OTnews August 2020 | Page 7

NEWS Occupational therapists get to work in Northern Ireland’s GP surgeries during COVID-19 One of the first occupational therapists to start working in primary care in Northern Ireland has been setting up a new mental health service in the middle of the COVID-19 pandemic. Jane Reynolds is the manager for the mental health service at the Causeway GP Federation, the second occupational therapist to take on the role in primary care in Northern Ireland. She started in the role in January, but she and her staff had only been in post for a matter of weeks before the lockdown began and all the planned face-to face working had to go on hold. ‘We’ve had to adapt and look at other ways of doing things to what I had originally Jane Reynolds planned,’ says Jane. The team have come to focus on supporting people with anxiety and work concerns, such as key workers who have had to continue working. Says Jane: ’These changes have been thrust on everyone and they’re not alone with that – but how can we help them to achieve their potential and get over the distress? ‘In a team meeting yesterday we talked about loss and bereavement, and that’s not just related to a death in a family; it can also be about loss of plans, hopes and dreams and where you thought you were going to be at this stage in life. We can help them find other ways to manage stress and emotions.’ Jane currently has a staff of five to cover the federation’s 18 surgeries to meet demand, including four nurses and a social worker. She anticipates that to grow to 11, including two occupational therapists who will be joining the team this summer. The federation has now agreed to provide webcams and headsets to bolster the existing work of the team over the phone. She says that her professional background has been a huge help in getting the service off the ground. ‘I think occupational therapists are very good at being mindful leaders, and I very much take that coach approach with what I’m doing here,’ she says. ‘The occupational therapy model of learning is also really useful for working with staff on what interventions they are providing, helping people find their own solutions to problems.’ A crucial tool in that work has been the psychological first aid course from the Public Health Agency. ‘It talks about how anxiety and stress are normal reactions to this abnormal situation,’ says Jane. She is now trying to work out how to develop a standardised service across the federation’s 18 surgeries. ‘They are individual businesses that want to to do things in their own way, but we have to work out how to provide a standardised service,’ says Jane. ‘There is a lot of work using negotiating skills and my communication skills to win over practice managers to what could be beneficial for them.’ But despite the challenges, the service has proven to be a huge hit, particularly with many GPs relocated to COVID-specific services away from their usual surgeries. ‘GP practices who don’t get staff from the service are calling me and asking me when they are getting them,’ says Jane. ‘It’s been seen as such a valued role, and we have been able to take a lot of stress away from doctors in terms of anxious people who normally end up through their door on a regular basis.’ More occupational therapists are expected to move into mental health roles in primary care in the coming years as part of the Northern Ireland Government plans to create multidisciplinary mental health teams in GP surgeries. AWARDS Award-winning sustainability ideas shared by 2020 Advancing Healthcare Awards A selection of sustainable good practice ideas from the 2020 Advancing Healthcare Awards has been shared as part of its Year of Green Action award programme. The ideas include 11 suggestions from occupational therapists, including a highly commended entry from Swansea Bay occupational therapist Amanda Atkinson on creating outdoor play sessions for children during school holidays. Other ideas shared by the programme include the development of horticultural workshops in acute mental health wards and in forensic settings; using nature to help young people back to school after major trauma injuries; and efforts to deliver services online to cut down on travel costs and open up services. The winners will be celebrated in a virtual ceremony on 16 October 2020. You can download the publication at: www.ahawards.co.uk/going-green. OTnews August 2020 7