Overview of Allied Health Professionals ECG Workshop and Key Strategic Themes

1. ALLIED HEALTH PROFESSIONALS ECG WORKSHOP 7 MAY 2010 DHSSPS OVERVIEW

2. CROSS-CUTTING THEMES • NICE Guidance, Strategic Themes, policies, Service Frameworks, Adverse Incidents, e.g. • Physical Disability Strategy • Safeguarding Vulnerable Adults • Emotional Health and Wellbeing Strategy

3. CROSS-CUTTING THEMES (Cont’d) • Multidisciplinary training and education opportunities • CPD for Non –medical Prescribers • Uni-Professional requirements • Inter-professional review of safety and quality in undergraduate curricula • Team Working (clinical decision making) • Leadership

4. CONTEXT • CSR 3 years and beyond: • Reduced public services purse ie £344 million efficiency target 2008-2011 • Equivalent 9% of budget per Trust over 3 years • Vacancy/workforce controls • Reconfiguration of services • Reform and modernisation • Added focus on quality and productivity

5. HEALTH AND SOCIAL CARE BOARD • Plan and commission services across Northern Ireland • With LCGs ensure services reflect local need and priorities within five localities • Drive improved efficiency and performance (old SDU)

6. PUBLIC HEALTH AGENCY • Improve health in general • Reduce health inequalities • Health promotion, eg obesity, suicide prevention, teenage pregnancy • Focus on better co-ordination of health and social care interventions • Patient safety • Personal and Public Involvement (PPI)

7. PFA TARGETS • To be achieved by March 2011 e.g. • Elective care (9 weeks) • Improving acute services, eg A&E and Stroke • Supporting people at home, eg • Reducing unplanned admissions • Facilitating discharge • Delivering care in the domiciliary setting • Improving Mental Health Services, eg • Preventing admissions • Resettling long-stay patients • Assessment and treatment pathways

8. MENTAL HEALTH Bamford Action Plan and Mental Health Service Framework • Key Components include: • Psychological Therapies Strategy (2009) • Personality Disorder Strategy (2010) • Risk Assessment and Management (2009) • Dementia Strategy (2010) • Mental Health Promotion Strategy (2010) • Patient Safety: (McCleery, O’Neill, McElhill inquiries) • Prison Health Care – Patient safety, self harm/suicide, mental health awareness and learning disability awareness and long term conditions.

9. LEARNING DISABILITY Bamford Action Plan and Learning Disability Service Framework • Key components include: • Focus on health improvement, health facilitation, in both Primary Care and Acute care • Risk Assessment and Management • Community Forensic care for people with learning disabilities • Autism Strategy • Impact of Ageing and Dementia Strategy • Children with complex needs guidance • Community based assessment and treatment

10. OLDER PEOPLE • Key components include: • Stroke strategy (2008) • Dementia Strategy • Safeguarding Vulnerable Adults • Northern Ireland Single Assessment tool • Chronic and complex disease management (Respiratory and Cardiovascular Service Frameworks) • Connected health and technology • End of life care • Patient experience standards • Older people’s services framework

11. QUALITY STRATEGY: BEST PRACTICE BEST CARE • Standards, Safety, Patient Experience and PPI • Understanding and applying Quality Metrics to focus on outcomes • Understanding Safety methodology (prediction, Prevention, Safer Patient Initiatives) • Public Health Thinking – Starting to look at Strategy

12. eHEALTH • Preparation for information age healthcare • ICT skills to use systems and software • Informatics skills to synthesise and analyse • Understanding of application of technology in AHP practice

13. PALLIATIVE AND END OF LIFE CARE STRATEGY • End of Life Care Pathways (100% of staff who initiate/manage must be trained) • Generic Skills in Symptom Management (4 commonest symptoms – pain, nausea, agitation and breathlessness) • Communication skills at all levels • Inter-professional learning at Specialist Palliative Care level

14. HEALTH CARE ASSOCIATED INFECTION • Review of HCAI education (NIPEC) • Identify Core Knowledge/skills • Identify Specialist knowledge/skills • Improve skills in surveillance methodology • Responsibility of all HSC staff

15. CHILDREN AND FAMILY SERVICES AHP • Ongoing Safeguarding Supervision training on new processes • Reviewed Child Health Promotion Programme (CHPP) • Applicable to AHPs, Health Visitors, School Nurses and Midwives, GPs, etc • Ongoing updating of practice and training required • E.g. new standards, WHO growth chart, new contact schedules, National Screening Committee and NICE guidance (neonatal screening, ASD Action plan recommendations, etc)

16. CHILDREN AND FAMILY SERVICES • Children and Young People with physical health care needs • Transitions • Specialist practice within Community