Event Resources – Communicating Complex Needs Across the Interfaces of Care

19th September 2017

Venue

Neville and Hatfield Rooms
Ramside Hall Hotel
Carrville
Durham
DH1 1TD
http://www.ramsidehallhotel.co.uk/about-us/contact-us/

Follow us on Twitter

@AHSN_NENC
@NHSngccg
#transferofcare

Speaker Presentation

‘Leaving Hospital: Personal experience as a carer with hospital care, discharge and aftercare’ Shirley Richardson, Carers Together Foundation
‘Managing Medicines at Transfer Point’ Scott Barrett, Northumbria Healthcare NHS Foundation Trust
‘Developing an Interface Model; Experiences from Gateshead’ Professor Simon Conroy, University Hospitals of Leicester
‘Care to Care Transfer’ Paula Watson, The Newcastle Upon Tyne Hospitals NHS Foundation Trust
‘What If… ‘our systems’ supported older people living with frailty?’ Dr.Dan Cowie, NHS Newcastle Gateshead CCG
‘From the Other Side’ Dr. Karen Franks, Newcastle Gateshead Care Homes Vanguard
‘Establishing a Macmillan Supportive, Palliative and End of Life Care Service’ Dawn Orr, Queen Elizabeth Hospital and Alison Kimber North East Ambulance Service

Agenda

09:00
Registration and Refreshments
09:25
Welcome and Introductions Professor Oliver James
Medical Director
AHSN NENC
09:30

Leaving Hospital

Personal experience as a carer with hospital care, discharge and aftercare

Shirley Richardson
Trustee
Carers Together Foundation
10:00

Mind the Gap Please…

A journey of time, place and person
Explore the impact of time, place and person on delivering the New Models of Care within the Five Year Forward View

Professor Chris Gray
Medical Director
NHS England North and Cumbria
10:30
Managing Medicines at Transfer Point Scott Barrett
Lead Pharmacist for Medicine and Emergency Care
Northumbria Healthcare NHS Foundation Trust
11:10
Refreshment Break
11:30

Developing an Interface Model

Experiences from Gateshead

Professor Simon Conroy
Geriatrician
University Hospitals of LeicesterLynne Shaw
Nurse Consultant Older People, Gateshead Health NHS Foundation Trust
12:00
 Care to Care Transfer Paula Watson
Discharge Nurse Specialist
The Newcastle Upon Tyne Hospitals NHS Foundation Trust
12:30
Lunch
13:15

Making Discharge Happen

Synopsis of findings from a PhD in patient discharge from an acute care setting: lessons learnt about the acute discharge process, knowledge brokering, delegated discharge practices and principles for transition.

Liz Lees-Deutsch
Consultant Nurse in Acute Medicine (admissions), Clinical Academic Post.
(NIHR Award: Clinical Doctoral Research Fellowship)Heart of England NHS Foundation Trust
13:45
What If… ‘our systems’ supported older people living with frailty? Dr.Dan Cowie
GP and Clinical Director of Transformation
NHS Newcastle Gateshead CCG
14:15
From the Other Side Dr. Karen Franks
Consultant in Old Age Psychiatry, Queen Elizabeth HospitalDementia and Mental Health Lead,  Newcastle Gateshead Care Homes Vanguard
14:45
Refreshment Break
15:00
Establishing a Macmillan Supportive, Palliative and End of Life Care Service Dawn Orr
Macmillan Palliative Care Nurse Consultant
Queen Elizabeth HospitalAlison Kimber
Clinical Services Manager
North East Ambulance Service
15:30
Panel Debate
16:00
Summary and Closing Remarks
16:15
Close

 Speaker Biographies

Professor Oliver James
Medical Director
AHSN NENCProfessor James was a Consultant Physician in Newcastle for 30 years, Professor of Medicine from 1985, Head of Newcastle University School of Clinical Medical Sciences from 1995, Pro Vice Chancellor Medical Faculty 2004-2008. Also Senior Vice President Royal College of Physicians 1997-1999. Author of over 300 papers on aspects of liver disease and ageing.
Shirley Richardson
Trustee and Chairman
Carers Together Foundation

Shirley has been involved with Carers Together Foundation since July 2011. They provide services, information, support and advice to Carers at home and in hospital across Middlesbrough, Redcar and Cleveland. The number of Carers registered has continued to increase steadily every year. The Care Act 2014, has made a significant impact on Carers, due to their right to have an assessment of their own needs.Shirley is a Registered Nurse, and before retirement in 2010 was Board Nurse Director at Gateshead Health NHS Foundation Trust. She believes in enabling older people to have a healthy and productive life, and how services can support that.   Shirley is currently a Non Executive Director at Tees, Esk and Wear Valley NHS Foundation Trust.

Professor Chris Gray
Medical Director
NHS England North and Cumbria

Professor Chris Gray is currently Medical Director to NHS England (Cumbria and North East). He was previously executive medical director to County Durham and Darlington NHS Foundation Trust, one of the largest integrated foundation trusts in the country serving a population of 650,000.His employment history includes senior clinical academic roles at Newcastle (Professor of Clinical Geriatrics) and Edinburgh University (Senior Lecturer) and as a practicing NHS consultant physician (Stroke, General and Elderly medicine) in Sunderland, Gateshead and Edinburgh.He has published widely in the field of stroke treatment and prevention and has an international reputation for his research into diabetes, hyperglycaemia and stroke outcome.He has considerable experience in medical education as an undergraduate clinical sub dean to Newcastle University, director of medical education at City Hospitals Sunderland and more recently was postgraduate dean to the Northern Deanery/HENE.His clinical interests are in the treatment of acute stroke and as graduate of both Medicine and Law he has a continuing interest in managing and maintaining clinical and professional standards.Having spent his professional career committed to furthering patient care through clinical service delivery, development, medical research and medical workforce development Professor Gray is now focussed on how we can maximise the opportunities afforded by the Five Year Forward View.

Professor Simon Conroy
Geriatrician
University Hospitals of Leicester

Simon’s ambition is to improve outcomes for frail older people by embedding evidence based medicine into clinical practice (‘campus to clinic’ translational research). His research addresses different models of care for frail older people, assessing feasibility as well as clinical and cost-effectiveness. His educational activities take an interdisciplinary perspective on developing and teaching knowledge locally (frailty services), nationally (BGS) and internationally (EUGMS & EAMA). Implementation of research findings into clinical practice is key, and best exemplified by work on the Silver Book and the Acute Frailty Network.More information can be found at:http://www2.le.ac.uk/departments/health-sciences/research/primary/staff/conroy
Lynne Shaw
Nurse Consultant Older People,
Gateshead Health NHS Foundation Trust

Since first registering as a nurse over 28 years ago Lynne has spent most of her career specialising in the care of older people. She has held a number of roles including ward sister, community matron, nurse specialist in acute and community settings and was the lead nurse in the Gateshead Care Home Initiative which has received national recognition and is developing further with the New Care Models ‘Vanguard’ team.Passionate about care improvement and integrated care delivery, Lynne’s current role is varied working across acute, intermediate, and community care settings as a nurse consultant. This role has seen her lead in the development of a local frailty strategy alongside playing a key proactive role in promoting system-wide improvements in the care of older people

Paula Watson
Discharge Nurse Specialist
The Newcastle Upon Tyne Hospitals NHS Foundation Trust

Paula qualified as a nurse in 1990, working for the first 3 years in Older People’s Medicine at Northumbria Healthcare NHS trust. In 1993 she became a Respiratory Nurse Specialist, working for 2 years as an Honorary Lecturer with Sunderland University developing and delivering a programme of respiratory training.In 2004 Paula was part of the respiratory team which developed a comprehensive assessment and support package for patient with COPD which won the NHS Health and Social Care Award for innovation.  She left Northumbria in 2012 to take up her current post , Discharge Nurse Specialist  at Newcastle Upon Tyne.

Liz Lees-Deutsch
Consultant Nurse in Acute Medicine (admissions), Clinical Academic Post.
(NIHR Award: Clinical Doctoral Research Fellowship)
Heart of England NHS Foundation Trust

Liz registered as a Nurse in the Black Country at Russell’s Hall Hospital (1988-1991) and has 26 years post registration-nursing experience from a variety of challenging settings; Haematology, Hospice Care, Elderly Care and Emergency Admissions.  In 1999, Liz was awarded a Florence Nightingale Travel Fellowship to work in the USA, developing Intermediate Care.  In 2000, she returned to the UK working in Sutton Coldfield at the Cottage Hospital reforming services.  In 2002, she became a Nurse Consultant at Birmingham Heartlands Hospital, Acute Medicine.In 2014, Liz was awarded a Doctoral Fellowship (National Institute of Healthcare Research). She investigated ‘how patients are assessed for discharge from acute care’. She has taught on the topic of discharge planning in Australia, Canada, Singapore, Jersey, Dublin, Belfast and the Outer Hebrides. Liz has authored 73 articles and is the sole Editor of two multi-author, multi-disciplinary books on discharge planning (2007, 2012). Liz has recently (2017) taken up a Clinical Academic role using her research expertise in acute medicine and is undertaking work with NHS improvement, collaborating on Criteria Led Discharge.  She hopes to publish a Systematic Review of the Evidence late 2017.Awarded Life Time Fellow of the Society for Acute Medicine (2016) for her outstanding contribution to multi-professional development.

Dr. Dan Cowie
GP and Clinical Director of Transformation
NHS Newcastle Gateshead CCG

Dan graduated in 1999 from Newcastle University and qualified as GP in 2004.   Over the last 10 years he has worked as a GP in various roles with a particular focus on elderly care.   He has also been a part time author of clinical knowledge summaries and writing guidelines for primary care.Dan took up a GP partnership in 2012 and also started his work within Gateshead Clinical Commissioning (CCG) Group as the Community Services and Urgent Care lead. Recently, he has been leading transformation work within the CCG and has particular interest in service redesign.

Dr. Karen Franks
Consultant in Old Age Psychiatry, Queen Elizabeth Hospital
Dementia and Mental Health Lead,  Newcastle Gateshead Care Homes Vanguard

Karen is a consultant in old age psychiatry in Gateshead. Her interests include care in 24 hour care settings, dementia care, in particular advanced dementia and end of life care. Karen also has an interest in service development especially integrated services with primary and secondary care, physical and mental health, and is the dementia and mental health lead for the Newcastle Gateshead Care Homes Vanguard.

Dawn Orr
Macmillan Palliative Care Nurse Consultant
Queen Elizabeth Hospital

Dawn is a dual trained adult and paediatric nurse, having initially trained in Newcastle in 1984.  She has worked in many areas as a general nurse, before specialising in pain management at Freeman Hospital.  Dawn went onto set up the Acute and Chronic Pain Service at South Tyneside and it was here where her interest in palliative care evolved as she worked closely with the palliative care teams within the hospital.Dawn began her Macmillan career as a Community Macmillan Palliative Care Nurse Specialist within South Tyneside and went on to work within the hospital and the out of hours service; whilst teaching for the Tyne and Wear Health Care Alliance on the End of Life Care teaching programme for care homes.Dawn is a keen educator and is passionate about delivering good compassionate end of life care for all.  Dawn has completed her MSc in Educational Professional Practice and teaches on Palliative and End of Life care modules at both Northumbria and Sunderland University.Whilst in post as an End of Life Care Facilitator at The Queen Elizabeth Hospital Dawn was seconded one day per week to work with North East Ambulance Service to develop services for palliative and end of life patients regionally.  Working closely with Alison Kimber and Macmillan they have been successful in securing funding to establish a Supportive, Palliative and End of Life Care Service, which is the first of its kind nationally.Earlier this year Dawn was successfully appointed into a new role as a Macmillan Palliative Care Nurse Consultant at The Queen Elizabeth Hospital.  This newly established role aims to support palliative care services, including palliative care day services across the trust.

Alison Kimber
Clinical Services Manager
North East Ambulance Service

Alison began her career as a nurse and worked within both anaesthetics and Intensive Care for a number of years before changing paths and joining the North East Ambulance Service.  Alison has worked for the Trust for 27 years in a variety of roles that include as a Paramedic on both a double crewed ambulance and a rapid response care and more recently in a governance role for the 111 service.In January 2016 she moved roles to the Clinical Services Manager within the Emergency Operations Centre and has responsibility for implementing and embedding the Integrated Urgent Care Clinical Assessment Service (IUC CAS).The core function of the IUC CAS is to provide support to non-clinical call handlers, revalidate green ambulances and where appropriate to clinically complete calls that exceed the skill set of the call handlers.The IUC CAS is a regional service and the vision of this is to have a broad range of clinicians working within it that will take specific calls from the 111 service to achieve appropriate outcomes for the patients.  Included in this will be, SPEOL, Mental Health, Pharmacy and Dental work streams and will be accessible to all community based clinicians.Since then Alison has been working to ensure that the services embedded into the CAS are appropriate and sustainable and to this end working alongside Dawn Orr (Macmillan Nurse Consultant) in designing and developing a SPEOL strategy for the Trust.

Useful Links

Royal Pharmaceutical Society: Keeping patients safe when they transfer between care providers – getting the medicines right