Getting AHP's into shape to grasp emerging opportunities - Sheila Morris
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Transcript of Getting AHP's into shape to grasp emerging opportunities - Sheila Morris
www.england.nhs.uk
AHPsGetting into shape to grasp emerging opportunities
Shelagh Morris
Deputy Chief Allied Health Professions Officer
3 June 2015
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Context:
Five Year Forward View
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• Currently ranked top healthcare system in the world• Cancer survival is at its highest• Operation waiting lists are down • Early deaths from heart disease down over 40%• Compared with 2009
• 4,000 more people seen in A&E each day• 3,000 more people admitted to hospital each day• 22,000 more people have outpatient appointments
each day
NHS has achieved a lot……..
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• Demand is rapidly growing• Rising burden of avoidable illness from unhealthy
lifestyles• 1 in 5 adults still smoke• Third of people drink too much alcohol• 6 in ten men and 5 in 10 women are overweight/obese
• 70% of NHS budget is now spent on LTC• People’s expectations are changing
But……
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• New technologies and treatments• Improving our ability to predict, diagnose and treat• Keeping people alive longer• Resulting in more people living with LTC
• New ways to deliver care• Dissolving traditional boundaries in how care is delivered• Improving the co-ordination of care around patients• Improving outcomes and quality
• ….but the financial challenge remains - £30bn gap projected in 2020/21
There are also new opportunities
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• Three ‘gaps’ identified:1. Health & wellbeing gap
• Radical upgrade in prevention• Back national action on major health risks• Harnessing the ‘renewable energy’ of communities
2. Care & quality gap• New models of care
• A menu of care models for local areas to consider• Greater Manchester• Vanguard sites
3. Funding gap• Efficiency & investment
• Efficiency gains & additional funding• Need for upfront pump-priming investment
The future NHS
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• Getting serious about prevention• Focusing on prevention• Empowering patients• Engaging communities
• Developing new care models• Not ‘one size fits all’, nor ‘a thousand flowers bloom
• New deal for primary care• Funding, commissioning, workforce, public engagement
How?
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• Population health• A renewed focus on prevention, not just treatment• Integral to everyday practice
• Personalised care• Personal Health Budgets• Integrated Personal Commissioning (IPC)• Individual’s goals• Remaining in or return to work
• AHP Advisory Report on Fitness for Work https://www.cot.co.uk/ahp-advisory-fitness-work-report
Through…..
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• Partnerships• Integrated care• Patients and Carers• Cross professional and organisational boundaries
• New models of care• Multispecialty Community Providers• Primary and Acute Care Systems
And…….
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Workforce
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NHSCIC (Feb 2015)
NHS 97,356
NHSCIC(Feb 2015)
Social Services 2,500
HCPC (June 2015)
Registrants 179,600
Allied Health Professionals (Headcount)
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Opportunities and challenges
- Building the evidence base- Outcomes- Informatics- Leadership- Innovation
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‘Research is everyone’s business’ – it is important for everyone• For our patients/service users
• For service transformation, improving outcomes, service redesign, participation in research
• For AHPs and nurses• integrated within their training & practice, as users of research, as managers – supporting
research activity – students, newly qualified, expert practitioners, continually driving improvement
• For AHP services• To improve/streamline services, aligning research topics/questions/priorities with research
activity
• For policy development• To influence and support policy development, ensuring evaluation of policy implementation
• For the system• To develop solutions to the challenges facing health and care services,to ensure alignment
across the system, improve NHS ability to undertake research and apply innovation,
commissioning through evaluation, partnerships
Building the evidence base
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Outcomes – High quality care for all
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Data and information
“……AHPs are ideally placed to address
some of the key challenges facing the health
and care sectors. As we see in the report,
their publicly funded employment already
spans the NHS, local government (social care
and education, housing, third sector and
independent practice. There is now a real
opportunity to develop and build measures
across sectors that reflect both the pattern of
actual service delivery for patients and the
outcomes AHPs achieve for them.”
Suzanne Rastrick
December 2014
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InformaticsSNOMED Clinical Terms
Technology
AHP Referral To Treatment
NAHPIST
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• Edward Jenner ProgrammeOpen access, online, designed for newly qualified clinicians but open to all, leads to
NHS Leadership Academy award in leadership Foundations.
• Mary Seacole ProgrammeFor those looking to move in to first recognised leadership role, leads to award in
Healthcare leadership and accredited Postgraduate Certificate.
• Elizabeth Garrett Anderson ProgrammeReady for more leadership challenges, leads to award in Senior Healthcare Leadership and an MSc in Healthcare Leadership.
• Nye Bevan ProgrammeFor senior leaders, those influencing beyond traditional boundaries/across the
healthcare system, leads to award in Executive Healthcare Leadership.
• Top Leaders ProgrammeFor executive or board level members.
+ more…..
http://www.leadershipacademy.nhs.uk/
Leadership Programmes
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9 Dimensions of Leadership BehaviourInspiring shared purpose
Leading with care
Evaluating information
Connecting our service
Sharing the vision
Engaging the team
Holding to account
Developing capability
Influencing for results
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‘An idea, service or product, new to the NHS
or applied in a way
that is new to the NHS,
which significantly improves the quality of
health and care
wherever it is applied.’
Innovation
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Rehabilitation Innovation Challenge Prizes• “Open Mind Partnership”
Leicestershire Partnership NHS Trust
Leicester Open Mind in partnership with Fit for Work
- GP referral or Open Mind therapists
- Long-term MSK pain
- Cognitive Therapy and Mindfulness techniques
- Addressing physical, social and mental barriers such as depression and anxiety
• “Fitness for Work Service”
Derbyshire Community Health Services NHS FT
- Self referral or by managers
- Assessment – physical activity, design of the workplace
- Phased return to work and duties where appropriate
- Service also offers MSK pain education and management, advice on equipment and educational resources
- ROI - £5 for every £1spent
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Innovation Connect is a free assessment and signposting service for innovations presented to NHS England. Innovators can submit their ideas and receive rapid advice and referrals to appropriate support. High Impact Innovations are quickly recognised, and have their implementation supported with NHS organisations
Innovation Exchange is an online collaborative web portal designed to support and develop a growing innovation community. The portal is designed for anyone who wants to develop, implement and spread innovations in health and care
http://www.england.nhs.uk/ourwork/innovation/innovation-connect/
Support for Innovation
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NHS EnglandAHP TeamWorkstreams
- AHP Medicines Project- Improving Rehabilitation Services
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AHP Medicines Project
• 2013• Independent prescribing by physiotherapists and
podiatrists
• Current work• Independent prescribing by paramedics and
radiographers• Supplementary prescribing by dietitians• Use of exemptions by orthoptists
24
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What this means for patients
• Greater choice and accessibility to services – reducing risks and costs associated with delays in care
• Patient-focused services that are evidence based and continually improving – best care, first time, in the right place
• Greater flexibility to design services around patient’s needs
• Redesign services that put patients at the heart of what AHPs do – reducing onward referral and hospital admissions
• Contributing to medicines optimisation
d their associated risk
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Working definition……..
Rehabilitation is the development, to the maximum degree possible, of an
individual’s function and/or role, both mentally and physically, within their family
and social networks and within education/training and the workplace where appropriate.
Improving Rehabilitation Services
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Rehabilitation will be key to every episode of care.
*It will maximise mental and physical health,
independence and occupation.
*Rehabilitation is everyone’s business.
Vision
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Focuses on good outcomes - driven by the goals set by the people we treat
Gives hope
Is centred on people’s needs – not their diagnosis
Aims high and includes vocational outcomes
Is an active and enabling process – not passive care
Relies on interdisciplinary team working
Is not impaired by organisational boundaries
Responds to change in people’s needs
Integrates specialist and generalist services
Requires leadership for transformational change
What is good rehabilitation?
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www.networks.nhs.uk
Community of Practice
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“Stand in the prow of the canoeLet the spray of the future be on your face”
Maori Proverb
A thought to end……..