1. SETTING THE SCENE Training the Trainers and Building Capacity Kath Sharman – Consultant RGN, RCNT, RNT, Cert Ed, Bsc (Hons) MA

2. OBJECTIVES To increase awareness of the materials available from the WiPP website – Self Care for People Project To develop an understanding of how the training manuals can be used To consider SCSTC as a cost efficient way of managing workloads To understand the staged process for implementing the SCST courses To gather ideas on building capacity to run courses within own organisation

3. Self Care for People – Integrated Documents Self Care for Trainers Training the Trainers Self Care Skills Training Course Training Manuals

4. Self Care for People Skills Training Course (SCSTC) Flexible training course – 9 hours – peer led 6 activities (1 hr 30 mins) Self care self empowerment – health belief model Motivation and behavioural change Social aspects of health – self esteem and confidence building Psychological aspects of health – stress and anxiety management Physical aspects of health – healthy eating and exercise Managing conditions and sign- posting Reviews x 3 Self Care Skills Training Course

5. Training Package for SCS Trainers Ideally trainers will have completed the SCST course as a participant Will undertake 2, 3 or 5 day training, depending on experience and qualifications Upon successful completion will have a comprehensive training package to cascade SCST course to others Training Manuals

6. Training The Trainers – 2/3 days training  Role of trainers  Identification of individual needs  Self development – Johari Window – communication skills (Egan & Rogers)  Review of six activities – management of Power Points  Conducting and analysing assessments (self esteem, self care and anxiety scores)  Risk assessment and confidentiality  Future planning and preparation for teaching Training the Trainers

7. Training The Trainers – +2 days training Facilitation and group management skills Group Development – Tuckman Group Roles Leadership Styles Learning Styles Conflict Management Managing Difficult People Skills Development and assessment of training competence Training the Trainers

8. TRAINING COMPETENCE (pg 71) To have a clear understanding of the safety and comfort of a group and staff To be able to create a friendly and safe atmosphere to encourage discussion To enable participants to understand the content of the course To enable participants to say what they want to get out of the course To be able to explain an activity clearly To be able to manage a group To be able to sum up the course and find out what people have learnt To be able to evaluate a group session

9. SELF CARE AND CRITICAL REFLECTION Looking after yourself as a trainer Developing competence Reflective Models Confidentiality Risk Management & Risk Assessments Quality Assurance Self Care for Trainers

10. WHO SHOULD FACILITATE SELF CARE COURSES?

11. At the Citizen’s Summit, 33% said they thought support for self care should come from a trained peer. Our Health, our care, our say… 33% How can we do that?

12. STAGE 1 STAGE 3 STAGE 4 STAGE 5 Run level two – Training the Trainer Course – 2 days with future Trainers Experienced Trainers co-train with new Trainers, working through achieving competency levels STAGE 6 STAGE 7 Additional disclosure training may be needed STAGE 2 Decide on target population /group Decide on target population /group Attend WiPP Workshop Run in house or bring in external Lead Trainer

13. DOES SELF CARE BUILD CAPACITY?

14. GP Survey: is too much being asked of General Practice? ¹

15. 86% thought professionals in their local GP practice should provide more support to help them manage their own health and well-being³ 86% Our Health, our care, our say… How can we do that??

16. Psychiatric Morbidity Survey (2001) Prevalence of depression 26% - 36%. Stress and Anxiety higher. Of these - 75% present to the GP. Of these, only 50% recognised as 80% present to GP with somatisation. Of these only 37.5% will be diagnosed and offered a treatment plan. 62.5% will be left to take care of themselves and are highly likely to return to GP for further consultations EXAMPLE WORKLOAD MANAGEMENT

17. WORKLOAD MANAGEMENT In Practice GP population of 10,000 Prevalence of depression 26% - 36%. Stress and Anxiety higher. 2,600 – 3,600 pts Of these - 75% present to the GP. 1,950 – 2,700 pts Of these, only 50% recognised as 80% present to GP with somatisation. 945 – 1,320 pts Of these only 37.5% will be diagnosed and offered a treatment plan. 62.5% will be left to take care of themselves 591 – 825 pts Majority will return to GP for further consultations

18. IS THE SELF CARE SKILLS TRAINING COURSE COST EFFECTIVE?

19. COST ANALYSIS – based on 591 pts (26%) Treatment PlanCosts £ per year (based on Secta, NICE 2004) GP94,337.28 (£159.62 per patient) Brief Counselling141,840 (£240 per patient) Medication302,331.96 (£511.56 per patient) Self Care Skills Training Courses 16,200 (£34.38 per patient – much less if VT) BUILDING CAPACITY FREES GP/NURSES TO DO OTHER THINGS MINOR AILMENTSLONG TERM ILLNESS

20. COURSE COSTS SCSTC – run over 6 weeks (20 courses per year) based on 15 people attending each course = £34.38 per course participant SCSTC – run over 3 weeks (20 courses per year) based on 15 people attending each course = £26 per course participant IN COMPARISON Sick leave costs in the UK are around £1.75 billion – accounting 176 million days off per year averaging 6.8 days per employee

21. BENEFITS TO EMPLOYERS More motivated staff Higher productivity Improved health benefits Reduced sickness and absence Happier and more confident workforce

22. WHAT DO I DO NEXT? Discuss how you could take this further in your own organisation

23. www.wipp.nhs.uk