1. THERAPY SERVICES Dietetics Occupational Therapy Physiotherapy Podiatry
And Orthotics
Art Therapies
Physiotherapy
THERAPY
SERVICES
Speech and Language Therapy
This slide shows the scope of therapy services and identifies the inter-relationship that Therapy services have

2. The Therapy Contribution
Therapy services cuts across/transcends all dimensions of care.
This model identifies the key role therapists play in preventing progression through the dimensions of care, but where that happens they are responsive to need.

3. ‘Engaged Leadership’ – engagement, empowerment, transparency, communication, autonomy
Finance – ‘every £ well spent.’
Local fit
‘Setting the direction.’ – ‘decentralise.’
Doing well, doing better ‘– HCS,
patient centric
‘Upstream’ reduce variation, inequities
‘Our Healthy Future’ Public Health
5 year plan – ‘safe, sound, better, work, happen.’

5. Therapy Services Our 7 wonders?
Where do our services need to be located
How should they be configured?
How easy are the services to access and who refers?
What do commissioners need us to deliver?
What can we do within existing resources and how do we make a case for increasing resources?
What can we do that will impact on the modernisation, capacity and partnership agenda.
Is what we are doing still appropriate?
Services need to be located with the patient at the heart. That does not necessarily mean all services on the doorstep but having different models to suits the demands
It may be that more specialist services have to be configured to utilise resources more effectively using staff with the right skills, and that does not always mean all services everywhere
Self referral processes are in place in some services and this is a model we need to focus on to improve access
We want to deliver quality, timely services with good outcomes for patients.
By maintaining the therapy model we can maximize resources by utilising the capacity of therapies as a whole rather than fragmenting services and creating inequity.
We need to continue to look at new methods of service delivery such as telecare, group work, other locations for service delivery – engaging partners in aspects of delivery and utilising shared estate
Continuous service evaluation and review are crucial to ensure that services are appropriate and meet the needs of the patient and the organisation

6. What are we doing? Self referral - physio
Working with NERS co-ordinators
OCN Food and Nutrition skills
Fit for work project
Flying Start - SALT
Diabetes group education
Intermediate care service review
Social enterprise scheme – nail care
Arts in residence schemes

7. What are we planning to do?
Pulmonary rehab – hub and spoke model
NERS and obesity management
OCN Food and Nutrition skills
Compact agreement - leisure
Improving upstream working
Skill mix review – utilisation of assistants
Use Results based accountability
Extend the Community Nutrition Pathway
Use Telerehab

8. Therapy services contacts
Locality leads – see handout
For further information contact:
Steven Grayston