#OTalk Transcript
Healthcare social media transcript of the #OTalk hashtag.
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See #OTalk Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #OTalk @OTalk_ #otalk will be starting shortly. So say hi and let us know you're here. |
 | Sherlyn 🤔⭐️(she/her) @sherlynmelody #Otalk hello folks, how are we doing tonight? Give us a wave if you are joining us tonight. |
| #OTalk @OTalk_ Please remember your code of conduct and ethics during tonights #otalk and respect the views of others. |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @CeeCeeOT @OTalk_ #otalk hey girl, whats good 😁 |
 | CatherineGreenlaw @c__greenlaw Hello, looking forward to the discussion #OTalk |
 | Sarah Pender @louswaiting #OTalk hello 👋 |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #Otalk, so this is my first time hosting, so please excuse any hiccups. First question for tonight, Question 1: What setting are you in and have you given a direct payment to any of your service users/carers? |
 | Bill Wong, OTD, OTR/L @BillWongOT hello peeps! #OTalk https://t.co/yJ8gFrfbOZ |
| #OTalk @OTalk_ Its @GillyGorry on the account for support tonight. Let me know if you need anything. Please try to remember the hash tag #otalk in every tweet so we can all see. https://t.co/aQTWUiln3b |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @louswaiting #otalk, you made it, whoopee 😊 |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTalk_ @GillyGorry #otalk hey thanks 🤪 |
| #OTalk @OTalk_ Question 1) #otalk |
| #OTalk @OTalk_ RT @sherlynmelody: #Otalk hello folks, how are we doing tonight? Give us a wave if you are joining us tonight. |
| #OTalk @OTalk_ Always good to lurk a little #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @cathymc9781 @OTalk_ #otalk great to have you 😊 |
| Bill Wong, OTD, OTR/L @BillWongOT @sherlynmelody I am in skilled nursing facilities in the USA. Very small % of patients are in there via private pay. After all, rates for a spot is already expensive! #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @otfrancesca #otalk thats interesting @louswaiting do any of your OT's commission direct payments? |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @BillWongOT #otalk Hey Bill, yes services here too are also expensive!! Good to have you tonight. |
 | Chloe Dickson @chloedickson_ @sherlynmelody Hi, I’m a children and young people OT, we frequently get asked by parents about direct payments they can receive for their child. We would usually point them in the direction of money maters or SW #otalk |
| #OTalk @OTalk_ RT @otfrancesca: |
| #OTalk @OTalk_ RT @ChloeDicksonOT: @sherlynmelody Hi, I’m a children and young people OT, we frequently get asked by parents about direct payments they can receive for their child. We would usually point them in the direction of money maters or SW #otalk |
| #OTalk @OTalk_ RT @CeeCeeOT: |
| Bill Wong, OTD, OTR/L @BillWongOT @sherlynmelody I heard nursing homes in my neck of the woods cost up to about $5000 USD a month. This can add up if you are a long term resident at these things. #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @janetregan3 @OTalk_ #otalk thats good to know. Maybe there will be some questions here for you to answer. |
| Sarah Pender @louswaiting @sherlynmelody @otfrancesca #OTalk we do recommend items for people to purchase and if they are unable to purchase these we would consider a direct payment |
| CatherineGreenlaw @c__greenlaw @sherlynmelody @otfrancesca @louswaiting I see Direct Payments as agreat bit of kit in our OT tool box to enable meaningful occupations #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody Thanks so far ill be moving onto my next question #Otalk Question 2: In general, what are your services users/carers using the direct payments for? |
| #OTalk @OTalk_ Agree #otalk any examples of how they've been used? |
| #OTalk @OTalk_ RT @hayleyot1: |
| Bill Wong, OTD, OTR/L @BillWongOT @sherlynmelody Since I am in the nursing home setting, so it goes to quite a bit of folks- rehab (if patients are on it), nursing, as well as administrative costs. #otalk |
| #OTalk @OTalk_ Question 2) #otalk |
| #OTalk @OTalk_ RT @CeeCeeOT: |
| Chloe Dickson @chloedickson_ @sherlynmelody Parents would use payments to aid towards equipment, care for the child or ability to complete meaningful occupations with any support required. #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @BillWongOT #otalk so are you saying that you local government offices (I don't know how you refer to them in USA) would provide money/direct payment for them to engage in meaningful activities - in or out of the nursing home? |
| Bill Wong, OTD, OTR/L @BillWongOT If it were from a service user's perspective, I could have conceivably pay for the cost of private practice OT if I still needed OT but my insurance doesn't provide good coverage. #OTalk |
| Bill Wong, OTD, OTR/L @BillWongOT @sherlynmelody in my setting- private pay means that these patients and/or their families would pay the costs out of their pockets. #otalk |
| Chloe Dickson @chloedickson_ @BillWongOT @sherlynmelody Does the local government provide direct payments to assist with the living costs in the home? #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @ChloeDicksonOT @sherlynmelody if patients are on insurance (public or private), that will assist them costwise living in these nursing homes. #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @otfrancesca @CeeCeeOT @louswaiting #otalk Yes Fran, thats part of the reason I have chosen this topic so we can all share how DP's are being used. hopefully we will get more responses 😉 |
| #OTalk @OTalk_ Interesting. Anyone can apply for a care assessment by their local authorities and if funded services are needed I believe a direct payment can be requested. #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #Otalk time is flying, Question 3: Have you used any external organisations to support with the utilisation of direct payments? And what support did they provide? |
| #OTalk @OTalk_ #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @ChloeDicksonOT @BillWongOT #otalk what do you mean by living costs? bills etc?? @longhurst_vicki do people usually use DP's for livings costs? |
| #OTalk @OTalk_ RT @ajciliaOT: |
| #OTalk @OTalk_ Question 3) #otalk |
| Bill Wong, OTD, OTR/L @BillWongOT @sherlynmelody if you are talking about nursing home settings that I work at, that will be no. It's not in rehab's purview. I think social workers and/or business offices will take care of that. #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTalk_ #OTALK @ChloeDicksonOT |
 | denise mucaj @DeniseMucaj Hi my name is Denise, I work in ACS, I am familiar with Direct payments and have issued a few in order to provide specialist equipment to ppl with mainly physical disabilities. it’s my first time on here and learning how it all works. #OTalk |
| #OTalk @OTalk_ RT @sherlynmelody: #Otalk time is flying, Question 3: #Otalk time is flying, Question 3: Have you used any external organisations to support with the utilisation of direct payments? And what support did they provide? |
| #OTalk @OTalk_ @BillWongOT @sherlynmelody As USA don't have DP some of the examples might not fit. DP is give funded Care payment bases on needs and income. #otalk |
| #OTalk @OTalk_ RT @DeniseMucaj: Hi my name is Denise, I work in ACS, I am familiar with Direct payments and have issued a few in order to provide specialist equipment to ppl with mainly physical disabilities. it’s my first time on here and learning how it all works. #OTalk |
| #OTalk @OTalk_ @DeniseMucaj Welcome the #otalk community are a friendly bunch, do ask if you need anything |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTalk_ #otalk so would you supply a PA/agency/signpost to certain service that the person may benefit from? |
| #OTalk @OTalk_ RT @emmaspellmanOT: |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @DeniseMucaj #otalk Denise, soooo good to have you, thanks for the support. Welcome |
| Chloe Dickson @chloedickson_ @sherlynmelody #otalk in our service we are about to work with a service called social security scotland who work with patients and their families to ensure the are receiving the correct funds they are entitled too. |
| #OTalk @OTalk_ RT @hayleyot1: |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #otalk We are half way through tonights talk, so here is Question 4: What, if any, have you found to be the disadvantages of a direct payment? |
| #OTalk @OTalk_ #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody RT @ChloeDicksonOT: @sherlynmelody #otalk in our service we are about to work with a service called social security scotland who work with patients and their families to ensure the are receiving the correct funds they are entitled too. |
| #OTalk @OTalk_ Question 4 #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTalk_ #Otalk, yes!! you are right. |
| #OTalk @OTalk_ #otalk |
| #OTalk @OTalk_ #otalk |
| #OTalk @OTalk_ This can be a problem. Especially when it comes to regulating the care #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #otalk |
| #OTalk @OTalk_ RT @janetregan3: |
| Bill Wong, OTD, OTR/L @BillWongOT @sherlynmelody In terms of nursing homes in the USA, actually it's one of the least favorite avenues of payment from a profit margin standpoint... if there is a rehab company contracted to run rehab vs. in-house. #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #otalk Moving on then to... Question 5: What have you found to be the advantages of a direct payment? |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #otalk @lauraharold13 this is interesting, something to raise in team meeting?? |
| #OTalk @OTalk_ Question 5) #otalk |
| Sarah Pender @louswaiting #OTalk what would happen if you had a PA that took on several service users with their DPs , would that then be a unregulated care agency? |
| #OTalk @OTalk_ @sherlynmelody Less rigid care packages. Less living by the times your care agency provides, more choice in how to achieve your goals #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @louswaiting #otalk good question, @c__greenlaw is that right? would it be? |
| #OTalk @OTalk_ RT @emmaspellmanOT: |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #otalk we are in our last 15 minutes now. This is great guys, thanks so far 🤗 |
| CatherineGreenlaw @c__greenlaw @louswaiting I would need to check with the CQC but I think thete is a difference between working for an agency who co-ordinate the cate worker and a PA with several individual contracts with different people #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @otfrancesca #otalk what is CMB, please? :) |
| #OTalk @OTalk_ RT @sherlynmelody: #otalk we are in our last 15 minutes now. This is great guys, thanks so far 🤗 |
| #OTalk @OTalk_ RT @ajciliaOT: |
| #OTalk @OTalk_ #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @ajciliaOT #otalk I think you can, but I think there is a certain criteria to do this though! |
| #OTalk @OTalk_ #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #Otalk Question 6: What have you found to be the main barriers and or facilitators of using direct payments. |
| #OTalk @OTalk_ RT @sherlynmelody: #Otalk Question 6: #Otalk Question 6: What have you found to be the main barriers and or facilitators of using direct payments. |
| #OTalk @OTalk_ @janetregan3 @sherlynmelody That's ok, even we miss the #otalk at times! |
| CatherineGreenlaw @c__greenlaw @RChilversOT @sherlynmelody I'm pleased to say Herts has just recruited a DP Manager to report to me so I will make sure thete is a strong link with the occupational therapists #OTalk |
| #OTalk @OTalk_ RT @c__greenlaw: @RChilversOT @sherlynmelody I'm pleased to say Herts has just recruited a DP Manager to report to me so I will make sure thete is a strong link with the occupational therapists #OTalk |
| #OTalk @OTalk_ RT @RChilversOT: |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @RChilversOT #otalk this is where @Leo this is where @LeonardCheshire come in handy, but it think there may be other external agents available to support with this issues. Good shout about equipment. |
| #OTalk @OTalk_ RT @CeeCeeOT: |
 | YarnPaw @YarnPaw @sherlynmelody Hello, I'm new to #OTalk working in Adult Social Care, we can use direct payments for care and for options toward equipment costs where people have a preference for alternatives that we can provide at a lower cost. |
| #OTalk @OTalk_ RT @sherlynmelody: @RChilversOT #otalk this is where @Leo this is where @LeonardCheshire come in handy, but it think there may be other external agents available to support with this issues. Good shout about equipment. |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @c__greenlaw @RChilversOT #otalk this is great @c__greenlaw I will share the transcript later :) |
| #OTalk @OTalk_ RT @YarnPaw: @sherlynmelody Hello, I'm new to #OTalk working in Adult Social Care, we can use direct payments for care and for options toward equipment costs where people have a preference for alternatives that we can provide at a lower cost. |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @RChilversOT @leo @LeonardCheshire #otalk no idea how my sentence went like that! |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody ahhhh nearly out of time.....#Otalk Question 7: Do you find direct payments are more suited to a certain client group? |
| #OTalk @OTalk_ RT @sherlynmelody: ahhhh nearly out of time.....#Otalk Question 7: ahhhh nearly out of time.....#Otalk Question 7: Do you find direct payments are more suited to a certain client group? |
| CatherineGreenlaw @c__greenlaw @sherlynmelody The main barrier and facilitator is our creativity which is hard i a busy environment but key to enabling occupations. DPs should be the starting assumption and yraditional care the last option #OTalk |
| YarnPaw @YarnPaw @sherlynmelody We can offer people the choice of self managing their direct payment, or having a managed account that supports with payroll, tax and pension contributions #OTalk |
| #OTalk @OTalk_ Final few minutes of Tonights #otalk hosted by @sherlynmelody I've learned lots and surprised myself with what I already knew! Great hosting @sherlynmelody . Final thoughts of direct payments? |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @YarnPaw #otalk having a managed account, would that be via an external agent or by your employer? |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTalk_ #otalk phew, I made it. lol, thanks guys! I can't wait to read the transcript!! |
| Chloe Dickson @chloedickson_ @OTalk_ @sherlynmelody Overall I think direct payments is a great service when people know how to access it correctly. #otalk |
| #OTalk @OTalk_ @sherlynmelody Well done!! Great job #otalk |
| Sarah Pender @louswaiting #OTalk think maybe a mixture of commissioned care plus DP would work really well for some people |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTalk_ #otalk 🤣 https://t.co/ZdIVnMT5yO |
| #OTalk @OTalk_ #OTalk 18th Feb 2020 – Homelessness https://t.co/4Mqd8ofkRM |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @CeeCeeOT @OTalk_ #otalk glad you enjoyed! it was good hosting. I would do it again, if @otalk would have me lol |
| YarnPaw @YarnPaw @sherlynmelody A contracted external agency who acts on behalf of the person to help with particular areas of expertise. Offered at no extra cost to the person using the direct payment, contracted by the local authority #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @YarnPaw #otalk do you use a particular agency for this? |
| #OTalk @OTalk_ @OTSophie @otfrancesca Set yourself a Weekly reminder alarm on your phone to set off 10 minutes before the chat! #otalk top tip! |
| YarnPaw @YarnPaw @sherlynmelody Yes, one particular organisation. Am I okay to name them? #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @YarnPaw #otalk @otalk can we disclose agencies that facilitate DP's? |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @RChilversOT #otalk great to hear Rachel, glad its sparked something in you 😀 |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @ChloeDicksonOT @OTalk_ it was good I enjoyed it, not sure how many people I missed, hopefully too many people had not asked me any questions #otalk 🤪 |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody #otalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @lauraharold13 @c__greenlaw @OTalk_ #otalk I am not sure how this works, but I guess we can confirm it as the case worker. |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @SusanGriffiths5 #otalk it would appear a DP can be used for anything as long as it meets their care and support needs. Eligibility would be based on the care act as well as local authority discretion?? |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @ajciliaOT #otalk as a case manager I am expected to promote DP's I have done a one off direct payment for a minor adaptation to a home. its rare I have the opportunity to provide a DP for a package of care as I go in after the package is in place. I guess DP's can be more creative 4 OT's |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @HelmeNikki #otalk well if a DP gives people choice and control then I guess your standards are allowed to be high?? if your needs are to be met safely! PA's in the position of caring for/supporting others need to be skilled/trained at least. |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @emmaspellmanOT @HelmeNikki #otalk it would be good to get PA's perspectives in this area! I have seen PA's doing things like lifting people and putting themselves at risk, I think it happens because they feel they owe it to who they are supporting. But I know care agency staff do the same too. |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTSophie @HelmeNikki #otalk surely they should be bound by the same legislation especially if we are providing the direct payment to meet the needs as quoted in the 'care act'...right?? |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @PenelopeFirshma @emmaspellmanOT @HelmeNikki #otalk I think recruitment in this area is a struggle, as well as retention, staff turnover etc, Pay rises would be good, would that be enough to attract the right characters and keep them? |
 | Khalilah R. Johnson, PhD, OTR/L @OccScienceBae @sherlynmelody Thank you! I hope your first #OTalk went well. |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody @OTSophie @andreaMwill #otalk I think you can offer one off payments, I'm not sure if these amounts vary from one local authority(LA) to the next. but if it is assessed as a need, then I guess it should be provided. LA budgets may impact ones ability to prescribe/offer??? |
| Bill Wong, OTD, OTR/L @BillWongOT RT @OTalk_: #OTalk 18th Feb 2020 – Homelessness https://t.co/4Mqd8ofkRM |
 | RosieOT @RTH00170813 @sherlynmelody Q4. Lack of access and monitoring around training EG. Formal moving and handling training not accessed and lack of opportunity to access such training in local area. Concerns around accountability when such PAs don't have adequate training #OTalk |
| Sherlyn 🤔⭐️(she/her) @sherlynmelody Yes!! What did YOU do? 💁🏾♀️ |
 | Gemma Michie @gemscottOT RT @OTalk_: #OTalk 18th Feb 2020 – Homelessness https://t.co/4Mqd8ofkRM |
 | JasminOT ⓥ @JasminLaffy @OTalk_ @BillWongOT Someone remind me to set my alarm for this! Very interested in this topic #OTalk |
 | Dominican University @DominicanCANews Dominican's #OccupationalTherapy program's 100 percent NBCOT pass rate in 2019 surpassed national rate with three-year average of 98 percent. In @usnews #OT ranks No. 17 in "Best Healthcare Jobs" and No. 28 in "Best Jobs" #OTalk #Colleges #CollegeSearch #VisitMarin #ThisIsDUC https://t.co/EftXZlRyeC |
 | Amy Henkelman @ahenkelm RT @DominicanCANews: Dominican's #OccupationalTherapy program's 100 percent NBCOT pass rate in 2019 surpassed national rate with three-year average of 98 percent. In @usnews #OT ranks No. 17 in "Best Healthcare Jobs" and No. 28 in "Best Jobs" #OTalk #Colleges #CollegeSearch #VisitMarin #ThisIsDUC https://t.co/EftXZlRyeC |
 | ✨Eleanor Cecil #StayHomeSaveLives 🕴++🕴++🕴 @El_Cecil_ RT @WintRebecca: |
#OTalk content from Twitter.