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Have you heard about prudent healthcare, the new healthcare movement taking off in Wales?

Zoe Parker, Education Officer at COT, discusses critical reflection. Follow Zoe

The Health and Social Services Minister for Wales, Mark Drakeford, defined prudent healthcare as “healthcare that fits the needs and circumstances of patients and actively avoids wasteful care that is not to the patients benefit.”

This month we look at a healthcare movement that is taking off in Wales. We are quite excited about the idea here at the College because the four principles in it chime so well with our values. Our Policy Officer for Wales, Ruth Crowder (follow Ruth), is an enthusiastic advocate for the approach.

Ruth has been involved with the prudent healthcare movement in Wales from the start and still is because she regards this movement as founded in a set of principles which are really well related to the philosophy of Occupational Therapy. Occupational Therapists are regarded as one of the most innovative and supportive professions for this work.

Explore the prudent healthcare site to see a range of resources and explanations of what this means for Wales and for Occupational Therapists.

In her article Reablement, recovery and rehabilitation: enabling meaningful occupations for life, Ruth looks at the way all allied health professionals can support the principles of prudent healthcare.  The NHS in Wales has adopted these four principles:
•    Achieve health and wellbeing with the public, patients and professionals as equal partners through co-production;
•    Care for those with the greatest health need first, making the most effective use of all skills and resources;
•    Do only what is needed, no more, no less; and do no harm.
•    Reduce inappropriate variation using evidence based practices consistently and transparently.

In July there was a summit hosted by the First Minister for Wales with international delegates – the videos capture a positive energy and provide varied material to inspire critical reflection on different aspects of the viewers’ practice through the lens of what the speakers say, who they are and who they do (or don’t) mention.

How might these principles inform all occupational therapy practice?


5 thoughts on “Have you heard about prudent healthcare, the new healthcare movement taking off in Wales?

  1. Excellent blog about this really exciting movement. Of course Prudent health and Care is part of the wider world movement to change medicine and healthcare and make a difference for people. You can see more at:
    Choosing wisely Canada http://www.choosingwiselycanada.org
    Choosing wisely USA (http://www.choosingwisely.org/ )
    Choosing wisely Australia (http://www.choosingwisely.org.au/ )
    Slow medicine in Italy (http://www.choosingwisely.org.au/)

    And of course in the UK we have various choose well this winter campaigns from the same principles (http://www.aomrc.org.uk/general-news/choosing-wisely.html http://www.bmj.com/content/350/bmj.h2308)

    Posted by Ruth Crowder | November 5, 2015, 09:27
    • Thanks so much for making clear the international and UK wide significance of the ideas in the Prudent Healthcare movement Ruth – I hope many OTs will also make the link to the College’s #ValueofOT campaign

      Posted by Zoe Parker (@cotcpd) | November 6, 2015, 09:24
  2. Having this healthcare policy inform what we do has been inspirational. Never before has the philosophy and core beliefs of Occupational Therapy fused so powerfully with a health and social care agenda. We all need to be on board as the Occupational Therapy profession has a fabulous opportunity to take on an influential and pivotal role. Accordingly, the profession needs to be clear on how to embrace this profile and ensure services can make the most positive impact on the health and well-being of our service users. All good.

    Posted by Julie Mears (Wales) | December 3, 2015, 14:23
  3. The OT Advisory Forum in Wales held a Prudent Care day lasy year which challenged us to come with ideaas for prudent delivery of our services, challenging and thoughtful but where we all should be.

    Posted by sara Forster | December 7, 2015, 17:47
  4. Thank you so much for your comments Julie and Sara I do hope people will join in with the Prudent Healthcare movement and apply the ideas to their practice whatever their geographical context or role

    Posted by Zoe Parker (@cotcpd) | January 12, 2016, 15:55

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