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Enabling Life Potential through Vocational Rehabilitation

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Enabling Life Potential through Vocational Rehabilitation a process that enables people with functional, psychological, developmental, cognitive and emotional ... – PowerPoint PPT presentation

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Title: Enabling Life Potential through Vocational Rehabilitation


1
Enabling Life Potential through Vocational
Rehabilitation
  • a process that enables people with functional,
    psychological, developmental, cognitive and
    emotional impairments or health conditions to
    overcome barriers to accessing, maintaining or
    returning to employment or other useful
    occupation."

2
Enabling Life Potential through Vocational
Rehabilitation
  • Worklessness and not disease is the biggest
  • cause of health inequality, social exclusion,
  • deprivation , and mortality

3
Enabling Life Potential through Vocational
Rehabilitation
  • All services should be aimed at maximising
    functional capacity of the working age population
    physical, mental, social, spiritual
  • It is not their diagnosis that is important its
    what they can do!
  • AHPs crucial in delivering vocational
    rehabilitation services in Scotland

4
Enabling Life Potential through Vocational
Rehabilitation - Healthy Working Lives Policy
Review
  • promote the health, safety and well-being of
    employees in the workplace to help employees who
    become ill or injured to retain work to provide
    access to services to enable movement towards
    work for those out of work as a result of illness
    or injury to promote the benefits that work has
    for most people to encourage all stakeholders,
    including employers, employees, healthcare
    professionals, employability advisers and trades
    unions, to recognise the benefits of work for
    health and their role in maximising the ability
    of working age people to retain or gain paid or
    unpaid employment.
  • AHPs critical to its success!

5
Enabling Life Potential through Vocational
Rehabilitation - Healthy Working Lives Policy
Review
  • Redesigning the Client Pathways.
  • Mapping current services and client pathways
  • to work
  • Recommend improvements in provision of,
  • and links between, services that move people
  • towards work
  • Identify gaps in provision of relevant services
  • and recommend how these can be
  • addressed.

6
Enabling Life Potential through Vocational
Rehabilitation
  • Dame Carol Black -
  • prevention of illness and promotion of health and
    well-being
  • early intervention for those who develop a health
    condition and
  • an improvement in the health of those out of work
    so that everyone with the potential to work has
    the support they need to do so.

7
Enabling Life Potential through Vocational
Rehabilitation
  • Only 3-15 of companies in the UK have access to
    Occupational Health support services
    inequalities in access
  • Access to general services which are too
    downstream from the workplace - delayed
    loosing valuable time
  • SME Sector (where the majority of people work)
    few have access to any kind of Occupational
    Health Support
  • Poor links between employers and primary care
  • Sick-notes state what an employee cannot do work
    rather than indicating what work tasks they can
    do

8
Enabling Life Potential through Vocational
Rehabilitation
  • 48 of work related problems in Scotland of MSK
    origin
  • UK 12.25 million work days lost due to MSK
    problems
  • Costs 141 million just for GP consultations

9
Enabling Life Potential through Vocational
Rehabilitation
  • In Scotland there are over 275,000 Small Medium
    sized Enterprises (SMEs) providing approximately
    54 of all jobs. It is estimated that 10 billion
    is lost annually through working age ill health
    in terms of days lost and worklessness. It is
    known that 2.5-3.5 of workers leave the
    workplace each year through ill health.
    Approximately 60,000 people make a new Employment
    Support Allowance claim each year in Scotland.

10
  • Developing a
  • Vocational Rehabilitation Service
  • for Small and Medium Enterprises
  • in a Health Board area
  • - launched 12 February 2008
  • Working Health Services Dundee
  • Hotline
  • 01382-825100

11
Working Health Services Dundee - Referral process
Line Manager raise awareness
GPs
Individual
12
Enabling Life Potential through Vocational
Rehabilitation
  • Under the auspices of the NHS - free and
    confidential
  • Case management model
  • Multidisciplinary team
  • Early intervention
  • Easy to access service 01382-825100
  • Aimed at Small and Medium Enterprises
  • Occupational Health support, Health and Safety,
    Health Promotion, support through the HWL Award
    programme

13
Enabling Life Potential through Vocational
Rehabilitation
  • A proposed new Fit for Work service, based on a
    case-managed, multidisciplinary approach, would
    provide treatment, advice and guidance for people
    in the early stages of sickness absence.
  • Proposal for a Scottish Fit for Work National
    Service

14
Enabling Life Potential through Vocational
Rehabilitation
  • The pilot seeks to build upon the national
    Condition Management Programme structure whilst
    complimenting the strategic approach undertaken
    by the Scottish Centre for Healthy Working Lives.
  • enhance it by providing an additional service
    aimed exclusively at providing personalised
    return to work support for sickness absentees.
  • Incorporate the work of the 3 pilots.

15
Enabling Life Potential through Vocational
Rehabilitation
  • Add Vocational Rehabilitative Fit for Work
    Services to existing CMP teams
  • Existing Vocational Rehabilitation pilots in East
    of Scotland continue, joined by CMP led FFWS
    providing full Scottish national coverage.
  • Case Management CBT approach encompassing full
    bio-psychosocial model
  • Focus on return to work tailored programmes to
    return sickness absentees.

16
Enabling Life Potential through Vocational
Rehabilitation
  • Scottish Centre for Healthy Working Lives (SCHWL)
    acting as hub and referral gateway.
  • SCHWL expand support role via info/advice
    provision for both health professionals and
    clients
  • SCHWL use network to roll out attendance
    management module to SMEs
  •  

17
Enabling Life Potential through Vocational
Rehabilitation
  • Pathway GP onto orthopaedic waiting list. Many
    centres in Scotland patients screened by ESPs
    within acute centres.
  • National UK data identifies this pathway
    resulting in up to 70 not requiring surgical
    intervention.
  • What does this mean for the patient? Sickness
    absence? Psychological problems? Reduction in
    functional capacity? No active management!

18
Enabling Life Potential through Vocational
Rehabilitation
  • A Community Based Multi-professional Triage Team
    / Orthopaedic Assessment Service (OAS) PTs
    and GPwsi
  • A centralised referral management system NHS 24
    physiotherapy tele-health service?
  • All AHP musculoskeletal services to be delivered
    within a single system
  • All return clinic appointments following surgery
    seen by AHP MSK team

19
NHS 24 Enhancing the MSK pathway
Community AHP MSK Services Integrated
MSK Team Physiotherapy Podiatry OT Dietician Pros
thetics Radiography Specialist nurse GPwsi
Self Referral via NHS 24
Electronic Referral
GP Referral
Electronic Referral
Walk in Self Referral
GP Referral
Electronic Referral
Orthopaedic waiting list
Vocational Rehabilitation Services Chronic Pain
Services
Rheumatology services
Other acute services
Self management and advice through NHS 24 web
base for rehabilitation
20
Vocational Rehabilitation
  • join a collaboration to develop education and
    training relevant to this vocational
    rehabilitation agenda
  • Develop a vocational rehabilitation community of
    practice
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