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Welcome to the Autumn 2019 edition of the Wessex AHSN Healthy Ageing Newsletter
 
As we head towards Autumn (my favourite season – I love the changes in the colour of the leaves!) we have been reflecting on our achievements over the past quarter – the launch of the Nutrition Wheel at the Malnutrition Task Force conference in September; the commencement of our hydration at home (domiciliary care) project with Apex Havant and Portsmouth and the finalisation and launch of the Wessex Community Frailty Audit (very exciting). Also, Kathy and I visited the CEO, Sarah Mistry and her team at the  British Geriatrics Society HQ in London to share the programme's work!
 
Quarter 3 will see the trial of the e-hydration toolkit for care homes and domiciliary care
with Hampshire County Council;  the trialling and evaluation of Tier 1 frailty awareness materials across acute, community and social care settings; the sharing of the emerging themes from Wessex Primary Care Networks (PCNs) from the Wessex Community Frailty Audit and the finalisation of case studies to showcase frailty screening, identification and sharing of information.  More details below!

We will also continue our series of blogs sharing our collaborators stories of working with the programme – please do get in touch with us if you would like to contribute!
 
Preparations will also start to take place for a planned series of workshops and a Wessex wide conference in March – follow us on twitter for up to date details on all of our projects and also  how to book on
@wessexageing or via our website.
Cheryl Davies - Programme Manager Healthy Ageing 
Launch of the Nutrition Wheel
 
We were very excited to take a trip up to the Malnutrition Task Force HQ in London on Monday 23rd September to see in the national launch of the Nutrition Wheel. The need for a new innovative tool was first discussed back in 2016, so it was fantastic to see our work come through to official launch. During the day, we provided a presentation on the development of the Nutrition Wheel, and ran five workshops to get delegates role-playing using the Wheels. We’ve had lots of positive feedback on the Nutrition Wheel, and we’re keen to have more feedback from anyone who’s used the Wheel to understand more about how it’s being used. If you are based in Wessex and would like to order any Nutrition Wheels, please visit our website and fill in the online order form – we have a small supply of Wheels left. If you’re outside of Wessex (or when we run out!), you can order them through the Malnutrition Task Force website here.

UK Malnutrition Awareness Week
 
We’d love to hear about anything you’ve done in your workplace, and we would be very happy to tweet and share this. Click here for more information. 
We also wanted to continue raising awareness about our fantastic resources – the OPEN toolkit, which contains leaflets, posters, videos and training packages to help reduce malnutrition in the community, and also our new INSCCOPe workbook and videos about how to screen for malnutrition when visiting a patient in their own home.
ESCAPE-pain
 
We now have 13 active sites with another 10 ready to go live over October and November and on the 25th of September our own Jo Marks co-delivered another local facilitator training session at Applemore Leisure Centre. We're thrilled that the spread of ESCAPE-pain in Wessex is making the programme accessible to more and more people, giving them the opportunity to improve their mobility, reduce their pain and learn how to effectively manage their condition.
 
ESCAPE-pain Network
 
Our second ESCAPE-pain Network meeting is taking place on the 20th of November and will  build on the foundations laid down in the June meeting, bringing together people from different disciplines that have an interest in ESCAPE-pain and giving them the opportunity to share and learn. Click here to find out  more and register.
Wessex ESCAPE-pain video
 
Wessex AHSN recently teamed up with the Health Innovation Network (HIN) to produce a video showcasing how well the programme can be run in the Leisure Centre setting. A big thank you to everyone involved in the project, which can be viewed by clicking on the adjacent image.



London training dates
If you are interested in becoming an ESCAPE-pain Facilitator, or would like more info regarding the programme, please contact linda.dupreez@wessexahsn.net


Hydration in domiciliary care
 
Our 6-month project to evaluate an approach to improving hydration in older people receiving domiciliary care at home is now up and running. We started collecting baseline data in August, and look forward to going into the two agencies and providing training in November. The project will evaluate the effect of providing training, assessment and care planning (using the ROC to drink tool) and other tools such as the Droplet smart cup. Our key outcome measures include change in fluid intake, change in perceived health and wellbeing, and change in frequency of antibiotic prescription for urinary tract infections. For more information about this project click here 
Wessex Acute Frailty Audit
 
The Wessex Acute Frailty Audit Evaluation has been published on our website. Following its publication, the Health Innovation Network (HIN) have approached the Programme to run the audit in South London hospitals during Qtr 1 2020/21. This is a great opportunity to spread the approach and to collaborate and will support the delivery of our next planned acute audit in Autumn 2020 . Exciting times!
Click here to view the Evaluation Report
Community Frailty Audit
 
The Community Frailty audit is running during October 2019 across a number of Wessex Primary Care Networks (PCNs) and focuses on the following five areas.

1.Screening and sharing of frailty information
2. Frailty knowledge, skills and training
3. Current frailty pathway processes
4. Multi-disciplinary team interactions
5. Service Improvement opportunities
 
The results of the audit will be shared at a workshop event in February 2020 and will help identify areas for service improvement projects across Wessex PCNs to support improvements in quality of care and experience for people living with frailty.
Our novel approach will be showcased at the NHS Benchmarking Good Practice in Community Services and Community Services event on the 7th November at the Birmingham ICC.
Ageing well
 
People in England can now expect to live for far longer than ever before – but these extra years of life are not always spent in good health, with many people developing conditions that reduce their independence and quality of life.
The NHS has a key role to play in helping older people manage these long-term conditions, making sure they receive the right kind of support to help them live as well as possible.
Read more here.


Guest blog: Martin Withers from Spearmark Health discusses his innovation 'Droplet' and working with us.

Dehydration is a massive issue for the UK. It is difficult to spot, even harder to monitor and is linked with many conditions and occurrences that cost the NHS and social services a great deal of money. It is also something that can be avoided and is where Droplet is having a major impact in increasing the amount people drink through gentle persuasion and raising awareness. Older people are more at risk but make no mistake, in a hospital setting we have yet to see any ward specialism where patients are drinking a healthy amount across the day.......

Read the blog in full here
Community of Practice Event
November 11th, Merley House

 
The primary aim of our Community of Practice events is to give you a platform to network and share projects and best practice. We'll also keep you up to date with what the Wessex AHSN is doing and highlight key work happening in the Healthy Ageing arena.
The main topic for this meeting will be Delirium. 
The agenda can be viewed here and registration is via Eventbrite.
Diagnosis of delirium in hospitals can be improved by the 4 A’s test

A new shorter test for delirium appears helpful in assessing older people in hospital who may have the condition. A normal score on the 4 A’s test effectively rules out delirium while an abnormal score is reasonably useful for detecting the condition. People detected by the test would still need a full assessment to confirm the diagnosis.
Click here to read more.
Celebrating Success
 
Following on from the 90 day challenge to identify, trial and implement a service improvement, Trusts were given the opportunity to present their projects.
There were over 300 present from the UK and it was a great opportunity to share ideas and celebrate success.
Future events are in the process of being planned so watch this space!




Healthy Ageing Web pages
 
Recently we've been updating the Healthy Ageing web pages  on our website. As well as a new look there's updated material and new resources. Check out what we've been doing here.
 
Healthlines Healthy Ageing
 
Click here to find out about all the projects that are being undertaken across Wessex.

Would you like your project to be included?  Either complete the online form via the link above or contact us at HealthyAgeing@wessexahsn.net and we can arrange the sharing of your project.
 
New projects on Healthlines
 
1. Population health management
 
Project focus: “What matters most to the patient?” Devising individualised, patient led management plans addressing the management health care conditions through social prescribing to achieve their stated goal. Learn more here
2. Community Support Workers Service
 
Project focus:  To support patients at home to prevent hospital admission, to facilitate early discharge and support those at end of life. Short care only (up to 7 days) providing support with personal hygiene, dressing, food preparation, medication support, care when reaching end of life, basic nursing observation, continence issues, skin care, washing clothes and bed linens. The service is available between 08:00 – 20:00. Learn more here
3. North Dorset Red Bag scheme
 
Project focus: improving the communication between the acute hospitals and nursing homes.  Provision of education programme: observations, SBAR*  and diabetes.
Project outcome: reduced hospital length of stay and improved communication links between acute and primary care. Learn more here

* SBAR - Situation, Background, Assessment, Recommendation; a technique that can be used to facilitate prompt and appropriate communication.
Our website provides further information and documentation. If you have a specific query, please contact us at: healthyageing@wessexahsn.net
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