Student Education Induction Pack
This induction pack is to help you as a learner to familiarise yourself with the team. It provides you with the basics about the team and should help you to plan to meet your learning needs.
We recommend that all learners contact the team in good time prior to placement to identify who will be supervising your learning and confirm start times/hours.
During your placement you should have a minimum of a preliminary, midpoint and final meeting with whoever is supervising your learning. You should also undertake some form of leaning analysis then produce a learning contract and or action plan that provide structure and direction to the time you are with us. Your supervisor will be able to help draw this together but you must take a lead in negotiating your plan. Some examples of these tools are provided but you may wish to use those produced by your education provider.
Please ensure that you present any documents regarding your placement with our staff on the first day of your placement. This should include any assessment document, learning outcomes you hope to achieve and any type of ongoing record of achievement.
On completion of your placement you will be asked to provide an evaluation. Please take time to complete this openly and honestly as it is only with your feedback can we improved the quality of these valuable learning experiences.
We hope you find the time on your placement enjoyable and productive.
Dates of production or last review and update (audit trail) / 17/08/2015 09/02/201619/10/2015
11/01/2016
Author or reviewer / Rebekah Edwards
Placement Induction and Details
Team/service name: /
The North & Central Shropshire Memory Service
Address: / Severn Fields Health VillageSundorne Road
Shrewsbury
SY2 4RQ
Oswestry Council Offices
Castle View
Oswestry
SY11 1JR
Raven House
129 Cheshire Street
Market Drayton
Shropshire
TF9 3AH / Team telephone number/s: / Shrewsbury:
03001240358
Option 2
Oswestry:
01691 677300
Market Drayton:
01630 695280
Team/service webpage:
Team email / Shrewsbury:
Oswestry:
Market Drayton:
Other contact details:
Service Description: / Assessment, Diagnosis and Review and/or Home Treatment for adults experiencing symptoms of dementia.
Team philosophy: / Keep people at the heart of everything we do.
· Delivering a high quality service by adhering to the six C’s – Care, Compassion, Competence, Communication, Courage and Commitment.
Team welcome: / We are a multi professional team covering the north and central areas of Shropshire.
Prior to your placement please contact us to discuss initial arrangements and logistics, thank you.
“Once upon a time, but not that long ago, Alzheimer’s was the disease that did not get talked about; now, it sometimes seems to me that people talk about nothing else!” Sir Terry Pratchett OBE, 2010.
Hours of the service / Mon- Fri 9am-5pm / Hours of work / Mon-Fri 9am-5pm
Directorate: / South Staffordshire Healthcare NHS Foundation Trust, Shropshire Memory Service / Student capacity (all disciplines combined): / 3
Service manager: / Gill Foster / Contact number / 01743 210056
Team Education Lead / Rebekah Edwards / Contact number / 03001240358
Option 2
Team members / Discipline / Specialist interest/skills and expertise / Particular learning opportunities: / Education supervisor status:
CMHN – Community Mental Health Nurse
AP – Assistant Practitioner
TAP – Trainee Assistant Practitioner
CSW- Community Support Worker / Request for staff to contribute and share this information if they wished to, otherwise students will discover staffs interest/skills once on placement through discussion. / Learning opportunities depend on the staff’s role and the engagement of the student.
A&D – Assessment & Diagnosis
Central (Shrewsbury)
Angela Hammond / Operational Lead / Nurse Prescriber – Specialist Nurse Practitioner / Mentor
Alison Marpole / Specialist Nurse Practitioner/Clinical Lead / Nurse prescriber
GP assessment clinics / Mentor
Colin Hughes / CMHN / Sign off Mentor
Ann Johnson / Outreach Sister / Younger adults with dementia / Mentor
Dr Lesley Wood / Psychologist / Mindfulness
Yvette Jones / CMHN / Home Treatment / Sign off Mentor
Sheena Anderson / Occupational Therapist
Rebekah Edwards / CMHN / Assessment & diagnosis (level 7)
Teaching & assessing (ENB)
Counselling in caring relationships (ENB)
Clinical Supervisor
Trust Leadership Programme
Supervisor & Supervisee training / Facilitator and Supervisor / Sign off Mentor
Sharon Bailey / CMHN / Home Treatment / Mentor
Sue Edwards / CMHN / Care Homes and non-pharmacology approach / A&D / Sign off Mentor
Jeanett Larsen / CMHN / MCA & MHA and mentoring & learning / Home Treatment / Mentor
Becky Walker / CMHN / Home Treatment / Mentor
Gaynor Moss / CMHN / Home Treatment
Charmaine McQuilkin / CMHN / Home Treatment
Alison Simcox / CMHN
Louise Davies / CMHN
Carolyn Aberley / CMHN / Home Treatment Reviews / Mentor
Andy Milne / CMHN / Home Treatment Reviews / Sign off Mentor
Denise Walmsley / AP / Younger adults with dementia
Sam Probert / AP / Reviews
Rachel Manton / AP / Reviews
Jo Jones / CSW
Pauline Castree / CSW
Nigel Morris / CSW
Megan Price / CSW
Jane Rudd / Admin
Medical
Consultants
Dr David Rice / Consultant Psychiatrist
Dr Sajeev Kshemendran / Associate Specialist Psychiatry
Debbie Davies / Admin
Tina Brazier / Admin
Becky Browne / Admin-Redwoods
North (Market Drayton)
Michelle Mellor / CMHN / Sign off Mentor
Louise Barnett / CMHN / Sign off Mentor
Julie Hollins / CSW
Sandra Powell / CSW
Julie Taylor / Admin
North (Oswestry)
Shaun Foster / CMHN / A&D / Mentor
Becky Roberts / CMHN
Rachel Downes / TAP / Reviews
Edith Edwards / CSW / Home Treatment
Rebecca Robinson / CSW
Learning opportunities/experiences across the team: / Student nurses will have the opportunity to observe multi professional working across the north and central areas of Shropshire. They will follow the patient journey, including initial assessment of symptoms of dementia, delivery of diagnosis, acetylcholinesterase inhibitors & NMDA receptor antagonists medication trials, reviews, groups and home treatment.
Discipline specific learning opportunities: / · Nurse led assessment and diagnosis clinics
· Nurse led home treatment
· Nurse and Assistant Practictioner led reviews
· Psychological interventions
· Consultant Psychiatrist interventions
· Nurse prescriber
Local Links and networks: / · Social Service (People 2 People)
· Voluntary agencies and support services e.g. Alzheimer’s Society, Cross Roads & Age UK
· Care providers
· Care homes
· Police
· Community Mental Health Teams (CMHT)
· Continuing Health Care (CHC)
· The Redwoods
· General Practitioners (GP’s)
Types of treatments interventions offered within the service / · Non pharmacological interventions e.g. Neuro-psychological testing and assessment (Addenbrooke’s - ACE III) , Cognitive Stimulation Therapy (CST), Newcastle model & carer support,
· Pharmacological interventions e.g. anti-psychotic reviews, NMDA receptor antagonist (memantine) & acetylcholinesterase inhibitors (donepezil, rivastigmine and galantamine) trials.
The frameworks and models of care used / · WRAP – Wellness Recovery Action Plan (by Mary Ellen Copeland)
· NICE guidelines
· Newcastle model
· Trust policies and procedures
· RiO
· Roper Tierney and Logan
· Care Programme Approach (CPA)
· 6 C’s – Care, Compassion, Competence, Communication, Courage & Commitment
· National Dementia Strategy
Site specific Health, Safety & Security / This is a multi-site team; there are sites in Oswestry, Market Drayton, The Redwoods and Shrewsbury. When a student nurse visits each site they will need to know its specific housekeeping agenda, therefore, it is suggested that the student contact the site prior to their visit.
We would appreciate contact details from the student and their adherence to the Loan Working Policy.
· Health and Safety Policy
http://www.apps.sshis.nhs.uk/PILS/showLeaflet.aspx?leafletID=839
· Community & Lone Working Policy
http://www.apps.sshis.nhs.uk/PILS/showLeaflet.aspx?leafletID=942
Expectations of students / · Work in accordance with The Code – NMC (2015)
http://www.nmc.org.uk/standards/code/read-the-code-online/
· Make travel arrangements to and from Market Drayton, Oswestry, The Redwoods and/or Shrewsbury if necessary
· Treat all team members, patients, carers and all people they come into contact with whilst on placement with respect, dignity and confidentiality
· Be appropriately attired, punctual and have a willingness to learn and ask questions
· Be able to use RiO, have an access card and be able to log in
· Have an understand of the symptoms of dementia
Year 1
· Recognise and describe the organisation and delivery of care within the current placement setting
· Safely demonstrate (under supervision) 1st year clinical skills, as appropriate, in practice
· Assist registered practitioners in the assessment, planning, implementation and evaluation of client centred nursing care
· Describe the difficulties experienced by patients with a range of commonly diagnosed problems encountered in this area.
Year 2
· Demonstrate competency in 1st and 2nd year clinical skills in practice
· Develop understanding of the principles of recovery and wellness from the perspective of mental health care
· Experience and understand the wider context of services within the community
· Develop an understanding of the physical and psychological needs of mental health patients and carers, and assist in assessment, planning, implementation and evaluation of care to meet these needs
Year 3
· To demonstrate proficiency in appropriate 1st, 2nd and 3rd year clinical skills
· To recognise and understand a range of factors that cause psychological trauma
· To take a lead in the assessment, planning, implementation and evaluation of care, and demonstrate application of skills to support patients
· To develop competence in a range of psychological interventions
Housekeeping / Oswestry – long stay car park in Oak Street, building fob needed, use intercom system on the first day and side door thereafter, tea & coffee available at small contribution, the use of limited kitchen facilities, need to provide own lunch & snacks.
Market Drayton – limited parking at Raven House (use Morrison’s car park opposite), building fob needed, use intercom system on the first day, tea & coffee available at small contribution, the use of limited kitchen facilities, need to provide own lunch & snacks.
Shrewsbury – Please park at the rear of the building in the staff car park, come to the downstairs reception and ask for the Memory Service, tea & coffee available at small contribution, the use of limited kitchen facilities, need to provide own lunch & snacks.
Useful student contact details / Clinical Placement Facilitator Sue Kent 01743 210047 (Shropshire)
Clinical Education and Development Lead Helen Allen 07791 501278
Staffordshire University 01785 353766
Keele University 01782732000
Wolverhampton University 01902321000
Coventry University 02476887688
Derby University 01332590500
Trust Library Services
Lichfield 01543 414555
Redwoods 01743 210110
Stafford 01785 221584
Please add other useful numbers
Statistics from the Alzheimer’s Society (2015) http://www.alzheimers.org.uk/
· By 2015 there will be 850,000 people with dementia in the UK
· There are 40,000 younger people with dementia in the UK
· There are 25,000 people with dementia from black and minority ethnic groups in the UK
· There will be 1 million people with dementia in the UK by 2025
· Two thirds of people with dementia are women
· The proportion of people with dementia doubles for every five-year age group
· One in six people aged 80 and over have dementia
· 60,000 deaths a year are directly attributable to dementia
· Delaying the onset of dementia by five years would reduce deaths directly attributable to dementia by 30,000 a year
· The financial cost of dementia to the UK is £26 billion per annum
· There are 670,000 carers of people with dementia in the UK
· Family carers of people with dementia save the UK £11 billion a year
· 80 per cent of people living in care homes have a form of dementia or severe memory problems
· Two thirds of people with dementia live in the community while one third live in a care home
· Only 44% of people with dementia in England, Wales and Northern Ireland receive a diagnosis
Statements that students may like to consider…
“You have to begin to lose your memory, if only in bits and pieces, to realise that memory is what makes our lives. Life without memory is no life at all. Our memory is our coherence, our reason, our feeling, even our action. Without it, we are nothing.” Luis Buñuel (1900–1983), Spanish filmmaker
The Dementia Strategy (2009) promotes memory clinics, but it has been suggested that memory clinics offer a ‘less supportive pathway’ to diagnosis (Jackson, 2014) as they may only be useful for those diagnosed with Alzheimer’s disease and not other dementias that anti dementia/cholinesterase inhibitors are not prescribed for.
The Audit Commission Update (2002) suggests that members of a CMHT should carry out at least one home assessment.
Nearly 50% of people diagnosed with cognitive impairment refuse subsequent support; this may be because it could affect insurance covers, driving, employment, stigma and emotions (Le Courteur, 2013).
A timely diagnosis may be best practice (Dementia Ethical Issues, 2009).
The Government and commissioning pressures to diagnose early, due to targets, may be detrimental to the patient and professional relationships (Brunet, 2014)
A Public Health Priority by the World Health Organization (2012) http://www.who.int/mental_health/publications/dementia_report_2012/en/
Living Well with Dementia by the Department of Health (2009)
https://www.gov.uk/government/publications/living-well-with-dementia-a-national-dementia-strategy
Dementia by Shropshire Council (2013)
http://shropshire.gov.uk/joint-strategic-needs-assessment/older-people/dementia/
Ace III training
http://www.nes.scot.nhs.uk/education-and-training/by-discipline/psychology/multiprofessional-psychology/psychology-and-psychological-interventions-in-dementia/ace-iii-trainer.aspx
Alzheimer’s Society
http://www.alzheimers.org.uk/
Care Cluster information
The NMC Code 2015
http://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/revised-new-nmc-code.pdf
Examples of SWOT tool, Learning Contract and Action Plans
SWOT
Relates to Learning Outcome: ______
Strengths / Weaknesses/LimitationsOpportunities / Threats/Barriers
Signed (Learner): Date: