Occupational Therapy Student handbook - cnwl.nhs.uk€¦ · it is needed. Specialist services ... Partnership (PMP).We aim to ... Tutor’s role is to: • Act as a point of contact

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Knowledge

Intermediate care

Experience

Teaching

Competence

Strengths

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Careers Lea

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Intermediate care

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Teaching

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Strengths

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Occupational Therapy Student handbook

CNWL occupational therapy student handbook

ContentsContents .....................................2

Introduction ................................2

About CNWL ..............................3

Our services ................................7

Preparing for placement ........... 10

Student information .................. 14

Student Information: Information Technology ............ 19

Making the most of learning opportunities ............... 21

Research and Development .......23

Resources .................................25

Useful CNWL contacts ..............26

IntroductionWelcome to CNWL. We hope you enjoy your placement with us and make the most of the learning opportunities available.Our occupational therapy services have a commitment to the education of occupational therapy students, postgraduate training and the professional development of staff.

Our practice placements provide students with a chance to further develop their skills and to demonstrate their competence to practice whilst complementing their academic studies.

This pack has been produced by a steering group of practice placement educators in order to provide an overview of the Trust and our occupational therapy services for students.

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About Central and North West London NHS Foundation TrustCNWL is a large and diverse organisation providing healthcare services for people with a wide range of physical and mental health needs.

We provide care to around 300,000 people. To do this, we employ nearly 6,550 staff who provide around 300 services, mostly in the community – in people’s own homes, community clinics and schools.

Our catchment area covers a range of vibrant and diverse communities with over 100 first languages spoken and contains areas of great affluence as well as lesser affluent areas.

Our workforce is as diverse as the population it supports.

We are constantly developing our organisation to provide modern and dependable services that meet the needs of people within the communities we support.

We work in partnership with all who use our services to improve people’s health and wellbeing and together we look at ways of improving a person’s quality of life through high quality healthcare and personal support.


Our visionWellbeing for life

Our valuesCompassionOur staff will be led by compassion and embody the values of care outlined in our Staff Charter: www.cnwl.nhs.uk/wp-content/uploads/The_CNWL_Way_Our_Staff_Charter.pdf

RespectWe will respect and value the diversity of our patients, service users and staff, to create a respectful and inclusive environment, which recognises the uniqueness of each individual.

EmpowermentWe will involve, inform and empower our patients, service users, carers and their families to take an active role in the management of their illness and adopt recovery principles. We will ensure our staff will receive appropriate direction and support to enable them to develop and grow.

PartnershipWe will work closely with out many partners to ensure that our combined efforts are focussed on achieving the best possible outcomes for the people we serve.

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Hackney

Services across London

Services in the south of England

O Prison healthcare and offender care services

Eating disorder services(Services accept national referrals)

ED

Mental health servicesMH

Sexual health services(walk-in services)

SH

Addictions(Some services accept national referrals)

A

Learning disabilities services(Inpatient service accepts national referrals)

LD

Community physical health services(Buckinghamshire: dentistry only)

CH

Barnet

Richmond

SH

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SH

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A

LD MH

ED

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MH

A

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Hounslow

Surrey

West Sussex

KentO

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London

Hampshire

CH

CH

MH

Buckinghamshire

Milton Keynes

Enfield

Ealing

Hammersmith & Fulham

Hillingdon

Harrow

Islington

City of Westminster

Kensington & Chelsea

Brent

Camden

City

Kingston upon Thames

Areas we serve


DivisionsServices are organised within three divisions as outlined below:

Diggory: • Addictions and Offender Care

• Community health services in Milton Keynes

• Mental health services in Milton Keynes

• Sexual health services.

Goodall:• Community health services in

Camden Community health services in Hillingdon

• Mental health services in Hillingdon

• Child and Adolescent Mental Health Services (CAMHS)

• Eating disorder services

• Mental health rehabilitation.

Jameson: • Learning disability services

• Single Point of Access

• Perinatal Services

• Mental health services in:

º Brent

º Harrow

º Kensington and Chelsea

º Westminster.

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Learning disabilities: Assessment and treatment for people with learning disabilities who also have complex mental health needs and/or challenging behaviour. Services are provided in the community or hospital.

Eating disorders: Admission to hospital or appointment sessions are provided to support men and women with an eating disorder.

Addictions: Community drug and alcohol treatment services are provided, as well as hospital admission when it is needed. Specialist services to address problem gambling, compulsive behaviour and club drug problems are also available.

Our servicesOur website lists the services we provide. These include the following:

Physical health: Community treatment for physical health conditions that do not require general hospital treatment or conditions that require long-term care. This includes community nursing, community dentists, diabetes services, disability support, health visiting, palliative care, podiatry services, rehabilitation and specialist therapies, school nursing and urgent care services.

Mental health: Community and hospital treatment for children and adolescents, adults and older people with mental health problems. Services include: counselling support for mild conditions, acute inpatient services, home treatment teams, community mental health teams including recovery services, memory services, rehabilitation services for those with enduring mental health problems and employment specialist services.


Sexual health: Appointment and walk-in services are available for anyone who needs them. This includes family planning, treatment of sexually transmitted infections and HIV testing and treatment.

Prison and offender care: Full healthcare services, including primary healthcare, addictions and mental health support are provided in a number of prisons. Mental health support is also provided in the community for people who have offended in the past or people at risk of offending.

OT students have placements across all divisions. Role emerging placements are also available across the Trust catchment area at selected sites.

For more information about our services please visit our website www.cnwl.nhs.uk

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OT Heads of Service and Recovery Heads of ServiceTrust Head of Occupational Therapy and Recovery:

[email protected]

Consultant OT for Acute and Head Occupational Therapist, CAMHS and Eating Disorders; and Perinatal Services:

[email protected]

Head of CNWL Recovery and Wellbeing College:

[email protected]

Employment Services Manager:

[email protected]

Head Occupational Therapist, Brent:

[email protected]

Head Occupational Therapist, Royal Borough of Kensington and Chelsea:

[email protected]

Head Occupational Therapist, Harrow:

[email protected]

Recovery Programme Lead and Head OT for Offender Care:

[email protected]

Head Occupational Therapist, Hillingdon Mental Health:

[email protected]

Head Occupational Therapist, Learning Disabilities and Mental Health Rehabilitation Services:

[email protected]

Head Occupational Therapist, Westminster:

[email protected]


Preparing for placement About your placementOur learning programme has been specifically designed to meet the requirements of relevant professional bodies.

You will gain experience in placements that reflect the ever-changing needs of the health service so that you will become an adaptable and flexible occupational therapist.

Whilst you are on placement you are required to observe practice and to become actively involved in patient and service user recovery.

You are expected to engage in your learning and be an active leader, not a passive recipient. Competence can best be demonstrated by your participation in individuals’ recovery.

Preparing for your placementYou will normally be notified of your placement by email from the Placement Management Partnership (PMP).We aim to confirm placements four weeks before they are due to start.

Please note that notifications may be delayed or cancelled at short notice for a variety of reasons. For example, due to changes in service provision. Arrangements will be made to find a suitable alternative, should this happen.

You are expected to email the placement at least one week prior to the start date in order to introduce yourself and make arrangements to do a pre-placement visit.

You can also ask any questions which will help you prepare for your placement experience.

It would be useful for you to provide a summary of your learning to-date for your practice placement educator.

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Learning objectivesEach placement will have general learning objectives, which have been set by the university and are appropriate to the stage of professional training.

Placements will also provide specific learning opportunities related to that particular service area.

Students may wish to start thinking about their particular learning objectives prior to starting the placement and will consolidate these plans with their practice placement educator by the end of their first week of placement.


Roles and responsibilitiesThe Practice Placement Educators RoleYou will have a practice placement educator who will:

• Promote a learning environment in their individual placement area

• Organise and coordinate student learning activities in practice

• Set and monitor achievements of learning objectives

• Supervise students in learning situations and provide constructive feedback

• Assess total performance, including skills, attitudes and behaviours

• Keep up-to-date with current university issues and requirements

• Be open to discussion regarding concerns raised.

The practice placement educator is the first point of contact for any issues around hours of work, documentation, discussion and counter-signing work, raising concerns within the particular placement team or any other on-going issues.

Role of the studentYour responsibilities as a student:

• Make contact with the placement area and do some preparation before starting

• Act as a temporary member of the team and foster positive working relationships

• Be proactive in your approach to learning – identify goals, ask questions, seek and give feedback

• Seek help and clarification as required to meet learning outcomes safely

• Acknowledge and apply leadership skills relevant to stage of training

• Follow policies and expectations set out for students - discuss with your Practice Placement Educator which are the key policies

• Be diligent in terms of completing clinical hours

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Link Lecturer / Personal Tutor’s roleYour Link Lecturer / Personal Tutor’s role is to:

• Act as a point of contact at the university for students and Trust staff

• Support practice placement educators in relation to changes in the curriculum or assessment

• Be involved in any specific practice placement issue that cannot be resolved locally

• Act as an on-going point of contact for individual student issues.

Your Link Lecturer should make contact with you at least once during your placement (either by telephone or by visiting the placement) and will be available more frequently if required.

• Present yourself in a professional manner at all times – this includes adhering to standards around time-keeping, personal presentation, communication, maintaining confidentiality, health and safety procedures, adherence to policies and protocols, preparing for and utilising supervision, understanding and adhering to principles of equal opportunities and following the Professional Code of Conduct

• Acknowledge that the service user has a choice about whether they wish to engage with you and seek their permission prior to assessments/interventions

• Make sure that on leaving the placement any outstanding issues regarding patient care are handed over to the practice placement educator and documentation is up-to-date.


Student informationHours of work• Your hours of work will

be dependent on service requirements and students are expected to comply with the normal hours of work for their placement setting

• Particular needs must be negotiated with your practice placement educator in the first instance

• Students are generally expected to complete 37.5 hours a week (including a half day study)

• The timing of your half day study should be negotiated with your practice placement educator

• It is recommended that, where possible, study leave is taken weekly.

Reasonable Adjustments• Please discuss any adjustments

you feel would improve your learning experience, with your Practice Placement Educator.

Identification and Access• Students must wear their

University ID badges at all times (including during pre-placement visits)

• CNWL ID badges are not issued to students on placement within CNWL sites

• Some areas may require the use of entry/access cards – please abide by local procedures.

Induction• Students will receive a local

induction on the first day of their placement using the format of a Trust Local induction

• Emergency procedures for the service must be explained to you on your first day.

Recovery and Wellbeing College• Whilst on placement, you have

access to college courses and workshops.

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Absence and sickness reportingYou are expected to attend your placement regularly and to be punctual. If you need time off for any reason, you will need to talk to your practice placement educator about this.

On the first day of absence, students must advise their practice placement educator immediately that they are sick and will not be attending. Failure to do so will result in this being recorded as an unauthorised absence.

Students must also notify their university on the first day of absence and let them know when they return to work so that the university can track any absences.

Students are generally allowed up to five days absence in any one placement before the placement is considered unsustainable; greater absence will result in insufficient time to achieve the aims and learning objectives. You would then be required to repeat the placement at a later date.

If you are pregnant, please tell us and the university as soon as you can so that we can assess whether the clinical area you are carrying out your placement in is safe. The best person to speak to about this is your practice placement educator.

Infection controlIt is important that you adhere to NHS Trust policies regarding infection prevention and control, particularly in relation to diarrhoea and vomiting. These illnesses have the potential to spread very quickly amongst ill and vulnerable patients and this can have serious consequences.

Please notify your practice placement educator if you have these symptoms and stay at home until the symptoms have ceased for at least 48 hours.


Dress codePlease refer to the Trust’s Dress Code Policy available on Trustnet.

The principles of this policy are based on showing respect to service users, carers and colleagues.

The Trust generally does not ask staff to wear uniform in its mental health services and students should make sure that they follow the guidelines below:

• Clothes should always be clean, neat and in good condition (no rips or tears)

• What you wear should not increase risk or impede your work in any way (for example, avoid neck ties, scarves)

• Hair should be tied up if longer than shoulder length

• Name identification badges should be worn at all times and photo-identification should be available

• Shoes must cover the whole foot (no sandals), be non-marking and have a low heel. They should also be clean and in a good condition.

It is important to discuss what is and is not acceptable to wear, whilst on placement, with your Practice Placement Educator.

Bare below the elbowIn clinical settings all staff are expected to comply with the principles of ’bare below the elbow’. This means that sleeves must not extend beyond the elbow and no watches or jewellery should be worn at the wrist.

This guidance is so that staff can comply with infection control principles and approved hand washing techniques.

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Caseloads, lone working and accompanying patients away from the clinical areaStudents may be assigned small caseloads according to their level of training, and clinical experience and competence. This will always be done in negotiation with the practice placement educator and following a risk assessment.

Lone working arrangements apply in many teams across the Trust. Please make sure you are familiar with and always adhere to local protocols.

OT students are not permitted to escort any patient detained on a section or any patient with section 17 leave off the hospital grounds by themselves at any time.

OT students will only escort informal inpatients or community clients following risk assessment and consultation with their practice placement educator.

Incidents and accidents• If students are involved in an

incident or accident it is essential that they complete, with their practice placement educator, the Trust accident and incident forms on Datix

• If the incident involved a patient, the episode should also be recorded in that person’s progress notes and the Datix number cross referenced

• The Trust has a culture of learning lessons from incidents and therefore their recording is essential

• If a student requires sick leave following an accident/incident they would be expected to notify the university and, if the issue is on-going, may require assessment by the University Occupational Health Department.


Raising concernsIf you have concerns about any aspect of your placement you should in the first instance discuss these with your Practice Placement Educator at the earliest opportunity.

Should this not resolve the matter satisfactorily, the local Head OT / Practice Placement Co-ordinator for that area should become involved.

It may also be necessary to call in tutors from the university to work together with the student and practice placement educator to find a way forward.

Any concerns regarding the treatment of patients by members of staff, their carers/visitors or other service users must be reported to the practice placement educator immediately, in order to put in place any appropriate actions such as raising a safeguarding alert and whistle-blowing.

Local managers should be made aware of any complaints made regarding patient care.

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Student Information: Information TechnologyIT and e-mail accounts during your placementPrior to the start of your placement, the practice placement educator will complete the required IT account form in order for IT to set you up with the relevant access and email accounts. This will allow you to:

• Access local shared drives using a personalised log-in and password

• Activate your own NHS Mail account

• Give you access to the patient recording system as and when appropriate (For example, JADE, and SystmOne)

• Give you access to information, policies, forms and other resources through CNWL’s intranet.

When you end one placement and start another, your account and access needs to be de-activated and re-activated as necessary For example, to give access to relevant new placement area’s shared drives.

IT problems For any IT problems, please contact the IT Helpdesk on 03330 142 457 or [email protected]

Clinical system issuesFor any issues accessing clinical systems please contact the ICT Service Desk on 03330 142 457 or [email protected]


Using IT in clinical areasPlease make sure that you:

• Are familiar with policies regarding information technology and clinical governance

• Do not to share your IT passwords with anyone else

• Log off or lock the computer every time you leave the desk

• Only send patient related emails to known secure sites

• Do not use personal IT devices in clinical settings and team meetings unless looking for information relevant to that context at that time and this is explicitly stated

• Do not send patient identifiable information from personal devices

• Do not use personal devices to photograph or record patient related information or activity without reference to Trust policies and guidance.

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Making the most of learning opportunitiesPlacements can offer a range of opportunities to further skills and knowledge and gain experience. Some of these are as follows:

Opportunities to further develop professional behaviour

• Time management: punctuality and managing workload commitments

• Personal presentation: being engaged/interested, behaving in a professional in manner

• Adherence to policies and procedures: health and safety

• Interpersonal skills: listening, interviewing, collaborating, negotiating, assertiveness, leadership skills

• Reflective practice: not just what you did but how if felt, where if fits in with learning, what to do differently next time, future plans.

Opportunities to increase awareness of multi-disciplinary team (MDT) working

• Meeting and finding out more about the roles of other healthcare professionals

• Attending, and participating in, MDT meetings

• Shadowing other disciplines

• Joint working with other professionals and agencies

• Feeding back your own findings to MDT meetings such as handovers, ward rounds and Care Programme Assessment (CPA) reviews.

Opportunities to enhance awareness of the OT process

• Screening referrals – reviewing records, care plans, risk assessments and reason for referral to OT

• Initial interviewing (with service user)and collateral history taking (with carers/relevant others as required)


• Standardised assessments For example, Model of Human Occupation and Vona Du Toit’s Model of Creative Ability

• Identifying occupational strengths and needs and subsequent goal-setting

• Carrying out and evaluating OT specific interventions (including groups, home and community assessments)

• OT interventions and approaches: MOHO, Du Toit’s MoCA, Claudia Allen, AMPS and OTIPM.

Opportunities to enhance documentation skills

• Maintaining progress records and writing care plans and goal-setting sheets

• Producing OT reports using Trust OT guidelines

• Completing referrals to other services

• Documenting meetings – CPA’s, ward community meetings and handovers.

Opportunities to increase understanding of clinical conditions seen on placement

• Mental health issues

• Learning disabilities

• Physical health conditions.

Opportunities to understand more about policies, procedures and legislation relevant to placement

• Mental Health Act

• Mental Capacity Act and Deprivation of Liberty Safeguards

• Care Programme Approach

• Risk assessments.

Opportunities to understand more about treatment options and MDT approaches relevant to placement

• Recovery approaches / Recovery and Wellbeing College

• Psychological interventions/approaches: Cognitive Behavioural Therapy and Cognitive Stimulation Therapy

• Clinical interventions/approaches

• ECT/Pharmacological .

NB: This list is not exhaustive and items may be added / omitted as required.

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Research and DevelopmentCNWL is committed to delivering high-quality research and standards in all areas of practice. Clinical effectiveness requires the implementation of evidence-based standards to bring about improvement in patient care.

Since 2001, CNWL Mental Health Occupational Therapy (OT) services have worked in partnership with the UK Centre for Outcomes Research and Education (UKCORE) to deliver the CNWL OT Research and Development (R&D) Strategy. This requires all OTs in CNWL to be evidence-based, research aware and research active.

The strategy is led by the Consultant Occupational Therapist and supported by Occupational Therapy Senior Research Practitioners (SRPs) who oversee work in specific clinical areas: Acute, Community, Rehabilitation, Learning Disabilities and Older Adults services. Each SRP leads a working sub-group that meets either bi-monthly or quarterly.

These forums promote and co-ordinate evidence-based service development, audit and research, facilitate learning and sharing of good practice.

The Research and Development strategy requires all OTs to routinely use occupation focussed, evidence-based assessment tools and outcome measures that capture a person’s engagement in self-care, productivity and leisure. The Model of Human Occupation (Kielhofner, 2008) is the primary informing model used in practice. Other complementary occupation-focussed models of practice are used as appropriate to the service area.

The Trust OT service actively promotes opportunities for OT staff to be involved in on-going audits, research studies (both local and national), publications and conference presentations.


Occupational Therapy induction session: Research and Development and Trust overviewThis is mandatory for all new OT staff and students joining the Trust. The session includes an introduction to and the history of the OT Research and Development work undertaken (delivered by Consultant Occupational Therapist, Suzie Willis) and an overview of current OT services, trends and initiatives (delivered by the Trust Head of Occupational Therapy, Jane Rennison and colleagues).

The Occupational Therapy Link ForumThe Link Forum is a monthly training forum open to all OT staff and OT students while they are on placement in CNWL mental health services. Sessions usually lasts for a morning or an afternoon.

The topics are varied and relevant to current OT practice and needs, and can include invited speakers, presentation of research findings and teaching sessions.

Research and Development Assessment and Intervention training sessionsA number of training packages have been developed to help occupational therapists in the use of the Model of Human Occupation assessment tools and intervention strategies. OT students on placement are welcome to attend these sessions as they become available (one session per month).

The Research and Development induction must have been attended prior to the training sessions and allocation of places is discretionary.

Other Trust-wide student networks• CNWL Trust multi-disciplinary

student forum

• Briefings for students, learners and trainees in NW London: www.hee.nhs.uk

• CNWL LGBT Staff network: [email protected]

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ResourcesA wide range of policies, guidelines and information leaflets are available on the Trust’s intranet (Trustnet).

Central and North West London NHS Foundation Trust – Public Website www.cnwl.nhs.uk

CNWL Recovery and Wellbeing College Students on placement within CNWL can apply to attend Recovery College courses as advised by their practice placement educator. Brochures should be available on the website and Trustnet.

www.cnwl.nhs.uk/recovery-college

Admissions Office: 020 3214 5686

Royal College of Occupational Therapists (RCOT)

Students should consider joining the RCOT as they will have access to briefings, publications and library resources which might support them in their studies and development.

www.rcot.co.uk/practice-resources/students/student-resources

RCOT’s ‘Top ten tips for students of RCOT Specialist Section – Mental Health’ is particularly useful for information on relevant websites.

www.rcot.co.uk


NotesUse this space to jot down any notes, questions or queries

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Useful CNWL contacts Library and knowledge services 020 8206 7362

Medicines management and information leaflets 020 8206 7270

Patient support service (complaints and other feedback) Patients: 0300 013 4799 Staff: 020 3214 5784

National Whistleblowing Helpline 0800 0724 725

Training and Development

LDZ Accounts [email protected]

CNWL headquarters

Stephenson House 75 Hampstead Road London NW1 2PL

Tel: 020 3214 5700

www.cnwl.nhs.uk

See website for map and directions.

Safeguarding Adults and Mental Capacity Act

Please visit the Safeguarding page on Trustnet for key Safeguarding contacts.

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© Central and North West London NHS Foundation Trust

Ref: 0844_JAN2018 | January 2018

Central and North West London NHS Foundation Trust, Stephenson House, 75 Hampstead Road, London NW1 2PL.

Tel: 020 3214 5700 www.cnwl.nhs.uk

Occupational Therapy Student handbook - cnwl.nhs.uk€¦ · it is needed. Specialist services ... Partnership (PMP).We aim to ... Tutor’s role is to: • Act as a point of contact

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