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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 MillerAHP CE Project Facilitator Elaine MurrayOT 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

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


Aims of Project

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


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


Methodology

  • 5 largest AHP groups -78%

    - Physiotherapy

    - Occupational Therapy

    - Dietetics

    - Podiatry

    - Speech & Language Therapy

  • Supported by project team based in FVPC


Organisation


Local Network Example

Paediatrics

Respiratory

Mental Health

REGIONAL REP

Neuro

Musculoskeletal

Management Issues

Womens’ Health


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


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


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


Argyle and Clyde

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


Grampian

Highland

Lothian

Orkney and Shetland

Tayside

Western Isles

Janine Shoebridge

Mary Scoular

Wendy Fraser

Wendy Mclelland

Vacant

Lin Neilson

Rhoda MacKay

Regional representation


Queen Margaret University

Robert Gordon University

Glasgow Caledonia University

Maggie Nicol

Jennifer Caldwell

Katriona Khamisha

Academic Representation


Role of SNEPOT

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


Objectives

  • 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


Achievements

  • 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


The Regional Representatives PerspectiveSandra RobertsonHead Occupational Therapist

OT Regional Representative

NHS Argyll & Clyde


Where to start ?

‘Occupational Therapy Clinical Effectiveness Support Questionnaire’


Clinical NetworksNHS 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


Aims of the Clinical Networks

  • 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


Clinical Network Directory

  • Background information

  • Aims of Clinical Networks

  • Remit of Steering Groups

  • Membership of Clinical Networks

  • Involving new staff

  • Quarterly Newsletter


Links

  • Practice Development Forum

  • NHS Argyll & Clyde Clinical Effectiveness Facilitators Meeting

  • AHP Clinical Effectiveness Forum


What next?


Scottish Network for Effective Practice in Occupational Therapy

Charlie Chung

Fife Regional Network


Setting Up The Regional Network

  • 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.


A Communication Network


Podiatry

Occupational

Therapy

Physiotherapy

Speech and Language

Therapy

Dietetics

Fife


Benefits

  • 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.


Implications for Fife OT Services

  • 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.


END


National AHP CE survey - 2003

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


Results broken down in 2 main ways:

  • By profession - to provide results

    nationally

    regionally

    network participant or not

  • By all AHPs

    nationally

    network participant or not


National AHP CE Survey 2003Occupational Therapy Results

Response rate: 47%


Summer 2003 CE Survey Occupational Therapy ResultsGrade of Staff responding


Summer 2003 SurveyOccupational Therapy ResultsChange in confidence (2001-2003)


Summer 2003 CE SurveyOccupational Therapy Results Guideline Implementation


Summer 2003 CE Survey Occupational Therapy ResultsManagement Support


Summer CE Survey 2003 Occupational Therapy ResultsLevel of Access to IT


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


Key Points

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


AHP CE Network Contact Details:

margaret.orr@fvpc.scot.nhs.uk

lesley.holdsworth@fvpc.scot.nhs.uk

v.a.blair@gcal.ac.uk

jenny.miller@fvpc.scot.nhs.uk

elaine.murray@faht.scot.nhs.uk

website:

www.show.scot.nhs.uk/cesahp


How do we plan for Clinical Effectiveness within our case load?


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