Interprofessional learning Alison Strode Therapy Advisor for Wales

Cardiff School of Chiropody

Role of the Therapy Advisor Professional advice Development of policy Preparation of Ministerial correspondence Represent the WG on appropriate committees Sponsorship of Welsh Therapies Advisory Committee. Maintain close links with UK and International colleagues.

What is happening in Wales? New Minister Finance Service redesign Changes in legislation. Opportunities to look at the workforce.

Workforce modernisation Modernised roles focused on delivering the care pathways and targets A workforce that demonstrates the appropriate attitudes and aptitudes Breaking down of professional barriers where appropriate A flexible workforce A workforce that embraces continued professional development, advancing technology and evidence-based practice……….

Recent Policy Documents

Patient centred Service Vision. Delivery Quality Patient experience Coproduction.

Francis Inquiry Even if all 290 recommendations were implemented now, the fundamental shift in culture can only be achieved if patient care is put top of the agenda for boards and is the first responsibility of professionals working in the NHS. Kings Fund 2013

Culture Clear vision for quality Supporting staff to deliver best care Boards developing the right culture Using data well to drive quality and safety Responsiveness to patients’ needs and preferences An open and just environment Adopting the right leadership styles Thinking and acting long term Kings fund 2013

Strengthen Quality Staff and patients should be able to recognise that providing high-quality − clinically excellent, safe and patient-centred − care is the main purpose of the organisation.

What is needed Holistic approach to care/treatment To be able to think, problem solve and understand multiprofessional issues. Sharing of common values Be able to blur boundaries of professional practice

Team working – WHY? Old-fashioned demarcations between staff mean some patients see a procession of health professionals …Information is not shared and investigations are repeated…unnecessary boundaries exist between the professions which hold back staff from achieving their true potential.’

What is a team? ‘A team is a group of individuals who work together to produce products or deliver services for which they are mutually accountable. The team members share goals and are held mutually accountable for meeting them, they are interdependent in their accomplishment, and they affect the results through their interactions with one another.Because the team is held collectively accountable, the work of integrating with one another is included among the responsibilities of each member’ Mohman 1995

Effective team working Team members have shared objectives Team members regularly interact Team members have a focus on quality Team members support innovation The team regularly reflects on how they work together.

Working in teams Multidisciplinary Interdisciplinary Transdisciplinary

Multi-disciplinary Multidisciplinary team refers to situations where several different professionals work on the same project but independently or in parallel. Team members work within the boundaries of their professional practice Team members might have little understanding of each others role. Dominance of one profession.

Interdisciplinary Interdisciplinary team implies a greater degree of collaboration between team members Interdisciplinary team involves an effort to integrate and translate, themes and schemes shared by several professions. the interdisciplinary team is based on an integration of the knowledge and expertise of each professional, so that solutions to complex problems can be proposed

Transdisciplinary Transdisciplinary team refers to a type of professional practice in which consensus seeking and the opening up of professional territories play a major role. Professional boundaries become blurred or vanish A transdisciplinary team is characterized by a deliberate exchange of knowledge, skills

Interprofessional Learning describes occasions where 2 or more professions come together to learn with and from each other with the intention of promoting collaborative practice. This is to build the relations between professionals to enhance the quality and responsiveness of the service. Better understanding an mutual respect for the contribution of other professions.

1988 WHO published “ learning together to work together for Health” Key milestones - Bristol Royal infirmary inquiry 2001 mechanism to break down barriers and enable effective teamwork. Still debate

Preparing for Interprofessional working Know and understand each others roles to be able to work effectively in teams enable effective substitution of roles career flexibility ( Tunstall- Pedoe et al 2003)

Man's mind, once stretched by a new idea, never regains its original dimensions.  Oliver Wendell Holmes

References Leathard ( 2003) Interprofesssional collaboration, from policy to practice in health and social care Tunstall- Pedoe et al (2003) Student attitudes to undergraduate interprofessional education Journal of Interprofessional Care vol 17 (2) Mohrman, S.A.,Cohen, S.G. and Mohrman, A.M.Jr (1995). Designing Team-Based Organisations. San Francisco: Jossey-Bass.