1. Active & Independent Living Improvement Engagement Event Wednesday 9 th December 2015 10am – 2.00 pm Aberdeen Exhibition and Conference Centre

2. Warm welcome to all Service user and patient representatives Health and Social Care colleagues Voluntary and Third Sector representatives Scottish Fire & Rescue Service Scottish Ambulance Service Robert Gordon University Scottish Government Representatives Lots of AHPs

3. Local Perspective On the National Delivery Plan Susan E. Carr Associate Director of Allied Health Professionals

4. Who are the Allied Health Professionals (AHPs)?  Art Therapies  Dietetics  Occupational Therapy  Orthotics  Orthoptics  Paramedics  Physiotherapy  Podiatry  Prosthetics  Radiography  Speech & Language Therapy

5. Role of AHPs AHPs are autonomous practitioners who work with many other professionals at many points along the care pathway and have roles that span many domains of care:  Prevention  Health promotion  Diagnosis  Treatment  Support  Enabling independence

6. AHP National Delivery Plan  Professional leadership to drive innovation and delivery  Reshaping care and enabling independent living  Improving health and wellbeing  Supporting early years  Maximising workforce engagement and development  Driving improvement : delivering sustainable quality

7. Grampian Allied Health Professions Implementation Plan Developed in response to the 2012-2015 National Delivery Plan for the Allied Health Professionals in Scotland AHPs as Agents of Change in Health and Social Care

8. The AHP contribution to achieving delayed discharge targets and reducing overall length of stay in hospital.

9. AHPs supporting Unscheduled Care Key aims... AHP Presence within all medical receiving units Progress so far... There is an AHP presence within the acute medical receiving units in Grampian AHPs supporting flow by 7 day working within acute sectors AHPs attending daily huddles NHS Grampian USC AHP specific improvement plan in the making focus on speedy access to assessment and intervention

10. Developing AHP capacity in leadership and quality improvement and driving productive working practices with a view to promoting efficiency, productivity and flexibility.

11. AHP QI and Leadership Key aims... To determine the current Quality Improvement skill level within AHP services in Grampian and plan to reduce the skill gap, providing AHPs with the opportunity to improve their skills in QI Progress so far... Bespoke AHP Quality Improvement and Leadership programme underway – concludes in February 2016 13 delegates from across Grampian Wide range of projects Trained to practitioner level AHP Sector Lead graduated as a ScIL in August 2015 AHPs involved in the QI programme within the Moray EYC Raising awareness session for all AHP managers

12. All teach all learn....the spaghetti game

13. AHPs will ask people who use their services about their work status and will initiate support to enable them to remain in or return to work.

14. healthWorks Project www.hi-netgrampian.org/healthworks What is it? Free, face to face, vocational rehabilitation awareness training. Funded by Public Health. Delivered to 230 staff members so far, with another 300 to complete by next year. Open to all health, social care and third sector staff. Why does it matter? Unemployment in adults is associated with a higher risk of premature death and increased mental, physical and psychological health problems. AHPs can play a crucial role in supporting people to stay at, return to and remain engaged in work/ volunteering.

15. AHPs will lead improvement in the quality of their services, underpinned by data gathered from people who use services, to improve outcomes.

16. E-health solutions for AHPs essential to support service delivery and to measure performance and demonstrate outcomes ‘If we don’t count then we don’t count’ What’s happening in Grampian? PMS/Trak care being used by all AHP MSK services Roll-out plan being developed for PMS/Trak for all AHP services pan-Grampian AHPs making use of IT solutions already available: Sci- gateway, Sci-store, accessing KIS etc AHPs involved in the development of Electronic Patient Record (EPR) How might we deliver care differently in future through Digital health/ Telehealth?... NHSG AHP 2020 identified Digital Health opportunities

17. AHPs will work to ensure the delivery of early intervention and post-diagnostic support for people with dementia.

18. Dementia Care Dementia Training Scoping exercise of AHPs across NHS Grampian to identify dementia training needs NES Skilled level dementia training sessions delivered by AHP Dementia Consultant across Grampian for H&SC AHPs (220 AHPs trained) Supporting Derek Training Programme rolled out across services supporting people with a learning disability AHPs at Work Dementia Link Workers have access to and support from AHPs Development of Risk Enablement Framework by Older Adult Mental Health OTs – winners of 2015 GRAFTA Award for Innovation

19. AHPs working in children and young people’s services will provide a sustainable model of service that reflects the early years agenda.

20. Allied Health Professionals: working with Children and Young People across NHS Grampian What do we do? Over 110 AHPs working with children across NHSG Provide patient care, rehabilitation, self- management support, enabling and health improvement interventions. Work collaboratively with children, families, education, health and social care staff, 3 rd sector Next steps..... National children’s AHP plan and local implementation plan Quality improvements across the 5 key ambitions: Access Early intervention and prevention Partnerships and integration Participation and engagement Leadership

21. AHPs will use each appropriate opportunity to improve overall health and well-being of people who use your services including signposting to relevant resources.

22. Raising Health Issues, Small Steps Guide User-friendly tool to help AHPs feel more confident to: sensitively raise common health issues with adult patients respond effectively sign post or provide information, as part of routine practice

23. Raising Health Issues, Small Steps Guide Enabling all AHPs to promote the benefits of healthy living by asking patients about their lifestyle and whether they want to make changes. Not every encounter, but every opportunity that is likely to be appropriate and effective.

24. Health Promoting AHPs Work Smoking Overweight Physical Activity Emotional Health Alcohol Money worries

25. AHPs will drive the delivery of a maximum wait of no more than 4 weeks for AHP musculoskeletal treatment.

26. MSK & Orthopaedic Quality Drive Key aims... National 4 week rapid access target by April 2016 – physiotherapy, podiatry and orthotics Efficient referral management processes Improved pathways for patients – AHP led Supporting patient self- management Progress so far... MSK referral centre – 40,000 referrals per year Self-referral through national MATS scheme Electronic referral management: PMS/ Trakcare, e-vetting Pathways development: Spinal, Knee, Foot & Ankle National reporting of Physiotherapy waiting times

27. Physiotherapy waiting times improvement journey...

28. Physiotherapy: Target 90% in 4 weeks Improvement journey... % patients seen in 4 weeks / 4-6 weeks / 6 weeks +

29. AHPs delivering the 2020 Vision by Transforming well-being and recovery Promoting prevention and earlier diagnosis Reducing unnecessary referrals and admissions to hospital and care settings Strengthening user and carer capabilities

31. Thank you