MENTAL CAPACITY ACT PROJECT Supported by Dudley, Walsall and - PowerPoint PPT Presentation

MENTAL CAPACITY ACT PROJECT Supported by Dudley, Walsall and Wolverhampton CCGs Nageena Bibi Sue Lassetter

Reason for the project • The Mental Capacity Act came into force in 2007 • DoLS followed on in 2009 • Training on the MCA was rolled out but the anticipated change in culture failed to materialise

In 2014 • The Mental Capacity Act was a visionary piece of legislation for its time, which marked a turning point in the statutory rights of people who may lack capacity… with the potential to transform the lives of many. • However, its implementation has not met the expectations that it rightly raised. The Act has suffered from a lack of awareness and a lack of understanding. The empowering ethos has not been delivered. • The rights conferred by the Act have not been realised. House of Lords Select Committee on the Mental Capacity Act, March 2014 •

• Strengthen THE implementation 1 PLAN • Set up a national MCA Advisory Board 2 • National MCA Awareness event 3 • MCA Projects 4

The project aims • Promote MCA DoLS best practice across health in the three boroughs • Raising awareness for staff and public • Encourage teams to have MCA champions • Link with existing carer and service user groups to promote awareness • To address any local issues/barriers challenges • To develop a suite of resources • Deliver training DVD • Provide a GP resource on MCA

Promoting MCA in a variety of settings

Engagement with public and users • Awareness sessions in general hospitals-change from grassroots-public-upwards-challenge non-compliant practice. • Public information booklet which looks at the myths as well as explaining how the Act protects our rights • Inform the public about the principles-framing them as the public’s rights and staff responsibilities • Inform the public of the two stage test • Provide information on using the MCA to plan for the future LPA and ADRT

Delivered training across a Staff Engagement wide range of settings Providing information. Rooting training in practice and trying different approaches Promoting MCA is everyday Signposting to the project’s free resources and to national resources

Engagement with staff • Students-University • Compton Hospice-Day spent with public and staff- great engagement subsequent to that • Practice nurses • Nurse Revalidation sessions-all three areas • GPs Walsall, Wolverhampton and Dudley • Consultants Walsall and plan to do Wolverhampton and Dudley • Nurses DWMH • GP practice teams-bespoke sessions for teams • Care home staff • Care home staff forum Walsall and Wolverhampton • MCA Champions in all three boroughs • Age UK staff

Available online Fact sheets Care plan toolkits Guidance on specific clinical issues such as blood tests, DNCPR, protection from liability FAQs

Examples of work that we’ve done..

Working with service users….. Lasting Power of Lasting Power of Lasting Power Attorney Stage 1 – Attorney Stage 2 of Attorney The Caterpillar – The Cocoon Stage 3 – The Butterfly

Delivering MCA Champion Events • Delegates attended from a range of care homes, community teams (including police, GP), hospices, hospitals and CCGs from the three boroughs. • Staff embraced the opportunity to meet colleagues from similar areas and learn from each other. • Provided with resources • Promoted networking- 3 sessions in total to help with on- going embedding

The Workshops

Feedback- • Delegates completed feedback forms and the evaluation of both events so far has been very positive. • One comment summed up what a number of attendees had also said “ This workshop was a brilliant opportunity to network with other professionals. It was educational, enlightening and most valuable”

Second Workshop- Looked at practical solutions to issues- Dragons Den and getting them to contribute to the MCA Inspiration Wall

Bringing the MCA to life-Training scenarios A training video which includes 6 clinical scenarios showing how MCA is applied in every day practice Filming took place on July 30 and 31 st This will be available to download and in hard copy

Resource development • Posters • Craft cards- promoting awareness of best interest process A5 Essential MCA • GP pack • Public information booklet – sent for printing in English and will be translated into a range of commonly used languages

• Different approach to MCA/DoLS training- BI exercise • Workshop approach-practical focus not just theory • Public awareness tackling the Myths– don’t myth the point of the MCA • Training-Bringing the MCA to life, video scenarios • EBE input throughout/art work • Mailchimp Newsletter

Stumbling blocks • Engagement – we have been offering awareness sessions but take up has been slow • Getting a gap/time in organisations training plan • Website-how to get message out • Lack of knowledge and understanding still- GP practice in training June not heard of DoLS etc. • Apathy • Resistance to sharing of good practice with others

Gaps • Ambulance Service • Pharmacy • Dentists • Patchy engagement from health • Fire service And more…………………………………………

The plan • GP pack-we need time to develop, launch and help to embed it • Training MCA video-train people from the various organisations especially the MCA champions so they can then deliver it to their teams etc. • Using training tools and resources-for targeted work with specific care homes • Community DoLS-still problems with staff understanding of DoLS in general but in particular C-DoLS • Pharmacy • Ambulances- our discussions with various teams identify this as a key concern because of the lack of understanding of the MCA • Dentists • Fire service • Public- hard to reach areas and launch and encourage staff to use the public information leaflets. Attend events, libraries to promote MCA and provide the information booklet

Questions?