The Big Fight Campaign: Care Homes

Janice Price

Abertawe Bro Morgannwg University Health Board

Project Scope

The care homes project focuses on educating and informing staff in care homes on areas that contribute towards achieving the aim of Big Fight Campaign, including awareness raising of harms caused by inappropriate use of antibiotics, and appropriate identification and management of urinary tract infections in care home residents.

Prior to the Big Fight Campaign there was no dedicated Infection Prevention and Control Nurse (IPCN) resource for primary care and the Abertawe Bro Morgannwg University Health Board (ABMUHB) IPCNs had not provided any training to staff in care homes.

Questions asked prior to training showed that:

Analysis / Problem-Solving Methods / Approach

The care homes were identified and it was decided to undertake face-to-face education rather than an alternative method e.g. E-learning. This was principally to enable the Big Fight Team build relationships and engage with this important stakeholder group.

This also presented an opportunity to better understand training needs of care home staff and align these with the aims of the Big Fight Campaign.

Goals & Targets

The aim was to visit all care homes in ABMUHB at least once in the first year of the Big Fight Campaign in order to:

Future State

As of the end of October 2016, 60% of care homes have received training. Following training, the majority of staff

Following feedback from staff the content and emphasis of the training was modified to meet their training needs.

Interventions/ Actions

A training package was developed in February 2016 by the Big Fight Nurse. The package was piloted initially and amended following responses and feedback from staff.

The revised package was then rolled out to other care homes. Short videos on antibiotic resistance and the need to be vaccinated against flu have been added to the presentation to support the key messages.

Benefit / Impact / Outcomes

Fit with Prudent Healthcare

The care homes project, as part of the Big Fight campaign, supports prudent healthcare:

Part of Cohort Bevan Exemplar Projects 2015-16