allied health professionals (ahps) strategy 2019 to 2023 · the strategy has been developed by our...

Allied Health Professionals (AHPs) Strategy 2019 to 2023

6349 AHP Strategy 2019_v11.indd 1 03/04/2019 11:30

Diane Hull Chief Nurse

Lindsey LovattAllied Health Professional Lead

Introduction The AHPs vision

We are delighted to present the Norfolk and Suffolk AHP Strategy 2019-2023, “The Vision for Allied Health Professionals in NSFT”.

The purpose of this strategy is to outline the unique contribution AHPs make to deliver our Trust’s strategic goals. It will help define NSFT’s AHP objectives and will contribute to delivering our Trust’s vision of “Working together for better mental health”. The Strategy has been developed by our AHP Lead, the AHP Senior Advisory Group, NSFT Professional Colleagues, Service User involvement and with talking to NSFT’s own Allied Health Professionals through a wide range of focus group events. It was the main theme of the 2017 NSFT AHP Conference.

Wider consultation includes incorporating national objectives. The NHS England’s Chief AHPs officer published Allied Health Professionals into Action in January 2018, a call to action to increase the use of AHPs to help transform health, care and wellbeing in England. The result is a consensus on how the AHP workforce can be utilised to address three key challenges facing the health and care system:

• Improving health and wellbeing• Improving quality• Closing the finance and efficiency gap

Both of our roles will help lead, develop and shape this strategy and relationships that enable AHPs in NSFT to both respond to and meet these challenges and opportunities.

Lindsey Lovatt

Diane Hull


Allied Health Professionals (AHPs) Strategy 2019-2023 3

“My elderly mum with dementia made a speedy recovery of having horrid choking episodes once the diagnosis of dysphagia was made by the Speech and language therapist, she was able to address the issue and to help the team and the family work out how to manage her eating, thank you!” …Service user carer

Allied Health Professionals understanding the role

• AHPs are the 3rd largest group of Practitioners in the NHS

• Most AHPs are educated in physical and mental health issues

• All AHPs have clinical experience in working in multi-disciplinary and multi-agency settings

• All AHPs undertake undergraduate or postgraduate degrees or post graduate certificates in their specialist roles

• All AHPs are registered with either the Health Care Professions Council plus / or their Professional registrations. See inner back cover

llied Health Professionals (AHPs) are a diverse group of practitioners who deliver high quality care to

patients by carrying out assessment, diagnosis, treatment and discharge, across a range of settings in the NHS, Social Care, independent and voluntary sectors.

A


AHPs use their uniquely trained skills to help the service user recover from mental, physical, emotional, psychological and social issues.

How do AHPs help recovery?

Physiotherapists Focus on

movement and physical activity

to improverecovery

Service User

Dietitians Examine diet and nutrition to improve

recovery

Occupational Therapists

Use activities to aid independence

and improve Recovery

Arts Therapists (Art, Music, Drama,

Dance and Play) Use of creative resources while

exploring personal issues

Speech and Language Therapists

Support the development of effective

communication environments

for service users

“although it is extremely hard living with anorexia, by seeing a dietitian on the team regularly really has help me to challenge my beliefs and work hard on developing a sensible eating regime, I will get there, one day at a time. I am so grateful to xxxx for showing me the way.” …Service user



he NHS England’s blueprint for Allied Health Professionals, ‘AHPs into Action’ (NHS England, 2018) is a National AHPs strategy that

provides a framework for health and social care systems to use AHPs within local health and social care to improve services.

The national picture

Figure 1: NHS England, AHPs Strategy

How Allied Health Professions will transform care.An emerging mandate for change.4 commitments, 4 impacts and 4 areas to focus on to achieve this.

Commitment to the individual

Commitment to keep care close to home

Commitment to the health and wellbeing of the community

Commitment to care for those who care

Leading our

profession

Developingour

profession

Evidencingthe value

of ourprofession

Realising value frominformation

andtechnology

1. Improved health and wellbeing for individuals and populations,

2. Less reliance on GPs and acute care,

3. Less fragmentation, particularly between acute and community care, and

4. Reduced unwarranted variance of AHP services to maximise value

IMPA

CT

England

T


AHPs focus on consistent, person-centred, preventative and therapeutic care for children and adults. They are accredited and trustworthy professionals performing a crucial function in the NHS and social care. The breadth and depth of AHPs skills and reach make them ideally placed to lead and support transformative changes. Objectives include delivering on public health including mental health and reducing spiralling costs of services through prevention and more efficient treatment. (www.ahpf.org.uk)

Unique skills – For AHPs to be used for their core professional skill set Understand – AHPs to be utilised better and for knowledge of different professional skillsets to be celebrated within NSFT Use – AHPs to help sustain, transform and develop services in NSFT

The three Us:

Values and behaviours for AHPs

UniquenessRespectful

To improve the AHPs profile within NSFT from the Student

Experience to Senior Management

UnderstandCaring

For NSFT staff to have an awareness of AHPs skillset and how it can be applied to the service user

The three Us

UseTogether

For NSFT Recruitment and Intergrated Service Delivery initiatives to include AHPs

Positively... Respectfully... Together...



• AHPs – caring for those who care• AHPs within NSFT Services – caring for

Integrated AHP care• Good, effective leadership – caring for

a strong and effective AHP Profile

• Public health service improvements using AHPs – caring for the wellbeing of NSFT service users, their carers and the wider community

The objectives focus on the development of:

Demonstrating high-quality practice

Ensuring meaningful outcomes

Promoting leadership and involvement

Developing integrative practice across all service areas

Our vision for Allied Health Professionals in NSFT for 2019-2023

“I am a survivor of trauma and found myself struggling to function, I met with an Occupational Therapist who showed me how to find my way through small steps, I think he called it graded exposure, anyway the techniques he gave me were for anxiety management, I began to find my sense of self again. Yesterday I went out for coffee with a friend.” …Service user


Demonstrating high quality practice

Improved Workforce Development for all AHPs:

• To develop an AHP Workforce Development Plan by 2020

• NSFT staff to have an understanding of AHPs professional roles and how they can be used more within the workforce

• AHPs Job descriptions for all roles across the trust to be fit for purpose

• Implementation of AHPs Rotational Posts

• On-going liaison with local and national AHPs Education Institutions to promote NSFT as an employer of choice

• To enhance the AHPs new starters experience

• To monitor AHPs Continuing Professional Development activity within the workforce

To develop a Centre of Excellence for AHP Students:

• To support and develop AHP Educators• To develop AHPs Apprenticeship

Schemes• To continue to develop good links with

AHPs education and training

• To ensure effective review of AHPs student placement experience

Ensuring meaningful outcomes

For all AHPs to include Service user experience and feedback in all areas of their clinical and professional work:

• For AHPs to work alongside NSFT co-production initiatives to develop and enhance AHP clinical practice in NSFT

• For all AHPs to work together with the NSFT Recovery College

To provide effective Training and Development opportunities for all AHPs in NSFT:

• To encourage AHPs to research within their practice

• To ensure that AHPs practice is current, evidence based and effective

For research and evidence-based practice to be part of all AHPs core practice:

• To ensure that Continuing Professional Development is integral to AHPs practice

• To maintain a profile of AHPs development and training needs

• To ensure that AHPs practice is current, evidence based and effective

• To recognise, celebrate and develop innovation within AHPs

2



Promoting leadership and involvement

For all NSFT AHPs to have Career Development Pathways:

• To develop clear visible AHPs career pathways within all NSFT clinical services

• To introduce Senior AHPs posts within community services

• Introduction of Consultant AHPs roles to keep seniority and speciality

• Generic worker roles to have specific AHPs time allocated

• To build on existing ‘Return to Practice’ for AHPs

• For all new starter AHPs to receive good induction and professional support for their role

• To develop AHPs resources including equipment and assessments

3

Developing integrative practice across all service areas

For NSFT AHPs to be part of Integrative service mapping, locally and nationally:

• To develop strong AHP links with local acute and social care services to develop integrative practice

• To have NSFT AHP representation at all Norfolk and Suffolk STP pathways

• For NSFT AHPs to be part of the Eastern Region AHP Network

• For NSFT AHPs to be integral in the National AHP Development initiatives

4

• To continue to develop the AHP Lead role and the AHPs workforce across all NSFT Service pathways

• To include effective AHPs representation across all NSFT Clinical and Strategic structures

• To have regular AHPs Training Events• To develop an AHPs NSFT Mapping • To raise the profile and understanding

of what AHPs roles are within NSFT• To develop and AHPs page on the

NSFT intranet

To improve AHPs’ profile:


Responsibility for deliveryThe Chief Nurse is the Executive Lead for the AHPs Strategy. The AHP Lead is responsible for the development and delivery of the AHPs Strategy. The AHPs Senior Advisory Group will advise and support the AHP lead and it is expected that all AHP staff will support the strategy in its implementation.

rogress against the implementation plan will be reported through to the Executive Team via the AHP Lead and the Chief Nurse. This will take the form of a yearly Review and reports will go to the Executive Team and the Organisational Development and Workforce Committee,

the Quality Governance Committee and the Clinical Cabinet. Recommendations will be considered and discussed at all meetings to provide evidence of robust review in order to achieve both clinical and workforce governance assurance.

P

NSFT Governors – Catherine Wells, Former Lead Governor

I have been part of the AHPs Workforce for fifty years - that demonstrates how much I believe in what these unique professions can bring to service delivery.

This is achieved through patient centred care which focusses on personal goals and maximising independence to enable a positive quality of life for our service users.

Perhaps some of this way of thinking helps me in my role as Lead Governor, echoing my determination to see a multi professional workforce contributing to the best possible care for all who come into contact with our Trust.’

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Getting involved

The AHP • Show this strategy to your team and talk through your role• Attend your local AHPs Network meetings, if there isn’t one consider setting one up• Make time to update your portfolio• Be an AHP Educator • Help celebrate your AHP Professional Week• Do some AHP research• Think of innovative ways to use your specific skillset more within your team

The NSFT Manager

• Find out more about AHPs in your team• Look up the AHPs who are in your team Professional Bodies Websites• Ask your AHPs to do a presentation to the Team• Find out about different AHPs models and approaches to enhance Service Users care• Think about incorporating AHPs more within your team• Think about supporting Professional Identity within generic roles

for example, 60% case management, 40% professional role

The Service User

• Look on AHPs Websites to find out how AHPs specific skill sets can help certain conditions• Ask your Care Co-ordinator / Case Manager if there are any AHPs in the team• Ask for a referral to a specific AHP via your Case Manager or GP

Art Psychotherapists – use art media and psychotherapeutic approaches as its primary mode of expression and communication to address emotional and psychological issues. www.baat.org

Complementary Therapies – are used in conjunction with conventional medicine / therapies as part of the person’s overall package of care, they include specialist massage, aromatherapy and reflexology. www.grcct.org

Dance Movement Psychotherapists – use body movement as an instrument to address emotional and psychological issues. www.admp.org.uk

Dietitians – assess, diagnose and treat dietary and nutritional problems at an individual and wider public-health level. www.bda.uk.com

Drama Therapists – use the healing aspects of drama and theatre as the therapeutic process. www.badth.org.uk

Music Therapists – use music and psychotherapeutic approaches as its primary mode of expression and communication to address emotional and psychological issues. www.bamt.org

Occupational Therapists – use activity whilst taking a “whole-person approach” to both mental and physical health wellbeing and enable individuals to achieve their full potential. www.rcot.co.uk

Physiotherapists – help people affected by injury, illness or disability through movement and exercise, manual therapy, education and advice. www.csp.org.uk

Play Therapists – use aspects of play to enable children to find ways to alleviate social, emotional, behavioural and mental health issues. www.playtherapy.org.uk

Social Workers – Social workers are professionals who support adults, children, families and communities to improve their lives. They protect and promote human rights and wellbeing. www.basw.co.uk

Speech and Language Therapists – provide treatment, support and care for children and adults who have difficulties with communication, eating, drinking or swallowing. www.rcslt.org

AHPs working in NSFT

Health is a state of completephysical, mental and social well-being and not merely the absence of disease or infirmity” ...World Health Organisation


Norfolk and Suffolk NHS Foundation Trust values and celebrates the diversity of all the communities we serve. We are fully committed to ensuring that all people have equality of opportunity to access our service, irrespective of their age, gender, ethnicity, race, disability, religion or belief, sexual orientation, marital or civil partnership or social and economic status.

NSFTrust

@NSFTtweets

nsft.nhs.uk

01603 421421Trust Headquarters: Hellesdon HospitalDrayton High RoadNorwich NR6 5BE

Patient Advice and Liaison Service (PALS)

NSFT PALS provides confidential advice, information and support, helping you to answer any questions you have about our services or about any health matters.

If you would like this leaflet in large print, audio, Braille, alternative format or a

different language, please contact PALS and we will do our best to help. Email: [email protected] call PALS Freephone 0800 279 7257


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