The OT Magazine - March / April 2018

Magazine

THE

ISSUE 21 MAR/APR 18

Improving Independence

FLAWED PERCEPTIONS

THE FUTURE OF HEALTH

Tackling body dysmorphia

Embracing healthcare technology

THE RIVER OF LIFE

BRIGHT YOUNG MINDS

The Kawa Model in classrooms

Introducing mindfulness to children

tional How the role of occupa therapy can help

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COLUMNS

/

PRO DUCTS

/

EVENTS

/

RECRUITMENT & T RAINING

26/02/2018 17:07

25 & 26 April 2018

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05/02/2018 13:52 15:50 26/02/2018

About us

The Team

Editor: Rosalind Tulloch Staff Writers: Colette Carr and Katie Campbell Designer: Stephen Flanagan Marketing: Sophie Scott Sales: Robin Wilson Contributors: Kate Sheehan, Adam Ferry, Daune Green, Jessica White, Sam Dick, Lisa McGowan, Kate Lovett

Get in touch

2A Publishing Ltd, Caledonia House, Evanton Dr, Thornliebank Industrial Estate, Glasgow, G46 8JT 0141 465 2960 ot-magazine.co.uk The OT Magazine @ot_magazine

Disclaimer

The OT Magazine is published by 2A Publishing Limited. The views expressed in The OT Magazine are not necessarily the views of the editor or the publisher.

Reproduction in part or in whole is strictly prohibited without the explicit written consent of the publisher. Copyright 2018 © 2A Publishing Limited. All Rights Reserved. ISSN-2056-7146

This month’s issue...

H

omelessness is a national crisis that is currently gripping our society. The number of young people living on the streets has risen by nearly 30% and statistics show that over 150,000 people contact their local authority each year for help with a housing problem. We highlight the role that occupational therapy can play in supporting homeless people.

Another topic that has become more prevalent among young people today is body dysmorphia. The mass exposure to airbrushed images and the unhealthy selfie culture we live in has had a massively negative effect on the minds of our youth, resulting in many striving to emulate an unattainable look. Daune Green, an occupational therapist who works with young people who have problems with body image, shares her thoughts with us on page 30.

Mindfulness can help people cope better with daily stresses and feelings of anxiety. We explore how it’s introduction at school could equip children to handle pressures and anxieties as they grow up. We also look at the work occupational therapists do to support children in handwriting, from correct pencil grip to building strength and dexterity in their hands and fingers.

You will also find an excellent array of independent living products, an interesting article from third year students who used the Kawa Model in practice, our regular column from Kate Sheehan and much more.

We love to hear about the amazing work you are doing, so please don’t hesitate to get in touch, ros@2apublishing.co.uk.

The OT Magazine, Editor

Your Voice Counts

P82

Take the survey

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What’s inside 7 What’s New? Bringing you up to speed with all the latest news from the healthcare sector

14

13 Strip Washing –

Is it Enough?

Kate Sheehan asks if the practice of strip washing patients is enough for their hygiene and comfort needs

14 The Future of Health How healthcare technology can help our ageing population.

19 19 Product Focus The latest must-have products on the market

23 OT Approved Adam Ferry discusses the benefits of compact stand aids for patients

25 Day in the Life Ixchiel Wilson gives us an insight into a day in her work with Enable Therapy Services

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26 REAL Talk New diabetes management program REAL Diabetes gives insight on how OTs could be helping young people

30 Flawed

Perceptions OT Daune Green explains her model for helping patients with body dysmorphia

35 Product Focus More of the latest must-have products on the market

30

-magazine.co.uk

26/02/2018 16:37

40

What’s Inside

62

61 Kid’s Products Products to help your younger clients

40 Young, Vulnerable

and Homeless

We explore how OT can support young people in homelessness.

Your Voice Counts P82

45 Win a place at PMG We have a free ticket to give away for one lucky winner to attend the full PMG Conference

47 OT and Nursing OT Jessica White reflects on her time working as part of a pilot scheme in trauma orthopaedics

52 Bright Young Minds We explore how the introducion of mindfulness in schools can help young people.

57 Helping Hands We talk to OT Catherine Elsey who explains how handwriting involves more than just hands

64 A World of

Creativity

We explore the best websites to find creative and affordable activities for OTs to do with young patients

66 The River of Life Occupational therapy students share their experiences of using the Kawa Model in the classroom

75 Student Advice Keeping motivated to study

77 Find Events

Near You

Upcoming events for a jampacked 2018

77 -magazine.co.uk

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26/02/2018 17:04

Is your Authority working on a Single Carer Project?

Single handed care projects can be a challenge to implement, overcoming the barriers to working as a single carer or reducing the number of carers for a client can be hard.

Handicare have helped lots of authorities to make single handed care projects work for them.

Working hand in hand to assess and help identify products required, providing CPD accredited training and support on equipment and techniques to enable therapists and carers to simplify and overcome the challenge of single handed care in their area.

Hampshire, Dorset, Somerset, Gwynedd, Sheffield, South Gloucs, Norfolk, Birmingham, Herts and Bedfordshire‌‌ just some of the councils we have worked with to help make everday life easier.

Contact us, to see how we can help you with your project: T 01384 40 57 92 E mhbsenquiries@handicare.com www.handicare.co.uk

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www.handicare.co.uk

26/02/2018 13:52

We explore what’s happening in the healthcare sector, from new products and services to inspirational stories

What’s new?

“The Manu Neurexa plus supports the wrist in a position that maximises function and allows continuous adjustment.”

New orthosis increases hand movement

P

rimarily suitable for patients who have lost control over their wrist, hand and fingers as a result of neurological conditions including stroke, MS or tetraplegia, Ottobock’s newlylaunched Manu Neurexa plus stabilises and supports the wrist and hand in a natural, neutral position.

This encourages active movement, since the more the hand is used and the earlier rehabilitation is started, the more mobility is restored.

The Manu Neurexa plus supports the wrist in a position that maximises function and allows continuous adjustment. It limits the movement of the hand in the palmar direction and it supports the patient’s gripping ability. It can relive pain and prevent malpositioning. It has a lightweight design and can be used with Ottobock’s shoulder orthosis, the Omo Neurexa plus to form a shoulder-elbow-wristhand orthosis.

For more visit ottobock.co.uk

Healthcare installation guide launched Specialist adaptations manufacturer Impey has launched a new technical specification guide to aid the planning and installation of accessible showering facilities.

Impey’s new 44-page guide, The Impey Technical Handbook, is available free of charge to technical officers, specifiers, installers and those involved in the scheduling of adaptable showering spaces to assist with planning, project management, specification and installation.

It includes helpful product selection guidance, technical data, detailed information about installation options, FAQs and in-depth data on the full Impey range of wetroom and shower tray solutions; the guide also offers specification information on Impey’s Slimfold range of wallmounted seating, half-height shower doors, shower panels and grab rails. impeyshowers.com

More articles on next page

-magazine.co.uk

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What’s

new?

WFOT Congress 2018

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he World Federation of Occupational Therapists’ Congress takes place in Cape Town, South Africa on 21-25 May this year.

The theme is ‘Connected in diversity: positioned for impact’ and a range of events will be hosted around the Cape Town International Convention Centre. The program will feature world leading experts, unique social events, an exhibition and great networking opportunities.

Find out more at wfotcongress.org

Let us know what you think...

We want to hear from you. Please take the time to share your thoughts and ideas with us and shape The OT Magazine

Take our survey on page 82

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Music to my eyes and ears Audio / visual charity, The Eye Music Trust, receives £87,900 in funding

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he Eye Music Trust, a Croydon-based charity specialising in connecting music technology with colour, light and space has been awarded £87,900 in funding from the City Bridge Trust.

This grant will fund a three-year programme to bring sensory workshops, based on marrying colour and sound in the charity’s Colourscape installations in over 15 special educational needs schools in London. The project will cater to children and young people aged four to 19.

Children will be treated to a

“This grant will fund a threeyear programme to bring sensory workshops, based on marrying colour and sound...”

spectacular show of light and colour in the Eye Music Trust’s newly developed touch paintings and movement sensors, allowing children to create music and control colour and light. At the end of the weeklong programme, the children and young people will perform the music they create to an audience of family, friends and the public.

In the long-term, the charity aims to place these installations permanently within schools, so that disabled children can create music, regardless of their ability to move.

-magazine.co.uk

26/02/2018 11:54

Did you know?

Dementia

Changing Places Award Launched Scottish charity PAMIS (Promoting A More Inclusive Society) are supporting Sudocrem with the introduction of their new award to recognise the importance of Changing Places toilets for disabled children.

T

here are 800,000 disabled children in the UK but only 1035 Changing Places toilets to meet their needs. This means that parents like Laura Rutherford, whose son Brody, five, suffers from global developmental delay, epilepsy, hypermobility and hypotonia, is forced to change her son on a toilet floor. “Life beyond a baby changing table when your child is doubly incontinent means constant exclusions when you go out as a family. It’s heart breaking for us as parents and this is an issue that will sadly become harder and harder as he grows up. He is different,

1 in 3

people born in the UK this year will develop dementia in their lifetime

not less. Time for change.”

850k

There are three categories for this year’s award scheme:

people are estimated to be living with dementia in the UK

• Baby Changing Room of the Year • Dad’s Changing Rooms • Changing Places Toilet (in association with PAMIS)

“There are 800,000 disabled children in the UK but only 1035 Changing Places toilets to meet their needs.”

People who want to nominate the Changing Place should go to the Sudocrem website www.sudocrem. co.uk/babychanging and select ‘Changing Room Awards’. Entries will be judged by the NCT, PAMIS and Sudocrem.

Nominations for the awards are open until March 2018.

60% of people receiving homecare services are living with dementia

FACT Dementia is now the leading cause of death in the UK

35%

Looking for an OT job With jobs updated regularly and email updates, you can make your next career move by visiting:

ot-magazine.co.uk/jobs

£26bn

is the current cost of dementia in the UK

The number of people with dementia in the UK is forecast to increase by 35% by 2025 and 146% by 2050

*Information taken from Alzheimer’s Research UK, dementiastatistics.org -magazine.co.uk

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What’s

new?

More than a winner OT uses prize to increase falls awareness

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illian Walker, an OT at Northern Ireland Hospice, Belfast, was the proud winner of the Cosyfeet OT Award 2017. The £1000 award helped fund the OT department’s pioneering project to increase falls awareness among day hospice patients, and among the carers who assist them.

They began the falls prevention programme in September 2017 with the aim of increasing falls awareness, primarily among the day hospice patients but also among families, carers, volunteers and staff. The course was delivered to patients at the hospice through interactive and engaging group interactions, along with a presentation.

The sessions, which were delivered by an OT and rehab assistant covered

fear of falling, risk factors, exercise, home safety, aids equipment, medication, vision, balance, footwear, blood pressure, memory problems, healthy eating, what to do if you fall at home and community services.

Each patient received an information pack following the session and were asked to fill in a questionnaire which revealed that all attendees found the course beneficial.

The Cosyfeet Occupational Therapy Award is a £1000 award that is open to any OT or OT student who is planning voluntary work, a work placement or research, whether in the UK or abroad. For more information, and to apply for the Cosyfeet OT Award 2018 visit www.cosyfeet.com/otaward. The closing date for entries is April 20th.

Mencap call for training Research by YouGov and through Freedom of Information requests to NHS Trusts has found that appropriate training in learning disability for health professionals, could prevent up to 1200 avoidable deaths in England each year.

A poll conducted by Mencap with

Numbers A survey of 500 people with a learning disability revealed that...

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506 healthcare professionals found that 23% had never received training on meeting the needs of patients living with a learning disability and 45% thought that the lack of training may contribute to avoidable deaths.

Mencap are calling on the government and NHS England

to ensure that this training is made mandatory for healthcare professionals. This coincides with the launch of their Treat Me Well Campaign which aims to end the unequal treatment of patients with a learning disability.

1 in 5+

75%

(21%) think that healthcare staff are bad at explaining things to them when they are at the hospital

said their experience of going to the hospital would be improved if staff explained things in a way that was easy to understand

-magazine.co.uk

26/02/2018 11:55

e t a m i t l u The e t a m i t n i in s s e n i l n a e l c

“The Closomat is the most wonderful thing of all the living aids we have added to our home, it’s beautiful!

I now don’t have to get my wife to help me.”

Karl van Gool, Halesowen

Quality • Service • Heritage www.clos-o-mat.com Tel: 0800 374 076 Email: info@clos-o-mat.com Adverts_OT-Iss21.indd 11

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Kate Sheehan Director, The OT Service

The OT Service provides high quality advice, consultancy and training to manufacturers, retailers and service providers. It also provides occupational therapy clinical services in housing and equipment to case managers, solicitors and private individuals via its handpicked network of occupational therapists.

For more info email kate@theotservice.co.uk

This issue Kate talks about whether we should still practice strip washing

Strip washing,

is it enough?

I

was at a conference waiting to speak to a company that manufactured shower trays and was eavesdropping on the conversation they were having with an OT. They said in their local authority, it was deemed acceptable to expect older people to strip wash.

I was intrigued at the comment and when she said they felt this was an appropriate long-term solution to managing personal care I was so shocked that I did not challenge her It took me back to the late 80s and early 90s when we asked if there was a ‘medical need’ to bathe. I became angry and the poor representative on the stand had to deal with my incredulity.

It made me think, would I be happy to strip wash and never shower or bathe again? Would we have the same reaction to children? Would we say the same to a politician or the Queen? I am sure the answer would be a resounding ‘no’, so why do we treat our elderly so differently and how does that sit with our code of ethics and the need to carry out a person-centred assessment?

When reflecting further I thought how not being able to bathe or shower would impact me or my clients, as although this occupation could be seen as primarily about personal hygiene, there is significantly more to it as an occupation.

SOCIAL ISOLATION: If we do not feel clean or are concerned we may smell, this will impact our confidence to interact.

LEISURE: A bath can be a time to relax and unwind, a time to enable you to recuperate, especially if you have a caring role.

PAIN RELIEF: Bathing and showering can reduce joint and muscle pain, enabling you to carry out purposeful occupations.

JOINT MOBILITY: Bathing and showering can increase joint range of movement making daily living occupations easier.

SLEEP HYGIENE: Bathing or showering just before bed, can improve sleep.

It also made me think about the relevant legislation such as the Equality Act 2010. The definition

of disability in the Act is linked to a person’s ability to carry out ADL rather than simply to their condition or impairment, so an older person could be deemed disabled if their daily living skills in bathing are impaired.

We also need to consider the Care Act 2014 and the Housing Grants Construction and Regeneration Act 1996, which clearly states a person can apply for grant funding for “facilitating access by the disabled occupant to, or providing for the disabled occupant, a room in which there is a bath or shower or facilitating the use of the disabled occupant of such a facility.”

The access to the above grant should not be restricted by criteria imposed by social care or the NHS but be assessed on, by a client-centred assessment and then the housing department.

As therapists, we need to make sure we meet code of ethics requirements, work within legal frame work, advocate clients and reflect on why we do what we do and the impact it has on an individual.

Image © Freepik

-magazine.co.uk

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Heading here

Healthcare

The future of health

We are all acutely aware that we live in an ageing population. Official projections in 2017 reported that in less than a decade the UK’s population will have grown to over 70million people and by 2025 over 20% of the population will be aged 65 and over.

Image Š Pressfoto

T

his ageing population brings with it its own challenges. From increases in disability and ill health to higher care costs and a demand for more accessible environments. With an NHS that is struggling, more and more pressure is being put on occupational therapists to use their creative strengths and talents to support individuals to remain at home, to reduce hospital visits and return home quicker following any hospital admission.

Fortunately, we live in an incredible digital era with new innovations in the health technology industry coming to light all the time. And many occupational therapists have also been repurposing smart technology, like the Amazon Echo, into a form of personal assistant in the home. It is creative thinking like this that can make such a big difference in people’s quality of life.

The need for independence in the home has never been greater and for OTs there has never been a more suitable time to embrace assistive technology to help patients in daily independent living.

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Future health person’s wellbeing and will have a knock-on effect in improving healthcare costs.

Dementia - Early Detection One area that health technology is being explored indepth is in the diagnosis and early detection of dementia.

The recent AXA Health Tech and You State of the Nation online survey revealed that:

77%

of British adults would be willing to access emerging health technologies to detect early signs of dementia as part of regular health checks

54%

of adults feel there was a delay between a loved one experiencing symptoms to receiving a diagnosis of dementia

48%

felt that they would have encouraged the person with dementia to visit the doctor at an earlier stage if health tech had been available to accurately detect early symptoms.

Further research of those willing to access emerging technologies showed the types of devices the British public would be willing to use:

Assistive Technology in Practice An extract from a report called ‘Future of an Ageing o ulation ublished b the overnment fice or Science in 2016 highlights the major difference that the implementation of smart technology could make to people’s everyday lives and wellbeing: "Assistive technologies, home-based health monitoring equipment and smart use of big data all have the potential to change care in the home and community, reducing national health and care spending and improving wellbeing. Capitalising on these opportunities will require action to address the barriers to uptake of these technologies, and sensitivity to public concerns on privacy.”

There can be a certain element of fear that surrounds digital devices, in particular for the older generation who have not been introduced to this world of technology the way the younger generations have. This can be a challenge for occupational therapists in encouraging clients to use devices and something that may need to be addressed and considered carefully for each individual situation.

The ability to improve a person’s independence safely and affordably, allowing them to stay in the comfort of their own home can have an enormous positive effect on the

87%

would be comfortable using eye tests

72%

would wear a device that tracks movement patterns of everyday life

30%

would be willing to undergo a spinal tap test (the current method being used in research studies to identify early markers of diseases like Alzheimer’s).

This overall attitude towards health technology suggests it could be the way forward for early detection of certain diseases, leading to much-needed early intervention and planning to enable the individual, their family and health professionals to cope better in a more informed situation.

Dr Carol Routledge, Director of Research at Alzheimer’s Research UK, said: “Innovations in health technology that allow earlier and more accurate detection of diseases like Alzheimer’s could transform, not just speed up, dementia diagnosis and treatment.  -magazine.co.uk

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Image © Nuchylee

The future of health

Wearable Devices surge in earable health monitoring devices has served to ma e eo le more a are o their ever da activit and general health hese devices can hel to motivate eo le to ee active and can give real time statistics on things li e heart rate and blood ressure as ell as ee ing trac o our movements and slee atterns here are lent to choose rom and not all have the same unctions so be sure to undergo plenty of research to get the one that will be right for your client. Here are some e am les

Fitbit Charge 2 his attractive ristband allo s ou to trac our activit on a dail basis t trac s number o ste s distance calories burned active minutes and your heart rate. It even sends ou eminder to ove alerts to encourage ou to ta e ste s ever hour n addition to this it has a sleep tracking function to help you understand your sleep quality and it can also use your realtime heart rate to tailor guided breathing sessions. Commonly advertised to an athletic grou to be used or its s ort unctions but don t let that ut ou o it is a great day-to-day health monitor that keeps users a are o their activit and encourages a healthy lifestyle.

Nokia Steel HR For those who don’t want to broadcast that they are monitoring their dail activit the o ia Steel HR is a great option because it looks just like a stylish watch and is synced to your smartphone to give ou our health and activit statistics through the ree o ia Health ate a t recognises hen ou al run s im and slee and is available in a variet o attractive colours

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We desperately need new and better treatments for people with dementia but research so far suggests that future treatments ill be most beneficial hen given at the earl stages o the diseases that cause dementia dvances in diagnosis must accelerate at the same pace as the search for new dementia treatments.”

Dr Routledge went on to say: “The barriers to diagnosis aren t ust technical and this surve sho s that ne technologies could drive changes in eo le s attitudes to ards visiting their doctor or encouraging a loved one to if they notice changes in their memory and thinking skills."

Home monitoring systems Home monitoring systems can be a fantastic tool for OTs to use to detect or further understand any problems occurring ith a atient the can also be a great tool or amil or riends to be e t in ormed o an unusual activit There are a few different systems on the market and the general idea is that they use discreet wireless motionmonitoring devices laced around the home to detect a erson s movements and activit his ill alert amil and health ro essionals to an unusual activit or e am le requent tri s to the bathroom leaving the house at an unusual time hether the have gotten u out o bed hether the have allen i an one else has entered the house etc. lerts can be set u to be delivered via te t message or email and can give eace o mind to all concerned ith the health and sa et o that individual There tends to be an initial cost for the equipment and set up and a monthly payment thereafter to accommodate the

26/02/2018 11:52

Apps Easily downloaded to smartphones to use on the go, there is an abundance of apps to assist in healthcare tracking.

From keeping a food diary to apps that help with meditation or stress release, there is something available for everyone.

Food diaries and calorie counters Keeping a daily food diary can help a user to see where they are over-indulging or where they are not getting enough nutrition in their diet. Many of these apps also have facilities to scan barcodes of food in the supermarket to tell you their nutritional value, helping to keep an eye on daily intake and prompting users to make changes where necessary.

activity analysis and alert function.

These are just some of the products available on the market: Canary Care (canarycare. co.uk), Just Checking (justchecking.co.uk) and TextCare (textcare.co.uk).

Intelligent Personal Assistants The Amazon Echo and Google Home are great examples of utilising technology to increase independence in the home. Through voice command and virtual assistant software these smart speakers can be set up to control lighting, heating, televisions, as well as playing music, setting alarms, creating shopping lists, giving daily news updates, all through voice command. There is great scope with these devices to assist people to live more independently and the interaction can be fun too.

In 2017 the Innovate Trust received funding to pilot a project to trial the use of Intelligent Personal Assistants (IPAs) in the homes of people with learning disabilities. The project is being delivered by Y Lab, Amazon and the local authorities of Rhondda Cynon Taff, Vale of Glamorgan Council and Cardiff Council.

The Innovate Trust stated: “Through having a strong working relationship with people we support, we have been aware of individuals who wanted to be involved in increasing their use of mainstream technology and hence the project is ideal to explore opportunities of developing the model of Supported Living further.

Mental health Try mood tracking with an app called Catch It to help better understand mood changes in daily circumstances. Or try an app designed to help you relax and destress called Chill Panda, it is suitable for children and adults, it measures your heart rate and suggests tasks to suit your state of mind, like breathing techniques or light exercise.

Condition trackers There are many apps that can assist in monitoring certain conditions that people live with, most commonly apps are available for people living with diabetes, cancer, COPD and dementia. They are tailored to record symptoms, record treatment and track appointments.

Rehabilitation Great for keeping track of exercises patients are given to do at home following treatment or surgery. There are many apps to help with stroke recovery too.

“The Amazon Echo and Google Home are great examples of utilising technology to increase independence in the home.”

The ideal balance between people using smart tools and carers/support workers, ould be to build individuals confidence and competence in using the IPA’s to carry out a range of tasks to control their environment – lighting, heating, gain information and advice from social media and receive prompts such as: times of appointments, forthcoming activities and events in their calendar, reminders to take their medication and access home entertainment such as TV and radio. People would rather do these tasks without always calling on staff/carers or waiting for staff/carers to respond when they are supporting other people in the house. This would free staff to carry out more essential or aspirational activities with individuals. Eventually if the model is established, it could result in evolving the role of support staff. The devices also give individuals more private time in their own rooms using the smart technology.”

-magazine.co.uk

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26/02/2018 11:53

NEW COLLECTION

SAFETY FLOORING FOR

BAREFOOT & SHOD, WET & DRY ENVIRONMENTS.

COOL PEBBLE

HARD WEARING & EASY TO MAINTAIN

Reinforcement

info@polyflor.com

Adverts_OT-Iss21.indd 18

COMMERCIAL & RESIDENTIAL

STUD FREE

for comfort underfoot

www.polyflor.com

26/02/2018 13:53

Product Focus Do you have an innovative product you think we should feature?

If so, get in touch! Contact us at colette@2apublishing.co.uk

1

Boston 1 The Prices avavilable on request 0844 7766001 reposefurniture.co.uk Repose is delighted to announce the launch of the Boston. Standard features include a choice of electric and manual tilt in space, independent back angle recline and leg elevation and adjustable footplate. The design of the Boston ensures it is ideally suited to being part of a client’s 24-hour pressure care management programme.

2 Handicare EvaDrive

2

Prices available on request 01384 405792 | handicare.co.uk EvaDrive is a new motorised lift which drastically reduces the force required for transfer and lifting of patients.

Operation requires minimal strength and effort and the intuitive control handle responds to gentle fingertip movements and is sufficiently precise to easily manoeuvre in very narrow spaces, for instance when repositioning patients in small hospital rooms.

-magazine.co.uk

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ProductFocus 3 Asana Prices available on request

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0161 969 1199 | closomat.co.uk Asana by Closomat is the latest evolution in assistive technology in intimate care.

It combines the quality and performance inherent in the Closomat brand with a contemporary, stylish wall-hung WC. It can be used as a conventional WC or as a wash and dry toilet with integrated douching and drying.

4 Matrx MX2

4

Prices available on request thinkclinicalseating.co.uk Invacare have launched a new lightweight carbon fibre backrest designed specifically for wheelchair users pursuing active lifestyles. It delivers outstanding support and stability and the back-shell features cut outs that offer breathability as well as vertical slots to allow easy height adjustment while user is seated. The carbon fibre plate offers maximum shock absorption.

5

ng 5 Soundproofi System 0161 930 8213 noisyneighboursoundproofing.co.uk This domestic soundproofing system can be applied to any wall, floor and ceiling to reduce noise by up to 100%.

This bespoke ‘magic’ system is fully guaranteed to work for life. As seen on national TV programme DIY SOS. Contact Noisy Neighbour Soundproofing for a free quote.

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Adverts_OT-Iss21.indd 21

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Come dine with me... anywhere

Meet Obi - The Robotic Dining Device • Easy to use - just two buttons • Truly compact and portable • NHS preferred prices*

Find out more at: www.cyclonemobility.com/obi

*Personal finance options available

Call us on 0800 180 4850 or email us at info@cyclonemobility.com

/cyclonemobilityuk

Adverts_OT-Iss21.indd 22

@cyclonemobility

@cyclonemobility

Cyclone Mobility

26/02/2018 13:54

Adam Ferry UK Therapy Services

Adam Ferry is an occupational therapist in both the statutory and independent sectors. He is also co-founder of UK Therapy Services. With combined experience of over 30 years, UK Therapy Services specialises in providing high quality occupational therapy assessment, rehabilitation and consultancy packages for the private, statutory and business sectors.

You can contact Adam on adam.ferry@uktherapyservices.co.uk or visit www.uktherapyservices.co.uk for more information.

In this regular feature, Adam explores and reviews products he experiences in practice, giving insight and reflection to those who may benefit.

OT Approved

Freeway SA-160C Compact Stand Aid

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common problem for healthcare providers, particularly when trying to discharge patients from hospital is the transition between mechanised stand aids. Often when people are receiving rehabilitation in hospital they will use a variety of mechanised stand aids that will mimic more normal movement patterns. However, many equipment stores around the country utilise a variety of mechanised stand aids that require the user to lean back, the variety of mechanised stand aids used in hospitals are often too large for domestic use and almost three times the cost of standard community style mechanised stand aids his creates significant problems for people trying to arrange equipment to support discharge.

Prism Medical have recently released the Freeway SA-160C. Compact enough to use in a person’s home making it ideal for community provision, but with the lifting pattern more akin to a normal standing pattern very much along the lines of mechanised stand aids used by

The Freeway SA-160C does solve the growing problem in our acute and rehabilitation hospitals of patients having to unlearn normal standing patterns...�

physiotherapy departments in the UK. his is the first ve seen o a number of mechanised stand aids recently made available which are designed to lift a person in such a way.

The Freeway SA-160C does solve the growing problem in our acute and rehabilitation hospitals of patients having to unlearn normal standing patterns to be able to use community mechanised stand aids requiring a user to lean back.

Having used this m sel ound the cushioned leg supports very comfortable and didn’t feel the need to lean back at all and hand positions for patients felt very natural. As the person moving the stand aid hilst occu ied ound it ver eas to manoeuvre t potentially also adds to the arsenal of equipment available to support community rehabilitation, due to its normal lifting pattern, comfort for the user and size.

Price wise it is comparable with other mechanised stand aids currently on the market, designed for community use. prismmedical.co.uk

-magazine.co.uk

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A day in the life

A day in . f o e f i l the Ixchiel Wilson

Each month ...

iel

ch x I t u bo

...we talk to a diffe ren occupati onal thera t pist to see wh at a typic al day is for the m and ex plain a little m ore abou t their role.

artins m St M 96 o r f d uate in 19 n grad aster y l Wilso ollege Lanc nal Therap ie h c Ix io C t a y ic p it n u li al rs Unive (Hons) Occ Services’ C tly y c en p S c a B e Ther has r with nable r. She tary Review E e g is a d n an en Ma tions arliam g to Opera ed to the P l be headin ch. t il ar u w M ib r d t in n n a co unch ation la c r for li e e b k h t r u p er for er case wo g two t s in Westm a volunte portin tly sup udents at l is Ixchie d is curren st t n an eme SSAFA erging plac iversity. m rd Un role e Bradfo

A

What is your current role?

My role varies depending on the demands of the service at any one time. I have responsibility for providing leadership to a team of OTs, case managers and administrators based in the Leeds head o fice ho o er su ort to clients ollo ing ersonal in ur or illness he deliver a first class case management service, referring parties to solicitors, insurance companies, employers or health care professionals.

I also ensure clinical governance, quality assurance and performance management across both our head o fice remote s case managers and associate OT team. n addition to the head o fice team have an e tensive net or o associate s ho rovide assessments and treatment to individuals throughout the UK and included in my role is the management o the net or do not have a client case load but

As an OT I naturally always want to help others, but I have to prioritise my time and energy to ensure that ETS maintains its quality service.

or case manager ith a com le case, meeting the business team to ensure operations management is supporting business development, understanding General Data Protection Regulations, peer revie ing re orts and roviding quality assurance, attending clinical leaders’ team meeting and organising training for the head o fice team

Best part of the job as an experienced OT and case manager, I provide daily mentorship and su ervision to the head o fice and net or s

Describe a typical day ach da brings its o n challenges. I can be involved in a number of activities in any one day, including; recruiting ne associates revie ing documentation ensuring or load management, supporting an OT

eam or t eels li e a tribe tribe all or ing their ver hardest applying their skills, experience and training to assist the individual ho is recovering rom in ur to maximise their opportunity for the fullest recovery.

Hardest part of the job he demands on time s an naturall al a s ant to hel others, but I have to prioritise my time and energy to ensure that ETS maintains its quality service.

-magazine.co.uk

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Diabetes management

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ssistance with diabetic care is not a new concept to occupational therapists. It’s something they have been doing for years, overwhelmingly with older patients who have developed type two diabetes in later life and require assistance with the management of the disorder.

Occupational therapists can effectively educate and train people to modify their daily routine to combat the disorder and promote a healthier lifestyle while effectively managing diabetes with diet, medication and exercise.

As is obvious, diabetes is a dangerous disorder, mismanagement of which can lead to bouts of hyperglycaemia, sight loss, and diabetic ulcers, which can, in severe cases lead to gangrene which will inevitably result in amputation. Control of diabetes is important to ensure that patients lead a healthy, long life.

REAL talk Diabetes management is an issue for young people across the country. With the positive results of the REAL Diabetes program study, could this mark a new and vital point of intervention for occupational therapists?

Researchers in a University of Southern California-led research study have concluded that occupational therapists demonstrably improved the health and quality of life in young people who were living with diabetes.

The study used a method known as the REAL Diabetes program: the Resilient, Empowered, Active Living with Diabetes program, which focuses on lifestyle-related activities, habits and goals of young adults, who are managing their diabetes, in some cases poorly. The study included 81 English- and Spanishspeaking young adults between the ages of 18 and 30, all of whom either were of low socioeconomic status or a racial or ethnic minority background, and lived in Los Angeles County.

Spearheaded by principal investigator assistant professor Elizabeth Pyatak, professor of occupational therapy at the University of Southern California, funded by the NIH over three years, the trial compared two groups of young people with diabetes: the intervention group received biweekly sessions guided by occupational 26

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Diabetes management

“Occupational therapists can effectively educate and train people to modify their daily routine to combat the disorder and promote a healthier lifestyle.” stages, such as young adulthood.

“Occupational therapists are the experts of choice when it comes to the intersection of everyday activities, lifestyle and better management of chronic diseases,” said Professor Pyatak.

therapists, while the control group received nothing more than standard educational materials and biweekly phone calls, both for six months.

The group of 41 young people in the intervention group were: tasked with assessments and goal setting; given advice and guidance on how to live with diabetes; how to access healthcare and practice self-advocacy in healthcare and community settings; establish and maintain healthy habits and routines; create an adequate network of support from family, friends and the wider diabetic community; managing stress and coping with diabetes-related burnout; and reflection and future planning.

Results of the trial showed that those in the intervention group saw significant improvement in their average blood glucose levels, diabetes-related quality of life, and habits for checking blood glucose levels.

The study authors conclude: “Largerscale translational studies evaluating this approach among various

populations in real-world settings should be conducted to assess the potential impact of including [occupational therapists] on diabetes care teams.”

They add that “[g]iven the increasing prevalence of diabetes, workforce shortages among front-line diabetes care providers, and the shift toward multidisciplinary teambased approaches to chronic care management, [occupational therapists] may merit consideration as an untapped resource to address the growing burden of diabetes in the U.S. “The REAL Diabetes intervention improved blood glucose control and diabetes-related quality-of-life among a typically hard-to-reach population, thus providing evidence that a structured OT intervention may be beneficial in improving both clinical and psychosocial outcomes among individuals with diabetes.”

The REAL Diabetes method shows the critical importance of including occupational therapists in the management of diabetes at critical

“The REAL Diabetes study validates our distinct contributions on every diabetes care team and shows the real differences that occupational therapy can make in the lives of the 30 million Americans who have diabetes.”

While the researchers state that the study requires more real-world application to further prove its worth in this setting, and before it is made a form of standard intervention for occupational therapists. However, the study shows tremendous promise, especially for young people, for whom diabetes management can be a problematic affair.

In a talk with the American Diabetes Association 2017 Scientific Sessions, Elizabeth Pyatak provides a good example of a young person struggling with managing his diabetes: she became aware of a 24-year-old mechanic with type one diabetes, who was struggling to monitor his blood sugar while at work for multiple reasons: first, he was embarrassed to check his glucose levels in front of his colleagues, his diabetes supply kit was bulky and inconvenient to carry around, and as he worked with 

-magazine.co.uk

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Diabetes management in reality it is only an incredibly small number of children and young people with diabetes, aged under 24, who die.

“However, it is of concern that only 16 per cent of children and young people with diabetes achieve target in relation to controlling their condition in England and Wales.

“Improved education, greater access to technology, such as insulin pumps, and better support in schools, can all help to give children with diabetes the best possible chance of living a long and healthy life.”

his hands, they were constantly dirty, and he found it hard to leave his working environment to clean his hands.

This, Pyatak theorised, was an ideal situation for an occupational therapist to intervene, as an OT could help the man find solutions to ensure he’s correctly and efficiently managing his blood sugar levels, such as speak to his boss about scheduling breaks to check his blood sugar, acquiring a smaller testing kit, and using his phone to set reminders to check his blood sugar levels.

A study in 2015 by Diabetes.co.uk stated that the number of young men who had died as a result of type one diabetes had doubled since 2000, and that young men aged between 15 and 24 with type one diabetes in the UK were more likely to die from it than anywhere else in Europe.

Among the factors cited, including higher levels of poverty and healthcare issues, was poor diabetes 28

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“Improved education, greater access to technology, such as insulin pumps, and better support in schools, can all help to give children with diabetes the best possible chance of living a long and healthy life...” control, with organisation member Russell Viner stating: “This is a significant concern given that we know diabetes control is poor. This is going that next step and saying that death is rising.”

Barbara Young, chief executive of Diabetes UK, commented similarly on the study: “It is worrying that poor diabetes control is leading to deaths in children, however we know that

It is widely apparent that poor management of diabetes can lead to long term problems, such as sight loss, and at the very worst, amputation and death. This is an ideal place for occupational therapists to intervene: OTs are already helping people who develop type 2 diabetes in later life learn how to cope with this late onset disorder, but it should not just be assumed that young people can cope with diabetes on their own.

Young adulthood is one of the most transient, troubling times of a person’s life, with significant periods of stress coupled with independence from adult care, which usually occur around the same time. In this time, diabetes management can be cast to the back of a person’s mind. With intervention from an occupational therapist, proper symptom management can be integrated with great ease into a life of independence, and one where learning to care for one’s self on ones own is integral to having a successful future.

While the REAL Diabetes programme still has points to prove in a real-life setting, it still brings to light a point which deserves discussion: what are we doing to support young people who have diabetes in their every day life? It could transpire that the REAL Diabetes method does not work outside of its clinical trials, but it is still worth trying: it could save lives.

-magazine.co.uk

26/02/2018 11:59

Designed to make everyday transfer tasks easier The new Sara® Flex standing and raising aid • Optimised patient support Promotes comfort and security throughout and at the completion of the sit-to-stand movement

• Easy to use with enhanced manoeuvrability Delivers enhanced manoeuvrability and requires no adjustment, ensuring ease of use

• Comprehensive patient coverage Enables one caregiver to perform sit-to-stand tasks for a wide range of patients in the Carl mobility spectrum* Flexible silicone leg support * For further information telephone 08457 342000

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www.arjohuntleigh.co.uk/saraflex

26/02/2018 16:46

Heading Body here Dysmorphia

Words by Daune Green

Flawed perceptions With the rise of social media and the hunt for ‘the perfect body’ hurtling towards a greater eating disorder and body image crisis, eating disorder OT Daune Green explains how her model of OT can help those struggling to accept their own body.

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he over-arching aim of the group is to help dispel and challenge unhelpful thoughts around body image and formulate positive coping strategies.

The programme can be implemented on an individual or group basis. Group tends to be more successful as it brings likeminded youngsters together who experience similar issues. This can be empowering as they realise

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they are not alone. Like-minded youngsters understand and can offer positive support and develop strong friendships.

The group can be same gender or mixed, but I try to ensure similar age groups. The group tends to be for adolescents suffering from an eating disorder - mostly anorexia – however, it can be used for youngsters with bulimia and EDNOS, low self-esteem, poor body image or body dysmorphia. Referrals are

accepted from tier two or three professionals in CAMHS. Body image issues can occur in both men and women however, boys tend to keep their problems more private. Young boys tend to strive for either the super skinny, low weight shape or the more toned body shape of an athlete. Unfortunately, this can be distressing for the young lad as no matter how much exercise, weights, protein shakes, diets or clean eating, they will struggle to

-magazine.co.uk

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Body Image Programme The first week includes an introduction, warm up game, and a chat about previous youngsters’ journeys. We discuss the programme, formulate group rules, identify individual aims and complete three questionnaires; body image behaviours, body image anxiety scale and distressing situations test, before finishing the session with compliments.

Week 1

Through exploring what body image is, we give definitions and then explore how poor body image impacts thoughts, feelings and behaviours. We then explore different body types and how they have changed over centuries and how different body shapes are more favoured across the world. We also discuss genetics, so youngsters can identify what characteristics they have from different family members.

Week 2

The youngsters then search magazines, name celebrities, get images and put together their ‘ideal body image’, before we ask ‘what is perfect?’ We then dispel myths around the media.

The youngsters complete a spot the difference activity before and after photoshop. I show a number of YouTube videos to illustrate this and the technology out there. We then prepare for DBT activity where all staff and youngsters do something as a group that makes them feel anxious such as exposing a certain part of their body, wearing no makeup or wearing contact lenses instead of glasses or vice versa. This demonstrates that we don’t automatically change just because we don’t wear make-up or expose our legs.

Week 3

achieve it due to genetics.

As an OT, it is all about how poor body image issues impact on their physical and psychological well-being. How it impacts on their function, and what it stops youngsters doing?.

Poor body image issues can occur at any time, however transition into puberty age often causes difficulties.

Many youngsters want to remain prepubertal; they fear growing up and their body changing, wanting to remain a child. I have also experienced youngsters who have gender identity issues who restrict their food intake to prevent hormones kicking in and body changes which is becoming more common.

The programme runs for eight weeks and sessions last two and half hours including a break.

Unfortunately, there’s no escape from today’s technology and media access. We are exposed to it 24/7.

The images shown are not accurate and not a true representation of an individual. This can lead to feelings of poor body image and poor confidence and in turn could lead to engaging in unhelpful or risky behaviour to try and achieve a ‘perfect image’.

‘Perfect’ does not exist - everybody’s idea of perfect is very different. I try to remind the youngsters the way you look doesn’t define you, it’s who you are. The reality, is all images, whether they are posted on your phone, in magazines or on TV, can be edited in some way. France introduced a law ruling all photos must state if they have been photoshopped. If not, they will be fined 37,500 euros or 30% of the cost of creating the advertisement.

We discuss how we are feeling and our anxieties regarding our DBT activity rating our anxiety level from zero to ten, ten being the highest. We then write down our immediate thoughts and play a distraction game, then return to the thought they wrote down. I ask if they thought of it during the game and if not they burst a balloon. If they did, they keep the balloon until they feel ready, helping them consider letting go of the thought as we discuss unhelpful cognitive distortions.

I then do a ‘fact or opinion?’ session, showing a picture of someone covered in tattoos or with wild hair and get them to describe the person, then deciding if its fact or opinion. I then show them another picture of that person appearing as a lawyer or doctor etc. I relate this back to unhelpful thoughts.

I go through different cognitive errors, talking about mislabeling, black and white thinking and making unfair comparisons. We then identify triggers, document thoughts and behaviours and formulate a positive coping strategy, before discussing the pending group trip in week eight where we go shopping, social eating and trying on clothes.

Week 4

Continued on next page...

-magazine.co.uk

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Making a difference #worthtalkingabout

“The Motability Scheme has given me freedom not to have to rely on other people.”

Emma

What is the Motability Scheme?

The Motability Scheme enables disabled people to use their government-funded mobility allowance to lease a new car, scooter or powered wheelchair.

Carers and family members can drive on behalf of the disabled person.

How Motability can help Motability is a national charity which oversees the Motability Scheme and may be able to provide charitable grants to disabled people. We provide charitable grants for: • Car adaptations which help make travelling as comfortable and safe as possible • Vehicle Advance Payments for larger, more expensive vehicles • Driving lessons, to ensure disabled people have access to driving tuition in specially adapted cars Today, over 600,000 disabled people and their families benefit from the freedom and independence provided through the Motability Scheme, like Emma, who was able to apply to Motability for a charitable grant which paid towards the advance payment for a Motability vehicle that met her needs.

Visit motability.org.uk/ot17 or call 0300 123 3367 and quote OT17 for your free information pack.

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Do you have clients that could be eligible to join the Motability Scheme?

Sign up today for your free information pack motability.org.uk/ot17 quote OT17

What’s included on the Motability Scheme?

• Insurance • Breakdown assistance • Servicing and repairs • Tyres and battery replacement

Find out more information Do you have clients that could be eligible to join the Motability Scheme? Visit motability.org.uk to find information and resources to help you advise disabled people and their families about: • The Motability Scheme • PIP and Motability • Cars on the Motability Scheme • Scooters and Powered Wheelchairs on the Motability Scheme • Car adaptations available • Wheelchair Accessible Vehicles on the Motability Scheme, these enable the disabled person to travel as a passenger whilst seated in their wheelchair You can also sign up to our newsletter, Motability Matters, which is designed for healthcare professionals, to keep you informed of the latest news and updates regarding the Motability Scheme.

Motability is a Registered Charity in England and Wales (No.299745) and is authorised and regulated by the Financial Conduct Authority (Reference No.736309). The Motability Scheme is operated by Motability Operations Limited under contract to Motability. Motability Operations Limited is authorised and regulated by the Financial Conduct Authority (Reference No.735390).

26/02/2018 13:54

Heading here

Body Image Programme continued...

I ask the youngsters to define what a mirror is and explore what mirrors are used for. I then ask how many mirrors they have at home, and to write down a typical day’s mirror use, adding up time spent body checking in one day, one week and one month to realise how much time is wasted body checking and how this is a maintaining behaviour. Mirrors are not magic. I place an object in front of the mirror and ask if it grew taller, wider, or “got fatter”. I get them to measure my waist or leg away from the mirror and then in front of it and reassure there is no change.

Week 5

I then talk about what weight means, what the body is made up of and how weight fluctuates throughout the day.

I weigh first thing in the morning, after breakfast, drinks, going to the toilet and lunch etc. This helps the individual put things into perspective.

I also talk about the risks of not eating a healthy balanced diet and physical complications that occur in the moment and later in life which they sometimes don’t accept.

This is a relaxed session about motivational words that have helped promote recovery, completing an A-Z of emotional strength. We then put together a self-soothe box, full of positive coping strategies, motivational quotes and anything that will help relax and reduce unhelpful behaviours.

Week 6

Using a selfesteem game, we assess how far they have come; rating where they started, where they are now and where they would like to be and what they can do to progress. We then discuss recovery and what this looks like, formulating a relapse prevention plan.

Week 7

A group trip consolidates all the skills learnt, before they write about their journey through the programme, complete an evaluation and get their parents to complete one to see if they notice any changes.

Week 8

Throughout the programme mindfulness activities can be implemented -magazine.co.uk

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Looking for a

new job?

VISIT

If you’re in the market for a new OT job then get on to our website. We’ve got all the latest OT jobs in our Careers section.

Remember to sign up to our mail out to get up to date job alerts.

ot-magazine.co.uk/jobs

Find the staff VISIT Post a job to...

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26/02/2018 16:58

ProductFocus Do you have an innovative product you think we should feature?

If so, get in touch! Contact us at colette@2apublishing.co.uk

1 Reacher activehands.com

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Uniquely designed for users with reduced hand function, this reacher is simply operated by a flex of the wrist so no need for finger function or an ability to give a firm squeeze.

Durable and lightweight, the jaws of the gripper are coated with rubber to give an excellent gripping surface for picking up the smallest of items.

2 Contour Unimouse

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contour-design.co.uk Experiencing discomfort or pain when you use a computer? Your mouse could be the cause. Strain is caused by a combination of reaching and twisting your arm to keep your hand flat on the mouse. Unimouse allows you to switch postures to engage different muscles and tendons. By varying your position, you’ll be more comfortable at work.

More products on next page...

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ProductFocus 3 Bounce

Active Shoe

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01458 447275 | cosyfeet.com Introducing the new Bounce active shoe from Cosyfeet. Specifically designed for people with very wide or swollen feet, it benefits from an adjustable touchfastening strap, seam-free toe area and removable footbed. Featuring the Cushion Active™ underfoot comfort system, it’s highly shock-absorbing yet lightweight. Available in sizes 4 to 9.

4 Scrubrite Pan Cleaner

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0800 772 3771 designed2enable.co.uk Great solution to help people with limited dexterity in their hands to clean pots and pans more easily. The clever circular design allows the user to hold the scourer comfortably when cleaning and also allows you to hang it on a tap for hygenic drying when not in use.

5 New Silicon

Handle Folding Sticks

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01294 313222 | charlesbuyers.com New from Charles Buyers, the silicon handle is soft to touch making it extremely comfortable to hold.

This durable material is also shockabsorbing. It is lightweight and folds away for convenience. Available in three colourways; teal, sage, and burgundy with matching wrist strap and rubber ferrule. Adjustable in height: 84cm – 94cm. Weight capacity: 133kg (17.5st)

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ProductFocus 6

6 NMDRX Care Station

medpage-ltd.com Medpage launch new care station NMDRX. Multi-channel alarm with each channel ID represented by a different coloured bank of ultra-bright LEDs, making it simple to identify the alarm type or call pendant. With audible alarm and output for a vibrating pillow pad for deaf people. Visit the website and search NMDRX for further details.

7 Polysafe Quattro 0161 767 1111 | polyflor.com

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Polyflor has launched a new innovative safety flooring range suitable for domestic, healthcare, residential care and leisure settings. It offers enhanced slip resistance for bare feet and footwear.

Available in a wide range of colours and designs, the designs have been specifically developed for use in dementia friendly environments.

8 T Rolls

01424 853331 cands-seating.co.uk C&S Seating provide T Rolls to control posture and position of the body in supine lying and Log Rolls to align and stabilise side lying. Soft Knit covers provide additional comfort, absorbency and are removable and machine washable, available in a range of vibrant colours.

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26/02/2018 12:03

Invacare resource

Invacare launch new OT resource Occupational therapist and founder of Promoting Independence Stuart Barrow reviews safepatienthandling.co.uk, a brand new online resource produced by Invacare.

F

irst o m delighted to be in a osition here m as ed to revie a ebsite that enables s to hel

their clients.

ve been in the game or a hile and its air to sa that this sort o resource as not around hen as starting out so regardless o an other comments ll ma e about the ebsite m ust absolutel over the moon that com anies li e nvacare are or ing hard to roduce valuable and informative content like this.

odel unctional nde endence easurement and as ndividual oad and nvironment tool a ect the a that s should evaluate their clients and its invaluable to have the e lanations related so closel to real li e solutions m im ressed at the detail and the clarit o all three o these sections.

Navigating the Site

he ebsite ta es us through various trusted solutions ithin the bedroom bathroom and around the home and loo s at nvacares ebsite A fantastic mobile hoists ceiling trac safepatienthandling.co.uk resource to help hoists sho er commode is rich ith content all o occupational chairs stand assists slings hich has been created to therapists, and a electric rofiling beds and hel s li e me ma e the step in the right bidets here are hel ul right choice hen it comes direction for our videos and ictures to to suggesting solutions for industry. highlight the benefits o our clients. the roducts to hel aid The content serves to decision ma ing ithout hel in man a s b ma ing the necessit to ic u the tele hone detailed in ormation on roducts and as hich is a nice touch easil available b roviding verall safepatienthandling co.uk case studies on ho s ecific is a antastic resource to hel roducts have hel ed in real li e occu ational thera ists and a ste in situations and via a no ledge the right direction or our industr ban that details a lot o recommend all s chec it out the things that s need to no to serve their clients Stuart Barrow of Promoting Independence is a member of the Royal College of Occupational most effectively. hat the ebsite does e tremel e ectivel is e lain ho the erson nvironment and ccu ational 38

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Therapists and a recognised expert in the field of home adaptations. His experience is sought by manufacturers and service providers looking for an expert opinion. Stuart also runs the Occupational Therapy Adaptations Conference.

Benefits to OTs There are several features of the site that can benefit s including • • • • • • • •

he odel is com rehensive and e lained he roach is detailed and clear he is detailed e lained and relates easily to the various client ersonas he eet the team section allo s ou to see ho ou are s ea ing to or meeting on a home visit he ebsite loads quic l and easil on a des to and mobile he ebsite is mobile riendl he a e atient Handling log is eas to read ith some hel ul ti s he Hoist and ling ssessment uidelines document is su erb and should be do nloaded rinted and e t on ever occu ational thera ists des as a use ul reminder about sa el rescribing and ris assessing equi ment

Criticisms

s ith an ne ebsite have ound some areas or im rovement that no nvacare are currentl or ing on to resolve •

here are several ictures on the ebsite that are not clic able to ta e ou to the roduct here are no rice details or descri tion hich is a shame and is a bit o a missed o ortunit • lthough the meet the team section or s ell a suggested im rovement ould be to have the contact details or each erson in their relevant regions • he ebsite e resses that access to the a e atient Handling eam is available but no ictures or contact details or our local e ert can be ound

-magazine.co.uk

26/02/2018 15:58

Safe Patient Handling

Invacare’s NEW Safe Patient Handling website A dedicated resource for Occupational Therapists

www.safepatienthandling.co.uk Adverts_OT-Iss21.indd 39

26/02/2018 13:55

STATS

9200

The number of homeless young people Centrepoint help a year

1/3

Almost one third are under 18

28%

The number who have been in care

HOMELESSNESS

YOUNG, VULNERABLE AND HOMELESS We learn as much in our teenage years as we do in our primitive childhood. But how would we develop survival skills adulthood requires if we became homeless?

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he housing crisis is never far from the national agenda.

With younger generations finding it harder than ever to get a foot on the housing ladder, conversations around a lack of affordable housing dominate the headlines and become cause for point scoring in our Houses of Parliament.

But while in most cases the media takes on the angle of young adults having to stay in their parents’ homes, there is a far darker side of the coin.

Figures of rough sleepers and homeless people are constantly growing at not just an alarming, but an upsetting rate. The stigma attached to people in the young homeless bracket is growing just

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as quickly as the number of them finding themselves on the streets the number of young people rough sleeping has risen by almost 30% since last year.

Negative connotations associated with this social issue often drive the discussions with a significant number of the population quick to jump to rash, unfair and potentially demonising conclusions.

It would be naĂŻve to say that drugs and alcohol abuse have no correlation to homelessness, but it is even more damaging to presume that every homeless person has suffered from debilitating addictions.

Family circumstances, housing conditions, financial strains, abuse or poverty can also lead to a life without a stable home, and the

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26/02/2018 16:44

14%

The number who are refugees

“It would be naïve to say that drugs and alcohol abuse have no correlation to homelessness, but it is even more damaging to presume that every homeless person has suffered from debilitating addictions.”

27%

The number who have slept rough

marginalised nature of homelessness does nothing to help dispel myths or misconceptions around the culture of young homelessness.

Empathy is key in the battle against the rising problem that is plaguing our country. The old chestnut that everyone is potentially only one day away from homelessness should resonate with those in positions to help. One of the most destructive elements of life in a state of homelessness is a lack of meaningful occupation – paving the way for occupational therapists to step in and support.

According to homelessness charity Shelter, you might be defined as homeless if you are: sleeping on the streets, staying with friends or family, staying in a hostel or bed and

Heading 150K here

young people a year ask their local authority for help

breakfast hotel, living in overcrowded conditions, at risk of violence in your home, living in poor conditions that affect your health or living in a house that is not suitable for you because you are sick or disabled.

If someone asks the council for help, it will investigate the situation to decide if there is a legal responsibility to help someone as a homeless person.

The effects on the mental health of someone living in homeless conditions can be just as devastating as the physical repercussions.

The occupations that make us who we are, are turned on their heads when our lives take unexpected turns.

Our meaningful lives are hanging in the balance as we lose the ability (temporarily 

-magazine.co.uk

40-42_Homeless.indd 41

41

26/02/2018 12:04

Homeless Help or permanently) to carry out meaningful activities that benefit our physical and mental state.

Targeting young homeless people in the shelter or hostel setting may be the ideal starting point for OT intervention and getting their lives back on track.

While not all young people find themselves homeless due to trouble with authority or substances, some have had previous with gang crime.

At young impressionable ages, harmful behaviours are easily learned when in unhelpful environments.

Introducing youngsters to helpful, rewarding and productive occupations can help them become not just more employable but feel like they are living more meaningful lives capable of achieving something.

Pinning down a permanent address is essential in gaining employment – an occupation necessary in building a healthy and meaningful lifestyle.

By reintroducing healthy behaviours, it can help in readdressing developmental milestones that may have been missed in order to help them back into housing and be ready for the world of employment that many teens may not yet have experienced.

Young people in homelessness often also have trouble accessing even the most basic healthcare. With a struggling NHS, access to remote support workers or doctors in these shelters are limited. One way to potentially combat this would be the placement of occupational therapists in these centres to help promote greater self-care and preventative measures.

Promoting active and healthy occupations can not only lessen the strain on the healthcare system when supporting the marginalised but also helping raise self-esteem and self-worth.

Homeless shelter and centre workers support homeless people throughout the replacement pathway, navigating through the steps and meetings necessary

42

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“Young people in homelessness often also have trouble accessing even the most basic healthcare.” to meet rehousing means. But occupational therapists can lend a hand to the emotional support through this. Their holistic approach can allow a homeless person to understand how to deal with the emotional demands of the process. Troubled teens may by nature not be emotionally mature enough to deal with the situation, so with occupational therapists’ knack for problem solving and readjusting situations to make a client comfortable. Their support throughout the paperwork involved in this is just as valuable as physical intervention.

Homelessness often leads to a feeling of having no direction.

Occupational therapists support clients to realise and achieve realistic

goals and targets in a bid to help better their lives. Some people living in homeless situations lose the ability to lead a balanced life.

With the unpredictability of the circumstances, people, particularly young people, have trouble in organising themselves. Basic life skills that are often learnt in the teenage years may not have been met if a young person is dealing with homelessness or may even not have been picked up on if they have come from a troubled background.

Occupational therapists are in a great position to advocate for, support and provide access to those with complex needs. The culture of role emerging occupational therapy positions is growing more than ever with the profession moving away from the clinic and into the outside world, allowing qualified and experienced occupational therapists to adapt and translate their clinical reasoning and style of therapy into other situations.

Are you an OT working in the homeless sector? Get in touch with your stories.

-magazine.co.uk

26/02/2018 12:05

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P

osture & Mobility Group (PMG) are very happy to announce that we will be offering one lucky OT Magazine reader a free place at the PMG Conference.

The event is taking place Monday 23 - Wednesday 25 July 2018 at Manchester Central and is ideal for occupational therapists working in a range of areas, including paediatrics, orthopaedics, neurology, learning disabilities and with older people. The conference programme and industry exhibition focus on the posture and wheeled mobility needs of wheelchair users, providing solutions for postural management, manual and powered mobility, pressure management and environmental controls.

PMG CONFERENCE: Don’t miss out on this year’s packed conference programme

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The free place we are offering is worth £480 and includes two nights’ hotel accommodation, access to the conference and exhibition for two days with breakfast, lunch and refreshments provided, plus, a Gala Dinner ticket! There is also the option to attend the free speed networking sessions and themed welcome event on the Monday.

23-25 July 2018

The event attracts a multidisciplinary audience, mainly from NHS commissioned wheelchair services, but also from private, educational, charitable and other public sectors. The programme includes presentations from a range of professionals as diverse as our delegates!

Just to give you a taster, this year, physiotherapist Ginny Humphreys will be presenting research about postural support in lying; OT Lisbeth Nilsson ill discuss the benefits o o ered mobility for clients with dementia; and, researcher Tim Adlam will review

All the winner needs to do in return is write an article for PMG’s online journal, analysing the event as a whole, or a particular presentation. ou can find out more about the Conference 2018 via our website: www.pmguk.co.uk.

Terms and conditions The prize is for one person to attend the PMG Conference and includes hotel accommodation for two nights (Mon 23rd and Tues 24th July), access to the conference and exhibition for two days with breakfast, lunch and refreshments. It also includes a ticket to the Gala dinner.

Transport costs are the responsibility of the winner. The prize is not transferable nor can any cash alternative be offered. The prize is given on the understanding that the winner writes a review of the conference or of a particular session to appear on PMG’s online journal – this should be done in a timely manner following the event. Closing date for entries: 30th April 2018.

About PMG

PMG is a charitable incorporated organisation; in addition to our conference, we also provide research grants, publish an online journal and organise training events. You can become a member for free via our website!

-magazine.co.uk

45_PMGCompetition.indd 45

45

26/02/2018 15:58

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26/02/2018 13:56

OT and Nursing Words by Jessica White

Integrating OT Jessica White, an occupational therapist working at Lancashire Teaching Hospitals Trust, reflects on her first post within a pilot on trauma orthopaedics.

A

s a ne l qualified in m first thought as to a l or a rotational ost Ho ever hen sa the advertisement or a ilot o a nursing occu ational thera model o care ne this as a great o ortunit he ost involved or ing closel ith nursing sta to rovide an integrated rehabilitation service to ractured nec o emur atients s a student at orthumbria niversit had an ortho aedic lacement and elt returning to this area ould be a good start to m career little did no hat la ahead as able to bring the intervie or ard to onl a e da s rior to ing to ri an a here s ent five ee s volunteering in e tremel under sta ed and under resourced residential homes and dro in centres as success ul at intervie here demonstrated m enthusiasm and interest or ortho aedics and integrated or ing and ho ould embrace the challenge o develo ing a ne service n commencement o the ost learnt that the ilot had a number o driving actors including di ficulties recruiting band nurses national roblems ith increased length o acute hos ital sta an increased reliance on social care and re orts o a less than satis actor acute hos ital atient e erience ractured hi atients are a com le cohort o ten deconditioned ith a reliance on residential care on

“The post involved working closely with nursing staff to provide an integrated rehabilitation service.� hos ital discharge ne o the main challenges on the ard as a lac o a coordinated a roach to their care embers o the ere all attem ting to or to ards the same goal ho ever or ing in silos he divisional head o nursing and ortho aedic matron recognised a change in attitude and a roach as needed and that s here m ost came in decision as made to

use nursing mone to und a band occu ational thera ist to challenge roblems and ensure an integrated a roach to recover amongst the ollo ing m induction ith the lead nne uc er arrived on the ard having been out o the acute environment or months to find the ilot ver much in its in anc sel and nne attem ted to devise a sco e o service or the integrated team ho ever this alone as challenging as e ere or ing on a loose definition o the service at this oint nne ard manager auline mithson and m sel soon learnt this as going to be a challenging role t first this as daunting being ne l ď ľ

-magazine.co.uk

47-48_OT&Nursing.indd 47

47

26/02/2018 14:09

OT and Nursing

qualified but managed these eelings b com leting regular lan o tud ct c cles to trial rocesses and rocedures to evidence hat has and hasn t or ed in addition to regular re ection and the great su ort rom nne and auline oo ing bac on the ast months reall am ama ed ith hat have ersonall achieved the ositive res onse e have had rom the ard and the outcomes o our atients he ntegrated ehabilitation eam as develo ed ith the main aims to revent deconditioning reduce trans er to residential care im rove atient e erience and im rove integration o the ard clinical team healthcare assistant on the ard or s ith me dail to ensure thera treatment lans are incor orated into the ard sta s da to da duties he team acilitate a thera eutic relationshi to be established rom da one building ra ort and a culture o enablement su orting rehabilitation and timel discharge lanning he team are d namic and e ible al a s loo ing at a s to im rove

48

47-48_OT&Nursing.indd 48

“The team has been so successful that it has now been rolled out across two other wards, recruiting OTs to work as part of the nursing team.� and are acilitating innovative trials throughout the rust recentl resented m da to da role to the other band s ithin the rust and it has evidenced that ithout such roles ith com le cohorts there isn t sco e to s end the amount o time ith atients that is needed to meet the intended outcomes eel so luc to have been in a role here am doing true eing integrated into the nursing team have learnt so much hich has meant o er a much more streamlined service to m atients longside m healthcare assistants am involved in ost o erative care ersonal h giene and o timising recover in relation to mobilit and unctional abilit initiating rehabilitation rom admission and not hen discharged rom the acute setting e

o having re ected on this erience have had so much

involvement ith senior sta and managers he o ortunities have been rovided and a areness it has given me has been invaluable have e t an audit o all atients seen b the ntegrated ehabilitation eam including the origin and discharge destination length o sta and inde endence ost o erativel and on discharge o measure their inde endence administer an outcome measure and also collect atient re orted outcome measure to gather eedbac on their service oth o these have devised or chosen based on the evidence available have also resented atient stories to the rust board sho casing the im ortance o occu ation in reventing deconditioning initial si month contract as e tended and is no a ermanent role and des ite being rom the nursing budget has no been added to the band rotation he team has been so success ul that it has no been rolled out across t o other ards recruiting s to or as art o the nursing team

-magazine.co.uk

26/02/2018 16:01

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26/02/2018 13:56

All the latest from the world of paediatrics

n o i t c e S

p52

Mindfulness, handwriting and creative play oung people today can often feel overwhelmed easily. Fast paced environments, pressures from social media, exams to study for, playground politics and stresses at home can sometimes all be too much. Yet we tend to focus on the mental health of adults far more, in terms of research and treatment. But what if we introduced coping methods at a much earlier stage in life, would it help a new generation to understand and cope better with anxiety, depression and other mental health problems as they grow up? We explore the potential benefits that introducing mindfulness to children at school can have, and use a Kung Fu Panda analogy to help explain it. Turn to page 52 to find out more.

Y

This issue also explores the work occupational therapists do in the classroom, in particular supporting handwriting skills.

We discover the implications that handwriting challenges can have on a child and discover how to overcome these on page 57.

If you are looking to get creative we have sourced some great websites from across the world that offer advice on everything from making homemade sensory toys to encouraging kids to play outdoors. Check out page 64 and if you can think of any other useful sites, please share them on our Facebook page.

p57

p61

We love to hear your experiences and stories, so please get in touch with any paediatric stories you would like to share!

Email us at ros@2apublishing.co.uk.

p64

Read on to find out more...

-magazine.co.uk

51_PaediatricsIntro.indd 51

51

26/02/2018 12:07

Section

Mindfulness has been proven to reduce stress and act as a way to combat mental health problems.

Could introducing it into our schools be a way to challenge these prevalent issues in children and young people?

52

52-54_Mindfulness.indd 52

-magazine.co.uk

26/02/2018 16:20

Section

A

t any given point this year, one in four adults will have an experience with mental illness. This could be anything, from anxiety and depression to substance misuse and psychosis. We speak loudly about these adults because there seems to be a view that children don’t get mentally ill; adults do. Adults spend all day dealing with the stress of society, of their jobs, relationships, and bank balance, so of course they deal with mental illness. What do children have to worry or be sad about?

According to statistics published by charity MQ Mental Health, three in four mental illnesses start in childhood, before a young adult turns 18. Half of all mental health problems, excluding age related progressive issues such as dementia, have begun taking root before a child or young person reaches the age of 15. In an average class of 30 school children, three of those children will have a diagnosable mental health issue. Less than 30% of the research undertaken on mental health is focused on young people.

what they need to cope with stressful situations. In the present, it can give them a way to better concentrate on their subjects and exams, and to open them up to selfreflection, self-understanding, and the sense of inner peace that is chased by Buddhist practitioners of the art.

This allows an intervention to be performed before the problem has even truly come to a head.

There are issues with introducing mindfulness to schools, however. How do we encourage children and young people to care? How do we encourage them to understand that mindfulness is a practice that is not simply sitting in the dark with your legs crossed, choking on incense and chanting “om”?

In his dissertation on the subject of mindfulness in schools Richard Burnet a teacher and member of the Mindfulness in Schools project, uses an apt description to show how mindfulness can easily be explained to younger people who would benefit from the practice of mindfulness: “One of the most succinct and compelling ways of explaining mindfulness to a classroom of adolescents is to show them a short clip from the animated Dreamworks film Kung Fu Panda. It doesn’t describe what you do, it doesn’t give a textbook definition of what it is, nor does it even use the word mindfulness, but it captures the flavour of it in a way that is easily understood.

Mental health problems in children and young adults are often overlooked, as are the opportunities to deal with these issues. We don’t discuss them enough with children; we don’t talk about them enough in schools or at home.

A child with general anxiety disorder or depression might not understand why they feel the way they do all the time; why “Mental health they’re too scared to talk to people or too sad to get out of bed. We have not yet problems in children cracked why some people are mentally ill, and young adults are but research tells us that it is clear that the conditions are caused by a combination often overlooked, as of genetic, biological, psychological and are the opportunities environmental factors. These factors do not exclude children. to deal with these Mindfulness is already used as an aspect of cognitive behavioural therapy to treat those with anxiety and depression among other mental health issues. Therapists often recommend apps and tapes, and encourage their patients to take five minutes every day where they can to perform an act of mindful meditation, in order to centre themselves and clear their mind. In the minds of those for whom mindfulness works, they revere it as a sort of act of cleansing on the mind.

If this is something regularly prescribed and recommended by doctors for people, usually adults, who are struggling with anxious, catastrophising, overworked minds, why should children be exempt from learning about it?

By teaching mindfulness to children early in their school careers, we give them the tools to take into adulthood

issues.”

“Our troubled hero, a panda called Po, is very stressed about life. He stands in the moonlight beneath a blossoming peach tree and laments his many failures. ‘I probably sucked more today than anyone in the history of kung fu — in the history of China — in the history of sucking!’ he declares. His anguished monologue is an engaging compendium of contemporary malaise: he thinks he is rubbish at everything (low self-esteem), he knows he eats too much (eating disorders), he worries a great deal (stress/anxiety).

“Confronted with many difficulties, he is on the verge of giving up his dream of kung-fu glory and going back to making noodles. Thankfully, staff in hand, the wise old turtle Oogway arrives, a kung-fu master approaching the end of his turtle years, and gently reprimands the troubled panda: ‘Quit, don’t quit! Noodles, don’t noodles! You are too concerned about what was and what will be. There is a saying: yesterday is history, tomorrow is a mystery, but today is a gift. That is why it is called the ‘present’. 

-magazine.co.uk

52-54_Mindfulness.indd 53

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26/02/2018 16:20

Section

“Introducing mindfulness into schools produced strong evidence of lowering depression scores and higher test scores after taking part in the programme.”

“A look of realisation dawns on Po as he understands that he is worrying about what has happened and what might happen rather than simply being in the present moment, itself a gift that we rarely appreciate. Not only do kids understand this, it is not a million miles away from definitions of mindfulness that you will find, particularly in its therapeutic context.”

This explanation cuts straight to the meat of the matter, without the long, tricky words, and perhaps Buddhist terms in Sanskrit or Pāli that they may not understand, which will only serve to turn them away from what could effectively be a technique to reorganise their stressed minds.

A 2013 study printed in the British Journal of Psychiatry by Kuyken et al on the effectiveness of mindfulness in school programmes produced findings that showed “promising evidence of the programme’s acceptability and efficacy.”

The study showed that introducing mindfulness into schools produced strong evidence of lowering depression scores and higher test scores after taking part in the programme.

The same outcome has been shown in anecdotal evidence of countless accounts by teachers who use mindfulness in PHSE and in their classrooms. We can see that mindfulness works.

There is an epidemic of mental illness in young minds that is being ignored. Mindfulness may not be the solution to the problem as a whole, but it is certainly one way to address the issue, by giving young people the tools they need in order to overcome the stresses and emotions they face in a period of great and often concerning transition in their lives. As adults, we have opened our minds to mindfulness.

It would be selfish of us to deny young minds this opportunity.

54

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Mindfulness in Numbers

58%

reduction in anxiety levels (University of Oxford, 2013)

57%

reduction in depression (University of Oxford, 2013)

40% reduction in stress

(University of Oxford, 2013)

25%

reduction in rumination (University of Surrey, 2016)

26%

reduction in fatigue (University of Surrey, 2016)

-magazine.co.uk

26/02/2018 16:21

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26/02/2018 13:56

Section Handwriting

Helping Hands Image © Freepik

Handwriting is a skill that, in spite of what we believe, utilises the whole upper body to do successfully. How do we help when a child has difficulties with such a vital skill?

W

hen you take a moment to think about it, handwriting is perhaps one of the most important skills we are taught as children. Of all the subjects we undertake at school, notes we write at home and work, one thing underpins all of them: an ability to write with clarity and legibility. What then do we do when a child has difficulty with their handwriting?

“As an OT, you take on a referral,” says Catherine Elsey, an independent occupational therapist who has specialised in paediatrics since 1997, “and often the referral is through the school SENCO but can also be through a paediatrician or an educational psychologist.

Parents contact me as follow-up to discussions with school or other professionals over concerns about their child’s handwriting. It’s very rare to receive a cold referral, but this is becoming more common as parents do more of their own research on the internet and see the benefit of occupational therapy assessment and treatment.”

From there, Catherine becomes a detective. The creative aspect of handwriting assessment branches

“Quite often, you have to take a minute and look at the bigger picture: what’s causing that difficulty in their handwriting output?” out from here. It is not simply a case of looking at the way a child holds a pen and moving from there; we use our whole bodies to write. It is a complex task and rich tapestry and trying to find where the problems lie demands taking a step back to view the picture as a whole.

“Looking at their handwriting, sometimes it can be something straight forward as how the child holds a pencil. Quite often, you have to take a minute and look at the bigger picture: what’s causing that difficulty in their handwriting output?

“I also look at the sensory side of things: how aware are they of their body, how well are they doing at

kinaesthetic movement and their prioprioceptive awareness? You’ve got the biomechanical demands of handwriting, but you’ve also got sensory demands that should be in the equation of trying to help make this function easier for the child.

“Having completed the handwriting assessment, I review the results and use the evidence to determine whether or not a full assessment is indicated. The assessment report for the parents would highlight this as one of several recommendations.”

A full assessment looks at the picture as a whole: how is their bilateral integration, gross and fine motor skills, their sensory processing, visual perception and visual-motor integration? How does this tie in with the hand process?

If the child is older, there could be more complex needs. Their handwriting may have developed, but their  -magazine.co.uk

57_HandWriting.indd 57

57

26/02/2018 12:11

Section use an immature script, phonetic spelling, and you can just see from their body language that writing is so demanding of them. Then that can manifest in the unwanted behaviours again. This affects a large majority of the students I see.”

These behavioural difficulties can manifest in the classroom, where children are expected to have a degree of handwriting skill relative to their classmates. In an ideal world, Catherine would like teachers to be trained to recognise, at least at a very basic level, when a child is having difficulties with handwriting, and be able to teach them coping strategies before an OT’s intervention is needed. writing speed may not be as it should. If the function of handwriting works for them, without pain or discomfort, then speed practice may be all that is needed to correct their difficulty. The depth of the assessment changes, of course, based on the needs of the patient.

The range of patients Catherine treats varies from two to 16; while a child as young as two may not be able to write, identifying their handwriting difficulties as early as possible can prevent significant difficulties when they get older. So how do you treat a child who isn’t yet old enough to write?

“They may have postural demands,” said Catherine, “finding it really hard to maintain a sitting posture.

They’re really struggling with handeye coordination, or they’re just struggling with holding a pencil and doing scribbles or dots. At age two years you can get an idea of what their visual-motor integration is starting to do just by the way they play with their toys.

“If you’re looking at an older child, if they’re struggling to maintain postural stability, if they don’t have hip, trunks, shoulder and wrist stability and having to work hard at staying in the chair, how are they going to isolate the precise finger movements needed for handwriting?

If they’re struggling with the whole 58

57_HandWriting.indd 58

“We talk about handwriting as a skill, but the impact that handwriting difficulty has on the whole child is huge.” shoulder stability, then they will develop strategies to compensate, which then may turn into more inefficient handwriting, because they haven’t got the optimal distal finger control.”

Frustration with one’s handwriting can lead to issues with self-esteem, something which Catherine is acutely aware of: “For the psychological wellbeing, it’s massive.

I can see this every day from working with students for two days a week at a social, emotional and behavioural needs school.

“You can tell when you’ve got a young person coming for an occupational therapy session, who’s been struggling with school, been excluded from previous schools, gone to the pupil’s referrals services, and are now at a specialist school; you look at their handwriting, and you think ‘wow, developmentally you stopped writing at six.’ They

“I feel passionate that if we can help a child overcome their handwriting difficulties and challenges,” said Catherine, “you’re going to help that child’s ability to access the National Curriculum, and that then in turn helps with their social, their leisure and their self-confidence and esteem in dealing with what’s thrown at them in day-to-day living.

“We talk about handwriting as a skill, but the impact that handwriting difficulty has on the child is huge.

From my point of view as an occupational therapist, there is importance not so much in the activity that I choose to do with the child, but more to work out what it is that I need to focus on to make handwriting become a more comfortable daily task for the child.

“If teacher’s training included more about the development of handwriting, teachers would be more skilled in knowing if they should be concerned when faced with handwriting difficulties and be more able to promote good practice especially at Early Years, Key Stage 1 and 2. More awareness of the handwriting process would reduce the number of referrals I see. Identifying and correcting handwriting difficulties as early as possible is crucial in making handwriting as automatic a skill as possible.”

-magazine.co.uk

26/02/2018 16:05

Quality or Price?

There’s no need to compromise!

The Juvo Powered Wheelchair provides outstanding quality at an affordable price!

With its modular system combined with front and rear wheel drive options, the Juvo offers great directional stability, even at higher speeds.

The innovative new controller offers its user enhanced comfort and a flexible rotation angle adding to the overall Juvo experience.

Visit www.ottobock.co.uk/Juvo or call 01784 744 900 to find out more.

Affordability meets quality.

#TheBestKeptSecret

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Adverts_OT-Iss21.indd 59

05/02/2018 19:31

26/02/2018 13:57

Independence & comfort

through standing

The Genie V2 has been designed with the users everyday needs in mind, providing upper and lower body support to allow washing, air circulation and vital relief from pressure pain.

Each of our standing wheelchairs is custom built to suit your requirements, from made to measure upholstery to one off customised adaptions nothing is too much when it comes to your comfort and independence.

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2 Fantastic Hotels, 2 Great Locations The New Mayfair Hotel Blackpool 43 accessible modern and stylish bedrooms. CQC registered.

Situated on the enviable seafront location of South Promenade, this hotel has spectacular views overlooking the Irish Sea. The Esplanade Hotel Llandudno 40 accessible modern and stylish bedrooms. CSSIW registered.

Changing Places room available at this site. Situated on the enviable seafront location of Llandudno, this hotel has spectaculaviews overlooking the Irish Sea.

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• Panoramic Sea Views • Overhead Tracking Hoists • Level Acc • Profiling Bedsess Wet Rooms • Interconnecting Suites • Dining with Waitress Service • Live Entertainment Every Night • Day Trips • Door to Door Transport • Personal Care Packages • 24hr Call System • Changing Places Room Book Now: 0333 999 8888 Email: sales@safehandsholidays.co.uk www.safehandsholidays.co.uk

26/02/2018 13:57

Product Focus Boon Squirt Spoon Prices from £9.99 | amazon.co.uk A feeding spoon that takes the stress out of mealtimes. It has a soft hollow handle that holds 85g of puréed food. Simply fill the handle and squeeze as required. Allows for easy, one handed feeding and less mess.

As part of our Paediatrics Section, we take a look at the products on the market that can help improve the lives of your younger patients.

Padded Toilet Seat Prices from £15.12 | 0203 195 1278 welcomemobility.co.uk This padded toilet seat attaches to your toilet with a set of easy to use straps. It is designed to provide comfort and security to children transitioning from a potty to a regular toilet. It reduces the seat size to help prevent the child from slipping. Is comfortable and easy to clean. Two heights are available: 50mm or 100mm.

Ark Chewable Pencil Toppers

More products on the next page

Prices from £7.95 | 0800 009 6022 cheapdisabilityaids.co.uk Designed to fit comfortably over a #2 pencil, these pencil toppers are infused with a calming citrus scent to help focus children and add extra sensory input. The pencil toppers add weight to pencils, helping to further increase hand awareness, and help encourage correct pencil grip.

-magazine.co.uk

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Bearhugzz Bed Prices available on request 01978820714 | kinderkey.co.uk Bearhugzzz Bed is suitable for vulnerable children and adults. It can help to improve poor sleep patterns and provide safety for those who wake during the night. A major benefit is the bed’s ability to withstand vigorous behaviour, thanks to its soft padded sides which protect the user against injury.

Tenura Childrens Cutlery Grips Prices from £10 01254 832266 | tenura.co.uk Offering all the same benefits as Tenura cutlery grips, albeit for smaller hands, Tenura children’s cutlery grips increase grip and comfort for the user and are easy to apply on to most cutlery. They are also dishwasher safe and anti-microbial to prevent the harboring of bacteria.

Available in three colours.

Quoddy Prices available on request 01233 635353 | centrobed.com Designed to support all of a child’s needs while still looking like a conventional bed. It is a fully profiling, high/low bed and Centrobed have made sure there are no gaps that can put a child at risk of entrapment. Fully customisable in style, it expands from 60” to 72” by expanding the head rest and knee break.

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-magazine.co.uk

26/02/2018 12:20

Adaptable and versatile healthcare seating Delivering care and comfort from hospitals to homes Our Portering and Riser Recline chairs come with: • Bespoke options • A choice of pressure management cushions • Postural management back styles • A range of specialist fabrics & colours

For more information call us or visit our website:

www.reposefurniture.co.uk Tel: 01384 567401 REPOSE MEDICAL 133mm x 188mm.indd 1

21/02/2018 15:30

Why have a stairlift when you can have a

UE UNIQ OR LO F U R TH M SYSTE

real lift?

• • • • • • • • • •

Designed to make your life easier when stairs start to become too much, a Stiltz domestic lift will easily fit into any home. Often chosen as an alternative to cumbersome and unattractive stairlifts, a Stiltz Lift will transport 2 people comfortably so you can transform your life without moving home.

A Stiltz lift is packed with sensors to keep everyone safe, it also plugs straight into a domestic socket, runs very quietly and uses less energy than a toaster!

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“

I looked at moving costs and worked out that a Stiltz Lift would be cheaper. The lift has already made things much easier. It’s been the best decision. Ms. Turner, Hereford

“

Adverts_OT-Iss21.indd 63

*Based on installing a Duo Homelift (as shown) in pre-prepared aperture.

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26/02/2018 13:57

Section

A World of

Creativity

Sometimes we all need a little help to come up with creative, effective and affordable activities that can assist with the work we do with children. Luckily, if you know where to look online you can find an abundance of inspiring ideas for homemade toys, play ideas and creative exercises that will keep kids entertained and enjoying whatever task they are tackling. From making glitter bottles and sharing play dough recipes to discovering finger aerobics and breathing exercises, we have taken to the big wide world of the internet to explore the best sites from across the globe.

SOURCE #1

The OT Toolbox

A site dedicated to occupational therapists, teachers and parents. It has a comprehensive list of areas and each page shares blog posts, videos and advice rom activities to hel fine motor skills and bilateral coordination to handwriting activities to help pencil grasp and line awareness, this site has a wealth of information to help occupational therapists working with children. /TheOTtoolbox | theottoolbox.com

/thetheottoolbox

SOURCE #2

OT 4 Kids

Run by two paediatric occupational therapists with combined experience of over 50 years, this site has a ‘resources’ section that links to different websites and blogs to offer interesting ideas and activities. The sections they cover include visual motor/eye exercises, homemade toys and adaptations, sensory processing, infants, toddlers and keyboarding. /ot4kidslondon ot4kids.co.uk

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-magazine.co.uk

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Section SOURCE #3

Occupational Therapy For Children

A children’s OT service based in Southern Australia, their Facebook page has over 32,000 followers and features videos of a wide range of exercises, play ideas and strategies in practice.

They have a good Instagram following too and do interviews with the team on Instagram Live from time to time. /OccupationalTherapyForChildren /occupationaltherapyforchildren occupationaltherapychildren.com.au

SOURCE #4

Outdoor Kids Occupational Therapy

n merican com an romoting the benefits o outdoor play and nature in a child’s development.

The website offers some interesting blog posts and advice and their Facebook page is equally handy for your newsfeed, posting regularly with relevant stories and ideas for getting kids outside more. /OutdoorKidsOT |

outdoorkidsot.com

If you are not on Pinterest, then we would recommend getting an account set up straight away.

SOURCE #5

It’s in your best Pinterest If you are not on Pinterest, then we would recommend getting an account set up straight away.

It is a fantastic way to source creative ideas from all over the world, with thousands of images and ideas being shared every day. You can make up boards and name them accordingly to keep track of any pins that interest ou and ou can search or s ecific occupational therapy boards or subjects.

At a quick search for occupational therapy activities for children we came across ideas for sensory rocessing scissor cutting s ills using ell a finger gym using lolly stick shapes, play dough recipe ideas, tips for making stress balls and so much more.

Set your account up today and open up a world of creative shared ideas. pinterest.co.uk

-magazine.co.uk

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26/02/2018 12:19

Kawa model

The

River of Life

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Third year occupational therapy students at Coventry University, Sam Dick and Lisa McGowan, share their experiences of using the Kawa Model in a school classroom setting.

-magazine.co.uk

26/02/2018 12:19

Kawa model “What is at the very root of this model is that it uses the metaphor of a river to represent or depict a person’s life journey and very simply said our role as occupational therapists is to unblock the obstacles that come into our lives, into our daily lives, and we find ways to enable greater flow in a person’s life.”

Michael Iwama, PhD, MSc, BScOT, BSc

A

s third-level occupational therapy students from Coventry University we had the opportunity of a contemporary practice placement in a mainstream school, Southam College. As a result of the contemporary nature of the placement, we had to establish our own interventions and pathway.

From our referrals, it became clear that there was a high number of pupils who were struggling to cope with feelings of anxiety. A study by Green et al. (2005) stated that about one in ten young people experience a mental health disorder. Also that anxiety and depression are the most common mental health difficulties and are often co-morbidities. That is approximately three students in a class of 30 who will feel unable to cope due to an inability to respond appropriately to everyday challenges.

The National Institute of Clinical Excellence (NICE) have placed an importance on early identification and treatment in their quality standard for the treatment of anxiety disorders as they believe it will reduce strain on healthcare services in the future (NICE 2014).

Although we are aware that many anxiety disorders go undiagnosed (NICE 2014), the government estimates that there is approximately 3,941 young people living with an anxiety disorder in Warwickshire, Southam Colleges Local County (Coventry and Rugby CCG 2015).

With this in mind we felt the need to address anxiety among the students as a preventive measure, to do this we decided to create a group using the Kawa Model (Iwama 2006).

In these groups we focused on a different occupation every week, we also did education around anxiety and provided some coping strategies for the students to use outside of the group. These occupations ranged from drama to music and art, an interest checklist was used to find out which occupations the pupils found

meaningful; assisting in the group session planning.

None of the students receiving therapy had an official diagnosis of an anxiety disorder, but we were aware that an early intervention could work to prevent these issues from developing further.

We modelled our groups on Michael Iwama’s Kawa Model, where the metaphor of a river is used to describe someone’s life. In this river metaphor the water represents your life flow. The river bed and walls represent your physical and social environment as these contain and control your life flow. There are also boulders in the river, which are situations or challenges which obstruct your life flow and also driftwood, representing personal factors, which can help to break your boulders but can also be obstructive or inconsequential.

We chose this model due to its simplicity, we felt like this model would be relevant to the young people and its subjective nature would really allow us to see things from their perspective. Often anxiety disorders cause people to misinterpret situations and we wanted to be empathetic.

Use of the Kawa Model was also justified by its use of accessible language in comparison to other models which uses some complex terminology, such as MOHO of CMOP-E (Polatajko, H.J. et al. (2007), Kielhofner (2008)). As a result we felt that Kawa would be the most suitable to use with this age range.

Getting Creative We created Kawa River Models during the first and final weeks of the group. Various mediums, such as coloured pencils along with modelling clay and crafting equipment were supplied for the pupils to create their own individual models and to encourage creativity.

While getting the pupils to create their own personal Kawa Models we both made one of our own, enabling us to build rapport and to ensure the students 

-magazine.co.uk

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ANO R PA

IA

Kawa model

N

DEPRES

LA

O CK F SLE

EP

Using the Kawa River Model as an unstandardised outcome measure proved to be very useful, providing a quick and easy way to see if the pupils felt any changes in themselves following intervention.

The Kawa River Model also enabled us to find a creative way to engage the pupils in a meaningful occupation of arts and crafts, while also enabling us to gather information from them in a way which they understood; it also highlighted some things which pupils did not discuss but were happy to add to their models.

S IO

would engage. We then compared the two models from week one and week four to use as a subjective outcome measure. This allowed the pupils to be reflective of their own strengths, weaknesses and environments.

POSITIVITY

On reflection, we believe that this model was an incredibly useful therapeutic tool, it seemed to suit this age range and condition extremely well and was a definite factor of the success we experienced from the groups. Some students said it was helpful in communicating what was wrong. We were aware that disclosing your issues to strangers is a difficult task, especially when the given age group are often considerably self-conscious; according to Erikson’s theory of psychosocial development during teenage years we struggle with identity, making our own and others judgements of ourselves increasingly important at this time (Loughler 2001).

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ANX

Y IET

We had some very creative variations of the model which was amazing to see. We had swamps and fish tanks and everything in between. All the students seemed to really enjoy the occupation of creating a model and we believe it made them identify their own boulders which they could then work on breaking down and removing. The creation of the Kawa River Model was a fun and engaging tool that helped them to develop ownership of their therapy. A personal highlight was the opportunity to meet Michael Iwama at the OT Show and tell him all about our experiences with the model!

VERT O R IN T

We believe the creation of the models was a helpful tool in creating that therapeutic relationship, and we noticed that some people had disclosed issues in their Kawa that they never would have told us verbally. It also helped us to prioritise what was meaningful to them, due to the size of their boulders or driftwood and what other components within the model that they interacted with. We also think it helped with building a partnership between the therapists and the young people.

-magazine.co.uk

26/02/2018 16:06

When was the last time your patients had a good night sleep?

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Are your patients suffering loss of sleep, anxiety and stress from noise? We can solve it. Our soundproof system works both ways in the house stopping noise coming in and noise going out.

Our soundproof systems are ideal solutions for persons who are suffering from unwanted noise causing pain, agony, stress, An OT supporting an autistic and anxiety and depression. noise sensitive child in soundproof environment.

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26/02/2018 13:57

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for sponsorship & exhibiting enquiries contact the team at 0117 990 2092

Adverts_OT-Iss21.indd 70

26/02/2018 13:57

Naidex 2018

A new Naidex

After an outstanding 2017 that saw Naidex grab the spotlight and reaffirm itself as Europe’s leading event for healthcare professionals, the show returns to Birmingham’s NEC on 25 & 26 April for a monumental 44th edition.

O

ver the past two years, this mighty event has been completely turned on its head by new organisers who have cultivated it to new, unrecognisable heights ith a oor lan double the size of last year, the introduction of brand new interactive features, and even more unmissable seminars, product launches and live demos, there are more opportunities than ever for delegates to get involved, test products and discover the future of the healthcare sector.

and exhibitors provide an exploration of accessibility in the built environment.

New Interactive Features for Healthcare Professionals

This year will welcome an impressive 300 industry-leading exhibitors to the oor rom all areas o the healthcare and rehabilitation sectors. Discover the latest equipment, watch live demos and talk to the experts from Ardoo, Novacare, Linet, ultifit roactive obilit and man more

The Moving and Handling Lab is a brand new feature which will provide healthcare professionals and carers with two full days of interactive training, to ensure the sa est and most dignified su ort and transportation of people with disabilities and special needs. The Lab will also showcase the most progressive patient handling equipment and technology available in the world.

The Home, Design and Build Summit is another new feature, sure to be awash with activity as world-class speakers

In addition to new features, Naidex will or the first time ever run alongside the Dementia Care and Nursing Home Expo, the only exhibition in the UK that focuses on business growth and improving overall care for residents.

More International Exhibitors, Divided into Sector Specific Areas

World-Class Speaker Agenda With only a matter of months until the show, the seminar agenda has been finalised and its trul unmissable his year will examine the topics which are currently shaping disability, as well as providing comprehensive insight into the future of healthcare. Naidex will

also introduce panel sessions, covering a variety of matters impacting people with disabilities. mong this ears s ea ers ou ll find the inister o tate or isabled eo le or and Health ational linical irector or lder eo le and erson entred ntegrated are at H ngland anaging irector o is olutions Executive Director of the National Care orum ommunications anager o the Health and are ro essions ouncil H ounder o nde endence and Chair of the Children and Young eo les ental Health oalition H to name a e There is an unbelievable two days a aiting visitors he th edition o Naidex promises to be the best healthcare event of the year - combining exciting interactive features, incredible networking opportunities, captivating demonstrations and best of all, Naidex is completely free to attend Register for your free ticket here. For sponsorship and exhibiting enquiries contact paige.lewin@prysmgroup.co.uk or call 01179902092.

-magazine.co.uk

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26/02/2018 12:21

NHS STAFF: SKILLS, RETENTION AND RECRUITMENT

THURSDAY 17 th MAY 2018

The Bridgewater Hall, Manchester Open Forum Events invites you to join us in Manchester for a conference incorporating the perspectives of policy makers, leaders from the health and social care sector as well as frontline staff who understand the clinical application of policy. Together, we look to construct an actionable strategy to support the NHS workforce in these trying times.

Speakers include:

ANITA CHARLESWORTH, Chief Economist, The Healthcare Foundation PROFESSOR MARTIN GREEN, Chief Executive, Care England

www.calvert-trust.org.uk/exmoor

#NHSOFE

Calvert Trust Exmoor enables people of and to experience exciting, challenging, and enjoyable accessible activity holidays with family and friends.

At our five star, fully accessible residential centre on the edge of Exmoor National Park all activities and facilities are specifically designed and equipped to cater for everyone.

Stay with us for a few days, a week, or just for the day; however long you’re here you’ll discover CAN

LUCY POWELL MP, Member of Parliament for Manchester Central

DR TONY O’SULLIVAN, Co-Chairperson, Keep Our NHS Public campaign group

www.openforumevents.co.uk

-

Kidz to Adultz Middle Thursday 15th March 2018

SERIES

9.30am - 4.30pm Ricoh Arena, Coventry, CV6 6GE

FREE Parking

100+ Exhibitors Equipment

FREE CPD Seminars

Services

Products

MAY 2018

2018

One of the largest FREE UK events supporting children & young adults up to 25 years with disabilities and additional needs, their families, carers and the professionals who support them.

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9 & 10

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Funding

In association with

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A chance to win a £200 voucher and many other prizes!

Register online for your FREE entry ticket and to be kept informed of future Disabled Living events and services.

Visitors are also welcome to register at the event. www.kidzexhibitions.co.uk Organised by Disabled Living: Email: info@disabledliving.co.uk or Tel: 0161 607 8200

Adverts_OT-Iss21.indd 72

EXHIBITORS

INTERACTIVE MASTERCLASSES | NETWORKING OPPORTUNITIES

ACTIVATE YOUR FREE TICKET AT COPASHOW.CO.UK TheCOPAshow #COPA GROW YOUR PRACTICE AND EXPAND YOUR PROFESSIONAL KNOWLEDGE.

26/02/2018 13:58

Novacorr Huntington’s

Huntington’s hits headlines

H

untington’s disease has recently made the press for all the right reasons.

The Huntington’s disease Centre of University College London recently completed trials showing for the first time a drug has lowered the levels of faulty protein known to cause the disease, indicating a possible reduction in the associated devastating cognitive, mental health and motor symptoms.

The ongoing trials are hoped to bring back conclusive results of a reduction in symptoms over extended periods of time.

From an OT’s perspective, there are still a lot of individuals in the later stages of Huntington’s that will not benefit from this apparent breakthrough. One major frustration for OTs has always been the lack of suitable equipment that protects clients from injuring themselves through impact injury or entrapment.

Managing director of Novacorr Keith Atkinson, visited a client with Huntington’s to look at manufacturing a bespoke solution for them. Novacorr had developed a deserved reputation for providing bespoke solutions - often for bariatric clients - but Keith had no prior knowledge of the disease.

with Huntington’s.

Both the chair and bed were developed in Australia with occupational therapists at Wesley Neurological Support Services in Melbourne, with the products designed not just to prevent injury, but to offer comfort and social inclusion too.

“Our community have embraced the Novacorr Huntington’s chair and bed as it meets their needs whilst the design resembles everyday household furniture...”

they are still not comfortable. A high side will not help the client be calm, because they are excluded from any social interaction. With the help of the OTs at The Wesley, we have developed products I am really proud of.”

Meanwhile, Tammy Gardener, CEO of Huntington’s Victoria says, “Our community have embraced the Novacorr Huntington’s chair and bed as it meets their needs whilst the design resembles everyday household furniture and not a hospital bed or chair. Huntington’s Victoria is privileged to be working with such a great team as Novacorr who care about the HD community.”

Keith said: “It was fundamentally important that the product protected the client from injuries, but we were all keen to develop a solution that offered the client some dignity.

The Huntington’s bed retains its name crediting its inspiration but has now found success with clients with acquired brain injury, cerebral palsy and other neurological conditions, where preventing injury and providing comfort are key.

“A padded box will not reduce the client’s choric movements, because

healthcare-matters.com 01978 269901

When first confronted by a client exhibiting the chorea symptoms, Keith was shocked and distressed.

The client was lying on a mattress on the floor, with the indignity upsetting Keith as much as the symptoms, driving Keith and his family over recent years to develop a unique range of products for clients

-magazine.co.uk

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26/02/2018 12:21

C&S seating

Crelling Harnesses Ltd.

Offerfair Business Park 12-14 Maunsell Road Castleham Ind Est St Leonards-on-Sea TN38 9NN

Tel: 01253 852298 Email: info@crelling.com www.crelling.com

info@ cands-seating.co.uk www.cands-seating.co.uk

Crelling Harnesses manufacture a full range of special needs harnesses suitable for use on all kinds of equipment including wheelchairs, buggies, scooters, shower chairs, bathing equipment, stair lifts and seats in cars, buses and aircraft etc.

01424 853331

Products designed and developed to aid basic postural management.

T Rolls T Rolls are used to control position of the body in supine lying.

The vehicle harnesses are designed to be worn in conjunction with the existing safety belts to provide additional postural support and/ or to offer a certain degree of restraint when used for those passengers with behavioural problems or learning difficulties.

See our web site for our full range of postural control & support products.

Alternative Positioning Support The APS is designed for use where more control of the abducted lower limbs is required.

We make simple belts and full supportive harnesses for all kinds of special needs, including challenging behaviour

Made in UK

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3 PRODUCTS IN

11/07/2017 09:19

DIGNITY BIBS

BibblePlus are the practical, stylish and discrete solution for older children and adults who have difficulties with drooling and dribbling.

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2) Sitting  Over 50 different colours/designs  Bandana Bibs available in 4 sizes  Long Length Clothing Protectors  Smart Dining Bibs

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UK's leading manufacturer of bespoke specialist beds & cots t: 01233 635353 w: www.centrobed.com e: sales@centrobed.com

15% Off Your 1st Order. Enter code OT15 at the checkout

Adverts_OT-Iss21.indd 74

26/02/2018 13:59

Student Advice

It’s that time of year again The third trimester is now well underway and for many, the term sees the most deadlines of the year. Here are our three tips on how to reach the finish line.

T

he January blues have passed, you’ve muddled through February and now the early throws of Spring are here, but you’re still feeling a bit, well, disenchanted. The first few months of the year are always an awkward time.

You’ve returned to normality following the festivities and can’t help but feel a bit down in January. You may then let the dreariness seep into February with things like the weather not getting any better or the reality of normality finally properly setting in.

A rut like this can be tricky to get out of, even though brighter mornings are upon us and the Christmas season feels like a lifetime ago.

It also doesn’t help that you are now entering the business end of the academic year and deadlines are looming, decisions are to be made, and your to do list is growing.

You now officially need to get out of that funk.

Make time for yourself A lot of winter blues come from a lack of energy or motivation to do much at all, let alone to do course work. The weather is

slowly but surely clearing up and with it a shift in attitude can help get you back in the swing of your routine. Why not try and clear your mind ahead of getting started. A spring clean of your study area or self-care plan may energise you to have a more positive outlook on your workload and encourage you to make productivity part of your lifestyle.

Be honest with yourself When trying to work out how to regain your motivation, the smaller the steps the better. Be realistic with yourself when you are planning how to tackle your assignments to ensure you do not become overwhelmed.

Set aside time dedicated to each thing on your to do list and don’t be distracted by anything else. By forcing yourself to concentrate and empty your mind of other worries, you’re more likely to get something done. Once you have it finished and have a sense of achievement, it will become easier to get into a routine of productivity and back on the horse.

“A lot of winter blues come from a lack of energy or motivation to do much at all, let alone Keep sight of what you want out of it all to do course At the end of the day, you are doing your degree for a reason. Whether work.” it be to graduate straight into the job market or use your degree to springboard you into a masters or another course, that finish line will get you there. If you have put in the hours to get to this stage, there’s no point in dropping the ball now. By keeping calm and knowing that it will be here and gone before you know, it will give a sense of perspective when it comes to the bigger picture. You were capable of getting this far, you can get to summer!

-magazine.co.uk

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26/02/2018 16:16

For over four decades, Wessex Lift Co. Ltd. has been leading the way in mobility and accessibility solutions and creating innovative designs.

Contact for more information;

Designer of the Market Leading Wessex Home Lift

01794 830303 / info@wessexlifts.co.uk

Peterborough 2018

FR

EE

TO

AT T

The Most Comprehensive Regional Disability Event Within The UK

EN

D

Uniting Disability Services Thursday 12th July

Moving & Handling

Occupational Therapy

9:30am- 4:00pm

Integration Theatre

Mobility & Travel

Postural Management

East of England Arena and Events Centre Alwaton, Peterborough PE2 6XE

Housing & Adaptation

20+ CPD Sessions

100+

Register for FREE!

Event Partners

Brought to you by

EXHIBITORS www.rise4disability.com/Venues/Peterborough

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Media Partners

info@rise4disability.com

01268 206251

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Yourevents If you have, or know of, an event please email it into enquiries@2apublishing.co.uk

14 March

16 March

26 April

Jacqueline Webb Training Event

BAPO

OTAC Leeds

Birmingham Venue Learn about expert work to decide whether it’s right for you at a Jacqueline Webb Training’s Inside the Expert Witness World seminar.

The seminars last 75 minutes and are followed by refreshments. To book visit jwebb.co.uk/booking or call 01722 342 513.

15 March

Kidz to Adultz in the Middle Ricoh Arena, Coventry A free event supporting children and young adults up to 25 years with disabilities and additional needs, their families, carers and all professionals who support them.

Boost your CPD by attending one of 10 free accredited seminars.

For more info call 0161 607 8200 or visit kidzexhibitions.co.uk to download your free visitor entry ticket.

Lancashire County Cricket Club The clinical programme has had a shake up with the introduction of practical workshops and innovation seminars running alongside the usual clinical programme. For further speakers and programme details visit the conference page at www.bapo.com.

25-26 April

The Dementia Care and Nursing Home Expo NEC, Birmingham The Dementia Care and Nursing Home Expo is the only dedicated trade show for care home owners.

CPD seminars, led by exclusively selected speakers, will provide unparalleled advice on how to obtain an outstanding rating from CQC, whilst keeping person-centred care at the heart of the service.

Book your free tickets at carehomeexpo.co.uk.

EVERY ISSUE

Weetwood Hall Hotel

we bring you the latest events taking place in the OT calendar.

Brought to you

by Promoting Independence, the conference focuses on bringing suppliers and OTs together in one place in various venues across the UK. For more information and to register for your free ticket visit otac.org.uk.

9-10 May

COPA Series 2018 ExCel London Europe’s leading event for rehabilitation professionals – grow your practice, expand your professional knowledge. The event for physios, chiros, osteos, podiatrists, physical therapists, OTs, and prosthetics & orthotics experts.

To book your free tickets, please go to copashow.co.uk.

25-26 April

Naidex NEC, Birmingham Naidex is Europe’s most exciting event dedicated to the disability, independent living and healthcare professional sectors.

Find out more on page 69 and register for your free ticket at naidex.co.uk.

OT-magazine.co.uk

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EDGE services

Adverts_OT-Iss21.indd 78 2 Edge PEOPLE 2018 Ad.indd

26/02/2018 30/01/2018 13:59 18:01

BY K AT E LOVETT, EDG E SERVI C ES

Manual handling training

Training & Recruitment

How to measure its effectiveness

I

f you deliver manual handling training, then you know how important it is to measure effectiveness to ensure money or time provides a good return.

The Kirkpatrick Four-Level Training Evaluation Model objectively analyses effectiveness and impact.

Donald Kirkpatrick, Professor Emeritus at the University of Wisconsin and former president of American Society for Training and Development, published his Four-Level Training Evaluation Model in 1959, updated it in 1975 and again in 1994 in Evaluating Training Programs.

Level 1: Reaction This measures how trainees reacted to training.

Was it a valuable experience? Did they feel good about the topic, presenter, materials or the venue?

Usually, detailed evaluations are conducted to measure what worked, which should be acted upon to ensure future training events have a positive reaction.

Level 2: Learning This is where you measure how much knowledge was increased from the training.

When you planned the program you probably had learning objectives. They

Usually, detailed evaluations are conducted to measure what worked, which should be acted upon to ensure future training events have a positive reaction.

may be to change levels of knowledge, skills or attitude as a result and these must be measured to know what has been learned.

Level 3: Behaviour Here you evaluate changes in workplace behaviours based on training received.

This considers how trainees apply information. From a manual handling perspective, are trainees using equipment and techniques as advised?

Are risk assessments being adhered to?

Conditions must be conducive to enable behaviour change and staff need support from line managers, policies and procedures.

Level 4 – Results At this level, you analyse final results.

Can training be translated into tangible benefits? Have techniques and procedures improved? Are there fewer accidents or incidents and has this lowered insurance premiums? Do we have improved morale and reduced stress? Are risk assessments thorough, regularly reviewed and acted upon and have these reduced legal costs or compensation cases? Is there an enhanced reputation and fewer relative complaints? Are staff more skilled and is there less turnover?

These metrics impact on the bottom line as training must improve performance and competence. It must deliver results in line with corporate key performance indicators and be cost effective.

This plan can be revisited after training to assess effectiveness using KPIs. An example might be a KPI to reduce staff sickness and absence due to manual handling activities by 10% over one year, equating to a monetary of £12000. If the cost of training (including staff time out etc) was £8000, the direct saving is £4000. With a system measuring and evaluating this, there is a tangible correlation between investment into training and the benefit to the organisation.

-magazine.co.uk

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Training & Recruitment

Case Managers

wanted

ILS – a leading case management and rehabilitation company – seeks case managers from across the UK to complete our team.

Key requirements: Occupational therapist with extensive experience of working with clients who have sustained catastrophic injuries.

Experience of working with clients in the community and professional abilities within the field of complex, long-term health care assessment, care planning and outcomes for clients.

Current professional registration and an up-to-date CPD portfolio.

We have a variety of contracts available, including employed roles on a salaried or hourly basis, or on a self-employed basis. Roles are home based with travel and client visits within your geographical area.

For an informal chat about the role please contact Phil Perry and Sarah Ransome, Operations Managers on 01722 742442. Alternatively you can view all of our vacancies at: www.indliv.co.uk/about-us/careers

Adverts_OT-Iss21.indd 80

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Training & Recruitment

Case Managers

Maximise Your

Managers needed to join our passionate and innovative team.

Become an Expert Witness

and Assistant Case

Potential

Jacqueline Webb

HOME-BASED EXCELLENT REMUNERATION LOCAL CASES

You will be a talented professional with at least 4 years post qualification experience, HCPC registration and will share our ethos of working to the highest standards in a genuinely caring environment.

• Work with like-minded clinicians at the top of their field, most of whom are Occupational Therapists • As an Expert Witness you will have access to continuous, collaborative and structured professional development • Use your current occupational therapy skills, but with a wider range of options to ensure the claimant receives the care, equipment or adaptation that is right for them • Occupational Therapists can make great Expert Witnesses, speak to us to find out how you could become an Expert Learn more by visiting our website; attending one of our free seminars, join one of our webinars or give us a call!

We are a leading provider of case management throughout the UK, Europe and Worldwide Ensuring quality of life solutions, maximising independence and opportunity for severely injured adults and children.

Please email Claire Udell : claire@ccmservices.co.uk

*All posts are subject to DBS Enhanced Disclosure

01608 682 522

www.ccmservices.co.uk

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W: www.jwebb.co.uk T: 01722 342 512 E: recruitment@jwebb.co.uk

Britain’s No.1 Rehab Cost Consultancy

Jacqueline Webb

24/10/2017 16:11

Housing Adaptation & Design Courses

EXPERT WITNESS

Are you a driven professional who is eager for the next challenge? Do you want to be part of a dynamic team that provide first class reports to their clients?

Tessa Gough & Associates are leading care experts in the provision of expert witness reports for personal injury and medical negligence claims. We report on the care and equipment needs of claimants with a range of injuries and we also provide liability reports for nursing health visiting and midwifery.

Due to ongoing expansion we are particularly interested in hearing from registered Occupational Therapists with significant experience within your field at a senior level in any of the following: Brain Injury, Spinal Injury, Orthopaedics amputations or Paediatrics.

This is a self employed position with flexible working hours, requiring travel throughout the UK. To meet the demands of this position you will:

Courses held in London & Scotland - open to all.

Courses include: Ramps, Access Lifts, Reading Plans, Bathroom Adaptations, Accessible Kitchens, Adapting for Children with Challenging Behaviour and more!

07909-582491

Adverts_OT-Iss21.indd 81

> Be a confident and effective communicator. > Have excellent assessment, analytical and reporting skills. > Be self motivated, well organised and flexible. > Benefit from training and ongoing support.

For more information about this work, please visit our website: www.tessagough.co.uk To apply please send a CV and covering letter to info@tessagough.co.uk Or for an informal discussion please contact Tessa Gough or Marc Mercer on 0207 435 9247

www.viva-access.com

26/02/2018 14:00

Heading here

Your Voice Counts We want your help to shape The OT Magazine. We are constantly striving to ensure we get the content right to provide you with an enjoyable and informative magazine.

We would really appreciate if you could take the time to share your thoughts and ideas with us.

Your details Name: .................................................................................................

Address: .............................................................................................. ............................................................................................................... ...............................................................................................................

Your voice What would you like to see more of in the magazine:  Products  Emerging roles  Columns from OTs  Creative methods implemented by OTs  Services available for patients/clients  Information on accessible holidays or respite

Postcode: ...........................................................................................

 Information on CPD and events

Tel: ........................................................................................................

Other (please specify)........................................................ ..................................................................................................

Email: ...................................................................................................

Your comments...

You are:

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An occupational therapist ......................................................... An independent occupational therapist ............................... A student of occupational therapy ......................................... What band of OT are you?

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What area of OT do you work in?

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Please post your form back to The OT Magazine, Caledonia House, Evanton Drive, Thornliebank Ind Est, Glasgow, G46 8JT

-magazine.co.uk

26/02/2018 12:23

at

s tu ex 2 si Vi id 1117 NaStand

NEW! Hi Low Chair Bed with dynamic air matt

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26/02/2018 14:00

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with a choice of a comfort chair for the day and an electronically adjustable bed for during the night.

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†Orders received before 12pm will be delivered in two working days. Restrictions apply, see in-store or online for details at www.hslchairs.com *All riser recliners and beds are available VAT-free for eligible customers. **Applies to Oakdale Comfort Chair available in Garland Tapestry. †Applies to Haydock in Bouclé Oyster and Bouclé Cocoa. ††STRESSLESS® products produced by our Norwegian partner.

FREE CATALOGUE and FABRIC CARD or call 01924 507050 Quote OT26

WARRINGTON Chetham Court, Calver Road, Winwick Quay WA2 8RF Tel: 01925 748 387

Please call me to arrange a Home Visit.

NORTH EAST

Name

DEWSBURY 33 Bradford Rd WF13 2DU Tel: 01924 464796

Address

GUISELEY Otley Road, White Cross Leeds LS20 8LZ Tel: 0113 819 9930

Postcode Telephone

Adverts_OT-Iss21.indd 84

BLACKPOOL 378 Talbot Road FY3 7AT Tel: 01253 305098

STOCKPORT Water Street, Portwood SK1 2BU Tel: 0161 480 5281

Please send me a free catalogue pack.

Freepost Plus RTKE-LARX-YJSS, HSL (Dept. OT26), Unit 1-3, Grange Road Industrial Estate, Grange Road, Batley WF17 6LN

AINTREE Brenka Avenue, off Ormskirk Road, L9 5AW Tel: 0151 523 0614

CHESTER Boughton CH3 5AF Tel: 01244 314620

Calls answered 24 hours a day, 7 days a week

Email

NORTH WEST

BURNLEY Factory Outlet Store 81 Hammerton Street BB11 1LE Tel: 01282 479462

or visit www.hslchairs.com

NO STAMP REQUIRED

Sofa, chaise longue or bed, all in one

There’s a great deal more at your local HSL store. Open Mon-Sat 9am-5pm / Sunday 10am-4pm.

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Please cut out and post for your

Haydock

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YORK Stirling Road, Clifton Moor YO30 4WZ Tel: 01904 406688

LONDON & SOUTH EAST

MIDLANDS

CATERHAM-ON-THE-HILL 46-48 Chaldon Road CR3 5PE Tel: 01883 332998

BIRMINGHAM 282 Hagley Road, Edgbaston B17 8DJ Tel: 0121 429 6566

FARNBOROUGH 46-48 Victoria Road GU14 7PG Tel: 01252 856915

COVENTRY Unit 17, Warwickshire Shopping Park CV3 2SB Tel: 02476 620267 HENLEY-IN-ARDEN 181 High Street, B95 5BA Tel: 01564 795787 LEICESTER The Old Braunstone, Fullhurst Avenue, off Narborough Road LE3 2RB Tel: 0116 243 7432 LICHFIELD No. 1 The Works, Eastern Avenue WS13 6UY Tel: 01543 439772 LINCOLN 150 Newark Road LN5 8QJ Tel: 01522 775805 NEWCASTLE-UNDER-LYME 196 Liverpool Road, ST5 9ED Tel: 01782 631953

HULL 79 Clough Road HU6 7PL Tel: 01482 236705

NOTTINGHAM 255-259 Derby Road, Bramcote NG9 3JA Tel: 0115 939 4509

NEWCASTLE UPON TYNE Dutton Court, Chainbridge Road, Blaydon NE21 5ST Tel: 0191 414 0089

PETERBOROUGH Aston Business Park, Shrewsbury Avenue PE2 7BX Tel: 01733 860003

PLYMOUTH Ferryport View, Millbay Road PL1 3FQ Tel: 01752 263683

TOLWORTH 2 Red Lion Plaza, 366 Ewell Road KT6 7AZ Tel: 020 8987 5471

SWANSEA Lion Way Retail Park SA7 9FB Tel: 01792 293118

SOUTH COAST

HENLEY-ON-THAMES 18-20 Reading Road RG9 1AG Tel: 01491 411812

BRIGHTON & HOVE Newtown Road Trade Park BN3 7BA Tel: 01273 711576

IPSWICH 92 Fore Hamlet, IP3 8AF Tel: 01473 559058

POOLE 380 Poole Road BH12 1DA Tel: 01202 765037

KING’S LYNN Tottenhill Retail Park PE33 0SR Tel: 01553 611696 LETCHWORTH Arden Press House, Pixmore Avenue SG6 1LJ Tel: 01462 482310 MAIDSTONE Farleigh Hill Retail Park, Farleigh Hill, Tovil ME15 6RQ Tel: 01622 828458 MILTON KEYNES Stacey Bushes Trading Centre, Erica Road MK12 6HS Tel: 01908 711290 NORWICH Amsterdam Way NR6 6EP Tel: 01603 673940 ORPINGTON 168-170 High Street BR6 0JW Tel: 01689 867820

ROTHERHAM 207 Bawtry Road, SHREWSBURY Bramley S66 2TP Westbury Garage, Arlington Way Tel: 01709 546705 SY1 4NU Tel: 01743 211267

OXFORD Lamarsh Road OX2 0PB Tel: 01865 360002

STOCKTON-ON-TEES Ross Road, Portrack Lane TS18 2NH Tel: 01642 618433

RAYLEIGH 235-237 Eastwood Road SS6 7LF Tel: 01702 567357

WELLINGBOROUGH 51 London Road NN8 2DP Tel: 01933 449143

ROMFORD 270 Hornchurch Road RM11 1PZ Tel: 01708 474133

SOUTHAMPTON 9 Lower Northam Road, Hedge End Village SO30 4FN Tel: 01489 787851 ST. LEONARDS-ON-SEA 1 Marine Court, Marina TN38 0DX Tel: 01424 460511 WALES & SOUTH WEST BATH Noads Corner, Upper Bloomfield Road BA2 2RX Tel: 01225 300273 BRISTOL 4-5 Concorde Drive, off Greystoke Avenue, Westbury-on-Trym BS10 6PZ Tel: 0117 950 8253 CARDIFF Penarth Road Retail Park CF11 8EF Tel: 029 2070 7287 CHELTENHAM Gallagher Retail Park, Manor Road GL51 9RR Tel: 01242 578334

SWINDON I O Trade Centre, Hobley Drive SN3 4NS Tel: 01793 744 063 TAUNTON 2 Wellington New Road TA1 5NF Tel: 01823 429003 TRURO Chiverton Cross TR4 8HS Tel: 01872 487028 SCOTLAND ABERDEEN Haudagain Retail Park, Great Northern Road, Woodside AB24 2BQ Tel: 01224 660958 BATHGATE 24 Glasgow Road EH48 2AG Tel: 01506 650579 DUNDEE City Quay, Camperdown Street DD1 3JA Tel: 01382 339800 EDINBURGH Abbeyhill Industrial Estate, Abbey Lane EH8 8HH Tel: 0131 285 1882 GLASGOW Knightscliffe Retail Park, Great Western Road, G13 2TG Tel: 0141 954 0290 NORTHERN IRELAND

NEWTOWNABBEY Showroom 11, Valley Business EXETER Dunns Business Centre, Centre, 67 Church Road Trusham Road, Marsh Barton BT36 7LS Tel: 01924 486900 Open on Fridays and Saturdays EX2 8NW Tel: 01392 409744

26/02/2018 14:00