Wales’s elderly population is growing rapidly, with a 40% rise in people aged 65 and over expected by 2041. One of the pressing health issues this demographic faces is oropharyngeal dysphagia, a swallowing difficulty that can lead to malnutrition, infections, and even death.
Despite the severity of the issue, care pathways for detecting and managing dysphagia remain disjointed, leading to delayed assessments, multiple waitlists, and limited access to specialist support particularly in care homes. A new integrated service model involving Speech and Language Therapy, Nutrition and Dietetics, and Pharmacy used telehealth and has demonstrated improved outcomes. However, the effectiveness of this approach is constrained by high care home staff turnover and inconsistent training on high-risk procedures such as swallowing assessments. Staff often lack the confidence and practical skills to manage these high-risk incidents during virtual consultations.
What’s the solution?
This project introduces a hybrid learning approach, combining face-to-face and VR simulation training. This innovative VR system, developed by Goggleminds, provides lifelike scenarios for care staff. The VR simulation allow care staff to identify early signs of dysphagia, preventing incidents, and responding to emergencies such as choking, without risk to residents. Enabling a faster, and more effective environment.
Project aims
- To provide care home staff with the skills to respond confidently and effectively to high-risk swallowing incidents.
- Reduce hospital admissions due to proactive management of dysphagia.
- Create a competency framework for care staff involved in high-risk telehealth consultations.
- Foster stronger collaboration between speech and language therapists, dietitians, pharmacists, and social care teams.
For more information about the VR Training project, please get in touch by emailing hello@lshubwales.com.
- Bridgend
- Cwm Taf Morgannwg University Health Board
Cwm Taf Morgannwg University Health Board
Goggleminds
Bridgend Council
Digital Communities Wales
Life Sciences Hub Wales
Project scope
March 2024
Phase One
Collaboration, focus groups, and feedback to shape training modules
Phase Two
Active development of VR modules with Goggleminds, including storyboarding and design
Phase Three
Refinement and delivery of the module, including training to Cwm Taf and Domiciliary care staff
Evaluation & outcome reporting
July 2025
- Introduced immersive Simulation training using Virtual Reality alongside existing methods to make care safer and more consistent.
- Created realistic VR scenarios with Goggleminds, based on real-life situations.
- Gave staff a safe way to practise spotting swallowing problems and responding to choking.
- Improved staff confidence and readiness to handle these situations.
- Showed early signs of fewer high-level interventions, with longer-term impact still to be confirmed.
- Early feedback showed an increased awareness of swallowing issues.
- Showed clear benefits of immersive Simulation training, including better engagement and safer practice.
- Highlighted potential benefits such as stronger workforce skills, less pressure on training, and fewer avoidable incidents (with full economic impact to be explored).