Occupational Therapy News OTnews February 2020 | Page 16

FEATURE HOUSING Building for the future A specialist housing occupational therapy team has contributed to dramatic cuts in waiting lists for wheelchair users, hears Andrew Mickel The Tower Hamlets team: (left to right) Abdul Hoque, Joynal Aldine, Tom Woulfe, Kaltun Hirsi, Clare Winter and Nerys Williams-Murray. H ousing for wheelchair users is in short supply right across the country, and you could reasonably assume that the problem would be worse in the capital’s congested housing market. But a special council-wide initiative in east London’s Tower Hamlets has harnessed the skills of a specialist housing occupational therapy team to make sure that the right properties are available for wheelchair users. Work by the team has led to some dramatic results in recent years. When the borough launched its Project 120 initiative in 2012, there were 120 wheelchair users waiting for social housing. Since then, 200 wheelchair users have been rehoused. And the team – consisting of five occupational therapists and one assistant – have been crucial to this project, including the 93 newbuild schemes they are currently working on. They have worked closely with developers, architects, the council’s own affordable housing team, and housing associations, to ensure that the right properties are built to the right specifications and are put to use as fast as possible. Not only does it offer a better service to residents, but it also saves on costly adaptations, as well as ensuring that fit-for-use properties are being deployed as fast as possible and preventing units being left empty. ‘We have more influence as people come to us as occupational therapists to check the spec,’ says Tom Woulfe, a specialist community occupational therapist in the housing team. ‘There’s more of a demand on us and a bigger role for us.’ 16 OTnews February 2020 Building the team Before Project 120 was developed by the council, a pilot programme was started around a decade ago to locate two occupational therapists in the lettings department to see if it could improve the flow of information. Over time, mergers and increased funding has built the team up to its current standing. Nerys William-Murray, senior housing occupational therapist, says that having staff in different teams meant there was little continuity and no single point of expertise, something that was overhauled by creating a single team. She says: ‘One of the positives of having occupational therapists in the housing team is we are experts in our role and understand the policy really well. We developed good links with the other housing officers and stakeholders. That’s why the model works so well; this has become our speciality.’ This meant the team was raring to go once Project 120 was started, and they quickly contributed to a raft of changes that were introduced by the council. One new rule goes above and beyond a London requirement to ensure that 10 per cent of newbuild units are wheelchair accessible. Rather than accepting homes built to Lifetime Homes standard M4(3) (2)a – just wheelchair adaptable – they now need to be built to M4(3) (2)b to ensure they fully accessible from the get go. ‘We don’t want future adaptable, we want accessible,’ says Nerys. The occupational therapist team also did some research to justify a new rule for apartment blocks