Voluntary Workout Physio action at Work fi ndings

Meet a Images from CSP Obesity swimming classifi er events UK-wide in children

Page 66 Page 16 Page 18 Issue 12 Issue Volume 21 Volume Frontline 1 July 2015 THE PHYSIOTHERAPY MAGAZINE FOR CSP MEMBERS Slow but sure Tackling chronic pain

Inside: Jobs • Physio findings • Courses • CPD

01_ L_1_jul_o c indd 1 26/06/2015 13 37 ››9 th Annual ››

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001233_Extended indd 2 24/06/2015 09 08 Frontline • 1 July 2015 3 Contents

News News in pictures 6 13 Self-referral pilot launched in Northern Ireland 8 Spotlight on school chairs and pupils’ bad backs 10 Students’ exercise project picks up £5,000 award 12 Tips for physios on identifying eating disorders 13 E-consultations help to save the NHS money 14

Features Tackling chronic pain the slow way in Fife 24 32 Promoting better posture in the community 28

Regulars 28 Comment: your emails and views 4 In focus: round-up of events for Workout at Work Day 16 Physio findings:obesity rise 18 Views & opinions: disaster plans; new roles and HCPC registration 20 CPD: learning lessons from the ice bucket challenge 32 In review: dealing with pain 35 Networks & networking: what’s going on locally and at CSP-linked professional groups 37 Courses & conferences: your guide to better practice 50 Recruitment: latest jobs 58 3 minutes: Julie Taylor, para-swimming volunteer 66

published by Frontline is the physios’ magazine from the CSP, sent direct PRINTED BY WARNERS 01778 395111 to every member 21 times a year

03_ L_1_Jul_cont indd 1 26/06/2015 15 26 Write to us email your letters to Comment [email protected]

First impressions Forward thinking Back in 2005 the King’s Fund warned that the writing was on the wall for We’ve another packed issue of Frontline the NHS as it stood. I sensed that both nationally and locally, our profession for you: pain, posture and promotion was under threat from funding cuts and in some measure from the nursing being the themes in our features (pages profession. I took this message to some of our leaders who said to speak to 24 onwards). commissioners about our essential services and a new way of working. But it was Andy Lord’s article on In 2007 I was fortunate to fi nd a listening ear in our trust’s new ‘patient- promoting physiotherapy that really centred’ chief executive. He took on board a vision for a multidisciplinary caught my eye (page 32). team (MDT) based at our community hospital, reaching out into the CSP members probably don’t like community, which was at that time up for reconfi guration. It was adopted to think of themselves as a sales force. by local authorities and went on to win awards under the leadership of a But as Andy, a CSP professional adviser visionary rehabilitative occupational therapist. It serves in and outpatient and a physio, points out, your business’s needs and Brookfi elds is seen as a beacon of hope by older people in reputation is essential for its survival. Cambridge. An emergency response vehicle followed with an on-board Customers (clients, patients, whatever you MDT, a model which is now being copied throughout England. choose to call them) want to know they There is indeed life after a shake-up and each time we read Frontline we are buying a product or service that they read of these innovations. The Five year forward view, under Simon Stevens can trust. Like it or not, every CSP member (NHS England’s chief executive), is not just for show. It really does deliver and is an advocate for the services that physio I remain convinced after many years of serving a variety of health needs, staff provide. we must never be afraid to raise our voices and the profi le of our profession which is becoming more central to that deliverance by the day. ■ Margaret Coles ‘Every CSP member is an advocate for the services that physio staff provide.’ Safety fi rst one-stop intervention clinics may The Society of Musculoskeletal Medicine be factors limiting more comprehensive offers training and professional support to rehabilitation and treatment options While we hope no member would ever CSP members working in musculoskeletal for patients. be as pushy as a typical double glazing (MSK) practice at all stages of their careers. Physiotherapeutic injection therapy is salesperson, every clinical interface We are concerned about the potential an advanced practice activity that offers reinforces the value of your work. And that for overuse of corticosteroid injection real improvement in functional outcomes includes the greeting a patient receives therapy in MSK physiotherapy service for patients presenting with a range of from the receptionist when they arrive. delivery, and in particular where injection MSK and neurological disorders. It may And as a patient myself, I’ve had to therapy is used as a sole intervention be performed under either ultrasound wait for minutes at the reception desk rather than part of a rehab programme. guided or surface anatomy marked of a physio clinic for staff to look up and We are unsure of the reasons for this, needle placement but in all cases effective acknowledge my presence. but our members report that restricted long-term outcomes are predicated upon Events like the recent Workout at care pathway algorithms and a focus on good clinical assessment, clear differential Work Day (see page 16), and the CSP’s involvement in Older People’s Day in October (see page and 56), can help to raise the profession’s profi le and relay public health messages about the value You’ve added... of activity. But every single CSP member can A letter (page 5, 17 June) I would agree with her that Bromiley, of the Association do their bit to promote the profession – about a puppy which the difference between of Physiotherapists in starting with the next patient or relative reportedly received more the puppy physiotherapy Animal Therapy, I would who enters your clinic or unit. than 100 sessions with an treatments numbering 126 seriously question the need animal physiotherapist and the average human for 126 treatments in the Lynn Eaton prompted Laney Randell patient having around fi rst place. managing editor Frontline and head to respond online: six to eight treatments is Our major aim is to of CSP member communications ■ ‘In response to Claire mind-blowing. As one of enlighten the owner, [email protected] Lindley’s letter in Frontline, the originators, with Mary having liaised with the

04_05_ L_1_jul_comment indd 1 26/06/2015 13 38 Frontline • 1 July 2015 5 Follow us Comment on Twitter at join the debate online at @thecsp www.csp.org.uk

Top Tweets icsptalk Are you on Twitter yet? If so, here are some www.csp.org.uk/icsp is our examples of recent physio-related tweets from online discussion forum. Log people who you might want to follow. in with the ‘find’ code to read @womenshealthFB tweeted its support for and comment on discussions physio and media rising star @joyogude: about clinical, professional n @WeAHPs Joy is a real PT/AHP star advocate and employment issues. @thecsp

CSP head of online communications shared some What issues are being aired by good news: the various CSP professional n @RobLedgerOnline: Seriously pleased for networks? Find out more @thecsp to be no.1 in the @infobo_com trade below and discover how many Joe Giddens/PA Archive/Press Association Images Association Archive/Press Giddens/PA Joe union website http://bit.ly/1GtaFGe responses have been logged @AGILEChair highlighted a local initiative – a reflection of the level of to recycle walking aids: members’ interest in the topic n Physiotherapists save thousands with recycling mission http://bit.ly/1Lx93BM Controlled drugs Flavour: The discussion looks Tweeting is a great way to keep in touch. at physiotherapy practice and A high-five for Start by setting up your own account at controlled drugs. It highlights Simon Stevens https//twitter.com some of the potential confusions surrounding the newly-introduced Follow us on Twitter at @thecsp rules. Comments: 12 replies diagnosis and sound clinical expectations of initial training CSP professional adviser Pip Network: Medicines and reasoning. in injection therapy and we now White replies: prescribers We are concerned that such ask that the CSP considers the The use of injection therapy by Find: qqq478 changes in practice, if proven, may need to introduce further practice physios is generally safe thanks result in poorer patient outcomes direction on the safe and effective to the high standards promoted Frozen shoulder or and the potential for clinical use of injection therapy as part of by our professional networks. As rotator cuff challenge to a physiotherapist’s physiotherapy practice. care delivery contexts evolve we Flavour: A member shares a practice and allegations of n Paul Hattam, chair, must remain vigilant to new risks clinical case and seeks advice negligence if the patient believes education committee, Society to practice. I am happy to start on a clinical diagnosis. Several they have been harmed by of Musculoskeletal Medicine discussions with SOMM, and members have responded injection therapy. (SOMM), Jill Kerr, Jonathan Smith, other groups, to see what further with potential diagnoses and We were pleased to be part of Emily Goodlad, Elaine Atkins, guidance may help members to suggest treatments based on the cross-professional network Anne-Marie Ainscough-Potts, ensure continued patient safety. the evidence. collaboration to introduce minimum Alison Smeatham, Fleur Kitsell Email: [email protected] Comments: 7 replies Network: Orthopaedic medicine and injection therapy Find: qqq479

Struggling rehab vet, and hand responsibility n Long-held beliefs and Got something to say? following polytrauma on in respect of exercise, structures will be difficult to Write to us or comment on articles Flavour: This challenging clinical diet and care of the animal. overcome, however I am sure from the latest issue of Frontline case is about a patient who If 126 treatments are a groundswell of like-minded online. Log in at: www.csp.org.uk/ may have to use a hoist on a required something has clinicians will eventually see frontline and then go to the current permanent basis. gone very wrong. your vision come true. issue section. You will also find icons Comments: 8 replies Advancing clinical practice to like on Facebook or tweet articles. Network: Older people Ken Joy liked a letter by Neil is the ultimate aim, not Comments posted online may be Find: qqq480 Langridge and Clair Hebron safeguarding vested edited for print. (page 5, 17 June): interests.

04_05_ L_1_jul_comment indd 2 26/06/2015 13 38 NewsinPictures

1 2

We showcase some of the best physio-related photos in the news For the stories behind

the images just follow Finn Nocher/Demotix/Corbis the shortcut codes Half of all seven-year- to storm the 1 olds are not getting the chamber during recommended 60 minutes prime minister’s of daily physical activity, questions to protest according to a new report by against benefit cuts. leading fitness experts. Source: The Daily Mail Source: The Guardian http://dailym.ai/1J7oj4W http://bit.ly/1Rys8Cp Either milk or dark Overstretched A&E units 5 chocolate can lead to a 2 are ‘places of terror’ for 25 per cent lower risk of heart older and vulnerable people, disease and 22 per cent lower RCN congress delegates heard. risk of stroke. But two 45g Source: The Guardian Cadbury Dairy bars contain http://bit.ly/1Ryslp5 530 calories, with 56g of sugar and 30.5g of fat per 100g, so Keyhole knee surgery could lead to weight gain. 3 should be phased out Source: Daily Mirror because it does little good and http://bit.ly/1SMEV6A could even kill patients, a study has shown. Managers across Source: The Daily Telegraph 6 England must ‘raise http://bit.ly/1e50ccp their game’ to create happy, healthy workplaces, National A group of disability Institute for Health and Care 4 campaigners clashed Excellence guidance warns. with police inside the House Source: BBC 4 of Commons after they tried http://bbc.in/1Hju1RX

6_7_ L_1_jul_nip indd 1 26/06/2015 13 39 Frontline • 1 July 2015 7

Frontline

3 Got a news story or idea for Frontline? See www.csp.org.uk/ ideasforfrontline for details of how to contribute, email frontline@csp. org.uk with a short summary and your phone number or call the news desk on 020 7306 6665 Want to send us a photo? Use our datasend photo service. For details see ‘photographs’ at: www.csp.org.uk/ideasforfrontline Want to place an advert? Reach a 50,000+ physiotherapy audience with your product, course or recruitment ad. [email protected] 0845 600 1394

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Jim Varney/Science Photo Library Jim Varney/Science Networks & networking? [email protected] 020 7306 6166 Contact the CSP [email protected] 020 7306 6666 14 Bedford Row London WC1R 4ED Members have access to the CSP’s journal, Physiotherapy. www.csp.org.uk/journal Frontline team Managing editor Lynn Eaton Deputy editor Ian A McMillan 5 News editor Gary Henson Staff writers Robert Millett and Gill Hitchcock Designer Allyson Usher Corporate publications and production officer Tim Morse Publications manager Nicky Forbes Corporate design Tristan Reignier

ISSN 2045-4910 ©Copyright 2015 CSP. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise, without prior permission of the Chartered Society of Physiotherapy or a licence permitting restricted copying issued by the Copyright Licensing Agency. This publication may not be lent, resold, hired out or otherwise disposed of by way of trade in any form of binding or cover 6 other than that in which it is published, without the prior

Dominic Lipinski/PA Wire/Press Association Images Wire/Press Dominic Lipinski/PA consent of the publisher.

6_7_ L_1_jul_nip indd 2 26/06/2015 13 39 NewsDigest

Physio will lead profession’s regulatory body

A physiotherapist has been appointed conduct and competency panels. to a leading role at the Health and Marc Seale, HCPC chief executive, said: Care Professions Council (HCPC). ‘Elaine will lead the council, providing Elaine Buckley will take strategic direction, over as chair of the HCPC encouraging accountability council from Anna van ‘A key priority will to the public and der Gaag on 1 July. be to continue to professions and ensuring Ms Buckley will continue we fulfi l our primary in her current role at build evidence function of protecting the Sheffi eld Hallam University, based regualtion public. It is a rewarding and where she is assistant dean processes.’ fulfi lling position that has in the faculty of health and great impact.’ wellbeing, She previously Elaine Buckley Ms Buckley said: ‘A key held clinical roles in the priority for me will be to East Midlands. continue to build evidence- Ms Buckley is an HCPC council member based regulation processes and to promote New HCPC chair who has worked as an HCPC partner the wider benefi ts of being a regulated physio Elaine Buckley for 10 years, assessing overseas professional.’ applications and sitting on the council’s ■ Gary Henson

CSP website tops UK union charts The CSP’s website has topped a 2015 CSP shows falls economic mod league table of 50 trade union sites, Scotland’s health minister saw a healthcare professions, including allied many of them owned by much bigger demonstration of the CSP’s falls health professionals. prevention economic model when Other visitors to the CSP stand organisations (including Unison and Unite ). she visited the society’s exhibition included Paul Gray, chief executive stand at the NHS Scotland Event of NHS Scotland, senior civil servants The league table was compiled by 2015. from the Scottish government, NHS Sheffi eld-based digital consultancy Infobo, Kate Bennett is the project manager managers, health professionals and for the CSP’s Physiotherapy Works patient group representatives. which each June rates the websites of all programme. The CSP’s policy offi cer for Scotland TUC-affi liated unions. Visits to the CSP She said: ‘Shona Robison showed Kenryck Lloyd-Jones said the event on an interest in falls prevention and 23 and 24 June had been extremely website have gone up 35 per cent over the in the value of models, such as the successful for the society. past two years, and now number about CSP’s falls prevention economic model ‘The message that “physiotherapy which demonstrates the value of works” is being seen and heard, and 235,000 unique visits each month. See: physiotherapy.’ the suite of CSP publications has In a speech at the event in Glasgow, been highly praised by very many www.infobo.com/trade-union-website- Ms Robison called on the NHS to stakeholders,’ he said. league-table-2015 maximise the contribution of all ■ Gill Hitchcock

08_09_ L_1_Jul_news indd 1 26/06/2015 15 32 Frontline • 1 July 2015 9 Something to add? email Frontline at [email protected]

United stand against Northern Ireland launches physio HCPC fee increase self-referral pilot The CSP has added its name to a letter to the go and how they will be used and specifi cally what The long-awaited start of self-referral Health and Care Professions Council (HCPC) improvements in outcomes will follow. to physiotherapy in Northern Ireland protesting at a 12.5 per cent fee increase ‘We would respectfully request that full details has begun with the launch of a pilot (see Frontline, 20 May). of the costing of the increase – which must have at the South Eastern Trust. A statement from the Fitness to Practise taken place in order for it to be proposed – be made The initiative, enabling adults Partnership Forum issued on 19 June public. This will enable proper scrutiny of the with musculoskeletal problems to read: ‘We believe that registrants’ HCPC’s current position.’ refer themselves to a physiotherapist views have been ignored by the Patt Taylor, the CSP rep on the without seeing their GP fi rst, went HCPC. The engagement with The fees are partnership forum, said: ‘I attended live on 15 June. their key stakeholders has been set to increase by the meeting between trade unions, Bridie McKeating is the trust’s unsatisfactory. This will only serve professional bodies and the HCPC physiotherapy lead. She said the to further alienate registrants where the issue of the increase in pilot would raise the profi le of from the HCPC and encourage 12.5% fees was discussed. We expressed physiotherapy in the community the view that the fi tness to practise our disquiet at the speed at which and transform the relationship process is a punitive one. the consultation ended and that between patients and physios. ‘The HCPC had agreed to look the decision to increase fees was taken, ‘It will empower patients, at increasing fees by smaller amounts at despite an overwhelming lack of support.’ particularly in relationship to self- more frequent intervals, but this large increase Asked for a response by Frontline, the HCPC management,’ she said. ‘I hope contradicts that approach. The HCPC has not declined, pointing to its press release of 18 May. that patients will be able to decide described in detail where the additional funds will ■ Gary Henson when to seek advice and be more confi dent about managing their conditions.’ The pilot is expected to run for up to six months. It could pave the way for self-referral to physiotherapy across Northern Ireland, bringing it into step with other parts of the UK. odel to Scotland’s health minister Ms McKeating said that, based on projects elsewhere in the UK, she was confi dent physiotherapy self-referral would be implemented in Northern Ireland too. Michelle Tennyson, assistant director of allied health professions at the Public Health Agency, said self-referral was a signifi cant move towards making physiotherapists more access ble to patients. ‘Physiotherapists are independent, fi rst-contact practitioners who can respond immediately to the needs of patients and clients and are Health minister Shona Robison continuously looking for new ways discusses the CSP’s cost of falls of working that will improve patients’ calculator with CSP staff Kate Bennett and Sue Browning (right) experiences,’ she said. ■ Gill Hitchcock

08_09_ L_1_Jul_news indd 2 26/06/2015 15 32 NewsDigest

Competition offers £100,000 to small Gold medallist backs businesses with big healthcare ideas school chairs study Twelve small An Olympic sled champion helped and 64 per cent of secondary Mrs Taylor, who will use the businesses can win launch research into a possible link school children have experienced results as part of her research between school seating and back back or neck pain in the past year. into school seating and children’s £100,000 to help and neck pain in children. But it seems little consideration posture, intends to share her improve the health of British skeleton racer Lizzy is given to the chairs they spend fi ndings with Frontline. Yarnold who won gold at the over 800 hours using each year.’ ■ Robert Millett older people, under an 2014 Winter Olympics in Sochi, NHS England initiative. Russia, was invited to Saint John Houghton Catholic Voluntary They will receive Academy in Kirk Hallam, product development Derbyshire, on 10 June. She helped mark the start of funding from the Small a three-week study by paediatric business research physiotherapist Lorna Taylor. The Year 10 pupils will sit on Max initiative for healthcare II chairs for the duration of the (SBRI Healthcare). study, instead of their usual ones, and will complete ‘before and Lizzy Yarnold tries the new chairs with pupils after’ questionnaires. The competition closes at Saint John Houghton Mrs Taylor told Frontline: Catholic Voluntary Academy on 11 August. Visit ‘Recent research shows that 72 sbrihealthcare.co.uk per cent of primary aged children

Teesside physios develop standards disaster care with International Red

Two physiotherapy academics from Teesside Professor Holey, pro vice-chancellor at the for physiotherapists and the rehabilitation University are working on a project that aims university, and Ms Binks, a principal lecturer in staff they train, who may be classed as to ensure that victims of confl ict and natural physiotherapy, have been collaborating with assistants or physios in their own countries. disasters have access to optimal standards ICRC physiotherapists over the last year to ‘With any disaster management of physio care. help develop the standards. organisation, what matters is what’s left Liz Holey and Anne Binks have been This has included a series of workshops behind after they leave – the legacy from commissioned by the International with ICRC physiotherapy lead Barbara Rau their input. The physios are striving to Committee of the Red Cross (ICRC) to develop and physiotherapists from the organisation infl uence and establish best practice so a set of standards for physiotherapy, which who work in locations such as Gaza, that they can rest assured that the standards will be implemented in rehabilitation projects Afghanistan and Iraq. they have been working to are continued.’ the organisation supports around the world. Ms Binks told Frontline: ‘The standards are To date the two physios have established

10_11_ L_1_Jul_news indd 1 26/06/2015 13 40 Frontline • 1 July 2015 11 Something to add? email Frontline at [email protected]

Local innovators will make the NHS viable, AHPs hear Opportunities for physiotherapists to innovate and morbidly obese than we spend on prevention of said AHPs were lucky to be surrounded by cheap or gain new clinical fellowships were key themes at obesity in the fi rst place. We have to reverse this.’ free technology. NHS England’s fi rst allied health professions (AHPs) Sir Malcolm predicted that new technologies He urged them to ‘look at where there is a real offi cer’s conference. would revolutionise healthcare and prevention. need; look at what is available in terms of data and Suzanne Rastrick, chief AHP offi cer for England, ‘Smartphones will become the health systems of social media; put together things that might work was the driving force behind the event in London the future,’ he said. and then test them out in the real world’. on 23 June. She announced that she would offer Tony Young is the national clinical director for two clinical fellowships: one with Health Education innovation at NHS England. He spoke about the England and the other with NHS England. ‘Smartphones will become the National Institute for Health and Care Excellence Promising advice ‘in the very near future’ on how health systems of the future.’ health technology briefi ngs which can help ideas to apply, she said: ‘For me this is a really important Professor Sir Malcolm Grant to be adopted and NHS England’s Innovation step forward on a path that it isn’t just about accelerator programme. doctors and nurses’. ‘If you are an innovator with a great idea, apply In his opening speech Professor Sir Malcolm ‘That is why Google and Apple are investing to us and we will try and incubate that within the Grant, chair of NHS England, called on AHPs billions in developing applications and using NHS and get it taken forward,’ he said. to think about how ‘artifi cial barriers’ could be smartphone technology. I would rather have an Professor Young said that a crowd sourcing broken down. These barriers affected the delivery NHS that was run by dedicated professionals with event for the Accelerated access review would take of physical and mental ill health, primary and all the support we can get from technology, than place this summer. The programme is being taken secondary care and health and social care. one that is taken over by Google or Apple using forward by life sciences minister George Freeman The fi nancial viability of the service depended data and then selling it back to us at a higher cost.’ to speed up access to innovative drugs, devices and on preventing illness, he said. ‘We spend more in Geoff Mulgan, a former Downing Street adviser diagnostics for NHS patients. the NHS on bariatric surgery for people who are and chief executive of innovation charity Nesta, ■ Gill Hitchcock ds for ed Cross

23 standards, which cover topics such as respect for the individual, informed consent and assessment confi dentiality. ‘The next stage is to develop a series of tools to support implementation of the standards and a measurement of the quality achieved,’ said Ms Binks. Left to right: Physios Anne ■ Robert Millett Binks, Liz Holey and Barbara Rau outide the ICRC HQ in • See also Forward thinking, page 20 Geneva. They are pictured with a battered ambulance

10_11_ L_1_Jul_news indd 2 26/06/2015 13 40 NewsDigest

Physios will be exempt from acupuncture law

Physiotherapists in Wales who practise secondary legislation so that acupuncture will be exempt from new physiotherapists are exempt from licensing laws, the CSP has said. the licensing rules. Fears of double registration for ‘I am confident that physios, who physios were raised after publication are of course already registered with of the Public Health (Wales) Bill. It the Health and Care Professions The CSP’s Philippa proposes new laws for people who Council, will not have to be dual Ford said secondary carry out acupuncture, saying that registered,’ she said. legislation would they ‘must do so under the authority ‘But we will have to make sure be brought forward of a special procedure licence’. that the secondary legislation is by the Welsh However, CSP policy officer for brought forward by the Welsh government Wales Philippa Ford said the Welsh government.’ n Terra Images/Alamy Terra government would introduce Gill Hitchcock

£34m to help fund community Oxfordshire physio students d physiotherapy in Wales A £34 million fund will help award-winning enterprise move physiotherapy and A community interest company from the same university. people, such as NHS Innovations created by physiotherapy students They wanted to create a South East and we hope to have other healthcare services was a finalist and won £5,000 community-based intervention to access to their support in the into the community, the in an annual competition that complement existing health future,’ he said. encourages innovation in the NHS. services for people with Fluid Motion Welsh government has Fluid Motion, which provides musculoskeletal (MSK) The provides pool-based swimming pool exercise classes conditions, as well exercise classes announced. The investment in Oxfordshire, was recognised as offering a local, £5k led by qualified aims to support GP practices in the NHS 2023 Challenge. affordable service prize fund will be used MSK healthcare The competition is aimed at to help people to explore ways to professionals. by recruiting and training trainees and frontline clinicians self-manage their make the model Mr Bonello in the Thames Valley area whose condition. available to NHS described how the more physiotherapists, projects have a positive impact Mr Bonello said patients classes are tailored nurses and pharmacists on the NHS and patient care. that they intend to use to suit each individual, The company was set up last the £5,000 fund to explore with participants following to work alongside doctors September by Alun Bonello and how the model could be made their own prescribed programmes Hilary Smith, both second-year available to NHS patients. in a dedicated space within as part of a joined-up physiotherapy undergraduates ‘Through our involvement the pool, guided by a qualified primary care team. at Oxford Brookes University, and in the NHS 2023 Challenge healthcare practitioner.’ Ben Wilkins a graduate osteopath we’ve made good contacts with n Gill Hitchcock

12_13_ L_1_jul_news indd 1 26/06/2015 13 41 Frontline • 1 July 2015 13 Something to add? email Frontline at [email protected]

Physios are recognised in Queen’s birthday honours Two physios received recognition in the Queen’s 2015 birthday honours list. Jane Rankin, lead for the Lymphoedema Network Northern Ireland, was made a Member of the British Empire (MBE) Ian Boddy/Science Photo Library for her services to physiotherapy and lymphoedema treatment. Jan Smith, former executive director of therapies at Aneurin Bevan University Health Board, was made a Member of the British Empire (MBE) for her service Help to identify patients with to therapy services in Wales. eating disorders, physios urged

Physiotherapists can play a vital role Physios should raise their concerns in identifying patients with eating about someone who might have an disorders, according to members of the undiagnosed eating disorder with Chartered Physiotherapists in Mental his or her GP, or other appropriate s demonstrate Health professional network. healthcare professionals, adds Relatively few physios specialise network member Yvonne Hull. And in eating disorders and they want to patient consent should be obtained promote a wider awareness of the where appropriate. signs and symptoms According to the Health and Social Fluid Motion Speaking on behalf of the Care Information Centre (HSCIC) founders Alun specialist network, physio Jody the number of hospital admissions Bonello and Phillips told Frontline: ‘In general it for eating disorders rose by eight per H lary Smith is useful for physiotherapists to be cent in England in 2012-13. aware that there is a rise in eating During this time 2,550 people disorders. Often these people w ll were admitted with eating present at physiotherapy fi rst with disorders, in comparison to 2,370 musculoskeletal injuries.’ the previous year. Signs and symptoms include ■ Robert Millett ■ bodies that are too thin for their age group ■ obsessions with body image More information or weight Physiotherapy in eating disorders ■ obsessions with food network http://bit.ly/1ftr7Qd ■ unusual repetitive strain injuries HSCIC fi gures on eating or stress fractures disorders bit.ly/1SFTGIk ■ injuries that are not resolving Frontline article on eating as expected disorders and osteoporosis ■ obsessions with exercise (or signs of www.csp.org.uk/node/900734 overdoing prescribed exercises)

12_13_ L_1_jul_news indd 2 26/06/2015 13 42 NewsDigest

E-consultations offer big savings to NHS in England

Evidence gathered by NHS England shows for practitioners,’ he said. that e-consultations deliver big fi nancial The NHS Choices website, the single benefi ts for the NHS, said the organisation’s online access point for information and director of digital technology Beverley Byrant. advice, had been very popular since its Speaking at the King’s Fund digital health launch in 2007, according to Ms Bryant. congress in London on 16 June she said that In future, it would focus more on local having multidisciplinary teams working via NHS services. Skype, videoconference, or teleconference ‘So the vision is to have an nhs.uk/ ‘really does save money’. Barnsley or Bristol, where the local ‘It stops the patient having to go in authorities and health authorities all work for an appointment and stops all the together to provide content to meet the administration around that appointment,’ needs of citizens in their area,’ she said. she said. The long-awaited NHS e-referral And the CSP’s head of practice Steve Tolan service, the national electronic hospital described the opportunity for physios to appointment booking system to replace enhance existing services, such as telephone Choose and Book, went live on 15 June. triage, through Skype-based consultations as Ms Bryant reported that after some teething an exciting prospect. troubles on its fi rst day the new system had ‘There are examples of this being used been working well. Beverley Byrant: already to bring expertise to remote The 15 July edition of Frontline will look www.nhs.uk will communities. In some instances, this could at the e-referral service in England and what include local content enhance the physiotherapy offered in this means for the physiotherapy profession. primary care and as a fi rst point of contact ■ Gill Hitchcock

‘Dithering’ over digital is compromising safety

NHS medical director for England the ability of the NHS to reduce to a great start,’ he said. Professor Sir Bruce Keogh said premature mortality was After the event CSP professional there was an urgent need to compromised. So was helping people adviser Stuart Palma told improve patient safety by with long-term conditions, because Frontline ‘the time is now’ for digitising health services. they could potentially become physiotherapists to engage with Speaking at the King’s Fund’s participants in their healthcare and digital developments and make digital health congress, Professor care could be delivered more safely. sure they were ‘fi t for purpose’. Keogh called for frankness about the ‘I have sat in clinics where the ‘We are the largest group of moral responsibilities of using IT in information was not available allied health professionals and healthcare. and I have actually had to ask the we can lead the way on this He told delegates that while ‘we patient what operation they were engagement,’ he said. dither about making progress’, expecting. That doesn’t get you off ■ Gill Hitchcock

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5 or4 PUK2015 Ad indd 6 11/06/2015 13 53 W@WD2015 What a day!

CSP members hosted BURY a record-breaking BELFAST Workout at Work Day, with more than 300 events taking place across the UK.

ore than 900 physiotherapy staff went into workplaces on With the weather on their side, Deirdre M Winters and Angela Clarke invited 12 June for Workout at Work Day. Their aim was to promote good physiotherapy staff from Musgrave health and help people avoid Park Hospital to join them for an open-air lunchtime exercise session musculoskeletal problems through Advanced physiotherapy practitioner Deborah lack of exercise. Bancroft held lunchtime exercise classes for staff at The annual event, part of Bury Council and Pennine Acute Hospitals NHS Trust the CSP’s Physiotherapy Works OLDHAM campaign, aims to raise the profession’s profi le. CSP members KEELE Sarah Harrisson delivered a range of activities reported that CSP including a Wattbike challenge, members from the Pilates and brisk country walks Arthritis Research There was widespread media UK Primary Care Centre abandoned coverage, with CSP spokespeople James Stanton, physio their desks at discussing how physiotherapy at Pennine Care NHS lunchtime for a Foundation Trust, involved can stimulate physical activity. brisk walk around staff at Werneth Primary Stefani Lanteri reports Keele University’s Care in a Pilates session grounds in glorious sunshine CREWE

WORTHING CARDIFF

Physiotherapist Vicki Bateman with members of the CTC Respiratory physiotherapist Jo Ansell and Healthcare team in one of the her colleague Alison Stainer were proud to James Rind (far right) leads an exercise session, many outdoors Pilates sessions report that staff at St Barnabas Hospice with Mark Drakeford, minister for health and offered throughout the day climbed 2,266 stairs in their lunch break social services in Wales, in the front row (left)

16_17_ L_1_jul_wowd indd 1 25/06/2015 15 13 Frontline • 1 July 2015 17

DUNFERMLINE EDINBURGH BUNGAY

Inga Cosway (left), from NHS Healthy Working Lives, MSP Alison Johnstone Cara Hilton MSP (second from right) and CSP member Amanda Jones (right) Shilu John said there was a big turnout and Andrew Lee (third from left) outside spread the word about workers being at All Hallows Hospital in Suffolk. About Lynebank Hospital with therapy staff more active at the NHS Lothian event 50 staff members took part and received certifi cates to mark their involvement

BIRMINGHAM IPSWICH

CSP member Mel Stewart thanked a Occupational health physiotherapist Kathy Duffi eld Public Health England team, pictured invited Sue Denny from Taoist Tai Chi to lead the taking a break on the stairs, for helping group at Ipswich Hospital NHS Trust, with chief University of Birmingham staff to move executive Nick Hulme (above) taking part

MILTON KEYNES LONDON

EAST SUSSEX

Claire Reeder, physio at the Volkswagen Under the guidance of physiotherapist Financial Services Wellbeing Centre in Rebecca Webster, staff at St John’s Milton Keynes, helped staff take part in a Therapy Centre in Wandsworth enjoyed static b ke ride. They covered the distance Pilates and Nordic walking sessions to Crewe, where Bentley cars are made

Staff pictured at the Horder Centre in East Sussex took up the challenge of riding 137 km, the distance between Want to see more pictures? all the Horder Healthcare centres Go to www.csp.org.uk/liveblog

16_17_ L_1_jul_wowd indd 2 25/06/2015 15 13 Janet Wright looks at newly PhysioFindings published studies Sling and exercise work as well as

Shoulder fractures are becoming increasingly common in older people, and more patients are being offered surgery despite a shortage of clear evidence that it is effective. A fi ve-year study has now found that surgery is no more successful than the conservative treatment: simply immobilising the arm with a sling and having physiotherapy. Amar Rangan of James Cook University Hospital, Middlesbrough, and colleagues carried out the biggest randomised trial to date on this kind of fracture. They recruited 250 patients, with help from clinicians at 32 NHS hospitals around the country. The patients had all had a fracture within the previous three weeks. They were randomly allocated to two groups, with 114 receiving surgery while 117 wore a sling to immobilise the arm, followed by physiotherapy.

Open access Physiotherapy is the cost to US pat Lumbar spinal stenosis is a painful patients for either decompression condition, caused when joint surgery or physiotherapy. The degeneration or age-related changes physiotherapy group attended twice- reduce the space around the spinal weekly sessions for six weeks, which cord. The resulting pressure on the included patient education as well spinal nerves can cause pain in as exercises in lumbar fl exion and the lower back and legs, making it general conditioning. diffi cult to walk. However, more than half the Most journals only allow non-subscr bers to read the abstracts, or Anthony Delitto from Pittsburgh physio group chose to swap and have summaries of studies they’ve printed. To read the full study you University and colleagues the operation after the trial started, usually need a subscription, or access through your workplace compared two popular treatments: most of them having had a few or an institution such as the CSP. (See ‘Reading keeps you up to physiotherapy and surgical exercise sessions. As the trial took date’, Frontline 18 February 2015, www.csp.org.uk/node/862647) decompression. They chose 169 place in the United States, the team However, a growing number of journals allow all or some of their volunteers over the age of 50 whose noted that healthcare costs may work to be read free of charge online, as part of a movement for spinal stenosis had been diagnosed have played a role: physiotherapy open access. Starting this issue, stories in Physio fi ndings that can by CT or MRI scans who had all been worked out more expensive to the be read in full by anyone will be labelled ‘open access’. found suitable for surgery. patients than an operation. The team randomly allocated Both groups were assessed four

18_19_ L_1_jul_physio indings indd 1 25/06/2015 15 12 Frontline • 1 July 2015 19 Something to add? email Frontline at [email protected]

s surgery for shoulders Comments and conclusions The Proximal fracture of the humerus undergone surgery in terms of functionfunction, pain, evaluation by randomization (PROFHER) health-related quality of life, complications ■ Taking steroids doesn’t relieve the trial took place in several centres. The team related to the surgery or fracture, or death. pain of sciatica and has only a small developed a rehabilitation routine with input ‘These results do not support the effect on easing movement. from specialist physios and produced an trend of increased surgery for patients Goldberg H et al. JAMA 2015; 313: information leafl et on self-care for patients with displaced fractures of the proximal 1915-1923, http://dx.doi.org/10.1001/ wearing a sling. Patients were also given humerus,’ say the authors. jama.2015.4468 exercises to do at home, and reported on Rangan A et al. Surgical vs nonsurgical

their own outcomes. treatment of adults with displaced ■ A Pilates programme proved as Along with the standardised physiotherapy fractures of the proximal humerus: The effective as conventional pelvic- protocols, specially designed forms helped PROFHER randomized clinical trial. fl oor muscle exercises in treating to ensure that treatment and record-keeping JAMA 2015; 313: 1037-1047, http:// urinary incontinence in men after remained the same in each centre. dx.doi.org/10.1001/jama.2015.1629 a prostatectomy. Pedriali FR et al. ‘There was exemplary completion of the Handoll HHG et al. Developing, delivering Neurourology and Urodynamics 2015; physiotherapy forms that often refl ected and documenting rehabilitation in a http://dx.doi.org/10.1002/nau.22761 a complex patient care pathway,’ says a multi-centre randomised controlled related paper about the trial. surgical trial: Experiences from the ■ Ten-year-olds in the UK now are two The patients were followed up at six PROFHER trial. Bone & Joint Research to three times more likely to be obese months, a year and two years later. 2014; 3: 335-340, http://dx.doi. than children born before the 1980s, Researchers found no signifi cant difference org/10.1302/2046-3758.312.2000364 - say researchers studying data on between those who had and hadn’t open access 56,632 people in fi ve British studies. People are becoming overweight earlier and reaching higher weights in each generation. Johnson W et al. PLOS Medicine 2015; http://dx.doi. is worth org/10.1371/ journal.pmed. 1001828 - open access atients times over the following two

years. After the fi nal assessment, the team concluded that both physiotherapy and surgery had yielded similar results. ‘Patients and health care providers should engage in shared decision-making conversations that include full disclosure of evidence involving surgical and nonsurgical treatments for LSS,’ the authors conclude. Delitto A et al. Surgery versus nonsurgical treatment of lumbar spinal stenosis: A randomized trial. Annals of Internal Medicine 2015; 162: 465-473, http://

dx.doi.org/10.7326/M14-1420 J Bories/CNRI/Science Photo Library Pr

18_19_ L_1_jul_physio indings indd 2 25/06/2015 15 21 Views&Opinions

Planning and long-ter m Forward thinking be handled well by ph y saster management massive numbers of visitors – international community to has become a big currently we get about 27,000 page understand the potential contribution Dtopic in physiotherapy. views a month. of physical therapists in this fi eld. Ten There was standing room only This growth in interest is perhaps years ago, disaster management was at our seminar on disaster not unconnected with WCPT’s all too often disaster response, with management at the World work in the fi eld. It started in 2007 uncoordinated teams of doctors and Confederation for Physical with the publication of our policy surgeons rushing in and then leaving Therapy (WCPT) congress in on physiotherapy and disaster after the immediate crisis. But things Singapore in May – a session given management, and continued as we began to change with the 2010 Haiti added poignancy by the presence established networks and published earthquake, when the hazards of this of Nepalese physiotherapists, who more information and advice in the approach became obvious. had arrived at the congress just days fi eld. Today, we work closely with the Disaster management is now after a devastating earthquake had aid agency Handicap International being understood as a continuum, hit their homes. which has sent out physios as part covering disaster prevention, The WCPT website’s pages on of relief teams to Nepal, Syria, the preparedness, response and long- disaster management, Philippines and Haiti. With them, term recovery. The humanitarian containing we will be producing a new briefi ng community as a whole is coming information and paper in the coming months. to recognise how signifi cant the advice on the We believe physiotherapists role of rehabilitation is within this physiotherapy need to be aware of how they continuum, and this is demonstrated contribution, can contribute in areas affected in new humanitarian guidelines has attracted by disasters. We also want the and guidance from United Nations

Help to spread the word that moving is good Moving plea for people with dementia, says June Andrews

esearch on how Even when nursing and other of stay. It is wrong to wait for The challenge for to delay or reduce associated staff understand an intermittent physiotherapy physiotherapists is how to R dementia symptoms is the need for exercise, they input, or assume that this will share their skills. Open hospital limited, but there is evidence is may ‘refer for physiotherapy’ be adequate for care. or care home visiting and that exercise has an extremely rather than using everyday teaching relatives and visitors important role. Nevertheless opportunities. Walking the about the importance of people with dementia, patient to the dining table ‘Walking the patient keeping the patient moving is particularly in hospital or care rather than serving a meal vital. When staff are busy, this home care, are discouraged from at the bedside or helping the to the dining table additional support can make a moving about at all. How often patient to make their way or bathroom are huge difference. If this seems do we see frail older patients to the bathroom rather than ways to reduce the risky, the risk must be assessed who have been physically putting them in a wheelchair to against the proven risk of restrained, or who are being save time, are ways of reducing complications that deterioration caused given medication to keep them the complications that give give rise to increased by immobility. still, when moving is the one rise to increased dependency dependency.’ The Dementia Services thing that they should be doing? and, in hospital, increase length Development Centre at the

20_21_ L_1_Jul_views indd 1 25/06/2015 15 11 Frontline • 1 July 2015 21 Something to add? email Frontline at [email protected]

er m commitment are vital if disasters are to Adviceline ph ysios and others, says Catherine Sykes No longer working with patients? You still need HCPC registration, says Pip White

agencies such as the World Health physiotherapists who want or need Organization. to practise in this area. The use of the title ‘physiotherapist’ is protected, WCPT has received much It is inspiring that increasing which means that only those registered with the support and input from its member numbers of physios are prepared Health and Care Professions Council (HCPC) can use organisations in countries directly to step in when disaster strikes. But it. This gives the public a measure of confi dence that affected by disasters, and where the fi eld has special challenges, and those practising in the physiotherapy profession are local physiotherapists have played doesn’t suit everyone. Have a look safe and adequately trained. an incredibly important role in at the material on our website to get The HCPC gives clear guidance that practising rebuilding lives – most notably Japan, a better idea of whether it might your profession using a protected title applies to the Philippines, New Zealand and suit you www.wcpt.org/disaster- far wider settings than just clinical roles. It means Nepal. We are also benefi ting from management undertaking any activity where you directly draw the expertise of physiotherapists with Our advice to interested physios is on your professional knowledge and skills in any huge experience of international to go through existing frameworks – position. Roles where physios are managing, guiding response, such as Pete Skelton that means registering with the UK or infl uencing the activity of other members of and Diana Hiscock from the UK, International Emergency Trauma the profession, students, or others fall within the who contributed to our congress Register. This will guide physios to defi nition of ‘practising your profession’. session and the new materials we the right training, match their skills to It has always been accepted that physiotherapy will offer. Through these resources, needs, and ensure that when called managers, educators, researchers, and policy we want to help organisations and on they will be up to the job. advisers are as equally ‘physiotherapists’ as clinical individual practitioners have a better practitioners, but with expanding horizons on understanding of what preparation, Catherine Sykes is a WCPT the impact of the role of physiotherapy on the skills and training are needed for professional policy consultant population in general, there is now a need to accept that the role of protection of title is far wider than just protecting ‘healthcare’ contexts. Physiotherapists have a growing voice working in public health roles, social care settings, and national advisory and leadership roles in policy, commissioning and quality. These roles are not ‘clinical’ or even directly ‘healthcare’. However, where they use your knowledge of the role of physiotherapy in infl uencing human movement performance and function at any level, including University of Stirling is a Birmingham from 4 to 5 improving the health and wellbeing of populations source of information and November, along with a care in general, even before illness or disability occurs, advice about how to improve show exhibition. then you are still practising your profession and so care for people with dementia. Tell us what you think through must be HCPC registered. The website at www. the Big Ask www.dementia. Health and wellbeing priorities are evolving rapidly dementia.stir.ac.uk provides stir.ac.uk/ideas/big-ask at both population and policy levels. Physiotherapists a wealth of ideas. This year who are leading the way in new contexts should through the Dementia Festival not be shy of promoting their expertise. We must of Ideas (www.festivalofi deas. June Andrews remember that many of these new roles require org.uk) physiotherapists is director of HCPC registration and we cannot promote what have the opportunity to add the Dementia physiotherapy has to offer to the public without it. their knowledge to that of Services Don’t see these roles as ‘leaving the profession’; other professionals by taking Development rather see them as ‘taking the profession with you’. part in the international Centre at the conference. University of Pip White is a CSP professional adviser This will be held in Stirling

20_21_ L_1_Jul_views indd 2 25/06/2015 15 11 Chartered Society o Award Nom Excellent physiotherapy deserves recognition

Now incorporating Deadline extended to: sponsored by 19 July

001233NominateNowDPS indd 1 24/06/2015 09 09 of Physiotherapy ds 2015 ››9 th Annual minate NOW! www.csp.org.uk/awards

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001233NominateNowDPS indd 2 24/06/2015 09 09 ManagingPain

24_27_ L_1_Jul_pain indd 1 25/06/2015 15 10 Frontline • 1 July 2015 25

Some patients with chronic pain need long-term support. Ian A McMillan meets two physios who don’t look for a ‘quick fix’

Slow rehab

emory and tended to be branded as ‘heart sink way, and may become discouraged,’ concentration patients’ by unsympathetic GPs, because he explains. ‘Research shows that a problems, dashed they pitched up repeatedly at surgeries clinician’s attitudes can affect the hopes, an impaired and failed to respond to a quality of the consultation, the sense of identity, succession of interventions. treatment given and even loss of confidence, But for Mr Clark, a band whether a patient is referred ession and panic attacks. These are 7 physio with the to a specialist service or M of the ingredients in an emotional Fife integrated pain gains access to appropriate ail affecting people living with management service, they medication. There could term pain, according to Neil Clark, are an endlessly fascinating 1 in 5 be fears about patients hly specialist physiotherapist. and challenging group, people live with becoming addicted, from Clark, who is based at Queen Margaret meriting sophisticated, chronic pain both the clinician’s and ospital, Dunfermline, about 20 miles tailor-made support from the patient’s perspective. north of Edinburgh, has compiled a multidisciplinary team. ‘As physios we are often a list of problems highlighted by Mr Clark’s colleague, physio team trying to figure out the patient’s patients with chronic pain who attend lead Paul Cameron, says the goal belief system or how things in the past group sessions (see box, over). is to promote perseverance or ‘stickability’. have impacted on them. Some are “in In the past, people with chronic pain ‘Patients may face many setbacks along the mourning” for a past life – which, in

24_27_ L_1_Jul_pain indd 2 25/06/2015 15 10 ManagingPain

reality, might not have actually been as good as they now imagine.’ Contrary to a layperson’s expectations that Level 1: Advice and information people with chronic pain tend to be middle- about pain and what to do about it. Anyone can access community settings. aged or older, the patients seen at the Fife Integrated Pain Management Service have a wide spectrum of ages. Their conditions Level 2: When help from a GP are also broad – including fi bromyalgia, or therapist is needed. chronic back pain and complex regional pain syndrome. Some have pre-existing conditions, Level 3: For those needing such as multiple sclerosis, or are recovering more special help from a chronic from having had a stroke or chemotherapy. pain management service. ‘We appreciate that change can take time,’ says Mr Clark. ‘One of my colleagues said Level 4: Highly specialised help. what we do is “slow rehabilitation” in that we take people’s social circumstances into account. By the time patients get referred here, they can be depressed and their The NHS Fife Integrated Pain Management Service is the motivation and self-esteem is very low.’ only pain service in Scotland that manages pain in both Battered self-esteem Self-mangement information, support and guidance accessible via www.chronicpaininscotland.com Help is also available primary care and secondary For some, chronic pain can be the latest in from organisations such as Pain Association Scotland, Pain care settings, says Health a series of blows to an already battered Concern and The Alliance. Improvement Scotland self-esteem. ‘Some patients have backgrounds where they might have struggled with school and education and may not have had role fuelled by having read a magazine or based on it (see illustration above). models who made it in the world of work. newspaper article promoting the ‘latest wonder ‘Some lack any experience of success in treatment’, says Mr ClaClark. k. ‘Some patients come Unique service their lives and fi nd it diffi cult to overcome with an expectation that we have a “magic Mr Cameron, who chairs the British Pain chronic pain. Of course this is not true of all bullet” – but there is no p ll or injection that Society’s education committee and is the people from this background, nor is it the case can turn their symptoms around overnight.’ national chronic pain coordinator for the for all people who develop chronic pain. But The service covers a population of Scottish Government, explains its origins: social context is hugely powerful in people 350,000. Much of the catchment area is ‘The plan to integrate the two arms of the with persistent pain and cannot be ignored.’ relatively rural, but there are pockets of pain service was put into effect in 2009. Patients can arrive with unrealistic hopes, post-industrial deprivation – many traditional Physiotherapy had started contributing jobs in mining or harbour work, for example, to the secondary care pain service in have declined or disappeared entirely. 1999 and the primary care pain service What makes the Fife pain service so (known as Rivers) was set up in 2004. pioneering – unique, even in Scotland – is ‘What’s unique about us is that by having services based in primary care and secondary care we can cater for every ‘Some patients come with an expectation patient’s needs. This means that if they can cope with an exercise and education-based that we have a ”magic bullet” but there pain management programme, they will be is no pill or injection that can turn their seen by the primary care, or Rivers, team.’ This consists of physiotherapy, symptoms around overnight.’ pharmacy and physiotherapy technical Neil Clark instructors. ‘The secondary care team at Queen Margaret is for those requiring more individualised, multidisciplinary that it is delivered in both primary care input. As well as physiotherapists, there and secondary care settings. Indeed, it’s are consultant anesthetists, a specialist proved so infl uential that the Scottish nurse, an occupational therapist and service model for chronic pain is now clinical psychologists.’ There is a gym

24_27_ L_1_Jul_pain indd 3 25/06/2015 15 10 Frontline • 1 July 2015 27

with equipment such as stationary Dundee research bikes and running machines where Research conducted at Dundee University patients often surprise themselves in one region of Scotland found rates by beginning to exercise again. of chronic pain that if extrapolated Mr Cameron, a supplementary nationwide would mean 800,000 people and now independent prescriber, are affected in Scotland, says Mr Cameron. can prescribe drugs ranging from ‘That fi gure is, I believe, a minimum, paracetamol to morphine (the latter as not everyone will take part in a survey. with a GP’s signed approval). ‘We try Clearly 800,000 people are not being seen to give people medication at as low by chronic pain services and most people a level as possible, thus reducing “manage” and just get on with things. This Fifers Paul Cameron (left) and Neil Clark try to foster the potential for harmful can have a knock-on effect on employment perseverance and ‘stickability’ in their patients side effects, while still and some people fi nd ways of dealing with maintaining any benefi ts. it that are unhealthy – and they might be the best thing for them.’ As a physiotherapist with less likely to seek help from us as a result, New patients are triaged prescribing rights I can unless the pain becomes very severe.’ based on self-completed deal with a patient’s For Mr Cameron, who is undertaking 800,000 questionnaires and a problems then and there, a PhD at Dundee University on a part- people in Scotland decision is made on without waiting for them time basis, the ‘selling point’ of the Fife say they have whether they are seen by to be seen by a colleague.’ specialist service is that it sees patients chronic pain the primary or secondary who are at the ‘end of the road’. care service. The questionnaires ‘Without us many of them would be Staying on message give information on topics such For Mr Clark, the ethos of the described as “revolving door” patients, as function, anxiety and depression. service is about helping patients to visiting their GP repeatedly and wouldn’t Mr Cameron points out that pain cannot manage their own pain. ‘It’s a bit like be able to contribute to society.’ be measured or seen, and that people with teaching a child to ride a bike – they Mr Clark adds: ‘We often work on chronic pain often have to grit their teeth may initially need a lot of support and educating the patients, helping them to and carry on with activities, such as going fall over a lot. But, with time and support, understand that pain is not necessarily a to work or taking their children to school. they can ride off into the distance and sign of harm or damage, and that avoiding ‘Whereas most people can empathise you can step into the background.’ activities or exercise will make things worse with having a broken leg or toothache, A consistent approach is taken and in the long run. Through a combination of a they might wonder, given that the patient patients receiving secondary care might better understanding and gently encouraging isn’t screaming or writhing in pain, just see a range of professionals over time. people to do things gradually, they become how much pain the person is enduring.’ ‘The important thing is that we all have more active again and start to focus on what the same ethos of supported pain self- they can do rather than what they can’t.’ FL management. No matter which professional they see, or the setting they are seen in, the Self-reported effects message will be the same,’ says Mr Clark. of chronic pain ‘We are not generally looking at giving More information injections or medication in isolation: rather ■ others don’t understand/don’t see it Neil Clark is public relations we emphasise, promote and demonstrate ■ sometimes feel will fi nd some hope – offi cer for the Physiotherapy the skills of pain self-management to disappointed Pain Association professional the patient. We might help them gain a ■ sleep problems network. better understanding of their condition, ■ increased weight Visit http://ppa.csp.org.uk returning to an activity or to exercise. We ■ stiffen up Physiotherapy works: use pacing strategies, relaxation, goal ■ weak muscles chronic pain is available setting, reducing fear avoidance and so on.’ ■ work issues at: www.csp.org.uk/ Mr Clark’s says his primary care colleagues ■ panic attacks, anxiety theevidence often see patients in community venues, ■ benefi ts such as leisure centres. ‘This is important ■ depression as it begins to de-medicalise the condition. ■ memory and concentration Patients don’t have to go to a hospital or a ■ anger and frustration health centre for their pain problems, and ■ loss of identity going to a leisure centre may actually be

24_27_ L_1_Jul_pain indd 4 25/06/2015 15 11 PosturalCare

Robert Millett meets two physios who provide postural care for people with profound learning disabilities

ble-bodied people can easily change their posture if they find themselves sitting uncomfortably. But people with profound and multiple learning disabilities (PMLD) don’t have that option. When they feel uncomfortable they are unable to move themselves, and are often incapable of communicating theirA concerns. As a result they are highly vulnerable to the adverse effects of poor positioning. To address this issue physiotherapists in Lincolnshire are providing a postural care service in the community, which assesses adults with PMLD and reviews them on an ongoing basis. Lincolnshire NHS Trust’s service started in November 2012. It was set up to maintain and improve the body symmetry of people with learning disabilities who are unable to change their own body position. Specialist physios Lisa Defusto and Debbie Davison helped to establish the service and have been instrumental in its success. ‘We have set up two clinics in the county to assess the posture of adults with profound and multiple learning disabilities,’ says Mrs Defusto. ‘We reassess them every six months, or earlier if required, and then we monitor them annually.’ The physios are based at the Chapel centre in Spalding, a day centre for people with learning disabilities and the venue for one of the service’s postural care clinics. In addition to Spalding, monthly clinics are also held in Lincoln, and the service also has bases in Boston and Grantham. The physios work in a multidisciplinary team that includes occupational therapists, speech and language therapists and psychologists. They liaise with other health services, care providers, families and social services to provide support for their complex patients or ‘clients’. As well as having a profound learning disability, people with PMLD also have physical disabilities and complex healthcare needs. The majority are life-long wheelchair users and their communication is usually non-verbal. In addition they may have respiratory issues, dysphagia (swallowing difficulties) and be fed non-orally. Due to these factors they need high Body levels of support and 24-hour care. Without postural care and appropriate interventions they can develop a range of health problems, says Mrs Defusto. These can include pain, contractures, spinal deformities (such as scoliosis), an increased risk of fractures (due to reduced bone density), lack of muscle tone, loss of function and an increased likelihood of surgery. Mrs Davison explains that the postural care service work

28_30_ L_1_Jul_posture indd 1 25/06/2015 15 10 Frontline • 1 July 2015 29 Want to fi nd out more? Association of Chartered Physiotherapists for People with Learninng Disabilities http://acppld.csp.org.uk

Sitting pretty: physios play a crucial role in improving people’s posture

Mencap

28_30_ L_1_Jul_posture indd 2 25/06/2015 15 10 PosturalCare

aims to maintain, protect and restore body shape. ‘One Lincolnshire became available in 2012 when NHS England of our main goals is to maximise their comfort,’ she says. ‘Postural commissioned a local quality improvement project through ‘But postural management can also promote health and management the Commissioning for Quality and Innovation Payment wellbeing. It can prevent and delay deformity, improve Framework. ‘It was quite challenging setting up a clinic service quality of life, maintain or improve independence and can prevent in such a rural setting,’ says Mrs Davison. maximise potential.’ As a result the service focuses on and delay Lincolnshire has one of the largest healthcare communities, activities and interventions that can maintain or improve covering an area of 2,350 square miles, and clients attending an individual’s posture and function. deformity, a clinic often have to travel long distances and need specialist improve transportation. Clinics are held twice a month but the physios Specialist training quality of also conduct postural care reviews in people’s homes, which The physios have provided postural care advice and can lead to long journeys. ‘There are often cancellations for support since 2004, when they received training from life, maintain clinics because we are working with a high-risk patient group,’ Symmetrikit Postural Care. But in 2012 they furthered or improve says Mrs Defusto. ‘And we are very reliant on care staff. So, for their knowledge by attending the Oxford Centre for instance, if a care staff member is off sick they may not be able Enablement’s postural management of people with independence to bring a person in for their assessment.’ complex disabilities course. (www.ouh.nhs.uk/oce/). and maximise With the combined knowledge from both courses the Assessing body symmetry physios were keen to establish clinics that would allow potential.’ When clients attend a clinic the physios conduct a full objective them to conduct a higher standard of assessments. Debbie Davison assessment. Trunk symmetry and pelvic positioning are Fortunately, funding to set up the postural care clinics in recorded and the physios use their hands to feel for changes in the person’s structure. They also use tools such as a goniometer, rulers, measuring tapes and a spirit level. Abduction and adduction of the hip and its relation to pelvic Mencap rotation is also measured. This is followed by internal and external rotation of the hip relative to pelvic obliquity, shoulder rotations, joint range of movements and depth and width measurements of the chest. A report is then produced, giving a baseline measurement of the client’s body symmetry and recommendations for ongoing care. Depending on the findings a home visit may be arranged to assess the person’s positioning and ensure they have comfortable seating and night-time support. Or the person might be referred to their GP for a medication review or to other services, such as orthotics or wheelchair Research services. After each six-month review the physios suggests an average record whether a client’s condition has annual increase of improved, deteriorated or been maintained and submit the data to the trust. Since November 2012 the physios have 1.8% conducted 20 review assessment. The PMLD population set to grow in the number of posture of eight clients has been maintained, adults with PMLD eight have experienced improved outcomes Learning disability charity Mencap with PMLD in England in England and only four have deteriorated. ‘Deterioration says there is currently little data from 2009-26, with an is often linked to a person’s sitting position – so on the population of people with average annual increase of they are often referred to wheelchair services for a new PMLD. However, the government 1.8 per cent. chair or new wheelchair mould,’ says Mrs Davison. recently commissioned research The data also suggests that in an Both physios agree that the service has raised the profile of into estimated future numbers of ‘average’ area in England with a physiotherapy within the trust, and that the best thing about people with PMLD. The research, population of 250,000 the number their roles is working with such a rewarding client group. In conducted by the Centre for of adults with PMLD receiving the future, they hope to expand the programme to include Disability Research, suggests there health and social care services will people with less severe body symmetry problems. ‘This will give will be a sustained and accelerating rise from 78 in 2009 to 105 in 2026. a baseline measurement and hopefully help us to slow down growth in the numbers of adults Mencap www.mencap.org.uk the progress of deformity for this extremely vulnerable client group,’ says Mrs Defusto. fl

28_30_ L_1_Jul_posture indd 3 25/06/2015 15 10 Masters Dissemination Award

The new CSP Research Priorities Masters Dissemination Award, fi nanced by the CSP Charitable Trust, was set up to: • fund members undertaking post-registration Masters research projects to disseminate their fi ndings • develop the evidence base in areas identifi ed in the recent CSP project as research priorities for physiotherapy – see www.csp.org.uk/researchpriorities • maximise the impact of research undertaken at Masters level.

To be eligible for consideration, a member should have: • registered their Masters research project in the CSP database of research priority projects • passed a post-registration Masters programme and been awarded Distinction, Merit and/or 65% or over for their Masters dissertation. Applications are assessed by the Charitable Trust’s Education Awards Panel. The next deadline is 20 October 2015. For more information including details of how to register your research project please visit: www.csp.org.uk/edawards

The CSP Charitable Trust Registered Charity No. 279882 Supporting the advancement of physiotherapy education and research

001281Diss indd 1 19/06/2015 10 44 CPDguide

Water good idea: the ‘ice bucket challenge’ proved to be a big hit Going

Learn from initiatives such as the ‘ice bucket challenge’, says CSP professional adviser Andy Lord

licking through Frontline or perusing the CSP website you’ll quickly notice much of the content is based on people who have ‘gone the extra mile’. In otherF words, members who have rendered more and better service than that for which they are paid, and giving it in a positive way. In this article we’ll explore the potentially unforeseen benefi ts of going the extra mile.

Reputation Whatever organisation you are in, whether it’s selling burgers or providing physiotherapy, the reputation of the business is essential to its survival. Gaining consumer confi dence can have a profound effect on a business’s bottom line. Further, consumers of physiotherapy who have confi dence in the service are more likely to respond well to treatment. Traditionally, most businesses relied on word of mouth to develop and maintain their reputations. But in a digital age, The ice getting online communication bucket challenge right is paramount to ensure a raised over business’s reputation fl ourishes. The Motor Neurone Disease Association’s ‘ice bucket £65m challenge’ is a good example for the Motor of a fund-raising venture Neurone Disease that fl ourished through online Association communication and social media. The ice bucket challenge became a movement that surpassed all expectations. More than $100 million (£65 million) was raised, but how?

32_33_ L_1_jul_CPD indd 1 25/06/2015 15 09 Frontline • 1 July 2015 33 the extra mile

The ice bucket challenge was about intangible, having a strong reputation and management of these events to engagement (you had to do something): it can yield big benefi ts for a business; members of staff not usually given such wasn’t simply a broadcast of information. consumer preference, support in times responsibility improvements in staff morale When some engaged and threw ice cold of crisis and the perceived value of the and engagement can be achieved. water over themselves, others were inspired business, for example. When people are more engaged they’re to do the same and a movement was created. In a competitive market, building your more likely to be creative and produce A physiotherapy business may not be aiming reputation can be a challenge. National innovative ideas relating directly back to for a movement of such size, but what can be events such as CSP’s Workout at Work Day improving the business’s reputation. O2 is learnt is that by engaging your audience you or even international events such as Older one company which has recently recorded have the ability to have far greater impact. People’s Day (1 October) present excellent signifi cant success and have attributed this For more on creating a movement, see opportunities to go the extra mile. By being to having highly developed engagement www.ted.com/talks/derek_sivers_how_to_ involved in events like these you benefi t models. Engaged employees in the UK take start_a_movement from being involved in broader social media an average of 2.69 sick days per year; the While diffi cult to measure and seemingly coverage, potentially expanding disengaged take 6.19. This is an excellent your audience considerably. example of how engaged staff directly Business benefi ts of getting benefi ts a business’s bottom line. involved might include: To read more about why having ■ By running something engaged staff is important check out: Your plan of action innovative the business could www.engageforsuccess.org be seen as a leader in its fi eld. 1 Decide whether being involved in an event is ■ The business is seen to Marketing your service worthwhile for your business or✓ organisationConsider what your have social responsibility and Marketing needs to be done with purpose. ✓ Consider the potential competition is doing support good causes. If you decide to take part in one of these cost and benefi ts ✓ Consider the timing of events ■ Increased emotional events fi rst establish what your intended (including indirect benefi ts) appeal – the company outcomes are. This is key to success. Once appears fun and kind. your objectives are set, the marketing and What are your objectives? For example, to build 2 ■ ✓ What do you personally relationships with local Provides the opportunity communication plans follow. want to achieve from being charities or increase to showcase talented staff. To fi nd out more about marketing your involved? For example, to consumer awareness ■ Continued professional service, visit www.csp.org.uk/marketing FL gain experience in managing of service. development for staff. an event or improve your ✓ How are you going to measure personal reputation. your objectives Staff engagement ✓ What do you want your to demonstrate success? The most commonly Older People’s Day business to achieve? reported barrier to getting The next big event on the CSP calendar is Older involved in activities such 3 What is your communications plan? People’s Day on 1 October. The CSP w ll promote as Older People’s Day ✓ How are you going to engage your audience? the positive contribution that the profession makes is time. However, when ✓ What is the best communications route for your target audience? in helping older people to live longer and live well. ✓ When do you need to start your communication considered as an investment If you plan to hold an event or do something to for business benefi ts, the time – and have fun! support Older People’s Day, please let us know! Run the event spent can be seen as being 4 You can sign up at www.csp.org.uk/ worthwhile. Getting the right person 5 Refl ect– what went well? olderpeoplesday Tweet us at @thecsp Use the Were your objectives met? to lead such events could also minimise hashtags #physioworks and #olderpeoplesday What would you do next time? the cost of the investment while reaping further benefi ts. By handing over leadership • See pages 56-57 for more on Older People’s Day

32_33_ L_1_jul_CPD indd 2 25/06/2015 15 09 Looking to enhance the quality of your practice through Available now CPD? – a set of CPD resources designed to help all CSP members optimise the quality of patient care

CPD Habits Series A set of 7 easy-to-read information/activity sheets to help you maximise the opportunities for/impact of CPD in your practice

Service user involvement in CPD Information, guidance and examples to show how service users can support CPD in practice

Person-centred professionalism A bundle of 4 information/activity sheets to help you unpack what person-centred professionalism means for the development of your practice.

Available now to download from: http://bit.ly/1I4XGzV

Funded by the CSP Charitable Trust

001243_CPD rontline Ad_June 2015_ indd 3 25/06/2015 12 07 Frontline • 1 July 2015 35 InReview

Featured book Mentoring and mentoring and supervision development principles for Supervision in but Gopee outlines early on CSP accreditation of qualifying Healthcare (2nd Edition) how he is using them. The programmes in physiotherapy. text is not specifi cally for allied This should not, however, Neil Gopee health professionals though detract from the general Mentoring and supervision is physiotherapy is referred to principles in this book. part of daily clinical activity in several times, but scenarios tend The focus is on those new physiotherapy. Gopee’s book to lean on nursing examples. to mentoring either mentee, supports this practice. The format Gopee offers applied mentor or those teaching is well laid out, providing an learning; a theory or approach mentorship, though the book accessible text to dip in and out is introduced and then analysed does offer the opportunity to of while developing mentorship before placing in a day-to-day long-standing mentors to refl ect skills. The book is divided into mentoring context using ‘think on their practice. The book may eight chapters and the early points’ and ‘activity boxes’. The offer some new approaches sections address the processes reader can then refl ect on their to mentoring not previously of learning before moving on to own practice and apply it to the considered. An introduction to mentoring and supervision in the learning points identifi ed. coaching would have made a clinical setting. The later chapters Some references are now a useful addition to this text. A focus on assessment, leadership little out of date. For example, third edition was published and evaluation. the CSP (2002) Curriculum after this review was written. Despite the move towards framework for qualifying interprofessional learning, there programmes in physiotherapy Stephanie Best is a lecturer in are still differences of opinion has been withdrawn and healthcare management and over the use of the terms replaced by Learning and leadership, Swansea University

Yoga Anatomy: An Writing Skills illustrated guide to in Nursing and the science of motion Healthcare: A guide Jo Ann Staugaard-Jones to completing This book aims to provide successful dissertations a defi nitive guide to the and theses study of yoga anatomy Dena Bain Taylor – perhaps for yoga www.humankinetics. This book guides the teachers or practitioners com/continuing- reader through the writing seeking to understand education process for a dissertation, the biomechanics of thesis or essay. Practical Human Kinetics, a US- the body as it applies to strategies and tips are based company with a yoga practice. There are offered throughout. UK offi ce in Leeds, more than 230 full colour Mindfulness-Based produces educational illustrations. Compassionate programmes and tools The Data Revolution: Living: A new through, for example, Big data, open training programme Active Living Partners. data, data to deepen Aimed at health and infrastructures and mindfulness with fi tness professionals as well their consequences heartfulness as the general public, the Rob Kitchin Erik van den Brink web-based programmes Writing in an accessible and Frits Koster are designed to help style, the author looks at The programme aims people adopt and maintain the implications of the data to present a new way of healthy habits. These revolution for academic, learning how to face the include physical activity business and government pressures of modern living. and balanced eating. practices.

The items appearing on this page are not endorsed by the CSP

35_ L_1_jul_reviews indd 1 25/06/2015 15 08 CSP Charitable Trust Funding for qualified, student and associate members

Academically accredited courses award This award contributes towards course fees with up to £300 available for a 20 credit course, £1200 for a 180 credit course (MSc) and £1500 for a PhD. Successful applicants have studied on a range of courses such as CYQs, individual modules, certificates, diplomas, MScs and PhDs. The next deadline is 1 September 2015

Conference and presentations award This award is for members who have been invited to lecture or demonstrate at national and international physiotherapy specific/physiotherapy related conferences in the UK and overseas (with the exception of WCPT). It also supports members who have been invited to present at national conferences or meeting relevant to, but outside physiotherapy and physiotherapy or interdisciplinary international conference in the UK. Awards of up to £1000 are available. All applications should be submitted via the CSP ePortfolio and will be assessed by the CSP Educational Awards Panel. The next deadline is 1 September 2015

For more information including details of how to apply please visit: www.csp.org.uk/edawards

The CSP Charitable Trust Registered Charity No. 279882 Supporting the advancement of physiotherapy education and research

001281aac/cp indd 1 26/06/2015 09 36 Frontline • 1 July 2015 37

p38 Networks&networking

Catch up with news and announcements regarding the CSP’s work Frontline schedule at region and country level and also courses and events from CSP Issue date Booking deadline recognised professional networks. All recognised networks may list their events free of charge in this section to a limit of 180 words. Jul 15 Jun 29 Reach out to members, previous colleagues and classmates through Aug 5 Jul 20 the info exchange, retirement groups, or reunions sections. Send the information you wish to include to: [email protected] Sep 2 Aug 17 Sep 16 Sep 1

p52 Courses&conferences

Advertise your course or conference by contacting Please note The courses and conferences advertised our advertising agents, Media Shed on tel: 0845 600 in this section have not been subject to the CSP’s 1394 or email: [email protected] Send your formal recognition processes unless explicitly stated. text and have your linage advertisement typeset by Frontline accepts advertisements in good faith and is Media Shed to our magazine house style. Add a box or not responsible for the content of advertised events shading to make your advert stand out on the page. (except those delivered by the CSP itself). In the Alternatively you can choose to send your completed event of queries or comments relating to a specifi c display artwork to Media Shed. Call to discuss rates. course or conference, please contact the relevant organiser directly. Please see additional Guidance for NEW Members in this section on broader issues relating to Create your course advert online by using our easy to CPD, competence and scope of practice. use website. Go to: www.csp.org.uk/courseadverts

p58 Recruitment

Advertise your vacancy, agency or service in Frontline, or online at www.jobescalator.com by contacting our advertising agents, Media Shed, on tel: 0845 600 1394 or email: [email protected]

Send your completed display artwork or contact Media Shed to discuss typesetting options. Alternatively submit your text for our linage section. Call Media Shed to discuss rates.

NetworksJul1 indd 37 25/06/2015 15 14 Networks&networking

English networks news What CSP members said about the June T.H.I.N.K. before you Tweet – ensure your forums/events Tweet is: • I come here to find out what’s going on • Thoughtful • I get inspiration from attending • Helpful • Great event, very inspiring, certainly gave • Inspiring me a lot to think about and to feedback to • Necessary my team (Tweet) • Kind. • Thanks @Physioeast , gr8 day! (Tweet) English regional East of England networks Physiotherapy Works Information at: Don’t miss the next England Physiotherapy www.csp.org.uk/eastengland News from the CSP English Works locally follow up webinar – an Twitter: @Physioeast regional networks, branches opportunity to ask questions and talk about Contact: Chair, Carl Hancock, at: and country boards. what you’ve done since attending an event [email protected] Date: 9 July Time: 4.15pm-5pm East Midlands Find out more at Place: join from your home/workplace Chair’s activity report www.csp.org.uk/nations-regions Special guests: Vicki Gilman and Liz McAndrew – inspirational leading physiotherapists Sign up now at: [email protected]

Stay involved: • Sign up to be a part of Older People’s Day on 1 October http://olderpeoplesday.co.uk/ • Hear Sue Rees’s inspirational talk www.csp.org.uk/node/858762 • Use your elevator pitch www.csp.org.uk/elevatorpitch Lucy Cocker • Use CPD resources www.bit.ly/1bPC1ha Report by Lucy Cocker, East Midlands chair Cost of falls The last forum welcomed approximately Every £1 spent on physiotherapy saves seven new attendees. We secured Paula £1.50 across the falls pathway. Manning and Catherine Stenhouse as • See how much your local clinical communication offi cers which will enable us commissioning groups (CCG) could save to reach more people with our messages. We with an effective falls service had a new therapy manager attending this www.csp.org.uk/costoffalls forum but we are still not reaching all parts of • Understand more about the tool by the East Midlands. If you are a manager or attending a webinar team lead in our region, please get in touch The English regional networks organise www.csp.org.uk/node/891399 with me. I’m sure that the new Physiotherapy regular forums and events. These are: Use the tool to persuade colleagues, Works modules highlighted by CSP’s Anne • Free to all CSP members including managers and decision makers of the need Jackson will generate new interest. associates, students and retired for excellent falls services. We had some great discussions at the • Great CPD, for HCPC re-registration, your forum, the highlights being our guest development, and developing your service Social Media speaker Heather Watson talking about her • A networking and sharing opportunity Useful resources are: work in occupational health, Priya Shinde, • An opportunity to debate and find out • CSP social media guidance my vice chair, talking about ARC and we what’s going on. http://www.csp.org.uk/publications/ discussed our workplace reports. Attendees social-media-guidance-csp-members highlighted some problems with band 5 See up-to-date information at • HCPC guidance http://www.hcpc-uk.org/ recruitment and lack of health and safety www.csp.org.uk/nations-regions mediaandevents/socialmedia/ representatives across some trusts. The ARC • PhysioTalk http://physiotalk.co.uk/ presentation created interest from new members about attending ARC 2016 and

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led to suggestions for motions. South East Coast CSP Yorkshire and Humber member team. We are due to run our Physiotherapy Works Be inspired at our free autumn conference Some highlights below. cost of falls (with the CSP model) and • Your opportunity to meet Karen Sharing Good Practice day on the 4 July. This Middleton, CSP chief executive The key speaker was Angela Clough, CSP is designed to empower attendees to use the • Free to all CSP members living or working Yorkshire and Humber chair and clinical lead tool to establish and redesign services. We in Surrey, Sussex and Kent. MSK physiotherapist at Castle Hill Hospital. have guest speakers from Derby Teaching Date: Thursday 17 September She is also a previous clinical educator of Hospitals NHSFT and South Tyneside Time: 9.30am-4pm mine so I particularly enjoyed hearing from NHSFT and it looks to be a fantastic day. Place: Worthing Health Education Centre, her. Information on our web page below. Park Avenue, Worthing Places are limited so please book now to: Angela said: This event will build momentum to enable us • share best physiotherapy practices • Corticosteroids are used for a range of to continue running events in line of the CSP • find out about exceptional and innovative conditions including inflammatory priorities. Interest in our network continues physiotherapy services locally that arthritis, bursitis, tendinopathy, to grow and we look forward to developing enhance patient experience. caudal epidural, nerve entrapment and our activity and reach with our new and Book online now at: https://www.eventbrite. some ligament injuries strong team in place. co.uk/e/south-east-coast-regional-network- • Corticosteroids are given intra-articularly conference-registration-17087446011 or intra-lesionally and provide a potent Dates for future forums are below, venues to analgesic and anti-inflammatory effect be agreed and confirmed South East Coast regional network • The physiological effect of corticosteroids • 8 September information at: www.csp.org.uk/ is as follows: 1) vasoconstriction in • 26 November. southeastcoast the inflammatory phase 2) reduction of Twitter: @CSPSouthEast macrophage activity 3) production of Contact: Chair, Helen Balcombe, at: anti-inflammatory mediators 4) alteration Twitter: @CSPEastMidlands [email protected] of collagen synthesis and 5) normal tissue Contact: Chair, Lucy Cocker, at: as well as abnormal tissue is affected. [email protected] South West Website: www.csp.org.uk/eastmidlands Information at: Smaller needles are used are for smaller joint www.csp.org.uk/southwest spaces or more intricate areas, for example, London Twitter: @CSPsouthwest carpal tunnel. Longer needles are used for Keep up to date at: www.csp.org.uk/london Contact: Chair, Adam Zawadski, at: the shoulder joint or the spine. Twitter: @CSPLondon [email protected] Contact: Chair, Carole McCarthy, at: [email protected] West Midlands Information at: www.csp.org.uk/ North East westmidlands Keep up to date at: Twitter: @WestMidlandsCSP www.csp.org.uk/northeast Contact: Chairs, Sheila Stringer and Sam Twitter: @CSPNorthEast Townsend, at: [email protected]. Contact: Chair, Jill Kent, at: uk [email protected] Yorkshire and the Humber North West Report by Zachary Spargo, CSP Yorkshire Keep up to date at: and Humber electronic communications www.csp.org.uk/northwest lead Twitter: @northwestcsp @ZachSpargo Dr Angela Clough – MSK injections, Contact: Chair, Jo Lishman, at: corticosteroids and analgesics [email protected] Injections from theory to reality in physiotherapy – event report A critical message is – if you think a patient South Central Let’s be honest, we all love a bargain. And will require a hip replacement at some point Information at: when a free CPD opportunity comes along then it is vital not to inject. No surgeon will www.csp.org.uk/southcentral with three highly experienced speakers, it replace a hip joint that has been injected Twitter: @CSPsouthcentral makes us ‘double take’. This is especially because collagen levels are affected by the Contact: Chair, Mandy Pike, at: the case for a student like me who is eager corticosteroid. [email protected] to get as many ‘extra’ learning activities as possible. The event happened because of all Some other contraindications for injecting the hard work behind the scenes from the are allergies, sepsis, pregnancy, diabetes >

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(poorly controlled), anticoagulants, Adrian gave an insight into what happens • ultra sound guided immosuppression or haemarthrosis. when you ‘never refuse a new opportunity’ • CT guided. Information at: http://www. as he put it in his jovial manner. He Despite physiotherapists’ great anatomical torbaycaretrust.nhs.uk/publications/ said there were no neuro physiotherapy skills, using an anatomically guided method TSDHC/Physiotherapy%20Injection%20 injectors in 1999 and a proactive medical for injection can be difficult due to odema, Therapy%20Guideline.pdf consultant urged him to become the first adipose tissue and smaller, deeper muscles. botulinum toxin injecting physiotherapist Adrian Robertson – Neuro injections, in the country. This led to several other Louise Goodlass – Independent prescribing botulinum toxin doors opening such as developing a physiotherapist Adrian Robertson is a neuro consultant national physiotherapy injector group and physiotherapist at Mid Yorkshire Hospital contributing to clinical guidelines. NHS Trust. Adrian also described an amusing learning experience in which his medical colleagues watching him to see how accurate his injections into specific muscles were using coloured resin. He was spot on. He said that studies show that there are generally poor accuracy rates when injecting a variety of muscle sites. This somewhat surprisingly was the case even for the biceps brachii muscle. Botulinum toxin (Botox) is a naturally occurring neurotoxin administered via intra muscular injection. It is used to reduce Louise Goodlass spasticity in a limb by weakening overly dominant muscles. The different types of Louise became an independent prescribing injection techniques described were: physiotherapist following recent legislation: • anatomically guided www.csp.org.uk/node/375043 Adrian Robertson • EMG guided Louise said the benefits of independent

UP to Online clinical exPeRt ten million PeeR suPPORt that is repreSentation easy-tO-access for me at work from PoUnds through iCSP discussion forums, the CSP’s network of trade of protection through professional and regional networks. union officers and stewards. professional and public liability insurance for me. Strength in numbers. i have protection. it suits me. SUPPORT WORKER EXTENDED SCOPE PRACTITIONER it’s good with so many membership to belong benefits and services

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prescribing include that it can help in CSP board news Steph Best gave a brief overview of the enabling physiotherapists to have lead prudent healthcare data captured during roles, for example, in GP practices to take the event and highlighted that she and pressure off GPs. It has changed Louise’s Wales Jo Garzoni will present in more detail on practice of physiotherapy for the better and this at a future board meeting. The work she recommends that colleagues consider on prudent healthcare was an excellent taking the course. A word of warning, she outcome from Physiotherapy Works Locally did mention that it was one of the hardest and the CSP Welsh Board will be able to things she has ever done – but don’t let that share the information with a range of put you off. stakeholders. The paper has already been shared with Dr Andrew Goodall, director Finally Dr Anne Jackson, the CSP regional general of health and social care and CEO of network manager, put forward some really NHS Wales. Steph and Jo are presenting on positive events coming up. One of these the outcomes of the paper in a poster to an is Older People’s Day on 1 October http:// international conference. More on this will www.csp.org.uk/news-events/events/older- CSP Welsh Board met on 11 June 2015 in follow after the next Welsh Board meeting in peoples-day-2015. Rhayader, mid Wales, and was pleased to September welcome Natalie Beswetherick, CSP Director Her key message was that we should all of Practice and Development to the meeting. A range of topics were discussed during the shout about the great things our profession meeting: is doing! The group met on the day before Workout@ 1) Developments in primary care and Work Day so during the lunch hour members WPhLAG discussions with the therapy Thank you again to all the organisers of the took the opportunity for a photoshoot, advisor event. It was a great evening and we’ll all limbering up outside Rhayader Leisure 2) The Safe Nurse Staffing Levels look forward to the next one. Centre where the meeting was held. (Wales) Bill 3) The Public Health (Wales) Bill 4) Betsi Cadwaladr University Health Board being placed in ‘special measures’ by the Welsh government 5) Clinical education issues for undergraduate physiotherapists.

The board ratified the decision by the awards sub-group for £100.00 to Liz Candy to support her recent trip to WCPT where she was a presenter.

Starting the meeting was a presentation Board members said a fond farewell to from associate representative to Welsh Sue Richardson, education representative Delegates at the injection event Board, Julie Hirst, who works for Betsi on the board who is retiring at the end of Cadwaladr University Health Board. Julie July. They also send very best wishes to Yorks and Humber regional network presented on the early supported discharge Gwyneth Jones who has recently retired information at: www.csp.org.uk/ service for stroke patients that she works and to deputy chief executive of the CSP yorksandhumber in and provided some impressive data Sue Browning who is leaving the CSP for Twitter: @CSPYorksHumber on outcomes for patients and economic a new job. Contact: Chairs, Angela Clough and Jean outcomes for the service in terms of ‘bed The board thanked her for her Heseltine, at: yorksandhumberchair@csp. days saved’. Julie’s presentation was well enthusiasm and support for the professional org.uk received. body and wished her well.

Future dates: The board reflected on the success of Members were reminded that at the next • 7 – 21 September – quarterly English ‘Physiotherapy Works locally’ held in April in meeting they will be discussing motions to regional network forums Llandrindod Wells and enjoyed a montage CSP Annual Representative Conference. • 22 September – regional leads of photographs from the event. These can development event and English Network be accessed for members to enjoy here: If any Welsh members have any issues they forum http://www.csp.org.uk/news/2015/06/15/ wish to raise as ARC motions please get in • 23 September – CSP council meeting. physiotherapy-works-locally-wales touch with Cat Chin at: catherine.chin@ wales.nhs.uk >

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Professional networks news refreshments (but not lunch). Places Physio First limited to 15, due to the practical nature Why private practitioners need to get a grip of the course. Course pre-requisites: of Goal 9 An understanding of the principles of Physio First member Gary Martin started his hydrotherapy, and the physiology of working life as a stockbroker in the 1980’s but immersion (J.Hall 1990) made a career change in to physiotherapy Contact: For further information contact qualifying from the University of East London Heidi Thomas at: [email protected] in 1997. He left the NHS in 2002 and has worked in Professional Association of Chartered Physiotherapists private practice in Bedfordshire ever since. He networks in Neurology (ACPIN) - Surrey and Borders dreams of a world where physiotherapy services Courses and events from Networking evening and lecture: are highly valued with Physios as first contact Future-proofing neuro physiotherapy and practitioners in primary care and playing a CSP recognised professional implications of the five year forward view greater role in medico legal work. networks. Share your events Date: Monday 13 July The continual devaluation and degradation here free of charge. Speaker: Dr Hayden Kirk, consultant of private physiotherapy services by commercial physiotherapist and clinical director, Adult intermediaries and private insurers is a source Send an email to Services, Southampton of torment to him but feels this is reflective of Place: Holy Cross Hospital, Haslemere, Surrey an apathetic profession that is slow to prove its [email protected] GU27 1NQ worth, lacks business acumen and is resistant to Cost: ACPIN members free, non ACPIN change. members £4 He feels that the vision of Physio First and This is also your opportunity to meet up in particular Goal 9 of its business plan offers Association of Chartered Physiotherapists in with other members, give us ideas for the best chance of saving the profession from Neurology (ACPIN) - West Midlands future events and showcase your service itself and has joined the subcommittee to West Midlands ACPIN present an evening development and research posters. Free help lighten the load. Gary is also the MD of lecture: Exercises for the vestibular system - nibbles and drinks. Free parking. No need to exerciseprescriber.com vestibular rehabilitation by Andrew Clements, book in advance specialist vestibular physiotherapist Contact: Email: [email protected] Association of Chartered Physiotherapists Date: Monday 6 July in Occupational Health and Ergonomics Time: 7pm Association of Chartered Physiotherapists (ACPOHE) Place: Lecture Theatre 1, Sports, Exercise in Neurology (ACPIN) - Sussex ACPOHE is the CSP professional network for and Rehabilitation Sciences, University of Introduction and practical application of PNF physiotherapists working in occupational Birmingham in rehabilitation health and ergonomics. Registered members Contact: To reserve a place please email: Date: Saturday 12 September, 9am-4.30pm of ACPOHE are physiotherapists who have [email protected] Speaker: Pam Bagot MSc BSc MCSP, adult demonstrated specialist competency in the and paediatric neurological physiotherapist, fields of occupational health or ergonomics. Association of Chartered Physiotherapists in Harrogate. ACPOHE Study day Neurology (ACPIN) - Yorkshire Place: Physiotherapy Department, Date: 20 November Hydrotherapy for the neurological patient Eastbourne District Hospital, East Sussex Place: London - CSP Bedford Row Speaker: Jacqueline Pattman MCSP ATACP Cost: ACPIN members £40, non-ACPIN Introduction to occupational health Content: members £65 Dates: 23-24-25 September • recap of hydrostatic and hydrodynamic This event is being subsidised for all by Place: Birmingham principles Sussex ACPIN: promoting CPD in the field of Cost: £455 members, £515 non-members • recap of the physiology of immersion and neurophysiotherapy. Changing health behaviours: Using a cognitive the importance of screening Format: Lecture/practical sessions behavioural approach to achieve better • revision of normal movement principles Audience: Qualified physiotherapists of all outcomes • practical pool based techniques grades in rehab: stroke, neuro, paediatrics, Date: 6-7 October • theory and practice of the Halliwick method amputees, complex othorpaedics. No prior Place: Birmingham • patient demonstrations and videos PNF knowledge/experience necessary. Cost: £280 members, £340 non-members • treatment planning and practical in small Contact: Miria Putkonen at: sussex@acpin. Office workstation ergonomics (DSE) level 2 groups with peer critique. net Date: 6-7 November Date: 24-25 October As this is a practical course, places are limited Place: Haywards Heath Place: St Lukes Hospital, Horton Wing, Little to 18. Your place will be held on receipt of Cost: £280 members, £340 non-members Horton Lane, Bradford BD5 0NA your application form and payment. ACPOHE course being hosted by BMI: Cost: £110 for ACPIN members, £135 Closing date: 5 September. Office workstation ergonomics (DSE) level 2 for non-ACPIN members – to include Date: 3-4 October

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Place: BMI Shirley Oaks Hospital, Surrey or email: [email protected] Dates: Part 1: 4-5 July. ACPOHE courses being hosted by Central Sports medicine Part 2: 12-13 September Health: Date: 4-5 July Place: Motherwell Office ergonomics (DSE) level 1 Place: Falkirk Dates: Part 1: 26-27 September. Date:11-12 July and 28-29 November Tutor: Kevin Young Part 2: 5-6 December Place: Derby Osteopathic techniques for physiotherapists Place: London Contact: Information and booking at: http:// Date: 8-9 July Cost: £200-£260 www.acpohe.org.uk/events Place: Peterborough Follow us: @physiosinsport Tutor: Cameron Reid. Contact: Full details and bookings via: Chartered Physiotherapists Working With physiosinsport.org Older People (AGILE) Association of Chartered Physiotherapists in All courses may be paid for by instalments by Regional study days for 2015 Sports and Exercise Medicine (ACPSEM) contacting: [email protected] Functional fitness MOT for the older person Membership with Bob Laventure For just £55 per annum full members enjoy Association of Chartered Physiotherapists for Date: 12 September the benefits of a strong network of sports People with Learning Disabilities (ACPPLD) – Place: Port Talbot physios, three sports journals online, a Midlands Contact: Molly Mallari at: molly.mallari@wales. structured CPD pathway supported by a Annual learning event hosted by the ACPPLD nhs.uk suite of evidence-based training courses in Midlands team Date: 21 November taping, soft tissue and rehabilitation and Place: Telford/Ironbridge Place: Dumfries discounts with more than 20 companies. Date: 14-16 September Contact: Katie Begg at: [email protected] Biennial conference 2015 Cost: Price varies depending on days/night Full details on particular AGILE course via ‘The young athlete’ attended – please see full application form on organiser or on AGILE website at: http://agile. Place: Brighton website for deta ls. csp.org.uk/network-events Date: 9-10 October Contact: Full information is on the ACPPLD Cost: The cost per delegate of the event: Topics include; adolescent spine, hip website: www.acppld.csp.org.uk Functional fitness MOT for the older person is disorders, S&C, profiling and screening, £50 AGILE members; £65 non-members injury prevention, concussion, sudden cardiac Association of Chartered Physiotherapists in Contact: http://agile.csp.org.uk/network-events death, and clinical masterclasses. Reflex Therapy (ACPIRT) Costs: £220 for two days if a member, full ACPIRT Reflex therapy 3rd foundation course Acupuncture Association of Chartered price list on website. Four weekends over six months. An exciting Physiotherapists (AACP) Current taping techniques for sport opportunity for physiotherapists and AACP Basic acupuncture foundation courses This course includes k-tape and dynamic healthcare professionals to be inspired! A This course is designed to offer participants with tape techniques in addition to all the course that will change how you treat your a level of knowledge, skill and understanding essential athletic taping techniques with patients. Learn to treat the body through that will allow them to practise acupuncture rigid and elastic tapes. reflex points on the feet with a modality of in a safe and appropriate manner, in a clinical Date: 21-22 August treatment akin to reflexology. Reflex therapy setting. Place: Gateshead College can be used for a wide variety of patients and Cost: £495 – One year’s full membership of the Date: 21-22 November integrated within your own healthcare setting. AACP with many benefits! Place: London A comprehensive training led by experienced To book: Contact Lucy on tel: 01733 390007 Evening lecture series tutors providing the skills for safe and effective or email: [email protected] Place and date: London, monthly, other practice, endorsed with the CSP quality mark. Dates: 24, 25, 26 July and 11, 12, 13 September regions vary Dates: 26-27 September, Place: Glasgow Cost: £5-£10 31 October-1 November, 28-29 November. Dates: 19, 20, 26, 27 September and 8, 9 Current soft tissue techniques for sport March 2016 tbc November Dates: Part 1: 3-4 October. Place: Hope Bowdler Village Hall, Hope Place: Glyndwr Part 2: 31 October-1 November Bowdler, nr Church Stretton, Shrewsbury, Dates: 15, 16, 17 September and 27, 28, 29 Place: Belfast Shropshire October Dates: Part 1: 1-2 August. Cost: £1,200 Place: Peterborough Part 2: 24-25 October One weekend of ‘Introduction to reflex AACP grants Place: London therapy AACP have a number of grants available for Cost: £200-£260 Date: 26-27 September AACP members. For more information please Clinical reasoning in exercise and performance Place: Hope Bowdler Village Hall, Hope contact Mindy Cairns, AACP research advisor, rehabilitation Bowdler, nr Church Stretton, Shrewsbury, at: [email protected] or see the AACP Place: Scotland and London are the next Shropshire website: www.aacp.org.uk venues, dates tbc soon Contact: For further information, please email: AACP CPD courses: Tutors: Lynn Booth, Phil Glasgow, Nicki [email protected] > Contact: Lucy Wilsher on tel: 01733 390007 Phillips, Caryl Becker, Tim Sharp

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British Association of Hand Therapy (BAHT) projects such as: Date: 7 November Follow: @BAHTEducation • The National Joint Review Place: London Upcoming validated courses: • NICE guidelines eg complex fractures Cost: £125 POGP member/affiliate; £160 Level I and arthroplasty non-member. November 2015 - Dublin • Trauma networks For further details of the POGP short course March 2016 - Northwood • Editing orthopaedic texts programme or to download an information November 2016 - Derby • Providing expert opinions for the CSP pack for any of the above courses, please Level II next course: eg media enquiries. visit the POGP website at: http://pogp.csp. Work related upper limb disorders • Sitting on the Neuro-MSK alliance org.uk/courses-events Date: 30 September-2 October 2015 • Physiotherapy UK. Contact: Email our course administrator at: Place: Kent Due to long-standing members of our [email protected] Contact: Email: [email protected] committee stepping down, we have Pelvic Obstetric and Gynecological Open to MSK physios as well as hand places for new members to join the AOCP Physiotherapy (POGP) annual conference therapists. executive. and exhibition 2015 Further courses: Contact: For more information about Place: The Majestic Hotel, Harrogate Fractures this great opportunity, please contact Date: Friday 25 and Saturday 26 September Date: November 2015 the AOCP chair, Rachel Martin, at: rachel. Speakers: Welcoming renowned Place: London [email protected] international speaker, researcher and pelvic Splinting physiotherapist from the Netherlands, Dr Date: February 2016 Pelvic, Obstetric, Gynaecological Marijke Slieker-ten Hove. Also including Place: Salisbury Physiotherapy (POGP) a host of excellent speakers covering a Optimising soft tissue Understanding pelvic organ prolapse diverse range of topics relevant to the Date: May 2016 – assessment and conservative pelvic physiotherapist: sexual dysfunction, Place: Northwood management pelvic pain, prescribing, prolapse, ano-rectal Level III Date: 18 July dysfunction, urological and gynaecological Contemporary practices in injection therapy Place: Cardiff, Wales surgery updates and much much more! Date: Starts 19 October 2015 Cost: £125 POGP member/affiliate, £160 Cost: £345 for the two day conference, Place: University of Nottingham non-member dinner and accommodation. Contact: Full details of all courses see: Physiotherapy assessment and Contact: Email: [email protected] www.hand-therapy.co.uk management of female urinary Booking: https://www.eventsforce.net/ dysfunction (CSP-endorsed) pogp2015 Association of Chartered Physiotherapists in Date: 24-26 July Follow us on Twitter: #POGP15 Temporomandibular Disorders (ACPTMD) Place: Great Yarmouth, Norfolk Check out the pogp.csp.org.uk website A one day course on the physiotherapy Cost: £350 POGP member/affiliate, £420 for information on bursaries and funding management of temporomandibular disorders non-member opportunities. (TMD) Physiotherapy assessment and Tutor: Philip Bateman management of pregnancy-related Association of Chartered Place: Leicester General Hospital musculoskeletal conditions Physiotherapists Interested in Vestibular Date: Saturday, 27 June Date: 9-11 October Rehabilitation (ACPIVR) Cost: £125 Place: Craigavon, Northern Ireland ACPIVR London regional group training Course reviews the anatomy of the Cost: £275 POGP member/affiliate, £345 event – BPPV: Assessment and treatment temporomandibular joint, assesses the non-member Date: Saturday 11 July masticatory system, and reviews the Contact: To request a copy of the Time: 9am -1pm physiotherapy management of TMD. information pack for any of the above This regional event is designed for Contact: Cathy Gordon at: cathy.gordon@ courses please email: pogpcourses@yahoo. physiotherapists with an interest in stockport.nhs.uk for further information and com vestibular rehabilitation. It will include an application form. For further details of the POGP short course lecture and practical sessions to cover programme please visit the POGP website at: the assessment and management Association of Orthopaedic Chartered http://pogp.csp.org.uk/courses-events of patients with benign paroxysmal Physiotherapists (AOCP) Physiotherapy assessment and management positional vertigo. Participants will learn Do you work in a trauma and orthopaedics of female urinary dysfunction (CSP-endorsed) appropriate treatment procedures for the setting and are looking for new experiences Date:30 October-1 November most common form of BPPV affecting the and ways to contribute and develop your Place: Stockport, Greater Manchester posterior canal for both canalithiasis and CPD? Have you considered joining our Cost: £350 POGP member/affiliate; £420 cupulolithiasis. There will also be reference AOCP executive committee? non-member to treatment for horizontal and anterior Our executive committee members Grace Dorey’s ‘Male continence study day’ – a canal variants. contribute to national initiatives and POGP-hosted event Level: All levels

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Place: National Hospital for Neurology and so far on a therapy specific outcome students and therapy assistants/support Neurosurgery, Queen Square, London measure for craniosacral therapy. workers. WC1N 3BG Date: Saturday, 3 October, registration and Contact: Further information/to book Cost: ACPIVR members £10, non-members light breakfast 9am. Course 9.30am to 5pm your place: http://apcp.csp.org.uk/annual- £25 (NOT including membership) Place: Chedworth Village Hall, conference Contact: To register a place please visit: Gloucestershire GL54 4NQ South West region AGM and Kinesio http://acpivr.eventbrite.co.uk Cost: ACPEM members £60, non members taping workshops £75, food included Two half-day workshops introducing the British Association of Bobath Trained Contact: [email protected] theory behind Kinesio Taping and looking at Therapists (BABTT) paediatric and MSK practical applications. Cerebral palsy through adolescence/ Association of Paediatric Chartered Date: Saturday, 26 September, 9am -1pm young adulthood Physiotherapists (APCP) or 2pm-6pm A study day and education day hosted by APCP East Anglia region study day Place: Quedgeley Clinic, Gloucester GL2 4WD the British Association of Bobath Trained The paediatric hip - Conditions and Cost: £80 APCP members/£95 non-members Therapists (BABTT) management Contact: Further information/to book your Date: Friday 9 October Date: Friday, 10 July. 9am-5pm place: http://apcp.csp.org.uk/courses-events Place: Bobath Scotland, Glasgow, Scotland Place: University of East Anglia, Norwich A therapeutic perspective on key changes Cost: £50 APCP members/£90 non- in adolescence members Info exchange The study day will be led by Christine Barber, Contact: For further information/to book director of clinical services, Bobath Centre, your place, visit: apcp.csp.org.uk/courses- London events or email: [email protected] Cost: £60 Open to all BABTT members APCP Musculoskeletal group Contact: Booking forms can be requested by Introduction to paediatric emailing Lynzi at: [email protected] musculoskeletal physiotherapy Date: Saturday 10 October A study day for therapists who are new to Place: Bobath Scotland, Glasgow, Scotland paediatrics, or who are being asked to treat Ask your peers for help with Coming of age with cerebral palsy: children with musculoskeletal conditions, to research or surveys Challenges and opportunities provide you with a framework of practical Content: This education day will explore knowledge and skills that can be used to a wide range of topics that affect young assess children in their practice. Send an email to people with CP as they enter adolescence Date: Friday 11 September [email protected] and move into adulthood. This will include Place: CSP, 14 Bedford Row, London WC1R orthopaedic changes and management, 4ED psychological wellbeing, sexuality and Cost: £50 APCP members/£75 non- supporting independence. members Army School of Physiotherapy Cost: £80 non-BABTT members; £60 Contact: Further information/to book your Former students from the Army School of BABTT members. Open to any professional place: http://apcp.csp.org.uk/courses-events Physiotherapy are gathering information involved in the management of people Annual conference and trade exhibition - in order to write a book about the school who have cerebral palsy. Please note that Tyne to move forward at both Netley and Woolwich. The project spaces will be limited. An opportunity to network with paediatric is also looking at the development of Contact: Booking forms can be requested physiotherapists from around the UK to physiotherapy in the army. If you attended by emailing Lynzi at: [email protected] share practice and expertise. the Army School of Physiotherapy or have This year’s conference offers two worked as a civilian in a British military Association of Chartered programmes on each day featuring topics hospital and would like to contribute to this Physiotherapists in Energy Medicine relating to neurodisability, neuromuscular project please contact Len Asplin at: asp. (ACPEM) and respiratory management as well as [email protected] Have you trained in craniosacral therapy? a look at conditions affecting paediatric If so we would love you to join our friendly mental health. In addition, the APCP Did you know what to expect when you and supportive sub group of ACPEM, the respiratory group will be running optional qualified? craniosacral therapy group. respiratory workshops on Saturday. Are you a Band 5 physiotherapist (or Our next study day is: ‘Are we credible or Date: 13-14 November equivalent)? Have you been working for 0-1 just incredible?!’ Place: Hilton Newcastle Gateshead, years? If so, are you interested in taking Speaker: Nicola Brough RCST, BCST, MPhil. Bottlebank, Newcastle NE8 2AR part in qualitative research to discuss your This will be a day of theory and practical Costs: Day delegate rates from £95, one- experiences in your first job? learning, looking at current CST literature, day. £180, two-day. Special four for three Interviews and focus groups will take Nicola’s published paper and her research offer for APCP members and reductions for place in the London area so if you are living >

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there, or are willing to travel, and fit the Please let us know also if you would be carry their clothes, food, sleeping back and criteria above, please contact us via our willing to complete our short survey and we medical kit. The only things they don’t need project supervisor Jacqueline Potter, email: will send this to you by email. to provide are water and a tent to sleep in at [email protected] Information will be With thanks, Donald McLean, the end of a long day. provided on receipt. physiotherapist, team co-ordinator, Reach Forth Valley, Stirling Community Hospital, Examination of rehabilitation needs Stirling. screening approaches in forensic settings Charity news / events We are exploring current approaches and future opportunities in screening for rehabilitation needs in forensic populations Sam Sharrock competed in the Gobi March (prisons, secure settings and community). 2015 at the beginning of June. We would like to hear from AHPs, nurses, The race is a self-supported, multi-staged doctors and associated colleagues about ultramarathon over 250kms, and was set in how you screen for rehabilitation needs, if the Xinjiang province of western China. Over there are any tools you use, and about your the six days competitors experienced snow experiences of the screening process. blizzards, torrential rain, 50 degree heat and a We have a particular focus on: sandstorm to cap it off. After a successful few • physical health days, injuries set in and Sam’s pace slowed, • mental health however he did manage to finish in 47th • learning disability position overall, out of approximately 200 • developmental needs. competitors. If you have information you can share The first four days involved completing with us or for more details about our project, a marathon a day, on the fifth a double please email: FV-UHB.rehabscreening@nhs. marathon and on the final day 10kms to the net finish line. Throughout the race competitors

EXCLUSIVE OFFER FOR CSP MEMBERS Even though Mum had been sick, family life still ran smoothly as the finances were covered. Thank goodness for PG Mutual’s income protection cover Apply now to Whether you’re an employed or self-employed physiotherapist, receive your an income protection plan from PG Mutual ensures that you receive a regular monthly income for an affordable, monthly cost if you FIRST TWO find yourself on sick leave. MONTHS’ COVER call FREE.* OFF your first two 0800 146 307 20% years’ subscriptions* email [email protected] Visit www.pgmutual.co.uk/Quotation *For full Terms & Conditions, visit www.pgmutual.co.uk. Offer ends 31.12.2015. PG Mutual is the trading and enter ‘CSP’ for your exclusive income name of Pharmaceutical & General Provident Society Ltd. Registered office: 11 Parkway, Porters Wood, St Albans, Hertfordshire AL3 6PA. Incorporated in the United Kingdom under the Friendly Societies Act protection offer from PG Mutual. 1992, Registered Number 462F. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority, Firm Reference Number 110023.

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Judith Saunders, local groups co-ordinator, possible. Contact Sarah Bird (Challacombe) at: is keen to offer help to anyone wishing [email protected] for more detail or join to start a new group in your area. New our Facebook chat at ‘Calling Guy’s Physios... groups are being formed – look at Frontline Reunion time’ and see who we have already Networks&networking pages. Her contact email managed to find. is: [email protected] Judith recently I look forward to hearing from you and seeing helped start a Western Australia group. you all at the reunion. If you are retiring/approaching retirement, why not join the CSPRA? Please contact the CSP Guy’s Hospital Physiotherapists Association enquiry handling unit: [email protected] Our reunion this year is on 3 October from 12pm- tel: 020 7306 6666. Should you wish to discuss 4pm in the Robens Suite, Guy’s Hospital. Tickets this first with a committee member contact are £33 to include a sit-down buffet lunch, tea Chris Foster, email: [email protected]. and coffee. co.uk or Lyn Ankcorn, secretary, at: ankcornl@ If you would like to come please contact csp.org.uk We would be pleased to hear from Liz Page at email: [email protected] tel: you. 01892 521635 or Maxine Buchele at email: [email protected] Cheques made out The race was also successful on the charity to GHPA, please send to: Liz Pages, Flat 3, 63 front with almost all of a £1,000 target being Reunions Mount Ephraim, Tunbridge Wells, Kent TN4 8BG. raised for the Katie Compson Foundation at All welcome. Maxine Buchele, Hon. Sec. GHPA. The Royal Marsden Cancer Charity. To donate, and for more information see: www.justgiving. Sheffield Polytechnic 1982- 985 com/gobimarch2015 In summer 2015 it is the grand total of 30 years since we qualified! To mark the occasion and because we would like to catch up with as many people as possible, we are arranging a reunion Retirement groups’ news/events Thinking of having which will be on 3 October in the north Leeds area. Please contact Jane Schofield and Gill a reunion? Reader-Peate at: [email protected] and at: Glasgow Retirement Group Need to contact old friends [email protected] for further details. Are there any retired physios in Glasgow on these pages? Do spread the word, the more the merrier! who either meet up regularly or is there an established group? Sue Gray is looking to be Royal Orthopaedic Hospital, Woodlands, part of a group or start up one in Glasgow so if Send an email to Birmingham 1982-85 you can help please do contact her by email at: [email protected] It is 30 years since we qualified! A get together [email protected] is being planned for Saturday 14 November in Don’t forget... after your north Oxfordshire. Please get in touch for more Yorkshire and Humber retirement group details. Email: [email protected] We next meet in September for a theatre reunion has taken place, I look forward to hearing from you. matinee and lunch, which will be in Leeds, send Frontline a photo Harrogate or Bradford. Contact Judith Saunders and tell us about it! Middlesex Hospital Hydrotherapy – Summer/ at: [email protected] autumn 1961 – reunion Looking to contact: Lorna Gerrard, Bridget Chartered Society of Physiotherapy Knott and Tessa Shepherd who did the 6/12 Retirement Association (CSPRA) Joint Services School of Physiotherapy hydrotherapy course at the Middlesex Hospital Newsletter A reunion of all former staff and students of JSSP in the summer/autumn 1961. Elizabeth We have had some excellent contributions; is to take place on Saturday 7 November 2015 Henderson nee Grieve would like to catch up! could you write something about your at The Officers Mess, RAF Halton, Bucks. If you Contact: [email protected] retirement you would like to share with other wish to attend please contact Liz Gray for further Braidhurst Cottage, Kirk Brae, Shandon, members? The newsletter will be sent out details at: [email protected] Helensburgh, Argyll and Bute G84 8NP. electronically to members with email; and Tel: 01436 820 256 or: 07900 692928. posted to those without this facility. Back Guys Hospital School of Physiotherapy C and numbers can be found on iCSPRA. Please send D sets 1982-1985 30 year reunion Grampian School of Physiotherapy 1987-1990 your articles to me, Lyn Ankcorn, editor, email: A long overdue reunion has been arranged for This year it will be 25 years since we graduated [email protected] tel: 07798 525822. Postal Saturday 24 October 2015 from 4pm at The and we made history by being the last students address: 23 Swarthmore Road, Selly Oak, Anchor Bankside, Park Street, Southwalk SE1 9EF. to do so! Let’s celebrate by getting together Birmingham B29 4NQ. It would be great to see as many of us as this summer. Please contact Susan Fraser >

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(nee Johnston) and/or Ruth Paterson (nee or similar area, more details to follow. Please venue to be decided. Please contact Sue Foster Henderson) if you are keen to come along and pass on to anyone you are in contact with. on tel: 01530 810026 or email: suefoster33@ catch up. Email: [email protected] It will be great to catch up with you all. Please btinternet.com or: [email protected] contact Kathryn Davies on: kath.ashglade@ hotmail.co.uk or Karen Hawkins (Barker) on: Pinderfi elds Remedial Gymnastics set 1978- Nottingham School of Physiotherapy 1992- [email protected] 1981 1995 – 20 year reunion Is there anybody out there from the Anyone interested in catching up after our University of Birmingham School of Pinderfi elds College of Remedial Gymnastics last reunion 10 years ago? I am organising a Physiotherapy 2002-2005 graduation year of 1981? Chris Norris, weekend in Nottingham for the weekend 4 July. Can you believe it’s nearly 10 years since we Glenn Hunter, Nigel Tarratt, Elaine Glass, Please contact Rob Leckie on tel: 07580 721187 qualifi ed? Would you like to come to a get Anne Edmondson, Steve Baxter, etc. A few or email: [email protected] together this summer? It would be wonderful of us were thinking about a get-together to catch up and see where life has taken us all. before we all pop our clogs. Please get in St Mary’s Hospital, Paddington Set F 1975- Date and venue to be announced (somewhere touch with your thoughts or any information 1978 local to the university). It would be great to as to everyone’s whereabouts. Contact In September it will be 40 years since we all fi rst track as many of us down as possible, so please Dr Mark Pinnington on tel: 07813 652606 met and started our training. I’d like to organise spread the word and get in touch. Please (mobile), 01928 590450 (home), email: a reunion, possibly in September. If you are contact Lauren Southern (nee Falvey) on email: [email protected] interested please contact Susan Mitchell (nee [email protected] James) at: [email protected] Kings College Hospital 1966-69 October set Coventry School of Physiotherapy 1965 Set I am hoping to organise a reunion so please The London Hospital 1986-1990 Ann, Liz, Pauline, Kathy and Sue are meeting to could you contact me by email with your It will be 25 years since we qualifi ed and we celebrate 50 years of fi rst meeting. We would thoughts and ideas so that we can decide are hoping to arrange a reunion on Saturday love anyone from our set to join us for lunch in when and where to hold it. If you know of 26 September, probably in St Catherine’s Dock Birmingham on Wednesday 29 July, time and anyone of our set who doesn’t read Frontline Why pay full fees if you don’t need to?

Retiring? Having a baby? Moving to practise overseas? Or perhaps facing a period of unemployment? If so, there’s a reduced-price membership package for you To find out more call us on 020 7306 6666

or visit www.csp.org.uk/membership

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Frontline • 1 July 2015 49

could you please let them know. Hopefully of us already it would be great if we could walks in the Longshaw Estate in Derbyshire, we can aim for 2016 when it will be 50 years track everybody down. So please get in touch! and Saturday evening meal, and B&B in the since we started our training! Thanks, Carolyn Thanks. Email Kate Mooney (nee Adams) at: Fox House Inn nearby. Please join us if you Beavis (nee Gray), email: carolyn@beavisnet. [email protected] can. Let me know if you are planning to come co.uk and I will circulate more details nearer to the St Mary’s Paddington Class 1971-1974 day. Nikki Adams (originally Bramson) email: Withington Hospital School of Physiotherapy Anyone out there from class 1971-1974 [email protected] autumn 1972 - autumn 1975 who would love to meet and catch up? tel: 01924 782149. Reunion for everyone in our set or fellow Contact by emailing: [email protected] students who remember us to celebrate Bath School of Physiotherapy (BSOP) 40 years since qualifying. We plan to meet Bristol UWE 20-year reunion 1992-1995 reunion up Saturday 12 September in central Anyone interested in meeting in Bristol for a Ex-students and members of staff of the Manchester to eat drink and be merry. 20 reunion in spring 2015? I have set up a former BSOP are invited to join our closed Please contact us to plan the venue group Facebook page called ‘Bristol Physio Facebook group, where a reunion is being bookings etc. Contact Margaret McGarry, reunion 1992-5’. Please join and share in the organised, together with memories and nee Lynch, tel: 07812 728235, email: discussion of choosing a venue and date, or photographs being shared. [email protected] Val Smith, you can contact me on: janine_browne@ nee Matthews, tel: 07946 363597, email: hotmail.com Queen Elizabeth School of Physiotherapy [email protected] Anne Dewhurst, 1966-1969 September set nee Cooper, tel: 07828 181969, email: St Mary’s Hospital, School of Physiotherapy Anyone interested in meeting up after 45 [email protected] 1982-1985 years this year since we qualified? It will be 30 years next summer since we Some of us are still in contact. Please The London Hospital 1975-1978 qualifi ed, so well overdue for a get together! email Janet Whittaker (nee Warner) This year is 40 years since we started our If you would be interested in a reunion next at: [email protected] or training, so a group of us are organising a summer please email me, Diane Samuels (nee Sheila Wood (nee Staite) at: woodsheila@ reunion in September. If you have not heard Collyer) at: [email protected] or Denise btinternet.com Please mail us to arrange a through our contact list and would like to Watson (nee Collins) at: denisemwatson@ catch up! know more then please contact Suzanne btopenworld.com Once we know how many Jones at: [email protected] for the details are interested and where everyone is based Wolverhampton School of Physiotherapy we can decide the best place to meet. Class (including staff) of 1987-1990 Prince of Wales POW F Set (aptly named!) 25 years (really?) since we qualifi ed. If you 1965 Teesside Polytechnic 1985-1988 are interested in a reunion in the summer, Our 50th anniversary (golden!) Anyone It’s 25 years since we qualifi ed. If you are 2015, please email Carolyn McQuliian at: interested in a reunion? We already have interested in meeting up to celebrate contact [email protected] Perhaps a a few who would like to meet up. Open to Christine McGlone (nee Wallace) on tel: 0191 venue in Wolverhampton or Birmingham suggestions on day and venue. 387 5804, or email: christine_mcglone@sky. areas. Any other ideas welcome. Please contact Elly on tel: 01548 521391 com Look forward to hearing from everyone. or email: [email protected] The London Hospital 1977-1980 School of Physiotherapy, Withington 2015 is our 35 year anniversary since West Middlesex Hospital School of Hospital Manchester 1973 qualifying. Jane Nicklin and Wendy Hendrie Physiotherapy 1975-1978 Lenia from Nicosia, Cyprus would like to (nee Dickerson) are hoping to organise a Reunion? I have now contact with 14 get in touch with friends from the school reunion in London, time and place to be students/physiotherapist from our set, but of physiotherapy, Withington Hospital decided. Please contact us if you are interested some are still ‘missing’. Are you ‘one of us’, Manchester 1973 intake. in joining us. It would be great if we could or do you know someone who graduated Email: [email protected] track everyone down so please let people from West Middlesex 1978? Of so, please from our year group know if you are contact Lars Andersen on email: la-and@ Woodlands (Royal Orthopaedic Hospital) still in touch. Jane and Wendy can online.no School of Physiotherapy, Birmingham Set 49 be contacted at: mscentrenorwich. It is 35 years since we qualifi ed! Would you [email protected] and: jane. Pinderfi elds Hospital/Huddersfi eld Uni be interested in meeting up with Janet, Tessa, [email protected] Reunion 1997-2000 Elaine, Annette and Lynn? If so, please contact 15 year reunion – It will be 15 years next year Lynn Clark (Deeley) via: [email protected] Northern Ireland School of Physiotherapy - that we qualifi ed and were let loose on the Belfast 50th anniversary reunion world. To celebrate I am organising a meet Sheffi eld Polytechnic 1978-1981 We have continued to meet since our reunion up/meal out/ few drinks in Wakefi eld. This We have now fi xed a date, the weekend of and are now planning the 50th reunion of our will be held on 4 July, meet at the college Saturday 19 and Sunday 20 September 2015; qualifi cation in 1964, which will take place pub then food at Mex Cantina. We have 24 this will be a combination of tea, cakes and at a suitable date in 2017! We hope to have >

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another luncheon party this spring so if any Middlesex Hospital School of Physiotherapy and UCL 1991 -1995 other physiotherapists would like to attend please get in touch with me at: jarcherphysio@ aol.com

West London School of Physiotherapy John M B Long would like to hear from ex- students who were there in the 1950s. Email: jmblongahotmail.com

Edinburgh Royal Infirmary 1963-1966 Anyone out there still working? Fancy meeting Thank you to all those who attended our 20 year reunion. We had a brilliant time and up? Email me on: [email protected] laughed a lot, it certainly didn’t feel like 20 years! We missed those of you who couldn’t or tel: 01992 586659. make it – but we must do it again for the 25th! Finally thanks to Cath Kopecky for her organisational skills, that made it all go so smoothly. Keep in touch! Newcastle Polytechnic 1978-1981 It is a very, very long time since we qualified at Newcastle Polytechnic in 1981 (32 years). 30 years celebration of physiotherapy degree underwent successful reapproval last year Before we all decide to retire how about graduates at GCU and was praised for its innovative and meeting up? If you are interested, contact contemporary modules designed to prepare Sally Wilson (nee Gillespie) via email: students for a flexible and community based [email protected] work environment. Fiona also highlighted the importance of Withington Hospital School of interprofessional education as a continuum Physiotherapy Spring 1971-1974 across the programme and the role this will It is 40 years since we qualified and it play in preparing graduates for the integration would be lovely to catch up with the rest of health and social care. of the set and find out what others have Professor Valerie Webster, Pro Vice been doing. If anyone else would like to Chancellor and Vice Principal at GCU, a try to meet up sometime later this year, physiotherapist by profession, Fellow of the please get in touch with either myself, CSP and previously a physiotherapy practice Anne Downes, at: [email protected] Glasgow Caledonian University is celebrating educator gave an inspirational talk on the or Morwith Minter (nee Davies) on tel: 30 years of physiotherapy degree graduates. future of physiotherapy education. She 01225 866594. In June 1985 the first degree graduates emphasised the importance of leadership successfully completed a three year ordinary and how physiotherapists are well qualified Salford School of Physiotherapy, degree in physiotherapy at Queen’s College, to take on leadership roles and to problem Hope Hospital 1974-1977 Glasgow. They were the first physiotherapy solve or solution finding. As Valerie pointed It’s a long time since we left Salford. If you are degree students in Scotland and one of three out graduates are more globally mobile and interested in a reunion or just a catch up by programmes in the UK. Celebrations are expectations of students once they graduate email, please get in touch with Jane Heyer at: underway to mark this special anniversary. is also changing. Students now benefit from [email protected] On 28 May GCU hosted an alumni the internationalisation of the programme event on ‘The past, present and future and from international travel experiences of physiotherapy education’. The invited as part of the curriculum allowing them to speakers are members of the current broaden their horizons. academic and management team who all It was very fitting to have on display at the have long connections with GCU. Kay Keir, event posters representing the research and one of the senior lecturers in physiotherapy, projects undertaken by the various members of presented a talk on the ‘past’; demonstrating the physiotherapy team including: academic Thinking of having a reunion? in a humorous and factual way the origins staff, undergraduates, MSc pre-registration Need to contact old friends or colleagues? and the development of physiotherapy as students, post-graduate students, research a reputable profession. Fiona Moffat the staff, showing casing the breadth of talent Send an email to programme leader for the BSc Honours within the department and demonstrating [email protected] physiotherapy programme, a graduate just how far physiotherapy has come. Don’t forget... after your reunion has of Queen’s College, continued the story The evening was great success allowing taken place, send Frontline a photo highlighting how far physiotherapy education networking opportunities, meeting old friends and and tell us about it! has come. The BSc Honours programme making new ones. Here’s to the next 30 years.

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Obituaries Esther Hartsilver physiotherapists and researchers from a On Thursday 28 May Esther Hartsilver, 32 number of different organisations Esther Hartsilver, 1983 –2015 our much loved friend was tragically killed https://www.opaltrial.co.uk/ in a cycling accident on Denmark Hill while Esther was also in the midst of on her way to work. She touched the hearts completing her Msc at Bradford University. and lives of so many people; patients, She was studying an MSc in Rehabilitation colleagues and friends alike with her great Studies in Continence. sense of humour and insatiable appetite She would have been starting her for life. research methods this semester before her Esther graduated as a physiotherapist untimely death. in 2008 from the University of Brighton. Staff at Bradford University commented: Even at the beginning of her career she ‘We all thought she was a lovely student Esther Hartsilver has died at the age of only showed signs of being a very promising and and she will be sorely missed;’ 32. She was killed while cycling to work at dynamic therapist. During her student time ‘She was a wonderful student and we feel King’s College Hospital in Denmark Hill on she was a CSP representative for Brighton sure she would have gone on to be an Thursday 28 May 2015. students. excellent clinician’ Esther trained as a physiotherapist at She moved to London after graduating She undertook private work and was the University of Brighton, and went on to with her BSc and started her career at looking forward to the future seeking to set work in London at Chelsea and Westminster Chelsea and Westminster where she up her own ante-natal Pilates classes in the Hospital from 2008 to 2011. It was there completed her band 5 rotations, and this private sector. that she developed her passion for women’s is where she soon found a passion within Most importantly, as well as being a health. She got her first specialist job at women’s health physiotherapy. She moved fantastic physiotherapist, Esther was a Guy’s and St Thomas’ NHS Foundation to Guys and St Thomas’s hospital as a wonderful and luminescent daughter, sister, Trust while also working at The Portland Senior II and continued to develop her skills and friend. Hospital for Women and Children. To further in obstetrics and gynaecology. Many words have been used these past consolidate her knowledge, she then began In 2014 Esther moved to Kings College few weeks to describe the girl that we all work as a highly specialist physiotherapist at hospital to commence as a senior I in held so dear to our hearts. Passionate, the urogynaecology department of King’s women’s health. She further specialised kind, strong, positive, full of energy, spirit, College Hospital in the summer of 2014. in the urogynaecology field, and treated a generous to name a few. Esther was a trained acupuncturist and multitude of issues including continence, People will always remember her Pilates instructor, and she was also in the prolapse and pelvic floor care in women infectious laugh and also her enthusiasm process of completing her Master’s degree of all ages. Esther was always motivated for a profession to which she continued to in women’s health physiotherapy at the and proactive within her work, striving to give so much. She was always full of life, University of Bradford. improve herself and her practice. She loved warmth and had a wicked sense of humour! For all of us who knew her, she will be her job and was constantly seeking ways She touched the hearts of everyone she met remembered for: to increase her knowledge and skills to help with her smile lighting up the room. • her determination – last year, Esther others Several events have since taken place to took part in a 540-km endurance cycle She studied a range of post-graduate remember the spirit that was Esther. Project ride in Norway as part of Team St courses to develop her treatment skills, and Awesome, her local running club, organised Thomas’ Hospital, completing this in just this included: an 8k run from Shoreditch to city hall to pay under 32 hours of almost non-stop cycling; - urodynamic investigations tribute to her memory – over 200 relatives, • her sense of humour and her smile, which - APPI Pilates (Matwork) to help with friends and colleagues turned up to what were widely recognised on social media; core stability and pelvic floor training could only be described as a magical night • her kindness and compassion to others, in women enjoying the things Esther loved most especially to her patients and colleagues; - acupuncture. – running and baking! It was a night to and Over the last year she became involved remember Esther’s beauty, her smile and • her sense of discretion and dignity in with the OPAL multi-centre RCT (optimising to celebrate life! times of adversity. pelvic floor muscle exercises to achieve long One of her last Facebook posts read: Finally, Esther had an abundance of term benefits). The aim of the research ‘it may be a weird job, but it’s my job and energy and a great verve for life. We will was to find out whether doing pelvic floor I’m proud to be helping so many people. miss her, but she will be forever in our hearts muscle exercises with biofeedback is any It’s also good for a giggle at times...’. more effective than doing exercises without She will be terribly missed by all those Emily Nellist, Paula Igualada-Martinez, feedback. The OPAL trial is sponsored she left behind and has left a huge void in Janette O’Toole and Katy Holden, by Glasgow Caledonian University and our lives and our hearts. Kings College Hospital NHS Foundation Trust the research is being carried out by a Maayan Gavra, Emma Dashwood and Vicki group of experienced doctors, nurses, Anderson

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Courses&conferences

Complementary therapy Manual therapy

FASCIAL MANIPULATION LEVEL 1 WITH DR ANTONIO STECCO When: 16th-18th Oct & 30th Oct-1st Nov 2015 Where: London Contact: www.physiouk.co.uk/ stecco3 or call 0208-787-5963

Electrotherapy

The Complete Laser Therapy Manipulation Course. Training 2015 Straightforward Integration of When: 8 July Osteopathic, Chiropractic and Where: Leeds Physiotherapy Approaches When: 1 August When: 24-25 October 2015 Where: London Where: The Royal United When: 15 August Hospital, Bath Where: Cambridge Only £199 ( Benefit from 4 When: 12 September Experienced Tutors) Where: Reading When: 24 October COMPLETED NAGS’S BAND 5/NEW GRADUATE/ Where: Birmingham /SNAG’S LEVEL 1? RETURNING TO PRACTICE Theory, dosage, safety, DON’T MISS THIS… Combined Manual Therapy contraindications, regulations, Days: Brian Mulligan: 1-Day Practical hands on training. DIAGNOSIS AND When: Clinical Masterclass Cost: £200. TREATMENT OF Option 1: 12 September 2015, When: 19th September 2015 Contact: Course Leader: Option 2: 17 October 2015 Where: London MOVEMENT SYSTEM James Carroll FRSM. 01494 IMPAIRMENT Where: Bristol 797100, www.thorlaser. When: 20th September 2015 SYNDROMES Only £99 (2 Experienced Tutors com Register online - Early Bird Where: Sheffield On Each Option) Discounts available Introduction to concepts Contact: www.physiouk.co.uk/ Discounts for booking & application with Shirley brian4 or call 0208-787-5963 multiple days Sahrmann’s team Contact: jo.galise@ When: 1st-2nd August 2015 physioimpulse.co.uk Where: Warrington 07917 327322 When: 4th-5th August 2015 For more information visit http:// Advertise in Frontline Where: Surrey www.physioimpulse.co.uk/cpd- Contact: www.physiouk.co.uk/ courses.html Get in touch with Media Shed nancy3 or call 0208-787-5963 [email protected]

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Manual therapy Miscellaneous

Become a Pilates Instructor With APPI

Matwork Level One – The Foundation

Understand the evidence behind this popular exercise method and identify how to clinically reason every Pilates exercise and incorporate into your practice.

Matwork Level Two – Class Instructor Learn the unique approach to teaching APPI Pilates in a group setting.

Matwork Level Three – Intermediate/Adv Learn the intermediate and advanced repertoire of APPI Pilates movements. Review case studies, design and discuss treatment plans. Pilates for Children and Young People 11th September 2015

For dates, courses and locations visit our website www.appihealthgroup.com Email us at [email protected] Or call 0345 370 2774

UP to Online clinical exPeRt ten million PeeR suPPORt that is repreSentation easy-tO-access for me at work from PoUnds through iCSP discussion forums, the CSP’s network of trade of protection through professional and regional networks. union officers and stewards. professional and public liability insurance for me. Strength in numbers. i have protection. it suits me. SUPPORT WORKER EXTENDED SCOPE PRACTITIONER it’s good with so many membership to belong benefits and services

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54 Courses&conferences

Miscellaneous it’s good to belong with so many membership benefits and services Advance your physiotherapy advice for my skills professional Cardio Respiratory development • Caring for Complex Respiratory Patients in the Community 30 September and practice • Acute Chronic Respiratory Assessment 14 October Reduced fees at CSP events, • COPD 11 November free access to world-class CPD • Asthma 9 December e-Portfolio tools, quick response phone suppport from the Pain Management • Psychological Therapies for Pain Management enquiring handling unit and (4 day accredited course) commences 7 July professional advice service. Includes: Motivational Interviewing, Cognitive Behavioural Therapy and Mindfulness for Patients with Pain. Paediatrics • Complex Regional Pain Syndrome 10 July

For more information visit: i could go.herts.ac.uk/frontline2 Two Day Workshop or call us on 01707 284956 on Dyspraxia and even Co-ordination GA15089 06/15 Difficulties save When: 15th & 16th the cost of my September 2015 membership on Where: Denham, Buckinghamshire everyday Cost: £230.00 per person The workshop covers purchases assessment and treatment of children with co-ordination by using difficulties based on The Lee Method. CSPplus. Contact: For any further PHYSIOtHeraPISt information, or if you wish to Advertise in Frontline book for the above, please contact Bernadette Mohan Get in touch with Media Shed on 01895 835144 or email: [email protected]. [email protected] You can also download an application form from our website 0845 600 1394 www.dyspraxia-dcd.co.uk

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Pain management Sports medicine

Kinetic Control ‘KNOW PAIN’ WITH Sports First Aid inc. Movement MIKE STEWART Pitchside [£75] Dysfunction Course - A Practical Guide for Therapeutic When: Sat 5/9/15 or Concepts Solutions for Neuroscience Education Sun 11/10/15 Understanding Movement and When: 12th-13th September Where: Tadley RFC, RG7 4PA Function 2015 3year certification, RFU and FA When: 22-23 September, 2015 Where: London licensed tutor Where: Derby When: 14th-15th November Contact: Andrew Port Trainer: Sarah Mottram MSc, 2015 01189333896 MCSP, MMACP Where: Edinburgh www.actionfirstaid.co.uk Course Addresses: What goes When: 16th-17th January 2016 wrong with the movement Where: London system when people have pain. When: 26th-27th March 2016 Why it’s hard to fix, and how to CYCLING INJURIES: fix it. Fee £300 Where: Milton Keynes CAUSES, TREATMENT Contact: Full details at Contact: www.physiouk.co.uk/ & PREVENTION www.ncore.org.uk know1 or call 0208-787-5963 A Unique Opportunity for Proactive Therapists When: 5th September 2015 PAIN & Where: Loughborough PHARMACOLOGY: When: 17th October 2015 OPTIMIZING Where: Surrey PATIENTS Contact: www.physiouk.co.uk/ ANALGESIA cycle or call 0208-787-5963 When: 18th July 2015 Where: Crewe When: 3rd October 2015 1 DAY Where: Keighley TENDINOPATHY Contact: www.physiouk.co.uk/ pain8 or call 0208-787-5963 UPDATE Effectively and practically diagnose, manage and rehab tendons When: 19th September 2015 Where: London When: 28th November 2015 Where: Burton-on-Trent Contact: www.physiouk.co.uk/ tendons or call 0208-787-5963

Advertise in Advertise in Frontline Frontline Get in touch Get in touch with Media Shed with Media Shed 0845 600 1394 0845 600 1394

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Recruitment

Looking for a job? Register on Job Escalator today for Musculoskeletal Physiotherapist physio jobs that find you Band 7 Ref 779-PH-23 Job Escalator provides: Musculoskeletal Physiotherapist Band 6 Ref 779-PH-11 - Free service for CSP members looking for jobs Do you want to be part of a thriving team to further advance your career and skill set? Join our dynamic service that is transforming healthcare. - Allows you to search for jobs by keyword, employer, salary or location Our commitment to our staff has been recognised in the 2014 National Staff Survey with one of the highest staff engagement rates and the lowest sickness of any community provider in England. We have also - Receive e-mail updates for relevant jobs based been celebrated for our commitment to our staff learning and on your search criteria development. New investment and developments in the MSK service has meant that - Save applications and searches or watch there are exciting opportunities within the MSK team for experienced physiotherapists looking to further develop their MSK career. These posts vacancies will be based in our large outpatient department on the West Middlesex University Hospital site where there is a vibrant and supportive team of over 25 physiotherapists, including experienced ESP’s and Pain Management Specialists. There will also be the opportunity to work at GP clinics in Chiswick, Brentford, Hounslow and Feltham. Band 6 – full-time (37.5 hrs per week) £26,041 to £34,876 per annum plus 15% HCA supplement We are looking for an enthusiastic and flexible band 6 MSK Physiotherapist to join our team. You will need to have completed your core band 5 rotations and be keen to develop your MSK clinical skills further whilst developing greater responsibilities in caseload and time management. Band 7 – full-time (37.5 hrs per week) £31,072 to £40,964 per annum plus 15% HCA supplement We are seeking a highly motivated MSK Physiotherapist who is looking to further their clinical and managerial skills. There will be opportunities to develop services and work with GPs, secondary care and other MSK services. You will have highly specialised knowledge and experience of physiotherapy interventions, MSK conditions and requirements of effective practice delivery. What we can offer you? • A commitment to your training and development. • Supportive environment and supervision by experienced senior MSK physiotherapists – we will be with you every step of the way. • Continued Professional Development to further develop your career. • The opportunity to be based near to Heathrow Airport, close to the River Thames & Richmond Park and have good transport links to Central London. Want to know more? For further information contact Sian Knight, MSK Clinical Services Manager, on 020 8973 3558 or at [email protected] Advertise in Frontline For full job descriptions & to apply, please visit www.jobs.nhs.uk quoting the relevant reference. Get in touch with Media Shed Closing date: 14 July 2015. [email protected]

THE TRUST IS FIRMLY COMMITTED TO EQUAL OPPORTUNITIES, FLEXIBLE WORKING PATTERNS AND WORK LIFE BALANCE. 0845 600 1394

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Associate Specialist Physiotherapist and (Community) proud Crediton, Devon Ref: 415-JG15-128ED Salary: Band 6 £26,041 - £34,876 pa Hours: Full Time/Part Time Hours Available Mon-Fri, may with include weekends as the service requires official We are looking for an enthusiastic, flexible Specialist Physiotherapist to work within the community as part of Crediton Community Rehabilitation Team. This post would also be CSP suitable for experienced Junior Physiotherapists wishing to progress their career. uniforms Crediton is in the beautiful area of Mid Devon. There are a variety of leisure opportunities and excellent transport links to Exeter and the South West. The base will be at Crediton, but the post holder will be expected to work from our other sites in Okehampton and Moretonhampstead as service needs require. Good communication skills are important as is the ability to establish good working relationships with Health & Social Care Team members, GPs and the voluntary sector. The post will involve rehabilitation of clients within their own homes and there www.grahamegardner.co.uk/csp will be a requirement to take part in the urgent rota for Rapid Response / Urgent Tel: 0116 255 6326 Pathway patients. The successful post holder will be able to demonstrate knowledge, experience and relevant clinical skills with clients with complex / long term conditions, falls, trauma and orthopaedic follow-ups stroke, neurological conditions such as Parkinson’s Disease and Multiple Sclerosis as well as clients with general mobility problems. The varied and interesting case-load provides great clinical development opportunities. The area is rural and therefore it is essential that you are able to travel to meet the requirements of the post. Current HCPC registration is required. Support will be given via supervision, specialist interest group attendance and training and there will also be opportunities to supervise and support junior staff In your supporting information please state whether you would be interested in working full time or part time. For an informal discussion please contact Sharon Dunn on 01363 777561 or [email protected] Closing Date: This job advert will close as soon as sufficient applications Why not advertise on Job Escalator today? have been received. Interview Date: 23 July 2015 An entry on Jobescalator will allow you to reach the Applicants are requested to apply online in the first instance at www.jobs.nhs.uk using the job reference number. 12,500+ CSP members registered to Job Escalator, helping you to reach quality applicants.

Working towards equal opportunities If you want your listing to stand out, you can also: www.northdevonhealth.nhs.uk - Highlight your job for £99, which also gives it a leg up towards the top of the pile

- Upload your company logo to appear beside your vacancies for £99. - Make yours job of the week on the jobescalator home page – that's £99 too - Compliment your listing with a banner ad from £35 CPM Nottingham CityCare Partnership CIC was a winner in the Health Service Journal Award 2013 and are currently seeking experienced and motivated Physiotherapists to be part of our exciting expansion!

To apply please visit www.jobs.nhs.uk quoting reference 826-PATF-955 or for further information please contact Hayley Parkin - 0115 8833562 - [email protected]

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School of Health Sciences Senior Lecturer in Physiotherapy £40,847 - £47,328 per annum Location: Eastbourne This is an opportunity to be working in one of the leading centres of Physiotherapy education in the country. You will support the undergraduate and post graduate courses in an internationally recognised interdisciplinary research environment contributing to learning and teaching to support the student experience. We have a philosophy of encouraging interprofessional collaboration on our courses. There are excellent dedicated facilities for Physiotherapy learning and teaching that are highly specialised and uniquely available for teaching and research. You will need a degree in Physiotherapy, be registered with the Health & Care Professions Council, and have, or be working towards, a teaching qualification. You will have recent experience of Physiotherapy practice and working in higher education. An area of specialty such as Musculoskeletal therapies would be an advantage. If you have a PhD or Doctorate and can supervise at this level, you will have opportunities to develop as the university has an active programme for supporting early career researchers. Travel to other university sites will also be required. Job sharers welcome. For informal enquiries please contact Prof Shirley Bach, Head of School on 01273 643483. Interviews will take place on Thursday 13 August 2015 Ref: HC3157-15-164 – Closing date: Wednesday 15 July 2015

To apply for this post visit jobs.brighton.ac.uk or call (01273) 644135 s m Working for equality of opportunity u c o L Web services y p a r e Preferred th io Supplier for s y over 150 NHS h P Trusts Nationwide

t: 020 7292 0730 e: [email protected] www.piersmeadows.co.uk

NetworksJul1 indd 60 25/06/2015 15 17 068indd 1 000628 chartered status. grants you CSP membership Only full for anapplicationpack.. for more infoorcall02073066666 www.csp.org.uk/membershipVisit Apply nowandgetchartered! ’ 81/04 0 27 18/12/2014 08

000628 62 Recruitment

Private work available SOUTH WALES Performance Physiotherapy in musculoskeletal and sports injuries, Ltd have a part-time vacancy available acupuncture preferable. Enquires and CV to: comprising mix of private practice/ [email protected] Great opportunity for a part- occupational health work. Approximately time/full time, flexible musculoskeletal three and a half days per week on self- Rugby, Warwickshire Established physiotherapist and also a part-time employed basis. Some evening/weekend private clinic looking to recruit part-time community physiotherapist to join a work also available, minimum four years musculoskeletal physio with minimum of friendly, busy clinic in London N14. Would postgraduate experience required, previous three years experience. Pilates, acupuncture, suit local person with excellent clinical private practice work an advantage. Send sports first aid an advantage. Send letter and interpersonal skills. In-house CPD. CV to: bsearle@performance-physiotherapy. and CV to: admin@rugbyphysiotherapy. Please send CV and covering letter stating co.uk co.uk or call tel: 07961 378 418 for further availability to: [email protected] information. Exciting opportunity Come and Band 5 physiotherapist with some join the TherapyMatters team in Chester Pilates Trained Physiotherapist, paediatric experience required to work - due to expansion we are recruiting Oxfordshire Keen, self-employed immediately in an established paediatric for a band 6 specialist neurological Pilates trained physiotherapist is required clinic in central London. Please call tel: physiotherapist - you need to have for expanding APPI Practice Centre Pilates 07747 6896740 to discuss further. excellent communication skills and be Studio, Bicester. Evening and daytime keen to learn and develop your neuro sessions available for classes and individual DRONFIELD, DERBYSHIRE Experienced skills - we can give you great learning sessions. Please contact Sarah at: sarah@ self-employed musculoskeletal opportunities, clinical supervision and isispilates.co.uk or tel: 07721 093671. physiotherapist wanted for one to two IST, and an interesting and varied rehab evenings and some Saturday work at caseload - all lead by Bobath tutor clinical London – Vanbrugh Physio A full- busy local practice. Minimum five years lead. All of this without any politics or time position has become available due experience. Contact Angela Hill on tel: hassle! Full-time permanent employed to international relocation of a current 07786 572715 or email: hillphysio@hotmail. post but part time also considered. team member. Seeking an experienced co.uk Expressions of interest welcome to: info@ self-employed musculoskeletal physio therapy-matters.co.uk wanting to join our vibrant, innovative Croydon Physio is looking for a great and experienced team in our Greenwich physio to join our team. Work in a lovely Physio Med Leeds - Full/Part- clinic. The clinic has a strong foundation practice with a great group of physios. time work available An exciting in manual therapy and enjoys an Competitive salary (self-employed or opportunity for the right physiotherapists excellent reputation in providing first PAYE), part-time and full-time both to join our clinical team. Physio Med are class physiotherapy for its clients. available, regular CPD, and good team looking for full and part-time chartered Applicant must have experience working spirit. Work in an excellent clinic with an physiotherapists for clinic-based hours in private practice and have excellent excellent reputation. Start: ASAP. Email and working within our award winning communication and interpersonal Tim your CV at: [email protected] telephone triage service. As an outpatient skills. Flexible working arrangements. physiotherapist you will manage a varied Excellent CPD opportunities. Excellent Glenrothes/Cupar Experienced case load of general musculoskeletal remuneration. Apply to: darren@vphysio. musculoskeletal physiotherapist required conditions, including GP, consultant, co.uk for extended leave cover from August solicitor and company referrals. The to January, possibly longer. Tuesday triage role is an interesting and varied Solihull: Pilates, Yoga or Tai Chi afternoons/Wednesday mornings role where you will perform triage calls trained Physiotherapists Specialist preferable, six to seven hours per week, for our physiotherapy advice line (PAL) Pilates clinic requires enthusiastic, self- varies. Rate negotiable. Send CV to: service and provide clinical support employed physiotherapists to run classes [email protected] or call tel: for a team of clinical and non-clinical and individual sessions. Pilates Reformer 01337 858433. staff members. All necessary initial and training highly desirable. Evening and ongoing training would be supplied. In daytime hours available. Please email: Zoë: Prescot and Warrington Experienced return for your hard work, you will be paid [email protected] musculoskeletal physiotherapists, part-time a very good hourly rate and be involved in hours on self-employed basis. CSP/HCPC our monthly CPD. If you would like to join Physio Fitness is looking for an registration required. Tel: 0151 493 1600. the Physio Med team and would like to experienced musculoskeletal Email: [email protected] be considered for a post please contact: physiotherapist to join our team. We [email protected] or Physio are an established private practice based WAKEFIELD – WEST YORKSHIRE Part- Med Ltd, Chartered House, Gelderd Road, inside a gym in North London. We are time position available for four years plus Leeds LS12 6DT. Tel: 0113 229 1300. looking for someone two or three mornings qualified physiotherapist. Will include some per week starting from September 2015. You weekend work. Regular CPD will be delivered FARNBOROUGH, KENT Friendly, should have at least five years experience and there will be opportunities to work with enthusiastic and self- motivated in an outpatient setting and acupuncture sporting teams. Interested parties send CV physiotherapist required for well-established is desirable. Please send your CV to: info@ to: [email protected] clinic. More than three years experience physiofitness.org.uk

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Physit Ltd London has an exciting YORK, NORTH YORKSHIRE Musculoskeletal opportunity for a full-time self-motivated physiotherapist(s) required. Private practice and enthusiastic musculoskeletal Monday to Friday including possibly some physiotherapist to join our young early morning/early evening work, full and and innovative mobile physiotherapy part-time applicants considered. Ideally, practice. You will possess excellent clinical two years musculoskeletal experience. CSP and interpersonal skills, a flexible and and HCPC registration essential. Must be approachable attitude to their work and currently registered for work in the UK. a good understanding of the importance For the right candidate, opportunities for of marketing and business promotion career progression and involvement in the in today’s current healthcare market. development of our practice may exist. For Acupuncture and manips experience is full details email: annette@highthornphysio. advantageous and you need to hold a full demon.co.uk driving licence. Excellent basic remuneration and bonus package with growth potential. CHIPPING NORTON, Covering Full and ongoing CPD support and training OXON, GLOS, WARKS We have a part- will be provided. Closing date: 15 July. time opportunity for a neuro and/or Tel: 07714 244438. musculoskeletal physiotherapist in a busy, friendly private practice. Hours flexible/ We are looking for charismatic negotiable, must be willing to work junior physiotherapists to join independently. Pilates also a benefit. Email: our expanding team in Southampton/ [email protected] for more Portsmouth. The position is part-time information, or send your CV to apply. on the first instance with plenty of opportunities to develop into full-time EMPLOYED PRIVATE PHYSIOTHERAPIST role for the right candidate. Caseload (NORTHAMPTON): BAND 5/6/7/8 The is musculoskeletal with evening Back and Body Clinic is a busy, vibrant appointments. Job spec can be obtained and established musculoskeletal practice by emailing: [email protected] with an enthusiastic and dynamic MDT. Please feel free to contact us for informal Requirements: Enthusiastic, excellent Frontline discussion. New graduate is welcome to communication, clinical reasoning and apply. ‘hands on’ treatment skills. Benefits: CPD budget, weekly IST, generous salaries, MSc We have several practices across supported, friendly team environment. Kent including Sidcup and several in Please send CV: info@backandbodyclinic. and around Maidstone. We are looking for co.uk musculoskeletal physiotherapist(s) to join our busy practices in both Maidstone and Camberley, Surrey Part-time Sidcup. Clinic times needed include daytime musculoskeletal physio. An established and evening during the week and a Saturday and well-regarded practice with large day. Good rates of pay, varied caseload, primary care contract. Friendly team in well must have breadth of musculoskeletal appointed clinic. Five plus years experience clinical skills and be at least three years essential. Email: avenue.physio@btconnect. qualified, (acupuncture preferable), com or tel: 01276 508408. whilst being a team player, dynamic and adaptable. Please email CV to: charlie@ MERIBEL, FRANCE – SKI-LOVING physiofitkent.co.uk musculoskeletal physiotherapist required for 2015-16 ski season. Pilates and massage PHYSIOTHERAPIST OPPORTUNITIES experience essential, reformer training – SHEFFIELD RehabWorks have preferable. Must speak some French. opportunities for a junior and a senior For further information email: ginny@ physiotherapist to work within the alpinetherapies.com Sheffield area. Successful candidates will receive a competitive salary, LEEDS Self-employed musculoskeletal excellent benefits and a supportive physiotherapist required to join our busy Advertise in Get in touch with Media Shed [email protected] and friendly environment. These are practice. Flexible daytime hours available. full-time permanent positions. For Must be confident to work independently. more information please contact: Acupuncture and sports injury experience an [email protected] advantage. Please email Pam Smith at: pam. Website: www.rehabworks.co.uk [email protected] >

NetworksJul1 indd 63 25/06/2015 15 17 64 Recruitment

RADLETT, HERTFORDSHIRE SECONDHAND ELECTROTHERAPY We are looking for a part-time physio BOUGHT AND SOLD Ultrasounds qualified to teach Pilates. You should Interferential Combinations etc. Call RWR JOIN UP! have APPI instructor qualifications or services on tel: 0845 257 8925. Email: equivalent. There will be a mixture of [email protected] musculoskeletal work and Pilates class Web: www.rwrservices.co.uk CSP Equality and teaching. Applicants must be prepared to work evenings and weekends. Please Diversity Networks Service and repair email a CV and covering letter to: julie@ radlettphysiotherapy.co.uk welcome members of the CSP who are disabled, ALPERTON, WEST LONDON Full- ALL TYPES OF ELECTROTHERAPY, from black minority ethnic time position in a neuro rehabilitation COUCHES AND PHYSIOTHERAPY outpatient centre. Seeking a passionate PRODUCTS SERVICED AND REPAIRED (BME) groups, or are neuro-physiotherapist with a minimum of Call Trimbio on tel: 01403 261564 lesbian, gay, bisexual five years clinical experience who is open- www.trimbio.co.uk minded, self-motivated and devoted to or transgender (LGBT) their ongoing learning and development. FORMER SHREWSBURY MEDICAL An opportunity to work in a fast- ENGINEER Offering repairs and servicing developing unique centre, well equipped of your electrotherapy equipment. with the latest assistive technology, Call RWR services on tel: 0845 257 8925. offering expert treatment within a Email: [email protected] welcoming and calming environment. Web: www.rwrservices.co.uk The successful applicant will have the opportunity to work alongside our clinic director who has over 35 years experience Rooms to let in neurology and has formulated an innovative treatment approach based upon the latest clinical research. 1:1 ATTRACTIVE D1 BUILDING IN training, supervision and peer support will WEYBRIDGE, SURREY Car park opposite. be provided. Responsibilities also include Rent £32,500 per annum. One room let involvement with marketing, external at £1,000 per month (tenant will stay training provision and monitoring if permitted). www.shopsetc.com (site and applying the latest technical reference 2285) or call Franklins on tel: 0845 developments in neuro rehabilitation. 390 3333. To apply, email your CV with a covering letter to: [email protected] MODERN TREATMENT ROOMS www.neuro-physio.co.uk AVAILABLE FOR RENT Above a very busy podiatry clinic. Great high street location in the Wylde Green area of north Birmingham. For further information please email: Equipment for sale [email protected] or call tel: 0121 382 8816.

ALL TYPES OF SECONDHAND SOLIHULL Pilates Studio available to rent. AND NEW ULTRASOUNDS, Available weekends all day, suitable for For more details go to: ELECTROTHERAPY, LASERS, group classes/sessions. Email Zoë at: mz@ COUCHES ETC With warranty. View at: physio2pilates.co.uk for more information. www.csp.org.uk/ www.trimbio.co.uk or call Trimbio on tel: equalitynetworks 01403 261564. Business opportunity or email: [email protected] Equipment wanted PHYSIOTHERAPY WEBSITES Do you want your website to be at the top of Google? Physio123 specialise in ALL TYPES OF ULTRASOUNDS, creating and marketing physiotherapy ELECTROTHERAPY, LASERS, COUCHES websites. Free trials available. Visit: www. ETC BOUGHT FOR CASH Call Trimbio on physio123.co.uk tel: 01403 261564 www.trimbio.co.uk

NetworksJul1 indd 64 25/06/2015 15 17 Frontline • 1 July 2015 65 Chartered and proud

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NetworksJul1 indd 65 25/06/2015 15 17 ThreeMinutes Julie Cooper Community physiotherapist Julie Cooper will be volunteering at the 2015 International Paralympic Committee Swimming World Championships, which take place in Glasgow from 13 to19 July

What will be your role be in Glasgow? potentially as an international chief classifi er. from inter club galas to national events and on to Glasgow for me is a little bit different. I will be Usually at para-swimming events I volunteer as international events such as the Paralympic Games. learning more about visual and intellectual a medical classifi er, working alongside a technical There are many benefi ts to swimming and they impairment classifi cation to support my existing classifi er (a swimming coach), assessing the can be categorised as physical and psychological. knowledge of the physical side of classifi cation. athletes using a set of standardised swimming Physical benefi ts include a full body aerobic I will assist the classifi cation coordinator in tests in order to place them in the correct workout, increased bone and muscle strength, welcoming the athletes and getting an overview categories, enabling a fair fi eld of competition. improved fl exibility and improved lung volume and of the classifi cation process in the three proper breathing techniques. Psychological benefi ts impairment groups at a major championship. How did you get into being a classifi er? are the increased social interaction through This will support me in my role as a member of Firstly, it is important to note you need to being part of a team; creation of an additional the British para-swimming classifi cation working have worked as a medical doctor or chartered support network and improved self-esteem. group, developing the classifi cation strategy, and physiotherapist for at least two years before you are able to train as a medical classifi er. I have Do you give up leave for these duties? always had a passion for facilitating access to sport The role is voluntary with all expenses paid. Most for all children with disabilities so I contacted the regional competitions are at weekends. However, Hampshire and Isle of Wight disability sports offi cer classifi cation for national and international and got involved with local multi-sport events. competitions generally takes place in the week In 2007 I was invited to train as a medical so I have to use my holiday. classifi er for swimming in the south east region and after attending an International Paralympic How does your classifi er role Committee (IPC) course I became a trainee complement your day job? classifi er. I classifi ed regularly across the UK and I am employed by Solent NHS Trust as a band 7 was put forward for a subsequent training course community paediatric physiotherapist working n 2010 where I was promoted to an IPC Level 1 as part of a multidisciplinary team caring for classifi er. Additionally, I am now also involved in children with complex needs and their families. the selection and training of national classifi ers These roles complement each other as both n line with the IPC rules and regulations. require me to assess people’s capability in order to facilitate their participation in activities. My What are swimming’s benefi ts and experience in neurology and paediatrics has also how can disabled people compete? proved invaluable in classifi cation as I am used to Swimming is a sport for all ages and abilities working with children with permanent disabilities. and anyone can compete. However in I have received a greater exposure to a wider range order to be eligible for disability swimming of conditions through classifi cation which has competitions, an athlete must have a permanent increased my knowledge when treating children. and irreversible medical condition of a physical, intellectual or visual nature. What’s the next event for you? First and foremost it is really important I will be classifying in Chengdu in September for the that everyone learns to swim from an early ninth China National Para Games, which I am very age and to do this every public swimming excited about. FL pool will offer swimming lessons. Once able to swim and if interested in pursuing the sport further the next step is to join More information a local swimming club. This is where contact: [email protected] the competing really starts, ranging

66_ L_1_jul_3 mins indd 1 25/06/2015 15 08 96th Annual General Meeting of the Chartered Society of Physiotherapy Saturday 17th October 2015 at 12.45pm BT Convention Centre in Liverpool All members are welcome to attend.

The agenda will be as follows: • Approval of the minutes of the Annual General Meeting held on 11/10/15 • Adoption of the annual report for 2014 • Approval of the balance sheet and accounts for the year ended 31/12/14 • Appointment of Baker Tilly as auditors for 2015 • Any other pertinent business.

Copies of the full accounts for 2014 are available at the meeting.

A note on proxy forms: Votes at an Annual General Meeting may be given personally or by proxy. A proxy form can be obtained from the Chief Executive’s offi ce at 14 Bedford Row, London WC1R 4ED, 020 7306 6642 or from [email protected] or downloaded from the CSP website www.csp.org.uk Proxy forms must be completed, signed personally, and returned to the Chief Executive’s offi ce to arrive no later than 1pm on Wednesday 5th October 2015. Scanned copies will be accepted or they can be sent by post to the address above.

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