Minutes of the NES Arts Therapies Advisory Sub Group Forum

Thursday 13th March 2014, Room 3, 102 Westport, Edinburgh 10.00am – 2.00pm

In Attendance:

Susan Shandley (SS) Educational Projects Manager, NHS Education for Scotland Susan Scarth (SSc) Queen Margaret University Representative John Fulton (JF) Principal Art Psychotherapist, NHS Ayrshire & Arran, Community M H Team David Hamilton (DH) Music Therapy, NHS Ayrshire & Arran Fiona Bell (FB) Consultant Commissioned by NES

Apologies:

Katrina Millhagen, Lecturer in Arts Psychotherapy, Queen Margaret University Janet Halton Executive Director, Nordoff-Robbins Music Therapy, Scotland James Robertson Freelance Music Therapist Suzie Aitken Drama &Movement Therapist, Scotland April Parkins Lecturer in Music Therapy, Queen Margaret University Tony Chenery BAAT Scotland Representative, Lead Art Psychotherapist Forth Valley Anne Joice Programme Director Psychology, NHS Education for Scotland

Welcome and Introductions – Susan Shandley welcomed everyone to the meeting

1. Review of actions from last meeting –

Minute 3b - Susan Shandley contacted Gail Nash who organises the Leadership Programme within NHS Lothian. Currently there are two Art Therapists on the course. Due to a waiting list of AHPs at NHS Lothian they would not be able to provide places currently for the third sector. There needs to be some thought on how we bring in other sectors to support their Leadership development

Minute 5.2 David Hamilton happy to share work next meeting.

Minute 5.3 No representation from Drama Therapy. Action carry forward to next meeting.

Minute 5.5 Tony Chenery unable to attend Action carry forward to next meeting.

Minute 6 – Art Therapies papers for AHP, Directors meeting -The presentation from TC and JR was postponed due to delay in finishing paper. Action SS to follow up with TC

2. Review of representation – The group discussed representation on the group. Caroline Galon is no longer a student at QMU and will no longer be attending. The group was unsure whether James Robertson would be attending again Action SS to contact JR for the new programme leader for Music Therapy Action SS to contact Dr Phillipa Derrington and arrange a meeting to discuss the Forum. 3. Selection of Chair – Due to small numbers in attendance this will be brought forward to next meeting.

4. Dr Fiona Bell - NES AHP Workforce Project – Dr Fiona Bell has been commissioned by NES to work on the AIM project

Background

Professions to support workforce planning and development. In 2012 work commenced in NES to establish a more robust data platform related to AHPs in training and in the workforce in NHS Scotland. This works is supported by the NES AIM for Workforce Programme (Analysis, Intelligence and Modelling).Work on the institutional framework around the training and employment of the remaining AHP groups has begun with a range of reliable data sources identified for analysis and inclusion in further reports for each group. There remains a need to contextualise the education and workforce data with profession-specific information into each final report in liaison with relevant stakeholders e.g. professional bodies; service providers; Scottish Government and in collaboration with colleagues in the NES AIM for Workforce Programme.

Two reports have been finalised:

 Speech & Language Therapy http://www.nes.scot.nhs.uk/media/2491052/slt_final_2013oct.pdf  Occupational Therapy http://www.nes.scot.nhs.uk/media/2491055/ot_final_2013oct.pdf)

Three further reports are currently with critical readers or are in development:  Physiotherapy  Dietetics  Radiography (diagnostic and therapeutic)

Current work

Progress so far Engagement with the NES Groups/Think Tanks is sought as part of the information gathering process for the development of the following reports:  Arts Therapies  Orthoptists  Prosthetics and Orthotics  Podiatry

This is to be achieved by:

Working in collaboration with AIM for Workforce colleagues; the NES AHP Team and other Stakeholders - including the NES Group/Think Tank  Using the two first reports as a template for, contextualising the data, intelligence and feedback into each report to be developed

For each of the current reports, the following factual information is being gathered:

 Definition of the profession  Main conditions dealt with  Relevant policy documents -generic and specific e.g. HEAT Targets  Factors that impact on the existing workforce  Factors that impact on those employed and trained  Information about service needs and demands  •Information that is significant to workforce demands

The aim of these reports is to influence future workforce planning for AHP professions and identify training and development needs. Fiona discussed with Advisory members the best ways of gathering this information.

The specific issues raised by the group were:

Dance Movement Psychotherapy is not HCPC registered at the moment therefore no work statistics are available via ISD Action SSc to try and obtain this information and forward on.

Art Therapies all four professions have movement within a small workforce and work wider than the NHS.

The Dance Psychotherapy course has now stopped. Once the final cohort completes in June 2014 there will be no drama course available in Scotland . Difficult to identify service needs and demands as Art Therapies provide services to wide ranging client groups.

Alot of the Art Therapies professions will be retiring in the next few years and will not be replaced.

There is no infrastructure within the boards, many are line managed by outwith AHP Professional departments.

There are no clear Art Therapies referral processes, example being GPs don’t refer to Art Therapy professions as they do with other AHP professions. There still appears to be no awareness of the need for this service, therefore no demand.

Susan Scarth asked how NES could support Dance Movement Psychotherapy being part of this report.

Fiona will request information via the advisory groups and will email members in due course.

Fiona’s Contact Details Dr Fiona Bell TEL: 01382 580 41901382 580 419 MOBILE: 0788 9048 5840788 9048 584. EMAIL [email protected]

Hot Topics

1. CORE model JF informed the group there was a meeting tomorrow for the AHP CORE group. They have been looking at AHP delivering psychological therapies. The Art Therapies CORE group has been a challenge as the throughput is small and the short time of the pilot and interventions are more long term, therefore due to short time of pilot it has been difficult to demonstrate impact through outcomes.

2. S Sc asked if more funding would be available for extending and JF advised there was potential. 3. Service user consultations DH agreed to be present next time. And t informed the group there was a page on BAAT website there was podcasts and protocol to capture service users prospective http://www.baat.org/

4. Development of placement capacity Action SS To ask Queen Margaret University if there are any current issues with regard to placements for Art Music and Drama Therapy

5. Susan Shandley is taking up the post in AHP Leadership and Quality Improvement as of 01.04.14 which is supporting leadership capabilityand capacity for all AHPs in response to the National Delivery plan recommendation 3.1.Action SS to inform the group of progress at next meeting.

6. Update on NES AHP Education and Development Strategy Refresh. SS updated group that the event had been well attended by AHPs, academics, researchers and patient reps from all over Scotland.NES will shortly send the suggested revisions out for further consultation. In general the feedback was that the three existing themes of developing the workforce at every level of the Career Framework, Making Communication even better and the need to sustain and embed NES resources were still relevant. There was agreement that the strategy needed to be updated to reflect recent policy developments ie. Health and Social Care Integration the AHP National Delivery Plan and the 20:20 Workforce Vision: Everyone Matters. Discussions at the event also highlighted the need for AHPs to work much more with and learn from patient representatives and to listen more to patient and carer experiences to enhance service delivery. It is suggested that there is a theme highlighting how AHPs put people at the centre of all that they do.

Action SS to ensure Art Therapies group members included in wider consultation of the refreshed NES AHP Education and Development Strategy.

7. AOCB 7.1 SSc updated the group that dance movement psychotherapy is looking for regulation through the UK CP route. 7.2 Queen Margaret University are currently developing a post graduate certificate for practitioners in advanced practice. The target audience are those that have been two to three years post graduate from HEI Action SS to arrange meeting with SSc to discuss further and inform and share information around the advanced practice work that has been done and currently been progressed within NES.

8. SS shared the (AAC) work she was doing within the project Augmentative Alternative Communication. The group discussed the role that Art Therapies could provide for AAC users, It was important for this client group, family and carers to work towards emotional self sufficiency and resilience and this was an important role that Art Therapies could provide. There was discussion how Art Therapies could bring the awareness of their input to this client group .Action SS to bring back to AAC Project Management Group within NES

9. Date of next meeting JM to send doodle poll for September 2014