Occupational therapists can provide significant benefits and cost savings within reablement programs. Their training allows them to personalize reablement services based on an individual's medical, physical, and psychological needs. Multiple studies show that occupational therapist involvement leads to reduced home care needs, improved outcomes for patients, and healthcare cost reductions of up to 50%. If local authorities want to achieve the best results and cost benefits from reablement, they need to involve occupational therapists and their specialized skills.
This document discusses occupational therapy initiatives to help people with disabilities and mental health issues find and maintain employment. It describes programs like Individual Placement Support that help people find competitive jobs and the Acute Care Job Clinic that assists those receiving mental health treatment to retain their current jobs. The document also discusses the benefits of work for recovery and presents case studies of individuals who found employment through these programs.
The document discusses reablement, a service model that aims to help older people regain independence through daily living skills. It proposes establishing reablement teams in localities, each consisting of an occupational therapist and support workers. A pilot in two localities saw 82% of referrals accepted, and 59% of users discharged with no ongoing support needed after an average of 9.85 days. User feedback praised the staff as caring, supportive and helpful in regaining independence. The goal is to continue expanding reablement services across localities.
This document provides information about Glasgow City Council's telecare services. It defines telecare as using telecommunications to remotely deliver care services to people in their homes. The basic telecare system includes an alarm unit and pendant that connects people to a response center for assistance. Additional devices monitor for specific risks like seizures or falls. Over 15,000 people have basic systems, while 3,000 have enhanced systems with movement sensors. The response center handles over 50,000 emergency calls per month. Social workers currently refer clients for extra devices. Future plans include staff training and new assessment tools.
The document discusses guidance from the College of Occupational Therapists on the specialist learning disability occupational therapy role. It outlines principles for occupational therapy services for adults with learning disabilities, including that they should provide services related to how a learning disability affects occupational performance. It also discusses current issues like pressure on occupational therapists to provide both minor and major adaptations. Recommendations include developing close working relationships with mainstream services to facilitate access. The document also summarizes new Scottish guidance on equipment and adaptations provision and implications for occupational therapy, including identifying assessors and developing specialist roles in major adaptations.
The Health Employers Association of BC (HEABC) provides a broad range of services to member organizations.This talk will outline a number of the programs and services provided.Topics touched on will include collective bargaining, joint benefit trusts, health human resource planning and knowledge management. Time for questions from the audience will also be available.
Presented by: Michael McMillan, CEO HEABC
What your organisation needs to know about personal health budgets, communica...CharityComms
Jaimee Lewis, Think Local, Act Personal
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
The document discusses transforming adult social care services to improve customer experiences and outcomes while achieving cost savings. It proposes an integrated approach across local government, health and the third sector with a focus on collaboration, community engagement, reablement and prevention. Reablement is highlighted as a way to reduce costs and support independent living through regaining individual abilities and confidence. The benefits are outlined as improved quality of life, savings on health and social care spending, and meeting the needs of an aging population.
1) The National Primary Care Collaborative (NPCC) in the UK brought together over 2000 primary care practices serving 11.5 million patients to improve care through collaborative learning workshops and action periods. Significant improvements were achieved such as a 60% reduction in wait times to see a GP.
2) A collaborative strategy involves bringing providers together through learning workshops separated by action periods where practices test changes, share results, and learn from each other's experiences. The goal is rapid spread of improvements to other practices.
3) An Australian Primary Care Collaborative (APCC) could help address challenges in applying evidence to patient care in Australia through skill development in quality improvement methods for primary care practitioners. Differences from the
This document discusses occupational therapy initiatives to help people with disabilities and mental health issues find and maintain employment. It describes programs like Individual Placement Support that help people find competitive jobs and the Acute Care Job Clinic that assists those receiving mental health treatment to retain their current jobs. The document also discusses the benefits of work for recovery and presents case studies of individuals who found employment through these programs.
The document discusses reablement, a service model that aims to help older people regain independence through daily living skills. It proposes establishing reablement teams in localities, each consisting of an occupational therapist and support workers. A pilot in two localities saw 82% of referrals accepted, and 59% of users discharged with no ongoing support needed after an average of 9.85 days. User feedback praised the staff as caring, supportive and helpful in regaining independence. The goal is to continue expanding reablement services across localities.
This document provides information about Glasgow City Council's telecare services. It defines telecare as using telecommunications to remotely deliver care services to people in their homes. The basic telecare system includes an alarm unit and pendant that connects people to a response center for assistance. Additional devices monitor for specific risks like seizures or falls. Over 15,000 people have basic systems, while 3,000 have enhanced systems with movement sensors. The response center handles over 50,000 emergency calls per month. Social workers currently refer clients for extra devices. Future plans include staff training and new assessment tools.
The document discusses guidance from the College of Occupational Therapists on the specialist learning disability occupational therapy role. It outlines principles for occupational therapy services for adults with learning disabilities, including that they should provide services related to how a learning disability affects occupational performance. It also discusses current issues like pressure on occupational therapists to provide both minor and major adaptations. Recommendations include developing close working relationships with mainstream services to facilitate access. The document also summarizes new Scottish guidance on equipment and adaptations provision and implications for occupational therapy, including identifying assessors and developing specialist roles in major adaptations.
The Health Employers Association of BC (HEABC) provides a broad range of services to member organizations.This talk will outline a number of the programs and services provided.Topics touched on will include collective bargaining, joint benefit trusts, health human resource planning and knowledge management. Time for questions from the audience will also be available.
Presented by: Michael McMillan, CEO HEABC
What your organisation needs to know about personal health budgets, communica...CharityComms
Jaimee Lewis, Think Local, Act Personal
Changing the game: positioning your charity to succeed in the new health service market conference
www.charitycomms.org.uk/events
The document discusses transforming adult social care services to improve customer experiences and outcomes while achieving cost savings. It proposes an integrated approach across local government, health and the third sector with a focus on collaboration, community engagement, reablement and prevention. Reablement is highlighted as a way to reduce costs and support independent living through regaining individual abilities and confidence. The benefits are outlined as improved quality of life, savings on health and social care spending, and meeting the needs of an aging population.
1) The National Primary Care Collaborative (NPCC) in the UK brought together over 2000 primary care practices serving 11.5 million patients to improve care through collaborative learning workshops and action periods. Significant improvements were achieved such as a 60% reduction in wait times to see a GP.
2) A collaborative strategy involves bringing providers together through learning workshops separated by action periods where practices test changes, share results, and learn from each other's experiences. The goal is rapid spread of improvements to other practices.
3) An Australian Primary Care Collaborative (APCC) could help address challenges in applying evidence to patient care in Australia through skill development in quality improvement methods for primary care practitioners. Differences from the
North Tyneside NHS Tripartite primary care strategy v1 7Minney org Ltd
North Tyneside developed a Primary Care Strategy which represents the future of community and GP-led healthcare in the area, covering 215,000 population.
Our objective is to enhance the health and happiness of our population, which we'll do by improving appropriate access to Primary Care (GPs etc); expanding the range of clinics and services you can receive in primary care, improving specialist support, and maximising Prevention and Self-Management.
This document is endorsed by the three main organisations - the GP Federation (TyneHealth - for General Practitioners/ Family physicians); Clinical Commissioning Group CCG, and Local Medical Committee LMC
This project aims to address mental health inequalities and integrate a non-medical mental health model into primary care settings. It will do this by influencing how GPs discuss mental health with patients and providing access to needs assessments. The goals are to integrate the model into primary care over 12 months, evaluate the impact on patients, staff and services, and disseminate the learnings. Outcomes could include improved mental health, reduced health service use, and more equitable care. The needs assessment approach targets practical problems that contribute to distress and limit recovery.
The document summarizes a social action fund in the UK called the Reducing Pressures on Hospitals Fund. The fund aims to [1] mobilize volunteers to provide support services that reduce demands on hospitals, [2] test existing local volunteer-based approaches across 7 pilot sites, and [3] provide rapid response funding to 30 additional areas. Initial results found that over 500 volunteers were mobilized across the pilot sites, supporting over 6,300 people and leveraging over £1 million in additional local funding. Lessons learned emphasized the importance of securing early buy-in from local leaders, clearly defining volunteer roles, and tailoring services to local needs and assets.
The Role And Value Of Primary Care Practiceprimary
This document summarizes discussions from a 2002 conference on building consensus for healthcare reform in Canada. It includes summaries of two presentations:
1. Marie-Dominique Beaulieu's presentation on the role and value of primary care. She defines primary care and argues for strengthening it in Canada. She calls for changes like developing primary care teams with nurses and better information systems.
2. Howard Bergman's presentation in which he argues for strengthening and transforming primary care as the foundation of the healthcare system. He calls for an evidence-based approach and investing in primary care to improve health outcomes. Both agree comprehensive reform is needed, not just changes to primary care itself.
The document discusses the current high demand for urgent and emergency care services in the UK healthcare system. It notes there are over 100 million calls or visits to urgent and emergency services annually, placing strain on the system. It proposes developing community-based integrated care as an alternative to reducing pressure on hospitals. This would involve coordinating various services like general practice, nursing, social care, and hospitals to provide more coordinated care outside of the hospital setting. It also discusses challenges in implementing such a system, like payment reforms, information sharing across organizations, establishing measures of an integrated system, and shifting some workforce skills to this new model of care.
Here are the key steps in the Model for Improvement:
1. Form a team who are familiar with the process that needs improvement.
2. Establish clear and measurable aims for the process using a specific time frame.
3. Select changes that you think will result in an improvement.
4. Use PDSA cycles to test changes on a small scale. Plan the test, Do it, Study the results, Act on what is learned. Cycles can be as small as 1 test patient.
5. Implement changes that work on a broader scale, and continue to use PDSA cycles to evaluate impact and guide further improvement.
6. Continuously measure to ensure improvements are sustained over time
This document provides information and resources to support self-management of long-term conditions in Scotland. It discusses 10 approaches to improving self-management, including empowering people to have more control over their care, promoting better mental health and wellbeing, enabling better access to information and support, developing care plans, supporting medication management, using telehealth, supporting carers, commissioning self-management resources, using patient records, and training staff. For each approach, examples of relevant projects and contacts for additional information are provided. The overall aim is to enhance patient outcomes and experiences by promoting self-management.
North Tyneside NHS Tripartite primary care strategyMinney org Ltd
This document proposes a new primary care strategy for North Tyneside that is clinician-led and collaborative. It involves redesigning access to primary care through virtual hubs and extended teams, integrating specialist support into the community, and focusing on prevention and self-management. The strategy aims to improve access, care coordination, and financial sustainability of the local healthcare system while maintaining the strengths of general practice.
PPL on behalf of West London Alliance- Integrated health and social care hosp...RuthEvansPEN
The West London Alliance Integrated Hospital Discharge Programme aims to integrate health and social care teams during the transition of hospital discharge. Key aspects of the new model include social workers joining multi-disciplinary team meetings on wards, streamlined discharge pathways across the region, and co-located local authority teams at hospital sites to allow early identification of social care needs. The programme adopted a co-design approach involving stakeholders to develop standardized processes and assessments. This improved coordination of care and reduced delays for patients like Charlie. Evaluation found improved patient experience outcomes and rates of earlier discharge from hospital. Next steps involve expanding the integrated model across more sites and specialties.
PPL on behalf of West London Alliance- Integrated health and social care hosp...RuthEvansPEN
The document describes a new integrated hospital discharge programme between West London health and social care providers. It discusses:
- Co-locating social workers in hospitals to join discharge planning meetings and allow early identification of social care needs.
- Streamlining discharge pathways across the region to provide a consistent approach for residents being discharged from any hospital.
- Engaging stakeholders including frontline staff, patients, and leaders through co-design and co-production to shape the new model of care.
- The new model focuses on early discharge planning, interdisciplinary working, a single assessment approach, and clear pathways to reduce delays and duplication.
West London Alliance- Integrated health and social care hospital transfer of ...RuthEvansPEN
The document describes a new integrated hospital discharge programme between West London health and social care providers. It discusses:
- Co-locating social workers in hospitals to join discharge planning meetings and allow early identification of social care needs.
- Streamlining discharge pathways across the region to provide a consistent approach for residents being discharged from any hospital.
- Engaging stakeholders including frontline staff, patients, and leaders through co-design and co-production to shape the new model of care.
- The new model focuses on early discharge planning, interdisciplinary working, a single assessment approach, and clear pathways to reduce delays and duplication.
Dr Leon Le Roux - Introducing the framework for community mental health suppo...Innovation Agency
Presentation by Dr Leon Le Roux, Clinical Director/ Consultant Psychiatrist, Lancashire Care NHS Foundation Trust: Introducing the framework for community mental health support, care & treatment on Wednesday 13 March at Haydock Park Racecourse.
Improving Sustainability of BC's Home and Community Care SystemBCCPA
This document outlines priorities and focus areas for community health and care work in Island Health, which serves over 767,000 people in British Columbia. It discusses the Ministry of Health context, including initiatives like patient medical homes and specialized community programs. It then provides an overview of Island Health, noting the aging population and higher rates of chronic conditions compared to the rest of BC. The priorities for community health and care work are establishing primary care homes, strengthening community health services, enrolling those at risk or rising risk, and strengthening linkages across the system. Areas of focus under each priority are described in detail.
This document summarizes the plans for transforming mental health services over a 3 year period. In year 1, enhanced primary care services, psychiatric liaison, memory services, early access teams, community recovery teams, and a transition team will be implemented. Years 2 and 3 will focus on reviewing remaining services and implementing changes to acute inpatient services, home treatment, ECT, rehabilitation, day services, and services for specific conditions and groups. The transformation aims to improve access, integration, recovery-focused care, and standardize practices across the mental health services according to a new model.
QIPP end of life care event report - Great practice showcase – Birmingham (28 February 2012) - 05 September 2011
The Midlands and East QIPP end of life care great practice showcase event was held in February 2012. It brought together over 80 commissioners, end of life care managers and clinical staff to learn more about the tools and resources available to meet the QIPP challenge at end of life.
The event report summarises the key learning from the day, including an overview of presentations, links for further information on marketplace exhibitors and good practice case studies looking at:
Find your 1% campaign
e-Learning for care homes in the East of England
Time to Talk initiative across NHS East Midlands
The use of mobile working devices for Birmingham hospice staff.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
The document is the first annual report from the Health Results Team, which was created by the Minister of Health and Long-Term Care to improve patient access to healthcare in Ontario. The report details progress made in the first year to transform the healthcare system through initiatives like establishing Local Health Integration Networks, reducing wait times, implementing Family Health Teams, and improving information management. The Health Results Team worked across the healthcare community and achieved many milestones to deliver on the vision of creating a more integrated, sustainable, and patient-centered healthcare system.
Perspectives from northern ireland – development of bereavement care standard...Irish Hospice Foundation
This document discusses the development of bereavement care standards and the bereavement coordinator role in Northern Ireland. It summarizes the key events and initiatives that have improved bereavement care, including audits that identified areas for improvement, the creation of bereavement care standards and networks, and the role of bereavement coordinators in implementing strategies. It highlights ongoing work to further develop bereavement care and support through training, resources, and continued collaboration between organizations.
Our team is a highly experienced team with a long history of working with clients in the health sector. Our cross functional team of health specialists includes clinicians and technical experts located across Australia. Contact details are provided for several key specialists located in different states.
The document proposes developing an occupational therapy outreach service for elderly patients being discharged from medical assessment wards. Research shows elderly patients are often unprepared for discharge and lack communication between health services. The outreach program aims to facilitate smooth transitions, reduce readmissions, and relieve hospital bed pressures through home-based rehabilitation and empowering patients. Outcomes would be measured through tools like the Barthel Index to evaluate the program's effectiveness.
This document provides information on interventions that can help health systems achieve cost savings while delivering better quality care. It outlines eight high impact interventions that were identified from a literature review. For each intervention, it provides a summary case study, details of additional case studies, how the intervention impacts quality ambitions, and information on implementation. The eight interventions are: early diagnosis, reducing variability in primary care, self-management programs, telehealth/telecare, case management, rapid assessment of mental health, improving dementia care pathways, and palliative care.
North Tyneside NHS Tripartite primary care strategy v1 7Minney org Ltd
North Tyneside developed a Primary Care Strategy which represents the future of community and GP-led healthcare in the area, covering 215,000 population.
Our objective is to enhance the health and happiness of our population, which we'll do by improving appropriate access to Primary Care (GPs etc); expanding the range of clinics and services you can receive in primary care, improving specialist support, and maximising Prevention and Self-Management.
This document is endorsed by the three main organisations - the GP Federation (TyneHealth - for General Practitioners/ Family physicians); Clinical Commissioning Group CCG, and Local Medical Committee LMC
This project aims to address mental health inequalities and integrate a non-medical mental health model into primary care settings. It will do this by influencing how GPs discuss mental health with patients and providing access to needs assessments. The goals are to integrate the model into primary care over 12 months, evaluate the impact on patients, staff and services, and disseminate the learnings. Outcomes could include improved mental health, reduced health service use, and more equitable care. The needs assessment approach targets practical problems that contribute to distress and limit recovery.
The document summarizes a social action fund in the UK called the Reducing Pressures on Hospitals Fund. The fund aims to [1] mobilize volunteers to provide support services that reduce demands on hospitals, [2] test existing local volunteer-based approaches across 7 pilot sites, and [3] provide rapid response funding to 30 additional areas. Initial results found that over 500 volunteers were mobilized across the pilot sites, supporting over 6,300 people and leveraging over £1 million in additional local funding. Lessons learned emphasized the importance of securing early buy-in from local leaders, clearly defining volunteer roles, and tailoring services to local needs and assets.
The Role And Value Of Primary Care Practiceprimary
This document summarizes discussions from a 2002 conference on building consensus for healthcare reform in Canada. It includes summaries of two presentations:
1. Marie-Dominique Beaulieu's presentation on the role and value of primary care. She defines primary care and argues for strengthening it in Canada. She calls for changes like developing primary care teams with nurses and better information systems.
2. Howard Bergman's presentation in which he argues for strengthening and transforming primary care as the foundation of the healthcare system. He calls for an evidence-based approach and investing in primary care to improve health outcomes. Both agree comprehensive reform is needed, not just changes to primary care itself.
The document discusses the current high demand for urgent and emergency care services in the UK healthcare system. It notes there are over 100 million calls or visits to urgent and emergency services annually, placing strain on the system. It proposes developing community-based integrated care as an alternative to reducing pressure on hospitals. This would involve coordinating various services like general practice, nursing, social care, and hospitals to provide more coordinated care outside of the hospital setting. It also discusses challenges in implementing such a system, like payment reforms, information sharing across organizations, establishing measures of an integrated system, and shifting some workforce skills to this new model of care.
Here are the key steps in the Model for Improvement:
1. Form a team who are familiar with the process that needs improvement.
2. Establish clear and measurable aims for the process using a specific time frame.
3. Select changes that you think will result in an improvement.
4. Use PDSA cycles to test changes on a small scale. Plan the test, Do it, Study the results, Act on what is learned. Cycles can be as small as 1 test patient.
5. Implement changes that work on a broader scale, and continue to use PDSA cycles to evaluate impact and guide further improvement.
6. Continuously measure to ensure improvements are sustained over time
This document provides information and resources to support self-management of long-term conditions in Scotland. It discusses 10 approaches to improving self-management, including empowering people to have more control over their care, promoting better mental health and wellbeing, enabling better access to information and support, developing care plans, supporting medication management, using telehealth, supporting carers, commissioning self-management resources, using patient records, and training staff. For each approach, examples of relevant projects and contacts for additional information are provided. The overall aim is to enhance patient outcomes and experiences by promoting self-management.
North Tyneside NHS Tripartite primary care strategyMinney org Ltd
This document proposes a new primary care strategy for North Tyneside that is clinician-led and collaborative. It involves redesigning access to primary care through virtual hubs and extended teams, integrating specialist support into the community, and focusing on prevention and self-management. The strategy aims to improve access, care coordination, and financial sustainability of the local healthcare system while maintaining the strengths of general practice.
PPL on behalf of West London Alliance- Integrated health and social care hosp...RuthEvansPEN
The West London Alliance Integrated Hospital Discharge Programme aims to integrate health and social care teams during the transition of hospital discharge. Key aspects of the new model include social workers joining multi-disciplinary team meetings on wards, streamlined discharge pathways across the region, and co-located local authority teams at hospital sites to allow early identification of social care needs. The programme adopted a co-design approach involving stakeholders to develop standardized processes and assessments. This improved coordination of care and reduced delays for patients like Charlie. Evaluation found improved patient experience outcomes and rates of earlier discharge from hospital. Next steps involve expanding the integrated model across more sites and specialties.
PPL on behalf of West London Alliance- Integrated health and social care hosp...RuthEvansPEN
The document describes a new integrated hospital discharge programme between West London health and social care providers. It discusses:
- Co-locating social workers in hospitals to join discharge planning meetings and allow early identification of social care needs.
- Streamlining discharge pathways across the region to provide a consistent approach for residents being discharged from any hospital.
- Engaging stakeholders including frontline staff, patients, and leaders through co-design and co-production to shape the new model of care.
- The new model focuses on early discharge planning, interdisciplinary working, a single assessment approach, and clear pathways to reduce delays and duplication.
West London Alliance- Integrated health and social care hospital transfer of ...RuthEvansPEN
The document describes a new integrated hospital discharge programme between West London health and social care providers. It discusses:
- Co-locating social workers in hospitals to join discharge planning meetings and allow early identification of social care needs.
- Streamlining discharge pathways across the region to provide a consistent approach for residents being discharged from any hospital.
- Engaging stakeholders including frontline staff, patients, and leaders through co-design and co-production to shape the new model of care.
- The new model focuses on early discharge planning, interdisciplinary working, a single assessment approach, and clear pathways to reduce delays and duplication.
Dr Leon Le Roux - Introducing the framework for community mental health suppo...Innovation Agency
Presentation by Dr Leon Le Roux, Clinical Director/ Consultant Psychiatrist, Lancashire Care NHS Foundation Trust: Introducing the framework for community mental health support, care & treatment on Wednesday 13 March at Haydock Park Racecourse.
Improving Sustainability of BC's Home and Community Care SystemBCCPA
This document outlines priorities and focus areas for community health and care work in Island Health, which serves over 767,000 people in British Columbia. It discusses the Ministry of Health context, including initiatives like patient medical homes and specialized community programs. It then provides an overview of Island Health, noting the aging population and higher rates of chronic conditions compared to the rest of BC. The priorities for community health and care work are establishing primary care homes, strengthening community health services, enrolling those at risk or rising risk, and strengthening linkages across the system. Areas of focus under each priority are described in detail.
This document summarizes the plans for transforming mental health services over a 3 year period. In year 1, enhanced primary care services, psychiatric liaison, memory services, early access teams, community recovery teams, and a transition team will be implemented. Years 2 and 3 will focus on reviewing remaining services and implementing changes to acute inpatient services, home treatment, ECT, rehabilitation, day services, and services for specific conditions and groups. The transformation aims to improve access, integration, recovery-focused care, and standardize practices across the mental health services according to a new model.
QIPP end of life care event report - Great practice showcase – Birmingham (28 February 2012) - 05 September 2011
The Midlands and East QIPP end of life care great practice showcase event was held in February 2012. It brought together over 80 commissioners, end of life care managers and clinical staff to learn more about the tools and resources available to meet the QIPP challenge at end of life.
The event report summarises the key learning from the day, including an overview of presentations, links for further information on marketplace exhibitors and good practice case studies looking at:
Find your 1% campaign
e-Learning for care homes in the East of England
Time to Talk initiative across NHS East Midlands
The use of mobile working devices for Birmingham hospice staff.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
The document is the first annual report from the Health Results Team, which was created by the Minister of Health and Long-Term Care to improve patient access to healthcare in Ontario. The report details progress made in the first year to transform the healthcare system through initiatives like establishing Local Health Integration Networks, reducing wait times, implementing Family Health Teams, and improving information management. The Health Results Team worked across the healthcare community and achieved many milestones to deliver on the vision of creating a more integrated, sustainable, and patient-centered healthcare system.
Perspectives from northern ireland – development of bereavement care standard...Irish Hospice Foundation
This document discusses the development of bereavement care standards and the bereavement coordinator role in Northern Ireland. It summarizes the key events and initiatives that have improved bereavement care, including audits that identified areas for improvement, the creation of bereavement care standards and networks, and the role of bereavement coordinators in implementing strategies. It highlights ongoing work to further develop bereavement care and support through training, resources, and continued collaboration between organizations.
Our team is a highly experienced team with a long history of working with clients in the health sector. Our cross functional team of health specialists includes clinicians and technical experts located across Australia. Contact details are provided for several key specialists located in different states.
The document proposes developing an occupational therapy outreach service for elderly patients being discharged from medical assessment wards. Research shows elderly patients are often unprepared for discharge and lack communication between health services. The outreach program aims to facilitate smooth transitions, reduce readmissions, and relieve hospital bed pressures through home-based rehabilitation and empowering patients. Outcomes would be measured through tools like the Barthel Index to evaluate the program's effectiveness.
This document provides information on interventions that can help health systems achieve cost savings while delivering better quality care. It outlines eight high impact interventions that were identified from a literature review. For each intervention, it provides a summary case study, details of additional case studies, how the intervention impacts quality ambitions, and information on implementation. The eight interventions are: early diagnosis, reducing variability in primary care, self-management programs, telehealth/telecare, case management, rapid assessment of mental health, improving dementia care pathways, and palliative care.
Evaluation of IC initiatives - challenges, approaches and evaluation of Engla...Sax Institute
This presentation from Nicholas Mays, Professor of Health Policy, Director, Policy Innovation Research Unit, Department of Health Services Research & Policy focuses on the challenges, approaches and evaluation of England's Pioneers.
This document discusses health technology assessment (HTA) and commissioning in the English NHS, with a focus on general practitioners (GPs). It provides background on HTA, which evaluates the clinical effectiveness and cost-effectiveness of health interventions. It also discusses key elements of the 2010 NHS reform plan and the history of GP commissioning in England since the 1990s, including GP fundholding schemes that gave GPs budgets to purchase some services. Evaluation found GPs were able to improve primary care and develop alternatives to hospital care, but faced challenges shifting resources from hospitals.
This document discusses end of life care and provides definitions and guiding principles. It notes that end of life care aims to help those with advanced illnesses live as well as possible until death, through management of pain and other symptoms as well as psychological, social, spiritual and practical support for both patients and families. The document also outlines key policies and guidance related to end of life care in the UK, and discusses considerations around strategic planning, community engagement, and positioning an organization to provide high quality end of life care services.
NHS Improving Quality undertook a scoping exercise of rehabilitation services, which included:
Identification of the different practice models illustrated through case studies looking at integrated models of adult rehabilitation service provision
A high level baseline mapping exercise of the current availability of adult rehabilitation services across England.
NHS Improving Quality also assisted in capturing the views from key stakeholders by supporting and facilitating a series of stakeholder engagement events hosted by NHS England.These events aimed to develop and agree principles and expectations to underpin high quality rehabilitation services.
19 August 2011 - National End of Life Care Programme
This guide identifies a number of key environmental principles to help improve privacy and dignity for patients and relatives.
These principles can help to support the bereaved, whose memories live on once their loved one has died.
Publication by the National End of Life Programme which became part of NHS Improving Quality in May 2013
Jacquie White, Deputy Director of NHS England Long Term Conditions, Older People & End of Life Care and Claire Cordeaux SIMUL8 Executive Director for Health & Social Care were invited by Centers for Medicare & Medicaid Services to discuss how NHS England work in chronic disease.
Joan Saddler: Implications for putting patients and the public firstNuffield Trust
The document discusses the implications of NHS reforms for patient and public engagement and outlines three key points:
1) The reforms emphasize patient-led care and involvement of patient experience in quality measures and GP commissioning will require effective public engagement.
2) Mandatory engagement requirements may cause tension with discretionary powers and consortia will be legally required to involve and consult patients.
3) Understanding patient priorities from surveys and improving patient-centered care can boost outcomes, but sustaining change requires long-term cultural shifts more than quick fixes.
3.1 - Progress on implementing primary care homesNHS England
1) The Primary Care Home (PCH) model brings together health and social care professionals from various organizations to provide enhanced personalized care focused on the needs of the local community.
2) Core characteristics of the PCH include whole population health management, a multidisciplinary workforce based on community needs, and aligned financial and clinical drivers to improve population outcomes.
3) Evaluations of PCH sites found improvements in A&E attendance and admissions, GP referrals, prescribing costs, staff satisfaction, and population health indicators like flu vaccinations.
The joint commissioning strategy aims to promote the use of assistive technology to support personalised outcomes over 2012-2017. Based on consultation with practitioners, carers, and those receiving support, the strategy identified that while assistive technology can help independence and quality of life, understanding and access to assistive technology needs improving. The strategy prioritizes enhancing quality of life through greater awareness and choice of assistive technology options, and delaying the need for care through identifying and sharing information on new assistive technology developments. Progress will be monitored based on improved knowledge of assistive technology and trends in referrals, surveys, and practitioners being informed of new developments.
This document outlines 10 high impact changes for improving mental health services based on evidence from service redesign initiatives across the UK. The changes are:
1. Treat home-based care as the norm.
2. Improve access to screening and assessment across health and social care.
3. Manage variation in service user discharge processes.
4. Manage variation in access to all mental health services.
5. Avoid unnecessary contact and provide necessary contact in the right setting.
6. Increase reliability of interventions by designing evidence-based care influenced by service users.
7. Apply a systematic approach to enable recovery for people with long-term conditions.
8. Improve service user
Webinar slides: Personal health budgets and mental health: Getting ready and ...In-Control Partnerships
Personal Health Budgets for Mental Health discusses personal health budgets, which allocate NHS resources for individuals to manage their own healthcare. The document summarizes findings from a national pilot program that found personal health budgets improved quality of life and were more cost effective than conventional services. It describes a new mental health demonstrator program to implement personal health budgets sustainably in the NHS. Key challenges include allocating resources to individuals, unlocking money from existing contracts, and achieving necessary culture changes to support more patient choice and control.
This document outlines a vision for improving community-based physiotherapy services after stroke in England. It summarizes the results of surveys of 1,160 stroke survivors and physiotherapy staff. The vision proposes: 1) Universal NHS access to physiotherapy for all who need it, 2) An end to fragmented transitions to community care, 3) Individually tailored services meeting personal needs, and 4) Recognition of carers' vital roles. Implementing the 11 recommendations could improve lives after stroke, enhance service quality, and reduce long-term costs.
The presentation was a workshop at Evolve 2014: the annual event for the voluntary sector in London on Monday 16 June 2014.
The presentation was chaired by Shane Brennan, from Age Concern Kingston and looks at the changing context of public service commissioning.
Find out more about the Evolve Conference from NCVO: http://www.ncvo.org.uk/training-and-events/evolve-conference
Find out more about NCVO's work on volunteering: http://www.ncvo.org.uk/practical-support/volunteering
Universal Health Coverage (UHC) Day 12.12.14, NepalDeepak Karki
This presentation is made on the first ever Universal Health Coverage (UHC) Day 12.12.14 celebration in Nepal by Nepal Health Economics Association (NHEA).
1) The document describes a project to implement an Early Supported Discharge (ESD) service for patients with mild to moderate stroke in New Zealand to provide specialist rehabilitation at home rather than in the hospital.
2) An evaluation found the ESD service reduced average hospital length of stay by 16 days, achieved comparable functional improvements to inpatient rehabilitation, and had a 99.5% patient satisfaction rate.
3) The ESD service successfully shifted post-stroke rehabilitation from the hospital to the home, providing benefits to both patients and the healthcare system.
Occupational therapists work to improve health and wellbeing by helping people engage in meaningful activities. They support people in adapting activities as needs change over life. Occupational therapists in Colchester aim to reduce hospital admissions and reliance on formal care through proactive, person-centered conversations to connect people to appropriate support networks. Evaluation found these efforts increased clients' confidence, choice and ability to manage their own care while reducing costs compared to traditional assessments. Occupational therapists are well-positioned to help integrate health and social care as outlined in the Five Year Forward View through their holistic, non-boundary focused approach.
Guidance for commissioners of rehabilitation servicesJCP MH
This guide is about the commissioning of good quality mental health interventions and services for people with complex and longer term problems to support them in their recovery.
This document summarizes an economic assessment of a cognitive behavioral therapy (CBT) service provided to employees of Cardiff Council in Wales who were experiencing stress, anxiety, or depression. Over three years, 141 employees were referred to the service. Of those, 77 were deemed likely to benefit from CBT and 51 completed CBT treatment. The economic assessment found that the costs of setting up and running the CBT service were offset by reductions in sick leave days and associated costs. Providing CBT in the workplace improved employee health and productivity while reducing costs for the employer.
A large amount of specialist occupational therapy equipment was being returned to stores without being used due to a lack of expertise among store staff. An occupational therapy technical instructor was appointed to establish an equipment recycling service to maximize recycling. The project aimed to improve communication between occupational therapy and equipment services staff and reduce costs by improving the efficient use and recycling of returned specialist equipment.
This document describes an occupational therapy visual screening tool developed for use in a stroke unit. It provides a brief history of the tool's development and outlines the screening process. An audit of the tool found it identified visual problems in patients, guided appropriate referrals, and provided benefits to patients and occupational therapists by streamlining the screening and intervention process. Future plans include re-auditing the tool, expanding its education and use, and gathering feedback to further improve visual screening for stroke patients.
The Home-Based Memory Rehabilitation Programme (for persons with mild Alzheimer’s disease and other dementias)
Mary McGrath, Advanced Clinical Specialist Occupational Therapist
Memory Clinic, Belfast City Hospital
The slideshow introduces the British Association and College of Occupational Therapists (BAOT/COT), the professional body and trade union for occupational therapists in the UK. It discusses the structure and roles of the BAOT and COT. The BAOT/COT sets educational requirements, standards for practice, and provides resources like professional indemnity and journals for members. Members can influence the organization through councils, boards, committees, and special interest sections. The slideshow provides information on decision making processes and resources available to members.
This application form requests information for a lifelong learning grant such as the applicant's name, address, membership number, course details, cost, and relevance to practice. The applicant must explain how the course will benefit their clients, themselves, their employer, and the profession. They also must agree to write a minimum 500-word report for a regional newsletter within 4 weeks of the event.
Green care uses nature-based activities to promote health and well-being. It has a long history dating back to the 13th century where farms and gardens were used to care for those with mental illnesses. While hospital farms declined in the mid-20th century due to new drug treatments, various nature-based therapies have since developed and consolidated, including horticultural therapy, care farming, animal-assisted therapy, and ecotherapy. Green care provides benefits such as social inclusion, structure, identity and attention restoration through experiences with and activities in nature.
The document summarizes background information on healthcare inequalities faced by people with learning disabilities. It then outlines the work of the "Getting it Right" group, which aims to improve healthcare professionals' ability to treat people with learning disabilities. The group is made up of various organizations and produces guidance on communicating effectively with people with learning disabilities and understanding their rights. It concludes by mentioning an update on challenging behavior.
The document discusses making healthcare more environmentally sustainable. It notes that climate change causes significant harm and economic losses worldwide. The document calls for occupational therapists to help make the NHS carbon footprint smaller by using more sustainable transportation, virtual meetings, and electronic records. Occupational therapists are also encouraged to support service users in environmentally-friendly activities like community gardening, composting, recycling, and using more sustainable modes of transportation.
This document summarizes a workshop on ICT services for people with learning disabilities presented by Chris Austin in Edinburgh, Scotland in September 2010. The workshop aimed to optimize independence, safety, choice, and participation in the community through ICT. It covered what ICT and related services are, including electronic care records, telecare, telehealth, and mobile health and social care. Future possibilities with ICT were discussed, such as integrated shared care records and routine outcomes measurement. The presenter suggested ways attendees could help advance these services through networking, piloting projects, research, and education.
Occupational therapists can help people with learning disabilities and their families in several key ways: (1) They should take a person-centered approach and focus on helping individuals achieve life outcomes like employment, housing, health, and social relationships. (2) Therapists should use their skills to assist people with learning disabilities in getting and participating in a full life. (3) It is important that therapists work to include everyone and remember those who are often excluded.
The document discusses the development of a new screening tool. It describes various professionals collaborating to generate ideas and criteria for personal skills and environmental supports. Draft versions were created and piloted, with feedback indicating it showed strengths and could be useful for therapy and tracking changes. Additional feedback was incorporated and links to occupational therapy theory were explored, with the goal of further development and testing of the screening tool.
Waiting list targets were introduced in the UK to improve access to healthcare services but have unintended consequences. Occupational therapists feel the targets limit the scope of their work and focus more on quantity over quality. A data collection tool is being developed to gather evidence on the impact of waiting list targets on occupational therapy services, such as larger caseloads and pressure to accept more referrals regardless of appropriateness. Feedback will be collected on the draft tool to finalize it for use by occupational therapists.
1) The document discusses how users feel about the appearance of assistive devices and its impact on their occupational participation and independence.
2) The literature review found that acceptance of assistive devices depends on incorporating them into one's self-image of independence rather than disability, and people feel stigmatized by devices that are very visible as disability aids.
3) More thoughtful design of assistive devices that considers both function and form is likely to lead to greater acceptance and increased occupational participation.
The document discusses developing an evidence-based research and development strategy for occupational therapists. It outlines that such a strategy is needed to meet government policy requirements, professional body requirements, and standards for registration. It recommends auditing current skills and interests, gaining support from trust leadership, and developing a strategy that specifies goals, methods, and required resources to improve research skills and conduct practice-based research.
The document outlines a 5-step process for evidence-based practice (EBP) in healthcare: 1) Asking an answerable question, 2) Searching for the best evidence, 3) Critically appraising the evidence, 4) Integrating the evidence with expertise and patient values, and 5) Evaluating performance. It then provides more details on forming answerable clinical questions using the PICO framework and on critically appraising evidence through activities like journal clubs. Journal clubs aim to help practitioners stay up to date on research, evaluate if practice needs to change, and involve interactive discussion of papers using appraisal tools to assess validity and usefulness.
The document discusses the use of mental practice in occupational therapy for stroke patients. It defines mental practice as the symbolic rehearsal of a physical activity through mental imagery without physical movement. The document reviews the types and effectiveness of mental imagery, and discusses several studies that show mental practice can improve affected limb function for stroke patients when combined with physical therapy. It concludes that mental practice is a promising rehabilitation approach but more research is still needed to establish guidelines and understand its long-term benefits.
The document discusses the implementation of the Model of Human Occupation (MOHO) across multiple mental health trusts in the UK. It summarizes the following key points:
1) MOHO was chosen as the primary occupational therapy model due to its strong evidence base and standardized assessment tools. Infrastructure was established, including purchasing assessment tools and appointing a practice development occupational therapist.
2) Training workshops were held to educate therapists on applying MOHO in practice. Ongoing support mechanisms like clinical forums and the UK Centre for Outcomes Research & Evaluation were also provided.
3) Preliminary results showed over 500 MOHO assessments were completed across multiple services. Outcome measurement tools demonstrated improvements in clients' scores from
This research proposal aims to investigate the concepts of creativity, curiosity, spontaneity, playfulness and flow and their relationship to leisure activities and occupational therapy. The author conducted a literature review which found limited research directly comparing play and flow. The proposal seeks to independently study the meanings of playfulness and flow and identify if experiences of flow occur during self-perceived creative leisure occupations. The overall research question is to improve understanding of playfulness and its relationship to flow to help develop creative intervention in occupational therapy.
This document summarizes the speaker's experience conducting research as an occupational therapist. It outlines her background in hand therapy and lower limb trauma. It then discusses the resources available to her for research at her hospital, including funding and training opportunities. Her research project involved measuring sensory thresholds in the feet of patients with lower limb trauma using Semmes Weinstein monofilaments to determine reliability of the assessment tool. The document provides tips for choosing a research question, applying for grants, and navigating the ethics approval process. It emphasizes that research does not need to be complicated but should be relevant clinically and improve services.
The document discusses clinical supervision in occupational therapy. It explores the confusion around definitions of clinical supervision and differences in approaches. Occupational therapists are expected to participate in supervision, but there is no clear consensus on what clinical supervision entails. The document examines various definitions of clinical supervision from different sources and considers challenges in clearly defining and practicing clinical supervision in occupational therapy.
More from Royal College of Occupational Therapists (20)
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
The biomechanics of running involves the study of the mechanical principles underlying running movements. It includes the analysis of the running gait cycle, which consists of the stance phase (foot contact to push-off) and the swing phase (foot lift-off to next contact). Key aspects include kinematics (joint angles and movements, stride length and frequency) and kinetics (forces involved in running, including ground reaction and muscle forces). Understanding these factors helps in improving running performance, optimizing technique, and preventing injuries.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
NAVIGATING THE HORIZONS OF TIME LAPSE EMBRYO MONITORING.pdfRahul Sen
Time-lapse embryo monitoring is an advanced imaging technique used in IVF to continuously observe embryo development. It captures high-resolution images at regular intervals, allowing embryologists to select the most viable embryos for transfer based on detailed growth patterns. This technology enhances embryo selection, potentially increasing pregnancy success rates.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.