Plugging the gap between health and social care

A system of integrated care for every person in England is a major change that needs to happen. It means care and support built around the needs of the individual, their carers and their family - It is all about improving patient experience and achieving greater efficiency and value from health delivery systems.

Integrated care means:

·         Individuals only tell their story once

·         Professionals communicate with each other

·         A holistic approach to a person’s care

·         Inappropriate admissions to hospitals reduced and lengths of stay cut

·         Individuals do not ‘fall through the gaps’

·         Bringing together primary medical services and community health providers around the needs of individual patients

People are discharged from hospital, and still require medical attention – the communication between health and social care professionals is vital in ensuring patients needs are met. For integrated care to be successful, it means care workers expanding their skill set, to include things traditionally done by health workers (routine medical tasks - changing wound dressings), and health workers developing skills that would have previously been left to care workers (recreational therapies – rehabilitation, care home activities).

The Care Certificate sets out an identified set of standards that health and social care workers adhere to in their daily working life- giving everyone the confidence that workers have the same introductory skills, knowledge and behaviours to provide compassionate, safe and high quality care and support. Whilst this doesn’t encourage care workers to learn medical procedures, it meets somewhere in the middle to give a starting point of plugging the gap between health and social care, enabling both sets of workers to train from the first principles of care.

With the current crisis of the NHS, the shortage of nurses has forced hospitals to hire expensive agency staff – acknowledged by Monitor as the primary cause of the £842million deficit. Hospitals are under extreme pressure to deliver high quality care to patients. Integrating the care system means that admissions to hospitals are reduced and length of stays are cut – allowing social care workers to take on some of the tasks that would otherwise be carried out by nurses, in a hospital.

Figures show that 40% of people in a hospital bed have no medical reason to be there- a person with dementia staying on average 21 days, with a bed day cost of £500. An Alzheimer’s Society survey states that 61% of GPs report that a lack of co-operation between health and social care acts as a barrier to patients getting support.

The current divide between health and social care has a huge impact on the quality of life of service users, with the most vulnerable all too often falling through the gap where health care ends and social care begins. If social care faces more cuts, these vulnerable people will be admitted to hospitals – adding to the capacity problems.

Lord Warner said the health service should become a ‘membership scheme’, charging £10 per month, with people who need to stay in hospital paying extra. If the healthcare system does not change, do you think this is what will happen?

A possible way to stop this becoming the case is to cut training costs across the sector.

E-learning is an effective platform for carrying out the Care Certificate training, especially when a large dispersed workforce is involved. It can be carried out at a time, place and pace to suit the individual so as not to interfere with their day to day activities. With the current financial situation facing the NHS, cost efficiency is of utmost importance, alongside consistent high quality, making e-learning a preferred method of delivery.

Do you think that the Care Certificate could contribute to the health service being more cost effective in the future? Giving both sets of workers a basic understanding of providing quality care both in and out of hospitals, clinics, care homes and the like. 

Are Trainers That Don't Offer E-learning Missing A Trick?

According to CIPD’s annual survey report for Learning and Development 2015 ‘three quarters of organisations use learning technologies – but face-to-face delivery remains dominant.’ The traditional face-to-face approach adds a personal aspect where learners can ask questions and gain insight through storytelling and listening to others, ensuring key learning points are understood by the whole group. But, is this method alone enough to meet all of the needs within an organisation? Is a blend of face-to-face and online learning the answer?

E-Learning

Clients are increasingly choosing e-learning as their preferred method of delivering training, with 29% of CIPD respondents selecting it as their most common form of training. The ability to train a large dispersed workforce is a key factor, as it allows staff in various locations to access the same high quality training course at the same time, whilst saving precious time and money that would be otherwise spent on travel, accommodation and refreshments.

Other reasons for choosing e-learning include:

Ø  Flexibility - access to courses 24/7

Ø  Consistently high quality content

Ø  LMS tracking

Ø  Easy to arrange for high turnover areas such as domiciliary care

Ø  Easy to reach national or international audience

Ø  Large numbers of learners can be trained simultaneously

E-learning can be carried out at a time, place and pace to suit the individual learner

The Learner Management System (LMS) reporting that comes with e-learning is great for both internal and external trainers to monitor and provide reports to client organisations, helping to monitor ROI for training costs. LMS learner tracking provides an audit trail for managers and CQC regarding who has completed the training, allows managers to co-ordinate training, and, monitor in real time, which learner has completed which course/s.

It would be wrong to say that face-to-face training is not effective, it is still the most dominant form of learning, but the cost of implementation is far more than with e-learning. Staff are required to take time out of their day-to-day activities, sometimes travelling across the country to complete a day of training in a classroom which would convert to just 1 hour of e-learning. As a trainer, wouldn’t you want to be able to provide a service to clients in all four corners of the British Isles, at the same time, on the same day?

Of course, there are limitations with e-learning - most notably, the lack of immediate feedback that face-to-face trainers would receive, and the elimination of the group experience of learning in a classroom. However, these are outweighed by the need for flexibility, the cost of training a dispersed workforce and the fact that many individuals prefer to learn at a time, place and pace of their choosing. Our stats at Embrace-learning bear this out consistently - when asked “What did you like most about e-learning?” the overwhelming answer is “I did it at my own pace when it was convenient for me”.

Blended Learning

Blended learning offers a collaborative and holistic approach to learning, delivering the best of both worlds to employees and enhancing the overall learning experience. 40% of CIPD respondents plan to increase the use of blended learning over the next 2 years, making now an ideal time for training companies to increase their product offering to include e-learning courses alongside their face-to-face training.

Offering a range of e-learning courses means that training companies can deliver courses normally considered to be outside of their realm of expertise. For example, as a fire safety trainer, wouldn’t you want to be able to say to your clients – “yes, I can provide you with high quality training in Dementia for your care staff”?

A Health and Safety training company could also offer courses on mental health, safeguarding adults, dementia etc., widening their target audience and providing a service to large clients, with complex training needs.

Here at Embrace-learning, our aim is to further the use of educational technologies in work-related training. We have over 10 years of experience in providing high quality e-learning courses that are up-to-date and relevant to today’s workforce. We believe that through offering e-learning courses alongside face-to-face training, organisations can provide their employees with all of the necessary skills, knowledge and training required to perform to an exceptionally high standard.

Is a blended approach to learning the best way of meeting learning and development needs within an organisation? We think so! What do you think?

To find out more about our e-learning courses and partnership opportunities, visit our website here.

Click here to view the full CIPD Learning and Development Report 2015