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

2. The Future of Occupational Therapy in Health and Social Care Shelagh Morris Allied Health Professions Officer 30 January 2008

3. Health Reform Framework Systems and incentives to: - drive improvements - increase responsiveness - reduce health inequalities Four related workstreams

4. Comprehensive Health Reform Supply-side reforms Demand-side reforms Transactional reforms System management reforms System management reforms Better care Better patient experience Better value for money

5. Our health, our care, our say Personalised care Services closer to people’s homes Better co-ordinated with local councils Increased choice Prevention of illness and maintaining wellbeing

6. Reform model for social care Better care and support Shaping and building the market: to create a strong, varied, flexible market in social care Increasing capability: to ensure people working in social care have the skills and support they need to deliver services People shaping services: to make sure individuals can choose the services they want Strengthening performance management: to ensure that all services are of a high standard and are self-sustaining LAC (DH) (2008) 1

7. Next Stage Review Vision Improving quality of care A more personalised service Clinicians leading change Systems supporting local change Making best use of resources

8. Operating Framework 08/09 Priorities for the NHS: Improving cleanliness and reducing HCAIs Improving access Keeping adults and children well Improving patient experience Preparing to respond in a state of emergency Local priorities

9. Health & Social Care Bill Four key policy areas: –Care Quality Commission –Professional Regulation –Public Health Protection Measures –Health in Pregnancy Grant + other measures including: –Power to extend membership of NHS Indemnity Schemes –The extension of direct payments –The creation of a power for SoS to give financial assistance to social enterprises –The creation of the National Information Governance Board for Health and Social Care

10. Health, work and wellbeing National Director for Work and health Pathways to Work Condition Management Programme Vocational Rehabilitation

11. CHPO Priorities Access Workforce Information Leadership

12. What this means for patients Greater choice and accessibility to services Patient-focused services that are evidence based and continually improving Greater flexibility to design services around patients’ needs Redesign services that put patients at the heart of what AHPs do.

13. What does this mean for AHPs? Identifying need Planning new services Redesigning services Implementing change Influencing commissioners Multiprofessional working

14. What does this mean for Occupational Therapists in Health & Social Care? Flexible workforce Emerging roles/New Roles New Ways of Working Competences Leading change

15. Opportunities and Challenges

16. Let us begin… Ask not what your country can do for you – ask what you can do for your country John F. Kennedy Inaugural address 20 January 1961

17. Engagement, Involvement & Leadership Ask not what reform can do for you – ask what you can do to use reform to improve patient care

18. Resources AHP Bulletin Bulletin.subscriptions@dh.gsi.gov.uk Chief Health Professions Officer website www.dh.gov.uk/chpo shelagh.morris@dh.gsi.gov.uk