Hip Be Exercise dysplasia inspired post-stroke

The physio’s role Watch our NIHR column campaign videos Page 28 Page 24 Page 20 Issue 9 Issue Volume 24 Volume Frontline 2018 16 May THE PHYSIOTHERAPY MAGAZINE FOR CSP MEMBERS

Prescription addiction The hazards of dependency

Inside: Jobs • Views and opinions • Courses • In review Frontline • 16 May 2018 3 Contents

News News in pictures 6 10 First contact practitioner roll out takes off 8 Scotland launches digital platform for electronic patient records 10 Physios leads Parkinson’s network 12 Back pain education cuts waiting times 14 National awards recognise innovation 16

Features How a conversation can increase activity 24 Clinical update: acetabular hip dysplasia 28 12 Physios speak out on drug dependency 30

Regulars 30 Comment: your emails and views 4

Research findings: latest NIHR column 20

THERE ARE Views and opinions: tackling lung disease mortality 22

In Review: The End of Physiotherapy 35 , Networks & networking: 1WAYS2 TO706 BENEFIT what’s going on locally and at CSP-linked professional groups 37

FROM PHYSIOTEC Courses & conferences: your guide to better practice 54 With over 12,500 online exercise videos and more than 100 added every month, it’s no wonder Recruitment: latest jobs 58 we are the Number 1 ally of physiotherapists 3 minutes: M-J Sharp on around the world. hip dysplasia 64

We are Physiotec and we help over 3 million patients lead a healthier, more normal life. physiotec.co.uk published by +44 02 032 865 865 Frontline is the physios’ magazine from the CSP, sent direct to every member 21 times a year

Untitled-2 1 09/05/2018 08:08 Frontline • 16 May 2018 5 Write to us Follow us Comment email your letters to on Twitter at join the debate online at Comment [email protected] @thecsp www.csp.org.uk

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WCMT Interested in recent topical discussion? Prescription Could you be a Churchill fellow? @model_hospital We’ve recently started a series If so, read our selection below. Applications for this year’s Churchill Fellowships are open to anyone of #ModelHospital webinars including specialist iCSP is our peer-led knowledge who would like to apply for this unique chance to travel and bring back masterclasses and introductory sessions. We’ll let you pitfalls sharing area of the website – global insights to communities and professions in the UK. know about future sessions but if you’ve missed any, view all our popular discussions A Churchill Fellowship funds people to travel for four to eight weeks you can watch the recordings at bit.ly/2HM02q1 e have some strong clinical abroad, researching a topic of their choice – anything that can make a www.csp.org.uk/popular issues for you this time. Robert difference to their own profession or to their wider community when they @ProfDavidHunter Challenges and controversies of Millett’s article on the impact of W come home. Fellows can visit several countries and continents during complex interventions in osteoarthritis management: prescription drugs on your patients (page 30) their time away, meeting key people connected to their chosen subject context of competing health priorities and Cyclist injury advice is a salutary reminder of how easy it is to get Members discuss patellar and gaining hands-on expertise. On return, they make change happen in multimorbidity, access to high quality conservative ‘hooked’ on medication. It’s so important, as tendonitis and effective their workplace or region, among practitioners or policy-makers, at local or care, non-pharmacological therapies, resource a physiotherapist, to be aware of the impact graded quad and hamstring national level. You can apply and find out more here:www.wcmt.org.uk/ limitations and models of care bit.ly/2JHotFF these drugs can have on a person’s health: The Winston Churchill Memorial Trust awards fellowships in these fields: strengthening exercises. it’s not always a positive one. Comments: 11 Artists and Makers, Education, Emergency Services, Enterprise and Social @Age_and_Ageing Trajectory of social isolation The articles on hip dysplasia should also be Network: Musculoskeletal Impact, Environment, Healthcare, Migration, Nursing, Rural living, Science, following hip fracture: an analysis of the English of interest. Clinical update (page 28) provides www.csp.org.uk/node/1144053 Suicide Prevention – and there is an Open category for everything else. Longitudinal Study of Ageing cohort bit.ly/2HO6Gfr a factual overview of the condition but our Young people aged 18-25 are actively encouraged to apply. Three minutes interview slot, in which we Everyone can apply, regardless of qualifications, age or background. @NIHR_DC Postnatal depression affects around 10 Classification of hear from physio student M-J Sharp (page All that’s necessary is to be a UK citizen aged 18 and over. to 15 in every 100 new mothers in the UK. NIHR mobility and tagging 64), puts a human face on the facts. These What we look for is bright ideas from people who are keen to make research has shown that aerobic exercise moderately walking aids are timely, given that June is Hip Dysplasia Members have improved their change happen. Rachel Remnant, reduces symptoms in new mothers buff.ly/2JKdLyS Awareness Month. n Jonathan Lorie, Winston Churchill Memorial Trust a fellow in 2016 service by marking WZFs and the use of ‘I can’ on boards. Follow us on Twitter at @thecsp Comments: 11 ‘As any physio knows, motivation Network: Older people : www.csp.org.uk/node/1141473 is key to patients’ success Yoga meets physio passionate about promoting the benefits young, active employed person Bowel clinics physiotherapists at the healthy on the road to recovery ... I have started a Physioga – I made up the of yoga in the hope they will take what knocking at our door, and I am a pelvic health bowel clinic at Aintree, and name! – class for physiotherapy students they learn and use it with patients, on educate and support physiotherapist working at South perhaps other similar facilities, Trache weaning Members share current practice, at Cardiff University, where I am a physio placement and when they qualify. active lifestyles. Warwickshire NHS trust. I was to find out more about how they advice and experience on trache student myself. I am also a qualified yoga n Holly Monson In addition, we need to look to very interested in your article set up their service. I would be And so to this issue’s cover wrap. As any weaning protocols. instructor. We use one of the practical provide better resources, exercise regarding the healthy bowel very grateful for their contact physio knows, motivation is key to patients’ Comments: 13 rooms and have had as many as 30 in the Hip resources advice and access especially to clinic (page 30, 17 January). We details if they are happy for me success on the road to recovery. The latest Network: Respiratory care class. Each week we focus on a particular I felt compelled to comment on Hip hydro, bike schemes, gyms, etc. see bowel patients in our clinics to get in touch. video case studies from our Love Activity, www.csp.org.uk/node/1147809 area of the body, or else an overall aim. Hip Hooray in Frontline on 2 May. And we need to structure the but I am also looking into setting n Louisa Ford, women’s and Hate Exercise? campaign should help to I base the class on giving instructions Fundamentally, we need to do better at care pathway better. up a dedicated bowel clinic. I men’s health physiotherapist, inspire you and your patients (page 24). If and the justification for each pose. I am capturing the needs and desires of the n Anonymous am keen to be in touch with South Warwickshire NHS Trust Safety using theraband you’re enthused by what you see and want to Members debate patients’ be part of our campaign to promote physical safe use of equipment and activity, we encourage you to sign up for a whether protective eyewear is resource pack at www.csp.org.uk/activity. required. To start you off, we hope you’ll already Comments: 11 have noticed the campaign poster You’ve added... Network: Older people wrapped around the cover of your copy www.csp.org.uk/node/1144060 An anonymous response and the next available We reported on the major safety reasons. It seems those returned to the NHS only if of Frontline. Put it up in your clinic – we to our news that the appointment. Usually, after role physiotherapists can reasons have disappeared and the physio arranges a collection Got something to say? hope it will help you to start those all- NHS in England will several weeks of waiting, play in saving NHS cash this is being presented as a for the equipment. Write to us or comment on articles Band boundaries important activity conversations with How do roles differ between make all first referrals to the condition sorts itself by re-using equipment new idea! from the latest issue of Frontline your patients! bands 2 and 3 therapy support physiotherapy outpatients out, or the patient sorts (www.csp.org.uk/ On Facebook, Ellena Farrow online. Log in at: www.csp.org.uk/ staff? A member who employs digital (www.csp.org.uk/ themselves out by going node/1149937). From an anonymous wrote: frontline and then go to the current mainly band 2 workers is node/1145981): privately. If NHS England Shirley-Ann Walters said: commentator: n And yet all I ever hear from issue section. You will also find icons Lynn Eaton considering uplifting some posts. managing editor Frontline n One of the major reasons think an e-referral system n We always used to n We have been using a patients is that hospitals are to like on Facebook or tweet articles. Network: Management and head of CSP member patients do not attend is will somehow magically recycle physio equipment recycling scheme for many refusing to take their used Comments posted online may be www.csp.org.uk/node/1152594 communications the length of wait they improve the situation on its … I understood this was years now but the paradox in equipment because it’s too edited for print. [email protected] endure between referral own, it is deluded. stopped for health and our trust is that the money is expensive to clean. Frontline • 16 May 2018 7 NewsinPictures Frontline

1 2 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: We showcase www.csp.org.uk/ideasforfrontline some of the best Want to place an advert? Reach 57,000 CSP members health-related with your product, course or recruitment ad. items in the news [email protected] 0845 600 1394 For the stories behind

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A study published in the UK parks Contact the CSP Journal of the American save the NHS [email protected] 1 4 020 7306 6666 College of Cardiology says more than £111m a 14 Bedford Row London WC1R 4ED that folic acid supplements year by improving mental and Members have access to the cut the risk of a stroke in physical health research by CSP’s journal, Physiotherapy. people with high blood charity Fields in Trust suggests. www.csp.org.uk/journal pressure by a massive 75 Source: Guardian per cent https://bit.ly/2rx91oV Frontline team Managing editor Source: Daily Mail Lynn Eaton Deputy editor Ian A McMillan https://dailym.ai/2IwebLB Food experts argue that News editor Gary Henson 5 a typical Icelandic diet, 5 Staff writers Robert Millett How the Born in low in saturated fat and high and Gill Hitchcock 2 Bradford project is in omega 3 fatty acids, is a Designer Allyson Usher making the city one of the healthy alternative to the Corporate publications and first in England to monitor Mediterranean diet. production officer Tim Morse Creative head the health and wellbeing of Source: Telegraph Nicky Forbes Corporate design Tristan Reignier its population in real time. https://bit.ly/2rygdjI Source: Guardian https://bit.ly/2G3i7hp Scientists at the ISSN 2045-4910 6 University of ©Copyright 2018 CSP. All rights reserved. No part of Graded exercise therapy Nottingham have found that this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means 3 can be harmful to some garlic can reduce the risk electronic, mechanical, photocopying, recording or people with ME, according of developing certain kinds otherwise, without prior permission of the Chartered Society of Physiotherapy or a licence permitting restricted to one of the UK’s leading of cancers, cardiovascular copying issued by the Copyright Licensing Agency. This experts in the condition. disease and type 2 diabetes. publication may not be lent, resold, hired out or otherwise Source: BBC Source: Independent disposed of by way of trade in any form of binding or cover 4 6 other than that in which it is published, without the prior consent of the publisher. https://bbc.in/2rw583y https://ind.pn/2KOSx3r Stock Photo Ferry/Alamy Gerald Frontline • 16 May 2018 9 Something to add? email Frontline at NewsDigest [email protected]

Bill Gilchrist dies aged 83 CSP delight as first contact practitioner Bill Gilchrist, an innovator in the physiotherapy profession, a former CSP physio roles get funding in N orthern Ireland steward and council member, has died aged A significant investment in first contact pressure on secondary care and ensuring that Health Agency said the FCP posts would be band to GP clusters (see page 22) while NHS 83. In the 1980s, he helped to develop practitioner (FCP) roles in Northern Ireland is a patients are being seen by the right person in the 8a. ‘The roles have a public health approach, England is planning the release of the FCP More information ‘huge boost’ for patients and the NHS as a right place at the right time.’ prescribing and injection therapy as core skills. in MSK Services High Impact Intervention NI Department of Health management information and data whole, says the Chartered Society of CSP Northern Ireland policy manager Tom The role has been clearly defined to maximise (HII) specification for piloting this initiative announcement systems in his Glasgow physiotherapy Physiotherapy. Sullivan said: ‘This is a major win for patients, the specialist skills available and make greatest in every STP over the next year. bit.ly/2woNZNY service. He was a governor of Queen’s The Department of Health last week unveiled who will benefit from faster access to the impact in primary care multi-disciplinary teams.’ At the same time a new MSK capability CSP NI resource details of a £5m rollout of multi-disciplinary specialist advice and assessment they need.’ She added: ‘This is a great partnership framework for England will be published www.csp.org.uk/NI-think-physio College, Glasgow, and influenced teams in GP practices demonstrating the As Frontline went to press publication of the approach and our physios will make a real by NHS England and Health Education Members in the UK are welcome important role the AHP workforce will play in DH’s workforce strategy, a blueprint addressing difference for our service users and carers. We England, and physios in England are physiotherapy education at a time of to join the CSP’s Primary Care the future of healthcare in the region. the key workforce challenges and opportunities will also be playing our part in supporting our encouraged to register an interest in great change in the profession. He Transformation network. South Eastern Trust FCP pilot lead Stephen was expected. primary care colleagues manage demand.’ being informed once this is available at Contact [email protected] formally retired in 1995. Mr Gilchrist’s McGarrigle told BBC Radio Ulster’s Evening Extra Michelle Tennyson, assistant director of allied Meanwhile in Scotland, integrated joint boards bit.ly/2IaKW1H show: ‘We can offer support to GPs, reducing health professions at Northern Ireland’s Public are being called on to develop FCP roles, aligned n Gary Henson obituary will appear in Frontline on 6 June.

NHS PAY Neuro physio helps disabled man achieve world record on Everest Neuro physio Andrea Shipley is on a high to get on and off a horse and walk parts after helping her patient Max Stainton, of the way. I set him stair-climbing goals who has cerebral palsy, to become the and he trained for 14 months.’ first person with his physical challenges to She had reservations when Max gamely NHS pay – reach Everest base camp on horseback. asked if she would accompany him: ‘I’m cast your vote At Easter, following 18 months of over 50 and I knew it would be a physical preparation, Max left his electric challenge. But I thought, if he can do, If you are directly wheelchair in Kathmandu and began a then I should be able to. Eventually I put employed by the 12-day ascent. He was accompanied by my name down.’ volunteers from the Riding for the ‘The terrain over the first few days NHS in England Disabled Association, Sherpas, Nepalese was much harder than we had remember to cast horses and Ms Shipley as physio support. anticipated. Max had to walk with your vote to accept Ms Shipley, who works for the neuro support for most of it. outreach team at London’s University ‘In the evening I gave Max stretches or reject the NHS Hospital NHS Trust, explained how Max and soft tissue mobilisation to help him pay offer by had revealed his lofty ambitions. with the pain he was going through. ‘He came to me and said he wanted to ‘We weren’t sure he could continue, but midnight on set this new record and fundraise for the the going got smoother. Then we had to Tuesday 29 May. Riding for the Disabled Association as a get through the altitude sickness and one way of thanking it for the riding therapy volunteer had to be helicoptered down. Go to: he had received since he was a child. But Max was alright.’ Physio Andrea Shipley and Max Stainton who www.csp.org.uk/ ‘The trip would require him to be able n Louise Hunt reached Everest base camp on horseback nhspayvote Frontline • 16 May 2018 11 Something to add? email Frontline at NewsDigest [email protected]

Scottish government to develop Physio to join Yorkshire and Humber real-time access to patient e-records future leaders programme Scotland’s physiotherapists will use a wherever they are working. national digital platform to access Physiotherapist Lesley Physiotherapist Laura Proctor Research, Ms Proctor expects the quality and safety of real-time information from electronic Holdsworth, the Scottish will take a year’s break from to develop the skills and healthcare for older patients patient records, under proposals in government’s clinical lead for digital her post at Harrogate District knowledge to help her become living with severe frailty. the Scottish government’s digital health and care, said that physios Hospital this summer to a clinical leader. She will also ‘And I hope this, in turn, will health and care strategy. must be involved in this strategy. join Yorkshire and Humber work towards a post-graduate result in better investment and Published on 25 April, the ‘We have an active network for improvement academy’s certificate in leadership. support of physiotherapists document says work on the cloud- anyone interested in digital health, future leaders programme. The programme will involve and multidisciplinary team based platform will start immediately. and a national leadership In August, instead of her her in leading projects with members caring for this It will mean that information and programme in digital health, which role of 18 months caring regional or national relevance patient group.’ data can be created and used by more than 20 physios have been for frail, older people in a and impact. One option is a n Gill Hitchcock healthcare professionals in clinics or through already,’ she said. 30-bed ward, Ms Proctor project to improve the quality in the community. n Gill Hitchcock will become a clinical and safety in care homes Overall, the strategy sets out a leadership fellow. across Yorkshire and Humber. More information range of ambitious plans to improve a ‘step-change’ in how technology is location in Scotland. She said the programme is ‘I hope the future leaders CSP leadership health and care services across used to support independent living. Developing the digital skills and More information usually reserved for registrars programme will equip me development programme Scotland through digital technology. It also plans greater use of video capability of the workforce will be Scotland’s Digital Health and who are becoming consultants to be an effective and www.csp.org.uk/ By July, there will be a ‘clear consultations with patients at home key to the successful delivery of the Care Strategy bit.ly/2Hzzl7C and that she is the first inspirational leader,’ Ms node/1138949 national approach’ to supporting and through mobile devices. The aim strategy. Similarly, the government Allied health professionals ehealth physiotherapist to join. Proctor said. Yorkshire and Humber local service transformation. As part is to enable patients to access routine is committed to ensuring staff network bit.ly/2vODZgZ Based at the improvement ‘More specifically, I hope Improvement Academy of this, the government wants to see and specialist support from any are fully digitally connected academy headquarters in to use the knowledge and bit.ly/2r9peQ4 Bradford Institute for Health skills I learn to improve

CSP speaks out against charging migrants for Physiotherapists: an ‘a mazing role’ in social prescribing maternity care Allied health professionals have an ‘amazing role’ prescribing as ‘an idea whose time has come’. give exercises and ultrasound, and doctors don’t A CSP delegate at the TUC’s black in social prescribing, James Sanderson, director Responding to a question from Frontline about just give medicines and medical procedures.’ and minority ethnic conference of personalised care at NHS England, told a the role of physiotherapists, either in referring Deborah Collis, associate director of system Westminster Health Forum conference. their patients to facilitators or acting as social engagement at the National Institute for supported a motion that the NHS Social prescribing, the theme for the event, is a prescribers, Dr Dixon said: ‘Certainly Health and Care Excellence (NICE), said should not charge migrant women way for all health professionals to refer people to a physiotherapists should be able that although it did not have social range of local, non-clinical services. Exercise classes, to refer their patients to social prescribing guidelines, many NICE for maternity services. Myless reading or gardening groups, are examples. prescribing. recommendations were directly Mwanza, from London’s Whittington Mr Sanderson said: ‘For far too long we have ‘As a GP, from time to time related. Examples included those developed some real and natural barriers between I will suggest some sort of 20% on exercise referral schemes, of GP Michael Dixon’s different areas of support. voluntary agency or activity weight management and older Hospital NHS Trust, said many patients came ‘We have got to create new partnerships and for people for people who are people’s independence and with a social women could not pay their maternity social prescribing is an opportunity to do that.’ already motivated to do it, and mental wellbeing. problem bills, which start at £4,000. The Opening the conference, Michael Dixon, NHS don’t need a social prescribing ‘There is quite a lot of evidence to England’s national clinical champion for social facilitator. put some strong recommendations [for motion, from the Royal College prescribing, said 20 per cent of his patients ‘It is about a cultural mindset that we social prescribing] in place,’ she said. of Midwives, was passed. came with a social problem. He described social need to change, which is that physios don’t just n Gill Hitchcock Frontline • 16 May 2018 13 NewsDigest

Online tool for decision makers opens to NHS Physio appointed as first ther apy lead physios in north England NHS physios in the north of England can now access BMJ for UK Parkinson’s Excellence Network Best Practice, an online tool to provide healthcare professionals A physiotherapist is taking on a newly-created role Parkinson’s Excellence Network, said: ‘This is to members of a multidisciplinary team as early as ‘The network is a tremendous free resource that with the latest information to as the therapy clinical lead for the UK Parkinson’s important because it reflects the way we want to possible,’ she said. people can sign up to and get regular updates on Excellence Network. Fiona Lindop, a specialist deliver the best clinical care – as a team that works ‘They may not need to be seen on an ongoing recent research. It provides networking support clinical decisions. Parkinson’s physiotherapist at Derby Hospitals NHS together and includes the main clinical areas that basis, but they need that initial contact. From a opportunities to find other therapists who are Updated daily, it draws on Trust, will join a multidisciplinary leadership group have importance for people affected by physiotherapy perspective, it allows them to receive interested in this field and gain support,’ she said. that heads the network, run by the charity Parkinson’s. education about maintaining or increasing their ‘If you don’t know much about Parkinson’s, it evidence-based research, Parkinson’s UK. ‘Fiona’s expertise in physiotherapy and exercise, which is important because there is so points you in the direction of resources. But it’s also guidelines and expert opinion She will work alongside a medical lead, a nurse connections with other therapist groups that are so much evidence that exercise can make a positive fantastic for people who know a lot because it to offer step-by-step guidance lead, the network’s clinical director and others, to important for Parkinson’s, will play an integral part impact on symptoms.’ provides so many opportunities for supporting their promote national improvements in the quality of in ensuring people with Parkinson’s get the best Mrs Lindop has contributed to the National learning and networking.’ on diagnosis, prognosis, care for people with Parkinson’s. care when it comes to therapy as a whole. I’m Institute for Health and Care Excellence’s quality n Robert Millett treatment and prevention. Mrs Lindop said: ‘My role will include looking at looking forward to seeing the difference we can standards on Parkinson’s, as well as helping to what the standards should be for all therapies for make together.’ review its 2017 guideline on the condition. Access to the tool is open to Parkinson’s, and I will be an ambassador for As part of her role, Mrs Lindop hopes to promote She is also part of the steering group and More information Specialist physiotherapist Fiona Lindop, staff in primary and secondary excellence – encouraging all therapists to deliver better access to multidisciplinary teams. governance board for Parkinson’s UK’s national UK Parkinson’s Excellence Network newly appointed therapy clinical lead for care. Find out more by visiting the best care they can to people with Parkinson’s.’ ‘I want to deliver the message nationally that all audit and has been involved with the charity’s bit.ly/2KN59Z0 the UK Parkinson’s Excellence Network Donald Grosset, clinical director of the UK people with Parkinson’s should be offered a referral excellence network since its launch in 2014. bestpractice.bmj.com/info

Study finds people with dementia are often ‘missed’ by hospitals, despite a previous diagnosis International study finds exercise decreases the risk of depression Many people with dementia hospitals failed to diagnose two- training framework for dementia do not have their condition thirds of people with dementia, care, which is up from just 23 Researchers from King’s College 7.4 years. The researchers found Lead author Felipe Barreto identified when they stay in who had been admitted to per in 2011. London were among an that, compared with people who Schuch, of the Universidade La hospital for another reason. hospital for a different reason. ‘But it found that information international team that found did little exercise, those with high Salle in Brazil, said this was the first This is according to a CSP member Amanda Buttery on the care and communication exercise can protect people levels had lower odds of global meta-analysis to establish study led by researchers is part of the National Dementia needs of people with dementia against depression, regardless of developing depression. that physical activity is beneficial in from University College Audit’s steering committee. She could not always be accessed age. The researchers pooled data Brendon Stubbs, head of protecting the general population London, published on 25 April. said the 2016-17 National Audit by staff.’ from 49 studies of people free physiotherapy at South London against developing depression. It examined 138,455 of Dementia revealed n Robert Millett from mental illness which and the Maudsley NHS Trust, n Gill Hitchcock hospital admissions in the UK, improvements in dementia care examined whether physical co-authored the report. involving 21,387 people between and awareness in hospitals across activity is associated with a He said: ‘We found that higher 2008 and 2016. It included England and Wales. More information decreased risk of developing levels of physical activity were More information 37,329 admissions of people ‘The audit shows that more Accuracy of general hospital depression. protective against future Physical Activity and Incident who had previously received a hospitals are providing staff with dementia diagnoses in England In total, 266,939 individuals depression after taking into Depression: A Meta-Analysis of The data adds to pressing dementia diagnosis. dementia awareness training bit.ly/2rlEiuM were included, of whom 47 per account other important factors, Prospective Cohort Studies The researchers found that and 96 per cent now have a calls to prioritise activity cent were male. On average, such as body mass index and bit.ly/2JkjBGo throughout people’s lifespans participants were followed up after physical health conditions.’

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Back pain programme cuts waits at London hospitals

A 90-minute education BE FABB, a collaboration programme for people with low between the two trusts, was back pain has cut physiotherapy launched in response to National waiting times at Hillingdon Institute for Health and Care Hospitals NHS Trust by an Excellence guidelines on low average of 30 days, said deputy back and sciatica. therapy manager Alex Porter. Sessions start with a Known as BE FABB, the Best presentation about anatomy, Evidence for a Better Back medication, when to seek help programme started at the trust’s and myths about back pain. Hillingdon and Mount Vernon This is followed by exercises hospitals in early October with one physiotherapist, Looking for a mortgage or think 2017. A second trust, Central while another triages patients and North West London, using information they have your current mortgage isn’t competitive? launched the programme later provided and the STarT Back Hillingdon physio Joanne Shale gives a BE FABB session that month. screening tool. Patients may Your mortgage is likely to be your biggest financial commitment. It therefore pays, quite literally, to get it right. With umpteen Physiotherapist Mr Porter said be offered a one-to-one types of mortgages and hundreds of mortgage providers, it can be difficult to work out which to choose. Yet getting the right deal the improvement in waiting from four months after the more patients had been seen. with a physiotherapist, if the could save you hundreds or thousands of pounds over the term of your mortgage. The best solution is to consult an independent times was revealed in audits of programme started with those Data from Central and North assessment process reveals this BE FABB at the two hospitals. from the previous four months. West London NHS Trust is still is necessary. mortgage adviser. The audits compared data taken They also showed that 275 being collected. ■■Gill Hitchcock That is why CSP Plus has appointed Lighthouse Mortgage & Protection Solutions as its approved partner for independent mortgage advice you can trust. Whether you are employed or self-employed, moving home, re-mortgaging or a first-time buyer, our job is to find you the right mortgage at a competitive rate and guide you through the application process.

We will ask you about your finances and help you work out how much you can afford to borrow. We will explain which type CSP awards £27,000 for research into of mortgage suits your needs, and then find you a competitive deal. But we do much more than that – we guide you through the entire process, through to successful completion. Importantly, we will also recommend ways of protecting your mortgage mobilisation for peripheral neuropathy payments against the unexpected. Physiotherapy lecturer Vasileios Lepesis complications in diabetes. The resulting has received a CSP Charitable Trust award reductions in ankle and big toe movement Book a no obligation mortgage consultation now. of £27,000 to help complete his research lead to increases in peak pressures Call 08000 85 85 90 or email [email protected] into improving foot and ankle mobilisation over the plantar aspect of the forefoot in people with diabetic peripheral when walking, which is a risk factor for quoting code CSP. neuropathy. ulceration. Mr Lepesis, podiatry and physiotherapy ‘The study will assess whether ankle Your home may be repossessed if you do not keep up repayments on your mortgage or other loans secured on it. lecturer at Plymouth University, said it is and big toe joint mobilisations combined Taking good care of you well known that people with the condition with a home programme of stretches have a high risk of foot ulceration. improves joint range of motion and He said that people with diabetes can reduces forefoot peak plantar pressures,’ also present with reduced movement at he said. joints, caused by glycosylation which is Mr Lepesis thanked the CSP for the linked to limited joint mobility syndrome, award which will support his PhD work. one of the most common musculoskeletal n Mark Gould Physio lecturer Vasileios Lepesis www.lighthousegroup.plc.uk/affinity/parliament-hill

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Untitled-2 1 09/05/2018 08:03 Frontline • 16 May 2018 17 Have you received an award? tell Frontline about it AwardsRoundup [email protected]

Awards go to existing resources, her and Ms Holmes said: ‘I was Ms Tennyson will use her physiotherapists but has made a described as the go-to person if fellowship to visit Belgium, for advancing huge impact on any other staff had concerns, and Physios can apply for Germany and the US and gain healthcare health outcome as putting patients first, always knowledge about the successes, Physiotherapists’ work with Speaking to striving to get the best outcome £3,000 neuro rehab award failures and impact of tracheostomy patients, in Frontline, Ms Chin for my patients.’ introducing a co-production disability sport and in new areas said: ‘It’s been a The third rising star of the The World Federation for approach across a whole for the profession were groundbreaking profession was Jade Gothard, NeroRehabilitation (WFNR) population. recognised at national awards programme which, lead physiotherapist at Derbyshire is offering a £3,000 award She said: ‘The research will sponsored by NHS organisations, as far as we know, Community Health Services for a neurorehab project enable me to benefit from leading charities and has not been done Physiotherapists Grace Smith, Rachael Holmes NHS Trust. that has benefited patients. experiential learning from world government. anywhere else in and Jade Gothard are among the ‘rising stars’ The WFNR Franz Gerstenbrand award is open to researchers, leading organisations that have Catherine Chin’s project to get the UK. Respiratory clinicians and allied health professionals all over the world who moved a population to where more disabled people involved in ‘We’re hoping to into the community with the innovative and said it has physio receives are currently working in neurorehabilitation. It is named after people take greater control over sport won the Welsh government’s roll this out across Wales and assumption they will always need potential to be scaled up. excellence award Professor Franz Gerstenbrand, the world-renowned neurologist, their health services, transforming who died in 2017. prudent healthcare award. the award has given us some a tracheostomy. But with optimal The awards, designed to for tracheostomy the community’s role from It will be awarded either as a travel bursary to a clinical Launched in 2013 and funded more influence with the other specialist care and review, many recognise innovation, creativity, training tools “recipients of services” to “owner” health boards.’ tracheostomies can be removed. leadership and compassion, were conference, a professional development course or a research by Betsi Cadwaladr University Claire Fitzgerald, a clinical specialist of their health system. The award for maximising Ms Moses’ nine-month project presented on 20 April. They project. The deadline for entries is 30 November 2018. ‘I am committed to learn as Health Board and Disability Sport respiratory physiotherapist at resources for success went to began in June last year as a trial included a rising stars category. For further details, visit www.wfnr.co.uk much as I can and use it to make Wales, the project uses contacts London North West University Rachael Moses, consultant in which she reassessed five Three physiotherapists were a difference when I come home.’ between health professionals and Healthcare NHS Trust, has received physiotherapy at Lancashire patients and successfully among 21 allied health Ms Tennyson strongly disabled people to promote the trust’s research and exercise and sport. Teaching Hospital NHS Trust. removed their tracheostomies. professionals to win rising star encourages other AHPs to apply development excellence award. physiotherapy manager Rachel Ms Chin delivers training to She was chosen for her Not only did this benefit awards. for a fellowship. Miss Fitzgerald was recognised Burton was nominated for the healthcare professionals so they achievements in helping people individuals, it also saved Grace Smith is a for developing pathways and Women’s and Children’s Services are prepared to raise awareness who have survived neurological £450,000 for the NHS. physiotherapist, but she was learning tools that have improved award. injury to have their She has now secured funding recognised as a rising star about disability sport. care for tracheostomy patients. More information tracheostomies removed and, of £150,000 from seven clinical because of her role as a ward The judges of the Advancing She set up a tracheostomy To apply for a Churchill through this, improved their commissioning groups so the sister, managing a AHP lead gains Healthcare Awards 2018 steering group across the trust. It fellowship www.wcmt.org.uk quality of life. service can continue this summer. multidisciplinary team at fellowship to described her project as included nurses, specialist The awards organisation said Advancing Healthcare judges Hampshire Hospitals NHS Trust. ‘stunning’. They said it ‘started respiratory physiotherapists, ear research public this patient group is discharged described the project as ‘About six years ago the trust with a simple concept using nose and throat specialists, engagement with appointed an occupational maxillofacial consultants, healthcare therapist as a ward sister, which anaesthetists and speech and Michelle Tennyson, assistant opened the door to how it could language therapists. director of allied health professions use AHPs to bring their skills into The initiative focused on and personal and public what is traditionally a nursing tracheostomy competences and involvement at Northern Ireland’s post,’ said Ms Smith. training across all aspects of Public Health Agency, has received In early April, Ms Smith had a Claire Fitzgerald patient care. a fellowship to enable her to further change of post and Miss Fitzgerald developed research how public involvement became the clinical matron in a an interactive tracheostomy can shape health services. respiratory ward at the trust. people who nominated me; e-learning resource and video She applied to the Winston Rachael Holmes, a band 6 consultant respiratory learning guides, with advice from Churchill Memorial Trust with a physiotherapist at Ulster Hospital physiotherapist Maria Buxton colleagues on issues research proposal titled who provides frontline care in the and Sangita Patel, clinical director such as suction and cleaning Involvement – shaping a new emergency department, was of therapy services.’ stoma sites. conversation with the public. pleased to be a rising star. She Two other physiotherapists ‘I was really surprised to receive Churchill fellowships fund said: ‘I enjoyed the whole day in were also finalists in the the award,’ she said. individuals to travel overseas, London, meeting people from excellence awards. Jill Stokes, ‘It was nice to be nominated in explore new ideas and return with trusts across the UK and seeing a highly specialised the first place, as I was up against insights that could benefit Rachael Moses accepts her award for Catherine Chin accepts her award innovations and developments physiotherapist in the trust’s her ‘innovative’ project to help people Researchfor promoting physio Victoria sport and physical two teams. communities and professions in from across the UK.’ vascular team, was nominated in have their tracheostomies removed Booth withactivity her among award disabled people ‘I would like to thank the two the UK. Her team manager nominated the Heart Hero category while Michelle Tennyson More speakers added:

TRADE EXHIBITION

Dr Helen Bevan Dr Victoria Butler Dr Neil Langridge Prof David Oliver Dr Annina Schmid NHS England North Tees & Hartlepool NHS FT Southern Health NHS FT Royal College of Physicians University of Oxford 250+ POSTER Dr Richard Collier Dr Ian Horsley: Prof Alison Chambers Adine Adonis Stormont Murray Health Education England PRESENTATIONS English Institute of Sport Manchester Metropolitan University Imperial College Healthcare NHS Trust Betsi Cadwaladr UHB #physio18 st ICC BIRMINGHAM Still only £99.* More speakers online. Book by 31 July 19-20 OCTOBER 2018 www.physiotherapyuk.org.uk

* Full CSP members only. Price £129 from 1st August. Other rates apply for other membership groups, and non-members. Frontline • 16 May 2018 21 In the first of our regular series from the National Institute for Health ResearchFindings Research, we look at stroke

Commentary NIHR Signal: Exercise therapy may still improve Dr Jacqui Morris gives her reaction

The conventional assumption is that the balance when started a long time after a stroke greatest potential for recovery after stroke is during the first few months after onset. This high quality review challenges that assumption, showing that task- varied widely across trials, from two or progress function either Why was this study specific exercise therapy may improve to 62 hours in split sessions. independently or with assistance needed? balance capacity late after stroke onset. Balance capacity was the from others. Around 110,000 people in Good balance is critical for walking and ability to achieve balance in any The Scottish SIGN guidance England have a stroke every year. undertaking activities independently and posture. Studies measured this on management of patients with Approximately half of these will safely. Improving balance may therefore using different tests, such as the stroke (SIGN 118, June 2010) depend on care and help with daily reduce falls and prevent unnecessary Berg Balance Scale (designed to recommends the following for gait, activities after stroke, with balance hospital admissions, and their detrimental measure balance of older adults balance and mobility problems: problems common. Rehabilitation consequences for quality of life and in a clinical setting) and Sensory n ankle foot orthoses; aims to help people regain function confidence of people with stroke. Organisation Test (providing n individualised interventions; and independence. However therapy services are typically information on the impairments n gait-orientated physical fitness In the first two to three months not set up to routinely deliver such underlying balance problems, such training; after a stroke there can be some therapy six months and more after stroke. as vision). Outcomes were pooled n muscle strength training; and recovery of function, but little, if Innovative approaches to delivering this when at least three studies had n increased intensity of any, further recovery is expected training must be developed, alongside cost- used the same test. rehabilitation. beyond six months. Therefore, effectiveness studies showing the value of Despite being small, the 34 knowing the effects of exercise investment in such services. studies included were considered therapy in this ‘chronic’ ongoing What are the The task-specific nature of effective high quality and nine were phase is important. implications? balance training means it should be moderate quality, Stock Photo Daisy-Daisy/Alamy This review found that for people Previous studies on this topic orientated towards tasks that people suggesting we can in the chronic phase following have been inconclusive and have undertake in everyday life. Working with have confidence in a stroke, balance capacity can not looked at whether training Significant stroke survivors and their families to find the results. be improved slightly by exercise effects differ depending on whether improvements were ways to empower them to safely build therapy. Evidence suggests the it’s the acute or chronic stage after still seen on the Berg balance-specific training into their daily most effective training regimens stroke. It is also unclear which type What did Balance Scale routines and activities would provide a were those that focused on of training is most effective. This it find? person-centred approach likely to promote n Exercise balance, weight shifting and Funding review investigated the effects adherence. therapy to 5.35 (five cent CI 0.22 to 3.07; eight trials, gait training. Rehabilitation This project was funded by a of exercise therapy on balance What does current Technological solutions, such as gaming, 1-5 trials, 153 338 participants) and Sensory grant from The Netherlands capacity for people in the chronic significantly months after the programmes focused on guidance say? Organisation for Scientific mobile technology applications and tele- improved participants). Organisation Test (MD 3.91 per NICE 2013 guidance on stroke improving balance could try these stage after a stroke. exercise therapy Research (NOW). rehabilitation systems that people can balance scores n The Sensory cent, 95 per cent CI 0.10 to 7.73; rehabilitation (CG162, June 2013) interventions. intervention Published on 15 use at home, may also be effective for immediately after Organisation Test: 3 trials, 151 participants). recommends physiotherapy However, the trials were small, What did this study do? November 2016 by the supporting and monitoring engagement the intervention as MD 6.77 per cent, 95 per n Looking at the type of exercise for people who have weakness, assessed outcomes on various This systematic review and meta- NIHR Dissemination Centre. in therapy and for provision of remote measured on three tests: cent CI 0.83 to 12.7 (four trials, therapy, significant improvements sensory problems or balance scales, and used a variety of analysis identified 43 randomised feedback. These solutions should be n The Berg Balance Scale: mean 173 participants). on the Berg Balance Scale were difficulties that affect function. interventions that may not Further information controlled trials of adults in the developed more fully and evaluated. difference (MD) 2.22 points, n Exercise therapy had no significant seen immediately after balance Forty-five minute rehabilitation be routinely available to this ‘Exercise therapy may still chronic phase six months or more Time to train therapists to deliver 95 per cent confidence interval effect on Postural Sway Velocity and/or weight-shift training (3.75 sessions on at least five days a population in the NHS. improve balance when after stroke. tailored task-training through technology? Exercise therapy, usually (CI) 1.26 to 3.17 (28 trials, 985 in three studies measuring this points, 95 per cent CI 1.71 to 5.78) week are recommended initially The review provides useful started a long time after a stroke’ was published on delivered by a physiotherapist, had participants). The scale is a 56 outcome (89 people). and gait training (2.26 points, 95 after stroke. Intensity may then information for patients and 15 November 2016 by the Dr Jacqui Morris (Grad Dip Phys, MSc, PhD) to be targeted towards restoring point scale and an eight-point n One to five months after the per cent CI 0.94 to 3.58) but not be tailored to the person’s needs health professionals that late NIHR Dissemination Centre. is reader in rehabilitation research, function or reducing pain. Electric change is considered an important exercise therapy intervention, after multisensory training or high if more rehabilitation is needed improvements in balance in The full NIHR Signal School of Nursing and Health Sciences, devices such as treadmills could be difference. significant improvements were intensity aerobic training. Intensity at a later stage. the chronic phase of stroke are and additional expert University of Dundee used; assistive devices like walkers n The Functional Reach Test: MD still seen on the Berg Balance of training had no effect on Berg Therapy is advised to continue possible, though the benefits may commentary can be found could not. Training duration in total 3.12 cm, 95 per cent CI 0.90 Scale (MD 1.65 points, 95 per Balance Scale improvement. until the person is able to maintain be small. here: http://bit.ly/2jhHfrV Frontline • 16 May 2018 23 Something to add? email Frontline at Views&Opinions [email protected]

Adviceline First contact physios get green light in Scotland viewpointNina Paterson on the CSP’s digital operation and how it enhances your membership

A new role for physios in GP surgeries will open up 1 Why is it just MSK? widened GP team. The Scottish advanced practice triage roles will be Some members have rightly government has committed to integrated with general practice. The CSP’s ePortfolio, Learning Hub and eMentoring opportunities UK-wide says Kenryck Lloyd-Jones raised the point that the offer of working with the profession to We want to know that changes platforms offer a rich variety of online learning physiotherapy in primary care goes address difficulties in recruitment. truly are sustainable and exactly how and development opportunities, free to all CSP SP staff in Scotland now told local service planners beyond MSK. But making progress The CSP is already working with the workforce ambitions will be members. In the 15 months since these were have been working with and budget holders (integrated on the MSK front is great news for Scottish universities and stakeholders realised. This will be a CSP priority for launched, more than 9,000 members have members and with joint boards) that they should the whole of the profession. It on this, and we anticipate an at least the next 18 months. been using the ePortfolio. Nearly 2,500 use the C Learning Hub to access the rich mix of eLearning colleagues across the UK to make consider including these roles in opens up other opportunities – for expansion of the number of We have set up a Primary Care the case for integrating first their plans to improve primary example in frailty, respiratory and graduates. Transformation Network for members modules (eBites) and we’ve seen steady use of the contact physiotherapists within care services. community rehab. But we can’t wait for these to be across the UK. I would urge Scottish mentoring platform with almost 140 live mentoring the general practice team. As well as being incredibly But to turn these opportunities in place to seize the opportunities members already leading this work relationships on-the-go currently. We have argued that, proud of what we have achieved into reality we all need to make sure presented now. and those just starting to get involved It’s great to see members coming back for more. for patients on the MSK in Scotland, I know that similar that MSK first contact physiotherapy to join the network to share with and Daily, 50-60 members visit the ePortfolio, most pathway, it improves strides are being made in all four roles in primary care are a major 3 Is this really new? learn from other members by returning to pick up where they left off. We see quality of care, countries with important success and that we broadcast this. Much of this isn’t new. It is a form contacting [email protected] similar returns to the Learning Hub. The eMentoring delivers savings to announcements are anticipated of self-referral, a well-established See Improving workforce planning platform is all about ongoing relationships. the NHS and very soon in England and 2 Do we have the workforce model of access in Scotland. We for primary care in Scotland is The ePortfolio contains tools to record, evaluate reduces demand Northern Ireland. to deliver? have already developed advanced available at http://bit.ly/2JPwVm6 and evidence how your learning supports the on stretched GPs. There are three challenges to We will need to expand the practice physiotherapist roles to development of your practice. Most popular is the The Scottish this move that have come up workforce to be able to fully deliver provide MSK triage in GP surgeries. Kenryck Lloyd-Jones is CSP’s journal – great for storing reflections. government has from our profession in Scotland. physiotherapy services as part of the What is new is that these policy officer for Scotland The Learning Hub has a mix of eBites. Some are designed for specific groups (such as stewards), but most are open to everyone. They cover a range of topics including research, career development and the new safe-and-effective staffing levels tool. The eMentoring platform allows members to connect with someone who is ahead of them on A national taskforce has been set up to reduce the career path for support. We’d like to encourage members to think about the developmental value in lung disease mortality, writes Alison Cook Time to tackle a major killer being a mentor themselves, not just a mentee. Towards the end of the month, when members ung disease is one of The Taskforce for Lung be published at the end of 2018, appointments and hospital log in to any of the three platforms, they will notice some changes. Like every organisation, we’ve been the UK’s three biggest Health has been formed so ‘Vital interventions, with key recommendations admissions, and, if admitted to killers, ranking alongside that the respiratory community behind which we can all stand, hospital, spend less time there. ensuring compliance with General Data Protection L such as pulmonary Regulation. Next time you log in, re-read the terms cardiovascular disease and can write a five-year action knowing that these will benefit What I hope the taskforce will do non-respiratory cancers. We have plan so that we are not faced rehab are known patients. is help find ways to ensure that and conditions, and the privacy statements, so you know how your data is processed. If you have the fourth highest mortality rate with the same depressing to be effective for Vital interventions, such patients uniformly have access from lung disease in Europe, yet outcomes for lung patients in as pulmonary rehabilitation, to the rehabilitative care they information stored in the ePortfolio, check your there has been no improvement five years’ time. The taskforce patients with COPD, are known to be effective for need. As a taskforce member, profile and review your sharing options to make sure in mortality rates. We are is supported by the British Lung but are not widely patients with chronic obstructive the CSP is well placed to push for that content is only seen by those people you wish spending £11 billion a year, but Foundation and includes patient offered to or taken pulmonary disease but are long overdue change and to be to see it. a continued lack of any national organisations, clinical bodies, up by eligibile not widely offered to, or taken instrumental in its delivery. strategy aimed at improving lung policy makers and service design up by, eligible patients. CSP Nina Paterson is CSP education adviser disease outcomes means we are and delivery organisations. The patients’ members will know more than not getting the best out of this taskforce has been consulting anyone that patients who take More information More information investment – far from it. And extensively with groups and part in pulmonary rehabilitation Find out more at Dr Alison Cook is director of Contact [email protected] improvements in mortality have individuals nationally, gathering recommendations for change. programmes experience fewer www.blf.org.uk/taskforce policy and communications at stagnated. evidence to support practical The five-year plan of action will exacerbations, need fewer GP the British Lung Foundation 001

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12:49 We’ve recorded interviews with CSP members ‘Being faced with a situation where you can’t walk was the scariest experience of my life. I desperately wanted to get and their patients to highlight how a fit, but had a fear of injury. I also had a fear that whatever conversation can increase activity exercise I did would impact on my knee negatively. INSPIRED? ‘The combination of all of this [physio support] brought me back my love for exercise and fitness, so bring it on! Here’s how to get involved ou’ll have seen the launch to members in the last ‘I can’t wait to do everything I used to love again and I • Register via the CSP website to take part in the issue of Frontline of the CSP’s new campaign, Love think I am on the right journey.’ campaign between 17 May and 24 June Activity, Hate Exercise? Now a series of case study It doesn’t have to be just about traditional forms of www.csp.org.uk/activity interviews – available on the CSP’s campaign exercise. CSP’s new campaign is also about encouraging • You will then receive digital and hard copy page as videos – will aim to inspire conversations patients to ‘do more of what you love with physio’. resources in time for the public launch on 5 July between members and their patients about activity levels. Member Ben Seymour and his patient, Paul Hilsey, • Once you have received your pack, you can YWe asked members to give us examples of the sorts are a perfect example of this, as Ben explains: ‘Paul support the campaign in the following ways: of conversations that can help to transform attitudes mentioned that he has a dog at home and wants to be • Have the important conversations about and behaviours towards activity. In the videos, three able to go walking with the dog again. That’s fantastic recommended activity levels and inspire your CSP members highlight the vital conversations taking and a really great goal. It’s something we can work patients to be more active place between physiotherapists and their patients towards.’ • Familiarise yourself with the options available across the UK. They also show, through partnership Miss Antoine reflects: ‘As physios we don’t shout locally so you can signpost patients when working, that patients can realise activity goals they loud enough about what we do and how well we do discussing how to become active never thought possible. it. Being good problem-solvers, we help patients to • Discuss and share ideas with colleagues on ways Women’s health physiotherapist, Emma Brockwell, establish what they want and how to get there.’ to inspire patients to be more active from Oxted in Surrey, pinpoints a typical barrier to • Promote active lifestyles to the public either activity: ‘I have a lot of patients who are quite scared Now it’s your turn.. through a stand at a local public health and of exercise because of their symptoms.’ We know stories like these are happening across the wellbeing event, your practice reception or Known as ‘Physio Mum’, Emma set up a running club country, thanks to the work of CSP members. But Love L-r: Ben Seymour; Leanne hospital foyer specifically for women, including post-partum mums, Activity, Hate Exercise? helps you to promote the vital Antoine; Emma Brockwell • Seek out other public-facing opportunities such as and the Oxted Ladies’ so that she could ‘make running accessible in a non- role of physiotherapy in improving the nation’s activity a health talk at a local patient participation group Running Group intimidating way’. levels. So sign up now! fl or a GP training event to highlight the role of One of Emma’s patients reports how the running club physiotherapy in influencing patient behaviours and physio treatment have helped her to know ‘how to • Have these conversations with friends and family do it the right way for my body’. and help the spread the word via social media Leanne Antoine from Distinct Physiotherapy in channels such as Twitter and Facebook Hertfordshire shares her approach to encouraging those • Share success and patient breakthroughs by with injuries and long-term conditions to be more active: emailing [email protected] ‘When I hear a patient say X has told me I won’t be able to do this, I ask them why. I often relate stories back to For further advice, ideas and support contact the professional athletes who have injuries and get back to CSP’s Campaign and Regional Engagement team playing professionally. I know those people have a team of by calling 0207 306 6666 or email [email protected] physios but the body is the same and you can re-educate See www.csp.org.uk/activity it and train it.’ One of Leanne’s patients, Andrea, reflects on her experience of embracing exercise after recovering from Members can sign-up online a knee injury: from 17 May to take part in CSP’s brand new Love Activity, Hate Exercise? campaign. The campaign is built on research findings gathered by the CSP in collaboration with members and patients to identify the main The power of the conversation barriers to poor uptake of physical activity. Register now at: www.csp .org.uk/activity Frontline • 16 May 2018 29 Our feature gives an accessible overview of a clinical issue of ClinicalUpdate interest to all physio staff Acetabular hip dysplasia: the physio’s role Illustration: Hip pain, Cardiff University Hip pain, Cardiff Illustration: Physiotherapists are ideally placed to reduce et al 2012; Engesaeter et al 2013, cited in Pun 2016). Key messages More confidently recognised is that in patients undergoing the long wait – often years – for a diagnosis total hip replacement before the age of 40, more than 25 per of acetabular hip dysplasia. This would cent were due to underlying hip dysplasia (Engesaeter 2011). improve quality of life and the outcome 1 AHD is commonly misdiagnosed 4 Diagnosed early enough, In a study of 311 subjects with either DDH of infancy (n=102) and under-recognised reconstructive surgery can prevent or AHD (n=209), bilateral AHD occurred in approximately 60 for patients, says Liz Evans 2 Without treatment, AHD rapidly early onset OA and return patients per cent of patients with young adult onset, less than 20 per deteriorates into secondary to an active life cent of sufferers having left hip involvement only (Lee et al osteoarthritis of the hip 5 Physiotherapists could trigger 2013). In the whole subject cohort, more than 90 per cent lthough well recognised in infants, when it is 3 People as young as 18 years have early x-ray referral for accelerated were female and over half had first degree relatives with a known as developmental dysplasia of the had total hip replacements as a diagnosis and effective treatment history of early hip disease. hip, hip dysplasia in adolescents and young consequence of AHD for patients with AHD adults is poorly understood. This treatable Recurring patterns condition is commonly referred to as Our Young People’s Hip Conditions research hub has collected acetabular hip dysplasia (AHD) because it is identified in the Current evidence more than 200 patient stories, currently undergoing analysis. mature or near mature skeleton by a shallow, sometimes Throughout the medical literature, AHD is the subject of a great The impression so far is that there are recurring patterns, poorly oriented acetabulum (Troelsen 2012). The abnormal deal of research. The focus for decades has been the reliability ranging from unpredictable onset of incapacitating symptoms biomechanics this causes leads to disabling hip pain and of x-ray diagnostic measures and the development of surgical through to insidious declines in function, with patients feeling dysfunction, which rapidly develops into premature, secondary methods. This research has improved surgical treatments and Key Hip Joint they have to accept a consistently diminishing quality of life. osteoarthritis (OA). The problem is that poor recognition leads much of it emphasises the need for accelerated recognition Assessment Patient histories show a strong family link with early hip disease, to delayed or misdiagnosis of AHD and the consequences can of the condition to facilitate early intervention, in order Questions for frequent memories of non-specific hip ‘niggles’ throughout be devastating for the patient. to maximise PAO surgical outcomes. The problem is that childhood or adolescence and a high sporting activity profile. Acetabular hip dysplasia leading to premature, secondary because of the young age and, often, high activity level of AHD Overwhelmingly, the picture that emerges is the painful osteoarthritis (OA) means that, shockingly, people as young patients presenting with initial hip pain, the clinicians they experience endured in the search for an accurate diagnosis. as 18 may lose their native joint to total hip replacement consult typically assume a diagnosis of femeroacetabular 1 Is there a history of Frequently these highly motivated individuals are inventive, (THR). The associations of THR with older people and the impingement (FAI) or provide treatment for a variety of soft infant hip instability? persistent and determined in their mission. Furthermore, when limited activity THR causes, means that young people are tissue injuries. This means that dysplasia can be overlooked. 2 Is there a family diagnosis is finally forthcoming, patients’ problems persist. In understandably devastated by the prospect. Improved awareness to increase the index of suspicion for history of early hip 2011, Gambling and Long carried out a study to explore the Alternatively, when hip dysplasia is recognised early, AHD when appropriate, is required and the indications for osteoarthritis? experiences of five young women adjusting to the diagnosis joint-retaining, corrective surgery known as periacetabular x-ray need to be recognised and promoted. 3 Is the hip complaint of hip dysplasia. The study recognised two major evolving osteotomy (PAO) is often the surgery of choice. This is Promoting early recognition of AHD requires the provision, intermittent? Has concepts among these young women: first, that their diagnosis highly specialised surgery carried out only by a select and for clinicians, of a clear clinical picture of the physical it responded to an challenged the way they viewed themselves and questioned very limited number of surgeons in the UK. presentation of the condition. Yet establishing this clinical initial change of their identity as a young women; second, as the women grew It is essential for a successful outcome that PAO is picture of AHD is challenging. AHD can be seen as a wide activity, hip mobility to understand the long-term implications of their diagnosis, implemented before the joint degenerates into OA spectrum of features. For instance, not only can first symptoms and/or strengthening they began a major quest to save their native joint. (Steppacher et al 2008) and when the joint remains present within a wide age range (12-50 years), but the factors exercises but with Hence we return to the vital need for early recognition and congruent. Early diagnosis is vital but as Clohisy et al that trigger them vary widely, according to the individual’s returning pain once relevant referral to a PAO surgeon. At Cardiff University, we (2008) highlight, there are deficiencies in the quality of activity level and predisposition. It has therefore been previous activities have set up a multidisciplinary research hub, which includes diagnostic evaluation in pre-arthritic hip disease. While recognised that research is required to establish regularly resume? patient groups, with patients taking direct and active roles in this point was made some 10 years ago at the American occurring features on which clinicians can gauge their index 4 Is hypermobility of our research. We are linked to surgeon groups, the International Orthopedic Association’s 2008 Orthopedic Forum, little has of suspicion for x-ray referral and definitive diagnosis. joints evident? Hip Dysplasia Institute, the Steps charity and DDH UK, in changed since. Due to the poor record of accurate diagnosis for AHD, 5 Has the hip been our determination to break new ground in this life-changing However, physiotherapists who carry out standard hip estimating the incidence is difficult. As Pun’s 2016 review x-rayed and if so, were condition. We welcome new members to our group. fl assessments are well placed to raise relevant questions when highlights, reports indicate a range in the general population the centre edge angle patients present with initial hip pain and to improve the of 1.7-20 per cent but her review points to various studies that and the acetabular Liz Evans is a senior lecturer in physiotherapy diagnostic opportunities for these patients by providing early find an incidence of 3-5 per cent (Jacobsen & Sonne-Holm angle measured? at Cardiff University referral for x-ray and to a specialist PAO hip surgeon. 2005; Jacobsen et al 2005; Gosvig et al 2010; Ortiz-Neira • See Three Minutes, page 64 for a personal story Frontline • 16 May 2018 31 DrugDependency A hidden addiction Sometimes patients don’t realise they have become dependent on drugs prescribed in primary care. Robert Millett talks to two physiotherapists about the hazards

ne in 11 patients in England was prescribed is an issue that all physiotherapists should be aware of, a potentially addictive drug last year. not just those with independent prescribing rights. The figures, published in a report by the ‘As all these drugs act centrally on the brain, there is Public Health Research Consortium, add a risk of dependence and tolerance with prolonged use, to growing concerns about the risk of which means patients might not be able to stop taking prescription drug addiction. In response, Public Health them easily and/or need a greater dose of the medicine England (PHE) has launched a review to examine issues of over time to get the same effect.’ dependency and withdrawal in relation to these medicines. CSP professional adviser Pip White says the one-year Awareness of the risks review, which began in January, focuses on medicines Dave Baker, an extended scope physiotherapist based frequently prescribed in primary care settings, such GPs in England in London, has been a supplementary prescriber for 10 as benzodiazepines, anti-depressants and opioid prescribed years and became an independent prescriber in 2014. painkillers. He agrees that all physios should be mindful about the The aim is to examine how prescribed medicine potential for addiction, especially in relation to opioids. addiction may be affecting people with conditions ‘A lot of physiotherapists may be well placed to flag 23.8 up these types of issue,’ he says. such as anxiety, insomnia, depression and non-cancer million opioid-based ‘But many may not be considering this issue when related pain. painkillers they talk to patients, or may not feel confident about Ms White says physiotherapists who are annotated in 2017 with the Health and Care Professions Council as prescribers broaching the topic. So I think there is a need to raise are likely to use some of the under-review medicines with awareness and highlight potential opportunities to help their patients, especially those related to pain control and and support our patients.’ spasticity management. Mr Baker says physios can help to identify behaviours ‘There are around 700 supplementary and independent that might indicate a patient is at risk. He suggests prescribers compared with hundreds of thousands of good communication is key. ‘Just ask patients about the nurses and doctors who can prescribe,’ she says. ‘And not medicines they use, how they came to be on them and all physio prescribers will prescribe these medicines, so whether they still require them,’ he says. physio prescribing will have a very small impact overall in ‘It could be as simple as saying “Do you feel you still the total number of prescriptions for these medicines.’ need this medication?” or “Shall we talk to your GP about However, she adds that prescription medicine addiction starting to reduce the medication?” Ikon Images/Superstock Ikon DrugDependency

‘People are generally open about it and often feel whether they should reclassify gabapentin and pregabalin this is an area they don’t get an opportunity to discuss. ‘People don’t (GABA-ergic medicines) as controlled drugs, due to their Sometimes they are taking medication they no longer increasing recreational misuse and abuse. Physiotherapy FOR EVERY need. Or they may tell you about medicine over-usage, and always prescribers can currently prescribe these two drugs, and you can advise them about safe and appropriate usage.’ recognise both medicines are included in the PHE review. From his own experience, Mr Baker has found that a the signs of However, Ms White says it is unlikely the PHE review will range of factors can lead to patients, knowingly or not, affect what physiotherapists can prescribe, although it misusing their medication. ‘People don’t always recognise addiction may affect how the medicines are used and how patients the signs of addiction or realise they are potentially or realise who take them are managed. ‘If medicines are reclassified £1 SPENT becoming addicted,’ he says. as controlled drugs then they can only be independently ‘Sometimes it’s not until they discuss medicine usage, that they are prescribed if they are added to the restricted list, which or someone suggests the possibility of reducing their dose, potentially physios can prescribe from,’ she says. that they show reluctance to do so and start to become becoming ‘However, if a medicine is not on the restricted list, aware that they have developed dependency issues.’ a physiotherapist prescriber can still prescribe it if they He also says that when a patient appears to be misusing addicted.’ work within a written clinical management plan as a ON PHYSIO, or abusing medication, physios need to be aware of their Dave Baker supplementary prescriber.’ local policies and guidelines, which should detail how such She adds that, as clinical evidence develops, the CSP information may be passed on and the potential services expects physiotherapists to update their prescribing to which patients can be referred. practice to ensure they continue to use all medicines ‘Accessing appropriate support may mean liaising safely. This should include considering de-prescribing with a patient’s GP and local specialist services that have strategies, to help reduce the use of medicines known to THE NHS knowledge or experience of addiction.’ cause dependence with prolonged use and ensuring that prescribing is in line with published clinical best practice. Review of controlled drugs list The PHE review, which is due to report its findings in While the PHE review is taking place, NHS England 2019, aims to collect evidence about the nature and likely plans to conduct an unrelated public consultation, this causes of dependence among people who take prescription summer, about the list of controlled drugs physiotherapists medicines, as well as examine effective prevention and can prescribe. ‘There are limitations in place on which treatment approaches for each drug category. fl SAVES £4 controlled drugs physio prescribers can use, and the CSP is working with NHS England to review this list,’ says Ms White, its professional adviser. More information ‘While separate to the PHE review, this work will Public Health Research Consortium report include some of the medicines within the PHE review that bit.ly/2vU97XZ physiotherapists can’t currently prescribe independently, Public Health England review: bit.ly/2Fxhz3G ACROSS such as Tramadol.’ The Report of the Short Life Working Group on In addition, the Home Office and the Medicines and reducing medication-related harm: bit.ly/2CdKCvF Healthcare Products Regulatory Agency are reviewing THE FALLS Sharp rise in opioid prescriptions

A BBC investigation, published in March, found that GPs in England prescribed 23.8 million opioid-based painkillers in 2017. This is in comparison to 10 million fewer prescriptions in PATHWAY. 2007. Meanwhile, a recent study of opioid prescribing www.csp.org.uk/costoffalls in Wales showed prescriptions jumped by 300 per cent between 2005 and 2015. BBC investigation: bbc.in/2FJgPsJ Trends in Opioid Prescribing and Associated Resource Utilisation in Wales: bit.ly/2pYl3Wb

primary care

001417_falls.indd 1 16/03/2018 09:18 Frontline • 16 May 2018 35 Get InReview

Featured book

The End of present day. From there, the the epilogue. Physiotherapy pace slows as he wades through While questions were left David A Nicholls contemporary practice and the unanswered, this book is Routledge changes in how the profession important in that it offers a ISBN: 1138673552 operates – a trickier subject to narrative – a story from one capture. perspective. It shines a light on The End of Physiotherapy – it’s As a feminist, I would have the profession’s history and a provocative title but does the liked the book to go further in its practice through the dominant content live up to it? The book exploration of the impact of the culture – a western-centric lens. feels like two in one – both with clearly political (with a small p) I hope it encourages others to such different paces and voices motives of the founders as they tell their stories so we hear not that I had to remind myself aligned the profession with state, just one voice, but many. Viewing that it was the same author. authority and mainstream. the profession through these David Nicholls, who is associate The book is not a quick read so different lenses should create a professor in the school of clinical maybe the author is right not to rich and evolving picture of sciences at Auckland University, pursue that, given the sheer physiotherapy. romps through the history of the breadth of what he does cover. I’m also looking forward to the profession. He places a context, a For those who do want more, debates that stem from this. For fascinating narrative, around the further reading is suggested me, it will be these discussions history we’re all familiar with and, most importantly, the that determine whether the end (especially if you have read Jean justification for ‘what, how and of physiotherapy is nigh. Barclay’s In Good Hands), from why’ David Nicholls chose to the founders of physiotherapy focus on. Disappointingly for Nina Paterson is the CSP’s through the war years to the me, this was only revealed in education adviser for UK Graduates

Physiotherapy in Mental Banish Ingenious Giving Children a Voice: Health and Psychiatry your MSK app A Step-by-Step Editors: Michel Probst, PT, PhD Body MSK Assist is a Guide to Promoting and Liv Helvik Skjaerven, PT, MSc Image new app to help Child-Centred Practice Elsevier Thief doctors and Sam Frankel ISBN 0702072680 Kate physiotherapists Jessica Kingsley Publishers Billed as ‘a must for students and Collins- combat the ISBN 9781785922787 practising physiotherapists and a Donnelly increasing This book shows how to create an trusted guide on the different Jessica problems environment in which the authentic perspectives, contexts and Kingsley associated with voice and opinions of the child are approaches across the spectrum of Publishers obesity, physical inactivity and an heard. Useful for clinicians who are mental health and psychiatry ISBN 9781849054638 ageing UK population. perhaps more comfortable – or used settings’, this is a substantial A well-thought-out CBT workbook Musculoskeletal conditions cost to – working and communicating textbook. It contains contributions for professionals, or parents, the NHS an estimated £5 billion with adults, or in dealing with % from internationally respected and result in more than 100 million parents who tend to speak for their 90 to use with young people when of registered practitioners, academics and they are suffering from low self- appointments every year in child. It researchers esteem at a key developmental England alone. covers a physiotherapists and is point, aged 10 to18. This useful MSKnote, a Sussex-based variety of packed handbook is full of engaging company, has developed a digital settings, but join the CSP with exercises, personal stories, tips service with the help of InHealthcare, the aim is relevant and coping strategies – all fun to the digital health specialist, to help to recognise case engage in but, crucially, designed educate patients about the that the studies and to help the young person build a importance of self-managing their child’s voice reflective positive body image and to feel long-term complaints. it provides is valid and learning more confident about patients with a personalised print-out to allow it exercises. and dedicated mobile app. to be heard. To apply or for more info: themselves. www.csp.org.uk/getchartered The items appearing on this page are not endorsed by the CSP 000628 SPED 1/2018

000628_GetChartered_2018_FL Ad_Final_V2.indd 1 28/02/2018 07:55 36 Networks&networking Frontline • 16 May 2018 37

p38 Networks&networking

AACP Catch up with news and announcements regarding the CSPs work Frontline schedule at region and country level and also courses and events from CSP recognised professional networks. All recognised networks may list Issue date Booking deadline their events free of charge in this section to a limit of 180 words. 6 Jun 21 May Reach out to members, previous colleagues and classmates through 20 Jun 4 Jun the info exchange, retirement groups, or reunions sections. 4 Jul 18 Jun Send the information you wish to include to: [email protected] 18 Jul 2 Jul 8 Aug 23Jul 5 Sep 20 Aug ACUPUNCTURE 19 Sep 3 Sep FOUNDATION COURSE FOR PHYSIOTHERAPISTS WITH GLYNDWR UNIVERSITY p54 Courses&conferences

Advertise your course or conference by contacting Please note The courses and conferences advertised our advertising agents, Media Shed, tel: 0845 600 in this section have not been subject to the CSPs 1394 or email: [email protected] Send your formal recognition processes unless explicitly stated. 30 MASTERS CREDITS 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 specific display artwork to Media Shed. Call to discuss rates. course or conference, please contact the relevant ACCESS TO GLYNDWR organiser directly. Please see additional Guidance for Online 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. VIRTUAL LEARNING ENVIRONMENT use website. Go to: www.csp.org.uk/courseadverts

BOOK TODAY FOR JUST £695 p58 Recruitment SATURDAY 14 TH JULY - LONDON

TH Advertise your vacancy, agency or service in START Frontline, or online at www.jobescalator.com by WED 5 SEPTEMBER - PETERBOROUGH contacting our advertising agents, Media Shed, on tel: or email: TH 0845 600 1394 DATES SAT 17 NOVEMBER - PETERBOROUGH [email protected] Send your completed display artwork or contact Media Shed to discuss typesetting options. Alternatively submit your text for our linage www.aacp.org.uk section. Call Media Shed to discuss rates.

Untitled-2 1 09/05/2018 08:04 Frontline • 16 May 2018 39 & Advertisement Networks networking To contact the Guernsey network email: East Coast Twitter profile: @CSPSouthEast [email protected] and view the (scroll through the timeline to 23 April). English networks news To keep up to date with your region visit: www. significantly both locally and nationally over network page on iCSP at: http://www.csp.org. csp.org.uk/nations-regions/london the years. The core team would also like uk/icsp/guernsey-support University of Brighton Physiotherapy Follow us on Twitter: @CSPLondon to thank Ann, Sue’s administrator, for her Follow us on Twitter: @CSPsouthcentral graduates help kick off the official launch of organisational and communication role with Like us on Facebook, email: southcentralchair@ the Love Activity, Hate Exercise Campaign? Do you experience East Midlands the network. csp.org.uk for the link. via Twitter To keep up to date with your region visit: www. pain or discomfort csp.org.uk/nations-regions/east-midlands South East Coast when you use a Follow us on Twitter: @CSPEastMidlands English regional Like us on Facebook: @CSPEMRN computer? networks West Midlands News from the CSP English Thank you to outgoing ERN chair Sam Your mouse could regional networks, branches McIntosh and secretary Sue England be the cause! and country boards.

Unimouse allows you to Find out more at Helen Owen and Phil Hulse (pictured above) switch postures during www.csp.org.uk/nations-regions will continue the CSP West Midlands ERN the day, to engage leadership as joint-chairs. To contact Helen or Phil email: [email protected] Pictured above: Dr Jane Morris speaking at different muscles and practice education day tendons. Our next meeting will be a teleconference Pictured above: University of Brighton students London based meeting (date TBC) and announced post up inspiration for #LoveActivity on Twitter The next London regional network event is on our home page and social media feeds. By varying your position, sold out. However, if you would like to learn Our next study day will be in September, To show their support for the Love Activity, you’ll be more comfort- more about first contact physiotherapy focusing on recruitment and employability Hate Exercise? CSP campaign message, able at work. please join the waiting list for tickets via Pictured above: Sue England (date TBC). graduates from the University of Brighton Eventbrite at: www.londonregionalnetwork. were inspired by a talk from South East Coast eventbrite.co.uk To keep up to date with your region visit: www. chair Zoe Smith and CSP CRE officer Mindy Unimouse fits you, not The event programme will include: csp.org.uk/nations-regions/west-midlands Daubeny, to film their own inspiration for the other way around. • an update on work to promote advances Follow us on Twitter: @WestMidlandsCSP activity. in first contact physiotherapy from Like us on Facebook: @WestMidlandsCSP Tagged using #LoveActivity, the short films Ruth Ten Hove, CSP head of research and shared on the @CSPSouthEast Twitter profile, Get 30 day free trial development South Central Pictured above: Delegates at practice show students doing various activities to help • presentations from London regional CSP South Central needs you! Opportunity to education day highlight the campaign. visit www.contour-design.co.uk network members on establishing, delivering find out more on Friday 13 July at CSP HQ To view them just search for #LoveActivity and evidencing first contact MSK and other We are actively recruiting more members University of Brighton and CSP South East on Twitter. Please like and re-tweet your services to join our core team. If you want the Coast ERN event gives practice educators and favourite. • Stuart Paterson, CSP council member, and opportunity to help promote physiotherapy members a fascinating insight into practice- an employment relations and union services in your area and get some fantastic CPD based learning Dates for your diary in South East Coast colleague explaining other ways in which then you are welcome to come along to a The CSPs Gwyn Owen headed a packed 2018: the CSP is supporting this development meeting on Friday 13 July at CSP HQ to agenda of speakers who all gave a fascinating Physios don’t sleepwalk into obscurity – An • dedicated time for networking with other help plan events and activities for the insight into the world of practice-based evening with CSP chief executive Karen London regional network members. Pictured above: Sam McIntosh region over the coming year. For more learning. In addition to lectures giving Middleton Date: Monday 4 June information and to book your place at the delegates plenty to discuss and think about, Date: Thursday 12 July Time: 3pm-7.15pm The CSP West Midlands ERN core team meeting, please email: southcentralchair@ there were workshops to explore typical Theme: An opportunity for South East Coast Place: The Chartered Society of would like to say a big thank you to former csp.org.uk scenarios that occur during placement. members to hear from Karen Middleton Physiotherapy, 14 Bedford Row, London chair of the ERN, Sam McIntosh and former Delegates very much enjoyed sharing, about the future of the profession and what WC1R 4ED secretary Sue England for their highly valued To keep up to date with your region visit: www. experience, knowledge and inspiration so that we, as members, need to do now to secure Cost: Free contribution to the running of the CSP csp.org.uk/nations-regions/south-central everyone could benefit with the overall aim of a prosperous future for physiotherapists and Contact: For more information please email: West Midlands ERN. Sam has been in the Follow us on Twitter: @CSPsouthcentral encouraging more placements for our future patients. [email protected] or: [email protected] role for five years and has helped provide Like us on Facebook, email: southcentralchair@ workforce. We have come a long way since Karen gave For more information on physiotherapy in leadership through changing times across the csp.org.uk for the link. To view some of the presentations visit the her founder's lecture in 2014. Physiotherapy’s primary care visit: www.csp.org.uk/primarycare region. Sue has volunteered for the region CSP South East Coast web page and watch degree of autonomy continues to build – over the past 20 years and has contributed some of the presentations online via South achieving endorsement by the BMA and > 40 Networks&networking Frontline • 16 May 2018 41

RCGP for Physiotherapists as first contact place on 16 May the event is being filmed event. Please note that members will need to I would be very grateful if you would register • ARC Cost: Free to members practitioners across England, through to so that all CSP members can watch the pay for their own travel and accommodation. your interest in attending so that I can book a • NHS 70th Birthday celebrations Booking: Will be possible via Eventbrite later government backed approval for physios to presentations live and post event. For more information on the CSP strategy large enough space for us all. Please email me • engaging with the CSP and networking with this year. More details will be published online issue fit notes. Visit the network’s Twitter account: please visit: www.csp.org.uk/strategy at: [email protected] to register members locally. and in Frontline. But does the profession need a SWOT @CSPNorthEast to view the presentations For more information about Physiotherapy your interest or hear more. I look forward to All CSP members are welcome (students, analysis to ensure progress in the right from the event. View comments and remarks UK 2018 visit: www.physiotherapyuk.org.uk meeting you on 21 May. retired, associates and full members) and the If you would like to get involved with South direction? Are we in danger of losing our on the day by following the event hashtag Entries must to be submitted by 5pm on With best wishes, event is free. West member activity and events please autonomy? #CSPnortheastexercise. Wednesday 13 June to the North East chair Becca Knowles, CSP East of England regional You may join the event for a free lunch email: [email protected] This special evening event will give you Helen Robson at: [email protected] network honorary chair starting at 12.30pm or arrive when the ERN the chance to hear the viewpoint of the CSPs The event programme: Please include your CSP membership number. event starts at 1pm. To keep up to date with your region visit: www. CEO on our direction of travel as a profession • Kenny Butler from UK active speaking on To keep up to date with your region visit: www. Spaces are strictly limited so please book csp.org.uk/nations-regions/south-west as well as provide the opportunity to ask how physiotherapy can lead the change to Terms and conditions: csp.org.uk/nations-regions/east-england your place now to avoid disappointment. Follow us Twitter: @CSPsouthwest questions in a dedicated Q&A session with embed physical activity into management • The chair’s decision will be final Follow us on Twitter: @CSP_EoE #PhysioEast Date: Tuesday 19 June Karen Middleton. of long-term conditions • Feedback will not be available on Like us on Facebook: Time: 12.30pm (for lunch which is provided) Yorkshire and Humber All members who register their attendance • Edward Kunonga, director of public unsuccessful applications @CSPEastofEnglandregionalnetwork 1pm SWERN event starts Please hold Friday 14 September in your at the event will have the chance to submit health, Middlesbrough Council, speaking • Entries are welcome from all CSP members Place: Exeter Court Hotel, Kennford, Exeter calendar for the next CSP Yorkshire and a question to Karen in advance of the on innovations in tackling physical inactivity who either work or reside in the North East South West EX6 7UX Humber regional network event which will be evening. We will then ask Karen to review the across the population region CSP South West ERN Joint event with Cost: Free to members taking place in York. questions and pick the one that particularly • Sean Ledger, teaching fellow in • The two winners will be required to provide stewards Booking: Via Eventbrite – see The South West captures her attention. The member who physiotherapy and rehabilitation science, feedback about the conference at the Theme: A joint event with CSP South West CSP regional web page for the Eventbrite link Follow the regional network at: posed the question selected will then have Keele University, speaking on cystic fibrosis North East event on 14 November at stewards on topics relating to: @CSPYorksHumber on Twitter to be the first to the chance to sit next to Karen on the and exercise interventions Teesside University. Feedback can be either • the new CSP council CSP South West ERN Conference hear the latest news about the region. evening. All questions submitted will be • Sarah Moore, Newcastle University, verbally at the event or in the form of a • Professional Standards Date: Wednesday 3 October answered on the night! speaking on exercise following stroke poster presentation. • Physio UK – your chance to attend this year Time: TBC To keep up to date with your region visit: www. Time: 6pm-10.30pm • Rebecca Shea, South Tees Hospital, speaking on behalf of the South West Place: TBC csp.org.uk/nations-regions/yorkshire-humber > Place: Holiday Inn Gatwick, Povey Cross Road, on a water-based approach to COPD To keep up to date with your region visit: www. Gatwick RH6 0BA • Rob Tyer, Connect Health, speaking on csp.org.uk/nations-regions/north-east Cost: £15 per ticket strength and musculoskeletal conditioning Booking: Book your place by emailing: cre@ • plus an introduction to the new CSP Follow us on Twitter: @CSPNortheast csp.org.uk (spaces are limited so book early to campaign, Love Activity, Hate Exercise?, Like us on Facebook: @CSPNortheast avoid disappointment) designed to make it easy for physio staff to #physio18 help get patients and the public more active. East of England CSP South East Coast regional conference You said, we did – an opportunity to engage Date: Monday 29 October If you have a query about the event please I recently circulated a survey to gain insight Time: 10am-4pm email the CSP campaigns and regional on what you want the CSP East of England Place: Holiday Inn Gatwick, Povey Cross Road, engagement team at: [email protected] who will regional network to focus on. Gatwick RH6 0BA be happy to assist you. Thank you to everyone who responded. Cost: Free to members The feedback is very useful and a desire for Booking: Will be possible via Eventbrite later Do you want a free ticket to opportunities to engage with the regional this year. More details will be published online Physiotherapy UK? network and other local CSP members came for and in Frontline. The CSP North East regional network is through loud and clear. sessions pleased to announce a competition to win a Therefore, I am writing to invite you to an 30+ If you would like to get more involved in ticket to Physiotherapy UK 2018. informal meeting to meet the core team of the South East Coast network and help with Two days of excellent CPD are up for regional network volunteers in May. of professional activities and campaigning please contact: grabs at the event which is taking place in All CSP members from across the physio [email protected]. Birmingham from 19-20 October. workforce are welcome to join us. This includes All you have to do to enter is write an support workers, students and retired CSP excellence £99 For news, events and updates from your visit: account (200 words max) on why your members. www.csp.org.uk/nations-regions/south- regional network should support you to attend Our meetings are very sociable and the east-coast the event. next one will include regional network event Follow us on Twitter: @CSPSouthEast Entries will be reviewed by the regional and activity planning and local updates. network chair alongside core team volunteers North East who have not submitted an application. The Meeting details: ICC BIRMINGHAM Watch presentations from the sold out two entries that demonstrate the most impact Date: Monday 21 May 19 -20 OCTOBER 2018 Innovation in Exercise in the North East event in terms of the CSPs strategy themes of Place: The Ormonde, Fred Archer Way, In response to exceptional demand for tickets 'empowering, transforming and influencing' will Newmarket CB8 8NY www.physiotherapyuk.org.uk for the Innovation in Exercise event taking each be awarded a free ticket for the two-day Time: 6.30pm-8.30pm 42 Networks&networking Frontline • 16 May 2018 43

North West CSP North West ERN Professional forum Professional networks news Association of Chartered Physiotherapists in Association of Chartered Physiotherapists in Cost: £40 for ACPIN members, £75 for non- CSP North West ERN Professional forum Date: Tuesday 4 December Neurology (ACPIN) – Sussex Neurology (ACPIN) – Wessex members Date: Tuesday 12 June Time: 5.30pm food followed by meeting 6pm- ACPIN Evening lecture: Connective tissue and fascia course Contact: Email: [email protected] Time: 5.30pm food followed by meeting 6pm- 8pm Making lives better – Merits beyond function: This is a practical connective tissue and fascia 8pm Place: Education Centre, Chorley Hospital different perspectives on botulinum toxin course (part 1) workshop which is patient Association of Trauma and Orthopaedic Place: Education Centre, Chorley Hospital Cost: Free to members Date: Tuesday 15 May centred and clinically relevant. This course Chartered Physiotherapists (ATOCP) Cost: Free to members Contact: To confirm your attendance and for Time: 6.30pm-8.30pm will explore the examination and treatment The ATOCP has opened more local branches Contact: To confirm your attendance and for enquiries contact Nena Mitchell, North West Speaker: Karen Poole, consultant therapist in of connective tissues and fascia in relation to and now runs several education evenings in the enquiries contact Nena Mitchell, North West ERN secretary, at email: [email protected] rehabilitation, Sussex Trauma Network director patients with neurological injury. following areas: Scotland, North West, South ERN secretary, at email: [email protected] of rehabilitation Facilitator: Michelle Watson Wales, Oxford, South and London. If you To keep up to date with your region visit: www. Professional Place: Firwood House, Brassey Ave, Eastbourne http://therapyfusion.com/training-courses/ require any further information please email: CSP North West ERN Professional forum csp.org.uk/nations-regions/north-west networks BN22 9QJ connective-tissue-and-fascia/ [email protected] Date: Monday 17 September Follow us on Twitter: @northwestcsp Cost: ACPIN members £2, non-ACPIN Date: Saturday 23 June, 8.30am-5pm ATOCP Annual conference 2018 Time: 5.30pm food followed by meeting 6pm- For Cumbria branch please email Cumbria Courses and events from members £5 (payable on the day). Place: Neuro Gym, Poole Hospital, Longfleet The ATOCP are delighted to announce links 8pm branch at: cspcumbriabranch.secretary@gmail. CSP recognised professional This event is being subsidised for all by Road, Poole BH15 2JB with the British Orthopaedic Association Place: MMU, Brooks Building – Room number com and follow on Twitter: @CumbriaPhysio networks. Share your events Sussex ACPIN: promoting CPD in the field of Cost: ACPIN members £75, non-members (BOA). For 2018 the ATOCP annual conference TBC here free of charge. neurophysiotherapy. £95. will be run out of the British Orthopaedic Cost: Free to members Audience: Physiotherapists/OTs/other Contact: For further details and booking see Association Congress (http://congress.boa. Contact: To confirm your attendance and for Stay up-to-date therapists and medical staff. Eventbrite: https://www.eventbrite.co.uk/e/ ac.uk/) which is taking place 25-28 September enquiries contact Nena Mitchell, North West Send an email to Aims: An update of current practices in the connective-tissue-and-fascia-course-part-1- at the ICC in Birmingham. www.csp.org.uk/ nations-regions ERN secretary, at email: [email protected] [email protected] use of botulinum toxin and its role in tickets-45015178611 For the tremendous rate of £70, ATOCP rehabilitation of the complex patient For further details please contact: wessex@ members will be able to obtain associate Closing date: Friday 11 May acpin.net BOA membership, including attendance at Contact: Debbie Soave at: [email protected] all four days of BOA congress. The ATOCP Aquatic physiotherapy for neurological Association of Chartered Physiotherapists in annual conference will run on the Wednesday conditions training course Neurology (ACPIN) – Surrey and Borders with invited speakers and a scientific abstract Speaker: Jacqueline Pattman Study day: A multidisciplinary approach to the session for physiotherapy research. We will Date: 11-12 August management of acute facial paralysis also hold our AGM on the day. This is a Place: Eastbourne District General Hospital, Date: Saturday 9 June great opportunity to demonstrate the Kings Drive BN21 2UD Confirmed speakers: Catriona Neville, quality of physiotherapy work to our Free, Cost: ACPIN member £180, non-ACPIN extended scope practitioner in facial palsy; trauma and orthopaedic peers member £230. Place secured when payment and Vanessa Venables, principal speech and multidisciplinary team. received. Only eight spaces available. language therapist This fantastic offer is only available to first class, Contact: Email: [email protected] Place: Royal Surrey County Hospital, ATOCP members, so now is a great time to Physiotherapy Dept. join if you are not already a member. To do so, fully funded Association of Chartered Physiotherapists in Note: a light lunch will be provided. visit: http://atocp.csp.org.uk/join-us Neurology (ACPIN) – Yorkshire Cost: ACPIN members £80, non-members £100 publicly Neuroactive exercise in Parkinson's disease – Contact: Email: [email protected] Association of Chartered Physiotherapists For How to make real change People With Learning Disabilities (ACPPLD) delivered Date: Saturday 23 June Association of Chartered Physiotherapists in Annual learning event Time: 9am-4.45pm Neurology (ACPIN) – West Midlands Date: Thursday 13 September and Friday Place: Tops Fitness and Rehabilitation, invites you to a practical day course: 14 September health 1 Cobham Parade, Leeds Road, Wakefield Observational gait analysis for neurological Place: Unity Kitchen Timber Lodge Café E20 WF1 2DY patients – An interactive course based on 1DY services Course tutor: Rachel Rutley, independent movement science principles Cost: (Two days without accommodation): physiotherapist and expert practitioner in Objectives: Describe the kinematics and £180 members, £210 non-members. for all Parkinson's disease and movement disorders kinetics of normal gait, identify deviations The South East region is excited to be #ourNHS70 Cost: £55 for ACPIN members, £90 for non- from normal gait, interpret the results of hosting this year’s ACPPLD annual learning ACPIN members – to include refreshments your gait analysis and hypothesise causes event. The venue will be the Unity Kitchen (but not lunch). Places limited to 20 due to the of the gait dysfunction, formulate a focused Timber Lodge Café which is situated in the practical nature of the course, priority will be neurological assessment to confirm your stunning natural landscape of the Olympic given to ACPIN members. hypotheses and treatment plans to address Park and includes a lovely garden and terrace Contact: For further information contact Arzu dysfunctions. area. Ozgur at: [email protected] Date: Saturday 19 May, 9am-4pm We have speakers on a range of topics Speaker: Ben Ellis including postural care, complex respiratory Place: Solihull Hospital Gym, Lode Lane management, pressure care, delegation and B91 2JL. aquatic therapy. > 44 Networks&networking Frontline • 16 May 2018 45

Contact: See: www.acppld.csp.org.uk for a full management of lower urinary tract Cost: £300 members, £360 non-members Contact: To book visit: www.aacp.org.uk Each day includes: Registration: 9:00 until 16:30 (Registration programme, attendance and accommodation symptoms Advanced office workstation ergonomics > Training and Conferences > Foundation Requesting and looking at x-rays – Requesting 8.45am) options with costs and an application form. Date: 29 September (DSE) level 2 Courses or CPD Courses and looking at MRIs – Case study based- Cost: One day: £120 MACP members; Place: Milton Keynes Date: 12-13 July Tel: 01733 390007 #3 Email: [email protected]. teaching, orientation, normal, normal variants, £130 non-members; two days: £240 MACP Pelvic, Obstetric, Gynaecological Cost: £125 POGP member/affiliate, Place: Guildford uk pathological images, evidence base on members; £260 non-members; three days Physiotherapy (POGP) £160 non-member Cost: £320 members, £380 non-members AACP Grants imaging and how to utilise it enhance your discounted: £330 MACP members; £360 non- Physiotherapy assessment and Understanding pelvic organ prolapse – Introduction to applied ergonomics AACP have a number of grants available for existing clinical reasoning and patient care members management of lower bowel dysfunction assessment and conservative management Date: 14-15 September AACP members. For more information please Facilitators and dates: Contact: Book at: www.macpweb.org or Date: 15-17 June Date: 13 October Place: Islington, London contact Mindy Cairns, AACP research advisor, Day one: 9 June; lumbar spine with contact Terry Smith at: [email protected] Place: London Place: Leeds Cost: £300 members, £360 non-members at: [email protected] or see the AACP Christopher Mercer, consultant musculoskeletal or tel: 01202 706161. Cost: £325 POGP member/affiliate, Cost: £125 POGP member/affiliate, Upper limb disorders in the workplace – Risk website: www.aacp.org.uk physiotherapist An introduction to motivational interviewing £395 non-member £160 non-member assessment and management Day two: 14 July; knee with Jessica Gent, This course will introduce you to motivational Physiotherapy assessment and Physiotherapy assessment and management Date: 12 October Musculoskeletal Association of Chartered clinical physiotherapy specialist (lower limb), interviewing, which is a collaborative management of pregnancy related of pregnancy related musculoskeletal Cost: £160 members, £220 non-members Physiotherapists (MACP) advanced physiotherapy practitioner conversation to strengthen a person’s own musculoskeletal conditions – Part 2 conditions – Part 2 Office workstation ergonomics (DSE) level 1 Integrating imaging into musculoskeletal Day three: 21 July; shoulder with Sharon motivation for and commitment to change. Date: 23 June Date: 10 November Date: 20-21 October practice Morgans, specialist physiotherapist, Shoulder This rests on a foundation of patient-centred Place: Chichester Place: Cambridge Place: Leeds An interactive three-day course aimed at Academy, Central Health Physiotherapy. counselling skills to provide the conditions of Cost: £125 POGP member/affiliate, Cost: £125 POGP member/affiliate, Cost: £300 members, £360 non-members senior physiotherapists and new APPs with Previously lead extended scope practitioner, support that are conducive to change, and £160 non-member £160 non-member Contact: Tracy Long, on tel: 01284 748202 limited or no radiology background, wanting Imperial College Healthcare Trust seeks to selectively elicit and reinforce the Physiotherapy assessment and management Physiotherapy assessment and management or email: [email protected] to learn more about requesting and basics of Place: Buckinghamshire Musculoskeletal patient’s own arguments and reasons for of female urinary dysfunction: Limited places of female urinary dysfunction interpreting musculoskeletal imaging and how Integrated Care Service, Unit 2 The Merlin modifying their behaviour. left Date: 23-25 November Acupuncture Association of Chartered to utilise for better patient care in practice. Centre, Cressex Business Park, Lancaster Facilitator: Robert Shannon BSc, MSc, Date: 6-8 July Place: Swindon Physiotherapists (AACP) You can choose to attend one, two or all three Road, High Wycombe, Buckinghamshire CPsychol. Lecturer at University of Place: Horsham Cost: £350 POGP member/affiliate, AACP CPD Scotland study day days. HP12 3QL Southampton. > Cost: £350 POGP member/affiliate, £420 non-member BOOKING NOW OPEN! £420 non-member Contact: For further details of the POGP Date: 3 November Paediatric incontinence and pelvic floor short course programme or to download an Place: Queen Margaret University, dysfunction information pack for any of the above courses, Musselburgh Tutor: Dawn Sandalcidi please visit the POGP website at: Upcoming CPD courses Date: 13-14 July http://pogp.csp.org.uk/courses-events One day acupuncture sports injury course Place: Ascot Email our course administrator at: Date: 7 June Cost: £300 POGP member/affiliate, [email protected] Place: Rochdale £350 non-member Follow us on Twitter: @ThePOGP Two day trigger points course Physiotherapy assessment and Check out: pogp.csp.org.uk for information Date: 14 June management of lower bowel dysfunction on bursaries and funding opportunities. Place: Peterborough Date: 7-9 September Neck, back and upper limb acupuncture course Place: Larbert, Falkirk Association of Chartered Physiotherapists Date: 7 July Cost: £325 POGP member/affiliate, in Occupational Health and Ergonomics Place: Bournemouth £395 non-member (ACPOHE) AACP Basic acupuncture foundation courses Physiotherapy assessment and management ACPOHE is the CSP professional network Expand your skillset and increase patient of pregnancy related musculoskeletal for physiotherapists working in occupational choice by training in acupuncture with the conditions – Part 1 health and ergonomics. Registered members AACP. Our Foundation courses have been Can we still Date: 28-30 September of ACPOHE are physiotherapists who have designed to offer you a level of knowledge, Place: Doncaster demonstrated specialist competency in skill and understanding that will allow you to Cost: £275 POGP member/affiliate, the fields of occupational health or practise acupuncture in a safe and appropriate £345 non-member ergonomics. manner, in a clinical setting. Advanced pelvic floor course: In-depth An introduction to occupational health Dates: 9, 10, 16 and 17 June and 14 and 15 email you? assessment, differential diagnosis and Date: 23-24-25 May July Data protection regulations are changing on 25 May. advanced treatment techniques for complex Place: Birmingham Place: Manchester female pelvic pain and pelvic floor muscle Cost: £455 members, £515 non-members Dates: 9, 10, 16 and 17 June and 28 and 29 dysfunctions Office workstation ergonomics (DSE) level 1 July Date: 14-16 September Date: 8-9 June Place: Chertsey Make sure you stay on our list by visiting: Place: Chertsey, Surrey Place: TBC, most likely to be Guildford, Surrey Dates: 16, 17, 23 and 24 June and 11 and 12 Cost: £325 POGP member/affiliate, Cost: £300 members £360 non-members August £395 non-member Office workstation ergonomics (DSE) level 1 Place: Tooting, London www.csp.org.uk/youremails Advancing your skills into men’s health Date: 5-6 July Cost: £495 – Including one year’s full Part 1: Physiotherapy assessment and Place: TBC, Kings Cross, London membership of the AACP with many benefits. 46 Networks&networking Frontline • 16 May 2018 47

Place: Meeting Room, Wigmore Lane Health masqueraders, vascular masqueraders and appropriate and effective interventions. Contact: Nikki Burr/Ella Donnison, email: your membership number to hand. • case studies and clinical reasoning. Centre, Wigmore Lane, Luton LU2 8BG pelvic masqueraders. Facilitators: Dr Niamh Moloney is a [email protected] Tel: 07766554787 • HCPC renewal – Your HCPC registration Contact: Cathy Gordon at: cathy.gordon@ Date: Saturday 1 September. Registration: Facilitators: Laura Finucane, consultant musculoskeletal physiotherapist who combines Surgery and therapy management of flexor/ is up for renewal from 1 February and you stockport.nhs.uk for further information and an 8.30am-9am, course close 5pm musculoskeletal physiotherapist, East Surrey almost 20 years of clinical and academic extensor tendon injuries to the hand must re-register by 30 April, to remain a application form. Cost: £110 MACP members, £120 non- Hospital; Christopher Mercer, consultant experience. Dr Martin Rabey is a specialist Date: September physiotherapist, CSP member and Physio First members musculoskeletal physiotherapist,Western musculoskeletal physiotherapist and fellow of Place: Queen Elizabeth Hospital, Birmingham member. The registration fee to be paid is The Association of Paediatric Chartered Contact: Book at: www.macpweb.org or Sussex Hospitals; Sue Greenhalgh, consultant the Australian College of Physiotherapists. Contact: Suzanne Beale, email: suzanne. £180 for two years. Physiotherapists (APCP) contact Terry Smith at: [email protected] musculoskeletal physiotherapist, Bolton Date: Saturday 15 September [email protected] Tel: 0121 3713488 • General Data Protection Regulation (GDPR) APCP Introduction to paediatric or tel: 01202 706161. Primary Care Trust. Place: The Royal London Hospital, Radiographic imaging of the hand – We shared some information in our latest physiotherapy Spinal masqueraders: Expanded Place: Manchester Metropolitan University, Whitechapel Road, London E1 1BB Date: 3-5 October edition of The Core, February 2018, about GDPR This three-day course is for physiotherapists Following on from the highly-regarded Brooks Building, Birley Campus, 53 Bonsell Registration: 8.30am-9am, course close 5pm Place: University of Derby Enterprise Centre and how we identified four ways to help our who are new to working with children and spinal masqueraders study day, the MACP Street, Manchester M15 6GX Cost: £120 MACP members, £140 non- Contact: Ella Donnison, email: linda.tozer1@ members, please see here: http://bit.ly/2nNYm7q young people, including newly qualified have developed a further stand-alone Date: 8 September members nhs.net Tel: 01332 786964 Contact: For more information about Physio physiotherapists, those changing from another course designed to enhance awareness Time: 9am to 4.30pm (registration 8.30am) Contact: Book at: www.macpweb.org or PIPJ (NES) First please call us on tel: 01604 684960 speciality, or those returning to practice and and clinical reasoning in the management Cost: £110 MACP members, £130 non- contact Terry Smith at: [email protected] Date: 6-8 December alternatively, you can email us at: minerva@ wishing to work in paediatrics. The course may of non-musculoskeletal causes of back and members or tel: 01202 706161. Place: Queen Alexandra Hospital, Portsmouth physiofirst.org.uk also be suitable for experienced support workers radiating leg pain. Spinal masqueraders: Book at: www.macpweb.org or contact Terry Contact: Gemma Willis at: gemma.willis@ and other AHPs who work within paediatrics - Expanded covers new issues not covered Smith at: [email protected] or tel: 01202 British Association of Hand Therapists porthospi.nhs.uk See: www.neshands.co.uk Association of Chartered Physiotherapists in however, this will be at the discretion of their on the original study day. Developed from 706161. (BAHT) Tel: 02392 286130/02392 286899 Temporomandibular Disorders (ACPTMD) managers when considering learning needs. delegate feedback and evolving evidence, Pain: Translating neuroscience into clinical Splinting: A clinical reasoning approach Burn injuries of the hand and upper limb Physiotherapy management of Date: 14-16 June attendance on the original masqueraders practice Date: 24-26 June Date: TBC Temporomandibular Disorders (TMD) Place: Jury's Inn Newcastle, Scotswood Road, study day is not a prerequisite to this course. This workshop will deepen clinicians’ Place: Chelmsford, Essex Place: Park Inn Hotel, Nottingham Tutor: Phil Bateman Newcastle NE1 4AD Knowledge and skills gained from the first understanding of pain neuroscience in Contact: Debbie Miles at: [email protected] Contact: Nicole Glassey, email: n.glassey@ Date: Saturday, 2 June Cost: £225 APCP members; £275 non- course will however be further enhanced and order to clarify more complex patient Optimising soft tissue repair ntlworld.com Tel: 07901500713 Place: Community Room, Tesco Superstore, members new skills accrued. This course covers in depth presentations and facilitate refinement of Date: 21-23 September Knocknagoney Road, Belfast, BT4, Northern Contact: For further information/to book your the topics of cauda equina syndrome, visceral clinical assessments, and application of more Place: Mount Vernon Hospital, Northwood Association of Chartered Physiotherapists Ireland place, visit: apcp.csp.org.uk/courses-events or Interested in Vestibular Rehabilitation Cost: £149 contact: [email protected] (ACPIVR) This one day course reviews: APCP Paediatric musculoskeletal ACPIVR AGM and study day 2018 with • relevant clinical anatomy physiotherapy foundation course Susan Herdman • physiotherapy assessment of the This course aims to provide therapists who Date: 19 May masticatory system are new to paediatrics or who want to treat #physio18 Place: Lecture theatre, 33 Queen Square, • classification of common TMDs children with musculoskeletal conditions an National Hospital for Neurology and • theoretical and practical aspects of understanding of the specialist knowledge Neurosurgery WC1N 3BG physiotherapy management and skills they need to have when working Topic: Vestibular treatment • case studies and clinical reasoning. with children and young people. It will look Speakers: Professor Susan Herdman, Emory Contact: Cathy Gordon at: cathy.gordon@ at conditions seen in babies, children and University, USA; Dr Dara Meldrum, Dublin, stockport.nhs.uk for further information and an adolescents. Ireland; Dr Edward Roberts, Imperial College application form. Date: 22 June London, UK; Dr Marco Mandalà, Siena Place: Raigmore Hospital, Inverness IV2 3UJ University Hospital, Italy Association of Chartered Physiotherapists in Cost: £75 APCP members; £115 non-members Make your Description: Join us for this exciting study day Temporomandibular Disorders (ACPTMD) Contact: For further information/to book your training 2 days and AGM with the world renowned Professor Physiotherapy management of place, visit: apcp.csp.org.uk/courses-events or Susan Herdman and other international temporomandibular disorders (TMD) contact: [email protected] speakers. It is for clinicians of all levels of Tutor: Phil Bateman The sensory world of the infant – Joint annual experience looking to increase their knowledge Date: Saturday, 22 September study day for professionals in neonatal care budget count. ofCPD and understanding of vestibular rehabilitation. Place: Back in Motion, Windmill Surgery, 5th Annual study day for neonatal Contact: Programme and registration: London Road, Wymondham, Norfolk NR18 physiotherapists, occupational therapists, https://acpivr2018.eventbrite.co.uk 0AF speech and language therapists and others Cost: £149 (early bird discount of £129 if working in NICU and early intervention. Physio First booked by 20 August) An exciting day bringing together Physio First reminders One day course reviews: prominent speakers from across medical, • Subscriptions – Our 2018/19 membership • relevant clinical anatomy nursing and therapy professions to present ICC BIRMINGHAM started on 1 April, our fees are: • physiotherapy assessment of the and discuss research and best practice in line – full member £228 masticatory system with this year's theme. 19 -20 OCTOBER 2018 – affiliate member £208 • classification of common TMD's Date: Thursday, 27 September www.physiotherapyuk.org.uk You can pay your membership renewal over • theoretical and practical aspects of Place: Holiday Inn, London-Bloomsbury £99 the phone on the number below, please have physiotherapy management Cost: £95 > 48 Networks&networking Frontline • 16 May 2018 49

Contact: For further information/to book your CPTRH Hippotherapy course now accredited for FaME) and exercise training to reduce Joint diversity day the same year as the conference. He/she must place, visit: apcp.csp.org.uk/courses-events or at MSc level with Robert Gordon University falls within our populations. Kate Bennett Date: 10 July also be a member or student member of the contact: [email protected] Aberdeen will be supporting Bex from a physiotherapy BME Network Chartered Society of Physiotherapy. APCP Annual conference and trade exhibition For chartered physiotherapists wishing to use perspective. Pre-course reading will be supplied Date: 25 September The bursary funds both the conference fee 2018 the horse within physiotherapy treatment. for participants. Disabled members network and accommodation costs, however it does An opportunity to network with paediatric Course dates and Structure 2019 This interactive study day will use lectures and Date: 9 October not fund the travel costs for the recipient. physiotherapists from around the UK to share Two sequential modules both four days long: practical workshops to: LGBT+ members network Applicants must: Complete the application practice and expertise. Varied programme Equine Module – Assessment and selection of • enable participants to consider if backward Date: 13 November form and provide a personal statement as with topics including Ponseti, SDR, EHCPs equines for hippotherapy chaining should be included in rehabilitation Place: All meetings are held at the CSP in requested on the application form. and gait abnormalities plus a study stream Date: Friday January 25 to Monday 28 programmes for frail older people at risk of London An application form can be found on the on neuromuscular disorders on Friday and a January 2019 falls Contact: Please contact Susannah Gill at: POGP website at: http://pogp.csp.org.uk/pogp- stream on cerebral palsy integrated pathway Hippotherapy Module – Delivery of best • provide participants an opportunity to build [email protected] with any queries. bursaries-awards and should be returned by (CPIP) on Saturday. practice in hippotherapy their knowledge of backward chaining email to the chairman by 1 July. Date: 2-3 November Date: Friday October 25 to Monday 28 • provide participants with practical The Margie Polden Memorial Fund and If you know of anyone who would be Place: Emirates Old Trafford, Manchester October 2019 knowledge of implementation, analysis and Bursary a suitable recipient of this award, please Cost: From £215 for two days; residential Place: Venue for both modules: Clwyd Special progression of backward chaining Margie Polden, FCSP, who died in 1998, encourage them to apply. packages available Riding Centre, Llanfynydd, Wrexham, Clwyd • provide participants with an insight/refresh worked at the Hammersmith Hospital in Contact: For further information/to book your LL11 5HN of FaME exercise program and exercise London, where she initiated and developed place, visit: apcp.csp.org.uk/courses-events or Cost: £1300 including non-refundable training principles. physiotherapy in obstetrics and gynaecology, contact: [email protected] registration fee of £200. This includes £300 Place: Scotland and within ACPOG – now POGP – made an CSP Retirement Association CPIP-UK Annual meeting 2018 – Sharing fee to RGU. Date: 9 June enormous contribution to the education of experiences of implementing CPIP and its Closing date for applications: 30 September Contact: Email: [email protected] physiotherapists and other professionals. impact on practice Prerequisites: Place: East region Never afraid to be combative, she A one-day event for paediatric • Chartered Society of Physiotherapy Date: 1 July vigorously and knowledgeably debated and physiotherapists, paediatricians and membership Contact: Email: [email protected] discussed with clinical colleagues, lectured, orthopaedic surgeons involved in the • HCPC registration Place: North region and wrote for professional publications. She management of children and young people • CPTRH membership Date: 1 September also had the ability to reach out to the public, with cerebral palsy with speakers from the • one year postgraduate clinical experience Contact: Email: [email protected] with witty, pertinent and informative articles CSP Retirement UK, Scotland and Denmark will share their • submission of the CPTRH Equine Skills Place: West region and talks on women's health issues. In doing Association experiences of implementing the cerebral Record Date: 29 September so she furthered the cause and raised the News and information from the palsy integrated pathway and its impact upon • required to register for the complete course. Contact: Email: [email protected] profile of physiotherapy in obstetrics and CSPRA. Upcoming meetings, their practice. Horse riding experience: CPTRH recommend Place: Ireland gynaecology and made a real impact on the Date: Saturday, 3 November applicants have basic horse riding skills in Date: 6 October lives of countless women. events and also details of get- Place: Emirates Old Trafford, Manchester addition to general equine experience. Contact: Email: agile.northernireland@gmail. Through her work and books, Margie, togethers in your area. Contact: For further information/to book Assessment: Continuous formative com a loved and respected member of POGP your place for all events, visit: apcp.csp.org.uk/ assessment of practical skills. Extensive For venues please refer to website: http://agile. influenced and educated numerous Contact Sue Russell at: courses-events or contact: [email protected]. written assignments following each module. csp.org.uk/network-events physiotherapy students. [email protected] uk Summative assessment of practice in Cost: 40th anniversary concessionary price for Within our own professional network hippotherapy module. AGILE members of two current previous many members of POGP wished to honour Chartered Physiotherapists in Therapeutic Contact: Application requests and enquiries consecutive years: £5, AGILE members: £50, Margie and this was made possible through Riding and Hippotherapy (CPTRH) to course coordinator, Fiona Hainsworth, email non-members: £75 the generosity of Margie's family. This has CSPRA day trip – Visit to the Gordon Museum Study day and AGM [email protected] or send to: The Coach For more details see AGILE website: http:// enabled the creation of the Margie Polden What a great day we had in London on 18 April. An exciting programme built around the House, Rodley Lane, Calverley, Leeds LS28 5QH agile.csp.org.uk/network-events Memorial Fund, which supports the Margie The sun shone for us and fourteen happy souls bio-medical approach to assessment and Polden Memorial Lecture and the Margie met at the George Inn for an enjoyable lunch. treatment of riders by Claire Howard, MCSP Chartered Physiotherapists Working With Polden Bursary. We had been allocated a room, but it was not of The Balanced Rider. There will be a Older People (AGILE) The Margie Polden Bursary necessary as we all sat outside in the courtyard Other groups news / events presentation on research opportunities. AGILE Regional study days 2018 A bursary was set up in memory of Margie, admiring the age of the surroundings - and Steve Tolan, CSP head of practice, will attend Backward chaining – Approaches, and thanks to the generosity of her husband, to wondering what it must have been like when to discuss with members the future of CPTRH. evidence-based exercise programmes to CSP Diversity Networks fund a place at the POGP conference for a Shakespeare and Dickens frequented the inn. We urge any interested physios to attend. reduce falls with later life The CSP diversity networks are for any student or newly-qualified physiotherapist. Once we had eaten and had a good chat, we Date: Monday 11 June Speaker: Bex Townley, an exercise specialist, members who self-identify as disabled, are This bursary will be awarded annually to an did a 10 minute amble in the sunshine, round Place: CSP, 14, Bedford Row, London WC1R director and tutor of Late Life Training; and from black or minority ethnic (BME) groups applicant who is able to demonstrate an to the Guy's site – right opposite the massive 4ED Kate Bennett, clinical lead physiotherapist, or are lesbian, gay, bisexual or transgender interest in the field of pelvic, obstetric, and Shard building – to visit the Gordon Museum. Cost: £25 members, £50 non-members AGILE chair. (LGBT+). Please come along to network gynaecological physiotherapy and is keen to Bill Edwards gave us a brief introduction to the Contact: Elspeth O'Donnell at email: An interactive study day of lectures and meetings for discussion, peer support, develop that interest further. collection, and then we were let loose. What [email protected] for application practical workshops to build knowledge of CPD and a warm welcome. The applicant should be a pre-registration treasures there are! – mainly in glass jars. The form, or from: www.cptrh.csp.org.uk backward chaining (part of the evidence base Upcoming meetings: physiotherapy student, or have qualified during oldest item was > 50 Networks&networking Frontline • 16 May 2018 51

from the 17th century and the most recent only Suffolk. If anyone would like to join our group a What's App chat group for those not on FB. Sheffield City Polytechnic 1986-1989 set a reunion is in order! It will probably be in the six weeks ago. As a sideline it was interesting to do please send an email to: jacquipotter@ Looking forward to hearing from you all. Next year we will have been qualified for 30 summer and in London so if you would like to see the medical students practising suturing – outlook.com Everyone is welcome. years (how did that happen!) We are thinking it attend or if you are in touch with any other hard to believe how green we were as students! Middlesex Hospital School of Physiotherapy, would be great to catch up with everyone, and members of that set then please contact Maggie It was a great time to reminisce with 1985-88 are proposing to meet up in Sheffield some time Lewis (nee Robinson) at: maggielewis56@gmail. likeminded colleagues and share some Let’s have a big reunion, as it is 30 years since in 2019. If you are interested in meeting up we com personal stories. Some of the group had stayed Reunions we qualified. We are planning a lunch in central would love to hear from you. Please contact: overnight in London to make a mini break of London on Saturday 8 September. Please [email protected] or: claire- Middlesex Hospital 1990-1993 the event and it really was lovely to meet up contact Caroline (Jolly) at: carolinewright11@ [email protected] by end of June this year. A 25-year reunion is happening this summer and share. Bradford School of Physiotherapy 1980-83. gmail.com or Fiona (Murdoch) at: on Saturday 14 July, venue still to be arranged I had several 'thank you' messages, but the 35 year reunion. [email protected] so we can arrange Normanby College School of Physiotherapy, (around Goodge St). Please contact Nancy real 'thank you' goes to all of you for turning Well as we all had such a good time at our 30 somewhere suitable, there are about 10 of us Kings College Hospital 1985-1988, 30-year (Evans) for details, at: [email protected] up and enjoying the day, and making my job year reunion, it was decided that every 10 years already confirmed. Please pass the word on to reunion so very easy. was way too long a gap, so we will be holding anyone you keep in touch with. We can’t wait We cannot believe that it is 30 years since we all Guy's Hospital School of Physiotherapy 1969 Hopefully our next gathering will be in the our 35 year reunion on Saturday 22 September to hear from you all and see you in September, qualified and are planning a reunion this summer - 1972 D Set East Midlands where the Headley Court (MOD) 2018 in Skipton, venue/s to be confirmed. there is so much to catch up on. to celebrate! So far we have about 15 confirmed Nine of the D set are in touch with each other, replacement rehabilitation centre is due to We have had a really good response to the via Facebook with Alison coming from USA, Sarah but we have lost contact with several others. be completed this year. It will possibly around Facebook group Bradford physios 83 that has Newcastle Polytechnic Physiotherapy Class from NZ and Vicky from SA. Are you out there, or does anyone know the this time of year, so keep your eyes peeled for been set up. So far we have made contact with of 1988 At 1pm on Saturday 21 July we are meeting whereabouts of any of these members? further information once I get my investigative 20 of our number, and would love it if we could 30 year reunion weekend – 1 June and 2 June in at one of our old haunts – The Crown and Bridget King (Booth), Ginny Humphries (Sykes), head on. Come and join us! get all 23 of us together. If you would like to Newcastle, Friday 1 June pizza and pasta night, Greyhound (The Dog!) in Dulwich Village. Buffet Heather Bright (Strange), Liz Pote and Tessa Heather Harrison attend, or even if you can’t but just want to be Saturday 2 June Blackfriars restaurant. Feel free lunch has been booked in the Billiards Room. Hamblin. included and find out what our plans for the to attend either or both. Please contact Isla Please contact Zoe Spencer (nee Walker) for We would love to hear from you, and you East Anglia Retired Physios weekend are, please can you email your email Surtees at: [email protected] to book your more details at: [email protected] and might even like to join us at a Guy's reunion in Our next meeting is planned for Tuesday 5 address and mobile phone number to: gillian_ place spread the word to anyone you are in touch with. 2019! Please contact: [email protected] June when we plan to visit Ickworth House in [email protected] We are hoping to set up Look forward to hearing from you. Combined Training Institute, Cardiff School Oswestry and North Staffordshire School of of Physiotherapy, 1985-1988 Physiotherapy Set 40 1978 -1981 Yes – this year, the class members of 1988 will be This year we will be celebrating 40 years since 30 years qualified, and we (Gwyn, Saskia and I) we all met to train at the Robert Jones and reckon it provides us all a great reason to meet Are your Agnes Hunt Hospital, Oswestry. August bank and do some serious catching up. holiday weekend; a time to meet each other, We are proposing to meet over the weekend see how the hospital has changed (or not) and of 12-14 October back in Cardiff, with one circumstances celebrate. Contact Jane Weston (nee Shapter) main event on Saturday 13th. Please contact me at: [email protected] or tel: 07832 at: [email protected] not only 165285. to confirm your ability to join in, but with ideas changing? and contact details of any people you know who Peer knowledge University of West of England, Bristol School were in our class so we can get the message out and You could be taking a career break, of Physiotherapy and School of Radiography, to all. Looking forward to the clogging of my know-how looking to practise overseas, heading 1995-1998 inbox with your enthusiasm. Bhanu on maternity or parental leave or Hello all, it is 20 years this year since we considering retirement. qualified! It would be lovely to see as many St Thomas’s School of Physiotherapy of you as possible back in Bristol on the 1985-88 Whatever your circumstances, weekend of 28 July. Venue etc to be confirmed. This year marks 30 years since we qualified, stay up to date and connected, We have a Facebook page where there and we wondered if we could really try to get at a reduced fee, using your has already been some chat about getting the whole set together? Morag and Derrick are CSP membership. together. If you would like more information, joining us from Australia and USA respectively, please contact Sarah Clifford (nee Sarah E and we hope to find everyone else. Evans) at: [email protected] for more We are planning to meet for the weekend of details. 30 June in Edinburgh. We will have a big night Keep connected Contact the Enquiries Team out on the Saturday but are planning to do Prince of Wales' School of Physiotherapy something during the day on Saturday – any www.csp.org.uk/icsp 1975-1978 ideas gratefully received. Please mail 020 7306 6666 Did you attend the Prince of Wales' School of Emily at: [email protected] Physiotherapy between 1975 and 1978? This or Nicci at: [email protected] or Selina at: www.csp.org.uk/membership exclusive to CSP members year it will be 40 years since we qualified and [email protected] to confirm > 52 Networks&networking Frontline • 16 May 2018 53

you can join us and who you are in touch her family grew up and also studied for her Ali was also a bit of a 'twitcher' and kept with to spread the word. Maitland qualification. She became a full- the binoculars handy at home to keep an eye time senior 1 MSK in the early 90s around on the various birds that visited their garden. Courses – Guy’s Hospital C and D sets 30 years the same time as Anne gained her Senior 1 She was a frustrated explorer and spent We have 11 of us so far planning to meet in rheumatology. Ali continued to develop many days with Eric in their little camper van on 30 November this year in London, close her career becoming the first extended scope exploring following her retirement. She called it Guidance for members to Guy's, venue and time to be confirmed. If practitioner (specialising in MSK/spinal) at 'adventure before dementia'. She was noted as you are interested in attending and receiving Huddersfield. It was a hard won post and paved the family expert on tents! Members have a responsibility physiotherapy. In addition to more information please email Nicola Ellis (nee the way for the other ESPs that followed. She Ali was diagnosed with breast cancer prior to to limit their practice to those issues of competence, including Montgomerie) at: nicky@hobbsrehabilitation. went on to complete her advanced practitioner her retirement which returned in a more virulent areas in which they have an area within personal and co.uk Hope you can come – please let people and prescriber course. Ali stayed in this role until form at the end of 2017. Ali approached this established and maintained collective scope of practice you are in contact with know too. her retirement in 2011. with fortitude and, in her usual way, ensured their competence. Completing a depends on the context in which Ali had tenacity and was extremely everything was planned for. Even the vicar course may not be sufficient to it is practised, how it is integrated Royal Liverpool Hospital College 1978-1981 supportive of her junior colleagues. She was commented on how he had never had such establish personal competence in into physiotherapy activity, This year marks 40 years since we started always keen to learn and develop. She was a well-planned funeral. The only thing she a new area, while members are how it is promoted as a service our training, and I wondered if any of my fellow known to have 'noisy feet' giving ample couldn’t plan was the heavy snow on the day responsible for undertaking CPD delivered by a physiotherapist students would be interested in a reunion in warning that she was on her way. Ali could preventing some friends and family attending. to maintain their competence in and how its physiotherapeutic Liverpool next summer? I would love to catch stand her ground when discussing issues with Despite this, the church was full showing the all areas of their current practice. value is demonstrated. up with you. If you are interested, email me consultants and didn’t tolerate fools gladly (like esteem in which she was held. Members should explore Some areas ordinarily at: [email protected] or visit my many of us). She also wouldn’t take no for an The Kirkwood Hospice supported Ali and individual courses’ suitability and sit outside the scope of UK Facebook page (Lesley Walters), or the FB page answer which enabled her to achieve her ESP her family and friends throughout and she value (including their quality, physiotherapy. However, they I have set up called Royal Liverpool Hospital role against some stiff opposition at times. managed to stay at home until the final few intended outcomes and whether may be undertaken by CSP College School of Physiotherapy 78-81. She had many skills and interests, however, days. they include formal assessment members as part of extended Home of learning) for meeting and activity. Members should Lesley Walters (nee Pritchard). flower arranging and pottery were not her forte! Most of all Ali loved her family, husband Eric She was also a member of the local choir and daughters Katie and Clare, their husbands demonstrating fulfilment of ensure that this is with the Guy's Hospital School of Physiotherapy 1975- and tried various activities over the years with John and Ami and the grandchildren. their personal learning needs. agreement of their employer Members should also think and/or explicitly as a service 1978. B and C Sets various degrees of success (or not). We were not She was a true and loyal friend with a lovely cover Let's have a 40-year reunion. Ali, Beth, Maggie, good students at Tai Chi due to not practising sense of humour and is sadly and profoundly about the broader ways in delivered outside their activity as Mary, Sally and Sue Rogers are in touch with between classes hence forgetting the moves. missed. which they can address their a physiotherapist; is supported each other and we would like to meet up with We weren’t flexible at yoga being thoroughly Karen Nicolson together with Anne Hesselden For learning needs. These include by appropriate education and the rest of our two sets this year. Please get in outperformed by a septuagenarian and fell day-to-day practice, self-directed training; and is covered by and mentored learning, and insurance from a source other touch and then we can arrange a convenient asleep in the relaxation part. Mostly we fell Leonard Whitlow members date and venue. Contact: maggieboase@ about laughing. Our only excuse was the busy It is with great sadness that I report the death professional networking and than the CSP. Courses advertised hotmail.co.uk clinics prior to this. of Mr. Leonard Whitlow on 24 April 2018. peer review. in Frontline may be relevant to We had little co-ordination at Zumba. Ali Leonard was born on 7 July 1927 and only It is important that members members extending their activity seemed an unlikely physio regarding exercise after his wartime service in the army (wartime evidence their learning: in this way. Obituaries however she remained an enthusiastic corporal substantive sergeant) and a short spell maintaining a record of CPD walker and continued this with Anne on their in the police, enrolled as a student at Salford Everyday is a regulatory requirement Further guidance and support: Alison Cowan Sharp nee Woodhead retirement. It was with surprise that we found Royal qualifying in 1952. While at Salford he of the Health and Care • CSP ePortfolio: 25 June 1950 - 7 February 2018 out that Ali was captain at hockey at school and met and married Elizabeth Blacow. Professions Council (HCPC), while www.csp.org.uk/ePortfolio Alison (Ali to her friends and family) trained at also doubles tennis champion. He worked at Hope Hospital and for a short deals & recording the education and • CSP Code of Professional Withington Hospital, Manchester 1968 -1971. Ali liked Nordic walking but found that her spell was the physiotherapist at Manchester training undertaken to support Values and Behaviour: On qualifying Ali worked at Oldham Royal asthma limited her in this. We did achieve United. discounts progression into a new area of www.csp.org.uk/code Hospital until 1979, achieving a Superintendent scaling Ben Nevis in aid of charity despite it. He moved to Withington Hospital as deputy personal practice is a condition • Frontline CPD series post. Ali met and married Eric after meeting Eric She was a 'foodie' and had enough cookery principal of the School of Physiotherapy in of CSP professional liability (published in each issue) CSP Plus insurance (PLI) cover. • HCPC CPD requirements: at her very first student physiotherapy party. books to start a library. I think all the local the mid sixties, where he remained until his is a member-only benefit. Their daughter Katie was born in 1979, followed charity shops had been scoured for a decent retirement in 1990. He was an examiner for the The scheme provides A course being advertised in www.hpc-uk.org/ by Clare in 1981. She moved to Huddersfield book to try. Ali and Eric were dab hands at Chartered Society for many years and became discounts and offers Frontline does not necessarily aboutregistration/ in 1981 and started part-time in the MSK clinic searching these for toys and especially Lego for the chief examiner. on lifestyle and mean that it is relevant to all standards/cpd professional alongside Anne Hesselden, who became her their grandchildren. His army service left him deaf and this members, has gone through products a quality assurance process longtime friend. Initially these were termed Ali was an enthusiastic, though admittedly condition grew worse with age, hastening his and services. 'jobbing physio' which could involve working in not expert, gardener. We both had a 'shove decision to retire. He suffered from Alzheimer's (courses advertised in the many different areas ranging from antenatal, it in and hope for the best' attitude. She was for the last six years of his life and following the magazine are not formally hydrotherapy to orthopaedics. They also definitely handy with the pruning shears! We death of Elizabeth, in 2015, he moved to live Log-on to to see how recognised by the CSP unless covered alternate Saturdays for respiratory and enjoyed days out at the Tatton Flower Show, with his son in Oxford. much you could save explicitly stated), or that its topic on-call ICU. Truly a mixed bag! loving the displays and exhibitions. We did He is survived by his three children, eight area falls within the scope of UK Ali increased her hours to full time as seem to focus on the lunchtime picnic though. grandchildren and four great-grandchildren. www.csp.org.uk/cspplus 54 Courses&conferences

Frontline • 16 May 2018 55 Courses&conferences Hamstring Injuries World Class Research & Rehabilitation Complementary therapy

Dru Yoga 200 hour Teacher training course A 16 -weekend course teaching a therapeutic and accessible style of yoga. Courses also available in North Wales, London, Stroud, Leeds and Scotland. When: 26-27th May or 2-5th August Where: the Workspace, Wolverhampton Contact: www.druyoga.com e: [email protected] 01902 409164 www.grahamegardner.co.uk/csp Tel: 0116 255 6326 Dr David Opar, Dr Phil Glasgow, Dr Nicol van Dyk, Dr Ryan Timmins

Miscellaneous June 5th – Bolton (10am – 4pm) June 7th – Reading (10am – 4pm)

Weekend Warriors Leading the World in Physiotherapy One day workshop presented by 4 of the world’s leading Hamstring Injury researchers Brighton. and Pilates Teacher Training Courses. & elite sports clinicians, presenting the very latest international research and rehab ideas, The complete journey Unique courses designed by to reduce injury & enhance recovery. PLACES LIMITED from Couch to Field Physiotherapists specifically for those in the field of rehabilitation. Date: 6-7th October 2018 Tel: 01202 568898 email: [email protected] www.heseminars.com at Brighton Become a Pilates Price: Early bird £220 till 31st July 2018 // Full price: £250 Instructor with APPI MATWORK LEVEL 1 The Foundation Proposed numbers: 02 & 03 Jun Edinburgh / Harrogate Shoulder Savers 160 maximum- 4 groups of 40 candidates 30 Jun & 01 Jul London an integrated approach to injury reduction & rehab Manchester / London / 14 & 15 Jul Join us for this intensive composite course Crowborough Jo Gibson MCSP MSc (Adv. Practice) for common lower limb injury, featuring: MATWORK LEVEL 2 Class Instructor Nick Grantham MSc, CSCS, ASCC, Performance Enhancement Specialist 19 & 20 May Manchester / Dublin Claire Robertson, Benoy Matthews, Glen Robbins, 09 & 10 Jun London Andrew Cuff, Thomas Mitchell and Yuval David October 17th – Gloucester (9am – 5pm) 16 & 17 Jun Surrey Plus special keynote lecture from Tom Goom’ 02 & 03 Jul London These two superb clinicians will present evidence-based principles alongside practical 07 & 08 Jul Manchester / London Website: http://www.weekendwarriorsphysio.co.uk/ interventions, that will allow you to produce effective shoulder rehab and reconditioning MATWORK LEVEL 3 Inter/Advanced programmes to meet all your patient’s needs. Email: [email protected] 04 & 05 Jun London DO NOT MISS THIS COURSE. Book www.appihealthgroup.com 14 & 15 Jul Falkirk Phone: (01332) 254679 today ! Contact us for further dates, courses & locations [email protected] | 0345 370 2774 www.heseminars.com 01202 568898 [email protected]

HE Seminars FP.indd 1 02/05/2018 17:03 NOW ONLINE 56 Courses&conferences “I’ve just advertised my trainingFrontline • 16 May 2018 57

Musculoskeletal Neurology course with the CSP - sorted!”

SPLINTING IN NEUROLOGY COURSE NATIONAL HOSPITAL FOR NEUROLOGY & NEUROSURGERY Friday 20th & Sat 21st July 2018 This 2 day course will cover the theoretical and practical application of splinting using softcast and scotchcast materials. The course is open to Physiotherapists and Occupational Therapists working in Neurology. Fee £300.00 -- includes costs of materials used in practical sessions. Course Tutor: Katrina Buchanan Advertise in For further details and application form contact: Frontline Course Co-ordinator: Alkida Domi, Get in touch Tel: 020 3448 3476, (fax: 020 3448 3711) with Media Shed Email: [email protected] Also visit our website http:// cspads@ www.uclhcharitycourses.com media-shed.co.uk

- advertise to selected groups on iCSP?* - want to advertise in Frontline too? - want lineage or display?

- want to add a logo?

It’s your choice. Do it all online now: www.csp.org.uk/courseadverts *interactiveCSP is the online networking and knowledge sharing area of the CSP website. Find our more at www.csp.org.uk/icsp or call 0845 600 1394 for more information. 58 Recruitment

Recruitment Frontline • 16 May 2018 59 healthcare rm Wanted - Musculoskeletal Specialists Qualification in Physiotherapy is ideal FIND THE Full time position with exciting career development path and opportunity We are looking for those of you who wish to NEEDLE IN develop your skills further and be part of a dynamic, forward-thinking team. Advertise This position comes with an attractive package for the right applicants. THE HAYSTACK in Frontline Travel required to see a broad spectrum of corporate clients across the UK. Our head office is in Tewkesbury, off Junction 9 of the M5. Get in touch with Media Shed If you need to be challenged and stretched, and – LOCATE THE want the opportunity to progress and grow, this [email protected] is the role for you. Please send your CV to me, Adam Hamilton, Innovations Director at EVIDENCE [email protected] YOU NEED

Growing my experience, delivering quality care

Physiotherapist Opportunities CSP Library and Information Services Nationwide, Full & Part Time Competitive Salary and Benefits incl free gym membership, Providing you with: free private medical insurance and CPD with 3 study days per year • CSP Evidence and Knowledge Discovery Service to access e-journals and e-books It’s all about progress here at Nuffield Health, pushing ourselves • The Library catalogue to access books and report literature and each other to improve. For our patients it means getting the treatment they need to get on • Book loans in person or by post with their lives, from highly-trained experts empowered by a culture that puts people before profit. • Document delivery services And for our physiotherapists, it means growing their expertise by • Help with developing your information skills collaborating with other specialists across a variety of cases in a range of settings, including gyms and hospitals. • Advice on current awareness options Join us, and we’ll bring out the specialist in you. • Information specialist advice on finding the information you need To find out more about our opportunities please call • and much more! Jemma for an informal chat on 07920542020 or email [email protected]. www.nuffieldhealthcareers.com www.csp.org.uk/lis 60 Recruitment Frontline • 16 May 2018 61

Private work available EXCITING OPPORTUNITY for a COMPLETE PHYSIOTHERAPY has a CRANLEIGH/DORKING/HORSHAM NORTH NORFOLK PHYSIOTHERAPY CAMBS/BEDS/NORTHANTS BORDERS full-time experienced, dynamic and fantastic multidisciplinary team approach Do you like to solve problems, have a Part-time, self-employed musculoskeletal Are you looking for a busy list of enthusiastic specialist neurological consisting of Physiotherapy, injection genuine love of making people feel happy, physiotherapist required for a busy and interesting patients, a great team and PHYSIOEAST BUNGAY, SUFFOLK Want physiotherapist to join our therapy, massage therapy, acupuncture, and get real satisfaction from helping expanding clinic based in North Walsham incredible CPD/mentoring? Could you more hands on? More time with patients? multidisciplinary team based in shockwave, rehabilitation and bio- patients recover by delivering first class, Norfolk. Initially evening and Saturday bring enthusiasm, dedication and a smile Self-employed experienced musculoskeletal Crawcrook, Tyneside in the North East of mechanical assessment. Salary £28,000 professional physiotherapy? If so, we would clinics available with the potential for further to a clinic with a bouncy atmosphere? physiotherapists wanted. Would suit those England. Optimise Neurotherapy Centre to £38,000. Benefits: Pension, loyalty like you to join our team. We can be flexible hours in the near future. Ideally three years We have a busy multidisciplinary clinic transitioning from NHS. Regular CPD, flexible offers the opportunity to assess and treat bonus, 28 days annual leave (including on full-time or part-time, self-employed or musculoskeletal experience and Pilates on the Cambs/Beds/Northants borders, hours. Enquiries/CV to: physioeast@icloud. clients with a variety of neurological bank holidays). Minimum experience employed. You may be newly-qualified or trained. Please send CV to Fiona Spencer at: and we need a new physio to join us. com conditions, working with them to achieve two years HCPC and CSP membership experience, but you will definitely be an [email protected] or call tel: 07788 You will need to be interested in sharing their rehabilitation goals, and guiding required. Full CPD support. A high level excellent, caring and effective physio. Is that 727649. knowledge and patients, so that patients NEWCASTLE UPON TYNE: SENIOR them towards functional independence of manual therapy and communication you? If so, please call Wendyanne now on who come to you get the best from PHYSIOTHERAPISTS REQUIRED and participation in social and leisure skills essential. Acupuncture not essential tel: 01483 267747 or email: wendyanne@ WOKINGHAM, BERKSHIRE Full- a team of professionals. You will also We have four sectors to our business; activities. Clients are seen at Optimise but preferred. The position will multisite, cranfoldphysio.co.uk time post. We require a passionate, need to enjoy being busy! If you have clinics, NHS services, occupational health Neurotherapy Centre in our spacious, therefore transport is essential. Full experienced 'hands on' musculoskeletal a specialism we are happy to promote and elderly care. Positions are available well-equipped neurotherapy gym, and admin support. Our patients include self- GRAVESEND, DA11 8QX Self-employed physiotherapist to join an open minded, that, and help you build a specialist across all sectors of the business. The within the community and outreach referrals, health insurance, post-operative, part-time (new graduate plus experienced) friendly and enthusiastic practice. No patient list – whether it’s musculoskeletal, sector will depend on the interests and settings. The post offers educational/ NHS, medico-legal, occupational health physiotherapists required. Morning, evening weekend working. Excellent manual and gynae, sports, neuro rehab or something career ambitions of the individual. Full or training opportunities on a formal and sports injuries. Please contact David and Saturday shifts available. Mainly communication skills with an holistic completely different. The most important part-time positions are available. Benefits basis, whilst working as part of a highly Kershaw at Complete Physiotherapy on musculoskeletal conditions. Call tel: 07484 approach required to cover spinal/ things for us are that you care about your include an attractive private pension scheme experienced multidisciplinary team. tel: 0118 946 2299 if interested. 688942 or send CV to: [email protected] musculoskeletal/sports injuries workload, patients, enjoy sharing knowledge, and and comprehensive CPD support. Salary is We offer a competitive salary with to include NHS. Must be well motivated want a busy list. It will also help if you are dependent on experience. CV and covering a contributory pension scheme and FULL-TIME POSITION available May CHESHUNT, EN8 9SH Self-employed and committed to CPD and have a real quite smiley! Please send an Introductory letter to: [email protected] we are happy to consider job share 2018 in busy clinic in Cork City suburbs. part-time (new graduate plus experienced) belief in what they do. Professional email to: [email protected] options. The successful candidate will Varied patient caseload with opportunity physiotherapists required. Morning, evening development is actively encouraged with Call tel: 01933 469043. PART-TIME PHYSIOTHERAPIST E17 be confident, committed to delivering for excellent remuneration potential and Saturday shifts available. Mainly one to one training, supervision and peer Friendly neurological centre requires a clinical excellence and exceptional offered. Ideal candidate should have musculoskeletal conditions. Call tel: 07484 support. Excellent remuneration in an MUSCULOSKELETAL physiotherapist. Hours: 9.30am-5pm service. For more information or to apply, 3+years post-graduate experience in MSK 688942 or send CV to: [email protected] employed position. Send your CV to: cv@ PHYSIOTHERAPIST, SOUTH WALES Tuesday, Wednesday and Thursday and please email your CV to: reception@ disorders and sports injury management. rdphysio.com Flexible schedule including evenings and 9am-1pm Saturday. There is some flexibility optimiseneurotherapy.com Experience in orthotic prescription A VACANCY HAS BECOME AVAILABLE weekends. Suitable for NHS or private with hours/days. For more details please writing and dry needling skills are highly to join our friendly London Road physio CHARTERED PHYSIOTHERAPIST, practitioners. Back2Front Physiotherapy contact Mandy Jarvis on tel: 07984 640294 EDINBURGH – ELDER HOMES LTD desirable. Eligibility for ISCP membership and Pilates team in Hindhead, Surrey. CORK, IRELAND We are looking for are looking for an Musculoskeletal or email: [email protected] We are looking for a dynamic is essential. Please contact Rachel Hours required are Evenings and a full-time and part-time dynamic physiotherapist to enable this busy physiotherapist to join our team who Ormond on tel: 00 353 21 4890300. alternate Saturday mornings. Competitive chartered physiotherapist to join our practice to continue to expand, FIRST CONTACT PHYSIOTHERAPIST cover two care homes in South Edinburgh. remuneration and CPD contribution. APPI team in a friendly, busy private practice Caseload will consist of private patients (BAND 6) Chapman Physiotherapy Ltd. Care of the elderly experience would be ALL HALLOWS HEALTHCARE TRUST or similar qualification an advantage but in Cork, Ireland with immediate start. from the general public, sports teams, Doncaster. We are actively recruiting beneficial. Seven hours over two mornings. – an independent charity in South not a requirement. Please email your CV to: The case load includes musculoskeletal, orthopaedics and elderly care. You must two to three physios to work in a Please send CV to: physio@elder-homes. Norfolk are seeking to employ a highly- [email protected] to register sports injuries, vestibular rehabilitation have two plus years of musculoskeletal musculoskeletal first contact role on a co.uk motivated, recently qualified full-time or your interest. therapy, orthotics, women’s health, TMD outpatient experience. We provide part-time contract, supported by GPs for experienced part -time physiotherapist, and acupuncture. Minimum two years physiotherapy taught Pilates classes prescriptions/referral requests. The ideal CHINGFORD (AND LOUGHTON) to join our friendly team. The role will PHYSIT LTD is a mobile physiotherapy experience required. Applicants should therefore a Pilates qualification is candidate will be capable of lone working, EAST LONDON Our friendly, well- predominantly be musculoskeletal company. London: 30-45K pro rata plus have good manual therapy skills. An desirable but not essential. Your salary confident in their assessment and triage established musculoskeletal practice is assessment and treatment though there bonuses with career growth potential. We interest in CPD essential. Good in house will match your experience and there is skills and able to prescribe exercise expanding and our diary is choc-a-block! is opportunity to gain experience in slow have an exciting opportunity for full or support system available. Must be ISCP a budget for ongoing CPD opportunities. programs to assist early intervention. We need a confident musculoskeletal stream neurological rehabilitation in our part-time self-motivated and enthusiastic registered. Please email CV and covering Email: [email protected] or call Hours of work will be 50 per cent evening physiotherapist (or two) to start asap. in-patient unit. There is some flexibility physiotherapists with varied experience in letter in confidence to: eastcorkphysio@ tel: 01685 878737. and weekends as this will be an extended Happy to consider various shift patterns in this role depending on interest and orthopaedic, musculoskeletal, elderly and eircom.net hours service. Initially a three month trial and employment terms. This would suit experience. You will manage your own rehabilitation. You will possess excellent MIDDLEWICH, CHESHIRE We are with potential to progress to permanent those already comfortable in private caseload of NHS and private patients. clinical and interpersonal skills, a flexible LEYLAND PHYSIOTHERAPY is looking for friendly, enthusiastic contract dependent on outcomes. There practice but we are also happy to support We can provide you with regular in and approachable attitude to your seeking an enthusiastic, experienced and motivated musculoskeletal may also be opportunities to work and train anyone wishing to transition service training, excellent gym facilities, work and a good understanding of the physiotherapist to join our very well physiotherapists to join our busy and ever privately within our multidisciplinary from the public sector. You must have career progression opportunities, good importance of marketing and business established practice. Must have expanding practice. Daytime, evening musculoskeletal physiotherapy practice. been qualified at least two years and monitoring and peer support. To apply promotion in today’s healthcare market. excellent skills in assessment and have and weekend hours available. Must have Salary pro-rata from £26,000. For more be able to demonstrate musculoskeletal please refer to: www.all-hallows.org.uk/ Essential Requirements: UK resident, a ‘hands on approach’ to treatment of excellent communication, assessment information on this exciting new project focus in your career so far. Please email: jobvacancies/ or for more information HCPC registered and full clean driving musculoskeletal conditions. Two years and manual therapy skills. All enquiries please call tel: 01302 321245 or email: manager@bouncebackphysiotherapy. email: caroline.swanston@all-hallows. licence Full and ongoing CPD support and experience preferred. Daytime and welcome to: info@middlewich-physio. vicky.chapman@chapmanphysiotherapy. com with your CV and any questions or org.uk training provided. Applications or further evening hours available. Send CV and co.uk Tel: 01606 832457. com call tel: 07515 932960. enquiries for full job description to: info@ cover letter to: [email protected] physit.co.uk or call tel: 07714 244438. > 62 Recruitment Frontline • 16 May 2018 63

FOR THE OPPORTUNITY TO JOIN THE NHS and private physiotherapists looking for ALL TYPES OF ELECTROTHERAPY, TEAM led by Alison Rose and Graeme additional work. CVs to: [email protected] COUCHES AND PHYSIOTHERAPY Everard at CSPC physiotherapy, Leeds Website: www.londonhomephysio.co.uk PRODUCTS SERVICED AND REPAIRED treating athletes and complex conditions, Call Trimbio on tel: 01403 597597. visit: www.cspc.co.uk 'Join Our Team' PARKS THERAPY CENTRE: ST NEOTS www.trimbio.co.uk Closing date for applications: 30 June. (PE19 1BG) Exciting and rare opportunity to join our expanding team on a part-time CAPITAL PHYSIO are looking for a full basis as an musculoskeletal outpatient or part-time ambitious physiotherapist physiotherapist in our St Neots clinic on a Business opportunity to join our established team in London. Saturday morning. Both employed (PAYE) As an expanding company, we are and self-employed terms considered. looking for experienced physiotherapists Newly-qualified welcome. Hours negotiable. BEAUTIFUL EXERCISE PLANS FOR who have an interest and passion for Competitive rates of pay in line with YOUR PATIENTS AVAILABLE IN musculoskeletal physio. This role comes experience. IST, course budget allocation, UNDER 1 MINUTE +450 advice sheets with a great CPD package and key free parking, pension options. Please and 2000+ HD exercises. From £11.42 benefits. To apply please visit: https:// contact: ivanthrush@parksphysiotherapy. per month. Used in seven NHS trusts. i www.capitalphysio.com/physio-jobs/ co.uk Start your free 14-day trial now. www.rehabmypatient.com CSP CAPITAL PHYSIO are looking for a full or part-time ambitious physiotherapist to Equipment for sale join our established team in Cambridge. As an expanding company, we are Website design looking for experienced physiotherapists ALL TYPES OF SECONDHAND who have an interest and passion for AND NEW ULTRASOUNDS, musculoskeletal physio. This role comes ELECTROTHERAPY, LASERS, COUCHES STYLISH WEBSITES FOR Peer knowledge with a great CPD package and key ETC With warranty. View at: www. PHYSIOTHERAPISTS I'm Simon, a benefits. To apply please visit: https:// trimbio.co.uk or call Trimbio on tel: 01403 marketing professional. My wife has a www.capitalphysio.com/physio-jobs/ 597597. successful private therapy practice. I'll and create you a gorgeous, modern website know-how CAPITAL PHYSIO are looking for a like hers, plus free set-up and marketing full-time ambitious physiotherapist to advice for only £395.00. Email for join our established team in Brigg and Equipment wanted examples: [email protected] Barton Upon Humber, North Lincolnshire. As an expanding company, we are looking for experienced physiotherapists ALL TYPES OF ULTRASOUNDS, who have an interest and passion for ELECTROTHERAPY, LASERS, COUCHES musculoskeletal. To apply please visit: ETC BOUGHT FOR CASH Call Trimbio on https://www.capitalphysio.com/physio- tel: 01403 597597. www.trimbio.co.uk jobs/

LONDON – FULL-TIME SECONDHAND ELECTROTHERAPY MUSCULOSKELETAL BAND 6 Do you BOUGHT AND SOLD Ultrasounds want to work with motivated private Interferential Combinations etc. Call RWR patients? Do you love using manual services on tel: 03452 578925. Email: therapy and exercise rehab? Want [email protected] Web: www. structured CPD and career and business rwrservices.co.uk Advertise in development? Boost Physio has a full- time employed opportunity to join our Frontline five private clinics across NW London. Service and repair Pay range £32-40k per annum. See: Get in touch www.boostphysio.com Email CV and covering letter to: steven@boostphysio. with Media Shed com or call Steve to chat on tel: 07939 FORMER SHREWSBURY MEDICAL 015081. ENGINEER Offering repairs and servicing of your electrotherapy equipment. Call cspads@ PART-TIME COMMUNITY WORK, RWR services on tel: 03452 578925. LONDON Looking for self-employed Email: [email protected] media-shed.co.uk Keep connected physiotherapists to join our team. All Web: www.rwrservices.co.uk specialities required: elderly, paediatric, neurological, orthopaedic, and 0845 600 1394 musculoskeletal physiotherapists. Good pay and flexibility – suitable for www.csp.org.uk/icsp exclusive to CSP members

001428_iCSP Advert Frontline_Final.indd 1 08/03/2017 09:30 ThreeMinutes

Long and winding road to diagnosis As a young adult, physio student M-J Sharp had problems caused by hip dysplasia. She describes her struggle to get a proper diagnosis and treatment

How did your hip dysplasia know I had hip dysplasia. I found it difficult could accurately diagnose both hips with manifest? to find clear information on it, or on the dysplasia and provide a clear explanation I was diagnosed as a newborn with a ‘clicky long-term expectations. I had started to of the condition and treatment options. hip’ and treated with a Pavlik harness to experience episodes where I struggled to I had to travel to find this consultant, but align the hips in the joint. The problem walk or even stand up. It was quite scary. am so relieved I did. I recently had bilateral was thought to have been resolved. I first I had one operation, which seemed to help pelvic osteotomies which have been more experienced hip pain at the age of 22. It at first but proved unsuccessful. successful. These operations and the only happened when I ran or played hockey. recovery have been long and hard, but Despite physiotherapy, it kept recurring so So did things get better at all? ultimately should prevent years of pain and I decided to stop hockey and it was fine for After this, there was a lot of uncertainty early hip replacements. a few years. After repeated requests to my about my other hip – how severe the GP, I was finally referred for an x-ray when problem was and whether surgery might Is the future brighter now? I was 26 and the dysplasia was picked up in be required. This led to to-ing and I feel for those still going through this the left hip. By then the pain had worsened fro-ing between different health long journey of trying to gain and symptoms had started in my right hip. professionals, which I began an accurate diagnosis and I was When I was diagnosed I realised there was to find stressful. It got to treatment, and I feel bound only diagnosed a connection to the ‘clicky hip’, but didn’t the point where I would go to inform the profession of when I saw my to appointments and not this condition, especially as know what to say, as I had I found the ‘journey’ to be a repeated myself so often. th lot quicker and clearer as soon My symptoms were not quite 4 as I went to see a specialist. surgeon as severe then (for example, I I was only diagnosed properly could walk) and I even had periods when I saw my fourth surgeon. without hip pain, or flare-ups of knee My own outlook is now more positive. or sacroiliac joint pain instead, but things I haven’t let it stop me and I’m now in eventually got worse. I was led to believe my final year as a student physiotherapist, that I had femoro-acetabular impingement. 17 months post-op right hip and nine I was encouraged to work on strengthening months post-op left hip. It was actually my my hips, and for a while it seemed to be experience of physio after my first surgery helpful, but I struggled to figure out what to that inspired me to change career! I’m just do when the physiotherapy wasn’t working. looking forward to living an active, normal I knew that on some level I had to adjust to life again. fl the fact I had a hip problem which might affect me for the rest of my life, but with M-J Sharp is a final year physiotherapy conflicting information it was difficult to student at the University of Salford know how – and what I was meant to be adjusting to. More information Why did diagnosis take years? June is Hip Dysplasia Awareness Month: Unfortunately, my experience of bit.ly/2IrFfYG getting a referral to the right Further information on adult hip specialist is typical. It took until dysplasia: bit.ly/2JOCVfc two years ago, when I was Clinical Update, page 28 31, to find a consultant who

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