Examples of Practice

Reshaping Care for Older People – The Lanarkshire Contribution Story Chapter 2

Examples of Practice

Stakeholders in North and South Lanarkshire Partnerships agreed a theory of change for Reshaping Care for Older People in April 2012, represented in logic model format.  The outcomes they want to achieve provided a framework for the evaluation.  The problem to be addressed was how to determine the success of a programme comprised of a wide-ranging set of initiatives. Some may be more successful than others, some may encounter unexpected blocks that thwart progress for a time, whilst others may simply turn out to be unworkable in practice. A means of bringing the different initiatives together under a common framework was required.

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Occupational Therapy integration

Examples of Practice

Currently OT services in Perth and Kinross have been provided separately by the NHS and Local Authority.  The NHS provides a service to adults, primarily in hospital and clinical settings which focuses on the rehabilitation of patients.  It employs around 27 full-time equivalent staff.  Perth and Kinross Council’s Community OT service employs around 21 full-time equivalent staff within four locality based teams. It provides a community based service to adults and children which generally focuses on adapting the environment for clients.

The preferred model for integration in P and K is the creation of four locality based teams (linked to the emerging P and K Social Work structure), with and acute hospital based service remaining at Perth Royal Infirmary.   All community based OTs would provide a generic service and have access to hospital based specialisms as required.

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Dementia Post Diagnosis Support

Examples of Practice

Supporting people with a new diagnosis of dementia and their relatives/carers to be better informed about the condition, to understand the support available to them, and to plan for their future care.

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Telecare Champions Training

Examples of Practice

As the telecare service developed in Aberdeen City it soon become apparent that training was required for professionals to raise their awareness around telecare, inform them of the functions of telecare equipment and the importance of considering telecare in assessment. 

The service had delivered many awareness sessions in telecare events and to individual teams, but it was felt we needed staff across all sectors trained to an enhanced level so they could act as a point of reference for their colleagues.

 

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Independent Sector Workforce Development

Examples of Practice

Maintaining consistent quality of provision across the independent sector is a challenge, and reduced quality and Care Inspectorate ratings has resulted in reduced places available and contributed to delays in discharge from hospital.  This project will support the sector to achieve greater consistency in service quality through developing a Workforce Development Framework with agreed core development standards which align with national standards. Freeing up staff for training is also an issue.

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