11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

Page 1 of 32httpswwwsymplurcomhealthcare-hashtagsOTalktranscripthellip2F2021ampshour=10ampsmin=20amptdate=52F202F2021ampthour=10amptmin=20

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Glyn Blakey saeboukglynRT Louisepenny87 Who else will be joining tonightrsquos OTalk

Sarah Cleary ot_aberRT NicoleCWalmsley Come join OTalk tonight on the new stroke servicespecification hosted by RCOT_NP louiseclark15 and RebeccaJFisherhellip

OTalk OTalk_OTalk at 8pm (UK) this evening we will be chatting about The new stroke servicespecification ndash what does this mean for community services This weeks chat will behosted by Louise Clark louiseclark15 you can read her introductory post herehttpstcoJsb31bTkjC httpstcoHhWLoahcu0

Sally Shorrock SmallshorrockRT NicoleCWalmsley Come join OTalk tonight on the new stroke servicespecification hosted by RCOT_NP louiseclark15 and RebeccaJFisherhellip

OfficialCAHPR OfficialCAHPRGet involved with OTalk this evening

OTalk OTalk_OTalk at 8pm (UK) The new stroke service specification ndash what does this mean forcommunity services Louise Clark (louiseclark15) and the RCOT- SSNP strokeforum (RCOT_NP) and Dr Rebecca Fisher RebeccaJFisher_ to explore this inmore detail here httpstco9iwrQ7Ttt3 httpstco7auzQ9eREJ

OTalk TranscriptHealthcare social media transcript of the OTalk hashtag

Tue May 18th 2021 620PM ndash Thu May 20th 2021 620PM

(EuropeLondon)

See OTalk InfluencersAnalytics

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

Page 2 of 32httpswwwsymplurcomhealthcare-hashtagsOTalktranscripthellip2F2021ampshour=10ampsmin=20amptdate=52F202F2021ampthour=10amptmin=20

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more detail here httpstco9iwrQ7Ttt3 httpstco7auzQ9eREJ

Louise Clark louiseclark15RT OTalk_ OTalk at 8pm (UK) The new stroke service specification ndash what doesthis mean for community services Louise Clark (louiseclarhellip

Gemma Scott gemscottOTRT OTalk_ OTalk at 8pm (UK) The new stroke service specification ndash what doesthis mean for community services Louise Clark (louiseclarhellip

OTalk OTalk_Time to grab a drink read the intro and settle down for OTalk at 8pm(UK) Thisweek discussion on The new stroke service specification ndash what does this mean forcommunity services httpstcoJsb31bTkjC louiseclark15 from the RCOT- SSNPstroke forum RCOT_NP RebeccaJFisher_ httpstco3Gvj62pE3w

Helen OTUK Helen_OTUKKettle on caramel digestives at the ready OTalk at 8pm

Louise Clark louiseclark15Hi OTalk ers Im tweeting on behalf of RCOT_NP tonight with colleagues fromthe forum JenniferNCrow NicoleCWalmsley YmchwilStroc andSarahBr43983025 Were joined by RebeccaJFisher_ from the clinical policy unitat NHSE

Louise Clark louiseclark15OTalk RCOT_NP for clarity for anyone who has read the new stroke servicemodel tonight were concentrating on the Integrated Community Stroke Service(ICSS) other chapters across the pathway inc voc rehab amp psychological careobviously also of great importance to OTs

Louise Clark louiseclark15Lets get startedHopefully youve had chance to read the stroke service modelattached to the blogon NHS futuresQ1) What are the key featuresmost significantchanges in the stroke service model for community services OTalk RCOT_NP

OTalk OTalk_Good evening OTalk Helen_OTUK on the account this evening do say hi even ifyou plan on lurking

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Bryony Kirkpatrick BryonyOTStudentTherapyUos SotonOTSoc

OTalk OTalk_Straight in there with OTalk Q1

Rebecca Fisher RebeccaJFisher_Good evening OTalk ers RCOT_NP louiseclark15 Lets go acronymn crazy TheNational Stroke Service Model (ICSM) recommends the Integrated CommunityStroke Service Model (ICSS model)

Cara Lawrence caralawrenceOTalk_ Helen_OTUK Hi doing a bit of lurking working for ESD service inCambridgeshire OTalk

Louise Louisepenny87OTalk_ Helen_OTUK And Irsquove forgotten the hashtag otalk

OTalk OTalk_Please remember the OTalk House Rules throughout the chat please All code ofethics and practice apply whilst online Be respectful Have funhttpstcoCByKxlz5QE

Nicole Claire Walmsley NicoleCWalmsleyOTalk It has lots of new terminology

Rebecca Fisher RebeccaJFisher_OTalk The Integrated Community Stroke Service Model (ICSS model) is a priorityfor Integrated Stroke Delivery Networks (ISDNs) louiseclark15 RCOT_NP

Teoh Jou Yin teohjouyinHelen_OTUK OTalk_ Yeah I just happen to be online at the time What are youOTalk ing about today

Jane Burrell JaneBurrell10OTalk_ Helen_OTUK Also lurking working in inpatient neuro rehab otalk

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Anya de Iongh anyadeiOTalk_ Helen_OTUK Hi This is great timing as we started our Stroke moduleat OT_UEA this week Ill mostly be lurking as only just started to read all aboutstroke OTalk

RCOT Neuro Practice RCOT_NPNicoleCWalmsley Any in there that need any explaining Nicole OTalk

OTalk OTalk_OTalk

Louise Clark louiseclark15To help clarify integrated SSNAP capturing the following criteria all pathways sitwithin one team (ESD outpatient reviews longer term or non ESD rehabconditionmanagement) service is under one management shared staffing and budget onepoint of referral OTalk RCOT_NP

OTalk OTalk_OTalk httpstcofSyiVcC7Ql

Louise Clark louiseclark15Has anyone had a chance to read the new model OTalk

OTalk OTalk_mags_ob Helen_OTUK just 1 T in OTalk

Rebecca Fisher RebeccaJFisher_OTalk More focus on needs based models of care and integration across the strokecare pathway - what do people (including lurkers) think about integration

Glyn Blakey saeboukglynRT louiseclark15 Lets get startedHopefully youve had chance to read thestroke service model attached to the blogon NHS futuresQhellip

OTalk OTalk_OTalk

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Anya de Iongh anyadeilouiseclark15 RCOT_NP Not able to access it on the Future platform but hopingthat if it follows the Long Term Plan there is a really good focus on personalisedcare as an integral part of the model OTalk

Rosie Davis rolourredheadlouiseclark15 I havenrsquothaving difficulty locating OTalk

Em DobboEmOTalk_ Helen_OTUK Lurking as studying stroke this term OTalk

Louise Clark louiseclark15Pt fb tells us pathways can be fragmented with hand offs ampwaits The ICSS bringsservices together- so ESD or outpatients becomes the way we deliver part ofsomeones rehabilitation as part of broader stroke rehab team rather than a servicein its own right OTalk RCOT_NP

Jennifer Crow JenniferNCrowOnly one team no seperate ESD OTalk

Cara Lawrence caralawrenceRebeccaJFisher_ I think needs led is important Previously working in the neuroteam to ESD which had different approaches OTalk

Louise Louisepenny87OTalk_ Hate to say Irsquove not read the NHS futures link but very keen to learnmore In my opinion integration would be very positive but I can see the challengesfrom a service provision perspective OTalk

Terri Grant TerriG20OTalk_ Helen_OTUK Mostly lurking on account of how the dinnerrsquos nearlyready Looking forward to keeping up with Stroke Rehab changes via the transcriptOTalk

Nicole Claire Walmsley NicoleCWalmsleyOTalk hellipso an ICSS joins up inpatient ESD and community care how will thisenhance what already happens

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Rebecca Fisher RebeccaJFisher_Important to maintain responsiveness and intensity of ESD OTalk caralawrence

OTalk OTalk_OTalk

Carrie Beaumont carrieba2000RebeccaJFisher_ OTalk It is the model we have always wanted and needed todeliver Completely needs led

RCOT Neuro Practice RCOT_NPcaralawrence RebeccaJFisher_ Thanks Cara did these services link (one referinto the other) or did you have decide which approach a patient needed OTalk

Jennifer Crow JenniferNCrowlouiseclark15 RCOT_NP Potentially reduced waits as stroke survivor sits in oneservice and does not need new referrals to other services eg from ESD tocommunity neuro OTalk

Lynsey Wright OTLynseyWlouiseclark15 I too am having difficulty locating OTalk

Rebecca Fisher RebeccaJFisher_OTalk the ICSS model is the community element - still needs strong links withstroke unit care though NicoleCWalmsley

Cara Lawrence caralawrenceRCOT_NP RebeccaJFisher_ Pre covid we would often receive referrals fromNow we are blended However under same management and prior to covid we hadcounty wide training with the acute wards too sharedjourney OTalk

RCOT Neuro Practice RCOT_NPJenniferNCrow OTalk RCOT_NP So yes services coming together to avoidfragmented pathways with hand offs between different stages of rehab ESDbecoming more how we deliver someones intensity rather than a service title orstandalone service

Anya de Iongh anyadeilouiseclark15 RCOT_NP So encouraging to hear the redesign has been basedon patient feedback

OTalk

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Louise Clark louiseclark15OTalk RCOT_NP To summarise key points in the ICSS are integrated (one pointof referral one management structure one staffing estbudget) specialist (stroke orneuro) needs led not time or stroke severity criteria led (for all patients who need itas long as they need it)

Hayley Read HayleyJaneRead2OTalk_ Management of OTs gets an ()

OTalk

Carrie Beaumont carrieba2000NicoleCWalmsley OTalk Integrates 6 month reviews with rehabilitation Clarifiespathways for best use of resources

Louise Clark louiseclark15Brilliant thanks all Moving onto Q2) What are the benefitsopportunities of theproposed new model OTalk RCOT_NP

RCOT Neuro Practice RCOT_NPNicoleCWalmsley Will hopefully cover some of the positives in Q2 but continuityfor the patient and ease for the acute teams and GP etc to have one team to refer tofor all patients with stroke needs OTalk RCOT_NP

Rebecca Fisher RebeccaJFisher_Seamless transition from ESD to community strokeneuro rehabilitation OTalk

Cara Lawrence caralawrenceRebeccaJFisher_ I remember a time (6 plus years ago) our mild stroke wouldsometimes be on a waiting list

much better problems caught early and strategiesdeveloped and improvement made OTalk

Nicole Claire Walmsley NicoleCWalmsleyOTalk this sounds in many way positive Often there is geographical variation inhow long services are commissioned for in the community

OTalk OTalk_OTalk Question 2

AProf Nele Demeyere NeleDemeyereRebeccaJFisher_ NicoleCWalmsley Is it also linked in with primary careOTalk

Louise Louisepenny87louiseclark15 RCOT_NP It sounds positive and may help prevent the lsquoCherrypickingrsquo that can sometimes happen with ESD services Have recently worked with

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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an integrated service and from an acute perspective the referrals process was muchslicker otalk

Louise Clark louiseclark15Absolutely so really key to stress that integrated services does not mean a dilutedESD offer This responsiveness and intensity needs to remain within an ICSS OTalkRCOT_NP

Alex Smith YmchwilStroclouiseclark15 RCOT_NP Clearly some advantages here how often do we leanon brain injury colleagues to allow younger patients to progress once ESD CSTsupport tails off or isnrsquot appropriately angled toward younger ptrsquos goals OTalk

Jennifer Crow JenniferNCrowlouiseclark15 RCOT_NP If needs led then stroke survivors with higher therapyneeds may get therapy services for longer OTalk

RCOT Neuro Practice RCOT_NPcarrieba2000 RebeccaJFisher_ Youre not alone there Carrie Its like music tomy ears too Will be exciting when we get there OTalk

OTalk OTalk_OTalk

Yaz Yazz_OTlouiseclark15 RCOT_NP For the patient there is continuity of the team esd tocnrt can sometimes be challenging Irsquove found for some and leave patient with aperiod of no rehab Alternatively it gives the opportunity to self manage which can besuccessful for some otalk

Nicole Claire Walmsley NicoleCWalmsleytotally agree OTalk

RCOT Neuro Practice RCOT_NPJenniferNCrow louiseclark15 Absolutely No handoffs between differentelements of the service OTalk RCOT_NP

Carrie Beaumont carrieba2000louiseclark15 RCOT_NP OTalk One stroke service Patients not all referred toESD service with expectations when they donrsquot need ESD

Rosie Davis

$$

rolourredheadRCOT_NP NicoleCWalmsley OTalk

Rebecca Fisher RebeccaJFisher_

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Rebecca Fisher RebeccaJFisher_OTalk Better integrated working across the stroke care pathway with social careand the voluntary sector

Yaz Yazz_OTJenniferNCrow louiseclark15 RCOT_NP I agree i am often finding it hard tomeet goals or even identify them in 6 weeks Some patients are requiring longerotalk

RCOT Neuro Practice RCOT_NPanyadei louiseclark15 Fingers crossed for no more patients reporting feelingabandoned following ESD stopping after x number of weeks or the dropping off acliff we hear far too often OTalk RCOT_NP

Rebecca Fisher RebeccaJFisher_OTalk Information about ISDNs on FutureNHS Collaboration PlatformhttpstcoGq9sidtV0Q You need to register - so requires patience

OTalk OTalk_OTalk

Louise Louisepenny87louiseclark15 RCOT_NP More consistent service provision for people withvarying rehab needs OTalk

Cara Lawrence caralawrenceYazz_OT JenniferNCrow louiseclark15 RCOT_NP Particularly when itsreturn to work Vocational rehab is so important but isnrsquot great with a deadline otalk

RCOT Neuro Practice RCOT_NPcarrieba2000 NicoleCWalmsley OTalk RCOT_NP would be great to havedirect feedback from 6 month reviews in that weeks MDT for example directly to theteam members who can help address the needs- seamless and efficient

Nicole Claire Walmsley NicoleCWalmsleyThis is great I think too often integration of social care is so undervalued Yet it issocial service carers who go in up to four times a day Engaging with social care willonly enhance what we can do therapy wise

Louise Louisepenny87RebeccaJFisher_ I was going to sign up to this a while back but didnrsquot persist - Iwill tonight Thank you OTalk

Cara Lawrence caralawrenceLouisepenny87 louiseclark15 RCOT_NP Vocational rehab so important andthe need for us OTs to use our creativity OTalk

Louise Clark louiseclark15

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Louise Clark louiseclark15RT NicoleCWalmsley OTalk this sounds in many way positive Often there isgeographical variation in how long services are commissionedhellip

Anya de Iongh anyadeiYazz_OT JenniferNCrow louiseclark15 RCOT_NP Does that mean it mighthelp address health inequalities around stroke outcomes OTalk

Emma Laird (sheher) EmmaLairdOTOTalk_ Helen_OTUK Hello Helen I am just lurking while finishing myapplication form to support funding for my MSc Otalk

Rebecca Fisher RebeccaJFisher_OTalk Vocational rehabilitation and access to psychological support are alsofeatures of the ICSS model caralawrence Yazz_OT

Vanessa Phillips VanessajpOTYazz_OT JenniferNCrow louiseclark15 RCOT_NP Hi Ive joined in a bitlate but I agree some patients arent always ready for intensive rehab straight awayand are only starting to engage at the point of discharge they then have a potentiallylong wait for more rehab with cnrt OTalk

Louise Louisepenny87caralawrence Yazz_OT JenniferNCrow louiseclark15 RCOT_NP Andoften the voc work is best done after a break from rehab to really increase insightOTalk

Alex Smith YmchwilStrocRCOT_NP carrieba2000 NicoleCWalmsley For sure and we as OTs need topush our potential contribution to the 6 month reviews and the holistic ax that weoffer so effortlessly as part of our usual practice OTalk

Nicole Claire Walmsley NicoleCWalmsleyOTalk This is great I think too often integration of social care is so undervalued Yetit is social service carers who go in up to four times a day Engaging with social carewill only enhance what we can do therapy wise

RCOT Neuro Practice RCOT_NPNeleDemeyere RebeccaJFisher_ NicoleCWalmsley Would be really importantto be linked with primary care especially linking in with all the current work re socialprescribing health coachinghealth promotion groups available in the community forexample OTalk RCOT_NP

Yaz Yazz_OTanyadei JenniferNCrow louiseclark15 RCOT_NP I certainly hope so

otalk

OTalk OTalk_

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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OTalk OTalk_OTalk

Jennifer Crow JenniferNCrowCompletely agree with this YmchwilStroc I think we are ideally placed to provide aholistic review OTalk

Alex Smith YmchwilStrocYazz_OT JenniferNCrow louiseclark15 RCOT_NP Really good point itdoes raise important questions regarding prognosis and potential further gains lateron in the stroke journey OTalk

Cara Lawrence caralawrenceLouisepenny87 Yazz_OT JenniferNCrow louiseclark15 RCOT_NPCompletely agree In ESD sometimes I feel we are key in preparation OTalk

Emma Barnes _EmmaBarnes_RT louiseclark15 OTalk RCOT_NP To summarise key points in the ICSS areintegrated (one point of referral one management structure onhellip

Andrew Bateman DrAndrewBatemansmcneish1 louiseclark15 NorthSNRT RCOT_NP RebeccaJFisher_OTalk_ As in physiotalk My suggestion is join in anyway lovely bunch thisOTalk crew

RCOT Neuro Practice RCOT_NPLouisepenny87 louiseclark15 Yes so hopefully less criteria boundariesServices that provide stroke specialist input to those whos primary needs are strokespecialist Whenhow is does someone taper into general com services is still aninteresting point to explore OTalk RCOT_NP

Jennifer Crow JenniferNCrowDrAndrewBateman smcneish1 louiseclark15 NorthSNRT RCOT_NPRebeccaJFisher_ OTalk_ physiotalk Welcome DrAndrewBateman OTalk

Rebecca Fisher RebeccaJFisher_OTalk There is already some great work happening within Integrated StrokeDelivery Networks to raise the profile of community stroke care carrieba2000louiseclark15 CharlieDorer

Cara Lawrence caralawrenceRebeccaJFisher_ Yazz_OT I feel very fortunate to have psychologists in ourteam Key parts of the MDT OTalk

Andrew Bateman DrAndrewBatemanRT louiseclark15 OTalk RCOT_NP for clarity for anyone who has read the newstroke service model tonight were concentrating on the Inthellip

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Hayley Read HayleyJaneRead2NicoleCWalmsley And how can it be achieved in more rural localities OTalk

OTalk OTalk_smcneish1 louiseclark15 NorthSNRT RCOT_NP RebeccaJFisher_physiotalk maybe able to assist but you are always welcome OTalk

Andrew Bateman DrAndrewBatemanRT caralawrence Yazz_OT JenniferNCrow louiseclark15 RCOT_NPParticularly when its return to work Vocational rehab is so important buhellip

RCOT Neuro Practice RCOT_NPYmchwilStroc louiseclark15 Gosh Yes OTalk RCOT_NP Youve remindedme also Alex that where it is beneficial services being stroke and neuro combined issupported by the NHSE model too

Will Chegwidden willchegwiddenlouiseclark15 RCOT_NP Feels like some services are already working in a moreintegrated and less constrained way a bit like these proposals problem is aneighbouring areas often isnt Its so inconsistent hopefully this will help iron outinequalities OTalk

Yaz Yazz_OTcaralawrence RebeccaJFisher_ Me too Cara They really provide a great roleeven if itrsquos just advising and supporting OT otalk

Louise Clark louiseclark15carrieba2000 RebeccaJFisher_ Youre not alone there Carrie Its like music tomy ears too Will be exciting when we get there OTalk

Cara Lawrence caralawrenceYazz_OT JenniferNCrow louiseclark15 RCOT_NP We do do vocationalrehab in our service but you tend not to finish it This is where an inter grated servicecould be a real help When I was in TBI service kept people on until returned OTalk

Donna Malley kithangaRT RCOT_NP Not long until tonights OTalk on the new stroke service modelfocussing on community rehabilitation We hope many of you wilhellip

Louise Clark louiseclark15Great lets look at Q3) What are the challengesthreats of the proposed new modelOTalk RCOT_NP

Rebecca Fisher RebeccaJFisher_OTalk Getting in touch with your ISDN leads can help address some of this in yourpatch HayleyJaneRead2

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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patch HayleyJaneRead2

Will Chegwidden willchegwiddenRCOT_NP Louisepenny87 louiseclark15 Is the magical six week rule gettingthe flick as well I dont know where they get these numbers from I know they aretrialling up to six months in the enhanced models being trialled in three sites acrossthe UK OTalk

Cara Lawrence caralawrenceYazz_OT RebeccaJFisher_ I also love an AHP fit note but donrsquot use these asmuch as not seeing them when they are returning to work OTalk

Andrew Bateman DrAndrewBatemanlouiseclark15 RCOT_NP Shared records I wonder if Goal_Manager_ wouldcome in handy to help with delivery OTalk

Yaz Yazz_OTcaralawrence JenniferNCrow louiseclark15 RCOT_NP Thatrsquos reallyinteresting we tend not to be able to Of course some of the things we do supportwith going back to work but we tend not provide maybe the support Irsquod want to Wehave close CNRT relationship and it tends to be them otalk

Nicole Claire Walmsley NicoleCWalmsleyOTalk is there more money coming to commissioning for the new ICSS Soundslike we need more services for longer to meet patient needs RebeccaJFisher_louiseclark15

Jennifer Crow JenniferNCrowDoes this new model mean that one trust would provide the outpatient as well ascommunity and ESD services OTalk

Will Chegwidden willchegwiddenlouiseclark15 RCOT_NP Is there any money involved to support or is it allmeant to be achieved with service redesign That will be really tricky for under-resourced areas OTalk

Emma Richards $$ em_rehabJenniferNCrow YmchwilStroc In our model 6 month reviews are carried out bykeyworker in the voluntary sector and then refer to therapists as needed OTalk

OTalk OTalk_OTalk Question 3

Jennifer Crow JenniferNCrowlouiseclark15 RCOT_NP Commissioners dont engage with it OTalk

Nicole Claire Walmsley NicoleCWalmsley

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Nicole Claire Walmsley NicoleCWalmsleyOTalk same

OTalk OTalk_OTalk

Cara Lawrence caralawrenceYazz_OT JenniferNCrow louiseclark15 RCOT_NP I have had fun withsome role play situation and love an activity analysis I may not be a plumber tattooartist but we can break down the components OTalk

Louise Clark louiseclark15Social care being embedded within the team is an important feature and havingoutcomes that show the impact on social care utilisation key also OTalkRCOT_NP

Yaz Yazz_OTlouiseclark15 RCOT_NP New way of working keeping patients past 6 weeks (apositive challenge I think) good learning opportunity for me to develop new skillsotalk

Rebecca Fisher RebeccaJFisher_OTalk It will take time for some things to change - we need to win hearts and mindsto do things a bit differently

Carrie Beaumont carrieba2000louiseclark15 RCOT_NP OTalk funding and recruitment Huge challenge togain funding beyond existing lsquocorersquo roles We need Nurses Social Workers andCommunity Psychologists

OTalk OTalk_at this our half way point please remember to include OTalk in ALL your tweetsfolks httpstcoBbkRaEqC40

Emma Richards $$ em_rehabNicoleCWalmsley We havenrsquot launched ours yet Any drawbacks or benefitsOTalk

Louise Clark louiseclark15YmchwilStroc Yazz_OT JenniferNCrow RCOT_NP Indeed how manypatients have missed out on recovery because we simply dont have servicesdesigned to try later on down the line or able to accept re-referrals OTalkRCOT_NP

Jennifer Crow JenniferNCrowI feel like this model is about providing more and not just about doing something

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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different with the same resources Have I understood this correctly If it is aboutneeds based then I think we are looking at more therapy so the challenge is staffingOTalk_

Will Chegwidden willchegwiddenNicoleCWalmsley One ESDCST we deal with has an inhouse inteated careservice which is just superb as rehab around the clock starts from day 1 in thecommunity - the acute therapists can even prescribe what is needed in a care planWorks so well OTalk

Alex Smith YmchwilStrocwillchegwidden RCOT_NP Louisepenny87 louiseclark15 If you add it to afull 6 weeks of inpatient rehab then you get 12 weeks which might be accidentallyrelated to the hotly contested proportional recovery rule But if itrsquos a truly lsquoEARLYrsquoESD pt they are likely being very short changed OTalk

Yaz Yazz_OTAh a true definition of OT What a brilliant part of the OT role otalk

Louise Clark louiseclark15HayleyJaneRead2 NicoleCWalmsley Good question Hayley where it makessense stroke and neuro can be combined This is the approach were taking in ourrural side of the county to make the numbers big enough OTalk RCOT_NP

OTalk OTalk_OTalk

Cara Lawrence caralawrencelouiseclark15 YmchwilStroc Yazz_OT JenniferNCrow RCOT_NP Idefinitely found this sometimes with those at the severe end Sometimes time isneeded to come to terms with the situation OTalk

Emma Laird (sheher) EmmaLairdOTRT OTalk_ at this our half way point please remember to include OTalk in ALLyour tweets folks httpstcoBbkRaEqC40

Nicole Claire Walmsley NicoleCWalmsleyOTalk Irsquom in the acute service so not sure how many patients get referred back intocommunity services I just canrsquot help but believe the quality of 6 month review wouldbe enhanced if done by stroke therapists Patients can be complexhellip

Sarah Broughton SarahBr43983025louiseclark15 RCOT_NP Challenges could be that staff donrsquot have thenecessary skills to treat all of the neuro conditions and also the length of time theteam carry on the treatment Otalk

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Louise Louisepenny87louiseclark15 RCOT_NP Irsquod worry that without ESD targets community rehabmight become slower and less intensive OTalk

Will Chegwidden willchegwiddenYmchwilStroc RCOT_NP Louisepenny87 louiseclark15 In the HASU I lastworked on I would say the majority of patients go home from HASU sometimeswithin a very short timeframe so yes shortchanged is one word for it OTalk

Yaz Yazz_OTlouiseclark15 YmchwilStroc JenniferNCrow RCOT_NP I wouldnrsquot like toeven think of how many Especially when a few more weeks would allow goals to bemet rather than a referral to a community service not equipped to deal with thespeciality of stroke after care otalk

Louise Clark louiseclark15willchegwidden RCOT_NP Louisepenny87 YES Needs led not time ledOTalk RCOT_NP

Alex Smith YmchwilStrocem_rehab JenniferNCrow Have seen this model applied but it does underplaywhat can be gained from a direct therapist review and those lsquosubtlersquo needs that anOT can pick up on and explore OTalk

Carrie Beaumont carrieba2000willchegwidden louiseclark15 RCOT_NP OTalk We completed a gapanalysis a business case and have been successful in another OT another Physio1 band 4 and 2 additional band 3s for the stroke team in Kirklees

Hayley Read HayleyJaneRead2OTalk_ OTalk will it better service a patient with multiple conditionssymptoms ofwhich the stroke symptoms are only part of their difficulties

Louise Louisepenny87willchegwidden NicoleCWalmsley I started my career thinking this was the normwas sad to find out that it definitely is not OTalk

Emma Richards $$ em_rehabNicoleCWalmsley In my previous team therapists did the 6 month reviews but ittook a lot of time away from rehab I think a mixed model is best Complex withtherapists straightforward with keyworker OTalk

Will Chegwidden willchegwiddenYmchwilStroc RCOT_NP Louisepenny87 louiseclark15 Even the 12 weeksignores the 30 that sit outside proportional recovery Am sure MANY strokesurvivors would tell you in no uncertain terms that 12 weeks rehab is no where nearenough let alone 6 OTalk

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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enough let alone 6 OTalk

Cara Lawrence caralawrencecarrieba2000 willchegwidden louiseclark15 RCOT_NP Thatrsquos amazing Iwould love to know how you work this out Not sure it would fit in a tweet OTalk

Rebecca Fisher RebeccaJFisher_OTalk Good point - we need to maintain ESD and ensure other stroke survivors getthe intensity they need

Louise Clark louiseclark15JenniferNCrow Locally were certainly moving towards this OPs becomes alocation where someone comes for something specific as part of their communityrehab rather than a standalone service Bringing the expert skills of the OP therapistinto the wider team has been great OTalk RCOT_NP

Carrie Beaumont carrieba2000SPC58617769 OTalk_ OTalk We also have an Independent Living Team forshort term care packages but the Stroke Team provide the Therapy Programmealongside

Cara Lawrence caralawrenceDrAndrewBateman smcneish1 louiseclark15 NorthSNRT RCOT_NPRebeccaJFisher_ OTalk_ physiotalk A virtual MDT OTalk

Alex Smith YmchwilStrocwillchegwidden RCOT_NP Louisepenny87 louiseclark15 Agree that 30might make a crucial difference to someonersquos life OTalk

Louise Clark louiseclark15willchegwidden RCOT_NP The ISDNs are undertaking gap analysis We alsohave just closed the SSNAP PAOA These together should help demonstrate thegap- which in some places is significant also aware that recruitment on the scalerequired might be challenging OTalk RCOT_NP

Will Chegwidden willchegwiddenLouisepenny87 NicoleCWalmsley I arrived in the UK in the late 90s and wewere piloting integrated health and social care packages in Tower Hamlets but itsadly hasnt become the norm in many places OTalk

Louise Clark louiseclark15NicoleCWalmsley Are there any challenges or positives to this How could thislook in an integrated model OTalk RCOT_NP

Will Chegwidden willchegwiddenlouiseclark15 RCOT_NP Excellent - sounds like a real evidence basedapproach OTalk

Jennifer Crow JenniferNCrow

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Jennifer Crow JenniferNCrowLouisepenny87 louiseclark15 RCOT_NP Yes Louisepenny87 this is myconcern too something we would need to fight against to avoid going backwardsOTalk

Catherine Clarissa RN CathClarissaThis amp the importance of patient centred goals especially for young adults whichhave unique needs compared to other age groups StrokeAwarenessMonth StrokeYoungStroke

Carrie Beaumont carrieba2000willchegwidden louiseclark15 RCOT_NP OTalk Persistence

Hayley Grice HayleySGriceRT louiseclark15 willchegwidden RCOT_NP The ISDNs are undertaking gapanalysis We also have just closed the SSNAP PAOA These togethhellip

Hayley Grice HayleySGriceRT JenniferNCrow louiseclark15 RCOT_NP If needs led then strokesurvivors with higher therapy needs may get therapy services for longerhellip

Mags mags_obcaralawrence RebeccaJFisher_ Yazz_OT Essential team member too oftenmissing OTalk

Louise Clark louiseclark15JenniferNCrow RCOT_NP This is a concern but with the new model now beingin policy there is an obligation NCD Deb Lowe and RebeccaJFisher_ are workinghard to ensure that ISDNs (which should include commissioners) are moving forwardon this agenda OTalk RCOT_NP

Alex Smith YmchwilStroccaralawrence louiseclark15 Yazz_OT JenniferNCrow RCOT_NP Alsoimportant to consider lsquolacunarrsquo strokes and this interesting paperhttpstcojFncdOz7rK that suggests that stroke survivors with lacunar strokes havea significant potential for recovery 3-12 months post-stroke when most services havelong since withdrawn OTalk

Carrie Beaumont carrieba2000willchegwidden louiseclark15 RCOT_NP OTalk and SSNAP databenchmarking

Louise Clark louiseclark15Time flies Last question Q4)What steps are important in moving towards thismodel OTalk RCOT_NP

Cara Lawrence caralawrence

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Cara Lawrence caralawrencelouiseclark15 NicoleCWalmsley RCOT_NP One thing that does worry me isthe other neuro conditions Stroke always seems prioritised (often for valid reasonssuch as speed for rehab) but we shouldnrsquot loose sight of other conditions who needspecialist services OTalk

Louise Clark louiseclark15Yazz_OT RCOT_NP New ways of working are really important whenconsidering how services might change or reconfigure Technology selfmanagement thinking about band 4 roles etc groups social prescribing OTalkRCOT_NP

OTalk OTalk_OTalk Question 4

Sarah Broughton SarahBr43983025louiseclark15 RCOT_NP That everyone engages in the process andunderstands that services need to change Otalk

Hayley Grice HayleySGriceRT RebeccaJFisher_ OTalk Good point - we need to maintain ESD and ensureother stroke survivors get the intensity they need

Rebecca Fisher RebeccaJFisher_OTalk Work with us to make sure stroke rehabilitation and community stroke care isa priority everywhere

Emma Richards $$ em_rehabJenniferNCrow Louisepenny87 louiseclark15 RCOT_NP Itrsquos definitelypossible My old team managed ESD and longer term in one team OTalk

Hayley Grice HayleySGriceRT louiseclark15 willchegwidden RCOT_NP Louisepenny87 YESNeeds led not time led OTalk RCOT_NP

Louise Clark louiseclark15Indeed- there will hopefully be some workforce recommendations coming soon Insome areas the uplift to meet recommended staffing levels across all disciplines willbe a challenge OTalk RCOT_NP

Hayley Grice HayleySGriceRT RCOT_NP Louisepenny87 louiseclark15 Yes so hopefully less criteriaboundaries Services that provide stroke specialist input to thhellip

Nicole Claire Walmsley NicoleCWalmsleyRT RebeccaJFisher_ OTalk Work with us to make sure stroke rehabilitation andcommunity stroke care is a priority everywhere httpstcohellip

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Hayley Grice HayleySGriceRT RebeccaJFisher_ OTalk Work with us to make sure stroke rehabilitation andcommunity stroke care is a priority everywhere

Louise Clark louiseclark15RT willchegwidden NicoleCWalmsley One ESDCST we deal with has aninhouse inteated care service which is just superb as rehab around thehellip

Emma Richards $$ em_rehablouiseclark15 RCOT_NP Working closely with acute services and the voluntarysector OTalk

Rebecca Fisher RebeccaJFisher_OTalk Making stroke rehabilitation a priority in your area - work together and withyour Integrated Stroke Delivery networks carrieba2000 Persistence is key

Will Chegwidden willchegwiddenRT louiseclark15 willchegwidden RCOT_NP Louisepenny87 YESNeeds led not time led OTalk RCOT_NP

Shona SPC58617769louiseclark15 RCOT_NP Change management needs to gain buy-in from all tomake it work OTalk

Carrie Beaumont carrieba2000louiseclark15 RCOT_NP OTalk commitment to overcome organisationalboundaries and flex criteria

Nicole Claire Walmsley NicoleCWalmsleyOTalk I think a better knowledge of this change of proposed model would be a greatstart Not many people access NHS Future Collaborationshellip We need to get talkingabout it

Louise Clark louiseclark15SarahBr43983025 RCOT_NP Conversely by bringing together existingstaffservices that span the pathway the skill mix of the bigger team can beincredible Lots of opportunity for joint working and learning when previously youwere separated by service boundaries OTalk RCOT_NP

Ed Sum Occupational Therapist (( musedNeuroOTVanessajpOT Yazz_OT JenniferNCrow louiseclark15 RCOT_NP And forsome it is a few weeks or months at home before they feel ready for something moreintensive OTalk

Yaz Yazz_OTlouiseclark15 RCOT_NP otalk

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Rebecca Fisher RebeccaJFisher_OTalk Find Stroke Network on FuturesNHS httpstcon2vnPWYBs2 and your localISDN leads are key

Nicole Claire Walmsley NicoleCWalmsleyand capacity OTalk

Cara Lawrence caralawrencelouiseclark15 SarahBr43983025 RCOT_NP Definitely during covid we havebeen integrated ESD had a far slicker MDT to learn from OTalk

Louise Clark louiseclark15Louisepenny87 RCOT_NP Yes definitely a concern We arent expecting theintensity and responsiveness targets to go anywhere Were hoping to be able to findways in SSNAP to report on the different groups within the caseload (ie thoserequiring intensity and those who arent) OTalk RCOT_NP

Yaz Yazz_OTNicoleCWalmsley Yes the earlier the better otalk

Jennifer Crow JenniferNCrowGreat opportunites for rotations across the pathway and therefore improved clinicalcare learning and awareness of what happens at different points along the pathwayOTalk_

Alex Smith YmchwilStroclouiseclark15 RCOT_NP Embracing change and taking ownership of theagenda so that we as a profession can lead in how these services are commissionedand configured locally OTalk

Louise Louisepenny87louiseclark15 Yazz_OT RCOT_NP I agree 2020 forced us to use tech in newways Hopefully we can continue to use tech to our patients benefit OTalk

OTalk OTalk_OTalk

Cara Lawrence caralawrenceLouisepenny87 louiseclark15 Yazz_OT RCOT_NP Things that would havetaken years to get through came in so quickly attend anywhere can be a greatresource OTalk

Louise Clark louiseclark15caralawrence NicoleCWalmsley RCOT_NP Bringing stroke and neuro

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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caralawrence NicoleCWalmsley RCOT_NP Bringing stroke and neurotogether locally has been powerful in discussions with CCG- so we werent seen tobe working in too tight a silo and has real benefit to neuro patients who in a lot ofareas have less commissioned than stroke OTalk RCOT_NP

Nicole Claire Walmsley NicoleCWalmsleyYes we now have stroke community acute stroke B6 rotations as well as studentplacements that cross the pathwayhellip enhanced staff learning will only benefit thepatients OTalk

Alex Smith YmchwilStrocJenniferNCrow OTalk_ Such a good point for those who are looking for neuroexposure to see the patient journey OTalk

Louise Louisepenny87louiseclark15 RCOT_NP It would be interesting if the split changed eg moremarked as less intensive than were referred to ESD OTalk

OTalk OTalk_Only 5 minutes of the official OTalk hour left I would like to thank RCOT_NPlouiseclark15 for another great chat lots to think about What are your take awaythoughts Have you set any CPD goals What are your 3 follow up actions

Louise Clark louiseclark15NicoleCWalmsley So is everyone on this OTalk going to go and wave thespecification in front of their team and service manager to start the conversationReach out to your ISDN ISDNs are needing the teams to help make this realityRCOT_NP

Rebecca Fisher RebeccaJFisher_OTalk - such an inspiring group Ive enjoyed the chat

Louise Clark louiseclark15RT NicoleCWalmsley OTalk I think a better knowledge of this change ofproposed model would be a great start Not many people access NHShellip

OTalk OTalk_OTalk

Louise Clark louiseclark15NicoleCWalmsley Hopefully by stripping away the boundaries referrals and likelyduplication their might be a small amount of capacity released OTalk RCOT_NP

OT_Expert $ $ OT_ExpertRT OTalk_ Straight in there with OTalk Q1

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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Shona SPC58617769louiseclark15 RCOT_NP We are integrated with Social Work OTs and ourLeadership Band 7 group is integrated with NHS and Social Work OTs physiosstore and housing managers An eclectic group who work well together OTalk

OT_Expert $ $ OT_ExpertRT louiseclark15 Lets get startedHopefully youve had chance to read thestroke service model attached to the blogon NHS futuresQhellip

Louise Louisepenny87louiseclark15 NicoleCWalmsley RCOT_NP Yes And sign up to nhs futuresOTalk

OT_Expert $ $ OT_ExpertRT OTalk_ OTalk Question 2

Alex Smith YmchwilStroclouiseclark15 caralawrence NicoleCWalmsley RCOT_NP CertainlyEspecially in conditions such as FND where the first point of contact is often theacute stroke ward and the subsequent lack of commissioned community services tofollow these patients up is a real issue in many areas OTalk

OT_Expert $ $ OT_ExpertRT louiseclark15 Brilliant thanks all Moving onto Q2) What are thebenefitsopportunities of the proposed new model OTalk RCOT_NP

Ed Sum Occupational Therapist (( musedNeuroOTcaralawrence louiseclark15 SarahBr43983025 RCOT_NP I had to coverESD and Community Neuro as part of one redeployment during COVID - reallyuseful to shift interventions earlier on more self management and smoothertransitions to my community neuro caseload also shared more of my skills into theESD team OTalk

OT_Expert $ $ OT_ExpertRT OTalk_ OTalk Question 3

OT_Expert $ $ OT_ExpertRT louiseclark15 Great lets look at Q3) What are the challengesthreats of theproposed new model OTalk RCOT_NP

OT_Expert $ $ OT_ExpertRT OTalk_ OTalk Question 4

Will Chegwidden willchegwidden

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JenniferNCrow OTalk_ Definitely rotations You learn so much about perspectivefrom moving from hyperacute to subacuteIPR to community to long termclinicand the third sector Rotations across the pathway benefit everyone and helpsretention OTalk

OT_Expert $ $ OT_ExpertRT louiseclark15 Time flies Last question Q4)What steps are important in movingtowards this model OTalk RCOT_NP

Emma Richards $$ em_rehablouiseclark15 NicoleCWalmsley RCOT_NP We are making this a reality at themoment which is very exciting OTalk

Andrew Bateman DrAndrewBatemanLouisepenny87 louiseclark15 Yazz_OT RCOT_NP NIHRBrainMIC probworth having a look through this evenings OTalk thread

Louise Clark louiseclark15Thank you so much for everyones involvement tonight amp to RebeccaJFisher_ forjoining us This is the start of the discussion ampwill certainly need more movingforward Please continue the discussions locally and the RCOT_NP stroke forumwill continue to disseminate too OTalk

Jennifer Crow JenniferNCrowSPC58617769 louiseclark15 RCOT_NP Sounds amazing OTalk

OTalk OTalk_Well thats it for another week folks OTalk will be back at 8pm (UK next TuesdayThank you to RCOT_NP and louiseclark15 and RebeccaJFisher_Helen_OTUK signing off the account now do keep chatting we will wait at least24hrs before adding the transcript httpstcoM3Ac0eueNQ

Ed Sum Occupational Therapist (( musedNeuroOTYmchwilStroc louiseclark15 caralawrence NicoleCWalmsley RCOT_NPWe accept referrals for people with FND in our community neuro team would benice to have referrals from the stroke unit OTalk

Andrew Bateman DrAndrewBatemanRT caralawrence louiseclark15 NicoleCWalmsley RCOT_NP One thingthat does worry me is the other neuro conditions Stroke always seemshellip

Emma Playfair EmPlayfairOTalk_ RCOT_NP louiseclark15 actions 1) do a deeper dive into all thisbusiness and understand it better 2) speak to PercevalTim and JenniferNCrowabout what we can do help with 3) to come OTalk

Nicole Claire Walmsley NicoleCWalmsley

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Nicole Claire Walmsley NicoleCWalmsleyOTalk thank you louiseclark15 RebeccaJFisher_

Rebecca Fisher RebeccaJFisher_Well done all and louiseclark15 for organising - lots to think about thank youOTalk

Will Chegwidden willchegwiddenlouiseclark15 NicoleCWalmsley RCOT_NP This OTalk We all get boggeddown with our clinical work need to talk across boundaries and between clinicicansand commissioners Thanks to those who worked on this document and relatedworks OTalk

Ed Sum Occupational Therapist (( musedNeuroOTNicoleCWalmsley We have this for Physiotherapists but nothing in place for otherprofessions - definitely see a benefit of sharing how things work to smooth pathwaysbut some may favour working in one over the other OTalk

Louise Clark louiseclark15EmPlayfair OTalk_ RCOT_NP PercevalTim JenniferNCrow Everyonespending some time having a look at the new service model would be a really goodstart Raising it in team meeting or inservice and finding out whats happening in yourISDN would be a great start Need more people to be talking about this -) OTalkRCOT_NP

Alex Smith YmchwilStroclouiseclark15 RebeccaJFisher_ RCOT_NP Diolch Such a lively discussion asalways when it comes to all things Stroke and OccupationalTherapy OTalk

Nicole Claire Walmsley NicoleCWalmsleyRT louiseclark15 EmPlayfair OTalk_ RCOT_NP PercevalTimJenniferNCrow Everyone spending some time having a look at the new servicemohellip

Louise Clark louiseclark15musedNeuroOT caralawrence SarahBr43983025 RCOT_NP Hi ed Howwould you feel if those services were to become an integrated service so that flexwas always possible OTalk RCOT_NP

Alex Smith YmchwilStrocmusedNeuroOT louiseclark15 caralawrence NicoleCWalmsleyRCOT_NP Sadly isnrsquot commissioned on my patchhellip good to hear it is with youmusedNeuroOT generally rather patchy though Irsquom told OTalk

Jennifer Crow JenniferNCrowSuch a great point willchegwidden the patient moves across these boundaries andtherefore to improve their transitions we all need to be singing from the same song

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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therefore to improve their transitions we all need to be singing from the same songsheet OTalk and the patient needs to be at the centre of all this LifeAfterStroke

Louise Clark louiseclark15YmchwilStroc musedNeuroOT caralawrence NicoleCWalmsleyRCOT_NP Locally were having lots more FND sadly with no formal pathway sohave been taking more through our service Some training etc required but dobenefit from the type of input the team can offer OTalk

Ed Sum Occupational Therapist (( musedNeuroOTYmchwilStroc louiseclark15 caralawrence NicoleCWalmsley RCOT_NPUnfortunately is patchy but more services are looking at pathways - helpful tocommission teams to work with people with neurogical symptoms OTalk

Louise Clark louiseclark15RebeccaJFisher_ Thanks for all your input Rebecca and to you and the team forbringing the model to policy Will change the landscape of services to the benefit ofmany many patients Lots of very excited therapists excited about all there is tocome OTalk RCOT_NP

Ed Sum Occupational Therapist (( musedNeuroOTlouiseclark15 YmchwilStroc caralawrence NicoleCWalmsley RCOT_NPLet me know if you want the contact details for the therapists in FND network andhappy to be contacted for a discussion OTalk

Louise Clark louiseclark15So if one integrated team with one caseload there would be some on an intensivepathway (previously ESD) and others on a longer slower stream SSNAP will collectthe input for all but potentially might be able to look at different patient groupsOTalk RCOT_NP

Rebecca Fisher RebeccaJFisher_Deborah71247971 Jodieleepowell Louiseclark15 OTalk I work in a fabulousteam Thank you all

Louise Clark louiseclark15YmchwilStroc RCOT_NP Will have to make sure on the next stroke forumagenda and we discuss what RCOT_NP can do to help spread the word supportthe membership get involved and help deliver on this agenda OTalk

Emma Richards $$ em_rehablouiseclark15 NicoleCWalmsley RCOT_NP And the stroke team in Bath havebeen working in this way for over 10 years Makes me realise how lucky we are inour area OTalk

Emma Barnes _EmmaBarnes_JaneShiels3

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Louise Clark louiseclark15SPC58617769 RCOT_NP Yes tricky but absolutely key when in some areas itmight involve quite significant changes to service structures and boundaries Patientvoice staying central helps with this as patients describe the issues with currentpathways very well OTalk RCOT_NP

Louise Clark louiseclark15em_rehab RCOT_NP Yes pulling together as a whole pathway will be reallypowerful Looking to streamline processes strip out duplication and keep what thepatient needs at the centre Lots of voices supporting rehabilitation including thepatient voice OTalk RCOT_NP

Ed Sum Occupational Therapist (( musedNeuroOTlouiseclark15 caralawrence SarahBr43983025 RCOT_NP Personally I thinkit will hard to manage across demands and conditions but I am an exhaustedprofessional having to plug gaps and train lots of people as there are may be fewpeople with expertise in some areas OTalk

Anne Addison AnneAddisonOTRT RCOT_NP Not long until tonights OTalk on the new stroke service modelfocussing on community rehabilitation We hope many of you wilhellip

Matthew C Kiernan JNNP_BMJRT YmchwilStroc caralawrence louiseclark15 Yazz_OT JenniferNCrowRCOT_NP Also important to consider lsquolacunarrsquo strokes and this interhellip

Fran Platts FranPlattsICSS +

Cathie Parkinson ParkinsonCathieRT RebeccaJFisher_ OTalk Work with us to make sure stroke rehabilitation andcommunity stroke care is a priority everywhere

Avril Drummond $$ AvrilDrummond1RT willchegwidden RCOT_NP Louisepenny87 louiseclark15 Is the magicalsix week rule getting the flick as well I dont know where thehellip

Hayley Grice HayleySGriceRT louiseclark15 em_rehab RCOT_NP Yes pulling together as a wholepathway will be really powerful Looking to streamline processes shellip

Hayley Grice HayleySGriceRT louiseclark15 SPC58617769 RCOT_NP Yes tricky but absolutely keywhen in some areas it might involve quite significant changes to sehellip

Hayley Grice HayleySGrice

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Hayley Grice HayleySGriceRT JenniferNCrow Such a great point willchegwidden the patient moves acrossthese boundaries and therefore to improve their transitionshellip

physiotalk physiotalkOTalk_ smcneish1 louiseclark15 NorthSNRT RCOT_NPRebeccaJFisher_ We are happy to help in anyway Just ask if we can help with aphysiotalk and we are always more than happy to join in an Otalk as well ofcourse )

Glyn Blakey saeboukglynRT physiotalk OTalk_ smcneish1 louiseclark15 NorthSNRT RCOT_NPRebeccaJFisher_ We are happy to help in anyway Just ask if we can hhellip

Glyn Blakey saeboukglynCheck out OTalk httpstcormZEH3WaH7 strokeawarenessStrokeAwarenessMonth strokerecovery Searching for green amp blue gifhttpstcoSbIZz2YHmN

Help Small Business and the Self-employed FightTheCovidRT physiotalk OTalk_ smcneish1 louiseclark15 NorthSNRT RCOT_NPRebeccaJFisher_ We are happy to help in anyway Just ask if we can hhellip

Marina Milidoni MilidoniMarinaRCOT_NP ACPIN_UK OTalk Good morning could I ask colleagues who arecurrently working in Stroke Rehab Units (ASU) what patient OM do your depts useon admission and discharge I am based at St Georges Stroke team and we arecurrently reviewing a number of OTPT OMs

Will Chegwidden willchegwiddenMilidoniMarina OTalk_ louiseclark15 RCOT_NP RebeccaJFisher_ HiMilidoniMarina hope you are well The OTalks are on Tuesdays so this was lastnight The format is a Twitter discussion using the OTalk hashtag so no joininglinksnecessary and you can access a transcript on their homepage Click on OTalk andthere are handy explainers

Deb Lowe $$ Deborah71247971The new Integrated Community Stroke Service Model NHSEngland will at lastsupport commissioning and delivery of a needs based specialist rehabilitation forstroke survivors Thank you Louise and all your amazing OT colleagues for yoursupport and enthusiasm

Louise Louisepenny87Any acute stroke therapists that could answer MilidoniMarina

Adam Huxley HollywoodHuxRT Deborah71247971 The new Integrated Community Stroke Service Model

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

Page 29 of 32httpswwwsymplurcomhealthcare-hashtagsOTalktranscripthellip2F2021ampshour=10ampsmin=20amptdate=52F202F2021ampthour=10amptmin=20

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NHSEngland will at last support commissioning and delivery of a neehellip

Sophie Maynard SophieMaynard8Missed this otalk as simply cant function past 8pm but looking forward to having aread through tomorrow thanks for hosting

Faith Fitzsimon OT Student Researcher FitzsimonOtDo you meet the criteria I would love to hear from you Contact me atffitzsimon1unibrightonacuk to register your interest studentresearchOccupationalTherapy remoteOT teletherapy ukresearch OTnews OTalktelehealth mentalhealthOT httpstcoK9cM9PDw4p

Carolyne Dawson CazDawRT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

Faith Fitzsimon OT Student Researcher FitzsimonOtDo you meet the criteria I would love to hear from you Contact me atffitzsimon1unibrightonacuk to register your interest BrightOccTherstudentresearch OccupationalTherapy remoteOT teletherapy ukresearchOTnews OTalk telehealth mentalhealthOT httpstcoEFpgtpLjCy

Jo taylor $$ jotaylor13_OTRT louiseclark15 OTalk RCOT_NP To summarise key points in the ICSS areintegrated (one point of referral one management structure onhellip

carol blackwell $$ caroljb0503RT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

Helen helenlmc77RT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

alan PW $$ penheiro53RT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

Carrie Beaumont carrieba2000RT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

OTalk OTalk_Improving Representation in OT ndash One Year On ndash What Next ndash OTalk 25th May2021 httpstcoytmcikuYqD

Lynsay Duke DukeLynsaycaralawrence louiseclark15 NicoleCWalmsley RCOT_NP As a regional

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

Page 30 of 32httpswwwsymplurcomhealthcare-hashtagsOTalktranscripthellip2F2021ampshour=10ampsmin=20amptdate=52F202F2021ampthour=10amptmin=20

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caralawrence louiseclark15 NicoleCWalmsley RCOT_NP As a regionalNeuro rehab unit that provides rehab for stroke patients a wide gamut of otherNeuro conditions as well as specialist services such as spasticity mgt but separatetrust from acute stroke ESD and community teams it might get complicated OTalk

Jen scott Jen0ScottRT OTalk_ Improving Representation in OT ndash One Year On ndash What Next ndash OTalk25th May 2021 httpstcoytmcikuYqD

Glyn Blakey saeboukglynRT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

Louise Johnson PhysioLouiseJRT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

Catherine Ovington c_ovingtonRT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

Clarissa BlackLivesMatter GeekyOTReally interesting study re experiences of NHS staff in MentalHealth servicesWorth a read Would love to see similar research that includesOccupationalTherapy - eg impact of restricted access to our therapeutic tools ofactivity groups community services etc OTalk

Hannah Kay HannahKayOTRT GeekyOT Really interesting study re experiences of NHS staff inMentalHealth services Worth a read Would love to see similar resehellip

Mary Dixon-Woods MaryDixonWoodsRT GeekyOT Really interesting study re experiences of NHS staff inMentalHealth services Worth a read Would love to see similar resehellip

Kirsty Stanley Occupation4Life $$ Occ4LifeLtdRT OTalk_ Improving Representation in OT ndash One Year On ndash What Next ndash OTalk25th May 2021 httpstcoytmcikuYqD

Esther Freeman stroke_gmRT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

Stroke-Specific Education Framework UKSF_SSEFRT Deborah71247971 The new Integrated Community Stroke Service ModelNHSEngland will at last support commissioning and delivery of a neehellip

The MOHO OT themoho_ot

11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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RT OTalk_ Improving Representation in OT ndash One Year On ndash What Next ndash OTalk25th May 2021 httpstcoytmcikuYqD

Kirsty Stanley Occupation4Life $$ Occ4LifeLtdWe still have a lot of work to do Join me next week OTalk Tuesday 25th 8-9pm

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11062021 1853OTalk Healthcare Social Media Transcript May 18th 2021

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