In Motion Conference

Changes in National Clinical Practice

Susan GoldOT Team Lead WestMARC

April 13th 2010

Changes in Clinical Practice

• Better User Information and Engagement

• Reduction in Waiting Times

• Improved Access to Services

• Modernising Wheelchair Fleet

• Improved Repair and Maintenance

• Better Access to New Technology

Changes in Clinical Practice

• Better User Information and Engagement

• Reduction in Waiting Times

• Improved Access to Services

• Modernising Wheelchair Fleet

• Improved Repair and Maintenance

• Better Access to New Technology

Southeast Mobility and Rehabilitation Technology (SMART) Services

Feedback / Information• User Satisfaction Survey - Feedback Board located in SMART Centre Reception

• other developments around SMART Website and Project Newsletter

User’s and Carer’s Forum Established

• Steering group established

• Forum established (60 members)

• Inaugural meeting held October 2009

• 1st newsletter issued (Feb 2010)

• 1st Open day planned for May 2010

• Identified as a priority group by NHS Tayside

Changes in Clinical Practice

• Better User Information and Engagement

• Reduction in Waiting Times

• Improved Access to Services

• Modernising Wheelchair Fleet

• Improved Repair and Maintenance

• Better Access to New Technology

Waiting times

Waiting List Reduction

• Working smarter• More staff• One Stop Shop

Changes in Clinical Practice

• Better User Information and Engagement

• Reduction in Waiting Times

• Improved Access to Services

• Modernising Wheelchair Fleet

• Improved Repair and Maintenance

• Better Access to New Technology

Southeast Mobility and Rehabilitation Technology (SMART) Services

Fife Satellite Clinic• Lynebank Hospital, Dunfermline

• Service Users involved in Design

• Large Clinic Room with overhead hoist

• Workshop for minor repairs and adjustments

• ‘Wheelchair Shop’ – storage for selection of chairs and equipment

• Looking at developing a similar clinic in NHS Borders

Improved Access to Services

• Any registered healthcare professional can refer into the services

• Referral forms in the process of being updated

• Training of referrers to the services

• Ongoing education of referrers.

Southeast Mobility and Rehabilitation Technology (SMART) Services

Referral Form

• LEAN Event• Universal referral form for all services• Developing Training DVD/Podcast for Social Work OTs on completing the Form

Changes in Clinical Practice

• Better User Information and Engagement

• Reduction in Waiting Times

• Improved Access to Services

• Modernising Wheelchair Fleet

• Improved Repair and Maintenance

• Better Access to New Technology

Updating National Wheelchair Fleet

• All services agreed what chairs were considered old equipment and what these should be replaced with.

Changes in Clinical Practice

• Better User Information and Engagement

• Reduction in Waiting Times

• Improved Access to Services

• Modernising Wheelchair Fleet

• Improved Repair and Maintenance

• Better Access to New Technology

Changes in Clinical Practice in 5 Wheelchair Centres in Scotland

• User Engagement

• Reducing waiting lists

• Improved access to services

• Improved wheelchair fleet

• Planned Preventative Maintenance

• New wheelchair technology

New National Repair Targets

• Urgent repairs 75% in 1 working day

• Routine Repairs 90% in 5 working days

Planned Preventative Maintenance

• Highland service have PPM for all chairs on issue

• Most other services are focussing on Power Chairs

Changes in Clinical Practice in 5 Wheelchair Centres in Scotland

• User Engagement

• Reducing waiting lists

• Improved access to services

• Improved wheelchair fleet

• Planned Preventative Maintenance

• New wheelchair technology

Change in Issue Criteria

• Relaxed eligibility criteria for powered wheelchairs– Dual Control Power Wheelchairs – Attendant Control Power Wheelchairs

Improved Technology

• Better power chair products

• Improved standard wheelchairs

• Access to better energy efficient product