User Perspectives The Leicester Model

1
User Perspectives The Leicester Model
Centre for Studies in Community Health Care

• Liz Anderson, Angela Lennox

2
Service users in health and social care

• The debate
• real
• standardised
• simulated
• trained experts
• Where for what purpose ?
• exam or module
• learning outcomes

3
Aim

• to develop the knowledge and skills of learners
  to formulate effective, multi-agency, patient
  centred health and social care

4
The Leicester Model

• Educational Methodology
• problem-solving
• experiential
• inter-professional
• community (hospital based)
• real case studies
• community engagement
• undergraduate to CPD

5
The Leicester Model

• Learning Outcomes
• teamwork
• clinical and inter-personal skills
• practical understanding
• patient at the centre of health and social care
  delivery

6
The Leicester Model

• Current Programmes
• Inner-city inequalities (800 students)
• Learning from lives - disability (300)
• Teamwork development (100)
• Patient pathway learning (30)
• Hospital based in community hospitals (100)

7
The Leicester Model
immersion into service users experiences
8
Students interview a patient in her home
9
Students interview a district nurse
10
Students interview a general practitioner
11
Students see the impact of community regeneration
through the eyes of local
residents
12
The Leicester Model
immersion into service users experiences
analysis relating professional perspectives
theory policies
13
Analysis facilitated by experienced community
tutors
14
Analysis facilitated by experienced community
tutors
15
Analysis facilitated by experts in teamwork
16
The Leicester Model
immersion into service users experiences
analysis relating professional perspectives
theory policies
consider solutions to problems identified
17
Students consider solutions to identified problems
18
The Leicester Model
immersion into service users experiences
analysis relating professional perspectives
theory policies
become change agents through feedback
consider solutions to problems identified
19
Students present their findings to colleagues and
an invited audience
20
The Leicester Model
immersion into service users experiences
analysis relating professional perspectives
theory policies
become change agents through feedback
consider solutions to problems identified
21
Outcomes of the Model

• Patients become partners in education
• Examples of changes in practice
• change of times of clinics
• identification of need for new services
• re-engaging the lost to follow-up
• holistic management
• cultural awareness affecting service uptake
• additional meetings with health directors

22
Students organise meeting with senior executives
of Leicestershire Health Authority
23
Outcomes of the Model

• Combining skills of academic and clinical tutors
• academics immersed into practice
• front line service providers up-skilled to become
  tutors
• shared assessment
• in line with development of portfolio careers
  teaching organisations

24
Outcomes of the Model

• Student Evaluations
• 800 students annually
• knowledge and attitude change (Plt0.02)
• IPL highly valued (89-94)
• majority would recommend the course (88-98)
• all value patient centred learning (89-95)
• learn about roles and responsibilities (73-94)
• relevant meaning full assessment

25
Outcomes of the Model

• sustained over 7 years
• embraced by City and County PCTs
• replicated widely
• embedded within health and social care curricula
• integral to the regional IPE strategy
• expanded from 3 to 8 professional student groups

26
Mental Health

• Encountered no real issues
• Cases
• Depression
• Aligned to drugs, alcohol
• Manic depressive
• Puerperal Psychosis
• Bi-polar
• Schizophrenia
• Linked to many chronic conditions

27
Contact

• Contact Dr Liz Anderson
• E-mail esa1_at_le.ac.uk
• Tel [phone]