Occupation

Abstracts
P150
Implementing a therapy screening tool in an older
persons mental health unit
Lambert R, Thornes N, South West Yorkshire Partnership
Trust
The Occupational Therapist (OT) and Physiotherapist (PT)
working in an acute mental health unit for older people were
involved in designing and implementing a screening tool to
identify a patient’s priority for assessment. The screening tool
covered both physical and mental health difficulties that a
patient may have as well as covering falls prevention for both
whilst the patient is an inpatient and upon discharge. The need
to address the physical and mental health needs of service users
has been emphasised by documents such as ‘No health without
mental health’ (DOH 2011).
The need for improved identification of people at risks of
falls and there for needing timely access to services has been
identified in COT’s practice guidelines for Occupational Therapy
in the prevention and management of falls in adults (COT 2015).
The screen was therefore designed to implement both falls
prevention with need for assessment from both OT and PT. The
OT section utilised a priority checklist (essential, routine, urgent
or no further assessment) to identify the need for assessment.
The PT section identified the patients need for further
assessment (routine, essential or no further assessment).
The screen was implemented into the service on 5 th January
2015 with the aim of screening patients within 2 working
days of being admitted to the ward. At time of writing of
120 admissions 106 were screened within target, 9 were
over by 1 day on target and 5 were discharged prior to being
screened within target. It identified that 8 patients required
urgent assessment from OT, 24 essential, 64 routine and 19 no
further assessment. It has showed that 35 required essential PT
assessment, 33 routine and 47 no further assessment.
The screen has enabled the therapy team to streamline
assessments based on priority meaning patients are seen quicker.
In addition it has also enabled home assessments to be planned
for quicker thus facilitating timely and appropriate discharge
from the ward.
References
College of Occupational Therapists (2015) Occupational Therapy
in the prevention and management of falls in adults practice
guideline. Available from: https://www.cot.co.uk/
Department of Health (2011) No health without mental health.
Available from: http://www.dh.gov.uk/
Keywords
Older people, Service improvement or transformation,
Interdisciplinary practice, Pathways or models of service delivery
Contact E-mail Addresses
rebecca.lambert@swyt.nhs.uk
Author Biographies
Rebecca Lambert, South West Yorkshire Partnership Trust.
Natalie Thornes, South West Yorkshire Partnership Trust.
P152
It is the little things which really matter to patients
Stuart-Neil L, UCLPartners
The presenter was one of the researchers and co-authors for the
‘I’m Still me’ report (Redding et al: 2014). This research involved
Posters
interviews with older people as to what was important to
them in their care and support. One of the interesting findings
from this work was that almost all respondents expressed
their satisfaction or dissatisfaction with their care in terms of
personal relationships rather than the actual care that was being
delivered. It was evident that they valued how professionals and
carers treated them and made them feel, almost more than the
actual care or services that they were providing.
With this in mind, we set up a website and blog (www.
littlethingstlc.com) with two main aims. Firstly, to encourage
health and social care professionals to think about the ‘little
things’ that often make up the bigger picture of someone’s
experience of the care and services that we provide. And
secondly, to provide a forum for sharing the many positive
stories we hear about where staff have gone the extra mile
to make sure that the little things really did matter, and for
discussion and debate about truly person centred care.
Whilst the ever growing demands and workloads for those
working within health and social care can make truly person
centred care challenging to achieve, it is encouraging that the
response to ‘LittleThingsTLC’ has been overwhelmingly positive
with a growing presence online – with the website and on
Twitter and Facebook.
This poster will describe some of the blogs and debate that it
has prompted to date with the aim of encouraging delegates
to reflect on their own practice and think about how they could
increase their ability to make the little things matter.
References
Redding D, Gentry T, Shand J and Stuart L (2014) I’m still me:
a narrative for co-ordinated support for older people. London:
National Voices, Age UK, UCL Partners. Available from: www.
nationalvoices.org.uk/sites/www.nationalvoices.../im_still_me.pdf
Keywords
Older people, Service improvement or transformation, Practice –
present and future, Inter-agency
Contact E-mail Addresses
laura.stuart@uclpartners.com
Author Biographies
Laura Stuart-Neil qualified as an occupational therapist in 1998.
She specialised in stroke and care of the elderly and previous
posts include clinical lead OT for elderly at Kings College
Hospital. She joined UCLPartners in 2013 where she leads
a number of projects focussed on the care of older people.
She also continues to work clinically as a Bank Occupational
Therapist.
Laura was chair of the COT Scottish Board from 2005–2007
and has an MSc in Applied Professional Studies (leadership and
organisational development) from the University of Dundee.
P153
MDT working – developing a standardised approach
across organisations
Clare J, Liverpool Community Health NHS Trust
The national drivers in the Five Year Forward View and NHS
England’s Multi-disciplinary Team (MDT) Development paper,
as well as our own local ‘Healthy Liverpool – A prospectus
for change’, all identify multi-disciplinary working as the
way forward to achieve effective, integrated and person
centred quality care (NHS England 2014, Liverpool Clinical
Commissioning Group (CCG) 2014).
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