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Urgent Care – Out of Hospital Programme

Supporting workforce in Care Homes through Education and Training


This Health Education England programme was delivered to workforce in Care Homes (both residential and nursing) with the support of patient quality teams within seven clinical commissioning groups across Arden, Herefordshire and Worcestershire.

The programme aimed to increase awareness of and aid the early detection of the signs of a deteriorating patient and ensure staff had the skills, confidence and competence to appropriately deal with deterioration and avoid the need for hospital admission.

The programme Board was established in April 2016 and consisted of representatives from seven clinical commissioning groups and joint executive sponsorship by Jo Galloway (Executive Nurse at Redditch and Bromsgrove CCG) and Ann Pope (HR Director of South Warwickshire Foundation Trust).

The key delivery partner was Age UK and they were appointed in Autumn 2015 and training commenced January 2016. They provided expertise through their Nurse Trainers and trainers with qualified social care background. They were able to access Care Homes and deliver training locally at the Care Homes

Training was made available to the 400 plus care homes across the region and 162 accessed training. 1307 members of staff were trained and 122 sessions of training were completed.

For full access to the training materials please visit West Midlands Learning:

  1. ’Essentials to Care’ (E2C) - aimed at Residential Homes Support Workers(covers nutrition, hydration, infection prevention & control, catheter care & skin integrity)
  2. ‘Recognising the Signs of the Deteriorating Patient’ (RSDP) - aimed at Nursing Homes - Registered Nurses and Senior Health Care Assistants (understanding early indicators of deteriorating health, observe, record and clearly relay to other health professionals)

A programme evaluation has been commissioned and will be available in Autumn 2016 and a programme overview can be found in related documents.

This work compliments the new care models programme by NHS England and in particular the enhanced health in care homes vanguards. For the latest developments in care home best practice the Nursing Times have launched a micro site in conjunction with Care England. 

Locally CCG's have infomation on their websites. Find out more about South Worcestershire and Herefordshire.  

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