Inside Intensive Care: ICU AHP Research and Quality Improvement in Practice

James Bruce

Critical Care Occupational Therapist , Bristol NHSFT

James is an Occupational Therapist employed within the Intensive Care Unit at Bristol Royal Infirmary Hospital. He works as an ICU clinical specialist in a unique role focused on early rehabilitation, humanistic care, and rehabilitation education across the ICU team. He engages patients in early rehabilitation, screens rehabilitation needs, and delivers rehabilitation throughout the post ICU inpatient pathway.

James has a strong interest in upper limb dysfunction following critical illness, long term functional outcomes, and learning directly from patients to improve acute care practice. He is currently completing a research fellowship to strengthen his research pillar of practice.

He has co-authored the Occupational Therapy chapter for GPICS versions 2 and 3, and the GPICS Rehabilitation chapter version 3. He is an Intensive Care Society council member, deputy of learning in the ICS, associate editor for JICS,  a steering group member for the current JLA and ICS adult critical illness research prioritisations and a steering group member for the NCEPOD rehabilitation following critical illness study. He supported the development of the AHP Critical Care Professional Development Framework. He is the Chair of the ICS AHP Professional Advisory Group, co chairs the AHP Critical Care Network for the South West of England and deputy chair of the recent formation of the UK and Ireland OT ECMO network.

Rebekah Haylett

Physiotherapist in Critical Care and ICS Physio PAG Member

Becky is a Physiotherapist working in Oxford and is the member of the ICS Physiotherapy Professional Advisory Group. Since qualifying in 2006 she has remained committed to the speciality of intensive care, and to the recovery of critically ill patients across their entire pathway. Throughout her career she has developed interests in multiprofessional education, service development, and advanced practice, and is currently undergoing accreditation as an Advanced Clinical Practitioner. Becky has continued to make contributions to a range of educational sessions for multiprofessional groups, at undergraduate and multiple stages of postgraduate training. She is keen to ensure that all professional groups have opportunities to advance knowledge and skills in all domains of clinical practice, and actively promotes the sharing and exchange of knowledge and practice, critical analysis and development. Quality improvement remain a key focus of her work, and she is dedicated to projects stemming from clinical practice.

: @Becky_HPhysio