Building Quality into Education Kathryn Fraser, Dietitian, NHS Forth Valley Mary Robertson, DSN, NHS Tayside

Overview of Education Programmes Tayside Insulin Management Programme (TIM) run since courses to date Forth Valleys NewDEAL programme run since March courses to date

Both based on BERTIE (Bournemouths intensive insulin management programme) 1 day of education per week for 4 weeks Week between allows for experiential learning

Both teams have had BIDAC training from the Bournemouth team Trained educators for the programme we run Both have a philosophy and identified learning theories

Programmes have a structured, written curriculum which has been evaluated by patients and professionals The curriculum includes specific aims and learning outcomes There is an educators guide on delivering the programmes

Audit pre and post course to show the effect of the course on clinical markers and quality of life

Programme covers Role of insulins Carbohydrate counting and dose adjustment Hypoglycaemia Hyperglycaemia and SDR Exercise and activity Complications of diabetes

We want better outcomes for our patients QA ensures that what we are doing is fit for purpose QA ensures regulation of the quality of the service we provide Quality is also determined by the people using our service Why QA?

Internal/External QA? Whats the difference? - Purpose Internal review - improvement of course/self External - looking at the quality of the course when reviewer is not there

Evidence is therefore required Can be reported to others -some may see this as a threat

Internal Self/Peer review Patient evaluations Act on self/peer assessments, make changes Keep a record of all reviews

External Service organisation to support programme delivery Venue - ? Suitable/access Curriculum - ? Reviewed for structure,process and content

Materials used in the way described in curriculum? Process for review of the programme/when last undertaken? Examples of how peer/self review has influenced course development

Review of patient evaluation process/how often is this undertaken/what changes have been made in light of patient feedback? How does the audit process feed into programme development? ? Process which review of audit data is used to alter the structure, process or outcome of the course

What have we done so far? Already had participant evaluation of each session and programme including written material used Reviewed how we currently assessed our education sessions/each other Reviewed/developed our peer assessment tool

Reviewed teaching resources/identified improvements required/decided what to change Ensured staff members delivering education undertook/were offered to undertake an educators module

What do we still have to do? Develop written statements describing the components of our internal/external QA/decide how often to do this Agree criteria for external assessment Identify trained, competent, independent assessors for external review