The North East London (NEL) Optimal Handed Care Project is a quality improvement initiative designed to ensure that people receive the right level of support when moving, handling and carrying out daily activities. The project focuses on providing safe, proportionate care that promotes independence while protecting both patients and staff.
Optimal Handed Care (OHC) refers to an approach where a person’s physical ability is carefully assessed so that care is delivered using the most appropriate number of carers and suitable equipment, rather than automatically assigning multiple staff members. The aim is to provide support that matches the individual’s actual needs while encouraging independence wherever possible.
In many care settings, tasks such as transferring or assisting a patient may traditionally involve two carers. However, assessments may show that with the right equipment, training or technique, the same task can be carried out safely by one carer or with greater participation from the patient. This can improve dignity, mobility and confidence for patients while also reducing physical strain on staff.
The NEL project forms part of wider collaboration across health and community services in North East London. These partnerships bring together NHS organisations, local authorities and community providers to improve care quality and outcomes through shared improvement initiatives.
By promoting independence, reducing unnecessary double-handed care and improving staff training, the NEL Optimal Handed Care Project aims to create safer and more efficient care pathways. Ultimately, the project supports a person-centred approach where individuals receive the right care, delivered in the right way, at the right time.