Connaught Suite 16'30pm Members Only

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AGM
Connaught Suite 16.30pm Members Only
Equipment to the People - A Prescription
Revolution ?
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OPERATIONAL ISSUES

• The Prescription Practicalities
• Sally Kass, Occupational Therapy Services Manager
  
• Western Cheshire Primary Care Trust
• 24th June 2008

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Aims of the Workshop

• To give a brief overview of the practicalities of
  the implementation of the prescription in the
  Operational Process.
• To understand the challenges for
• Clinicians
• Operational Managers
• Patients
• To identify ten key areas for the implementation
  of this process.

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Challenges for Clinicians

• Custom and Practice
• Changes to process
• Partnership with patients
• The need to do
• Working to criteria
• How to assess without equipment

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Challenges for Operational Managers

• Resistance to changes
• Transparent Clinical Reasoning
• Engage local retailers
• Timeliness of response
• Compliance with the process

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Challenges for Patients

• Partnership in provision
• Negotiation with Retailers
• Give feedback (please)
• Make it your choice

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The Prescription
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The Prescription

• Being exact in what you need.
• do not use trade names
• what does the product need to do
• how do you describe it
• when does the patient need it
• does the patient want it
• Only prescribe what you have assessed for.

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Risk Assessments

• All equipment provided carries risks as well as
  benefits.
• Risk Assessments must be carried out and
  documented as per local procedure.
• Some equipment must only be provided with
  evidence of risk assessment.

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Bed Risk Assessment

• PROVISION OF BEDS WITH/WITHOUT MATTRESS, BED RAIL
  AND BUMPER
• As the Prescribing Clinician it is your
  responsibility to ensure that
• you have read all the criteria for provision of
  the equipment you are
• prescribing.
• You must ensure that you have carried out a full
  Clinical Assessment and
• Risk Assessment.
• Before proceeding you must ensure all
  alternatives have been fully
• explored.
• You must consider 1. Person
• 2.
  Environment
• 3.
  Diagnosis and Prognosis

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Bed Risk Assessment

• Equipment

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Bed Risk Assessment - Person
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Bed Risk Assessment - Environment
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Clinical Reasoning for Prescription

• Following a complete Clinical and Risk Assessment
  the person is at
• Greatest risk if bed is provided
• (E.g. Do not prescribe)
• b) Great risk if bed is NOT provided
• (E.g. Please prescribe)
• Prescriber Date
• Name/Designation

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Routes for Prescribers

• SUPPLIERS
• RETAIL
• SPECIALIST
• IMPREST STOCK

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Imprest Stock

• A small local stock of ADL and Mobility
• Equipment.
• Rapid Response
• Unplanned Discharges

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Other Considerations

• Rehabilitation Equipment
• Equipment into Care Homes
• Paediatric Equipment
• Return of Equipment

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Responsible Prescribing

• Robust criteria
• Ensure you have the relevant competencies
• Make choices with your patient

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ANY QUESTIONS?
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THANK YOU FOR PARTICIPATING