not clinical or practice champions • Champions who do it on an informal basis - personal experiences as an older person or carer

  9. RESEARCH THAT WAS COMMISSIONED BY BGOP - J. MANTHORPE, 2004 - SHOWED THAT: • Champions had a wide span of experiences • Lay champions had personal / family experience of Health and Social Care • Champions who took on this role often found it difficult to give it sufficient time • Very few champions had received a job description; they developed the role according to their interests or local circumstances

  10. Very few champions received feedback on their activities • Many champions were very positive about linking up with Older People’s Champions • Some Champions focused on the NSF • Relationships with Older People’s groups were very helpful and in some cases had been initiated or improved by Champions

  11. HOW TO USE THE TOOLKIT • Toolkit intended to give Champions ideas on how they can be more effective as Champions • Gives examples of activities and approaches by other Champions across the country • Work together and in partnership with older people and their organisations

  12. Champions can link to other ranges of groups • Toolkit suggests usage of a wide range of methods and approaches • Toolkit cannot answer all the questions that Champions may have - it suggests ways

  13. WHAT IS AN OLDER PEOPLE’S CHAMPION? The NSF lists four types of Older People’s Champion: • An elected council member - lead across their council • An NHS non-executive director - lead across the Trust • Older people’s representatives themselves - through patient forums or other routes • A clinical or practice Champion - Health and Social Services

  14. No age barrier Not possible to be too young or too old to be an effective Champion Need enthusiasm Need commitment Champions are all equally important No minimum or maximum amount of time is expected from Champions No pay for being an Older People’s Champion - expenses usually met! OLDER PEOPLE’S CHAMPIONS

  15. ROLE OF THE OLDER PEOPLE’S CHAMPION • Constantly evolving • No formal job description • Champions do not have formal or legal powers and duties • Impact depends on influence on their ability to engage in partnerships with older people, Champions, clinicians, Social Care, managers and voluntary organisations • Local structure varies from organisation to organisation

  16. ROLE OF THE OLDER PEOPLE’S CHAMPION Older People’s Champions should: • Age discrimination - challenge / eradicate • At University Hospital Lewisham we have run a series of multi-disciplinary workshops for staff about addressing patients as “Deary, Lovey, Granny, Gramps” etc • Ward Managers - challenge staff addressing patients • Display posters on wards

  17. Topics covered were: Adult abuse Adult protection Assessing older people Understanding mental health in older people Working together with service users / carers Ageism and communication with older people Older people and the law Maintaining safety of older people

  18. Older People’s Champions should: • Raise the profile of older people at every opportunity - local planning / decision making / policies • Health and Social Care / transport, leisure, education • At a national level - contact Professor Ian Philp • Involve older people - statutory / voluntary organisations

  19. Respect diversity, all ethnic backgrounds, women and men, lifestyle, sexuality, living conditions - alone, family, residential, nursing home etc. • Effective partnerships with Health and Social Care Professionals • Older people able to make their views known - individually / through organisations

  20. Interest in the quality / availability of information for older people - free of jargon, accessible to people who have visual / hearing difficulties, not able to speak • At University Hospital Lewisham the “Sloppy Slippers Project” started for falls patients • Posters on all wards displaying who the Ward Champion / Deputy is

  21. Means of benchmarking / sharing good practice: Nutrition - choice of menus, proper cutlery on trays, handwashing wipes before meals Safety Privacy and dignity Hygiene Other standards to be measured are: Patient forums Carers Day at Lewisham - about 40-50 people turned up Carers Charter at University Hospital Lewisham - displayed on all the wards ESSENCE OF CARE

  22. LOCAL GROUPS OF OLDER PEOPLE • Older people’s forums • Age Concern - local groups • BGOP - Better Government for Older People • Minority ethnic groups • Older people in residential / nursing home care • Carers’ organisations • Disease or condition related organisations

  23. LETTING PEOPLE KNOW ABOUT OLDER PEOPLE’S CHAMPIONS • Champions’ badges - at University Hospital Lewisham we are also trying to order badges • List of Champions - websites of councils and NHS bodies and voluntary organisations • Department of Health Website: www. doh.gov.uk • Newsletters • Local media • Meeting other Champions • Older people’s reference groups

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