-
Anna McAndrews posted an update in the group
NQP Meetings 10 years ago
Tuesday, 3 March 2015:
Rachel joined the conversation – 19:45Rachel Harrison joined the conversation – 19:45
Stav joined the conversation – 19:45
Umarah joined the conversation – 19:45
Danyaal joined the conversation – 19:45
Lisa Franklin – 19:45
Okay all?
Bear with me one moment..!Umarah left the conversation – 19:46
Lisa Franklin – 19:47
Lets Check in – 1. One positive experience you have had this month 2. One thing you found difficult/challenging 3. One thing you learnt this monthRachel Coulter – 19:48
Does this just refer to ITS work or in general?Lisa Franklin – 19:49
In generalStav – 19:51
A positive experience = I run a language group in one of my settings where one student is consistently reserved, does not initiate conversation and has not previously willingly participated in conversation/group activities. During the group last week she shouted at the top of her voice “Miss Stav I want a turn, let me have one more turn!”Umarah joined the conversation – 19:51
Stav – 19:52
difficult/challenging = recently this has been my health! Unfortunately I have yet another infection affecting my left kidney. Other than that I’m perfecto! 🙂Lisa Franklin – 19:52
Lets Check in – 1. One positive experience you have had this month 2. One thing you found difficult/challenging 3. One thing you learnt this month
Umarah – this is what we are starting withUmarah – 19:53
Ok thanksStav – 19:53
One thing I’ve learnt this month = take care of myself so I can take care of my clients!Danyaal – 19:53
1) Making really good progress with one of my ADL group at Choices :-), all engaging, enjoying the sessions, and looking forward to following week . 2) At hearing impaired provision, mother shouting at me and having a go on the phone, but dealt with it okay, I think. 3) Learning from my client,who in turn learnt from me. His focus in therapy moved when i highlighted something as a side-point. In summary, he revised for me the fact that therapy is never set in stone and can always change from original aimUmarah – 19:53
1. Positive this month is getting a job with ITS!Rachel Coulter – 19:54
Positive:- Getting a £20 voucher from House of FraserLisa Franklin – 19:55
Lol RachRachel Coulter – 19:55
Difficult:- Realising that sometimes clients fall through.Rachel Harrison – 19:55
1. MDT meeting for a new client – being able to impart some of my knowledge and experience to other professionals. 2. Initial assessment for a new client with CP – it was a struggle to get her to take part so her mum had to use bribery in the end!. 3. I learned how to write a better report!Umarah – 19:56
2.) Getting back to seeing clients and decided what course of therapy to take. 3.) Session plans can change on the spot! Child clients keep you thinking on your feet.Lisa Franklin – 19:58
Apologies was keeping an eye out for Rosie
I must say that is a great way to start the sessionDanyaal – 19:59
agreed !Lisa Franklin – 19:59
Stav I love your learning point – we all need to remember this!
Danyaal let’s review point 2 to see what learning points we can all make from challenging experiences
Rachel H again point 1 is great. We must remember whilst you are NQP you have many years knowledge and training above others so you need to impart that wisdom confident in your skills and knowledge
Rachel C – It is sad to see people fall through the gaps within services. Anyone was the NHS2billion per week last night?Stav – 20:02
noRachel Coulter – 20:02
Couldn’t bear to watch it lolLisa Franklin – 20:02
Just highlighted the extent of cuts and unfortunately how the results mean people/conditions are put head to head on the evidenceUmarah – 20:02
No didn’t see thatStav – 20:02
How awfulUmarah – 20:02
:/Lisa Franklin – 20:03
and we face science and RCT and evidence and SLT is young in it’s age and evidenceDanyaal – 20:03
Didnt see it…Lisa Franklin – 20:03
Anyway work a catch up but basically £70,000.00 for a bionic leg – should he get it –> would fund 1 life saving liver transplant etc
Basically it follows people and asks what should the NHS fund and cut – lots of twitter feedback
Still worth a watch for your own awareness of the NHS – I thought it gave very good insight
But increased my view that many services will continue to be cut and/or subsequently privatisedRachel Coulter – 20:05
yep all comes down to moneyLisa Franklin – 20:05
Rachel H – Point 2 – I like to call it ‘Positive Reinforcement’ lolUmarah – 20:05
Unfortunate that it’s down to moneyLisa Franklin – 20:05
Also you really did a fantastic report!!
Hopefully you learnt more about your report writing skills this month with our discussions and feedbackRosie joined the conversation – 20:06
Lisa Franklin – 20:07
It is a real skill to write a thorough yet succinct report without jargonRosie – 20:07
Having a slight internet nightmare! Thanks for adding me back, hopefully I’ll be able to stick around this time… Will you be able to send me the minutes afterwards so I can see what I’ve missed?Rachel Harrison – 20:08
Thanks Lisa! 🙂 I definitely feel I have a better understanding of what should be included in a report and how it should read. My No.2 was about dealing with challenging behaviour. My CP clients are extremely strong willed. How do you convince a child to do something they don’t want to? If you’ve already tried motivators etcDanyaal – 20:09
Regarding point 2. The mother was worried that her son hand others wasn’t getting his statemented amount of therapy, as I am only there part time, (despite the fact, as she acknowledged herself SLT wasn’t and isn’t a priority for him). she was also worried about a host of other things out of my domain e.g audiology, classrooms, other students etc. I explained that his therapy time was being spent in report writing for him acknowledged its difficult for a mum with HI, and assured statemented kids are getting the time they need
Though she did cause me to stutter initially lol !Lisa Franklin – 20:09
Ha
I think when parents set the tone of a call by being direct/angry we need to take a breathe and not give in to offensive
The best thing is to listen to each of their concerns and as you do it jot a quick idea of how to address it
Repeat all the points the have raised and acknowledge you understand the issues and then talk through each point
Parents really really struggle with the system and getting answers and are really used to being fobbed off
so making it clear you hear them and acknowledge as much of what they raise as possible e.g. starting with what you can tell her and then for things you can’t address e.g. audiology etc. identifying this is not your role but that she can speak to X about thisRosie – 20:13
Also an idea (I missed half of the question so bear with me) if you have a parent/whoever asking a lot of questions or seeming angry etc., acknowledge all of their concerns and if you can’t think of solutions on the spot let them know that you’ve taken everything they’ve said into account and that you’re going to think of some solutions and you’ll call them back tomorrow/next week wheneverLisa Franklin – 20:13
Realistically for most questions out of your control it needs to go to the SENCo who will be able to oversee this much more readily (we hope!_
Totally agree Rosie, the most important thing is they know you have listened and heard what they have said and the best way to do this is to chunk, revise and repeat and then identify action plan
And in the words of Caesar Milano – remain calm and assertive
(He is the dog whisperer but the same advice rings true lol ;-))Danyaal – 20:14
Agreed great way in dealing with angry parents! Letting her rant as i Write, and systematically addressing each point. and yep rosie, if need be, holding soloutions are great
looolLisa Franklin – 20:15
Great learning point!
Stav just reading back and see you are ill! I did text you today as I thought you may be ill. My darling you do need to be eating better and drinking +++++ fluids
Any not doing insanity DVDs 😉
I hope you are on antibiotics and kick that infection soon!Stav – 20:17
Hah thanks LisaLisa Franklin – 20:17
Rosie – can you share your points with us – 1. One positive experience you have had this month 2. One thing you found difficult/challenging 3. One thing you learnt this month
I want to go back to report writing Rachel – Can you share with the guys the top things you have learnt re: report writingRosie – 20:18
Oh gosh, thinking on the spot hahaLisa Franklin – 20:19
Also open that up to everyone else re: top tips for report writing. How do you go about it? How long does it take you? What do you need to consider?Rosie – 20:20
1. One of the pupils at the school I’m in has made sudden excellent progress during her therapy sessions and her teacher and teaching assistants have commented how amazed they are by her progress – always feels good to see a client progress so that was a positive experience 🙂
2. I’ve found time management tough this month – I’m not always the most organised of people and I sometimes find it hard to organise my time for writing up case notes etcLisa Franklin – 20:22
That’s great Rosie!! It is wonderful when things clickUmarah – 20:23
Reports: break it up into different areas, start with the positives at the start of each area, try not to use jargon, don’t just list things that they can and can’t do but give a short explanation/ this means, consider client holistically,Danyaal – 20:23
I usually split up the report into sections. It depends, and can vary on the report, but I do tend to take a while, a couple of hours for a single report
This is probably due to making sure there is little jargon, wording, format of report etcUmarah – 20:24
yeah depending on the report; an hour or moreRosie – 20:24
3. I’ve learnt that I contingency plans are always useful to have! Been caught out on a few sessions where my planned activities haven’t gone down well and I’ve had to think on my feet, so in following sessions I’ve planned things I could do if the client does better/worse than expected and it’s made sessions run smootherRachel Harrison – 20:25
With regards to report writing I think that first it is important to realise that you need to fit the headings around the child and add in different headings rather than try to fit he child into a standard report template.Rosie – 20:26
Re: report writing, I find mine sometimes take a long time, but I figure we’re relatively new to this so it should become quicker and easier the more reports we writeRachel Harrison – 20:26
Obviously it depends on the type of report you’re writing whether you can do thisLisa Franklin – 20:26
Great Rosie – sa you become more skilled and experienced that level of flexibility increases
I have about 10 activites I can do with play dough for example of for 1 aim I will be able to manipulate most items to achieve it so this will grow
Agree as per the above guys!Danyaal – 20:29
Lisa, will a new PDP form for this month be posted? or shall we just add to your calendar?Lisa Franklin – 20:30
Yes Anna asked for this today
She will send this out and book you inDanyaal – 20:30
On that note, I can’t seem to find the form we did together last month in the drive!Lisa Franklin – 20:30
Danyaal we need to arrange the end of term review with ChoicesUmarah – 20:30
What happens during PDP?Lisa Franklin – 20:30
so realistically this will be in the next month and we could have a face to face
Similarly Stav I will be meeting with you for all of your settings this month so we can schedule a PDPStav – 20:31
greatLisa Franklin – 20:31
We will send you a PDP form Umarah which has key points of discussion; it helps you to focus on what you are going to work onUmarah – 20:32
Oh I see, thanksLisa Franklin – 20:32
Okay re: report writing – my advice
Try to keep your findings and recommendations seperate
This makes it easier for anyone reading the report to quickly go to the recommendationsDanyaal – 20:34
when is technically the end of term?Lisa Franklin – 20:34
I tend to use a blank template and just jot down the headings and my findingsUmarah – 20:35
How often/when are we expected to write reports?Lisa Franklin – 20:35
use the best example to clarify your point rather than a load of examples
Always outline recommendations for therapy and be specific in what they should receive and then highlight next steps
Where possible use appendix for any diagnosis you provide
We have been creating bank appendix for you to add e.g. Aphasia
which will save you creating these
As Umarah says I usually start the report with how he/she presented and something positive then a statement of assessment that have informed findings e.g.
X was assessed on XX.XX.XX. The following findings are based on that assessment and from the information gathered during the case history and discussion with parents.
Then I oultine findings
Generally you should all only do the one page summary for new clients
Detailed reports for CM’s (can claim 2 hours)
Reports for 1:1 clients upon request (generally takes 1 hour)
EHC reports (claim 4 hours)Umarah – 20:39
Ok so when requested, got it
Not sure what you were referring to re: appendix?Lisa Franklin – 20:40
You can put lengthy information in the appendix e.g. responses to informal questions, information about a diagnosis – again useful for lengthy reports to save timeUmarah – 20:41
okLisa Franklin – 20:41
As you can see I can review all reports and provide feedbackRachel Harrison left the conversation – 20:41
Rachel Harrison joined the conversation – 20:42
Umarah – 20:42
yep 🙂Lisa Franklin – 20:42
Okey dokey
AOB? Clinical case discussion you want to address?
Check out – 1. One thing you want to achieve this month 2. One competency you want to collect evidence forDanyaal – 20:47
1)Complete all choices reports, filling out the evidence part of the framework 2) 5e on the framework: manages time effectiively to balance clinical/non clinical responsibilitiesLisa Franklin – 20:47
always a challenge 🙂Rosie – 20:48
1. I have a few new clients so I want to get to grips with these and learn to prioritise my time a bit better 2) 5b on the framework (I think) – working collaboratively with MDT – I think there’s a lot of scope to do this in my school setting and we’re already putting things into motion so 🙂
(oh and also – get my internet sorted out!)Lisa Franklin – 20:49
Great Rosie it is being proactive with the MDT and creating ideas with them 🙂
hahaDanyaal – 20:50
clinical case discussion- Never had dysfluency on my caseload and will have a new client this Friday, so unsure on what specific things Id need for in case history?Lisa Franklin – 20:50
oh yes I’ve lots DanyaalUmarah – 20:51
1.) Organising my time effectively and making decisions as to what to do with new clients. 2.) Identifies development needs and engages in continuous self- directed learning to promote professional development and quality of practice.Lisa Franklin – 20:51
drop me an email and I will outline the session plan and cc teamDanyaal – 20:51
will do!Umarah – 20:52
Oh yes any info on dysfluency is good for me too, little experience in the areaLisa Franklin – 20:52
AOB?Rosie – 20:52
I don’t have time to discuss it properly now (and to be honest I’ve not looked through the report thoroughly yet!) but would I be able to send you an email about the client I’m due to see on Friday, Lisa? I’m a little lost as to what to do with her for my first session and could do with some pointers!Umarah – 20:52
I have a 15yr old client with ASD, not sure what to do for initial ax??Lisa Franklin – 20:52
Absolutely RosieRosie – 20:52
Thanks!Lisa Franklin – 20:53
Umarah do you have the report for your client with ASDUmarah – 20:53
NopeLisa Franklin – 20:53
Okay is it D.W?Umarah – 20:53
Haven’t had reports for any other clients eitherLisa Franklin – 20:53
If so I believe we have a report as the enquiry stretches backUmarah – 20:54
D.W?Lisa Franklin – 20:54
you won’t for all but long standing diagnosis always tend to have hx of reports so we request these or statementUmarah – 20:54
ok, understoodLisa Franklin – 20:55
We need to know if he is high/low functioning as 15 y/o high level would be TROG, Naming, Inferencing, Social skills etc
low functioning 15 could be 3 y/o levels and therefore this dictates the assessmentUmarah – 20:56
Yes, that’s why I was lost as didn’t know where to aim initial axLisa Franklin – 20:56
We can always request more info or I would send case history by email in advance or have an initial telephone call
with the parents – very important for complex clients and so that you know motivatorsUmarah – 20:57
Ok but this is after I get a report?Lisa Franklin – 20:58
Yes though sometimes they may not have a report so it is necessary to do the above
Basically request what you can /make contact for missing info to plan and deliver the best assessment possibleUmarah – 20:59
ok got it, thanks! 😀Lisa Franklin – 20:59
Cool
righto I will let you all go and enjoy what’s left of your evening/rest! (particularly you stav!)Rachel Coulter – 20:59
ok thanks byeRachel Coulter left the conversation – 20:59
Rosie – 21:00
Nice speaking to you all 🙂 Sorry I kept flitting in and out!
Hope you feel better soon, StavUmarah – 21:00
Ok, thank you! Get well soon Stav 🙂Lisa Franklin – 21:00
No worries Rosie!Stav – 21:00
thank you
have a good night all xxxxLisa Franklin – 21:01
I 2nd that – rest and get well Stav!Rachel – 21:01
Thanks for everything – nightUmarah – 21:01
Night xLisa Franklin – 21:01
Good night all!Danyaal – 21:01
Thank You Lisa! Mans, marvin, gonna munch out. Get well stav, Peace out people!Rachel – 21:01
Hope you get better soon StavStav – 21:01
Thank you all xxLisa Franklin – 21:02
Ha!
Night!!