Implementation Plan – Reform of NI Wheelchair Services
ALL TRUSTS Updated as at July 2010 Regional Responsibility
█ Trust Responsibility █
Target Indicator Key re. Achievement Status: Not likely to achieve or significantly off profile.
Near achieving.
Achieving or on profile to achieve.
Establishment of Implementation Groups. BHSCT KEY INDICATORS 1.1 Establishment of Regional Implementation Board 1.2 Regional Implementation Plan agreed
1.3 Establishment of Trust Implementation Teams – involving service users. 1.4 Establishment of service user and carer groups 1.4 Trust Progress Reports submitted to the Regional Implementation Board via Project Manager 1.5 Regular updates of progress to DHSSPS via Board meetings
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2. Locally based Wheelchair Resource Centres across Northern Ireland. KEY INDICATORS 2.1. Trusts implementation team will identify locations and resources for one or more Wheelchair Resource Centre.
2.2. Trust OT offices and RDS using the Telephone Confirmed Appointment System to reduce DNAs and CNAs
2.4. Trust Implementation Team to establish contractual arrangements with relevant voluntary organisations for more cost-effective provision of temporary wheelchairs. 2.5. Bio-Engineer will provide consultancy support to wheelchair therapists in their local centres.
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3. Reform of the Design and Delivery of Wheelchair Services. KEY INDICATORS 3.1. Trust Implementation Team to identify service user rep. for Regional Implementation Board 3.2. Trust Implementation Team to establish one or more service user and carer forums. 3.2. The Eligibility Criteria reviewed and amended by service users and staff. 3.3. Conditions of Loan to be reviewed and amended by service users and staff. 3.4.. The Approved List of Wheelchairs and Accessories reviewed and amended by service users and staff to ensure a suitable range of wheelchairs at best value. . 3.5. Review the Approved Repairer Contract, develop revised tender and agree new contract with the most cost effective provider.
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3.6. Joint working in Wheelchair Pathway Reviews with the Performance and Service Improvement Unit and the respective Trusts to improve the efficiency of systems and processes 3.7. Ensure equitable access to refurbished wheelchairs throughout the region.
4. Staff in Wheelchair Services are Appropriately Trained KEY INDICATORS 4.1. 25 staff trained in the training and assessment of users in powered wheelchairs i.e. 5 staff in each Trust. Leading to a significant reduction in EPIOC waiting time. 4.2. Trust Implementation Team to carry out a Staff Training Needs Analysis of their staff in Wheelchair Services. 4.3. A regional working group to develop specialist wheelchair training for OT Staff. 4.4.1. Agree wheelchair competences for all grades of OT staff and support staff involved in wheelchair prescriptions 4.4.3. Develop a training strategy for all grades of OT staff and support staff involved in wheelchair prescriptions. 4.4.4. Negotiate with the Centre for Professional Development for AHPs for the delivery of the agreed training strategy.
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5. Improved Information Systems KEY INDICATORS
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5.1. Further develop the electronic Regional Information System to interface with relevant Trusts and the Approved Repairer Systems 5.2. Communication systems with the service user to be developed by RDS and the relevant occupational therapist to ensure service users are informed if wheelchairs or associated equipment are not delivered within the target time. 5.3. Information from the Geographic Information System to be shared with relevant agencies 5.4 Develop an integrated web based information system for service users and staff. RDS -
* Note – Until the ICT scoping exercise has been completed it will not be possible to provide specific comments against indicators 5.2 – 5.4.
6. Waiting Times (Priorities for Action Targets) KEY INDICATORS
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Trust Implementation Team to ensure that no wheelchair user waits longer than 9 weeks from referral to assessment Trust Implementation Team to ensure that the maximum waiting time for any type of wheelchair/associated equipment is no longer than 13 weeks.
7. Financial Position. KEY INDICATORS Current state of expenditure vis a vis budget
Comment / Action Plan
-£54,746
Additional money Allocation not included
SEHSCT
SHSCT SBA Value £685,082 Exp + Com £201,845 SHSCT will be able to manage within existing budget 2010 - 2011