Occupational therapy

“Helping people to live life their way”

(College of Occupational Therapy, 2015)

Head of Department:

Jessica Harris Ext 5402

Location:
The Occupational Therapy Service located at the Queen's Hospital Main Site in the Therapies Department. This is close to the main entrance of the Hospital, opposite Pharmacy.

At our community sites Samuel Johnson Hospital (Lichfield) and Sir Robert Peel Hospital (Tamworth) we also offer inpatient Occupational Therapy services. The Occupational Therapists can be located within the ward areas.

Hours of work

Therapy teams based at the Queens Hospital:

7 day working service Monday - Friday 7am - 7pm

Weekend working and bank holidays – 8am – 7pm

Therapy teams based at the community hospital:

Monday- Friday 8am-4pm

Saturday working 9am- 1pm.

Contact Numbers:
Main OT department  – 5031

What we aim to achieve:

  • To put patients at the heart of our practice.
  • Excellence in OT practice, which is based on up to date evidence based Clinical Guidelines.
  • We aim to see all in-patients within one working day of receiving a referral. Rheumatology outpatients will be seen by 6 weeks of receiving a referral and urgent referrals to the Hand Therapy Team will be seen within 2 week of receiving a referral.
  • To support, co-operate and develop relationships with our multidisciplinary colleagues and external health care agencies to achieve the best care for our patients.
  • To encourage and promote life long learning and development for all our OT staff.

How we achieve our aims:

  • We work on helping our patients achieve their goals and listen to their needs first.
  • All qualified OT's are HCPC registered and skilled in the management of acute care.
  • We regularly update our Clinical Guidelines ensuring our practice is evidence based.
  • We monitor our clinical service performance on a regular basis to ensure best practice and efficient service delivery.
  • We regularly complete clinical audits to ensure we are meeting practice standards. This lets us see what is working well and where there can be improvements within our service.
  • We participate in patient satisfaction surveys and welcome feedback to consider the suggestions put forward by our patients.
  • We liaise regularly with our health professional colleagues on issues surrounding patient care and how we can improve services.
  • We integrate our working and liaise closely with our community partners to meet local service needs.

Inpatient Service:

The Occupational Therapists provide immediate assessment, intervention and advice to their patients and carers to maximise the patient's safety, independence and confidence in preparation for returning home.

Trauma and Orthopaedics Team

Wards covered 19,20 and Burton Clinic Ward 30
The Occupational Therapists working in Trauma and Orthopaedics provide therapy for patients who are both trauma and elective.

For elective patients (for elective orthopaedic surgery), our service follows a pathway to ensure a safe, fluent experience. We complete pre-operative assessments to gain an idea of the home set up, which helps us plan ahead for a safe and timely discharge after the operation. We also run the Bees Knees Education and Exercise School alongside physiotherapy, to teach patients about the elective process and the support that therapies can offer in their journey. Once admitted as an elective patient, we follow the Enhanced Recovery Pathway, completing timely assessments and interventions post-surgery to help people adapt to life following their operation. This includes teaching patients to manage post-operative precautions and sourcing appropriate equipment/support to optimise independence with activities of daily living to maintain these precautions, ensuring a safe recovery.

We also provide therapy to trauma patients, whose admission was not planned. We discuss how a patient was managing before their trauma, and assess how they are getting on after this trauma. We work as part of the multidisciplinary team, offering rehabilitation and setting goals with the patient to plan for a safe and effective discharge, promoting safety and independence as the focus of what we do. We discuss rehabilitation progress with the patient, and make referrals to community hospitals/teams as appropriate for that patient, utilising a patient-centred approach to our care. Where necessary, assessment of the home environment may also be completed to ensure a smooth transition from the acute hospital setting.

Medical Outreach Team (MOT)

Wards covered –  Accident & Emergency, Acute Assessment Centre (Ward 9) and Short Stay Unit (Ward 3)

Medical outreach is a team of Physiotherapists, Occupational therapists and therapy assistant practitioners. The MOT provides therapy for people who are admitted to the emergency department, acute assessment centre and short stay unit.

The MOT will work towards enabling patients to regain independence in preparation for leaving hospital.

We will begin to discuss returning home within initial assessments, so we can work towards setting goals with patients. This helps reduce the length of stay and prevent patients staying longer than necessary in hospital.

Our aim is to support patients to return home after leaving hospital and if further therapy input is required to achieve individual goals, patients may be transferred to a community hospital or rehabilitation unit. It may also be possible for rehabilitation to be completed in the home environment and MOT will complete community therapy referrals.

Frailty Team

Ward covered – hospital wide assessing patients on Frailty pathway.

The Frailty Team provides a rapid multi-disciplinary assessment of need, and management for the frail elderly, through completion of the Comprehensive Geriatric Assessment. The team identify and carry out appropriate intervention on an individual basis. The team consists of Advanced Nurse Practitioners (ANP), Occupational Therapists and Physiotherapists. We provide a service 7 days per week, including bank holidays, between the hours of 8 a.m. and 7 p.m.

Medicine / Surgery:

 Wards covered- 4,5,6,7,11,12,14 and 44

The Occupational Therapy Medicine and Surgery Team provides support to the acute medical and surgical wards at Queens hospital and also provide input for ward 44. The team complete assessments, intervention and discharge planning to facilitate safe and timely discharges from the acute hospital setting. The service provides acute intervention to enable patients to regain and maximise independence.

We work within a multidisciplinary team including Doctors, Nurses, Physiotherapists and Social Workers and in a patient centred approach, establishing shared goals, promoting independence, enhancing quality of life and providing support and information for patients and relatives.

Occupational therapists within the team will look at how your usual activities may have been affected by your current medical or surgical condition and they will then complete functional assessments to support with your discharge from hospital. This may include an initial assessment, assessment of transfers on/off furniture (bed, chair, toilet etc), assessment of personal care or domestic activities of daily living and assessment for the provision of any equipment, aids or adaptations. Where necessary, assessment of the home environment may also be completed.

Stroke / Neurology Team:

Ward covered – Ward 8

The team are located on ward 8 and provide specialist neurological assessments to patients that have been admitted following a CVA or other neurological condition. Specialist standardised assessments include Balloons Test for Visual Inattention, Montreal Cognitive Assessment (MoCA) and the MMSE (Mini Mental test).  In addition assessment of patients functional ability including mobility and transfers, activities of daily living e.g. personal care / making hot drinks , home environment and psychosocial considerations may be completed.  The team will outreach to other wards to assist ward based therapists in assessing / formulating intervention plans and delivering treatment for patients with new or existing neurological conditions.  In these circumstances, the ward based therapist will remain the named therapist for the patient involved.  This also includes supporting the OT teams at Sir Robert Peel hospital, Tamworth and Samuel Johnson hospital, Lichfield.” 

Macmillan OT Team

Ward covered – Hospital wide assessing on Macmillan pathway

The Macmillan Occupational Therapy Team provides a specialist service to in-patients referred to Occupational Therapy who have a diagnosis of cancer.

The Macmillan Occupational Therapy team will respond to inpatient referrals within 24 hours.

The team works alongside the Macmillan Physiotherapy team and focuses on assessing function, maximising independence and quality of life, and achieving preferred place of care and/or death.

The team have advanced communication skills to ensure they provide psychological and emotional support to patients and relatives throughout their cancer journey from diagnosis to end of life care.

Community Teams:

The Occupational Therapy Community Hospitals Team work on Anna and Darwin wards at Samuel Johnson Community Hospital and Phillip ward at Sir Robert Peel Community Hospital.

The team complete assessments, intervention and discharge planning to facilitate safe and timely discharges. The service provides intervention to those who are medically stable but require additional intervention to maximise independence and facilitate a safe discharge.

We work within a multidisciplinary team including Nurses, Physiotherapists and Social Workers and in a patient centred approach, establishing shared goals, promoting independence, enhancing quality of life and providing support and information for patients and relatives.

Occupational therapists within the team will look at how your usual activities may have been affected by your current medical or surgical condition and they will then complete functional assessments to support with your discharge from hospital. This may include an initial assessment, assessment of transfers on/off furniture (bed, chair, toilet etc), assessment of personal care or domestic activities of daily living and assessment for the provision of any equipment, aids or adaptations. Where necessary, assessment of the home environment may also be completed.

Outpatient Service

  • Hand Therapy Team

    This is a specialist outpatient OT service that provides hand assessments, rehabilitation and splinting to patients that have had hand surgery or are experiencing pain and dysfunction associated with common hand injury and conditions.
  • Rheumatology

    This is a specialist OT team that provides people with arthritis and rheumatological conditions, advice and support on how to manage their symptoms to ensure function and quality of life is not compromised.

    OT intervention may include group work, splinting, recommendations on joint protection and energy conservation, support with applying for disability living allowance and/or referrals to other specialist care teams.

Referrals to Occupational Therapy

Patients

Inpatient referrals are identified through multidisciplinary team discussions at the daily ward board reviews or though the hospital order entry system.

Outpatient referrals are accepted via the GP or Consultant written requests.

Facilities and Services Available

  • Experienced staff are available to provide comprehensive functional assessments to patients with compromised functional abilities.
  • Recommendations on equipment provision.
  • Referrals to other agencies for care packages, community rehabilitation services and social services assessments for long term needs.
  • Bespoke fabrication of orthosis and provision of ready made splints.
  • Standardised assessment of hand function using the E-Link MULE.

Further information on Occupational Therapy

  • British Association of Occupational Therapists
    106-114 Borough High Street
    London
    SE1 1LB
    Tel: 020 7357 6480
    www.BAOT.org.uk
  • Health & Care Professions Council (HCPC)
    Park House
    184 Kennington Park Road
    London
    SE11 4BU
    Tel: 0845 300 6184
  • www.hpc-uk.org

 

 

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