Allied Health Professions: Coming of Age Susan Kelso AHP National Lead Early Intervention Scottish Government

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1 Allied Health Professions: Coming of Age Susan Kelso AHP National Lead Early Intervention Scottish Government AHCS Health Care Science Study Day 9 th November 2018

2 The National Health Service today 70 years old the world has changed Not financially sustainable in current model Demand and capacity gap is growing Governance is confusing and lacks coherence Ref:

3 Healthcare Science workforce Fourth largest clinical group in NHS Scotland Approximately 6000 scientists, practitioners and technologists working across acute and primary care settings. Hugely diverse, comprising more than 50 disciplines. Undertake over 60 million laboratory tests (at a cost of 61 million) and clinical physiological measurements per year, Responsibility for the management of medical equipment with a replacement value in excess of 940 million Underpin 80% of all clinical diagnoses.

4 Driving improvement, delivering results Healthcare scientists are integral to today s multi-disciplinary healthcare team, contributing to prevention, diagnosis, treatment and rehabilitation services. The delivery of healthcare is changing, and our healthcare science workforce and services must adapt accordingly to meet the challenges of the future. use their expertise to contribute to new thinking, new solutions and new ways of working to ensure sustainable, affordable and effective services for the people of Scotland.

5 Driving improvement, delivering results Life Sciences Physiological Sciences Physical Sciences Bioinformatics Five improvement programmes: Streamlining health technology management Point-of-care testing Demand optimisation Developing sustainable services A new integrated model for clinical physiology services

6 Who are the Allied Health Professions? Arts Therapy (Art therapy, Drama therapy and Music therapy) Dietetics Occupational therapy Orthoptics Orthotists/Prosthetics Paramedics Physiotherapy Podiatry Diagnostic Radiography Therapeutic Radiography Speech and Language therapy

7 Regulation of the professions Professions Supplementary to Medicine Act 1960 Regulation, training and qualifications, protected titles, discipline Council for Professions supplementary to medicine formed in 1960 to supervise the activities of the boards established to represent the health professions that the CPSM regulated(included paramedics, medical laboratory scientific officers and clinical scientists) Replaced by the Health Professions Council on 1 April 2002, which became the Health and Care Professions Council on 1 August 2012

8 Developing the AHP identity in Scotland National Paramedic Advisory Committee Scottish Government AHP Officer post in Scottish Government Building on Success: Future Directions for the Allied Health Professions in Scotland AHP Director/Associate Director role in each NHS Board area responsibility for NHS based staff plus locally led corporate portfolio (egs Board Falls lead, Adult Support and Protection Lead) A delivery framework for adult rehabilitation in Scotland 2007 From strength to strength : a celebration of the last 10 years for Allied Health Professions in Scotland 2011 Extended scope of practice, first point of contact practitioner, non-medical precribing

9 The AHP Journey

10 Articulating the contribution: first AHP national policy Strong professional leadership Integrated health and social care teams for continuous improvement Innovative new models of care making full use of technology Adding value beyond health excellent outcomes for people who use services,, their families and carers Effective, efficient solutions within finite and reducing financial resources Strengthening partnerships with the third and independent sectors and other agencies

11 National Delivery Plan achievements Transforming podiatry Personal Foot care Guidance Non medical prescribing physiotherapy MSK National 4 week waiting target MATS service triage and self management service Development of falls prevention pathways Children and young people policy AHP and dementia policy Development of AHP National Minimum dataset

12 AHP Active and Independent Living Programme VISION Allied Health Professionals will work in partnership with the people of Scotland to enable them to live healthy, active and independent lives by supporting personal outcomes for health and wellbeing What matters to YOU as an individual to keep you healthy, active and independent? Thinking of what AHPs could do in Health and Social Care in the future what should we focus on to make services the best they can be? Thinking of what AHPs could do in Health and Social Care in the future what should we AMBITIONS AHPs promoting Health & Well Being and early intervention AHP Services are easily accessible All stakeholders are aware of AHP Services AHPs working in Partnership AHPs delivering excellence through research and innovation AHP Workforce equipped to contribute to future health and social care requirements of the population and supported with their own health and wellbeing

13 AILP Priorities Well Being Promote a Personal Outcomes approach across all AHP services Promote physical activity to support well being Promote screening for early diagnosis and intervention Children & Young People (CYP) Deliver on Ready to Act ambitions Vocational Rehabilitation (VR) Align work to the Health, Disability & Employment project in SG Drive implementation of AHP Fit Note Musculoskeletal Programme (MSK) Utilising technology to support access and care allocation Enhance approaches to self management and well being Falls and Frailty Support full implementation of the Framework for Action Partner with HSCP to drive falls/frailty ambulance pathways Anticipatory Care (AC) Create Pathways to facilitate AC planning Support AHP workforce to have good conversations Dementia Deliver on AHP Connecting People Connecting Support Policy Increase awareness of contribution to living well with dementia Operational Measures / Workforce Tool Full Role out of Operational Measures AHP workforce workload measurement tool

14 AILP contribution across health and social care AILP VISION AHPs will work in partnership with the people of Scotland to enable them to live healthy, active, and independent lives, by supporting personal outcomes for Health and Well Being. H&SC DELIVERY PLAN Our aim is a Scotland with high quality services that have a focus on prevention, early intervention and supported self management.

15 National AHP Lifecurve Survey All Adult AHP services A snapshot of current interventions Understanding the economics of intervention and cost consequence of when this happens late Plan for the future workforce, activity and partnership - by in 5 people in the world will be 60 years or over (1M in Scotland) Encouraging a shared dialogue what matters most to people to live well? How can we mitigate against barriers to ageing well? And address the impact of Adverse Childhood Experiences? Time since starting on curve

16 AILP achievements Falls and fragility Strategy Joint falls pathways with Scottish Ambulance Service MSK first point of contact practitioners in Primary Care Role of AHP in multidisciplinary team GP contract Remodelling children and young people s services Connecting People, Connecting Support AHP Activity Dashboard - ISD

17 Learning and Leadership role of NES AHP Education Strategy Practice Education Lead role across all AHPs Development of practice education framework Cross professional national supervision policy AHP National Fellowship Scheme

18 AHP Federation Scotland Communication with a wide range of stakeholders promoting the essential contribution of the professions and professional bodies to health and social care in Scotland Campaigning and lobbying on specific areas of concern which affect the professions themselves or the service users/carers they serve Contributing to consultations from relevant organisations Representing AHPFS on pertinent key groups Partnership working with other organisations to broaden and strengthen the sphere of influence of the AHP professions across Scotland and the UK

19 Challenges and opportunities AHP vision collective works strategically doesn t always translate to individual professions or practitioners Common themes across the UK eg NMAP Director role, Professional supervision, Radiography development AHP Directors/Associate Directors, National Leads and CHPO AHP Federation can lobby and have conversations that others can t High visibility politically and strategically regular meetings with Cabinet Secretary National AHP strategic direction and individual professional body priorities Leading on shifting culture embedding good conversations, use of technology, sharing skills and knowledge= partnership working, others adopting models of practice (Stress and Distress approach)

20 National AHP Day UK wide Visibility across UK and beyond Social movement started by 2 AHPs in Royal Cornwall Hospital and Cornwall Foundation Trust. Aim is simple - to invite AHPs across the country to join us and do something that is important and meaningful to them to mark the day. National twitter campaign

21 Thanks for listening Contact me at: