Alcohol Brief Interventions Trainers

Transcription

1 Alcohol Brief Interventions Trainers List of Contents 1. Project Background (including funding, outputs and outcomes as agreed within the service level agreement (SLA)). 2. Performance Management 3. Variation on agreed outputs/outcomes (including explanation for any variations exceeding or not meeting SLA targets). 4. Compliance against National Quality Standards and actions agreed to ensure compliance over the next 3 years. 5. Financial Summary (include all grades of staff and expenditure against allocation). 6. Conclusion & Recommendations

2 1. Executive Summary Over the period 1/4/09 31/3/10 The Alcohol Brief Interventions trainers came into post on 29/9/08. During the period of this report, 112 courses have been arranged for GP practice staff and NHS Lanarkshire community staff in support of SIGN 74, the Local Enhanced Service Agreement, HEAT Target H4 and Locality Performance Review targets. The training has taken the form of a one day course in line with national guidance. A programme of training course has now been undertaken for community based nurses for this reporting period. The ABI Trainers remain on target to have now trained all appropriate GP practice staff and relevant community nurses as required by the LES and Locality Performance Review Targets. Work has been carried out to support the integration of various strands of brief interventions training in NHS Lanarkshire. Work has now begun on providing ongoing support for staff to enable the Brief Interventions approach to become a standard component of working with patients and clients. 2. Project Background (including funding, outputs and outcomes as agreed within the service level agreement (SLA)). Alcohol Brief Interventions trainers are tasked with delivering ABI training to GP practice staff and community nurses in support of SIGN 74 the Local Enhanced Service agreement on ABI and HEAT target H4. Funding has been provided for two band 7 trainers and 0.5 band 3 admin. A non staff budget of 15,000 per annum is available to cover supplies and the costs of running courses. Both trainers have attended the NHS Health Scotland Training the Trainers course on Alcohol Brief Interventions. The training course being provided within NHS Lanarkshire, is a one day course which is conducted in line with national guidance from Health Scotland. The main target is to train all staff from practices which signed up to the LES. A further target is to train locality staff to enable each locality to meet its performance review target of 50% of frontline staff to be trained in ABI by December 2009.

3 3. Performance Management Since the last report, those GP practices which signed up to the LES have had their staff trained. This was mainly carried out between April 2009 and June 2009 with additional courses in October 2009 for those staff who had been unable to attend earlier. Two further courses have been arranged for the next reporting period to account for staff who were on maternity leave or otherwise unable to attend this year. In this reporting period, 110 GP s and 70 Practice nurses have attended training. As previously, resources in the form of pads and flowcharts were distributed to practice staff at training and NHS Health Scotland resources were also distributed to practices. A total of 112 courses ran over this reporting period, covering community staff and GP practices. In total, 745 community staff attended training. Initially, training was restricted to doctors and nurses only (in line with strict H4 requirements) however from August 2009 onwards, training has been made available to all staff who might benefit. Following the decision by senior management in April 2009 to change the screening tool from AUDIT to FAST, the trainers were informed that practice staff would not require any face to face training to support the conversion to the use of FAST within ABI s. However, the trainers produced written guidance regarding the use of FAST which was disseminated to all practices involved in the LES for information. A face to face update session was produced for NHS Lanarkshire community staff to familiarize them with FAST and in particular how to use this tool to its best effect. This update training was largely carried out in May 2009 but the trainers have responded to ad hoc requests for updates where staff had been unable to attend the arranged sessions. From May 2009 onwards all training has been based on FAST as the screening tool. Through participation in the HEAT H4 Steering Group, the trainers have also amended the data recording forms to support the reporting requirements of H4 and the associated guidance on their use. This was initially required following the change of screening tool from AUDIT to FAST and then a later amendment was made in the light of feedback from course participants. The trainers have supported the H4 Steering Group in leading lunchtime briefings for senior management staff regarding the implementation of alcohol brief interventions and the associated recording process. The trainers facilitated discussion around concerns and solutions and subsequently took forward any actions required. These briefings proved hugely influential in supporting the implementation of ABI s. The trainers are now working to strengthen relationships with Service Managers and Team Leaders in order to provide continuing support to practitioners delivering alcohol brief interventions. The trainers are attending Team meetings and responding to specific tailored training requests from staff groups in order to address particular clinical issue e.g alcohol and the elderly. The trainers are beginning to use the ABI National Competency framework to support local implementation, in line with team leader and corporate performance objectives.

4 The trainers have also been heavily involved in efforts to integrate the various strands of brief interventions training being delivered in NHS Lanakshire (e.g. Generic Brief Interventions, Smoking Cessation) to avoid duplication of effort and to reduce training demands on managers and staff. The Firstport site is now well established and discussions are underway as to how online training might be integrated. 4. Variation on agreed outputs/outcomes (including explanation for any variations exceeding or not meeting SLA targets). Those staff identified by GP practices as needing training under the terms of the LES have been trained with the exception of a small number who were not available last year. These staff will be trained in May 5. Compliance against National Quality Standards and actions agreed to ensure compliance over the next 3 years. The ABI trainers have no direct clinical role in providing services directly to patients or clients consequently it is difficult to cite examples of compliance with these standards. The provision of this training will support staff in complying with Standard Statement 4 You will be involved in a full assessment which makes sure that decisions about your care and support are based on your needs. By providing training in screening for risky drinking and providing a brief intervention where appropriate it is likely that patient need in this regard will be identified more accurately. And Standard Statement 8 You will receive quality support and care. Staff will be appropriately trained to screen and deliver ABI in line with Standard 8. Work has now commenced to further develop the ability of staff to use the brief interventions approach and to bed it into everyday practice. There has been enthusiasm expressed at locality and team level to take this forward. This work will underpinned by the NHS Health Scotland Competency Framework. 6. Financial Summary (include all grades of staff and expenditure against allocation). Staff employed 2 x band 7 trainers salary including on costs 2 x 35,200 = 70, 400

5 0.5 band 3 Admin salary including on costs = 8,975 Non staff budget = 15,000 Expenditure No figure available Conclusion & Recommendations Given that the majority of staff who required training have now attended the focus must now turn to how best staff can be supported and encouraged to develop their knowledge and skills in this area and indeed what other knowledge and skills might be needed to accomplish this e.g. alcohol and drug training for mental health staff.