Jenny Miller AHP CE Project Facilitator Elaine Murray OT Facilitator

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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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Organisation
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Local Network Example
Paediatrics
Respiratory
Mental Health
REGIONAL REP
Musculoskeletal
Neuro
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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Year 3

• All 5 groups involved at uni and
  multidisciplinary levels
• Interactive Website
• Repeat survey
• Conference
• Implement Exit Strategy

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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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Regional representation

• 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

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Regional representation

• Grampian
• Highland
• Lothian
• Orkney and Shetland
• Tayside
• Western Isles

• Janine Shoebridge
• Mary Scoular
• Wendy Fraser
• Wendy Mclelland
• Vacant
• Lin Neilson
• Rhoda MacKay

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Academic Representation

• Queen Margaret University
• Robert Gordon University
• Glasgow Caledonia University

• Maggie Nicol
• Jennifer Caldwell
• Katriona Khamisha

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Role of SNEPOT

• 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

• 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

• 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 Sandra
RobertsonHead Occupational Therapist

• OT Regional Representative
• NHS Argyll Clyde

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Where to start ?
Occupational Therapy Clinical Effectiveness
Support Questionnaire
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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

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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

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Clinical Network Directory

• Background information

• Aims of Clinical Networks

• Remit of Steering Groups

• Membership of Clinical Networks

• Involving new staff

• Quarterly Newsletter

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Links

• Practice Development Forum
• NHS Argyll Clyde Clinical Effectiveness
  Facilitators Meeting
• AHP Clinical Effectiveness Forum

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What next?
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Scottish Network for Effective Practice in
Occupational Therapy

• Charlie Chung
• Fife Regional Network

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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.

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A Communication Network
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Fife
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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.

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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.

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END
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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

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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

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National AHP CE Survey 2003Occupational Therapy
Results

• Response rate 47

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Summer 2003 CE Survey Occupational Therapy
Results Grade of Staff responding
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Summer 2003 SurveyOccupational Therapy
ResultsChange in confidence (2001-2003)
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Summer 2003 CE SurveyOccupational Therapy
Results Guideline Implementation
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Summer 2003 CE Survey Occupational Therapy
ResultsManagement Support
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Summer CE Survey 2003 Occupational Therapy
ResultsLevel of Access to IT
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Summer 2003 CE Survey Occupational Therapy
Results Extent to which the network supports
clinical effective practice
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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

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AHP CE Network Contact Details

• margaret.orr_at_fvpc.scot.nhs.uk
• lesley.holdsworth_at_fvpc.scot.nhs.uk
• v.a.blair_at_gcal.ac.uk
• jenny.miller_at_fvpc.scot.nhs.uk
• elaine.murray_at_faht.scot.nhs.uk
• website
• www.show.scot.nhs.uk/cesahp

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