Occupational Therapy News July 2020 | Page 48

FEATURE REHABILITATION From acute care to rehabilitation Based on reflections and input from the occupational therapists in the allied health professions team at the temporary NHS Nightingale Hospital North West, Steven Brown charts its rapid evolution from initial delivery of acute care to rehabilitation The challenges faced nationally by established health and social care services in response to COVID-19 have been well documented. So how do you meet some of those challenges in a temporary hospital constructed in a building that was originally a railway station, and is currently Manchester Central Convention Centre? New staff arriving on site could not fail to be amazed at how, in two weeks, a combined team of army and civilian engineers had transformed it into the fully functioning and spotlessly clean, temporary NHS Nightingale Hospital North West (NNW). Conversations in corridors with the chief allied health professional, requests to the host trust, and a chance meeting of occupational therapists currently in other roles provided the initial team of three occupational therapists and three physiotherapists, all from different backgrounds. They arrived on Monday morning, with the first patient due on Wednesday. Recruitment of physiotherapists would not be an issue, with many in private practice not working due to COVID-19 restrictions in place. Occupational therapists, without such a pool of potential staff, posed more of a challenge, and were recruited through a combination of secondment from NHS and private settings and recruitment through NHS Professionals. The team eventually comprised occupational therapists from fields such as paediatrics, mental health, acute pain and neuro-rehab, to give just a few examples, with a clinical lead with acute experience in trauma and medicine. Some occupational therapists were apprehensive about their potential roles. Comments including ‘I’ve had very minimal experience in the physical health setting as a qualified therapist’ or ‘I haven’t been on a ward for 25 years’ were heard. 48 OTnews July 2020