1. Interprofessional learning
Alison Strode
Therapy Advisor for Wales

2. Cardiff School of Chiropody

4. Role of the Therapy Advisor
Professional advice
Development of policy
Preparation of Ministerial correspondence
Represent the WG on appropriate committees
Sponsorship of Welsh Therapies Advisory Committee.
Maintain close links with UK and International colleagues.

5. What is happening in Wales?
New Minister
Finance
Service redesign
Changes in legislation.
Opportunities to look at the workforce.

6. Workforce modernisation
Modernised roles focused on delivering the care pathways and targets
A workforce that demonstrates the appropriate attitudes and aptitudes
Breaking down of professional barriers where appropriate
A flexible workforce
A workforce that embraces continued professional development, advancing technology and evidence-based practice……….

7. Recent Policy Documents

8. Patient centred Service Vision. Delivery Quality Patient experience
Coproduction.

9. Francis Inquiry
Even if all 290 recommendations were implemented now, the fundamental shift in culture can only be achieved if patient care is put top of the agenda for boards and is the first responsibility of professionals working in the NHS. Kings Fund 2013

10. Culture Clear vision for quality Supporting staff to deliver best care
Boards developing the right culture
Using data well to drive quality and safety
Responsiveness to patients’ needs and preferences
An open and just environment
Adopting the right leadership styles
Thinking and acting long term
Kings fund 2013

11. Strengthen Quality
Staff and patients should be able to recognise that providing high-quality − clinically excellent, safe and patient-centred − care is the main purpose of the organisation.

12. What is needed Holistic approach to care/treatment
To be able to think, problem solve and understand multiprofessional issues.
Sharing of common values
Be able to blur boundaries of
professional practice

13. Team working – WHY?
Old-fashioned demarcations between staff mean some patients see a procession of health
professionals …Information is not shared and investigations are repeated…unnecessary boundaries exist between the professions which hold back staff from achieving their true potential.’

14. What is a team?
‘A team is a group of individuals who work together to produce products or deliver services for which they are mutually accountable. The team members share goals and are held mutually accountable for meeting them, they are interdependent in their accomplishment, and they affect the results through their interactions with one another.Because the team is held collectively accountable, the work of integrating with one another is included among the responsibilities of each member’ Mohman 1995

15. Effective team working
Team members have shared objectives
Team members regularly interact
Team members have a focus on quality
Team members support innovation
The team regularly reflects on how they work together.

16. Working in teams
Multidisciplinary
Interdisciplinary
Transdisciplinary

17. Multi-disciplinary
Multidisciplinary team refers to situations where several different professionals work on the same project but independently or in parallel.
Team members work within the boundaries of their professional practice
Team members might have little understanding of each others role.
Dominance of one profession.

18. Interdisciplinary
Interdisciplinary team implies a greater degree of collaboration between team members
Interdisciplinary team involves an effort to integrate and translate, themes and schemes shared by several professions.
the interdisciplinary team is based on an integration of the knowledge and expertise of each professional, so that solutions to complex problems can be proposed

19. Transdisciplinary
Transdisciplinary team refers to a type of professional practice in which consensus seeking and the opening up of professional territories play a major role.
Professional boundaries become blurred or vanish
A transdisciplinary team is characterized by a deliberate exchange of knowledge, skills

20. Interprofessional Learning
describes occasions where 2 or more professions come together to learn with and from each other with the intention of promoting collaborative practice.
This is to build the relations between professionals to enhance the quality and responsiveness of the service.
Better understanding an mutual respect for the contribution of other professions.

21. 1988 WHO published “ learning together to work together for Health”
Key milestones - Bristol Royal infirmary inquiry mechanism to break down barriers and enable effective teamwork.
Still debate

22. Preparing for Interprofessional working
Know and understand each others roles
to be able to work effectively in teams
enable effective substitution of roles
career flexibility ( Tunstall- Pedoe et al 2003)

23. Man's mind, once stretched by a new idea, never regains its original dimensions. 
Oliver Wendell Holmes

24. References
Leathard ( 2003) Interprofesssional collaboration, from policy to practice in health and social care
Tunstall- Pedoe et al (2003) Student attitudes to undergraduate interprofessional education Journal of Interprofessional Care vol 17 (2)
Mohrman, S.A.,Cohen, S.G. and Mohrman, A.M.Jr (1995). Designing Team-Based
Organisations. San Francisco: Jossey-Bass.