Occupational Therapy News OTnews October 2018 | Page 26

FEATURE INTEGRATION job, with a risk of loosing their professional identity, or that they were not capable, or that something might be missed. These are all very genuine and understandable fears and emotions that need to be recognised and acknowledged. To help to overcome this we developed a competency framework for staff to be able to identify the gaps in knowledge and the skills they want to learn and practice. The framework takes into account the tasks that any professional can do, with training, and the tasks that only the individual professional can do. Sam, a therapist who recently joined the team, stated that, when working outside of traditional roles, ‘we need support and training from professionals, which is competency based and gained from completing joint assessments with other professionals’. I have learnt that all professions consider themselves to be holistic assessors, myself included, but I feel it is only when you immerse yourself fully into integration that you realise what being holistic really is. Working so closely with other professions has given me a much deeper understanding and respect for their knowledge and skills and I am able to incorporate the things I have learnt from them into my own practice. I really didn’t know what I didn’t know, so this experience has made me, and the other professionals in the team, much better at being holistic, which can only be of benefit to our patients. This is the biggest reward of integrated working. The benefits of a multi-professional team Patients benefit greatly from having support from a multi-professional integrated team who have the skills to identify the right problems. There are no conflicting goals, treatments or care plans as everything is agreed by the team and the patient together. There is no waiting to be seen by another professional or service, as everything required to manage the crisis is completed within the team. But the greatest benefit to patients is that problems and solutions are identified from a much wider pool of knowledge and skills than can be achieved from a uniprofessional service. I have found this to be the most effective way of achieving