Therapy professionals in critical care: A UK wide workforce survey

Author:

Twose Paul1ORCID,Terblanche Ella2ORCID,Jones Una3,Bruce James3,Firshman Penelope4,Highfield Julie5,Jones Gemma6,Merriweather Judith7,Newey Vicky8,Newman Helen9ORCID,Rock Claire10,Wallace Sarah11

Affiliation:

1. Physiotherapy Department, University Hospital of Wales, Cardiff, UK

2. Applied Technologies for Clinical Care, King’s College London, UK

3. Occupational Therapy Department, Torbay Hospital, Torbay, UK

4. Occupational Therapy Department, Denmark Hill, Kings College Hospital NHS Foundation Trust, London, UK

5. Critical Care Department, University Hospital of Wales, Cardiff, UK

6. Speech and Language Therapy Department, University Hospital of Wales, Cardiff, UK

7. Dietetic Department, Royal Infirmary of Edinburgh, Edinburgh, UK

8. Physiotherapy Department, St Marys Hospital, London, UK

9. Therapists Department, Barnet Hospital, Royal Free London NHS Foundation Trust, London, UK

10. Occupational Therapy Department, Mid and South Essex NHS Foundation, Basildon, UK

11. Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK

Abstract

Introduction National guidelines suggest recommended staffing levels for therapies. The aim of this study was to capture information on existing staffing levels, roles and responsibilities and service structures. Methods An observational study using online surveys distributed to 245 critical care units across the United Kingdom (UK). Surveys consisted of a generic and five profession specific surveys. Results Eight hundred sixty-two responses were received from 197 critical care units across the UK. Of those that responded, over 96% of units had input from dietetics, physiotherapy and SLT. Whereas only 59.1% and 48.1% had an OT or psychology service respectively. Units with ring fenced services had improved therapist to patient ratios. Discussion There is significant variation in access to therapists for patients admitted to critical care in the UK, with many services not having services for core therapies such as psychology and OT. Where services do exist, they fall below the recommended guidance.

Publisher

SAGE Publications

Subject

Critical Care and Intensive Care Medicine,Critical Care Nursing

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