Changing occupational therapy and physiotherapy practice through guidelines and audit in the United Kingdom

R Hammond, Sheila Lennon, MF Walker, A Hoffman, P Irwin, D Lowe

    Research output: Contribution to journalArticle

    13 Citations (Scopus)

    Abstract

    Background: The National Clinical Guidelines for Stroke (NCGS) were produced and three rounds of the National Sentinel Audit of Stroke conducted to improve the quality of stroke care in the UK. Objective: To compare the results of the occupational therapy and physiotherapy elements of the most recent national sentinel audit with the occupational therapy- and physiotherapy-specific recommendations of the NCGS. Methods: Retrospective case-note audit. Results: Over 95% of hospitals/sites who manage stroke in England, Wales and Northern Ireland took part in the most recent round of the sentinel audit. The clinical audit took place from 1 April to 30 June 2001 and incorporated 235 hospitals/sites. The organizational audit took place in January 2002 and incorporated 240 hospitals/sites. Data are presented from the 235 with both clinical and organizational data, under the headings of: approaches to rehabilitation, carers/families; rehabilitation interventions, and transfer to the community. Low rates of compliance with national standards were observed for all domains. Conclusion: Our findings suggest that occupational therapists and physiotherapists are not fully complying with the national standards for stroke care.
    LanguageEnglish
    Pages365-371
    JournalClinical Rehabilitation
    Volume19
    Issue number4
    DOIs
    Publication statusPublished - Jun 2005

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    Occupational Therapy
    Practice Guidelines
    Stroke
    Rehabilitation
    Guidelines
    Clinical Audit
    Northern Ireland
    Quality of Health Care
    Physical Therapists
    Wales
    England
    Caregivers
    United Kingdom
    cyhalothrin

    Cite this

    Hammond, R ; Lennon, Sheila ; Walker, MF ; Hoffman, A ; Irwin, P ; Lowe, D. / Changing occupational therapy and physiotherapy practice through guidelines and audit in the United Kingdom. In: Clinical Rehabilitation. 2005 ; Vol. 19, No. 4. pp. 365-371.
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    title = "Changing occupational therapy and physiotherapy practice through guidelines and audit in the United Kingdom",
    abstract = "Background: The National Clinical Guidelines for Stroke (NCGS) were produced and three rounds of the National Sentinel Audit of Stroke conducted to improve the quality of stroke care in the UK. Objective: To compare the results of the occupational therapy and physiotherapy elements of the most recent national sentinel audit with the occupational therapy- and physiotherapy-specific recommendations of the NCGS. Methods: Retrospective case-note audit. Results: Over 95{\%} of hospitals/sites who manage stroke in England, Wales and Northern Ireland took part in the most recent round of the sentinel audit. The clinical audit took place from 1 April to 30 June 2001 and incorporated 235 hospitals/sites. The organizational audit took place in January 2002 and incorporated 240 hospitals/sites. Data are presented from the 235 with both clinical and organizational data, under the headings of: approaches to rehabilitation, carers/families; rehabilitation interventions, and transfer to the community. Low rates of compliance with national standards were observed for all domains. Conclusion: Our findings suggest that occupational therapists and physiotherapists are not fully complying with the national standards for stroke care.",
    author = "R Hammond and Sheila Lennon and MF Walker and A Hoffman and P Irwin and D Lowe",
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    Changing occupational therapy and physiotherapy practice through guidelines and audit in the United Kingdom. / Hammond, R; Lennon, Sheila; Walker, MF; Hoffman, A; Irwin, P; Lowe, D.

    In: Clinical Rehabilitation, Vol. 19, No. 4, 06.2005, p. 365-371.

    Research output: Contribution to journalArticle

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    AU - Lennon, Sheila

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    AU - Hoffman, A

    AU - Irwin, P

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    N2 - Background: The National Clinical Guidelines for Stroke (NCGS) were produced and three rounds of the National Sentinel Audit of Stroke conducted to improve the quality of stroke care in the UK. Objective: To compare the results of the occupational therapy and physiotherapy elements of the most recent national sentinel audit with the occupational therapy- and physiotherapy-specific recommendations of the NCGS. Methods: Retrospective case-note audit. Results: Over 95% of hospitals/sites who manage stroke in England, Wales and Northern Ireland took part in the most recent round of the sentinel audit. The clinical audit took place from 1 April to 30 June 2001 and incorporated 235 hospitals/sites. The organizational audit took place in January 2002 and incorporated 240 hospitals/sites. Data are presented from the 235 with both clinical and organizational data, under the headings of: approaches to rehabilitation, carers/families; rehabilitation interventions, and transfer to the community. Low rates of compliance with national standards were observed for all domains. Conclusion: Our findings suggest that occupational therapists and physiotherapists are not fully complying with the national standards for stroke care.

    AB - Background: The National Clinical Guidelines for Stroke (NCGS) were produced and three rounds of the National Sentinel Audit of Stroke conducted to improve the quality of stroke care in the UK. Objective: To compare the results of the occupational therapy and physiotherapy elements of the most recent national sentinel audit with the occupational therapy- and physiotherapy-specific recommendations of the NCGS. Methods: Retrospective case-note audit. Results: Over 95% of hospitals/sites who manage stroke in England, Wales and Northern Ireland took part in the most recent round of the sentinel audit. The clinical audit took place from 1 April to 30 June 2001 and incorporated 235 hospitals/sites. The organizational audit took place in January 2002 and incorporated 240 hospitals/sites. Data are presented from the 235 with both clinical and organizational data, under the headings of: approaches to rehabilitation, carers/families; rehabilitation interventions, and transfer to the community. Low rates of compliance with national standards were observed for all domains. Conclusion: Our findings suggest that occupational therapists and physiotherapists are not fully complying with the national standards for stroke care.

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