Source: http://docplayer.net/543366-Developing-intermediate-care.html
Timestamp: 2017-06-27 19:34:02
Document Index: 654713475

Matched Legal Cases: ['art 1', 'art 2', 'art 3', 'art 1', 'art 2', 'art 3', 'art 3', 'art 1', 'ART 1']

Developing Intermediate Care - PDF
Download "Developing Intermediate Care"
Jemimah Clare King
1 Developing Intermediate Care A GUIDE FOR HEALTH AND SOCIAL SERVICES PROFESSIONALS JAN STEVENSON AND LINDA SPENCER2 The King s Fund is an independent charitable foundation working for better health, especially in London. We carry out research, policy analysis and development activities, working on our own, in partnerships, and through grants. We are a major resource to people working in health, offering leadership and education courses; seminars and workshops; publications; information and library services; a specialist bookshop; and conference and meeting facilities. Published by King s Fund Cavendish Square London W1G 0AN King s Fund 2002 Charity registration number: First published 2002 All rights reserved, including the right of reproduction in whole or in part in any form. ISBN A CIP catalogue record for this book is available from the British Library Available from: King s Fund Bookshop Cavendish Square London W1G 0AN Tel: Fax: Edited by Cover design by Minuche Mazumdar Farrar Figures by Peter Powell Origination and Print Limited Typeset by Grasshopper Design Company Printed and bound in Great Britain3 Outline Introduction 1 FUND MAY SUPPLY IMAGE/ICON HERE Part 1 The policy context 0 FUND MAY SUPPLY IMAGE/ICON HERE This part of the book looks at the policy issues surrounding intermediate care. It covers: definitions of intermediate care government policy on intermediate care the trends driving the development of intermediate care. Section 1 What is intermediate care? 00 Intermediate care is a relatively new concept. As yet, there is no representative example showing how it works. However, most authorities would agree that intermediate care is a short-term intervention to preserve the independence of people who might otherwise face unnecessarily prolonged hospital stays or inappropriate admission to hospital or residential care. The care is person-centred, focused on rehabilitation and delivered by a combination of professional groups. Section 2 What is prompting the development of intermediate care? 00 Rehabilitation services for older people are under pressure, often leading to avoidable loss of independence for service users. In response, recent policy documents, including the National Beds Inquiry, the NHS Plan and the National Service Framework for Older People, have proposed a range of intermediate care services to build a bridge between hospital and home, involving closer working between health and social services. The Government has also allocated new money, via a range of initiatives, for the expansion of intermediate care.4 iv DEVELOPING INTERMEDIATE CARE Part 2 Making the case for change 0 FUND MAY SUPPLY IMAGE/ICON HERE This part of the book provides planners, commissioners and providers with a summary of research evidence that can be used to support plans for intermediate care and inform service developments. Section 3 Evidence for the effectiveness of intermediate care 00 There is a large body of research evidence to support proposals to introduce intermediate care. But this evidence has its limitations. This is partly because the evidence does not always compare like with like, and partly because there are still large gaps in our understanding of the subject. Section 2 What is prompting the development of intermediate care? 00 Rehabilitation services for older people are under pressure, often leading to avoidable loss of independence Part 3 Making it happen 0 FUND MAY SUPPLY IMAGE/ICON HERE The remaining part of this book offers practical guidance on how to develop intermediate care in your local care community. It offers a detailed analysis of the tasks you will need to tackle it, supported by examples of useful tools and methods. It provides a range of examples, so that readers from different agencies and professional backgrounds may choose the methods that seem most appropriate to their circumstances. This pick and mix approach enables the reader to explore the potential for system changes in ways acceptable to all the stakeholders who need to be involved. Section 4 Agreeing the future direction of intermediate care development 00 The first step in developing intermediate care in your local community is to involve all stakeholders in creating a shared vision of the new system of services. You will first need to agree upon the values and principles upon which it will be based, and then look together at how national policy and local circumstances might affect the shape of the proposed services and making it happen. The existing services should then be mapped so that you can see where the gaps are. This will enable you to match the proposed services to the needs you have identified. An effective way to consult with stakeholders is to organise whole systems events.5 OUTLINE v Section 5 Making practical plans 00 In order to deliver intermediate care effectively, you may need to redesign the local care system, either wholly or in part. Looking at information about how specific service models can contribute will be helpful. The next step is to set up the appropriate partnership arrangements with other agencies. Then you can start to draw up an action plan that specifies exactly what needs to be done, and who will do it. Section 6 Putting intermediate care plans into practice 00 Putting your plans into practice will require strong leadership and effective management of change: you will need to engage the support of existing staff and explore new ways of working. Medical input to the new services will have to be arranged. The resulting system should be flexible enough to meet the needs of all users and to ensure continuity of care. This may involve contracting out some functions to the independent sector. You will also have to agree on a single assessment process with all stakeholders. Finally, it will be necessary to decide who will co-ordinate the intermediate care. Section 7 Evaluation 00 The NHS and local authorities are charged with ensuring that intermediate care is suitably evaluated and that systems for evaluation are built into new intermediate care arrangements at the earliest possible stage (Department of Health, 2001a). This section will show you how to develop a simple framework for evaluating intermediate care. The framework can also be used as a quality improvement tool if it is designed as part of a continuous quality improvement process.6 7 Contents Introduction 1 Part 1 The policy context 3 Section 1 What is intermediate care? 00 Some definitions of intermediate care 00 What intermediate care is not 00 Early attempts to define intermediate care 00 Section 2 What is prompting the development of intermediate care? 00 Government support for intermediate care 00 The National Beds Inquiry 00 The NHS Plan 00 The National Service Framework for Older People 00 The drivers of intermediate care 00 The funding of intermediate care 00 New money from National Insurance increases 00 League tables for social services 00 Part 2 Making the case for change 00 Section 3 Evidence for the effectiveness of intermediate care 00 The types of evidence and their limitations 00 Shortcomings of the current arrangements for rehabilitation 00 Older people caught in the vicious circle 00 Who could benefit from intermediate care? 00 People in acute hospital beds 00 People in long-term residential and nursing care 00 People at home in the community 00 Which types of services can be used to deliver intermediate care, and how effective are they? 00 Hospital at Home 00 Early/supported discharge schemes 00 Rapid response 00 Community rehabilitation 00 Residential intermediate care 00 Day rehabilitation 00 The role of intermediate care in specific conditions 00 Related services 00 What research exists on the operational aspects of intermediate care? 00 Assessment 00 Team working 00 Current government-funded research programmes 008 viii DEVELOPING INTERMEDIATE CARE Part 3 Making it happen 00 Introduction to Part 3 00 The cycle of change 00 Section 4 Agreeing the future direction of intermediate care development 00 Agreeing shared values and principles 00 Developing a common understanding of national policy and local circumstances 00 Trends 00 Uncertainties 00 Major issues 00 Mapping existing services 00 The basic map 00 Filling in the detail 00 A useful diagnostic tool 00 Point prevalence studies 00 Matching services to needs 00 Consulting with stakeholders 00 Case study 1 Northumberland Health Action Zone 00 Case study 2 Mid-Hants Primary Care Trust 00 Case study 3 Nuffield Institute for Health 00 What whole systems events can achieve 00 Section 5 Making practical plans 00 Working with complexity Which services to offer 00 The balance of care approach 00 Information about individual service models 00 The former South West Regional Office 00 Partnership arrangements 00 Drawing up an action plan 00 Section 6 Putting intermediate care plans into practice 00 The success factors 00 Change management 00 Managing change the reality 00 Why do we need to change? 00 SWOT analysis 00 Who and what can change? 00 Force field analysis 00 Readiness and capability 00 Securing individual behaviour change 00 The operational implications of change 00 New ways of working 00 Intermediate care and specialist medical assessment 00 Redesigning existing intermediate care systems 00 Patient/user pathways 00 Consulting clients and carers 00 Continuity of care 009 CONTENTS ix Contracting for intermediate care with the independent sector 00 Working with the voluntary sector 00 Publicising local services 00 Assessment 00 Tools and scales 00 Choosing an assessment tool 00 The role of the intermediate care co-ordinator 00 The context for strategic development 00 Strategic and operational level functions 00 Section 7 Evaluation 00 Why it is important to evaluate 00 Developing an evaluation framework 00 When to establish a framework 00 Which model to use 00 Bibliography 00 Appendices 00 Index 00 Acknowledgements 0010 11 Introduction The Government has stated its belief that intermediate care is an important approach that will help to promote independence for older people and at the same time relieve pressures on the health and social services. As a practical demonstration of support, it has committed considerable resources towards intermediate care. Outside government, however, there is still some confusion. Because intermediate care has evolved over a number of years and in response to a number of different pressures, development has been piecemeal, and not everyone is at the same stage. However, there is already a body of evidence to suggest that intermediate care could make decent rehabilitation services a reality and reduce pressures on hospital beds and on the long-term care budget. This book aims to stimulate change by providing those who will have to commission or provide intermediate care with an all-in-one guide to policy and practice. We have tried to ensure that the book has something to offer not only to people who already have a good grasp of intermediate care issues but also to those who as yet know little. This book will be useful for anyone who is responsible for the strategic and operational planning and development of intermediate care for older people in health, social care and housing organisations especially intermediate care co-ordinators and senior staff working on care strategy. It will also be of interest to a range of service providers, patients forums and older people s champions.12 13 FUND MAY SUPPLY IMAGE/ICON HERE Part 1 The policy context This part of the book looks at the policy issues surrounding intermediate care. It covers: definitions of intermediate care government policy on intermediate care the trends driving the development of intermediate care. Section 1 What is intermediate care? 00 Some definitions of intermediate care 00 What intermediate care is not 00 Early attempts to define intermediate care 00 Section 2 What is prompting the development of intermediate care? 00 government support for intermediate care 00 The drivers of intermediate care 00 The funding of intermediate care 0014 15 SECTION 4: AGREEING THE FUTURE DIRECTION OF INTERMEDIATE CARE DEVELOPMENT 5 1 What is intermediate care? Intermediate care is a relatively new concept. As yet, there is no representative example showing how it works. However, most authorities would agree that intermediate care is a short-term intervention to preserve the independence of people who might otherwise face unnecessarily prolonged hospital stays or inappropriate admission to hospital or residential care. The care is person-centred, focused on rehabilitation and delivered by a combination of professional groups. This section will look at: some definitions of intermediate care what intermediate care is not early attempts to define intermediate care. Some definitions of intermediate care The Audit Commission (2000a) has proposed a useful definition for intermediate care, which in essence states that the primary function of intermediate care is to build up people s confidence to cope once more with day-to-day activities. It serves as an extension to specialist clinical care and rehabilitation, but not as a substitute for it: quick access to specialist medical and other support when needed is vital. Intermediate care has evolved over a number of years and in response to a variety of different pressures. One consequence of this has been that across the country a variety of different names have been given to teams and services that have broadly similar aims and objectives. Hence there is a considerable amount of confusion, among both policy makers and practitioners, about what intermediate care really is. The Government has addressed this problem by officially defining the nature and purpose of intermediate care and issuing clear criteria. The Department of Health (2001a) set out a standard definition of intermediate care: To ensure a consistent approach to developing, monitoring and benchmarking services across the country. The NHS and Councils are expected to apply this definition [from January 2001] in reporting investment and activity plans for intermediate care. For these purposes intermediate care should be regarded as services that meet all the following criteria; that they: are targeted at people who would otherwise face unnecessarily prolonged hospital stays or inappropriate admission to acute in-patient care, long-term residential care, or continuing NHS in-patient care are provided on the basis of comprehensive assessment, resulting in a structured individual care plan that involves active therapy, treatment or opportunity for recovery have a planned outcome of maximising independence and typically enabling patient/users to resume living at home are time limited to normally no longer than six weeks, and frequently as little as one to two weeks or less involve cross-professional working, with a single assessment framework, single professional records and shared protocols. Adapted from Department of Health (2001b). National service framework for older people. London: Department of Health.16 6 DEVELOPING INTERMEDIATE CARE The guidance also emphasises that: Intermediate care should form an integrated part of a seamless continuum of services linking health promotion, preventative services, primary care, community health services, social care, support for carers and acute hospital care. Support from these linked services remains essential for the successful development of intermediate care, to ensure that its benefits are fully realised. Department of Health (2001b), as above. The Department of Health circular provides initial guidance on a number of other important areas: service models (see Which type of services can be used to deliver intermediate care? p. x) responsibility for intermediate care charges associated with council-arranged intermediate care services factors to be taken into account in planning development of services (see Section 5, p. x) role of independent sector (see Section 6, p. x) funding for intermediate care and community equipment services information that the NHS and councils will be asked to include in their investment and implementation plans for What intermediate care is not The Department of Health (2001a) also states that: Intermediate care should be distinguished from: those forms of transitional care that do not involve active therapy or other interventions to maximise independence, i.e. for patients who are ready to leave acute in-patient care and are simply waiting for longer-term packages of care to be arranged longer-term rehabilitation or support services rehabilitation that forms part of acute hospital care. [ ] Intermediate care services should normally be provided in community-based settings or in the patient/user s own home, but may be provided in discrete step-down facilities on acute hospital sites. [ ] The process of assessment, appropriate patient/user selection and clear care plans are vital. It is essential to ensure close involvement of patients/users and carers in assessment and in drawing up an individual care plan that is held by the patient/user. Adapted from Department of Health (2001a). Intermediate care. HSC 2001/1: LAC (2001) 1. London: Department of Health. The distinctions between what is, and what is not, intermediate care are further clarified by the following two lists, compiled by Professor Ian Philp, National Director, Older People s Services, at the Department of Health: Intermediate care is: patient centred, with the development of an individual care plan about facilitating access to acute rehabilitation and long-term care services based on need about active rehabilitation time limited, with clear entry and exit points and responsibility for managing transition Part of a whole system approach to the delivery of health and social care to older people and related groups.17 SECTION 1 WHAT IS INTERMEDIATE CARE? 7 It is not: marginalising older people from mainstream services (a ghetto service) providing transitional care for older pending long-term placement (a hotel service) solely the responsibility of one professional group (a dumping service) indeterminate care (a dustbin service) a means of funding all good things for older people (a honeypot service). Adapted from Philp, Prof. I (2000). Intermediate care: the evidence base in practice. Presentation at the Royal College of Physicians/British Geriatric Society, 30 September. London: RCP. Early attempts to define intermediate care The King s Fund was a pioneer in conceptualising intermediate care at a time when it was not a universally accepted part of the care system. Andrea Steiner (1997) argued that intermediate care is a function of services rather than a discrete service, since many services already exist that in principle could be mobilised to meet intermediate care needs. Steiner offered two definitions of intermediate care, first, a broader definition: a whole set of services designed to smooth transitions between hospital and home, treat chronically or terminally ill people without recourse to hospital care, and prevent long-term institutionalisation Steiner A (2000). Evidence and evaluation. Presentation to King s Fund conference Care closer to home, 15 September. Ambassadors Hotel, London. and second, a narrower definition: that range of services designed to facilitate the transition from hospital to home, and from medical dependence to functional independence, where the objectives of care are not primarily medical, the patient s discharge destination is anticipated, and a clinical outcome of recovery (or restoration of health) is desired Steiner (2000), as above. This second definition was later revised to include social as well as functional independence. Steiner (1997) noted that the need for intermediate care could, in principle, be identified by a range of health or social service professionals outside the hospital setting, and that intermediate care could be provided in contexts other than simply between hospital and home. Lastly, she pointed out that intermediate care services border on, or overlap with, a range of existing options including shared care, community care and continuing care. These can offer a foundation on which to build intermediate care structures but they may just as easily constitute a barrier to introducing a new paradigm of care (Steiner, 1997). These overlaps have led many local care communities to challenge the Department of Health definition as too narrow. Developments of intermediate care before the Department of Health s circular (Department of Health, 2001a) were often designed to fill gaps in the care continuum for older people being inappropriately cared for in acute hospital beds and for whom there was little available in the form of alternative care provision, such as people who needed longer than six weeks of rehabilitation and terminally ill people wishing to return or remain at home.18 8 DEVELOPING INTERMEDIATE CARE The National Evaluation Team has recognised that some schemes classified as intermediate care do not fall within the definition given by the Department of Health but act as a crucial link in the IC chain. They conclude that there will be no such thing as a typical or representative whole system of intermediate care (personal communication, 2002). For some years, there has also been confusion about the relationship between rehabilitation and intermediate care. Both have been described as a function of services rather than as services in their own right. The terms are often used interchangeably to describe service models based on a strong rehabilitation ethos. 1 INTERMEDIATE CARE WHAT IS IT? Hospital at home? GP unit Community rehabilitation team? Early supported discharge? Community hospital? Nursing home beds? unit? Rapid response? Residential home beds? unit? Convalescent unit? Sheltered housing unit? The intermediate care label has been used more widely since the Government gave priority to the development of transitional care to bridge the gap between hospital and home (Department of Health, 2000a) and included a requirement for intermediate care to be rehabilitative. Indeed, many people now regard intermediate care as a subset of rehabilitation, since it is focused more narrowly on short-term transitional care and support. (See Matching services to needs, p. x.)19 SECTION 1 WHAT IS INTERMEDIATE CARE? 9 Key points from this section There is no single definition of intermediate care. Intermediate care preserves independence and is patient centred. It prevents unnecessarily prolonged hospital stays or inappropriate admission to hospital or residential care. It is based on comprehensive assessment and is delivered by a combination of existing services. Intermediate care does not exclude older people from mainstream services, nor is it indeterminate in duration or solely the responsibility of one service. Further reading King s Fund (2000). Rehabilitation and intermediate care for older people. Briefing 6. London: King s Fund. Royal College of Physicians (2000). Intermediate care: statement from the Royal College of Physicians of London, London: RCP. Vaughan B & Lathlean J (1999). Intermediate care: models in practice. London: King s Fund.20 10 DEVELOPING INTERMEDIATE CARE 2 What is prompting the development of intermediate care? Rehabilitation services for older people are under pressure, often leading to avoidable loss of independence for service users. In response, recent policy documents, including the National Beds Inquiry, the NHS Plan and the National Service Framework for Older People, have proposed a range of intermediate care services to build a bridge between hospital and home, involving closer working between health and social services. The Government has also allocated new money, via a range of initiatives, for the expansion of intermediate care. This section will look at: government support for intermediate care the drivers of intermediate care the funding of intermediate care. Government support for intermediate care Government policy on intermediate care has developed in the wake of a series of policy and guidance papers on the theme of promoting independence through linked government initiatives. They include: Better services for vulnerable people (Department of Health, 1997a; 1998a) The new NHS: modern, dependable (Department of Health, 1997b) Modernising social services (Department of Health, 1998b) Shaping the future NHS (Department of Health, 2000b) The NHS Plan (Department of Health, 2000a) The National Service Framework for Older People (Department of Health, 2001a), which included intermediate care as its Standard Three (see pxx [ref to Standard Three: Intermediate Care]) Implementing the NHS Plan, Department of Health 2001i). Ministers have continued to place great emphasis on intermediate care s potential to help solve system pressures, though by early 2002 they no longer seemed to see it as the complete panacea. A further paper reviewing progress in intermediate care to date and summarising current thinking was issued in June 2002 (Department of Health, 2002a). This latest Department of Health paper highlights the areas where action is still needed. It describes: The evolutionary process of locally led initiatives at the grass-roots of health and social care small scale and often dependent on one or two committed individuals. There now exists a wide diversity of models based on local need, happenstance or opportunism. Department of Health (2002a). Intermediate care: moving forward. London: Department of Health. The proliferation of schemes has led to confusion and fragmentation, and in turn to inequality of provision and access, duplication of effort, reduced cost effectiveness and lack of impact. The Department of Health sees the next phase in the development of intermediate care as one21 SECTION 2 WHAT IS PROMPTING THE DEVELOPMENT OF INTERMEDIATE CARE? 11 in which the growing body of evidence and evaluation will enable identification of service models more likely to be associated with improved clinical [sic] outcomes (Department of Health, 2002a). It calls for local action to: review existing and proposed services in the light of the principles, success factors and evidence presented in the paper ensure that intermediate care services are co-ordinated and integrated with the full range of other services address key issues in development establish effective ways of learning from good practice and supporting professional development. The Government has clear expectations of what the outcomes of successful intermediate care provision will be, firstly, for older people as service users, and secondly, for services and organisations. These expectations are reported in a variety of documents, some of the key statements from which are given below. The National Beds Inquiry The Inquiry found that the health and social care systems are not fully meeting the needs of older people as demonstrated, for example, by the shortage of community-based alternatives to hospital care, the widespread inappropriate use of hospital beds and the significant levels of delayed discharges (Department of Health, 2000b). There was consultation on three options for the future development of care. Option Three, reproduced below, was accepted and subsequently developed as part of the NHS Plan: Option Three: Care closer to home Under this scenario, there would be an active policy of building up intermediate care services (i.e. services designed to prevent avoidable admissions to acute care settings and to facilitate the transition from hospital to home and from medical dependence to functional independence). There would be a major expansion of both community health and social care services. In contrast, acute hospital services would be focused on rapid assessment, stabilisation and treatment. Hospital day units and community based services would be aimed at maintaining people in their home communities in good health, preventing avoidable admissions, facilitating early discharge and active rehabilitation post-discharge and supporting a return to normal community-based living wherever possible. Over time, places in community schemes might replace some acute hospital beds. Department of Health (2000a). The NHS Plan: a plan for investment, a plan for reform. London: Department of Health. The NHS Plan The NHS Plan (Department of Health, 2000a) proposes a range of intermediate care services to build a bridge between hospital and home, and suggests where they might be offered: The stated aims of these services are: to help people recover and regain independence more quickly to bring about swifter hospital discharge when people are ready to leave to avoid unnecessary long-term care. The new services will be expected to provide high-quality pre-admission and rehabilitation care to older people, thus reducing inappropriate admissions and ensuring year on year22 12 DEVELOPING INTERMEDIATE CARE TABLE 1: HOW MANY PEOPLE WILL BENEFIT FROM THE REFORMS? 150,000 older people each year will have access to new beds or places 70,000 older people will benefit from rapid response and other admission prevention initiatives Home care will enable 50,000 more people to live independently at home 75,000 carers will benefit Adapted from: Department of Health (2002a). The NHS Plan: a plan for investment, a plan for reform. London: Department of Health. reduction in the delays to discharges of patients aged 75 years or more. Progress will be monitored in the performance assessment framework, and an end to widespread bedblocking is expected by The closer working arrangements between health and social services will remove outdated institutional barriers, enabling care services for older people to be improved. The NHS Plan sees intermediate care and related services as the main ways of achieving this improvement. The new working arrangements will be jointly inspected by the Commission for Health Improvement, the Audit Commission and the Social Services Inspectorate, using the best value system. These bodies will also assess the effect that joint working arrangements are having on: reducing the number of delayed discharges of older people reducing preventable hospital admission and re-admission of older people speed at which older people s needs are assessed. As a key test of improved partnerships between health and social services, it is expected that pooled budgets and the use of other Health Act flexibilities (Department of Health, 1999a) will be the norm in arranging intermediate care services (Department of Health, 2000a). The National Service Framework for Older People The National Service Framework for Older People (NSF) (Department of Health, 2001b) reiterates the Government s determination to deliver real improvements for older people and their families. It expresses the themes outlined above in the form of standards, many of which focus on quality of care and rehabilitation: Standard Three: Intermediate care Older people will have access to a new range of intermediate care services at home or in designated care settings, to promote their independence by providing enhanced services from the NHS and councils to prevent unnecessary hospital admission and effective rehabilitation services to enable early discharge from hospital and to prevent premature or unnecessary admission to long-term care. Intermediate care services are expected to focus on three key points in the pathway of care: responding to, or averting, a crisis active rehabilitation following an acute hospital stay where long-term care is being considered. The key to the next phase of service development is integrated and shared care, including primary and secondary health care, social care and care involving the statutory and independent sectors. Adapted from Department of Health (2001b). National service framework for older people. London: Department of Health. View more
Factsheet 76 May 2015 About this factsheet This factsheet explains intermediate care, a term that includes reablement. It consists of a range of integrated services that can be offered on a short term More information Excellence & Choice A Consultation on Older People s Services January 2009
Excellence & Choice A Consultation on Older People s Services January 2009 CONTENTS 1. Introduction...3 2. Guiding principles for the delivery of services for older people...5 3. How are services for older More information ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT
ENHANCING PRIMARY AND COMMUNITY CARE COMMUNITY REHABILITATION SUB-GROUP FINAL DRAFT MRS PHIL MAHON 7 APRIL 2006 ENHANCING PRIMARY AND COMMUNITY CARE Community Rehabilitation Sub Group 1. Introduction 1.1 More information Improving Emergency Care in England
Improving Emergency Care in England REPORT BY THE COMPTROLLER AND AUDITOR GENERAL HC 1075 Session 2003-2004: 13 October 2004 LONDON: The Stationery Office 11.25 Ordered by the House of Commons to be printed More information Hip replacements: Getting it right first time
Report by the Comptroller and Auditor General NHS Executive Hip replacements: Getting it right first time Ordered by the House of Commons to be printed 17 April 2000 LONDON: The Stationery Office 0.00 More information Delivering Local Health Care
Delivering Local Health Care Accelerating the pace of change Delivering Local Integrated Care Accelerating the Pace of Change WG 17711 Digital ISBN 978 1 0496 0 Crown copyright 2013 2 Contents Joint foreword More information Workforce capacity planning model
Workforce capacity planning model September 2014 Developed in partnership with 1 Workforce capacity planning helps employers to work out whether or not they have the right mix and numbers of workers with More information Effective Approaches in Urgent and Emergency Care. Priorities within Acute Hospitals
Effective Approaches in Urgent and Emergency Care Paper 1 Priorities within Acute Hospitals When people are taken to hospital as an emergency, they want prompt, safe and effective treatment that alleviates More information Mapping Local Rehabilitation and Intermediate Care Services A whole systems approach to understanding service capacity and planning change
Mapping Local Rehabilitation and Intermediate Care Services A whole systems approach to understanding service capacity and planning change Jan Stevenson Published by King s Fund Publishing 11 13 Cavendish More information Sheffield City Council Draft Commissioning Strategy for services for people with a learning disability and their families September 2014
Sheffield City Council Draft Commissioning Strategy for services for people with a learning disability and their families September 2014 1 Sheffield City Council: Draft Commissioning Strategy for services More information Manifesto for Acquired Brain Injury Rehabilitation
Manifesto for Acquired Brain Injury Rehabilitation For further information please contact: Chloë Hayward UKABIF Executive Director PO Box 355 Plymouth PL3 4WD Tel: 01752 601318 Email: ukabif@btconnect.com More information Top Ten Priorities for Stroke Services Research A summary of an analysis of Research for the National Stroke Strategy
The Stroke Strategy confirmed that the Department would commission a short analysis of research evidence in relation to the strategy and the top ten research areas identified in it. We said that we would More information KNOWLEDGE REVIEW 13 SUMMARY. Outcomes-focused services for older people: A summary
KNOWLEDGE REVIEW 13 SUMMARY Outcomes-focused services for older people: A summary ADULTS SERVICES ADULTS SUMMARY SERVICES Outcomes-focused services for older people Introduction This knowledge review includes: More information Strategic plan. Outline
Strategic plan Outline 1 Introduction Our vision Our role Our mandate 2 About us Our governance Our structure 3 Context Our development Camden 4 Resources Funding Partners 5 Operating model How we will More information Discharge to Assess: South Warwickshire NHS Foundation Trust
Discharge to Assess: South Warwickshire NHS Foundation Trust The Discharge to Assess (D2A) service enables patients to be discharged earlier from acute inpatient wards by co-ordinating care in alternative More information Wanless Social Care Review: Securing Good Care for Older People: Taking a Long-term View
RCN Policy Unit Policy Briefing 17/2006 Wanless Social Care Review: Securing Good Care for Older People: Taking a Long-term View ABSTRACT The Wanless Social Care Review "securing good care for older people- More information A Health and Wellbeing Strategy for Bexley Listening to you, working for you
A Health and Wellbeing Strategy for Bexley Listening to you, working for you www.bexley.gov.uk Introduction FOREWORD Health and wellbeing is everybody s business, and our joint aim is to improve the health More information Annex 5 Performance management framework
Annex 5 Performance management framework The Dumfries and Galloway Integration Joint Board (IJB) will be responsible for planning the functions given to it and for making sure it delivers them using the More information Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary)
Appendix 1 Business Case to Support the Relocation of Mental Health Inpatient Services in Manchester (Clinical Foreword and Executive Summary) Together we are better Foreword by the Director of Nursing More information briefing Papering over the cracks: the impact of social care funding on the NHS NHS reform and transition Key points September 2012 Issue 248
NHS reform and transition briefing September 2012 Issue 248 Papering over the cracks: the impact of social care funding on the NHS Key points Demand for health and social care will continue to rise, particularly More information Policy Statement 16/2006. Acute and Multidisciplinary Working
RCN Policy Unit Policy Statement 16/2006 Acute and Multidisciplinary Working The Royal College of Nursing of the United Kingdom and the Royal College of Physicians (London) September 2006 Royal College More information A Route Map to the 2020 Vision for Health and Social Care
A Route Map to the 2020 Vision for Health and Social Care 02 A Route Map to the 2020 Vision for Health and Social Care Introduction This paper sets out a new and accelerated focus on a number of priority More information Disabled Facilities Grant Funding via Better Care Funds An Opportunity to Improve Outcomes
Integration Briefing 1 Disabled Facilities Grant Funding via Better Care Funds An Opportunity to Improve Outcomes Purpose For whom Where To explain the changes to the provision of national government funding More information Summary Strategic Plan 2014-2019
Summary Strategic Plan 2014-2019 NTWFT Summary Strategic Plan 2014-2019 1 Contents Page No. Introduction 3 The Trust 3 Market Assessment 3 The Key Factors Influencing this Strategy 4 The impact of a do More information Patient narratives: Experiences of older people across the interface between primary and secondary care
Patient narratives: Experiences of older people across the interface between primary and secondary care Sue Ashby (Keele University) Roger Beech (Keele University) Angela Dickinson (University of Hertfordshire) More information Update on Discharges from University Hospital Southampton. Southampton City Council Health Overview and Scrutiny Panel
Update on Discharges from University Hospital Southampton Southampton City Council Health Overview and Scrutiny Panel Every day approximately 10% of the patients discharged from University Hospitals Southampton More information JOB DESCRIPTION. The Richmond Community Rehabilitation Service sits at the heart of integrated health and social care in Richmond.
JOB DESCRIPTION POST: BAND: ACCOUNTABLE TO: Occupational Therapist seconded to HRCH PO2 Assistant Team Manager (HRCH) CONTEXT The Richmond Community Rehabilitation Service sits at the heart of integrated More information Transition between inpatient hospital settings and community or care home settings for adults with social care needs
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE DRAFT GUIDELINE Transition between inpatient hospital settings and community or care home settings for adults with social care needs 1 1 Draft for consultation, More information Your local specialist mental health services
Your local specialist mental health services Primary Care Liaison Service B&NES Primary Care Mental Health Liaison service is a short-term support service to help people with mental health difficulties More information IMPROVING DENTAL CARE AND ORAL HEALTH A CALL TO ACTION. February 2014 Gateway reference: 01173
1 IMPROVING DENTAL CARE AND ORAL HEALTH A CALL TO ACTION February 2014 Gateway reference: 01173 2 Background NHS dental services are provided in primary care and community settings, and in hospitals for More information Unbundling recovery: Recovery, rehabilitation and reablement national audit report
NHS Improving Quality Unbundling recovery: Recovery, rehabilitation and reablement national audit report Implementing capitated budgets within long term conditions for people with complex needs LTC Year More information Community Rehabilitation Beds. Questions and Answers
Patient Information Leaflet Community Rehabilitation Beds Questions and Answers Produced by: Community Rehabilitation Date: March 2014 Review due date: March 2017 1 PARTNERSHIP IN CARE INDEPENDENT NURSING More information Intermediate Care Halfway Home
Intermediate Care Halfway Home Intermediate Care Updated Guidance for the NHS and Local Authorities INTERMEDIATE CARE DH InformatIon reader BoX Policy HR/Workforce Management Planning Clinical Document More information Care Closer to Home. The Gateway, Middlesbrough: A New Integrated Health, Social Care & Housing Pathway
Case Study 111 Care Closer to Home. The Gateway, Middlesbrough: A New Integrated Health, Social Care & Housing Pathway This case study sets out the economic, health and social benefits of Keiro s service More information IMPROVING YOUR EXPERIENCE
Comments trom the Aberdeen City Joint Futures Brain Injury Group The Aberdeen City Joint Futures Brain Injury Group is made up of representatives from health (acute services, rehabilitation and community), More information Mental Health Crisis Care: Shropshire Summary Report
Mental Health Crisis Care: Shropshire Summary Report Date of local area inspection: 26 and 27 January 2015 Date of publication: June 2015 This inspection was carried out under section 48 of the Health More information Together for Health Delivering End of Life Care A Delivery Plan up to 2016 for NHS Wales and its Partners
Together for Health Delivering End of Life Care A Delivery Plan up to 2016 for NHS Wales and its Partners The highest standard of care for everyone at the end of life Digital ISBN 978 0 7504 8708 5 Crown More information Progress on the System Sustainability Programme. Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014
Agenda Item: 9.1 Subject: Presented by: Progress on the System Sustainability Programme Dr Sue Crossman, Chief Officer Submitted to: NHS West Norfolk CCG Governing Body, 31 July 2014 Purpose of Paper: More information Care and Support Statutory Guidance. Issued under the Care Act 2014
Care and Support Statutory Guidance Issued under the Care Act 2014 June 2014 Contents Introduction 3 General responsibilities and universal services 1. Promoting wellbeing 5 2. Preventing, reducing or More information THE AUTUMN STATEMENT: NHS FUNDING
THE AUTUMN STATEMENT: NHS FUNDING Summary The NHS faces huge pressures as a result of an ongoing funding squeeze, rising demand for services and the need to safeguard quality of care following the Francis More information Template action plan to improve care for people with dementia in the community
Template action plan to improve care for people with dementia in the community DH INFORMATION READER BOX Policy HR / Workforce Management Planning / Clinical Document Purpose Gateway Reference Title Author More information BriefingPaper. Towards faster treatment: reducing attendance and waits at emergency departments ACCESS TO HEALTH CARE OCTOBER 2005
ACCESS TO HEALTH CARE OCTOBER 2005 BriefingPaper Towards faster treatment: reducing attendance and waits at emergency departments Key messages based on a literature review which investigated the organisational More information CLINICAL PRACTICE GUIDELINES Treatment of Schizophrenia
CLINICAL PRACTICE GUIDELINES Treatment of Schizophrenia V. Service Delivery Service Delivery and the Treatment System General Principles 1. All patients should have access to a comprehensive continuum More information Position paper: Reforming payment mechanisms for community services NHS Confederation Community Health Services Forum November 2013
Position paper: Reforming payment mechanisms for community services NHS Confederation Community Health Services Forum November 2013 Executive summary There is a clear need to ensure that payment mechanisms More information RCN Policy Unit. Policy Briefing 08/2009. NHS expenditure on external consultants. A RCN Freedom of Information Report
RCN Policy Unit Policy Briefing 08/2009 NHS expenditure on external consultants A RCN Freedom of Information Report May 2009 Royal College of Nursing Telephone: 020 7647 3723 Policy Unit Room 204 Fax: More information Executive Summary and Recommendations: National Audit of Learning Disabilities Feasibility Study
Executive Summary and Recommendations: National Audit of Learning Disabilities Feasibility Study Contents page Executive Summary 1 Rationale and potential impact of a future audit 2 Recommendations Standards More information Intensive Rehabilitation Service & Community Treatment Team
Intensive Rehabilitation Service & Community Treatment Team Caroline O Donnell Integrated Care Director North East London Foundation Trust Carol White Deputy Integrated Care Director North East London More information Principles and expectations for good adult rehabilitation. Rehabilitation is everyone s business: Rehabilitation Reablement Recovery
Wessex Strategic Clinical Networks Rehabilitation Reablement Recovery Rehabilitation is everyone s business: Principles and expectations for good adult rehabilitation 2 Principles and expectations for More information THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15
15 October 2015 THE STATE OF HEALTH CARE AND ADULT SOCIAL CARE IN ENGLAND 2014/15 This briefing summarises today s publication of the Care Quality Commission s annual State of Health and Adult Social Care More information Big Chat 4. Strategy into action. NHS Southport and Formby CCG
Big Chat 4 Strategy into action NHS Southport and Formby CCG Royal Clifton Hotel, Southport, 19 November 2014 Contents What is the Big Chat? 3 About Big Chat 4 4 How the event worked 4 Presentations 5 More information Integrating Health and Social Care in England: Lessons from Early Adopters and Implications for Policy
Knowledge base Integrating Health and Social Care in England: Lessons from Early Adopters and Implications for Policy Chris Ham Professor of Health Policy and Management John Oldham Honorary Senior Fellow More information NHS Scotland Wheelchair Modernisation Delivery Group
SCOTTISH GOVERNMENT HEALTH AND SOCIAL CARE DIRECTORATES THE QUALITY UNIT HEALTHCARE PLANNING DIVISION NHS Scotland Wheelchair Modernisation Delivery Group WHEELCHAIR & SEATING SERVICES QUALITY IMPROVEMENT More information Dear Colleague DL (2015) 11. Hospital Based Complex Clinical Care. 28 May 2015. Summary
The Scottish Government Directorate for Health and Social Care Integration Dear Colleague Hospital Based Complex Clinical Care Summary 1. This letter provides guidance on Hospital Based Complex Clinical More information SECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY
SECTION B THE SERVICES COMMUNITY STROKE REHABILITATION SPECIFICATION 20XX/YY SECTION B PART 1 - SERVICE SPECIFICATIONS Service specification number Service Commissioner Lead Provider Lead Period Date of More information Measuring quality along care pathways
Measuring quality along care pathways Sarah Jonas, Clinical Fellow, The King s Fund Veena Raleigh, Senior Fellow, The King s Fund Catherine Foot, Senior Fellow, The King s Fund James Mountford, Director More information Capacity Manager. Seamless Pathways of Care Test duration Mar 2013 Mar 2015 Author/Lead. Paula Tate Contact details
Capacity Manager Workstream Seamless Pathways of Care Test duration Mar 2013 Mar 2015 Author/Lead Paula Tate Contact details Paula.tate@nhs.net Contents tick Comments 1 Test of Change Proposal 2 PMP 3 More information Putting information at the heart of nursing care
ehealth and nursing practice Putting information at the heart of nursing care How IT is revolutionising health care Introduction Information technology (IT) has become part of our everyday lives. We watch More information Hospital discharge arrangements
Factsheet 37 May 2015 About this factsheet This factsheet explains how your discharge should be managed following NHS treatment so you receive the help you need in the most appropriate location. Depending More information Acute care toolkit 2
Acute care toolkit 2 High-quality acute care October 2011 Consultant physicians are at the forefront of delivering care to patients presenting to hospital with medical emergencies. Delivering this care More information National Aged Care Alliance
National Aged Care Alliance Leading the Way Our Vision for Support and Care of Older Australians September 2009 Contents Preamble 3 1 The Vision 4 2 The Underpinning Principles 4 2.1 Older Australians More information Future hospital: Caring for medical patients. Extract: Recommendations
Time to Act Urgent Care and A&E: the patient perspective May 2015 Executive Summary The NHS aims to put patients at the centre of everything that it does. Indeed, the NHS Constitution provides rights to More information Stroke rehabilitation
Costing report Stroke rehabilitation Published: June 2013 http://guidance.nice.org.uk/cg162 This costing report accompanies the clinical guideline: Stroke rehabilitation (available online at http://guidance.nice.org.uk/cg162). More information 4. Proposed changes to Mental Health Nursing Pre-Registration Nursing
Developments in nurse education in England Summary BSMHFT employs 1319 registered nurses and 641 health care assistants 53% of the total workforce. BSMHFT works in partnership with Birmingham City University More information Rehabilitation Network Strategy 2014 2017. Final Version 30 th June 2014
Rehabilitation Network Strategy 2014 2017 Final Version 30 th June 2014 Contents Foreword 3 Introduction Our Strategy 4 Overview of the Cheshire and Merseyside Rehabilitation Network 6 Analysis of our More information Financial Strategy 5 year strategy 2015/16 2019/20
Item 4.3 Paper 15 Financial Strategy 5 year strategy 2015/16 2019/20 NHS Guildford and Waverley Clinical Commissioning Group Medium Term Financial Strategy / Finance and Performance Committee May 2015 More information Modern Standards and Service Models. national service framework. Older People. National Service Framework for Older People
Modern Standards and Service Models Older People national service framework National Service Framework for Older People National Service Framework for Older People Contents page Chapter one: Introduction More information HSE Transformation Programme. to enable people live healthier and more fulfilled lives. Easy Access-public confidence- staff pride
HSE Transformation Programme. to enable people live healthier and more fulfilled lives Easy Access-public confidence- staff pride The Health Service Executive 4.1 Chronic Illness Framework July 2008 1 More information Bath and North East Somerset Council People and Communities Directorate Plan
Bath and North East Somerset Council People and Communities Directorate Plan Introduction There are three Directorate Plans covering the Councils three directorates. This is the People and Communities More information Stakeholder Report to the Universal Periodic Review in relation to Ireland s Human Rights record March 2011
Stakeholder Report to the Universal Periodic Review in relation to Ireland s Human Rights record March 2011 1 Stakeholder Report to the Universal Periodic Review in relation to Ireland s Human Rights record More information A Health and Social Care Research and Development Strategic Framework for Wales
IMPROVING HEALTH IN WALES A Health and Social Care Research and Development Strategic Framework for Wales a consultation document February 2002 Please send your comments by 17 May 2002 to: Gerry Evans More information A fresh start for the regulation and inspection of adult social care
A fresh start for the regulation and inspection of adult social care Working together to change how we inspect and regulate adult social care services The Care Quality Commission is the independent regulator More information Advanced Nurse Practitioner JD October 2013 East Cheshire Hospice HK
EAST CHESHIRE HOSPICE (ECH) JOB DESCRIPTION JOB TITLE: DEPARTMENT: ADVANCED NURSE PRACTITIONER CLINICAL SERVICES PROFESSIONALLLY ACCOUNTABLE TO: HEAD OF CLINICAL & OPERATIONAL SERVICES BAND: 6 / 7 DEPENDENT More information The importance of nurse leadership in securing quality, safety and patient experience in CCGs
Briefing note: July 2012 The importance of nurse leadership in securing quality, safety and patient experience in CCGs Introduction For the NHS to meet the challenges ahead, decisions about health services More information Questions submitted by email to the CCG email address following publication of the Townlands Governing Body Paper 30 July 2015
Questions submitted by email to the CCG email address following publication of the Townlands Governing Body Paper 30 July 2015 1. The proposed new model to do away with beds in hospitals (similar to Townlands) More information Quality in and Equality of Access to Healthcare Services
Quality in and Equality of Access to Healthcare Services Executive Summary European Commission Directorate-General for Employment, Social Affairs and Equal Opportunities Manuscript completed in March 2008 More information A&E Recovery & Improvement Plan
Engagement and Patient Experience Committee (A Sub-Committee of NHS Southwark CCG Governing Body) ENCLOSURE B A&E Recovery & Improvement Plan DATE OF MEETING: September 2013 CCG DIRECTOR RESPONSIBLE: Tamsin More information Improving Services for Patients with Learning Difficulties. Jennifer Robinson, Lead Nurse Older People and Vulnerable adults
ENC 5 Meeting Trust Board Date 18 th December 2014 Title of Paper Lead Director Author Improving Services for Patients with Learning Difficulties Kathryn Halford, Director of Nursing Jennifer Robinson, More information Hospital discharge arrangements in Wales
Factsheet 37w May 2012 Hospital discharge arrangements in Wales About this factsheet This factsheet explains how your discharge from hospital should be managed following NHS treatment so that you receive More information Meets all objectives. In line with Council policy.
ITEM NO: 5 Report to: HEALTH AND WELLBEING BOARD Date: 1 October 2015 Executive Member / Reporting Officer: Subject: Report Summary: Recommendations: Councillor Brenda Warrington Executive Member (Adult More information Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK
Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK K Reconfiguration of Surgical, Accident and Emergency and Trauma Services in the UK Summary Our aim is to provide an excellent More information Changing health and care in West Cheshire The West Cheshire Way
Changing health and care in West Cheshire The West Cheshire Way Why does the NHS need to change? The NHS is a hugely important service to patients and is highly regarded by the public. It does however More information Independent Review of NHS Continuing Healthcare
Independent Review of NHS Continuing Healthcare TABLE OF CONTENTS 1. FOREWORD... 3 2. EXECUTIVE SUMMARY... 4 3. BACKGROUND... 7 3.1 Context of the Review... 7 3.2 Strategic and Policy Background... 8 3.3 More information Transport to Access Health Services in Rural and Remote NSW: a Community Perspective
Transport to Access Health Services in Rural and Remote NSW: a Community Perspective Ros Bragg Ros Bragg, Liz Reedy Canberra, Australian Capital Territory, 4-7 March 2001 Transport to access health services More information Offenders with Learning Disabilities
Supporting Offenders with Learning Disabilities in Scotland Feedback from Professionals: 2012 Contents Introduction page 3 Background page 4 Summary of findings page 5 Next steps page 7 Delegate feedback More information SUBMISSION BY COMMUNITY LEARNING SCOTLAND (CLS) Summary
SUBMISSION BY COMMUNITY LEARNING SCOTLAND (CLS) Summary Lifelong learning needs to support a social justice agenda by promoting access by the most marginalised groups in society, through appropriate support More information Position Statement #37 POLICY ON MENTAL HEALTH SERVICES
THE ROYAL AUSTRALIAN AND NEW ZEALAND COLLEGE OF PSYCHIATRISTS Position Statement #37 POLICY ON MENTAL HEALTH SERVICES Mental disorder is a major cause of distress in the community. It is one of the remaining More information Maximising independence. The role of the nurse in supporting the rehabilitation of older people
Maximising independence The role of the nurse in supporting the rehabilitation of older people Contributors This guidance was developed by the following project group members: Valerie Thomas, Steering More information Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY.
Joint Future THE GRAMPIAN BRAIN INJURY STRATEGY. 2004-2010 1 Contents. 1. Foreword : Our Vision p.3 2. Executive Summary p.4 3. Some background. p.5 4. Definitions and numbers. p.6 5. Involving users and More information Putting People First A shared vision and commitment to the transformation of Adult Social Care
Putting People First A shared vision and commitment to the transformation of Adult Social Care Putting People First A shared vision and commitment to the transformation of Adult Social Care 1 Introduction More information FRAMEWORK JOB DESCRIPTION. Band 6
FRAMEWORK JOB DESCRIPTION Band 6 Framework is a registered charity, Company Limited by guarantee and Registered Social Landlord providing a variety of supported accommodation and tenancy support for homeless More information Mencap s briefing on the draft care and support bill
Mencap s briefing on the draft care and support bill Mencap is the UK s leading learning disability charity, working with people with a learning disability, their families and carers. We want a world where More information Attachment A Minnesota DHS Community Service/Community Services Development
Attachment A Minnesota DHS Community Service/Community Services Development Applicant Organization: First Plan of Minnesota Project Title: Implementing a Functional Daily Living Skills Assessment to Predict More information Australian Safety and Quality Framework for Health Care
Activities for the HEALTHCARE TEAM Australian Safety and Quality Framework for Health Care Putting the Framework into action: Getting started Contents Principle: Consumer centred Areas for action: 1.2 More information Australian Safety and Quality Framework for Health Care
Activities for MANAGERS Australian Safety and Quality Framework for Health Care Putting the Framework into action: Getting started Contents Principle: Consumer centred Area for action: 1.1 Develop methods More information Performance Evaluation Report 2013 14. The City of Cardiff Council Social Services
Performance Evaluation Report 2013 14 The City of Cardiff Council Social Services October 2014 This report sets out the key areas of progress and areas for improvement in The City of Cardiff Council Social More information Investment Domains Guideline
Investment Domains Guideline Version: 1.0 Date: 2 September 2014 Version Control History This document was approved by: Name: Position: Unit: Date: Author: PCMR Date: 2 September 2014 Page 2 CONTENTS 1. More information PUBLIC HEALTH PROGRAMME GUIDANCE DRAFT SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE PUBLIC HEALTH PROGRAMME GUIDANCE DRAFT SCOPE 1 Guidance title Guidance for primary care services and employers on the management of long-term sickness More information The Health Foundation
The Health Foundation Go with the Flow Improving the emergency care pathway for frail elderly people Helen Crisp Health Foundation 19 May 2014 The Health Foundation is an independent charity working to More information Eileen Dickinson, Deputy Director for Social Inclusion/Head of Occupational Therapy. Subject: Occupational Therapy Workforce Strategy 2009/2014
From: To: Eileen Dickinson, Deputy Director for Social Inclusion/Head of Occupational Therapy Trust Board Date: 22 nd October 2009 Subject: Occupational Therapy Workforce Strategy 2009/2014 1.0 Purpose More information 2017 © DocPlayer.net Privacy Policy | Terms of Service | Feedback