Every Moment Counts
Left to right: Deirdre Richardson, Facilitator l Mental Health and Addiction Workforce, South Island Alliance; Dale Sheehan, UC; and Dr Susan Bazyk, at the Every Moment Counts workshop held in Christchurch.
Small moments can make big differences in how children feel and function in school. This was a key driver behind a series of mental health workshops held earlier this year.
The five Every Moment Counts workshops held across Aotearoa New Zealand were a collaboration between Otago Polytechnic School of Occupational Therapy, South Island Alliance (DHBS), Auckland University of Technology, Werry Workforce Whāraurau, and the University of Canterbury (UC).
The Nelson workshop was supported by the South Island Alliance Programme Office and Werry Wharaurau Workforce Centre, and had 60 attendees. In Christchurch, 80 participants attended the workshop, which was sponsored and organised by the University of Canterbury’s School of Health Sciences Te Kura Mātai Hauora. Other workshops were held in Dunedin, Hamilton and Auckland.
Designed with a public health focus, the workshops aim to bring child wellbeing practitioners from both the health and education sectors together. By offering evidence-based mental health promotion strategies they will help to build capacity across a range of professionals with vested interest in the mental health and wellbeing of children and youth, such as special and general education teachers, RTLBs, counsellors, psychologists, nurses, social workers, occupational therapists, teaching support staff, community youth providers, and speech and language therapists.
The Christchurch workshop was delivered to captive audience of 80 health and education professionals.“The workshops are unique as they bring together educators and health professionals, who work in schools, hospitals, clinic and community settings, promoting a collaborative approach,” says Dale Sheehan, local workshop organiser and Senior Lecturer, School of Health Sciences.
The workshops are delivered by Dr Susan Bazyk, project director of Every Moment Counts: Promoting Mental Health Throughout the Day – a multi-pronged mental health promotion initiative originally funded by the Ohio Department of Education (everymomentcounts.org). Dr Bazyk is currently in New Zealand on a Fulbright Specialist scholarship and is a Professor Emerita of the Occupational Therapy Program at Cleveland State University where she taught for 34 years.
“Every Moment Counts reinforces the message that enjoyable experiences throughout the day promote feelings of emotional wellbeing. Everyone can be a mental health promoter,” says Dr Bazyk.Workshop participants are learning to apply evidence-based mental health promotion strategies and implement activity-based programmes using practical examples for building capacity of the children’s workforce. “These events will also help build local and national inter-professional networks and lead to further collaboration between health and education sectors,” says Sheehan.
For the organisations involved, the next step is to seek funding to develop and maintain a learning culture across the workshop sites through the establishment of a sustainable, national, community of practitioners. The long-term intention is to facilitate effective translation of knowledge into practice through ongoing peer support, and the co-designing of online resources.
Vacancy Allied Health Scientific And Technical Facilitatorproject Manager
Allied Health Scientific and Technical Facilitator/Project Manager
We are seeking applications from suitably qualified Allied Health scientific and technical professionals for the 0.5 FTE position of Allied Health Scientific and Technical Facilitator/Project Manager. Reporting to the Programme Director of the South Island Regional Workforce Development Hub (South Island WDH), this position presents an exciting opportunity to support the development and implementation of the Allied Health Scientific and Technical (AHS&T) regional workforce plan as determined by the South Island Directors of Allied Health (DAHs).
The current projects include: Allied Health Assistant development; implementation of the Calderdale Framework, Careers Framework project and development of regional clinical/professional leadership for Allied Health, Scientific and Technical professions.
Closing Date: 24 June 2019
Read more information and apply
Video Case Study New Zealand Instance Of Lippincott Procedures
Global information company Wolters Kluwer recently visited the South Island to produce this video case study of the New Zealand Instance of Lippincott Procedures, an online, evidence based resource that provides real-time access to step-by-step guides for over 1,700 evidence-based procedures and skills in a variety of specialty settings.
The New Zealand Instance of Lippincott Procedures was implemented in partnership between the South Island Alliance and Midland region. There are now 16 DHBs throughout New Zealand using the resource. From the South Island, Kate Rawlings, Programme Director, South Island Workforce Development Hub; Neil Hellewell, Nurse Educator, Canterbury DHB; and Ella Bonnington, Student Nurse, Ara Institute of Canterbury, are all featured in the video.
Calderdale Framework Founders Visit Christchurch
Jayne Duffy and Rachael Smith meet Mark Leggett, general manager of the South Island Alliance.
13 Dec 2018<
The UK-based founders of a workforce design framework, which has been steadily transforming the way health care is delivered across the South Island since 2015, recently visited Christchurch to share their expertise.
Jayne Duffy and Rachael Smith, of Effective Workforce Solutions UK, developed the Calderdale Framework as physiotherapists out of clinical need over 10 years ago. It is a seven-stage process to develop a competent and flexible health and social care workforce, by reviewing skill mix and roles within a service to ensure quality of care and safety for patients.
The Calderdale Framework has been used extensively across the UK and Queensland for many years. The South Island currently has 25 people trained in leading the use of the framework (Calderdale Framework facilitators) including two Calderdale Framework practitioners (‘train the trainers’). Jayne and Rachael visited Christchurch last month, where they held a seminar for health professionals wanting to learn about the potential of using the Calderdale Framework within their work areas, and also began the training of four new practitioners (two for the South Island and two for Central Region and a new cohort of facilitators.
There are currently 16 Calderdale Framework projects across the five South Island DHBs, with the majority focused on more effective use of the allied health assistant workforce in clinical care through skill delegation.
Allied Health Assistant Greer Crisp carrying out stairs practice with a patient, using the Calderdale Clinical Task Instruction (CTI).
In Nelson Marlborough, one of the projects involves skill sharing between allied health professionals in ED. As part of the project, a multi-disciplinary team screening tool and a clear pathway for allied health referrals has been developed, which has helped to ease pressure on ED admission and bed occupancy rates. “Patients are spending less time waiting in ED thanks to a more streamlined admission process,” says physiotherapist Deirdre Crichton, MAPU (Medical Admissions and Planning Unit) team leader, Nelson.
In the West Coast DHB, utilising the Calderdale Framework has increased opportunities for allied health assistants to upskill and gain knowledge in order to safely and effectively work with patients in their communities. In August last year, qualified allied health assistants from Westport, Greymouth and Hokitika participated in training on specific clinical task instructions (CTIs): when to stop (a ‘first do no harm’ approach as a foundation to all training), mobility aides, mobility practice , and strength and balance exercises. An allied health assistant who went through the training says, “The training has clearly identified the expectations of me as an assistant and has extended my knowledge and skill base to inform better practice.”
Cantabrian patients are now receiving better care and rehabilitation in their own homes from 67 key support workers as part of a CREST (Community Rehabilitation Enablement and Support Team) project. Using Calderdale framework methodology, CREST physiotherapists identified a number of ‘high volume low risk’ tasks which could be safely and effectively delegated to the key support workers and provided the appropriate training for this using specific Clinical Task Instructions. A pre-and post-survey completed showed key support workers gained confidence and competence in completing therapy tasks with patients in their homes. To prevent falls in South Canterbury, the framework methodology is being used in a project aimed at increasing the number of people over the age of 65 years living in the community who are engaged in strength and balance exercises. Physiotherapist-led education is being provided to community key support workers and as with all training on Clinical Task Instructions involves teaching, modelling and checking for competence by observing key support workers ‘in action’ working with patients .
Not only is the Calderdale Framework helping to support our allied health workforce, it’s also improving safety and outcomes for our South Island communities. The word is spreading too – the South Island Workforce Development Hub have been supporting Central Region by helping them to train facilitators and set up implementation processes. The Hub has also confirmed an agreement for our South Island Calderdale Framework practitioners to provide training in Northland DHB early next year. This is to support a community-based project involving Māori health providers.
For more information on the Calderdale Framework, visit the Workforce Development Hub page on the South Island Alliance website
Using The Calderdale Framework For Workforce Redesign
Using Evidence To Inform Care Means We Care
Kate Rawlings, Workforce Development Hub Programme Director, and Dr Anne Dabrow Woods, Chief Nurse, Health, Learning, Research and Practice, Wolters Kluwer
13 Sep 2018
A nurse for over 34 years and a board-certified nurse practitioner since 1998, Dr Anne Dabrow Woods is still inspired today by what inspired her at the start of her career – the art of nursing.
Dr Woods is Chief Nurse of the Health, Learning, Research and Practice division of Wolters Kluwer. She visited Christchurch from Philadelphia, Pennsylvania, this month to talk about the importance of using evidence to inform nursing practice.
Caring for people when they are at their most vulnerable is what lies at the heart of nursing, says Dr Woods. “It is our duty to provide patients with the best possible care and to do that we need to use the best available evidence, accessible when and where we need it. It’s a balance between evidence-based research, clinical expertise and patient preference. When we get the balance right, we get the best outcomes for our patients.”
Using real-life examples and staying firmly focused on the patient, Dr Woods talked about the importance of being able to access the right information at the right time. “We have to admit that we can’t possibly know it all. We need to look things up, but time is always an issue. We need access to information at the point of care, when we may only have 30 seconds to a few minutes to get what we need. We also need information for reference when we might have 20 minutes to spare between taking care of our patients, and we need information for learning when we have bigger chunks of time to focus on professional development.”
Dr Woods still practises on the weekends as an acute care nurse practitioner at Penn Medicine, Chester County Hospital – as well as speaking globally on a variety of clinical topics. Hosted here by the South Island Workforce Development Hub, she presented to nurses and other health care providers from across the South Island.
Many attendees were already familiar with Lippincott Procedures, a point of care resource that provides access to over 1,700 evidence-based procedures and skills in a variety of specialty settings. The New Zealand Instance of Lippincott Procedures is now used in 14 of our 20 district health boards (DHBs), including all five South Island DHBs. There is also a large number of smaller organisations using Lippincott, including aged residential care facilities, general practices, non-government organisations, hospices and tertiary institutions.
In conjunction with Dr Woods’ visit, representatives from Wolters Kluwer were here to produce a video case study about the New Zealand Instance of Lippincott, which will be made available as soon as it is released.
More information about the New Zealand Instance of Lippincott Procedures.
 Wolters Kluwer is a global information company that produces and publishes Lippincott journals, practice and education books, information and software products, products from the Joanna Briggs institute, Lippincott, Lippincott Solutions, Ovid Technologies, and UpToDate.
Supporting The South Island Rural Workforce
30 Aug 2018
Developing a sustainable, resilient and adaptable rural workforce for the future was the focus at an event in Christchurch this month.
Over 60 participants attended the South Island Rural Workforce Workshop at The Design Lab on 21 August, representing DHBs, education providers, PHOs, general practice, Trust Hospital, NZ College of Midwives, St Johns and Health Workforce New Zealand.Organised by the South Island Workforce Development Hub, Regional Programme Director Kate Rawlings says the aim of the workshop was to identify issues, vulnerabilities and gaps, showcase current initiatives underway or in development, and discuss opportunities for regional collaboration.
“This is the first time the South Island has had a joined-up discussion about the rural health workforce, so that was exciting – there was a real buzz to the conversations in the room. Going forward, we’ve identified opportunities to work together regionally, as we encourage effective service practices and build sustainability, while keeping in mind the challenges for our health professionals working and living in rural communities.”
With the support of the South Island Alliance Programme Office, the South Island Workforce Development Hub will now work through establishing the communication mechanisms and collective activities requested and suggested by the workshop participants, says Mark Leggett, General Manager of the South Island Alliance. “It was gratifying to see new connections being made throughout the day. People who work within the same ‘whole of system’ framework, but had never met before, came together to tease out the issues and priorities facing the rural sector. “The overall outcome of the day was that this was very much a first step in a longer path, but certainly one that built a firm foundation for next steps.”
Building A Sustainable Allied Health Workforce
05 Apr 2018
The accreditation of New Zealand’s first Calderdale Framework practitioners is helping to unlock the potential of our allied health workforce and ensure sustainable delivery of patient care. Hilary Exton, Director of Allied Health, Nelson Marlborough DHB, and Vicki Prout, Team Leader Community Physiotherapist at Canterbury DHB, recently completed their training with the UK-based Calderdale Framework founders.
As certified practitioners of the Calderdale Framework (an allied health skill sharing and delegation tool), they have a key role in building the capacity and sustainability of the Allied Health workforce, by training facilitators to lead workforce redesign projects in their own DHBs, says Hilary.
“This is really positive, as it means we can train our own facilitators going forward, so we are not so reliant on the UK founders. This ensures sustainability and we can now start to develop and strengthen our own network of facilitators across the South Island.” Since beginning their practitioner training, Vicki and Hilary have trained one South Island cohort of Calderdale Framework facilitators under supervision. They have also begun training a cohort of facilitators for Central Region. Vicki says it has been a rewarding journey. “Seeing everything come to fruition is really pleasing and it’s great to see all five DHBs involved in the implementation of the framework, so we can make positive change through skill sharing and delegation, in order to meet the demands of health care.”
The Calderdale Framework was developed out of clinical need 10 years ago by Jayne Duffy and Rachael Smith of Effective Workforce Solutions UK, who say they are delighted to have Hilary and Vicki as the first Calderdale Framework practitioners in New Zealand. “As allied health professionals ourselves, we know that our unique skill sets offer an amazing contribution to health care and problem solving abilities. This aligns strongly to The Calderdale Framework, where appreciative enquiry to challenge practice and work in a more patient-focused way, is essential. The Calderdale Framework has the potential to transform allied health services and there are exciting opportunities to work in collaboration with our nursing, medical and social care workforces to make a difference to staff and patients, while improving quality and managing costs.”
Anne Buckley, Allied Health Facilitator and Project Manager for the South Island Alliance’s Workforce Development Hub, says the credentialing of the practitioners is an exciting moment on the implementation journey. “The practitioners certainly help to lead the implementation of Calderdale Framework from the front and both Hilary and Vicki bring their very considerable knowledge and health sector practice and management to the support of the growing number of facilitators working in clinical roles across the South Island DHBs.”
The South Island Calderdale Framework implementation is part of a broad strategy by the South Island Directors of Allied Health to address future workforce needs by developing a more flexible and competent allied health scientific and technical workforce. It assists in developing the skills and capacity of the unregulated (Kaiāwhina) workforce to allow their appropriate engagement in specific, delegated clinical tasks. It also supports allied health professionals to work to top of scope and inter-professionally, to optimise clinical service provision.
Two Fully Credentialed South Island Calderdale Framework Practitioners
Congratulations to Vicki Prout (Canterbury DHB) and Hilary Exton (Nelson Marlborough DHB), who have both been fully credentialed as Calderdale Framework (CF) Practitioners by the CF founders – Effective Workforce Solutions (EWS) UK Ltd.
| Hilary Exton
|| Vicki Prout
Practitioners have a key role in building the capacity and sustainability of CF implementation as they train facilitators to lead workforce redesign projects in their own DHBs. Since beginning their training by EWS in Christchurch in November 2016, Vicki and Hilary have trained one South Island cohort of CF facilitators under supervision and have also begun training a cohort of facilitators for Central Region.
CF was developed out of clinical need 10 years ago in the NHS (UK). The South Island CF implementation is part of a broad strategy by the South Island Directors of Allied Health to address future workforce needs by developing a more flexible and competent allied health scientific & technical workforce. It assists in developing the skills and capacity of the unregulated (Kaiawhina) workforce to allow their appropriate engagement in specific, delegated clinical tasks. It also supports allied health professionals to work to top of scope and interprofessionally to optimise clinical service provision.
Anne Buckley, Allied Health Facilitator and Project Manager at the South Island Workforce Development Hub (SIWDH), says the credentialing of the practitioners is an exciting moment on the implementation journey.
“We are now in a position to be self-sufficient in training future facilitators to lead CF work. The practitioners certainly help to lead the implementation of CF from the front and both Hilary & Vicki bring their very considerable knowledge of CF and of health sector practice and management to the support of the growing number of CF facilitators working in clinical roles across the South Island DHBs”.
Guest Editorial Hilary Exton Chair Of The South Island Directors Of Allied Health Forum
Hilary Exton, Chair of the South Island Director of Allied Health Forum
The Regional Allied Health Team has been working hard to further our Best for People, Best for System approach. Throughout 2017, we have established a number of initiatives, working towards our South Island Alliance vision.
Regional leadership networks have been established for speech and language therapy, and audiology. These networks facilitate sharing of ideas, professional development and peer support. They have been successful in enabling the teams to focus on priority developments and we intend to extend these leadership networks further.
The New Zealand Certificate of Health and Wellbeing (Level 3) has, over the last few years, been implemented for allied health assistants, and is now sustainable across the region. This team effort has resulted in 68 allied health assistants achieving this standard, with a further 25 in training across five DHBs. The assistants have achieved a recognised, national qualification, resulting in improved care.
The Calderdale Framework has been progressively rolled out. The framework is clinician led, people focused, and aims to identify skill sharing between health professionals and delegation of clinical tasks to the most appropriate workforce, within a clear governance framework.
Within the South Island, the implementation has resulted in eight credentialed facilitators with a further 18 having almost completed their training. In addition, support for the Central Region has resulted in 12 trainees.
Over 250 health professionals have attended successful workshops, and regional support systems have been established, with the aim of integrating the Calderdale Framework within the workplace. This is an exciting development. We are already seeing benefits in the form of clinician-led changes of models of care. Examples include:
- in-home falls prevention programmes
- work based education for support workers in the community
- ‘move more sit less’ within a rehabilitation inpatient setting
- ensuring that current delegation activities to our kaiāwhina workforces have the appropriate governance in place.
Research is underway as we continue to ensure the Best for People, Best for System approach. This year, the Regional Workforce Hub and Directors of Allied Health also focused on the allocation of Health Workforce New Zealand funding. This collaborative and flexible approach has been undertaken with a commitment to coordinate training placements for clinical physiology, anaesthetic technicians, clinical psychology, sonography, medical physicists and radiotherapy, and has included support for a new paediatric sleep technologist role.
Finally, on behalf of the Directors of Allied Health, we wish you all a happy holiday and thank all the many allied health, scientific, technical professionals and kaiāwhina workforces for their significant contribution to our South Island vision.
Hilary Exton, Chair of the South Island Director of Allied Health Forum