Allied Health Professions National Delivery Plan 2012-2015 - Progress Report

A summary of progress against the National Delivery Plan for the Allied Health Professions in Scotland, 2012-2015


Progress to date

The NDP reflects future Scottish demographics and has prompted AHP leaders to proactively review workforce solutions to assure the sustainability of future service delivery. This has included:

  • The development of models of care which support the delivery of AHP Services across seven days and extended hours
  • Within each profession: the development of roles across all levels of the career framework including the introduction of advanced level practitioners
  • Across professional boundaries: by exploring shared skills and competencies, AHP s are contributing to more efficient and streamlined service delivery
  • Development of third sector partnership supporting an asset-based approach

The implementation of the NDP is demonstrating significant impact across Scotland as AHPs contribute to the reduction of unnecessary admissions to hospital with a reduction in the length of stay for those who are acutely ill and for whom admission to hospital is the most appropriate option. Impact is also evident across a range of AHP services where the referral to treatment (RTT) waiting times are being reduced resulting in service users receiving more timely assessments and faster access to appropriate treatments and interventions.

Since the launch of the AHP NDP in June 2012, compelling progress has been made in realising the vision of the NDP resulting in a 52% national completion at the end of 2014.

Graph 1; overall national completion of NDP actions

Graph 1; overall national completion of NDP actions

The graph clearly illustrates actions which have been very successful and also those that have posed particular challenges. Further details of these achievements and challenges are detailed in the following tables.

Table 1: Building on NDP Achievements

ACTION
(see Appendix 3 for full action)

NEXT STEPS: BUILDING ON ACHIEVEMENTS 2015 AND BEYOND

Radiography Reporting

Radiography Reporting

  • Maximise the contribution of radiographers in plain film reporting and radiography led discharge processes

AHPs in A&E

AHPs in A&E

  • Measure the added value that AHPs bring to front door services by reducing avoidable admissions to hospital
  • Ensure appropriate early rehabilitation and timely discharge for patients who require admission

Foot care Guidelines

Foot care Guidelines

  • Sustain the successful model of delivery across Health, Social Care and Third Sector

Children

Children

  • Implement the transformational AHP Children & Young Persons Plan
  • Measure the Impact to Children and Young Persons Services

Integration Governance

Integration Governance

  • Measure the impact of having joint working across Health and Social Care for all AHP Services within the new partnerships
  • Drive improvements where identified

Falls

Falls

  • Measure the impact of Falls Prevention and Management using the new Health and Social Care outcomes indicator (in development)
  • Measure the impact of the Framework of Action across all Partnerships
  • Spread the Care Home Falls prevention programme
  • Align Falls and Frailty to the Unscheduled Care Pathway

Table 2: Addressing NDP Challenges

A number of the actions within the NDP have proved particularly challenging:

  • only a few Boards have embedded the work of the NDP in their Local Development Plans and local performance management arrangements;
  • there has been a lack of consistent e-health support across Scotland in recording and management of data to demonstrate impact, including waiting times information;
  • in developing the matrix for measurement, the impact data for a number of deliverables was dependant on data from the social care sector which has proved challenging to source.

ACTION
(see Appendix 3 for full action)

NEXT STEPS : ADDRESSING OUR CHALLANGES

Enablement

Enablement

  • These actions were developed around the ethos of enablement being aligned to the Integration agenda. It is only now that the contribution of AHPs to this agenda can be fully realised.

AHP First Point of contact

AHP First Point of contact

  • With the focus now on integrated working, there is an opportunity to re address this action relating to the first point of contact.
  • A priority for AHPs is to establish seamless referral and treatment pathways between AHP professions.

AHP E-health infrastructure

AHP E-health infrastructure

  • It is now recognised that the e-health infrastructure for AHPs was inadequate to address these actions.
  • Support is required to ensure AHP services have adequate e-health infrastructure to deliver solutions and to drive future innovation.
  • The MSK Programme has demonstrated the importance of having e-health support to deliver improvement.

Contact

Email: Susan Malcolm

Back to top