Addressing complacency,competence and culture where do we go from here

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Addressing complacency,competence and culture
where do we go from here?

• Dr.Andrew Havers MRCGP
• Medical Advisor DH Workforce
• (and still a GP 2 days a week!)

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KEEP IT SIMPLE

• Ask your colleagues/registrars to ask themselves
  at the end of any consultation
• Is my patient better able to self care than when
  he/she walked in the room?
• Focus on 4 target areas ( the 4 competences we
  are asking Royal Colleges to consider including
  in their core curricula)

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Target Areas

• Skills Training
• Information
• Tools Devices
• Support Networks

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Skills Training

• Self care skills education and training
  programmes (eg EPP)
• Disease specific education programmes
  (DESMOND/DAPHNE)
• Training frontline staff in principles of
  self care (WiPP, Community Matrons)

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Skills Training

• The clinician facilitates access to appropriate
  training and skills within or outside their
  organisation in order to develop the patients'
  confidence and competence to self care.

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Information

• Find out what people want
• Review whats out there
• Ensure frontline staff know about other community
  contacts, websites, associations
• Make good use of Local Strategic
  Partnerships

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Information

• The clinician encourages and supports the patient
  in accessing appropriate information, and where
  possible provides the relevant and evidence based
  information in an appropriate medium providing
  sufficient choice/options.

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Tools, Devices Equipment

• Self care tools
• Self monitoring devices
• Assistive technologies

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Tools and devices

• The clinician ensures appropriate equipment and
  devices are discussed and when appropriate puts
  the patient in touch with the relevant agency
  from where they can procure the item(s), and
  where possible provides the relevant tools and
  devices.

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Support Networks

• Community and voluntary support groups
• Peer and other networks
• Ensuring health and social care professionals are
  aware of the community resources
• Partnership between the two experts, the
  individual and the practitioner

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Support Networks

• The clinician promotes and encourages involvement
  of their patient, as an individual or as a carer,
  in appropriate support networks both to receive
  from and/or give support to others.

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Consultations

• Tendency to focus on
• Identifying illness
• Deciding how to treat it
• Following medication regime
• How about 3 new areas to focus on?

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1.Enhance Understanding, Skills and Confidence

• A confident, well informed patient is not a
  threat
• In most cases the person knows more about living
  with their condition than anyone else

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2.Develop a more Equal Relationship

• The professional/patient relationship is a
  meeting of two experts sharing different knowledge

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3.Modify the way People seek Help

• Change their beliefs about their health and
  condition
• Use a motivational style of discussion that
  promotes contemplation of change
• Support people through the process of planned
  lifestyle change towards optimal self care

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