Day 3 Speaker Presentation - Dan Ritman

Day 3 Speaker Presentation - Dan Ritman

• 1.
  Making a difference DanRitman Quality & Learning Manager, THET Elizabeth Rafii-Tabar Global Health Projects Manager, Centre for Women’s Global Health, RCOG October 2017
• 3.
  Patients and carers Worburyhealth workers Kakura health workers Kakura hospital management means “leads to”
• 4.
  Health partnership betweenWorbury Hospital NHS Trust, UK and Kakura District Hospital, Kenya. Project to improve care of stroke patients. Kakura nurses and physiotherapists lack stroke care knowledge and skills Worbury nurses and physios and Kakura doctor design stroke care training course Worbury nurses and physios visit Kakura to train counterparts and work with doctor on stroke protocols Kakura project lead seeks managerial support and resources for new stroke ward Kakura nurses and physiotherapists have stroke care knowledge and skills
• 5.
  Health partnership betweenWorbury Hospital NHS Trust, UK and Kakura District Hospital, Kenya. Project to improve care of stroke patients. Kakura nurses and physiotherapists lack stroke care knowledge and skills Worbury nurses and physios and Kakura doctor design stroke care training course Kakura nurses and physiotherapists have stroke care knowledge and skills Worbury nurses and physios visit Kakura to train counterparts and work with doctor on stroke protocols Kakura project lead seeks managerial support and resources for new stroke ward Improved recovery from stroke Kakura stroke care protocols devised Kakura clinicians provide improved care to patients on stroke ward Kakura clinicians educate stroke patients’ families on providing care at hospital and after discharge Worbury clinicians use teaching experience in NHS Patients’ families provide improved care and support New stroke ward established
• 6.
  Patients and carers Worburyhealth workers Kakura health workers Kakura hospital management Barriers means “leads to”
• 7.
  Health partnership betweenWorbury Hospital NHS Trust, UK and Kakura District Hospital, Kenya. Project to improve care of stroke patients. Kakura nurses and physiotherapists lack stroke care knowledge and skills Worbury nurses and physios and Kakura doctor design stroke care training course New Med Super refuses to provide resources and space for stroke ward Kakura nurses and physiotherapists have stroke care knowledge and skills Worbury nurses and physios visit Kakura to train counterparts and work with doctor on stroke protocols Kakura project lead seeks managerial support and resources for new stroke ward Improved recovery from stroke Kakura stroke care protocols devised Kakura clinicians provide improved care to patients on stroke ward Kakura clinicians educate stroke patients’ families on providing care at hospital and after discharge Worbury clinicians use teaching experience in NHS Patients’ families provide improved care and support Kakura clinicians lack skills / motivation to educate families Poorer patients’ families cannot afford to visit / support them Kakura clinicians are transferred to another hospital; or they lack resources to provide stroke care New stroke ward established Kakura clinicians forget key knowledge and skills
• 8.
  Patients and carers Measures Worburyhealth workers Kakura health workers Kakura hospital management Barriers means “leads to”
• 9.
  Health partnership betweenWorbury Hospital NHS Trust, UK and Kakura District Hospital, Kenya. Project to improve care of stroke patients. Kakura nurses and physiotherapists lack stroke care knowledge and skills Worbury nurses and physios and Kakura doctor design stroke care training course New Med Super refuses to provide resources and space for stroke ward Kakura nurses and physiotherapists have stroke care knowledge and skills Worbury nurses and physios visit Kakura to train counterparts and work with doctor on stroke protocols Kakura project lead seeks managerial support and resources for new stroke ward Improved recovery from stroke Kakura stroke care protocols devised Kakura clinicians provide improved care to patients on stroke ward Kakura clinicians educate stroke patients’ families on providing care at hospital and after discharge Worbury clinicians use teaching experience in NHS Patients’ families provide improved care and support Kakura clinicians lack skills / motivation to educate families Poorer patients’ families cannot afford to visit / support them Kakura clinicians are transferred to another hospital; or they lack resources to provide stroke care New stroke ward established Kakura clinicians forget key knowledge and skills OSCE of clinicians’ management of stroke patients, three months after training Change in average functional assessment score at discharge Kakura Med Super explicit approval of protocols Patients’ families express more confidence in their knowledge of carePre- and post- training test scores Health workers’ observations of caring practices Annual supervision recognises improved competency