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