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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
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
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.
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.
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?