PaCT workforce development

Course title: Advance Care Planning supported learning programme

Induction

This is an introductory session that will outline the Supported Learning Programme, allow participants to get to know each other and outline the health and social care context end of life care is provided and how advance care planning fits with the national end of life care strategy.

Learning Outcomes:

By the end of the workshop participants will be able to:

  • Understand the Supported Learning Programme process and the work they need to complete at the different stages of the course to both complete the programme and achieve the QCF Units End of Life 301 and End of Life 303.
  • Analyse the impact of national and local drivers on current approaches to end of life care
  • Evaluate how a range of tools for end of life care can support the delivery of high quality end of life care for their clients/residents and their families

Throughout the course you will be required to access e-learning that has been uploaded onto a secure site. Please follow the instructions below to register for the e-learning

Social care organisations with NMDS-SC registration accessing e-ELCA

For staff: Your organisation has been given its own user registration code to pass on to you. When you log onto your organisation's skills for care web page you will find an e-learning for health code under the heading my organisation details. You should go to www.e-elca.org.uk, click ‘Access the e-Learning’ (on the left hand panel), then click ‘Register’ at the bottom of the page. Fill in the form online and submit. It will take a day or two to get your registration details back by email. Make sure that you respond to the email promptly, to get your username and password activated.

For organisations without NMDS-SC registration

If your organisation is not yet registered for NMDS-SC, this is a relatively simple procedure. Just contact the Skills for Care help desk at 0845 8730129.

The approximate time to complete each of the tasks are shown in parentheses.

There are some useful links to documents and Internet resources in the useful links document at the bottom of the page.

We have set up an Edmodo social network site. This is a secure site that allows members to communicate with each other outside of facilitated sessions. A code and instructions to enrol on this site will be sent to all delegates via email.

Introduction

Pre-work for day 1

Task 1

Reading. (1 hrs)

Read document “Capacity, Care Planning & Advance Care Planning in Life Limiting Illness”.

and

"Concise Guidance to Good Practice: Advance Care Planning"

Task 2

E-learning (3 1/2 hrs)

Complete the following sessions on e-ELCA in the following order, to ensure each one builds on the previous ones:

  • Introduction to the Principles of Advance Care Planning (e-ELCA 01 – Advance Care Planning 01)
  • Mental Capacity Act – Aims & Principles (e-ELCA 01 – Advance Care Planning 07)
  • ADRT Principles (e-ELCA 01 – Advance Care Planning 05)
  • Approaching ACP When Capacity is Uncertain, Fluctuating or Likely to Deteriorate (e-ELCA 01 – Advance Care Planning 09)**
  • The importance of good communication (e-ELCA 03 – Communication Skills 01)
  • Principles of Communication (e-ELCA 03 – Communication Skills 02)
  • Skills which Facilitate Good Communication (e-ELCA 03 – Communication Skills 09)

** There are two e-learning modules listed as pre-requisites which you have not been asked to complete. You should have enough knowledge from the ones listed to complete this without completing the additional sessions. However, if you struggle with anything please bring it with you the first full-day workshop.

Task 3

Mental capacity act quiz (1/2 hr)

The Mental Capacity Act quiz is a true or false quiz.

Electronic version

Task 4

Collation of baseline data (2 hrs)

Collation of baseline data on current practice of ACP within the home. Using the data collation tool, please complete details of the last 10 service users admitted to your service.

Please also bring examples of how you document wishes and preferences for future care in current care home notes to the first session

Reflective diary

Reflective practice is a very powerful learning tool. It helps you to understand how the new knowledge and skills you have gained fit with your own previous knowledge and understanding of concepts. It also allows you to conceptualise new information specific to your work environment and role.

We encourage you to complete your reflective diaries throughout the course of the programme. You will be asked to submit your reflective diary at the 1/2 day concluding workshop.

The diary will demonstrate your progress throughout the course and we require that the diary is signed off by both your manager and the subject matter expert before you receive your certificate.

Download a copy of the ACP reflective diary

1st session

Legal aspects

This session will build on the learning from pre-course reading and e-learning, and will introduce both the concept and context of advance care planning, as well as the communication skills necessary to implement advance care planning.

Learning Outcomes:

By the end of the programme participants will be able to:

  • Describe what Advance Care Planning is and how it differs from general care planning
  • Identify who might be involved in Advance Care Planning and outline their individual roles
  • Express an understanding of the legal context of Advance Care Planning
  • Explain what is meant by a ‘Do Not Attempt Cardiopulmonary resuscitation’ (DNACPR) order
  • Outline the principles of record keeping in advance care planning and analyse the effectiveness of own organisation’s documentation
  • Recognise when reduced mental capacity impacts on Advance Care Planning, identifying ways of assessing capacity to take part in Advance Care Planning discussions and ways of assisting clients/residents to take as active a part as possible
  • Demonstrate key communication skills and identify methods of assisting others to learn to utilise these key skills
Essential skills and knowledge

Prework for day 2

Task 5

E-learning (5 1/2 hours)

Complete the following sessions on e-ELCA in the following order, to ensure each one builds on the previous ones:

  • Things which Block Good Communication (e-ELCA 03 – Communication Skills 10)
  • Understanding and using empathy (e-ELCA 03 – Communication Skills 8)
  • Information giving (e-ELCA 03 – Communication Skills 14)
  • Breaking bad news (e-ELCA 03 – Communication Skills 15)
  • Silence: the withdrawn patient (e-ELCA 03- Communication Skills 32)
  • Cultural and spiritual considerations in ACP (e-ELCA 01 – Advance Care Planning 02)
  • Benefits and risks of ACP to patients, families and staff (e-ELCA 01 – Advance Care Planning 03)
  • Introduction to conducting conversations about advance care planning (e-ELCA 01 – Advance Care Planning 11)
  • How to get started and get the timing right (e-ELCA 01 – Advance Care Planning 12)
  • How to handle patient’s questions and concerns (e-ELCA 01 – Advance Care Planning 13)
  • Discussing DNACPR Decisions (e-ELCA 03 – Communication Skills 30)

N.B. Although discussions should be led by medical practitioners, this has some useful learning in terms of dealing with questions that residents and families may have about CPR, even though you are not initiating / leading discussions.

Task 6

Reading (1 hour)

Read article Jack and Smith (2007)Promoting self awareness in nurses to improve nursing practice. Nursing Standard 21(32): 47-52 and complete time out activities.

Task 7

Policy writing (1 1/2 hours)

Using knowledge gained during the first facilitated day commence work on an Advance Care Planning Policy for your organisation, using the template provided. Concentrate primarily on sections 1, 2, 4, 5 and 6, discussing and agreeing the content with your manager as necessary.

Task 8

Training Needs Analysis (2 hours)

Undertake a basic Training Needs Analysis (TNA), assessing the training needs for successful implementation of Advance Care Planning at 3 levels: organisational, team/departmental and individual.  This should consider the areas of Advance Care Planning as a process, aspects of the Mental Capacity Act relating to ACP and Communication Skills.  Discuss the TNA with your manager and agree the priority areas. The TNA should include a SWOT analysis for the organisation as a whole and for each team/department within your organisation, and identification of individual needs through discussion with your manager as to issues that have been raised or identified through organisational appraisal processes and through discussion with staff members.

Task 9

Learning styles and trainer skills (optional) This section is optional as it is covered the same way in all SLP courses and you may have already completed this or something similar.

Learning styles (3 hrs)

There are many theories on learning styles, you may already be aware of these from previous training courses. The theory that we will be focusing on for this course is VAK. This is quite a straight forward theory and commonly used among trainers. It is base on the early models of neuro-linguistic programming.

That is not to say it is the only theory or the best. That would be up to you to decide. If you would like to know more about some of the other learning theories, we suggest you take a look at Honey and Mumford and Kolb's theory as well as multiple intelligence theory.

Trainer Skills Manual

You can download our trainer's skill manual, which provides general advice and tips on training. It will take you through training from training needs analysis, course design, delivery and evaluation.

2nd session

This session will build on the learning from the first facilitated day and the pre-course reading and e-learning, identifying barriers to having discussions relating to death and dying, and exploring further the communication skills that can assist in overcoming these barriers. It will also explore how religious, cultural and spiritual needs impact on advance care planning.

Learning Outcomes:

By the end of the programme participants will be able to:

  • Identify barriers to communication created by the environment, the client/resident and staff
  • Recognise ways in which they can change their practice so as to overcome these barriers
  • Describe how empathy and self awareness can improve their communication with clients/residents
  • Demonstrate skills for dealing with difficult conversations and breaking bad news, and outline methods for teaching these skills to others
  • Outline appropriate ways to open an advance care planning discussion
  • Explain what is meant by the terms culture, spirituality and dignity, and the implications for and impact on advance care planning of religious, cultural and spiritual need
Learning in practice

Pre-work for day 3

Task 10

Deliver a short training session (prep 4 hours)

Preparation and delivery of a short teaching session (30 mins) for staff. Lesson plan to include:

  • aims & objectives
  • breakdown of session including activities to be undertaken and approximate timings
  • style of session e.g. group work, role play, lecture
  • how they will evaluate the effectiveness of the session

We have also attached a session plan template for you to complete should you find this useful.

This is a perfect opportunity to complete your reflective diary entries and think about how training is going. You can also get valuable feedback from the delegates you are training. We have uploaded some templates that might be useful for you to gain brief feedback from those you are training or more detailed feedback from your manager or a close colleague. You can also track your progress in training by completing a training log. 

Task 11

E-learning (3 1/2 hours)

Complete the following sessions on e-ELCA in the following order, to ensure each one builds on the previous ones:

  • Self awareness in communication (e-ELCA 03 – Communication Skills 7)
  • “Am I dying?” “How long have I got?” – handling challenging questions (e-ELCA 03 – Communication Skills 22)
  • Assessment of spiritual well-being (e-ELCA 02 – Assessment 07)**
  • “Why me?” - discussing spiritual distress (e-ELCA 03 – Communication Skills 29)
  • How to document conversations about advance care planning (e-ELCA 01 – Advance Care Planning 14)
  • How to negotiate decisions which may be difficult to implement (e-ELCA 01 – Advance Care Planning 15)
  • How to review previous ACP discussions (e-ELCA 01 – Advance Care Planning 16)

** There are two e-learning modules listed as pre-requisites which you have not been asked to complete. You should have enough knowledge from the ones you have completed and the taught sessions to complete this without completing the additional sessions. However, if you struggle with anything please bring it with you the third full-day workshop.

3rd session

This session will build on the learning from the second facilitated day and the pre-course learning, exploring issues relating to the implementation of ACP in practice and providing education to support this.

Learning Outcomes:

By the end of the programme participants will be able to:

  • Recognise ways that their delivery of education to their peers might be improved
  • Outline the components of a training programme to support implementation of advance care planning within their organisation and to maintain high quality practice in this area
  • Describe ways of identifying ongoing training needs for members of staff
  • Explain what is meant by informed consent and its application to advance care planning
  • Identify the challenges that may be encountered in implementing advance care planning in practice and ways in which these could be met
  • Recognise the importance of providing support to all those involved in advance care planning and identify how this could be achieved within their organisation
  • Express an understanding as to how compliance with and effectiveness of advance care planning can be monitored
Planning for the future

Pre-work for concluding workshop

Task 12

Complete policy writing (4 hours)

Using knowledge gained from the course finish your Advance Care Planning Policy for your organisation, using the template provided. Discuss and agreeing the content with your manager as necessary.

A copy of the policy should be submitted at the Concluding Workshop.

Task 13

E-learning training needs analysis (2 1/2 hours)

Using the e-ELCA schedule consider whether or not some of the e-ELCA sessions you have completed could be used to reduce the face to face teaching time required.  Then incorporating both this and the work on planning training programmes completed during the third facilitated day, plan a training schedule for the staff within your organisation.  Use the attached document template provided. Discuss and agree this with your manager. A copy of the training schedule should be submitted at the Concluding Workshop.

Task 14

Action plan (1 Hour)

Write an action plan, using the template provided, for implementing advance care planning into your organisation/improving advance care planning within your organisation based on your policy and teaching schedule.  Focus primarily on your key priority areas and the changes you hope to achieve within the next 6 - 9 months.

Task 14

Post course questionnaire (1 hour)

Complete the post-course knowledge, skills and competence questionnaire

Concluding workshop

This is a concluding session that will bring together the learning from the whole programme, offering an opportunity for participants to ask air & share successes and problems and to ask questions relating to their own plans for implementing advance care planning within their workplace.

Learning Outcomes:

  • By the end of the workshop participants will be able to:
  • Recognise what is required to improve advance care planning practice within their organisation
  • Describe the changes they intend to implement, how they intend to do this, the challenges they may encounter and how they may overcome these
  • Identify where they can access additional resources and sources of ongoing support
  • Outline how they can gain the additional knowledge required to complete unit EOL 301 and what they need to do to gain QCF end of life qualifications
Dates and venues

Intake 2 

Alton Maltings

Induction session Friday 10th October 2013 - 09:30 - 12:00

Day 2 Friday 25th October - 09:30 - 16:30

Day 3 - Friday 15th November 2013 - 09:30 - 16:30

Day 4 - Friday 6th December 2013 - 09:30 - 16:30

Reflective conclusion session - Friday 17th January 2013 - 09:30 - 12:00