September/October 2015 • Issue 6
Improving Independence
fashion meets function
going
independent Business advice to get you started
dementia care Maintaining independence
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Welcome
welcome W
e lc o m e t o t h e l at e s t issue of The OT Magazine. Dementia has taken centre stage this issue as we explore the products available to help someone with dementia to remain at home as long as possible, keeping their independence and providing family with reassurance through telecare assistance. Remaining on this theme, we also look at the cost savings to the Government and NHS that can be made from investing in independent living equipment for the home. Keeping people out of hospital beds and in their own home can not only be beneficial from a financial perspective, but it can also be beneficial to the patient as they remain in a familiar environment, close to family and friends and retain their independence.
an OT who works in a forensic mental health setting at Bowman Low Secure Unit. Harriet shares with us the challenges and rewards that her job can offer on a daily basis. Jen Gash, founder of OTcoach, has also shared her journey of becoming an OT coach and rediscovering occupational therapy. In addition to this we have Kate Sheehan’s regular column, a wealth of innovative products to aid independent living for both children and adults and a fantastic feature on inclusive cycling. With the OT Show fast approaching you will find some information on what’s new for this year on page 29 and we hope to see many of you there in November. We hope you enjoy the magazine and as always please don’t hesitate to contact us with your thoughts and ideas. ■
Also in this issue we hear from Harriet Heaton-Pike,
The team Editor: Staff Writer: Staff Writer: Designer: Sales:
Rosalind Tulloch Lisa Mitchell Dionne Kennedy Katie White Robin Wilson
Contributors Kate Sheehan, Caroline Molloy, Andrew Gubbins, Dawn Fraser, Matthew Box, Harriet Heaton-Pike, Kit Sinclair, Adam Bernstein, Jen Gash
Ros, Editor
t m t m t m
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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 2015 © 2A Publishing Limited.All Rights Reserved. ISSN 2056-7146
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-magazine.co.uk
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contents September/October 2015
07 WHAT’S NEW We explore what’s happening in the
healthcare sector
13 SHOWER, BATH OR BOTH?
Kate Sheehan shares her thoughts
15 FASHION MEETS FUNCTION
52
Founders of Open Style Lab discuss how their programme helps make style accessible
19 PRODUCT FOCUS
We display some of the innovative products available to aid independent living
22 OT APPROVED
Caroline Molloy gives her stamp of approval to products available on the market today
25 A DAY IN THE LIFE OF AN OT
Each issue we speak to a different OT about what their job entails.
15 29 THE OT SHOW
What’s new for the 2015 show
30 DISASTER IS EVERYONE’S BUSINESS
29
The WFOT discuss responding to major disasters
32 INCLUSIVE CYCLING
A look at the latest innovations to make cycling accessible to all
37 UTILISING TESTIMONIALS let us know your thoughts on the ot magazine Email ros@2apublishing.co.uk
4
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-magazine.co.uk
Inclusion.Me offer advice on harnessing testimonials for independent OTs
38 PRODUCT FOCUS
More innovative products
SUBS74 C todaRIBE y fo
32
r fr
ee!
43 dementia care
A look at how technology can help dementia patients maintain independence
equipment to elongate independence in the home
39
62 EVENTS CALENDAR 47 rediscovering OCCUPATIONAL THERAPY
65 STUDENT ADVICE
OTCoach Jen Gash shares her experiences of finding coaching
50 CHILDRENS PRODUCTS
Harriet Heaton-Pike speaks about working at Bowman Low Secure Unit
60 INVEST A LITTLE, SAVE A LOT
Dawn Fraser offers advice on getting the best start at university
The best children’s products on the market
57 FORENSIC MENTAL HEALTH
Exhibitions, conferences and training days for OTs
Looking at the installation of mobility
67 BEHIND THE WHEEL We look at learning to drive with a disability
68 GOING INDEPENDENT
We look at the basics of establishing yourself as an independent OT www.
-magazine.co.uk
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what’s
new
We explore what’s happening in the healthcare sector, from new products and services to inspirational stories
New independent living unit for autistic adults opens A new residential facility for people with autistic spectrum disorder, the first of its kind on the Isle of Wight, was opened in Sandown on 18 June. The facility consists of three new units, which were funded by the Fair Haven Housing Trust and built by Southern Housing Group, who will manage and provide support at the property. The two new bungalows and one converted flat will allow three adults with autistic spectrum disorder to live independently with the benefit of support from Southern Housing Group staff.
disabilities. “This unique project has raised the profile of people with autism on the island and has provided a great new facility. We look forward to continuing our excellent relationship.”
Naomi Somerville, head of Southern Housing Group’s Care and Supporting Independence team thanked Fair Haven Housing Trust for funding the project, saying: “We’ve worked with Fair Haven on several projects and we share a commitment to providing accommodation and services to adults with autism and learning
Rosemary Marsh, a Trustee of the Fair Haven Housing Trust, believes the project would make a huge difference in the lives of the residents, she said: “We have been delighted to work with our friends at Southern Housing Group to create the new homes and provide three people with autism secure and happy lives.” ■
Study to shape the future of dementia care
A
study, which will shape the future of education and training around dementia within the NHS, has been launched by health researchers at three Yorkshire universities. The research team, led by Claire Surr, Professor of Dementia Studies at Leeds Beckett University, alongside collaborators from the University of Bradford and the University of Leeds, will investigate the most effective approaches to training health and social care staff about dementia. Results from the study will help ensure that money is invested in effective training that supports better care for people with dementia. › www.
-magazine.co.uk
7
what’s new
Moving & Handling People 2016 Programme Announced
› The study, ‘What Works? Evaluation’, is funded by the Department of Health’s Policy Research Programme on behalf of Health Education England and is due to be completed in July 2017.
The Disabled Living Foundation (DLF) has announced that Moving & Handling People 2016 will take place on Tuesday 2nd and Wednesday 3rd February 2016 at the Human Rights Action Centre, Amnesty International’s HQ in Shoreditch. ‘Care in Action - Safe Routes to Best Practice,’ will offer delegates two days of CPD training based on their tried and tested formula of practical workshops, focus seminars and plenary conference sessions.
Speaking about the launch of the study, Professor Claire Surr said: “Providing high quality care for people with dementia relies on knowledgeable and skilled staff. Research shows that effective education and training can, lead to better quality care. However, we also know not all training is effective, meaning it is wasting time and money. We need to know more about what effective dementia training looks like and this
Providing high quality care for people with dementia relies on knowledgeable and skilled staff
All delegates attend four practical workshops which in 2016 will include ‘Trial by Jury’ involving real-life cases, ‘Touch: Communicating with People with Dementia’ in which the session is based on
research will provide the field with good evidence about the ingredients needed for effective dementia training.” The ‘What Works?’ study will involve a survey to gather data on existing d e m e nt i a t ra i n i n g p ro gra m m e s. The researchers will then conduct more detailed research on selected programmes to look at how effective they are and identify ways they can be improved. They will then work with a number of organisations to implement the best training programmes they have identified to see which produce the best outcomes for people with dementia and provide the best value for money. The results of the research study will be used to develop policy and commissioning guidelines for use by the Government, Health Education England and Local Education and Training Boards (LETBs), alongside good practice guidelines for health and social care organisations and education and training providers. ■ 8
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-magazine.co.uk
the concept that people with cognitive impairment respond more to touch, because of their sensory needs, ‘Moving & Handling in Single-handed Care Situations’ and ‘Moving & Handling and Wheelchairs’, a workshop which aims to explore the hazards and risks which are commonly overlooked within the moving and handling wheelchair assessment. The two keynote addresses will be ‘An Inspector Calls – A CQC Inspection’, delivered by a leading speaker from the Care Quality Commission and ‘Moving & Handling - the State of the Profession’, delivered by Charmian Romano a highly respected specialist in this field and a favourite at DLF’s Moving
Volunteers’ Inventions
I
ngenious aids and inventions, all custom-made by volunteers for the charity Remap, won prizes at a recent awards ceremony.
The annual awards are given in recognition of the commitment of the many volunteers who help disabled people in their local communities. This year’s winners range from simple yet ingenious devices like the tissue ball invented by Allen Norris to help someone with motor neurone disease pick up a tissue, through to a wheelchair camera mount made by Austin Hughes that has transformed the life of a photographer in Yorkshire. Ena’s world was transformed by a prosthetic shoulder created by Remap volunteer Alan Hart, giving her the confidence to get out and about again, following drastic surgery. Children were helped too with Evie’s bed, designed by Alan
New Care Guidelines The NHS have announced new draft guidelines to help transform the care of people with learning disabilities and/or autism. The new draft service model is the latest piece of work to emerge from the Transforming Care for People with Learning Disabilities programme, which is a joint piece of work between the NHS England, the LGA, ADASS, the Care Quality Commission (CQC), Health Education England (HEE) and the Department of Health (DH).
& Handling People. Chris Shaw, Chief Executive of the Disabled Living Foundation commented: “DLF hears all the time that people get confused about the equipment that will help them live safely and independently. The beauty of an event like this is that you are sharing the learning experience in both a practical hands-on way whilst getting to grips with the underlying theory at the same time.”
rather than the full rate £325 + VAT and the Disabled Living Foundation is expecting bookings to be made earlier this year as the event has limited places and it will be ‘first come, first served’. All delegates gain a year’s access to the moving and handling section of DLF Data www.dlf-data.org. uk as part of their booking fee and DLF Data is now available on mobile devices for prescribing on the move. ■
The Service Model sets out nine overarching principles which define what ‘good’ services for people with learning disabilities and/or autism are. Highlights are set to include, providing more proactive, preventative care, with better identification of people at risk and early intervention, empowering people with a learning disability and/or autism, for instance through the expansion of personal budgets and personal health budgets and independent advocacy. Ensuring access to activities and services that enable people with
Further programme details as well as delegate bookings can be seen
Early birds can benefit from a saving by booking before September 30 2015 £275 + VAT
on the event’s dedicated website www.movingandhandlingpeople. co.uk
Win Awards Catherine providing safety and security at night. And specially mounted archery bows by Derek Matthews got some children firing arrows at last. Giving the awards, Remap’s president Heinz Wolff commented: “At Remap we find creative ideas come to life in the form of practical aids to daily living, made by resourceful and skilled volunteers. These inventions totally transform the lives of thousands of people every year.” Remap is a charity that provides custom-made equipment for disabled people of all ages, free of charge. For over 50 years, this charity has been quietly helping thousands of people with disabilities to live more independently. Almost uniquely in the voluntary sector, Remap both meets a need in the community and offers its volunteers something that is stimulating and challenging. It has a network of over 70 groups across England and Wales, so there is probably help near you. ■
a learning disability and/or autism to lead a fulfilling, purposeful life . Jolanta Lasota, CEO Ambitious about Autism explains why these principles are so important for those with autism and how they affect their education: “One in a hundred people in the UK have autism, so it is crucial that Government, healthcare professionals and local authorities understand that with the right support, planning and opportunities across their support network, many people with autism have the ability to lead a fulfilling and purposeful life. “Whilst education is crucial to personal development, it can only be effective within a wider framework of good health and social care arrangements. We are delighted to see all-round quality of care for those with autism being addressed by the NHS and hope it goes a long way to supporting those with autism and other less visible disabilities.” ■ For further information, visit
For more information, visit the Remap website at www.remap.
www.ambitiousaboutautism.org.uk
org.uk or phone the national office on 01732 760209.
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-magazine.co.uk
9
what’s new
COTSS-Housing Relaunched in Northern Ireland
O
Ts from all five NHS Health Trusts gathered to relaunch COTSS-Housing in Northern Ireland at the first of the specialist section’s study days at the Unison building in Belfast. The event was sponsored by Unison, Impey and Evolution Health Care and supported by companies Disability Needs and Care & Assist. Delegates also received information from Pollocks Lifts and the latest copy of The OT Magazine. NI COT policy officer Kate Lesslar and NI COT secretary Lorinda Sharkey also provided support to the study day. The delegates were welcomed by Mary Stobie NI rep, who invited discussion on the future of the section in Northern Ireland and she spoke about the benefits of having a proactive solid membership, explaining that together we can achieve more. Delegates had the opportunity to share their thoughts on what things, if changed, would improve services and outcomes in their particular specialty. This information will be collated and used to create a project framework for the specialist section for the next couple of years. The programme included presentations from Impey’s group product manager and technical manager who explained the research and development that goes into
the products and the latest products and designs available to purchasers. The afternoon programme started with a presentation from Dean Cook, a representative from Evolution Healthcare who spoke about the benefits for modular and portable ramps and Shane Elliott, Professional Lead, OT service for the Northern Trust explained the temporary role the ramps play in the Northern Trust where time is a major factor in enabling someone to return to or remain at home. Caroline Cooley, community care solicitor from the Law Centre NI gave a thought-provoking presentation on the practical implications for OT decision making and practise with regard to human rights and the law and Rachel Gibbs, Professional Lead for the South Eastern Trust spoke on the OT role in obesity. The final presentations of the day were given by Paraig O’Brien, an OT who holds a unique post as Housing Adaptations Liaisons Manager with NIHE and Shane Elliott who is the current holder of the Elma Shearer Award, an award presented by the Housing specialist section to the OT who, in the opinion of his/her peers in the section, has excelled in promoting the role of OT in the Housing arena. ■
Free Care Act OT Training Inclusion.Me are pleased to announce that this October they will be running a training session around the recent new legislation on the Care Act. Run by Michael Mandelstam and aimed at benefiting both local authority and independent OTs. • Cost: Free (Please note that there are 70 subsidised places available for this day - due to likely over subscription, priority will be given to Inclusion.Me associates and OTs attending on behalf of local authorities). Lunch included. • Location: Inclusion.Me office, Calverley House, 55 Calverley Road, Tunbridge Wells, TN1 2TU • Date: 22 October 2015 10 www.
-magazine.co.uk
This course will provide an outline of the Care Act 2014, which replaces all previous adult social care legislation. Including the new well-being duty, emphasis on prevention and informal carers, new rules about eligibility (outcomes and wellbeing), independent advocacy and new duties relating to prisons.
the basis of work commissioned by local authorities. In addition, the Care Act gives social services greater powers to delegate its own decision-making functions to independent organisations. Representing new business opportunities for the independent sector.
For OTs it considers the place of reablement, equipment and minor adaptations, as well as integration between social services and the NHS. Also the interface with other legislation, including DFG legislation, the NHS Act 2006 and Mental Capacity Act 2005. All this will inform independent OTs of
Further training days on the Care Act are likely to be run in 2016 and unsuccessful applicants will be informed of further course details as soon as they are known. ■ For more information on this event and to register your interest in attending the day please email info@inclusion.me.uk.
OTAC 2nd Occupational Therapy Adaptations Conference The UK’s only FREE Occupational Therapy Adaptations Conference and Exhibition Event
Wednesday 9th Dec 2015 St David’s Hotel & Spa, Cardiff Bay, Cardiff
Highlights from our 12 seminars Trish Sweeney Trish is an Occupational Therapist, Access Consultant and Managing Director of Viva Access Ltd – specialists in inclusive housing design. Viva Access is well established as a provider of housing training to OT and other services throughout the UK and Ireland.
Drawing Software For OTs Computer Aided Design (CAD) software is used increasingly by architects, surveyors and other professionals in the design of buildings and spaces. Drawings are issued increasingly to occupational therapists (OTs) in pdf format and transmitted electronically (via email). This seminar explores the challenges to OTs in terms of dealing with electronic drawings and introduces two programmes commonly used to review, design or adapt schemes, namely: Adobe Professional - a programme (software download) used by most Access Consultants and many OTs tasked with the assessment of drawings for their accessibility and the annotation of same with comments useful to the original designers (architects and surveyors). Idapt - a popular web based programme used by many self-employed and local authority OTs to create adaptation proposals and/or to amend schemes suggested by partnered architects and surveyors.
Marney Walker Marney is an Occupational Therapist with more than 22 years experience working across health, social care and housing sectors. For much of this period she has worked in social services and had responsibility for the provision of specialist equipment and bespoke adaptations for older and disabled people. Since 2010 Marney has pursued her passion for inclusive design and completed a number of training courses.
Designing For Dementia This seminar will provide insight into the myriad issues facing individuals with dementia who are wishing to continue living independently within their own homes or with dignity and comfort in a communal setting. The seminar will be of interest to occupational therapists and other professionals seeking to create safe and calm environments for users with dementia.
sponsored by: recruitment partner:
media partner:
supported by:
www.otac.org.uk /otac2015
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To exhibit contact us on 02921 900 402 or email us: info@promoting independence.co.uk To register you place search “OTAC” on www.eventbrite.co.uk
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Access to shower, bath or both – is it a need or want?
I
h ave just been away for a week on Scout camp, it was a green field site so it was chemical toilets and no access to washing facilities. After day three, even with a very comprehensive strip wash, I began to feel rather unkempt and very conscious of how I looked and smelled, it made me reflect on our practice as OTs.
Carer – The impact on the unpaid carer can be enormous. By enabling a client to complete tasks independently or with minimal assistance, reduces the strain on the carer both physically and emotionally. As carers have the same rights as the client in the Care Act this can be used as an effective tool to clinically reason.
Have we ever discharged a client home from hospital to a commode and strip wash? Have we ever said as a Social Services OT that access to a strip wash meets your needs, heaven forbid have we ever said you have ‘no medical need to shower or bathe’?
Financial – If a client is able to wash independently without assistance consider the cost savings, according to the article ‘Better outcomes, lower costs’, implications for health and social care budgets of investment in housing adaptations, improvements and equipment2, the installation of a shower is cost effective within a year if homecare costs are removed and within only 7.5 weeks in residential care. It is important to raise the cost implications to managers as the outlay seems high but the long term benefits could be considerable.
OTs have a client-centred approach and when discussing goals with our clients I am sure that being able to wash is quite high on all of their lists as being able to keep clean enables you to feel confident, to go out to meet friends, go to the shops or work. We need to also understand that the environment defines us and is not just about bricks and mortar but, as the Canadian OT Association eloquently states: ‘includes cultural, institutional, physical, and social components’1. Cultural in this context is important in the UK, as culturally we do bathe or shower and do not traditionally strip wash. So how can we clearly clinically reason the need for access to appropriate washing facilities? Here are a few ideas: Physical – Being able to wash in an environment that meets your needs, reduces the potential wear and tear on joints, reduces the risk of infections, supports good skin care, can reduce pain, increase range of movement and reduces the risks of accidents and injuries.
How can we access funding for adaptations? The Disabled Facilities Grant3 is a means tested grant and is available to clients in all four countries in slightly different formats. This allows ‘access to and use of a bath, shower or both’ and eight of the nine well-being principals in the new Care Act 2014 can be linked to personal hygiene, so could be argued as essential under that legislation. OTs believe that occupations define our clients and how they feel about themselves. If you are unable to do the things you want, or need to do, to live and enjoy your life, your general well-being may be affected. Therefore being able to manage your own personal hygiene with or without assistance is not a want or in my opinion a low priority, it is a basic need. ■ References 1. www.caot.ca/default.asp?pageid=3619
Emotional – The dignity of a client can be maintained when they can independently carry out their own washing routines and the impact on their general health and well-being, which is the foundation of the Care Act.
2. http://socialwelfare.bl.uk/subject-areas/services-clientgroups/adults-disabilities/officefordisabilityissues/138343bett er_outcomes_summary.pdf 3. www.gov.uk/disabled-facilities-grants/overview
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-magazine.co.uk 13
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open style
fashion meets Function
T
he Open Style Lab have one very important mission: To make style accessible to people of all abilities.
Alice Tin is director and co-founder of Open Style Lab (OSL), along with executive director Grace Teo. “In one particular encounter, she asked a lady diagnosed with multiple sclerosis what she missed most about being healthy.” Alice tells about how Grace’s vision came to being.
“She was using an electric scooter, so Grace assumed she would say something about mobility. To her surprise, the lady recounted how much difficulty she had getting dressed that morning, because her husband was out of town on a business trip. “Multiple conversations had the same theme running through them and really,
it was independence that these patients missed about being healthy. The independence to choose their clothes, the independence to dress themselves in the morning, which is such an intimate act that is integral to anyone’s morning ritual.”
Alice said: “Clothing is a medium that everyone uses to express themselves - either a part of their identity, or what they want their identity to be perceived as and we at Open Style Lab don’t think that your clothing vocabulary should be limited, just because you have a certain physical condition.” Now, Grace and Alice aim to just do that, by making style accessible.
Summer Programme In 2014, OSL’s summer programme was born. The programme, now in its second year, teams designers, engineers and occupational therapists with a client and
they are tasked with finding a solution to their fashion accessibility needs. Taking place in the prestigious Massachusetts Institute of Technology (MIT), the teams have just 10 weeks to tailor the perfect solution. Over the course of the programme, various related industry professionals will offer weekly guidance as mentors and speakers, their expertise ranging from fashion design, prosthetic engineer, product designer, assistive wearable entrepreneur, intellectual property lawyer, OT professionals and many others. Clients are chosen with the help of OTs during the summer programme, but with their growing success Alice tells how clients will now email them with suggestions of problems that need addressing. “Part of the Open Style Lab philosophy is one of user-centred design, which › www.
-magazine.co.uk 15
open style
› places emphasis on the input of clients. The team converses with the client, conducts a home visit to truly understand what day-to-day life is for their client and choose a clothing challenge to tackle together. Again, one of the most important things is to produce something that the client finds useful,” Alice said.
which results in bites and other injuries. After the end of last year’s program, NECC has decided to manufacture these sleeves for their staff!”
With the summer programme in full swing, there have been some great innovations being discovered, discussed and designed.
“This year, an OSL student team is working with NECC to look at head protection for their staff to prevent concussions in the workplace. I think this is a great illustration of how one client can have multiple challenges that can be solved by clothing. Additionally, I think it’s very important that particularly for the disabled population, we consider how clothing can make the jobs and lives of their caretakers easier.”
“The RAYN Jacket is a good one for last summer,” Grace said. Last year’s summer programme winner was the RAYN Jacket, a jacket designed for a client who wanted a fashionable cover for his knees when sitting in his wheelchair. “This summer, the project getting an unexpected amount of the public’s attention is a discreet mask for facial heating,” Grace explained.
The Open Style Lab create fashionable solutions for people of all abilities
“A s yo u c a n i m a g i n e, designing something inconspicuous for facial wear is not easy! The client is one of our students’ mother who experiences facial pain, that is only soothed by heat. It turns out that many people with a condition known as trigeminal neuralgia experience similar symptoms and would really like a solution too! The students are very interested in trying to bring the solution to market after the summer.” Alice discussed the OSL’s continuing relationship with the New England Center for Children, which is one of the largest providers of day and residential services to children with autism in New England, USA. “They are our first ‘return’ client - last year, they worked with a team of our students to create a ribbed, protective sleeve for their staff, some of whom are caretakers to children who are sometimes combative,
16
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-magazine.co.uk
After the success of their solution, the NECC have returned to OSL with another challenge for them.
To a packed room of over 150 attendees, each of the eight teams spoke about the clothing challenges that their client faced and shared the inspiration, ideation and prototypes that ultimately led to their final designs. The clients were an integral part of the design process, as they gave constant feedback that guided the process. However, some did not see the final product until the showcase. “Cristina, one of the clients, had a look of absolute joy and surprise when her team revealed the stylish winter boot that her team had modified to fit over her anklefoot orthotic,” said Alice. Other projects included an ultra-absorbent pyjama that would prevent overnight leaks from a urinary catheter and a custom-molded face mask with a heating element that would relieve chronic facial pain and fatigue. You can find a full list of the projects on the Open Style Lab website at wwww.openstylelab.org. OSL teams will be posting DIY tutorials for their final products, so others who may benefit from their innovative designs can make them as well! The Open Style Lab is engaged in some other great activities beyond their flagship summer programme. Not only were they invited to open the accessible fashion show, DisArt Festival, the first conference to focus on disability and the arts, but received a grant from the US Embassy in Slovenia to run a similar summer programme in partnership with RogLab. The programme, Design (Dis)ability, invited designers and engineers from both the US and across Europe to participate in a series of online lectures, culminating in a one-week rapid prototyping session with clients at RogLab. ■
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Product focus The independent living sector is filled with amazing innovations to help people live more independently. Every issue we will bring you a selection of products, from daily living aids to major mobility products, that make life a little easier for those who need it.
iHelp2 Easylink UK have launched the new iHelp2 personal care device. iHelp2 is a personal safety device, which offers location tracking, SOS assistance calling, fall detection and personal reminders including medication prompts.
Après Body Dryer
Placed in the corner or on the wall of the shower, the Après Body Dryer completely dries the body after a few minutes, with a constant stream of warm air at a temperature slightly above room temperature. It is activated simply by pressing a pneumatic two-speed push-button, which can be located anywhere in the shower. The Après Body Dryer is the first system completely designed
iHelp2 is free from monthly subscription charges and rental agreements and delivers tracking location direct to a carer’s smartphone without the need of a call centre. iHelp2 is set up using a simple to use free APP (Android or iOS) and has an incredible 10-day battery life before it needs recharging and when it does, it speaks to the user to remind them. iHelp2 is compact, stylish, and lightweight and is available only through Easylink UK. ■ See the iHelp2 on stand E5 at The OT Show
Prices from £108.32 +VAT, 01536 264 869, sales@easylink.co.uk, www.easylinkuk.co.uk
for use within the shower enclosure. Not only does The Après Body Dryer save energy by significantly reducing the laundering associated with traditional towel drying, it also reduces contamination of harmful soap detergents to our oceans. Drying becomes a pleasurable experience, especially for sensitive skin, avoiding chafing caused by rough
towels. The dryer dries even the least accessible areas of the body. Drying is much more comfortable, especially for older people and children. It also significantly reduces moisture, condensation and mould in the bathroom, improving hygiene. The system eliminates the need for towels, thus saving the costs of buying, washing and drying. ■ Prices from £599.00 inc VAT 01704 841 266 www.apresbodydryer.co.uk
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-magazine.co.uk 19
Freestanding Suspension Systems
Sensory development is essential for children’s balance, behaviour and understanding of their senses. Smirthwaite’s range of sensory products can be used to encourage children to refine their skills and helps build confidence. Smirthwaite C Frame
The popular selection of freestanding suspension systems have been designed to be used in conjunction with their sensory swings, platforms and bolsters.
and Swing Platform
These can be used as part of your child’s sensory programme; • The Flexi Bolster provides vestibular and proprioceptive stimulation through gentle rocking or pushing the bolster. • The Swing Platforms and Swing Bolsters are used for vestibular stimulation and to improve directional and spatial awareness. • The Activity Bolster helps to stimulate muscles and to improve general body coordination and balance. • The Hug ‘n’ Hold Bolster can be used by two children at the same time. ■ Prices available on request 01626 835552 info@smirthwaite.co.uk www.smirthwaite.co.uk
TenderCrush Shoulder Bag The TenderCrush shoulder bag is designed to offer discreet protection to underarm wounds, which can arise from procedures such as breast surgery. The fully cushioned shoulder bag is not only fashionable but features an adjustable strap, allowing the bag to be positioned where protection is needed.
is suitable for people suffering from peripheral neuropathy (tingling in hands and feet), a common side effect of chemotherapy, as there are no buttons or zips. Looking and functioning like any other shoulder bag, TenderCrush is discreet and won’t draw attention to the fact protection is needed. ■ Prices from £29 07980 470 072
With an easy-opening and closing Velcro fastening, the bag
20 www.
-magazine.co.uk
info@tendercrush.co.uk www.tendercrush.co.uk
product focus
KT Tape
KT Tape is an elastic sports and fitness tape designed for muscle, ligament and tendon pain relief and support. The tape is lightweight and comfortable and can be used for hundreds of common injuries such as lower back pain, knee pain, shin splints, carpal tunnel syndrome, tennis elbow and many more. Available in a variety of colours and with the option of pre-cut, not only does the tape look great, but it holds up through sweat, strain and humidity and can even be worn in water thanks to its specially designed adhesive. ■ Prices from £14.99, info@kttapeuk.co.uk, www.kttapeuk.co.uk
Wheelable Winner of the 2015 NAEP Product Innovation award, the Wheelable is a truly unique solution to the age old problem of travel. Just six clicks folds the stylish wheelchair commode into a lightweight, compact, carry-on bag which can be taken anywhere you go.
commode pan, a full seat (for showering only) and a stylish suitcase style carry bag as optional extras. ■ Prices range from £799. For a demonstration of this product you can call Wheelable on 01257 472255 or
Six more clicks unfolds the Wheelable into a solid wheeled commode that fits over standard toilets and can also be used in level access showers. The solid plastic design, reinforced with stainless steel components gives the Wheelable a solid feel and a 100kg safe working load.
visit www.wheelable.co.uk
The innovative design using the latest plastic moulding techniques means the Wheelable weighs in at a skinny 11kg. So wherever you wish to travel, the Wheelable is the perfect travel companion. The Wheelable is available with a
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-magazine.co.uk 21
Product focus Caroline Molloy is an independent OT, a business consultant, social entrepreneur and founder of occupational therapy professional services company, OT Consultant. With 30 years experience, Caroline offers
professional support to individuals or organisations who need to purchase daily living aids and equipment to support rehabilitation, care needs or independence in the home.
into the functionality, appearance, durability and affordability of each product and offers a personal view to why she would recommend it. ■ You can contact Caroline at
Here Caroline shares her recommendations for products that aid independent living, giving an insight
The Flexyfoot What I love about today’s assistive product market is that there are new designs and concepts breaking out from more traditional products, to suit today’s lifestyle. Take the simple ferrule, back in the day, I had them in a drawer in my desk and dreaded anyone asking for one from the OT office, as they were difficult, if not impossible to replace. When I saw the Flexyfoot I immediately understood the concept. The Flexyfoot was invented by product designer David Goodwin after he realised that traditional ferrules on walking sticks and walkers, didn’t always give the support needed for walking on slippery or uneven surfaces. The Flexyfoot is a direct replacement for your current ferrule, which means you can keep d e v o r p your favourite stick and because it’s ap Caroline By made of two parts, can be easily Molloy replaced if needed. The pleated bellows act like a shock absorber, as the stick hits the ground, reducing stress on your arms and wrists. Here’s what David says: “Flexyfoot provides improved grip and stability on all terrains, particularly slippery and uneven surfaces. Even better than that, the tread of the ferrule can independently rotate through 360°, so full ground contact is still maintained if you have to twist or turn around. The flexible bellows mean your stick will work at any angle while the Flexyfoot rubber tip is always in full contact with the floor.” There is a very clear video on the website which shows the Flexyfoot being used not only on a stick, but on a walker and a shower stool, which would be useful on a wet floor shower with a graded surface. ■
caroline@otconsultant.co.uk or visit otconsultant.co.uk for more information.
The Redring Selectronic Premier Electric Shower This morning I turned my own shower on and got a soaking of cold water and it’s the same for any carer who assists with personal care. The chances are you are going to get wet, even if just when you reach across the flow of water to turn the shower on or off. The new Selectronic Premier Electric shower from Redring has a remote control so that the shower can be operated from outside the showering area, or be placed in a more accessible position for using independently. I think this is such an innovative idea. Designed in conjunction with RNIB, the shower is controlled via large, easy-to-press buttons with tactile button coding and a conveniently located large LED display maximises visibilit y and legibilit y of the temperature setting. In addition, they also feature audible feedback response to push-button commands, making them suitable for blind or partially sighted shower users. For an occupational therapist, the Selectronic Electric shower has a number of features useful to our client groups. In the shower we all need to remove our glasses and sometimes hearing aids, which immediately puts you in a more vulnerable position. Compensating for this the Selectronic has a clear visual display and audible feedback. Redring have again demonstrated that you can continue to innovate and provide additional features to improve the outcomes for differing abilities. ■ For more technical information, please visit www.redring.co.uk/catalogue/showering/
www.flexyfoot.com 22 www.
-magazine.co.uk
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a day in the life
A day in the life of...
Amelia Calvert
Occupational Therapist and Outreach Manager at Art in Healthcare
A
m e l i a C a lv e r t i s a n occupational therapist and the outreach manager for Art in Healthcare. Here she gives us an insight into her role within this arts and healthcare charity.
What is your current role?
somehow merged to my now working in the arts and health field. I began as a volunteer at Art in Healthcare while seeking paid OT work and somehow ended up becoming a permanent employee!
Describe a typical day...
My current role is as the outreach manager at the Scottish charity, Art in Healthcare, where I oversee our Outreach Programme of art workshops in healthcare and care-related settings. While I’m not often working directly with clients I am always wearing my ‘OT hat’ to help guide me in planning our projects – outcomes and evaluation being key - and greatly value the range of OT networks I have become a part of.
Say good morning to colleagues (usually involving weather commentary), check and respond to emails, team meeting, head out to meeting with manager/key contact in a healthcare setting (eg. OT) about setting up an art workshop project, lunch (essential), meeting with artist/volunteer involved in our art workshops, emails/research/ networking for new groups interested in art workshops, water office plants, home…or thereabouts!
What made you want to become an OT?
What is your favourite part of your job?
Quite simply I met an OT one day having never heard of the profession and remember thinking, ‘people job – tick; creative opportunities – tick; problem-solving and practical – tick’; reinforced by the fact that I was then in a slightly dull financial job, OT seemed the obvious step forward for me.
I love the autonomy I have to shape the Outreach Programme my way, granted a way that fits the charity’s purpose, but I really feel my skills and background as an OT contribute to the way the programme has been set up and now operates. I also love the thought of the unknown and the flexibility we have as a small charity to really adapt our services to where the need is, anticipating that in this way we can really make big differences to people’s lives, be it in small ways. ■
What drew you to your area of work? I have always been creative as an individual, dabbling in arts, crafts, photography, writing, floristry, etc and coupled with being someone who, I think, likes to help and support people and move them forward, I found that two key threads of my life have
To find out more about the work Art in Healthcare does, visit www.artinhealthcare.org.uk
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-magazine.co.uk 25
Retail
ADVERTISEMENT FEATURE
THERAPY COMFORT SPECIALIST APPOINTS OT JULIE JENNINGS AS HEAD OF COMFORT
HSL Chairs, the UK’s largest back care furniture specialist, has announced the arrival of its new consultant Occupational Therapist (OT), Julie Jennings Dip COT HCPC, who has recently carried out extensive bespoke training with all HSL in-store comfort specialists. Its store teams can now provide all HSL customers with the latest advice and guidance on understanding good posture, correct seating positions and supportive transfer in and out of a chair, cementing the firm’s commitment to offering the ultimate level of expertise and customer service. As well as up-skilling all HSL staff with the intensive ‘Seating Posture’ training, Julie, who is a member of the British Association of Occupational Therapists and alumnus of the College of Occupational Therapists, has been supporting HSL’s research and development team, advising on the latest treatment guidelines to ensure it’s offering the ultimate levels of comfort. Julie says: “I am delighted to be part of the HSL team and offering my expertise. I was so impressed and personally touched by its commitment in providing the best consultations possible for finding the right comfort furniture, that I jumped at the chance to start working with the team and share my knowledge. The staff have been fully on-board with our training programme and the research and development team and I are working on some brilliant product developments over the coming months.”
Julie M Jennings Occupational Therapist, Dip COT HCPC
mobility problems, the appointment-only visits will see two HSL specialists visit customers’ homes to offer them friendly advice and guidance on the type of furniture a customer may require. Neck & Shoulder Support
Lumbar Support Cushion Firmness
Armrest Position
Frame Strength
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As a result of this, and the overwhelming success of the Occupational Therapy Show last year, HSL will be exhibiting at the show again in November 2015, on stand F35.
All HSL furniture is handmade in the UK by skilled craftsmen who have years of experience in designing and building high quality furniture. Its unique range of comfort furniture helps to alleviate joint pain, back ache, arthritic conditions, circulation problems and headaches and stress. HSL has 47 stores across the UK, providing unrivalled customer service and an innovative product range.
In addition to its OT focus, HSL has rolled out a free, national ‘Home Consultation’ service across all of its stores nationwide. Bringing the expertise of its comfort specialists to the homes of customers who are unable to visit their local store due to health or
All consultations are free, as is delivery and prices are no different whether you buy in store or via a home visit consultation. There’s no pressure selling; HSL Comfort Specialists are professional and friendly and there to help you find your perfect chair.
All HSL chairs, sofas and beds are approved by Julie Jennings, HSL’s Consultant Occupational Therapist. Thanks to her work, you can relax in comfort knowing that each piece in the HSL range has been thoroughly tested and evaluated by an independent health expert.
Lumbar Support Chair Width Neck & Shoulder Support Cushion Firmness Frame Strength Armrest Position
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ot show
Occupational Therapy Show
What’s new? K nown for its bustling show floor, internationally renowned speaker line-up and exciting new learning opportunities, the Occupational Therapy Show is one of the few completely free events on the occupational therapy calendar. OTs will have access to an over 300-strong trade exhibition, hosting the top manufacturers and suppliers from around the UK, as well as an outstanding educational programme packed full with information and fresh ideas relevant to the OT field.
New to 2015… The awards will celebrate and acknowledge successful individuals and teams within the OT profession. Aimed at grass roots OT professionals, in the statutory as well as private sector, to recognise and celebrate outstanding contributions made to both the profession and to the clients they serve, the four award categories that can be entered are as follows: • Outstanding Senior OT, sponsored by AKW Ltd • Outstanding OT • Outstanding OTI/OTA/Support Worker • Outstanding Service/Innovation (team or individual), sponsored by The OT Magazine For more information about the awards visit www.theotshow.com/awards. The Occupational Therapy Show Poster Zone Following on from delegate feedback, the organisers of the Occupational Therapy Show have announced the launch of a poster presentation feature for 2015. The Poster Zone will showcase work submitted by OTs who work across the UK, within NHS Trusts, local councils, independent practice and all other sectors.
Also coming to you for the first time will be the Paediatric Trail If your specialist area is in paediatrics, or is an area of interest, then this is for you. Not only will there be an action packed programme full of relevant CPD opportunities, you can also be in with a chance of winning an iPad Air 2. To be in with a chance of winning this fantastic prize, simply visit all exhibitors taking part in the paediatric trail. By visiting these exhibitors, it will give you greater exposure to all the latest products, services and technologies on the market, enabling you to provide a more enhanced service to your clients. Aside from all this, the old favourites are also back this November including: • The ever popular four stream education programme; Physical, Mental Health, Children & Family and Shaping the future • On stand exhibitor education programme • Innovation and Showcase Theatres • Networking drinks reception at the end of day 1. ■ To register for free today visit
Details on how to submit your poster to the new Poster Zone at this year’s Show, along with deadline dates can be found at www.otshow.com/posterzone.
www.theotshow.com/otmagazine and for more information visit the website www.theotshow.com.
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-magazine.co.uk 29
wfot
Disaster is Everyone’s Business
T
Kit Sinclair, PhD, WFOT Project Leader he Asian Tsunami (2004), Hurricanes Katrina and Rita (2005) and the East Japan Tsunami (2011) offered horrific lessons on the effect of disaster on everyday life. These were the much publicised disasters, but how is the importance of a disaster determined after the event? Is it by the magnitude, the worldwide publicity, the impact on the environment and economy or the disruption of people’s lives and their livelihoods? Any number of events, each with its own unique characteristics, can disrupt the fragile web that holds modern society together. Earthquakes, wildfires, floods, famine, drought, typhoons, health epidemics such as Ebola, MERS or SARS, terrorist attacks or cyberattacks and economic tremors, such as the fiscal issues in Greece, or the meltdown of nuclear reactors following the tsunami, have all highlighted that our specific vulnerabilities to natural and man-made disasters can cause chain reactions around the world. Stein and Stein (2011) state that the unexpected chains of events that occur following disaster can have a profound effect on modern technological societies. Power grids and telecommunication networks affect nearly every aspect of modern day lives in much of the world. Chains of food, water, and fuel supplies can come unraveled easily. People living in the world’s poorest countries, such as southeast Asia and Africa, represent more than 25% of the world (1.5 billion people). They live without electricity (Gronewold, 2009) or access to telecommunications (ITC, 2013), which means that basic survival is threatened. Scherrer, (2015) Director of the Emergency Response Unit of CBM, noted in her foreword to the new textbook for occupational therapy, Disaster and Development: an Occupational Perspective (Rushford and Thomas, 2015), that everyday disasters are often unreported, as they may affect comparatively small numbers of people; yet, they are no less destructive to people’s lives. People living in already poor communities are often driven by local disaster into even poorer living situations. Without the help of emergency services and support, these people become more disproportionally marginalised. 30 www.
-magazine.co.uk
Rushford and Thomas (2015) have offered a socioecological model that encompasses the ”interactions of individual, society and the natural world, as they shape the context for disaster risk, vulnerability, resilience and adaptation” (p.21), which can be used by all health professions. Rushford and Thomas note that occupation forms an interconnection between society and the natural world that holds the potential to influence much needed social and ecological change. Authors in their books have presented us with realistic situations that need occupational solutions. Pattison (2015), President of the World Federation of Occupational Therapists (WFOT), in her foreword notes that occupational therapists’ increasing involvement in the disaster arena is underpinned by the concepts of social justice, as we become “agents for social change and equity” (p.xi). Strategies must be in place to address everyday disasters, which must become a part of everyone’s thinking in order to reduce risk and promote global sustainability. Measures have to be taken at global, national and local levels for everyone to understand, prepare for and respond to disasters, as this is serious business that must be attended to. In our own communities, we note the effect of everyday disasters that overtax central services, utilities and publicsupport services. We must apply disaster preparedness plans for ourselves, for our families, our businesses and help our clients develop their own plans.
Disaster is everyone’s business As occupational therapists forge a path into the field of disaster and development, how can we pull all these concepts together and apply them in our own lives and our profession? How should we prepare for disaster? What do families need to do to be really ready for disaster? The World Federation of Occupational Therapists (WFOT) is working on a new course in Disaster Management for occupational therapists. It is an online education module that corresponds with the new textbook, in order to provide an innovative learning approach to the subject of disaster. The modular series aims to:
Any number of events, each with its own unique characteristics, can disrupt the fragile web that holds modern society together
• • •
Build occupational therapists’ knowledge and capacity to work with those affected by disaster. Develop the capacity of the occupational therapy profession for emergency response, long-term recovery and preparedness for the future. Develop occupational therapists’ skills and competencies in risk reduction, crisis management and building resilience.
Occupational therapists taking this course will share the classroom environment with occupational therapists from all over the world. They will be asked to address our role in preparedness and response and our future in environmental and economic global sustainability. Using a ‘volunteer’ lens, multiple perspectives are explored through discussion. Drought and human displacement and civil war form one setting into which the occupational therapist is immersed. What can he/she offer distraught families on the move who are dealing with injury, disease, and untenable camp life? What can we learn from the situation? How can we support the occupational therapists in the field? How can we apply what we learn to our own everyday situations with our communities and our clients? How can we help people not only survive, but thrive in such environments to redesign their lives? Drawing on the textbook examples in Rushford and Thomas (2015) and the discussion readings and questions, learners will be exposed to the complex everyday issues that are exacerbated by the stress and trauma of disaster. Occupational therapists will apply their occupationbased knowledge, problem-solving and critical thinking skills and attitudes to work with people under these circumstances in ways that will transfer this knowledge to working with clients in the clinic as well. ■
WFOT aims to launch this online module later this year, follow WFOT on Twitter @thewfot or Facebook: www. facebook.com/wfot for further announcements. Equally a WFOT commemorative edition of new book Disaster and Development: Occupational Perspectives can be purchased from the WFOT website: www.wfot.org
References . Gronewold, N. (2009). One-quarter of world’s population lacks electricity. Scientific American. Nov 24, 2009 Reprinted from Greenwire with permission from Environment & Energy Publishing, LLC. www. eenews.net, 202-628-6500. http://www.scientificamerican.com/article/ electricity-gap-developing-countries-energy-wood-charcoal/ . ITU releases latest global technology development figures http://www.itu.int/net/pressoffice/press_releases/2013/05.aspx#. VbroM_mqqko . Rushford, N., Thomas, K. (2015) Disaster and Development: an Occupational Perspective. Elsevier. .Stein, J.L., Stein, S. (2012). Gray swans: Comparison of natural and financial hazard assessment and mitigation. Natural Hazards, Retrieved from http://www.earth.northwestern.edu/public/seth/Texts/greyswans. pdf . World in 2013: ICT Facts and Figures report. Retrieved from www.itu. int/ITU-D/ict/facts/index.html
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-magazine.co.uk 31
Inclusive Cycling
INCLUSIVE CYCLING
BRINGING THE JOY OF CYCLING TO EVERYONE
W
e all know how beneficial cycling can be in terms of exercise and fitness but as with many activities it has not always been accessible to everybody.
However in recent years this has changed and one of the organisations leading the way has been Shropshire based Quest 88. With an impressive portfolio of cycles including trikes, tandems, companion bikes, recumbants, handcycles and running bikes there really is a cycling solution for everyone.
Anyone doubting the positive effects cycling can have need look no further than 42 year old Ashley Stubbings. Despite being born with Spina Bifida, Ashley has always dealt head-on with the mobility issues that come with such a condition, but had never been able to realise one of his dreams – to ride a bike. Ashley attended the British Cycling Show to see what was available for people with restricted leg movement. He explained: “I went to the event with an open mind and met Quest 88 who introduced me to the world of handcycles.” Since his Topend Excelerator handcycle was delivered Ashley’s life has been transformed, both physically and mentally. Ashley was aware he needed to lose weight and had tried various forms of exercise including weights, gym work and swimming, all to no avail. However, within weeks of getting on his handcycle the weight was coming off and to date he has lost almost three stone. The handcycle has also helped Ashley from a mental health perspective, as his wife Jess explained: “Ashley has suffered from depression over the years, but since being able to go out on his handcycle, this has greatly improved”. 32 www.
-magazine.co.uk
Ashley Stubbings on his Topend Excelerator handcycle
Ashley’s Topend Excelerator handcycle is ideal for people with little or no leg muscle movement, is easy to manoeuvre and sufficiently lightweight to transfer in and out of car boots. The smooth Shimano shifter allows the rider to tackle hills or level terrains with equal ease and the seven-speed Shimano hub, with reverse braking, means the rider’s hands never have to leave the pedals. The Excelerator features a simple fore-aft sliding seat and footrest system, both of which are fully adjustable, as well as a straightforward crank height adjustment with a fully adjustable chain tension idler, to avoid adding or removing chain links. Optional Top End V cranks can provide even more power and clearance, and with a weight capacity of 158kg, the Excelerator is perfect for anyone who wants to ride it.
Above: Jake enjoying a bike ride in his Draisin Plus with
For the more profoundly disabled person, the Draisin Plus Wheelchair Tandem opens up a world that would otherwise not be available, as Jake Davies and his family know only too well. This particular bike, ridden by wheelchair user Jake and his father Rob, is unlike anything most people will have seen before. As a result of brain damage at birth, Jake has quadriplegic cerebral palsy which affects all limbs leaving him unable to walk. Due to this he has incredibly strong muscle tone and can become very rigid, making it extremely difficult to get him to sit in any seat. However, once he is in the seat of his Draisin Plus and starts moving Jake relaxes in a way he is unable to do anywhere else. “We don’t know if it is the motion or the fresh air but Jake spends the whole time laughing and smiling and never seems to go rigid when we are on the move,” continued Rob. The Draisin Plus is a ‘bike for life’ enabling those with limited mobility to participate in cycling with family and friends. The tricycle is carefully balanced in order to make steering and pedalling as easy as possible and its suspension system makes it supremely comfortable.
The wheelchair unit can be simply disconnected from the drive section of the tricycle for popping into cafes or taking a quick break and it can be pedalled backwards for easy manoeuvring.
his family.
The Draisin Plus has seven forward gears and comes with a five-point vest and safety harness, hydraulic disc brakes, lateral guides, head support and footrests as standard. The seat can be adapted with extra lateral supports if required as well as the option of fitting a child’s supportive seating system, extending the rider age range from four years upwards. So how can people get assistance to purchase one of these specialist cycles? Fortunately there is help at hand! Charitable organisations, such as Caudwell Children’s Charity, Action for Kids and Cerebra are supporting the funding of cycling equipment for disabled children, such as tricycles and some tandem solutions. Further groups including Rotary and Lions Clubs, local radio and public houses are all extremely active in helping to make inclusive cycles accessible and available for individuals and families. In fact, Jake’s wheelchair › www.
-magazine.co.uk 33
Inclusive Cycling
› tandem was purchased following a fundraising campaign in his local area.
In addition to funding, other issues can be storage and transportation as some of these cycles can be quite large and will not fit into a standard family car. Therefore, for some families buying a cycle is not an option, but finding somewhere that hires them out can be the perfect solution. Luckily, there are a growing number of schemes across the UK that have been developed to enable individuals and families to experience the joy of cycling in a safe and accessible environment. A great example of this is East Park in Hull. Covering 128 acres, it is without doubt one of the most accessible parks in the UK with a host of activities for non-disabled and disabled children and adults. One of the most popular activities within the park is the 3.4 mile cycle scheme. This is used by local schools and organisations and won the BBC Power of Sport award for opening up opportunities to disabled people. As part of the programme Quest 88 has supplied a total of 31 cycles. The most popular models among visitors include the Draisin Plus wheelchair bike, which enables those with limited mobility to profound disabilities to participate in cycling. The other is the Twister, which has been designed to allow the carer and client to cycle side by side in tandem and therefore share the pedalling. All the cycles were funded by the Government backed Aiming High campaign with the idea that all families with disabled children should have the support they need to live ordinary family lives.
Once he is in the seat of his Draisin Plus and starts moving Jake relaxes in a way he is unable to do anywhere else
A local vision group in Hull is a great example of how the East Park scheme benefits local people. Luke Harrison who has epilepsy and very limited use of his left arm and right leg commented: “I come here every Wednesday and Friday and love it. The different cycles are amazing and the exercise is great!” A scheme like this is vital for disabled children, young people and their families as it allows them to experience cycling together as a family or with friends, something many of them have never done before. It is not unusual for participants to be close to tears of happiness after their first ride! 34 www.
-magazine.co.uk
Other examples are those run by Wheels for Wellbeing (w w w. wheelsforwellbeing.org.uk) in and around London and Wheels for all Centres (www.cycling.org.uk) which is a nationwide programme. There are also a number of venues in the UK where you can access inclusive cycles at tourist destinations such as The Camel Trail in Cornwall or the New Forest. The profile of cycling for the disabled community is growing and opportunities are becoming more widespread as the whole cycling industry continues to grow and the health service looks for more cost effective ways to promote healthy, active living. The great news is that there is a cycle for everyone out there! Whether you can pedal a little or not at all, fresh air and freedom is waiting for you! ■
If you would like to find out more about the full range of cycles available, cycling opportunities in your local area, charitable or other funding sources for purchasing a specialist cycle, please contact Quest 88 on 01743 790191 or email: cycling@quest88.com. Visit Quest 88 at The OT Show on stand B60.
ReposeOt2015.pdf
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From 17-22” seat heights
Stand & Recline
FREE Demonstrations
RENTALS:
UNIQUE Leg Lifter
Both legs or individual legs lifted and gently swung into bed
Battery operated
Lifts legs upto 14 stone
Suitable for most beds FREE Demonstrations
Gantry & Mobile Hoists, Electric Rise & Recline Armchairs & Profiling Beds 01455 212 482
www.nopacltd.co.uk
enquiries@nopacmidlands.co.uk
independent ots
The importance of...
H
opefully most of us would agree that one of the most important parts of the services we provide is checking, at the end of our involvement, that clients are happy with the outcomes we’ve achieved. It’s essential that we review our practice regularly and by asking clients to provide a testimonial we can gain access to an excellent learning opportunity and a great way of ensuring we’re providing the best services possible. In terms of keeping work flooding in, testimonials are also essential. They are social proof that someone other than us believes that what we do or offer is credible. It’s important that we remember many clients are looking to work alongside an OT around some of their most important and personal activities of daily living and they want to make sure that the money they are willing to spend will result in them being provided with an exceptional level of expertise, understanding and experience. Other potential clients are also often looking for someone to work with their nearest and dearest when they are unable to be present themselves and they want reassurance that you can be trusted. Testimonials can really help nudge potential clients into deciding that you are the OT to choose. Great testimonials build a prospective customer’s trust and confidence before they buy. A testimonial is much more than a quote about how ‘really great’ your product or service is – a testimonial needs to state effectively how and why something is great, from a reliable and relevant source.
How can I get a testimonial? You’d be surprised how many times people let satisfied customers go without asking them for a testimonial. Once you get over the understandable fear of asking someone what they think of you and you get a glowing testimonial, that one testimonial could mean the difference between a future referral or other potential client’s choosing someone else.
testimonial, it starts to come alive. “Brilliant service! They delivered an excellent report within a week and our client is now able to wash independently. I would highly recommend Inclusion. Me!” John Doe, Case Manager, Case Managers Ltd. Suddenly, the testimonial starts to have power. The devil is in the detail. Encouraging people to provide testimonials takes effort, but it can help build sales and discourage potential customers from looking elsewhere. Remember if you don’t ask customers for testimonials you won’t get them.
Testimonials Drive Conversions Once you have successfully generated great testimonials you need to make sure that your website visitors see them. If possible have a testimonials page on your website and try adding testimonials clearly on every page! Adding quality testimonials on your website is like having a third party endorsement of your products and services. A 2013 study on Search Engine Land reported that more than 90% of customers use online reviews as part of their purchase decision making and 79% trust online reviews. Given the power of testimonials in building trust it’s pretty easy to understand why generating positive testimonials needs to be a key part of your marketing efforts. ■
Do people really believe testimonials?
You can contact Matthew
Obviously testimonials can be faked. “Brilliant service!” says John D. But who’s John D?
and the award winning Inclusion.Me team via info@inclusion.me.uk
But if we added a bit of detail and credibility to the
or visit www.inclusion.me.uk
www.
-magazine.co.uk 37
Product focus The independent living sector is filled with amazing innovations to help people live more independently. Every issue we will bring you a selection of products, from daily living aids to major mobility products, that make life a little easier for those who need it.
The Able Label Launching on 1 October, The Able Label is a womenswear clothing retailer selling ‘beautiful clothes, designed to make dressing easier’. All styles have either high quality hook and loop fastenings or no fastenings at all and are made from an extra stretchy, breathable viscose to make getting into and out of garments easier and more comfortable. Style is maintained throughout though. Katie Ellis, previously a fashion buyer at the popular high street retailer White Stuff, is the brains behind this new range and she comments: “Having personally seen my grandmother find dressing become increasingly difficult due to Parkinson’s, we searched together to try and find clothes which would be easier to dress but still looked good. There was nothing, so after carrying out further research, I found many others in the same situation as her so I decided to do something about it!” The collection is designed to help both individuals wanting to maintain independence as well as carers assisting with dressing - making it quicker, easier and safer. Available in sizes S(8-10), M(12-14), L(16-18) and XL(20-22). Trousers are available in regular and short leg lengths. ■ Prices range from £20.83 to £49.96 excl VAT. The Able Label, 01622 828994 info@theablelabel.com www.theablelabel.com 38 www.
-magazine.co.uk
Footswitch The Footswitch is a clever way to avoid the hassle of hard to reach plug sockets. The switch is a great solution for anyone with reduced mobility and the useful adhesive pad even allows the control to be wall mounted. The main unit plugs into the socket with the robust foot control lead of up to 1.6 metres you
can put the switch where is most convenient. LED indicators let you know at a glance if the power is on. ■ Prices from £14.99 Lifemax, 01635874323 orders@lifemaxuk.co.uk www.lifemaxuk.co.uk
Genie V2 Standing Wheelchair Providing independence and comfort through standing, the Genie V2 can revolutionise the users day to day life and well-being. Each Genie is produced bespoke to the individual’s needs and requirements. From made to measure upholstery to our wide range of posture supports, comfort aids and optional accessories. Standing can help maintain many
Ultimate Pillow Lifter
aspects of good health, provide personal independence and aid vital pressure management. The Genie V2 allows a user to stand or recline in comfort and at their convenience. The Genie can revolutionise day to day life for many, from performing tasks in and around the home, talking to friends at eye level and even returning to the workplace as many of our Genie
The Ultimate pillow lifter is portable, stable, with silent action and low maintenance. This versatile product has the benefit of being able to be used on or under the mattress. On a double bed it allows one person to be lifted without disturbing the partner.
users have. Providing independence and a better quality of life. ■ Designed and manufactured in the UK by Easyrise Ltd. For more details or to book a free home demonstration please call 01952 610300 or visit www.geniewheelchair.co.uk
down to 3.75 inches. The Ultimate is Possum compatible. With a specification like this the Ultimate will cater for most people’s needs. Weight limit 18 stone (114 kilos). Bariatric version available. ■ Prices available on request. For bespoke options please call our sales team. For further information or to book a demonstration or
Various widths are available along with different length pillows. The angle of the frame lift raises to 85 degrees and closes
presentation call 01233 635353, email: sales@ centrobed.com or visit www.centrobed.com
www.
-magazine.co.uk 39
product focus
Q6 Edge 2 with iLevel Quantum have officially launched their latest technology, iLevel. The new technology, which is available on the new Q6 Edge 2 powerchair with TRU-Balance 3 seating system, enables the user to elevate the chair essentially to the eye level of someone standing up, enhancing social interaction for the user. The seat can be elevated up to 25.4cm (10 inches) in just 24 seconds and can be operated at a walking speed of up to 3.5mph (4.83 km/h). When not elevated it can reach a speed of up to 6mph. Like the rest of the Quantum range, the new Q6 Edge 2 powerchair is highly customisable to suit the individual user’s requirements. This is particularly useful for the NHS and other healthcare providers who can reuse the chair for a number of different users
simply by adjusting the separate elements to suit, without having to replace the chair itself. The Q6 Edge 2 suspension is very effective, ensuring a comfortable ride for the user, even at the top speed of 6mph and when coming to a stop. The seat base and back are available in a variety of widths and depths and a new range of adjustable armrests can be fitted which can be positioned to a natural angle for the user and can help stop leaning to one side. The user can recline the chair to an almost horizontal position and when doing so the powered footrest can enable the user’s legs to remain straight even when reclining. As the back reclines the armrests also stay at the same angle. ■ For more information visit www.quantumrehab.co.uk
StairSteady Young Sheffield engineer and entrepreneur Ruth Amos designed the StairSteady when she was just 15, as part of resistant materials GCSE. Ruth’s invention took off as a fully-fledged commercial product in the wake of her success in the 2006 Young Engineer for Britain competition. Ruth launched her own Sheffield-based business, StairSteady Ltd, to sell and develop this ground-breaking product.
An innovative, discreet product, which helps people to use the stairs safely and independently. This product is ideal for individuals who have some difficulty getting up and down the stairs but do not yet require a stairlift, a perfect complementary product to rollators, walking frames and raised toilet seats. The device is made up of a handrail attached to the wall and a handle that provides support whilst climbing the stairs. The handle locks into position when weight is applied, allowing the individual to pull themselves up and slide the handrail to climb to the next step. It works in the same way coming down, providing additional security and support. Its simple design makes it
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-magazine.co.uk
The company has developed to become a successful family-run business and the StairSteady is distributed in the UK by Patterson Medical Ltd. ■ Prices available on request
non-intrusive in the home as the handle easily folds away discreetly when not in use.
Patterson Medical Ltd 08448 730 035 www.pattersonmedical.co.uk
Did you know that we make all of these products? Buying Smirthwaite products is easy either online www.smirthwaite.co.uk or by calling 01626 835552 for your free no obligation assessment!
juni chair
brookfield
juni chair • Unique contouring • Reclining & fully adjustable • Built in lumbar support • Promotes posture
brookfield chair • 2yrs - young adult • Moderate postural support • Promotes central alignment • Fully adjustable
hardrock
whirl
hardrock chair • Robust and durable • Children prone to rock • Secure postural support • Anti thrust system
whirl stander • 2 Sizes covers 12mths - young adults • High postural support • Modular, grows with the child • Thoracic, pelvic & knee supports
combi combi chair • Comes with potty, commode and seat • Pelvic strap and armrests • Adjustable seat height & depth • Progresses through toilet training
Sensory, Toileting & Bathing, Therapy, Seating, Sleeping and Changing & Showering
WheelAbleUK This unique, award winning, product will open up new areas of travel for wheelchair users who will no longer have to rely on venues having large specialist toileting facilities. Weighing just 11kg it folds into a compact case which fits into most hand luggage compartments or the smallest of car boots. The Wheelable can go where you go. Want a closer look? Come along to our next show and let us know what you think! • Dnex - Newcastle - 9th & 10th September • Kidz Scotland - Edinbourgh - 17th September • Trade Days - Birmingham - 18th & 19th November • Kidz Up North - Manchester 19th November • The OT Show - 25th & 26th November Cant make it? No problem! Just give the office a call and one of our friendly sales team will be happy to help!
Tel: 01257 472 255
Email: sales@wheelable.co.uk
Visit us at the OT show
We are on stand C34
we make
A World of Difference Here at SpaceKraft we have been leaders in providing sensory solutions for interactive multi-sensory environments for well over 20 years and we are constantly reminded of the overwhelming beneet for users. Contact us and see how can we help to change a big or a small world. Sensory room design and installation
Sensory integration resources
Bespoke softplay
Multi-sensory development resources
DEMENTIA CARE
Maintaining independence with dementia D
ementia can make day-to-day life very difficult, but a diagnosis of dementia does not mean that someone can’t live in their own home. In fact, many people may feel happier and more secure remaining at home.
There is now an abundance of technology on offer to help those with dementia preserve an independent lifestyle, as well as helping family, friends and carers with support.
Telecare Telecare services offer personal alarms and sensors to alert carers if something was to go wrong. Essentially, it is a remote care system. Often these systems are simple, flood, gas, panic or fall alarms but there are now more comprehensive systems on offer. › www.
-magazine.co.uk 43
› Canary is a discreet and easy to install monitoring system that provides round the clock reassurance to family. It respects privacy of those who need care and therefore uses no cameras.
Canary care offers something more thorough than traditional telecare systems. It can allow you to see a routine forming and can send notifications via text message or email to ensure daily tasks have been completed; have they gone to bed at a reasonable time? Have they moved recently? Did they enter the kitchen at meal times? The system can also monitor temperature levels and Canary’s ‘visitor card’ can help ensure visiting carers or meal services have been at their expected time. You can find out more about Canary on their website at www.canarycare.co.uk. Buddi is a similar system in the form of a wristband for when a person is out and about. It offers a push button emergency alarm, as well as a fall detection system. The device has a 24hr monitoring system that can help find information about location, talk to you through the device to establish the level of assistance required, as well as notifying emergency contacts. You can find out more at www.buddi.co.uk.
a unique code can be input into the website to provide the same information. Tap2Tag is not only handy in an emergency, but can prove useful if carers or health visitors change each visit. You can find out more at www.tap2tag.me.
Useful Products Tap2Tag is a device that can enable people to access a person’s vital medical information in an emergency or day-to-day with just a ‘tap’ of their mobile phone. This simple device can be in the form of a wristband, key fob or special card. Each device is embedded with a new technology known as ‘NFC’ (near-field communication). Around 70% of smartphones in the UK have NFC capability. When the device is purchased the user can set up a list of their personal information. The device can be set up to send an alert to the person’s emergency contac t by tex t or email. For phones that are not NFC enabled,
Stand alone devices can be bought straight off the shelf, are not linked up and do not need monitoring to work. This can be anything from a talking clock to an automatic pill dispenser, there are plenty of innovative products out there. Magiplug is a bath and sink safety plug that works using a pressure activated system. If an unattended bath reaches a certain depth the pressure plate opens and releases the excess water safely down the plughole, preventing flooding - this level will then be maintained until taps are turned off. When the desired level is reached the pressure plate will close again leaving you with a filled bath. The plug even changes colour to green if the water gets too hot! There are similar devices to warn of flooding, as well as alarms for gas and also if there’s an electrical plug that has been left on too long. These types of technology as well as more conventional dementia aids, such as talking pill boxes, memory books and big dial telephones are all available from most mobility stores and online. Wireless charging mats make use of similar
44 www.
-magazine.co.uk
dementia care
Buddi
“Technology should always enhance and enable independence and should not replace human contact, be restrictive or confusing”
technology as Tap2Tag use. If the mat is placed on a familiar surface, or where someone regularly leaves their mobile phone, this can ensure they are always contactable and remembering to charge the device or where the charger is stored are no longer issues.
Assistive Technology Most high street banks and shops also now offer contactless card technology. This means that for payment of goods and services under a certain amount (usually £20 but this varies with banks) all you have to do is present your card to the reader, rather than insert a pin number. This can be extremely convenient for people with dementia as not only does it prevent hassle and stress when trying to remember pin numbers, but it also reduces the need to carry cash, find a cash machine or have the correct change, making shopping trips much more independent. Technology can allow for those living with dementia to live on their own. Assistive devices can help support health, reduce risks and provide enjoyable activities for people with dementia a n d c a n a l s o p ro v i d e important peace of mind to family and friends. One important thing to remember is that assistive technology should do just
Magiplug
that, assist, it is not a replacement for other types of care. It should instead enhance someone’s life and care. George McNamara, Head of Policy at Alzheimer’s Society said: “A person with dementia must be seen as an individual when it comes to choosing how they should be cared for. Their unique qualities, interests and needs are paramount so they can live with dignity and respect. “Assistive technology can be a helpful tool to promote independence and autonomy, but it’s not suitable for everyone. Technology should always enhance and enable independence and should not replace human contact, be restrictive or confusing.” atdementia.org.uk is a great website for help with assistive technology for dementia, not only do they have a great product guide and supplier list, but this growing website invites you to email them with your problem or flag up any gaps in provision or ideas on how existing products could be improved. This information can then be used to assist thinking about new products that could be developed and to alert manufacturers on how to improve existing devices. ■ www.
-magazine.co.uk 45
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Snoezelen® Multi-Sensory products benefit people of all ages and abilities. The Rompa® and Winslow® catalogues have thousands of products ranging in price to help improve the quality of life of your clients.
10% OFF!
A Snoezelen® Multi-Sensory environment can be used to calm or engage your clients using light, sound, touch and smell. It can be used for all ages and abilities and gives you a toolkit to achieve your goals. Call today 01246 211 7777 to find out more.
Use code
OTM10 at checkout.
Winslow® provides specialist resources for professionals, parents and carers to support children and adults who have language, learning, sensory, physical and mental health needs. Visit our website to find out more about: Snoezelen® Multi-Sensory Environments | Soft Play | Sensory Integration | And More!
Life Changing Sensory Solutions For All www.rompa.com/OTM10
Promoting Health, Education, Social and Elderly Care
www.winslowresources.com
@rompaltd @winslowresource
email: sales@rompa.com
tel: 01246 211 777
Triton Safeguard PHPI 133x188mm_Layout 1 20/08/2015 15:12 Page 1
DESIGN
SAFETY
SIMPLICITY
Designed to grab your attention The new Safeguard+ Thermostatic Electric Shower from Triton with unique grab riser rail... • Able to withstand up to 150kg of support load • Comes with a 2000mm hose and low level shower head holder • Contemporary, polished stainless steel finish • 5 point fixing
And of course being Triton it’s easy to install with large removable top & bottom entry trims and generous clearance. Plus commissions in 2 minutes.
www.tritonspecifiers.co.uk
ot coaching
Rediscovering Occupational Therapy
I
struggled as a Basic Grade OT – I don’t mind admitting that. I burnt out twice during those early years and at the time thought this was due to large caseloads and my personal weaknesses, combined with the stress inherent in the role. However, I have had many years to reflect on what happened during these times and this reflective period hastened during my coach training in 2005. Training to be a coach was not part of a highly considered plan. I fell into coaching during a maternity break and found myself idly signing up for a diploma in coaching. During coach training you also receive coaching and I soon realised the multiple benefits of this new and exciting way of working. During my own coaching, we explored what
made me tick, what my core values, interests, beliefs, joys and passions were. Whilst coaching doesn’t focus on the past, the past always comes up and I was happy to learn from my difficult times to strengthen my future direction and plans.
Reconnecting The coaching process is a cycle of action, reflection, learning and further action with a focus on raising self-awareness and responsibility. During these early days, my actions were focused on tangible plans such as developing my coaching business, marketing etc, but underneath, deeper processes were at work. I was starting to remember who I was and why I trained as › www.
-magazine.co.uk 47
Helping you find
solutions for your clients • Specialist Wheelchairs • Moving & Handling • Pressure Care • Ramps and much more Wessex. Oxford. Invacare. Sunrise. Kirton. Easi Access. Stannah. Osprey. Geberit.
Joint Client Visits
Informative Product Literature Find us on stand C58 at the OT SHOW.
1 Orgreave Way, Sheffield, S13 9LS
Problem Solving
Call:
Access to Product Speciailists
Training Days
0114 229 3388
FREE Assessment Facilities
CPD Training
Email: sales@clarkandpartners.co.uk
Aprés™ Body Dryer come and see and feel the product at The OT Show, Stand E52 The Aprés™ Body Dryer is suitable for installation in any showering area or enclosure, and can be simply modified for fitting in most bathrooms, over the bath.
The Aprés™ Body Dryer is simple to use and is easily operated by a pressure switch which can be conveniently positioned on the floor or the wall. It also provides a unrivalled drying experience, enclosing the user in waves of warm air that assist to relax sore joints and sooth skin.
Stuart Barrow OT says “I always discuss the body dryer with my clients looking at how the dryer could maximise the time a carer has with the client if a care package is in situ.
Available to special order in a range of colours. T: 01704 841 266
E: sales@apresbodydryer.co.uk W: apresbodydryer.co.uk
ot coaching
› an occupational therapist and was falling back in love with OT.
My core values of creativity, fun, connection and realising potential came to the surface. I became interested in occupational therapy mostly due to a life-long passion for creativity and its potential to transform and heal. I was the school agony aunt, responding to my peers need for support and encouragement. I have always seen the potential in individuals for mastery and personal transformation. Occupational therapy fitted with my personal values including ‘fun’, as I heard of OTs taking their clients for forest walks, sailing trips and to the pub! Clearly this was the profession for me. As a career choice, occupational therapy felt perfect for me, but after working in traditional roles in health and social care, my core values were in severe tension, which is a recipe for burnout and stress at work. I have a deep seated need for autonomy alongside creativity and fun and this didn’t seem to be valued in statutory services. Whilst the rhetoric expresses a desire for innovation, at the grass roots, people that rock the boat aren’t always valued. I just wanted to create new services, new ways of working, express my creativity in all sorts of ways and have fun. I also found my high needs for autonomy were very difficult to meet. Ultimately I also felt I was not being of best service to my clients and patients. That was difficult to do when only around 15-20% of my time was actually spent with my patients. I was clearly an occupational therapist, but just not working in the right way or in the right environment.
Finding Your Strengths Coaching takes a strengths based approach and as I identified and started to work with my strengths I started to understand that whilst I was clearly an OT at heart, my high flying strengths were just not being used. It started to become clear what my new pathway needed to include and it was not about abandoning OT to become a coach.
part of my practice which was previously lacking: helping people discover what gives their life meaning, finding occupational for ms that give them joy, helping raise self-awareness so they understand the drive behind the choices they make and stop sabotaging their efforts. Coaching questions are so valuable in OT. They foster true client-centredness, selfawareness and responsibility. They target client meaning and choice making and evoke creativity and appreciation. Take some time to ponder what the following questions evoke in you: • • • • •
“What things in life give you the most joy and connection?” or “What makes your heart sing?” “What do you want to be different?” and “What is important about that to you?” “What have you done so far that has helped?” or “What worked in the past?” and “What went well on that occasion?” “What will be the first sign that it is getting better?” “What are the drawbacks to making this change?” and/or “How might you be sabotaging your efforts?”
Brock Cook (2014) asks us to “Reclaim Occupation As Means”, in our fabulous profession (and I would add “and an Ends”). He calls to occupational therapists to own their professional roots and return to doing what we do best. Place occupation at the heart of our practice. My call to you all is to consider how enabling meaningful occupation can truly be enhanced through using a coach approach to OT. My training as a coach enabled me to find what I was missing as an OT and it’s also brought me closer to my clients and patients and the occupational therapy profession itself. ■ Jen Gash is the founder of OTCoach, you can contact Jen at jen@otcoach.com or follow her on Twitter @OTCoachUK. If you are interested in coaching you can learn some
It was about weaving coaching, occupational therapy and creativity together, in a way that was congruent and fun.
basic coaching skills at www.otcoach.com and they are shortly to publish a new book, ‘Enabling Positive Change: Coaching Conversations in OT’, Pentland, Gash, Heinz, Isaacs-Young (CAOT in press).
As a profession we are brilliant at understanding how occupation is essential to well-being and we are really good at helping people adapt to changing circumstances. However coaching has strengthened a
References Cook B (2014) http://www.slideshare.net/brockcook/reclaimingoccupation-as-means-roam-otaqld14-workshop
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Childrens
Product focus
We take a look at some of the innovative products available for children with disabilities
The Rody
Suitable for children aged 3-5 years, the Rody promotes balance and coordination in children while providing a fun workout. The Rody can be changed according to the size and age of a child by adjusting the level of inflation and comes with a pump and valve. Available in a range of colours and with soft latex-free vinyl, the Rody can be purchased with an add on rocker, turning it into a colourful rocking horse. Great for fun exercise, sensory play and developing gross motor skills. ■ Prices available on request 02476 346 939 info@phillipstuftex.co.uk www.tuftex.co.uk
Recaro Monza Nova 2 Reha The Recaro Monza Nova 2 Reha Special Needs Car Seat is designed to provide postural support for children with special seating needs, whilst maintaining the high safety standards of standard car seats. It is designed for children aged 3-12 years old (15-50kg). The seat comes with removable lateral trunk supports, side supports, head supports and abduction block to enable adaptation of the seat to suit the needs of each individual child. The optional ISOFIX turn-table allows for effortless entrance and exit to vehicles. The back of the seat is fitted with a heightadjustable back and headrest, allowing the seat to cater to a growing child’s 50 www.
-magazine.co.uk
dimensions. The headrest has an internal air cushion enabling extensive angle adjustment to meet with a varied range of disability requirements. Seat wedges are available should the child need to be sat at an angle and there is an integrated speaker system in the headrest, which can connect to your mp3 player. A tummy pad and five point safety harness come as standard with a soft suede feel seat cover, which is both removable and machine washable. ■ Prices available on request 01903 726 161, sales@tendercareltd.com, www.tendercareltd.com
Special Tomato
Moorings Mediquip, who have been trading for over 20 years in the healthcare market, have been appointed as exclusive distributor in the UK and Ireland for the Special Tomato range of paediatric equipment.
Health Care who manufacture Special Tomato. As an already well-established, leading supplier of disability equipment this initiative has enhanced the range of products that we have available for NHS Trusts, special schools and end users”.
Chairman Girvan MacCorkell commented: “We are delighted to partner with the US Company Bergeron
Moorings Mediquip has an experienced and committed team of area consultants throughout the UK
and Ireland. As a result of this recent appointment the sales team has been expanded. ■ Full details of the Special Tomato products are available at www. specialtomatouk.co.uk or by calling the Customer Freephone Number 0800 031 6571. Find them on Facebook. www.mooringsmediquip.com
Lugs
Lugs offer a unique and huge selection of kits to decorate your hearing aid or cochlear implant. Made up of specifically cut vinyls to fit your device, stickers and PVC charms ,they are everything you need to instantly improve the look of your device! With designs from Minions to Hello Kitty and Star Wars to flowers, there is something for everyone. One vinyl set contains stickers to cover both sides of a single hearing device or the outer part of a double set. Each kit contains two sets each in a different colour and this family business is constantly adding more kits to the repertoire. ■ Prices from £11.99, mylugs@yahoo.co.uk www.mylugs.co.uk
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-magazine.co.uk 51
childrens products
TREAX Pads TREAX Pads by INNOVAID are a therapeutic training device that not only help you create new exciting exercises but can also deliver feedback, allowing you to evaluate user performance. The system is made up of a number of different coloured pads that respond to hands or feet during balance, coordination and weight-bearing exercises. The pads can be used in brain injury rehabilitation and in the development of motor and cognitive skills. TREAX Pads offer a highly flexible rehabilitation system that enables the therapist to design training activities to fit the functionality level and training needs of each user.
Flores Cot Bed The Flores Cot bed is a highsided wooden cot with an electrically operated bed frame, (as an option you can choose to have a turning or profiling bed frame). This specialist piece of equipment has been created to give a child or adult a safe sleeping environment. It can be fitted with bumpers all around or in specific places to minimise the risk of injury or harm. The Flores will also allow the child visual reassurance as Macrolon® windows have been incorporated replacing traditional bars. The Flores allows access for a mobile hoist if required with an optional infrared handset.
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-magazine.co.uk
If a bespoke Flores is required then you can choose the length, width or height to suit individual needs. With a weight limit of 25 stone (158 kilos) and a choice of doors both sides, the Flores can be customised to cater for even the most complex of needs. For bespoke options please call our sales team. ■ For further information or to book a demonstration or presentation call 01233 635353, email sales@ centrobed.com or visit www.centrobed.com
The pads offer three different functionalities, force indication scale, random light signals and balance mode, which together combine both therapy and fun. ■ Prices available on request 0800 318 625, info@leckey.com www.leckey.com
Reliable Seizure Detection Systems for over 20 Years Easylink UK, established 1984, is accredited to ISO 13485:2003/7 for the manufacture and distribution of medical products. We supply quality affordable products,which promote independence and aid people care domestically and professionally.
Apnoea monitors Enuresis alarms with radio pager alert Bed and chair rise detection alarms Wander detection door egress alarms Staff call radio paging systems Memory & communication aids
What Makes The ULTRA Special? The ULTRA is pre-programmed with selectable seizure detection modes, including complex epilepsy. The ULTRA also incorporates bed occupancy detection and body movement inactivity monitoring. The ULTRA can be used on specialist bed types including airflow mattresses, with an incredibly high level of movement detection sensitivity and control. Sleep safe knowing you have a Guardian Angel. Visit our websites for full details
www.easylinkuk.co.uk T 01536 264 869 Medpage Limited T/A Easylink UK. 3 Melbourne House, Corby Gate Business Park, Corby. NN17 5JG
childrens products
Pluï Pluï is an exciting new water toy that is guaranteed to add plenty of fun in the bath tub or swimming pool and it encourages tactile play. The toy uses fine motor skills when filling up the cloud, immersing it in water to fill it up and let it rain. Children can control the flow of water simply by sealing or opening the top nozzle with the tip of a finger. Pluï is made from a durable tactile plastic, combining learning with fun and a stylish toy. ■ Prices from £7.99, 01905 888 247, sales@toyella.com www.toyella.com
BundleBean Special The BundleBean Special is a waterproof and cosy footmuff fitting all wheelchairs and special needs buggies. The colourful, patterned waterproof shell is backed in soft fleece for comfort and warmth. An elasticated hem ensures a snug fit and two pairs of elastic and Velcro™ straps make it quick and easy to fit in seconds whilst remaining in the wheelchair. It comes in a neat stuff sack for compact storage when not in use. Three beautiful colour options (grey elephants, red stars and teal penguins) are sure to cheer up the greyest of days. ■
Barrel Roll The Barrel Roll can be used to provide gentle rocking and rolling. The child can lie on top of the barrel roll to receive vestibular input or the barrel can be used as a tunnel for crawling and playing. The Barrel Roll has a soft outer to make it comfortable and a solid inner to prevent collapse. It is robust and easily cleaned for infection control. Fantastic tool for exercise, balance control, play and vestibular input. ■ Prices from £325 +VAT Rompa, 01246 211 777, sales@rompa.com, www.rompa.com
54 www.
-magazine.co.uk
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Forensic Mental Health Occupational therapist Harriet Heaton-Pike shares the challenges and rewards of working in a forensic mental health setting at Bowman Low Secure Unit.
I
started working on Bowman Low Secure Unit within Cornwall Foundation NHS Trust as an occupational therapist nearly two years ago. Bowman Unit is a 12-bed ward for male patients over 18 years of age requiring recovery and rehabilitation in a secure environment for both forensic and non-forensic patients. The patients who receive treatment on Bowman Unit have severe and enduring mental health problems and often have a history of psychiatric care. Bowman provides a homely environment with a gym, a lounge area with TV, a pool table, table tennis table, music room, multi-faith room, access to bicycles as well as a therapeutic garden and an activities of daily living (ADL) kitchen.
I have always found mental health very interesting and whilst completing my university degree, I completed a seven week professional practice placement in forensic psychiatr y community reintegration working with ser vice users in a
community house who had been an inpatient on a low secure unit (LSU) to get back into the community and society. This was when I first became aware of forensic mental health – which means someone who has been detained under the Mental Health Act 1983 and involved in the criminal justice system/Ministry of Justice (MOJ) and again it was an area that really interested me. After qualifying as an occupational therapist and gaining my HCPC registration in 2013, I began to search NHS Jobs and the vacancy for this post arose and I was successful in the interview process. As well as providing ward based activities such as oneto-one cooking, art groups and relaxation groups, the main part of my work is undertaking assessments. The Model of Human Occupation (MOHO) works well within this setting and I often use a MOHOST (MOHO Screening Tool) as an outcome measure for when a patient is admitted and prior to discharge, as › www.
-magazine.co.uk 57
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Challenging Role The role is certainly a challenging one and really requires me to use my imagination to work with a patient and build a positive therapeutic relationship. Some days can go smoothly and other days can be more lively which can be due to a number of reasons. However, due to the ward having an experienced and supportive team, these issues can usually be overcome. ›
well as at various intermediate times too as patients can be on Bowman for two/three years. As an AMPS (Assessment of Motor and Process Skills) assessor I use this assessment to evaluate the quality of a patient’s performance of ADLs using tasks which are relevant to the patient. Again the AMPS assessment can be used as an outcome measure and the reports produced show this clearly on a graph if there has been an improvement, or a decline or no change in a patients functioning. A key assessment I carry out with patients when planning for discharge is the Allen Cognitive Level Screen (ACLS) as this gives a clear indication of a patient’s needs in the community when discharged from hospital and fits well with the AMPS assessment to provide a comprehensive overview of a patient’s functioning. My role also allows me to work closely with the patient for discharge planning. As well as completing my assessments which help to guide the type of accommodation identified for the patient - ranging from independent living through to 24 hour support in the community, I can assist with the transition part of the discharge plan. This means conducting home environmental assessments with the patients in the new accommodation and using my problem solving skills if necessar y. Following discharge and if necessary the team will provide outreach support to the patient to assist them to readjust to community living for up to four weeks.
This job has many positives including building up strong therapeutic relationships with patients due to the length of time working closely with them – this enables me to understand an individuals functioning and as a team we can work with a patient to improve many aspects of their life. My favourite part of the job is working with the patients and the one-to-one time is invaluable with getting to know and understand a patient and it really assists with building a therapeutic relationship. Also when a patient is discharged from hospital to the community that always feels like a real success. Some patients who are admitted to Bowman have had a few hospital admissions, often called ‘revolving door patients’ and due to the lengthy admission time on Bowman we often end this cycle of admissions and people go on to live fulfilling lives in the community. It is really positive to work with a full multidisciplinary team made up of a consultant psychiatrist/ responsible clinical, registered mental health nurses, healthcare assistants, a clinical and forensic psychologist, social worker and a social inclusion worker. Patients have access to different therapies and also can access other services such as dieticians, podiatry, Cornwall College and other charities to allow access to therapeutic activities and life skills. CPD My job allows me to really build on my CPD (continuing professional development) by reflective practice on many new experiences as this is my first job, attending conferences such as the Cornwall OT Conference, The OT Show and the South West BAOT conference. As well as being a BAOT and a WFOT member, I am also chair of the East Cornwall BAOT group which means I keep up to date with local and national developments and also link in with OTs working in different areas of practice. In the meetings we also critique recent articles and this always provides a very interesting discussion from all angles. At the moment I am also on the committee for the planning of the next Cornwall OT Conference in May 2016, which is really exciting and a great opportunity for OTs in Cornwall to have a conference on their doorstep. ■ www.
-magazine.co.uk 59
independent living
invest a little, SAVE A LOT
A
s people grow older and their levels of mobility and independence decline, many face the prospect of having to move to a more suitable property. However, the installation of an independent living aid such as a stairlift, through floor lift or hoist has proven to be a cost effective alternative for councils, housing associations and the NHS.
Christian Dunnage, a Director at Dolphin Mobility, one of the UK’s leading suppliers of independent living solutions, firmly believes that just because somebody requires assistance with their day-to-day living, their right to remain in their own home where they have lived for decades should not be taken away. He said: “When you have lived in your home for many years, the thought of moving into single storey accommodation or a residential care home can be daunting, not to mention very expensive for the individual, council or housing association involved; finding a tenant a suitable property can take months and result in significant costs and emotional upheaval. Placing someone in a residential care home can also be extremely expensive with costs rising up to £3,000 per month, whereas the installation of a stairlift, through floor lift or hoist will not only ensure the tenant retains their independence, but also save the relevant Government departments thousands of pounds a year.” Joanna Healey, 45, from Sittingbourne in Kent, is just one person who has benefitted from this way of thinking. Having spent over 15 years in her current home, Joanna found herself facing the very difficult prospect of having to move after being diagnosed with rheumatoid ar thritis and more recently fibromyalgia, both of which can be extremely painful and debilitating. “There are times when I am physically unable to get out of bed, or walk more than a few paces, due to the constant burning sensations in the nerves in my legs and feet that accompany fibromyalgia – I was often reduced to crawling up the stairs,” said Joanna. Following several assessments, Joanna’s occupational therapist recommended the installation of a stairlift and contacted her local housing association (Amicus Horizon Housing Association) to see what could be 60 www.
-magazine.co.uk
done to help her. A Platinum Horizon curved stairlift from Dolphin Lifts Kent Ltd. was subsequently installed in November 2013 and it immediately made a huge difference to Joanna’s quality of life and day-to-day comfort. “I am delighted with the stairlift,” she explained, “I no longer have to worry about trying to get upstairs to use the toilet or bathroom and best of all I have been able to stay in my home, when there was a real possibility this may not have been the case six months ago. I would definitely recommend anyone in my position to speak with their occupational therapist or local council to see what help is available.” In recent years there have seen significant levels of investment in the development of independent living solutions and as a result products such as stairlifts and through floor lifts now take up far less space within the home, allowing them to be installed in even the most confined of spaces. Christian explains: “Over the years, we have seen mobility aids and independent living solutions become sleeker and more aesthetically pleasing. The days of a stairlift taking up precious space on the staircase and landing are a thing of the past; with streamlined railing and ergonomic seating it is quite common for a stairlift to go unnoticed.” The same can be said for through floor lifts and Mr Lloyd of Warrington is a prime example of someone who has benefitted from these latest advances: “My multiple sclerosis means that using the stairs can be Left: Mr Lloyd using his hydraulic through floor lift. Right: Linda Dowdeswell using her Handimove ceiling track hoist
Just because somebody requires assistance with their day to day living, their right to remain in their own home where they have lived for decades should not be taken away
impossible even with a stairlift, so at times I have had to literally live downstairs. It was then decided by my occupational therapist that the time had come to look at alternative means of getting up and down the stairs,” he said. After several surveys and assessments, Dolphin Mobility (Manchester) installed a wheelchair version of the Wessex VM31 hydraulic through floor lift. “There is no doubt that the lift has changed my life and despite my initial concerns, the inconvenience and upheaval was kept to a minimum by the teams from Your Housing and Dolphin Mobility. What amazed my wife and I was the ease with which the installation was completed and how little an impact it has had on the layout of our home. Without the adaptations we would have been forced to move house.” Lifts and hoists also contribute to fewer visits from healthcare professionals, as this type of equipment enables individuals to go up and down the stairs on their own, allowing family members to help with day-to-day activities such as washing and dressing. Furthermore the installation of equipment can ensure the early discharge of patients from hospital, freeing up bed space and having a positive effect on hospital budgets; if the average length of stay is reduced by one day, there would be an annual saving to the NHS of approximately 35,400 bed days, which equates to
£8 million based on a bed day cost of £225. Despite their disabilities many people live in their own homes for decades, such as Linda Dowdeswell from Carshalton who was diagnosed with a cluster of tumours on her spine whilst pregnant with her daughter in 1981. “As my condition has deteriorated we have carried out various adaptations to our home, from widening doorways to converting rooms and installing equipment,” she said. Despite her restricted mobility, Linda is one of a growing number of people who can ‘self hoist’ due to the latest advances in hoisting equipment - this means she can get herself in and out of bed, bathed and dressed independently. These daily activities would be impossible without the Handimove ceiling track hoist with body support system, installed in her home by Dolphin Mobility. “The introduction of many new products into the UK market means the choice and options are greater and prices lower than ever before, which has to be a good thing for all concerned,” concluded Christian. ■ Dolphin Mobility is one of the UK’s leading suppliers and installers of stairlifts, through floor lifts, hoists and swimming pool lifts, with franchises across the country. For more information please call 01276 856060, email info@dolphinlifts.co.uk or visit www.dolphinlifts.co.uk.
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-magazine.co.uk 61
Events calendar
2015 Seating Principles & Pressure Management
Date: 16 September Venue: The Latham Park Centre Newtown AFC, Newtown Powys, SY16 1EN Time: 10am – 4pm Cost: Free Radcliffe Rehabilitation Solutions Ltd in conjunction with the British Association of Occupational Therapists, Regional Committee Wales, are running this CPD training event. To register contact enquiries@radclifferehab.co.uk or call 01280 700256.
Kidz Scotland Date: 17 September Venue: Highland Hall, Royal Highland Exhibition Centre, Edinburgh, EH28 8NB Time: 9.30am – 4.30pm Cost: Free Back for it’s second year, this event is dedicated to children and young adults with disabilities and special needs, their families and the professionals who work with them. For more information contact Disabled Living on 0161 607 8200, email info@disabledliving.co.uk or visit www.kidzscotland.co.uk.
Independent Living Scotland Date: 7-8 October Venue: Hall 3, SECC, Exhibition Way, Glasgow, G3 8YW 62 www.
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Time: Wed 10am – 4pm Thurs 10am – 4pm Cost: Free A new event with the aim of joining healthcare professionals with carers and people with a disability or long-term illness. The event will offer educational opportunities, as well as a chance to test out the latest products available to aid independent living. Register for free tickets at www. independentlivingscotland.org.
Kidz to Adultz Up North Date: 19 November Venue: EventCity, Barton Dock Road, Manchester, M17 8AS Time: 9.30am-4.30pm Cost: Free One the UK’s largest free exhibitions dedicated to children and young adults with disabilities and special needs, their families and professionals that work with them. For more information contact Disabled Living on 0161 607 8200, email info@disabledliving.co.uk or visit www.kidzupnorth.co.uk.
Looking Forward Looking Back: The Janus View of Autism Date: 25-26 November 2015 Venue: Prince Philip House, Carlton House Terrace, London Time: 9.00am – 5.15pm Cost: £155 one day; £250 two days
This conference will showcase that in looking forward we should also look back to understand the essence of autism and avoid repeating past errors as well as what the next decade is likely to hold. For more information contact Anoushka on 020 3490 3091/events@ researchautism.net.
The OT Show Date: 25-26 November Venue: NEC, Birmingham, B40 1NT Time: Wed 9.30am – 5.30pm Thurs 9.30am – 4.30pm Cost: Free The UK’s largest dedicated CPD and trade event solely for occupational therapists. Includes a comprehensive conference programme plus over 300 exhibitors. For more information or to register for free tickets visit www.theotshow.com
OTAC Date: 9 December Venue: St David’s Hotel & Spa, Cardiff Time: 9am – 5pm Cost: Free The Occupational Therapy Adaptation Conference will offer six professional seminars as well as access to over 50 exhibitors specialising in equipment or adaptation products. For more information call 02921 900 402 visit www.otac.org.uk.
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06/11/2014 10:32 Niamh Duggan Specialist Occupational Therapist Respiratory/Critical Care
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Join fellow healthcare professionals and over 2,500 visitors at Scotland’s premier event promoting independent living. Discover hundreds of products from daily living aids to telecare, children’s equipment to ramps, hoists and adaptation advice. Plus - network with fellow occupational therapists and benefit from the FREE CPDaccredited HCP seminar programme. Caroline Jones, Head of Marketing, College of Occupational Therapists said: “We are particularly excited about participating in the seminar programme - CPD plays a vital role in what we do and this opportunity ensures that all our members really do benefit.”
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student advice
A Flying
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ongratulations on securing a place on an Occupational Therapy course. Places were limited and competition was high. Dawn Fraser is on hand to offer some guidance on how to get off to a flying start.
Attendance
Embarking on a professional programme requires dedication and commitment. Occupational therapy students are expected to have a 100% attendance for theory and practice placements. University study is a rewarding experience both personally and professionally - attending scheduled sessions greatly contributes to your experience and missing them should not be taken lightly. University life offers a unique chance to expand the mind, meet new people and discover diverse cultures. It may seem tempting to hit that snooze button after a late night party, but excellent attendance combined with good study skills and an attitude to learn will ensure you become a safe and competent practitioner. Punctuality is key. Nothing is worse than someone who walks in late distracting the whole class including the lecturer. Many universities won’t allow you into a session if you are late, so get in early to get a good seat. If you naturally find yourself wanting to sit at the back of the room then break this habit fast - try the front of the class! It makes it harder to be distracted, which in turn makes it easier to focus.
Learning Are you ready to learn? Successful students know that learning is not always easy. I frequently remind my own students that if learning was easy then everyone would do it. Take opportunities to learn how you can improve on work you’ve produced, don’t be defensive or wallow in self-pity if things don’t turn out as you expect. Use it as a learning opportunity and strive to move forward. To be a successful learner you need to be open to new ideas, thoughts and opportunities. Are you ready to discuss and debate? Students have a natural tendency to sit with their friends in class and will cling onto their friendship groups when asked to embark on group work. But consider this… do your friends think like you? Do they have similar backgrounds or life experiences to you? If so what can you really offer each other in a discussion? To maximise your learning my advice is to seek out those people in your class who think very
differently about things. That way, you are able to challenge each other’s thoughts and ideas and this will be significantly more effective in enabling you to widen your own knowledge base.
Plan & Prioritise Student life is filled with lots of opportunities including parties, sports clubs and socialising. It’s important to schedule time in to relax and have fun but expect that there will be occasions when studying for an exam, or when writing that essay, that you may not have time for social activities or paid work. If you need to work to support yourself then try and plan this in realistically and keep it to the holidays. Some students make the mistake of trying to manage weekend work whilst on a full time placement and wonder why they are too tired to learn effectively. Remember why you signed up for the course in the first place and ensure you plan your resources adequately. Plan for the unexpected. Consider this, if you failed a practice placement and were offered a resit, can you afford to? Plan for every eventuality where possible. ■ Good luck with your studies and don’t forget to write in with your questions to theotmagazine@gmail.com
About the Author Dawn Fraser MA, FHEA, PGCE LTHE, BSc (Hons) Occupational Therapy Dawn is a Senior Lecturer at Teesside University. She also holds external roles as a Specialist Advisor to the CQC and is a Visitor who inspects educational programmes on behalf of the HCPC.
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motoring
Getting back behind the wheel
D
riving and getting around is such a big part of people’s daily lives. It offers people independence and freedom. Learning to drive can be a daunting undertaking for anyone but learning to drive if you have a disability or returning to driving after a major accident or illness can be a momentous decision with added fear. It can be a confusing time, not knowing where to start or where to go for help and many people give up before they even begin. Many people think that their disability or illness prevents them from driving altogether, however this is not the case.
Firstly, anyone who is returning to driving and already has a full license is obliged to notify the DVLA of any disabilities or illnesses that could affect their driving, this could include anything from an amputation to arthritis. There are many companies that offer practical advice and help to get people on, or back on, the road. Queen Elizabeth’s Foundation for Disabled People (QEF) are well known for the support they can offer through their driving assessments. These take place at their centre in Carshalton, south of London, specifically suited to an individual’s needs with the aid of trained professionals that will advise what is best for them and their driving experience. Alistair Pulling, a QEF spokesperson said: “The OTs at the QEF Mobility Centre play a role in assessing people’s potential to learn to drive, or continue driving after an acquired condition or changes in their health. Once this has been assessed they make recommendations as to the type of support needed to learn or continue to drive”. Another service that they can offer is a driving school for people learning to drive or for rehabilitative tuition. QEF also sell and adapt equipment for the mobility of clients returning to the road. www.qef.org.uk
Rica, a consumer research charity for older and disabled people, offer guides on motoring for a whole variety of disabilities. These include, motoring after an amputation, motoring after brain injury, motoring after a stroke, motoring with arthritis, cerebral palsy, multiple sclerosis or restricted growth. Rica also aid in the decision of buying the right car for the client. www.rica.org.uk Headway, the brain injury charity, also produce a booklet specifically for people who want to get back into driving after a brain injury and Parkinson’s UK publish their own guide for continuing driving after the diagnosis of Parkinson’s. www.headway.org.uk www.parkinsons.org.uk The Forum of Mobility Centres offer a helpful service that lets people test drive cars at their assessment centres dotted all over the UK and offer people advice on how to improve their driving experience. Find out more at www.mobility-centres.co.uk. For young people living with a disability who want to learn to drive, a helpful service to use is www.disabilitydrivinginstructors.com. They help people with physical disabilities, learning disabilities and hearing impairments with advice and driving lessons, whether you are attempting it for the first time or need to re-sit a test or learn to drive again with a disability. These methods are tried and tested for giving people back a little freedom after a turbulent time in their lives. ■ www.
-magazine.co.uk 67
independent ots
Going Independent
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Adam Bernstein
little research shows that there are a wide variety of jobs for occupational therapists out there and being an employee can have its benefits. One example role, found on Justot.co.uk, is for a midlands based senior occupational therapist, is home based and offers an annual bonus, 25 days leave, healthcare insurance and a 3% pension contribution. However, the world of employment isn’t for everyone and some aspire to own their own business. For them the risks are greater but so are the potential rewards. Setting up a business isn’t hard, but there are practical and legal steps that must be followed. Blithely drifting into selfemployment is not recommended.
The plan The first step is to plan what you are going to do and how you’re going to do it. How far will you travel? Are you going to consult or instead, manage others? What will make you different from other OTs?
offer facilities on their websites to find qualified accountants. Asking friends and colleagues for recommendations is worthwhile too. In terms of the entity, a sole trader is simple to set up and administrate – relatively speaking – and will offer lower costs to run. A sole trader will be liable for all business debts and may find it harder to access finance. A partnership, in comparison, offers a structure for two or more people to work together and share expertise. Like a sole trader, the partners will be liable for the business debts, but also for each other’s business debts; partners will each account for tax personally. A company is a separate entity from its owners (shareholders) who are only liable for the shares they’ve bought and no more. The company pays tax on its profits and the shareholders pay tax on their dividend income. Companies and limited liability partnerships have to be registered with Companies House and their business affairs are in the public domain. Sole traders and partnerships can be secretive as there is no obligation to publish business information.
Name and brand Going further, you’ll need to put together financial plans that will not only help you understand the money you will need to fund the business, but will help those who may be asked to finance you. If you want external finance you will be asked for a cash flow forecast, profit/loss forecasts for the next year and bank statements for the last six months as well as background on yourself. Skipping the plan could be fatal – without it you’ll not have a road map of your anticipated future. There are countless sources of finance and help – search the web for ‘finance for a new small business’ and plenty of options will be returned. But apart from your bank and friends and family, there are new alternatives such as fundingcircle. com and uk.zopa.com where borrowers effectively put their requirements out to the web for private funding.
The entity One critical step in the start up phase will revolve around the structure of the business – will you be a sole trader, form a partnership or create (buy) a company? Each has different risks and rewards and advice from a good accountant or solicitor will be invaluable in deciding. The Law Society regulates solicitors in the UK and offers help in finding a solicitor via http://bit.ly/OG5Ort. The professional bodies such as the Institute of Chartered Accountants in England and Wales and the Association of Chartered Certified Accountants 68 www.
-magazine.co.uk
When choosing a name for the business, apart from wanting to find something that represents you and your ideals, there are rules as to the names and words that can be used, especially if certain key words such as ‘Royal’ or ‘British’ are involved. Further, if trading as something other than a sole trader it’s important to let those traded with know the entity type. This must be done by, for example, adding ‘Ltd’ or ‘Limited’ to the end of the business name. Failure to do so makes an individual liable for any contracts or debts. The government’s website www.gov.uk/choose-company-name offers advice on names. In terms of the brand, consider your presentation – this includes logos, colour schemes, website and even seeking a unique email and web domain (such as www.jennysmiththerapy. co.uk). You don’t want to give clients a reason to call someone else. This site might offer some help - http://1.usa.gov/1xABX8u.
Staff Taking on staff is one part of running any business that can prove extremely hazardous if, as with
Getting Started tax, good advice isn’t sought. Employees and job applicants, have rights and aren’t afraid to enforce them. Further, the law places obligations on employers. An overview of an employers responsibilities is on the government’s website at http://bit.ly/ OZoOEZ.
Banks You will need a business bank account and not surprisingly, accounts do differ. Helpfully, the British Bankers Association (BBA) has an online tool at bba.moneyfacts.co.uk where you can sort bank offerings according to entity - sole trader, partnership or company. Further search criteria can be set to look out accounts that are branch based; that offer cheques and credit or debit cards; that offer (decent) overdraft facilities; or which pay credit interest. There are options to select introductory offers and to compare accounts.
Association site at www.theukcardsassociation.org.uk.
Tax Lastly, you’ll need to tell HMRC about the new enterprise. Individuals will need to start filling out self-assessment returns and will be responsible for paying their own national insurance. If the business is incorporated it’ll need to register to pay corporation tax. HMRC have a series of web pages for those starting a business that outlines obligations and responsibilities at www.hmrc. gov.uk. It’s worth remembering that HMRC can, and do, levy stiff penalties on taxpayers who don’t inform them of changes or a tax liability, or who fail to send in tax returns correctly and on time, or who don’t pay their tax.
To conclude Not featured on the BBA site is detail on loan accounts. Nor is there detail on merchant accounts that allow for the processing of credit and debit card transactions if you want to offer clients a non-cash alternative - but that is another subject entirely for which help can be found on the UK Cards
For those it suits, self-employment is a true wonder offering relative freedom and rewards based on effort. However, while it’s not that complex it is, by definition, more difficult than being an employee where an organisation deals with the legal niceties on your behalf. Go for it if you can. ■
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current clinical work, offers excellent financial reward and provides you with the opportunity to work within a team of highly respected Experts?
We Offer:
We require experienced OTs who are confident, have excellent communication skills (verbal & written), enjoy a challenge, are intrigued by the forensic nature of this work, and above all are keen to learn new skills. We offer:
• Unrivalled standards of training and CPD
Regular work on a case by case basis to fit in with other work commitments
• One-to-one mentoring whilst you are training
Excellent remuneration
• Regular work and excellent earning potential
Full & on-going training, supervision on every case & support
• Superb office advice and support
If you are highly experienced within your field and are able to devote a minimum of one working day a week to Jacqueline Webb & Co, please contact us or visit our website for further information. Alternatively join us at an upcoming regional event in Leeds, Bristol or Birmingham – please contact Simon Dickinson for details.
You will work on a self employed, flexible basis, alongside your “day job” – want to know more about how this works? Email recruitment@somek.com to request an information pack You will be working at a senior level with a minimum of 8 years post qualification experience as an OT and/or case manager
Contact: Simon Dickinson t: 01722 342 512 e: recruitment@jwebb.co.uk www.jwebb.co.uk/recruitment
Somek & Associates, run by OTs, is the largest provider of HP expert witnesses in the UK, renowned and respected in the field
Occupational Therapy Services
Deputy Head of Therapy/ OT Professional Lead Role We have an unique and exciting opportunity available for an innovative, motivated and highly effective occupational therapist with experience in management to further develop and expand their skills within the role of Deputy Head of Therapy/ Occupational Therapy Professional Lead at Barts Health NHS Trust.
The successful applicant will be a credible clinical leader, who, as a positive role model, will provide high level business planning and leadership to the Newham University Hospital Therapy services and the OT/PT stroke and neurology pathways across Barts Health. Whilst supporting the OT clinical leads, OT Clinical Practice Facilitators and senior OTs to provide a high level of professional leadership, to ensure expert OT practice and improved patient care. The successful candidate will have undertaken a similarly challenging role and possess highly developed interpersonal and influencing skills. They will support the development of a culture which embeds clinical standards and effective management of risk, and support people who strive for excellence. For a copy of the job description and further information please contact us: OTRecruitment-Information@bartshealth.nhs.uk Barts Health: Changing Lives
RECRUITMENT AND TRAINING
APPLY FOR YOUR NEXT OT JOB TODAY • Leading OT recruitment specialists • Nationwide coverage • Recruitment Agency of the Year 2014 and Best Public Sector Recruitment Company 2015* *at the national Recruiter Awards For Excellence
Visit sanctuaryalliedhealth.com to register your CV or call 0333 7000 023 In association with:
WINNER Sanctuary Allied Health is part of Sanctuary Personnel Limited. Neptune Marina, 27 Neptune Quay, Ipswich IP4 1QJ
Sanctuary_AH_OT mag_188x133mm_150814_creative.indd 1
14/08/2015 11:05
Harrison Training is a well-established leader in providing occupational therapists with a wide range of high quality continuing professional development (CPD) services. Run and delivered by occupational therapists, we understand the context, relevance and knowledge required to support competent practice. Services include: ■ Skills-based,
cost effective in-service training courses, covering most areas of practice workforce development, e.g. enablement, or outcome measurement ■ Mentoring or supervision – for services or individuals ■ Career development to include skills profiling, self-development tools, resources ■ Consultancy – e.g. service reviews, specialist programme implementation, research ■ An e-CPD portfolio for secure and easy record keeping – providing templates, summaries, appraisal documents, and multiple resources. ■ Bespoke
For more information: info@harrisontraining.co.uk / harrisontraining.co.uk / cpdol.co.uk
0410 HT CPDoL Ad.indd 1
06/04/2015 09:04
RECRUITMENT AND TRAINING
HAND THERAPY & ORTHOTICS Specialist training for the NHS & Private Medical Sector Courses can be run in-house, you can host a course or attend one of our open courses. High quality courses designed to provide practical workshops for staff working in the NHS & Private Sector giving the opportunity to increase skills and confidence and contribute to CPD. Cannot see quite what you need just get in touch to discuss a tailored course to meet your specific needs and we can design contents around them. Further details of prices, organising a course or open course dates can be found on our website: www. somektraining.com, give us a call on 01442 800206 or email: enquiries@ somektraining.com Going to the Occupational Show at the NEC on 25 – 26 November, why not visit our stand for a chat
Introduction to Hand Therapy & Orthotics Hand Therapy - An Introduction Assessment of the Hand Handling of the Hand and Thermoplastic Material for Splinting
Splinting for Abnormal Tone Splinting for Abnormal Tone - Putting Theory into Practice Management and Treatment of the Upper Limb after Stroke
Skill Building in Orthotics for the Hand Static Splinting for the Hand Clinical Reasoning for Splinting of the Hand Advanced Static Splinting of the Hand Dynamic Splinting (2 days)
Splinting for the Paediatric Hand Paediatric Splinting - Orthopaedics / Rheumatology Paediatric Splinting - Neurology Paediatric Splinting - Putting Theory into Practice Splinting for Functional Challenges in the Paediatric Hand Slinting for the Thumb in Paediatrics
Therapy & Orthotics for the Rheumatoid Hand Therapeutic Management of the Rheumatoid Hand (2 days) Static Splinting for the Rheumatoid Hand Advanced Splinting for the Rheumatoid Hand
Therapeutic Management of the Hand Splinting for the Neurologically Impaired Hand Therapeutic Management of the Thumb Therapeutic Management of the Fingers The Upper Limb with Abnormal Tone Therapeutic Management of the Wrist Preparation for Splinting
PROFESSIONAL & CLINICAL SKILLS DEVELOPMENT Paediatrics in the Community
PEOPLE SKILLS DEVELOPMENT Clinical Supervision for Supervisees Clinical Supervision Clinical Supervision – Advanced Appraisal Skills Assertiveness Communication Skills Business Writing Skills Customer Service Dealing with Difficult People Diversity & Equality [Building diversity for general staff ] Diversity & Equality [Managers & Supervisors]
Giving Constructive Feedback to Improve Performance Interview & Selection Skills First Line Management / Supervisory Skills – An Introduction to Leadership Advanced Management / Leadership Skills Meeting Skills Presentation Skills Train the Trainer Team Building Time Management
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MEET AN LOOKING TO PIST NAL THERA d OCCUPATIO MEET AN TO ccessful, an G su IN l, K O na io LO Locum Occupational Therapy RAPIST OU, Profess E Y E TH y K L dl LI N A N en O fri a ul, OCCUPATI T Practice with Recruitment nal, successf Specialists supportive O RAPIST ed, talented OU. Professio nc y Y dl rie E en pe K fri ex LI , on, seeks ctice with a iti ra os P T sp O di g al, successful e in tiv st la ed and suppor T experts, for endly rienced, talent and reliable O ctice with a fri al location ic on, seeks expe iti ph ra os p. hi og sp di ns ge nted sting relatio nship. Any We specialise la r tio r Occupational Therapy positions for la fo in ou locum s re T’ erienced, tale O e sense of hum and reliabl ered. private sector alks across the UK. idered. A good the NHSdiand cation consid w lo ns d al co an ic s, for lasting ng ph ni ra Any geog ve of fine fine dining lo of n a tio ve ith lo ca w a lo d, l ith re desi red, w graphica l. reasons why you should register today Three A GSOH desi optiona r ach optional. be .uk e on the beach th ense of humou on ks al w tpractice.co k d .u eo an co th ks e. al n@ ic w ct d tio ra ra an st tp ng gi eo ni re th fine di registration@ We are a framework approved NHS supplier so 1co.ukwe have access to the BEST jobs across the UK. . 01628 857144 44 71 85 8 62 e. 01 tic k .u ac www.theotpr otpractice.co actice.co.uk www.theotpr
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CT MATCH, YOUR PERFE seeks caring, GSOH, N/S, Professional, y st, trustworth friendly, hone r friendship, fo on ni pa m co and outgoing ls out. travel and mea 01525 621522
We are able to offer the BEST rates of pay and long term contracts.
CT MATCH, YOUR PERFE seeks caring, GSOH, N/S, We have the BEST dedicated Recruitment Professional, 3 y that will help you at every step. st, trustworth Consultants friendly, hone dship, en fri r fo on ni compa and outgoing ls out. ea m d travel an 22 15 62 5 0152
48 hour ‘speed dating’ recruitment exclusively at The OT Show Email or call to arrange your date
Register Today!
0345 363 1187
www.righealthcare.co.uk
OTM@righealthcare.co.uk
SENSIBLESTAFFING Recruiting Occupational Therapists Radcliffe Rehabilitation Solutions Seating Principles & Pressure Management Radcliffe Rehabilitation Solutions Ltd in conjunction with the British Association of Occupational Therapists, Regional Committee Wales, would like to invite you to a CPD training event with presentations on Seating Principles & Pressure Management.
~
Wednesday 16th September 10:00am to 4pm
At Sensible Staffing we have a wide range of flexible working options for Occupational Therapists.
As an NHS Framework agency we have nationwide assignments. We offer free DBS checks, mandatory training and on-going support for CPD. If you are look for an agency that can provide you with a personal service, register with Sensible Staffing.
Tel: 0208 364 9911 Email: aiden@sensible-staffing.com or vis it:
www.sensible-staffing.com
To be held at The Latham Park Centre Newtown AFC, Newtown Powys SY16 1EN. Refreshments will be supplied, including lunch. Register to attend please contact: enquiries@radclifferehab.co.uk or Call us On 01280 700256
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e hope you have enjoyed The OT Magazine and have found it informative and enjoyable to read. If you would like to register to receive a FREE copy of the magazine every issue, simply fill in your details and post back this form to the address provided, email ros@2apublishing.co.uk or call 0141 270 8085 and our team will be happy to help you.
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24/08/2015 16:12
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