Mandate for Change. Using AHPs to transform health, care and wellbeing. #AHPsMandate Dr Joanne Fillingham Clinical Fellow to the Chief Allied Health Professions Officer @jkfillingham
NHS Five Year Forward View Published in October 2014 A shared vision across seven national bodies New care models programme key to delivery Focuses on both NHS and care services
The challenges we face 1 Health and wellbeing gap Radical upgrade in prevention 2 Care and quality gap New care models 3 Funding gap Efficiency and investment 3
5 new models of care with 50 vanguards selected.
2015-16 CAHPO visits.
Professional bodies workshop: an AHP strategy? Agreement reached that gains can be made for all AHPs and for health & care by working towards common goals and challenges together. National conversation about collective impact of AHPs What do we need to start, stop, or differently? Examples of how we are doing this already.
A mandate for change.
Why crowdsource? helping great leaders listen and empowering great people to be heard * Crowdsourcing is a process of empowering people to solve challenges and generate collective insight. #strongertogether
Content analysis overview A thematic analysis approach to understand the contributions shared was used. NHSE AHP Clinical Fellow, with the support of Clever Together, facilitated and analysed all of the contributions shared in our first online conversation. This thematic analysis approach included Reading through all of the contributions and clustering them into different themes and subthemes. Creating a narrative for each theme directly using contributions from the online workshop. Resulting in draft statements to present back for validation and improvement. 94% of coding was agreed by five regional AHP leads. The outstanding 6% was re-analysed.
Towards a mandate for change. Feb/Mar ch AHP Professional bodies workshop 17 Feb 2016 Review of national documents, polices and publications. Apr/May Phase one - online workshop launched 18 April & extended to 6 May. Thematic analysis. June Thematic analysis and draft emerging mandate. CAHPO Conference 23 June 2016 validation and improvement. July/Aug Online workshop open to AHPs and wider stakeholders on 4th July until 15 July. Thematic analysis and write mandate for change. Septem ber Formal processes for sign off. October Launch Mandate for Change #AHPsMandate
Engagement How? Who with? How? - Email - Platform - Nomination AHP network Own organisation Direct invite by email Professional body Social media Nominated by a colleague NHS Employers Word of mouth NHS England NHS England website/blog Other/blank CAHPR Clever Together Health Educaton England Health Watch Council of Deans NHS Commissioners
Across England and the UK
and wherever they were in the world!
Phase One 18 th April 2016 Generating Insight
Which professions took part? 30.00% 25.00% 20.00% 15.00% 10.00% 5.00% 0.00% England AHP HCPC registrants 2016 Engaged in online workshop
High level findings Defining our potential revealed: 4 ways AHPs will impact health & wider care system. 4 areas of commitment to achieve this change. Realising our potential revealed: 4 themes which AHPs need to focus on with, 16 specific enablers that will help them to deliver the commitments.
I honestly believe that if all AHPs in England were used effectively, it would signal the total transformation of health and social care which we desperately need. We save lives, we rebuild lives and we do it all at a fraction of the cost of other colleagues. We understand the medical but crucially, we understand the social determinants of health -education, poverty, housing, stigma.
Phase Two 4 th July 2016 Quality Assurance
Do you agree/disagree?
Who took part? 30.00% 25.00% 20.00% Operating Department Practitioner, Healthcare Scientist, Psychologist, Assistant/Support worker, Doctor, Patient/Service User, Dentist, Pharmacist, Fireman, Carer. 15.00% 10.00% 5.00% 0.00% England AHP HCPC registrants 2016 Engaged in online workshop phase one Engaged in online workshop phase one and two
As a patient I am pleased to see the recognition of individual and population/community wellbeing as this is interlinked. There is huge potential for AHP to become strong bridge builders between healthcare and patients/citizens/communities helping to renegotiate the relationship between citizens and health/healthcare, e.g. implementing shared decision and co-production approaches, promoting self-care and education, being the pioneers of using digital as an enabler etc.
TOTAL 16,128 contributions
IMPACT How Allied Health Professions will transform care. An emerging mandate for change. 4 commitments, 4 impacts and 4 areas to focus on to achieve this. Commitment to the individual Commitment to keep care close to home Commitment to the health and wellbeing of the community 1. improved health and wellbeing to individuals and populations. 2. less reliance on GPs and acute care, 3. less fragmentation particularly between acute and community care, and 4. reduced unwarranted variance of AHP services to maximise value. Commitment to care for those who care Leading our profession Developing our profession Evidencing the value of our profession Realising value from information & technology
PART ONE Mandate for Change IMPACT of the effective & efficient use of AHPs for people and populations. 1. Improve the health and well-being of individuals and populations. 2. Support and provide solutions to general practice and urgent and emergency services to address demand. 3. Support integration, addressing historical service boundaries to reduce duplication and fragmentation. 4. Deliver evidence based/informed practice to address unexplained variances in service quality and efficiency. 53 case studies to demonstrate great work already happening.
PART TWO Mandate for Change Enabling AHPs to transform health, care and wellbeing. This section, describes a framework for system leaders to enable AHPs to transform care. It has been developed based on: Four commitments to the way services are delivered. Four priorities for AHPs to meet the challenges of changing care needs.
Four commitments to the way services are delivered by AHPs Commitment to the individual Commitment to keep care closer to home Commitment to the health and wellbeing of populations. Commitment to care for those who care.
Four priorities for AHPs to meet the challenges of changing care needs. AHPs can lead change. AHPs skills can be further developed. AHPs evaluate, improve and evidence the impact of their contribution. AHPs can utilise information and technology.
One recommendation for AHPs. Assess workforce state of readiness for future care utilising the guidance produced based on priority 2; AHPs skills can be further developed.
Thank you #AHPsMandate I m a qualitative researcher and listening to what you have done I just think that it sounds like a superb piece of work to me. It just sounds so valid, it sounds reliable, because you have got people s voices and you have gone out to so many people, it just sounds brilliant.