AHP Showcase

       Allied Health Professional Showcase 2018

Below you can find the posters that featured in our AHP Showcase. Click on a poster to open a larger version.

 Deliver Personal Care

The Introduction of an OT Assistant Practitioner on WSH Surgery Wards The Introduction of an OT Assistant Practitioner on WSH surgery wards

This poster highlights the positive impact of a simple change to staffing structure on the surgical wards. The revision of the staffing allowed for the introduction of an OT Assistant Practitioner on an elective surgical ward who is able to work autonomously to treat and manage a patient caseload. The changes also enabled a band 6 OT to be reallocated to a more appropriate ward resulting in more appropriate care and long term financial savings for the Trust.

 

The Changing Face of Respiratory PhysiologyChanging Face of respiratory Physiotherapy

This poster tracks the expansion of the respiratory physiotherapy service over 13 years, showing a significant increase in the number of patients treated and expansion into community and integrated care. The biggest change has been in the treatment of Dysfunctional Breathing Pattern and the recognition that it has four components – it is a whole person problem with physiological, mechanical and psychological elements. These elements are treated through services such as Respiratory Exercise Group, Following Intensive Therapy group and Buteyko.

 

Fabrication of Extensor Assist Splint to Facilitate Finger Extension of Hemiparetic Hand

Fabrication of Extensor Assist Splint to Facilitate Finger Extension of Hemiparetic Hand: Obtaining Client Feedback

A single case study measuring patient satisfaction with an Extensor Assist Neoprene Splint, designed by an Occupational Therapist through the modification of an off-the-shelf wrist splint.

 

 

 

Can You Have a Good Conversation Without SpeechCan you have a good conversation without speech?

WINNER OF THE AHP SHOWCASE POSTER COMPETITION

A single case study of a low-tech tool to increase complex communication for people with aphasia. The author of this poster developed a novel system of communication, Colours and Symbols (CAS), to offer greater flexibility in communication to people with aphasia and their partners. This study reveals that CAS increases conversation confidence for both patient and partner, allows conversations to develop that would not have arisen with supported conversation alone and empowers the person with aphasia to initiate and direct the conversation.

 

 

Transition Packs for Patients with Coeliac Disease

Transition packs for patients with coeliac disease

The purpose of this project from the Dietetic Department was to ease the transition from paediatric to adult clinic for patients with coeliac disease. The pack was evidence-based and developed through the shared learning, knowledge and expertise of the dieticians. This provides personalised care and support to patients making a challenging transition to adult care.

 

 

End PJ Paralysis#ENDPJPARALYSIS

This project tracked the progress made in the Trust over a 100 day period with getting patients up and dressed and out of bed. Over the period assessed, 6000 patients were up and dressed which means they were more likely to engage in therapy and return to their baseline evaluation. Ending PJ Paralysis means less de-conditioning for patients, a quicker recovery and return home, helps to maintain their independence and increases their energy and appetite leading to a general improvement in their health and wellbeing.

 

Following Intensive Therapy FIT GroupFollowing Intensive Therapy (FIT) Group

Evidence shows that people who experience intensive care stays may experience deconditioning beyond the average expected from illness, and this can lead to weakness, energy loss, anxiety, depression, post-traumatic stress and a decrease in cognitive function. The aim of this multi-disciplinary exercise class was to provide a conditioning class for those who have experienced intensive care and to provide a group-support environment for recovery. Patients report a positive impact on their quality of life and their rate of recovery.

 

Diabetes Structured Education Type 1DAFNE – Diabetes Structured Education – Type 1

DAFNE stands for Dose Adjustment for Normal Eating and is a way of managing Type 1 diabetes for adults. The 5-day DAFNE course runs over a week for 8 people at a time and provides the skills necessary to estimate the carbohydrates at each meal, inject the right dose of  insulin and to interpret blood glucose readings, and effectively manage hypos, exercise, illness and social situations.

 

 

 

 

Improvement of Dietary Service for west Suffolk Patients with Irritable Bowel SyndromeImprovement of dietary service for West Suffolk patients with Irritable Bowel Syndrome

Irritable Bowel Syndrome (IBS) is a chronic, relapsing and often lifelong disorder of the lower gastrointestinal tract which has no structural or biochemical cause. This poster describes the updates to the dietetic IBS service since 2016 and the increased utilisation of the low FODMAP (fermentable oligosaccharide, disaccharide, monosaccharide and polyols) diet. The changes to the service have resulted in a reduction in the number of patients requiring an endoscopic procedure from 78% to 54% as at May to December 2017.

 

Community Terapy A Vital Piece of the Healthcare JigsawCommunity Therapy: a vital piece of the healthcare jigsaw AWARDED 4TH PRIZE IN THE AHP SHOWCASE POSTER COMPETITION

This poster describes how the Community Therapy team based at Haverhill Health Centre build rapport with their patients in their own homes which helps the team to manage their complex case load and to signpost patients to a wide range of organisations and services. Community Therapists support people with a wide range of conditions in a variety of locations, including sheltered accommodation, care homes, work and leisure environments.

 

 

 Deliver Safe Care

Using Core Input Data Collection Tool to Improve Stroke Patients Benefit From Occupational Therapy at WSFT Using Core Input Data collection tool to improve stroke patients benefit from occupational therapy at West Suffolk Hospital NHS Foundation Trust

The Core Input (COIN) Data Collection Tool was used as a pre-test and post-test evaluation tool to establish status and changes in service delivery to stroke patients. COIN recorded an increase of 85 extra sessions on dressing training and an increase of 63 sessions focussing on restorative interventions on sensation, perception, movement and cognition. COIN was able to quantify the activities of the Occupational Therapy Team which enabled the service to be improved.

 

 

Fractured Neck of Femur Day 1 Mobility

Fractured neck of femur: Day 1 mobility

Using national frameworks as a driver, Belinda Perkins, Orthopaedic Physiotherapist, offered a physiotherapy assessment to patients within 24 hours of surgery for fractured neck of femur. The service, which was offered from January 2015, identified barriers to receiving physiotherapy and provided significant advantages to patient care including avoidance of pressure sores, improved morale, reduced length of stay and complication rates, increased functional outcomes and a reduction in long term care needs. Best Practice Criteria were met with 30 day mortality reduced from 21% to 6% and 1 year survival increased from 28% to 42%.

 

Audit if Malnutrition Universal Screening Tool MUST at WSFT

Audit of malnutrition universal screening tool (MUST) at WSHFT

The aim of this audit was to identify compliance and accuracy of MUST screening within WSHFT compared to a previous audit in August 2016. Malnutrition in England is estimated to cost £19.6 billion per year and 30% of adult patients in hospital are thought to be at risk of malnutrition. The audit demonstrated that there has been an overall improvement of 26% in completion of MUST across the trust between August 2016 and April 2017. It is hoped that the findings of this audit will help towards providing baseline data for the NHSi Nutrition Collaborative meetings and help to guide planned improvements to the nutritional care of hospital inpatients.

 

What impact Does the Development of a Standardised OT Handover Method Have on the MDTWhat impact does the development of a standardised OT handover method have on the MDT?

A team of four OTs work on G8 covering a 7 day service. The development of E-Care identified a service need for change to the G8 OT plan within the SOAP notes. The MDT need an immediate understanding of the direction in which the patient is moving for discharge planning. However, the patient plans were unclear, weak and vague which affected discharge planning and increased length of stay. The development of the standardised OT handover has enabled the SOAP notes and handover to be combined. It has reduced the OT presence at daily board rounds from 4 OTs to 1, saving an average of 1.5 hours per day. The time saved allows increased patient contact and enables OTs to meet their CPD and PDP requirements.

Radiographer-Led Naso-Gastric NG Tube Service

Radiographer-led Naso-gastric (NG) Tube service

RUNNER-UP IN THE AHP SHOWCASE POSTER COMPETITION

The aim of this service is for every patient for chest x-ray (CXR) for NG positioning to return to the ward with a correctly placed NG tube, an official report and ready to be fed, and to reduce the need for patients to return to radiology for further imaging after manipulation of misplaced NG tubes. Between May 2014 and April 2015 there were almost 700 visits to radiology to check NG position on a chest x-ray. Four radiographers were trained to report CXR for NG tube position and to insert and manipulate NG tubes into a position safe for feeding. Post service change, between August 2016 and July 2017 the visits had reduced to less than 550. Currently, 20% of patients arrive in radiology with their tube in a safer position for feeding and there has been a 21% reduction in patient transfers to radiology.

   

 Deliver Joined-Up Care

The Royal College of Occupational Therapists Recommendations to Reduce Pressure on Hospitals EITThe Royal College of Occupational Therapists Recommendations to Reduce Pressure on Hospitals: Early Intervention Team (EIT)

This poster establishes how the EIT at West Suffolk Trust meets the recommendations of the RCOT and the impact increased staffing has had on patient care. When the EIT was established in 2012 it had 1 OT, 1 Physiotherapist and 2 Assistant Practitioners. As the service impacted positively on patients and worked across acute and community boundaries, the team has increased to 4 OTs, 3 Physiotherapists and 6.5 Assistant Practitioners.

 

 

West Suffolk Foundation Trust Improving Lives Saving Money

West Suffolk Foundation Trust: Improving Lives, Saving Money.

This poster illustrates how the six recommendations of the RCOT have been met by local initiatives, such as community therapists, frailty co-ordinator pilot, Early Intervention Team, daily ward ‘red to green’ meetings, Integrated Therapy Vision and the Support to Go Home Service. 76% of patients assessed returned home, 6 bed days per month were saved and 23 care packages reduced.

   

Developing the Role of a Therapy Link Nurse on an In-Patient Stroke UnitDeveloping the role of a therapy link nurse on an in-patient stroke unit

The aim was to create a positive and effective working relationship between therapy and nursing staff by developing the role of a therapy link nurse. The aim of the role is to aid information gathering, provide educational opportunities, provide a point of contact between therapists and nurses, promote a rehabilitation environment and encourage regular shadowing opportunities between professions. The role has been adopted by a nurse and evaluation is on-going.

 

Reducing ONS Use and Improving Nutritional Assessment in Patients With Disease-Related Malnutrition

Reducing ONS use and improving nutritional assessment in patients with disease-related malnutrition: a pilot study

The use of Oral Nutritional Supplements (ONS) is largely unregulated. 49% of patients on supplement prescriptions have not been assessed by a dietitian and 40-50% of ONS prescriptions were initiated by GPs/ nurses and 29% of those had not been reviewed for 1 year or more. Annual costs for ONS in the community are approximately £520,000. The objectives of this pilot are to improve patient outcomes by ensuring all patients requiring ONS are fully assessed by the West Suffolk Dietetics Service, to reduce wastage and inappropriate use of ONS, to empower patients to take control of their nutritional requirements and to ensure a fully managed budget for ONS and enteral feeds. The evaluation is on-going but the cost savings from changes in the ONS pathway are estimated at 30% reduction.

   

A Day in the Life of a Physiotherapist on the Acute Stroke UnitA day in the life of a Physiotherapist on the Acute Stroke Unit

National clinical guidelines provide that people with stroke should accumulate at least 45 minutes of therapy every day, at a frequency that enables them to meet their rehabilitation goals. They should be actively involved in their rehabilitation by participating in goal-setting, unless they choose not to or are unable to do so. This poster describes how the work of the Physiotherapist on the Acute Stroke Unit helps both the patient and the trust to comply with national clinical guidelines. It describes the outcome measures frequently used, the neurological assessments carried out and the different types of treatment.

 

Early intervention TeamEarly Intervention Team

This poster introduces the team and describes the work of the Early Intervention Team (EIT), which is a multi-disciplinary team working collaboratively across a range of inpatient and community settings. The EIT focus on preventing admissions and reducing length of stay and provide holistic, patient-centred care to support and enable patients in crisis.

 

 

Support to Go Home Service

Support to Go Home Service

This service was launched in September 2017 to provide a care bridging service for patients that are medically optimised but have a delayed start to their package of care. The care provided to patients can include support with personal care, meal preparation and medication prompting. During December-January 2017/18 533 bed days were saved due to the service. Patient satisfaction with the service is high, with 100% of patients who responded to a survey confirming their care was ‘very good’ or ‘excellent’.

 

 

 Support a Healthy Start

Image Benefits of group strengthening in paediatrics

This six week group strengthening course is designed to work on strength and control in a supported group environment. It usually involves a dynamic warm up, stretches and a circuit of strength activities with three minutes per station. The class finishes with a game and a cool down. Data has been collected since January 2017 and shows a decrease in pain, and increases in strength and perceived function, concluding that group strengthening programmes with children show benefits in pain management, strength and return to functional activity.

 

Development of an age specific and nutritious childrens menu for use on the paediatric ward

Development of an age-specific and nutritious children’s menu for use on the paediatric ward

Following a CQC observation made in August 2016 that ‘nutrition for children was not imaginative, nor fully differentiated for different age groups’, the objective was to review the options and nutritional value of food offered within the children’s service. A multi-disciplinary meeting between dietetics, catering and paediatric ward managers agreed an action plan, and the Dietitian reviewed the current food provision on both adult and children’s menus and made a comparison to paediatric nutritional requirements. A draft 2 week menu was produced and each age category had defined portion sizes. The new menu will provide more age appropriate choice and better provision of nutrition to different ages of children, as well as addressing the concerns of the CQC.

 

The Role of the SLT in Paediatric Feeding the NNU and Beyond

The Role of the SLT in Paediatric Feeding: The NNU and Beyond

WINNER OF THE THIRD PRIZE IN THE AHP POSTER COMPETITION

Up to 45% of typically developing children have feeding difficulties. Speech and Language Therapists (SLT) have specialist knowledge in the area of feeding difficulties for neonatal and paediatric patients. SLTs can help by assessing and identifying possible causes of eating and drinking differences and establishing safe and positive oral feeding. This poster describes the types of feeding and drinking difficulties encountered, how the service can help and how to access the service.

 

 Support a Healthy Life

Breathing Pattern DisordersBreathing Pattern Disorders (BPD)

Breathing pattern disorders or dysfunctional breathing, historically known as hyperventilation syndrome, are chronic abnormal respiratory patterns in relation to the efficiency of breathing, often resulting in dyspnoea and other non-respiratory symptoms. This poster compares dysfunctional breathing to efficient breathing and describes how physiotherapy intervention can help correct the dysfunction.

 

   

 

Physiotherapy in Pain Clinic Seminars

Physiotherapy in Pain Clinic Seminars

At West Suffolk NHS Trust, two Physiotherapists are employing Health Coaching skills into the Outpatient Pain Clinic Seminars. The monthly seminars are self-management group seminars, led by pain nurses, where information is provided to patients. Physiotherapists have joined the seminars to promote discussions and explore beliefs around exercise. Physiotherapists explore a patient’s lifestyle and help to initiate change. All staff undergo Health Coaching training.

 

Hospital Linked Private Physiotherapy ClinicHospital linked private physiotherapy clinic

Describes the establishment of West Suffolk Physio, a private clinic with an outpatient physiotherapy team whose income is invested directly back into West Suffolk Hospital NHS care.

 

  

 

 

Breathing Made Easier When Exercising

Breathing Made Easier When Exercising

At West Suffolk NHS Trust the respiratory physiotherapy team support patients to learn about breathing control at rest and then encourage these patients to transfer these techniques to an activity based environment. A Respiratory Exercise Group (REG) was established to enable patients to build confidence and explore their own exercise aspirations. REG has been evaluated by comparing the change in patient’s objective markers and then trends identified and analysed. Overall, there has been a 23% improvement in participants’ Nijmegen scores; 63% improvement in participants’ SEBQ scores; 15% improvement in participants’ resting respiratory rate and a 23% improvement in the ability to achieve an end expiratory breath hold.

 

 Support All Our Staff

Occupational Health Physiotherapy

Occupational Health Physiotherapy

This service was established in 2009 as part of the WSFT Health and Wellbeing Strategy. In 2010 279 staff were seen by the service, rising to 443 in 2017. Staff may self-refer and 1 in 8 staff employed by WSFT received input from OH physiotherapy during 2017. The poster describes the service, how to self-refer and what to expect from treatment.

 

   

ResilienceResilience

This describes the model developed by Health Education England for building team resilience in order to create an environment where resilience might be fostered. The Occupational Therapy Team are currently implementing strategies to increase team resilience.

 

 

 

Student Study Days Community Student Study Days: Community

There are over 65 AHP and 200 nursing students who undergo placements in the community setting each year. The Community Practice Development Team hold regular study days on topics of interest to both nursing and AHP students. Topics covered include tissue viability, mental health, resilience and end of life care.

 

 

Health Coaching at West Suffolk Foundation Trust

Health Coaching at West Suffolk Foundation Trust

This poster describes the the Health Coaching programme at WSFT and its impact on clinician-patient relationships. 100% of staff who received Health Coaching training agreed it was a useful skill, would be helpful for patients with long term conditions and would encourage greater responsibility and self-management among their patients.

 

 

Thinking Ahead How Clinical Shadowing Aids Physiotherapy RecruitmentThinking ahead: How clinical shadowing aids physiotherapy recruitment

Since August 2003, 234 people have completed a two day clinical shadowing placement with the physiotherapy department and over 55 of those have gone on to gain a place at university to study physiotherapy. Of that number, 22 have returned to work for WSFT as physiotherapists and some have progressed to senior posts within Integrated Therapies.

  

Evolution of Millennium for AHPs

Evolution of Millenium® for AHPs

As part of the launch of Millenium® software, the trust deployed all inpatient and outpatient documentation. The content available to AHPs was basic and unfit for a diverse therapy workforce, so structured templates soon replaced blank templates and autotext. This was the first use of AHP specific workflow pages in the UK and was showcased at the AHP Collaboration Event in September 2018. Other NHS trusts requested we share the AHP functionality for implementation into their systems and it has enabled the ability to use structured data for clinical audit and service improvement.

 

Knowledge Capture at West Suffolk Foundation TrustKnowledge Capture at West Suffolk Foundation Trust

The Embedded Librarian Service has provided Embedded Librarians for Integrated Therapies since January 2017. As part of that service, NHS Librarians help teams to organise, share and utilise tacit knowledge, through the facilitation of Knowledge Cafes and Peer Assists. Using these simple, informal Knowledge Management tools we help to diffuse knowledge amongst teams and departments, share innovation across wider networks and promote the expertise and experience of our teams across the NHS. This poster describes two Knowledge Cafes which aided integration between acute and community teams and used conversation to underpin national guidance from the Royal College of Occupational Therapists.

   

An Embedded Librarian for Adult Acute Speech and Language Therapy at WSFT

An Embedded Librarian for adult acute Speech and Language Therapy at West Suffolk Hospital

This describes the development, from a 12 month pilot project, of an Embedded Librarian Service across adult Speech and Language Therapy and the positive impact this has had on the department. At the end of the 12 month pilot, survey responses revealed universal support for the continuation of the project. Clinicians felt that support for journal clubs, evidence searches, working collaboratively and advice regarding special projects was most beneficial, whilst librarians felt that developing a deeper understanding of the SLTs role had led to provision of improved high quality evidence searches. The project has been extended to the rest of Integrated Therapies at West Suffolk Trust, both acute and community.

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