1. Occupational Therapy in Health and Social Services The Rep Birmingham 30 January 2008

2. Gloucestershire Integrated Occupational Therapy Service

3. Who am I? Sian Waygood MA., Dip COT Head of OT Services Gloucestershire PCT Cheltenham

4. Why an Integrated Service ? Key Considerations: Service users views Anticipated benefits – organisations/staff Impact on support services, wider team

5. What type of integration Health Act Flexibilities Lead Commissioning Integrated Provision Pooled Budgets

6. Organisational Change The Gloucestershire Context 2002 / 2004 / 2006 Key milestones Critical factors for success

7. Integration Process Project Board Organisational Consultation Service Users Staff/Unions

8. Key factors Human resource issues Mapping resources – financial etc Governance arrangements Other – IT, complaints Detail

9. Organisational structure Leadership Structure Policies Working groups A shared philosophy

10. Countywide Occupational Therapy Services 2006

11. Working Groups Clinical Governance Health and Safety Client centered practice (CMOP) Recruitment and retention Moving and handling Back to work Training and CPD

12. Working Group – CMOP - Glos, Me and Here!!! What is CMOP? Why is it relevant to the Glos integration ?

13. CMOP journey in Gloucestershire Research Theory to underpin practice A model Putting the model into practice!

14. CMOP in Gloucestershire now Training and update sessions Tools developed – manual, documentation DVD Outcome measures

15. Achievements Improved performance Improved Governance Views of Service users Client centred practise

16. Performance

18. Challenges Finance Increasing demand and expectation Working across different organisations with different cultures and processes

19. Next steps: Planned future developments Further organisational change?

20. Thank you for listening Any questions? Contact: sian.waygood@glos.nhs.uk