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March 2010 edition of Occupational Therapy News

March 2010 edition of Occupational Therapy News

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  • 1. OTnews 18(3) 2010 March Occupational Therapy News ISSN 0969-5095 published by the College of Occupational Therapists The breakfast club Using cooking with adolescents with eating disorders to improve social engagement Are you engaged in commissioning? Come forward with your ideas Vocation unwrapped Helping clients arrive at a chosen vocation Cover.indd 1 23/02/2010 11:20
  • 2. N201 N207 Contents.indd 2 23/02/2010 10:54
  • 3. CONTACTS EDITORIAL WELCOME Last month, OTnews was joined by a new permanent part-time journalist, Andrew Mickel, who kicks off this issue www.cot.org.uk by looking at Unison’s critical response to last month’s Conservative Party health manifesto, which plans to put more Occupational Therapy News is published on the 1st of each month by the attention into prevention, and for all providers to operate on College of Occupational Therapists Ltd, a registered charity in England and Wales (275119) and in Scotland (SCO39573), 106-114 Borough a payment by results system through the whole of the NHS. High Street, Southwark, London SE1 1LB. A letter by Karen Jennings, national secretary of the Tracey Samuels union’s health group, claims that many policies on choice Contacting OTN and payment by results are already being pursued by the current government, and that that rather than axing all For all EDITORIAL enquiries If you have any tel: 020 7450 2339 or email: editorial@cot.co.uk targets, the Conservatives still plan to measure outcomes. feedback about Turn to page 6 to find out more. this issue of OTnews, For all ADVERTISING enquiries or would like to Also in the news this month, the government has tel: 020 7450 2341 or email: advertising@cot.co.uk contribute a short announced its proposed changes to the Medical Statement, article or feature to come into force from April this year. I talk to Anne Byrne, for a future Contacting BAOT or COT publication, please chair of the COT Specialist Section – Work about the email me at: For all GENERAL enquires College’s response to the original consultation. editorial@ tel: 020 7357 6480 cot.co.uk Individual budgets are undoubtedly high on the For all MEMBERSHIP or SUBSCRIPTION enquiries government’s agenda, with personalistion in health being tel: 020 7450 2348 or email: membership@cot.co.uk widely propelled forward. So a survey by disability charity Livability that says nine out of 10 disabled young people have For all Unison enquiries tel UNISONdirect: 0845 355 0845 never heard of individual budgets and, more worryingly, 54 per cent of those surveyed do not even know which local OTN staff authorities provide their services, will likely raise some eyebrows (page 7). Editor Tracey Samuels In features this month, OT Nicola Carlyle, on the contract email: tracey.samuels@cot.co.uk Journalist/Assistant editor Andrew Mickel monitoring team at Caerphilly County Borough Council, email: andrew.mickel@cot.co.uk makes a plea for all ‘OTs, budding entrepreneurs and kindred Production and design officer Marianne Taylor spirits’, involved in the commissioning process, to come email: marianne.taylor@cot.co.uk Production and design officer Suzanne Jefferson forward and share ideas about innovative practice concerning email: suzanne.jefferson@cot.co.uk commissioning operations (page 24). Advertising manager Katy Eggleton Then, on page 40, Marietta Birkholtz and Cara Lovell look email: katy.eggleton@cot.co.uk at the factors that influence people’s ability to get back to British Journal of Occupational Therapy work after accident or illness, focusing on specific return to email: elizabeth.thorogood@cot.co.uk work models that can help OTs to help clients arrive at their chosen vocation. Copyright: Copyright of the magazine is held by the College of Occupational Therapists. Still with vocational rehabilitation, on page 32, research No part of Occupational Therapy News may be reproduced in any material OT Joanna Sweetland says that there is growing concern that form (including photocopying, storing in any medium by electronic means or vocational rehabilitation services are inaccessible for people transmitting) without the written permission of the copyright owner except in accordance with the provisions of the Copyright, Designs and Patents with long-term neurological conditions. Act 1988 or under the terms of a licence issued by the Copyright Licensing She is about to embark on a study, led by Dr Diane Agency Ltd, 6-10 Kirby Street, London EC1N 8TS. Visit: www.cla.co.uk or Playford and Dr Kate Radford, and funded by the National email: licence@cla.co.uk Institute for Health Research, to identify existing services and Disclaimer: consider how they fit published recommendations, and The views and opinions expressed in this publication do not necessarily would like to hear from members. reflect those of the British Association/College of Occupational Therapists. The publication of advertisements does not constitute endorsement of the advertised products, services or events by the British Association/College of Occupational Therapists. A guide for contributors is available on request or on the website. Deadlines: (Editorial): 10th month prior (Advertising):14th month prior Pre-press and printed in England by: The Lavenham Press Ltd Tel: 01787 247436 Cover: Özgür Donmaz Tracey Samuels, Editor © iStockphoto.com Contents.indd 3 23/02/2010 10:54
  • 4. College of Occupational Therapists 34th Annual Conference and Exhibition PLUS TWO Specialist Sections’ Annual Conferences: HIV/AIDS, Oncology, Palliative Care and Older People 22–25 June 2010, Brighton Centre, Brighton, Sussex College highlights • Hear how to develop care for older people • Find out how personal health budgets will affect as life expectancy increases from Heléna Herklots, you and how it can enhance your role Service Director, Age Concern and Help the Aged HIV/AIDS, Oncology, Palliative Care • Prof. Sheila Payne, Vice President, European • Discover the implications concerning assessment Association of Palliative Care will reveal how and treatment for HIV-related neuro-cognitive OTs can support families and carers in providing impairment from Camilla Hawkins, OT from palliative care Mildmay UK Older People • Learn about the opportunities for OTs as a result • Find out from Dr Dawn Skelton, a leading light of the national dementia strategy from Prof. on falls prevention, how OTs can contribute to Jane Gilliard from the DH. healthy ageing and falls prevention Continuing Continuing Professional Professional N208 Development Development Continuing Enjoy huge savings – book the early bird rate by 16th April 2010 and receive TWO FREE publications Continuing Professional Professional Development Provisional Programme available NOW – www.cot.org.uk/threeannualconferences Development Continuing Continuing Professional Professional Development Development Specialist Sections HIV/AIDS, Oncology, Continuing Professional Continuing Professional Brighton Palliative Care 2010 Development Development Older People Continuing Continuing Professional Professional Development Development ContinuingContents.indd 4 Continuing 23/02/2010 10:54 Professional Professional
  • 5. CONTENTS NEWS NEWS 06 News ABOUT COT 13 Policy Mental capital and wellbeing 14 Council Future proofing headquarters 16 Guidance Online assistive technology tool 18 Awards COT award reports MEMBERS 19 BAOT/Unison Personal care issues and pay freeze concerns 20 Member activities Launch of a dementia cafe ABOUT COT 22 Member activities Campaign for greener healthcare 23 Member achievements Raising money for spinal injury PROFESSIONAL NETWORKING 44 Networking Professional networking opportunities FEATURES 24 Those all important performance indicators Nicola Carlyle calls on OTs in commissioning to come forward 25 The twists and turns of road safety assessments MEMBERS Paula O’Neill and Colette Hughes look at road safety assessments 26 Development of a breakfast group A breakfast group for young adolescents with eating disorders 28 The role of art in recovery Barbara Philipsz shares service user feedback from an arts group 30 Motivating clients to return to work Helping OTs to help clients arrive at their chosen vocation 32 Vocational rehabilitation survey Helping people with long-term neurological conditions into work 34 Developing a new model of practice Andy Smith’s model of integrated vocational rehabilitation NETWORKING PROFESSIONAL 36 Walking on the road to mental health recovery Helping patients in a low secure mental health setting to recover PROFILES 46 Back in my day Jill Wilson reflects on her personal journey since qualifying in 1959 REPORTS 38 Striding into the next decade – clowns and all Are we fit for purpose, fit for practice? Peggy Frost reports N208 40 COT study days FEATURES Facilitating group work and cycling for health s 41 Promoting the profession throughout Europe Kate Sheehan reports from the autumn COTEC meeting in Malta 42 Clinical academic training pathway Elizabeth White reports from the NIHR workshop 43 Promoting social inclusion Jane Melton reports on a royal event Contents.indd 5 23/02/2010 10:54
  • 6. NEWS Fit notes to replace sick notes from April 2010 Following last year’s be able to state this in the ©istockphoto.com/Ron Hohenhaus consultation on replacing ‘sick comments box. notes’ with ‘fit notes’, the It seems that the onus will be government has announced on the employer to make a that, subject to Parliamentary decision as to whether they can approval, it will be accommodate any changes to implementing a number of facilitate a return to work. changes to the Medical Anne Byrne, chair of the Statement from April this year. COT Specialist Section – Work, In its formal response to the helped COT to inform its consultation, published on 29 response to the consultation. February, the Department for She told OTnews: ‘The main Work and Pensions (DWP) says points of my submission were list of “common types of work/ ‘In order to be seen as a it will remove the option for a directed at the vagueness of the job changes” that may facilitate leader we need to take doctor to state that their patient statement “maybe fit for work”, return to work, with the more opportunities such as this is ‘fit for work’; instead the new as I felt that [this] would only specific recommendation for an consultation to indicate what we format notes will have two be an effective addition to the assessment of the patient’s have to offer in this area of options, ‘unfit for work’ or ‘may existing “unfit/fit” statements if functional abilities and the job practice, and also to give an be fit for some work taking it was qualified with additional demands’. informed opinion on changes account of the following advice’. advice, or led to a further ‘Occupational therapy that may affect our practice. The In the case of the latter, the appropriate assessment of the should have a leading role in fact that some of the changes to form allows doctors to suggest individual that would facilitate the assessment, rehabilitation the proposed new statement various adaptations such as a a safe, suitable and sustained and the provision of advice to reflect our comments highlights phased return to work, altered return to work.’ both employers and those the importance of participating hours, amended duties and Anne said she also indicated workers who are off work and in such consultations.’ workplace adaptations. Where a that ‘occupational health, or are returning to work following doctor considers another option better still, occupational injury, illness or disability,’ she ●● Tracey Samuels, editor, is more appropriate, they will therapy, had to be added to the stressed. OTnews NEWS Parties put out their election stalls on health and social care People aged over 65 will be to be released before the manifesto, which planned to scrap [health secretary] Andy given up to six weeks’ support election. put more attention into Burnham’s recent “preferred in their own homes after The national care service prevention, and for all providers provider” pledge, moving being discharged from would form part of a plan to to operate on a payment by instead to an “any willing hospital or residential care, shift more NHS treatment to results system through the provider” model of provision, under plans unveiled by being delivered in people’s whole of the NHS. which would inevitably create Labour for if they win a fourth homes, alongside a pledge to A letter by Karen Jennings, many more opportunities for term. provide one-to-one nursing care national secretary of the union’s private sector incursion into The policy would form part for the estimated 1.6 million health group, claimed that the NHS.’ of a national care service, who have, or have had, cancer many policies on choice, Anna Dixon, the acting chief which would also fund home in the next five years. payment by results, and executive of health think tank care for the most vulnerable The Conservatives claimed focusing on cancer, stroke and the King’s Fund, welcomed the people. that more details were needed infection were already being party’s manifesto more warmly. However, over half of the on how it would be funded. pursued by the government. Ms She said: ‘An independent councillors in England who The launch is just part of a Jennings added that rather than board, changes to the way that lead on adult social care flurry of activity about the axing all targets, as had drugs are approved and paid co-wrote a letter to the Times shape of health and social care previously been claimed, ‘the for, and real budgets in the claiming the plans were services after the election, Tories still plan to measure hands of GPs could ‘unclear, unfunded and are expected in May. outcomes and now only speak significantly change the way in likely to have a significant The COT’s own manifesto is of scrapping “politically which the NHS operates. But impact on existing local in the draft stage and will be motivated process targets”.’ more detail is needed before services’. released by the next issue of The letter also said: ‘The the impact of such policies can The details of a potential OTnews. document confirms that the big be properly understood.’ national care service will be Elsewhere, Unison dividing line between Labour included in the green paper on responded critically to last and the Conservatives on the ●● Andrew Mickel, journalist, adult social care, which is due month’s Conservative health NHS is that the Tories would OTnews 6 March 2010 News.indd 6 23/02/2010 10:49
  • 7. NEWS Nine out of 10 disabled young adults have ‘never heard of individual budgets’ ©istockphoto.com/Amanda Rohde Nine out of 10 disabled young use an individual budget to telephone adults have never heard of access services they currently in 103 local individual budgets, according to cannot access, while only 24 per authorities. a survey commissioned by cent said they would not want a Forty five disability charity Livability. personal assistant. per cent of This was despite 46 per cent Julia Skelton, head of local of respondents claiming they professional practice at COT, authority would be interested in having an said: ‘I’m disappointed that websites individual budget if offered it. people have not heard of had no The survey of 500 disabled individual budgets, but on the information adults aged 16 to 24, conducted other hand there’s a lot of at all, while by nfpSynergy in September different terminology used half of telephone enquiries were Mark Harper, shadow minister 2009, also showed that 54 per that’s confusing, such as direct misdirected. for disabled people, said: ‘There is cent of the people surveyed did payments, personal budgets, The City of London and a clear role here for central not even know which local and self-directed support.’ Portsmouth City Council were government to show more authority provided their services. However, she added that the the only two authorities to get leadership and to impress upon The findings are a knock to differences between social care perfect tens in each score, while local authorities the importance local government’s ambitions to and health mean that the results 14 local authorities failed to of making these opportunities provide individual budgets, as do not necessarily bode badly provide any information by available for disabled people.’ younger disabled adults have for personalisation in health either medium. Livability is calling on the NEWS been considered a forerunner care: ‘People are more aware The results also showed that government to launch a group in their uptake. As part of where their hospital is than the individual budget pilot national campaign to raise the Putting People First agenda, where their local authority is so sites, which have offered the awareness, and for local 30 per cent of those who are I don’t think it’s the same.’ budgets the longest, did not authorities and PCTs to consult eligible for social care support In a separate systematic necessarily have higher levels and engage with disabled should have an individual review by Livability, a mystery of awareness. Original pilot site people about what they want. budget by 2011. shopper rated the information East Sussex County Council Fifty three per cent of available about individual came 77th out of the 103 local ●● Andrew Mickel, journalist, respondents said they would budgets on the internet and by authorities. OTnews Parents of disabled children not getting support for children’s emotional and mental problems A third of parents with disabled ‘COT is pleased to welcome the independent review of CAMHS staff, long waiting lists, and children do not get the support release of this report that clearly (Keeping children and young children not fitting into any they want for their children’s shows that disabled children people in mind 2010), which criteria of support. emotional and mental problems, frequently experience additional describes how professionals can Parents felt that there was a new survey has shown. emotional and mental health work together to improve little professional help The survey of over 100 problems. It is saddening to responses, will rectify this available to create strategies to parents, conducted by hear that parents either do not situation.’ deal with their children’s children’s mental health charity receive help or feel this help is Barriers to accessing services problems. Strategies used YoungMinds, found that 87 per lacking. We would hope that mentioned by respondents included reward charts and cent of parents felt there were the recently-released included a lack of available visual cues, identifying barriers to accessing help for government response to the services, uncaring attitudes of calming activities for their them, while only 68 per cent child, and using distraction, ©istockphoto.com received any help. Less than relaxation and exercise two thirds of those who did techniques. receive help found it useful, One respondent said: ‘Social while one parent claimed that services need to be able to react CAMHS (child and adolescent when problems are still small, mental health services) told her not to wait until it has been to ignore her son’s self-harming worked up into a major issue. I and depression until his don’t know if it really is due to a behaviour reached crisis point. lack of resources or the mindset Genevieve Smyth, of wait and see, but it’s wrong professional affairs officer, said: and people suffer.’ March 2010 7 News.indd 7 23/02/2010 10:49
  • 8. NEWS COT boss advises Invest in people’s independence to save on formation of new national future costs, warn two major studies college of social Health and social care systems preventing repeated admissions lead to costs doubling in the work need to focus on supporting of older people and reducing next decade. people’s independence to cope their length of stay in hospitals. The case for social care reform Julia Scott, with pressures on their budgets, The report also said that – the wider economic and social chief two separate major reviews have more work was needed on benefits said a more preventative executive warned. safeguarding and training, service was needed, and of COT, The first annual review of noting that providing attributed the failure to create has been health and social care in mandatory training had the one so far to many factors advising England by the Care Quality lowest compliance of all NHS including the long-term the Social Commission (CQC) said that standards. outcomes of prevention not Care 1.7 million more adults will Julia Skelton, COT head of matching shorter term political Institute need care and support by 2030. professional practice, welcomed timescales, and the difficulties of for Dame Jo Williams, interim chair the report and said: ‘The proving the efficacy of Excellence on the setting up of of CQC, said that delivering College has long advocated prevention. a national college of social changes to support those people more integration of services, The study suggested that work (OTnews October 2009, would require ‘helping people following Interface to integration strategic commissioning, page 14). maintain their independence [the College’s strategy to collaboration between health The college of social work is and health’. integrate health and social care and social care, more being developed from a While the report said there in 2002]. We would support it personalisation, better use of IT recommendation by the Social have been improvements in the where it is appropriate along the and assistive technology and Work Task Force, which was last year, it claimed that future lines of increased productivity workforce reform could allow set up in the aftermath of the pressures on finances will and better services for users.’ spending to stay near current Baby Peter case to examine the require reforms to be sped up. The CQC report also urged levels, even with an ageing work of the profession. It cited the rapid expansion of the acceleration of person- population. services to prevent unnecessary centred care, stating that In addition to saved social emergency admissions as a billions could be saved by care costs, the report said that positive area, with the number of enabling people to manage billions would be saved in people accessing such services long-term conditions at home, knock-on effects to other NEWS up from 80,000 in 2004 to which Julia said OTs were ‘well- services, such as reduced 148,000 in 2009. placed to deliver’. emergency admissions, and However, there is a wide A separate report, sponsored reduced benefits to both service variation in how well services by the Department of Health users and carers if they were are applied – the review and written by Professor Jon supported in employment. estimates that £2 billion a year Glasby at Birmingham could be saved if all the country University, warned that failure ●● Andrew Mickel, journalist, was as good as the best areas at to reform adult social care could OTnews ©istockphoto.com To support the developments of a new structure, Scott has held ongoing meetings to advise about governance. She said: ‘In the spirit of partnership working the College [of Occupational Therapists] is pleased to support the development of the college of social work, which will ©istockphoto.com support a group of professionals who work closely with OTs in the field.’ 8 March 2010 © Ca News.indd 8 23/02/2010 10:49
  • 9. N212 tand E0 a tS s u Visit We will be exhibiting our new huggle range at the Kidz in the Middle exhibition at the Ricoh Arena in Coventry on the 11th March. Please come and visit us on stand E0 © CareFlex Ltd 2010 News.indd 9 23/02/2010 10:49
  • 10. NEWS Equipment amnesty launched in Norfolk First of community equipment scheme to save cash sites starts work An amnesty of equipment has A new method of providing been launched by Norfolk community equipment has County Council adult social begun in the London Boroughs services to try and of Barking and Dagenham and recoup the value of Havering. items that have been Previously, an OT would provided and not assess a user’s needs, and then returned. arrange for equipment to be The first two of supplied by council-run ©istockphoto.com/Rich Legg five amnesty sessions services. have so far yielded 25 Users will continue to have items. an OT visit, but they will now In 2009, the get a prescription that they can ©istockphoto.com Community use to get equipment free of Equipment Service charge from retailers. The plan delivered 66,000 is intended to provide users items of equipment with greater choice from the 34 Dagenham, told OTnews that of the delivery of items to a and collected trained and accredited retailers the new system will allow them retail model in England. The 33,000 items, from which £3.2 across both boroughs, which to focus on more complex cases. project started in September, million worth was reused. includes two mobile shops. She said: ‘It’s still early days. with the first new prescriptions Sarah Ellis, head of Users will get We’ve done in the region of 40 written in January. occupational therapy for demonstrations of the to 50 prescriptions so far, but People not eligible for Norfolk County Council, said: equipment in store. A follow-up we’ve got positive feedback council help can also use shops, ‘Many people might think that phone call after they have used from the service users who have while users who do get council it isn’t important to return the items will replace the it in their homes.’ assistance can ‘top up’ their own equipment or might not know previous system of having a Barking and Dagenham and allocation to get better how to. Sometimes people hang second visit by an occupational Havering are two of the leading equipment. on to items after they have therapist. sites in the Department of It is estimated that around NEWS recovered from an illness or Gillian Perkins, team Health’s work on Transforming 80 per cent of equipment will operation ‘just in case’ they manager for the community Community Equipment be issued under the new might need them again.’ disability service in Barking and Services, which will move much scheme. Independent OTs may need to register with Vetting and Barring scheme Self-employed and private self-employed and private registered. I believe occupational therapists may be practitioners would need to that this is the correct required to register with the register with the scheme. The approach given the Vetting and Barring Scheme. Department of Health has nature of the The scheme requires people confirmed that review will intervention that we who regularly work with include OTs, although there is offer. children or vulnerable adults in no timetable for when the The original plan England, Wales and Northern review will be concluded. would have required Ireland to register with the Sharmin Campbell, chair of an estimated 11 Independent Safeguarding the COT Specialist Section – million people to Authority. However, a review of Independent Practice, says that register, while the the new scheme before she does not believe independent revised plans will Christmas by Sir Roger Singleton OTs should need to register: require around nine concluded that the scheme was ‘Most self-employed million people to do too extensive, echoing sweeping occupational therapists working so. public criticism of the new with children and vulnerable OTs who are required checks. adults will offer a service in the employed by local ©istockphoto.com All recommendations made home and through private authorities or the NHS by Sir Roger Singleton were arrangement, and therefore as will also be required to accepted by government, the law currently stands, there is register with the including a review of whether no requirement for them to be scheme. 10 March 2010 News.indd 10 23/02/2010 10:50
  • 11. NEWS National Cancer Action Team launches Number of people with dementia cancer rehabilitation pathways estimated up to 820,000 ©istockphoto.com New care pathways for cancer rehabilitation were launched in The number of people in the January this year, and represent UK with dementia has been the culmination of a great deal estimated up to 820,000. The of hard work to improve figures, compiled by the services for people with cancer. Alzheimer’s Research Trust, The incidence of cancer is had previously stood at rising, partly due to an ageing 700,000. The number of population and partly due to the people with a cognitive good news that many more impairment, which is typically people are surviving with a caused by dementia, is diagnosis of cancer. This means expected to reach 765,000 by that rehabilitation is playing an 2031. increasingly important role. The statistics were released Rehabilitation care pathways together in a ‘user friendly’ way will help to improve shortly after the government’s have been developed for both and will be a useful resource for commissioning of cancer public spending watchdog, the specific cancers and for occupational therapists.. rehabilitation services. National Audit Office, released symptoms, and provide a useful The overall aims of the Information was also given on a critical review of the first demonstration of how various National Cancer Action the development of a workforce year of England’s dementia professionals, including Programme are to prevent model, which should help to strategy. Audits of how well NEWS occupational therapists, work cancer, to maximise the quality identify the additional the money allocated by central together to provide high quality of life for those with a diagnosis workforce, which will be government to implement the care. of cancer and to manage the needed to deliver the strategy has been spent will be The pathways were long-term consequences of rehabilitation pathways. released this month. There welcomed by participants at the cancer. The launch event The draft pathways are will be a full update of event, since they make the roles therefore included presentations available at: www.cancer.nhs.uk/ progress on the dementia of different allied health on other aspects of this work. rehabilitation/rehab_pathways. strategy in the next edition of professionals clear, but also An update was provided on html. If you would like further OTnews. reflect a certain amount of the evidence base for information on these subjects, The Scottish Government is flexibility within those roles. rehabilitation, which is please contact: amy.edwards@ also due to reveal its dementia The pathways have been put currently being developed. This cot.co.uk. strategy next month. Autism services in Wales gets …while Scotland considers getting £1.7 million… an autism strategy The Welsh Assembly focus on designing appropriate A member’s bill has been intended to ensure national Government will invest £1.7 housing will be key in enabling proposed in Scotland to create standards of service. million in adult autism services independence and workable an autism strategy for the Liberal Democrat MSP Hugh over the next three years. environments for people.’ nation. A consultation around O’Donnell, who proposed the The plans will introduce a Gwenda Thomas, deputy the proposed bill is being held bill, told OTnews that it has so diagnostic framework for minister for social services in to establish if there is a need far been well-received, and that autism in the next two years; Wales, said: ‘This money will for a strategy, which is responses are coming in ‘fast extend awareness campaigns at make a real and furious’ ahead of the 30 employers and in JobCentre difference to the lives March deadline. Pluses; and fund building of all those affected Scotland is the only UK design research for housing. by [Autistic nation with no autism plan, but Ruth Crowder, COT policy Spectrum Disorder] O’Donnell says that while other officer for Wales, said: ‘What is by improving nations’ experience can be new and really excellent from diagnosis provision helpful, ‘just because something ©istockphoto.com/Kim Gunkel an occupational therapy and employment may have worked elsewhere perspective is the focus on opportunities, as well doesn’t mean that it is employment, so occupational as widening the necessarily right for the Scottish therapists attempting to get range of services system.’ people into work should find available consistently Submissions can be made at: this support invaluable and the across Wales.’ bit.ly/61tcbc. March 2010 11 News.indd 11 23/02/2010 10:50
  • 12. NEWS Informatics AHPF takes stock and outlines future plans reference manual ©istockphoto.com The Allied Health Professions for OTs Federation (AHPF) represents The final draft of the COT the 12 professional bodies for Informatics Reference Manual AHPs, including COT, and (COTIRM) was circulated ‘for director Paul Hitchcock talks to comment’ as COTIM 100. OTnews about the federation’s COTIM is the regular COT recent activity and future newsletter covering all issues challenges, focusing on relevant to occupational England. therapy in the information age ‘Looking back over the last had been expected that this with delivering services for (eHealth, eCare, information six months, the AHPF has been project would have been patients, clients, users and their management involved in a number of sufficiently far advanced to carers, he believes. ©istockphoto.com/Tim Pohl etc), focusing initiatives to ensure that AHPs enable data collection to ‘In the immediate short term, on have a voice and are being become mandatory in April improving quality has to be the developments heard,’ he says. ‘There has been 2010, but this will now be on a watchword,’ he says, ‘while at that will an emphasis on engaging with voluntary basis until next year,’ the same time ensuring it is impact on the health care agenda, [as] we he says. delivered at a price that ensures occupational have had to prioritise where we ‘This data is important for the service is sustainable in the therapy practice, management, can have maximum impact.’ AHPs as it enables effective overall context of care… education, and research. The Transforming influencing of commissioners integration and working across Members can subscribe to Community Services (TCS) and hence the commissioning of boundaries are part of the receive COTIM by email by initiative will continue to have appropriate services. While the expertise and experience of contacting: lesley.gleaves@cot. the potential for major impact AHPF continues to influence many AHPs and the AHPF will co.uk Back issues are available upon the way that services are nationally on this agenda, your push to ensure that these on the COT website. delivered, following the local influence to ensure the strengths are recognised as COTIRM will be updated at publication of the NHS voluntary collection of this data employer organisations look to least quarterly, based on the Operating Framework for the will be key to ensuring the enhance their service delivery.’ content of COTIM, which coming year, he says. ‘The future development of this In the longer term, as part of provides more timely AHPF meets regularly with work.’ a three-year plan, the AHPF will information. COTIRM is members of the TCS team and Through the professional be highlighting the role of AHPs NEWS designed as an electronic is part of the TCS expert bodies, the AHPF has in improving health and resource and is not intended to advisory group.’ contributed examples of good prevention services. be printed. Additional The federation has been part practice to inform the QIPP1 ‘Throughout 2010 and onwards contributors would be very of the stakeholder panel for agenda and is involved in an the AHPF will continue to welcome; and draft content reform of the care and support ongoing dialogue with Jim develop its role and profile as a should be submitted to: chris. system and, led by Julia Scott, Easton and his team. ‘We will federation working alongside austin@cot.co.uk. has produced a detailed be producing a “manifesto” to your professional body,’ he There is some national response to Shaping the future of ensure that the importance of ends. interest in publishing an care together, the green paper on AHPs and what they can add to ‘Its aim will continue to be to equivalent resource for the care and support. the productivity agenda is engage with those issues and allied health professions, or ‘We have been working with highlighted,’ he points out. opportunities that cross uni- perhaps even for all health care the expert reference group on Looking forward, there are professional boundaries and professions, so watch this data collection for referral to likely to be some significant most impact upon you and your space. treatment times for AHPs. It challenges to everyone involved service.’ Treatment time data collection under way in pilot areas Data collection on times from as part of the AHP Referral to how they are going to be She added that where IT referral to treatment by AHPs Treatment Data Collection ready for this. Letters have systems may not be capable of has begun in 11 Project. been going to chief executives generating the right data, paper ©istockphoto.com pilot sites in Genevieve from [chief executive of the collection may be necessary in England. Smyth, COT NHS in England] David some areas. All AHPs in professional Nicholson so OTs need to get The initiative from the England will affairs officer, in touch with them, push from Department of Health was need to collect said: ‘People the bottom up and ask: how are outlined in 2008’s Framing the the information need to think you going to work together to contribution of allied health from April 2011 now about do this?’ professionals. 12 March 2010 News.indd 12 23/02/2010 10:50
  • 13. policy ABOUT COT Mental capital and wellbeing ©istockphoto.com COT recently attended an event discover a physical activity you childhood maltreatment and run by the Inclusion Institute enjoy and that suits your level supervision neglect increase to discuss how to best use the of mobility and fitness. the risk of personality results of the influential disorder. Foresight report to provide Take notice: Be curious. Catch The rates of mental social inclusion and meaningful sight of the beautiful. Remark on illness in the population are occupation for the UK the unusual. Notice the changing generally stable, but there population. The links between seasons. Savour the moment, will be increasing numbers occupation and health are whether you are walking to of people with dementia implicit within some of the work, eating lunch or talking to because of the ageing report findings and articulated friends. Be aware of the world population. Risk factors that as the need to promote around you and what you are reduce mental capital and meaning and purpose for feeling. Reflecting on your wellbeing are summarised as people through, for example, experiences will help you debt, unemployment, poor employment, social appreciate what matters to you. housing, lone parenthood, participation and networks. victimisation, and The project defines mental Keep learning: Try something experiences of abuse. capital as a person’s cognitive new. Rediscover an old interest. Moving from the evidence in ●● strengthen parenting capacity and emotional resources – Sign up for that course. Take the Foresight report to practical and increase in peri-natal almost a ‘bank account’ of the on a different responsibility at action will be vital as there are mental health services; mind – while mental wellbeing work. Fix a bike. Learn to play significant social and economic ●● checking children, adults and is a dynamic state in which an instrument or how to cook costs of ignoring mental older adults have a secure ABOUT COT people can achieve their your favourite food. Set a wellbeing. So can OTs use foundation through income potential, fulfil their goals and challenge you enjoy achieving. these research findings for maximisation, housing, have a sense of purpose. Learning new things will make everyday practice? literacy and numeracy skills; Both concepts are you more confident as well as The report and the event ●● promote meaning and interlinked and there is a need being fun. held by the Inclusion Institute purpose through to nurture them both in the make several suggestions: employment, social general population and in Give: Do something nice for a ●● be alert to the risk factors to participation, networks and vulnerable groups. The report friend, or a stranger. Thank mental capital and wellbeing personal development; particularly concentrates on someone. Smile. Volunteer with any group you work ●● using interventions that childhood adolescence, mental your time. Join a community with; address both physical and ill health, adult learning, adult group. Look out, as well as in. ●● early intervention with mental health needs together; working life and older adults Seeing yourself, and your children is vital to establish ●● preventing and addressing and makes key happiness as linked to the resilience including violence and abuse; and recommendations about how to wider community can be treatments for emotional, ●● tackling all forms of stigma achieve our ‘five a day’ – most incredibly rewarding and physical or sexual abuse; and discrimination. of which will be achieved by creates connections with the ●● flexible working patterns for The Inclusion Institute is activity and occupational people around you. adults can promote work/life currently writing a guide for engagement. balance and prevent commissioners of health and The report sets out these The report also states that: absenteeism or presenteeism; social care services to help five ways to mental wellbeing 10 per cent (all figures are as ●● protect the mental capital of them develop the mental as: per 100,000 of population) of older adults through exercise capital and wellbeing of local Connect: With family, friends, children in the UK have and learning from middle populations. With our inherent colleagues and neighbours, at dyslexia and/or dyscalculia; 10 age; understanding of the inter- home, work, and school or in per cent of children have a ●● use social prescribing to relationship between how we your local community. Think mental illness, and additional facilitate activity and social spend our time and our health of these as the cornerstones of factors will contribute to a connection, eg time banks, and wellbeing, occupational your life and invest time in cycle of disadvantage, exercise, green activity, arts; therapists can be key to deliver developing them. Building including living in a single ●● carry out lifestyle the results of the Foresight these connections will support parent family, low income, and interventions to target Report. and enrich you every day. maternal depression; 45 per alcohol use and hazardous cent of looked after children drinking; ●● Genevieve Smyth, COT Be active: Go for a walk or run. have a mental illness, and a ●● early intervention with adults professional affairs officer for Step outside. Cycle. Play a third of prisoners are looked to decrease the risk of job mental health and learning game. Garden. Dance. after children; and 4 per cent of loss and unemployment disabilities. For more information Exercising makes you feel the population have a particularly between primary please contact: genevieve.smyth@ good. Most importantly, personality disorder and care and the employer; cot.co.uk March 2010 13 About COT.indd 13 23/02/2010 10:47
  • 14. ABOUT COT council Future proofing headquarters £2 million has been allocated mechanism reaching the end of building’s value. These essential by Council to conduct major their working life. maintenance works also give building work on COT’s Plans for the reconstruction the organisation the headquarters in London. of the ground floor – which are opportunity to undertake a £1.5 million is needed for being improved to become more space planning exercise to help essential building work, DDA (Disability Discrimination with future proofing and including replacing all heating, Act) compliant – will include improving the College’s lighting, and air conditioning new AV technology in the three professional image. systems, as well as ageing meeting rooms, to allow While the work is being windows, and lift and front members to access events online done, COT’s headquarters will doors. An extra £500,000 was without visiting the building. be temporarily relocating to authorised by Council to The funding for the project 160-166 Borough High Street, a reconstruct the ground floor to comes from existing reserves few doors down from its main offer better facilities, build a built up over a number of years premises. However, all roof terrace to provide an extra from surpluses created by telephone and email addresses venue for use, and improve the advertising revenue. The will remain the same and post façade. funding has been capped at £2 to the normal address will be while the work is being carried The building is the largest million to prevent overspends, redirected, although members out and no meeting rooms are tangible asset that the with the essential building are asked to be patient during available, meetings can be organisation owns, and COT works taking priority. the move in case of any organised elsewhere around the has a long-term obligation to The ground floor unexpected problems. country. maintain and improve it. Over reconstruction, roof terrace and Members will not be able to The move is currently the last few years, the building improved façade were approved visit the temporary scheduled for the middle of has steadily deteriorated, with to stop any further deterioration headquarters other than the April, and the return to the the original heating and in the infrastructure of the library, which will operate at a revamped building is scheduled ventilation systems and lift door building, and to add to the reduced size. It is hoped that for autumn. ABOUT COT COT fellowship awards 2010 COT is delighted to announce The involvement of people who internationally as a leader in OT nationally and internationally. the award of three fellowships, use mental health services is education and for her significant In addition, he is an innovator, to Dr Sarah Cook, Paraig paramount in her research and contributions to the profession an advocate for continuing O’Brien and Professor Gaynor her work. and its members. She has led the education and research and Sadlo, and two honorary Paraig O’Brien currently way in the implementation of development and an active fellowships to James Leckey and works as the housing problem-based learning in the supporter of charitable Dr Frances Reynolds, in adaptations liaison manager, UK and has contributed to the organisations. recognition of the outstanding DHSSPS/NIHE in Northern development of the European Dr Frances Reynolds is a contribution they have all made Ireland. He is held in high Master of Science in senior lecturer in health to the profession during their esteem by colleagues and Occupational Therapy. She is an psychology at Brunel University. career. service users whom he puts at experienced researcher whose She has provided a major These awards are the highest the heart of his work. His findings have been published, contribution to the education of honours that COT can bestow professional leadership and disseminated and implemented OTs and OT students through on one of its professional collaborative approach to and an inspiration for others to her teaching and authorship. members and on non-OTs. partnership working with undertake research. She has generated solid Dr Cook is senior lecturer at colleagues in health, social care James Leckey, founder and evidence for practice and an the Centre for Health and Social and housing is highly valued. CEO of James Leckey Design important resource and support Care Research, Sheffield Hallam His research and his work Ltd, is the first industrialist to for the profession through her University. She is committed to on policy have had a be nominated for an honorary extensive research, most the development of OT practice, tremendous impact nationally fellowship. He was honoured notably in creativity, occupation particularly in the field of mental in many areas, but more for his work in designing and chronic ill health. health, and she is a wonderful specifically in housing. In equipment for children with The awards will be formally ambassador for COT and the addition, his contribution to disabilities, which is used on a presented to the new fellows at profession. Her leadership as the work of the COT Specialist worldwide basis, and for the COT’s annual conference in educator, researcher and author is Section – Housing has been enhancing the working Brighton in June 2010, and a widely acknowledged by her peers valued for many years. practices and education of full write-up on the awardees and she gives her time generously Professor Gaynor Sadlo is OTs. He is a committed will appear after the in supporting colleagues’ research. renowned nationally and ambassador for the profession presentation in BJOT. 14 March 2010 About COT.indd 14 23/02/2010 10:47
  • 15. council ABOUT COT ©istockphoto.com/Alex Slobodkin Great news about funding The United Kingdom the commissioning of external sponsorship Occupational Therapy Research occupational therapy services. from the Institute of Foundation (UKOTRF) is Look out for information about Social Psychiatry and delighted to announce that the 2011 funding round that Pressalit Care Ltd. council, at its October 2009 will be accessible on the website COT hopes that meeting, agreed further funding from July. more members will for the UKOTRF to support the The UKOTRF would like to support the valuable OT research agenda and to take this opportunity to thank work of the UKOTRF build research capacity within all those who supported its during the the profession. range of activities during the forthcoming year. Two The new support will double last year by: applying for the events that are already the funds that have been available funding grants and planned include available from COT, and will supporting applicants; ‘Outcome measures offer up to £200,000 a year for supervising UKOTRF grant- and effective practice’, five years commencing in 2011. winning PhD students; advisory a one-day workshop This excellent news represents a group members; attending or being held at COT on 11 sponsored research projects, real investment in the future of speaking at our the UKOTRF March. Contact Caroline.grant@ will be the speaker at the the profession, funding much- events; attending the fund- cot.co.uk for further UKOTRF lunch at conference needed research to develop the raising lunch at COT’s annual information. Dr Diane Playford, this year on 24 June in evidence-base that underpins conference; donating speaker COT honorary fellow and PhD Brighton. For more information both professional practice and fees; individual donations; and supervisor for two of the contact: cot@happen.co.uk. ABOUT COT Chairman’s view From vice-chairman Sara Blackbourn Merit awards 2010 agreed by council I am delighted to inform you Applications are they have overcome and the you who know the building you that a good number of independently scored and then partnerships that have been will appreciate that this is a long applications were received for discussed by the awards panel, formed; demonstrate a political overdue piece of work. consideration for this year’s members of which are all awareness of their contribution Early proposals include merit awards. This is only the members of council. This in the wider world of healthcare; reconfiguring the downstairs third year these awards have year’s applications ranged from and make sure that the verifier accommodation to enhance been given so they are still a therapists who are designing flow and space utilisation, relatively new initiative. and undertaking new and significant improvement to the The merit awards are open to innovative ways of working, to ‘The merit awards pavement level façade to all members of BAOT with a therapists who are teaching are open to all improve the image and market minimum of two full consecutive and supporting students in the the profession more explicitly, members of BAOT years of membership. This UK and overseas. The utilising the roof space over the includes student and associate successful nominees will with a minimum existing ground floor extension, members as well as practitioners, receive their award at this of two full and finally, if there is any researchers, managers and year’s annual COT conference consecutive years of money left, then to ‘tidy up’ the educators. The only criterion for in Brighton. membership.’ front of the building above the award is that nominees are If you are thinking of street level (see page 14). recognised by their peers in the nominating someone for a merit This is an exciting project occupational therapy community award then I would recommend knows what is on the and while council is mindful of for excellence in their sphere of that you: provide actual application form, as they may be the expenditure in the present work. examples of their contribution contacted to confirm their financial climate it was agreed So if you know someone who to occupational therapy, do not support of the application or to that the benefits of this work meets this criterion all you have just state that they do; use the give further information. outweigh the risks and will to do is nominate him or her on full word count allowed within On a different note, I am very undoubtedly benefit the an application form, which you each of the five sections and for pleased to inform you that profession, the members and the get from COT. Remember, this the supporting statement; use a council has approved some staff who work at headquarters. award is open to all members of variety of evidence in each additional spending to enhance We will keep you posted on BAOT. section; illustrate the challenges COT headquarters. For those of progress. Sara Blackbourn, COT vice-chairman, can be contacted by email at: sara.blackbourn@ulh.nhs.uk March 2010 15 About COT.indd 15 23/02/2010 10:47
  • 16. ABOUT COT guidance Professional New online assistive technology learning tool suitability COT has worked in partnership environmental controls, a limited number of BAOT The second occasional paper with the Department of communication devices and members will be eligible for a has recently been published on Occupational Therapy at smart technology. discounted rate of £50 (incl. COT’s interactive learning Coventry University in The ATLT will enable VAT). Once activated the site opportunities database – iLOD. conjunction with the Health participants to: will be available for 60 days and You can find it in the CPD tools Design and Technology Institute ●● demonstrate an increased it is estimated that the tool will area of iLOD (which is accessed to develop an online learning awareness and define take 20 hours to complete. The by members on the website tool in assistive technology. elements of AT; tool will be available early 2010, www.cot.org.uk). The Assistive Technology ●● reflect on their own capabilities please email: d.awang@coventry. Occasional Learning Tool (ATLT) has been and skills with regard to ac.uk to join a waiting list. papers have a designed to enable participants delivery of AT to meet specific Further details can be found clear set of to develop a greater awareness individual needs; and on the iLOD section of the COT proposed of what electronic assistive ●● engage effectively with the website and at: wwwm.coventry. learning technology (AT) is and how it current local and national AT ac.uk/HLS/OT/AT/Pages/ outcomes, can offer choices for individuals agenda. ATonlinelearningtool.aspx and a which state to maintain or improve their The fee for the tool is short video at: www.youtube. what you can health and wellbeing. normally £100 (incl. VAT), but com/watch?v=4idJFwunTT4. expect to have The ATLT has been gained after developed to support the reading and discussing them. learning needs of OTs and There are questions to prompt related personnel who come reflection and debate into contact with service users throughout. The papers are that might find assistive designed to be engaging so that technology useful. they can be actively read and The tool provides an considered by individuals or interactive online learning groups. If you wish, you may use environment that offers the the questions provided to review opportunity to gain an ABOUT COT your understanding at the end. understanding of AT by This second paper, entitled exploring: Professional Suitability, provides ●● six case scenarios; an overview of this issue and ●● resources such as videos, discusses the concepts of presentations and reading professional suitability, good materials; and professional practice and ●● critical questions to professional unsuitability. encourage participants to Occasional papers are a new expand their knowledge and series of resources that will help understanding of AT by members keep up to date on exploring potential solutions topics in an easy and effective to each case scenario. way. The tool covers a range of Please contact COT with electronic AT, including stand feedback on occasional papers, alone AT, systems such as or ideas for future ones, by telehealthcare, lifestyle and emailing: EDA@cot.co.uk. activity monitoring, Casual vacancies on council Following the resignation of the current council member, associate members, If you are interested in being nominated for this post, please contact for professional reasons, a new member is needed to provide council with Dominique Le Marchand for more information and a nomination form advice and expertise with regards to occupational therapy support workers. on tel: 020 7450 2317 or email: dominique.le.marchand@cot. The candidate must be a BAOT associate member in good standing. co.uk. As this vacancy arises outside the formal nomination process, it will be a Deadline for return of nominations is Tuesday 6 April 2010. Council will casual post with a 15 to 16 month term of office, starting in April and hold a ballot the following week to elect the new member. ending at the 2011 AGM. Casual members are considered as trustees/ Note: Any person considering this post should gain the support of company directors with all the implications this entails and have the same their manager so that he/she is aware of the time away from work voting rights as other council members. which the responsibility of holding a national office involves. 16 March 2010 About COT.indd 16 23/02/2010 10:47
  • 17. guidance ABOUT COT New resources for falls prevention in older people ©istockphoto.com/Glenn Bo The American Geriatric Society organisations with special (AGS) and the British interest and expertise in the Geriatrics Society (BGS) have prevention of falls in older recently published updated people. COT is very grateful to guidelines aimed at preventing Kate Robertson who provided falls in older people. feedback to the AGS/BGS on The online guidelines behalf of the falls forum of the recommend a multi-factorial COT Specialist Section – Older fall risk assessment for all older People. adults who have had a fall, who Following the release of the have been identified as having updated ABS/BGS guidelines, gait and balance problems, or NHS Quality Improvement who report difficulties with Scotland published its full gait or balance. The guidelines version of the resource, Up and include a clinical algorithm About: Pathways for the It identifies all services, The document was developed that outlines step-by-step, prevention and management of agencies and organisations as part of a two-year programme recommended evaluations and falls and fragility fractures. ‘Up potentially involved in falls at NHS QIS on the prevention interventions. For older adults and About’ is a reference and fragility fracture and management of falls and is who have fallen or report gait resource for those involved in prevention and management. available to download at: www. and balance disorders, the the planning, development, The resource includes fallspathway.nhshealthquality.org. guidelines recommend a fall evaluation and delivery of examples of best practice from The AGS/BGS online guidelines risk assessment. services, which aims to prevent across Scotland and are available at: www. ABOUT COT The draft guidelines were and manage falls and prevents information on the older americangeriatrics.org/education/ peer reviewed by a number of fragility fractures. person’s perspective. cp_index.shtml. N211 March 2010 17 About COT.indd 17 23/02/2010 10:47
  • 18. ABOUT COT awards COT awards for education, research and CPD These are summary reports from recipients of COT awards for education, research and CPD The flexibility of distance learning In 2005, Catherine Whitmarsh was awarded The HSA Charitable Trust Scholarship Award towards the funding of an MSc in OT I was keen to develop my skills evidence-based practice. exploring a new approach to the and knowledge in OT, both on a The flexibility of distance involvement of patients in practical and academic level. I had learning was also vital for me in quality improvement, I was able ©istockphoto.com been working in intensive combining my studies with full- combine these aims, although physical rehabilitation for just time work and family life. I could with hindsight it did necessitate over two years at the time and not foresee when I started that my compromises affecting both the found it a very stimulating post studies would coincide with some academic and organisational clinically and an environment very difficult experiences in my aspects of the project. factor in these achievements; which supported and encouraged personal life, including the serious I have learnt and achieved initially providing the security of learning at every level. illness and death of my mother. I many things through my studies, funding some early modules, but The distance learning course was very grateful for the support including deeper knowledge and later as a motivator during the was modular, allowing a wide received from my tutor which skills, the acquisition of broader difficult times. When even my choice of topics that could be enabled me to complete the viewpoints and more inquiring own optimism and determination tailored to the individual’s degree, albeit later than approaches and contributing to and the support of those around interests and practice. anticipated. developments in practice and me did not seem quite enough, it Consequently, I was able to study When it came to choosing a service improvements. was always at the back of my in depth several clinical and topic for my final independent Therefore, the benefits have mind that I did not want to organisational issues relevant to study project, I wanted to do a been not only to me as an disappoint those who had enough the unit, and so inform and help piece of work that would not only individual therapist but to the confidence in me to make the improve practice in areas such as fulfil the academic requirements, service and profile of OT within award. ABOUT COT outcome measures, ergonomics, but achieve something the trust. The award of the occupational science and worthwhile for the team. In scholarship was an important ●● Catherine Whitmarsh to their families. One visitor obstacles which I had not Research in Nigeria asked ‘how many of your residents are still working after anticipated; rainy season making roads impassable for home visits, Polly Eaton received a grant in 2005 from the being discharged?’. This was to fuel prices rocketing and then Institute of Social Psychiatry to conduct research become my research question. fuel scarcity delaying the long into the outcomes of vocational training In 2005, I was awarded a journeys needed for conducting grant from the Institute of Social interviews. With the end of my families are found. Psychiatry to carry out a research tenure at the project I moved My anticipated role project into the outcomes of the away to another part of Nigeria, of supervising vocational training workshop. and overseeing data gathering ©istockphoto.com/Peeter Viisimaa rehabilitation at the The research commenced in from afar was by no means residential settings 2005, with a cross-sectional simple. changed soon after survey of all residents discharged I do not believe I was naïve in my arrival due to in the past three years to identify my approach to three years other staffing their current worker roles. The volunteering in rural Africa; I adjustments, and findings were published in had travelled extensively in this perhaps WFOT Bulletin in November Africa. I felt confident in skills of In 2003, I moved to Nigeria to typified my experience of life in 2008. This was followed by a problem solving and flexibility work with a charity which Nigeria; plans change. longitudinal study, which from practising occupational rehabilitates people with mental One day I was showing round tracked all the residents therapy in Europe. I was however illness in a residential setting. some visitors who gave funding discharged during one year over more acutely challenged than I The residents of the centre are all for the vocational training an 18 month period. This has could ever have imagined found living destitute on the workshop. Their donations recently been submitted for through my work in eastern street and invited to come covered the costs of the publication. Nigeria and experiences of voluntarily to the centre. They vocational tools given to As the date which I said the research. are involved in a programme of residents from the centre as they research would be complete therapy and treatment and their were discharged and sent home neared I realised the many ●● Polly Eaton 18 March 2010 About COT.indd 18 23/02/2010 10:38
  • 19. BAOT/Unison MEMBERS Local government Personal care under scrutiny unions condemn ©istockphoto.com/Jacob Wackerhausen Personal care and personal As part of the union’s pay freeze budgets continue to be in the campaign to address concerns Local government unions spotlight for occupational therapy around personal care, Unison representing 1.6 million workers staff. Government plans to provide has commissioned research on in England, Wales and Northern free care at home for those most in how personalisation combined Ireland, including occupational need via the Personal Care at with current underfunding in therapists and occupational Home Bill are being put under social care may affect the therapy support workers, are intense scrutiny and many health workforce, public services and outraged at the announcement and social care organisations have the quality of social care – part of the government’s by local government employers raised serious concerns that the provided in the future. policy to bring in social care- that members will face a pay proposals are flawed. We intend to use the report style personal health budgets – freeze in 2010/2011. Although many would as part of an ongoing wider in its response to the Unison, UNITE and GMB support the principle, Unison publicity campaign to highlight government consultation Direct public service unions submitted fears that the government’s our concerns and set out our Payment for Healthcare. a pay claim in October last year calculation of the numbers of recommendations to create a Unison’s response for 2.5 per cent or £500 on people with critical needs and the social care service that is fit for highlights a number of potential MEMBERS behalf of local government staff, funding required to provide them the 21st Century and addresses difficulties and problems, but the employers are with personal care fall far short of the challenges currently facing including those around the threatening to freeze pay the mark. Unison is also social care. scope and take-up of direct without negotiation. concerned that the bill fails to Unison has also raised its payments, privatisation and The unions are calling on the consider the future needs of the concerns about the development marketisation, top-up payments local government employers to social care workforce. of direct payments for the NHS and staffing issues. think again, saying that local government workers will struggle to afford basic New guidance on generic working and New version of essentials, with nearly 3 per cent ‘non-traditional’ roles NHS terms and inflation rendering the pay Two new employment relations considering applying for, or are conditions freeze a real terms pay cut. The guidance briefings have recently being recruited to, a ‘non- unions are calling for them to been published. traditional’ role. handbook make a reasonable offer, saying Briefing 120: Applying for a Briefing 119: Generic working: Version 16 of the NHS Terms that there is room in council ‘non-traditional’ role – some points a guide for BAOT/Unison and Conditions of Service budgets to give decent pay to to consider. The NHS and local stewards. Occupational handbook has now been issued. hard working council employees authorities employ the majority therapists and support workers Key amendments to the who have kept local of occupational therapy staff, taking on generic roles is handbook include a new annex communities together through however the COT has been becoming more frequent containing frequently asked the crisis and who are already considering how the profession throughout the UK, in both in questions and a new part five covering posts left vacant by can do more to expand into the NHS and social services. This on equal opportunities. wide-spread redundancies. other areas of society, including guidance aims to assist OT OT stewards working in the To read more about Unison’s community settings such as stewards and Unison branches NHS are encouraged to ongoing campaign to protect schools, vocational rehabilitation with negotiating over proposals download a copy from the NHS members’ pay, conditions and centres, hospices, residential to move toward generic working. Employers’ website at the pensions and to campaign homes and prisons, as well as You can download these following link: www. against further redundancies or the independent sector. briefings from the policy and nhsemployers.org/ cuts go to: www.unison.org.uk/ This briefing aims to offer practice section of the COT PayAndContracts/ localgov. advice to members who are website: www.cot.org.uk. AgendaForChange/Pages/Afc- Homepage.aspx. Please ensure that you replace your copy of Upcoming regional OT stewards’ forum meetings the handbook with version 16 and bring the new version to ●● Eastern region, 24 March 2010. Contact Claire Williams: c.f.williams@unison.co.uk the attention of your stewards ●● South East, 31 March 2010. Contact Diane Houlihan: d.houlihan@unison.co.uk and the human resources team in your organisation. March 2010 19 members.indd 19 23/02/2010 10:46
  • 20. MEMBERS member activities Dementia café – all in the same boat Social support and a sense of People sit at tables with belonging is being offered to colourful teapots, flowers and carers and people with dementia candles. Hot drinks and in the form of a café at sandwiches are served and there Thatcham, Berkshire, which is a lively buzz of conversation launched in February. and laughter. Music playing Beechcroft older adults softly in the background makes community mental health team the scene feel like any ordinary opened its doors at The café – thereby demystifying the Thatcham Memorial Hall last dementing process. month for this new initiative, for Many people withdraw from which OT Sara Johnson is social activities because of pleased to have taken on the role dementia. At the café everyone is of clinical lead. aware of the illness so people do Sara Johnson The dementia café is a chance for those affected by dementia, their relatives and carers, to meet together in an informal setting in order to socialise, unwind and receive support and advice. Being able to relax and enjoy a cup of tea, sandwiches and cakes in a friendly environment allows everyone to be far less self- conscious of the problems faced Your by dementia sufferers. Everyone who is affected by or has an professional interest in the disease is welcome Dementia café: Staff use the kitchen body… MEMBERS at the café. The concept was first not have to worry or feel three people being affected either introduced in 1997, by Dr Bere embarrassed. as patient or carer, highlighting it’s simply Miesen, a psychologist specialising in the effects of old The café really does have a multidisciplinary approach with a the need to respond to the changing needs of an ageing indispensable age. He noted that people skill mix ranging from band three society. treated dementia as a taboo to band seven, with input from There is positive subject and rarely talked about support workers, medical psychological, emotional and Participate it or the effect it has on them secretaries, community social support systems provided “Get involved and join and their families. Creating a psychiatric nurses, occupational by the dementia café – without your local BAOT relaxed environment where therapists and speech and which many people may be feel community group. people could meet and share language therapists – the café has isolated. This benchmarking You’ll meet your local experiences helped them to received an enthusiastic response initiative meets and addresses peers, share best alleviate and de-stigmatise the and Beechcroft staff have agreed the needs of people at all stages practice, increase your illness. to devote their time to running of dementia and is an networks and further The Thatcham dementia café the cafe every month. appropriate way of reducing runs on the first Thursday of This is a good example of stigma and carer stress and your professional the month and has a specific meeting policy objectives, such as replacing these with important development, too.” structure based on an annual the National Dementia Strategy. feelings of belonging, Beriah Chandoo, programme of themed topics, Funding for the café comes in the acceptance, acknowledgement Senior Membership which provide psychological form of a carer’s grant, which and recognition. Officer education in the form of talks covers the cost of hiring the hall, and discussions. Focus is placed refreshments, administration and ●● Sara Johnson, OT, Beechcroft www.BAOT.org.uk on responding to the emotional paying for outside presenters. Day Hospital and isolating consequences for Currently 700,000 – or one carers and families and person in every 88 in the UK – Next month, OTnews will run a individuals have an opportunity has dementia, and new forecasts special focus issue looking at the for informal chats with predict that by 2051, 1.7 million National Dementia Strategy one professional carers and medical people in Britain will have year on, and examples of good staff about issues they face. dementia (BBC news) with one in practice from throughout the UK. 20 March 2010 members.indd 20 23/02/2010 10:46
  • 21. member activities MEMBERS Telehealth as an additional tool As clinical specialist for Motor in the person’s house and is Neurone Disease Scotland, part connected to the home of my role is home visiting and broadband router. At a simple local education sessions. I cover functional level the person the north of Scotland area, presses the ‘on’ switch then the including the large cities of pre-set phone number. This Aberdeen and Inverness, as well links them in to me on the as very remote communities. The hospital site and we can start area is a similar size to our meeting. ©istockphoto.com/Sean Nel Switzerland and there has been a Patient travelling to their GP 50 per cent increase in caseload, surgery or local hospital: The completed due to staff travel- conferences have higher and no additional clinical person travels to their nearest time savings. I have found it to attendances. specialist staff. videoconferencing facility. be especially useful for picking In the near future, the service A number of patients already Cathy organises a technician or up problems early, such as will be expanded further to embrace text and email, as a way a staff member who is familiar weight loss and breathing include remote access to the of keeping in more regular with the system to dial the difficulties. It is more inclusive motor neurone disease contact with me and to feel less phone number and they link than a telephone call as, often, multidisciplinary clinic (MDC). isolated. This, along with a into our meeting. when speech deteriorates Recent research has shown chance discussion regarding my The advantages of both of telephone discussions can access to specialist motor concerns about the reduced these systems include less or no become limited to carers only. neurone disease services and to service, led me to contact Cathy travel for the patient and their Case conferences, training MDCs can increase patient Dorrian, service development carer. Fewer appointments are and team meetings: Once a survival. MEMBERS manager with The Scottish cancelled and can be carried out meeting time is agreed the We aim to conduct research Centre for Telehealth, based at when there are adverse weather details are passed to my in the near future to find out Aberdeen Royal Infirmary. conditions or if the person or telehealth colleagues, who whether this is an effective tool Eighteen months later, I am their carer feels unable to make a organise the ‘bridge’ so that and whether professionals, now using telehealth as an long journey for an appointment. when I dial in, I wait until my patients and carers feel integral part of my job, in three Local staff can be involved in colleagues join me by dialling in comfortable using it. Initial main ways. part, or all, of the meeting to from their local site. findings are positive. Patient’s home to clinical discuss current issues. This not only saves travel and specialist: A small desk-top More regular face-to-face parking time for all involved, ●● Dianne Fraser can be emailed videoconferencing unit is set up interactions can now be but training and case at: dianne.fraser@nhs.net Volunteering in Ukraine ©istockphoto.com/Donald Erickson remembering that giving a little When asked if I would consider Not yet having is better than not giving at all. accompanying a team to Ukraine had a paediatric The main learning curve for to volunteer as an occupational placement, I also me was how important it is to therapist, I jumped at the chance. read up on common make information and resources Organised by the charity Mercy conditions affecting as accessible as possible. I also Project, a small multidisciplinary this age group, experienced the art of ‘making team of four were to conduct a especially cerebral the most of what you have’; series of visits to children with palsy, with which I causing me to wonder how disabilities over a period of six knew we would much equipment goes to waste days. come into contact. in the UK that does not meet out Only being 18 months into In a country health and safety standards, but my occupational therapy where access to that would be appreciated training, I prepared myself for healthcare can be elsewhere? the challenge ahead. I was able to limited, and where Finally, I realised that the fundraise via charitable trusts occupational interpersonal skills that OTs are and donations from friends. With therapy is not taught, such as active listening the money collected I bought widely recognised, and empathy, are greatly various aids to living, such as the parents were appreciated where individuals rubber matting and pipe very grateful for any advice we disability beforehand, plus are stigmatised, both home and insulation, which can be cut to could offer. The main challenge having to do everything through aboard. modify hand held utilities. With was only being able to visit a translator. When feeling some imagination, the pound families once, with only a brief frustrated that I could not offer ●● Laura Tyndall, OT student, shop can be a great resource. description of the child’s more, I had to keep Sheffied Halam University March 2010 21 members.indd 21 23/02/2010 10:46
  • 22. MEMBERS member activities The campaign for greener healthcare’s ‘Green OT’ network national conference conferences, in order to pool (see page 23) explored this knowledge and promote the issues during awareness. workshops entitled In April 2010, the Green OT ‘Climate change: network will have a presence at what’s it got to do with the College of Occupational occupational therapy?’ Therapists Specialist Section – At the Climate Mental Health conference in Summit in Birmingham, delivering a Copenhagan, in workshop where we will be December 2009, a exploring links between mental statement by the Green health and ‘green’ occupational OT network was therapy practice. presented by the So, ‘what’s good for the Climate and Health climate is good for health’. The Council, of which the Green OT network is now a Green OT network is a member of the Climate and member, giving added Health Council. The website is strength to the voices full of well-argued and of the health interesting information. Take a community at the few minutes to visit the website negotiations. and sign the Council’s pledge: ©istockphoto.com/Jan Will Three abstracts www.climateandhealth.org/. Since August 2009, the ‘Green Articles about the Green OT from Green OT were accepted Additionally, there are now OT’ network has attracted over network have previously for the COT’s annual national 92 NHS organisations getting 150 members to the mailing list, featured in the July and October conference, to be held in June active in the 10:10 campaign. If ranging from practitioners and 2009 issues of OTnews. During 2010 at the Brighton Centre. We you want to see if your trust is academics, to learners and 2009, we made some really good will be presenting one paper and signed up, see the full list on the MEMBERS researchers. The network is for links with the occupational delivering two workshops 10:10 health page at: www. OTs interested in environmental therapy academic establishments covering the following topics: greenerhealthcare.org/1010- sustainability in the practice of and delivered a number of ‘Sustainable global wellbeing: a health. In collaboration with occupational therapy and the presentations and workshops on proposed paradigm shift for interested OTs, we aim to mailing list is the forum for the topic nationally, including at occupational therapy’; ‘Greening develop a specific OT 10:10 sharing ideas and getting support. COT. occupational therapy practice’; actions checklist. This will The Green OT team is fully The Green OT network was and ‘Sustainable occupation in hopefully be a useful tool committed to communicating also invited to present at a action’. enabling practitioners to take the importance of sustainable variety of university Ben Whittaker, OT, has action quickly and easily. development and issues about conferences, including the submitted an opinion piece to Email the Green OT network climate change to the University of Plymouth’s Centre the British Journal of at: tamara.rayment@greener occupational therapy profession for Sustainable Futures, and at Occupational Therapy, proposing healthcare.org or ben.whittaker@ nationally. More details about Oxford Brookes University. a paradigm shift to sustainable greenerhealthcare.org. our work, blogs, and a podcast In November last year, global wellbeing. We are keen to can be found at: www. delegates attending the first hear from other OTs who have ●● Tamara Rayment, OT and greenerhealthcare.org/category/ Student Occupational Therapy had related abstracts accepted at project co-ordinator of the Green tags/occupational-therapy. Links Scotland (SOTLS) occupational therapy or other OT network. Your professional body… Your voice “We influence government policy and produce College-driven it’s simply indispensable strategies... As a BAOT member, you have a voice. Please use it. Together, we can make a difference.“ Peggy Frost, Practice Development Manager www.BAOT.org.uk 22 March 2010 members.indd 22 23/02/2010 10:46
  • 23. member activities MEMBERS From student to leader Student Occupational Therapy Karim joined the team. As a the financial obstacle Links Scotland (SOTLS) is a result, in the spirit of the year’s was overcome. student-led organisation that European theme of ‘Creativity On the day, the was established in 2009 by a and innovation’, the SOTLS SOTLS opening collective of fourth year OT event was founded. keynote lecture was students at Queen Margaret SOTLS aims to unite students delivered by Anne University (QMU), Edinburgh. from the three Scottish Lawson Porter, SOTLS’s objective is to universities offering formerly COT head of organise an annual conference occupational therapy degree education and The SOTLS team to be hosted by one of the three courses, to promote discussion learning. During her Scottish Universities (QMU, and raise awareness of address, Anne evoked Robert Gordon University and contemporary issues in the essence of her Glasgow Caledonian). On 21 occupational therapy practice Casson Memorial November 2009, SOTLS hosted and education in Scotland, and Lecture and asked us the first conference at QMU, to communicate new ideas and to explore the future adopting the theme create innovative directions for of OT in ‘Spanning ‘Contemporary issues in the future of our profession. the boundaries in occupational therapy’. The event exceeded all occupational therapy’. The notion of hosting this expectations, successfully Hanneke Van event was conceived by Camilla bringing together over 200 Bruggen, director of Leslie, after she attended an individuals – students, lecturers, ENOTHE, closed the Delegates in the QMU lecture hall occupational therapy meeting academics and professionals – event with a MEMBERS that was organised and generating an atmosphere of complimenting and inspiring fantastic learning experience for facilitated by students while on lively discussion and debate, keynote lecture, ‘Contemporary the team. We believe that with a an ERASMUS exchange in where people could network issues in occupational therapy in realistic, clear creative vision, Portugal. Inspired by the and form new friendships both a diverse Europe – together we supportive working autonomy and enthusiasm that professionally and socially on an can crack the nut of an relationships and positive drive they displayed towards their equal level. occupationally just Europe’. and ambition we can actively learning, Camilla decided that In establishing the event, Arguably the most innovative lead our profession forward by she would like to bring this to the SOTLS team came across part of the day was the use of organising events such as this. Scotland. many challenges, the biggest of the online programme WIMBA, With firm foundations laid by Following experiences of which was limited funding which allowed one of our the team, the team now invites attending a European Network opportunities. In due course, presenters, Dr Barbara students from any of the three of Occupational Therapy in sponsorship was propitiously Thompson, to attend the event Scottish universities to organise Higher Education (ENOTHE) sourced from Wiltshire Farm virtually from her home in New the next SOTLS event. meeting in Berlin the previous Foods, Aqua Joy, Motability and York, while simultaneously year, Alexandra Moss and Jenni ROMPA, and other means of using power point and ●● Camilla Leslie, Alexandra Arnot felt inspired to join support was benevolently facilitating a workshop via Moss, Jenni Arnot, Jessica Camilla in her venture when she offered by QMU, COT/BAOT webcam. Holland and Nadira Karim. If you returned. Later in the process, and the wider OT community. The feedback from the are interested in organising a similar when it was recognised that With the collaboration of these delegates was overwhelming. event, do not hesitate to email: more people were needed, parties and the positive Fulfilling the vision of SOTLS sotls@live.co.uk for further Jessica Holland and Nadira enthusiasm of the SOTLS team, was a great challenge and a information. member achievements MEMBERS Swimming for spinal injury support A team of people from the North Peter Powell, repair service for individuals West region have swum 22 supervisor and Yvonne Baron, discharged from miles – the distance of the wheelchair service manager, spinal injury units. English Channel – in aid of who all work within the Alternatively, it Aspire and raised £965 in wheelchair service at NHS may help with sponsorship. Four people from Central Lancashire. The human needs the wheelchair service took part sponsorship raised will go grants for things over a 12-week period. towards any of the ongoing like lightweight Pictured right, (left to Aspire projects such as wheelchairs, or right), are Emma Grace, assistive technology, research other specialist receptionist, Joan Smith, OT, or short-term supported living equipment. March 2010 23 members.indd 23 23/02/2010 10:46
  • 24. FEATURE commissioning Those all important performance indicators Are you engaged in commissioning? OT Nicola Carlyle ©istockphoto.com is on the contract monitoring team at Caerphilly County Borough Council and calls on other OTs involved in the commissioning process to come forward with their ideas L ike thousands of others, do you put within the commissioning team has resulted increased awareness of safe and productive off work you dislike until the last in the emergence of a new ‘contract working systems, ongoing support and minute? Do you crave distraction monitoring team’ – a group of officers whose advice for provider practice development are rather than face the arduous task of role is to monitor the quality and efficiency key elements of commissioning and writing a lengthy report, or arranging yet of services and measure performance against fundamental to all OTs. another difficult and complex assessment? statute law, local authority contract and care The changing focus on increased Yet you would be surprised to know that standards, National Institute for Health and accountability and financial challenges of there is no better time than now to finish Clinical Excellence (NICE) guidance and today’s climate determines much of my role that all important paperwork and collate good practice guidelines – of which I am is absorbed in working with recalcitrant those performance indicators (PIs). now employed. providers and the lack of stringent national The current financial challenges facing As a team we sit within commissioning minimum standards and statutory guidance health and social care demands increased and are integral to the collaborative concerning equipment, documentation, care productivity and quality for all public operation of adult social care services. practices and the environment. services and who better to assist in this Partnership working and the commitment of Acknowledging the potential to influence process than allied health professionals? both Caerphilly County Borough Council and change the system rather than pump AHPs are the perfect tools for and Aneurin Bevan Local Health Board increased resources into it is key. Better FEATURE commissioners to engage and respond to the (LHB) have resulted in a dedicated quality service does not necessarily mean commissioning agenda. Due to our diverse workforce, whose aims are to ensure service increased care costs. Evaluation, education, backgrounds, training and expertise, not to user safety and the ongoing provision of promoting independence and prevention are mention flexible and adaptable approach, essential care services. fundamental to the success of any service, the new age and strategic employment of Through continued monitoring and least of all commissioning. AHPs is upon us. promotion of service user independence and So I call on any budding entrepreneurs, As an OT working in adult social care choice we provide a mechanism for feedback professional enthusiasts and kindred spirits services, the concept of outcome-focused and review, via jointly agreed objectives in the commissioning or care industry to care is nothing new. Needs assessment, between contracted providers, the local come forth with your questions, ideas and intervention and access to essential health board, Local Authority Care and indeed any information you may wish to resources and services has always been at the Social Services Inspectorate Wales (CSSIW), impart about new and innovative practice heart of occupational therapy, alongside the Protection Of Vulnerable Adults (POVA), concerning commissioning operations. systematic production of evidence-based community adult teams and locally agreed I am especially interested to hear from practice. adult health and social care processes. anyone who has had experience of It was no surprise, therefore, to a To my knowledge, never before has a formulating joint health and social care community-based practitioner like myself, to local authority taken such strides to involve strategies and protocols, such as manual be involved in a pilot commissioning process and include AHPs in its commissioning handling, clinical leadership, collaborative that resulted in a comprehensive audit of agenda. The continued development of this working or community equipment, or residential and nursing care providers. What new occupational therapy role is both indeed anyone with a vested interest in was as a surprise, however, was the initiative challenging and rewarding, but there is still promoting better quality care services. All by Caerphilly County Borough Council to a long way to go improving communication contributions are welcome. Unlike that implement an ongoing commissioning and bridging the many gaps between troublesome report, please do not put off strategy that included occupational therapy existing services and identified future your contacting me until a later date. as a permanent feature within its team plan. services. Two years on and the commissioning And who better to raise the profile of ●● Nicola Carlyle, senior practitioner OT, strategy and role of occupational therapy commissioning than occupational Commissioning Team, Directorate of Social within Caerphilly County Borough Council therapists? After all, assessment, education Services, Caerphilly County Borough Council. continues to develop. The evolvement and and support for service users, their families Email: carlyn@caerphilly.gov.uk or tel: 01443 deployment of new monitoring systems and providers to access essential resources, 86449 24 March 2010 Features.indd 24 23/02/2010 10:40
  • 25. practice FEATURE ©istockphoto.com/Rich Legg The twists and turns of road safety assessments Paula O’Neill and Colette Hughes explain their road safety assessment protocol A s OTs working in the field of findings and decide on outcome. adult learning disability, recent service development has hinged We pooled information from a range of on the recommendations of resources and adapted it accordingly to Equal lives: review of policy and services for meet the needs of our client group. We people with a learning disability in Northern drew up an assessment form, information- Ireland, published in September 2005. gathering checklist, consent form and report This review of policy and services for template. clarify the boundaries of the assessment people with a learning disability insists that: Our training programme is not static or findings: ‘This report is based on the client’s ‘The model of the future needs to be based rigid, but can be adapted to meet individual road safety for the specific route stated and, on integration, where people participate needs, and again, has been devised using a as observed on the day of assessment only’. fully in the lives of their communities and range of reference material. Are there exceptions? We have had are supported to individually access the full Alongside the review of our own requests to assess clients who have been FEATURE range of opportunities that are open to practice, we saw this as an opportunity to independent in this area for years. When everyone else.’ also involve other service providers and assessed, they usually are competent and Fast-forward to 2008 and 2009, and adopt a partnership approach to the whole have a good understanding of the inherent referrals to the OT service, adult learning area of road safety for people with a learning dangers associated with the roads. disability team, within our trust have disability. We follow up on these ‘independent become increasingly peppered with requests The local MP for the area and a roads users’ with the Horizons training for road safety assessments. These service representative were made aware of programme. A multidisciplinary team assessments are needed to ensure that local problem spots regularly encountered meeting convenes to agree that the client is clients are safe to access work placements, by our clients. We also meet with the local as safe as intervention allows in terms of local leisure facilities, the pharmacy and/or road safety education officer, who completes travelling independently. GP surgery, to name but a few. the road safety training programmes within How do we protect ourselves Although we had drafted a road safety the primary school sector. professionally? By drawing up our protocol, protocol in previous years, the Information and views were exchanged and related assessments, forms and reconfiguration of our local health trust in and there are future plans for further templates, we hope to formalise our 2008, and the increased demand for collaborative working with selected groups approach to this area of work. By bringing assessment and training in the whole area of of our clients. our findings to a multidisciplinary team travel, prompted us to revisit that protocol. The process has not been without its forum and sharing the ultimate decision- Our process is as follows: difficulties, however. What warrants making process with others, particularly in ●● referral received; informed consent? Clients needed to know those borderline cases, we are helping to ●● referral prioritised; that the assessment may, depending on the protect ourselves as individual therapists. ●● collect relevant information, for example findings, have negative implications in In conclusion, it is great to see our visual/hearing skills or mental health terms of their freedom and independence. clients ‘out and about’ a lot more now. issues; Only by explaining fully the possible There are great rewards to be had in terms ●● initial interview and gain consent; consequences could we obtain informed of client freedom and independence. It is ●● cognitive assessment, to ascertain the consent. worth persevering, perfecting our skills as client’s skill level in terms of visual and Who decides if the client is safe to travel therapists and negotiating those twists and auditory memory and problem-solving; independently? The need for a turns of the process for the sake of our ●● decision to go ahead with assessment; multidisciplinary meeting was written into clients. ●● actual road safety assessment the protocol from an early stage. The OT (supervised); brings the assessment findings to a team Reference ●● training programme (if deemed meeting, a team discussion, and ultimately a Equal lives: review of policy and services for people with a appropriate); team decision is made based on those learning disability in Northern Ireland, September 2005. ●● unsupervised road safety assessment shared findings. Available at: www.rmhldni.gov.uk [accessed 18/02/10] (observed); Can the assessment findings be ●● report and recommendations; and transferred to all situations? On our report ●● Paula O’Neill, OT, and Colette Hughes, OT, ●● multidisciplinary team meeting to discuss template we use the following statement to Southern Health and Social Care Trust March 2010 25 Features.indd 25 23/02/2010 10:44
  • 26. FEATURE mental health The development of a breakfast group on an adolescent unit Samantha Jaques-Newton charts the development of a ‘breakfast group’ for young adolescents with eating disorders T he idea for a ‘breakfast club’ at the challenges when things go wrong. They Thorneywood Adolescent Unit in experience success that increases self- Nottingham came from an article esteem, self-motivation and improves the called ‘Rise and shine it’s breakfast sense of self. time’ in Occupational Therapy News Kremer et al (1984) state that cooking (Buchanen et al 2007). At this time, can provide patients with an end product – specialist OT Samantha Jacques-Newton an activity that is age appropriate and and dietician Claire Knight looked at using culturally appropriate and, because cooking their skills to meet the needs of their own is understandable, it is seen as meaningful client group, which is comprised mainly of and of value. The impact of occupation was people with eating disorders, and a small considered and how using cooking with number of other young people with people with eating disorders can address psychotic and depressive symptoms. many issues that impact on their The following aims for the group were A literature review was undertaken functioning. used: around the importance of breakfast. Haley Martin (1998) states that the OT helps ●● pride in achievements – to build, improve, FEATURE and Mckay (BJOT 2004) state that OTs patients with eating disorders to prepare for develop and learn skills to support the have used cooking widely to address a daily living experiences and works with transition from adolescent to adult; range of issues, including skill development them on choosing and purchasing food and ●● use budgeting skills, and record and use a to support independent living, providing a cooking of meals. This author also says that calculator (or maths in their heads) and leisure or work activity. They also say that OTs help with the distorted views and have total responsibility for the £15 this activity further adds to the social behaviours that surround the preparation budget; engagement with others. and eating of food. ●● negotiate with others; On the adolescent unit, the breakfast A proposal with the evidence base was ●● belong to a fun group; club helps by making eating and food discussed in a staff meeting and participants ●● have choice and make decisions over what preparation a more sociable occasion. The thought that it was a good idea. An you eat (this is the only time they do this naturally occurring conversation in the information leaflet was developed for the as other meals come from the main group and at the table also helps distract adolescents on the unit, who were also kitchen); those with eating disorders from focusing invited to attend the first group. With ●● have a breakfast food, which you enjoy; solely on their food. Haley and Mckay consent, the leaflet was also given to ●● share your culture, around types of (BJOT 2004) also state that baking parents and carers to keep them informed breakfast you have in your family; and improves concentration, increases of their son/daughter’s care. This involved ●● reduce institutionalisation, by eating co-ordination and builds confidence. the parent/carer in the process, so that they different foods at different times and trying In further studies, Mee and Sumsion did not feel that their role as parent/carer new things, cooking for everyone on the (2001) and Chugg and Craik (2002) show was being undermined. unit, going out to purchase ingredients, that engagement in meaningful occupation A budget was set of £15 a week to feed 12 and making/researching recipes. with people with enduring mental health residents plus three staff. This was not Prior to joining the group, all adolescents illness living in the community aided their always easy to adhere to, but some shrewd had a dietary assessment as well as a recovery. Their findings suggest that shopping from the adolescents meant that functional assessment and mini kitchen engagement in occupation can increase this budget was met. During holidays the assessment. Physical observations were motivation and meaningfulness through budget was increased to allow residents to monitored, and their mental state assessed reinforcing an individual’s sense of purpose. have breakfast off the unit. The rationale was on the day. These authors identified that engagement to allow residents the freedom and initiative All residents on the unit, following a can re-establish old habits or form new ones, to organise their own and others’ breakfast clinical discussion, would attend if they were and help people to learn how to cope with and learn about the value and cost of items. physically well enough to stand and mobilise 26 March 2010 Features.indd 26 23/02/2010 10:44
  • 27. m e n t a l h e a lt h F E A T U R E Ireland (soda bread) and Spain (bread and oil, doughnuts dipped in sugar and coffee). Some ideas for the future include patients making their own jam, after picking fruit, having a café for a full English breakfast and eating breakfast in the community. A breakfast list was placed on the dinning room notice board, set for four weeks. This would include ‘swops’ for residents with an eating disorder, for example, instead of cereals and toast, it would be cereals and muffin. These would then act as a resource to give to parents when their child was ready to go home and try eating new things, or changing their dietary needs. A focus group was held to evaluate the group after six months and an evaluation form was sent out to all adolescents that had left the unit, but had participated in the group. The feedback was that they found the group useful: ‘I could eat at Starbucks with friends...’; ‘I liked the choice and freedom FEATURE around making one meal, it felt more normalI’; ‘I learnt that I want to work in ©istockphoto.com/Jill Battaglia catering, and as a result of getting a reference from the OT, I have worked voluntarily in a ‘On the adolescent unit, the breakfast club helps by making large kitchen – now that I’m 18 and work in eating and food preparation a more sociable occasion. The a café I’m waiting to go to catering college’. Not so positive feedback included the naturally occurring conversation in the group and at the comments that ‘it should not only be table also helps distract those with eating disorders from breakfast, but other meals’ and that focusing solely on their food. ’ ‘sometimes it felt like a really big challenge’. It was at times difficult to motivate some of in the kitchen and go shopping (young Then risks to observe were discussed. those with eating disorders to participate, as people of very low weight would not attend The method included: get recipe; go eating and cooking to them was something for two weeks or eat the breakfast, that is, shopping; and using the budget sheet to give of an anathema. The plan is to continue with re-feeding syndrome), cognitively able to everyone in the group a responsibility for the group, because of its success. ensure their safety and that of others, and a that week, eg budget, cook, clean and set risk assessment had been completed. table etc. Finally, a list of ways to grade that References Each aspect of the activity was graded to section of the task was looked at, for Buchanan A, Gow A, Storie A (2007) Rise and shine, it’s try to meet the needs of individuals and to example, level of support to calculate budget breakfast time, Occupational Therapy News, 15(2): 32-33 make sure as a team they could all be and amount of time in shop or walking Chugg A, Craik C (2002) Some factors influencing occupation included. around, due to physical activity levels with engagement for people with schizophrenia living in the A clear document of why the OT would eating disorder patients. community. British Journal of Occupational Therapy 65(2), facilitate the group was given to staff and This process continued with further 67-74 explained to the young people on an discussion about what breakfast patients Haley L, Mckay E (2004) Baking gives you confidence: users’ individual and group basis. This process would have, going out, shopping, cooking views of engaging in the occupation of baking. British broke down each component into areas such and a de-brief group, with the chance to Journal of Occupational Therapy 67(3) 125-28 as rationale for taking part, cognitive skills discuss issues that arose and thoughts such Kremer E, Nelson D, Duncombe L (1984) Effects of selected that would be required and activities of daily as ‘did you enjoy it?’ and ‘how easy was it to activities on affective meaning in psychiatric patients. living skills. cook?’ American Journal of Occupational Therapy 38(8) 522-28 A plan of what would happen at each A breakfast club ideas list was created, Mee J, Sumsion T (2001) Mental health clients confirm the stage was also completed. Participants’ ideas with anything from teacakes, pancakes to motivating power of occupation. British Journal of would be shared and appropriateness of homemade bread and homemade granola. Occupational Therapy 64(3) 121-28 choices and decisions would be discussed We discussed different cultures and devised with the multidisciplinary team, with cost, a list split into places such as France ●● Samantha Jaques-Newton, specialist OT, places to shop, a list of prices to compare (croissants, French toast and crepes), Thorneywood Adolescent Unit, Nottingham. and advice to shop wisely covered. Sweden (meats and cheese and muesli), Email: Samantha.Jaques-Newton@nottshc.nhs.uk March 2010 27 Features.indd 27 23/02/2010 10:44
  • 28. Naidex FEATURE group work allowed me to concentrate on some very © istockphoto.com/Yuriy Kaygorodov positive aspects of my life’; ‘Helped me put things in perspective and it was good to work with others’; ‘Gave me a sense of purpose’; ‘It is good to see people who are ill doing “normal” things regarding expressing The role of themselves’; ‘We can be part of society with or without mental health issues’; and ‘We have just as much to offer as anyone else’. art in recovery The art group is an example of a therapeutic intervention that reflects the importance of providing services that ‘respond to people’s leisure, cultural and As an OT working in a community rehabilitation service, wider social needs’ (Scottish Executive Barbara Philipsz runs an arts and crafts group, as part of a group 2003). In line with the recovery approach the work programme aimed at adults with mental health needs. group aims to ‘focus on the strengths of Here she shares some service user feedback individuals, rather than their problems and T on their contribution to recovery’. he art group is based at the enhanced by a quotation. They selected a By providing ‘services to promote Charleston Centre in Paisley, beautiful quotation from the artist Georgia personal growth and development’ (Greater Renfrewshire and was recently O’Keefe, which is painted cascading down Glasgow Modernisation Plan 2007), such as involved in the 2009 Scottish the centre of the banner. the art group, group members are ‘supported Mental Health Arts and Film Festival. The The quote reads: ‘I found I could say to live well in the presence or absence of group produced a banner, which featured as things with colours and shapes that I illness’ (SAMH 2007). The banner was part of the ‘Picture Yourself Well’ exhibition. couldn’t say any other way… things I had no exhibited in a well-used centrally located The banner was the culmination of a words for’. These words seemed to embody community café – the WRVS café in Paisley – 10-week collaborative project involving work participants’ feelings about art, providing and had much exposure over the two-week on a large-scale floral design. them with an alternative outlet for personal period, receiving 1,520 visitors. There were many positive outcomes expression. The venue is also a valuable source of achieved from this project and from last information for other community activities, year’s group, which had also produced and groups, local events and other mainstream FEATURE exhibited artwork in the previous year’s services and as such encourages social festival. The art group focuses on joint integration. Choosing a popular venue working, hence the ‘group’ project idea. This meant that a wide cross section of the process helped build clients’ confidence, as community saw the exhibition, which they were encouraged to share ideas and play sought to raise public awareness of the arts a part in contributing towards an end goal in recovery. (the banner). The art group is an example of the The experience of running the group and important relationship between occupation, seeing participants’ confidence grow was very health and wellbeing and a belief in the satisfying. Contributing towards something potential of people with mental health tangible that they could see develop over the problems to learn and grow (COT 2006). weeks helped many realise their potential and feel a sense of mastery. Praise from each References other helped meet their esteem needs, Scottish Executive (2003) National programme for improving receiving recognition for the hard work and mental health and well being action plan 2003-2006. the valid contribution that each had made. Edinburgh, Scottish Executive The group helped several participants Greater Glasgow Modernisation Plan (2007) rekindle their interest in art, form friendships Scottish Association for Mental Health (2007) Evaluation of and take up other creative activities, which Powerful words: the art group’s banner expresses recovery approach report. Glasgow, SAMH their feelings they continued out with the group. It also College of Occupational Therapists (2006) Recovering ordinary fostered social skills via the natural process Clients took pride in seeing the end result lives. The strategy for occupational therapy in mental health of discussion, requiring participants to make on display in the exhibition, thus seeing their services 2007-2017. A vision for the next ten years. decisions about the overall look and design efforts realised. Over the two years that the London, COT of the banner. art group has been run, client feedback has This process also generated much been very positive regarding participation in ●● For further information contact discussion around recovery and how the art group. Comments have included: ‘It Barbara Philipsz, senior OT, community involvement in the arts made them feel. This helped me to mix with new people and feel rehabilitation service, Charleston Centre, Paisley, gave them the idea of incorporating text, better about myself’; ‘Creativity has helped Renfrewshire, or email: barbara.philipsz@renver- deciding that the artwork would be further me come alive since I’ve been ill, but this pct.scot.nhs.uk 28 March 2010 Features.indd 28 23/02/2010 10:41
  • 29. Naidex 2010 ad A4 E301 15/2/10 14:16 Page 1 Supported by: Organised by: expect more at Naidex 2010 with essential CPD education The UK’s largest disability, homecare and rehabilitation event extends its portfolio of seminars, demos and networking opportunities for healthcare professionals • More than 360 specialist • Unparalleled networking exhibitors opportunities • More free CPD educational • Open 10am daily with easy seminars and practical access and free admission demonstrations for professionals Whether you are a carer, OT, nurse or any other type of • New inspirational features healthcare professional, expect • Larger showcase of innovative more career development from products to test and compare Naidex 2010. Register for free at – www.naidex.co.uk or for more information tel 01923 690 656 Priority Code E301 20-22 April 2010 NEC Birmingham March 2010 29 N230 Features.indd 29 23/02/2010 10:41
  • 30. FEATURE vocational rehabilita t i o n Vocation unwrapped: motivating clients to return to work Marietta Birkholtz and Cara Lovell look at the factors that influence people’s ability to get back to work after accident or illness, focusing on specific return to work models that can help occupational therapists to help clients arrive at their chosen vocation O ver recent years, occupational systemic issues (Fear 2009), OTs can draw ●● (one) in the pre-contemplation stage, the therapists have been encouraged on two models to help clients open the individual may not be interested in or has to start ‘asking the work door to a world of possibility and discounted their ability to work; question’. As we do so, we opportunity; the Stages of Change Model ●● (two) in the contemplation stage, they discover how multi-faceted the process of (Prochaska and DiClemente 1984) and the are considering employment but have not returning to work can be; the most seasoned Parachute Approach (Bolles 2010). started to pursue it; practitioners will at times feel challenged to Psychologists Prochaska and ●● (three) in the preparation stage, they may identify and address all relevant factors, DiClemente recognise the psychological have decided to work, but do not yet whether physical, psychological, social, and motivational aspects involved in possess the required skills or resources; organisational or economic. making a significant behaviour change. ●● (four) in the action stage, they are ready Based on the authors’ experience with Their Stages of Change Model has been to work and are actively seeking it; and people who suffer from chronic symptoms adopted by Franche and Krause (2002) as a ●● (five) in the maintenance stage, they are (eg chronic pain), it is often psychological theoretical foundation for their ‘Readiness working and sustaining their position. and motivational factors, not physical for Return-to-Work Model’. Based on these models, various status, that determine whether employment This model suggests that our clients may standardised measures can be used to assess is secured or not. While a sole focus on the be in any one of five stages of ‘work an individual’s work readiness, such as the individual cannot solve all workplace and readiness’: Readiness to Return to Work Scale by Franche et al (2007). More importantly FEATURE though, OTs can ascertain which stage of change the client inhabits by listening closely to what they are saying, or not saying. Typical work-related statements include: ‘I will never work again – my family and my consultant agree’ (pre-contemplation); ‘I’d love to work again, but I’m not sure anyone would employ me with my condition’ (contemplation); and ‘I’m looking forward to working again one day, I just need to manage my condition better first’ (preparation). Two case vignettes can illustrate this further: Contemplation Case one: Anna (aged 38), a former school secretary, suffered from Ehler’s Danlos Syndrome and stated: ‘I’d love to work but will never be able to hold down a job’. Her symptoms of extreme pain combined with frequent joint dislocation persuaded the occupational therapist to agree. However, during a vocational group exercise, Anna suddenly exclaimed: ‘I know – I want to work as a secret agent!’ Although this appeared to be an ‘unrealistic’ option, Anna’s subsequent on-line enquiries 30 March 2010 Features.indd 30 23/02/2010 10:45
  • 31. vocational rehabilitation FEATURE ©istockphoto.com/James Steidl revealed that a government agency was specifically seeking to recruit female staff with disabilities. In keeping with the preparation stage, Anna has since doubled her efforts at physical rehabilitation so that she can join the agency’s training programme and secure employment. Preparation Case two: Les (aged 24), formerly a decorator, and father of a two-year old daughter said: ‘I enjoy the employment training, but I don’t know what I want to do yet. Also, when I get into a bad mood I find it hard to complete the training days.’ Further exploration revealed that three areas needed addressing to help Les sustain his motivation and enter the action stage more fully: guidance to identify his favourite career interests; child care to cover training days, the lack of which had angered him; and cognitive strategies to FEATURE manage low mood triggered by memories of previous failure. Les’ situation shows how the Stages of ‘...it is often psychological and motivational factors, not Change can help us identify specific physical status, that determine whether employment is intervention to facilitate progress to the secured or not.’ next stage. While the Stages of Change model can help OTs assess work readiness per se, This is how two clients fared after References Richard Bolles’ Parachute approach offers identifying their favourite skills, fields and Birkholtz M (2009) Reviving the root of vocation. RehabReview practical tools to support clients in location. Pete, aged 46, and a participant of Newsletter, October 2009. Available from: www. manifesting their desired career or a vocational module in a condition rehabwindow.net/Display.aspx?id [accessed 15/02/10] vocation. management programme said: ‘I found this Bolles R (2010) What colour is your parachute? Ten Speed His best-selling careers guide What tremendously rewarding. It gave me a good Press, Berkeley colour is your parachute? holds relevance insight as to where I would like to go with Fear W (2009) Return to work revisited. The Psychologist, 22(6) for return-to-work programmes and job searching… I would love to train as a 502-503 rehabilitation settings alike (Birkholtz radiographer’. He moved from pre- Franche R and Krause N (2002) Readiness for return to work 2009). Bolles (2010) suggests that people contemplation to contemplation and following injury or illness: Conceptualising the will wholeheartedly search for and preparation. interpersonal impact of health care, workplace, and sustain only those types of work that Agnes, aged 32, three months after insurance factors, Journal of Occupational Rehabilitation, correspond with their favourite skills and completing a pain management vocational 12(4): 233-256 interests. module said: ‘…after not having a proper Franche R, Corbière M, Lee H, Breslin C, Hepburn C (2007) The Regardless of the job market, and job for five years, I now have the job I want. Readiness for Return-To-Work (RRTW) scale: Development particularly in a recession, the parachute I applied for a disability researcher training and validation of a self-report staging scale in lost-time approach advocates an inventory of seven scheme with a TV production company, claimants with musculoskeletal disorders, Journal of areas: and I got it…’ She had moved from action Occupational Rehabilitation, 17(3) 450-472 ●● favourite skills; to maintenance. Prochaska J and DiClemente C (1984) The transtheoretical ●● favourite fields; In summary, the combined use of the approach: Crossing traditional boundaries of therapy; 1st ●● core values; Stages of Change model and the parachute ED. Dow Jones/Irwin: Homewood ●● preferred people environment; approach seems to access clients’ motivation ●● favourite working conditions; to return to work, and can help them arrive ●● Marietta Birkholtz, head of occupational ●● desired responsibility and salary; and not only at a job, but at their vocation. therapy and vocational lead at RealHealth ●● preferred location. This is good news for time-poor London, and Cara Lovell, lead occupational In combining these seven areas, creative occupational therapists, case managers or therapist at Royal National Orthopaedic and affirmative options can be identified vocational specialists who would like to Hospital, Stanmore. Email: Marietta. without being limited by so-called address their clients’ vocational needs in a Birkholtz@realhealth.org.uk or Caralovell@ disabilities, or by ‘what it says on the CV’. succinct, yet life-affirming manner. inbox.com March 2010 31 Features.indd 31 23/02/2010 10:45
  • 32. FEATURE vocational rehabilita t i o n ©istockphoto.com/Janne Ahvo Vocational rehabilitation survey – we need your help Research OT Joanna Sweetland poses the question: Vocational reha- bilitation for long-term neurological conditions – what is really out there? W hy is work important and voluntary services to bridge service gaps and why should we support ensure that people can access services when people working? Work they need them. However, it remains contributes to adult identity unclear to what extent existing services fit (Dyck 1995), confers financial benefits with these recommendations, or meet the (Cantanzaro et al 1992) and can improve differing needs of people with long-term health and life quality (Aronson 1997; neurological conditions. Waddell and Burton 2006). There are 6.8 The purpose of this study is to identify and full research report. This report may form million disabled people of working age in describe vocational rehabilitation services the basis of a paper for publication, which Britain – one fifth of the total working age currently available to people with long-term may incorporate anonymised quotations population – but only 51 per cent are in work. neurological conditions in England and from staff. The study will result in: Recent government initiatives have been consider the extent to which they fit published ●● bench-marking evidence on the targeted at supporting these people to recommendations. This is a two-year project implementation of the NSF QR6 return to work, yet it is unclear if these entitled ‘Mapping vocational rehabilitation (Vocational Rehabilitation) in England; initiatives help people with long-term services for people with long-term ●● a directory of vocational rehabilitation neurological conditions. The national neurological conditions’, led by Dr Diane services for people with long-term service framework (NSF) for long-term Playford, honorary fellow of the COT, at the neurological conditions, to enable service neurological conditions highlights the need Institute of Neurology, University College providers and commissioners to network for services that enable people with long- London, and Dr Kate Radford, from the and potential services users to identify term neurological conditions to enter work, University of Central Lancashire. services appropriate to their needs; and education or vocational training, remain in The study will use a combination of ●● an online forum for sharing knowledge or return to their existing job or withdraw quantitative and qualitative methodology and expertise about vocational FEATURE from work at an appropriate time. and will take place in three stages. The first rehabilitation for clinicians. Although there is a growing consensus two stages, which have been started, include It is easy to see that this is an essential and evidence base about the benefits of developing and using a questionnaire to piece of research, which will equip both vocational rehabilitation services, there is map vocational rehabilitation services for professionals and commissioners. If you or increasing concern they are inaccessible for people with long-term neurological your service provides any level of advice or people with long-term neurological conditions and explore current practice, help with returning to, or remaining in, conditions, many of whom fall into ‘hard to identifying well established and emerging work and/or education to people with long- reach’ groups. services and differences between general term neurological conditions, please email As a profession we are very aware of the and specialist vocational rehabilitation Ali Gibson at: amgibson1@uclan.ac.uk and growing agenda to provide vocational services; probing perceptions about provide us with your name, full postal rehabilitation services. However, before we resources, barriers and facilitators. address and a telephone number, so that we can look to improve services and ensure it This questionnaire has already been sent can contact you and send out a is not a postcode lottery for our service out and will continue to be sent to relevant questionnaire. users, we need to start with understanding health professionals. Descriptive analysis of what is already provided. As part of a all responses will be undertaken and results References government-funded two-year research correlated. Aronson KJ (1997) Quality of life among persons with multiple project (National Institute for Health The final stage will elicit, through sclerosis and their caregivers. Neurology, 48(1): 74-80 Research), work is underway to map qualitative interviews, barriers and Catanzaro M, Weinert C (1992) Economic status of families current service provision. facilitators to developing specialist living with multiple sclerosis. International Journal of Existing vocational rehabilitation vocational rehabilitation services within the Rehabilitation Research, 5(3): 209-18. provision for people with long-term NHS; map and report exemplars of good Department of Health (2005) The National Service Framework neurological conditions in England is practice and develop mechanisms for for Long-Term Conditions patchy and services are poorly defined. sharing knowledge about what makes Dyck I (1995) Hidden geographies: the changing lifeworlds of Some are NHS led, some are linked to vocational rehabilitation services effective women with multiple sclerosis. Soc Sci Med, 40(3): 307-20. JobCentre Plus and others operate in the and why. For more information see: http:// Waddell G, Burton AK (2006) Is work good for your health and private or voluntary sector. www.ltnc.org.uk/research_files/mapping_ wellbeing? Department of Work and Pensions New guidelines call for partnership vocational_rehab.html. working between health and social services The findings from the different stages of ●● Joanna Sweetland, research OT, Institute of and statutory (JobCentre Plus) and the project will be synthesised to provide a Neurology, London 32 March 2010 Features.indd 32 23/02/2010 10:45
  • 33. heading N203 March 2010 33 Features.indd 33 23/02/2010 10:45
  • 34. FEATURE assessment tools Developing a new model of practice Andy Smith, support worker and student, shares his work on developing a model of integrated vocational rehabilitation, as part of his academic studies T he Model of Integrated Vocational Researching the two projects identified had many relevant aspects, which Rehabilitation was developed that although each existing model of subsequently inspired the following person during the final year of a four-year occupational therapy practice has its own centred model. part-time occupational therapy BSc merits, no one model fully fitted the client (Hons) degree at the University of Essex, group within this vocational rehabilitation The model illustrated from an amalgamation of an academic setting. Ross (2007) also identified there is The resulting ‘person-environment- assignment and hands on practice no ‘one size fits all’ framework and goes on occupation-performance’ model follows the development. to suggest the use of a combination of occupational therapy contemporary While participating in setting up a work- models. paradigm, which values occupation and based learning programme within a It was felt that this idea could be advocates ‘the integration of individuals community-based forensic service for developed further by reviewing and into life through meaningful occupation’ adults with learning disabilities, some with identifying relevant aspects of current (Duncan 2006). co-morbid mental illnesses, I was also models and adding aspects specific to this The model (see diagram) places the working on an assignment that included area of practice in order to produce a new client firmly at the centre, as advocated identifying a model of practice relevant to model. The Model of Human Occupation by the Valuing People white paper (DH FEATURE an emerging area of occupational therapy (Keilhofner 2008) and The Canadian Model 2001) and shows the workplace practice. of Occupational Performance (Ross 2007) collaboration taking place between the Further expansion of the model The following expansion of the concepts used within the Model of Integrated Vocational Policies Rehabilitation aims to aid the understanding and usability of the client centred model. ●● government; ●● local; Strengths/needs Motivation ●● social; ●● the client has individual strengths and ●● goal setting; and ●● legal; and needs (bio-psychosocial) the strengths will ●● past experiences (positive and adverse). ●● ethical. be identified and will be used to address any assessed needs. Culture Multidisciplinary team ●● beliefs; ●● collaboration between the multidisciplinary Skills ●● core values; team. ●● skills the client already has and those that ●● upbringing; will be developed (work-based, ●● family influences and dynamics; and Therapist educational, social). ●● spiritual. ●● skills; ●● knowledge; Habits Occupational participation ●● therapeutic use of self; and ●● already formed and new habits to be ●● refers to engagement in work, play or ●● experiences. acquired. activities of daily living that are part of a person’s socio-cultural context and that are Theories/evidence based practice (best Roles desired and/or necessary to wellbeing practice) ●● help organise use of time and place an (Keilhofner 2008). ●● current evidence based practice; and individual within the social structure (Ross ●● relevant theories (dependent on client needs). 2007) . 34 March 2010 Features.indd 34 23/02/2010 10:45
  • 35. assessment tools FEATURE client (in red), the therapist, the perceived to be influenced and are reflected be used with a much wider client group, multidisciplinary team and outside in the client journey (outwards). and within other areas of practice. agencies (in yellow); the progression Although the model has been used outwards then demonstrates the Limitations and future successfully in relation to this programme, continuing client journey. development it will need to be used by others to fully Each of us strives, throughout our life, The model was developed primarily for use evaluate its relevance and usability. With to achieve a balance of meaningful and with people with mild learning disabilities this in mind, further expansion of the purposeful work, rest, self-care and leisure and or a co-morbid mental illness within a components of the model have been (Ross 2007). Rest, self-care and leisure are work-based vocational rehabilitation compiled and are outlined in the box not directly addressed by the model, but are environment, although it is envisaged it can below. Relationships References Education al performanc ation e Department Of Health (2001) Valuing people: oc cup a new strategy for learning disability for Poli T MD the 21st century. Crown Copyright c ies Duncan E (2006) Theoretical foundations for occupational therapy, internal influences. ist In Duncan E (Ed) Foundations for practice Cu s hs Fra a p ed gt er me in occupational therapy, 4th Ed. ltu s of Ne tren refe ren Th re S ce Edinburgh: Churchill Livingstone. gnitive Co Keilhofner G (2008) Model of Human Skills Affectiv Work Motivation Person Hobbies Occupation, Theory and Application 4th s ic a l Ed. Philadelphia: Lippincott Williams and hy e P l Wilkins sis na n Ou FEATURE Ha ly tio tio tsi Ross J (2007) Occupational therapy and na pa ipa de ya ag bi u vit en ti cc ic cie vocational rehabilitation. Great Britain: TJ O art ts Ac p s International Theo ss roce ries/ ●● Andy Smith, OT assistant and OT p OT student, Partnerships in Care, EBP occ Learning Disability Services. Email: upa Community tional performance Lifelong ASmith2@partnershipsincare.co. participation learning uk or tel: 01379 749900 (ext Model of Integrated Vocational Rehabilitation: by Andy Smith 13694) Outside agencies Assessment Community participation ●● any outside agencies involved with or used ●● problem analysis; ●● joining of clubs, comities and by the service, eg: further education college; ●● initial assessment will identify areas of need organisations widening participation and Connexions; learning disability/mental health and strengths; contribution to their community. service providers; social services; Job centre ●● followed by more focused assessment on plus; advocates. identified area of need; and Work ●● followed by continual evaluation. ●● advancement into a wider range of work OT process opportunities which include, paid work, ●● information gathering; Activity analysis volunteer work and any other meaningful ●● assessment; ●● the use of activity analysis to grade the occupation. ●● treatment formulation; activity and/or adapt the environment to suit ●● treatment implementation; the individual current abilities as well as to Education ●● review; and encourage growth. ●● continued education, ether leisure based ●● discharge/referral. (arts, languages, sports) or academic Relationships (literacy, numeracy, trade qualifications Frame of reference ●● the development of relationships through an [bricklayer, plumber). ●● this is determined by client need, and could increased network of friends. include elements from one or more of the Hobbies following: client centred; cognitive; Lifelong learning ●● increased motivation to participate in psychodynamic; learning/teaching; ●● the continued increase of life skills as leisure and hobbies. developmental; biomechanical; or confidence and experience grows. compensatory/adaptive. March 2010 35 Features.indd 35 23/02/2010 10:45
  • 36. FEATURE mental health Walking on the road to mental health recovery patients who have a particular deficit in Natasha McKendrick, May White, Susan McCutcheon, Laura that area. In addition each patient has Craig and Audrey Davidson outline how a walking group within a collaboratively agreed individualised goals low secure mental health setting helps patients on their road to that they aim to achieve through recovery participating in the walking group. M ental health recovery focuses provides valued activity, a sense of structure Client reported outcomes on people claiming or today, together with the opportunity of Within the Ayr Clinic the walking groups reclaiming purpose and being involved in a community-based are a popular activity with clients keen to meaning in their life, even intervention, which clients can continue on attend on a weekly basis. On average, five within the limitations caused by mental discharge from the unit. clients attend each group. In order to health symptoms. It suggests that rather evaluate the sessions those who regularly than being cured, a person learns to live Walking group aims attend the walking groups were asked with their mental illness, while maintaining The Ayr Clinic is a low secure mental about their feelings towards, and opinions an independent and healthy lifestyle (SRN health unit operated as part of the of, the group. This centred on what they 2009). Partnerships in Care group. Within the Ayr felt they achieved from attending the group Every person’s experience of recovery is Clinic there are two male wards and one and whether they felt the group had any unique, as recovery means different things female ward, each with their own weekly impact on their mental and physical to different people. A number of key three-hour walking group run by the OT wellbeing. components are important to recovery, self department. The walks take place in a Overall the feedback from clients has determination, empowering relationships variety of locations throughout Ayrshire, been positive: based on trust understanding and respect, incorporating both beach and countryside ●● ‘I seem to get more confident every time I FEATURE meaningful roles in society, and elimination walks, and are chosen in advance by the go out, I feel less paranoid’; of stigma and discrimination (National patients during interactive group planning ●● ‘It gets me out into the environment and Mental Health Information Centre 2009). sessions. into every day life again and used to The team comprising of OTs and At the end of the walk the patients go what’s expected of me in the community nursing staff at the Ayr Clinic include for a coffee in a café close to where the and what would be acceptable behaviour’; exercise in the form of walking groups as a walk has taken place, or for the more ●● ‘It gets me off the ward. You feel free, no means of aiding individual recovery. Our remote walks take flasks of soup that they locked doors, it improves your mental walking groups aim to help clients to have prepared prior to the walk. The health’; develop a healthier, more active lifestyle, universal aims for the walking group ●● ‘Fitness levels improve’; promoting positive mental health. include: ●● ‘[It’s] also helping me to lose weight and Walking is the most popular physical ●● promoting physical exercise as part of a stay healthy’; activity undertaken for pleasure and fits healthy lifestyle; ●● ‘The beautiful scenery… exercise and the well with the strategy for occupational ●● providing structure to the day and valued scenery, I enjoy them both. It gets me out therapy and mental health (COT 2006). It occupation for patients who enjoy and about for a bit’; and is being increasingly recognised that walking and being in the outdoors; ●● ‘Engaging in conversation with the group walking is an excellent means of improving ●● assisting in social inclusion for patients and the nice scenery… I like the physical and mental wellbeing. by going to local cafés and walking in countryside’. The walking groups are one of many community areas; components of our service, which tie in ●● improving social and interpersonal skills The way forward with the recovery-based approach that the through communication with other As the walking groups appear to be Ayr Clinic adopts. When people see the group members during planning contributing to our client’s recovery there benefits of their bodies becoming more sessions, while making soup and are plans being put in place to further active and physically fit, it helps them feel throughout the walking group; develop them. This involves more better about themselves. This in turn keeps ●● increasing confidence in the community emphasis on grading the walks from them focused on something other than through improving skills such as money short, slow paced walks to more symptoms of their mental illness. handling, road traffic skills, interacting advanced, longer walks. A service user’s Staff and patients believe that walking with the public and reading maps. physical abilities will be assessed and an plays an important part in both physical and Some of these aims will apply to all appropriate level of walk will be mental health recovery. The walking group patients, however some will only apply to identified for each individual. 36 March 2010 Features.indd 36 23/02/2010 10:45
  • 37. m e n t a l h e a lt h F E A T U R E ©istockphoto.com/Vittorio Vittori Walking and public space Paths for All, in partnership with Living Streets Scotland, last year commissioned Scotland’s first-ever national opinion survey into public attitudes to walking and public space. The two organisations want to understand what issues matter most to the public and what potential barriers stop people from walking more and becoming a healthier society. This survey was designed to add to an existing body of knowledge regarding walking habits and issues in Scotland and was conducted on behalf of the organisations by the Progressive Partnership. Information from the research will be used to inform strategy in the future. The data was gathered using the Scottish Opinion Omnibus Survey. It is a telephone survey focusing on the entire Scottish population and involved a total of 1,001 national representative telephone interviews with adults aged over 18 across Scotland. FEATURE The survey concludes that there is already a significant amount of walking taking place in Scotland, but that the level of walking needs to increase and the number of people walking regularly also needs to increase. It shows strongly that with the right measures in place, numbers of people walking and the frequency of walking will increase. However, for this to happen, Scottish and local government need to commit to a strategic approach to increasing walking and put the actions in place to support and develop walking in Scotland. Visit: www.pathsforall.org.uk/about/ article.asp?id=817&news=1 to download a copy of the survey results or visit: www. livingstreets.org.uk/scotland. References ‘Walking is the most popular physical activity undertaken College of Occupational Therapists (2006) Recovering ordinary for pleasure and fits well with the strategy for occupational lives: The strategy for occupational therapy in mental health therapy and mental health.’ 2007-2017. A vision for the next 10 years. COT, London National Mental Health Information Centre (2009) http:// The unit has on loan a step-o-meter monitor and build on their physical mentalhealth.samhsa.gov [accessed 10/02/10] pack from the Paths for All national charity abilities. Paths for All (2009) http://www.pathsforall.org.uk/ [accessed (Paths for All 2009), which promotes The steps will be recorded in the 10/02/10] walking for health and supports people to individual’s walking diaries and the Scottish Recovery Network (2009) Raising expectations and become more active in and around their recording will be compared with the sharing ideas for mental health recovery. SRN, Glasgow local communities through the number of steps taken from a normal day development of a network of multi-use staying within the unit. This will give the ●● Natasha McKendrick, May White, Susan paths in Scotland. service users a sense of achievement when McCutcheon, Laura Craig and Audrey The step-o-meters have begun to be used they see the differences in the number of Davidson, OT team, Ayr Clinic, Partnerships in by each service user to document the steps taken and how taking part in physical Care. For more information please contact Jean number of steps taken while participating activity such as walking can contribute to a McQueen, head OT, at email: jmcqueen@ in the walking group and allows patients to healthier more active lifestyle. partnershipsincare.co.uk March 2010 37 Features.indd 37 23/02/2010 10:45
  • 38. REPORT c hildren’s services Striding into the next decade – clowns and all Peggy Frost reports from the recent specialist section annual conference, which tackled issues from promoting good mental health, early intervention and assistive technology to developing specialist knowledge and skills ‘S triding into the next decade – here, so this is just a taster. The specialist Psychosocial Impact of Assistive Devices are we fit for purpose, fit for section’s newsletter will give more detail. Scale (PIADS). practice?’ was the ambitious Promoting good mental health through Delegates had the chance to share their title for the College of occupational therapy was the theme of experiences about generic job titles. OTs Occupational Therapists Specialist Section – several of the workshops, ranging from bring their own professional skills to the Children, Young People and Families’ early interventions for those young people roles of mental health practitioner, but are (COTSS-CYPF) conference held in with psychosis, to youth offending and there long-term risks? For example, in one November 2009. improving self esteem. We heard how NHS trust, staff have been unable to support The long awaited two-day conference narratives and stories have been used for the undergraduate occupational therapy was buzzing as specialist section members many years to pass down creative ways of programme. They are not taking students enthusiastically shared their ideas and coping with life’s challenges. on placement because they are not seen to thoughts about the future of occupational Tracey Winsor and Louise Nicholl have a professional responsibility or a therapy. showed delegates how they used the six- contractual agreement to do this. Liz Ricarby, from the charity part story method, developed by Mool Paediatric occupational therapy is a YoungMinds, provided the opening address Lahad, a drama-therapist, to help children speciality as broad and as varied as ‘adult’ and presented the Young People’s and young people use different strategies to occupational therapy provision. OTs are often manifesto, using a visual presentation of cope with the difficulties they are faced poorly prepared for practice in paediatrics in REPORT young people saying what they want from with. the UK, and this provides challenges for professionals in terms of dealing with their Of course, not all presentations focused workforce planning and establishing and mental health issues. YoungMinds is on mental health. Many children and young providing comprehensive services. committed to improving the mental health people use assistive technology and there Lynley Read’s suggestion for ‘Growing of children and young people. was the opportunity to hear about Life at your own OTs’ aimed to develop foundation The YoungMinds manifesto calls for Leeds. Benita Powrie and Jennifer McAnuff knowledge and skills for paediatric training for school staff, for shorter waiting highlighted how they strengthened occupational therapists working in acute lists for assessments, for advocates to occupation-focused practice by using and community health care at the levels of support young people, for experts to start innovative approaches to assessment and band five and band six. A strategy was listening, and for us all to make sure young goal setting in a multi-agency process for implemented that included semi-structured people are not lost in the system when they the assessment and provision of assistive induction and training to develop core reach 16 years of age. The manifesto has technology. knowledge and skills for paediatric been supported by the College and can be Outcome measures were the focus of occupational therapy. found at: www.youngminds.org.uk. Clare Wright’s workshop. The increasing This was provided in-house, using a The College’s manifesto is nearing requirement to demonstrate equipment variety of learning and teaching styles. Costs completion and specialist sections have effectiveness means it is important that were minimal. Band five rotations were set been supporting this through the specialist therapists’ interventions also include up to provide an introduction to paediatrics, sections clinical forum. Delegates at the evaluation strategies to demonstrate change and a pathway to band six posts was conference were asked to think about how and any outcomes that have been achieved. developed. Supporting students on practice they could influence politicians, especially Special seating is known for its placement also increased awareness of those in the next government, by Greg complexity. There is a wide variation of paediatric occupational therapy as a Stafford, COT public affairs officer. client presentations and subsequent seating specialty. The COTSS-CYPF has many expert configurations to meet their needs and Feedback from staff was positive and one members and they supported the conference functional goals within the different third of band fives moved on to band six by presenting and running sessions. Topics environments in which seating systems are posts. This was an effective low-cost short- were varied, but all demonstrated the used. Two standardised measures that could term solution, but developing paediatric commitment many occupational therapists be used to demonstrate effectiveness in OTs is an ongoing shared responsibility give, not only to their clients, but also to the seating were reviewed during the workshop; between higher education institutions, profession. There were too many to mention the Goal Attainment Scaling (GAS) and the managers and clinicians. 38 March 2010 Reports.indd 38 23/02/2010 10:46
  • 39. children’s services REPORT If you have waiting lists and are looking for different ways to reduce these, Lois Clockwise from top left: Anne Lawson- Addy told delegates how using an asset- Porter, Marg based approach to service delivery might Dawson and the REPORT clowns help. Delegates heard how the asset-based approach shifts the focus from identifying needs and deficits, to identifying and mobilising strengths. She argued that this approach reduces dependence on professionals such as occupational therapists, it fosters inclusion rather than selected participation and utilises natural leadership. Using an example of providing interventions with school pupils to improve hand writing, Lois described the process from assessing the children’s needs to identifying and using available assets including the school environment, the particular skills of parents, the skills and position of the school staff and they might submit a research proposal for made us all laugh. They brought just the class based learning. ethical review, produce practice guidelines right amount of humour and opportunities Finally, delegates heard from Anne and meet the requirements of the special to reflect to the day in a sensitive and Lawson Porter, then COT head of educational needs statementing process responsive way. A fantastic addition to the education and learning, who brought us without compromising responsibilities to conference. back to ‘Striding into the next decade – are the children and young people. Before I finish, I would particularly like we fit for purpose, fit for practice?’ Anne As always, the conference was supported to mention the fringe meeting for autistic challenged delegates to think about the by an exhibition of equipment stands and a spectrum disorders (ASD). There was an unique skills they provide to children and poster competition. There were overwhelming amount of enthusiasm for young people, about new and emerging opportunities to meet with like-minded the COTSS-CYPF to set up a forum for ASD. opportunities and related this to her own occupational therapists at fringe meetings If you would like to join this forum an email experiences. for COTSS-CYPF forums for acute, neo- network will be set up in the first instance. Throughout the two days there were natal intensive care unit (NICU), managers Please email Helen Williams for more opportunities to focus on service and child and adolescent mental health information at: Helen.williams@cot.co.uk. developments, integrated services, working services (CAMHS). The COTSS-CYPF welcomes new in mainstream schools, and to consider And then there were the social clowns. If members. Information about joining is on occupational therapy for those with specific you thought, as I did, this was a silly idea, the College’s website under COTSS-CYPF: needs such as developmental co-ordination then I have to say, you and I were wrong. www.cot.org.uk. disorders. The clowns brought light-hearted humour For personal development, other at welcome intervals. They were sensitive to ●● Peggy Frost, COT practice development workshops helped delegates consider how the audience, touched on small things and manager. Email: peggy.frost@cot.co.uk March 2010 39 Reports.indd 39 23/02/2010 10:46
  • 40. REPORT practice Healthy lifestyles: Facilitating cycling and occupational therapy group ©South London Press activities Catriona Hutcheson reports from a study day to facilitate group activities for service users with sensory and physical impairment O n Wednesday 21 October 2009, in the beautiful surroundings of the Mill Hotel in New Lanark, OT Catriona Hutcheson and Hazel Ferguson, activity co-ordinator, facilitated a COT study day. The theme of the day was using occupational therapy to facilitate group activities for service users with Lee Roach is promoting cycling as a way of achieving a healthier sensory and physical impairment. The presenters, Kathy Murray, lifestyle for disabled people A occupational therapy assistant, Charlotte REPORT study day, ‘Healthy lifestyles: cycling had been a successful alternative to Macintosh, head occupational therapist, cycling and OT’, took place at busy public transport for someone who had Rab Wilson, creative writing fellow and COT headquarters in London on panic attacks on the train. Barbara Brown, senior occupational 19 January. It was led by Janet Delegates were provided with information therapist, travelled from across Scotland Paske from Wheels for Wellbeing, a charity on a number of grant making bodies and the to share their knowledge and expertise. that supports disabled people to cycle in range of support available to occupational The event was well attended with London. Delegates came from across Britain therapy services wanting to access support or delegates from as far afield as Stoke-on- with a mixture of motivations for attending, financial support to start projects. Sports Trent and North Wales. A mixture of ranging from general interest in cycling to development officers, cycle officers and presentations and practical workshops, wanting to find out how and why they ‘healthy lifestyles’ teams employed by local which included simulation of sensory and should build cycling into their practice. authorities can be useful contacts to make, physical impairment, were well received Those delegates already running projects with knowledge of funding opportunities and wanted to network and expand what they other sport opportunities aimed at people currently do, with a particular emphasis on with special needs. resources for people with physical Ben Whittaker, of Greenerhealthcare, impairment. Janet started from the premise demonstrated how cycling could help meet that everyone can engage in cycling. the legal commitments to reduce CO2 The day covered the wide range of cycles production in the UK, as well as improve available, from trikes and handcycles to public health and particularly help public recumbents. Delegates heard about people bodies including the NHS meet their carbon with partial sight cycling on an athletics reduction plans. track, where they were able to follow the Janet Paske and a number of delegates white lines and so cycle independently. An have joined a group on Linkedin.com open to example was provided of side-by-side cycles BAOT members called ‘cycling in OT’. For where someone can learn to pedal gradually, more information contact Lee Roach on tel: which can lead them to cycle independently, 0207 4505471 or email: lee.roach@cot.co.uk. whether on a trike or bicycle. During the course of the day delegates ●● Lee Roach, COT membership development shared their experiences, for example where officer 40 March 2010 Reports.indd 40 23/02/2010 10:46
  • 41. practice REPORT Promoting the profession throughout Europe Kate Sheehan reports from the autumn COTEC meeting in Sliema, in Malta T he Council of Occupational Therapists for the European by the delegates; 96 per cent rated their Countries (COTEC) was day positively. established in 1986, with the The study day commenced with an purpose of co-ordinating the views of the introduction to groups and group national associations of occupational dynamics, the therapeutic use of creative therapy within Europe. The aim of COTEC writing and adapting group activities. Bill is to enable national OT associations in Horrigan, an art college tutor, joined the Europe to work together to develop, facilitators to offer practical workshops in harmonise and improve standards of the afternoon. Delegates used aids to professional practice and education, as well ●● the COTEC code of ethics has been up simulate the experience of sensory as advance the theory of occupational dated and is free to view on the web site impairment whilst participating in therapy throughout Europe. at: www.cotec-europe.org; creative group activities. COTEC now represents 27 European ●● COTEC met with Malta’s health REPORT The format of the day was highly countries and more than 120,000 OTs. The minister, who agreed to meet and praised, and comments included, ‘...good full council meets twice a year for two days consult with the Maltese Association of mix of presentations and interaction’, and to discuss and co-ordinate the work agreed Occupational Therapists in the future; ‘...found the whole day very interesting in the action plan. Each member association ●● COTEC is looking at a possible formal and educational’. The overall response takes the opportunity to host a meeting and launch into the European Commission from the delegates was overwhelmingly in return we try to meet with the political in 2011 and work is under way to look positive, and virtually every delegate figures within the country to support and at the viability of this project; and reported a positive, enjoyable and promote the role of occupational therapy ●● the ninth COTEC congress is to be held informative experience. locally. between 24 to 27 May 2012 in COT is running another study day In October 2009, we met in Sliema, Stockholm. entitled, ‘Delivering effective groups in Malta, and the following key areas were The council meetings are always busy London’ on 17 March 2010. If you are discussed: and I come home exhausted, but full of interested in attending please contact ●● COTEC has applied to be a member of enthusiasm at the work that COTEC is Beriah Chandoo on tel: 02074505474 or the European Health Forum to meet its achieving. My term of office finishes at the email: beriah.chandoo@cot.co.uk. aim of becoming more visible within the annual general meeting in June 2010, and I European Commission; would encourage any member to apply for ●● Catriona Hutcheson con be contacted at: ●● a draft document on occupational therapy the position. Catriona.Hutcheson@aapct.scot.nhs.uk for active ageing in Europe has been produced, one of many that are hoped to ●● Kate Sheehan, independent OT and raise the profile of occupational therapy delegate in the European countries; ●● the COTEC website is still new and developing, but has been a huge success so far. Further discussions are under way about whether it is viable to have it translated into different languages; COTEC council meeting in Sliema, Malta March 2010 41 Reports.indd 41 23/02/2010 10:46
  • 42. REPORT research and developm e n t The clinical academic excellent advice on what makes a good application, focusing specifically on the doctoral and clinical lectureship levels. training pathway The day closed with a final request from Jo Powell and Ann Deehan, research faculty manager from the Department of Health, for feedback from the delegates to inform the future development of research capacity Elizabeth White reports from the National Institute for Health building schemes. Research Clinical Academic Training Pathway workshop The majority of speakers’ presentation O slides can be shared with members, so if n 20 January, the Research officer from the Department of Health. In you are interested in receiving these, email: Forum for Allied Health focusing on the crucial role that service Tadas.stumbrys@cot.co.uk. Professions (RFAHP) held a managers and clinical supervisors have in workshop to support members creating a supportive culture for research ●● Dr Elizabeth White, COT head of research from across the professions who are activity, Lisa provided a timely reminder to and development, chair of the Research interested in applying for the grant schemes delegates that the policy context does shape Forum for Allied Health available from the National Institute for the priority areas for research. Professions Health Research Clinical Academic Training The morning session ended with a joint Sharing Pathway (NIHR CATP scheme). presentation by Lindsey Hooper a successful information Hosted by COT, some 60 representatives applicant for the 2009 NIHR clinical across boundaries from seven allied health professions doctoral research fellowship and her A national workshop for AHPs, held in attended a lively and informative day. Dr supervisor Dr Cathy Bowen, both from the London in November 2009, reflected on Elizabeth White, COT’s head of research University of Southampton. Their issues relating to improving cross boundary and development and current chair of the presentation focused on submitting a flows of information to improve patient safety, successful application from the service delivery and effectiveness of care. The RFAHP, welcomed members and visitors, report and recommendations from this event will be providing a background to the development perspectives of the applicant and relevant to OTs in leadership roles in England, and to of the CATP and highlighting the crucial the supervisor, and they some extent in Northern Ireland, Scotland and Wales. role that the RFAHP has played in enabling highlighted the need for Many boundaries that can impede information shar- AHPs to access this scheme. rigorous preparation, the need ing are found within the health and social care services in to allow plenty of time to the UK. For example, between professions, care teams, care The first speaker was Jo Powell, a services, care organisations, and countries. REPORT physiotherapist by background, who is now accrue the required Some existing ideas and solutions to improve sharing of involved in running the CATP through her signatures and to practise information include: record standards; datasets; and clinical work for the NIHR Trainees Co-ordinating well if invited for content assurance. The report contains a number of clear Centre. Jo gave an overview of the scheme, interview. recommendations for individuals and the professional bodies The afternoon session and organisations. Representatives are asked to: advising delegates of the remit of the NIHR • consider the work of the Royal College of Physicians and Royal and how the CATP scheme is being funded commenced with a College of General Practice in the next review of professional in addition to the traditional NIHR presentation by Professor care records standards and incrementally move them towards fellowships. Jackie Campbell, integrated standards; She provided useful detail of the four research officer from the • work to accelerate the breakdown of professional boundaries; Society of Chiropodists • promote the message that NHS CFH is looking to share good levels of fully-funded research training that practice and learning across country boundaries; are available – master’s in clinical research, and Podiatrists, who sits • re-visit and reference the Learning to manage health informat- PhD, clinical lectureship and senior clinical on the CATP scheme ics publication to understand and influence the skill develop- lectureship. implementation group ment in under and post graduate education; and The next speaker was Lisa Hughes, a and is an AHP panel • feed back to professional bodies and organisations and use member. Jackie provided professional communication channels to raise the profile of dietician by background and currently AHP the issues and work in progress. Irrespective of the imminent general election there will be changes to the National Programme for IT in England that is progressively improving the information available to support the transformation of care services in England. Improving the quality of patient information, facilitat- ing the sharing of information, and enabling better use of patient information, are all central to further improvements in the planning and delivery of care services in England. The slides presented by the seven speakers and the report of the ‘Crossing boundaries’ workshop, are available at: www.connectingforhealth.nhs.uk/ engagement/clinical/ncls/ahp. 42 March 2010 Reports.indd 42 23/02/2010 10:46
  • 43. social inclusion REPORT Promoting Feedback from the day was overwhelmingly positive. Of those who submitted their evaluation form (n=72) 97 social inclusion per cent reported that they gained new information about social inclusion in Gloucestershire; 94 per cent felt that they had been able to review the progress of social inclusion in Gloucestershire; 93 per in Gloucestershire cent had generated new ideas through participating in the day; 96 per cent had strengthened existing connections with people and a similar figure had developed COT’s patron, The Princess Royal, attended the social inclusion new connections. Perhaps of greatest conference for Gloucestershire in October 2010 importance was that 92 per cent had used G the event to set their own actions to loucestershire’s social inclusion development and delivery and a promote social inclusion into the future. event was held in the presence of representative of 2gether to support. Reflecting on the event, Dr Jane Melton, COT patron, HRH, The Princess 2gether chief executive Shaun Clee said: 2gether’s director for social inclusion and Royal, in October last year, at ‘The conference was not only an consultant occupational therapist said: ‘This Gloucester Rugby Business Centre. Its aim opportunity to publicly sign the social conference was a wonderful occasion, which was to foster a culture of social inclusion inclusion strategy, but marked the celebrated the effort and commitment of n and mental health promotion in beginning of turning that strategy into a many people, over a number of years and n Gloucestershire through the launch of reality. Once in place, we hope that the plan across organisations in Gloucestershire. It is y Gloucestershire’s social inclusion strategy. will make social inclusion the norm within fantastic that occupational therapy REPORT , The event emerged from the leadership our communities not an exception.’ colleagues have embraced the need to focus e Nearly 200 people attended the day. on how communities can support recovery, of Gloucestershire’s Social Inclusion e o Executive Group and was sponsored by Most delegates were from partner integration and inclusion of the individuals NHS Gloucestershire, Gloucestershire organisations in Gloucestershire and a large with mental health challenges. We are really - County Council and 2gether NHS group of service users and carers also grateful to COT and its patron, HRH The n Foundation Trust. participated. Approximately 25 per cent Princess Royal, for supporting the event and e were 2gether staff. Occupational therapists giving it the high profile that it deserved.’ The programme was designed by service f users, in partnership with 2gether NHS from across many organisations took a high l Foundation Trust and partner organisations. profile in the days activities reflecting their ●● For more information visit: r Participants from across stakeholder groups commitment to the social inclusion agenda. www.2getherinclusion.nhs.uk s were invited and the event was a compelling driver for positive change in al al Gloucestershire. ds Keynote speeches were provided by Paddy Cooney, director of the South West ; Development Centre, Sue Baker, director of od Time to Change and Ian Mean, editor-in- t- chief of Gloucestershire Media. On behalf of p- Gloucestershire’s Social Inclusion Executive, Jan Stubbings, chief executive of se NHS Gloucestershire introduced the social of inclusion strategy for Gloucestershire. Suzie e Wild provided the final words from a s service user perspective by reading some o bespoke poetry about social inclusion. . Eight workshops were delivered during - the day, the content of which reflected r r themes of social inclusion. Each workshop e was lead by a different partner organisation, including Gloucestershire County Council, n NHS Gloucestershire, Gloucestershire First, g The Alzheimer’s Society, Job Centre Plus, : / Cotswold District Council, Carer’s Gloucestershire and 2gether NHS Photographed with HRH The Princess Royal are: (left to right) Shanette Bendall (2gether NHS Foundation Trust); Manish Jani (community development worker, 2gether NHS Foundation Trust); Helen Elliot (community matron, Foundation Trust. Each workshop also had 2gether NHS Foundation Trust); Patrick Morris (manager; Gloucester Rugby Business Centre) Olly Morgan service users and carers to guide the (Gloucester RFC Player) March 2010 43 Reports.indd 43 23/02/2010 10:46
  • 44. PROFESSIONAL NETWORKING ©istockphoto.com/Rob Friedman Mini Mental State Use of MOHO in CAMHS Examination I have recently joined a child service, we initially felt that we I currently work in an acute and adolescent mental health may like to focus on a particular medical setting (extended service. This service has never age group (13 to 17 year olds), recovery) and use the Mini had an OT until now and of which some individuals Mental State Examination to alongside another fellow OTs, struggle to engage with therapies screen patients showing signs we have been employed in already offered. As we are within CAMHS. Further to of cognitive impairment. I ‘generic specialist’ roles. Despite starting from scratch and in the this, if anyone has any relevant would like to ask whether any this, we are keen to increase the presence of many therapists with research info/evidence to help practitioners know of other awareness of OT to the other strong professional backgrounds, support us in promoting OT in tools that are quick, easy to practitioners and hopefully we were keen to use a model CAMHS, it would be most begin to develop an OT service. such as MOHO and explore appreciated. We are planning We are interested to hear from MOHO assessment tools that can on facilitating a presentation on other OTs, who may be further enhance our practice. occupational therapy and what ©istockphoto.com adopting MOHO as a model of I have started to look at some it could bring to CAMHS, in a practice. of the tools on the MOHO few months. Due to our very limited website and would welcome any Please contact Claire Dowe resources in developing this feedback on the use of these at: claire.dowe@nwmhp.nhs.uk. administer and score, which I could investigate for use within the acute medical setting? Driving assessment Substance misuse Please contact Simon White, OT, by email: Simon.White@ I have recently started working about how these, and other forum ©istockphoto.com/Guillermo Perales Gonzalez elht.nhs.uk or tel: 01282 as a member of a driving assessment tools, are being used 804113. assessment service and am within this area of clinical interested to find out what is practice. happening within the wider I would like to hear how The ‘Recovery Star’ occupational therapy practitioners and services use NETWORKING approach community with regard to the results of such assessments establishing an individual’s within their decision-making I would be ability or potential to drive. processes and care pathways interested I have become aware of the when identifying someone’s to hear Rookwood Driving Battery and potential to learn, return or from anyone that has the Stroke Drivers Screening continue driving. used the ‘Recovery Star’ with Assessment for patients with Liz Scott-Tatum, OT/ clients. At a multidisciplinary acquired neurological disability, mobility clinician, email: liz. team inpatient rehabilitation and would like to hear more scott-tatum@ntw.nhs.uk. away day, our service discussed ©istockphoto.com adapting this tool for use with We are a group of OTs in the our client base to use with Midlands who meet monthly to other assessments and outcome share good practice, develop measures. knowledge, skills and network, Any information from all with an interest in substance mental health services that use misuse. this tool would be welcome We work in a variety of regarding the pros and cons, settings, including mental particularly from inpatient health and dual diagnosis. We rehabilitation. are looking to recruit new Please contact Ruth Crowley members who would like to at: ruth.crowley@nelft.nhs. meet bi-monthly and ultimately uk. hold a conference event. If you have an interest in this area please contact SallyAnn Please send all professional networking entries to the editor by email or post (see page 3 for contact details) Summers by email: sallyann. clearly marked ‘professional networking’. Letters should be no more than 150 words, including contact summers@nottshc.nhs.uk or tel: details. Please include your BAOT membership number (not for publication). 01636 670600, or Jackie Professional networking requests are published in date order of receipt and there may be a wait due to Quenby at: jackie.quenby@ the number received. We regret that we cannot publish requests from student OTs. nottshc.nhs.uk or tel: 0115 9485505. 44 March 2010 Networking.indd 44 23/02/2010 10:49
  • 45. PROFESSIONAL NETWORKING Pain management OT in chronic pain management Transforming tool I am an occupational therapist using and whether any specific children’s community We are a group of OTs who are working in an outpatient OT outcome measures are equipment and trying to find useful measures chronic pain currently wheelchair services to help in the management of management used. We are part of a scoping group pain in dementia patients. We team in Our team working towards integrating would be interested in hearing Eastbourne is also community equipment and from other OTs who have used and would be interested in wheelchair services for children any tools to help in the very developing a in Kent. If you have experience management of pain with this interested in specific group of this process we would value client group. making links for patients pointers to help us move with other ©istockphoto.com with quickly and positively forward. ©istockphoto.com/ Eduardo Jose Bernardino OTs working fibromyalgia, Please email Gill Crouch at: in this field. to compliment the existing pain Gill.Crouch@kent.gov.uk or I work alongside a management programme, and I Wendy Clarke at: wendy. physiotherapist and a clinical would be keen to hear from clarke2@nhs.net. psychologist providing a group other OTs who work with this ©istockphoto.com programme for individuals with condition, and whether a Please contact Lisa Donnelly long-term pain. I am specific group for fibromyalgia on tel: 0141 201 2446 or email: particularly interested in finding has been developed in other Lisa.Donnelly2@ggc.scot.nhs.uk. out more about the outcome areas. Please contact Rachel measures that other teams are Reid at: rachel.reid@esht.nhs.uk. NETWORKING Using computers OTs in generic mental health posts in practice We would like to hear from OTs working in non-OT specific mental The band six project group at health roles. We are a small group of OTs working in primary the National Hospital for mental health and have felt the Health Professions Council’s audit Neurology and Neurosurgery has highlighted our concerns about maintaining links with the OT (NHNN) is completing a community and professional identity. project on how we, as OTs, now We feel that it would help to share knowledge and ideas with include computers in our daily other OTs in similar roles to enhance networking and development. OTs in specialist practice with patients. We are If you are interested, or know of forums already in place, please education looking at setting up a contact Hazel Close at: hazel.close@tewv.nhs.uk or Jose Williamson We are a group of OTs working designated area for our patients at: jose.williamson@tewv.nhs.uk. at The National Star College, a to use computers with access to residential college for 16 to 24 year olds with physical and Early intervention in psychosis ©istockphoto.com associated learning disabilities. We are a group of occupational suspected mood disorder. We The college is in Cheltenham, therapists working in an early are particularly interested in Gloucestershire, but our intervention in psychosis team. interventions that incorporate students come from all over the We are currently developing a relapse prevention, coping UK, as we are a national care pathway for the young strategies and lifestyle choices. provider. people we work with, who We would be interested to hear We are keen to contact any appropriate equipment and have a diagnosis of bipolar from other OTs working in this other OTs working in a similar develop a protocol, policy and affective disorder or a area. field to provide peer support competencies for computer use Please and share best practice. We are with patients (acute or email Anna particularly interested in rehabilitation). Paterson or identifying assessment tools Do you or other OTs you Roger that are used, either know have a protocol already in Collin at: standardised or non- place for computer use within anna. standardised, and discussing services and how are you paterson@ the role of OT in student addressing the use of computers nwmhp.nhs. transition. with this or other patient uk or roger. Please contact Emma Rose, groups? Please contact Felicity collin@ head OT, at: erose@natstar. Bevell at: felicity.bevell@uclh. nwmhp.nhs. ac.uk or tel: 01242 527631 (ext nhs.uk. uk. 4218). ©istockphoto.com/Chris Price March 2010 45 Networking.indd 45 23/02/2010 10:49
  • 46. PROFILE retired members JILL WILSON Back in my day Retired occupational therapist Jill Wilson reflects on her personal impressions of the profession since qualifying in 1959 I trained at Dorset House School of almost a basketry factory as we cut bases Occupational Therapy from 1956 to from ‘five-by-five’ plywood sheets and sold 1959. The school inhabited Nissen them to other OT departments. huts in the grounds of the Churchill My job was mainly to ensure the Hospital, Oxford. The syllabus included materials were available for those who anatomy, physiology, psychology, general needed them, but also to encourage medicine, psychiatry and occupational patients to find an activity they could therapy applied to physical and enjoy doing, would exercise stiff joints and psychological conditions. have a pleasing end result. Anything that a We had two lectures a day and the rest patient had not managed to do adequately of the time was spent learning a multitude well was undone by me before I went of crafts. We started with one week of cord home, to ensure it was on the right track knotting, followed by calligraphy, book- for continuing the next day. I also binding, spinning (including collecting remember visiting a patient with multiple sheep’s wool from the hedgerow, spinning, sclerosis, as she lay prone on her bed, and plying and dyeing it, using natural dyes) playing chess on a special upright board leatherwork, brush-making, metalwork, for 30 minutes a week. She told me what basketry, stool seating (cord and cane), to do for her turn and I made the moves. rug making, art, card games, indoor After two years I went to Canada and PROFILE activities and physical exercise. obtained a post at Vancouver General We then chose our main subjects – Hospital. I worked on the wards and in the mine were weaving, woodwork and department. Many patients had been embroidery – for six weeks each. We had drunken pedestrians and were confined to one week of touch typing. We had a bed for several weeks in splints, braces 60-minute lesson on ‘how to teach’; but I and slings. One Indian man asked me for a was sent out of the room for inadvertently length of two-by-two pine wood. He being rude so I missed most of that. whittled a totem pole, which he gave me, Our hospital practice started in year and then started to take orders from other one (one week physical, two weeks mental people. health). In the second year we had three In the department we had private practices of three months each; Kings patients with Collis fractures. I was College Hospital, The Maudsley and instructed to assist a lady with the scarf she Bexley for me. In the third year, we had was weaving. In the middle of the morning another three-month practice, but one I was sent off to coffee in the canteen and could leave early when one had completed while I was away, the senior OT changed the required number of hours. While I the instructions I had provided, concerning lived in the nurses’ home at Bexley, I the RoM and positioning I was trying to clocked up many hours playing badminton encourage, which reduced my integrity as a and assisting at dances arranged for the therapist. patients in the evenings, so I only did six I then married and took 10 years off to weeks at St Helier. raise my family. I returned to work in My first post was as a basic grade OT at 1971, after completing a four half days The Royal Hospital and Home for revision course to update me in new Incurables, Putney (£480 per annum). I trends in professional practice. I found a was in charge of the heavy workshop. job in an orthopaedic rehabilitation Many of the patients had been there for hospital for nine hours (£8) a week. I was years and made tooled leather items, instructed to go to a ward to encourage a baskets and wooden objects. We were very elderly lady with severe arthritis with 46 March 2010 Profile.indd 46 23/02/2010 10:48
  • 47. retired members PROFILE ‘We had two lectures a day and the rest of the time was spent learning a multitude of crafts.’ dressing practice – after several weeks we of treatment potential – not for the C21 got nowhere and I eventually realised the perhaps. inappropriateness of the activity; she In 1989, my patients were brought by would have been more activated by a game ambulance from the main hospital to the of dominoes or similar. OT department (before the department Around this time I came across ADL – moved to its new premises). The hospital aids for daily living – something I had not OT saw her elderly orthopaedic patients heard of before. I was asked to take a gradually slowing down while waiting for stocking gutter to a patient who had had a transfer to rehabilitation units and felt hip replacement; the demonstration I they needed stimulation. conducted was the first time I had handled A game of indoor bowls was set up by the device and I had to work out how it the department OT. Leaders were chosen, was used as I went along. teams selected and each patient took turns I spent 15 years working with the to stand and throw a bowl. Walking elderly in day hospitals attached to general frames were permitted for support, and hospitals. We gave out activities to then everyone had to walk down the room stimulate patients into using their limbs to throw the bowls back the other way. PROFILE and minds. One gentleman peddled a Standing up, sitting down, balancing in bicycle, which generated enough standing position, walking and electricity to keep the radio going while he concentration were all required. listened to the racing results. Everyone Stimulation from the group activity was was encouraged to join in with social obvious, patients’ spirits rose and they groups or craftwork. returned to their ward with smiles on their In 1985, I was asked to run the ‘stroke faces chatting away to each other. Only an class’. I went on a one-day course to brush OT trained in the 1950s could have had up my knowledge of neurology. I learnt the nerve to organise that one. about perception – vision (colour, space/ By the 1990s patient choice and health location, shape), hearing, proprioception, and safety were buzz words. In the stroke sensations of touch, smell – and deficits – class (1980s) we had always ensured each agnosia, neglect (inattention, patient was transferred from their loungy hemikinesia), perseveration etc. I then wheelchair to an upright chair with threw out all my college textbooks on correct cushion and footstool to suit each applied occupational therapy – I knew I individual; the even posture aimed for had a lot to learn to catch up with modern would reduce spasticity and reduce pain. methods of treatment. Suddenly Bobath treatments and By now, games had superseded techniques went out of fashion. Patients craftwork. Patients did not stay in hospital refused to be manhandled from their long enough to do ‘activities’ but wheelchairs, it appeared. Luckily this stimulation and encouragement in elderly OT retired 12 years ago, but not increasing muscle tone, stamina, before she had made an inroad into the concentration and ’ joie de vie’ were treatment of hyperventilation through possible. The game of dominoes should relaxation and mindfulness. never be underestimated – from selecting the correct box, emptying it on the table, Reference taking turns to choose seven pieces each, Wilson, Jill (1997) Hyperventilation: A condition ‘begging for deciding who has double six, recognition’. British Journal of Occupational Therapy, concentration, selecting a suitable piece, 60(12): 537-538 ©istockphoto.com/ Stuart Pitkin taking correct turns and returning the pieces tidily to the box. Playing the game standing up, at a high ●● Jill Wilson (nee Thomson), head OT, Royal surface, on a wall for arm extension Surrey County Hospital, Guildford, Surrey 1991 practice, on the floor with large pieces or to 1997. Jill qualified in 1959 and retired in selecting with sticks made for a wide range 1997 March 2010 47 Profile.indd 47 23/02/2010 10:48
  • 48. N231 Do you want to help shape the research future of the profession? N218 The Research and Development Board is seeking a new member to join the Board from June 2010. All you need is a strong interest or experience in one or more of the following areas so that you can contribute to forthcoming R&D work priorities: • understanding of the R&D policy contexts in the UK; • strategic leadership, partnership and profile; • engaging with members and promoting relevant research opportunities; • building research capacity to increase our evidence base for practice; and • eHealth and knowledge management. The Board meets three times a year (usually February, May and November) for whole day meetings in London. Travelling expenses are reimbursed. In between meetings, Board business is conducted electronically. There is a three-year term of office. Board membership offers an excellent CPD opportunity and enables BAOT members to undertake a variety of activities on behalf of the College. These include representing the board at conferences and meetings, contributing to publications and events and commenting on consultation documents related to research, information management and library services. It is the responsibility of the Board to advise Council on policy and to give a strategic steer to the work of the Research and Development Group. If you are interested in shaping the work of the Board then contact Lesley Gleaves, R&D administrator, on tel: 0207 450 2323 for an information pack. The deadline for nominations is Friday 30 April. N214 N219 48 March 2010 Recruitment.indd 48 23/02/2010 10:03
  • 49. Recruitment The advertising For more tel: 020 7450 2341 Classified deadline for OTN is the 14th of the information fax: 020 7450 2350 scc rates: month preceding. on advertising email: advertising@ Full display £43 Later entries may please contact cot.co.uk Courses £23 be accepted by Katy Eggleton arrangement with the Advertising Manager. N222 The Ealing Paediatric Occupational Therapy Service, managed by Sidney Chu, has a national reputation for providing high quality and innovative services and is looking to recruit: Clinical Specialist Paediatric Occupational Therapist Ref: 686-1798 Salary: £42,252 - £49,852 inc. (Band 8a) Location: Carmelita House, W5 and/or other locations Advanced Paediatric Occupational Therapist Ref: 686-1803 Salary: £34,045 - £43,529 inc. (Band 7) Location: John Chilton School in Northolt and/or other locations The Ealing Paediatric Occupational Therapy Service is an integral part of the Ealing Service for Children with Additional Needs (ESCAN) which integrates different health, education and social services for children. We are looking for two team players who have good communication skills, service development skills and practical experience in multi-disciplinary and interagency collaboration. The Band 8a postholder will need to have specialist clinical skills in working with young children with different special needs and lead the development of service in this area. The Band 7 postholder will need to have relevant clinical experience in working with children with physical disabilities and other conditions. If you would like to talk to somebody about this vacancy then please contact Sidney Chu, Paediatric Occupational Therapy Service Manager on 020 8825 8766 or email sidney.chu@nhs.net For a full description and to make an online application please go to www.jobs.nhs.uk and enter the reference number. Closing date: 25 March 2010 We are an equal opportunities employer. www.ealing.nhs.uk Ealing, Queen of the Suburbs March 2010 49 Recruitment.indd 49 23/02/2010 10:03
  • 50. N221 N225 50 March 2010 Recruitment.indd 50 23/02/2010 10:03
  • 51. Your professional body… it’s simply indispensable Learn “CPD lies at the heart of good practice. Turn your dreams into plans to map your future. Tap into a range of e-learning resources and discover the range of OT courses and conferences to enhance your development.” Zoe Parker, Education Manager, Lifelong Learning N226 www.BAOT.org.uk www.cot.org.uk N224 N227 March 2010 51 Recruitment.indd 51 23/02/2010 10:03
  • 52. N215 N213 South Yorkshire Centre for Inclusive Living Occupational Therapist 37 hours per week £23’491 ~ £26’543 per annum SYCIL is a Registered Charity based in Doncaster. You will be part of a vibrant & committed staff team who provide a comprehensive range of services aimed at maximizing, achieving and maintaining independ- ence for Disabled People. Working within SYCIL’s Independent Living Unit you will be responsible for the provision of Occupational Therapy assessments, identifying and compiling comprehensive plans of support to maintain or increase a service user’s independence; work with the team to develop SYCIL’s Independent living Unit & OT services. You will be responsible for the supervision of SYCIL’s Basic Grade OT and any students that may from time to time be on work placement with SYCIL. We offer a supportive working environment, regular supervision and opportunities for CPD. The successful candidate will be able to demonstrate: • Recognised professional qualification in Occupational Therapy or Physiotherapy • Working knowledge of issues around independent living • Good assessment & organisational skills • Experience of health & social care policy / local & national agendas as they relate to Disabled People • Experience of working in partnership with other VCO’s & statutory authorities • Experience of delivering on time and meeting targets • Vision • Articulate & persuasive Closing date for applications (No CV’s) either hard copy or email is 17:00 Friday 26th March 2010. For an application pack contact, Lynette Trepte: Tel; 01302 892949 Fax; 01302 885023 Email; lynette.t@sycil.org Packs also available from; www.sycil.org SYCIL, M & M Business Park, Doncaster Road, Kirk Sandall, Doncaster DN3 1HR. Charity No. 1065630 Become a fan www.facebook.com/baotcot Dorset County Council N216 Occupational Therapist Ferndown £28,636 - £33,661 Ref: 60012057 The Physical Disability team is a dynamic and supportive team of Occupational Therapists and Social Workers. You will have a varied and stimulating caseload, with full supervision and support. We offer flexible working and access to appropriate training. We have positive relationships with our colleagues in housing and the PCT. You will carry out assessments and provision of equipment and adaptations to people of all ages. As a team we also carry out manual handling risk assessments. Closing date: 1 April 2010 www.dorsetforyou.com/jobs We value diversity and welcome applications from all parts of the community. N223 Improving the quality of life for people in Dorset, now and for the future 52 March 2010 Recruitment.indd 52 23/02/2010 10:03
  • 53. N220 N217 Want to reach our 29,000 members? N205 tel: 020 7450 2341 or email: advertising@cot.co.uk March 2010 53 Recruitment.indd 53 23/02/2010 10:03
  • 54. N228 N229 Don’t throw your money down the drain! BJOT and OTN offer you exceptional Subscription value for money, giving you the biggest coverage to enquiries? 28,000 Occupational Therapists Contact the Membership in the UK. Department 020 7450 2348 Along with recruitment in the magazines we also provide you with FREE online advertising Easy online ordering N210 to provide you with the best selection of candidates. WHY USE ANYTHING ELSE? www www.nrs-uk.co.uk New On-line Catalogue Available NOW N206 Over 3500 Aids for Daily Living O OT Product Advisory Service 48 Hour Delivery * Tel: 0845 121 8111 T * *Standard delivery time for stocked items email: customerservice@nrs-uk.co.uk custom 54 March 2010 Recruitment.indd 54 23/02/2010 11:29
  • 55. CPD registration and post-graduate the course of intervention. It focuses curricula seeking to share practical on setting, documenting and solutions for embedding leadership in evaluating goals that are client Events the curriculum and will identify centred and uses the WHO future actions for all those involved International Classification of in the leadership and development of Functioning as a guiding framework. the profession. Cost: BAOT members: Available in-service as well. Course £90, non-members: £120. Contact: ref: SP10. Cost: £308 + £46.20 VAT = For further information on advertising your email: caroline.grant@cot.co.uk, tel: £354.20. Venue: London. Contact: course or event please contact Katy Eggleton on tel: 020 7450 2341 or email: advertising@ 020 7450 2300. info@harrisontraining.co.uk; tel: 01225 cot.co.uk. Visit: www.cot.org.uk 309333, www.harrisontraining.co.uk 17 March, 2010 4 March 2010 COT event Delivering effective groups 24 March 2010 Specialist seating, posture and 10 March 2010 Study day and workshop event Understanding how to implement pressure relief study days Masterclass Occupational therapists and OT the COPM into practice Edinburgh Obesity management and health support workers regularly use groups Harrison training Throughout 2010 CareFlex is promotion in forensic settings to deliver services and enhance the This course focuses on developing holding free of charge study days for COT, London therapeutic experience. This study the expertise of the occupational healthcare professionals in various This masterclass addresses an issue day and workshop event will therapist to support the use of the locations across the UK. There will be that is high on the political and NHS highlight the benefits of using Canadian Occupational Performance two sessions provided on the day; agenda that OTs are in a prime groups, the development of specialist Measure (COPM) in their practice. session one being an introduction to position to influence. Participants groups, ideas on how to overcome It explores the evidence base for the specialist seating including: an will have the opportunity to examine barriers and practical afternoon measure, the occupational informative chair set-up and pressure the challenges of working with workshops to consolidate learning. performance process model, and relief presentation, a full mental health service users who are The day will be invaluable to OT refining skills in implementing the demonstration of the CareFlex at risk of developing secondary support workers and technicians as COPM as an assessment and seating range, a Q&A session and the illnesses due to their lifestyle choices. well as OTs who are wanting to outcome measure. Course ref: SP4. opportunity to try all the CareFlex It will focus on strategies to help find increase their knowledge and skills in Cost: £172 + £25.80 VAT = £197.80. chairs. Session two is for those tangible solutions and achievable running effective group sessions. Venue: London. Contact: admin@ wishing to extend their knowledge to outcomes for change and Venue: COT, HQ London. Cost: harrisontraining.co.uk, tel: 01225 gain an advanced appreciation of members: £50, non-members: £90. 309333, www.harrisontraining.co.uk CPD EVENTS development in practice. Attendance specialist seating. A certificate of is limited to 30 delegates. Venue: Contact: Beriah Chandoo, Senior attendance and notes of the College of Occupational Therapists, Membership Officer, tel: 020 7450 presentation will be sent to all 5474, email: beriah.chandoo@cot.co.uk 25 March 2010 London. Cost: BAOT members: £120, How does your engine run? The delegates. Refreshments and buffet non-members: £160. Contact: email: lunch will be provided. For full event COT event alert program for self-regulation katalin.webster@cot.co.uk, tel: 020 SI Network UK and Ireland Ltd details visit: www.careflex.co.uk/ 7450 2337. 22 March 2010 seatingstudydays. Times: Session one: The Alert Program assists children SEN statements and tribunals: 10am – 12pm, session two: 1pm – who have learning difficulties and RESEARCH FOUNDATION EVENT The science, legalities, and ethics 3pm. Contact details: tel: 0800 0186 attention problems (as well as typical 11 March 2010 COT, London 440. Email: enquiries@careflex.co.uk. children) to understand the basic UK Occupational Therapy Research This event is for OTs working with Venue: March 18 – Northampton, theory of sensory integration related Foundation: Outcome measures and children who contribute to SEN March 23 – Carmarthen, May 4 – to arousal states. Through the effective practice statutory assessments and tribunals in Reading/Slough, May 18 – program, children learn strategies COT, London all settings. Providing factual Manchester, May 20 – Swindon. that enhance their abilities to learn, This event is aimed at OTs and other information on the legal framework Cost: Free. interact with others, and work or AHPs who wish to develop their to enable OTs to understand the play and learn to monitor their level knowledge of outcome measures and process. The day will review the of alertness, improve in self-esteem effective practice. Participants will impact of writing reports and explore Series of training seminars and self-confidence. Suitable for hear from several experts on how the practical and ethical dilemmas beginning 8 March teachers, parents, carers and health outcome measures can be used for OTs face. The day will be led by a Seating matters WHY? and social care support workers. practice, research, service evaluation barrister with experience in education Seating Matters Limited Venue: Berkhamsted, Herts, HP4 and service commissioning purposes. law and tribunals. Topics included Martina Tierney is the company 1HE. Cost: BAOT members £320 and Delegates will learn how to develop legal process, legal case analysis, clinical advisor and occupational £25 for course handbook, non- skills in selecting and appraising writing reports for statement therapist. The training will members £345. Contact: Info@ outcome measures and how using contributions and evidence for increase the awareness on the sensoryintegration.org.uk outcome measures will routinely tribunals, perspective of a tribunal importance of individual demonstrate the effectiveness of their panel member, educational need, assessment for clients with practice. Venue: COT, London. Cost: professional obligations. Venue: COT 25 March 2010 complex postural needs. Martina members: £75, non-members: £110. London. Cost: members: £125, non- Personalisation, transforming will assist the delegates to identify Contact: email: caroline.grant@cot. members: £145. Contact: Clare community equipment services their top four goals of seating co.uk, tel: 020 7450 2300. Leggett, tel: 020 7450 23345, email: (TCES) and the law – A Michael assessment and improve the Clare.Leggett@cot.co.uk Mandelstam course in Leeds delegate’s ability to match products COT event with clients needs. Delegates will Disability North 16 March 2010 The course is in response to benefit from Martina’s wide 22 – 23 March 2010 Blueprint for the future: leadership government proposals regarding ranging experience of being an OT Goal setting in interdisciplinary of the profession – educator event radical future changes to the way in and a chair designer. Venue: rehabilitation: evaluating client- COT, London which social care and community various venues throughout the UK. centred outcomes This leadership event is for OT equipment is provided. The Cost: Free. Contact: Martina on Harrison Training academics and educators. It will potential effect on all – service tel: 028 777 666 24. Designed to enable health and social explore the role education has in the users, local authorities, NHS Trusts care teams to implement a goal- development and support of the and professionals – is considerable. oriented outcome evaluation system profession’s leaders of the future. The This course will give an overview of that clearly identifies meaningful day will consider both the pre- the proposed changes, identify the outcomes that clients achieve over March 2010 55 CPD events_March.indd 55 23/02/2010 10:39
  • 56. legal implications, highlight COT event 15 April 2010 Course ref: PC01. Cost: £172 +VAT possible professional implications 29 March 2010 Bariatric workshop – advanced level (one day) or £308 +VAT (two day). and provide an opportunity to raise Introduction to the professional DLF Venue: London. Contact: info@ and discuss issues/concerns in network Essential for anyone who may work harrisontraining.co.uk; tel: 01225 relation to practice. Venue: The COT, London with people weighing over 191 kg 309333, www.harrisontraining.co.uk Carriageworks, 3 Millennium The content relates to (30 stone), including hospital and Square, Leeds, LS2 3AD. Cost: £110 communication level three, and community nurses, occupational and (plus VAT). Contact: Kevin Wright physiotherapists, nursing home, day 19 April 2010 personal and people development tel: 0191 284 0480, email: events@ care and ambulance staff. This fully Grab rail workshop level two of the knowledge and skills disabilitynorth.org.uk, website: www. participatory workshop will address DLF framework. Tools for providing disabilitynorth.org.uk case studies sent in prior to the A five hour session on choice, use, leadership and increasing the profile course, where possible. The day positioning and measuring for grab of the profession, opportunities for includes a theoretical overview of rails which will cover bathroom, networking, questions and answers. 26 March 2010 bariatrics, demonstration of toilet stairs and doors. The course Venue: John Harvard Library, Fatigue management for people equipment, and practical hands-on will involve practical workshops and Borough High Street, London. Cost: with multiple sclerosis sessions involving a bariatric model. will increase confidence for all staff Free to all members active in BAOT/ SSNP Oxford and London Regional Venue: 380-384 Harrow Road, who work in the community when COT. Contact: Olivia Lokko, Group London W9 2HU. Cost: £180 + assessing clients. Venue: 380-384 Membership Development Team This is a practical workshop using an VAT. Contact: louise.evans@dlf.org. Harrow Road, London W9 2HU. Secretary, olivia.lokko@cot.co.uk, tel: evidence based approach for uk, tel: 020 7432 8010. Cost: £100 + VAT. Contact: louise. 0207 450 2368. occupational therapists. Teaching by evans@dlf.org.uk, 020 7432 8010. Sarah Daniels and Pip Wilford, COT event occupational therapists from the 30 – 31 March 2010 15 April 2010 National Hospital for Neurology and 19 – 21 April 2010 Parkinson’s disease – latest Introduction to the professional Neurosurgery, London. Please return Understanding sensory processing evidence and Interventions network application form and cheque payment disorders Harrison Training COT, Edinburgh to: Alison Bragg, Head OT, Oxford SI Network UK and Ireland Ltd These are ‘stand alone’ days or The content relates to Centre for Enablement, Windmill Sensory processing disorders affect available as a consecutive, two day communication level three, and Road, Oxford, OX3 7LD. Cheques attention, learning and activities of course. The first day will present the personal and people development should be made payable to: COT daily living. Suitable for teachers latest research and theories related to level two of the knowledge and skills Specialist Section Neurological parents carers support workers and Parkinson’s Disease (PD), and framework. Tools for providing Practice. Venue: Oxford Centre for therapists this course introduces an introduce techniques and strategies leadership and increasing the profile Enablement. Cost: £64 (£22 for SSNP understanding of sensory processing that OTs can use with their clients in of the profession, opportunities for members). Contact: alison.bragg@noc. and strategies that therapists trained everyday practice. The second day networking, questions and answers. nhs.uk, tel: (01865)737382. in SI may use when working with will cover the less understood Venue: Edinburgh – TBC. Cost: Free individuals with SPD – poor attention problems associated with PD but to all members active in BAOT/COT. and focus, co-ordination difficulties which can have a significant impact Contact: Olivia Lokko, Membership 25 – 26 March 2010 and challenging behaviours and on functional performance and daily Development Team Secretary, olivia. CPD EVENTS Goal setting in occupational addresses the needs of those who are life. Practical interventions and lokko@cot.co.uk, tel: 0207 450 2368. therapy: evaluating client-centred supporting the individual alongside a strategies for improved management outcomes suitably qualified therapist. Venue: will be gained from attendance. Harrison Training 16 April 2010 Berkhamsted, Herts, HP4 1HE. Cost: Course ref: PD1/PD2. Cost: £172 This course focuses on developing COT Disability Forum: networking BAOT-members £350, non-members +VAT (one day) or £308 +VAT (two the expertise and confidence in and learning event £375. Contact: Info@ day). Venue: Newcastle. Contact: using an outcome evaluation and The Disability Forum sensoryintegration.org.uk info@harrisontraining.co.uk; tel: 01225 documentation process for The University of East Anglia, 309333, www.harrisontraining.co.uk occupational therapy interventions. Norwich, is hosting a networking The focus is on setting and 20 – 22 April 2010 and learning event with measuring client-centred, NAIDEX 14, 15 and 16 April 2010 presentations focusing on the occupation-based goals within your National Exhibition Centre, Housing adaptation and design experiences of students with practice setting. Course ref: SP2. Birmingham courses disabilities in the educational setting Cost: £308 + £46.20 VAT = £354.20. Visit the COT on stand F190 at this These courses offer exciting and practice placement education. Venue: London. Contact: info@ year’s exhibition. Naidex is the opportunities to learn more about The afternoon will be focused on harrisontraining.co.uk; tel: 01225 biggest and best opportunity to test, essential housing issues for older discussions and networking, giving 309333, www.harrisontraining.co.uk touch and compare the latest and disabled people. They explore delegates the opportunity to products and services to aid key design and adaptation influence the future direction of the independent living. The exhibition principles relating to the following: Disability Forum. Venue: The 29 March 2010 also includes a CPD clinic and a full 14 April: reading and using plans/ Queen’s Building, School of Allied Embracing conflict programme of seminars aimed at ramp assessment and design. 15 Health Professions, University of Harrison Training healthcare professionals. See www. April: kitchen design/accessible East Anglia, Norwich NR4 7TJ. Cost: This is an essential training day for naidex.co.uk for more information. lifts. 16 April: bathroom adaptation £10. Contact: j.hibberd@uea.ac.uk those interested in reducing the cost and design. Training is provided by of conflict, improving TSA Training & Access 30 April 2010 communication and enhancing 19 April 2010 Consultancy. For course outlines, Manual handling refresher course relationships. The approach used Working well in palliative care – an fees etc, please contact Trish for independent practitioners (Conversational Riffs) is innovative, introduction Sweeney, TSA Training & Access Therapy Learning Ltd highly practical, and easily adopted. Harrison Training Consultancy. Tel: 07909 582491, Update your knowledge: A highly useful workshop that has This day will provide an introduction email: trish.tsa@btinternet.com, incorporating legislation, theory and application in wide variety of to the concept of palliative care and website: www.tsaconsultancy.com practical elements; high risk moves; professional and personal situations. the role of occupational therapy Course ref: M4. Cost: £172 + £25.80 care handling versus therapeutic within it. Using case studies and VAT = £197.80. Venue: London. handling and hands on practice with relevant examples from participants’ Contact: admin@harrisontraining. work settings equipment. As a sole own practice, the contribution of co.uk, tel: 01225 309333, www. trader, employer or employee it is occupational therapy within this harrisontraining.co.uk your responsibility under the Health specialist area will be demonstrated. 56 March 2010 CPD events_March.indd 56 23/02/2010 10:39
  • 57. and Safety at Work Act 1974; 14 May 2010 understanding record keeping and fail; the key therapy skills that Management of H&S at Work The OT Factor tax; differences between sole traders significantly increase client Regulations 1999 and Manual BAOT Eastern Regional Group and limited/unlimited companies; engagement in treatment; what really Handling Operations Regulations Presenters include students from what can/cannot be offset against tax; strengthens behaviour change over 1992, to make use of appropriate UEA, staff from Essex University, insight into procedure for Inland time?; the major cognitive strengths equipment provided in accordance clinicians and motivational speaker, Revenue Inquiry – dispel all fears. nearly all clients retain, and how to with training and make ongoing Mike Brace, Vision 2020. This event Queries answered throughout the use these to greatly improve client individual risk assessments. 15 is to illustrate that whatever the day. The tax offset gained from recall and learning. Venue: QEII places. Venue: Disabilities Living diversity of the intervention, there is attending this course is an investment Hospital, Welwyn Garden City, Centre, Nottingham. Cost: £105 always the ‘OT Factor’ – a must for into your future. Testimonial: ‘an Herts. Cost: £250 (Places only before 18 March 2010, £135 all OT staff. Attendance is limited to informative and hugely valuable day’. secured with full payment) available thereafter. Closing date: 15 April 100 delegates. Closing date: 23 April All details at www.therapylearning.co. only to COT-SSNP membership 2010. Contact: vivienne@therapy 2010 for more information please uk. Cost: £105 before 8 April 2010, £250. Contact: Leonie Winstanley, learning.co.uk, 01159 250910, www. contact Hazel Fox/Jackie Feltwell – £135 thereafter. Closing date: 6 May leonie.winstanley@nhs.net, therapylearning.co.uk 01245 318899). To book a place 2010. Contact: vivienne@ tel: 01438 781 075. contact: fshep@essex.ac.uk. Venue: therapylearning.co.uk, 01159 250910. Stansted Hilton, Essex. Cost: BAOT 4 – 7 May 2010 members £30, non members £50, 9 June 2010 World Federation of Occupational students £20. 20 – 21 May, 2010 Inclusive adaptations Therapists 15th World Congress 5th annual Birmingham autism The Training Exchange Study Days (WFOT 2010) conference Objective – to enable OTs and related Santiago, Chile 18 May 2010 Autism Awareness Centre Inc. and professions to have an understanding The 15th WFOT World Congress Seating are we getting it right? Autism West Midlands of adapting homes looking at the focuses on contemporary COTSS – Children Young People Marc Serruys – Autism and perspectives of sight loss, deafness perspectives in occupational therapy and Families Wessex Region Vulnerability; David Ariss – My life and learning disability. A unique one and occupational science. Congress Expand and update your knowledge with autism and Paula Aquilla, OT – day course using practical workshops participants will participate in on children’s seating. The study day The role of sensory processing in and case studies to promote stimulating reflective dialogue about includes sessions on best practice in learning, behaviour and activities of understanding. The speakers include their practice and personal contexts children’s seating, seating assessment daily life. Venue: Ramada Hotel and a profoundly deaf architect and a as well as the emerging evidence and prescription, outcome measures Resort, Penns Lane, Walmley, Sutton registered blind retired OT. Providing which distinguishes Latin American and presentation of two seating Coldfield, West Midlands. Cost: an invaluable insight into their practice. Cost: Please contact research studies. Facilitated by Clare BAOT members: £180 one day; £265 personal experiences combined with CPD EVENTS organisers. Contact details: tel: +61 2 Wright from Leckey, and David two days, non members: £125 one their professional backgrounds. For 8251 0045, email: wfot2010@wfot. Porter Oxford Brookes University. day; £175 two days. Contact: Ian further information, email Sue org, website: www.wfot.org/wfot2010/ Venue: Ashurst Education Centre. Carty, ianc@autismwestmidlands.org. Harrod, email: s.harrod@btinternet. Cost £10 members, £20 non uk, tel: 0121 450 7576, fax: 0121 450 com, tel 01647 24627. COT event members. Lunch not provided. 7581, www.autismawarenesscentre.org 5 May 2010 Contact: cheryl.honeycombe@wehct. nhs.uk. 21 to 23 June 2010 Masterclass 20 – 21 May 2010 Understanding and managing Occupational therapy for adult Sensory defensiveness: A children with cerebral palsy and acquired apraxia 19 – 20 May 2010 comprehensive treatment approach related conditions Nottingham Building solutions Avanti Education sponsored by Kid Power Therapy and Training Co. Ltd This masterclass will be facilitated The Training Exchange Study Days Fairplay Practice Ltd Course Instructor: Dr Sidney Chu. by Thérèse Jackson, consultant OT Objective - to enable OTs and Patricia and Julia Wilbarger present This course is specifically designed working in stroke services for the related professions to have an this workshop. It includes the latest for paediatric therapists and other NHS in Scotland. It is intended to understanding of adapting homes. research findings and clinical professionals who work with children provide an up-to-date review of the Reading plans; measuring and practice. Participants learn methods with cerebral palsy in different evidence which informs current best drawing scaled sketches. Effective of assessment and the specific multi- settings. After completion of the practice for this client group and team work in the building process. dimensional treatment approach that course, participants will be able to delegates will be able to bring issues Understanding planning. has permitted dramatic changes in understand the contemporary and experiences from practice to Construction – building types; many sensory defensiveness approaches in the assessment and discuss with the group and with an drainage and plumbing – inspection behaviours. Treatment labs include management of children with expert practitioner. It will be limited and assessment – key rules. Access/ training in the correct application of a different types of cerebral palsy. This to 30 delegates. Venue: East space standards in kitchens, deep pressure and proprioceptive course is focus on the application of Midlands Conference Centre, bathrooms, bedroom etc in detail, technique – therapressure program. neurodevelopment treatment and Nottingham. Cost: BAOT members: plus legislation. Using case studies, Applied clinically for paediatric, adult 24-hour postural management £120, non-members: £160. Contact: practical workshops, interactive physical dysfunction and psychiatry. programme. Venue: St. Andrew’s email: katalin.webster@cot.co.uk, tel: sessions. A comprehensive two-day Venue: The Mermaid, Blackfriars, Church Centre, Mount Park Road, 020 7450 2337. course providing an 80-page London. Cost: £450. Contact: Sandra Ealing W5 2RS. Cost: £390. Contact: resource pack .A foundation course de Wet, tel: 01892513659, mob: email: kid.power@btinternet.com, 7 May 2010 for new and experienced staff. Used 07889363419 or email: sandra@ website: wwwkidpower.webs.com (no Hoist and sling assessment and for OT staff induction by many fairplay.bbmax.co.uk dot after www) problem solving Authorities over the last 11 years. DLF For further information contact Sue Harrod, email: s.harrod@btinternet. 7 -– 8 June 2010 24 June (pm only) and 25 June, 22 A comprehensive one day course com, tel: 01647 24627. Motivational interviewing a two July (pm only) and 23 July, 26 August covering many of the ‘frequently day introduction (pm only) and 27 August 2010 asked questions’ including: choice, COT-SSNP North Thames Region British Bobath Tutors Association compatibility and postural 20 May 2010 The training will be facilitated by Dr (BBTA) introductory modules for assessment, a documented sling Essential tax issues for independent David Manchester who is a occupational therapists assessment process and design of practitioners consultant neuropsychologist and National Hospital for Neurology hoist system layouts. Venue: 380-384 Therapy Learning Ltd clinical psychologist. Learning and Neurosurgery Harrow Road, London W9 2HU. Aimed at independent practitioners outcomes: why traditional approaches Modules consist of theoretical and Cost: £100 + VAT. Contact: louise. starting out or settled in business: to increasing client motivation often practical sessions and patient evans@dlf.org.uk, tel: 020 7432 8010. March 2010 57 CPD events_March.indd 57 23/02/2010 10:39
  • 58. demonstrations. The normal Work AGM. Venue: Nottingham up to date, in-depth two day course housing; paediatrics; older people; movement module is a prerequisite University, Jubillee Campus, on DFG policy/practice and stress management; vocational for the basic bobath course. Study Nottingham. Cost: To be confirmed. legislation using cases and examples rehabilitation, palliative care, Days x three modules – module one Contact: mandykelly@yahoo.com to aid understanding of a very paediatrics, and leadership. Contact ‘What is normal movement?, module complex area. Day one – The DFG us to discuss your training needs two ‘Assessment and treatment of process – Understanding the latest and/or budget on info@ adults with neurological conditions 13 to 16 July; 21 and 22 October legislation and how best to use it. harrisontraining.co.uk or (Part A) Module three ‘Assessment 2010 + one additional day Looking at new and innovative tel: 01225 309333. and treatment of adults with Sensory attachment intervention systems. Debating case studies. neurological conditions (Part B)’. Adoptionplus Limited Day two – Assessing for DFGs – what Venue: National Hospital for Eadaoin Bhreathnach will present is necessary and appropriate. Courses in Housing Adaptation Neurology and Neurosurgery. Cost: this course which will be an Translating the need into a and Design £450. Contact: Christine Stephens- integrative approach to self regulation specification. Working with other TSA Training & Access Consultancy Volante, tel: 0845 1 555 000 x and co regulation. It will include the professionals (our responsibilities/ TSA delivers in-house training to 723476, christine.stephens-volante@ process of sensory regulation, sensory their responsibilities) Presenting a occupational therapists and other uclh.nhs.uk, fax: 020 7692 2425. discrimination, regulation of arousal successful case to panel. For further housing professionals throughout the states, and attachment. It is designed information email: Sue Harrod, UK and Republic of Ireland. Courses for OTs working in child and s.harrod@btinternet.com, tel: 01647 cover a wide range of topics 30 June – 1 July 2010 adolescent mental health and 24627. including bathroom adaptation and Workplace disability management paediatrics. Emphasis will be on design, kitchens, ramps, lifts, and vocational rehabilitation theory based analysis and practice. Training Providers wheelchair housing standards, COTSS – Work Therapists will be taught the use of Harrison Training Disabled Facilities Grants, reading Save the date. An outstanding profiles, assessment charts and Harrison Training provides a wide and using plans, and technical opportunity over two days for new treatment techniques. Venue: range of courses, CPD, and training considerations involved in adaptation learning, debate and professional Adoptionplus, Moulsoe Business opportunities for occupational work. Varying levels of skills and networking, targeting both OT VR Centre, Cranfield Road, Moulsoe, therapists, multidisciplinary teams, knowledge catered for. TSA also experts and up-and-coming VR Near Milton Keynes MK16 0FJ. Cost: health and social care workers. Also holds scheduled training courses at practitioners. Highlights include: £600 + VAT. Contact: Pat Gibson, tel: consultancy services, eg, developing venues throughout the UK that keynote speech from Lord Freud; 01908 218251, email: pat.gibson@ vocational rehabilitation pathways individuals can attend. For training four hour VR training taster session; adoptionplus.co.uk for services. In-house training is a packs, costs or just a discussion, international academic debate about cost-effective option, current please contact Trish Sweeney, TSA the future of VR; up to 14 VR courses or bespoke, for your own Training & Access Consultancy, tel: workshops featuring brain injury, 2 – 3 November 2010 07909-582491, email: trish.tsa@ staff and/or to offer external places. mental health, orthopaedic injury, DFGs Fresh thinking in policy and btinternet.com Courses offered in areas such as: amputation including employer and practice neurological rehabilitation; learning Nuvo bathlift advert:Layout employee perspectives. Also: dinner, The Training Exchange Study Days 1 1 16/2/10 11:51 Page disability; mental health; CPD accomodation, awards and COTSS – Objectives – to provide OTs with an record keeping; environment and CPD EVENTS N209 For Easier Bathing Bath Lift NEW Visit Us at Designed to offer the best experience for Naidex Sta clients, carers and equipment providers. nd Developed by the award winning Product Development Team of Nottingham Rehab Supplies No. B200 � Slimline design for high level of legroom & immersion � Recline or Upright with low seat height – only 60mm � Tilting seat offers secure seating position and reduces shear � High backrest for good head support and body posture � Lightweight modular design for easy portability and storage � Heaviest component only 5.8kg � Single sucker release mechanism � Powerful performance -15 lifts from fully charged battery � Ergonomically designed handset � Maximum user weight 147kg / 23st See the Nottingham Rehab www.nrs-uk.co.uk Supplies catalogue for our full exclusive range Tel: 0845 121 8111 Nottingham Rehab Supplies, Clinitron House, Excelsior Road, Ashby de la Zouch, LE65 1JG. England NuvoTM is the registered trade mark of Nottingham Rehab Ltd. 58 March 2010 CPD events_March.indd 58 23/02/2010 10:39
  • 59. N204 June 2009 59 CPD events_March.indd 59 23/02/2010 10:39
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