Occupational Therapy Service

Improvement project (SIP)

Jo Porter and Julie Brotherton

Principal Occupational Therapist

Children and Young People’s Occupational Therapy

Coventry Community Health Services

February 2011

Historical Context

Long waiting times (average 13 months). Inability to meet RTT

Capacity/demand audit demonstrated clinical deficit

Recognised the need for significant change of practice – short term measures not effective

Service review document proposed either –

a Cease provision of major service element

b Receive 9 x WTE

c Devise new sustainable model within current financial envelope

Managers / commissioners chose ‘c’ !

Successful nominee for SIP

Aims of the Service

Improvement Project (SIP)

Reduce client waiting times

(RTT) to within 18 weeks by

March 2011

Improve client experience of the

service relating to access

Increase productivity

Service Improvement Project

Methodology

Stakeholder consultation

Benchmarking exercise

Evidence base review

Mapping departmental expertise and opinion

Understand high level commissioning intentions

Creation of new service model

Present to CCHS Directorship

Present to commissioners

Service Improvement Project

Outcome – A new service model

3 tier service delivery model –universal, targeted and complex services

Parent/school led therapy

Throughput’ system

Provision of immediate advice/support via interactive website

Implementation of new combined goals / outcome measure tool incorporating PROMS

Implementation Plans

Operational Transition Plan took

three months (July – September

2010) with one month reduced

clinical work for whole team

Launch date 1st October 2010

Communication strategy to

stakeholders

All on-line by January 2011

Project Outcomes – Access

Times

Waiting Times Oct 2009 - Jan 2011

0

1020

30

4050

60

7080

90

Oct-

09

Nov-0

9

Dec-0

9

Jan-1

0

Feb-1

0

Mar-

10

Apr-

10

May-1

0

Jun-1

0

Jul-10

Aug-1

0

Sep-1

0

Oct-

10

Nov-1

0

Dec-1

0

Jan-1

1

Months

Weeks

Longest Wait

Shortest Wait

Project Outcomes – Client

Experience

Number of Formal Complaints and

Informal/waiting list enquires

0

2

4

6

8

10

12

14

Oct-0

9

Nov-

09

Dec-

09

Jan-

10

Feb-1

0

Mar

-10

Apr

-10

May

-10

Jun-

10

Jul-1

0

Aug

-10

Sep

-10

Months

Nu

mb

er

formal

informal

Project Outcomes -

Productivity

Stable from 2009-2010 to 2010-2011

With significant investment in clinical time

to deliver the SIP, the department has

been able to sustain productivity levels

overall

Anticipated actual rise in productivity once

data is included for January – March 2011

Ongoing work introducing IPM clinics will

raise productivity

Project Outcomes –

Organisational Benefits

Occupational Therapy team consistently meeting RTT with sustainability

Model created with direct input from service users

Experienced therapy leads able to support reviews in SALT, Physiotherapy and Child and Family Service.

Project Outcomes –

Professional Benefits

Children, Young People and

Families Occupational Therapy

Managers network

Children, Young People and

Families Conference 2011

College of Occupational

Therapy National Conference

2011

Key learning – Future Service

Improvement Projects Short term investment of staff resources will not

solve long term capacity issues

Importance of wide a consultation process

Work closely with local senior management

Importance of service design being clinically led

Play to strengths of project leadership team

Create a clear action and implementation plan

Establish clear leadership working to a defined deadline