England Road Show Presentation


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College of OT presentation for OTs by Genevieve Smyth. Conference in Feb. 2014

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  • What COT does at National level
    What you can do locally
    How we can work together
    Reasons for holding the roadshow:-
    Engage with all OTs and support staff – including non-members
    Free event
    UK wide to reflect UK coverage
  • Not a definitive list –I will look at each now in turn
  • People’s use of health and social care will reduce
  • Markets –services are more responsive to customer wants –drives quality
  • Representation – Parkinson’s UK, Centre for Health Equity
    Consultation responses – LTCOS
    Operational level – Route to Success, briefings
    NICE – MS
    SCIE Briefing on reablement
    Position statements on reablement
    Best Practice Guidelines – e.g. CRPS, lower limb amputees, ABI
  • To find out which region they are in they can email Beriah.Nelson@cot.co.uk. Each has a regional committee and their purpose is to promote, encourage, facilitate, and support the advancement of occupational therapy within their region representing the diverse interests and specialties of occupational therapy, in line with the current BA/COT Business Plan
    To be proactive and take responsibility for positive contributions to achieve the aims and objectives of the BA/COT business plan.
    To highlight where appropriate, to the country Boards of BA/COT, areas of new development or concerns around professional matters arising in their region and/or to act to alleviate these.
  • How OT Can Help
    OT helps you
    OT helps your organisation
    Occupational therapy evidence - fact sheets
    Cost savings for commissioners
    OT standards
    Find an OT
    Join Our Communities
    Join BAOT
    Join WFOT
    Specialist Sections
    Regional & Local Groups
    Annual Conference
    Nominations & elections
    Merit & Fellowship Awards
    Working in the UK
    Professional Resources
    Standards & ethics
    Practice Guidelines
    CPD, ILOD and HPC
    New graduates
    Mentorship scheme
    Professional practice enquiries service
    Returning to practice
    Email networks
    Briefings and guidance
    Areas of practice
    Supporting practice – evidence and resources
    UNISON services and resources
    Tax relief and insurance for BAOT member
    Promote & Influence
    Promote OT
    OT Week
    Influence service commissioners
    Policy and legislation
    Calls to action
    Position statements
  • AHP QIPP toolkits include:-
    Oral nutritional support
    Musculo-skeletal care
    Look at prevention, assessment, treatment, rehabilitation, re-ablement, long term gain, giving
    Presenting condition
    Referral to
    Risk mitigation (evidence base)
    Outcome framework domain
    Cost saved
  • England Road Show Presentation

    1. 1. Making your voice heard
    2. 2. Road Show Programme • Economic and demographic challenges • Proposed Government solutions • Promoting and marketing OT • Group exercise - what’s in your control? - how to influence/promote/market • Getting your voice heard – how COT influences decisions and supports you
    3. 3. Economic and demographic challenges • Global recession • NHS release of £20 billion efficiency savings by 2015 – a fifth of the NHS budget • Local authority reduced funding up to 30% • Increased tension and scrutiny in funding decisions • Impact of demographics –aging population (over 65s will increase by 50% in next 20 years), 2nd highest obesity rates in the world • How do we ensure health and social care are sustainable in the future?
    4. 4. Government solutions • Health promotion including tackling social determinants of health and addressing health inequalities • Increase productivity (QIPP) and professionalism • Giving power to the clinicians to decide in commissioning • Increased role of competition and markets • Encourage innovation • Increased role of technology • Focus on outcomes rather than process • Social care reform and reablement
    5. 5. Health promotion and public health • Improving people’s ability to take care of their own health – encouraging healthy lifestyles and behaviours in particular diet, exercise, alcohol intake, smoking. • OT role in targeted interventions for those who are currently well (e.g. NICE PH 16 OT for well elderly), those at risk of developing health problems and those with advanced health problems. • Tacking the social determinants of health and health inequalities – despite access to health and social care life expectancy between communities in the UK is different. The challenge is to make our services more accessible for groups with poor health outcomes.
    6. 6. Productivity and professionalism • QIPP – Quality, improvement, productivity and prevention. Good examples –the AHP Service Improvement Programme –common features of service redesign, AHP QIPP toolkits www.improvement.nhs.uk ...but not at any cost! • Falling standards of care at Mid Staffordshire NHS Foundation Trust (also Winterbourne View) –blame placed on Trust Board and professionally regulated staff – a need to return to our HCPC and BAOT standards and ethics. QCQ will develop fundamental standards of care, new Chief Inspector s of hospital and social care
    7. 7. Giving power to the clinicians to decide • Clinical Commissioning Groups will commission the majority of secondary healthcare -mainly consist of GPs, nurse, hospital doctor and mandate to consult with AHPs • Great freedom about how and what they commission • Currently 212 CCGs with 80% of NHS money • Health and Well Being Boards in Local Authority bring health and social care together, drive for integration, Joint Strategic Needs Assessment
    8. 8. Increased role of competition and markets Commissioners are expected to break monopoly provision of health and social care unless there is a special reason to retain it. Markets are more responsive and will Increase choice and personalisation . • “Competition for the market” –competitive tendering for services where episodes of care are not well defined and outcomes difficult to measure e.g neuro rehab • “Competition in the market” – using Any Qualified Provider where episodes of care are well defined and outcomes easily monitored. Quality based competition with fixed price e.g. wheelchairs www.supply2health.nhs.uk/AQPResourceCentre
    9. 9. Innovation “Simply doing more of what we have always done is no longer an option. We need to do things differently. We need to radically transform the way we deliver services. Innovation is the way –the only way- we can meet these challenges. Innovation must become core business for the NHS” Sir David Nicholson 2011 Example – AHP Advisory Fitness for Work Report launched this year, AHPs can reduce sickness absence –we need to trial this! Available on COT website.
    10. 10. Technology Increased role of technology to improve productivity and bridge the gap between resources and demand: • Telecare, telehealth, telerehabilitation • New devices, sensors, screens • Social media and internet sites which rate care • In April 2012, there were 13 600 health related apps available • Health care delivery transcending local and national boundaries
    11. 11. Focus on outcomes Three national outcomes frameworks - NHS Outcomes Framework, Public Health Outcomes Framework, Adult Social Care Outcomes Framework. •Examples – health related QoL for people with long term conditions (EQ-5D), admissions to residential and nursing homes, falls in over 65s. •How do we evidence the intended and unintended outcomes of our interventions? Standardised OMs, generic tools –need for more quantitative data especially about cost effectiveness
    12. 12. Social care reform Care Bill 2013 • Reform of care and support which focuses on the need to prevent and reduce care needs • Introduces a national eligibility threshold for care and support. • A cap on the costs that people will have to pay for care (Cap at £72,000 from 2016) • Universal deferred payment scheme (people will not have to sell their home in their lifetime to pay for residential care. ) • Impact on OT equipment and adaptation • Focus on reablement
    13. 13. How are we going to influence, promote and market occupational therapy?
    14. 14. Influencing/promoting/marketing • Building knowledge, awareness and understanding. Be ahead of the game. • Develop networks. Find useful allies in order to collaborate, engage, share best practice. Create opportunities, get involved. • Know your outcomes so you can demonstrate quality, value, cost effectiveness. Use standardised outcome measures to collate larger data sets. • Provide information which is accurate and timely for commissioners, GPs and service users. Use service user outcomes, results of audits, what people say about your service.
    15. 15. Group Exercise • Write within the circle the aspects of your role that you feel are within your control. • Record outside of the circle the aspects of your role that are outside of your control. Outside of my control Within my control Within my control
    16. 16. What are you currently doing to influence and promote your service? One action you can take forward / the next step? What can you do?
    17. 17. COT- influencing decisions • Representation and networking • Political influencing, consultation responses • Media influencing • Promotion and marketing- 10 High Impacts of Occupational Therapy • Films for commissioners, leaflets • NICE involvement- e.g. NICE Public health Guidance 16 • Position Statements • Best Practice Guidelines
    18. 18. How COT is supporting you • Unison membership • BJOT, OTN, website, social media • Conferences and study events • Library and research services • Enquiry service 0207 450 2330 professional.enquiries@cot.co.uk • Briefings, Hot Topics, SPEaR • UK OT Research Foundation • Support for CPD and HCPC audit • Supporting OTs in the economic down turn – resource pack To join: www.cot.co.uk/join-baot/join-baot £22.32 a month -25% reduction in first year
    19. 19. Specialist Sections are groups of Occupational Therapists and support staff with a common practice interest. They are known as a Specialist Section, a Branch of the College of Occupational Therapists. Louise.Cusack@cot.co.uk
    20. 20. 4 countries 12 BAOT regions 100 BAOT local groups Scottish Northern and Eastern Scottish Western Northern Ireland Northern and Yorkshire Wales South West South East London Eastern TrentNorth West West Midlands UK BAOT Regional Groups Beriah.Nelson@cot.co.uk
    21. 21. What can you do? • Improving quality and efficiency with an OT focus – Responsive, accessible, flexible services based on the person’s needs – ‘Joined up’ care pathways – Self management Information – Care closer to home, admission avoidance Provision – Equipment and assistive technology – Personal budgets – Support for Carers • Focus on outcomes- Outcomes Frameworks, competency driven • Understand basis for commissioning decisions • Look at the ‘bigger picture’ e.g. prevention & health promotion • Be aware of your skills and how to communicate them to others...
    22. 22. The Professional Affairs Officers: • Genevieve Smyth- Mental Health and People with Learning Disabilities. genevieve.smyth@cot.co.uk • Amy Edwards- Long Term Conditions amy.edwards@cot.co.uk • Karin Tancock – Older People karin.tancock@cot.co.uk