Occupational Therapy: Demonstrating the Value of Occupational Therapy Improving Lives Saving Money Demonstrating the Value of Occupational Therapy FIRST SECTION HALF AN HOUR…..

The COT campaign Occupational Therapy – Improving Lives Saving Money is making the case for occupational therapists in three key pressure points in NHS and care services: It has four strands : Urgent Care –the value of occupational therapy (released Nov 2015) Reducing the pressure on hospitals (released Nov 2016) Primary care and communities (Various releases from April 2017) Mental Health – the value of occupational therapy (for release Nov 2018)     Check people’s knowledge of campaign. If no knowledge then some background.

Why now? NHS and care services reaching a tipping point across the UK People with commissioning powers under extreme pressure Critical in this climate that occupational therapy states how it is Improving lives and 2. Saving money for public purse     *** people with commissioning powers will vary across the four nations

Policy Drivers in England Sustainability and Transformation Plans (STPs) Submitted in June to be actioned in the autumn 44 STP footprints Combined health and social care approach to meet local population needs. Shift to place based systems approach. Combine resources, create alliances and partnerships - relationship centred delivery of care. Move away from competition as driver for care.

Policy Drivers in Wales The Social Services and Well-being (Wales) Act Duty to promote wellbeing and take a preventative approach People have control over what support they need, making decisions about their care and support Carers have an equal right to assessment for support. Easy access to information and advice Stronger powers to safeguard people Local authorities and health boards work together in new statutory partnerships to drive integration, innovation and service change

Policy Drivers in Scotland Public Bodies (Joint Working) (Scotland) Act 2014 Live from 1st April 2016 Are integrated from the point of view of service-users Take account of the particular needs of different service-users within the local population and their participation in the community. Respects the rights and dignity of service-users Protects and improves the safety of service-users Are planned and led locally in a way which is engaged with the community and makes the best use of the available facilities, people and other resources Best anticipates needs and prevents them arising 9 National Health and Wellbeing Outcomes to drive quality improvement across health and social care.

Policy Drivers in Northern Ireland Developing Better Services a modernisation programme – person centred, safe, effective and efficient within the limit of resources. Making Life Better secure an appropriate balance between hospital and community services expand intermediate care and improve the quality of assessment of long-term health and social care needs focus on rehabilitation and independent living develop a range of housing and care options for different levels of support, develop a region-wide single assessment process, expand the range of respite and support services for carers increase the take up of Direct Payments engage actively with users and the voluntary and community sector

Where we are now: During 2016 we collected data examples from members to demonstrate the value of their service. We ran numerous workshops and roadshows around the UK to explain the demonstrate template to members and this resulted in over 190 impact data examples. In fact we received so many we decided the divide the campaign messages up and produce two sets of reports and additional topic focussed resources to demonstrate the Value of Occupational Therapy to stakeholders.

Reducing the pressure on hospitals: A report on the value of occupational therapy The College has published four reports one for each UK nation on this aspect of the campaign. Events were held at each country parliament to launch the reports to stakeholders The reports are available at https://www.cot.co.uk/homepage/ilsm By late Spring 2017 we will have produced a report on the remaining two campaign themes: Reducing pressure on primary care Addressing over reliance on social care

November 2016 launch events in all four country parliaments

Great media coverage Positively received from COT members

Report key recommendations The reports call for six key recommendations to put occupational therapy on the frontline in hospitals and emergency services: Occupational therapy & paramedic partnerships to prevent hospital admissions 1 Occupational therapists in all rapid response & emergency care services 2 Extended occupational therapy services to improve 7 day hospital discharge 3 Occupational therapists in all hospital admission & discharge teams 4 Therapy led services across hospitals, in parallel with medical care 5 Occupational therapists to lead reablement & community support programmes 6

England

Northern Ireland

Scotland

4 1 5 2 6 3 Wales KEY RECOMMENDATIONS To prevent inappropriate admissions for frail older people, access to occupational therapists as part of the primary care workforce is essential 1 All rapid response and acute and emergency care services have occupational therapists embedded within the multi-disciplinary team 2 Health boards include occupational therapy in funding for extended or out-of-hours services to achieve optimum patient flow and fast-paced assessments 3 All multidisciplinary admission and discharge teams include occupational therapists, with therapy-led discharge planning for people with complex health needs 4 Health Boards support the development of therapy led services to ensure timely and successful discharge 5 Planners, managers and leaders, in both health and social care services, put occupational therapists at the forefront of reablement and community support programmes 6

78% Demonstrating the value of occupational therapy The reports showed the following… 78% of people who received an innovative joint assessment between a paramedic and an occupational therapist were able to remain at home

70% Demonstrating the value of occupational therapy The reports showed the following… 70% Discharged home avoiding hospital admission It has been demonstrated that occupational therapy is most effective within acute and emergency care when the therapists are an integral part of the team. On average the services see 100 people a month, with 70% discharged without needing hospital admission

Demonstrating the value of occupational therapy The reports showed the following… Where occupational therapy services were provided via a both a clinical decision unit and medical assessment unit 67% of patients were discharged rather than requiring ongoing admission. Based on an average inpatient stay of £270 a night, a saving of £542,619 was made.

9.5 days to just1day Demonstrating the value of occupational therapy The reports showed the following… Occupational therapists on acute medical wards can cut stays from 9.5 days to just1day Source: Urgent care report (COT 2015) These are just some examples go to http://cotimprovinglives.com/ for more

What health leaders are saying A recent parliamentary report on the discharge of patients….identified us as having the lowest number of ‘delayed discharges’ in the UK. With doubt this is because our integrated service model which places occupational therapy teams as core members of our planning for home and facilitated discharge teams. David Evans, Chief Executive Northumbria NHS Foundation Trust ‘Occupational therapists are usually very creative and driven to deliver, which means they often find themselves in role where they are leading on new ways of working and information organisational changes which are required to underpin our transformational work’ Joe Rafferty, Chief Executive of Mersey Care NHS Foundation Trust

What health leaders are saying With A&E attendances increasing, the pressures on emergency departments are greater than ever before. Action must be taken to address demand and relieve pressure on A&Es. This report demonstrates the important part occupational therapists have to play in reducing pressures on primary care services alongside improving the overall quality of care that patients receive. I have been fortunate to work in a unit with front door occupational therapy seven days per week and so I am acutely aware of the benefits to the system that that brings.” Dr. Sean McGovern, Vice President of the Royal College of Emergency Medicine Northern Ireland ‘A fantastic resource that has been underused in primary care…having an occupational therapist attached to the practice has many benefits….the occupational therapist is able to respond appropriately within 24 hours….to help people remain at home safely and comfortably. We are now recruiting two more occupational therapists.’ GPs from S Pembrokeshire cluster

How is the College using the report Influencing activities Key organisations / stakeholders have been sent report Meetings with key stakeholders to promote the report Communications strategy in place to optimise coverage of each report Activities have been taking place in all four countries

How can you spread the word? Share the reports with your managers, head of therapy services and senior leaders across your Trust or Board There is a presentation in the toolkit to help you do this. You can adapt it to your local service - for example by using a local example to demonstrate how occupational therapy improves lives and saves money. Promote the report to your parliamentary representative There are template letters in the toolkit that you can use.

How can you spread the word? Inform the communications team where you work so that they can include it on their website, email newsletters and social media channels Get involved in the campaign by signing up to our microsite www.cotimprovinglives.com and using the hashtag #ValueofOT

How can you spread the word? Send in service examples to find out how http://cotimprovinglives.com/tell-your-story SUGGESTION – at this point have a discussion about a possible example you could develop and send

Group discussion Who can I talk to? Who is within my sphere of influence? SUGGESTION – at this point have a discussion about which service managers / commissioners might be helpful to approach, are there any new initiatives for services that have a place for occupational therapy, how can you get involved. Are there any regular meetings where you could present the ideas from the report

What’s next Remember every little helps – with a tweet you could get your message across widely and quickly…. people are busy – do what you can Follow COT on twitter and retweet! Tweet about your own service

What’s Next? Use the resources in the toolkit Use the microsite www.cotimprovinglives.com Request copies of the report to promote with your stakeholders. Email clare.leggett@cot.co.uk Call our professional advisors for help and advice on producing impact data and influencing. Email ashleigh.watkins@cot.co.uk

What’s next Attend a COT regional roadshow – the theme this year is ‘Championing occupational therapy’ find out dates at https://www.cot.co.uk/events