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Scottish manpower report janet harkness
1. Facts, Stats & Politics
The Scottish Manpower Survey
Janet Harkess
Head Occupational Therapist
COTTS-R
Scottish Regional Member
2. • Facts - need evidence not emotion
• Stats - need to measure & not moan
• Politics - need policy to persuade
Scottish Occupational Therapy
Manpower Survey 2009
3. Facts, Stats & Politics
The Scottish Manpower Survey
Background
• 2006 manpower information request from CMO Dr Harry
Burns to Scottish Society of Rheumatology (SSR)
• No Specialist Section wte rec. like BSR 1.2/100,000 popn.
• Nurses held Scottish database AHPs x
• AHP database created. Staff info, head count & wte info
collated from departments via face to face contact, email to
professional managers & SSR study days
• AHP manpower report produced 2007
• Agreed need for more detailed information
• COTTS-R regional group manpower
survey 2009
4.
5. SSR AHP Manpower Survey
Scotland 2007
Results
n wte
Occupational Therapists 28 17.7
Occupational Therapy
Support Workers
2 1.34
Physiotherapists 30 25.3
Podiatrists 10 4.1
6. SSR AHP Manpower Survey 2007
AHP Manpower Issues
• No recommendations re wte/100,000 population
like BSR (1.2/100,000)
• Different models require more/less funding
• Majority of podiatry and OT posts - part time
• Agenda for change - disparity between
professions and regions
• Skill mix – consider demographic trends
7. SSR AHP Manpower Survey 2007
AHP Manpower Issues
• Succession planning issues:
- few junior posts, majority senior
- lack of Scottish training courses,
- few students with rheumatology placements
• Extended role /rheumatology practitioner posts –
joint injection /training issues
• Rheum funded AHPs seem better off than AHP
funded posts
8. Scottish Occupational Therapy
Manpower Survey 2009
Aims
• To collect up to date information on
manpower and activity
• To raise profile of Rheumatology
Occupational Therapy
• To help inform discussion and debate
about benchmarking services-
recommended staffing levels, quality and
equity of service provision in Scotland.
9. Scottish Occupational Therapy
Manpower Survey 2009
Method
• All rheumatology OT services contacted
by email with request for information
• Used regional email network and local
knowledge to identify participants
• Excel spread sheet used to collate
information
• Collated comments on
manpower/capability/capacity
10. Scottish Occupational Therapy
Manpower Survey 2009
Manpower
• Service Type
- in/out/community
• Health Board Population
• Consultants wte
• OT wte
• OT Admin Support wte
Activity
• New referrals
• New attendances
• Review attendances
• Total attendances
• Discharges
• CNAs
• DNAs
• Waiting times
- urgent & routines
11. Scottish Occupational Therapy
Manpower Survey 2009
Results
• 11/12 rheum OT services participated
• Population range 110,000-1,418,000
• Different regions collect stats differently!
• Stats. needed to be defined!
Activity
• New referrals not collected in all cases so ? Waiting list
and total numbers a minimum
• New attendances not separated from review attendances
• Not all collected new/review/both so numbers minimum
• Every body collected total attendances!
12. Scottish Occupational Therapy
Manpower Survey 2009 - Results
14 Health Boards (5, 200,000 popn.) n= total Mean range
Rheum OT wte (0.36/100,00) 12 18.13 1.29 0.24 - 4.23
OT admin wte 4 0.96 0.24wte 0 - 0.36wte
New referrals 9 3709* 412* 98 -1533
New attendances 9 3814 423* 198 -1394
Review attendances 9 6654 739* 133 -1318
Total attendances 11 11270 1024 370 -2712
Discharges 6 1446 241 100 - 311
DNAs 8 278 35 9 - 61
CNAs 3 102 34 7 - 55
Waiting time urgents (<4 weeks) 4 N/A 2.6 0 - 4
Waiting time routines(weeks) 7 N/A 9 4 - 12
13. Scottish Occupational Therapy
Manpower Survey 2009
Conclusion/Recommendations
• Need up to date personnel info and national
standardized stats & def.s (SSR & AHP national data
returns draft)
• Need specialist section wte. Recommendation
(?1.0wte/100,000 JH!)
• More service evaluation data/research required
• More Scottish based rheum training/voc rehab training
required
• Consider population needs, policy & skill mix
• Need for more OT admin support
