1. Caroline Durack / Celia Dawson 1st February 2017
Caring for Care Homes
Caroline Durack / Celia Dawson
1st February 2017
Caring for Care Homes Hammersmith and Fulham GP Federation

2. Hello! Who are we?… And what do we do…?
Go round and say your name where you’re from and why you have come or what you would like to get out of today
Caring for Care Homes Hammersmith and Fulham GP Federation

3. Caring for Care Homes Hammersmith and Fulham GP Federation
5 Year Forward View -Enhanced Care in Care Homes.
Care homes critical partner in the work at all stages
Focus on individuals not the organisation
Building collaborative system and relationships around a shared vision
Not just one change that makes a difference
Funding from HENWL tri borough – hosted by HFGPF
January January 2018
2 lead GPs
Caring for Care Homes Hammersmith and Fulham GP Federation

4. The aims of our project are…
To Build bridges and foster relationships
To strengthen networks.
Compassionate
listening
To increase the education and confidence of care home workers
To create a culture of learning and compassion in care homes
Our CEPN aims
to create a culture of reflection, learning and supervision to empower care home staff with skills and attitudes essential to provide care for care home residents
to explore the learning needs of and also supply education to the multi-disciplinary workforce serving Care Home Residents in Brent and Harrow

5. Caring for Care Homes Hammersmith and Fulham GP Federation
Our Vision
To create a more compassionate and supportive working environment for care home staff focusing on
Relationships -Within individuals teams/Across different care homes /Within MDT and primary care
Skill sets -Clinical /Personal
Staff wellbeing –Valued,Empowered,Connected
Biggest resource is frontline staff
Caring for those who provide care
Caring for Care Homes Hammersmith and Fulham GP Federation

6. Caring for Care Homes Hammersmith and Fulham GP Federation
How do we plan to do it?
Integration through Education
Schwartz Philosophy
Come into care homes and deliver training
Caring for Care Homes Hammersmith and Fulham GP Federation

7. What is a Schwartz round?
Provide a forum for all staff to discuss the emotional and social aspects of working in healthcare.
All staff, clinical and non-clinical.
Not to solve problems.
Rounds can help staff feel more supported in their jobs, allowing them the time and space to reflect on their roles.
Compassion shown by staff can make all the difference to a patient’s experience of care.
What is a Schwartz round?
Evidence shows that staff who attend Rounds feel less stressed and isolated, with increased insight and appreciation for each other’s roles. They also help to reduce hierarchies between staff and to focus attention on relational aspects of care.
in order to provide compassionate care staff must, in turn, feel supported in their work.
Caring for Care Homes Hammersmith and Fulham GP Federation

8. Caring for Care Homes Hammersmith and Fulham GP Federation
Some example themes
A patient I remember
I’m not the boss but I count
A good death
An unforgettable colleague
Caught in the middle
When things don’t go to plan
A day I will never forget
Caring for Care Homes Hammersmith and Fulham GP Federation

9. Origins of Schwartz round
In 1994 a health attorney called Ken Schwartz was diagnosed with terminal lung cancer. 
“I have learned that medicine is not merely about performing tests or surgeries, or administering drugs… For as skilled and knowledgeable as my caregivers are, what matters most is that they have empathized with me in a way that gives me hope and makes me feel like a human being, not just an illness.” 
Origins of Schwartz round
During his treatment, he found that what mattered to him most as a patient were the simple acts of kindness from his caregivers, which he said made “the unbearable bearable.”  Before his death, he left a legacy for the establishment of the Schwartz Center in Boston, to help to foster compassion in healthcare.
“I have learned that medicine is not merely about performing tests or surgeries, or administering drugs… For as skilled and knowledgeable as my caregivers are, what matters most is that they have empathized with me in a way that gives me hope and makes me feel like a human being, not just an illness.” 
Caring for Care Homes Hammersmith and Fulham GP Federation

10. Why are Schwartz rounds needed in healthcare?
Caring for Care Homes Hammersmith and Fulham GP Federation

11. Format of Schwartz round
Rounds follow a standard model to ensure that they are replicable across settings.
Rounds normally take place once a month for an hour at a time with catering provided before the Round.
Once the Round starts, a panel, comprised of three or four staff, share their experiences for the first minutes.
Rounds follow a standard model to ensure that they are replicable across settings.
Rounds normally take place once a month for an hour at a time with catering provided before the Round.
Once the Round starts, a panel, comprised of three or four staff, share their experiences for the first minutes. On each panel, there should ideally be a mix of clinical and non-clinical staff with different levels of seniority.
A Round can either be based on different accounts of a case, or can explore a particular theme such as ‘when things go wrong’ or ‘a patient I’ll never forget’. Experiences are shared from the perspective of the panel member – not the patient – and the emphasis is on the emotional impact.
The remainder of the hour features trained facilitators leading an open discussion.  They do this by asking participants to share their thoughts and reflections on the stories.  The key skill is for the facilitators to steer the discussion in such a way that it remains reflective and does not become a space to solve problems.
The facilitators will remind participants that Rounds are a confidential space, in which patient and staff identities are protected.
Caring for Care Homes Hammersmith and Fulham GP Federation

12. What do you gain by participation
Creating a more compassionate and supportive work environment.
Creating closer connections within your team.
Improving your wellbeing and reflect on complex experiences.
Better understanding and collaboration between teams.
Getting a rare moment to stop, breathe and think….
What do you gain by participation
Caring for Care Homes Hammersmith and Fulham GP Federation

13. A Schwartz demonstration
Caring for Care Homes Hammersmith and Fulham GP Federation

14. Qualitative Evaluation of Schwartz Round in Hammersmith and Fulham
“With each session I learn more about myself and humanity in general. Huge respect and admiration for all the touching stories.”
“Very valuable for front line Staff to experience time away from role to reflect on and practice personal impact this has on them.
“Encouraged people to share in a non-judgemental way”
“Well supported and thoughtful”
Caring for Care Homes Hammersmith and Fulham GP Federation

15. Caring for Care Homes Hammersmith and Fulham GP Federation
Summary of Schwartz
A great way to reflect on the complex emotions we experience in healthcare.
Caring for Care Homes Hammersmith and Fulham GP Federation

16. Caring for Care Homes Hammersmith and Fulham GP Federation
Contact Us
Caring for Care Homes Hammersmith and Fulham GP Federation