VOLUNTEERING in middle and older age is linked to good mental health and emotional wellbeing, according to a survey of 5000 British adults. Researchers Drs Faiza Tabassum, John Mohan and Peter Smith mined responses to the British Household Panel Survey (BHPS), which is conducted every two years on a representative sample of adults living in Britain.
The survey included a wide range of questions on how participants spend their leisure time and a battery of questions to measure mental wellbeing. Around one in five respondents (21 per cent) said they had volunteered. Women tended to volunteer more than men. Almost a quarter of those aged 60 to 74 said they volunteered, but only 17 per cent of the youngest age group. No association was seen between volunteering and mental health in people under 40.
The mental health scores were better (lower) among those who volunteered than among those who had never done so—10.7 vs 11.4—across the entire sample, irrespective of age. The average score was the best (lowest) among those who were frequent volunteers and worst (highest) among those who never volunteered. A positive association between volunteering and good mental health and emotional wellbeing became apparent at around the age of 40 and continued up into old age (80+). The researchers speculate that volunteering at younger ages may just be viewed as another obligation, while social roles and family connections in early middle age may spur people to become involved in community activities, such as in their child’s school.
The researchers were not able to gauge the extent of ‘informal’ volunteering, such as helping out neighbours, so couldn’t capture the full spectrum of voluntary activities. “Volunteering might provide those groups with greater opportunities for beneficial activities and social contacts, which in turn may have protective effects on health status. With the ageing of the population, it is imperative to develop effective health promotion for this last third of life, so that those living longer are healthier,” they write.
Previous research indicates that people who volunteer are likely to have more resources, a larger social network, and more power and prestige, all of which have knock-on effects on physical and mental health, they point out. “Volunteering may also provide a sense of purpose, because regular volunteering helps maintain social networks, which are especially important for older people who are often socially isolated,” they add.
Curtin University research professor Simone Pettigrew said the British results almost certainly also applied to Australia. “There have been some studies showing a relationship between volunteering and well-being among older Australians, mainly by Jeni Warburton from La Trobe University. Our (Curtin’s) random controlled trial that is close to finishing is aiming to test exactly this in WA by looking at both the physical and psychological predictors and consequences of volunteering among older people (60+ years). I’m hoping we’ll have some interesting results to share with you in due course,” she said.
By Frank Smith – HCC Blog Contributor
If you are interested in volunteering for Health Consumers’ Council (WA) call (08) 9221 3422 and ask for Lucy Palermo or email firstname.lastname@example.org
You may have heard about Press Ganey, the patient experience survey being implemented in Perth hospitals including Royal Perth, Bentley, Fiona Stanley, Sir Charles Gairdner and Osborne Park Hospitals. The survey is sent out to patients two weeks after they have been discharged home and seeks feedback on a range of different measures. The question was asked about how this ensures a diverse response, e.g. from Aboriginal and non English speaking patients.
At our most recent Consumer Advisory Council Roundtable, we had their CEO, Amanda Byers provide a presentation on how their survey works. For those who were unable to attend, a video of the presentation is available below. It is just under 45 minutes long. The powerpoint is available here, however it is well worth watching the video as it makes sense of the slides’ information.
The third slide has a useful reflection on the suffering that a patient will undergo when in hospital. It notes that there is suffering unavoidably associated with both diagnosis and treatment. The avoidable suffering caused through defects and care in service is where the Press Ganey survey focuses. Press Ganey also highlighted that it was a validated tool which means it has had psychometric testing to ensure a reliable result.
Once the survey results are returned to Press Ganey they are analysed and the reports provided to the hospital. This process can see about a three to six month delay between the healthcare episode and when the feedback is provided to the healthcare service. Some hospitals such as Royal Perth are also implementing questionnaires that Community Advisory Council members undertake with patients to ensure a quicker response when issues are identified. The presentation did highlight however that service improvement can be supported through Press Ganey surveys using the example of a large hospital in Asia which transformed their health service in nine months. Despite this health service’s initial concerns about how well this would work, their performance improved significantly.
The report from the Cancer Community Conversation Forum, ‘After cancer treatment ends…Where to from here?’ held in partnership with Cancer Council WA, Health Consumers’ Council and Carers WA has been released. The following are snapshots developed from the day:
Lucy Palermo | Marketing & Communications Coordinator | Health Consumers’ Council (WA) Inc
This year during Women’s Health Week (September 5th to 9th) theme is ‘An I normal?’. Women’s Health Week is dedicated to all women across Australia, to focus on their health, learn more and take action. Every year Jean Hailes (Australian Women’s Health Organisation) holds a comprehensive survey of women’s fears and needs. They survey both consumers and clinicians. It is interesting to see the disconnect between what the consumers think and what the clinicians think (see summary below). This research highlights the importance of asking consumers about their health, their role in improving health care and service design.
The data collected includes; women’s top five health concerns, what women are keen to know more about, and what health professionals think women don’t understand. This year the findings have formed the basis of the theme, ‘Am I normal?’. Questions answered by the survey included:
“Why do almost a quarter of women consider weight management to be their biggest health concern – more than cancer (17%) and chronic pain (8%)?
Who do women most compare their bodies to?
Why do more than 65% of women not have regular sexual health checks?
Where does the survey reveal gaps between what women worry about and what health professionals think women worry most about?
How many women went on a crash diet in the last 12 months?
The results of the survey found these were the top five health concerns for women.
Compared to the top five health concerns as reported by health professionals.
Every woman at some stage has asked themselves ‘Am I normal?’. It is a perfectly acceptable thing to question whether our health is what it should be. But sometimes it is easier to say what is not normal, as everyone’s normal can be slightly different, which is still ok. If you do have any fears or questions regarding your health, don’t put it off. Go and see your GP and have your questions answered.
HCC Consumer and Community Engagement Program offers support, education and networking for health consumers as well as health providers who want to be part of making a better, more patient-centred health care system. We believe in the importance of authentic, productive partnerships in health care to create the health service we all aspire to have. Click here to find out more.
Today (28th July) is World Hepatitis Day and an opportune time to highlight that breakthrough treatments are now available for the thousands of Western Australians living with hepatitis C. There was an interview on Radio National this morning with the Kirby Institute about improvements in hepatitis C treatments. Thanks to the advocacy work by Hepatitis Australia and negotiations by our federal government with the pharmaceutical industry, treatment is affordable and has more success and less side effects. As a nation we have the eradication of hepatitis C in our sights.
Hepatitis WA’s Executive Director, Frank Farmer said “New hepatitis C treatments which have a 95% cure rate, and can prevent liver cancer, liver cirrhosis and liver failure.”
Latest figures indicate that due to the cheaper and more effective treatments which have been available now for five months, a record number of Australians have already commenced treatment. More than 800 people in WA have accessed new hep C treatments, but it is estimated that 20,000 people are living with hepatitis C in the state. These people are missing out on treatment, either because they are unaware or have not spoken to their doctor.
“Ask your doctor about new hepatitis C treatments. Don’t miss out. You can be cured in as little as 12 weeks and with far fewer side-effects than previous treatments,” Mr Farmer said.
Another important resource to support the uptake of these new treatments is this partnership project with WA Health and Edith Cowan University, to support health care providers in being aware, confident and competent in delivering these new treatments: http://hepatitis.ecu.edu.au/
In terms of hepatitis B, it is estimated that there are 14,000 people living with hepatitis B in WA, but nearly one in two people don’t know they are living with hepatitis B and over 80 per cent are not receiving the care they need.
For more information about the new treatments, contact HepatitisWA on Metro (08) 9328 8538 Country 1800 800 070 or visit www.hepatitiswa.com.au
Lucy Palermo | Marketing & Communications Coordinator | Health Consumers’ Council (WA) Inc
This week I sat down with Sandy McKiernan, Cancer Information and Support Services Director at the new Cancer Council WA offices in Subiaco, to discuss the upcoming August Community Conversation in partnership with Health Consumers’ Council (WA) and Carers WA, ‘After cancer treatment ends – Where to from here?’.
Why are you holding the community conversation?
Cancer Council WA has a strong commitment to engaging with the community. My division and I provide a direct service to people affected by cancer; be that cancer patients, carers or their family and their children. We feel really strongly about having opportunities for meaningful conversations. That is why having Carers WA and Health Consumers’ Council WA involved in this meeting is really important.
It is not unusual that, when someone is diagnosed with cancer, their partner is also suffering from a chronic condition. This makes it all the more difficult to have support in the home during treatment. This is when our services can be invaluable by providing them and their family with support.
What services do Cancer Council WA offer?
Cancer Council 13 11 20 service is there to support consumers, carers and family members who are affected by cancer. Our metro team and our regional teams of registered nurses with oncology experience can provide information and support on cancer and cancer-related issues. If we don’t provide the service they need, then our team can connect consumers to other providers that do.
Cancer Council WA want to engage with consumers for which we provide a direct service. We enjoy the opportunity to speak to, assist and support consumers who are affected by cancer.
What are the key outcomes you would like to achieve by holding this meeting?
We want to identify the gaps; What difficulties have they experienced after treatment? How can we continue to support them? What challenges have they faced? Are our current services meeting their needs? Were or are they being well supported?
We value any opportunity to work with those with lived experience. To be able to gain feedback to improve our services, is priceless.
Who can attend this meeting?
The meeting is open for those who are still receiving treatment for cancer, their carers and family; and those who have ceased treatment, their carers and family. It is also important to remember that carers and family members have a lived experience with cancer too.
With the state elections coming up, the voice of the people has become all the more important. As strong advocates for good public policy in cancer, we want to find out what is the voice of the people. We know there are system issues, but gaining a better understanding of the lived experience and what consumers believe could help changee things, is important.
Is there anything more you would like to add?
It would be fantastic if we could attract future consumer representatives that would be willing to talk about their experience in a more formal setting. There is strength in talking about cancer and, with an increase of consumer representatives, we can grow our interactions with other agencies, increase our network and continue to champion improvements to cancer treatment in the WA health system.
We hope people are willing to share and use this opportunity so that we can discover what is important to them.
Have you been affected by Cancer?
Cancer Council WA, in partnership with Health Consumers’ Council (WA) and Carers WA, invites those who have been affected by cancer, their family and carers to share their real life challenges regarding life after cancer at a Free Community Conversation on 24th August, on living well after cancer treatment. Click here for further details.
CommunityWest in partnership with COTA Australia has been undertaking a national project, trialling co-production in the aged care sector.
The Step Forward – Together project has ten pilot sites using co-production in their organisations over the last eight months resulting in great success as a method for service improvement and innovation.
The consumers involved in the pilot site projects have also benefited from being involved and have reported increased confidence, improved relationships with staff, increased sense of self-worth and value, a renewed sense of purpose in life, and new skills and knowledge learnt.
Brenda Bryant is an avid writer and poet and has been writing a blog of her time during the Step Forward – Together project. She was delighted to be asked to take a peek behind the scenes and contribute to the renewal taking place in aged care nationwide. Brenda is 85 years old and has accessed home care services provided by Novacare Community Services since having a stroke three years ago.
By being involved in the Step Forward – Together project, Brenda feels even more appreciative of the effort made by Novacare to genuinely engage with the older people in her community. Brenda believes there has never been a better time to be old and has written this poem about her time with the project.
There was an old lady from Oz,
Who enjoyed co-production because,
She could add the odd thought
Though it might come to nought,
And compare the ‘what is’ to ‘what was’.
To appreciate aged care today,
We must bring every mind into play.
If we co-operate,
We can add much more weight,
And feel glad ‘cos we’re having our say.
I encourage you all to take part!
Use your brain for its bright and it’s smart.
Just have your say,
And you may, yes you may
Cause something unusual to start!
In this wonderful new world of caring
There is nothing so vital as sharing…
The ten pilot site projects complete 31 May and CommunityWest will be disseminating the learnings of the project over the coming months, including a documentary and ‘how to’ guide and toolkit on co-producing aged care services.
For more information contact Kelly Gray, CommunityWest Consultant, (08) 9309 8180.
“Low life” thieves are targeting vulnerable patients at Royal Perth Hospital, stealing personal belongings, money and even medical equipment.
A freedom of information investigation has uncovered 124 counts of stealing from patients, their family and friends and medical staff at RPH between January 2014 and August 2015.
Incident reports from the hospital’s security logbook revealed dozens of thefts of mobile phones, cash and computers from patients’ rooms.
Some of the stealing occurred from bedside tables when patients were asleep, or out of their rooms having surgery or tests.
“Unfortunately there are some pretty low life people in our society who will take advantage of anyone in a difficult situation,” Health Minister John Day said.
“It’s completely unacceptable and appalling,” he said.
On one occasion an amputee’s wheelchair was stolen.
In another case a man was asleep at a table at the hospital’s café when a thief was caught on CCTV stealing a backpack he’d left on the floor behind him.
“When you are unwell or when a family member is unwell you are just under so much pressure and it’s just so hard to think that people are also having to cope with losing their valuables as well,” said Pip Brennan from the Health Consumers’ Council.
Nurses and doctors were also victims, with several reports of staff lockers broken into and bags, clothes and cash taken.
Security cameras outside the hospital’s emergency department filmed a man stealing a mobile phone left on a stretcher by a paramedic while he worked at the back of an ambulance.
“It’s just got to be the lowest of the low I think,” said Ms Brennan.
The security log also recorded 24 incidents of stealing from the hospital, including at least three cases when thieves took mattresses and blankets.
Vending machines were also regularly targeted, with at least one recorded case of a man caught using a drill, hidden in a backpack, to break open the machine.
RPH’s Acting Executive Director Dr Aresh Anwar said thefts at the hospital occur” as they do in any large public place frequented by thousands of people every day”, and he’s urged patients not to bring valuables to the hospital.
“Whilst we appreciate some individuals are facing tremendous hardship we cannot condone theft of any kind,” Mr Anwar said.
“We take security incidents seriously and have processes in place to ensure incidents are thoroughly investigated and appropriate legal action taken.”
Day Two began with a Welcome to Country from Olman Walley, prior to the Aboriginal Patient Experience Panel. Panellists included WA Health’s Wendy Casey who is Director of Aboriginal Health Policy Directorate, Michelle Nelson-Cox, Chair of the Aboriginal Health Council of WA, Consumer Miranda Farmer and General Practitioner and Professor Paula Edgill. The panel was chaired by Glenn Pearson, Head of Aboriginal Research at Telethon Kids Institute. It was an interesting blend of the viewpoints of Government, the Aboriginal Community Controlled Health Sector, a frontline GP and an Aboriginal woman whose story highlights there is still some way to go.
Author Talk – Kate Ryder
Kate Ryder has written a book called An Insider’s Guide into Getting the Best out of the Health System. Kate is a Registered Nurse who lives and works in NSW. Her book was launched in early 2016 and covers many useful topics to support health consumers to have a safe health experience. You can find out more about her book here.
Lunch Box Session – Involving Consumers in Organisational Governance
HCC’s Pip Brennan, Steph Newell and Louise Ford facilitated this interactive session which reflects the importance of involving consumers at every level of the health service. Key definitions of governance were considered, and the fact that our National Safety and Quality in Health Service Standards one on governance, and two on partnering with consumers underpin all other standards. The audience was asked to provide examples of how consumer partnerships within the governance levels of organisations are occurring or can be planned to be strengthened. The session closed with key points to consider when involving culturally and linguistically diverse consumers in health service governance.
Panel Discussion – Measuring the Patient Experience
The Final Patient Experience Week panel discussion was on the key topic of how you measure the patient experience. Panellists, from left to right were; Lorraine Powell – Consumer, Karen Lennon – WA Health, Candice Patterson – WA Health, Melissa Vernon – WA Health Country Services, Todd Gogol – WA Health Royal Perth Hospital, Petrina Lawrence – Consumer and Carer, Learne Durrington – WA Primary Health Alliance, Anne Williams – Murdoch University. Missing from the picture is Patient Opinion’s Michael Greco who spoke during the discussion but had to leave to catch a plane. The panel discussion was filmed by West Link TV and includes final comments by Majok Wutchok.
Westlink is available to country viewers who receive their Free to Air TV via satellite on Channel 602 on the VAST service. The debate will air on Monday, Wednesday and Saturdays at 10.30 and 3pm on these dates: June 6,8,11,13,15,18,20,22,25,27,29.
Health Consumers Council Excellence Awards
Patient Experience Week events concluded with our Excellence Awards. For all the details about the winners and nominees, see this page.
On Thursday 28th and Friday 29th April the Health Consumers’ Council hosted our inaugural Patient Experience Week (PXW) with a series of events at The Boulevard Centre in Floreat. We are excited to be finalising our new HCC Podcast of those events we were able to record, and in the meantime, here are some event highlights for you from day one of PXW.
The Welcome and Introduction
Olman Walley gave a Welcome to Country on both days, providing his own unique and gracious welcome in language and with music. His didgeridoo playing was evocative and on the second day, and veered off into rap. Sense of humour that one!
Pip Brennan presented on behalf of the HCC and thanked the sponsors Illuminance and Empower ICT who provided essential support for the event. Pip then spoke about how HCC supported consumers individually through advocacy and supported health reform through consumer representative training and sector support. The importance of supporting the health sector in working with Aboriginal as well as Culturally and Linguistically Diverse communities was highlighted. Pip also referenced the December 2015 Clinical Senate Debate on the Patient Experience. She particularly highlighted the four Recommendations from that debate which were endorsed and therefore WA Health has a mandate to ensure they are implemented. The Recommendations are:
WA Health should introduce a system-wide, consistently branded ‘Patient First’ program that drives the patient experience agenda and under which all key patient experience improvement programs are measured, with results publically available.
In consultation with consumer and carer peak bodies: •A statewide definition of a great patient experience is developed that incorporates a value-based, patient-centered approach. WA Health, as system manager, is to ensure this is adopted by the whole of Health. •Patient experience tools are developed or selected for use that reflect the indicators that matter to patients.
The Senate recommends that a consumer is appointed as a member of State Health Executive Forum (or its equivalent post legislative amendments to create Health Service boards).
The Senate recommends Chief Executive Officers visibly and actively lead consumer partnership programs and have related Key Performance Indicators (KPIs) in their performance agreement with their boards.
The Director General of WA Health formally opened the launch and stated WA Health’s commitment to patient care, patient safety and providing the best patient experience. He highlighted that it is essential to have an organisational culture where staff feel valued and respected, and patients are treated with dignity and respect. In order to achieve that, consumers must be involved in strategic processes that guide the planning, design and evaluation of health services. He referenced the December 2015 Clinical Senate Debate on Patient Experience and highlighted WA Health’s commitment to developing a Compassionate Care initiative. Compassionate Care is about the way in which people relate to each other. This means the way staff treat each other as well as they way they treat patients. His powerpoint can be accessed by clicking here.
The Director General closed with these statements:
The patient journey is unique to each person. Every interaction with patients and their families impacts on their experience.
We must transparently measure the patient experience.
Lessons learnt – through both positive and negative feedback – can be used to improve health services.
A system-wide definition of a great patient experience should be developed.
Consumers must be involved in the planning, design and evaluation of health services.
It is essential to have an organisational culture where staff feel valued and respected, and patients are treated with dignity and respect.
This starts with our behaviour and our values.
We were then joined on Skype by Dr Karen Luxford, Director of the NSW’s Clinical Excellence Commission. The gremlins were with us at this point, so the Skype presentation didn’t record. After Patient Experience Week was over, Karen kindly agreed to be interviewed about the Clinical Excellence Commission, their Patient Experience Week events and why the patient experience movement is important. You can listen to that audio by clicking the link below:
The final presentation of the launch was by the irrepressible Jason Wolf, CEO of The Beryl Institute. The Beryl Institute is an international community of health professionals, consumer, carer and community members dedicated to improving patient experience in health care. His presentation was highly motivating, and can be watched by clicking the arrow below. Alternatively you can view his slide presentation here.
The Actors – Two Sides to the Patient Experience
Straight after the launch, Agents Improvocateurs took to the stage to enact a patient journey scenario, inspired by stories HCC hears from consumers who seek our advocacy assistance. In the scenario, a patient had been stung by a bee near her breast and attended the Emergency Department and was then put on a children’s ward where she endured hours of hunger, (children’s portion dinners) pain (failed insertion of a cannula to administer antiobiotics, then a reaction to those antibiotics) and being ignored. She was also confused and frightened by talk of a possible mastectomy in a discussion between two health professionals in a conversation in her hearing which excluded her. The audience offered suggestions for how things could be done differently and the scenario was played through again. It also explored the situation from the provider perspective – each interaction always has at least two people and in this one we explored the fears and humiliation of the nurse who had failed to insert the cannula. Alma Digweed from Bentley Community Advisory Council agreed to join the actors on the stage and was the star of the show.
Alma Diggins, Star!
Walking with her drip, begging for help!
Lunchbox Session – Organisational Approaches to Patient Experience
This diverse session included a presentation from Anita Deakin and Carmel Crock, in relation to the Emergency Medicines Events Register (EMER). This interesting and innovative tool is a change management mechanism in that in encourages both clinicians and consumers to report near misses and develop a culture which supports a learning approach to near misses to support a safer patient culture. The Powerpoint presentation is available here, and you can find out more about EMER here.
Next up was James Sherriff, General Manager of St John’s Ambulance and former paramedic. James’ presentation focused on the internal change that St Johns have actively sought within the organisation to ensure front line staff always have the patient at the centre of the care. You can view his Powerpoint here.
The session closed with HCC’s Dr Martin Whitely and Murdoch researcher Dr Norman Stomski describing a key research project they have been collaborating on. HCC provides individual advocacy for mental health consumers who are voluntary. HCC sought to better understand what the advocacy intervention meant for consumers whose patient journey was far from smooth. 60 de-identified individual advocacy cases were written up for research analysis. Martin and Norman’s joint presentation can be viewed here.
Workshop Session – Partnering for Patient Experience
The day concluded with a workshop facilitated by HCC’s Steph Newell. Presenting was Professor Anne Williams on her years of research and development of Patient Experience Tools – known as PEECE and PEECH. Helen Fernando from South Australia presented on the unique and effective Messenger Model that she has developed, and a version of the concept runs at Flinders Medical Centre. The Messenger Model involves the consumer representative providing a conduit for information about health care needs and experiences to reach front-line staff during the episode of care. The feedback about what has gone well or otherwise alerts staff to issues that may be addressed whilst the patient and family are still in the care of the health professional team so that the patient experience can be transformed. Steph Newell explained the key factors of partnership – trust and common purpose. During the workshop session, audience members were encourage to view sections of this video on patient experience and consider the scenarios within the context of the tools discussed – PEECE, PEECH and the Messenger Model.
The Theme, The Crowd
We aligned with the international theme for 2016 Patient Experience – “Connecting for Patient Experience – We are ALL the Patient Experience”