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Appendix 2
Patient and User Involvement
Action | Who | By When |
|---|
Each NHS Board must establish a wheelchair user and carer group as part of their PFPI structures and processes | NHSPFPI Leads; wheelchair users and their carers | June 2009 |
National Procurement as part of NSS will include wheelchair users views and feedback to inform product selection in accordance with PFPI | NHS, NSS, National Procurement | September 2009 |
Each CHP will ensure that wheelchair users and their carers are appropriately represented in their local partnership forum to inform local service planning and development | CHPs | June 2009 |
Moving Forward | 18 | |
Collaborations and Partnerships
Action | Who | By when |
|---|
Professional leadership will be provided in each NHS Board for wheelchair mobility and associated postural management | NHS Boards; AHP Directors | March 2009 |
WSS centres will be part of the rehabilitation structure. | NHS Boards | March 2009 |
WSS centres will develop referral pathways and protocols in partnership with other rehabilitation service providers to enhance MDT working | WSS Centres; Rehabilitation Services; Education providers | January 2010 |
WSS centres will form partnerships with local health, education and social care services with a view to establishing case management approaches | WSS Centres; CHPs; local authority partners; Rehabilitation Coordinators | June 2010 |
Opportunities for joint working between health and social care equipment services to develop capacity locally for managing wheelchair storage, decontamination and uplift of equipment should be explored | WSS Centres; CHPs; Local Authority Partners; Joint Equipment Stores | December 2009 |
Patient information will be developed in partnership with service users and other providers. | WSS Centres; wheelchair users; voluntary organisations | December 2009 |
Moving Forward | 3,6,7,8,10,11,12,14,15,16,21,23 | |
Service Redesign
Action | Who | By When |
|---|
Each WSS centre will have competed a rapid improvement event in one area of their service | WSS Project Manager; NHS Redesign Teams; WSS Centres | December 2008 |
Learning and outcomes of the rapid improvement events will be shared between centres and teams | WSSHoS; NHS Redesign Teams; WSS Project Manager | January 2009 |
A learning needs analysis for staff development in improvement tools and techniques will be developed by each centre | WSSHoS | March 2009 |
To support development and behavioural change, each WSS centre will develop a local action plan | WSSHoS | March 2009 |
Improvement outcomes must be spread across and between services | NHS Board, CEOs supported by WSS Project Manager | 2011 |
A skill mix review to be carried out in each WSS centre to include medical, technical, therapy, administrative and scientific staff. | WSSHoS; NES | March 2009 |
Outcomes will be measured using improvement measuring tools | WSS Centres supported by WSS Project Manager | 2009 |
NHS Boards will seek to optimize their rehabilitation technology services through shared use of resources across all rehabilitation technology services | NHS Boards | December 2009 |
A part of the patient journey, WSS centres will work towards meeting the overall RTT of 18 weeks | WSS Centres; NHS Boards | 2011 |
Moving Forward | 2, 26 | |
Building Capacity
Action | Who | By when |
|---|
Professional leadership responsibility for wheelchair and seating services will be provided by an AHP Director in each NHS Board. | NHS Boards | June 2009 |
Each NHS Board will put in place separate local wheelchair and seating clinics for children and for adults. Local clinics will be supported by WSS Centres | NHS Boards; WSS Centres | January 2010 |
NHS Boards will work in partnership with transport providers to ensure adequate transport arrangements are in place for access to wheelchair clinics | NHS Boards; WSS Centres; SAS | January 2010 |
Protocols for assessment and issue of wheelchairs will be developed to support the delivery of local wheelchair and seating clinics | NHS Boards; WSSHoS | December 2009 |
Protocols for assessment and issue of wheelchairs will be developed with a specific view to reduce waiting times for users with progressive conditions | NHS Boards; WSS Centres | December 2009 |
Practitioners with a special interest will be trained and developed to provide clinical expertise locally | NHS Boards; AHP Directors | January 2010 |
The education and training needs of technical and scientific support staff in wheelchair services will be identified and developments linked to support worker and assistant practitioners in health care science | CHPO; NES | Dec 2010 |
Training needs for registered clinical and scientific staff will be identified and education and training programmes developed in line with the national agenda for developing Healthcare Scientist education and training | CHPO; NES; WSS Centres | December 2010 |
Training and education will support the development of career paths for wheelchair and seating service and related staff within the NHS Scotland Career Framework | CHPO; NES; | June 2011 |
Moving Forward | 4,33,36,37,38, 24,25 | |
Referrals
Actions | Who | By When |
|---|
WSS will accept referrals from registered health care professionals and Occupational Therapists in social care without approval from a medical doctor | WSS Centres; Local Authorities | March 2009 |
Onward referral pathways to other health and social care services will be developed for those who need them. | WSS Centres; CHPs; Health, Education and Social Care providers | 2010 |
Existing wheelchair users shall self refer directly to the WSS centres for review and re-assessment | WSS Centres | January 2009 |
WSS centres will develop training for referrers to the service in partnership with them | WSS Centres ; CHPs; Local Authorities | March 2009 |
| 23 | |
Assessment
Action | Who | By When |
|---|
Wheelchair and seating services will develop a standard assessment tool | WSS Centres; Professional Bodies | 2010 |
MDT approaches to assessment and care planning should be introduced in partnership with health and social care teams | WSS Centres, Health, Social Care and Education Services | March 2010 |
Alternative pathways for provision of standard issue equipment should be explored with other health and social care equipment providers | CHPs; WSS Centres | 2010 |
Carer needs must be identified and solutions found through case management and partnership approaches to provision | WSS Centres, CHPs; Health, Education and Social Care providers | 2010 |
Moving Forward | 8,10,11,14,15,16 | |
Provision
Action | Who | By When |
|---|
New national eligibility criteria within context of other health and social care equipment provision must be developed | Scottish Government; NHS Boards; | October 2010. |
Service level agreements with local nursing and care home providers for non specific use transit chairs should be developed | WSS Centres, Nursing and Care Home providers | June 2009 |
Decision making for the provision and supply of wheelchairs will be supported by evidence of the non financial aspects of equipment provision. | NHSNSS, National Procurement; WSS Centres | December 2009. |
Moving Forward | 9 | |
Delivery
Action | Who | By when |
|---|
Written information must be provided to users on delivery of equipment and must comply with SAIF. | WSS Centres | December 2009 |
Information and demonstration of equipment use must be provided on delivery | WSS Centres | December 2009 |
Moving Forward | 16 | |
Equipment, Repairs and Maintenance
Action | Lead Responsibility | By When |
|---|
WSS Centres will modernise equipment and renew the wheelchair fleet in relation to current demand and technological advances | NHS Boards; WSS Centres | December 2010 |
A model of fleet renewal will be developed that is responsive to new technology and changes in demand | NHS Boards; WSS Centres | March 2011 |
Planned Preventative Maintenance programmes will be introduced to all centres for power chairs, heavy users and active users in the first instance | WSS Centres | December 2009 |
NHS wheelchair repair and maintenance services should explore mechanisms to provide an extended hours service in response to local need | WSS Centres | December 2009 |
Moving Forward | 5,10,12,13,21,28,29,30,31,32 | |
IM&T
Actions | Who | By When |
|---|
An options appraisal of IT support needs will be carried out | NSSNISG | January 2009 |
A national eHealth action plan needs to be agreed with eHealth Leads to take forward work identified in the options appraisal. | CHPO; WSS Project Manager ISD; NHS eHealth Leads; WSS Centres | March 2009 |
Clinical data standards and data definitions will be developed for wheelchair and seating services | CHPO; ISD; WSS Project Manager; eHealth Leads | December 2009 |
Moving Forward | 9,10,16, 22,23,32 | |
Quality and Governance
Action | Who | By when |
|---|
National service and clinical standards will be developed for WSS | WSS Centres; WSS Project Manager | December 2010 |
Each WSS centre will identify a clinical lead for quality to support standards development and implementation | WSSHoS | March 2009 |
Detailed service level agreements for wheelchair and associated seating provision from each WSS centre must be in place | NHS Board; NHS Finance Directors | June 2010 |
Moving Forward | 2, 17, 18, 19, 20 | |
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