In Central Sheffield University Hospitals therapuetic and associated
staff eventually managed to obtain our 'own' Directorate. It is a
combination of directly employed staff (PT's/OT's/dietitians/chaplains
and "contracted in" from other trusts/agencys SLT's, PYCH. social work
etc. There is a problem of limited 'power' in terms of the exisitng
imbalances supported by the medical model but there have been many
advantages and I hope to see more movement if the spirit of partnership
and team work expressed in the new NHS plan is brought to frutition.
PT's/OT's are now organised in clinical specialist teams with team
leaders who still maintain a clinical caseload and provide the immediate
point of contact so often desired by the admitting Directorates. More
work in this area is required to be more proactive in other
Directorates' planning but this is advancing well in some areas. We
have specific support for clinical audit activities and my part-time
post as Research co-ordinator is just about to be made permanent. I
feel we are slowly raising the academic profile of our combined
professional services, particularly in how we have been able to approach
the whole question of clinical effectiveness. I hope we are progressing
towards a sustainable clinical research programme.
We are about to merge with the other acute Trust in Sheffield and
discussions so far indicate that the new Trust will continue to have us
organised in a similar sort of grouped way.
In message <001001c0009a$05275040$0191883e@alison>, Alison Dakin
<[log in to unmask]> writes
>Sorry in advance if this sounds a bit strange to some of you in other countries!
>
>The three acute hospitals in my county - Leicestershire, England, have just
>merged to become one of the biggest Trusts in the country. We are also going
>throuogh an acute service re-organisation with the idea being of having two
>acute hospitals and one hospital for planned care and rehabilitation (primarily
>elderly / neuro rehab and cold orthopaedics). This is potentially very exciting
>for physio. However they are at present looking at how to sort out the separate
>directorates eg medical, trauma & orthopaedics, general surgery, renal,
>cardiothoracics etc. Currently physio and OT are part of Clinical Support
>Services Directorate, but our new chief exec is reviewing this and one option is
>that we are placed in the other directorates, ie each directorate will employ
>it's own physio service.
>We would be grateful to here from other people who have had experiences, good or
>bad, of any of these structures particularly their effect on 1) pt care and 2)
>staff recruitment and retention.
>
>Thanks
>Alison Dakin
>
--
Maggie Campbell
Neurophysiotherapist
[log in to unmask]
+44 (0)114 268 6963
Sheffield UK
and
Research co-ordinator
Directorate of Professional Services
Royal Hallamshire Hospital, Sheffield
(0)114 271 1750 (voice-mail)
[log in to unmask]
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