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Good afternoon, everybody and thank you for bearing with us and I can see that Helen's almost with us now. She is here, Helen. Well done. Thank you. What a what a stressful we time but just was then particularly pertinent when it comes selfcare. Um Now can we hear you? So in here, I can't hear you at the moment. Helen. Nothing's coming out of my screen. Let me try and let, let me try and connect to this. Oh, I think it's coming to you now. Okay. I just took the headphones out. I'll just speak into the computer. We can hear you now, Helen. Thank you so much. Um Just said we can't hear Helen and now we can, which is brilliant. So I am, I am delighted this afternoon and hey, what a Friday, it's turning out to be for, for, for lots of people in different ways. I'm just gonna let Helen catch your breath while I do the the usual introductions, Helen. So you have, have a moment or two here now. So, welcome back or welcome to anybody that's new to learn with. Now, this is one of our in conversation sessions which means we run this live, it will be available on demand. Although of course, we'll edit out the first couple of minutes where we were trying desperately to get online and um and but the same things will apply and that you can get a certificate afterwards. We would love you to do your evaluation and I will be uploading some of the some of the back sheets that Helen's going to be talking about today from the South care for. Um So you can go and pick those up straight away. Now, I'm having my own I T issues and that my computer doesn't recognize me at all. Uh We'll certainly not my Microsoft office so I can't open any documents so I can't do that on maybe on Monday. But remember if I put anything else into this platform, it will drop you a note to let you know. So our sessions now is, as I said, the in conversation session and I can't remember. I said my name, I'm sorry, Michaela Nuttall nurse founder here at line with nurses. And I am joined by Helen Donovan and I've known Helen for quite a few years now and I Helen who will do her own introductions, hopefully. Um So Helen and I have worked on a variety of different projects over the years and I, when I heard more about the self care for, and I just thought we have to have Helen along to come and talk to us more about it. So, Helen, I want to say what, what's your name and where you're from in my best seller, Black Voice. So let us know a bit about yourself, first of all, and then we'll dig down further into the self care forum. Thanks Michaela. And uh yeah, I'm really delighted that you invited me. So sorry, the sort of stress of logging in. But uh so yeah, Donovan, I'm an independent nous consultant. Guess my, my expertise, he's a specialist, the news ization of vaccination. I have to say that and obviously, self care is fundamental to immunization, vaccination because it's a key thing. But I also do a number of other things including working with yourself, with the wonderful C three organization. I also am a queen's nurse and I work with the Q and I and uh lead there long COVID network. I also, and the chair of self care for a small national charity with a remit to extend and embed the whole concept and idea of self care into everyday life and we can get a bit more, but I do lots of different things and uh that's, that's great and fantastic. But fundamentally, I'm a registered nurse, brilliant. And I think like many nurses, like many of us nowadays is we do wear a lot of hats and, and juggle lots of things that whether that's different roles, only difficult within organizations. Um And I suspect self care is important more than ever for, for not just people and patient's but for ourselves to. So I'm gonna start the ball rolling with their, with a very wide open question for you, Helen on, on just, just what is meant by self care. Yeah, it is. It's a really interesting one but we very, very simply have a very clear definition, but it's the actions that individuals take for themselves on behalf of all with others. So it could be a community spirited in order to do to develop, protect and maintain and improve their health and well being. So it can be everything and then to go behind that, we've also developed what we call the self care continuum. So, self care extends from those everyday actions, which includes brushing your teeth in the morning and an evening before you go to bed. It includes drinking enough, it includes taking time out for yourself. But it also lose knowing how to look after minor ailments. If you've got a sore throat or a cold or more serious complications, going to see the D P when it's appropriate or going to have a chat with the pharmacist, it's appropriate. But also then taking care if you do have an underlying long term condition, taking your medication at the right time, taking your asthma inhalers properly, all of those sorts of things or following advice post operatively. So if you're having a hip replacement or you've broken your leg following physio advice all of those sorts of things and call the coat the self care continuum. And it was developed by actually our self care Presidente BP. Doctor Pete Smith. It's been around for over, uh, about 15 years. It was different mid two thousands and it really does encompass self care. And that's, and that sounds so broad and I suspect not everybody realizes it's as broad as that. Maybe they thought, oh, it's doing extra things that, you know, that I might need to do to look after myself. I make myself better. But actually, it's almost like that basic maintenance across the whole level is what I'm feeling like cleaning your teeth, like keeping hydrated. Um So it's not going off and doing extra things. It's just even get this. Am I, am I going down the right track of you? Absolutely going. You are absolutely right. So, I mean, obviously there's things that we, we all have to do to love our bodies if you like better to love ourselves, you know, whether that's doing a bit more exercise, eating healthily, try to lose a bit of weight, maybe sleeping. But it's just those day to day things and a lot of people put self alongside self management. And for us, I think self management is part of that continuum. Um So that's uh monitoring your blood better, as I said, or, or taking your asthma inhalers or taking your medication more Jenny on a regular basis. That's the self management bit of a long term condition. But self care is that's just part of self care. So it's not, you know, we're not asking people to or suggesting that people have to spend a lot of time doing other things. It's really looking after yourself. Yeah. Wow. And so going back to the self care forum then, um and I'm loving the thought. I love a continuum. I love being able to visualize things in that way. Um What are the aims then? What, what, what, what does the self care for and want to achieve? What? Yeah, what are the aims of the forum? Well, I mean, essentially it is to really get that message through to everybody. And I guess fundamentally we are working with healthcare professionals and others, but we're working across the piece. So it's not just about health and care, it's it's to do with education. So how can we get into schools to support? And one of our trustees uh lovely doctor she in has got this wonderful uh groups she set up called Doctor Me and she goes into schools talking to the Children about how they can look after themselves, obviously with the have any expense into the family, but also some of the other resources that are out there and, and, and groups that are out there for education, but also working with local authorities, how we can then better embed that because you know, inequalities have this really massive problem, isn't it? And we must see this as a blame thing. This isn't about, you must do particularly at the moment where people are struggling so much the cost of living and all of the other pressures in life. This shouldn't be about, you know, the, the responsibility of the individual, everybody has a responsibility. So I think our aim is to really embed that self care continuum, not just for the individuals, but for communities. Um So if I can carry on a bit, sorry, I, yeah, please do know, do know do that's, that's what these sessions are about. It's like we just ask occasional questions and then let's let you guys roll on. So go for it. We've been running what we call Innovation Awards for many years. Now. We published these on the website and they really give some really fantastic ideas of what local areas can do in supporting self care. And I think they, they're the crux of it really. So whether it's about expanding local self help groups and I'll come to the fact sheets a bit bit more detail about how people can use those fact sheets in a group setting. Or we've got one example on the website which you get that came from Presidente, Doctor Pete Smith's practice himself and actually showing a reduction in antibiotic use, but probably more important a reduction in people needed feeling that they need to go and see their GP for minor illness. So using those fact sheets in a really productive way in really help helping people to manage their condition as best they can. So I think there's lots of examples that we have that we've used in the past and that people have uh written Rhys and have applied to become and selfcare champions really showing how this can work in practice. So the factories and I'm going to upload some of those and hopefully once my computer's working and we're just getting a couple of comments that I tell your I D on a Friday. Hey, it always happens. Um We're now getting a couple of comments and I think it's coming through that your, your, it's a little crackly that the, the audio is breaking up a little, however, it's audible and's always put down, that's a little bit better now and I think it might be the internet on your side, but, but we'll keep going as it's audible. So it's not so much the sound, you know, the loudness. It's a bit crackly but okay. I've got good internet connection. So, uh yeah, yeah, it's Friday is what we'll put it down to. I think it's Friday and actually what we are hearing from Sarah, it's audible. It's a little crackly but it's audible. So we'll, we'll go with uh, it could just be you. Exactly Helen. So those fact sheets then, um and I will pop in a moment uh in the chat where the self care, well, they sell for foreign website is, but tell me a bit more about those fact sheets. So, how did it, how do they get developed? What sort of things might they cover the whole range is? And what do you? Yeah. Well, tell me a bit more about those fact sheets. But I think I have to give credit to another one of our uh special advisers to the healthcare forum is the other G P uh doctor uh who's also the director for a healthcare company. And he developed these fact sheets too. I think they go around 2014. And the idea kind that was very much that they are tall for healthcare professionals to use with clients, patient's uh um to sort of give them something to help them with the self care process. Um Now got is going to go on to the website while I'm talking to you and we've got a whole range of fact sheets ranging from back X MCG two sore throat. The newest one that we've done is actually on the strep a fever. And that went that, that gives a good example sample in a way because we were asked by the college raw Pharmacuticals society to develop this. And it was really as a call from their members who wanted something to back up the conversations that in the pharmacist. So parents that's coming into the pharmacy, worried about stroke, okay. And scarlet fever and wanting side up. And of course, there is a lot of information online, but this is done in a two page documents. You print it off on two sides of a for. Um and you can give it or you can give people the link. Um The other latest one is a menopausal fact sheet again, something that we were asked to work with NHS England on because of the work they're doing on menopause. Um So they normally come about by an r from an organization. Um Sometimes it comes from just feedback that we get, we haven't got some on this, for example. So I'm sort of looking at whether we've got actually a bit and indeed, you know, all of that sort of thing. Um But there, but very much designed as a tool to support a one sided conversation. So they don't have all of the information. Um But they have links to other reputable sources. I think what people say they like particularly about the factions is that they are on two sides so you can just print them off. So, but there's some sort of basic implement that you can use to back up that wider conversation. Um They're developed by the board. Um And then they are proofread and center checked by our wider list of champions. So actually anybody if they're interested in self care and would like to become a self care champion, please have a live website and, and uh um and then, and then we go through the process of uh putting them up on line and we, we have a format that we use. So um that's essentially how they come about and then we, you post process of at least annually um so that we make sure that they are and then another two year re process or them. So that, that's a sense, especially what the fact she of they are evidence based and they developed by, by, you know, a whole series clinical colleagues that we have on, on the self care board, but also from other colleagues on the board who are not necessarily clinical. But because obviously these are for the general public to be able to use really important that they are written in such a way that people can access them and find them useful. Yeah, and we're getting some comments saying so Elizabeth. So you said the fact sheet sound like a brilliant idea and I guess not everybody, there's a lot of people that won't know about the fact sheets. I don't know if you can see there's a little chat column um to the to the right of your screen, you click on those little boxes, Helen where there's little um where there's like little bubbles and get uh find it Michaela because I think I've done so much scooting around. I don't worry, then don't worry, I'll be reading out from here as well. But also what I've done is I've popped into the chat function there as well about the, the self care form, the link to the self care forum and the fact sheets. And I've browsed through them myself actually. And they do look, I think what I like about them is they look really clear, um, easy to use, easy to understand. And on those, on a lot of those topic that there are probably, we end up saying probably very similar things over and over whether that's I'm looking at middle ear infections, varicose veins, acne all the way through that you said to back pain or constipation as well as well as the menopause, which I think has become a really popular one. And we can just see he was always just said, thank you've never heard of them before. So I think, I think there's a lot of people now. It's amazing that we've got them. And do we, do you know how much they are used at all? Maybe like in primary care to be able to use? Do you know what the uses? Well, we do, we are now beginning to collate the number of downloads and I'm afraid I don't have that, that evidence that my fingertips. But my wonderful colleague lived would be able to tell people if they're interested. But what we do know, which is, which is absolutely brilliant is that they are actually as a back link. Now, I don't really understand all the technology for these things, but other practice system and I'm embedded, you can access when you're in the middle, middle of apart ation. Um, the fact sheets are there. Um One of the things we do know is really useful going back to the, one of the case studies that we had on uh reduce antibiotic, prescribing. And one of things that we had with that is actually how long is the sort of normal sort of expectancy for, say, a sore throat or a common cold? And I think that's again, something that people don't necessarily realize that it might be a couple of weeks that you would expect to have or a sore throat and a cough for maybe even longer than that 2 to 3 weeks, for example, and, and the antibiotics don't necessarily reduce that. And once people are assured that that's normal in inverted commerce, they're not going to worry much and they're gonna feel more confident about managing that in their own fate by, you know, lemon pain rest, you know, increasing their fluid consumption. All of those sorts of things obviously are times when people must and should see their doctor or see a pharmacist. And we make that very clear on the fact she isn't a sort of an indoor situation, it should be done as part of the sort of wider pack. Get that sore throat. Well, now, and it's what I particularly like is you've got the, you've got the fact sheet that you can print off, but also there's a web based version as well. You can read the same content, sort of quite big as well. And I like to read the things quite big two on there. So, so it's repeated that way to make it read easier. And I can see that you've got the whole as well. When should I seek medical attention to? Um, and, and that actually given that lots of patient's and lots of people go and get information from all over the internet nowadays that actually having something that can be shared in a consistent way and taking them back to the same place, the same reputable, safe source of information is really important, some really important point. And I think it's something that we really, really strive for with the self care firms. I mean, let's be honest, we all look up everything on the internet, don't we? I mean, it was like, I think it's actually in the Oxford Dictionary. It was the work used Google it. We all do it and it's, it's sort of really ridiculous of the patient's are not going to do that. Most of them have Googled it before they come and see any one of us anyway. Um So what we need to do is make sure that the sort of things that they're seeing are reputable because there is also an awful lot of misinformation out there are an awful lot of stuff that's been being promoted to reflect one particular viewpoint. I mean, you have had these conversations before Michaela but it's, it's really difficult for us that included us in the general public to all be able to know good and what is bad because sometimes the stuff that comes out and, you know, social media is on Tik on Twitter. And you have these wonderfully produced videos and films and they're very, very professional and you, you, you know, forgive her thinking. Oh, actually, well, this must have come from something that this has got some credibility. So I think we're very, very careful to make sure that we're using H S public health. Nice, those reputable sources to inform formality. But I'm pleased that you think that they are easy to read because let's face sometimes nice. Isn't that easy to read? Definitely not, definitely not. And it can be and there can be a lot of documents the way through. And I know for example, the shared care document within one of the nice guidance. I think that's gone down from 28 pages to about 14 now. So who, who has time to do that, shared care, decision making, but still with, you know, multiple pages in that way. So, and, and, and we've started to discuss this, I think a little bit, we've already touched on this on the moment and I want people who are joining live at the moment. If you've got any comments, thoughts, questions for Helen, please do pop them in the chat function. But I want to think, how would you, how do you envisage people will be able to use them? So we know that they've already now embedded into G P systems and these, the MS. But how do you think, um how do you think it could be used? Well, I think essentially, first of all get, be familiar with them. So, you know, you've now got the link to the factories, have a look and see what's there. But I know that the way that we're told by ourself champions and the board and the clinicians on the board use them is literally with patient's. So somebody is coming to you with complaining that they, I don't know, let's use one of the diabetary. So it should take vitamin D for example. So whether there's a fact sheet on vitamin D and actually when you look at the evidence base for vitamin D is that it's probably fair to say that most of us should be on vitamin D as a supplement. Um and particularly people of a certain ethnic minority groups with darker skin because you don't get the same absorption of vitamin D and sunlight. But also anybody really from September to March, I think we have on the vitamin D leaflet because of the country that we live in. You know, let's face, we don't have an awful lot of sunshine we have at the moment. Actually, I just thought I did exactly the same as you and turned my head. I can see that there is a bit of sunshine out. You know, I'm covered up with jumpers and stuff and, and so, you know, the amount of vitamin D absorption I would get is going to be minimal. And also it's the level of the sun in the sky and all those sorts of things. So, you know, you've got that leaflet which essentially says to you look, have a look at this, you know, it's not a bad idea to take some vitamin D, but you know what your dose is, you don't need to be on anything special. It's, it's that sort of information um that, that we're giving and similarly, you know, that the, the strep A one was quite an interesting one because, you know, normally were saying to people you can manage this yourself. But actually with strep A were saying you do need to go and get a prescription, you almost certainly need to be prescribed antibiotics and remember to complete the course of antibiotics. So it's, it depends on what people are asking you about. But we know from, you know, nurses on the board, from GPS on the board, from pharmacists on and, you know, that's the other group as well as pharmacists. Increasingly, people are encouraged and quite rightly. So you've got highly qualified and, and train registered healthcare professionals, you know, on your high street. So using our pharmacy colleagues for those initial conversations and we know that, you know, our pharmacy colleagues use these back sheets either to say to people. Well, actually, I really do think you're going to know these guys need to see your GP or actually have you thought about this, that and the other? Um and you know, it's those sorts of conversations that they are designed to support. Now that's, and I'm loving the thought of, I'm always loving the thought of things, but I am loving the thought of them being used in multiple places because that you, that you end up then with is a consistent set of information. So which is what we often get is the opposite of that. You know, people think somebody says something somewhere and then we get the opposite one somewhere else. But that consistency is really important and not just consistency and the message, but those are the way it's been said. And I, and that's what I like about the succinct nous and the simplicity of the factory. Now Sarah is also mentioned in here, but actually, they could also be used in places like could they used, could they be used in places like outpatients uh particularly for people with chronic illnesses and could they be used in maybe for post post procedure instructions? So for example, with endoscopy is when uh and stuff around digestion and gut and self care that way. So, so it's actually, and I'm just quickly screw ching through now, looking at them for the bits on that side. But I think they could. Do you see that? I'm, I'm asking you a question that I think I know the uh answer to. Well, you know. Absolutely. Right. And I think Sarah's made a really good point. Maybe we need to, um, you know, publicize it more for our patient. And particularly these days when we, you know, the whole concept of integrated care systems where we're all, hopefully once they bed in a working across them, that we should be using them in any fact, any setting where essentially where we're telling somebody you need to try and think about this, that the X Y Z in order to maintain and improve your health. So absolutely postoperative giving people advice or I/O patient setting. I see, always put in all schools could send strap information, why not? I mean, you know, the challenges of course is that UK HSA into the strep A have some really, really good guidance and there are some fact sheets embedded within the guidance. Uh But the idea of these is that it's, it's something simple that people can use. And one of the things that we reference in the strep A is e bugs and anybody who works in schools will be familiar with the E bug website, which is another fantastic resource for teaching Children, um and the schools about how to better maintain infection prevention and control. So I agree with that. I can see the chat now, unfortunately, got to verify my account before I can add anything. So I'm not add anything. But I just wonder if you make a, I could add the link to the, there's a best practice link um for self care, which is really, really useful. Um And it's got a lot of our, it's sort of case have to do is it, is it in resources? I'm gonna send you the link in a whatsapp while I'm talking to you and then I can you, this is our telecommunications at its best, isn't it? Who knew that we would become so amazingly wiz e you know, cave, it didn't bring a lot of good stuff. It brought mostly heartache and a nightmarish stuff, but actually look at that we have been able to um hopefully that's going to work because it looks like it says and actually people are, people are able to hear me now. Maybe it's warmed up. Yeah. And you actually it's not crackling in the same way. So I think it's there. But what I am thinking though, it's just in case people did log on to start with and then maybe disappeared after it took a few minutes because I'm gonna rappers up shortly, but I'm going to invite you back, Helen if that's alright to maybe talk about this. Again. And then because when it's on demand, it might be a little crackly but maybe, maybe in May June time to come back and talk about a year to repeat what we've done. But take it a little bit further. But I am gonna put a challenge back out to people on the call and to people who are watching on demand is to think about, have a look at the self careful and then maybe have a think about what would you need? What are the fact sheets? Sorry Helen. I don't mean to give you lots of extra work or the form, lots of extra work. But what would be really useful? What would be really good? What do you think? Oh, if only I had this because uh and not for the occasional thing, I'm guessing it's for the more frequent sort of thing. Could that go up? There's a request and people just emailing Helen, do they contact you through the well with the contact? So Libby Whitaker is the sort of manager for the self care for. Um I mean, what we would need to do is to look to see where we would get funding to initially make the factory because as you can appreciate, it does take quite a bit of time to do. Um But no, if we've, if there are requirements. But another thing is um give us examples of using the factory every public or as a, you know, there's a little discussion on the website. Um Remember we haven't launched Selfcare Week Innovation Awards for this year yet, but we will be. So, remember, keep that in mind and selfcare week. I know that's quite a long way off, Michaela, but maybe we need to do something like this in self care week. So Selfcare Week is always this second week in November. And we really, we've, we've got some new graphics and new design that actually a friend of mine who's a graphic designer has been helping us with. Um So we've, we've got some new stuff to sort of help promote and it would be really, really good um for people to engage with self care week and let Libby know what you're doing because, you know, it's about, you know, it's about us promoting that as well. And well, I'll definitely let's do something in self care week, you know, as you know, here at Lone with Nurses, we love to just jump on the ideas and things and I'm now thinking let's have a series during selfcare week, let's maybe see different days different, you know, whatever your themes are, we can support, we can support the self care forum by doing stuff like this or by having a quiz all about, you know, or by having, you know, a the webinars with slides and doing it that way. So maybe whilst you're away for and Helen is going to be away for all of a protective, she's having a break. Not, and she's not going to work on it. But if you did have a moment where you did start to think, well, what would I love to build? We can help you or help the self care for him to make that happen in November. Um, and he just put in D and B I think that might be a really useful one for lots of people as a, as a, as a starter for 10 of something to think about. Now, let's imagine in our last couple of minutes people thinking actually, I might like to be part of the self care forum. I'd either like to help out on making the fact sheets, help out on review it or, or get involved in some way. Are you, is that always something people can do? Can they get involved? So, yeah, we have a whole range of champions. So self care forum champ millions and you know, we would welcome, there's a lot of nurses on our champion page. Um And again, Libya's details, the contact details are on the website. So um if you're interested, what we really need is just a little bit about your, you why you want to be a self care champion? A quote to put on the website and a headshot. There you go. And I've, I've popped the champions in the chat, say for people to come and become a champion too. And you know, I'm going to put the awards in as well. Oh, the self care? Oh, they're not out yet. Are they the award? They're not out yet. We haven't, we haven't actually launched it for this year. Um, but it will be coming out. Yeah, I see. Anita's Put Deer and DMV. Yeah, we haven't got one on DMV. We need to, we need to have a think about that because it could potentially be quite huge. But yeah, well, Helen, I'm going to wrap it up here. Um So a huge thank you for joining us today and, and for appearing SOCOM um considering their slight hiccup we had before it all started. And that's the, that's the bit so that people were, we did have a bit of it and it wasn't Helen's fault at all. It was glitchy problems and all of that sort of stuff. It is Friday and it is, it is I T glitchy type thing. So Heleno, I'd like to just hand back to you for any, any last thoughts you'd like people to go away with before I wrap this up. I think, I think just keep selfcare and the fact that people, our patient's, our clients don't necessarily understand what we mean by self care. I think people also need to be supported, they need to be given permission almost to do these things and to follow on. So having, having that at the back of your mind when you're having those conversations and also remember that unless we do say to people that they can do X Y is that they're unlikely to do it. So, I think that I've always had that in the back of your mind, um, in thinking about self care. But no, it's been really good and I really hope that people have had some good feedback now that I've, I've logged on once. Hopefully I'll have to remember everything and um, we can, we can have a more slick and joining. Uh, we absolutely will and we'll get you, we'll get, you know, to sort you out for, um for those uh for those verification and Zoey's already said, looking forward to the November sessions, so we will be there. Well, everybody, thank you very much for those of us that are joining us live, for those that have watched on catch up or on demand. Um You still get the opera opportunity to do your evaluations and we'll give that feedback to hell. And of course, we'll get, I'm expecting you to say it was a bit glitchy. The I T was a bit dodgy, but actually what we want to know really was, what was the content like? Was it useful as opposed to our I T issues as it were? But if that was a really big problem for you, do let us know as well. Um I will also have been uh next week once my computer is working upload a lot of the certificates and uh a lot of those tickets, a lot of the fact sheet so you can see where to go to. And if and if we've got an about tours or something from self care forum, I will upload that as well. So, a huge thank you to everybody who has joined us live and thank you for anybody who was watching on demand. A huge thank you to you Helen and for joining us here. And uh yeah, I have a lovely weekend. Everybody speak to you all soon. Take care. Thank you. Thanks bye.