Meet the team: #notts_chcop
Interim Programme Manager/ Lecturer
Nottinghamshire Alliance Training Hubs/ Nottingham Trent University
- England - East Midlands
University of Nottingham
- England - East Midlands
Post Graduate Research Physiotherapist
Nottingham CityCare / University of Nottingham
- England - East Midlands
- Simon Browes
- Lisa Hodgkinson
- Darren Beaman
- Katie Robinson
- Cynthia Mutepfa,
Locally Nottinghamshire is divided into six clinical commissioning groups, each have commissioned services to support care homes in a variety of ways. This has resulted in teams creating new resources, including training packages, information leaflets, and processes of identifying residents at risk of admission. The majority of this work has been done in isolation and not been shared across the county.
Recommendations of collaborative working feature in a number of reports including: Darzi (2008), Berwick (2013) and Francis (2013). Whilst NHS England (2014) advocates organisations working in partnership in order to maximise output with the current constraints, ensuring a consistent and cost effective approach to health and social care service delivery.
Lave and Wegner developed the concept of Communities of Practice almost three decades ago. Defined as a group of people who share common interest, learning how to improve as they interact on a frequent basis (Wenger- Trayner & Wenger- Trayner, 2015). We have set about creating a dedicated Community of Practice bringing together health and social care professionals working in the care home sector across Nottinghamshire. The Community meets monthly and has a dedicated Twitter account which enables free interaction between members and sharing of resources, experience and ideas.
The introduction of Nottinghamshire’s Community of Practice for health and social care professionals, has enabled people to come together and share existing resources, whilst identifying what works well and areas that require further development. This collaborative approach enables quality improvement initiatives that have been trialled in one locality to be spread across the county. This reduces waste and colleagues are able to look to each other for support instead of trying to reinvent the wheel.
The group currently has 60 members from 14 organisations and meets on a monthly basis, with an average attendance of 20 people. Due to limited space available we are unable to accommodate more than 20 at one meeting. Minutes are recorded and distributed to the group to ensure that all members are communicated with.
A celebration event is planned for July and over 20 new members will be attending. At the event we will be hearing from care homes who have implemented new initiatives, who will be able to provide guidance and support to group members on further implementation.
Professionals from neighbouring counties have also expressed an interest in the group and there are plans to develop an online platform for a community of practice to operate regionally across the East Midlands.
Links have also been made to other areas that operate communities of practice and there will be an ability to share work nationally and learn what works well in other areas and share best practice.
Building on the existing foundations of the group, we plan to be expand this community of practice, ensuring we are reaching as many professionals as possible. We want to explore the potential of replicating the model and applying to professionals working directly in the social care sector with a link between the two. We also want to use the group to act as a platform to identify areas of good practice taking place in care homes and promote these areas so other care homes can learn what works well. We hope to try and improve the relationships between those working in the care sector and other professionals and enable them to develop a better understanding of each other’s roles.
Benefits & Evaluation
We have completed an initial scoping exercise which has:
1, Identified what training is currently available to care homes; and
2, Asked members to identify what they want from the group, what they can offer the group and any tasks/ focus they would like to see undertaken.
Key outcomes to date include improved communication between professionals, collaborative working, and consistent approach to training delivered to care homes.
We now want to undertake a formal evaluation of the Community of Practice initiative to understand:
What were benefits of participating in the CoP?
Did they face any challenges in participating in the CoP?
Were their needs and priorities met?
Examples where there has been a change to practice as a result of participation.
This project will add to the literature and evidence base on Communities of Practice and health and social care. Resources that have been developed by group members will be shared with Q members for adoption and use in their own areas of practice.
We will also share our experience and learning from establishing and growing the community of practice and how we approached and overcame challenges and barriers. A summary and presentation of our work can be shared with Q members as required.
Berwick, D. (2013) A promise to learn – a commitment to act: improving the safety of patients in England [online]. Available at: https://www.gov.uk/government/publications/berwick-review-into-patient-safety
Darzi, AW. (2008) High Quality Care For All [online]. London: Department of Health. Available at: http://www.nhshistory.net/darzifinal.pdf
Francis, R. (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive Summary [online] Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/279124/0947.pdf
National Health Service (NHS) England (2014) 5 Year Forward View [online]. Available at: https://www.england.nhs.uk/wp-content/uploads/2014/10/5yfv-web.pdf