Allied Health Professions in NHSScotland
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- Dwain Cain
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1 Arts therapist Care assistant Dietitian Dietetic assistant Imaging support worker Limited orthotic practitioner Occupational therapist Occupational therapy assistant Orthoptist Physiotherapist Physiotherapy assistant Podiatrist Podiatry assistant Prosthetist/Orthotist Radiographer Rehabilitation assistant For further copies of this booklet please contact: Scottish Executive Health Department Directorate of Nursing Nursing & AHP Education Branch Room GE19 St Andrew s House Regent Road Edinburgh EH1 3DG Speech and language therapist Speech and language therapy assistant Technical instructor Therapy assistant Tel: e.mail: Diane.dempster@scotland.gsi.gov.uk I SBN Allied Health Professions in NHSScotland Key players in the healthcare team Crown Copyright 2002 Astron B /02 The text pages of this document are produced from 100% Elemental Chlorine Free, environmentally preferred material and are 100% recyclable w w w. s c o t l a n d. g o v. u k Working together for a healthy, caring Scotland
2 Contents Key players in the healthcare team 2 Entry routes 3 Entry route A 5 Podiatry assistant Occupational therapy support worker Dietetic assistant Physiotherapy assistant Limited orthotic practitioner Imaging support worker Speech and language therapy assistant Rehabilitation assistant/therapy assistant/care assistant Entry route B 9 Podiatrist (or Chiropodist) Dietitian Orthoptist Occupational therapist Physiotherapist Prosthetist Orthotist Diagnostic radiographer Therapeutic radiographer Speech and language therapist Entry route C 12 Graduate entry Arts therapist Factsheet information 16 The next step 16
3 Key players in the healthcare team Entry routes Recent major advances in medicine mean that healthcare is provided more and more by a team of professionals with a range of different skills, each bringing their particular expertise to caring for the patient. For example, it s not enough to treat patients for a stroke or heart attack: they need help with rehabilitation and with cutting the risk of re-occurrence. This involves physiotherapists, occupational therapists, speech and language therapists, dietitians and many others. The range of opportunity is wide from using music, art or drama as a therapy, to the surgical treatment of a foot deformity, to shrinking a tumour with a precisely targeted dose of radiation. As an allied health professional, you will be autonomous, but your judgement and expertise will make you a key member of a skilled multidisciplinary team. Not surprisingly, the academic requirements and training demands are high, but then so are the rewards, in terms of job satisfaction, career prospects and excellent pension arrangements. Because allied health professionals work so closely with patients often on a one-to-one basis personal attributes such as tact and maturity are vital. For this reason, mature applicants are welcome and there are often special entry arrangements for mature students who do not have the usual academic qualifications. For those without academic qualifications beyond O grades/standard grades but with work experience, there are opportunities as an assistant. These posts offer varied and interesting work, with plenty of patient contact. They are currently not an entry route to qualification as an allied health professional, although there are some in-service courses specifically for occupational therapy assistants, and this trend is likely to increase (Entry route A). If you have Scottish Highers or equivalent that qualify you for entry into higher education, you can choose a degree course that leads to a specific career (Entry route B). If you have a first degree in a relevant subject, you can qualify for some allied health professions by undertaking appropriate post-graduate training. For those professions that require a very high level of training and experience, you may also need additional practical or clinical experience (Entry route C). NHSScotland is an equal opportunities employer. To work in NHSScotland, most allied health professionals must be state registered. State registration is usually through the Health Professions Council (HPC). You will only be eligible for registration if you have completed accredited training and been awarded an approved qualification. It is very important to check that your course is approved by the HPC or other regulatory body, which gives you a license to practice in NHSScotland. More details are available from the relevant professional bodies or from the HPC. (see page 16) Orthotist and Prosthetist 2 3
4 Entry route A There are no national minimum qualifications, and requirements vary between Trusts (assistants to allied health professionals). However, you will be expected to have some O grades/standard grades or similar qualifications or work experience. Assistants to allied health professionals This route leads mainly to a post as an assistant, rather than to qualification as an allied health professional. Mature applicants are welcome. As an assistant, you might be: working across two or more professions, such as physiotherapy and occupational therapy. Examples: rehabilitation assistant, therapy assistant working solely with one group of qualified professionals. Examples: foot care or podiatry assistant, limited orthotic practitioner, dietetic assistant, speech and language therapy assistant, imaging support worker. 5
5 Allied Health Professions in NHSScotland If you are interested in healthcare and you enjoy dealing with people, these posts offer varied and rewarding work. In most cases, you will be working directly with patients, under the supervision of qualified staff. Arrangements vary, but you may initially be employed as a generic healthcare or therapy assistant and then, with in-service training, have the chance to specialise in a particular therapy. You may also be taken on to specialise straight away. Your training is likely to be mainly on the job, perhaps coupled with a day-release course and/or private study. You may have the chance to obtain a formal qualification, such as an SVQ level 2 or 3 in a relevant subject. Physiotherapy assistants help with tasks such as preparing patients for treatment, showing patients how to use mobility aids or working on exercises with them. In most cases, assistant posts are not yet a route to qualifying as an allied health professional. There are, however, some in-service courses open to occupational therapy assistants with suitable qualifications, which on completion enable students to apply for access to undergraduate programmes at second year. Further opportunities are being developed at present. Podiatry assistants give some aspects of footcare, such as cutting toe nails and applying dressings, to patients who have already been assessed by the podiatrist. This is not currently a route to becoming a qualified podiatrist (sometimes known as chiropodist). Occupational therapy support workers, technical instructors and rehabilitation assistants are alternative job titles for those who assist qualified occupational therapists. This can sometimes be a route to a part-time HNC in occupational therapy support. On completion, students can apply for entry into the second year of the undergraduate programme. Limited orthotic practitioners hold a qualification from the British Association of Prosthetists and Orthotists that allows them to practice in a limited area, such as fitting breast prostheses. This is not currently a route to qualification as an orthotist. Imaging support workers work with radiographers, processing images and assisting patients. There is a relevant SVQ, but this is not at present an entry route to qualification as a radiographer. Speech and language therapy assistants work with qualified staff. An SVQ in Care at level 3 is available. Currently this is not a route to qualification as a speech and language therapist, but part-time, in-service degree courses are being planned. Rehabilitation assistants/therapy assistants/care assistants. In some trusts these posts involve working across two or more areas, such as physiotherapy and occupational therapy. Dietetic assistants support the work of qualified dietitians and are supervised by them. This is not currently a route to becoming a qualified dietitian. 6 7
6 Entry route B You will need enough Scottish Highers (or equivalent) to enter higher or further education and take an approved, pre-registration degree. If you are a mature applicant, other qualifications and experience may be acceptable, particularly if you are already an experienced assistant (see Entry route A) or have other relevant experience from work in the NHS. A three- or four-year university course is the most common route to the allied health professions and, for some professions such as podiatry or orthoptics the only route. Some courses exist for example, in occupational therapy that allow trainees in employment to combine practical work with part-time study. Examples: (through a pre-registration degree course) physiotherapists, occupational therapists, podiatrists (sometimes known as chiropodists), speech and language therapists, prosthetists and most other allied health professions (through employment in an assistant post and part-time study leading to an HNC with the undergraduate programme completed in full-time study) occupational therapists. If you have (or soon expect to have) grades that match the requirements for university entry you can: make a decision about the area in which you would like to work and, if it requires a specific degree, apply for admission to universities that offer the course; for example, podiatry or orthoptics apply for a job that allows you to combine practical training with part-time study leading to a recognised qualification occupational therapy support worker in some NHS trusts. It is very important to check that your course is approved by the relevant regulatory body (e.g. the Health Professions Council) and the relevant professional body and that it will lead to a qualification/state registration recognised by NHSScotland. You can get more details from the relevant professional bodies or from the Health Professions Council. Radiographer 9
7 Allied Health Professions in NHSScotland Podiatrists (or Chiropodists) specialise in the assessment, treatment and management of patients with foot and lower-limb disorders. They play a particularly important role in helping people to stay mobile and, therefore, independent. Dietitian Dietitians translate the science of nutrition into practical information about food. They work with people to promote nutritional wellbeing, prevent food-related problems and treat disease. Orthoptists assess and manage a range of eye problems, mainly those affecting the way the eyes move, such as squint (strabismus) and lazy eye (amblyopia). Occupational therapists help people to overcome physical, psychological or social problems arising from illness or disability, by concentrating not on what they are unable to do, but on what they may be able to achieve. Physiotherapists treat the physical problems caused by accidents, illness and ageing, particularly those that affect the muscles, bones, heart, circulation and lungs. Orthotists provide braces, splints and special footwear to help patients with movement difficulties and to relieve discomfort. Diagnostic radiographers produce high-quality images of organs, limbs and other parts of the body so that disease and injuries can be assessed and diagnosed. Therapeutic radiographers use high-energy radiation to treat cancer and other conditions. Prosthetists design and fit artificial replacements or prostheses for upper and lower limbs. Speech and language therapists work with people who have problems with communication, including speech defects, or with chewing or swallowing. Speech and Language Therapist Physiotherapist 10 11
8 Arts Therapist Entry route C Graduate entry to the allied health professions: if you have a degree in art and design or a relevant subject, plus at least a year s fulltime experience working in health, social services or education, you can apply for postgraduate training to qualify as an art therapist if you have completed a three-year course leading to a qualification from a college of music or to a university music degree, you can apply for postgraduate training to qualify as a music therapist if you have a degree in drama or psychology or another relevant subject, plus appropriate clinical experience and experience of practical drama work, then you can apply for postgraduate training to qualify as a drama therapist if you have a degree in a relevant subject, you can qualify for some allied health professions by means of an accelerated postgraduate course: for example, speech and language therapist, occupational therapist, dietitian, physiotherapist, radiographer (see Entry route B for details about these professions). Accelerated postgraduate courses are still limited in some allied health professions but are likely to increase
9 In most allied health professions, an approved pre-registration degree is the main qualification needed for entry. However, in some, like the arts therapists professions, you will also need postgraduate training and possibly professional experience as well. This is because you will be working with clients with severe emotional and psychological problems, often in a one-to-one situation over a long period. The role is very demanding and you will need to develop special qualities and expertise, both in order to cope on a personal level and also to provide the best possible treatment for your clients. However, the rewards in terms of job satisfaction and also career development are high. Occupational Therapist Arts therapists use music, art or drama as a therapeutic intervention to help people with physical, mental, social and emotional difficulties
10 Factsheet information For more information about the different allied health professions within NHSScotland, you can obtain a copy of the relevant Factsheet. These may be available from the same source as this booklet at the Scottish Executive Health Department address shown below. You can also contact Careers Scotland. The next step For career prospects locally, contact NHS Trusts in your area and ask to talk to the relevant department (the Trust s Personnel or Human Resources Department should be able to point you in the right direction). For a broader picture, including advice on higher education, contact: Scottish Executive Health Department Directorate of Nursing Nursing & AHP Education Branch Room GE19 St Andrew s House Regent Road Edinburgh ED1 3DG Tel: e.mail: Diane.dempster@scotland.gsi.gov.uk Health Professions Council (HPC) Park House, 184 Kennington Park Road, London SE11 4BU Tel:
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