1. Reducing the pressure on hospitals: a report on the value of occupational therapy in
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FIRST SECTION HALF AN HOUR…..

2. Why now?
The RCOT campaign Occupational Therapy – Improving Lives Saving Money is making the case for occupational therapists in three key pressure points in NHS and care services:
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
   
Check people’s knowledge of campaign.
If no knowledge then some background.

3. 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.

4. 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

5. 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.

6. Policy Drivers in Northern Ireland
Quality 2020 (Nov 2011) A 10 year strategy to protect and improve quality in health and social care Northern Ireland Safe and Effective
Transforming Your Care (Dec 2011) A Review of H&SC in Northern Ireland
Personalisation, independence and integration
Making Life Better – A Whole System Framework for Public Health Prevention and tackling inequalities
Systems, Not Structures, (2016) Changing Health & Social Care Expert Panel Report ‘Accountable Care Systems’ to integrate, Triple Aim Objective (population health, experience of care and per capita cost)
Health & Wellbeing 2026 (2016) Delivering Together

7. Evidenced based services Right care right place right time
Northern Ireland (continued) 12 key principles of Transforming Your Care
Individual at centre
Evidenced based services
Right care right place right time
Population- based planning of services
Prevention focus and tackling inequalitites
Integrated care
Promoting independence and personalisation of care
Safeguarding most vulnerable
Ensuring sustainability of service provision
Realising value for money
Maximising use of technology
Incentivising innovation at a local level

8. ‘There is a crisis in our hospitals’
Julia Scott, Chief Executive Officer, Royal College of Occupational Therapists
Reducing the pressure on hospitals can be achieved through:
Reducing admissions to hospital
Reducing time in hospital
Successful transition and discharge
Those that receive help from an occupational therapist prior to, or during their stay in hospital are likely to have better outcomes and are unlikely to require rapid, costly and upsetting readmission.

9. Occupational therapy
Occupational therapy provides practical support to enable people to facilitate recovery and overcome any barriers that prevent them from doing the activities (occupations) that matter to them.
This helps to increase people's independence and satisfaction in all aspects of life.
"Occupation" refers to practical and purposeful activities that allow people to live independently and have a sense of identity. This could be essential day-to-day tasks such as self-care, work or leisure.

10. Why occupational therapists?
Occupational therapists are unique as they are trained to work in both health and social care and also work across mental and physical health
Investing in occupational therapy has the potential to improve care quality without increasing overall hospital spending

11. Reducing the pressure on hospitals: A report on the value of occupational therapy
The College has published four reports one for each UK nation
The evidence for the reports was gathered from data examples from services around the UK
The reports demonstrate innovative working – with occupational therapists working in A&E departments, with ambulance services and with GP practices – all working to keep people out of hospital, reduce length of stay and ensure timely and safe discharge

12. 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

13. England

14. Northern Ireland

15. Scotland

16. 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

17. 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

18. 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

19. 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.

20. 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
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21. Add some local practice examples here or choose some from the report in areas where you wish to develop services. Choosing ones showing savings has a great impact You can use the impact data guidance on the microsite to help you

22. 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

23. 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

24. In summary Reducing the pressure on hospitals can be achieved through:
Reducing admissions to hospital
Reducing time in hospital
Successful transition and discharge
Those that receive help from an occupational therapist prior to, or during their stay in hospital are likely to have better outcomes and are unlikely to require rapid, costly and upsetting readmission.
This valuable workforce, used resourcefully and efficiently can improve care for patients and save services money.

25. ADD A LOCAL SUMMARY – WHAT ARE YOU ASKING FOR ETC
e.g. ask the audience to consider how they can adopt the recommendations in services
How can they help with taking the report forward

26. ADD YOUR CONTACT DETAILS
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