Redesigned the way the Occupational Therapy and Physiotherapy teams work together to become more integrated. Changed referral mechanism and introduced a joint prioritisation tool. Part of the AHPs working differently case study series
Tools & Resources
Physiotherapists and Occupational Therapists work with reablement staff, social services and discharge facilitators. The team works over 7 days from 08:30-16:30 and 8.00- 16.00 at a weekend, with patients of any age, but predominantly frail older people. The team covers: Acute Medical Unit (AMU - 56 beds), Clinical Decision Unit (CDU - 12 beds) the Emergency Department. Part of the AHPs working differently case study series.
Occupational Therapists and Community Assessment Officers (CAO) as part of their role in the Contact Team spend regular time rotating into the Social Services Contact Centre on a monthly basis. The team are employing an innovative approach to integration looking at creating links between all of the community services in Salford (all now under the umbrella of Salford Royal Foundation Trust including social services) to look where they can link up and reduce duplication.Part of the AHPs working differently case study series.
The Crisis Response team is an interdisciplinary team working in the community. The team will work with patients for up to 72 hours and have a 2 hour response time. They work 7 days a week from 9am-8pm.Part of the AHPs working differently case study series.
The team work in Emergency Department and Clinical Assessment Unit, 8-7 Monday to Friday and 8-5 at weekends. The multidisciplinary team deliver the comprehensive Geriatric Assessment and Dementia Assessments to support achieving a local CQUIN.Part of the AHPs working differently case study series.
The team use the Lee Silverman Voice Treatment (LSVT) with patients with Parkinson's Disease; a standardised intensive programme of 4 one hour-long sessions per week for 4 weeks. Using new software introduced in the trust (Microsoft Lync) the programme is offered through a mixture of face to face and online webcam sessions (1 face to face and 3 online sessions per week). Clinicians have to complete a course to become qualified in the technique which has to be updated every 2 years.
Community teams working in 5 localities delivering all community based services including supporting reablement, rehabilitation and equipment provision. The redesign has brought together traditionally separate teams to work in an integrated way.Part of the AHPs working differently case study series.
The Countess of Chester's radiology team's development of a new community ultrasound service.The community U/S service was a joint project with CCG to improve the service for rural GP’s.Part of the AHPs working differently case study series.
Integrated Community Care Teams are based in localities aligned with General Practitioner practice clusters. The multi-professional teams are based within GP premises where possible and monthly MDT meetings occur to discuss patients with the whole team and GPs.
The team has 4 functions:Rapid Response Plus: This is a 72h service linked with Social Services. They provide early supported discharge from hospital or in community placement and reablement.Rapid Response: This is an up to 14 day service. The aim is to facilitate discharge from a ward or step up in community. Early Supported Discharge for COPD patients.Community IV Service: Managed by nursing staff.Part of the AHPs working differently case study series.