Outline current work across 3 units of nhs highland

Outline current work across 3 units of NHS Highland

• Outline current work across 3 units of NHS Highland

• Demonstrate shift in culture, integrated and collaborative working

• Move from hands-on to hands-off i.e. self-management

Provision of care at home in a reabling/enabling way to maximise or regain a person’s skills in daily functional tasks

• Provision of care at home in a reabling/enabling way to maximise or regain a person’s skills in daily functional tasks

• Helps to learn or re-learn ADL skills and focusses on regaining physical ability

• Active reassessment and review fundamental

• First option in journey into Care@Home

Maintaining independence

• Maintaining independence

• Confidence and quality of life

• Minimises ongoing support and reduces whole life cost of care

• Excellent tool for integration

Joint working with;

• Joint working with;

• In-house integrated teams

• In-house Care at Home team

• Independent provider

Initial triage/screen

• Initial triage/screen

• Functional assessment

• Joint team decision around provision

• Regular review and communication

• Early planning of long-term care

• Outcomes measures/data collection

• Client centred outcome measure

• Therapist completed outcome measure

• End of package outcome data

• Cost-analysis

Agreed strategy and plans

• Agreed strategy and plans

• Lead professional

• Strategic support

• Scoping

• Training

• Maximising capacity

Making best use of resources

• Making best use of resources

• Integrated working

• Communication pathways

• Training/changing culture

• Utilisation of our care @ home services

Increased links with clinical staff/procurement within integrated teams

• Increased links with clinical staff/procurement within integrated teams

• Links with independent/third sector and other agencies

• Health and Social care partnerships

• True integrated work becomes reality

Carole Mitchell, OT Team Lead, Inverness

• Carole Mitchell, OT Team Lead, Inverness

• [e-mail]

• Kerry Watson, Lead OT, North and West

• [e-mail]

• Linda Currie -Lead OT, Argyll and Bute

• [e-mail]