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23rd and 24th Nov 2016 NEC Birmingham theotshow.com

Our Profession, Our Future, Our Show WWW.THEOTSHOW.COM

JUNE 2016

INSPIRING, INFORMATIVE AND EYE-OPENING FOR ALL OTS! Comprised of internationally renowned speakers, diverse topics and 60 hours of accredited CPD, the educational programme at The Occupational Therapy Show 2016 is definitely set to impress. Regardless of what role you play within Occupational Therapy, you can be sure to find an array of lectures, hands-on workshops, live demonstrations and on-stand learning relevant to your field of work, with the chance to network and have fun all at the same time.

By Minh Tran, OT, Birmingham City Council

When I first came across the term ‘Telecare’ I thought that the word was a combination of telephone + care, therefore Telecare. So I had this notion that it was care over the phone.

Heralded in the past as one of the great highlights of the OT calendar, The Occupational Therapy Show will pull out all the stops in 2016, and are delighted to announce, amongst others, some of the headline speakers for 2016 that will include Carolyn Unsworth, Gillian Leng, Gaynor Sadlo, Michael Guthrie and Chapal Khasnabis.

Sharing our passion for excellent education and training, Kate Sheehan, Conference Programme Director, gives us a taste of what delegates can expect from the 2016 show.

“I’m very excited to present this great line-up of speakers who’ll be exploring a broad variety of subjects.

We will also be putting Occupational Therapy under the spotlight, demonstrating how relevant new technologies, equipment and workflows are to occupational therapists.

“Our outstanding speakers will include Carolyn Unsworth, Professor of Occupational Therapy at Central Queensland University, who will be discussing on Day 1: Fitness-todrive assessment and the role of OT in maintaining driving mobility and Day 2: Measuring what matters: Using AusTOMs-OT in everyday practice.

Gillian Leng, Deputy Chief Executive at NICE, will present on NICE: National Standards for local priorities. And

I wasn’t too far off.

Gaynor Sadlo will discuss Using Problem-based Learning to create a “CPD university in the workplace”.

“Telecare is support and assistance provided at a distance using information and communication technology. It is the continuous, automatic and remote monitoring of users by means of sensors to enable them to continue living in their own home, while minimising risks such as a fall, gas and flood detection and relate to other real time emergencies and lifestyle changes over time”(2).

Ensuring the entire spectrum will be covered throughout the education conference, Michael Guthrie, Director of Policy and Standards, Health and Care Professions Council, will update delegates on the Standards of conduct, performance and ethics: What’s new and why?

And Chapal Khasnabis, GATE Programme Manager will explore GATE – a new gateway for OT professionals.

I am not going to lie. Telecare really excites the OT nerd in me. It reminds me of the Ultrahouse 3000, which appeared in the Simpsons Halloweens Treehouse of Horror XII episode.

The Simpsons had decided to upgrade their house to the Ultrahouse. A house with advanced sensor technology that could perform general household duties; butler/valet services; personal physician (telemedicine!); chef duties; and social interaction. Perfect house for the person who needs that little bit of extra care to continue living at home independently.

For more information about The Occupational Therapy Show 2016 education programme visit page 3.

Yeah. In real life, we aren’t at that stage just yet.

Discussing why she feels professionals should attend The Occupational Therapy Show 2016, Kate continues: “The benefit of The Occupational Therapy Show comes from the amount of thought and effort that goes into putting the programme together, ensuring each conference stream is relevant for those within the appropriate field. Delegates Continued on page 4 

Gaynor Sadlo, Professor of Occupational Science, University of Brighton

Carolyn Unsworth, Professor of Occupational Therapy at Central Queensland University

Gillian Leng, Deputy Chief Executive, NICE

The OT Show Show Sponsor

Event Partner

TELECARE: Implications for Occupational Therapists

Chapal Khasnabis, GATE Programme Manager

Kate Sheehan, Independent Occupational Therapist

The Occupational Therapy Show

Education Partners

Today, the UK telecare market offers a wide range of alarms and sensors that can be linked to a system that allows the user to be supported by an external monitoring body(1,2).

Stand alone monitoring systems are also available; these are generally used when a family member or carer needs to be contacted in the same building(5).

In the past decade, the option of Telecare in the UK has become increasingly attractive. Politicians and policy holders are asking themselves, could Telecare be the cost effective solution needed in todays’ ageing population with growing care needs?

As Telecare gained momentum, a bunch of studies ensued, mostly small scale, showing specific benefits of telecare(10).

For the user, telecare gives confidence, support, peace of mind and independence. For the carer, the perceived benefits included reduced pressure on the carer, improved health and wellbeing and improvements in the relationship with the person they look after(10). Powerful individual stories were (and still are) emerging, highlighting the specific

@theotshow

Continued on page 4 

@theotshow Media Partners

2

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23rd and 24th Nov 2016 NEC Birmingham theotshow.com

Fighting To Play

The Occupational Therapy Show Awards now open for submissions

By The OT Magazine

Ensuring all children have access to play Whether it’s of climbing trees, hula-hooping in the front room or battering a football off dad’s garden fence, we all have fond memories of play as a child. An inquiry led by charity Sense late last year however found that for children with multiple needs, crucial access to play services was few and far between.

Chaired by Lord Blunkett, the public inquiry looked into the provision of play opportunities for children aged 0-5 with multiple needs in England and Wales. The inquiry by Sense was established in response to feedback from families who had expressed concern over the few opportunities to access play services.

Benefits of Play We know that play is an important part of every child’s development. For young children with multiple needs, play is arguably even more important to enable them to develop physically, cognitively and emotionally; it is a vital early intervention tool that helps to improve the life chances of disabled children. A lack of play can prevent children with multiple needs from reaching their full potential.

Barriers to Play Despite emphasis on the strong value of play, evidence submitted to the Inquiry showed that children with multiple needs are facing significant difficulties in accessing play services. Access to play can be difficult with a single impairment, so when you add multiple needs to this, you add yet more barriers to an already difficult task.

Barriers to play are due to a number of different reasons;

one of the most common reported by Sense was parent’s fear of negative attitudes of other families or staff in new play settings. Negative attitudes can range anywhere from pity to frustration, rudeness and condescending tones.

Many parents who contributed to the study believe these attitudes stem from a lack of understanding and awareness of how different impairments can affect a child. Often those with learning difficulties, or with challenging or unusual behaviour are assumed to just be ‘naughty’.

Despite replies to FOI requests to local authorities asserting that all of their mainstream play services are accessible to disabled children, Sense found that these claims seemed to be at odds with the experiences parents contributing to the Inquiry shared. When not intentionally excluded, many felt they had been indirectly excluded due to issues like other’s attitudes.

Ultimately, most of the issues uncovered by Sense and the families who contributed can be boiled down to a lack of support; in teaching and learning the skills of play, of finding the right places to play, finding the time to play.

Access to specialist services is also often limited, and can be a ‘postcode lottery.’ The Inquiry highlighted a number of issues around unsuitable facilities, with physical barriers not just limited to formal settings, but also to friend’s homes and whilst the environment itself may be accessible, changing facilities, feeding spaces and others may not always be available.

To find out more about the Sense Play Inquiry visit www.sense.org.uk.

In 2015, The Occupational Therapy Show launched the inaugural Occupational Therapy Awards Program, aimed at grass roots OT professionals in the UK, and we are delighted to announce that nominations for the 2016 Awards are now open!

The awards will celebrate and acknowledge successful individuals and teams within the OT profession.

We are delighted to be able to recognise all sectors of occupational therapy through these awards which are open to any OT professional irrespective of career level.

Jen Gash from OTCoach who will be chairing the 2016 Awards said “there is so much great work happening out there and many OTs work without due recognition or reward. These new awards are a chance to celebrate the work of OTs".

2016 categories include: • • • •

•

Outstanding Senior OT Outstanding OT Outstanding OTTI/OTA Outstanding Innovation (product, service or tool) Outstanding Innovator (person)

The winner(s) of each award (not per person) will be awarded a prize of £200 to go towards enhancing your CPD. The Awards Ceremony will take place at The Occupational Therapy Show on 23rd November. Visit www.theotshow.com/awards for more information or to make a nomination.

The Invacare Robin ®

Breaking down barriers The only hoist that offers complete interaction with your client during transfer

Join us: Stand F50

Invacare Education Sponsor

E-mail us: safepatienthandling@invacare.com Call us: 01656 776 222 Find out more: www.invacare.co.uk

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The OT Show

The Occupational Therapy Show

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23rd and 24th Nov 2016 NEC Birmingham theotshow.com

3

EDUCATION PROGRAMME: WEDNESDAY 23RD NOVEMBER THEATRE 1:

KEYNOTE THEATRE:

THEATRE 2:

THEATRE 3:

09:45 – 10:30

09:45 – 10:30

09:30 – 10:15

Is an online manual handling resource of value in a blended approach? The results of a longitudinal research study

Session delivered by Heather Schofield

One thing dementia cannot destroy

Heather Schofield

Andy Lowndes MSc BA RN RCNT RNT, Deputy Chair and Training Lead, Playlist for Life

Sponsored by AKW

Sponsored by Invacare

09:30 – 10:15 Session delivered by Suzanne Rastrick Suzanne Rastrick, Chief AHP Officer, NHS England I

Sponsored by Otolift

Jo Webb, Senior Lecturer and Researcher, The University of Salford

Sponsored by Carflex

CY PF

P

MH

10:30 – 11:30

10:45 – 11:15

10:45 – 11:30

10:30 – 11:15

Fitness-to-drive assessment and the role of OT in maintaining driving mobility

Tackling challenges

Otolift sponsored session

Careflex sponsored session

Professor Carolyn Unsworth, Professor of Occupational Therapy, CQ University, I Melbourne

11:45 – 12:30

11:45 – 12:30

11:30 – 12:00

GATE – a new gateway for OT professionals

How do you demonstrate impact and value of your service? A beginner’s guide to evaluation

Riding the rollercoaster: the PhD research experience

Using evidence based practice in occupational therapy with children and young people with eating disorders

P

Jan Burke, PhD Student, Swansea University

Alison Seymour and Daune Green I

MH

MH

13:30 – 14:30

14:15 – 15:00

12:45 – 13:30

12:15 – 12:45

NICE: National Standards for local priorities

Inavcare sponsored session

Session delivered by Alison Thain

Session delivered by David Sinclair

Alison Thain

David Sinclair

Professor Gillian Leng, Deputy Chief Executive, NICE

Reducing care and equipment costs with FloorBed and Configura Seating

Correctly specifying and best practice layout of ceiling hoists, assisted baths and changing tables

Debra Corney, Consultant Occupational Therapist | BSc Hons, HCPC Registered, Accora Ltd

Mark Sadler, Sales Director, Clos-o-Mat/Total Hygiene

P

Sarah Richardson

SHOWCASE THEATRE

Specification of an automatic shower toilet - considerations

Melanie Sturnam-Flloyd

11:45 – 12:45

Chapal Khasnabis, GATE Programme Manager, Global Cooperation on Assistive Technology (GATE) WHO

INNOVATION THEATRE

I

I

MH

Nicholas Kent, Managing Director, OpeMed

From S.I. Theory to the Ball Blanket™ from daily experiences and case stories to scientific research Pia Christiansen, Managing Director, OT, Protac A/S

Post Polio Syndrome – a guide to management for healthcare professionals

Pressure management: the 4 principles of seating

Dr Robin Luff, Luff, BSc, MBBS, FRCS, FRCP, Chair of The British Polio Felowship Expert Panel, Consultant in Rehabilitation Medicine, King’s College Hospital, London, British Polio Fellowship

Martina Tierney, Clinical Director/ Occupational Therapist, Seating Matters

Time to change - forward thinking with ceiling hoists

Protecting body shape, protecting quality of life

Marinus Fløe Kristensen, Senior Consultant - Occupational Therapist, Guldmann

Sarah Clayton, CEO, Simple Stuff Works Associates

14:45 – 15:30

16:15 – 16:45

14:00 – 15:00

13:30 – 14:15

Including the excluded – a creative journey

Session delivered by Anne Boulton

Investigating the impact of sensory integration therapy on families of children with sensory integration dysfunction

The use of visual screening within Occupational Therapy to reduce falls

Specialist seating for complex client groups

Session delivered by Melanie SturnamFloyd

Carol Pearson and Fran Dodd

Ellie Burcher, Kirton Seating Ambassador, Kirton

Melanie Sturnam-Floyd, Moving and Handling Consultant, Norfolk County Council and NBE MembershipSecretary at MSF Handling

Anne Boulton

Jane Reynolds, Occupational Therapist

Kylie Holdback CY PF

P

MH

P

15:45 – 16:30

15:15 – 16:00

16:15 – 16:45

AKW sponsored session

GenHome

Activity analysis and the return to work checklist

Rachel Russell, Occupational Therapist, The OT Service P 16:45 – 17:30

16:15 – 16:45

Session delivered by Michael Mandelstram

Session delivered by Melanie Burrogh

Michael Mandelstram, Independent Legal Trainer and Consultant

Melanie Burrogh CY PF

I

17:45 – 18:30 The Occupational Therapy Show awards

Session delivered by Mandy Clift

Lorna Lewis, OT and Vocational Specialist Advisor and Annette HenriquesMH Saddler, OT

Mandy Clift, Product Manager, Getinge Group

More seminars will be added to the programme over the coming months, please keep checking The Occupational Therapy Show website for updates.

EDUCATION PROGRAMME: THURSDAY 24TH NOVEMBER THEATRE 1:

KEYNOTE THEATRE:

THEATRE 2:

THEATRE 3:

INNOVATION THEATRE

SHOWCASE THEATRE

Interventions to support people with dementia and their carers - developing the evidence base

Reducing care and equipment costs with FloorBed and Configura Seating

Dr Jennifer Wenborn, Senior Clinical Research Associate – Occupational Therapist, University College London

Debra Corney, Consultant Occupational Therapist | BSc Hons, HCPC Registered, Accora Ltd

Correctly specifying and best practice layout of ceiling hoists, assisted baths and changing tables

Sponsored by AKW

Sponsored by Invacare

09:30 – 10:30

10:45 – 11:15

09:45 – 10:45

09:30 – 10:15

Measuring what matters: Using AusTOMsOT in everyday practice

Understanding fatigue and the role of occupational therapy within rehabilitation

50 shades of barriers to single handed care, are they justified?

Deborah Harrison, Managing Director, A1 Risk Solutions® Ltd P

Professor Carolyn Unsworth, Professor of Occupational Therapy, CQ University, I Melbourne

Sponsored by Otolift

Sue Pemberton

P

Sponsored by Carflex

10:45 – 11:30

11:45 – 12:30

11:00 – 11:45

10:30 – 11:15

AKW sponsored session

Session delivered by Ritchard Ledgard

Otolift sponsored session

Careflex sponsored session

MH

Time to change - forward thinking with ceiling hoists

Ritchard Ledgard

Marinus Fløe Kristensen, Senior Consultant - Occupational Therapist, Guldmann

I 11:45 – 12:45

12:45 – 13:30

12:00 – 12:30

11:30 – 12:00

Effective occupational therapy on the margins

Handwriting difficulties in children with DCD: The role of grip strength, visual perception and pen pressure

Session delivered by Aundra Golden

Session delivered by Avril Drummond

Aundra Golden

Avril Drummond, Professor of Healthcare Research and Director of Research, School of Health Sciences, University R of Nottingham

Dr Jennifer Creek MH

Melissa Prunty

CY PF

CY PF

13:30 – 14:30

14:15 – 15:00

12:45 – 13:30

12:15 – 12:45

Winning ways - creating mutually beneficial outcomes in negotiating contracts and pricing services

Inavcare sponsored session

999: Occupational therapy partnership with the Scottish Ambulance Service

All you need to know about reading a qualitative paper

April Lochhead and Gareth Hendry

Dr Claire Ballinger

Veronica Broomes, Business Coach and Mentor, Your Small Business Coach

I

P

Mandy Clift, Product Manager, Getinge Group R

15:15 – 16:00

14:00 – 15:00

13:00 – 13:30

Using problem-based learning to create a “CPD university in the workplace”

Outcomes in children’s occupational therapy - using the ICF-CY as a guide

Session delivered by the Sensory Integration Network

Gaynor Sadlo, Professor of Occupational Science, University of Brighton MH

Lorna Wales

All you need to know about translating research: Novel technologies supporting independence R Suzanne Martin

Lois Addy

CY PF

15:45 – 16:30

15:15 – 16:15

13:45 – 14:15

Standards of conduct, performance and ethics: What’s new and why?

Session delivered by Yvonne Thomas

All you need to know about becoming an Occupational Therapy researcher

Michael Guthrie, Director of Policy and Standards, Health and Care I Professions Council

Yvonne Thomas

Ellie Burcher, Kirton Seating Ambassador, Kirton

Session delivered by Mandy Clift

14:45 – 15:30

CY PF

Specialist seating for complex client groups

Superior solutions. Exceptional service.

R 14:30 – 15:00 All you need to know about why systematic reviews are relevant

Session Topic

I

= Innovation

P = Physical CY PF

Lynn Legg

MH = Mental health

R = Research

= Children, Young Persons & Families

R

15:15 – 15:45 Going to rehab - can equipment choices affect the risk?

Deborah Harrison, Managing Director, A1 Risk Solutions® Ltd and Jo Webb, Senior Lecturer and Researcher, The R University of Salford

From S.I. Theory to the Ball Blanket™ from daily experiences and case stories to scientific research Pia Christiansen, Managing Director, OT, Protac A/S

More seminars will be added to the programme over the coming months, please keep checking The Occupational Therapy Show website for updates.

Plus sessions from:

Dr Jo Fletcher-Smith I

Nicholas Kent, Managing Director, OpeMed

AAT Logo Sign 533 x 533mm.indd 1

18/07/2013 09:29:45

Register for FREE at www.theotshow.com/paper2

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23rd and 24th Nov 2016 NEC Birmingham theotshow.com

Inspiring, informative and eye-opening for ALL OTs! 

TELECARE: Implications for Occupational Therapists

Continued from page 1

By Minh Tran, OT, Birmingham City Council

can trust that the speaker line-ups and topics are always different year on year, enabling them to access a wide spectrum of educational opportunities.

“The event is also very well supported by the trade, so delegates can learn about materials and equipment and then speak to the manufacturers directly. This combination of education and access to the trade is fantastic.”

The Occupational Therapy Show 2016 looks set to host more than 300 leading manufacturers and suppliers on the trade floor, offering all the information, advice and amazing deals you could need. Many will also be offering on-stand educational as well, with mini lectures held throughout the two days to demonstrate their leading products and treatment concepts.

What’s more, the NEW products and services initiative will highlight the very latest innovations available in the UK from exhibitors, making sure you don’t miss a thing!

With lectures and handson workshops designed for all, as well as the chance to attend and take part in the prestigious Occupational Therapy Show Awards 2016 and The Poster Zone (more details can be found online at www. theotshow.com), bring your whole team along to The Occupational Therapy Show 2016!

When I first came across the term ‘Telecare’ I thought that the word was a combination of telephone + care, therefore Telecare. So I had this notion that it was care over the phone. 

Continued from page 1

benefits and describing the positive impact it has had on users and carers.

Telecare is looking good except for a few small glitches.

Despite the many studies and powerful stories supporting the many benefits, there are not many robust studies to show that telecare is cost effective or that there is a reduction in service use (i.e. hospital admissions)(11, 13). So in recognition of this, the Department of Health launched a large (as in 3000 participants) randomised control trial of telecare in 2006 and the results were not pretty(12). Bluntly put, “In this trial, telecare did not significantly alter rates of health or social care use or mortality over 12 months’(11). It was not looking better for the penny pinching side of it either; the study also showed that telecare was not a cost effective addition to standard support and treatment(13).

There are also ethical implications that cannot be overlooked. Although the intent of Telecare is to monitor, prevent and protect, it is still like big brother. For consenting users, this is not such a big issue. But for vulnerable users, such as those living with dementia, it can become an issue of privacy invasion and restriction of freedom(7).

Telecare, if inappropriately prescribed, can become hazardous rather than beneficial. Recently, I came across a patient living with Alzheimers, her cognition was very poor and her short term memory non-existent.

Family were very antitelecare because this lady had been inappropriately prescribed a pendant alarm. She did not have the cognitive capability to understand (or remember) the purpose of the alarm, which resulted in frequent pressing of the button.

She would become very distressed and further confused when she heard the operator voice over the base unit because she could not understand where the voice was coming from.

The OT Show 2016 promises to be another success story and this This put her at higher risk of falls as she would frantically year CareFlex is a proud Education Sponsor. You’ll find us on Stand search for the voice.

Caring across the Years G62 and in Theatre 3 where researchers will be presenting the

results of the clinical studies carried out by The University of Salford.

Take this opportunity to discuss findings with them and discuss posture, pressure relief management and specialist seating with these independent, eminent, senior healthcare professionals.

Choose CareFlex Specialist Seating You can rely on us for holistic, expert and impartial advice. We have over two decades of experience working with the NHS and in the community. One of our expert assessors is always willing to come with the HCP team to offer guidance and give a free, no obligation quotation and funding rationale.

In light of these glitches, telecare cannot be recommended lightly, particularly when prescribing for a vulnerable adult. It sounds obvious, but we as OTs need to become well acquainted with a telecare product before we prescribe it and our assessment needs to reflect that we have explored the potential risks as well as benefits.

Here are some questions to ask yourself during your Telecare Ax:

0800 018 6440

4

enquiries@careflex.co.uk

The OT Show

www.careflex.co.uk

Have you gained the persons informed consent to receive telecare? Too

The Occupational Therapy Show

often I have found myself about to fax my OT report with the recommendation of a telecare product before gaining the consent of the patient. I know that this product will work, but it is still the patient’s choice whether they want to receive this equipment or not.

If the patient is vulnerable or does not have capacity, have you explored alternative methods to keep this patient safe?

Remember, the use of activity monitoring sensors, wander deterrent sensors or movement sensors can be considered a form of privacy invasion and restriction of freedom. Does the risk (i.e. fall) outweigh this persons privacy?

Is Telecare really the solution? Sometimes it is easy to slap on Telecare rather than explore the real problem.

For instance, look at this scenario: We have a gentleman diagnosed with Alzheimers with a history of wandering. The team say ok prescribe a wander sensor to alert carers or family every members every time he tries to leave. What if I told you that this person was a very social being and prior to cognitive decline, would catch up with friends daily? The better solution would be to find a way to support his need for social contact rather than slap on a product that will keep him inside the house. Always look at the problem and try to address that before considering a product that may inhibit occupation.

Will this Telecare product cause more harm than good?

For instance, will a pressure sensor mat be a trip hazard?

Will the person jump, and therefore be at risk of a fall, if the alarm sounds from a chair sensor? Will the person become distressed and further confused by a memo minder?

Always, always, always explore the potential risks that can arise from implementation of a Telecare product.

Telecare may not be the penny pinching answer to the UK social care crisis or offer a significant decrease in social care use, but it may be the perfect solution for some. So do not write it off completely just yet. There is still evidence to suggest that telecare can be used to help support a person and their carer to live at home longer and independently.

So do add Telecare to your OT toolbox and remember to prescribe it wisely.

Question for the day: What is your Telecare success story?

References 1. Aktiv UK 2014, ‘The evolving UK market for Telecare.’ Retrieved March 9, 2015, from http://www.aktive.org.uk/downloads/Evolving_UK_market_for_telecare.pdf 2. Telecare Services Association. (n.d.). What is Telecare? Retrieved March 9, 2015,

from http://www.telecare.org.uk/consumer-services/what-is-telecare 3. What is Telecare? (n.d.). Retrieved March 9, 2015, from http://www. uktelehealthcare.com/whatistelecare.asp 4. Lloyd, J. 2012, ‘The future of who uses Telecare’. The strategic society centre 2012.

5. Sirona Care and Health. (2015). Telecare Service. Retrieved March 9, 2015, from http://www.sirona-cic.org.uk/services/telecare-service/ 6. CarersUK. (2014). Telecare and telehealth. Retrieved March 9, 2015, from http:// www.carersuk.org/help-and-advice/practical-support/equipment-and-technology/ telecare-and-telehealth 7. Social care institute for excellence (2010) SCIE Report 30: Ethical issues in the use of telecare. Available from www.scie.org.uk/publications/reports/report30.pdf 8. Ward, G., Holliday, N., Fielden, S. and Williams, S. (2012) Fall detectors: a review of the literature. Journal of Assistive Technologies Vol.6 (3) p202-215 9. Disabled Living Foundation 2013,Fact sheet-Personal Alarm Systems and Telecare, UK, viewed 9th March 2015 from http://www.dlf.org.uk/factsheets/factsheet_ telecare_ref.pdf 10. AKTIVE Consortium (2013) The Role of Telecare in meeting the Care Needs of Older People: themes, debates and perspectives in the literature on ageing and technology. AKTIVE Research Report Vol.1, online publication: www.aktive.org.uk/ publications.html ISBN: 978-0-9570900-3-3 11. Steventon A, Bardsley M, Billings J, Dixon J, Doll H, Beynon M et al. Effect of telecare on use of health and social care ser- vices: findings from the Whole Systems Demonstrator cluster randomised trial. Age Ageing 2013;42: 501–8.

12. Bower P, Cartwright M, Hirani SP, et al. A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the Whole Systems Demonstrator cluster randomised trial. BMC Health Serv Res 2011;11:184.

13. Catherine Henderson, Martin Knapp, José-Luis Fernández, Jennifer Beecham,

Shashivadan P. Hirani, Michelle Beynon, Martin Cartwright, Lorna Rixon, Helen

Doll, Peter Bower, Adam Steventon, Anne Rogers, Ray Fitzpatrick, James Barlow,

Martin Bardsley, and Stanton P. Newman. Cost-effectiveness of telecare for people

with social care needs: the Whole Systems Demonstrator cluster randomised trial.

Age Ageing 2014 : afu067v1-afu067.

@theotshow

@theotshow

5

www.theotshow.com

23rd and 24th Nov 2016 NEC Birmingham theotshow.com

Burning nights Complex Regional Pain Syndrome (CRPS) formerly Reflex Sympathetic Dystrophy, is a poorly understood neuropathic pain condition which affects many people in the UK and across the globe. Recent studies have shown that there are approximately 1 in 3,800 sufferers with this condition. CRPS can cause a person to experience persistent, severe and debilitating pain amongst other symptoms.

The condition may develop after an injury, surgery, stroke or heart attack where the pain is out of proportion with the severity of the initial injury. CRPS is also one of the most painful chronic conditions in the world. The cause of Complex Regional Pain Syndrome isn’t clearly understood and CRPS awareness in the UK is low. Treatment for Complex Regional Pain Syndrome is more effective when started early. In such cases, improvement and even remission are possible.

With low awareness and understanding of CRPS both globally and in the UK, it is vital that a support system is in place for those who suffer from this condition. Burning Nights offers detailed information and CRPS support for sufferers, loved ones, carers, friends and families. We offer a local support group currently in Manchester, an information phone line, an online community forum, as well as an annual one day Meet & Greet conference event where professional speakers are invited to give talks. This support system is vital not only to CRPS sufferers but also their families and loved ones around them, as CRPS doesn’t just affect the person with the condition.

for healthcare professionals and students around the UK. We believe that awareness is key to people receiving earlier diagnoses leading to quicker treatment which will prevent aggressive CRPS leading to amputation.

Why not contact us and find out more about CRPS, the awareness training we can deliver, our charity or fundraising events.

Tel: 01663 795055 Email: news@burningnightscrps.org Website: www.burningnightscrps.org Charity name: Burning Nights CRPS Support | Charity No. 1166522

Burning Nights CRPS Support is a registered UK charity specifically for Complex Regional Pain Syndrome. We aim to improve the quality of life for sufferers, carers, families and friends. Increasing knowledge of CRPS on a global and national scale in the UK is a necessity. Through the products on offer, awareness and support of CRPS can improve through increased visibility and information.

As part of our commitment to improving understanding of CRPS, we also provide talks, seminars, presentations and awareness training on Complex Regional Pain Syndrome

0800 612 6077

www.experia-innovations.co.uk info@experia-innovations.co.uk

Our state-of-the-art Sensory Bus is part of the Paediatric Trail at the OT Show 2016.

CPD Seminar Accreditation sessions will be taken on-board the bus.

Details on the sessions to be released soon.

We are passionate about: Immersive Environments Sensory Pools and Bathrooms

WWW.THEOTSHOW.COM

Multisensory Rooms Interactive Floors and Walls

MiLE Rooms Softplay

Register for FREE at www.theotshow.com/paper2

www.theotshow.com

23rd and 24th Nov 2016 NEC Birmingham theotshow.com

The Occupational Therapy Show 2016 Floor Plan EHOB INC

3

2

THEATRE 1 2

2

APOLLO HEALTHCARE INTERNATIONAL

B20

SPONSORED BY

A32

SIMPLE STUFF WORKS

A38

A39

STICKMAN COMMUNICATION

HERTFORDSHIRE COUNTY COUNCIL

RIG HEALTHCARE

RNOH

VIVA ACCESS

INDEPENDENT LIVING SOLUTIONS

ABLE 2 OT SERVICES

3

2

2

3

3

2

2

2.5 B31

ALMOND CASE MANAGEMENT

BATHEX

B34

A40

4

B30

B32

A42

3

3 B40

2

POSSUM TELECARE

A43

A44

A45

3

B42

4

B48 3

CYGNET HEALTH CARE

KENDERKEY

3

3

B54 SCOOTER STORE

3

3

B2

BHTA

B3

B10

IOW

PIVOTELL

2

4

6

REPOSE

3

9.5

1 2

C10B

PROMOTING INDEPENDENCE

C18

2

C10A

C1 PEARSON

4

ORNAMIN

RECLINERS

C20

CENTROBED

C24

5 3

4.5

C22

LIFTSEAT 5

4

4

D24

SENSIBLE STAFFING

ENTRANCE

D13

4.5

D12

6

6.5

AUTUMN

4.5

4.5

6

5 E35

HANDICARE

10

CARE-ABILITY HEALTHCARE

E46

RESERVED

4

SWALLOW EVACUATION & MOBILITY PRODUCTS

COMPLETE CARE NETWORK

2.5

3

4

THERAPOSTURE

C63

EXPERIA 12

3 D68

ERGOLET

BRITISH ASSOCIATION & COLLEGE OF OCCUPATIONAL THERAPISTS

5

5

E42

4

5

SMITCARE

D60 5

4

THRONE

BY KWTS

3

5

E50

E58

JCM

E68 5

SMIRTHWAITE

AKW

10

E44

5

C62

CREDO CARE

2

10

ASTORBANNERMAN

5 TR EQUIPMENT

HSL CHAIRS

JIRAFFE 7.5

4

5

E40

C61

INCLUSION.ME

D58

D52

5

5

E30

E25

4.5

6

11

4.5

C60

2

3

D56

DRIVE MEDICAL

5

SEATING MATTERS

3

5

SPECIALISED ORTHOTIC SERVICES

4

6

MYBILITY

D32

OTOLIFT

E28

E1 E12

4

4 C52

6

SPONSORED BY

ADAPTAWEAR

B65

MEDEQUIP

D48

CHILTERN INVADEX

D31

MOTOBILITY

3

3

B64A

2

C50 HARRISON ASSOCIATES

D40

D26

E20

FORMALIGN

DOLPHIN MOBILITY

5

1

11

D38

3

3

C51

C45

OPEMED

5

D30

MANGAR INTERNATIONAL

4.5

E11

THYSSENKRUPP ACCESS

D20

GENNY MOBILITY

3.5

E10

5.5

4.5

5

D28

D22

KINGKRAFT

C40

5

9

D11

6.5

4

6

D10

CURA SEATING

MOORINGS

PDS HYGIENE

C56 BARKING HAVERING & REDBRIDGE HOSPITAL NHS TRUST

3

3

B63 4

MULTISENSORY WORLD

5

OBAIR

SPECTRUM HEALTHCARE (UK) LTD

QBITUS

C53

ATLANTIS MEDICAL

C48

OTTOBOCK

C30 3

QUEST 88

6 C42

C34

SOMEK & ASSOCIATES

3.5

4

2

4

C32

9

5

C54 3

5

5 5

SHOWCASE THEATRE

3

MILLBROOK HEALTHCARE

NAEP

B62 3

C58

POLLOCK LIFTS

3

C38

2

B61

2

4 C55

PRISM

EMSEC EASY MOVE SHEETS

B1

5

THEATRE 2

JENRY HOME OF THE MILLIEMOVA

3

2

C37

6

B60

B53

HOSPITAL DIRECT

5

3.5

2

B51 RDAC

THERAPY WORLD

8.5

CHUNC

4

B50

2

B52 MERCADO MEDIC

3.5

B22

2 12

B38

EASYRISE

7

A34

ULSTER UNIVERSITY

A30

2

PRESSALIT CARE

E60

E55 5

LANGHAM GE

EASYLINK

10 5

5

F10

5

F14

5

F40

5

F42

2

5

F50

F52

2

3 F1

5

DYCEM

3

WEALDEN REHAB

THE KEY SAFE COMPANY

F12

ABACUS

ROMPA

2

10

F44

BAKARE BEDS

NETWORKING LOUNGE

5

CANINE PARTNERS

F61

5 3

SPECRA CARE GROUP

10

F16

5

F01

5

F62

INVACARE

10

5

KINESTICA

THEATRE 3

F60 5

THE OT SERVICE & DESIGN MATTERS

3

QUANTUM

NRS

5

5

G24

7.5

8

5

G30

RISE & RECLINE

9

SPRING CHICKEN

5

4

G48

G32

2.5

TERRY LIFTS

RESERVED

5

5

H03

H4 CREATIVE CARE

5

4.5 2.5

3 H8

H10

CLARK & PARTNERS

4

H6

YOUR WORLD

SCAN MOBILITY

H12

H01 SEVEN HEALTHCARE

3

4

3

LEPMIS 4

9

H2

2.5 H14

BALENS 5

5

3

2.5

OAKHOUSE FOODS

RNIB

H19

H14

2.5

2 2

H18

H17 OBAM STAIRLIFTS

2.5

H24 4.5

TOBY CHURCHILL

H26

5

H28

2.5

H36

SENSORY INTEGRATION NETWORK & SOUTHPAW

4

4

H27

H26

24-7 HEALTHCARE

SMART SEATING SOLUTIONS

5

JUST OT

CAPITA PIP

4

2.5

2.5

3

2.5

2 2

LISCLARE

RESERVED

5 3

H42

AAT

4

COVENTRY UNIVERSITY

H58

H60

5 9

REGAL CARE SHOWERS

CAREFLEF

5

H50

H40

TOTAL HYGIENE

9 H62

4

3

I33

VERSION 22

NEXUS

I34 COTSS IP

10

ERGOCHAIR

INNOVATION THEATRE

3

I51

J34

OT STORES

J40

SAFESPACES

4

UKS MEDICAL DIAGNOSTICS

6 J36

2 K30

2

C3S MODULES

K32 2

1.5

1

2

YOUR SOCKS ON

4

I53

2

6

MTL INTERIORS

6

7

2

2

I54

I55

2 2

I55

2 4 2

I63 TINY TRAX

I61 BRITISH POLIO FELLOWSHIP

I62

KEYNOTE THEATRE

JAQUALENE WEBB

I60

ENABLE AID

I56 WHICH? ELDERLY CARE

3

4

KIRTON

5 J58

J60 3.5

5 J52

3

7 K50

K40 ACCORA

K42

2 I58

DAILY CARE

5

1.5

SPONSORED BY

3.5

3

3

R82 ETAC

6

3

ENABLE THERAPY SERVICES

J50

K44

BARTS HEALTH

4.5

J48

3 K38

I52

2

5

6

3

J30

J32 3

10

2 I57

1

I50

2

3

3

9

I38

I32 ACTIVE HANDS

POSTER ROOM

NATIONAL BACK EXCHANGE

2.5 3.5

I30 5

SPONSORED BY

6

5

H48

6

GEBERIT

2

G61 ALCOHOLICS ANONYMUS

4

BURNING NIGHTS CRPS SUPPORT

1

% 5 8

4

4.5

H46

H32

1.5

E C PA !

S R LD O O O FL DY S F O REA AL

G57 5

5

4

H34

H30

H20

2.5

2

4.5

2.5

H25

2.5

SILVALEA

SYMMETRIKIT

5

5

2 H22

TLTP

5

5

4.5 3

2

H16

MAXXIMA

2

10

G40

NOPAC MIDLANDS

5

G62

FRONTIER THERAPUTICS

5

5 3

G42

G60 3.5

OSPREY

KRYSALIS

ATOS

G36

ARJOHUNTLEIGH

G5 2

G34

BRAININJURY REHABILITATION TRUST

COSYFEET

G26

GELOVATIONS

6 G02

G20

G52

JOERNS HEALTHCARE

5

G14 G16

6

G50

MEDICARE FIRST

WILTSHIRE FARM FOODS

5

4

G22

4.5

4.5

3 K58

GULDMANN

SUGARMAN MEDICAL

K46 2

K60 4.5

4.5

NATIONAL LOCUMS

4

5

G12

REMAP

6

G10

LEGITTLUNGE

4

G1

SYMMETRIKIT

5 G01

3

2

L32

L33

WDSA

REMAP

3

To book a stand or for further information about exhibiting, please contact Panayiota on 0207 348 4909 or Matthew on 0207 348 5266, alternatively email theotshow@closerstillmedia.com

6

7

www.theotshow.com

23rd and 24th Nov 2016 NEC Birmingham theotshow.com

2016 EXHIBITOR LIST Company

Stand

Company

Stand

Company

Stand

Company

Stand

Akw

E50

24-7 Healthcare

H27

Daily Care

J52

Medequip

C50

Safespaces

J34

Design Matters

F16

Medicare First

J60

Scan Mobility

H6

Aat - The Stair Climbing People Abacus Healthcare

H42

Dolphin Mobility

D30

Mercado Medic Uk

B38

Scooter Store

B54

F42

Drive Medical

D40

Millbrook Healthcare

C38

Seating Matters

D32

Moorings Mediquip

C30

Sensible Staffing

B53

Ability Needs Magazine

Dycem Ltd

F1

Able 2 Ot Services

A44

Easylink Uk

E60

Motability

D22

Sensory Integration Network

Access Bdd

E10

Easyrise

B34

Mtl Interiors

I57

Seven Healthcare

H01

Accora

K40

Egolet

D58

Multi-Sensory World

C53

Silvalea

G50

Active Hands

I32

Ehob Inc

A32

Mybility All Terrain Wheelchairs

C52

Simple Stuff Works

A20

Adaptaware

B64a

Emsec Easy Move Sheets

C51

Naep Uk

B61

Smart Seating Solutions

H26

Alcoholics Anonymous

G61

Ergochair

I30

National Back Exchange

H62

Smitcare Ltd

D68

Almond Case Management

B30

Etac Supplied By R82 Uk Ltd

J48

National Locums

K60

Somek & Associates

C32

Apollo Healthcare International

B20

Experia

C63

Nexus Dms

I38

Southpaw

H25

Arjohuntleigh

J40

Formalign

E11

Nopac Midlands Ltd

G60

Specialised Orthotics Services

D48

Astor-Bannerman

E40

Frontier Group

G34

Nrs Healthcare

G22

Spectra

F40

Atlantis Medical

C54

G + S Smirthwaite

E58

Oakhouse Foods

H16

Spectrum Healthcare (Uk) Ltd

B62

Atos

G5

Geberit Sales Ltd

H32

Obair

C48

Spring Chicken

G32

Autumn Uk

D26

Gel Ovations Europe

H34

Obam Stairlifts

H17

Stickman Communications

A34

Bakare Beds

F44

Genny Mobility

D24

Opemed (Europe)

C40

Sugarman

K58

Balens

H12

Guldmann

K50

Ornamin Family Tableware

C18

Handicare

E30

Ot Stores

J30

Swallow Education And Mobility Products

E25

Harrison Associates

C45

Otolift Stairlifts

D31

Symmetrikit

I50

Hd Community

B52

Ottobock Healthcare

C42

Symmetrikit Posture Care

G40

G48

Terry Group

G28 F50 D56

Barking Havering & Redbridge Hospitals Nhs Trust

C56

Barts Health Nhs Trust

K38

Bathex (Bathroom & Accessories) Limited

B31

Brain Injury Rehabilitation Trust

H22

British Association And College Of Occupational Therapists

D52

British Polio Fellowship

I61

Burning Nights Crps Support

H28

C3s - Home Living Modules

J36

Canine Partners

F62

Capita Pip

H30

Care-Ability Healthcare

E35

Careflex

G62

Centrobed Ltd

C20

Chiltern Invadex

D38

Chunc Seating And Mobility

B22

Clark & Partners Ltd

H8

Complete Care Network

C62

Cosyfeet - Extra Roomy Footwear

G02

Cotss Ip

I34

Coventry University

H60

Creative Care Ltd

H4

Hertfordshire County Council

B38

Oxford Hoists

Hsl Chairs

E28

Pds Hygiene

B63

The Key Safe Company

Inclusion.me

C60

Pivotell

B3

Theraposture

Independent Living Solutions

A32

Pollock Lifts

C55

Therapy World

B50 D60 G52

Invacare

F50

Possum Ltd

B32

Throne By Kwts

Isle Of Wight Nhs Trust

B2

Pressalit Care

E68

Timo Uk

Jacqueline Webb & Co

L46

Pride Mobility

G12

Tiny Trax

I61

C37

Tltp Medical

H20

Toby Churchill

H24

C58

Total Hygiene / Clos-O-Mat

H50

C22

Tr Equipment

E20

Uks Medical Diagnostics

J32

H40

Ulster University

C65

B51

Version 22

I33 A42

Jcm

E42

Prism Medical Uk

Jenry Home Of The Millie-Mova

B60

Promoting Independence

Jiraffe

E1

Just Ot

H36

Qbitus Products Limited Quest 88

Kinderkey Healthcare

B40

Recliners

Kinestica

F61

Regal Care Shower Trays

Kingkraft

D12

Reginal Driving Assesment Centre

C10b

C10a

Kirton Healthcare

I60

Remap

I51

Viva Access

Krysalis Consultancy

I55

Repose Furniture

B10

Wealden Rehab

F14

Langham-Ge

E44

Rig Healthcare

A39

L32

Leggitlunge

I54

Rise & Recline

G24

Wheelchair Dance Sport Association Uk

Lepmis Game Access

H14

Rnib

H18

Which? Elderly Care

I56

Liftseat

C24

Rompa

F16

Wiltshire Farm Foods

G10

Lisclare

H46

Rotunda By Enableaid

I55

Your Socks On

K42

Your World Healthcare

H2

Royal National Orthopaedic Hospital Nhs Trust

A40

Credo Care

D61

Cura Seating

C34

Mangar International

D20

Cygnet Health Care

B48

Maxxima

H14

The world’s best stairlift has just got even better thyssenkrupp are pleased to announce their latest product development – The Flow2: Apollo.

It has long been one of the world’s most innovative stairlifts, a market leader and has remained unchanged for many years.

With thanks to its advanced swivel and levelling (ASL) technology, the Flow2 can be installed on some of the most complicated and unusual staircases, as well as narrow and steep ones. ASL technology enables the stairlift to swivel during travel as it moves up and down the staircase, making the most out of small spaces. The single rail is individually customised to fit the contour of the staircase ensuring the perfect fit.

What is the Flow2: Apollo?

predecessor although the drive unit has been upgraded resulting in; improved energy consumptions by more than 50%; quieter operation with high frequency noise level reduced; stiffer casting resulting in a more stable feel on rail; more robust when using a vertical start on the highest speed track; and a smoother travel.

When will it be available? thyssenkrupp have already begun rolling out the Flow2: Apollo. For more specific availability dates please visit the thyssenkrupp stand at E20. There you will be able to speak our experienced sales and technical staff who will be able to guide you further.

The Flow2: Apollo remains largely the same as its

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Kingkraft

AHPs4PH

Kingkraft have been manufacturing assisted bathing equipment for over 30 years and we have numerous height adjustable baths in our portfolio.

AHPs4PH is a new Facebook group for allied health professionals with an interest in public health. The site is being facilitated by a multi-professional team of AHPs to support the implementation of the AHP public health strategy produced by PHE and the 12 professional bodies.

The Lifestyle is our most stylish bath with the flush fill spout and Rada infra-red temperature controlled tap. The twin waste option allows for rapid water draining and the whirlpool system provides a relaxing therapeutic bathing experience.

“I’ve tried other baths and bath lifts and feel like I made the right decision with the Lifestyle.”

The key aims are to create a community of interest around public health; we hope that it will provide a space for AHPs to keep up to date, share ideas, showcase good practice, develop their networks and get peer support.

The Occupational Therapy Show Poster Zone now open for submissions

The site can be accessed via https://www.facebook.com/ groups/AHPs4PH/ or found by searching for AHPs4PH in Facebook.

Rita Sandford from Taunton purchased a Lifestyle in October 2014. She said: “I had seen other baths on the internet but they looked bulky and a little institutional. I liked the style of the Lifestyle and that the side came down for easy transfer.

“I love that I can get in safely, immerse in hot water and be warm and relaxed. The whirlpool is a real treat.

Following on from the success of the 2015 Poster Zone at the Show, the organisers of the Occupational Therapy Show are delighted to announce it will return for 2016.

The Poster Zone will be located on the exhibition floor and will display posters submitted by OT professionals from NHS Trusts, private health care, local authorities and many more. We will also welcome a limited number of industry colleague applications. The posters will showcase

The group has grown rapidly since it opened on 18th April.

We will formally launch the site at the Chief AHP officer’s conference on 23rd June but we are keen to encourage AHPs, support workers and students to join before then.

work, both completed and on-going.

The Poster Zone will continue to celebrate and provide a format for individuals and teams within the OT profession to share best practice and network with colleagues from across the UK. Poster entries are open to all sectors of OT irrespective of career level or place of work. Entries will be accepted from OT professionals from NHS Trusts, Mental Health Trusts, private health care, prisons and care homes, plus many more.

The AHPs4PH team “I’m delighted to see the launch of AHPs4PH. This forum will make it even easier for AHPs wherever they work to engage in the public health conversation. It is clear from the early interest that there is an appetite amongst AHPs to hear more and contribute to this important agenda.”

Linda Hindle Lead Allied Health Professional at Public Health England

If you would like to submit a poster abstract, or require further information, please visit www.theotshow.com/poster-zone.

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A New Outcomes Approach to Commissioning and Providing Disability Equipment, Wheelchair and Seating Services Our innovative approach to commissioning and providing disability equipment, wheelchair and seating services is gaining popularity in the UK, and beyond.

Why is a new approach needed?

The process for commissioning and providing disability equipment, wheelchair and seating services in the UK has generally been the same for many years, very often involving detailed specifications written by commissioners, with which providers are expected to comply.

Stifling innovation and creativity: The process of commissioners writing specifications is time consuming and costly. It has also been found in many cases to be too prescriptive, which can fetter innovation and creativity of providers, and clinical and technical staff. It forces the provider into compliance mode, where they have to work to the exact requirements of the specification and nothing more, meaning that what is set out in the specification is what will be delivered for the duration of the contract.

This approach can prevent frontline staff from making suggestions for better ways to deliver services, making improvements, meeting changing policies, strategies or demands, and it does not often result in improved outcomes for people using the services.

Compliance, not continuous improvement: The current approach to commissioning services does not generally seek for, or encourage, continuous improvement, meaning that people receiving services often have to settle for a ‘just good enough’ service for the duration of the contract. This is largely owing to the fact that the provider is commissioned and paid to comply with the

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requirements of the specification, and nothing more.

This is an inherent weakness in the age long processes currently used.

Outputs, not outcomes: Furthermore, there is often an emphasis on measuring outputs including, for example, the number of activities related to the service. The overall performance of services is often assessed on these outputs, or data sets. Whilst important, outputs only capture one dimension of the service and do very little for influencing or improving quality-related outcomes for people using the services.

When services are commissioned and provided in this way, there is a certain inevitability about the mediocre levels of service that will ensue.

The New Approach CECOPS and support tools: Recognising the need for change, CECOPS Community Interest Company (CIC), the independent standards body in the UK for disability equipment, wheelchair and seating services, has introduced a new model and support tools for assisting commissioners and providers to help improve services.

Already, many health and care organisations are working with CECOPS. CECOPS CIC has an officially recognised Code of Practice for these services, and offers a registration and accreditation scheme. CECOPS also offers a selfevaluation, compliance management and continuous improvement software tool, iCOPS®.

By Brian Donnelly, CECOPS

Outcome focus, not just outputs: The CECOPS Code is made up of forty seven outcome based standards.

Some commissioners are already requiring providers and clinical teams to report against these outcomes, meaning that the provider, for the first time, now has the flexibility to choose how best to meet the outcomes, without being fettered or restricted by having to comply with a rigid and detailed service specification.

An outcomes based approach also helps service users to know what level of service to expect. It reduces the need for commissioners to write lengthy and detailed specifications, and ensures all aspects of service provision are comprehensively addressed.

The CECOPS outcomes are service related, and following them ensures the people receiving the service receive safe, good quality and effective care.

The simplicity of the CECOPS model and how to get started: Commissioners can simply include CECOPS registration and accreditation in specifications, and require that the provider must evidence continuous improvement year on year using the iCOPS® tool.

Equally providers can directly seek to be registered or accredited and use the iCOPS® tool.

To read this article in full, for further information or for a 10% discount on the CECOPS Code of Practice (quote OT Show), contact: T: 01494 863398 | E: info@cecops.org.uk | W: www. cecops.org.uk

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Extending the Occupational Therapy role: Will we damage our identity or become more efficient?

Efficiency is a word I am sure we are all very familiar with. It is often used within the same discussion about financial constraints on clinical services, leading to the need to ensure practise is as cost effective as it can be.

We have also heard the term “in the current financial climate…” for longer than I can remember to the point where I often wonder whether there indeed was or ever will be ‘another climate’.

I don’t think that efficiency is a concept that Occupational Therapists struggle with, indeed you can often hear muffled shouts from OT’s trying to express how they offer the best value for money given professional philosophy, competencies and skills.

It appears a growing trend nationally for NHS Trusts to consider the use of generic professionals in roles traditionally occupied by specialist or specific professions. I was recently asked to provide some feedback on this as a possibility and it made me consider the rationale. Was the suggestion being made to simply fill gaps otherwise left vacant by other professional groups, to streamline leading to financial gain or indeed because the potential skills, competencies and role of the Occupational Therapists had indeed been understood and identified as a potentially positive service development?

By Adam Ferry, Head OT for Acute & Rehab Services in Northumberland

I have often considered whether the perceived questioning of the OT role actually exists outside of our own professional group and is actually a metaphorical ‘chip’ we somehow develop. Let us be honest, we don’t make it easy for people.

Every other article we read, every conference we attend, every newly published text book written seems to try to redefine the profession. I wonder what we would do if one day people just ‘got it’.

My initial instinctive reaction to the proposal, which was to say “that is not our role” was chastened by the potential opportunity this could afford us professionally to finally shout loudly. Who else would we blame if finally we were ‘unmuffled’?

We do however need to be careful that in opening ourselves up to opportunities we are not further redefining the role and making it even more confusing to understand than we already have.

The Scope of Occupational Therapy Briefing (COT, 2015) states: “…any activity that an Occupational Therapist uses or does therapeutically, in order to enable or enhance occupational performance, may be considered within the professional scope of practice.”

would fall outside the professional scope of Occupational Therapy. Are there therefore opportunities to extend that scope?

COT (2015) continues stating: “The practitioner concerned must be able to demonstrate that their professional rationale for activity or intervention is the enhancement of health and wellbeing through the promotion of occupational performance/engagement.”

There is certainly a balance to be found. We need to grab opportunities to demonstrate our skills, values and competence whist at the same time not damaging the work we have done to define our often complex role.

If NHS Trusts want Occupational Therapists to take on additional roles typically held be other professions then that is a positive step, our skills are being noticed: but if your activities are not justifiable as enhancing occupational performance then it the post is not and cannot be titled Occupational Therapist.

‘Extended Scope Practitioner’ with OT qualification would be more accurate. It may simply seem like semantics but I strongly believe that if we once again allow the professional lines to be blurred we may never truly recover.

This therefore suggests that an Occupational Therapist being responsible for patient observations, taking blood or indeed making beds etc. which are traditional nursing/HCA roles

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TR Equipment offers a wide range of height adjustable bathtubs which all give an ergonomic and efficient treatment and a relaxing bathing experience. TR Equipment also offers a selection of mobile patient lifts, both with chair and stretcher, to use for many purposes such as bathing and transport. TR Equipment offers the widest shower trolley program on the market with several options regarding sizes and weight capacity, both hydraulic and battery operated.

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