Occupational therapy service e valuation of the effectiveness of homelift provision w ithin nhsct
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Occupational Therapy Service E valuation of the Effectiveness of Homelift Provision W ithin NHSCT. Introduction. Homelifts are provided in domestic settings Delegated responsibility of Occupational Therapy service PFA target – 16 weeks Types of homelift :

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Occupational therapy service e valuation of the effectiveness of homelift provision w ithin nhsct

Occupational Therapy Service Evaluation of the Effectiveness of HomeliftProvision Within NHSCT


Introduction

Introduction

  • Homelifts are provided in domestic settings

  • Delegated responsibility of Occupational Therapy service

  • PFA target – 16 weeks

    Types of homelift:

    Stairlift – straight/curved (£1700 -£2000)

    Through floor lift (£7,000 – £10,000)

    Perching lift (£2,000)

    Step lift (£5,000-£7,000)


Introduction1

Introduction

Volume of lift installations

  • 2007/08 -228

  • 2012/13 -316

  • 2013/14 to date –189

    Total expenditure 2012/13 - £1,109,500 (private and social sector housing)


Reason for evaluation

Reason for Evaluation

Need to ensure effectiveness of homelift provision in terms of meeting the service users needs and to establish if their needs had changed since provision.


Aims and objectives

Aims and Objectives

  • Identify if users of homelifts, not currently receiving regular Occupational Therapy review, should be placed on a risk register.

  • Establish if the provision of a homelift increased the service users safety and independence.

  • To review the functional ability of service users to determine if they were safe to continue using their homelift.

  • To establish if the Trust is providing a quality service in the delivery of homelifts.


Methodology

Methodology

  • Random sample of 49 service users across 4 geographical patches

  • Face to face interview with service user and/or their carer

  • Questionnaire completed by Occupational Therapist

  • Review assessment carried out re. ability to use lift

  • Outcomes collated by project lead with assistance of Audit Department


Key findings

Key findings

  • The majority of service users who have been provided with a homelift are not placed at high risk through the absence of routine reviews. 98% remained safe in use of the lift.

  • Homelift provision has a very positive impact on service users safety and independence in their own home e.g 96% felt that the lift allowed them to remain in their own home.

    “It has been life changing. Has taken pressure off wife”

    “Wife had to assist by lifting affected leg onto stairs and hold until other leg brought in line”


Key findings1

Key findings…

  • NHSCT provides a very effective homelift service with high levels of user satisfaction

    “I know now I have freedom in my own home. Before the stairlift I filled a carrier bag in the morning with things I may have needed during the day as I was scared to attempt the stairs”


Key findings2

Key findings….

“not as tired and feel I can do more during the day”

“Housework and cleaning – I don’t have to rely on family”

“can go upstairs to use the toilet as previously had a commode in the lounge. Also had to sleep in an armchair as I couldn’t get up to bed”


Recommendations

Recommendations

  • Improved accuracy of information on Estate Services database of homelifts

  • Provision of assessment lifts in local clinics

  • Reviews of complex cases

  • Change to terms and conditions agreement form

  • Regular service user feedback surveys

  • PFA target being met – need to consider time frames of assessment process

  • On-going training re. assessment and provision for new staff across directorates


Introduction

Thank you for your attention!


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