In the wake of the Autumn Statement 2023, we have analysed the proposed reforms and initiatives that hold potential implications for healthcare and work.
Supporting work and preventing dropout
The recognition of proposals for an occupational health framework is promising, and we anticipate the active inclusion of occupational therapists in this initiative. Occupational therapists can provide advice, short-term rehabilitation interventions, and sign fit notes. The focus extends beyond immediate concerns, and we want to highlight the role of occupational therapists in preventing people from dropping out of the workforce and aiding the long-term unemployed, addressing issues ranging from housing challenges to complex mental and physical health needs.
Inclusive support for ongoing health conditions: a call for diverse solutions
We are speaking to the UK, Welsh and Scottish governments and other NHS and political leaders to discuss a range of accessible ways for individuals with ongoing health conditions to receive advice and support. The emphasis on support through GP surgeries aligns with the principles of inclusivity and individualised care, recognising the diverse needs stemming from various health conditions. This aligns with our call to expand the number of occupational therapists in GP surgeries and the funding for this across England. This is so every patient can benefit from earlier intervention by occupational therapists in primary care.
Reforms to the work capability assessment
The government's commitment to reforming the Work Capability Assessment (WCA) activities and descriptors aligns with the evolving nature of work. We are cautious of this reform and will keep an eye on it, because it could prevent individuals from being unfairly deemed unfit for work and we need to ensure improved support into employment. The emphasis is placed on monitoring the practical implications and successful implementation of these changes. While it’s crucial to provide appropriate support for those willing and able to work, it’s equally vital to not sanction individuals who are unable to work, which will only put further pressure on services.
End-to-end fit note process reforms
The proposed end-to-end fit note process reforms are particularly significant. As part of these reforms, trailblazer trials in Integrated Care Systems in England will test changes to increase access to health and employment support for those who have received a fit note for a prolonged period. It’s good to see the government's commitment to launching a consultation in 2024 on wider fit note reforms. We hope to see a comprehensive assessment of the potential impact of these reforms, ensuring they align with the principles of person-centred care and facilitate quicker access to specialised employment and health support.
Tech and AI integration
The integration of cutting-edge technology, including AI, into healthcare and public services unfolds a realm of opportunities. The potential benefits of this could be huge, especially in reducing administrative burdens and improving diagnostic tools. However, we need to ensure that these advancements align with person-centred care and do not compromise the core values of occupational therapy.
Looking ahead
The Autumn Statement 2023 does provide some potential for positive change. But we need to keep a vigilant eye on the practical implications, ensuring that the integral role of occupational therapists is not only acknowledged but actively incorporated into the evolving landscape of healthcare and supporting work.