SOHP602 Health and Social Care WORKBOOK

-Name –10529913

--------------------------- -Programme-BSc OCCUPATIONAL THERAPY---------------------------

2017-18

Welcome to SOHP602

Introduction to module Welcome to SOHP 602, inter-professional working in health and social care. This module is designed to prepare you for your transition into practice with an emphasis on the impact of inter-professional working on patient outcomes.The aim of this module is :-To provide students with an opportunity to engage in Inter-professional learning to promote a deep understanding of the benefits of working together to enhance the quality of care and management of service users.At the end of the module the learner will be expected to be able to: 1. Critically evaluate the links between effective inter-professional practice and patient outcomes2. Critically evaluate the evidence base for effective inter-professional working, including the relationship with relevant governmental drivers and policies3. Critically reflect on the impact of team dynamics on effective inter-professional working4. Evaluate the relationship between professional expertise, skills mix and service provisionWhat this workbook is for?The workbook is designed to enable you to meet the above learning outcomes and get the most out of this module and as a resource for your future practice. It is designed to encourage reflective practice and working within inter-professional teams.What we expect You are expected to attend all of the timetabled sessions and come prepared with your workbook to get the most out of this two week delivery. The work book will form part of your summative assignment and will be marked on a pass / fail basis.What will need to happen on submission? An electronic copy of this workbook will need to be uploaded to moodle by the submission date in the module handbook.

WEEK 1

WEEK 1

IN THIS SECTION: Monday - Setting the scene

Collaborative working: Teamwork

Tuesday- Self directed study and data collection

Wednesday - Role Understanding

Thursday – Legal responsibilities

Friday - Public facing profile in a digital age

Week 1

WEEK 2

WK 1 MONDAY

Week 2

IN THIS SECTION:

Monday- Inter-professional Communication Case study

Tuesday- Self-directed study

Wednesday - Safeguarding Conference

Thursday - Presentation

WEEK 2

Monday

IN THIS SECTION: Seminar 1

Collaborative working: Teamwork

WK 1 MONDAY

Tuesday

IN THIS SECTION:

Preparation for Seminar 2

WK 1 TUESDAY

Self-directed study - data collection

Following Seminar 1: Start to complete the Interprofessional Capability Self-assessment form.

In the appendix you will find a self-assessment form and a hyperlink to a brief online resource explaining the tool and giving some examples and guidance on how to complete the

form. Once complete you will be able to include this in your professional portfolio. You will be able to use this as evidence of your Interprofessional Capability which may be useful at interview and you could choose to update this as part of your Continuing Professional

Development.Focus initially on Capability OC2 and Capability OC3: The collaborative worker is able to

lead or participate across teams and in wider inter-agency work, to ensure responsive and integrated, person focused services.

Essential Preparation for Seminar 2In seminar 2 we will be exploring the significance of role understanding.

To prepare for this you are required to bring some original information to the seminar in the form of data collected by interviewing a member of the public.The interview is completely informal, more a conversation, but must be with an adult with capacity. They must not have a background in or significant experience of healthcare.

Explore the persons’ understanding of Occupational Therapy

Paramedicine,

Physiotherapy

Using the following page make some notes summarizing their understanding of the roles of the professions, this information will be used in the seminar.

Profile of interviewee: Age, Gender, Nationality and Occupation.

32, Female, British, TeacherOccupational Therapy

‘Someone who rehabilitates someone’, ‘use of therapy to help people get better after an illness’

The person interviewed did not have any profound understanding of what the profession entailed, from what services they could offer to what age’s Occupational Therapists work with.

Paramedicine

‘Never heard the term but I am assuming it’s a paramedic’, ‘literally no idea what this means’

I think the term Paramedicine confused the lay person interviewed, they were familiar with the term paramedic but when asked what paramedicine was they were not able to identify the profession.

Physiotherapy

‘Someone who works with a person after injury’, ‘using physical manipulation to improve a patient after they’ve suffered from an illness’

This was the most understood out of the three professions but the level of their understanding only related to one aspect of the profession, this perhaps was to do with how the profession is perceived on social media.

Data for seminar 2

Wed

IN THIS SECTION:Seminar 2

Role Understanding

Where there any myths, regarding your own profession that surprised

you?

What did you learn about your inter-professional colleagues

Start to consider what you wish to include in your teaching session.

WK 1 WEDNESDAY

Following Seminar 2: Summarise why understanding the professional role of others and being able to explain your own professional role is an essential interprofessional capability.As I progress into professional practice it will evitable that I will be working as a part of a multi-disciplinary team as a part of everyday practice and so therefore being able to understand the professional roles of others will be an essential interprofessional capability. Working on an interprofessional level can pose benefits as well as varying challenges. However, it is important that this collaboration is effective as it can have a significant impact on patient care and service delivery.

When considering interprofessional working, the initial challenges is with understanding how each profession communicates and the approaches taken. It is discussed throughout literature and imbedded in policy, legislation and guidelines how important communication is within healthcare. However, each profession talks a different language in terms of how they communicate and the professional language that is used, and therefore, setting up professional barriers that can limit successful multidisciplinary working. By being able to work alongside other professions through university and through practice placements it gives opportunity to start to understand how each professional role can contribute to effective team working and enhanced patient care. It enables each to learn from each other and broaden their knowledge of roles but also how to better inform a patient, creating opportunities to fill in knowledge gaps but also developing shared knowledge. In scope of this, in practice, it can support professionals own clinical decision making; maximizing the learning and professional experience, a profound movement with the NHS, to enable safer working practice.Understanding the professional roles of others can encourage effective interprofessional collaboration.

Role Misunderstanding reduces collaborative care. The way professions clinically reason is also known to differ. Understanding this difference can enable us to see where service improvements can be made and may influence role revision. Furthermore, being able to explain my own professional role, contributes greatly to interprofessional working as it gives opportunity to advocate for your own profession and showcase what skills and services you can provide, not only for patient care and recovery but also how our skills can contribute to working within a multidisciplinary team. It also enables us to recognise that, as a profession, working inter-professionally helps to work towards guidance and care pathways with greater effect. As one small incapability can cause a lack of depth of understanding of roles and reducing collaborative care.

Reference(s):

Connolly, M., Deaton, C., Dodd, M., Grimshaw, J., Hulme, T., Everitt, S. and Tierney, S. (2010) ‘Discharge preparation: Do healthcare professionals differ in their opinions?’, Journal of Interprofessional Care, 24(6), pp.633-643. Sandberg, H. (2010) ‘The concept of collaborative health’, Journal of Interprofessional Care, 24(6), 644-652.

World Health Organisation [WHO] (2010) ‘Framework for Action on Interprofessional Education & Collaborative Practice’. [Online]. Available at: http://apps.who.int/iris/bitstream/handle/10665/70185/WHO_HRH_HPN_10.3_eng.pdf?sequence=1. (Accessed: 22 May 2018).

Laurant, M., Harmsen, M., Faber, M., Wollersheim, H., Sibbald, B. and Grol, R. (2010) ‘Revision of professional roles and quality improvement: a review of the evidence’, Quest for quality and

improved performance, The Health Foundation. [Online]. Available at: https://www.health.org.uk/sites/health/files/RevisionOfProfessionalRolesAndQualityImprovement_ReviewOfEvidence.pdf

Preston, J., Galloway, M., Wilson, R., McNamee, L., Deans, Y. and McGhee, G. (2018) ‘Occupational therapists and paramedics form a mutually beneficial alliance to reduce the pressure on hospitals: A practice analysis’, British Journal of Occupational Therapy, p.030802261875741.

Saxon, R., Gray, M. and Oprescu, F. (2014) ‘Extended roles for allied health professionals: an updated systematic review of the evidence’, Journal of Multidisciplinary Healthcare, p.479.

“ The collaborative worker exercises a critical understanding of team structures and effective team functioning through knowledge of group

Reflection

Were there any myths, regarding your own profession that surprised you?

There not necessarily any myths about the profession of occupational therapy but just the

confusion of how occupation fits within our service delivery and what each person’s

understanding of what occupation is.

As much as we can advocate for what we do, it is still widely associated with equipment

provision and adaptations and as much as that is a part of what we do as a profession it

does not fully represent what we do.

Going forward it will be so important to ensure that our professional role is thoroughly

understood to ensure patients are subject to the best services and care available.

What did you learn about your inter-professional colleagues?

That not only did the lay persons not have a full understanding on our profession but also my inter-

professional colleagues too had a vague understanding of what occupational therapy, as a

profession, entails.

“ The collaborative worker exercises a critical understanding of team structures and effective team functioning through knowledge of group

Day 4

IN THIS SECTION:

Policy and legislation

Consider how social media could have / was used in your last

placement to communicate with patients.

What Safe guards do you employ to ensure that you stay within

professional boundaries when using social media?

WK 1 THURSDAY

Consider a policy from one of your placements that directly impacted upon your professional practice and consider the legislative drivers that shape this policy.

Name and describe the policy:-

Consent and capacity to consent to examination and/or treatment (XXXXX, 2015)

The policy and guidance provides information and ensure that all practitioners act in ways which are compliant with the legislation relating to capacity and consent regarding Codes of Practice relating to the legislation. It takes in account common law, new legislation and guidance relevant to capacity and consent, and clarification in the interpretation of the Mental Health Act (2007). It provides a means whereby practitioners can ensure they are adhering to notions of best practice in relation to capacity and consent.

How did it impact on your professional practice?

Patients have a fundamental legal and ethical right to determine what happens to their own bodies. Valid consent to treatment is therefore central in all forms of healthcare, from providing intimate care to undertaking major surgery. Seeking consent is also a matter of common courtesy between health professionals and patients.

What legislative drivers shape this policy?

Legislation relating to consent and capacity to consent to treatment is shaped by the Mental Capacity Act 2005 and the Mental Health Act 2007.

References

Mental Capacity Act 2005, c.9 [Online]. Available at: http://www.legislation.gov.uk/ukpga/2005/9/contents (Accessed: 22 May 2018).

Mental Health Act 2007, c.12. [Online]. Available at: https://www.legislation.gov.uk/ukpga/2007/12/contents (Accessed: 22 May 2018).

XXXXX (2015) Consent and capacity to consent to examination and/or treatment. [Online]. Available at: http://www.xxxxx.nhs.uk/media/2176/consent-and-capacity-to-consent-to-treatment-v5aug-15.pdf (Accessed: 30 May 2018).

Reflect on Your current public facing profile and how you would like to develop this in the future.

How social media can be used as a communication tool with service users

What is your current public facing profile? Consider which platforms you use and why?Personal

Instagram – Private account. I use this platform purely for creativity, I have an active interest in photography and like to use it to edit my photos.

Facebook – private account. I use this platform to be able to communicate and share my life experiences within my personal life and with my friends I have connected with from all around the world, as much as I don’t like to share too much information, it is an easy way to keep in touch with friends and family that you do not get to see very often. (This sentence is too long and therefore it loses its clarity)

Snapchat - purely for fun, again a private account but just a fun way of communicating with my friends and family.

Professional LinkedIn – the digital version of my CV. Easy way to find out what is going on in the recruitment

world and what is happening with different healthcare trusts. I have managed to connect and network with many by being. Apart of this online platform/tool and have also become aware of some job vacancies that I have not found anywhere else.(This does not make sense, there seems to be an unfinished sentence)

Twitter – I have only recently started to use twitter. Only used as a professional profile as a student and when I gain employment, I have found it very useful to network but also to join in some profession specific discussions.

Professional portfolio – I have built an online CPD portfolio, this has been useful as I know everything is in one place and I do not need to refer, everything is one place that is accessible.(You are repeating yourself here, which detracts from the clarity. Be more concise).

Skype – another way to be able to communicate professionally, when a face ti face meeting is not possible. Whilst away on my exchange I used skype to have personal tutor sessions and I had an interview over skype. I found this just enabled me to continue with everyday life even though I was in a different country. (Skype is not a public facing profile, it is a means of communicaion, Your email address or Skype address may be public facing)

What Safe guards do you employ to ensure that you stay within professional boundaries when using social media?

Self-disclosure – ensuring Information about myself and my personal life is not disclosed to clients.

Dual relationships - to not hold more than one type of relationship with a client, for example, they cannot work for me, be a family member or receive extra private support, as well as be one of your clients.

Working within your competence – important to understand the limitations of my role and personal capabilities, and when to refer to other professionals or to seek further support and advice for myself and clients.

Looking after self – to recognise that it is my responsibility to ensure that I am are fit to work, be conscious of my behaviour outside work but also how I manage stress and emotions within work.

Consider what you may use in your future professional practice?

Using social media in my future practice would very much depend on the client group I would be working with.

Much of social media I use, is still on a personal basis, and so I would have to carefully consider which media platforms to work with if it meant a client would benefit from this way of communicating.

Consider how social media could have / was used in your last placement to communicate with patients?

The platforms available now, I do not feel, would be appropriate to use to communicate with patients on my last placement. However, Skye could be potentially have been used but I still feel you need to be able to meet face to face, talk on the phone, to retain quality of service delivery.

You could explain this a little further, what platforms available now? Some further exploration/discussion regarding SKYPE could have been useful. What are the advantages and disadvantages of this?

Monday

IN THIS SECTION:Interprofessional Communication

WK 2 MONDAY

WK 2 TUESDAY

1. Reflect on a time where communication created a problem in your practice and write about it.

Initial assessment with a person with LD

Situation: initial assessment/info gathering for a person with a LD

Task: to gather enough information to be able to judge what assessments to follow with to be able to understand patient need. I was nervous and spoke to fast and sometimes was not clear enough.

Action: my educator, gave me some constructive feedback...and on second visit to patient. I had reflected on what she had said and was able to clearly communicate with my patient and gain appropriate amount of info and carry out an initial assessment successfully. Receiving good feedback from my educator. Your writing style, poor use of grammar and punctuation means that what you have written is not making sense. Some further explanation here of the feedback you received and how you used it would have been useful)

Result: always think about person who communicating with and flex my communication style, improved upon my own occupational performance. Ended up establish great rapport with the patient and therefore enabling me to positive difference in the community. (This first sentence does not make any sense)

2. Reflect on a time where communication across multiple agencies improved a patient outcome, what worked well and what will you want to implement into your future practice?

Being a part of a multidisciplinary team meeting weekly, whilst on my second-year placement I could observe how this regular communication facilitated effective team working and over all improved patient outcome. It gave opportunity for al health care professions (doctors, consultants, nursing, occupational therapy, physiotherapy and healthcare assistants) to voice and concerns they had with a patient. It worked well as many of the professionals we involved with that patients care, allowing for each to report and update on their progress within the service. On some occasions, depending on which team members were present for the weekly meeting, a sense of hierarchy was evident among professionals and this sometimes impact on the cohesion of the group. But overall, I attended the meeting for 10 consecutive weeks, reflecting on the experience, I would look to participate in and actively advocate for working in this sphere. It generally improved outcome of patient care and really gave opportunity to get to know other professional within the service, effectively building on the team dynamics. Even though I did not participate in the meetings, by the end of the ten weeks I felt like a valued member of the team, something I would like to ensure I have the opportunity to foster in future practice.A useful piece of reflection here that demonstrates the benefits of MDT meetings. Try to be more concise and much more attention to detail is needed in checking for errors.

D

ay 2IN THIS SECTION:

Safeguarding Conference

Preparatory reading:

Chpt 12 Palermo to Croyden Modern trafficking in Safeguarding adults under the care act 2014.

Ed Cooper Emily White

Ebook found via Aspire reading list

WK 2 TUESDAY

Wed

IN THIS SECTION:Reflect on safe guarding

conference

WK 2 WEDNESDAY

Reflect on safe guarding conference

What key points will you take away from the conference? Awareness – what to look out for.

I understand more about the different levels of abuse now.

Understand the importance of early intervention.

Make use of national guidance, legislation and local policies and procedures to guide in work.

To always speak up.

How important documentation is.

How will this impact on your future professional practice?

effectively make use of national guidance, legislation and local policies and procedures to guide in work.

it has highlighted how important it is to work more effectively with other agencies/professionals.

how to follow the appropriate procedures if I suspect that there could be a safeguarding issue.

To be able to notice key things that could need further investigation but also how to discuss and with who to discuss when you feel alarmed by a situation.

ARE THERE ANY AREAS THAT YOU WISH TO GO AWAY AND RESEARCH FURTHER?

Read into legislation that I am unfamiliar with, particularly the Children’s Act.

Read into other areas of safeguarding that were not covered by this session, such as radicalization and position of trust issues.

P

WEEK 2 THURSDAY

PRESENTATION

Aims: To represent your professionDevelop an in depth understanding of other professions

Reflect on the presentation(s):

What was the aim of your session?

To advocate and represent our profession, raising awareness of and to help other healthcare professionals to begin to understand our profession in a little more depth.

Why did you select this aim?

It was clear from previous sessions that other healthcare professionals, as well as the lay people interviews, had a limited understanding of what Occupational Therapists are, what our job role is, how we can work with people, and what type of people we work with?

Reflect on the Seminar (continued).How did your session go? Is there anything you would change?

Really well, although we did not use a presentation as such, we chose to actively try and engage our audience and educate and raise of profession through doing, which is how we would work in practice! I think most people liked the quiz, and it helped to inform others of some facts about the profession that they will not have known, so hopefully they will be able to take something away with them.

If we could change anything:

We used a video at the beginning, maybe to have a shorter video and try generating a discussion/present information afterwards. It was challenging to put across in such a short space of time, everything about the profession.

What did you learn about your colleague’s professions? The session was good, very informative and felt I learnt a lot, especially from the presentation

from the physios.

Skills demonstrated by each profession through the presentations, showed how confident in their ability to advocate for their profession and for the skills they have learnt over the last 2/3 years on their degree program.

Everyone came across well and appeared to be able to convey information clearly.

How will this inform your future practice?

It has made me recognize that professions overlap, that everyone has a skill set but sometimes these skill sets can be known to more than one profession.

That it will be important to be mindful of this when going into practice.

That we will be able to draw on knowledge and expertise from others and hopefully work better together.

How could this understanding impact on the quality of care provided by you in the future?

They raised our awareness of some simple breathing techniques, a skill/technique that will be good to know about when working in practice as a simple exercise can really help how someone feels in that moment in time.

Helped me to grasp a better understanding of professional roles of other allied health professionals and so therefore enable me to be able to effectively sign post/refer patients in the future, enhancing a seamless delivery of care and essentially improving the quality of the services I provide.

Peer review document:

Select the copy of the Peer review form developed by your group in Seminar 1 from moodle. Paste a copy into your workbook here.This will be completed by a peer in the final seminar.

PLEASE SEE NEXT PAGE

Appendix A:

The Interprofessional Capability Framework This online resource can be accessed by clicking on the title above, or copying and pasting the following link into a browser. The Framework was originally devised by a project funded by the Department of Health and CUILU, Sheffield Hallam University and the University of Sheffield.https://shuspace.shu.ac.uk/bbcswebdav/institution/HWB/IPL/Learning_Materials/2010_IP_curriculum/capability_framework_mag/htm/page02.htm

Access the online resource and utilise the content to enable you to further develop your understanding for the need for Interprofessional Capability.

An electronic copy of the following self-assessment tool can be downloaded from the following website.

Interprofessional capability_framework_self assessment tool

Consider each capability in turn. Reflect on your learning in practice, in classroom sessions and in your self-study.

What examples can you think of in your learning that would enable you to claim that you have

achieved a level of learning within the Interprofessional Capability Framework?

At which level would you place this achievement? Shade the appropriate box, and provide an example of how you achieved this level. Where appropriate consider how you can move up the levels, what further learning do you need to

undertake and how will you manage to do this?

DOMAIN: Collaborative Working

Capability CW1: The collaborative worker implements an integrated action plan in partnership with people who use services, remaining responsive to evolving service requirements.

Learning Achievement Levels Self Assessment

L1 Has an awareness of the need to have a person focused, collaborative approach to planning services in order to meet the needs of people using services.L2 In partnership with people who use services, participates in some aspects of the processes involved in implementing an integrated action plan. L3 In partnership with people who use services, takes responsibility for implementing a person focused, integrated action plan that takes account of evolving service requirements.Provide a brief example or statement justifying the level you have selected

By completing 1000 hours of clinical hours whilst at university, I believe myself to be able work in partnership with people who use services and have been able to participate and be involved with the majority of the process involved with implementing an integrated action plan. For example, working on my triage skills to be able to gather information and work with others within the service to decide the best and most appropriate steps for patient care.

To further enhance this capability, I feel I need to gain more clinical experience, hoping to be able to take on more responsibility when transitioning to professional practice.

Capable

Capability CW2: The collaborative worker consistently communicates sensitively in a responsive and responsible manner, demonstrating effective interpersonal skills in the context of providing a person focused service.

Learning Achievement Levels Self Assessment

L1 Recognises the need for effective interpersonal skills to enhance person focused service.L2 Demonstrates developing skills of interpersonal communication with people who use services and their support networks where appropriate.L3 Applies appropriate interpersonal skills that promote effective communication with the aim of enhancing person centred services.Provide a brief example or statement justifying the level you have selected

I feel I have developed my understanding and interpersonal communication skills through my final year placement where I worked within a learning disability setting. This built my awareness of how important communication is and enabled me to develop by highlighting the importance of accessible information and learning to flex my communication. I feel this skill would be applicable/transferable when working with any other service users or whom either do not speak English as their first language or who limited communication, such as people who have a neurological condition or dementia.

In addition to this, I have recently completed a Makaton foundation course which has given me a second form of communication, building upon and developing my interpersonal communication.

To develop my skills, I feel I need to practice my Makaton and gain more clinical experience to promote effective communication with the aim of enhancing person centred services.

Capable

Capability CW3: The collaborative worker shares profession-specific knowledge within and across communities of practice in ways that contribute to and enhance collaborative working processes.

Learning Achievement Levels Self Assessment

L1 Is aware of the benefits of sharing profession-specific knowledge and can give examples of constructive ways in which this knowledge can be shared.L2 Takes opportunities to participate in exchanging knowledge within the community of practice to enhance service delivery.

L3 Initiates the sharing of knowledge within and across communities of practice to enhance effective collaborative working.Provide a brief example or statement justifying the level you have selected

Sharing profession-specific knowledge can enhance service delivery, which in turn impacts positively on the service user. Within one of my practice placements, a hand therapy team, the occupational therapists, on a weekly basis, would share their knowledge of a case study/condition/type of splint with the team. Sharing and exchanging knowledge. By attending the sessions, each professional would gain a deeper understanding of the topic discussed and the specific needs of the service user, enhancing collaborative multidisciplinary working and therefore service delivery.

By developing my understanding of the profession within the area of practice I will be working in, I feel I will enable me to share my own profession- specific knowledge. In addition, the inter-professional working module will enable me to gain more knowledge about the role of other health professionals

Capable

Capability CW4: The collaborative worker engages in collective decision making between people who use services and members of the community of practice, to achieve commonly agreed goals that are in the best interests of the service user.Learning Achievement Levels Self

AssessmentL1 Is aware of examples of collective decision making involving people who use services and other members of the community of practice.L2 Participates in collective decision making involving people who use services and other members of the community of practice. L3 Is able to contribute to collective decision making processes involving people who use services and other members of the community of practice regarding planning actions to achieve commonly agreed goals. Provide a brief example or statement justifying the level you have selected

Over my past three practice placements, I have been able to observe and actively participate on interprofessional meetings, where the professionals and myself have discussed service user’s care, and relaying the service user’s preferences in the decision- making process. Some of the settings have had to hold best interest meetings, in line with the Mental Capacity Act 2005, to discuss with healthcare professionals, the family and wherever possible the service user themselves, to work collaboratively in planned decision making, in line with the person’s best interests.

To develop these skills further, I feel I need to gain clinical experience of collective decision making in practice.

Capable

DOMAIN: Reflection

Capability R1: The collaborative worker utilises reflective processes in order to work in partnership with people who use services and colleagues, ensuring person focused, and integrated service provision.Learning Achievement Levels Self

AssessmentL1 Participates in the processes of reflection to determine own learning needs.

L2 Utilises reflection in relation to the development of own role within the team in promoting person focused and integrated service provision.

L3 Demonstrates developed reflective processes in order to evaluate personal skill level and plan future development to ensure effective partnership working in meeting the goals of service provision.Provide a brief example or statement justifying the level you have selected

I feel I have developed my reflective skills over the course of my degree and while on placements, consistently demonstrating the ability to engage in supervision but also reflect on my own practises throughout my practice placements.Over the three placements, I have moved on from reflecting on my own learning needs, to reflecting on the service itself and in working collaboratively with other professionals.

To develop these skills further, I feel I need to keep up to date with my CPD portfolio, by ensuring I reflect on working in partnership with service user’s and other professionals in practice.

Capable

Capability R2: The collaborative worker contributes to service development by critically reflecting on the evidence base to support changing roles and responsibilities within and across communities of practice.

Learning Achievement Levels Self Assessment

L1 Is aware of evidence-based practice in service delivery.

L2 Begins to reflect on the quality of evidence used to support practice and service development.

L3 Participates in critical reflection in the utilisation of the evidence base to support practice and service development.Provide a brief example or statement justifying the level you have selected

In my third placement, I had various discussions with other occupational therapists about the limited profession specific evidence- base in working with adults with learning disabilities. I also reflected on the impact this could have on ensuring up to date practice, outside of government policy and guidelines, and adapting the service in line with the needs of the service user’s.

Acknowledging this led me to work in partnership with my educator to complete a clinical audit.Please see below, an exert from my practice placement report, as evidence to support this capability.

‘Charlotte has engaged in the process of writing and submitting an audit proposal to the R&D team, adjusting accordingly and gathering the data required to measure adherence to fidelity for individuals who have accessed the Ayres Sensory Integration Clinic, this is a valuable contribution to the Occupational Therapy service and the evidence base that is being collated and developed in this area of practice.’

To continue developing this capability, I will need to ensure that I am able to continually evaluate the evidence base for which ever NHS service I work within upon qualifying and how this is implemented in practice.

CapableCapability R3: The collaborative worker addresses personal, lifelong learning needs in the interests of continuing professional development and maintaining practice effectiveness.

Learning Achievement Levels Self Assessment

L1 Is aware of continuing professional development and lifelong learning, and relates this to own learning requirements for practice.

L2 Recognises how continuing professional development and lifelong learning can enhance development of self within the interprofessional team. Can select and discuss areas of learning to further understand aspects of collaborative working.

L3 Formulates a plan of activities and behaviours that will support continual professional development and indicate how this aids personal, professional and service development.

Provide a brief example or statement justifying the level you have selected

Over the course of my placement experiences, I have developed my skills in recognising my own learning needs, and utilised a learning contract for each placement in setting personal learning objectives to ensure I reached these goals. I feel this skill will enable me to identify my own learning needs throughout my career to ensure I maintain effective and safe practice.

In addition to that, I take an active interest in my professional development, I have built an online e-portfolio and try to add to it every 2-4 weeks.

Going forward, when embarking on my first clinical role as a qualified professional, I feel I will need to address the gaps in my own knowledge and abilities in clinical practice; formulating planned activities to support my future learning needs to help aid personal, professional and service development.

Capable

Capability R4: The collaborative worker promotes the continuing professional development of the community of practice by engaging in reciprocal processes of reflection and supervision in the interests of organisational/service development.

Learning Achievement Levels Self Assessment

L1 Is aware of formal and informal processes of reflection and supervision across the community of practice

L2 Begins to explore formal and informal processes of reflection and supervision across professions in order to further professional development across the community of practice.

L3 Participates in reciprocal formal and informal processes of reflection and supervision in order to further professional development that will support organisational/service development.Provide a brief example or statement justifying the level you have selected

I have participated and engaged in reciprocal formal and informal processes of reflection and supervision over my last three clinical placements that has supported organisational/service development. Working alongside and generating reflective discussion with other professionals in order to develop my own understanding of the service, and how each professional fit within the service. Please see below for evidence to support this.

‘She will generate good reflective discussion when reflecting on the use of specific tools, underpinning theory and philosophy and has been able to provide best practice evidence in line with local and national guidelines for example NICE, BJOT.’

I have also participated in formal and informal discussions between the MDT regarding service development, such as developing a care pathway for the service and attending the service development review, where we had to present our updates and ideas for how to improve upon our sector of the service.

However, by gaining further clinical experience, I will be able to enhance my understanding of how reflection and supervision across professions can enhance professional development.

Capable

DOMAIN: Cultural Awareness & Ethical Practice

Capability CAEP1: The collaborative worker continually develops, promotes and practises understanding and respect for others’ cultures, values and belief systems.Learning Achievement Levels Self

AssessmentL1 Recognises the importance of respect and cultural awareness when providing any service and can relate this practice to considering own culture, value and belief systems.L2 Can discuss differing cultural and value belief systems and begin to engage with these

issues when working within communities of practice.L3 Shares knowledge of other cultures’ beliefs and value systems to inform and promote good practice.Provide a brief example or statement justifying the level you have selected

I feel I understand some differing cultures and values belief systems and how these can be respected within a health and social care setting. For example, my recent experience on an Erasmus exchange has given me further insight to differing cultural and value belief systems and I feel I have been able to learn skills that will be transferable, when working with communities of practice. However, by working in a person-centred and holistic way, I feel this can enable professionals to respect and be aware of cultural beliefs and values.

I believe that as I engage and gain further clinical experience, I will be able to relate to develop my understanding of my cultural awareness and then be able to share my knowledge of other cultures’ beliefs and value systems to inform and promote good practice.

Capable

Capability CAEP2: The collaborative worker interacts within communities of practice to consistently promote the participation and autonomy of people who use services to ensure informed decision-making and the exercise of choice.Learning Achievement Levels Self

AssessmentL1 Recognises examples where participation and informed decision are central to promoting the

well being of people who use services.L2 Engages in some strategies to empower people who use services through promoting their

participation in the services they receive.L3 Engages with other members of the interprofessional team to use strategies of involvement and empowerment to ensure informed decision-making by the people who use services.Provide a brief example or statement justifying the level you have selected

During my final year placement, I engaged and worked within a specialist community based learning disability service. One aspect of my role was to be involved in enabling access to services, to promote their health, well- being and independence. I used assessments to enable service users to state their interests and provide choice and autonomy in the care they received. Through using accessible information, I was able to enable empower the service user to make informed decisions. This also gave me opportunity to develop my own easy read information for the service user I was working with.

I feel I can develop this skill further by learning from other professionals on the strategies they use to enable autonomy and informed decisions in service users who may have difficulty in this area.

CapableCapability CAEP3: The collaborative worker has an integrated understanding of the legal frameworks, statutory and regulatory requirements of the professions that make up the community of practice.

Learning Achievement Levels Self Assessment

L1 Is aware that professions within the community of practice may be subject to differing demands of law and regulation.

L2 Identifies the regulations that apply to different professions and can begin to engage with these issues within the community of practice.L3 Co-operates with others to ensure legal requirements of differing professions, for example in the exercise of a duty of care, are met.

Provide a brief example or statement justifying the level you have selected

I am aware that professions within the community of practice may be subject to differing demands of law and regulation, where other health and social care professionals should adhere to their own professional body guidelines and procedures. However, I do not have clear knowledge of many of these. I have an understanding about ethical practices, and in avoiding harm to service users.

To further develop this knowledge, I feel that when I gain professional employment, I should take time to learn more about other professionals and the various legal frameworks, statutory and regulatory requirements of the differing professions. This will enable me to co-operate with others to ensure legal requirements of differing professions, for example in the exercise of a duty of care, are met.

Capable

Capability CAEP4: The collaborative worker maintains and develops a critical understanding of the requirements of non-judgemental and anti-discriminatory practice in order to contribute to the delivery of culturally appropriate and person centred services.

Learning Achievement Levels Self Assessment

L1 Is aware of the need to respect diversity in service provision and can recognise how this isinformed by non-judgemental anti-discriminatory practice.

L2 Can identify and discuss how anti-discriminatory practice and non-judgemental behaviour informs delivery of culturally appropriate services.

L3 Applies knowledge of non-judgemental and anti-discriminatory practice when contributing to the development of culturally appropriate services.Provide a brief example or statement justifying the level you have selected

Through my Learning Disability practice placement, I could gain a better understanding of the importance of enabling access to mainstream services, such as using advocates to ensure the service users choices are adhered to or by adapting the service; ensuring person centred care is implemented to address service users’ needs holistically. This, I feel, will be transferable to and when working with people of cultures or those who are marginalised to ensure equal access to mainstream services, and ensuring their needs are met.

To be able to develop and apply knowledge of critical understanding of the requirements of non-judgemental and anti-discriminatory practice to contribute to the delivery of culturally appropriate and person centred services, I feel I will need to gain more clinical experience – understanding the service I will be working with. This will enable me to identify how the service could be developed to be culturally appropriate in relation to the needs of the service users accessing the service.

Capable

DOMAIN: Organisational Competence

Capability OC1: The collaborative worker critically evaluates policy and practice in the context of: Person-focused services The changing role boundaries that inform the nature of communities of practice Making recommendations to influence developments to improve the quality of services in the context of

partnership workingLearning Achievement Levels Self

AssessmentL1 Is aware that person focused services, changing role boundaries and future service provision is influenced by policy and practice.L2 Recognises and discusses how policy and practice influence changing role boundaries within the

community of practice and how the interprofessional team can inform the development of services.

L3 Applies knowledge of policy and practice to promote mutual understanding within the community of practice that will inform effective partnership working.Provide a brief example or statement justifying the level you have selected

Through completing numerous assignments at university and a interprofessional practice module, it has allowed me to apply and discuss how policy and practice influence changing role boundaries and service provision. For example, discussing NHS reports, such as the Winterbourne View inquiry and the Francis report, has enabled me to recognise and understand how they have influenced the development of best practice within health and social care settings; evaluating its influence on practice within various settings.

To further develop my understanding of this, I feel I need more clinical experience to apply this knowledge into practice in the area I will be working in, and how this applies to the multidisciplinary/interprofessional teams.Capable

Capability OC2: The collaborative worker exercises a critical understanding of team structures and effective team functioning through knowledge of group dynamics and professional roles across the community of practice.

Learning Achievement Levels Self Assessment

L1 Is aware of team structures within the community of practice.L2 Identifies how team structures influence communication between members of the community of practice.L3 Applies knowledge of team structures, dynamics and professional roles in making an effective contribution as a member of the community of practice.Provide a brief example or statement justifying the level you have selected

I feel I have gained a good understanding of the team structures within the settings I have been on placement, and the various ways in which they communicate, formally and informally. Please see below an exert from a placement report, evidence to support this capability:

‘Charlotte has had the opportunity to attend and engage successfully in multi-disciplinary meetings whereby she has become a valued member of the team. She has demonstrated her ability to effectively adjust her communication style when talking among professionals through to working with service users accessing the service who often have complex communication needs which require both verbal and non-verbal skills.’

‘Charlotte has independently written service user notes which were timely and accurate, for the remainder of her placement she is going to complete an Occupational Therapy report after working through the Occupational Therapy process with an individual on her caseload. Having a caseload has meant Charlotte has made some clear professional relationships with those involved with the service user including; family members, carers and other professionals.’

Through gaining further clinical experience, I feel I will be able to develop this knowledge further. Being able to actively engage in team working, I believe I will then be able to exercise a critical understanding of team structures and effective team functioning through knowledge of group dynamics and professional roles across the community of practice.

CapableCapability OC3: The collaborative worker is able to lead or participate across teams and in wider inter-agency work, to ensure responsive and integrated, person focused services.

Learning Achievement Levels Self Assessment

L1 Is aware of the services provided within and across organisations and can point to examples of how these are appropriately delivered.

L2 Can begin to interact and co-operate with others within and across organisations in providing person focused services.

L3 Applies knowledge of the services provided within and across organisations to participate in the delivery of, and where appropriate to take a lead, in the services provided.Provide a brief example or statement justifying the level you have selected

During my final year practice placement, I began to interact and co-operate with others within and across organisations in providing person focused services, always working with the service user best interest in mind. An example from my practice placement final report provides evidence to support this capability:

‘Charlotte has settled in well across both teams and has made some effective relationships both within the immediate MDT and across external agencies for example, Charlotte has worked with health visitors sharing information to contribute to seamless effective care.’

To further develop this skill, I feel I need more clinical experience, so I am able to gain a fuller understanding of the wider inter-agency within my area of practice, but also to allow my confidence to grow so when appropriate to do so, participate and take lead in the delivery of services provided and reflect on the positive impact this will have on a service users experience of the care they receive.

Capable