The Impact of the Allied Health Professions National

The Impact of the Allied Health Professions National Delivery Plan in NHS GGC Anne Galbraith Director of Allied Health Professions

Who’s in the Room? • A range of Health and Social Care clinical and management colleagues • Service users and patient representatives • Voluntary Sector • Police & Fire Service • HEI representatives • Scottish Government Representatives

Allied Health Professions wte • Art Therapists 1. 6 • Dietetics 213. 3 • Occupational Therapy • Podiatry • Prosthetics • Radiography 152. 2 574. 7 111. 5 – Diagnostic – Therapeutic 649. 3 Health LA • Orthoptics • Orthotics • Physiotherapy 24. 6 23. 0 779. 3 10. 5 791. 7 142. 4 • Speech and Language Therapy 240. 8

Allied Health Professions • 2, 825. 5 w. t. e. AHP posts in NHSGGC • 24% of all AHPs in Scotland • 3, 157 people currently employed as AHPs in Board • 8. 3% of total Board workforce

Local perspective 2012 – 15 • Hospital Moves • Restructuring of the organisation • Integration

AHP National Delivery Plan – Professional leadership to drive innovation and delivery – Reshaping care and enabling independent living – Improving health and wellbeing – Supporting early years – Maximising workforce engagement and development – Driving improvement : delivering sustainable quality

Professional leadership to drive innovation and delivery – AHP Professional Governance – Quality Improvement

AHP Professional Governance – AHP Professional Structure – OT Professional Lead posts across health and social care – Integrated Joint Boards

Quality Improvement • Tailored in-house Quality Improvement & Research Skills training delivered to around 80 AHPs • 3 cohorts - commenced in 2013 • All participants prepare a poster and an oral presentation of their work • Increased QI & research skills with an improved appetite for future practice developments

Reshaping Care and Enabling Independant Living • Unscheduled care • Dementia • National Personal Footcare Guidelines

Unscheduled care • Band 7 occupational therapist post within unscheduled care • Occupational therapy and physiotherapy staff based within all acute receiving units • AHP presence at weekend to support patient flow

Dementia • Changing models of practice and assessment - focus on patients with dementia at front door • Management algorithm developed to support clinical decision making • AHP Dementia Champions • Best Practice in Dementia - Support Worker Training • Exploring role development for acute SLTs in dementia care • ‘Knowing Me Knowing You’ – Art in the Gart

The Enablement Framework

Personal Footcare Guidelines • Guideline fully implemented across NHSGG&C • Communication & engagement plan developed for 3 rd Sector • Three volunteer services operational

Improving Health and Well being • Raising the Issue Training • NHS GG&C exit routes project • Career Fellowship - AHP Advisory Fitness for Work Report

Supporting Early Years • Nurseries and family centres validated as Language and Communication Friendly establishments • Hanen Parents Groups established • Right to Speak

Maximising Workforce Engagement and Development Reporting Radiographers • 1 x Consultant, 7 x Band 7 and 2 x Trainees • GP osteoarthritis referrals and trauma, Rheumatology, in - patient trauma • Increased Efficiency 2013 19918 2014 32215 2015 ( Sept) 40598 • Weekend service in place and working towards 3 session day • Career Fellowship supporting plain chest and abdomen reporting

Driving Improvement – delivering sustainable quality • Roll out of Trackare and EMISS web will be complete for all AHPs by December 2016 • Electronic patient records for – all AHP services within acute adult services – Podiatry – board wide – Dietetics – Board Wide – SLT – Children’s services

E Health • Appointment of an AHP e- health Lead • Standardised electronic solution for referral to 8 Community Rehabilitation Teams • Exploring use of SCI Gateway for referrals from acute to community • Increasing use of telehealth formats for AHP service delivery • Digital platform for AHP Children’s Services

Expectations for today • Explore new opportunities • Generate ideas • Build on existing partnerships and develop new links • Inform local and national priorities