Occupational therapists should be used to cut hospital admissions

The College of Occupational Therapists (COT) in Wales has urged that thousands of hospital bed days could be saved if occupational therapists (OTs) were used more to help patients.

The news comes after a pilot service in a Cardiff hospital saved more than 15,000 bed days in a year, saving almost £1 million in cash terms.

Occupational therapists offer advice and provide people with help to maintain their independence. However, a report by the group has suggested that greater use of the staff could enable more same day or earlier discharges.

The COT report advised that: emergency care services should have OTs ‘embedded within the multi-disciplinary teams’; health boards should include occupational therapy in funding for out-of-hours services to achieve ‘optimum patient flow and fast-paced assessments’; admission and discharge teams should include OTs; and OTs should be put at the front of reablement and community support programmes.

Ruth Crowder, Wales policy officer for the College of Occupational Therapists (COT), explained: “Ideally, we would have occupational therapists in with A&E and out with paramedics and stop them [patients] going into hospital if they don't need to medically so they are able to be independent.

"If we don't get them at the right time, they are more ill and less able to do things. The added bonus is it's saving significant amounts of money and bed days and freeing up resources to deal with other people."

Welcoming the report, Wales Health Secretary Vaughan Gething, who is set to deliver a speech at the launch of the report, said: "Occupational therapists are one of the key health and social care professionals across health, social care and housing that can help achieve the changes that are needed.

"This report clearly shows the innovative ways they are delivering services which help people avoid unnecessary admission to hospital, reduce the time they stay in hospital and ensure they have a successful and safe discharge back home."

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This story was first published in digitalhealth.net

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