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Welcome to the Autumn 2020 edition of the Wessex AHSN Healthy Ageing Newsletter

#LaterYearsToday ... "Rang an old friend yesterday to catch up. She said “Do you Zoom? Let’s do that. Better” She is 88, me 85."
 
The last 6 months have transformed how each of us work, interact and communicate with each other. During these sad and challenging times, it has been inspiring to see organisations coming together at pace to deliver innovative ways of delivering patient and resident centred care, particularly for those individuals living with frailty.
 
The programme has been able to see huge strides forward for older people and care provision.
 
From service transformation in the form  of the rapid rollout of telemedicine for care homes across West and Mid Hampshire, to the great work of local charities and voluntary services  offering up befriending services to minimise social isolation, arranging informal chats with a retiring mayor and sending sunflower seeds to grow in one's garden or window sill to local geriatricians, frailty practitioners and allied health professionals demonstrating the art of the possible and older people embracing change, trying out new technologies to remain connected with families and health care.
 
What has been achieved for the healthy ageing agenda locally and nationally should not be underestimated and will provide a firm basis in helping our older population age well, living independently for longer in the place of their choosing.
Cheryl Davies - Programme Manager Healthy Ageing 
Thursday 1st October 2020, marks the 30th Anniversary of the United Nations International Day of Older Persons.
To celebrate this momentous event, the Healthy Ageing programme has captured personal and professional perspectives from across Wessex reflecting on what the International Day of Older Persons means to them and providing an insight to how the older population is adapting to the new emerging world. Please visit https://wessexahsn.org.uk/projects/378/international-day-of-older-persons-2020

The day is a day to reflect on age-based bias and see older people for who they are as individuals, recognise and acknowledge their strengths.
Telemedicine for care homes scoping and implementation guides
“As an operational manager I would have been delighted to be given guides like this! It tells me everything I need to consider when setting-up telemedicine services.”
 
During August 2020, the Wessex AHSN published the telemedicine for care homes, a strategic scoping guide and strategic implementation guide as promised for your reference and use. These guides have been developed in collaboration with Hampshire Hospitals Foundation NHS Trust, West Hampshire CCG and key stakeholders across the Wessex system. These guides will be shared on the BGS website and are available on NHS Futures platform: Community Services and Ageing well.
 
 
For more information and to download materials Telemedicine for care homes

For more information on the work of Wessex AHSN improving health in care homes
#telemed4carehomes #telemed4carehomes
https://wessexahsn.org.uk/projects/371/telemedicine-in-care-homesForward https://wessexahsn.org.uk/projects/371/telemedicine-in-care-homesForward
What is innovative about the strategic guides?
 
They have been designed as a system-wide strategic resource for Sustainability Transformation Partnerships (STP), Integrated Care Systems (ICS), Clinical Commissioning Group (CCG) and acute NHS trusts to use when planning and implementing telemedicine services for care homes (with or without nursing). If you like, a blueprint for service launch, to show how this works in practice.
  • Free to access, download and share
  • They are easy to access and use and have been built on real life experiences
  • Developed into bite sized chunks, the guides help support the delivery of the required project workstreams to operationalise a telemedicine for care home service
  • They provide validated links to a range of resources to build an exemplar service and to maximise your impact on the care home system
  • They identify best practice approaches in the form of case studies, providing real world validation
  • The framework can be adapted for other service settings
  • Approach compliments other implementation frameworks.
 
 
These guides also compliment the educational and promotional resources developed to support the launch of telemedicine care home service in North and Mid Hampshire locality.
 
We would encourage your feedback on these materials either directly to myself or via the healthyageing@wessexahsn.net email address and to visit our website for further details of this project and other Healthy Ageing projects: https://wessexahsn.org.uk/projects/371/telemedicine-in-care-homes
 
Keep the conversation going on twitter, using #telemed4carehomes and follow our twitter campaign,  to share your experiences and learning and to feedback on the usefulness of the guides.
Evidence update article by Lucy Lewis
      click here
 
Frailty education leaflets 
 
We are delighted to be able to share these co-produced frailty awareness leaflets with you.
 
We hope that they will be widely utilised within your organisation and shared with colleagues to ensure that frailty is everyone's business from Board to Porter – further information on other available online resources, including a list of online available resources for Tier 1, 2 and 3 training can be found on our website.

Click here:  frailty education and training

Getting it Right First Time have agreed to include these examples in their best practice toolkit for frailty.
 
Thank you to all those who contributed to their content, design and provided feedback – these are a valuable resource to be shared widely.
 
In our next edition, we will provide a focus on the development of an e-learning package.
Nutrition
Last week, we received the fantastic news that the Nutrition Wheel and Patients Association Nutrition Checklist had both been endorsed by the British Dietetic Association. These tools involve asking a person four simple questions to determine whether they are likely to be at increased risk of malnutrition. We are also in the process of applying for endorsement from NICE (the National Institute for Clinical Excellence), which would increase the awareness of the important impact both tools can have on identifying people at risk of malnutrition through picking up ‘clinical concern’ and signposting towards appropriate support and nutritional screening.
 
Hydration
It’s been 15 months in the making, be we are so proud and excited to have launched our brand new Hydration e-learning module, as part of our Hydration at Home Toolkit. The module is hosted on Hampshire County Council’s internal e-learning portal, and also nationally via Health Education England’s electronic learning for health (e-lfh) portal. It has been endorsed by the British Dietetic Association.

The training takes 45 minutes to complete and is completely free of charge. It is suitable for any community carer (e.g. in care homes, domiciliary care, volunteer carers and lay carers), regardless of role or level. The training will bust some commonly held myths – for example that urine colour should NOT be used in older people due to the way the kidneys age, and will provide practical, simple ways to help you support the people you care for.

You can access the training here:
https://www.e-lfh.org.uk/programmes/hydration-in-older-people/

We are also hoping to stimulate a social movement. To facilitate this, we have produced some short videos and are using the hashtags #lemonadecrusade and #hydratefeelgreat. Please join us in actively tweeting and sharing the Toolkit far and wide amongst your colleagues, family and friends.
For more information, on the toolkit, how it was developed (we carried out extensive scoping and testing work to ensure a quality product) or to view / download our new evaluation report, please visit our website :

https://wessexahsn.org.uk/projects/354/hydration-at-home-toolkit

Finally, we would love to hear your feedback on the new e-learning module (and other resources) and hear about any impact it’s had on you or your practice. Please email us on healthyageing@wessexahsn.net.
Active Lives
Evidence based, low cost digital interventions that can be easily scaled, seem to be in high demand.

Active Lives is a theory and evidence based easy to use website for those 65+, designed to offer a tailored activity programme to help improve physical activity levels safely. Developed by researchers at the University of Southampton together with a group of adults 65+ (60 user involvement interviews, tested on 400 people using the website for 1 year), initial research pilot showed Active Lives is likely to increase physical activity without adverse events. The University of Southampton together with Wessex AHSN are conducting a real-world implementation study in Wessex. Wider learning will help inform best approaches to reaching older adults with digital tools and understanding how digital tools are used by this age group. 

If you would like more information  on how to get involved please contact Linda du Preez linda.dupreez@wessexahsn.net or Dr Katherine Bradbury kjb1e08@soton.ac.uk Senior Research Fellow Southampton University. 

See our website for more details here
Rehabilitation top tips for best practice guide
This top tips for best practice guide, has been developed for health and social care professionals and those commissioning rehabilitation services for older adults living in Wessex. The guide offers a ‘one stop shop’ approach derived from national literature searches and supplemented with real-world case examples from clinicians in Wessex and further afield. You will find links to resources, case examples and networks that have emerged during the first six months of the Covid-19 pandemic.
 
"It's a great tool to spark thinking, as a busy clinician I don't always think outside of my immediate clinical area, e.g. could the voluntary sector help?"

"Useful to have links to resources in one place as I am often trying to chase back through emails to find something saved a while ago".


Click here for your copy Top tips guide Rehabilitation for older adults 
Watch this space
 
Thinking Differently: Virtual Conference series
 
The Healthy Ageing team are  thinking differently and planning our conference in a virtual format.
 
A series of 3 virtual events  over a period of 3 months:


Thinking Differently: Care homes and healthy ageing November 2020
 
Thinking Differently: Social entrepreneurs and healthy ageing December 2020
 
Thinking Differently: Multi-disciplinary teams / Rehabilitation  and healthy ageing January 2021
 
COVID-19 has  inspired many to think differently. Learn from national and local leaders in the ageing well and frailty arenas.  We will keep our community of practice updated please also check our website for details.
To join our community of practice please email: healthyageing@wessexahsn.net
 
How will you be celebrating International Day of Older persons 2020?

"The Covid-19 pandemic is causing untold fear and suffering for older people across the world. Beyond its immediate health impact, the pandemic is putting older people at greater risk of poverty, discrimination and isolation. It is likely to have a particularly devastating impact on older people in developing countries." UN Secretary-General António Guterres

Read more here

Loneliness and Isolation
Independent age, a founder organisation of the Campaign to End Loneliness, a network of more than 2,500 national, regional and local organisations and people working together through community action, good practice, research and policy to ensure that loneliness is acted upon as a public health priority. What do you think of this resource?
Click here for more information on If you are feeling lonely

What additional resources are you using to combat loneliness and isolation, please share your case studies with us for our next newsletter.
Our website provides further information and documentation. If you have a specific query, please contact us at: healthyageing@wessexahsn.net
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