NIDMAR & CDMP: The organisational benefits

Project Manager Working Health Services

NHS Lothian Occupational Therapy

Gerry Mcfeely : Sept 2013

Rehab pathways

Patient Transitional Phase Employee / worker

Span of Health Vocational Rehabilitation - where does our service fit in the NHS as a service?

Medical Case Management: ‘Work’ is a secondary or indirect outcome in long term

conditions?

Working Health Services

• Dedicated job retention service•Work domain interventions as

routine•Primary goal is employment

outcomes•Early intervention

•MDT•Active case management

NIDMAR and Working Health Services Lothian

Case Manager

Tele-Interviewer

Clinician

HOTLINEREFERRAL

0131 537 9579

Tele- InterviewEligibility for service and demographic

information recorded onto database by Tele

Interview er.

Case ManagerDetailed health

information, COPM, EQ5D, GHQ12 (if

required) and Action Plan recorded onto

database. Appointment w ith

relevant clinician(s) issued. Verbal

consent for GP letter received & passed to

Tele-Interview er.

Clinical AssessmentRecord clinical information on

database and Action Plan. Client to give

w ritten consent at initial appointment.Treatment

Commences.

Case ManagerCase Manager contacts client

follow ing initial appt and once consent from received to

review case.

Case ConferenceCase Conference (led

by Case Manager) w ith clinicians

involved.

Treatment Concluded

At conclusion of treatment, Case Manager to be

informed so discharge procedures can

commence.

DischargeDischarge

questionaire, COPM, EQ5D & GHQ12 to be repeated. Database

updated.

Satisfaction Questionaire/GP Discharge Leter

Tele-Interview er w ill send GP letter informing of discharge. Satisfaction

questionaire sent to client/employer.

2 working days

2 working days

Appointed within 5 working days

2 working days

2 working days

EmployerLiaison

EmployerLiaison

½-way during treatment

3 & 6 Month Follow-UpThis will be

completed by the Tele-

Interviewer.

FTA Policy

NIDMAR benefits

Dedicated case management role & identity All team work to case management principles Separates therapy from case management Adds to standards, patient care and quality. Helps meet our KPIs – case management is

arguably our main KPI. Brings accountability to the fore in case

discussion and resource use