Streamlining clinical practice in an Australian community rehabilitation service using the Calderdale framework

Background/Aims: With increased budgetary demands, pressure exists to create a flexible workforce and ensure efficient service delivery within health care services. This study investigated the impact of using The Calderdale Framework on team dynamics, client focus and communication, and resource use in an existing community rehabilitation service. Methods: The Calderdale Framework provided a structured process where clinicians were able to determine relevant tasks that could be shared with other health professionals to develop a streamlined transprofessional screening tool. Associated risks were reviewed and the resulting training and governance structures were embedded into practice. Staff views and resource usage costs were collected at three time points during the implementation process. Findings: Qualitative data from staff suggest a positive impact of The Calderdale Framework on team dynamics, understanding each other’s roles, and client focus. Resource usage analysis revealed an increase in the number of client services provided, as well a reduction in cost per client appointment. Conclusions: This study provides further insight into the processes, resource usage outcomes and staff reflections of using The Calderdale Framework. This structured tool appears beneficial to develop a flexible workforce and an efficient service within this community rehabilitation context.