Category / Social work

World Elder Abuse Awareness Day 15th June 2016

Helping Hands croppedToday is World Elder Abuse Awareness Day, a day set aside by the United Nations for governments and civil society worldwide to acknowledge the problem of abuse against some of the oldest and most vulnerable groups across the world.

Despite the Toronto Declaration on the Global Prevention of Elder Abuse (2002) which called for a multi-sector and multi-disciplinary approach to tackle the issue, elder abuse continues to be a global problem affecting the health and impacting on the human rights of millions of older people around the world.

According to the World Health Organisation (WHO) elder abuse is a subject which is often underestimated and ignored by societies globally. As older populat
ions grow globally, elder abuse is an issue that all societies and governments need to acknowledge and tackle in a proactive way. In 2015 there were 901 million people on earth aged 60 or over; and this is projected to rise to 1.4 billion in 2030 (United Nations [UN] 2015). Due to this rapidly ageing global population elder abuse is predicted to increase. Although it is difficult to measure the scale of the problem due to its often hidden nature, it is estimated that around 1 in 10 older people experience abuse every month.

What is it?
Elder abuse can take various forms such as physical, psychological or emotional, sexual and financial abuse. It can also be the result of intentional or unintention
al neglect, and can occur in institutional settings as well as in the home environment. However, in many parts of the world it is an issue which is often hidden from view and seldom recognised, the voices of victims silenced by ageism and indifference. It results from the wider marginalization, disrespect, and exploitation that older people experience in many societies, and ultimately results in de-humanised care and an absence of human rights for older people.

What can we do?
Globally we need to acknowledge elder abuse as a priority. We need to tackle some of the underlying socio-cultural factors which deny older people status and human rights including inherent ageism and the depiction of older people as frail, weak and dependent. This includes developing awareness of how changing socio-demographic patterns contribute to the shifting context of care and support available to older people in society. For example, global and national economic policies may result in funds to provide health and social care to older citizens not being considered a priority, and the creation of a globally mobile workforce resulting in the erosion of bonds between generations of a family where traditionally younger family members would care for older relatives.

We also need to act on demographic changes, celebrate that many of us are living longer, but acknowledge health and life expectancy inequalities across the UK and globally (Wilkinson and Pickett, 2010, Office of National Statistics, 2016) and work to address these. International interest in using well-being as a measure of social progress (http://www.neweconomics.org/issues/entry/well-being) alters perspectives, making us consider that factors which negatively impact on individual well-being, including the abuse of vulnerable members of society, indicate systemic problems which need systemic solutions such as the introduction of the ‘well-being principle’ to social policy.

The well-being principle underpins the Care Act (2014) and seeks to ensure social care support and services in England and Wales, increase well-being, enabling personal dignity and the exercise of choice and control. This represents human rights, person-centred approach which is strengths rather than deficit based. Its relevance reaches beyond social care and by adopting this stance in our interpersonal as well as professional relationships we can start to address some of the negative stereotypes which are linked to old age and ageing, and which can contribute to de-humanised approaches to care.

Elder abuse should be a topic that we all feel we have a stake in, and as such is in all our interests to tackle.

Dr Lee-Ann Fenge and Sally Lee

References

United Nations, Department of Economic and Social Affairs, Population Division (2015) World Population Prospects: The 2015 Revision. Available from https://esa.un.org/unpd/wpp/publications/files/key_findings_wpp_2015.pdf [Accessed 13/06/16]

Wilkinson, D. and Pickett, 2010. The Spirit Level. London: Penguin.

http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies

Announcement BU Humanisation Conference 2016

BU Humanisation Conference     21st June 2016

Venue: Room EB708, Executive Business Centre, 89 Holdenhurst Road, BH8 8EB

 

Please find the Programme for the Humanisation conference on the 21st June 2016 attached.

Please feel free to pass the information on to others internal and external to the university (academic and practice) who you feel may be interested

The conference is being run at no cost and so you need to make your own arrangements for lunch.  Let Dr. Caroline Ellis-Hill  ( cehill@bournemouth.ac.uk ) know by the 15th June if you wish to attend .

If you only want to attend for part of the day, please state which part of the day you’d like to attend.

 

9.30 Registration  
10.00 Dr Caroline Ellis-Hill Welcome
10.10 Anne Quinney Humanisation of the BU Generic Student Assessment Criteria.
10.30 Dr Sean Beer Perceptions of the authenticity of food: a study of residents in Dorset (UK)
10.50 Prof Ann Hemingway Innovative routes to Wellbeing: Equine Assisted interventions
11.10 Coffee  
11.30 Jane Fry Sharing human concerns: utilising an embodied interpretative approach to convey findings from a descriptive phenomenological study
11.50 Dr Carole Pound Humanising care: translating theory into practice in stroke care
12.10 Rutherford and Dr. Emer Forde The Rutherford Introspective Photography: Promoting self-reflection and wellbeing of GP trainees through photography.
12.30 Free time   Please see information about local venues for lunch
2.00 Dr Vanessa Heaslip How phenomenology enables insight into the Human lives of Gypsy Roma Travellers’
2.20 Mevalyn Cross Experiencing the Humanisation Framework together
2.40 Dr Jan Mosja Chaplaincy at the bedside. Learning from Buddhist chaplains and their contributions to the humanisation of health care.
3.00 Sally Lee Humanising and the Care Act well-being principle
3.20 Dr Mary Grant and Dr Catherine Lamont Robinson HeART of Stroke: feasibility study of an Art & Health intervention following a stroke
3.40 Thanks, Tea and Close  

 

Lessons from Southern Health – leadership to support a culture of voice across complex integrated systems

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Dr Lee-Ann Fenge

Over the past few years there have been a number of reports which have highlighted concerns about failures of care and patient safety within a range of NHS settings raising serious concerns about the leadership of such organisations. Most recently The Care Quality Commission has identified “serious concerns” about the safety of mental health and learning disability patients at Southern Health NHS Trust. The concerns highlight the failures of leaders to deliver, monitor, assure, and safeguard a culture of safety, quality, and compassionate care and services.

This inspection took place following the publication of an independent review (the Mazars report  that described a number of concerns about the way the Trust reported and investigated deaths, particularly of people using its mental health and learning disabilities services, and a lack of leadership, concerning the reporting and investigation of unexpected deaths of mental health and learning disability service users.

So what leadership challenges are there in turning this situation around? Undoubtedly there have already been improvements in the care offered within the Trust, and the commitment of staff to provide high quality care is beyond doubt. However, the problems result from on-going senior leadership failures within the organisation. Leadership is the most influential factor in shaping organisational culture (Faculty for Medical Leadership and Management, 2015), and is essential to ensure high quality, safe and compassionate healthcare. A key failing identified in Southern Healthcare concerns a lack of robust governance arrangements to investigate incidents, resulting in a lost opportunity to learn from these incidents.

This highlights the importance of senior leadership in establishing and maintaining a culture which is open, responsive and able to learn. Such a culture includes a climate in which communication is valued as a two process which values critical upward communication. This requires a culture of ‘voice’ in which concerns raised by patients, carers and staff are listened to and responded to appropriately. This was sadly lacking at Southern Health and action was not taken to address known risks to the safety of patients, including a lack of response to previous concerns highlighted by the CQC in January 2014, October 2014 and August 2015.

The Trust also failed to respond appropriately to staff concerns about their abilities to discharge certain roles and duties. This perhaps illustrates the failure of senior managers to create a culture of ‘psychological safety’ for staff in which to identify, respond and learn from these problems. Psychological safety has been shown to be a crucial element in organizational efforts to detect and prevent problems (Edmondson et al. 2016). A culture which provides psychological safety for staff embraces ‘challenge’ as a pivotal learning mechanism, and this is supported by the work of McSherry and Pearce (2016) who suggest that safe, quality care requires leaders who can challenge and be challenged.

It is important to learn from the failings of Southern Health. Increasingly NHS leaders need to be able to respond to growing complexity across integrated systems of care. They need the ability to support a system of communication which values the ‘voice’ of all stakeholders to create innovative solutions to 21st century challenges. This requires system leadership that works in partnership across organisations ‘to construct the services that are needed’ (HSJ, 2015:4). It also requires a commitment to create a shared vision of care which values the voice and presence of patients, carers and staff as key stakeholders.

References

McSherry, R.and Pearce, P. (2016) ‘What are the effective ways to translate clinical leadership into healthcare quality improvement?’ Journal of Healthcare Leadership; 2016 (8): 11-17

HRA Approval for NHS Research

HRA Approval is the new process for the NHS in England that simplifies the approvals process for research, making it easier for research studies to be set up. It replaces the need for local checks of legal compliance and related matters by each participating organisation in England. This allows participating organisations to focus their resources on assessing, arranging and confirming their capacity and capability to deliver the study.

Laura Purandare, Research Monitor RBCH, has kindly agreed to run a seminar on 4th May at 2pm in BG14 to explain the changes.

The session will cover:

  • What HRA approval is
  • The implementation of changes
  • The difference it proposes to make to health research in England
  • What it means for our researchers
  • Key resources

The session will last approximately an hour, and Laura will be available for questions following the session. We hope to see you there.

Seminar, Prof Edwin van Teijlingen, ‘Maternal Mortality in Nepal’, Wed 20th April, Royal London House, R303, 13:00-13:50.

Maternal Mortality in Nepal
Abstract: The session links various social and political factors that affect maternal mortality. Women dying in pregnancy and childbirth is very much a problem of and in low-income countries. This talk focuses on Nepal, one of the poorer countries of the world, to highlight a range of maternal health issues and wider influencing factors including globalisation and the influence of global organisations such as the World Health Organisation.

For further information regarding the Social Science seminar series, get in touch with Dr Mastoureh Fathi (mfathi@boutnemouth.ac.uk).

Bournemouth University Clinical Research Unit 2016 Newsletter Now Available

bucru identity

The latest newsletter from the Bournemouth University Clinical Research Unit (BUCRU) is available to download here. Take a look at the successful grant applications we supported/won last year, and what else we got up to in 2015. There is also an update from our colleagues in the Centre of Post Graduate Medical Research and Education (CoPMRE).

Don’t forget, BUCRU can provide FREE methodological advice and support in designing your research project. We’re based on the 5th floor of Royal London House so feel free to pop in and see us, call us on 61939 or send us an email.

 

Contact, Help, Advice and Information Network (CHAIN) Demonstration THIS COMING WEDNESDAY 23rd March 2016

CHAIN – Contact, Help, Advice and Information Network – is an online mutual support network for people working in health and social care. It gives people a simple and informal way of contacting each other to exchange ideas and share knowledge.

The online Directory can be used to identify and communicate with other members. You might wish to do this to draw from their experience, or to elicit an opinion on an issue or something you are doing. Or you might wish to find collaborators or liaise with fellow-travellers or people with specific skills or interests for a wide range of purposes. You can do this quickly and easily with CHAIN, and part of the advantage is that the people you find will usually be happy to help you if they can.

We are delighted to welcome a representative from CHAIN to BU on 23rd March at 2:30pm in Wollstone Lecture Theatre, Bournemouth House (BG10) to demonstrate how to make the most of being part of the network. All staff are welcome to attend, and please pass the invitation on to students who may be interested in learning more about what CHAIN has to offer.

Contact Lisa Gale-Andrews at lgaleandrews@bournemouth.ac.uk for more information.

Happy World Social Work Day!

This year the theme of World Social Work Day is ‘Promoting the Dignity and Worth of Peoples’

This relates to the second pillar of the Global Agenda for Social Work and Social Development which was launched in 2012. Each of the five Global Agenda themes runs for
two years and 2016 is the second year for Promoting the Dignity and Worth of Peoples.

WSWDThe theme is particularly poignant this year as we have witnessed unprecedented levels of mass migration around the world, levels of which we have not experienced since the Second World War. Images of desperate families risking their lives in an attempt to flee conflict and persecution are reported daily in the media. Many are traumatised by their experiences and face uncertain futures. In this context of human suffering it is essential to uphold the commitment to value every human life and embrace shared human experience, and social work is ideally placed to champion this approach.

Social work as a profession is underpinned by a commitment to human rights, and the current president of the International Federation of Social Work, Ruth Stark, has suggested that “Social work is a human rights discipline. It’s not just an element of it- it is the core principle.” 

Such a stance requires social workers to respect the inherent dignity and worth of every IMG_7386person, and this includes respect for human rights as expressed in the United Nations Universal Declaration of Human Rights. Such an approach is underpinned by five core notions of human rights: human dignity; non-discrimination; civil and political rights; economic, social and cultural rights; and solidarity rights (Wronka, 2007).

It has been argued that social work has often blurred the line between a focus on human needs and human rights (Healy, 2008), however there is an opportunity for social work to grasp a central role in upholding the rights of all peoples across the world. If this opportunity is taken ‘ human rights provide the profession with a clear direction for a presence at the international level, while also bridging local and national issues with global concerns’ (Healy 2008:745).

World Social Work Day provides an opportunity for the global community of social work to come together through cross-national dialogue, to promote a human rights approach which is rooted in social action as a means to uphold the dignity and worth of all peoples across the global world. We therefore should not just ‘talk the talk’ about upholding the dignity and rights of all, but more importantly ‘walk the walk’ by implementing these principles into action in everyday practice.

References

Healy, L.M. (2008) Exploring the history of social work as a human rights profession, International Social Work, 51, 735-748.

Wronka, J. (2007) Human Rights and Social Justice: Social Action and Service for the Helping and Health Professions, Thousand Oaks, CA, Sage.

Guide to develop understanding of financial scamming launched at recent Parliamentary event

A recent awareness raising event at the House of Commons, hosted by Conor Burns MP, discussed the problem of financial scamming and mass marketing fraud in the UK and highlighted the work being undertaken by the NCPQSW at Bournemouth University.

The event included an address from Bournemouth University’s Professor Keith Brown, and explored some of the work of the NCPQSW around financial scam prevention and at risk groups. Bournemouth University, in partnership with the Chartered Trading Standards Institute, National Trading Standards Scams Team, North Yorkshire Trading Standards, and City of London Trading Standards, has created a Financial Scamming Guide to offer advice and guidance on what to watch for and how to avoid falling foul of scamming techniques and schemes.

This guide includes a campaign to raise awareness of the risks of financial scamming, as well as calling for a more integrated approach to tackling the issues from the financial sectors. In particular the campaign asks that …..

  1. All agencies, especially financial institutions, should:
  • Recognise that consumers/clients with dementia are by definition more at risk of chair
    being scammed. Therefore measures to protect this population group are required
    as part of a ‘duty to care, and those with a diagnosis of dementia have by definition a cognitive impairment which means that their potential ‘unwise decision’ is a result of their cognitive state rather than simply an unwise decision.
  1. All organisations that hold personal data should:
  • Only share or pass on personal details to other organisations via a clear ‘opt in’ as opposed to an ‘opt out’ process. Data should only be allowed for a maximum of 12 months before permission needs to be sought again.
  • Recognise that the normal default position should be that charities do not share, pass on or sell personal details to help prevent ‘Suckers Lists’. The exception being to report a safeguarding concern to statutory agencies where there is a suspicion that the person(s) is/are at risk of harm or scamming and this information should be used in accordance to The Care Act (2014).
  1. Citizens who feel at risk of financial scamming should be able to:
  • Formally notify their bank/building society stating that they feel at risk, requesting that all transactions above a defined threshold (say £1,000) have a 24 hour delay before being processed.
  • At the start of the 24 hour delay period, an email/text alert is automatically sent to the customer’s nominated representative (relative/friend) stating that the customer is attempting to make a large transaction. This will give the opportunity for the proposed transaction to be challenged with a view to potentially stop it leaving consumers account.

To find out more about the work of the NCPQSW in relation to financial scamming, please CLICK HERE.

 

The importance of leadership strategy in Children’s Services

By Lee-Ann Fenge, Deputy Director National Centre for Post-Qualifying Social Work

It is difficult to under-estimate the importance of effective leadership and leadership style within children’s services. Children’s services represent complex areas of practice including child protection and looked after children, and services are being delivered against a backdrop of increasing fiscal restraint and budget cuts. The recruitment and retention of a skilled workforce is anchildcare-page on-going challenge and as a result leaders need to be able to effectively deliver innovative responses to provide services which achieve better outcomes for children and their families.

Ofsted (the Office for Standards in Education, Children’s Services and Skills) inspect and regulate services that care for children and young people, but worryingly recent inspection figures revealed there were more “inadequate” than “good” children’s services in English local authorities. This is worrying for both local authorities and those receiving support from them.

Staff from the National Centre of Post-Qualifying Social Work at Bournemouth University, have been working in partnership with one local authority to develop a robust approach to leadership in order to enhance service delivery in children’s services. Cheshire West and Chester have committed to deliver an Aspiring Team Leader programme and an Aspiring Practice Lead programme as part of a sustainable workforce development approach. Kate Howe, from the NCPQSW, has worked with them to deliver a bespoke Masters level Leadership unit, providing added depth to the programme.

This commitment to workforce development and leadership has proved very positive for Cheshire West and Chester who were recently awarded ‘good’ in their Ofsted inspection, whilst leadership, management and governance were deemed as ‘outstanding’.

This outstanding leadership has resulted in good-quality services that respond to the needs of children and families quickly and effectively’ (Ofsted, 2016:2).iStock_000016105991Large Young People Discussing Finance

Cheshire West and Chester have embraced a culture of leadership and coaching as a central plank to improve services for children and their families, taking on board recommendations from Ofsted’s report into effective leadership (2015).

Ofsted suggest that it is possible to overcome some of the challenges of contemporary children’s services through innovation and robust succession planning. This includes approaches to workforce development which value ‘growing your own’, and an importance on learning and development alongside protected budgets and caseloads (Ofsted, 2015). Cheshire West and Chester’s approach to leadership appears to acknowledge these key areas and their recent Ofsted Inspection highlighted the importance of their partnership with Bournemouth University.

The authority is active in trying to retain staff through a staff development policy including aspiring senior practice leads and aspiring team managers’ courses, and is currently developing an aspiring senior manager course, all in conjunction with Bournemouth University’ (Ofsted, 2016: 33).

The value added of working alongside a university concerns not only the content of the learning, but also the critical role of assessment of learning. By designing clear assessment strategies based on reflective practice, it is possible to evaluate the effectiveness of learning on staff thinking and practice, and ultimately support a culture of change within the organisation.

References

Ofsted (2015) Joining the dots… Effective leadership of children’s services, Available from: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/424193/Joining_the_dots__effective_leadership_of_childrens_services.pdf

Ofsted (2016) Inspection of services for children in need of help and protection, children looked after and care leavers And Review of the effectiveness of the Local Safeguarding Children Board – Cheshire West and Chester http://reports.ofsted.gov.uk/local-authorities/cheshire-west-and-chester

 

Contact, Help, Advice and Information Network (CHAIN) Demonstration 23rd March 2016

CHAIN – Contact, Help, Advice and Information Network – is an online mutual support network for people working in health and social care. It gives people a simple and informal way of contacting each other to exchange ideas and share knowledge.

The online Directory can be used to identify and communicate with other members. You might wish to do this to draw from their experience, or to elicit an opinion on an issue or something you are doing. Or you might wish to find collaborators or liaise with fellow-travellers or people with specific skills or interests for a wide range of purposes. You can do this quickly and easily with CHAIN, and part of the advantage is that the people you find will usually be happy to help you if they can.

A representative from CHAIN will be visiting BU on 23rd March at 2:30pm in Wollstone Lecture Theatre, Bournemouth House (BG10) to demonstrate how to make the most of being part of the network. All staff are welcome to attend, and please pass the invitation on to your final year students who may be interested in learning more about what CHAIN has to offer.

Contact Lisa Gale-Andrews at lgaleandrews@bournemouth.ac.uk to book your place.

Involving patients and the public in your research. Registration for NIHR webinar now open!

The National Institute for Health Research (NIHR) Training and Coordinating Centre will be hosting a live one hour webinar about involving patients and the public in research on Tuesday 23 February at 11am.

This is an introductory webinar for researchers with little or no experience of patient and public involvement (PPI). This webinar is aimed at aspiring NIHR trainees and early career researchers.

This webinar will include:

  • An overview of what PPI is and why it is important in research
  • Why PPI is important to the NIHR and how best to demonstrate PPI in an application – including signposts to NIHR resources around PPI
  • Q&A session

The webinar will be presented by Philippa Yeeles, Director of Involvement and Engagement at the NIHR Central Commissioning Facility alongside Anne-Laure Donskoy, an NIHR Panel Member and independent researcher.

You can register for the webinar via the following link:

bit.ly/PPIwebinar2016