Kent Registered Managers Conference 2 April 2019

1. Carers’ App Development Journey Kent Registered Managers Conference 2 April 2019 Sharon Lee Chief Nurse Channel Health Alliance. James Shaw-Cotterill STP Local Care Senior Project Manager. Help4Carers

2. Background: • What did we do? • Worked with the Commissioners in Health to raise the need for accessible training to our most valuable workforce • Without whom patients would be in an acute care setting • In August 2014 began working at South Kent Coast CCG as a Primary Care Workforce Development Lead • Recognised that Primary Care involved not just the GP Practices but also the Community Staff which included staff in Care Homes as well as Domiciliary Care Providers • Our most complex and vulnerable patients are looked after staff who have less access to education and training that health care professionals • Those needing care are our most vulnerable in society • There is a need to support those with caring roles (paid and unpaid) • There is a need for consistency of standards for training care across Kent and Medway

3. Building on success: • Care Home Training • Worked with the Care Home Nursing Team within South Kent Coast CCGto provide quality assured monthly education events – now across E.Kent • Care Home Website • Development of Care Home Website full of resources • Domiciliary Care Support • Worked on Nurse led Home Care Service and resource booklet • Care Workforce STP • Review and Key recommendations App Development

4. So we amalgamated the South Kent Coast (SKC) CCG material with Brighton’s, and made available to care providers in SKC: Next Stage: Roll out launch on line with a flip booklet available to care providers in SKC with the ultimate goal of supporting and working together for the benefit of all our patients Fluid Integrating Health and Social care Dehydration Nutrition

5. Very well received and planned always to develop into an App: Never one to give up…. SKC worked with the Encompass NHS Vanguard in east Kent (who funded the initial app development)and the Kent and Medway Sustainability and Transformation Partnership (STP), 2 years later………………… Fluid Skin Dehydration This Photo by Unknown Author is licensed under CC BY-SA-NC Nutrition

6. Building the app 1 • The app is being developed in two stages: • Stage one • Appointment of app developer • Establishment of working groups and stakeholder workshops • Booklet – main source content • Advice and Guides • Local services, help and support • Assessments • Training – educational videos • Feedback • Build/test - publish • Further test – launch/promote app App Development

7. Building the app 2 • Build on the initial design: • Stage two • Links to care navigation • Link to a Kent and Medway Social Prescribing Portal/DOS* • Comprehensive DOS* for each CCG locality with contact details • End of Life care content and contacts • NHS e-library accreditation • E-Learning management system • Scope additional development opportunities with stakeholders and review feedback from engagement events App Development *DOS – Directory of Services

8. Engagements events: Carer app scoping session July 2018 – Workshop to scope and shape requirements from an East Kent product to a Kent and Medway STP product Health and Care Innovation Expo 5 September 2018 – Co-production supporting innovation User Group 30 November 2018 – Carer user group to test structure, contents, language and usability of proposed app Wider engagement group 19 December 2018 – Stakeholder feedback on contents and structure. Branding and discussion on product name

9. Governance: • Core team • An operational working group oversee the initial development of the app and meet monthly • NHS Digital Regulations • Commissioning Support Unit: Supporting the completion of NHS Digital governance paperwork-DCB160* (for apps nationally) and providing Clinical Safety Officer sign off • Governance • Organisational: Kent County Council • Accountability and assurance: STP Local Workforce Advisory Board • Information and Assurance: • Clinical and Professional Board App Development *DCB160 – Data Coordination Board Clinical Safety of Health IT Systems

10. Organisational home: • Stage 1 • The STP Local Care and Workforce work stream leads are supporting the initial development of the app • Stage 2 • Kent County Council will be the host organisation for the app, through the Design and Learning Centre (DLC) • The DLC will facilitate further development and maintenance of the app once it has launched and will support ongoing promotion App Development

11. “Wow, it’s amazing how far our initiative has travelled. It is so rewarding to know other areas have found it valuable and have been able to adapt and use it. It makes all those early frustrating days of pushing for funding worthwhile”. Helen RignallPrimary Care Workforce Tutor Brighton and Hove Clinical Commissioning Group

12. Sharon Lee, Channel Health Alliance sharonlee2@nhs.net Cathy Bellman, Local Care Lead cathy.bellman@nhs.net James Shaw-Cotterill, Local Care Senior Project Manager j.shaw-cotterill@nhs.net