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In Motion Conference
Changes in National Clinical Practice
Susan GoldOT Team Lead WestMARC
April 13th 2010
Changes in Clinical Practice
• Better User Information and Engagement
• Reduction in Waiting Times
• Improved Access to Services
• Modernising Wheelchair Fleet
• Improved Repair and Maintenance
• Better Access to New Technology
Changes in Clinical Practice
• Better User Information and Engagement
• Reduction in Waiting Times
• Improved Access to Services
• Modernising Wheelchair Fleet
• Improved Repair and Maintenance
• Better Access to New Technology
Southeast Mobility and Rehabilitation Technology (SMART) Services
Feedback / Information• User Satisfaction Survey - Feedback Board located in SMART Centre Reception
• other developments around SMART Website and Project Newsletter
User’s and Carer’s Forum Established
• Steering group established
• Forum established (60 members)
• Inaugural meeting held October 2009
• 1st newsletter issued (Feb 2010)
• 1st Open day planned for May 2010
• Identified as a priority group by NHS Tayside
Changes in Clinical Practice
• Better User Information and Engagement
• Reduction in Waiting Times
• Improved Access to Services
• Modernising Wheelchair Fleet
• Improved Repair and Maintenance
• Better Access to New Technology
Changes in Clinical Practice
• Better User Information and Engagement
• Reduction in Waiting Times
• Improved Access to Services
• Modernising Wheelchair Fleet
• Improved Repair and Maintenance
• Better Access to New Technology
Southeast Mobility and Rehabilitation Technology (SMART) Services
Fife Satellite Clinic• Lynebank Hospital, Dunfermline
• Service Users involved in Design
• Large Clinic Room with overhead hoist
• Workshop for minor repairs and adjustments
• ‘Wheelchair Shop’ – storage for selection of chairs and equipment
• Looking at developing a similar clinic in NHS Borders
Improved Access to Services
• Any registered healthcare professional can refer into the services
• Referral forms in the process of being updated
• Training of referrers to the services
• Ongoing education of referrers.
Southeast Mobility and Rehabilitation Technology (SMART) Services
Referral Form
• LEAN Event• Universal referral form for all services• Developing Training DVD/Podcast for Social Work OTs on completing the Form
Changes in Clinical Practice
• Better User Information and Engagement
• Reduction in Waiting Times
• Improved Access to Services
• Modernising Wheelchair Fleet
• Improved Repair and Maintenance
• Better Access to New Technology
Updating National Wheelchair Fleet
• All services agreed what chairs were considered old equipment and what these should be replaced with.
Changes in Clinical Practice
• Better User Information and Engagement
• Reduction in Waiting Times
• Improved Access to Services
• Modernising Wheelchair Fleet
• Improved Repair and Maintenance
• Better Access to New Technology
Changes in Clinical Practice in 5 Wheelchair Centres in Scotland
• User Engagement
• Reducing waiting lists
• Improved access to services
• Improved wheelchair fleet
• Planned Preventative Maintenance
• New wheelchair technology
New National Repair Targets
• Urgent repairs 75% in 1 working day
• Routine Repairs 90% in 5 working days
Planned Preventative Maintenance
• Highland service have PPM for all chairs on issue
• Most other services are focussing on Power Chairs
Changes in Clinical Practice in 5 Wheelchair Centres in Scotland
• User Engagement
• Reducing waiting lists
• Improved access to services
• Improved wheelchair fleet
• Planned Preventative Maintenance
• New wheelchair technology
Change in Issue Criteria
• Relaxed eligibility criteria for powered wheelchairs– Dual Control Power Wheelchairs – Attendant Control Power Wheelchairs