Collaborative Learning in Practice (CLiP®)

Jonty Kenward, (Clinical Nurse Tutor) and Stella Cosgrove, (Practice Education Facilitator) have pioneered a new education programme in Lancashire Teaching Hospitals, which enhances both the quality of the learning environment and increases the placement capacity for students.

CLiP® is an initiative that originated in Amsterdam and was brought to the UK by Charlene Lobo, Senior Lecturer at the University of East Anglia, who trialled it within Norfolk and Great Yarmouth NHS.

Coaching not Mentoring
The traditional method of mentoring students is widely known to have its problems because of service demands. Some Mentors can find it difficult to balance their workload equally to enable time to teach learners, which can be stressful for both student and Mentor. A small percentage of students who leave the programme is attributed to their perceived lack of support.

The CLiP® process entails allocating between 14 & 22 students to a practice environment, utilising the coaching method as opposed to the traditional 1:1 mentoring technique.  The learners are then divided into smaller groups of 1 - 3 students, from all year groups, who are supervised by a coach, to deliver holistic care to their patients. This includes essential skills, documentation, ward rounds and hand-overs to the next shift.  In this environment, the students may also have the opportunity to follow their patient’s journey, by visiting specialist bays, going to theatre with their patients and partaking in specialised treatments, thus increasing their knowledge and experience.

An overarching Mentor oversees the coach, providing support, and maintains responsibly for the student’s practice assessment documentation.

Introducing Clip® to the Health Academy
The team first heard about the success of CLiP® at a Practice Education Facilitators meeting at the University of Central Lancashire and subsequently invited Charlene Lobo to visit the Health Academy to present the process to key personnel.

Once agreement was reached to test the programme, a steering group was formed consisting of members from the trust, Student Quality Ambassadors and educational leads from both the University of Bolton and Central Lancashire. Funding was sourced from Health Education England in the North West (HEENW) and the task of implementing the project began.

To prepare for the new style of teaching, all staff from within the proposed pilot areas attended a two hour coaching session which had been developed by the Health Academy’s Organisational & Development Team.

The pilot commenced in May 2016; and with Jonty's and Stella’s determination and passion, the CLiP® process has now been established in 6 areas across both sites of Lanashire Teaching Hospitals. In September 2016, Jonty and Stella held a regional conference to share this best practice and are now finding that healthcare trusts across Cumbria, East Lancashire Northumbria, Cheshire and Merseyside have all expressed an interest and want support to facilitate this initiative in their organisations.  The 2nd conference, "CLiP® - a year on", is set to take place in September 2017. 

It has been deemed such a success that Jonty and Stella were given an award by the Education & Workforce Directorate for outstanding contribution to patient care. Furthermore, to manage and deliver the expanding programme, Jonty has undertaken the position of Collaborative Learning Manager on a full time basis, from 1st April 2017.

What Next?
In recognition of their achievement, Jonty and Stella have been shortlisted in this year’s Student Nursing Times Awards in the ‘Best Student Experience’ category, and are set to go to London in April 2017.

Collaborate learning in practice

They have also been given ‘Pioneer status’ by Health Education England North West as they continue to push the boundaries of the programme and develop it further.