Ayrshire and Arran Allied Health Professions local … rr er 20132015 Wher w te 2 Contents 1. Foreword Page 3 2. Background Page 5 3. Ayrshire and Arran delivery plan: An overview

Ayrshire and Arran Allied Health Professions local delivery planWhere we are now: A local update

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Ayrshire and Arran AHP local delivery plan 2013-2015Where are we now: A local update

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Contents

1. Foreword Page 3

2. Background Page 5

3. Ayrshire and Arran delivery plan: An overview Page 5

4. Ayrshire and Arran delivery plan: Local and national co-ordination and reporting mechanisms Page 7

5. Ayrshire and Arran AHP local delivery plan: Monitoring activity Page 7

6. Ayrshire and Arran AHP local delivery plan: Workstreams Page 8

7. Ayrshire and Arran AHP local delivery plan: Ongoing engagement and communication with partners and stakeholders Page 25

8. Ayrshire and Arran AHP local delivery plan: Where we go next Page 25

9. Closing remarks: Programme sponsor: Billy McClean Page 25

10. Appendix one: Ayrshire and Arran AHP local delivery plan 2013-2015 Page 26

11. Appendix two: Ayrshire and Arran AHP local delivery plan: Terms of reference and membership Page 36


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Foreword

Billy McClean, AHP Associate Director - NHS Ayrshire & ArranFor Allied Health Professions (AHP) in Ayrshire and Arran, the national delivery plan could not have come at a better time. It has given us a framework around which we have been able to build a collective purpose and focus. In creating our local delivery plan, we have aligned our priorities to those of the organisations and communities that we serve. This has allowed us to lead and contribute to significant and large scale change and improve the quality of life of those living in Ayrshire and Arran.

Eddie Fraser, Head of Service: Community Care - East Ayrshire CouncilIn East Ayrshire, we welcome this AHP delivery plan, as we view it as a valuable contribution to deliver our strategic objectives across every service user group to embed recovery, re-ablement and person-centred and driven solutions to address health and social care needs. Along with our Community Planning Partners, we are focussed on minimising dependence on services while building individuals’ and the wider community’s capacity to care for and support those affected by infirmity in old age, mental ill health, long term conditions, learning or physical disability and addictions. These objectives require the skill and expertise of our AHPs to support people, within their own homes and communities to maximise their independence and capacity for living full and rewarding lives.

I acknowledge our shared challenge of improving outcomes for people in a flexible, community based model while established services are refocused however recognise the positive work to date to shift the balance of care from hospitals and look forward to continued positive partnership working to deliver the best possible support environment for the residents of East Ayrshire.

Kenneth Leinster, Head of Community Care and Housing, Care, Learning and Wellbeing – South Ayrshire CouncilIn South Ayrshire, we see the AHP local delivery plan as an important and timely document at this crucial time. It creates the opportunity to place AHPs at the heart of the integration of health and social care and ensures a consistent approach across a range of services. The local delivery plan is a strong example of an integrated approach which puts the focus on supporting vulnerable people in their own homes where they wish to be.


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Iona Colvin, Corporate Director: Social Services and Health – North Ayrshire Council At this time of change for social work services and health, the AHP local delivery plan supports the wider strategic developments around integration, enablement and personalisation. It highlights the important role Allied Health Professionals have alongside colleagues in providing a holistic response to the needs of service users and the local community. The clear focus is on better outcomes for individuals and to enable people to take control of their lives by extending choice, maximising skills and optimising independence. I look forward to working closely with partners and service users on this initiative.


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BackgroundThe national delivery plan for Allied Health Professions (AHP) in Scotland was published in June 2012. To read the national plan, visit http://www.scotland.gov.uk/Resource/0038/00387145.pdf.

A key action from this document states that:“NHS boards and local authorities will develop local implementation plans identifying how they intend to deliver and evidence the outcomes of the National Delivery Plan (NDP) for the Allied Health Professions in Scotland.”

Acknowledging the importance of past activity and embracing a partnership approach, a local consultation process took place to develop the Ayrshire and Arran AHP local delivery plan 2013-2015 – see appendix one. This action plan was submitted to the Chief Health Professions Officer (CHPO) on 31 January 2013.

The purpose of this paper is to give staff and partners an update on progress so far on the Ayrshire and Arran Allied Health Professions local delivery plan 2013-2015.

Ayrshire and Arran AHP local delivery plan 2013-2015: An overviewThe AHP local delivery plan (LDP) consists of twenty five actions taken directly from the AHP national delivery plan and a further five actions (5.1/5.7/6.5/6.6/6.7) identified locally through the consultation process. These thirty actions have now been incorporated into 16 discrete workstreams that map directly to local priorities. You will find details of the workstreams on AthenA - http://athena/ahp/localdelplan/Pages/default.aspx. 1. Integrated AHP Community Services2. AHP Emergency Care Quality Improvement Programme3. AHP Falls 4. AHP Dementia 5. Podiatry 6. AHP Service User Access7. AHP Work, alcohol, tobacco, obesity and mental health (WATOM)8. AHP Children and Young People9. AHP Workforce 10. AHP Research, Development and Evaluation11. Radiography12. Integrated Occupational Therapy Services13. AHP Tele-health 14. AHP Self Management and Co-production15. AHP Long Term Condition Management16. AHP Psychological Therapies

http://www.scotland.gov.uk/Resource/0038/00387145.pdf

http://athena/ahp/localdelplan/Pages/default.aspx


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The AHP Associate Director is the sponsor for all 16 workstreams. Additionally, each of the workstreams has a Project Owner, Project Lead, Project Partner and Project Group. See appendix two for details of the terms of reference and membership of each workstream.

Role Responsibility

Sponsor To have overall accountability for the delivery of the Ayrshire and Arran AHP local delivery plan 2013-2015.

Owner To oversee and monitor the outputs from the workstream.

To remove barriers and facilitate progress.

To escalate any issues to the Sponsor.

To be a critical friend to the workstream Project Lead.Project Lead To lead, manage, monitor and coordinate the activity of the

workstream.

To develop and facilitate the delivery of an action plan that includes measurable outcomes to meet the aims of the project scope.

To highlight any issues, barriers or identified project risks to the workstream Owner for escalation and further discussion/action with the Sponsor.

Project Partner To directly support and work with the workstream Project LeadProject Group A working group that will be actively involved in the development

and delivery of the actions for that workstream.

The group consists of volunteers from across organisations and includes Service Users on some groups.


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Ayrshire and Arran AHP Local Delivery Plan: Local and national coordination and reporting mechanisms The AHP Clinical Improvement Programme Board (CIPB) oversees and coordinates the activity and outputs of the LDP. This board meets every three months. See appendix two for details of the terms of reference and membership of the CIPB.

Current arrangements for local and national reporting are outlined below. However, you will find more information in appendix two.

Ayrshire and Arran AHP Local Delivery Plan: Monitoring activity Each workstream has developed a detailed project charter along with an accompanying action plan that incorporates timescales, milestones and outputs. Workstream activity is recorded and updated regularly through Covalent, a system that handles improvement, service and corporate plans. This system is currently used within NHS Ayrshire & Arran, North Ayrshire Council and South Ayrshire Council. For each workstream, Covalent proactively manages identified actions against deadlines and can produce various levels of reports. The information from Covalent subsequently informs and updates the AHP national reporting tool.

For further information relating to the Covalent reports for each of the workstreams please contact: [email protected]

mailto:[email protected]


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Ayrshire and Arran AHP local delivery plan: Workstream overviewsThis section of the report provides updates from each of the 16 workstreams:

1. Integrated AHP Community Services2. AHP Emergency Care Quality Improvement Programme3. AHP Falls 4. AHP Dementia 5. Podiatry 6. AHP Service User Access7. AHP Work, alcohol, tobacco, obesity and mental health (WATOM)8. AHP Children & Young People9. AHP Workforce 10. AHP Research, Development and Evaluation11. Radiography12. Integrated Occupational Therapy Services13. AHP Tele-health 14. AHP Self Management and Co-production15. AHP Long Term Condition Management16. AHP Psychological Therapies

These updates focus on:

• The summary of each workstream including overall aim• The time limited goals for each workstream• The progress to date for each workstream• Where to access further information on each of the workstreams


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Integrated AHP Community ServicesLinks to NDP actions 1.2/2.4/2.5/3.2/5.2

Overall aim of workstreamThe aims of the workstream are:

• to redesign and develop enabling services (including rehabilitation and re-ablement) across health, social care, third sector and private sector;

• to support older people and those with complex needs to live independently at home for as long as possible; and

• to drive the implementation for delivering the shift towards increased AHP community-based activity.

Time-limited goals• To coordinate AHP community services by establishing a single point of contact at

sites in Ayrshire (by November 2015)• To establish links with home care services, East Ayrshire carers support and the

telehealthcare team (by December 2013)• To implement patient-held folders as a communication tool for patients, AHPs,

carers and other health professionals (by January 2014)

Progress to dateA single point of contact at Kirklandside Hospital has been agreed to test coordinated AHP community services within East Ayrshire. A patient-held communication tool has been developed and testing is underway.

For further information, contact the Project Lead on [email protected]

You will also find further information on AthenA: http://athena/ahp/localdelplan/commhub/Pages/default.aspx

Psychological therapies A group of treatment methods that involve psy-chosocial rather than physical intervention. They include cognitive behavioural

therapy, family therapy, systemic family therapy, non-directive supportive therapy, psychodynamic psychotherapy, group psychotherapy, counselling,

art therapy, interpersonal psychotherapy, guided self-help and any other form of treatment that aims to be helpful through the communication of thoughts and feelings in the presence of a therapist, who works with the material using

a systematic framework for understanding and responding to it


http://athena/ahp/localdelplan/commhub/Pages/default.aspx


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AHP Emergency Care Quality Improvement(Links to NDP actions 2.1/2.3)


• to establish dedicated AHP support within emergency services to prevent unnecessary admissions to hospital; and

• to contribute to achieving reduced length of stay through facilitating earlier discharge from hospital.

The workstream also has responsibility for producing an options paper outlining different models of seven-day and out-of-hours working for AHPs.

Time-limited goals• To produce an options paper for AHP seven-day and out-of-hours working, taking

into account work within Emergency Care Department, Frail Elderly Pathway and the GP Assessment pilot, for consideration by Directors (by October 2013)

• To recommend models of AHP partnership working within Emergency Departments and acute hospital settings which provide people with AHP services based on their needs (by March 2014)

Progress to dateA seven day working model was piloted within the Stroke Unit at Ayr Hospital and is currently being evaluated. A one-week pilot was conducted by a core group of staff, including AHPs, who assessed patients at Crosshouse Emergency Department and put necessary support in place to avoid a hospital admission. Community Rehabilitation Teams have been established.


You will also find further information on AthenA: http://athena/ahp/localdelplan/emergcare/Pages/default.aspx


http://athena/ahp/localdelplan/emergcare/Pages/default.aspx


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AHP Falls(Links to NDP action 2.2)

Overall aim of workstreamThe psychological and physical consequences of falling result in a significant impact on an individual’s health, wellbeing and independence. A large proportion of the over 65 population are an emergency admission to hospital as a result of preventable falls which often result in factures or other co-morbidities.

The overall aim of the workstream is for AHPs to support the Falls Lead to implement falls and fracture care pathways to reduce falls-related admissions to hospital in the over 65s by 20 per cent by 2014.

Time-limited goals• To establish baseline data for falls rate per 1000 population for over 65s (by August

2013).• To introduce opportunistic identification of patients at risk of falling by all AHP staff,

through standardised questions and intervention pathways/actions (by January 2014).

• To develop falls bundles in accordance with national good practice guidelines and national minimum standards (by December 2013).

Progress to dateWe have agreed opportunistic questions for screening patients and are testing these using improvement methodology. The position of the Falls Lead in NHS Ayrshire & Arran has been vacant, which has impacted on progressing the time-limited goals. Unfortunately to date we have been unsuccessful in recruiting to this post.


You will also find further information on AthenA: http://athena/ahp/localdelplan/falls/Pages/default.aspx


http://athena/ahp/localdelplan/falls/Pages/default.aspx


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AHP Dementia(Links to NDP action 2.6)

Overall aim of workstreamEarly identification and intervention in dementia has been shown to improve quality of life, and delay the need for institutionalisation. Carer support and counselling after diagnosis can reduce care home placement by 28 per cent. A study by Alzheimer Scotland identified that a large percentage of newly diagnosed individuals with dementia do not receive post diagnostic support.

The aim of the workstream is for AHPs to contribute to the provision of post-diagnostic support for newly diagnosed individuals with dementia, supporting the recently published Dementia Strategy and achievement of the HEAT target.

Time-limited goals• To develop an online AHP resource for staff to access information on dementia,

including material suitable for patients and carers (by December 2013).• To test an AHP self-management programme for a group of patients with dementia

and their carers (by December 2013).• To participate in the development of a national model for AHP interventions in

dementia care (by April 2014).

Progress to dateA test site for the AHP self-management programme for patients and carers has been agreed within South Ayrshire and staff are currently developing the content of the programme. Resources for patients with dementia, their carers and staff are being collected and reviewed.


You will also find further information on AthenA: http://athena/ahp/localdelplan/dementia/Pages/default.aspx


http://athena/ahp/localdelplan/dementia/Pages/default.aspx


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Podiatry(Links to NDP actions 2.7/5.5)

Overall aim of workstreamIn February 2012, the Podiatry Service in NHS Ayrshire & Arran set about a redesign of its services in order to provide a service fit for the future.

Time-limited goals• To measure the impact of the new pathways and interventions following the service

redesign (by March 2014)• To measure the impact of the redesign on reducing waiting times and improving

access (by March 2014)• To work with partners in health and social care, care organisations, voluntary

services and older people’s groups to implement the National Personal Foot Care Guidelines (by December 2013).

Progress to dateOutcomes from Year One of the project (April 2012-13):

• The number of new patients has decreased by 25 per cent.• The number of discharges has increased by 29 per cent. • For the first time in ten years, the number of discharges exceeds the number of new

patients. Therefore, we are able to meet demand.• In the first six weeks since being set up, 70 patients have attended the third sector

for personal footcare. This amounts to 280 appointments per year that can be reinvested for patients who are high risk.

• Developments identified since mapping patient pathways include: foot protection programme for high risk patients; enhanced foot and ankle MSK care with direct access to orthopaedics; enhanced role in falls prevention; and enhanced care for patients with acute and chronic rheumatological conditions.


You will also find further information on AthenA: http://athena/ahp/localdelplan/podiatry/Pages/default.aspx


http://athena/ahp/localdelplan/podiatry/Pages/default.aspx


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AHP Service User Access(Links to NDP actions 3.1/6.2/6.3 & Local Action 6.7)


• to drive the delivery of AHP waiting time targets; • to expand self-referral as primary route of access to all

therapeutic AHP services; • to deliver an integrated, person centred patient record and

referral management system for AHPs; and • to work in partnership with primary care, supporting

enhanced pathways to maximise AHP expertise as first point of contact, thereby reducing unnecessary referrals to secondary and unscheduled care.

Time-limited goals• To develop integrated AHP documentation, reducing duplication and improving

communication (by March 2014)• To monitor and report on waiting times (18 weeks from referral to treatment,

4 weeks for musculoskeletal services) (by December 2014)• To receive all GP referrals to AHP services electronically (by March 2014)• To support the development of processes for self referral to AHP services

(by March 2014)

Progress to dateA baseline survey has been developed for services to complete. The survey will provide information on sources of referral, current extent of self referral processes, existence of referral criteria, recording of service user experience, use of electronic and integrated records, and waiting times targets.


You will also find further information on AthenA: http://athena/ahp/localdelplan/serviceuser/Pages/default.aspx


http://athena/ahp/localdelplan/serviceuser/Pages/default.aspx


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AHP WATOM (Work, Alcohol, Tobacco, Obesity, Mental wellbeing)(Links to NDP action 3.3/3.4)

Overall aim of workstreamThe aim of the workstream is for AHPs to use each consultation as an opportunity to improve the overall health and wellbeing of service users, focusing on issues such as alcohol, tobacco, obesity, physical activity, and mental wellbeing, and signposting to relevant resources. AHPs will also ask people who use their service about their work status and will initiate support to individuals to enable them to remain in or return to work.

Time-limited goals• For AHPs to routinely raise the WATOM topics with service users and support them

to address any relevant issues (by December 2014)• For AHPs to use up-to-date and consistent resources and sources of information in

relation to the WATOM topics (by December 2014)• To raise awareness and accessibility of available resources to all AHP staff (by

December 2013)• To provide training and support to staff as required to ensure staff confidence and

competence on WATOM topics (by December 2014).

Progress to dateBuilding on the WATOM project undertaken by the Physiotherapy Service, a toolkit of resources on the WATOM topics is being shared with all AHP professions. An audit of current practice on routine screening and documentation of WATOM topics across AHP professions is underway.


You will also find further information on AthenA: http://athena/ahp/localdelplan/watom/Pages/default.aspx


http://athena/ahp/localdelplan/watom/Pages/default.aspx


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AHP Children and Young People(Links to NDP action 4.1)

Overall aim of workstreamFamilies of children with complex needs are receiving the services of more than one AHP profession at the same time. Currently referrals are made separately to each service resulting in uncoordinated multi-professional input and dissatisfaction for families. The aims of the workstream is to improve communication and information sharing between health professionals, social work and education; for referrals to be allocated to the most appropriate profession; and to implement a joint therapy care plan.

Time-limited goals• To produce and test a joint therapy plan for children with complex needs (by

December 2013).• For AHPs to have access to the FACE electronic record system, allowing shared

information between professions and other agencies using the AYRshare online resource (by December 2013).

• To ensure that AHPs are represented on relevant local and national children’s service groups and that information from these is shared among staff (by October 2013).

Progress to dateAHPs are now represented on the three Officer Locality Meetings for Children’s Services. A scoping questionnaire has been produced to establish AHP representation on other local and national groups. AHPs are represented on the Early Years Collaborative and have representation on the three workstreams locally. Testing of the joint therapy plan has been commenced.


You will also find further information on AthenA: http://athena/ahp/localdelplan/childyoungpeop/Pages/default.aspx


http://athena/ahp/localdelplan/childyoungpeop/Pages/default.aspx


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AHP Workforce(Links to NDP actions 1.3/5.1)

Overall aim of workstreamThe aim of this workstream is to review and address any workforce issues emerging from the other fifteen workstreams. This includes all aspects of staffing, including capacity and capability; and educational solutions relating to service and clinical improvements.

Time-limited goals• To collect baseline data on quality improvement skills of AHPs across NHS Ayrshire

and Arran and undertake a gap analysis to identify development needs (by December 2013)

• To identify available learning and training resources to support this development (by December 2013)

• To maintain an overview of workforce issues arising from each of the workstreams, ensuring that appropriate measures are taken to promote efficiency, productivity and flexibility (by December 2015)

Progress to dateProject Owners, Leads and Partners have been undertaking bespoke project management quality improvement and appreciative leadership training to further develop their roles as AHP leaders. It is recognised that these skills will continue to contribute to the overall integration agenda.

The AHP administration review has now commenced.


( AthenA page will be available soon)



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AHP Research, Development & Evaluation(Links to NDP actions 5.3/5.6/6.1)


• to monitor the quality of AHP service delivery, including user experience, by implementing a national data set and quality measures;

• to grow the health economic base for AHP interventions across health and social care services creating a research culture; and

• to produce a Research, Development and Evaluation Strategy to lead innovation and improvement in quality of services.

Time-limited goals• To invite feedback from service users about their experience in 100 per cent of

AHP consultations (by July 2014)• To increase AHP engagement in research, development and evaluation by 15 per

cent (by July 2015)• To write and formally launch a local Research, Development and Evaluation Strategy

(by August 2013)• To increase the number of health economic evaluations completed by AHPs by 10

per cent (by July 2014)

Progress to dateA Physiotherapy Cultural Evaluation was undertaken and data obtained from this is being analysed in order for the questionnaire to be modified and rolled out to other AHP groups. Five sub-groups have been established to deliver on the project charter objectives - Health Economic Evaluations; Developing a research culture; Service user experience; Research, Development and Evaluation strategy; and Demonstrating impact.


You will also find further information on AthenA: http://athena/ahp/localdelplan/rde/Pages/default.aspx


http://athena/ahp/localdelplan/rde/Pages/default.aspx


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Radiography(Links to NDP action 5.4)

Overall aim of workstreamRadiographer reporting is already undertaken in NHS Ayrshire & Arran with a team of five radiographers who issue reports on approximately 32,000 examinations a year. This is approximately 45 per cent of the accident and emergency workload and 25 per cent of the ‘plain film’ or conventional workload.

The main aim of the local workstream is to continue to provide this level of service and to potentially increase the amount of work reported by radiographers from 25 per cent to 30 to 40 per cent over the next two to three years.

Time-limited goals and milestones• To agree and gain funding for at least one additional radiographer to be allowed to

undertake the PgC in reporting in 2013 to support the current service provision and allow for limited succession planning. Timescale for this is July/August 2013

• To agree a plan for the next five years to develop the clinical input into the department and potential for expansion of the reporting day/ week to support the potential increase in workload

Progress to dateAgreement between Project Owner and Lead to develop a five year plan/business case to support the funding for additional staff.


You will also find further information on AthenA: http://athena/ahp/localdelplan/radiogr/Pages/default.aspx


http://athena/ahp/localdelplan/radiogr/Pages/default.aspx


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Integrated Occupational Therapy Services(Links to NDP actions 1.1 & Local Action 5.7)

Overall aim of workstreamThere is a need for increased effectiveness, improved integration and a reduction in duplication within and across Occupational Therapy Services in Ayrshire and Arran. This includes health and social work Occupational Therapy staff currently employed within NHS Ayrshire & Arran, South Ayrshire Council, East Ayrshire Council and North Ayrshire Council. The aim of the workstream is to test models of integration within each partnership area with a view to identifying future models of service provision by Occupational Therapy Staff across Ayrshire and Arran. Projects in South Ayrshire are currently underway.

Time-limited goals• To establish an Occupational Therapy Programme Board to support, oversee and

coordinate local projects and drive forward high level outcomes (by October 2013).• To improve access to the service for residents of South Ayrshire, reduce waiting

time for first assessment, and improve working experiences for staff, through integrated working between health and local authority occupational therapy staff (by December 2013).

• To implement Releasing Time to Care quality improvement tools to examine existing working practices and improve service effectiveness (by October 2013)

Progress to dateAn integration event was held in South Ayrshire to introduce Releasing Time to Care and review current referral pathways. A Community Rehabilitation Team has been established. An audit of referrals from health to social work occupational therapy is currently being undertaken to identify areas for improvement.


You will also find further information on AthenA: http://athena/ahp/localdelplan/intotserv/Pages/default.aspx


http://athena/ahp/localdelplan/intotserv/Pages/default.aspx


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AHP Telehealth(Links to NDP action 6.4)

Overall aim of workstreamThe aim of the workstream is to introduce telehealthcare to one pathway of each AHP service, increasing the number of patients accessing telehealthcare to 100 patients by March 2014.

Time-limited goals• To establish links with other local and national telehealthcare groups

(by September 2013).• To explore the use of community pods, allowing people to measure and record a

range of key health variables without requiring clinical supervision (by December 2013).

• To host an AHP Telehealthcare Conference showcasing local developments in health and social care (by November 2013).

• To design telehealthcare information pages on the NHS Ayrshire and Arran public facing website (by December 2013).

• To produce an article for professional journals and local media highlighting the use of telehealthcare in AHP services (by December 2013).

Progress to dateBaseline information on current access to telehealthcare has been established and will continue to be monitored to demonstrate any new uptake in the use of telehealth. Clinical consultations via video conferencing are being established for remote areas.


You will also find further information on AthenA: http://athena/ahp/localdelplan/teleheal/Pages/default.aspx


http://athena/ahp/localdelplan/teleheal/Pages/default.aspx


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AHP Self Management and Co-production(Links to local action 6.5)

Overall aim of workstreamThe overall aim of the workstream is for 75 per cent of AHP staff to adopt a self management approach to service provision by using a generic AHP self management tool to guide this intervention by 2015. This will be evidenced through training, audit and feedback from patients and carers and aims to reduce the number of re-referrals into AHP services.

Time-limited goals• To develop a generic AHP tool to facilitate a self management approach during AHP

interventions (by June 2015).• To identify what self management training is available to AHP staff

(by August 2015).• To ensure a consistent approach to self management and co-production by AHPs

where the person is at the heart of the service and is involved in decisions about their care (by December 2015).

Progress to dateThree subgroups have been established to look at the development of a self-management screening tool, training opportunities for self management for AHPs, and audit tools to evidence self management.


You will also find further information on AthenA: http://athena/ahp/localdelplan/selfmanage/Pages/default.aspx


http://athena/ahp/localdelplan/selfmanage/Pages/default.aspx


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AHP Long Term Condition Management(Links to local action 6.6)

Overall aim of workstreamThe aim of the workstream is for AHPs to work with partners in health (including primary care), social care and third sector (voluntary services) to improve the consistency in delivery of services for people with long term conditions.

Time-limited goals• To understand the demographic of the long term conditions population within

Ayrshire and Arran (by March 2014).• To improve consistency in delivering effective patient centred care across a range of

long term conditions (by December 2015).• To explore and implement options for capturing patient experience across a range

of long term conditions (by December 2015).• To work in a more consistent way with partners from primary care, social care and

third sector (by December 2015).

Progress to dateThe most prevalent long term conditions for people in Ayrshire and Arran have been identified and include chronic musculoskeletal conditions, heart disease and respiratory conditions. A scoping exercise mapping existing programmes of rehabilitation across long term conditions was commenced last year and the information generated from this is now being analysed. The Project Lead has met with a number of partners within the Community Health Partnerships and the third sector to look at ways of raising awareness of the contribution of the third sector to long term condition management and of exploring ways to develop improved links for better partnership working. Links have been made within NHS Ayrshire & Arran with regards to current options for measuring patient experience. There have also been discussions with Health Improvement Scotland with regards to opportunities to link with the National Person-Centred Health and Care Programme.


You will also find further information on AthenA: http://athena/ahp/localdelplan/ltcmanage/Pages/default.aspx

Health

Social Care

Third Sector


http://athena/ahp/localdelplan/ltcmanage/Pages/default.aspx


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AHP Psychological Therapies(Links to local action 6.8)

Overall aim of workstreamThe aim of the work-stream is for AHP Leaders in health and local authorities to facilitate faster access to psychological therapies and fully engage in leading the rehabilitation of people with mental health problems. This will include the development of new models, systems and ways of working to facilitate early intervention and timely access for service users and carers.

Time-limited goals• To establish baseline data on the number of

appropriately trained and supervised AHP staff delivering psychological therapies across Ayrshire and Arran (by October 2013).

• To increase the number of AHPs appropriately trained and supervised in psychological therapies by 50% (by December 2014).

• To implement the use of COREnet to measure and monitor clinical outcome scores (by December 2013).

Progress to dateA scoping of the number of appropriately trained AHP staff delivering psychological therapies has been undertaken and a report produced. Services that are working in partnership with AHP staff to deliver relevant interventions to enhance mental health and wellbeing have been identified for baseline data.


(AthenA page will be available soon)



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NHS Ayrshire & Arran AHP local delivery plan: Ongoing engagement and communication with partners and stakeholdersOngoing communication and engagement with our stakeholders is paramount to the continued success of the programme. Forthcoming modes of communication are highlighted below.

NHS Ayrshire & Arran AHP local delivery plan: Where we go nextSome key milestones for the near future include:

• An update on the progress of the Ayrshire and Arran AHP LDP has to be submitted to the CHPO in December 2013.

• Measures will be taken to further engage at a strategic level with the Third Sector and to continue to work collaboratively across Health and Social Care.

• A range of abstracts relating to the LDP have been submitted for the National AHP Conference on 2 October 2013.

• A follow up publication, NHS Ayrshire & Arran AHP local delivery plan: the next steps, will be published in March 2014.

Closing remarks - Programme Sponsor: Billy McCleanAs AHPs we are trained to work alongside people, enabling them to build on their strengths and reach their potential. We are now using this expertise to work in partnership with teams, organisations and communities to maximise our collective strengths and deliver powerful, positive change. Our skills and behaviours are essential in the new world of Integration and Community Planning Partnerships, where AHPs will play a key role in supporting people to live healthier, happier lives closer to home. The AHP local delivery plan sets the foundations. I am looking forward to us building on those foundations with energy, positivity and a sense of purpose; bringing the best to the people we serve.


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Appendix two: Ayrshire and Arran AHP local delivery plan - Terms of reference and membership

The National Delivery Plan for Allied Health Professions (AHPs) in Scotland was published in June 2012. A key action from this national document stated that:

“NHS boards and local authorities will develop local implementation plans identifying how they intend to deliver and evidence the outcomes of the National delivery Plan for the Allied Health Professions in Scotland.”

Within NHS Ayrshire & Arran, the existing AHP Clinical Improvement Group has been re-profiled and its role, remit and membership realigned to oversee and coordinate the delivery of the local AHP Delivery Plan. This plan consists of twenty five actions taken directly from the AHP NDP and a further five actions that were identified locally through the consultation process. These thirty actions have now been incorporated into 16 discrete workstreams.

1. Integrated AHP Community Services2. AHP Emergency Care Quality Improvement 3. AHP Falls 4. AHP Dementia 5. Podiatry 6. AHP Service User Access7. AHP Work, alcohol, tobacco, obesity and mental health (WATOM)8. AHP Children and Young People9. AHP workforce 10. AHP Research, Development and Evaluation11. Radiography 12. Integrated Occupational Therapy Service13. AHP Tele-health 14. AHP Self Management and Co-production15. AHP Long Term Conditions Management16. AHP Psychological Therapies


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AHP Clinical Improvement Programme Board (CIPB) The AHP CIPB is authorised by the NHS Ayrshire & Arran Board to monitor and support the AHP Delivery Plan 2013-2015. Through updated Board Papers, the Chair of the CIPB will ensure that Ayrshire and Arran NHS Board is fully updated on progress. The AHP Clinical Improvement Lead, supported by the AHP Clinical Improvement Facilitator will coordinate, monitor and manage the progression of the Local Delivery Plan. Meetings of the AHP CIPB will take place quarterly.

AHP CIPB specific responsibilities include:• To monitor all aspects of the Programme against the Programme Plan/Timetable• To approve the content of any National reporting• To review the Programme Risk Register and ensure actions are completed• To review in relation to the AHP Workforce workstream, any future workforce or

training and development implications of the Local Delivery Plan• To ensure that the 16 workstreams achieve their overall objectives, including the

local objectives and the national objectives as outlined in the National Delivery Plan• To receive project update reports and take action as necessary aimed at ensuring no

deviation from the individual Project Plan and overall Programme Plan• To provide a forum for information sharing, discussion and debate on all aspects of

the Programme

AHP CIPB group composition

Billy McClean AHP Associate Director( Chair)

Diane Murray Assistant Director Clinical Improvement

Grier McGhee AHP Clinical Improvement Lead

Jakki McLellan AHP Clinical Improvement Facilitator

Elaine Hill AHP Head of Service Physiotherapy/ Project Owner

Kerry Gilligan AHP Head of Service Occupational Therapy/Project Owner

Marianne Hayward AHP Head of Service Dietetics/Project Owner

Ailsa Paterson AHP Head of Service SLT/ Project Owner

Colin Keith AHP Head of Service Orthotics

Hazel McWhinnie AHP Head of Service Orthoptics/ Project Owner

John Parker AHP Head of Service Radiography/ Project Owner


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John McConway AHP Head of Service Podiatry/ Project Owner

Jenny Preston Occupational Therapy Consultant/Project Owner

Jodi Binning Podiatry Service lead/ Project Owner

Judith Reid Physiotherapy Consultant/Project Owner

Ruth Campbell Dietetic Consultant Public Health/ Project Owner

John Fulton Representing: Art Therapy

David Hamilton Representing: Music Therapy

Linda Renfrew/Caroline Blower Representing: AHP Consultants

Chris Rodden Clinical Improvement Lead

Donna Smith Representing: PFPI

David Donaghey/ Fiona Ferguson Representing: AHP Partnership

Louise Sinclair Representing : AAHPPC

Elaine Young Representing: Public Health

Jenny Copeland Organisation Development Manager

Miriam Porte Communication Officer

AHP Project GroupsThese groups are short life working groups that have clear outputs and deliverables. The groups are responsible for taking forward the identified actions within each of the discrete workstreams. Recognising the clinical and team lead responsibilities that each of the Project Leads have, every effort has been made to facilitate and minimise the administration for each Project Group. Maximum use as such will be made of Covalent, AHP AthenA and project management tools. Responsibilities for each of the project groups will be the same.

Specific responsibilities include:• To liaise closely with the AHP Clinical Improvement Lead & Facilitator• To ensure consistency each project will utilise the GE project management tools

that formed part of the initial development sessions• To prepare, monitor and manage all aspects of the project against the project plan/

timetable• To update the progress of the high level action plan on Covalent. This will be done

fortnightly• To manage, review and update the project risk register


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• To provide updated progress reports to the AHP CIPB in advance of the quarterly meetings. This will include presenting at these meetings.

• To provide a forum for information sharing, discussion and debate on all aspects of the Project

• To utilise the dedicated Project site within AHP AthenA as the key area for communication and sharing of information.

• To report activity and outputs from the group into identified key strategic groups - for example, Dementia Steering Group, Falls Steering Group

Integrated AHP Community Services Project Group Composition

Marianne Hayward Project Owner

Jennifer Robertson Project Lead

Rhona Allardice Joint Project Partner

Alistair Reid Joint Project Partner

Darren Brand Orthoptics

Lesley Murray Podiatry

Ruth Campbell Dietetics (Public Health)

Louise Gibson Dietetics

Amie Mitchell Dietetics

Christine Northcote Physiotherapy

Emma Hughes Physiotherapy

Joyce Rooney Physiotherapy ICES

Julie Work Physiotherapy ICES

Carolyn Neeson Physiotherapy

Roberta Simpson Occupational Therapy- South Ayrshire Council

Amy Simpson Occupational Therapy – East Ayrshire Council

Sam Lewis Occupational Therapy

Lisa Reid Occupational Therapy

Emma McDonald Occupational Therapy

Jackie Martin Occupational Therapy

Jackie Sharpe Occupational Therapy

Sandra Johnston Occupational Therapy

Joanne Hughes Team Manager ICES


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AHP Emergency Care Quality Improvement Project Group Composition

Jenny Preston Project Owner

Linsey Stobo Project Lead

Carolyn Paton Project Partner

Sarah Glynn Podiatry

Margaret Doyle Podiatry

Lynn Thomson Dietetics

Joanna Mowbray Physiotherapy

Patricia Tolland Physiotherapy

Susan Knox Physiotherapy

Liz Bohan Social Work- South Ayrshire Council

Caroline Muirhead Healthy Weight Coordinator

Stuart Gaw Team Manager ICES

AHP Falls Group CompositionElaine Hill Project Lead

Rebekah Wilson Interim Project Lead

Debbie Shanks Project Partner

Marie Teele Radiography

Martin Duff Podiatry

Rhona Allardice Podiatry

June Milligan Dietetics

Elaine Anderson Physiotherapy

Laura Halcrow Physiotherapy

Kirsty McGartland Occupational Therapy

Jeanette McInally Occupational Therapy


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AHP Dementia Group Composition

Kerry Gilligan Project Owner

Joanne Payne Project Lead

Janice McAlister Project Partner

Linda Cannon SLT

Heather Young Dietetics

Sarah Freeman Dietetics

Madeline Halkett Physiotherapy

Anna Haendal Physiotherapy

Emma McDonald Occupational Therapy

Jane Snowdon Occupational Therapy

Jacqueline McComish Occupational Therapy

Alison McIntosh Occupational Therapy

Podiatry Project Group Composition;

John McConway Project Owner

Jodi Binning Project Lead

Caryn Gray Project Partner

Dorelle Monan Podiatry

Martin Duff Podiatry

Claire McTrusty Podiatry

Louise Sinclair Podiatry

Margaret Doyle Podiatry

Rhona Allardice Podiatry


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AHP Service User Access Group Composition;

Judith Reid Project Owner

Maureen Murray Project Lead

Margaret Monaghan Project Partner

Debbie Provan Dietetics

Jane Collier Dietetics

Shona Bell Podiatry

Georgie Garrick Physiotherapy

Christine Wallace Physiotherapy

Yvonne Hamilton SLT

Tracy Robertson SLT

Allison Wallace Occupational Therapy

Catherine Cree Occupational Therapy

AHP WATOM group composition;

Ruth Campbell Project Owner

Fiona Smith Project Lead

Allison McDonald Project Partner

Elizabeth Rankine Dietetics

Lorna Coyle Dietetics

Katy Knox Podiatry

Elizabeth Quinn Physiotherapy

Claire Brand Occupational Therapy

Audrey Lambe Occupational Therapy

Anne McConnell Occupational Therapy

Clare Smith Occupational Therapy

Lauren Hendry Occupational Therapy

Lorna Dunlop SLT

Claire Black Public Health


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AHP Children & Young People group composition;

Hazel McWhinnie Joint Project Owner

Ailsa Paterson Joint Project Owner

Elspeth Mair Project Lead

Erika Yde Project Partner

Rhona O’Neill Dietetics

Marianne Hayward Dietetics

Fiona Smith Dietetics (Public Health)

Lorna Thomson Podiatry

Gillian Henry Physiotherapy

Blythe Barnaby Physiotherapy

Elizabeth Bruce Physiotherapy

Louise Steele SLT

Dianne McLarty SLT

Lucie Fontana Occupational Therapy

Charlotte McIntosh Occupational Therapy

Wendy McCracken Occupational Therapy

Heather McLean Occupational Therapy

AHP Workforce- this work will be progressed via the AHP Senior Management Team along with the AHP Clinical Improvement Lead and AHP Clinical Improvement facilitator:

Billy McClean Project Owner

Grier McGhee Project Lead

Jakki McLellan Project Partner

Kerry Gilligan Head of Profession Occupational Therapy

Elaine Hill Head of Profession Physiotherapy

Marianne Hayward Head of Profession Dietetics

Colin Keith Head of Profession Orthotics

John McConway Head of Profession Podiatry

John Parker Head of Profession Radiography

Hazel McWhinnie Head of Profession Orthoptics

Ailsa Paterson Head of Profession Speech & Language Therapy


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AHP Research, Development & Evaluation group composition;

Jodi Binning Project Owner

Jenny Preston Project Lead

Linda Renfrew Project Partner

Karen Lauder Dietetics

Eleanor Mitchell Physiotherapy

Aynsley Cowie Physiotherapy

Christine Breslin Occupational Therapy

Catriona Hutchison Occupational Therapy

Jane Niven Podiatry

Katy Knox Podiatry

John Fulton Art Therapy

Owen Moseley Health Economist

Radiography group composition;

John Parker Project Owner

Caroline Blower Project Lead

TBC Project Partner

Fiona Ferguson Radiography

Integrated Occupational Therapy;


Roberta Simpson Project Lead South Ayrshire

TBC Project Lead North Ayrshire

Jane Duffy Project lead East Ayrshire

Claire Muir Project lead NHS A&A-South

Alistair Reid Project lead NHS A&A-North

Lyndsay Kerr Project lead NHS A&A-East


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AHP Tele-health group composition;

Elaine Hill Project Owner

Joanna Mowbray Project Lead

Marian McBride Project Partner

Louise Sinclair Podiatry

Fiona Harrington Physiotherapy

Anne-Marie Anderson SLT

Mhairi Munro Occupational Therapy

Alison McIntosh Occupational Therapy

Emma Lewis Occupational Therapy

Amy Simpson Occupational Therapy East Ayrshire Council

Kathleen McGuire Long term Conditions & Community Ward Manager

AHP Self-Management & Co-production group composition;

Ailsa Paterson Project Owner

Carol Kirk Project Lead

Jim MacLachlan Project Partner

Rhona Duncan Dietetics

Louise Duncanson Dietetics

Isobel Carroll Podiatry

Yvonne Morris Physiotherapy

Joanna Plaine Physiotherapy

Beth Tougher Occupational Therapy

Shirley Boles Occupational Therapy

Dr Jenny Preston Occupational Therapy

Karen Docherty Occupational Therapy

Vicki Boyd Occupational Therapy



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AHP Self-Management & Co-production group composition;

John McConway Project Owner

Linda Renfrew Project Lead

Lynn Lamont Project Partner

Ruth Kerr Dietetics

Mark Quinn Podiatry

Jane Holt Physiotherapy

Gillian Evans Physiotherapy

Arlene Walker Physiotherapy

Pauline Cuthbert Physiotherapy

Lorna Lowdon SLT

Kerry McCready Occupational Therapy

Dr Jenny Preston Occupational Therapy

Petra Bee Occupational Therapy


David Hamilton Music Therapy

Darren Brand Orthoptics

AHP Psychological Therapies


Aileen Fyfe Project Lead

Catriona Hutchison Project Partner

Group Membership TBC


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AHP Project Leads and Owners ForumTo enhance the overall coordination of the Local Delivery Plan and further minimise duplication and overlap across each of the workstreams, all Project Leads and Owners will formally meet three times a year.

AHP Project Leads and Owners Forum specific responsibilities include:• To share learning and identify potential areas for future development across the

Project Groups• To share and discuss project update reports and identify potential areas for overlap.

This will ensure that there is minimal duplication across the individual Project Plans of the overall Programme

• To provide a forum for information sharing, discussion and debate on all aspects of the Project Groups

AHP Project Leads & Owners group membership:

Hazel McWhinnie Joint Project Owner AHP Children and Young People

Ailsa Paterson Joint Project Owner AHP Children and Young People/ Project Owner AHP Self Management and Co-production

Elspeth Mair Project Lead AHP Children and Young People

Marianne Hayward Project Owner Integrated AHP Community Services

Jennifer Robertson Project Lead Integrated AHP Community Services

Jenny Preston Project Owner AHP Emergency Care and Quality/ Project Lead AHP Research, Development and Evaluation

Linsey Stobo Project Lead AHP Emergency Care and Quality

Elaine Hill Project Owner AHP Falls/AHP Tele-health

Rebekah Wilson Project Lead AHP falls

Kerry Gilligan Project Owner AHP Dementia/Integrated Occupational Therapy/Psychological Therapies

Joanna Payne Project Lead AHP Dementia

John McConway Project Owner Podiatry/AHP Long Term Conditions Management

Jodi Binning Project Owner AHP Research , Development & Evaluation/ Project Lead Podiatry

Judith Reid Project Owner AHP Service User Access

Maureen Murray Project Lead AHP Service User Access


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Ruth Campbell Project Owner AHP WATOM

Fiona Smith Project Lead AHP WATOM

Joanna Mowbray Project Lead AHP Tele-health

Carol Kirk Project Lead AHP Self Management and Co-production

Linda Renfrew Project Lead AHP Long Term Conditions Management

Aileen Fyfe Project Lead Psychological Therapies

John Parker Project Owner Radiography

Caroline Blower Project Lead Radiography

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Ayrshire and Arran Allied Health Professions local … rr er 20132015 Wher w te 2 Contents 1. Foreword Page 3 2. Background Page 5 3. Ayrshire and Arran delivery plan: An overview

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