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Abstracts Wednesday 29 June 2016<br />

each case 4 MDT members were also interviewed to assess<br />

the impact of the OT role in that context. Cross case thematic<br />

analysis was used to extract the emerging themes.<br />

Results: There is a wide range of OT skills that can be described<br />

and observed that impact on the care of older people who<br />

become frail, the context and the MDT team in which they work<br />

has a significant impact on the OT role. There is also a wide<br />

variation in understanding the potential of the OT role within<br />

the MDT. Increased visibility and articulation of the OT role is<br />

recommended in integrated healthcare for older people.<br />

Impact on service users: Increased visibility, articulation and<br />

understanding of the OT role in integrated healthcare for older<br />

people by OTs will impact on future service design for older<br />

people who have become frail.<br />

Implications for <strong>Occupation</strong>al Therapy: The recommendations<br />

will identify the unique role and skills for frail older people and<br />

how this can be implemented to have most impact for service<br />

users across a range of healthcare settings.<br />

References<br />

Philp, Ian (2012) The principles behind integrated care for older<br />

people. Health Service Journal 30 November 2012 http://m.hsj.<br />

co.uk/505171.article last accessed 15.40pm on 19.09.15<br />

Oliver David, Foot Catherine, Humphries Richard (2014) Making<br />

our health and care systems fit for an ageing population.<br />

London, The Kings Fund<br />

NHS England (2014) safe, compassionate care for frail older<br />

people using an integrated care pathway. NHS England South,<br />

February 2014. Publications Reference Gateway 01066<br />

Daniels Ramon et al (2008) Frailty in Older Age : Concepts and<br />

relevance for occupational Therapists and Physical Therapy.<br />

Physical and <strong>Occupation</strong>al therapy in Geriatrics Vol 27(2) p<br />

81–95<br />

Stake Robert E (1995) The art of case study research. London<br />

Sage publications<br />

Keywords<br />

<strong>Occupation</strong>al therapists, Research, Practice – present and future,<br />

NHS<br />

Contact E-mail Addresses<br />

laura.evans@sth.nhs.uk<br />

Author Biographies<br />

Laura Evans is the Professional Lead of <strong>Occupation</strong>al Therapy<br />

in a large teaching integrated healthcare trust: she has worked<br />

for over 30 years in a range of clinical, research, managerial and<br />

leadership roles in both acute hospital and community settings.<br />

She is currently in her second year on the English Board at COT<br />

and in 2015 presented a keynote speech at an International<br />

Assistive Technology Conference in Budapest, Hungary. This<br />

presentation is the culmination of a Professional Doctorate Study<br />

undertaken part time from 2011.<br />

Session 21.1<br />

An exploration of the health experiences of people<br />

who are considered obese or plus size<br />

Spring H, Howlett F, York St John University<br />

Obesity is a major contributor towards disease and premature<br />

mortality throughout many parts of the world (International<br />

Obesity Taskforce, 2002 Brown et al, 2006). There is growing<br />

evidence to suggest that the numbers of people with obesity<br />

or who are ‘plus size’ are rising, and as a consequence people<br />

within this group will increasingly be users of health and social<br />

care services. This poster discussion will present the results of<br />

a study aiming to develop the evidence base in this important<br />

and emerging field of practice. In particular, the study presents<br />

an exploration of the experiences of people who are plus size or<br />

obese accessing healthcare services. The results of the study will<br />

be presented in context with the impact on OT practice and its<br />

future strategic direction in the area of obesity and bariatric care.<br />

The study objectives are to 1) to critically evaluate theoretical and<br />

contextual influences that informs current health care practice<br />

with people who are obese or plus size, 2) to critically explore<br />

the perceived attitudes of health care professionals towards<br />

plus size/obese people, 3) to identify what enables a positive<br />

experience for people who are obese or plus size when accessing<br />

health care services and the implications for occupational<br />

therapy practice. A qualitative approach will be used in this<br />

study with data collection taking place from the volunteering<br />

membership of slimming groups and OTnews. It is anticipated<br />

that the results and conclusions of this study will provide<br />

important insights from an occupational therapy perspective,<br />

into the experiences of those who are plus size or obese when<br />

accessing healthcare services. It is also hoped that the results will<br />

feed into and support future strategic direction in developing<br />

the important and much needed evidence base for <strong>Occupation</strong>al<br />

Therapy in the care of people who are obese or plus size.<br />

References<br />

Brown I, Thompson J, Tod A, Jones G (2006) Primary care<br />

support for tackling obesity: a qualitative study of the<br />

perceptions of obese patients. The British Journal of General<br />

Practice, 56(530), 666–672<br />

Clark F, Reingold FS, Salles-Jordan K (2007) Obesity and<br />

occupational therapy (Position Paper). American Journal of<br />

<strong>Occupation</strong>al Therapy, 61(6), 701–703<br />

Haracz K, Ryan S, Hazelton M, James C (2013) <strong>Occupation</strong>al<br />

therapy and obesity: an integrative literature review. Australian<br />

<strong>Occupation</strong>al Therapy Journal, 60(5), 356–365<br />

International Obesity Taskforce and European association for<br />

the study of obesity (2002) Obesity in Europe, London. Obesity<br />

International Taskforce<br />

Keywords<br />

<strong>Occupation</strong>al therapists, Service improvement or transformation,<br />

Practice – present and future Education<br />

Contact E-mail Addresses<br />

h.spring@yorksj.ac.uk<br />

Author Biographies<br />

Fiona Howlett is a Senior Lecturer in <strong>Occupation</strong>al Therapy<br />

within the Faculty of Health and Life Sciences at York St John<br />

University currently teaching on the BHSc (Hons) <strong>Occupation</strong>al<br />

Therapy degree programme, and MSc in Health and Social<br />

Care. Areas of teaching and clinical interest include: moving and<br />

handling, people with long term conditions, older people and<br />

intermediate care, legislation ad policy. Prior to this Fiona was<br />

a Head <strong>Occupation</strong>al Therapist in the Humber region working<br />

in intermediate care and a community service for people with<br />

learning disabilities.<br />

Hannah Spring is a Senior Lecturer in Research and Evidence-<br />

Based Practice within the Faculty of Health and Life Sciences at<br />

York St John University. She is a health information specialist and<br />

teaches across a broad range of health related undergraduate<br />

and postgraduate modules, with particular input on the<br />

<strong>Occupation</strong>al Therapy degree programme. Prior to working<br />

at York St John she held clinical librarian positions in NHS<br />

Trusts and the Department of Health. Her specialist interest<br />

and research areas include systematic reviewing, information<br />

17

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