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Active & Independent Living Improvement Engagement
Event
Wednesday 9th December 201510am – 2.00 pm
Aberdeen Exhibition and Conference Centre
Warm welcome to all
• Service user and patient representatives • Health and Social Care colleagues • Voluntary and Third Sector
representatives• Scottish Fire & Rescue Service • Scottish Ambulance Service• Robert Gordon University• Scottish Government Representatives• Lots of AHPs
Local Perspective On the National Delivery Plan
Susan E. CarrAssociate Director of Allied Health
Professionals
Who are the Allied Health Professionals (AHPs)?
Art Therapies Dietetics Occupational
Therapy Orthotics Orthoptics Paramedics
Physiotherapy Podiatry Prosthetics Radiography Speech & Language
Therapy
Role of AHPs
AHPs are autonomous practitioners who work with many other professionals at many points along the care pathway and have roles that span many domains of care:
PreventionHealth promotionDiagnosisTreatmentSupportEnabling independence
AHP National Delivery Plan
Professional leadership to drive innovation and delivery
Reshaping care and enabling independent living
Improving health and wellbeing Supporting early years Maximising workforce engagement and
development Driving improvement : delivering sustainable
quality
Grampian Allied Health Professions
Implementation Plan
Developed in response to the 2012-2015 National Delivery Plan for the Allied Health
Professionals in Scotland
AHPs as Agents of Change in Health and Social Care
The AHP contribution to achieving delayed discharge targets and reducing overall length of stay in hospital.
AHPs supporting Unscheduled Care
Key aims...
AHP Presence within all medical receiving units
Progress so far... There is an AHP presence
within the acute medical receiving units in Grampian
AHPs supporting flow by 7 day working within acute sectors
AHPs attending daily huddles NHS Grampian USC AHP
specific improvement plan in the making focus on speedy access to assessment and intervention
Developing AHP capacity in leadership and quality improvement and driving productive working practices with a view to promoting efficiency, productivity and flexibility.
AHP QI and Leadership
Key aims...
To determine the current Quality Improvement skill level within AHP services in Grampian and plan to reduce the skill gap, providing AHPs with the opportunity to improve their skills in QI
Progress so far... Bespoke AHP Quality
Improvement and Leadership programme underway – concludes in February 2016
13 delegates from across Grampian
Wide range of projects Trained to practitioner level AHP Sector Lead graduated as a
ScIL in August 2015 AHPs involved in the QI
programme within the Moray EYC Raising awareness session for all
AHP managers
All teach all learn....the spaghetti game
AHPs will ask people who use their services about their work status and will initiate support to enable them to remain in or return to work.
healthWorks Project www.hi-netgrampian.org/healthworks
What is it?
Free, face to face, vocational rehabilitation awareness training.
Funded by Public Health. Delivered to 230 staff
members so far, with another 300 to complete by next year.
Open to all health, social care and third sector staff.
Why does it matter? Unemployment in adults is
associated with a higher risk of premature death and increased mental, physical and psychological health problems.
AHPs can play a crucial role in supporting people to stay at, return to and remain engaged in work/ volunteering.
AHPs will lead improvement in the quality of their services, underpinned by data gathered from people who use services, to improve outcomes.
E-health solutions for AHPs essential to support service deliveryand to measure performance and demonstrate outcomes‘If we don’t count then we don’t count’
What’s happening in Grampian? PMS/Trak care being used by all AHP MSK services Roll-out plan being developed for PMS/Trak for all AHP
services pan-Grampian AHPs making use of IT solutions already available: Sci-
gateway, Sci-store, accessing KIS etc AHPs involved in the development of Electronic Patient
Record (EPR) How might we deliver care differently in future through
Digital health/ Telehealth?... NHSG AHP 2020 identified Digital Health opportunities
AHPs will work to ensure the delivery of early intervention and post-diagnostic support for people with dementia.
Dementia
Care
Dementia Training
Scoping exercise of AHPs across NHS Grampian to identify dementia training needs
NES Skilled level dementia training sessions delivered by AHP Dementia Consultant across Grampian for H&SC AHPs (220 AHPs trained)
Supporting Derek Training Programme rolled out across services supporting people with a learning disability
AHPs at Work Dementia Link Workers have
access to and support from AHPs
Development of Risk Enablement Framework by Older Adult Mental Health OTs – winners of 2015 GRAFTA Award for Innovation
AHPs working in children and young people’s services will provide a sustainable model of service that reflects the early years agenda.
Allied Health Professionals:
working with Children and Young People
across NHS Grampian
What do we do?
Over 110 AHPs working with children across NHSG
Provide patient care, rehabilitation, self-management support, enabling and health improvement interventions.
Work collaboratively with children, families, education, health and social care staff, 3rd sector
Next steps.....
National children’s AHP plan and local implementation planQuality improvements across the 5 key ambitions:
•Access•Early intervention and prevention•Partnerships and integration•Participation and engagement•Leadership
AHPs will use each appropriate opportunity to improve overall health and well-being of people who use your services including signposting to relevant resources.
Raising Health Issues, Small Steps Guide
User-friendly tool to help AHPs feel more confident to:
• sensitively raise common health issues with adult patients
• respond effectively• sign post or provide information,
as part of routine practice
Raising Health Issues, Small Steps Guide
• Enabling all AHPs to promote the benefits of healthy living by asking patients about their lifestyle and whether they want to make changes.
• Not every encounter, but every opportunity that is likely to be appropriate and effective.
Health Promoting AHPs
• Work• Smoking• Overweight• Physical Activity• Emotional Health• Alcohol• Money worries
AHPs will drive the delivery of a maximum wait of no more than 4 weeks for AHP musculoskeletal treatment.
MSK & Orthopaedic Quality Drive
Key aims...
National 4 week rapid access target by April 2016 – physiotherapy, podiatry and orthotics
Efficient referral management processes
Improved pathways for patients – AHP led
Supporting patient self-management
Progress so far... MSK referral centre – 40,000
referrals per year Self-referral through national
MATS scheme Electronic referral
management: PMS/ Trakcare, e-vetting
Pathways development: Spinal, Knee, Foot & Ankle
National reporting of Physiotherapy waiting times
Physiotherapy waiting times improvement journey...
Physiotherapy: Target 90% in 4 weeksImprovement journey...
% patients seen in 4 weeks / 4-6 weeks / 6 weeks +
AHPs delivering the 2020 Vision by
• Transforming well-being and recovery• Promoting prevention and earlier
diagnosis• Reducing unnecessary referrals and
admissions to hospital and care settings
• Strengthening user and carer capabilities
Thank you