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Jenny Miller AHP CE Project Facilitator Elaine Murray OT Facilitator. The Allied Health Professions/NHS Quality Improvement Scotland Clinical Effectiveness Project. A 3 Year National AHP Project funded by NHS QIS. The Development and Evaluation

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Jenny miller ahp ce project facilitator elaine murray ot facilitator l.jpg

Jenny MillerAHP CE Project Facilitator Elaine MurrayOT Facilitator

The Allied Health Professions/NHS Quality Improvement Scotland Clinical Effectiveness Project


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A 3 Year National AHP Project funded by NHS QIS

The Development and Evaluation

of Local and National Mechanisms to facilitate the integration of Clinical Effectiveness within AHP


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Aims of Project

  • To co-ordinate, implement and evaluate multidisciplinary AHP support mechanisms for the successful implementation of CE throughout Scotland


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Objectives

  • To determine a baseline of AHP CE

  • activity including guidelines

  • To identify and facilitate the delivery of generic CE training

  • To promote the sharing of good practice

  • To evaluate mechanisms for sharing good practice, locally, nationally and worldwide


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Methodology

  • 5 largest AHP groups -78%

    - Physiotherapy

    - Occupational Therapy

    - Dietetics

    - Podiatry

    - Speech & Language Therapy

  • Supported by project team based in FVPC



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Local Network Example

Paediatrics

Respiratory

Mental Health

REGIONAL REP

Neuro

Musculoskeletal

Management Issues

Womens’ Health


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National Fora

  • Scottish Network for Effective Practice in Occupational Therapy (SNEPOT)

  • Effective Practice Network for Speech and Language Therapy in Scotland

  • Scottish Physiotherapists’ Clinical Effectiveness Forum

  • The Podiatry Clinical Effectiveness Forum for Scotland

  • The Scottish Dietitians Effective Practice Network


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The Allied Health Professions /

NHS Quality Improvement Scotland

Clinical Effectiveness Project

Third National Conference

“”Celebrating Success””

An opportunity to share innovative AHP practice

Friday 19th March 2004

The Hilton Dunblane Hydro, Dunblane


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Scottish Network for Effective Practice in Occupational Therapy

Representatives from the health board regions and universities

Meet 3 times per year

Reports to the project steering group


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Argyle and Clyde Therapy

Ayrshire and Arran

Borders

Dumfries and Galloway

Fife

Forth valley

Glasgow

Sandra Robertson

Ruth Gray

Tania Pender

vacant

Charlie Chung

Alison Keir

Katie Thomson

Moyra Muir

Regional representation


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Grampian Therapy

Highland

Lothian

Orkney and Shetland

Tayside

Western Isles

Janine Shoebridge

Mary Scoular

Wendy Fraser

Wendy Mclelland

Vacant

Lin Neilson

Rhoda MacKay

Regional representation


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Queen Margaret University Therapy

Robert Gordon University

Glasgow Caledonia University

Maggie Nicol

Jennifer Caldwell

Katriona Khamisha

Academic Representation


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Role of SNEPOT Therapy

  • To provide a communication network and resource which will promote a high quality evidence based service to the people in Scotland.


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Objectives Therapy

  • To establish regional networks

  • To centralise information

  • identify key resources

  • To provide feedback to clinicians on CE

  • To promote awareness of the network and CE

  • To encourage collaborative working

  • to facilitate CE training


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Achievements Therapy

  • Links with COT

  • Link with Policy officer for Scotland

  • Co-opted seat on Scottish Board

  • Regular slot in OT News Scottish page / website

  • Presentation to conference

  • Regional activity


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The Regional Representatives Perspective TherapySandra RobertsonHead Occupational Therapist

OT Regional Representative

NHS Argyll & Clyde


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Where to start ? Therapy

‘Occupational Therapy Clinical Effectiveness Support Questionnaire’


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Clinical Networks TherapyNHS Argyll & Clyde

  • Medicine for the Elderly

  • Psychiatry for the Elderly

  • Adult Mental Health

  • Palliative Care

  • Paediatrics

  • Orthopaedics and Rheumatology

  • Stroke Rehabilitation and Medical

  • Adult Physical Disability


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Aims of the Clinical Networks Therapy

  • To encourage sharing of clinical practice

  • Enhance communication between staff working in similar areas

  • Support for staff in remote areas

  • Prevent duplication of work

  • Encourage audit and research activity


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Clinical Network Directory Therapy

  • Background information

  • Aims of Clinical Networks

  • Remit of Steering Groups

  • Membership of Clinical Networks

  • Involving new staff

  • Quarterly Newsletter


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Links Therapy

  • Practice Development Forum

  • NHS Argyll & Clyde Clinical Effectiveness Facilitators Meeting

  • AHP Clinical Effectiveness Forum


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What next? Therapy


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S Therapycottish Network for Effective Practice in Occupational Therapy

Charlie Chung

Fife Regional Network


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Setting Up The Regional Network Therapy

  • Initial contact with Fife managers to explain the setting up process of the network.

  • Presentations given to all staff groups in Fife giving project information and finding network leaders.

  • Network leader workshop to define objectives and provide CLIP Database training.



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Podiatry Therapy

Occupational

Therapy

Physiotherapy

Speech and Language

Therapy

Dietetics

Fife


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Benefits Therapy

  • Network can be used to distribute information very quickly via e-mail, (all network leaders now on-line).

  • Information from the network can be sent to the project rapidly, e.g. information requests to OTs nationwide.

  • Awareness developing of the website and CLIP Database, especially for non-published work.


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Implications for Fife OT Services Therapy

  • OT services can use the network for information search to support projects and developments.

  • Newsletter giving details of submitted projects, regional news and updates of all circulated items each quarter.

  • Network leaders working at ground level, within each staff meeting to encourage effective practice development.


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END Therapy


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National AHP CE survey - 2003 Therapy

Purpose:

  • Ascertain extent to which AHPs are involved in CE activities

  • Comparison with 2001 survey looking at change in confidence in engaging in CE and in guideline implementation

  • Provide an indication as to the extent in the involvement in the CE networks

  • Provide information to regions/professions of future training needs/direction


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Results broken down in 2 main ways: Therapy

  • By profession - to provide results

    nationally

    regionally

    network participant or not

  • By all AHPs

    nationally

    network participant or not


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National AHP CE Survey 2003 TherapyOccupational Therapy Results

Response rate: 47%


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Summer 2003 CE Survey TherapyOccupational Therapy ResultsGrade of Staff responding


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Summer 2003 Survey TherapyOccupational Therapy ResultsChange in confidence (2001-2003)


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Summer 2003 CE Survey TherapyOccupational Therapy Results Guideline Implementation


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Summer 2003 CE Survey TherapyOccupational Therapy ResultsManagement Support


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Summer CE Survey 2003 Therapy Occupational Therapy ResultsLevel of Access to IT


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Summer 2003 CE Survey TherapyOccupational Therapy ResultsExtent to which the network supports clinical effective practice


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Key Points Therapy

Consistent results across all the professions

  • Network participants are:

    • more senior

    • much more active than non participants

    • significantly more confident

    • have increased in their confidence to a greater extent during last 2 years

    • feel more supported by managers and local CE staff

      than non participants




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