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The Rep
Birmingham
30 January 2008
Occupational Therapy in Health and Social Services
The Future of Occupational Therapy in Health and Social Care
Shelagh MorrisAllied Health Professions Officer
30 January 2008
Health Reform
•Framework
•Systems and incentives to: - drive improvements
- increase responsiveness - reduce health inequalities
•Four related workstreams
Comprehensive Health Reform
Supply-side Supply-side reformsreforms
Demand-side Demand-side reformsreforms
Transactional reformsTransactional reforms
System management System management reformsreforms
Better careBetter careBetter patient Better patient experienceexperience
Better value for Better value for moneymoney
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
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
Next Stage Review
•Vision
•Improving quality of care
•A more personalised service
•Clinicians leading change
•Systems supporting local change
•Making best use of resources
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
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
Health, work and wellbeing
•National Director for Work and health
•Pathways to Work
•Condition Management Programme
•Vocational Rehabilitation
CHPO Priorities
Access
Workforce
Information
Leadership
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.
What does this mean for AHPs?
• Identifying need
• Planning new services
• Redesigning services
• Implementing change
• Influencing commissioners
• Multiprofessional working
What does this mean for Occupational Therapists in Health & Social Care?
• Flexible workforce
• Emerging roles/New Roles
• New Ways of Working
• Competences
• Leading change
Opportunities and Challenges
Let us begin…
Ask not what your country can do for you –
ask what you can do for your country
John F. KennedyInaugural address
20 January 1961
Engagement, Involvement & Leadership
Ask not what reform can do for you –
ask what you can do to use reform
to improve patient care
Resources
AHP BulletinAHP [email protected]
Chief Health Professions Officer Chief Health Professions Officer websitewebsitewww.dh.gov.uk/chpo
