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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

A 3 year national ahp project funded by nhs qis l.jpg

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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  • 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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  • 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



Mental Health




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


Dumfries and Galloway


Forth valley


Sandra Robertson

Ruth Gray

Tania Pender


Charlie Chung

Alison Keir

Katie Thomson

Moyra Muir

Regional representation

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Grampian Therapy



Orkney and Shetland


Western Isles

Janine Shoebridge

Mary Scoular

Wendy Fraser

Wendy Mclelland


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




Speech and Language




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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


  • 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



    network participant or not

  • By all AHPs


    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