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Page 26 Page 30 Page 16 Issue 3 Issue Volume 24 Volume Frontline 2018 7 February THE PHYSIOTHERAPY MAGAZINE FOR CSP MEMBERS

Take to the water Pulmonary rehab

Inside: Jobs • Physio findings • Courses • In review Frontline • 7 February 2018 3 Contents

News News in pictures 6 8 Physios help Team GB at Winter Olympics 8 Audit finds lack of cardiac rehab 9 CSP Fellow reveals new pain model 10 Award winners: physios recognised across UK 12 NHS England launches COPD pathway 14

Features New data protection law: are you ready? 16 Hydrotherapy for pulmonary rehab 22 CPD: how to prepare for an HCPC audit 30 10

Regulars 24 Comment: your emails and views 4

Physio findings: updated evidence about exercise after brain injury 18

Views and opinions: Norfolk falls pilot; LGBT History Month 20

In Review: books on domestic violence; inspirational writing 35

Networks & networking: what’s going on locally and at CSP-linked professional groups 37

Courses & conferences: your guide to better practice 54 SIZE Recruitment: latest jobs 60 3 minutes: Leah Carey, clinical SOLUTION commissioning group physio 66

published by 20% OFF Frontline is the physios’ SUPPORT magazine from the CSP, sent direct PRINTED BY WARNERS 01778 395111 to every member 21 times a year Frontline • 7 February 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

Influenza debate Top Tweets icsptalk Right to choose? @emaroids1: Do you work on ITU as a Physio?? Please Interested in recent topical discussion? I am disturbed to read that a CSP director has backed a complete my survey scoping MI-E use in this patient If so, read our selection below. he call from Sir Bruce Keogh, national call from senior health figures for a debate on population. www.surveymonkey.co.uk/r/MY897N6 iCSP is our peer-led knowledge sharing medical director of NHS England, for a area of the website – view all our popular mandatory flu vaccine for all NHS staff (seewww.csp @helenbevan: New report on evidence-based strategies for debate on whether the flu jab should be .org.uk/node/1131477 and page 10 of this issue). I discussions www.csp.org.uk/popular T reducing the amount of time people spend in hospital because mandatory has certainly ignited opinion among believe a mandatory system would go against freedom their transfer of care is delayed. http://bit.ly/2DBEUE7 members. Our story on page 10 gives a taste of of choice in the NHS and making an informed consent. the comments on social media after our last story Is a 10 per cent effectiveness rate enough to justify @LukeTPhysio Any @thecspstudents had a POGP placement Electronic patient (www.csp.org.uk/node/1131477). it? Will each staff member receive the actual flu vac or had specific teaching regarding POGP physiotherapy? I’m data protection in For the record, the CSP has never called for a insert with the list of horrific side-effects, including sure @jilly_bond and @ThePOGP would love to hear your private practice mandatory jab and is not doing so now. It does, Guillain-Barré syndrome, before forcing them to take experiences! A member seeks advice on though, encourage physios to have the jab and the vaccine or nasal spray? And how can you prove that storing and protecting electronic supports NHS Employers’ Flu Fighter programme. staff are responsible of speeding the flu? Apparently, @suehaywardgiles Using digital capability to patient data at a private practice. Some people argue that a mandatory jab is a they carry flu virus without knowing it! How did they evidence impact and outcomes of #firstcontactpractice Comments: 4 violation of an individual human being’s rights. prove that? Why not take swabs to check? models illustrated by @OCualainPT @NHSDigital & @ Network: Neurology But surely any vaccination programme is about the The main reason why people get flu in the first place AmandaHensman @sarah_judge Quick check: who is able to www.csp.org.uk/node/1132104 rights of the wider population, not the individual? is lack of sleep and good nutrition. NHS staff are use a digital record, receive a digital referral and interrogate Government advice, known as the Green Book, chronically overworked, wards are understaffed and data in digital systems? Continence/prolapse states that ‘healthcare workers have a duty of hygiene in some hospitals is still below standard. care towards their patients which includes taking Further, hospital food is far from nutritious. I @NHSImprovement Interested in building quality, service group education class This discussion offers reasonable precautions to protect them from understand there is a debate on this topic on CSP improvement capability within your organisation? Our latest opportunities to share communicable diseases’. Facebook page. I really hope that people’s freedom of #QSIR College programme is open for application and is free Tetanus, diphtheria, polio, Hepatitis B and information about the best choice will be taken into consideration. for all NHS and affiliated staff.http://bit.ly/1VjiE4c MMR vaccines are also on the recommended list. n Teodora Aysakova ways to assess participants before they start a Pilates class. Follow us on Twitter at @thecsp Comments: 10 ‘Surely any vaccination programme Network: Pelvic obstetric Inspiring hope org/10.1016/S0031-9406(05)66021-X Management of Chronic aware that the skills in using and that items leaving the UK are safe gynaecological is about the rights of the wider I read with interest the recent article on Sadly, the usual response to chronic Constipation of Adults within maintaining equipment are and serviceable. Consignments are www.csp.org.uk/node/1126168 population, not the individual?’ bowel disorders. See www.csp.org.uk/ constipation is laxative polypharmacy, the Community, is available at nothing like UK standard. I too often followed up with visits from with varying degrees of success. In fact, it bit.ly/2ndqTCZ have witnessed equipment with UK therapists who train local staff node/1131946 I congratulate the team Hyperventilation is helpful to review not just bowel history, n Marian Emly, Leeds missing parts or that is poorly in assessing, fitting, adjusting and for the positive outcomes experienced by Members offer perspectives but also diet, fluid intake, toileting maintained. But to imply that all, maintaining equipment. NHS Employers states that any immunisation patients who feared they would never get on hyperventilation syndrome, position, lifestyle factors, medications and or most, shipments overseas are Rather than criticise this service requirement on employees ‘must be proportionate their bowels (and lives) back on track. Both Balance needed including breathing control and activity levels. Alternative treatment Alexandra Hejazi’s column called ‘substandard’ after one visit to to developing countries, to the risks associated with any given role’. my research on using abdominal other treatment options. options may include abdominal massage, for an end to sending assistive one country is unfair. I am involved physiotherapists are ideally placed When you hear of side effects from a vaccine it’s massage to treat chronic constipation Comments: 6 biofeedback and rectal irrigation. substandard devices overseas. See with a charity called PhysioNet. to improve it. human nature to be cautious. Although the risk of and my work with people with long-term Network: Respiratory care A clinical guideline, developed at www.csp.org.uk/node/1124683 See www.physionet.org.uk n Heather Angilley, lead physio, having a serious reaction to the flu vaccine is less disability convinced me of the necessity www.csp.org.uk/node/1129594 than one in a million, we still worry about being that for a holistic bowel assessment. See doi. Bradford University and titled Those of us who work overseas are Its volunteer therapists ensure PhysioNet one person. Capping musculoskeletal It’s as natural as worrying about taking a long haul flight rather than driving up the M1. Yet physiotherapy follow-up we all know a car accident is far more likely appointments to happen than a disaster on the flight! You’ve added... Got something to say? Did you know that the Members discuss how to At CSP we’re offered the jab. I’ve had it Roger Kerry received Write to us or comment on articles CSP website contains provide evidence to a clinical Professor Anne Bruton to try the online version It is free for all to use. an award for using from the latest issue of Frontline commissioning group on for years, and been fine. Nor have I had the five regularly-updated flu … yet! responded to a recent of the DVD breathing social media to engage online. Log in at: www.csp.org.uk/ approaches to improve therapy Physio findings item on retraining intervention CSP member hjs was physiotherapy students. frontline and then go to the current blogs? To find out outpatient services. breathing retraining. we developed for the moved to comment See www.csp.org.uk/ issue section. You will also find icons more, visit Comments: 9 Lynn Eaton See www.csp.org.uk/ BREATHE trial described after reading node/1129900 to like on Facebook or tweet articles. www.csp.org.uk/ Network: Musculoskeletal managing editor Frontline and head node/1131978 in this article, please that University n Excellent engagement: Comments posted online may be www.csp.org.uk/node/1128287 of CSP member communications n If any of your patients direct them to www. of Nottingham a young mind in a mature edited for print. news-events/opinion [email protected] with asthma would like breathestudy.co.uk physiotherapy lecturer doctor! Frontline • 7 February 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 56,000 CSP members health-related with your product, course or recruitment ad. items in the news [email protected] 0845 600 1394 For the stories behind Got an item for the images just follow Networks & networking? the shortcut codes [email protected]

Paracetamol or ibuprofen The collapse Contact the CSP provide the best relief for of Carillion will [email protected] 1 4 020 7306 6666 sore throats, says the National further delay building works 14 Bedford Row London WC1R 4ED Institute for Health and Care at hospitals in Birmingham Members have access to the Excellence. and Liverpool. CSP’s journal, Physiotherapy. Source: Telegraph Source: Guardian www.csp.org.uk/journal http://bit.ly/2BGoe9q http://bit.ly/2FtDQiP Frontline team Managing editor A blood test for cancer has Hormone changes caused Lynn Eaton Deputy editor Ian A McMillan moved closer after a trial by the menopause make 2 5 News editor Gary Henson at US John Hopkins University rheumatoid arthritis symptoms 5 Staff writers Robert Millett detected eight different types worse, say researchers at the and Gill Hitchcock of tumour. Ovarian, liver, University of Nebraska. Designer Allyson Usher stomach, pancreas, esophagus, Source: Daily Mail Corporate publications and colorectal, lung and breast http://dailym.ai/2DJyXl4 production officer Tim Morse Creative head cancers were detected with an Nicky Forbes Corporate design Tristan Reignier accuracy of 70 per cent. Research at Birkbeck, Source: Sky News 6 University of London and http://bit.ly/2EWDelF University College London shows ISSN 2045-4910 that the antibacterial properties ©Copyright 2018 CSP. All rights reserved. No part of Brain function can decline of the Persian shallot – a staple this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means 3 rapidly after retirement, of Iranian cooking – could electronic, mechanical, photocopying, recording or according to researchers at increase the effects of antibiotic otherwise, without prior permission of the Chartered Society of Physiotherapy or a licence permitting restricted University College London and treatment and reverse drug copying issued by the Copyright Licensing Agency. This Kings College London. resistance. publication may not be lent, resold, hired out or otherwise Source: Telegraph Source: Daily Mail 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. http://bit.ly/2n89oE8 http://dailym.ai/2E0a4VQ Digital John Harris/Report Frontline • 7 February 2018 9 Something to add? email Frontline at NewsDigest [email protected]

CSP advises on job descriptions Half of UK heart attack survivors for first contact physiotherapists don’t get rehab, audit finds The CSP has drawn up a sample job description FCP practitioners together to discuss how scale to ensure reliable and robust evidence of for physios working in general practice with this emerging area of practice can be further its effectiveness,’ said Ms Hensman-Crook. A national audit of cardiac rehabilitation shows longer than the recommended 28 days to start a wide range of clinical conditions, enabling guidance how to evaluate these roles against implemented across the UK. The dataset has been designed to work with that about 68,000 people who had heart attacks rehabilitation programmes. effective and safe management of people the NHS Job Evaluation system. It follows a FCP practitioner and CSP member Amanda GP patient systems such as EMIS. Currently the missed out on cardiac rehabilitation in 2015/16, The British Heart Foundation audit recommends with cardiac conditions who increasingly present growing number of enquiries from members Hensman-Crook developed the national data data fields allow the capture of cost, clinical nearly half (49 per cent) of those who were eligible. that a much bigger proportion of people with with multiple and complex co-pathology. about how first contact practitioner posts collection template with the support of Health effectiveness, productivity and outcome and, People from more deprived areas heart failure should be referred for cardiac ‘The challenge in the future is for (FCPs) – a development supported by the Education England and NHS Digital working potentially, patient experience data. were less likely to take part in rehabilitation and supported to take physiotherapists to offer a wider range of options, rehabilitation than those from more up the offer. for example web and app-based programmes to society – should be graded. closely with the CSP and members. Ms Hensman-Crook said she expects the The audit affluent ones, the research found. All patients who complete increase access.’ The news coincides with the launch of ‘There was a lot of very useful data out template to be available for export via a link also reveals a The audit reveals a disparity cardiac rehabilitation should n Gill Hitchcock a standardised minimum musculoskeletal there, but nothing was standardised. The aim on the CSP website by spring. For further disparity bewteen men in uptake among men and be assessed, it says. Catrin dataset to help demonstrate FCPs’ clinical and of the template is to support the case for the information in the meantime, she can be and women with just cost effectiveness. role, so that we can show how first contact contacted at [email protected] women, with 52 per cent of Warren is co-chair of the For the first time ever it will be possible physios are reducing referrals to secondary n Louise Hunt eligible men taking part in a Association of Chartered More information to see the impact of these physiotherapists care,’ said Ms Hensman-Crook, who began rehab programme compared to 4 4% Physiotherapists in National Audit of Cardiac Rehabilitation nationally. The data collection should help working as a FCP four years ago. She now just 44 per cent of their female of women Cardiac Rehabilitation Annual Statistical Report 2017 taking part to support service transformation and future combines clinical practice with mentoring and More information counterparts. professional network. She said: http://bit.ly/2n6bdRQ research activities. working with FCP pilot sites. Job description for a first contact Even for heart attack survivors who ‘Physiotherapists remain the second The Association of Chartered The development was announced at the ‘As a new role in primary care that is physiotherapist in general practice: are referred, there is often a delay, with largest group of professionals working in Physiotherapists in Cardiac Rehabilitation launch of the new FCP transformation network, developing throughout the UK, it is essential to www.csp.org.uk/first-contact-physio 49 per cent of those who are eligible, after having this field – after nurses. acpicr.com a CSP event on 22 January. This brought capture standardised outcome data on a large heart attacks or angioplasty surgery, having to wait ‘We have the experience and skills to manage

Northern Ireland issues revised whistleblowing policy Physios aim to help Team GB boost Northern Ireland’s health department has published a new policy on whistleblowing winter Olympics me dal haul for NHS and social care staff, setting out CSP members will play a key role in enough to go as an athlete – so Taylor-Kaveney (figure the Winter Olympics, which open being able to attend the games skating). More information revised arrangements for them to raise in South Korea on 9 February. and help support the athletes to Apart from the specific Association of Chartered concerns and what they can expect from Team GB is sending its largest achieve their goals is so physio tasks of injury Physiotherapists in Sports contingent to a winter games, with rewarding.’ prevention, treatment of and Exercise Medicine their employers in terms of protections 59 athletes aiming to return home Physios Kelly Horne and Lindsay injuries and athlete recovery, (ACPSEM) has a CPD under the law. The department said with a record medal haul. Thompson will join Ms Combarro Ms Combarro will have a pathway for physios to Lead physiotherapist for Team as part of the Team GB variety of logistical get involved in sport, health and social care organisations were GB is Nicki Combarro who told headquarters team. responsibilities including have the opportunity of required to adopt the new policy, although Frontline: ‘To represent my country And four individual sports visiting local hospitals to working with a mentor at an Olympic games is the have brought their own physios: learn the procedures and and progress in to elite Physios Kelly Horne and pinnacle of my professional career. Louise Turner (skeleton), Gemma protocols in the event of a sport. See www. they could tailor it to take account of their Nicki Combarro (right) physiosinsport.org individual policies and procedures. More ‘Although I participate in sport I Parry (short track skating), Raph serious injury. and other Team GB was never going to be good Rinaldi (bobsleigh) and Terassa n Gary Henson medical team members here http://bit.ly/2EAuvp7 Frontline • 7 February 2018 11 Something to add? email Frontline at NewsDigest [email protected] Flu story goes viral among CSP members Mark Allen

When CSP director of practice went up to more than 64 per cent. and development Natalie Claire Sullivan, CSP employment What some CSP members said vaccination. Why don’t people look at the data Beswetherick backed a call for relations and union services which the DoH puts out? As usual, the numbers a ‘proper discussion’ about director, said: ‘We are mindful n Mandatory vaccination makes complete sense. for effectiveness are low. This year in the elderly, making flu vaccinations of the many issues and It also helps protect the health worker’s family, as it was ineffective. 40 per cent effective in the mandatory for NHS staff (see link below), it views regarding flu vaccination, including the the health workers are less likely to take the virus under 50s. sparked a torrent of comments. effectiveness of the vaccine and the principle of home with them. n I had the flu jab for three years post Airing their views on social media and on mandatory vaccinations. n I would leave the NHS if flu jabs were qualification and each time I had it I had the CSP’s website, some members said that ‘The CSP has long been an active supporter mandatory for staff. Patients can choose their flu-like symptoms immediately after, and each making flu vaccinations a must would take away of raising vaccination levels among NHS staff treatment, so why should we be treated time they felt worse and lasted longer. I reckon their individual rights. Others, in contrast, said by voluntary means, through the Flu Fighter differently? I’m not prepared to give up my at the rate it was progressing if I had had the people working in the NHS had a duty to protect campaign. freedom of choice and human rights to work for flu jab each year I would be feeling flu-like for their patients. ‘Discussion is always welcome and periodic the NHS. longer than the flu would last. By the way I A patient tells Steve Brine why rehab works Some were undecided. One member, debate about important matters such as this can n We cannot underestimate the severity of the have never had flu. for instance, wanted more evidence of the be useful in reviewing evidence, allowing people to flu in people with pre-existing conditions and our n I completely oppose the suggestion of effectiveness of the flu vaccine. Without this, it have their say, and also in bringing the issue itself role as health professionals is to do no harm. mandatory injections. It is within your human would just represent a good business opportunity to the forefront of people’s minds.’ Getting vaccinated should be part of our HCPC rights to decide what is, and what is not, done to n for big pharmaceutical companies, they said. Gill Hitchcock registration stipulation, so we do not infect those your body. Health minister gets the Since 2011, the CSP has supported Flu Fighter, who are vulnerable in our care. n Never had one yet. If they could guarantee a campaign in England to encourage a voluntary n All I can say is that people in my area who they were immunising against the correct flu vaccination programme across the NHS. As More information had flu jabs have been off sick, but the ones strain, I’d be more inclined to have it. Most rehab matters message part of the Social Partnership Forum, the CSP has Health leaders call for talks about who did not have the flu jab didn’t. Not sure years, its guesswork and there’s a big press joined with NHS Employers, other unions and mandatory flu jabs for NHS staff how true the news articles around GP advised release about people who have had it Health minister Steve Brine saw Ms Ellis said: ‘I hope that he realises bodies to promote Flu Fighter. www.csp.org.uk/node/1131477 to go for the cheaper version of flu jabs and contracting flu anyway. I’m not prepared to rehabilitation in action during a visit to that investing in rehab would make a Meanwhile, figures from NHS Employers show NHS Employers’ Flu Fighter with the wrong predicted strains. Making it start exposing myself to injections that that only 35 per cent of NHS staff in England had resources bit. ly/2nnLjJx mandatory is, I think, against human rights. possibly have no clinical relevance to me/my a specialist private neuro practice in his difference, both to the patient, and to flu jabs in 2010-11. By 2016-17, the proportion n There is a lot of research that shows people’s patients for the next 30 plus years that I’m Winchester constituency. the health and social care costs of the health has improved due to sanitation, not expected to work for. While he was at Hobbs country.’ Rehabilitation on 12 January, he met The CSP’s campaigns and regional physios, as well as patients and their engagement officer, Mindy Daubeny, families. They gave him detailed, said that a visit, such as this, could help first-hand accounts of the benefits of to bring the importance of rehab to rehabilitation. the forefront of a policy maker’s mind. Physio professor outlines new The practice was set up in 2005 by ‘This was an excellent example CSP members Nicky Ellis and Helen of how members can help with Hobbs. After starting in Winchester, influencing. If you are interested in predictive processing mo del of pain Hobbs Rehabilitation now has nine hosting an MP visit, contact the CSP’s clinics across the south of England. campaigns and regional engagement Physios need a new model of pain that takes account ‘bi-directional’ interaction exists between the higher emotion and attention can impact the model, change Mr Brine, whose brief includes health team by emailing [email protected],’ of a ‘predictive’ sensory and cognitive interaction, and centres of the brain and the periphery of the body. the flow of descending information and turn the protection and improvement and new she said. the influence of people’s emotions and expectations. ‘We don’t just transmit sensory information from weighting of sensory errors up and down.’ models of care, said: ‘I learnt a huge n Gill Hitchcock That was the message that CSP fellow Mick the periphery up to the brain, we compare sensory Meanwhile, physiotherapist Ben Cormack spoke amount. I met some really inspiring Thacker, associate professor at London South Bank information to our models of expectation,’ he said. about exercise for pain and resilience. And clinical people who’ve been through so much More information University, gave at a Physiotherapy Pain Association ‘Salient events change your nervous system and lead psychologist Amanda C de C Williams explained how but, through their work at Hobbs, are study day last month. to predictions. These predictions cascade down evolutionary theory could provide a better The CSP’s Rehab Matters campaign turning their lives around after illness www.csp.org.uk/node/966508 He suggested a predictive through the nervous system and meet sensory inputs. understanding of pain mechanisms. Read more at or injury.’ processing model of pain, ‘When sensory inputs don’t match down-flowing www.csp.org.uk/node/1135126 in which a dynamic predictions it leads to an error signal. And anxiety, n Robert Millett Frontline • 7 February 2018 13 Have you received an award? tell Frontline about it AwardsRoundup [email protected]

expertise,’ he said. ‘People also Somerset physios win them feel they are being looked after posted links to others resources customer care award when they walk through the door related to particular questions.’ The judges of a local business awards and throughout their treatment.’ Since its start four years ago, competition have recognised the Tweed has been refined and is now outstanding customer care provided Sussex self-referral used as a part of a number of by Bow House Physiotherapy Practice service recognised modules on Nottingham’s in Langport, Somerset. A self-referral to physiotherapy physiotherapy course. Practice owner Tricia Robinson, initiative has won Sussex Community who has run the practice in Langport NHS Trust’s award for improving the Hampshire physio wins for 27 years, said she felt ‘over the quality of patient care. The award WOW! care award moon’ after winning the Western went jointly to the musculoskeletal A musculoskeletal specialist Gazette business award. (MSK) outpatient teams at Horsham Hannah Kendrick with her Roger Kerry: If you do it right, WOW! care award winner: physiotherapist from Hampshire ‘We are outpatient and Crawley hospitals, in recognition certificate at Keele University social media can be a powerful tool physiotherapist Chris Mitchell Hospitals NHS Trust was the proud physiotherapists, covering a wide of the service, which started last year. Sussex winners: Dan Lethbridge, physio operational lead; Jessica Poulton, recipient of the ‘You’ve Changed My range of conditions,’ she said. ‘We Jessica Poulton is clinical lead clinical lead physio; Sally York, physio pathway lead; Helen Ross-Gower, Paediatric physio Notts physio lecturer One of Dr Kerry’s innovations, Life’ award at the WOW! Awards have five physios – including me – physio at Horsham Hospital, where operational manager, and Rachel Turner, physio operational team lead scoops university prize is social media star which caught the eye of the judges, 2017 in November. plus complementary therapists and I 70 per cent of patients now self-refer. Royal Wolverhampton NHS Trust’s University of Nottingham was his Twitter in Education project, Chris Mitchell’s award am very proud of our team.’ ‘It gets patients to the right place health professionals before they implemented “virtual clinics” at the senior paediatric physio Hannah physiotherapy lecturer Roger Kerry known as Tweed. recognised his dedication in Bow House office manager Angie first time. reach us. And they are coming to us point of triage,’ she said. Kendrick and occupational therapist has been named as one of the UK’s He told Frontline that Tweed helping patient Joy Deadman walk Cox said judges, who visited the ‘We are taking a lot of pressure off wanting physiotherapy – they have ‘For example, if a patient had back Roz Roscoe have won a prize for most social media savvy academics. began by delivering part of a again, following years of practice, were impressed with its high GPs – 30 per cent of their patients chosen to refer to us.’ pain, leg pain and pins and needles, embedding therapy activities in Dr Kerry was recognised by Jisc, first-year physiotherapy course complications and setbacks. Ms level of care. have MSK conditions. It has potential Feedback from GPs and patients we would book them for a phone education. the provider of digital solutions for module on Twitter. The idea was to Deadman nominated Mr Mitchell ‘Often people are quite nervous to save money for the NHS too. has been positive, Ms Poulton said. consultation and assess if they Their innovative idea – to make UK education and research, in an tweet critical questions about the because she felt he had made a when they first come in for ‘While we still see the same ‘GPs had been concerned we needed onward referral and complex education, health and care award for his use of social media module and generate interest and real and long-lasting difference to treatment,’ she said. ‘We like to make number of patients, they see fewer would miss ‘red flags’, so we treatment to appropriate services.’ plans for children with special needs in higher education. answers from students and others. her life and she knew that other available at a glance to teachers and Jisc’s awards celebrate the ‘It meant we could tap into patients felt the same way. parents – caught the eyes of judges innovative use of social media in experts worldwide and that the Mr Mitchell collected his award in at a Keele University best practice higher education and learning. students could draw on their front of an audience including Ms day for health professionals. Deadman, who was also honoured ‘Ambassador for physiotherapy’ gains surprise They have created picture boards at the ceremony for the 43 years she and booklets for schools about the has volunteered at the trust. nomination for Guardian public service award individual care plans for children ‘Just being shortlisted from over Fiona Jenkins was surprised to discover her colleagues She said that in such an environment, it was with special educational needs 20,000 to the final four was a at Cardiff and Vale University Health Board had particularly important for the NHS to harness the and physical disabilities. massive honour so to win was nominated her for a Guardian public service award. efficiency and clinical excellence that physiotherapists ‘The board puts into pictures the amazing,’ said Mr Mitchell. ‘I’m A physiotherapist, Dr Jenkins has led the way to can provide. advice we have given about the care really pleased that this award has ensure that therapists and health scientists have equal ‘But unless you can get your voice heard – and I of the child,’ said Ms Kendrick, who highlighted the work that we do in recognition with other health professions at all levels, guess a lot of physios would say that we have got lots works part-time in local schools. physio – it is much more than including board level. of great ideas, but nobody is listening – it is sometimes ‘The booklet expands on that.’ exercise. We are often a shoulder to Dr Jenkins, executive director of therapies and health hard to make the progress,’ she said. ‘One example would be where a cry on and help to educate our science at the south Wales board, was one of the ‘As an executive director, I am able to have those child was wearing a splint. The board patients. We regularly see them over runners up in the newspaper’s national awards at the discussions at board level and at some of our senior would show a picture of the splint, a long period of time, as with Joy. end of November. management committees.’ while the booklet would explain how You can build a relationship and She told Frontline: ‘Our health board, like every other Among the seven executive directors of therapies the child can benefit and explain the celebrate each small victory together. healthcare provider, is trying to deliver services for a and health science across the NHS in Wales, she is the correct use of this equipment.’ ‘At Hampshire Hospitals NHS growing population, with increased need at the very only physiotherapist and said it was great to be an The project supports the Trust, I am lucky because we are time when we have less resource to do so.’ ‘ambassador for our profession’. education, health and care plans allowed to treat the patient rather Each year, the Guardian public services awards for children and young people with than have a set number of sessions, Fiona Jenkins is the only physio who is also an executive recognise fresh ways of delivering services that have additional needs up to age 25, Somerset customer care winners: Angie Cox, Bow House office manager which allows us to deliver a good director of therapies and health science in the Welsh NHS yielded benefits. introduced as part of the Children (left), and Tricia Robinson, physiotherapist and practice owner service. I work with a great team, so and Families Act 2014. this award is also for them.’ NewsDigest Manage your clinic in the cloud

Clinic–all is a friendly, easy to use and intuitive NHS England launches new software package that will transform the way your clinic is run.

Try it for free. Sign up for a 30-day trial and get COPD pathway full access to all Clinic-all’s features straight away. Many people with Chronic to reduce exacerbations, www.clinic-all.co.uk/phy | 01603 307960 Obstructive Pulmonary Disease hospital admissions and (COPD) remain undiagnosed and premature mortality are only identified when the n achieve better health outcomes condition leads to a hospital for people with, and at risk, admission. of COPD This is according to NHS England, which estimates that there are Clinicians and patient groups helped currently 1.2 million people with a to develop the pathway, in diagnosis of COPD in the country collaboration with organisations People with COPD received information about the benefits of respiratory – but three times as many who have including the British Lung physiotherapy at a recent fundraising ‘Big Breakfast’ event in Tarvin, yet to receive a diagnosis. Foundation, the British Thoracic Cheshire. To learn more go to www.csp.org.uk/node/1133347 To combat this discrepancy NHS Society, Respiratory Futures and the England has published the NHS Primary Care Respiratory Society. Right Care Pathway for COPD. Meanwhile, the importance of improve the diagnosis of people Clinic-all PHYSIO ad 183x130mm v2.indd 1 24/08/2017 15:18 More information It outlines how health pulmonary rehabilitation is with COPD. It also highlights that NHS Right Care Pathway commissioners and providers can: highlighted in a revised Respiratory in 2015, respiratory diseases caused for COPD bit.ly/2DHEDzi n ensure the early detection and Health Delivery Plan for Wales. more than 16 per cent of all deaths Respiratory Health Delivery accurate diagnosis of COPD The plan outlines work to improve in Wales. Plan for Wales bit.ly/2GsnRD9 n optimise long-term management smoking cessation services and n Robert Millett

CSP: physiotherapy will be key to Help shape Physiotherapy UK 2018 > proposals for seamless care in Wales We are recruiting for two important roles: Proposals to remove artificial barriers separating delivered locally, taking into account the and wellbeing.’ 1. Reviewers of platform and poster abstracts physical, mental, primary and secondary care views of citizens. Vaughan Gething, the health and social across Wales and deliver seamless services have Philippa Ford, the CSP’s public affairs and services secretary, said he would consider the 2. Abstract review group members to oversee the peer review process* been welcomed by the CSP. policy manager in Wales, said that recommendations in more detail over the next An independent panel of health experts physiotherapists and other allied health few weeks. commissioned by the Welsh government professionals would be crucial to delivering This spring, he will publish a new long-term Applications are currently invited from CSP members who: suggests that services could be organised the recommendations. plan for health and social care, which will take of reviewing abstracts around the individual and as close to home ‘The CSP particularly welcomes the aim that account of recommendations in the report. > Have experience as possible. looks to enrich the wellbeing, capability and n Gill Hitchcock > Have a track record of publications and presentations In its report, published last month, the panel engagement of the health and social care > Are prepared to review up to 20 abstracts emphasises that services need to be preventive, workforce,’ she said. > Are available to do so between 26 April and 17 May 2018. easy to access and partly enabled by digital ‘We also applaud the focus on putting More information ICC technology. people in control. Physiotherapy staff are A Revolution from Within: Transforming The proposed new models of care are based part of multidisciplinary teams which aim Health and Care in Wales bit.ly/2mBHQWw To sign up please respond to the following survey by 23 March 2018 BIRMINGHAM on characteristics that are set nationally, but to empower individuals to have good health www.surveymonkey.co.uk/r/PUK2018review 19 -20 October 2018

*A high level of experience will be required to join the abstract review group. For more details and to apply please respond to the survey by 23 March 2018 Frontline • 7 February 2018 17 NewsFocus

Physios have only three months to prepare for fundamental changes to data Get ready now protection laws. Robert Millett reports CSP members got a stark warning on In order to prepare, Mr Davidson GDPR from a government official at a suggested that physio businesses should recent conference of the Medico Legal n do a data audit: look at what Association of Chartered Physiotherapists information you hold, where and why (MLACP) in London. you keep it, what legislation allows you Paul Davidson, a special adviser on law to hold it and with whom you share it enforcement and security at the Foreign n work out how to manage subject and Commonwealth Office, said that access requests when people ask for private physios should ‘get ready the data you hold about them now’. ‘GDPR will be a game changer n establish a privacy policy and ensure for everyone because it will bring your clients give explicit consent for you Time in a raft of legal responsibilities for to collect and hold data about them anyone who holds data,’ he said. n plan how to deal with a data breach

to act consultant, John Gordon, to guide his patient information in an open email is company through the process. ‘I would unacceptable now and so we’ve installed recommend that all businesses consider new software that encrypts emails.’ getting advice on how to become As well as considering the security of ew Europe-wide business, that could take considerable compliant with the new legislation. It stored and transferred data, the company legislation, known time and planning, so don’t wait until helped us enormously. John saved us has also had to revise its policies and as the General Data the last minute. Members who haven’t from having to find answers to a lot of process procedures on how to handle Protection Regulation already done so should refer to guidance issues and, potentially, wasting a lot personal requests from individuals seeking (GDPR), comes into from the Information Commission Office of time going down blind avenues.’ access to data held on them. force on 25 May. The new law, which is (ICO), identify how GDPR impacts on In addition, Mr Nottingham says N it’s vital to prepare for the worst, by set to replace the Data Protection Act, them and start making the necessary Prepare for the worst will affect any individual or company changes,’ says Ms Hampton. The first step was a risk assessment of establishing a plan of action to be that processes personal information – After 25 May, non-compliance with every aspect of the business to examine followed in the event of a data breach. including private physiotherapists and GDPR could lead to criminal prosecution current data protection policies and ‘You should be making every effort to business owners. or non-criminal enforcement and an identify any area of non-compliance with make sure that never happens. But if it Jo Hampton, CSP head of audit. In addition, the ICO will have the new regulations (which are available does, what do you do? You need to have governance, says the regulation will the power to impose a penalty on data on the ICO website). your planned response written down in require organisations, including the controllers of up to £500,000. ‘Until you’ve done a risk assessment your processes and policies document.’ CSP, to be more accountable and you really don’t know what you’ll have He adds: ‘My strong advice to any transparent about the data they hold, to do,’ says Mr Nottingham. ‘We had to physiotherapy business owner who hasn’t Start now started to prepare yet is: don’t leave it to and allow people greater access and CSP member Stuart Nottingham is look at everything: where and how we the last minute because it will take time control over their own personal data. clinical director of Sun Rehabilitation, a hold data, who has access to it, what for you to get it sorted out. And there ‘GDPR will affect many CSP members, UK-wide occupational health business levels of encryption we use, how isn’t much time left.’ fl especially those who are running their based in Pershore, Worcestershire. records are maintained and how we own businesses, so it’s vital to prepare He says people who own and run communicate and record consent.’ now and become aware of the changes. physiotherapy businesses must act now. Mr Nottingham’s company employs More information ‘Everyone who collects, stores or ‘Under the new regulations, fines for staff working throughout the UK, IOC guide to GDPR processes personal data will need to non-compliance could be up to four per providing musculoskeletal treatment to bit.ly/2A10ayF comply with the new regulations or run cent of your business’s annual turnover,’ improve absence management and GDPR: 12 steps to take now the risk of being fined. That may involve he warns. ‘We started upgrading our staff wellbeing. ‘We transfer data about bit.ly/2deJ72T updating security or software, changing systems to be GDPR-compliant last patient referrals all over the UK so we’ve Getting ready for GDPR checklist working practices and putting polices August and, although we are mostly had to ensure we are doing that in a bit.ly/2uw9Fop into place to meet all the requirements. there, still aren’t completely finished.’ secure and compliant manner,’ he says. MLACP www.mlacp.org.uk ‘Depending on the size of your To prepare, he hired a technology ‘Sending even password-protected Frontline • 7 February 2018 19 Something to add? Caroline White on the email Frontline at latest physio research PhysioFindings [email protected]

Does cardiorespiratory exercise boost Comments and fitness after seriou s brain injury? conclusions

It’s not clear whether exercises a return to everyday activities. The researchers pooled the data from the There was no evidence that fitness training designed to boost cardiorespiratory They included studies comparing three studies, which showed an average was harmful. But the low quality of the fitness reverse the physical cardiorespiratory fitness training with improvement of 35 watts in peak power evidence due to small numbers of study deconditioning associated with serious usual care, or an approach other than output in the fitness training groups compared participants, poor reporting of some study brain injury, finds an update of the exercise, or no intervention. with the other interventions. Although this details, and design flaws, makes it hard to available evidence, first published 10 A total of eight studies involving represents an improvement in fitness of draw definitive conclusions, caution the years ago. 399 people were included in the around 36 per cent, the difference is likely to researchers. The physical fitness of people who update, including two new studies (96 be between 3 and 68 watts, which may or may It isn’t clear if fitness training improves have sustained a traumatic brain participants). The participants were not be clinically important, say the researchers. physical fitness, and there isn’t enough injury is often well below that of their mostly men in their mid-30s who had And it was unclear whether fitness training evidence to understand its impact on other peers. Consequently, they often sustained a serious brain injury. was better or worse than other interventions or important outcomes, they conclude. struggle with fatigue, making everyday The fitness training was done in nothing at improving the secondary outcomes. In the absence of better quality evidence, activities harder to do. Fitness training different healthcare settings, including Cognitive abilities, activities of daily living, and health professionals should use screening n A 30-minute sauna can reduce blood aims to reverse this. at home. In six of the studies every return to everyday activities were measured in checklists to ensure that it’s safe for a pressure and arterial stiffness, and increase The researchers set out primarily training session was supervised. only one study, and no studies assessed the person with traumatic brain injury to the heart rate to levels normally associated to evaluate how well fitness training Fitness training included exercising on effect of fitness training on physical activity exercise, and set training parameters using with medium intensity exercise, shows a study improves physical fitness after a cycling machine, in water, on gym levels or motivation. Only three studies looked the American College of Sports Medicine of 102 people with at least one risk factor for traumatic brain injury. They also equipment, home-based exercise, and at the longer term impact, but these didn’t guidelines, they add. heart disease/stroke. The findings may help to wanted to find out if it improves a military fitness group. In six of the provide a clear answer. Hassett L, et al. Fitness training for explain why regular sauna baths are other associated symptoms, studies the prescribed intensity, In the five studies that included supervised cardiorespiratory conditioning after traumatic associated with better cardiovascular health, including depression, impaired duration, and frequency of the fitness training, attendance varied, ranging brain injury. 2017 Cochrane Injuries Group say the researchers. memory, attention and problem training met the American College of from 59 per cent to 100 per cent, and was not http://onlinelibrary.wiley.com/ Journal of Human Hypertension 2017

Claus Lunau/ Science Photo Library solving skills, and whether it enables Sports Medicine guidelines. reported for two studies. doi/10.1002/14651858.CD006123.pub3/full www.nature.com/articles/s41371-017-0008-z

n A period of inactivity has a far more detrimental impact on muscle mass, metabolic health, and physical capacity in older adults (55-65 years) than it does in the young (18-30 Decompression surgery of questionable val ue for shoulder impingement years) reveals a small study of 23 participants. After two weeks bedridden in hospital, the Decompression surgery is no decompression to relieve shoulder questionnaires on their pain and symptoms, say the researchers. surgery,’ says co-chief investigator older adults lost more muscle mass and power, better at reducing shoulder pain impingement – when the physical function after six months. ‘Over the past three decades, Professor Andrew Carr, from the which retraining didn’t fully restore. than ‘placebo’ surgery – where tendons and bones rub against Overall, symptoms had reduced patients with this form of National Institute of Health The Journal of Physiology 2017 http:// the joint is inspected, but no each other – is one of the most in all three groups. Those who had shoulder pain and clinicians have Research Biomedical Research onlinelibrary.wiley.com/doi/10.1113/ tissue is removed – for people common surgical procedures in had decompression surgery or accepted this surgery in the belief Centre, University of Oxford. JP274772/full with shoulder impingement, orthopaedics. placebo surgery rated their pain that it provides reliable relief of Beard DJ, et al. Arthroscopic indicates the first study of its kind. Patients with shoulder pain and physical function similarly. symptoms, and has low risk of subacromial decompression for n Eating a Mediterranean diet of primarily The procedure is of lasting at least three months Although both types of adverse events and complications. subacromial should pain (CSAW): plant based foods may help curb the risk of questionable value, and patients despite physiotherapy and steroid surgery were slightly more ‘However, the findings from our a multicentre pragmatic parallel frailty in older people, and help maintain their should be fully informed about injections, and treated at 32 effective at reducing study suggest that surgery might group, placebo controlled, three independence for longer, reveals an analysis of this, say the researchers. hospitals, were either randomly subacromial shoulder pain than not provide a clinically significant group, randomised surgical trial. published studies. Shoulder pain accounts for up assigned decompression surgery no treatment, the difference benefit over no treatment, and The Lancet 2017 DOI: Journal of the American Geriatrics Society 2017 to four per cent of all GP visits in (90), placebo surgery (94), or no was small. It was unlikely to that there is no benefit of http://dx.doi.org/10.1016/S0140- http://onlinelibrary.wiley.com/journal/10.1111/ the UK, and subacromial treatment (90). They completed have any noticeable impact on decompression over placebo 6736(17)32457-1 (ISSN)1532-5415 Frontline • 7 February 2018 21 Something to add? email Frontline at Views&Opinions [email protected]

Joanne Crosby is involved in a radical scheme to Adviceline treat people after a fall without recourse to the Fran Fitch explains why members should publish details Falls, a better way? ambulance service and hospital treatment of benefits received from pharmaceutical companies

Disclosure UK is a searchable online database showing scheme aimed at uninjured, they will be attended n dress superficial wounds that very encouraging. Our older discharge planning to admission payments and benefits made to NHS staff and people who have by an early intervention vehicle would previously have patients rarely want to attend prevention. organisations by the pharmaceutical industry. It was fallen has been instead of an ambulance. The required an A&E visit hospital but this often used to be The scheme has so far been A created in 2016 by the Association of the British launched in Great Yarmouth vehicle is crewed by an n make environmental changes their only option. Now they very successful in reducing Pharmaceutical Industry (ABPI) in response to calls for and Waveney, Norfolk. emergency medical technician at home to reduce risk of receive all the input they need unnecessary A&E admissions, greater transparency and integrity in the relationship The primary aims are to and a physiotherapist or further falls from one call. with 77 per cent of our patients between health professionals and the pharmaceutical reduce A&E attendance, occupational therapist. This is n arrange carer input Falls are traumatic for the remaining at home one month industry. alleviate pressure on the the first scheme in the region n provide temporary pendant patient, but I feel we provide into the pilot. NHS England already provides comprehensive guidance ambulance service and to have physiotherapists on alarm systems them with the best experience We have received excellent on managing conflicts of interest, including gifts and improve patient experience. board. n signpost to other support possible in the circumstances. training alongside our sponsorship that may come from commercial The pilot started on 17 We work alongside the agencies Uninjured fallers can also expect emergency medical technician organisations. Disclosure UK requires all pharmaceutical November and is a emergency medical technician n liaise with the GP if we feel a faster response as there is now colleagues and have great trust companies to provide details of payments made to health collaboration between East of to ensure the patient is a patient has non-urgent a designated team waiting for in each other’s skills. professionals. Where the individual gives consent, their England Ambulance Service, medically well and safe to health needs their call. The pilot is initially restricted details are published. James Paget University remain at home. The patient As the only two to a Friday to Monday service Currently, only 65 per cent of professionals allow their NHS Trust and East Coast receives a multifactorial full Everything is completed before physiotherapists involved, and will run until the end of details to be published. NHS England and the ABPI aim for Community assessment at home and a joint we leave the patient’s home. Charlotte Tracy and I (both March. We hope the service will 100 per cent voluntary consent. Healthcare. decision is made with the If the patient can’t safely senior physios at James Paget be extended, long term, to seven Types of activity and payment that should be disclosed If a fall is patient/family about any remain at home, another University Hospital) find the role days a week. include grants, donations, sponsored activities such as reported via interventions we put in place. ambulance crew conveys them challenging but really rewarding. conference presentations, attendance at meetings, and a 999 call, The early intervention vehicle to hospital or an intermediate Both of us normally work in Joanne Crosby is a senior symposia or training events. This means that any where the is full of equipment if it’s care bed. inpatient settings and are having physiotherapist at John Paget physiotherapist getting any payment or benefit from a patient is needed, but we are also able to Patient feedback has been to change our thinking from University Hospital Trust pharmaceutical company will be asked to agree that their details are published on Disclosure UK’s website. Details published will include the funding pharmaceutical company’s name, the health professional’s name, their practising address and the payment amount or equivalent benefit in kind, in the four following categories: registration fees, travel and accommodation, fees for service/ regardless of preference. consultancy, related expenses for service/consultancy fees. José Longatto reflects on LGBT History Month and Releasing this information shouldn’t make anyone feel recalls his teenage years in more conservative times I am proud of being gay, I am History man proud to be an ambassador for the uncomfortable. If it does, the person should ask themselves CSP LGBT+ network. I look forward why. Physiotherapists must make professional decisions to contributing to raising awareness without any undue commercial influence and feel hen I was a was when the final bell rang and come from diverse backgrounds and Now, as a UK resident, I live in a within the CSP community and confident that by participating in this national policy for homosexual teenager I went home to hide in my room want to be themselves. It is great to nation where I can tell my colleagues celebrating our achievements at disclosure, they are demonstrating and promoting the high W growing up in São and play with my sisters’ dolls. My see how much the LGBT community I have been with my boyfriend for 10 the LGBT History Month during level of integrity and transparency expected of them. Paulo, in the south east of Brazil, parents were very strict and unable has achieved almost half a century years and we have just got engaged. February. only heterosexual relationships to accept anything that was not since the New York Stonewall riots As a physio, I was received with open Fran Fitch is the CSP’s research adviser were acknowledged openly. I was ‘normal’. Sunday was Mass day: in 1969. arms at every interview and job I unaware of celebrations for LGBT pink and dolls were for girls, blue and We have come far but there is have had in the UK. More information History Month and had no peer cars for boys. a lot more to learn and overcome. The LGBT community has CSP LGBT+ network More information group in school to support me. I Now homosexuality is embedded Today I am happy to be a LGBT worked hard everywhere to www.csp.org.uk/node/191 To see the NHS England guidance on managing always felt lonely and was bullied in the UK’s school curriculum. agent of change, not just a victim promote diversity and this will go LGBT History Month José Longatto is a conflicts in the NHS, visit bit.ly/2Gby9aB frequently, so I ended up suffering Teachers are aware of diversity and of prejudice (for having fabulous on. We want to show everyone lgbthistorymonth.org.uk physiotherapist who has lived on my own. The best time at school variety in the modern family. Pupils shoes). that ‘normal’ is being ourselves, in the UK for seven years Frontline • 7 February 2018 23 Respiratory

A pool-based pulmonary rehab service is proving its worth to patients in South Tees, as Julie Penfold discovered

atients in Teesside with long-term lung conditions are enjoying a specialist hydrotherapy pulmonary rehabilitation programme that is believed to be one Making a of the first in the UK. The pool sessions areP designed for patients with long-term respiratory conditions, such as chronic obstructive pulmonary disease (COPD), who need rehabilitation but struggle with gym-based exercise due to joint or mobility issues. ‘We found mobility affected progress with the respiratory health of some of our patients,’ says Rebecca Shea, lead physiotherapist for the pulmonary splash rehabilitation service at South Tees Hospitals NHS Trust. ‘We felt water-based exercise could work well for those patients but our main problem up until last year was venue availability, as the trust’s two hydrotherapy pools are in high demand.’

Successful pilot When a morning slot opened up at the hydrotherapy pool at Redcar Primary Care Hospital at the end of 2016, the team was able to pilot the alternative treatment. In December 2016, six patients took part in the six-week programme. The weekly sessions were fully attended and the group members Group gave them a 100 per cent satisfaction members gave rating. the weekly sessions a ‘In winter patients with long-term lung conditions generally struggle, yet not one pilot patient missed a session,’ says Ms Shea. ‘They 100% thoroughly enjoyed each session and satisfaction rating their outcome measures improved. After the pilot, we still had the pool slot at Redcar so we just rolled with it and another six patients started the six-week programme the following week. This year, we have managed to secure a space within the hydrotherapy pool timetable for James Cook University Hospital (the trust’s main site in Middlesbrough) so we now have two venues and two six-week hydrotherapy courses running each week through the year.’ Photos: Richard Lee Frontline • 7 February 2018 25 Something to add? email Frontline at Respiratory [email protected]

the pools, which are around 12 metres long. Referrals Rebecca Shea mainly come from GPs and patients with respiratory with patient conditions must be registered with a south Teesside Barry Turner surgery. Most patients fall ito the older age group. The hydrotherapy programme is such a big hit with patients that the two sites now have waiting lists. ‘This is the downside as we are currently unable to offer more hydrotherapy due to lack of additional pool availability,’ says Ms Shea. ‘We see the hydrotherapy sessions as an alternative for those who would potentially struggle with gym-based exercise. However, we advise every patient to at least try the land-based rehabilitation programme first because we run 14 of those sessions a week. Patients who are only interested in hydrotherapy rehabilitation could potentially wait months.’

Positive outcomes The service aims to reduce hospital admissions, and subsequent readmissions, for 12 months after a patient completes the pool programme. Attendance is high and the service has not received a single ‘did not attend’ since it began in late 2016. Over the six weeks, the team works on improving the baseline fitness level ‘We see the hydrotherapy Project welcomed of patients with respiratory issues. Many also benefit sessions as an alternative from improved quality of life through the programme. As a bonus, people have developed friendships with for those who would The Association of Chartered Physiotherapists in other participants. potentially struggle with Respiratory Care (ACPRC) promotes best practice in Patient-reported outcomes from the pool respiratory physiotherapy. The ACPRC is a national programme include improved joint and lung health. gym-based exercise’ body of physiotherapists interested in all aspects of ‘The exercises carried out in the pool are similar to Rebecca Shea respiratory care and has more than 1,000 members. what patients would do in the gym,’ says Ms Shea. It is one of the larger CSP professional networks. See ‘They tell us they can breathe more easily and feel www.acprc.org.uk they can do more, as they don’t feel they are exerting says: ‘I feel like a new woman after each session. Asked about the South Tees pulmonary themselves as much. We also see improvements in the The hydrotherapy helps me to breathe much easier.’ rehabilitation in water initiative, the network’s six-minute walks. And Carol MacDonald, who completed the programme long-term conditions champion Rachael Colclough ‘Prior to patients entering the water for the first at James Cook University Hospital last June, simply said: ‘Pulmonary rehabilitation is an integral part time, we carry out an exercise over a 10-metre length,’ says: ‘The sessions have given me a new lease of life’. of the management of long-term respiratory she explains. ‘Patients walk up and down until they One of the team’s aims is that patients will continue conditions and should be offered to all patients who In addition to Ms Shea, the pulmonary rehabilitation need to stop due to breathlessness or being limited exercising independently to benefit their ongoing would benefit.’ Ms Colclough referred to the Royal team includes three physiotherapists and three by pain. The walk is repeated after the six weeks and respiratory and joint health. Of the six patients from College of Physicians’ national COPD audit and its physiotherapy assistants. A physiotherapist and an we usually see improvements in the distance covered the pilot group, two have joined walking groups and recommendation that more patients need to join assistant are needed for each hydrotherapy session, and the number of times patients have had to stop. one has joined a gym. Patients also have the option rehab programmes. ‘As respiratory physiotherapists, one in the water and the other at the poolside. The Some improve by around 200 metres. They may have of returning to repeat the pool programme after 12 we need to provide the core quality standards of extra sessions have meant a change to the team’s done a 300 metre six-minute walk before starting the months, which the pilot group have all done. ‘They pulmonary rehabilitation, as supported by the working hours. ‘We don’t receive extra funding for our hydrotherapy sessions and afterwards, patients can recently returned as they loved it so much,’ says Ms evidence base, while opening up the service to extended service, I have just asked my team to work a walk around 400-520 metres in the same time.’ Shea. ‘Out of the six patients, only one had a hospital patients who would not ordinarily have engaged little harder and longer,’ says Ms Shea. ‘Our traditional Patient satisfaction is ‘through the roof’, says Ms admission between December 2017 and now [last with it. pulmonary rehabilitation service has not been affected Shea. Elizabeth Parnell was one of the first to try November]. However, the admission record doesn’t say ‘The ACPRC welcomes the development of at all by the introduction of the hydrotherapy sessions. water-based rehab as part of the pilot group at Redcar. whether this was due to a chest problem. pioneering projects such as this, which not only For example, when the sessions run late afternoon ‘I find it much easier to do the exercises in the water,’ ‘We are unaware of any other hospital in the country improve patient care but also showcase the at our main site, staff will structure their day slightly Ms Parnell says. ‘In the gym I was more breathless offering pulmonary rehabilitation in water,’ adds Ms important role respiratory physiotherapists play in differently to cover the class time.’ and had to rest in between each exercise.’ Michelle Shea. ‘This is a very exciting development for our developing the future of pulmonary rehabilitation.’ Groups in each session are small due to the size of Brudenell, who attended the programme last May, patients.’ fl Frontline • 7 February 2018 27 This feature gives an accessible overview of a clinical issue of ClinicalUpdate interest to all physio staff Tracheostomy: the physiotherapy role

Luke Rendell and Maxine Hoole set out 50 patients with tracheostomies, all of whom come into contact with a wide variety of healthcare professionals, Table 2: RHN competencies one hospital’s policy on dealing with support workers and volunteers. We pride ourselves on complex tracheostomy in prolonged complex tracheostomy weaning and long-term disorders of consciousness management, and strive to provide an environment that is Level 1 (healthcare assistants, Level 2 (all nurses, physios and speech safe for patients with a tracheostomy so they can have the doctors, occupational therapists, and language therapists) Suctioning, same opportunities as those without. psychologists, music therapists, basic humidification and emergency At the RHN we recently conducted a complete review therapy support staff) Basic airway management prolonged disorder of consciousness (PDOC) is a of our tracheostomy care guidelines and policy. This overhaul anatomy, knowledge of tube state of altered consciousness and awareness was performed to reflect the best practices we use to components, signs of respiratory Level 3 (senior nurses and physios) persisting for more than four weeks following a manage neurological patients who are complex to wean or distress, how and who to call for help Complex weaning, decannulation profound brain injury. Many patients will have long-term tracheostomies, an area in which there is in emergency situations, Yankauer and changing, advanced progress through the stages of coma, little clinical evidence. suctioning (optional) humidification, advance life support Avegetative state and minimally conscious state as they emerge Physiotherapy took a strong lead in this process due to to full awareness, but some will remain in a vegetative state or practitioners’ broad skill set and knowledge in the areas of minimally conscious for the rest of their lives. Many patients respiratory management and tracheostomy care, but it was with severe brain injury require a tracheostomy to protect their very much a multidisciplinary team process with significant Tracheostomy champions airway and facilitate weaning off a ventilator. Those who contributions from speech and language therapists, respiratory During the review, it was also highlighted that as physiotherapists remain in PDOC require the tracheostomy on a long-term nurses and rehabilitation consultants. are key in tracheostomy weaning and also have skills in respiratory basis and can be complex to wean. management, they should possess the skills to change and The Royal College of Physicians (RCP) published national Strict training programme decannulate tracheostomy tubes in both routine and emergency clinical guidelines on the diagnosis and management of The new tracheostomy policy and guidelines draw on situations. With the support of the RHN respiratory nurse and the patients with PDOC in 2013. The RCP PDOC guidelines knowledge and experience from a number of sources, critical care nurse consultant from St George’s Hospital, recommend that airway management and tracheostomy including the St George’s tracheostomy policy, other local NHS physiotherapists with extensive tracheostomy experience were care should be included in multidisciplinary goal-orientated hospital trust guidelines and the 2013 National Tracheostomy trained to be the hospital’s ‘tracheostomy champions’. This programmes of care for all patients in a prolonged disorder Safety Project. The guidelines also strongly reflect included the completion of level 3 competencies (see table 2) and of consciousness. See bit.ly/2mwUCWz recommendations set out in the National Confidential Enquiry taking on an active role in teaching and training. The The Royal Hospital for Neuro-disability (RHN) provides a into Patient Outcome and Death (NCEPOD) Tracheostomy tracheostomy champions became responsible for assessing and range of services including specialist assessment, treatment Care: On the Right Trach? (2014). ‘signing-off’ other clinical staff members on their competencies. and disability management for adults with profound brain Due to the high number of tracheostomy patients at RHN, A multidisciplinary peer support programme was also set up injuries. We have a large number of tracheostomy patients a variety of tubes being used and various stages of weaning, between the tracheostomy champions, speech and language References spread across our level 1 rehabilitation pathway and it is essential that all staff members caring for patients with therapists, specialist nurses and doctors, to allow sharing of continuing care services. At any one time we can have up to NCEPOD On the tracheostomies are confident and possess the required skills Right Trach? (2014) knowledge and experience around complex weaning, providing and knowledge. In order to ensure this standard of care, a A review of care time to discuss topics such as optimisation of secretion and saliva strict training programme was designed, encompassing three received by patients management, humidification and complex weaning goals. Table 1: Barriers to tracheostomy levels of competencies. who had a The next stage is to conduct a number of clinical audits looking weaning in PDOC All staff are required to attend the appropriate level of tracheostomy at: adherence to completion of the mandatory competencies, training and then must have their competencies signed off ncepod.org.uk current clinical practice against the new policy and guidelines and n low level of impaired cough by their immediate supervisor on the ward. Tracheostomy UK National decannulation success rates. We are also in the process of rolling Tracheostomy consciousness n absent or impaired competencies are considered standard practice across many out e-learning modules for level 1 and 2 competencies, which are Safety Project (2013) n hospitals, but in order not to limit our patients to the ward to be completed by all staff annually. We plan to conduct research structural airway swallow bit.ly/2n6iVuE issues (trauma, n dysautonomia environment, our level one training is designed for those who St George’s to look for trends or early predictors to successful decannulation Model of a patient on whom tracheal malacia, n impaired central are typically unfamiliar with tracheostomies. Examples of this University among people with PDOC. fl a tracheostomy has been hyper-granulation) respiratory control are: accessing a quiet one-to-one space with a psychologist Hospitals (2000) performed, showing the larynx n immobility (abnormal breathing for assessment/treatment; kitchen assessments with the tracheostomy Luke Rendell and Maxine Hoole are physiotherapists in, and the trachea beneath it n absent cough or patterns) occupational therapists; attending music therapy groups or guidelines respectively, neuro-rehabilitation and respiratory care at the

medicalrf.com/Science Photo Library medicalrf.com/Science accessing the hospital gardens. See Table 2 for topics covered. bit.ly/2iCdKRq Royal Hospital for Neuro-disability in London There’s something very small about PhysiotherapyUK this year...

See the website from February 14th: www.physiotherapyuk.org.uk Frontline • 7 February 2018 31 Something to add? email Frontline at HCPCAudit [email protected]

The CSP’s Gwyn Owen and Isabella Oyelade offer guidance to help you prepare for the Are you HCPC’s CPD audit ready?

e are well and truly into year reflections in the last issue ofFrontline , you 2018 – and this is a time will have done all the hard work for the CPD audit of year when we might turn already. See www.csp.org.uk/node/1131973 to our continuing professional This article will help you to organise the development (CPD) portfolios information you’ve been gathering about your toW look for information to include in an annual learning and practice to produce a CPD profile performance review, a job application, a grant which will show how you meet the HCPC’s application or a CPD profile for submission to standards for CPD. the Health and Care Professions Council Even if you’re not picked to take part in the (HCPC). audit, it will help you to prepare a portfolio of The HCPC registration renewal The HCPC selects evidence to support your annual performance for physiotherapists opened on 1 review or an application for your next job. February. It ends on 30 April and you must renew your registration by What is expected of you? that date to continue working as a 2.5% The HCPC’s standards for CPD state that of physiotherapy physiotherapist. registrants must registrants to As part of the re-registration 1 maintain a continuous, up-to-date and participate in process, the HCPC selects 2.5 per cent accurate record of their CPD activities the audit of physiotherapy registrants at random 2 demonstrate that CPD undertaken is a mixture to participate in its CPD audit. Selected of learning activities relevant to current or participants have until the end of April to future practice submit a CPD profile showing how they meet HCPC 3 seek to ensure that CPD has contributed to standards, should you be selected. the quality of their practice and service As CSP adviser Nina Paterson wrote in her new delivery HCPCAudit

NEW INNOVATION 4 seek to ensure that their CPD benefits the service user Top tips for members: how 5 upon request, present a written profile (which must be their own work and supported by evidence) to prepare an audit profile explaining how they have met the standards or CPD Make time (to gather the information you need and to prepare, draft and In a nutshell, standards 1 to 4 are about engaging edit your CPD profile – it may take in CPD activities with outcomes that will positively longer than you expect. impact on your quality of practice, while standard 5 outlines what is expected from the CPD audit Update your log of CPD activities on process. Visit the HCPC website at bit.ly/1DDBZlc a regular basis – it will save time and for information about what is expected. Once you help you choose items critically. know, start to organise your information – looking for evidence you would like to include to show that you Read the letter and accompanying meet the CPD standards. information carefully and keep it in The CSP and HCPC adopt an outcomes-based front of you as you prepare. Refer approach to CPD, looking at the impact on personal to it regularly so you know you are and professional development in practice. Therefore, providing what is required. By following any learning opportunity has CPD potential and the instructions you will avoid the can occur formally or informally, at work or outside frustration and anxiety of having to it. If you’re not sure, look at the list of CPD activity resubmit information. Talk to us types on HCPC’s website at bit.ly/2jkHgNb You may want to include records from in-house Think broadly about what ‘evidence’ about a FREE training courses, team sessions, conversations with to include – the HCPC website gives your mentor/mentee, reflections from practice examples of the sorts of things you trial or client educator training days, reading, academic courses, could use. voluntary work … the list goes on. Each person’s CPD assessment. log is unique, so don’t be too critical. For the CPD audit, Talk to colleagues who have been 01559 the HCPC will accept examples from up to two years through the process already and ago, when you last registered. develop a network of critical friends 384097 to give you feedback. Writing your profile Once you have compiled your evidence, start drafting Don’t panic. You will be able to present your profile. This should include a summary of your evidence on what you have done and practice history and a statement of how you have met both the CSP and HCPC have resources the HCPC’s standards. Your list of CPD activity will to help you. help to show how you meet standards 1 and 2; the evidence of how your learning outcomes connect to your practice will show how you’re meeting standards 3 and 4. More information Making the link between your CPD activities and For more on CPD and HCPC registration, visit practice may seem difficult at first, but you could bit.ly/1DDBZlc approach this by listing your learning outcomes from Visit CSP’s ePortfolio and Learning Hub to access a each activity and then footmark how each has produced collection of CPD templates, tools and eBites, including definite outcomes in your practice. Alternatively, look the ‘Preparing for HCPC registration renewal/CPD audit at the information you have about practice and service 2018’ eBite . See www.csp.org.uk/node/796 delivery, and how your work benefits service users – to From Frontline: advice on learning from events do this, you need to analyse your behaviours, knowledge www.csp.org.uk/node/966168 Use your CPD profile and skills. Whichever way you decide, you should be able to show how you have developed your capacity to evidence your current practice and detail how it has to lead www.csp.org.uk/node/858816 progressed. Explore the links between learning, practice and This is a great opportunity to reflect on your development www.csp.org.uk/node/959866 achievements and to celebrate your development. fl

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636- 7 Networks Mar&cnetworkingh 201 8 NEC Birmingham, UK Frontline • 7 February 2018 37 12th successful year

p38 Register today for the UK’s leading event Networks&networking for improving the health and wellbeing

Catch up with news and announcements regarding the CSP’s work Frontline schedule of work-aged people. 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. 21 Feb 5 Feb 20 CPD conference programmes to choose from including: Reach out to members, previous colleagues and classmates through 7 Mar 19 Feb the info exchange, retirement groups, or reunions sections. 21 Mar 5 Mar Send the information you wish to include to: [email protected] • Managing MSDs and pain at work • Ergonomics 11 Apr 26 Mar • Vocational rehabilitation • Case studies from leading UK employers 2 May 16 Apr • Long term conditions and disability • And see The Chartered Society 16 May 30 Apr • Health promotion and fitness of Physiotherapy on stand 137 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 CSP’s 1394 or email: [email protected] Send your formal recognition processes unless explicitly stated. text and have your linage advertisement typeset by Frontline accepts advertisements in good faith and is Media Shed to our magazine house style. Add a box or not responsible for the content of advertised events shading to make your advert stand out on the page. (except those delivered by the CSP itself). In the Alternatively you can choose to send your completed event of queries or comments relating to a specific display artwork to Media Shed. Call to discuss rates. course or conference, please contact the relevant 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. use website. Go to: www.csp.org.uk/courseadverts

Register today at www.healthwellbeingwork.co.uk p60 Recruitment Supported by

l al r Advertise your vacancy, agency or service in o f Frontline, or online at www.jobescalator.com by es d t en ca tt T contacting our advertising agents, Media Shed, fi a A ti o V on tel: 0845 600 1394 or email: r t + ce w 5 [email protected] d o 5 n n £ a k ly o n d o o Send your completed display artwork or contact @HWatWork Health and Wellbeing@Work ve B r ro s. fo p o Media Shed to discuss typesetting options. p li s a o ay Alternatively submit your text for our linage D rtf d Organised by Sterling Events o th section. Call Media Shed to discuss rates. CP p o b & Frontline • 7 February 2018 39 Networks networking South East Coast Members will have the chance to If you would like to get more involved in participate in a question and answer session English networks news placement days to allow them to update their these events and activities, have an idea to the South East Coast network and help with following the briefing. Alternatively, members skills and knowledge in line with the HCPC contribute or would like to be considered activities and campaigning please contact: will also be able to join Ellen Hellard who will guidance of return to practice. to present at the events please contact the [email protected]. be running her interactive session on meeting If you think your service could support a regional honorary co-chairs, Lucy Cocker HCPC audit requirements that was so well returnee or you are aware of any AHPs or and Felicity Begley, at: eastmidlandschair@ Dates on events for 2018 will be published received at the 2016 event. HCSs looking to return to practice visit: http:// csp.org.uk soon online and in Frontline – watch this The event will also feature a short regional tinyurl.com/ycsecmj4 for further information. space! AGM when information about the network's The programme has a target of 300 To keep up to date with your region visit: www. achievements will be shared alongside English regional returnees by March 2019. For further csp.org.uk/nations-regions/east-midlands For news, events and updates from your visit: information about becoming a regional networks information email Paul Chapman, national Follow us on Twitter: @CSPEastMidlands www.csp.org.uk/nations-regions/south- volunteer. A buffet will also be provided. lead for return to practice (AHP and HCS) at: Like us on Facebook: @CSPEMRN east-coast The event is open for all CSP members News from the CSP English [email protected] Follow us on Twitter: @CSPSouthEast including retired, student, associate and full regional networks, branches West Midlands members. NHS and private practitioners are and country boards. To keep up to date with your region visit: www. If you are interested in helping to promote North East very welcome. csp.org.uk/nations-regions/london physiotherapy in the West Midlands and would Save the date! Date: Wednesday 21 March Follow us on Twitter: @CSPLondon be keen to support the network with events in Follow: @CSPNorthEast to be first in line to Time: 6pm-8pm Find out more at the region please email Mindy Daubeny, CSP secure your free tickets to this year’s popular Place: Best Western Heath Court Hotel, www.csp.org.uk/nations-regions East Midlands campaigns and regional engagement officer, CSP North East regional network’s events. Moulton Road, Newmarket, Suffolk CB8 8DY Direction set for East Midlands regional at: [email protected] • On Wednesday, 16 May the regional (the sat nav post code is CB8 8DU) activities in 2018 network will be hosting a half day afternoon Cost: Tickets are free of charge The CSP East Midlands regional network CSP West Midlands ERN AGM and event in Newcastle focused on innovation in Booking: Book today at: www.eoeagm. volunteers met in Kegworth in January to professional forum exercise. eventbrite.co.uk set the direction for regional engagement in Date: Monday 19 March • On Wednesday, 14 November the regional Contact: For more information on London 2018. Time: AGM (including election of core team) network will be hosting a full day event at physiotherapy apprenticeships visit: www.csp. National programme to support Allied Health Exciting plans for two large scale events 9.30am; ERN meeting 10am Teesside University, Middlesbrough focused org.uk/apprenticeships Professionals (AHP) and Healthcare Scientist were discussed with a decision made to focus Place: University of Birmingham on evidence in practice. Venues and full details For more information about the event please (HCS) to return to practice supported by the on clinical education and practice based Cost: Free to members are TBC and will be shared at the soonest email: [email protected] CSP London regional network learning and enhancing the reputation of opportunity. Last summer the government in alliance physiotherapy with decision makers in the To keep up to date with your region visit: www. To keep up to date with your region visit: www. with the Department of Health and Health region this year. csp.org.uk/nations-regions/west-midlands To keep up to date with your region visit: www. csp.org.uk/nations-regions/east-england Education England (HEE) announced an An event will be hosted to explore how Follow us on Twitter: @WestMidlandsCSP csp.org.uk/nations-regions/north-east Follow us on Twitter :@CSP_EoE #PhysioEast initiative to support Allied Health Professions members in the East Midlands can build Like us on Facebook: @WestMidlandsCSP Follow us on Twitter: @CSPNortheast Like us on Facebook: (AHP) and Healthcare Scientist's (HCS) to capacity for practice based learning. It will Like us on Facebook: @CSPNortheast @CSPEastofEnglandregionalnetwork return to work. The programme has since feature information on how members can South Central been expanded across all of England. The aim optimise capacity and support the profession’s CSP South Central needs you! East of England South West is to support AHPs and HCS to return to the growth and explore barriers that need to be We are actively recruiting more members CSP East of England needs you! Date for your diary – South West Physiotalk Peer knowledge workplace. overcome and create solutions to ensure the to join our core team. If you want the The CSP East of England regional network is Tweetchat on Monday 26 March and The programme can support future of our workforce. opportunity to help promote physiotherapy actively recruiting more members to join our If you are new to Twitter or a seasoned know-how physiotherapists whose HCPC registration A second event will focus on raising in your area and get some fantastic CPD then core team. If you want the opportunity to Tweeter, the South West are delighted to be has lapsed or those who have not registered awareness of the value of physiotherapy with please contact Mandy Pike or Marie-Clare help promote physiotherapy in your area and hosting a Tweetchat via Physiotalk to engage with the HCPC for more than five years decision makers and stakeholders in the East Wadley, CSP South Central joint chairs, by get some fantastic CPD then please contact: with members across the region. This will be since qualifying. The programme will allow Midlands. The aim of the event will be to emailing: [email protected] [email protected] to find out more about your chance to do some virtual networking them to return to the register. It is not help position physio at the leading edge of what’s involved and express an interest. and have some influence locally. A great open to overseas registrants who have not transforming health and social care in the East To keep up to date with your region visit: www. Are you interested in learning more about opportunity to link up with the local physio previously been registered with the HCPC or Midlands. csp.org.uk/nations-regions/south-central physio apprenticeships and the HCPC audit? community. Look out for more details in future returnees with fitness to practice against their In addition, the network will seek to Follow us on Twitter: @CSPsouthcentral The CSP East of England regional network issue of Frontline and on Twitter! registration. maximise networking opportunities by hosting Like us on Facebook, email: southcentralchair@ is hosting a free event on Wednesday, The programme is looking to signpost informal get-togethers throughout 2018 with csp.org.uk for the link. 21 March which will feature a briefing on To keep up to date with your region visit: www. lapsed returnees with placements with a focus on linking CSP members together at a physiotherapy apprenticeship developments csp.org.uk/nations-regions/south-west potential clinical providers. Both returnees and local level. To contact the Guernsey network email: by Sally Gosling, CSP assistant director of Follow us Twitter: @CSPsouthwest Keep connected providers will have access to financial support Event tickets will be offered free of charge [email protected] view the network practice and development. www.csp.org.uk/icsp and advice. Funding can only be claimed if the for CSP members. Follow: @CSPEastMidlands page on iCSP at: http://www.csp.org.uk/icsp/ Sally will provide an overview of the Yorkshire and Humber returnee has formally registered. to be the first to hear more details about guernsey-support fast-paced apprenticeship agenda and how Following the incredibly popular fully-booked The programme leaders are looking for regional activities and secure your place. apprenticeships can increase workforce supply regional network event that was hosted in York exclusive to CSP members providers to support clinicians with clinical If you want to get involved with delivering in the East of England. in January members are invited to watch > 40 Networks&networking Frontline • 7 February 2018 41

the presentations from the event online confident lesson delivery. This then progressed ERN secretary at email: [email protected] primary care services and an increased focus rehabilitation. Third sector representatives from via Twitter. Follow: @CSPYorksHumber and into simple exercises that could be practised on keeping people out of hospital and in the groups such as the Stoke Association Cymru, search for: #Physiofit4thefuture to find the in the classroom or at home to improve spinal To keep up to date with your region visit: www. community the statistics clearly show there is Leonard Cheshire Disability Cymru Wales, Carers presentations, which are themed on ensuring mobility and to try and facilitate a relaxed csp.org.uk/nations-regions/north-west still a need for more focus and investment in Trust, Age Cymru, British Lung Foundation that members are up-to-date and informed shoulder girdle to reduce tension and enable Follow us on Twitter: @northwestcsp community rehabilitation. Rehab matters, and Cymru Wales, MS Society Cymru, the Older about the legal side of practice. normal movement. Most of these exercises had no-one should miss out.' People’s Commissioner, Age Connects Cardiff been learned on the JEMS courses that I had Nansi and Aled described the importance and Vale, British Red Cross, Alzheimer’s Society To keep up to date with your region visit: undertaken, which have been invaluable to me CSP board news of the reassurance they received from the Cymru, Arthritis Care in Wales, Parkinson’s UK, www.csp.org.uk/nations-regions/yorkshire- and are highly recommended if you haven’t community rehabilitation team and how British Heart Foundation all attended the event. humber undertaken them yet. Wales apprehensive they had been at the start. Nansi As well as the form a speeches, CSP We concluded with some mindfulness and had been entirely independent and driving members had time to talk with guests and North West CBT apps and websites that could be accessed her car prior to breaking her leg. Once started have their pictures taken on the red carpet – Teachers from Roade Secondary School independently as needed. on the rehabilitation programme with Kirsty’s premiere style. in Northampton benefit from physio led The session was received very well, and has guidance she had come on leaps and bounds exercise By Rebecca Simpson led to a session being booked later in the month and was now walking with a stick. to teach GCSE students some mindfulness skills The cabinet secretary for health and social to help with the management of exam stress. services, Vaughan Gething (pictured below) also addressed the event. Coming on the same CSP North West ERN Professional forum day as the launch of the Parliamentary review Date: Monday 26 March of health and social care in Wales, (see page Time: 5.30pm food followed by meeting 6pm- Rehabilitation Matters – Film premiere in 14) he said that community rehabilitation 8pm Wales – 16 January 2018 services were vital and that professions such as Place: MMU, Brooks Building – Room TBC The film premiere of the CSP’s film physiotherapy would be key to delivering the Days Cost: Free to members Rehabilitation Matters in the National Assembly transformation that was needed. Contact: To confirm your attendance and for for Wales’ prestigious Pierhead Building on 16 Pictured above: Cardiff and Vale team here enquiries, contact Nena Mitchell, North West January was hailed as a great success. with three cabinet secretaries – the finance ERN secretary at email: [email protected] Physiotherapists, technicians and support secretary Mark Drakeford, the education workers from across Wales braved the weather secretary Kirsty Williams and the health and out CSP North West ERN Professional forum to attend the glittering event with its own social services secretary Vaughan Gething For Date: Tuesday 12 June red carpet. Assembly members, health board Pictured above: Teachers from Roade Secondary Time: 5.30pm food followed by meeting 6pm- service and corporate leads and third sector School in Northampton benefit from physio led 8pm organisations also attended. members exercise Place: Education Centre, Chorley Hospital As well as a screening of the film, there was a Cost: Free to members chance to hear from a local physiotherapist and Having worked with a senior teacher of a local Contact: To confirm your attendance and for one of her patients. only secondary school earlier in the year, I was enquiries, contact Nena Mitchell North West Senior physiotherapist Kirsty Jones from asked to present a session to 80 secondary ERN secretary at email: [email protected] Cardiff community resource team addressed school teachers on their training day in January. the audience along with her patient Nansi Everyday The work with the individual had included CSP North West ERN Professional forum Richards and Nansi’s son-in-law Aled Williams consideration of the impact of her working Date: Monday 17 September (pictured below). postures and tension on the symptoms that she Time: 5.30pm food followed by meeting 6pm- deals & had presented with, which she felt would be of 8pm benefit to the staff in general. Place: MMU, Brooks Building – Room number Speaking about community rehabilitation he discounts We started the session trying to think about TBC said, ‘We get it right a lot of the time but we the least effort required to complete a task, Cost: Free to members have to do something to make best practice CSP Plus which was the reverse to what many had Contact: To confirm your attendance and for our standard. Our hope is that in one year, two is a member-only benefit. anticipated from the session, and I think a enquiries, contact Nena Mitchell, North West years, three years services are consistently good, Pictured above: Dr Dai Lloyd AM, Nansi The scheme provides welcome change, especially as the session was ERN secretary at email: [email protected] which means crucially, better outcomes for Richards, Kirsty Jones and Aled Williams discounts and offers on lifestyle and at the end of a long training day! citizens of Wales.’ professional We worked on awareness of breathing into CSP North West ERN Professional forum ‘The staff we want – the AHPs – are really The event was sponsored by Dr Dai Lloyd AM, products the upper, lower, lateral and posterior ribcage to Date: Tuesday 4 December Nansi recently fell and fractured her neck of good at working across disciplines and settings. the chair of the health, social care and sport and services. be aware of how they were breathing, and how Time: 5.30pm food followed by meeting 6pm- femur requiring surgery and post operatively This is really important for our whole approach committee in the assembly. Dr Dai also made they could modulate it, with positive reduction 8pm she has been receiving rehabilitation in the to health and care for the future.' the case for more investment in physiotherapy in tension levels. We moved on to consider Place: Education Centre, Chorley Hospital community. Kirsty provided a clear view of the There was tremendous support for the event in the community. As a practicing GP he was Log-on to to see how standing posture and simple changes that Cost: Free to members importance of community rehabilitation and from third sector organisations and a range speaking from personal experience and he also much you could save could ease tension and improve the image they Contact: To confirm your attendance and for she said, of them have provided quotes of support and highlighted the importance of first contact were portraying to their students to give a more enquiries, contact Nena Mitchell, North West 'Whilst we have seen developments within views about the importance of community physiotherapy in general practice. > www.csp.org.uk/cspplus 42 Networks&networking Frontline • 7 February 2018 43

Professional networks news Manchester on 19 and 20 March. Three types rehabilitation assistants area is dominated by cognitive neuroscientists 1. to discuss postural and motor control, NB. Places are limited to 20, your place will of awards, distinguished service, fellowship, • joint working with complex cases and experimental psychologists and tends neuroplasticity and motor learning in to be held on receipt of application form and and honorary fellowship will be awarded. Full • developing guidelines, pathway processes to focus exclusively on visuo-spatial function. recovery of function in the neurological payment. Lunch will not be provided. There is details are available at: www.acpin.net and documentation to improve services for However, while our knowledge of the problem patient a canteen available on site. The course will be spinal trauma patients has expanded over the years, benefits to patients 2. to have an understanding of factors that followed by the Sussex ACPIN annual general Association of Chartered Physiotherapists in • using audit to build a successful business have not followed as one might have hoped. I influence task practice and skill acquisition meeting to which all are invited. Neurology (ACPIN) – London case to increase staffing within an acute will discuss some of the underlying principles 3. to develop human movement analysis London ACPIN Service improvement/research neuroscience service that guide our understanding of neglect and skills, especially in relation to specific task Association of Trauma and Orthopaedic Professional half-day: 'Showcasing service improvement Date and time: Saturday 24 February, 9am then focus on some of the implications for analysis – to progress treatment Chartered Physiotherapists (ATOCP) and innovation' registration for 9.30am start, to 1.30pm movement and function, suggesting directions intervention and task practice in the ATOCP Awards networks London ACPIN’s research morning is taking Place: Basement Lecture Theatre, 33 Queen for rehabilitation. neurologically impaired patient. The 2017 ATOCP Awards are now open for Courses and events from on a slightly different spin this year, looking to Square WC1N 3BG Date: Wednesday 14 March, 6.15pm-7.30pm Tutor: Clare Fraser, BBTA tutor, clinical entries. Please see website: http://atocp. CSP recognised professional showcase service improvement initiative from Cost: ACPIN Members £10, non-members £15 Speaker: Dr David Punt director at Therapy Matters, neurological csp.org.uk for more information. Categories workplaces across London. Come and hear Contact: Registration is via Eventbrite: Place: Lecture Theatre 1, School of Sport, physiotherapy and rehabilitation clinic. include doctorate, MSc, professional (eg: audit) networks. Share your events about new pathways, guidelines, outcome https://www.eventbrite.co.uk/e/london-acpin- Exercise and Rehabilitation Sciences, University Date: Saturday 10 March 8.45am-4.30pm, and undergraduate. Prizes of £250. here free of charge. measure and much more that have been service-improvementresearch-half-day- of Birmingham, Edgbaston, Birmingham B15 Sunday 11 March 9am-1pm The ATOCP has opened more local branches developed. There will be a chance to speak tickets-42230098361 2TT Place: Therapy Matters, Aldford House, Bell and now runs several education evenings in the Send an email to with the presenters and hopefully take away Cost: Free for ACPIN members and students, Meadow Business Park, Park Lane, Cuckoos following areas: Scotland, North West, South [email protected] lots of good ideas for your workplace. Association of Chartered Physiotherapists in £2 for non-members Nest, Pulford, Chester CH4 9EP Wales, Oxford, South and London. If you Topics include: Neurology (ACPIN) – West Midlands Contact: To register attendance please email: Cost: ACPIN Members: £90, non ACPIN require any further information please email: • developing an outcome measure for Presenting our AGM and lecture: [email protected] members: £110 [email protected] Prolonged Disorders of Consciousness Half a world away: The neglect syndrome To book: Please contact: [email protected] ATOCP Annual conference 2018 Association of Chartered Physiotherapists in (PDOC) following stroke Association of Chartered Physiotherapists in to request an application form to book a place. The ATOCP are delighted to announce links Neurology (ACPIN) • innovative practice and tools for prioritising Formally defined as an inability to report, Neurology (ACPIN) – Kent with the British Orthopaedic Association ACPIN Awards 2018 caseload management across a diverse respond or orient to stimuli on the side of space BBTA Short course: Ataxia Association of Chartered Physiotherapists in (BOA). For 2018 the ATOCP annual conference The ACPIN 2018 conference will host the third neurosciences service opposite a brain lesion, neglect predicts poor Tutors: Ann Holland and Janice Champion Neurology (ACPIN) – Sussex will be run out of the British Orthopaedic ACPIN awards ceremony. The conference • facilitating discharge from in-patient outcome following stroke and is often a major Date: Saturday 12 May Sussex ACPIN are pleased to offer a study Association Congress (http://congress.boa. will be held at the Hilton Hotel, Deansgate, settings using community team barrier to effective rehabilitation. Research in the Place: Stroke Gymnasium, Maidstone Hospital, day: Posture management and seating ac.uk/) which is taking place 25-28 September Maidstone Date: Saturday 3 March,10am-4pm at the ICC in Birmingham. This one day course aims to augment Speakers: Jane Pratley and Rachel Wilson, For the tremendous rate of £70 ATOCP knowledge and skills and will focus on physiotherapists, posture care and seating members will be able to obtain associate rehabilitation for people with cerebellar specialists BOA membership, including attendance at ataxia, reviewing aspects of neuroanatomy Place: The Friends Physiotherapy Gym, all four days of BOA congress. The ATOCP CSP 2018 and neurophysiology. Participants will Eastbourne District General Hospital, Kings annual conference will run on the Wednesday Council elections develop their clinical reasoning skills Drive, Eastbourne BN21 2UD with invited speakers and a scientific abstract through a patient workshop and practical Cost: ACPIN members £40, non-ACPIN session for physiotherapy research. We will sessions aimed at enhancing clinical members £60. also hold our AGM on the day. This is a great effectiveness. Suitable for both physiotherapists and opportunity to demonstrate the quality The course will provide participants with occupational therapists. of physiotherapy work to our trauma and the opportunity to review the current evidence Learning outcomes: orthopaedic peers multidisciplinary team. YOUR VOTE base as well as identify and modify existing • to understand the principles behind postural Call for abstracts for congress is now open knowledge in relation to practice based on the care and when it is required and will close 7 February. More information Bobath concept. • to be able to carry out a postural assessment, is available on the BOA website. You will see Cost: ACPIN Members £65, non-members £80 including a physical assessment in lying and on the website that there is a specific abstract includes refreshments (but not lunch). sitting category for physiotherapy/rehabilitation Contact: Email: [email protected] to book your • to be able to identify the key postural (ATOCP). So please submit any appropriate MATTERS! place or for further information. Booking restraints and considerations work. Members of the ATOCP executive deadline 1 March. • to understand the principles of protecting committee will be helping to review abstracts, Choose from candidates with different skills, backgrounds and a wide body shape in lying and sitting and ways to so if you have any questions please contact us variety of professional experience to elect a Council that reflects the Association of Chartered Physiotherapists in achieve this at: [email protected] Also if you would talent and breadth of our membership. Neurology (ACPIN) – Merseyside • to raise awareness of the role and choice of like to be involved in supporting the conference The Bobath concept: The 24-hour approach equipment in postural care in any way possible then get in touch. Check your post for your election pack and get voting before the ballot to recovery and functional skill acquisition • to understand the importance of person Finally this fantastic offer is only available closes on Monday 26 February to ensure your vote counts. in neurological rehabilitation – A problem- centred and collaborative working in postural to ATOCP members, now is a great time to join solving workshop care. if you aren’t already a member. To do so visit: For more information go to www.csp.org.uk/council2018 This day and a half day themed workshop will Contact: Rebecca Cooper at: rebeccacooper@ http://atocp.csp.org.uk/join-us > cover the following learning outcomes: me.com 44 Networks&networking Frontline • 7 February 2018 45

Pelvic, Obstetric, Gynaecological £345 non-member Cost: Early bird fee of £250 POGP member/ [email protected] Cost: £320 members, £380 non-members Physiotherapy (POGP) Understanding pelvic organ prolapse – affiliate, £300 non-member for all bookings Follow us on Twitter: @ThePOGP Office workstation ergonomics (DSE) level 1 Physiotherapy assessment and assessment and conservative management confirmed before 31 January; thereafter fees Check out: pogp.csp.org.uk for information Date: 2-3 March management of female urinary dysfunction Date: 19 May of £300 POGP member/affiliate, £350 non- on bursaries and funding opportunities. Place: TBC most likely to be Guildford, Surrey Date: 2-4 March Place: Milngavie, Glasgow member Assessing fitness for work and function Place: Scunthorpe, North Lincolnshire Cost: £125 POGP member/affiliate, Advanced pelvic floor course: In-depth Acupuncture Association of Chartered Date: 16-17 March Cost: £350 POGP member/affiliate, £160 non-member assessment, differential diagnosis and Physiotherapists (AACP) Place: Islington, London £420 non-member Physiotherapy assessment and management advanced treatment techniques for complex AACP 2018 Annual acupuncture conference Cost: £300 ACPOHE members only Understanding pelvic organ prolapse – of lower bowel dysfunction female pelvic pain and pelvic floor muscle – Booking now open Occupational rehabilitation and work assessment and conservative management Date: 15-17 June dysfunctions Date: 19 May hardening Date: 17 March Place: London Date: 14-16 September Place: The Hilton, Reading Date: 21-22 April Place: London Cost: £325 POGP member/affiliate, £395 Place: Chertsey, Surrey Upcoming CPD courses Place: Ashbourne Cost: £125 POGP member/affiliate, non-member Cost: £325 POGP member/affiliate, Electroacupuncture, cupping and Gua Sha Cost: £300 ACPOHE Members only £160 non-member Paediatric incontinence and pelvic floor £395 non-member Date: 2 March Office workstation ergonomics (DSE) level 1 Advancing your skills into men’s health – dysfunction Advancing your skills into men’s health Place: Peterborough Date: 8-9 June Part 1: Physiotherapy assessment and Tutor: Dawn Sandalcidi Part 1: Physiotherapy assessment and AACP Basic acupuncture foundation courses Place: TBC most likely to be Guildford, Surrey management of lower urinary tract Date: 7-8 July management of lower urinary tract Expand your skillset and increase patient Introduction to applied ergonomics symptoms Place: Bradford symptoms choice by training in acupuncture with the Date: 14-15 September Date: 21 April Cost: Early bird fee of £250 POGP member/ Date: 29 September AACP. Our foundation courses have been Place: Islington, London Place: Wishaw, Glasgow affiliate, £300 non-member for all bookings Place: Milton Keynes designed to offer you a level of knowledge, Cost: £300 members, £360 non-members Cost: £125 POGP member/affiliate, confirmed before 31 January; thereafter fees Cost: £125 POGP member/affiliate, skill and understanding that will allow you to Contact: Administrator Tracy Long on tel: £160 non-member of £300 POGP member/affiliate, £350 non- £160 non-member practise acupuncture in a safe and appropriate 01284 748202 or email: acpohe@buryphysio. Physiotherapy assessment and member Contact: For further details of the POGP manner, in a clinical setting. co.uk Night management of pregnancy related Paediatric incontinence and pelvic floor short course programme or to download an Dates: 17, 18, 24 and 25 February musculoskeletal conditions – Part 1 dysfunction information pack for any of the above courses, Place: Rochdale Medico Legal Association of Chartered Date: 11-13 May Tutor: Dawn Sandalcidi please visit the POGP website at: Dates: 24 and 25 February 3 and 4 March and Physiotherapists (MLACP) Place: Wishaw, Glasgow Date: 13-14 July http://pogp.csp.org.uk/courses-events 14 and 15 April Paediatric and adult neurology: The role of Cost: £275 POGP member/affiliate, Place: Ascot Email our course administrator at: Location: Wirral the physiotherapist as an expert witness out Dates: 3, 4, 17 and 18 March, 28 and 29 April Date: Wednesday 25 April and Thursday 26 For Location: Salisbury April Cost: £495 – Including one year’s full Place: CSP, 14 Bedford Row, London WC1R membership of the AACP with many benefits 4ED members Contact: To book, visit: www.aacp.org.uk Cost: £300 MLACP members, £350 non- > Training and Conferences > Foundation members Courses or CPD Courses Contact: For further details email: info@mlacp. only Tel: 01733 390007 #3 org.uk or email: [email protected] CSP members Email: [email protected] or visit: www.mlacp.org.uk Save 10% AACP Grants Everyday AACP have a number of grants available for Musculoskeletal Association of Chartered AACP members. For more information please Physiotherapists (MACP) contact Mindy Cairns, AACP research advisor, Spinal masqueraders: Expanded deals & at: [email protected] or see the AACP Following on from the highly regarded spinal website: www.aacp.org.uk masqueraders study day, the MACP have discounts developed a further stand-alone course Association of Chartered Physiotherapists designed to enhance awareness and clinical CSP Plus in Occupational Health and Ergonomics reasoning in the management of non- is a member-only benefit. (ACPOHE) musculoskeletal causes of back and radiating The scheme provides ACPOHE is the CSP professional network leg pain. Spinal masqueraders: Expanded discounts and offers on lifestyle and Hotels Rail Flights Eurostar Theatre Minicruises Theme Parks Attractions for physiotherapists working in occupational covers new issues not covered on the original professional health and ergonomics. Registered members study day. products Looking for an inspiring short break in the UK or Europe? of ACPOHE are physiotherapists who have Developed from delegate feedback and services. demonstrated specialist competency in and evolving evidence, attendance on You can book every element of your break in one place the fields of occupational health or the original masqueraders study day is not Log on at www.csp.org.uk/cspplus or call 01904 436 002 quoting “HB278” ergonomics. a prerequisite to this course. Knowledge Log-on to to see how Introduction to applied ergonomics and skills gained from the first course will much you could save Date: 23-24 February however be further enhanced and new skills Place: Snow Hill, Birmingham accrued. www.csp.org.uk/cspplus No debit or credit card fees. ATOL protected and ABTA bonded > 46 Networks&networking Frontline • 7 February 2018 47

Date: 17 February, 9am-4.30pm (Registration patellofemoral pain. Most importantly, this Contact: Michael Keane at: National Hospital for Neurology and advanced critical thinking skills underpinning Louise Tisdale at: bacparossurmay2018@ 8.30am) course will provide you with the practical [email protected] Neurosurgery WC1N 3BG best practice across a range of complex gmail.com Place: The Royal London Hospital, Outpatient and clinically applicable knowledge and See: www.neshands.co.uk Tel: 01227 783195 Topic: Vestibular treatment musculoskeletal pathologies. Therapies Department competences when you encounter a patient Wrist (NES) Speakers: Professor Susan Herdman, Emory To enable delegates to critically reflect on Cost: £110 MACP members, £130 non- with patellofemoral pain. Date: 25-27 April University, USA; Dr Dara Meldrum, Dublin, all aspects of the consultation/assessment Other networks/groups members Date: Saturday 14 April Place: Chesterfield Royal Hospital Ireland; Dr Edward Roberts, Imperial College process within their area of practice. Facilitators: Laura Finucane, consultant Place: The Royal London Hospital, Contact: Sarah Barnard at: sarahbarnard1@ London, UK; Dr Marco Mandalà, Siena Attendees will hear from medical and musculoskeletal physiotherapist, East Surrey Whitechapel Road, London E1 1BB nhs.net See: www.neshands.co.uk Tel: 01246 University Hospital, Italy physiotherapy consultants, physiotherapy CSP Diversity Networks Hospital. Christopher Mercer, consultant Cost: £130 MACP member £140 non- 512177 Description: Join us for this exciting study advanced practitioners and researchers who The CSP diversity networks are for any musculoskeletal physiotherapist,Western members Splinting: A clinical reasoning approach day and AGM with the world renowned are all experts in their field. members who self-identify as disabled, are Sussex Hospitals. Sue Greenhalgh, consultant Facilitators: Simon Lack MSc (sports and Date: 24-26 June Professor Susan Herdman and other Cost: £60 members, £90 non-members from black or minority ethnic (BME) groups musculoskeletal physiotherapist, Bolton exercise medicine) BSc (Hons) MCS and Place: Chelmsford, Essex international speakers. It is for clinicians of all Contact: Online bookings only at: or are lesbian, gay, bisexual or transgender Primary Care Trust Bradley Stephen Neal MSc (Adv Phys) BSc Contact: Debbie Miles at: hand-ed@outlook. levels of experience looking to increase their www.esp-physio.co.uk (LGBT+). Please come along to network Contact: Book at: www.macpweb.org or (Hons) MCSP com knowledge and understanding of vestibular meetings for discussion, peer support, contact Terry Smith at: [email protected] Book at: www.macpweb.org or contact Terry Optimising soft tissue repair rehabilitation. British Association of Chartered CPD and a warm welcome. or tel: 01202 706161. Smith at: [email protected] or tel: 01202 Date: 21-23 September Contact: Programme and registration: Physiotherapists in Amputee Rehabilitation Upcoming meetings: Manual therapy in early-stage knee 706161. Place: Mount Vernon Hospital, Northwood https://acpivr2018.eventbrite.co.uk (BACPAR) BME Network rehabilitation Contact: Nikki Burr/Ella Donnison, email: In conjunction with Ossur, BACPAR will be Date: 25 September The early-stage of rehabilitation after acute Physio First [email protected] Tel: 07766554787 Advanced Practice Physiotherapy Network holding the following study day: Disabled members network knee injury and surgery is the most important Physio First AGM 2018 – East Midlands Surgery and therapy management of flexor/ (APPN) Predict, measure and improve: management Date: 9 October stage of a rehabilitation process intended Conference Centre extensor tendon injuries to the hand Making the most of the consultation – of expectations and optimising outcomes in LGBT+ members network to restore knee functional joint stability. The The annual general meeting, open to all Date: September Practical management of MSK conditions for amputee rehabilitation Date: 13 November purpose of this course is to present a rational, members of Physio First, will take place in Place: Queen Elizabeth Hospital, Birmingham advanced practice physiotherapists Date: Monday 21 May Place: All meetings are held at the CSP in evidence-informed, multi-modal approach Nottingham on Saturday 28 April at 4.05pm Contact: Suzanne Beale, email: suzanne. Date: 27 April Place: Wolverhampton Science Park, WV10 London to integrating manual therapy, taping, and Physio First members are invited to submit [email protected] Tel: 0121 3713488 Place: Holiday Inn, Coventry 9RU Contact: Please contact Gill Feldman at: exercise therapy. Emphasis is placed on clinical motions for inclusion on the Agenda of the AGM. Radiographic imaging of the hand This day aims to promote and update Contact: For further information contact [email protected] with any queries. > reasoning, practical manual therapy, taping, and These must be proposed and seconded and Date: 3-5 October exercise therapy techniques that are targeted at reach the Physio First office by Monday 29 Place: University of Derby Enterprise Centre enhancing knee joint mobility, proprioception, January. Please address your submissions for Contact: Ella Donnison, email: linda.tozer1@ and neuromuscular control in early-stage knee the attention of our Secretarial Support Team, nhs.net Tel: 01332 786964 rehabilitation for acute injury and surgery. and send to: Physio First, Minerva House, PIPJ (NES) Facilitator: Dr Nicholas C. Clark, PhD, MSc, Tithe Barn Way, Swan Valley, Northampton, Date: 6-8 December MCSP, MMACP, CSCS Northamptonshire NN4 9BA or email: Place: Queen Alexandra Hospital, Portsmouth Date: Saturday 3 March [email protected] Contact: Gemma Willis at: gemma.willis@ Approved partner Registration: 8.30am-9am, course runs 9am- Private Physiotherapy Education Foundation porthospi.nhs.uk See: www.neshands.co.uk 5pm (PPEF) AGM 2018 Tel: 02392 286130/02392 286899 Place: Therapies Department, The Royal The AGM of the PPEF will take place on Burn injuries of the hand and upper limb London Hospital, Whitechapel Road, London Saturday 28 April at 1pm, at the Date: TBC E1 1BB East Midlands Conference Centre, Nottingham. Place: Park Inn Hotel, Nottingham Cost: £125 MACP members, £135 non- Contact: Nicole Glassey, email: n.glassey@ members British Association of Hand Therapists (BAHT) ntlworld.com Tel: 07901500713 UP TO * Contact: Book at: www.macpweb.org or Level 1 courses Level 3 courses contact Terry Smith at: [email protected] Date: 16-18 May B94027 Contemporary practices in injection or tel: 01202 706161. Place: Mount Vernon Hospital, Middlesex therapy (upper limb) 20% OFF Moving beyond exercises for managing Contact: Juliette Bray on tel: 020 7317 7703 Date: February OFFICIAL UNIFORMS patellofemoral pain: Expanding the need for email: [email protected] Place: Nottingham EXCLUSIVE TO CSP MEMBERS tailored management Date: 12-14 September Contact: Sharon Goodwin, email: Sharon. This exciting, practical and innovative course Place: London [email protected] Tel: 0115 will focus on tailored treatment and how it Contact: See: www.neshands.co.uk 8231927. can be applied in clinical practice. The tutors Date: 28-30 November will present methods for identification of the Place: Enterprise Centre, Derby Association of Chartered Physiotherapists www.csp.org.uk/grahamegardner primary symptom driver and examine tools Contact: Linda Tozer on tel: 01332 787491 Interested in Vestibular Rehabilitation that can be easily adopted within the clinical email: [email protected] (ACPIVR) 0116 255 6326 setting. Level 2 courses ACPIVR AGM and study day 2018 with This course will provide you with a PIPJ (NES) Susan Herdman broader approach to understand, stratify Date: 25-27 January Date: 19 May *CSP member discount has been applied to all prices shown online and manage individuals with a diagnosis of Place: William Harvey Hospital, Ashford, Kent Place: Lecture theatre, 33 Queen Square, 48 Networks&networking Frontline • 7 February 2018 49

Charity events reports ‘On New Year’s day we organised a “Soup symptoms to be included in the symptom index ‘They are an amazing charity and I really Info exchange Walk” for local families,’ she says. ‘Despite rain would be: want to help them raise money to continue the and mud, over 100 walkers joined us to raise • persistent and often severe bleeding which is great work they do,’ Chris told Frontline. JOIN UP! Physio campaigns for gynaecological sarcoma hundreds of pounds. Our next event is the worsening He has set up an event called A History of Physiotherapy in the Army Part III February Chichester 10km and we have over • sudden or rapid increase in fibroid size, #ChallengeChris2018 made up of 12 tough Part III of 'A History of Physiotherapy in the 100 runners.’ particularly in post-menopausal women fitness events, one each month. Army' can be found at: http://bit.ly/2DGD1FY CSP Equality and She says that despite having worked in • abdominal pain ‘They’re all being set by my friends and This covers the period from 1920 when the Networks women’s health for a long time and treating • increasing awareness of lumps in the family, I just have to accept them.’ Society changed it's name to the Chartered Diversity women’s cancers, she did not see people with abdomen. Last month he did a five-mile night run Society of Massage and Medical Gymnastics to welcome members of gynaecological sarcoma. ‘All the above, the symptom index could through the forest of Dean in the dark with 1939 the start of WW2. the CSP who are disabled, In October 2016, however, she was result in earlier diagnosis of this hidden cancer, nothing but a head torch for light. diagnosed with a rare gynaecological sarcoma, access to appropriate and timely treatment and ‘It was probably the toughest run I have from black minority ethnic uterine leiomyosarcoma, and is currently better chances of survival,’ she says. ever completed, I never expected it to be so (BME) groups, or are receiving palliative care. She believes that if this You can help Melanie to raise money for this tough but I was wading through mud, skidding lesbian, gay, bisexual type of ‘hidden cancer’ were picked up earlier, cause by donating directly to her fundraising down hills and tripping over fallen trees. My Pictured above: Melanie de Lacy completing a survival rates could improve significantly. page at: http://bit.ly/2mmkEw9 whole body hurt so much but all worth it for the or transgender (LGBT+) Chichester half marathon in October 2017 She says that sarcoma is an uncommon soft JustGiving sends donations straight to donations.’ tissue and bone cancer and accounts for one Sarcoma UK and automatically reclaims Gift Aid On 9 February he was due to do a nine-mile Melanie de Lacy, who has 10 years’ experience per cent of all cancers. Gynaecological sarcoma if you are a UK taxpayer. mud/hill run in Gloucestershire. Next month as a specialist physiotherapist in pelvic floor accounts for 13 per cent of all sarcoma and only he is travelling to Vietnam to climb 3,143m Mt rehabilitation at the Spire Portsmouth Hospital, three per cent of gynaecological cancers. Physio sets himself a dozen tough fitness Fansipan. believes that awareness of gynaecological Sarcoma UK is recommending the events for grieving childrens' charity Pictured above: Anatomy class Royal Victoria sarcoma among health professionals is low. development a symptom index for Chris Jones, a physiotherapist in Swindon is Hospital 1950's. She is striving to remedy this by raising gynaecological sarcoma. This could be used by fundraising for Winston's Wish, a charity that money for charity Sarcoma UK and has health professionals and the general public. supports grieving children who have lost family achieved more than £16,000 so far. Melanie says that the main red flag members. reunions

University of West of England, Bristol School of Physiotherapy and School of Radiography, 1995-1998 Are your Hello all, it is 20 years this year since we qualified! It would be lovely to see as many of you as possible back in Bristol on the weekend circumstances of 28 July. Venue etc to be confirmed. We have a facebook page where there has already The main event is a kayak ride covering 140 been some chat about getting together. changing? miles from Lechlade in Swindon to London. It If you would like more information, please will take five days, being on the river eight hours contact Sarah Clifford (nee Sarah E Evans) at: You could be taking a career break, per day. [email protected] for more details. looking to practise overseas, heading ‘It will be the biggest physical and mental on maternity or parental leave or challenge of my life,’ Chris said. Prince of Wales' School of Physiotherapy considering retirement. Other challenges planned include the Great 1975-1978 For more details go to: Bristol 10km in May, the 100m cycle Ride Did you attend the Prince of Wales' School of Whatever your circumstances, London in July, the Cheltenham half marathon Physiotherapy between 1975 and 1978? This year www.csp.org.uk/ stay up to date and connected, in September along with other events in April, it will be 40 years since we qualified and a reunion diversity at a reduced fee, using your August, October, November and December. is in order! It will probably be in the summer and in CSP membership. ‘It's going to be the toughest year both London so if you would like to attend or if you are or email: physically and mentally, especially the kayak, as in touch with any other members of that set then I have never done everything more than a half please contact Maggie Lewis (nee Robinson) at: [email protected] marathon before.’ [email protected] Contact the Enquiries Team Chris has set a target of £5,000 ‘but to raise more than that would be amazing and Guy's Hospital School of Physiotherapy 1969 something I'd be so proud of.’ - 1972 D Set 020 7306 6666 His donations page is www.justgiving.com/ Nine of the D set are in touch with each other, www.csp.org.uk/membership fundraising/challengechris2018 but we have lost contact with several others. Are you out there, or does anyone know the > 50 Networks&networking Frontline • 7 February 2018 51 whereabouts of any of these members? Bridget students would be interested in a reunion in an open-air school in Salisbury. She found the community physiotherapy services, and latterly water colourist. We had all at one time She retired from private practice having King (Booth), Ginny Humphries (Sykes), Heather Liverpool next summer? I would love to catch open-mindedness of the doctors liberating, developing the role of physiotherapists in GP or another received one of Cecily’s thoughtful worked for over 30 years in the NHS, including a Bright (Strange), Liz Pote and Tessa Hamblin. up with you. If you are interested, email me as physiotherapists were expected to make surgeries and primary care. Her later research hand written notes or cards. However busy she six-year spell at Stratford Hospital. We would love to hear from you, and you at: [email protected] or visit my their own treatment decisions; there were no work in physical disability continues to inform always made time for a personal touch, and we Roy Lodge, a former mayor himself, might even like to join us at a Guy's reunion in Facebook page (Lesley Walters), or the FB prescriptions. many areas of physiotherapy practice. She is will treasure those communications. Above all, remembered a council colleague but above all 2019! Please contact: [email protected] page I have set up called Royal Liverpool Premonitions of impending political perhaps best known for her work in the area of the eulogy emphasised what fun Cecily was to a friend: Hospital College School of Physiotherapy 78- problems encouraged the family, now with recovery from stroke and she led a number of be with, a view we all share. 'Joan and I first met when in 1997 we were Combined Training Institute, Cardiff School of 81. Lesley Walters (nee Pritchard). three young children, to move to Durban where NHS Trust-based projects on research and the Fiona Jones, Christine Bithell, Sue Edwards both standing in the local elections for the Physiotherapy, 1985-1988 Cecily again worked with disabled children development of stroke service initiatives. Her district council and canvassing in Alveston and This year we are 30 years qualified, and we Guy's Hospital School of Physiotherapy for two years. Returning to England in 1965, research produced many seminal publications Joan McFarlane Bridgetown. That was the beginning of our (Gwyn, Saskia and I) reckon if that is not a good 1975-1978. B and C Sets and settling in Hythe on the Kent coast, Cecily providing valuable information on recovery friendship and civic relationship. I have been enough excuse to meet and do some serious Let's have a 40 year reunion. Ali, Beth, worked as a senior physiotherapist organising patterns and the rehabilitation process from the indebted to her ever since for her support and catching up, nothing will be. Maggie, Mary, Sally and Sue Rogers are in rehabilitation services for elderly people in two perspectives of patients and carers. guidance and above all for her considerable We are proposing to meet over the weekend touch with each other and we would like units in South East Kent. Cecily founded two widely respected wisdom and experience that she shared with me. of 12-14 October back in Cardiff, with one main to meet up with the rest of our two sets During this time, with a young family, peer-reviewed physiotherapy research 'Above all else it was her down-right honesty event on Saturday 20 October. Please contact this year. Please get in touch and then we and immense discipline, Cecily completed a journals, Physiotherapy Practice in 1983, and and integrity that impressed me most and the me at: [email protected] not can arrange a convenient date and venue. BA(Hons) psychology at University College, Physiotherapy Research International in 1994, personal concern she had for the people she only to confirm your ability to join in, but with Contact: [email protected] London. This led to her appointment as both of which have international readerships. represented as a former mayor and councillor. ideas and contact details of any people you research associate to professor Michael She originated and was first chairman of the 'Although Joan had her moments she was know who were in our class so we can get the Warren of the Health Services Research Unit Physiotherapy Research Society, at whose much loved by those who understood her. message out to all. Obituaries (HSRU), University of Kent, where she worked scientific meetings presentations from She was funny, she was resilient, autocratic, I am looking forward to the clogging of my on a descriptive study of 14 pilot schemes of new researchers were actively encouraged. controversial, she was stubborn, she was caring, inbox with your enthusiasm. Dr Cecily Partridge physiotherapy in community settings. The Cecily was also a founding member of Tribute has been paid to former Stratford mayor she had a deep heartfelt concern to stand Bhanu, on behalf of the reunion posse! delivery of physiotherapy services had been the British Stroke Research Group and the and long-time councillor Joan McFarlane who up for the overlooked, the voiceless and the intentionally limited to hospital settings from Society for Research in Rehabilitation. She has passed away aged 86. scapegoated. Guy’s Hospital C and D sets 30 years qualified the beginning of the NHS, and the report was also an invited member of numerous The proud Stratfordian of 35 years standing, 'She had a rather serious face that burst into reunion Physiotherapy in the Community (Partridge health and research advisory committees. was elected to Stratford Town Council for the sunshine when she smiled which she did a lot, We have 11 of us so far planning to meet on and Warren, 1977, DHSS) was instrumental in For her considerable academic and service first time in 1987, and to Stratford District and to laugh with her was time well spent. But 30 November in London, close to Guy's, venue the policy reversal leading to the development development contributions to the profession, Council in 1999. The mum of three was also a more than this she was humane, wise, reflective and time to be confirmed. If you are interested of services in community settings and Kingston University awarded Cecily an honorary keen historian and wrote books titled ‘Historic and if she thought something was up or wrong in attending and receiving more information patients’ homes. In 1978 Cecily was awarded doctor of science degree in 2005. Cameos’ chronicling lesser known aspects of she’d take you on and state her case. There please email Nicola Ellis (nee Montgomerie) at: a fellowship of the CSP in recognition of her After retirement in 1994 Cecily remained the town’s history. was steel in her when it came to her principles. [email protected] Hope you can outstanding contribution to the profession. an emeritus reader at Kings College London Joan had her own historic claim to fame. She wasn’t perfect – she was human. She had come – please let people you are in contact with Continuing as a Research Fellow at HSRU, Cecily and became an Honorary Reader at the In 1948 while an 11-year-old schoolgirl in an instinctive feel for public appetite always know too. It is with much sadness that we record the pursued her interest in the psychological factors University of Kent, where she continued to Worcestershire she became one of the first thinking about what the public wanted, needed death of Cecily Partridge, a senior colleague, affecting recovery from physical disability supervise and encourage her research students civilians to ever be given penicillin, after she and expected and with a natural talent for St Thomas’s School of Physiotherapy mentor and friend to us all; yet we are glad to culminating in the award of her PhD in well into ‘retirement’. We valued Cecily’s developed a leg infection which was diagnosed persuading the best out of all who worked for 1985-88 have the opportunity to reflect on a remarkable psychology by London University in 1985. approachable style, constant encouragement as osteomyelitis. her and with her. She was wise, clear-thinking, This year marks 30 years since we qualified, and distinguished career in physiotherapy and a In 1983, when the Centre for Physiotherapy and positive outlook. She had a unique ability She was taken to Worcester Royal Infirmary courageous and straight as a die. She was and we wondered if we could really try to get life well lived. Cecily was the prime mover in the Research was established at King’s College to communicate complex concepts and ideas where her mum was told she could have to have happy in her gifts of character and in her the whole set together? Morag and Derrick are early development of physiotherapy research in London, funded by the Department of Health to physiotherapists with all levels of research her leg amputated. undoubted political abilities. joining us from Australia and USA respectively, Britain, and the many physiotherapists whom and Social Security, Cecily was the natural experience. She saw potential and possibilities Her stricken mum pleaded with doctors if 'It was because she felt confident in her and we hope to find everyone else. she encouraged and assisted in their first steps choice as the first director. She used this post in us all, and it was her belief in us that gave there was any alternative, and was told there ideology that she achieved so much particularly We are planning to meet for the weekend of in research careers are her lasting legacy. to encourage and empower physiotherapy us the strength to pursue research careers and was a new drug they could try, which had in the fields of education, public health, and in 30 June in Edinburgh. We will have a big night Cecily trained at St Mary’s Hospital, clinicians and academics to undertake research continue her important work. Perhaps we should previously only been given to injured soldiers. her leadership of the campaign to get Lucy’s out on the Saturday but are planning to do Paddington qualifying in 1952. Her recollection themselves. She gave numerous lectures, not have been surprised that, while continuing That drug was penicillin, discovered by Scottish Mill bridge upgraded and in the support she something during the day on Saturday – any of her first post at The Central Middlesex workshops and seminars in the UK and abroad, to work with us and many others, in 2006 scientist and Nobel laureate Alexander Fleming gave to the voluntary services. Joan has left us ideas gratefully received. Please mail Emily at: Hospital was of very prescriptive work, following providing training in research methods. Often Cecily also completed an MA ethics in society in 1928. a legacy of dedicated public service – in which [email protected] or Nicci at: nicci@ the doctor’s orders to the letter. Later in 1957, this entailed ongoing encouragement and at Heythrop College, London University, just for Joan told The Observer: 'I was given a pint. to the end she played a straight hand. She was thecaswells.uk or Selina at: selinacollinson@ after marriage to Geoffrey, and the birth of support for individuals she had inspired to carry her own interest. It actually looked like a pint of milk, and sat at a sincere lady, famous of course for her dry btinternet.com to confirm you can join us and their first two children, the family moved to out a study into some aspect of their practice. We extend our deepest sympathies to the end of my bed in hospital and was fed into sense humour and her ready wit – but the light- who you are in touch with to spread the word. Southern Rhodesia, now Zimbabwe, where Her immense contribution was instrumental Cecily’s family, her children Christopher, Simon my thigh via a rubber tube.' hearted comment so often conveyed a wisdom Geoffrey’s family had their home. There Cecily in laying the foundations for the development and Amanda, and to her many lifelong friends It did the trick, and after further recuperation that one missed if one was not looking for it. Yes Royal Liverpool Hospital College 1978- worked first for the Red Cross, treating children of physiotherapy research and an evidenced who were able to travel to her funeral in Hythe at home, Joan was as right as rain. she has left us a legacy of laughter and happy 1981 with disabilities in tribal areas in Mashonaland, approach to practice in this country. on 18 October. There we learned more of When she left school Joan found herself memories. This year marks 40 years since we started our driving around in an old Land Rover, and later Cecily continued her personal research Cecily’s ‘other’ life, as wife, mother, excellent back in hospital, though this time as a career 'We are all diminished by her passing as we training, and I wondered if any of my fellow organising services in a cerebral palsy unit at interests in studies monitoring and reviewing cook, church worker, supporter of the arts and move, becoming a chartered physiotherapist. all give thanks for her life.' Frontline • 7 February 2018 53

52 Courses&conferences CSPCourses Charitable&conferences Trust Funding Courses – for Qualified, Student and Guidance for members Associate Members Autumn 2017 Members have a responsibility physiotherapy. In addition to to limit their practice to those issues of competence, including areas in which they have an area within personal and Academically Accredited Courses Award established and maintained collective scope of practice • Up to £300 for 20 credit course their competence. Completing a depends on the context in which • Up to £1200 for 180 credit course (MSc) course may not be sufficient to it is practised, how it is integrated establish personal competence in into physiotherapy activity, • Up to £1500 for a PhD. a new area, while members are how it is promoted as a service responsible for undertaking CPD delivered by a physiotherapist Courses supported in previous years include: to maintain their competence in and how its physiotherapeutic all areas of their current practice. value is demonstrated. • Research Design and Research Management Members should explore Some areas ordinarily • Independent and Supplementary Prescribing for Nurses, Midwives and AHP individual courses’ suitability and sit outside the scope of UK • PG Certificate in Advanced Lymphoedema Management value (including their quality, physiotherapy. However, they intended outcomes and whether may be undertaken by CSP • MSc Global Health and Development they include formal assessment members as part of extended • MSc Musculoskeletal Medicine Home of learning) for meeting and activity. Members should • PhD in Sports, Exercise and Rehabilitation. demonstrating fulfilment of ensure that this is with the their personal learning needs. agreement of their employer cover Members should also think and/or explicitly as a service Conference and Presentations Award about the broader ways in delivered outside their activity as This award is for members who have been invited to lecture or demonstrate at which they can address their a physiotherapist; is supported For learning needs. These include by appropriate education and national and international physiotherapy related conferences in the UK and day-to-day practice, self-directed training; and is covered by overseas (with the exception of WCPT). and mentored learning, and insurance from a source other members professional networking and than the CSP. Courses advertised It also supports attendance at: peer review. in Frontline may be relevant to • National conferences or meetings relevant to, but outside the domain of physiotherapy only It is important that members members extending their activity evidence their learning: in this way. • Physiotherapy or interdisciplinary international conferences in the UK. maintaining a record of CPD is a regulatory requirement Further guidance and support: Awards of up to £1000 are available. Everyday of the Health and Care • CSP ePortfolio: Professions Council (HCPC), while www.csp.org.uk/ePortfolio deals & recording the education and • CSP Code of Professional training undertaken to support Values and Behaviour: Submit your application via the CSP ePortfolio. Deadline: 1 September 2017. progression into a new area of www.csp.org.uk/code Find out more, including conditions of the awards, at: discounts personal practice is a condition • Frontline CPD series www.csp.org.uk/charitabletrust of CSP professional liability (published in each issue) CSP Plus insurance (PLI) cover. • HCPC CPD requirements: is a member-only benefit. The scheme provides A course being advertised in www.hpc-uk.org/ discounts and offers Frontline does not necessarily aboutregistration/ on lifestyle and mean that it is relevant to all standards/cpd professional members, has gone through products a quality assurance process and services. (courses advertised in the magazine are not formally Log-on to to see how recognised by the CSP unless explicitly stated), or that its topic The CSP Charitable Trust much you could save area falls within the scope of UK www.csp.org.uk/cspplus Registered Charity No. 279882 Supporting the advancement of physiotherapy education and research 001430 Autumn17 54 Courses&conferences

Frontline • 7 February 2018 55 Courses&conferences CPD for Complementary therapy Miscellaneous Physiotherapists

Manual Concepts Feb 17 Simon Noad Manual Therapy courses Athletic Screening & Exercise Prescription London Feb 17/18 Sporting Hip & Groin James Moore Portsmouth Certifi cate in Orthopaedic Manual Therapy Feb 24/25 Unravelling Strength & Conditioning Twice yearly intense 4-week evidence based program. for Therapists Andrew McCauley Lymington Can lead to higher qualifi cations at Curtin University Feb 24/25 including a Masters. The Athletic Shoulder – identification of specific rehabilitation strategies Dr Ian Horsley Northampton PERTH, AUSTRALIA June and November in 2018 and 2019 PORTUGAL September 2019 Feb 24/25 The Neck: Clinical Rehabilitation Chris Worsfold London Instructors: Manual Concepts team including: Kim Robinson, Dr Toby Feb 24 Paediatric Orthopaedic workshop Peter Beirne Manchester Hall, Prof Peter O’Sullivan, Vaidas Stalioraitis, Michael Monaghan, Mar 3/4 Sporting Hip & Groin James Moore Chertsey A/Prof Helen Slater, A/Prof Ben Wand, Dr Tim Mitchell and Mark Oliver. Mar 3/4 Clinical Reasoning, Treatment & Dr Neil Langridge & Investment: AUD 6,450 Management Principles in Low Back Pain – Matthew Low South Wales Spinal Manual Therapy Course Mar 3 Sports Massage Masterclass Julian Berriman Basingstoke Intensive 8-day spinal course to increase expertise in Mar 10 Modern Exercise Prescription for Therapists Nick Grantham Nottingham evidence-based spinal manual therapy. Mar 10/11 Combined Approach to the Sacroiliac Joint Howard Turner Bolton EDINBURGH 19 May 2018 DUBLIN 21 July 2018 Mar 10/11 Manual Therapy Masterclass: Assessment LONDON 27 October 2018 & Treatment of The Upper Limb Joints Ian Gatt Leeds Instructors: Manual Concepts Team of Mar / April Specialist Musculoskeletal Physiotherapists REGISTER date tbc Paul Ritson Investment: AUD 2,200 Paediatric Respiratory workshop Telford NOW! Mar 17/18 The Neck: Clinical Rehabilitation Chris Worsfold Milton Keynes Register online at Courses fi ll early Mar 17/18 Assessment of the Foot in Relation to www.manualconcepts.com Paul Harradine Manual therapy or email [email protected] Gait Dysfunction & Injury London Mar 24/25 The Athletic Shoulder – identification of specific rehabilitation strategies Dr Ian Horsley London STECCO FASCIAL Mar 24/25 Unravelling Strength & Conditioning MANIPULATION for Therapists Andrew McCauley London LEVEL 1 COURSE Mar 24/25 Sporting Hip & Groin James Moore Edinburgh (6 day) Mar 28 Shoulder Savers - an integrated approach Jo Gibson & When: 20th -22nd April and Nick Grantham 18th-20th May 2018 to injury reduction & reconditioning Manchester Where: Oxford Mar 31 Elite Sports Taping – evidence & experience With: Julie Ann Day from professional sport Ashley James Manchester Contact: info@ Advertise in Frontline Apr 14 Modern Exercise Prescription for Therapists Nick Grantham Edinburgh octopusphysiotherapy.co.uk Get in touch with Media Shed Apr 14/15 The Athletic Shoulder – identification of See www. Dr Ian Horsley fascialmanipulationcourse.co.uk [email protected] specific rehabilitation strategies Chesterfield or call 01865 591 357 for details Apr 20/21 The Shoulder – steps to successful and booking. (Fri/Sat) treatment Jo Gibson Southampton

www.heseminars.com 01202 568898 [email protected]

HE Seminars FP.indd 1 22/01/2018 08:42 56 Courses&conferences Frontline • 7 February 2018 57

The Mulligan Concept Musculoskeletal is now taught to International Standards, with four two-day courses: Part A (Upper quadrant) Part B (Lower quadrant) Part C (Advanced techniques and clinical reasoning) Part D (Certified Mulligan Practitioner examination) Book on to learn techniques of symptom and functional modification and Mobilisation with Movement in MSK, and begin your pathway to Certified Mulligan Practitioner status.

The Mulligan Concept: Courses: Price: Parts A, B & C £270 per part; Part A: 24-25th Feb ‘18 Exeter £500 for part A & B; 10-11th Mar ‘18 Glasgow £700 for all three parts. 17-18th Mar ‘18 London Includes Mulligan’s book, 23rd Mar and Handbook & Treatment belt 25th May ‘18 (Fridays) Leeds Mulligan Concept Accredited Courses 24-25th Mar ‘18 Liverpool 7-9th Apr ‘18 Lanarkshire 10-11th May ‘18 Derby The Complete Upper Limb Course: An MSK practitioner guide to Part B: 14-15th April ‘18 London assessment and management. Advertise in 12-13th May ‘18 Exeter Lecturers: Andrew Cuff, Thomas Mitchell, 19-20th May ‘18 Liverpool Frontline 9-10th June ‘18 Glasgow Robbie Blake 19-20th June ‘18 Derby 10-11th Mar ‘18 London 7-8th July ‘18 Lanarkshire 21-22nd Apr ‘18 Sheffield 7 Sep and 25-26th Jun ‘18 Derby Get in touch 9th Nov ‘18 (Fridays) Leeds 14-15th Jul ‘18 Airedale Part C: 2-3rd June ‘18 Sheffield Price: £250 with Media Shed 22-23rd Sep ‘18 Glasgow (10% discount for EUSSER Members) cspads@ www.mulligan-concept.co.uk Would you like to host one of our Mulligan courses at your media-shed.co.uk clinic or department? Express your interest with: secretary@ remedycourses.co.uk, or call 0114 349 1281 for more details.

ONLINE CLINICAL PEER SUPPORT THAT IS IT’S GOOD EASY-TO-ACCESS through iCSP discussion forums, professional and regional networks. TO BELONG IT SUITS ME. with so many membership benefits and services EXTENDED SCOPE PRACTITIONER UP TO LOBBYING EXPERT on my behalf to influence decision- Advertise in Advertise in REPRESENTATION TEN MILLION makers, raise our profile and secure the future of the physiotherapy Frontline Frontline for me at work from POUNDS profession. Peace of mind. the CSP’s network of trade of protection through Get in touch Get in touch union officers and stewards. professional and public liability insurance for me. with Media Shed with Media Shed Strength in numbers. I have protection. cspads@ cspads@ media-shed.co.uk media-shed.co.uk

www.csp.org.uk/benefits 58 Courses&conferences Frontline • 7 February 2018 59

Neurology Oncology Sports medicine Women’s health

MLACP Paediatric and Adult Neurology: Complexities and The Role of the Co morbidities Physiotherapist as an in Oncology and Expert Witness Palliative Care This two day course is for When: experienced physiotherapists Monday May 21st 2018 working in paediatric or adult Where: CSP Headquarters neurology who are interested Bedford Row London in developing their skills as an WC1R 4WD expert witness. Contact: Kim Barlow When: Wednesday 25th April & email [email protected] Thursday 26th April 2018 for application form or Where: CSP, 14 Bedford Row, access the ACPOPC website London, WC1R 4ED £300 MLACP Members / £350 non-members Contact: For further details Pain management email [email protected] / [email protected] or visit www.mlacp.org.uk

NEUROPLASTICITY Women’s health IN PARKINSON'S When: 17 March 2018 -17 March 2018 Where: Therapy Dept, Rehabilitation, George Eliot Hospital, Nuneaton When: 5 May 2018 - 5 May 2018 Where: MORRELLO CLINIC, Nelson House Advertise in Langstone, Newport Frontline Contact: Advertise in Melissa Mcconaghy Frontline [email protected] Get in touch +�� 1633 �12211 with Media Shed Get in touch cspads@ with Media Shed media-shed.co.uk cspads@ media-shed.co.uk 60 Recruitment

Recruitment Frontline • 7 February 2018 61

Mid Essex - in and around the Chelmsford area Pelvic Dysfunction Physiotherapy Service based in Aberdeen with a Grampian remit Musculoskeletal Physiotherapist Advanced Practitioner Physiotherapist Salary: Band 7 £31,696-£41,787 (NHS terms and conditions) Part Time 26.25 hours per week, Permanent Contract – Salary Band 8A (£40,833 - £49,000per annum pro rata) An exciting opportunity has arisen for a dynamic and proactive There will also be opportunities for ongoing clinical development Band 7 team lead position to join our musculoskeletal outpatient with local and cross-site training and support for internal and An exciting opportunity has arisen for experienced and enthusiastic NHS Grampian provides the perfect solution to all interests and lifestyles. service. We have a number of staff undergoing fully funded post- external CPD courses. physiotherapist to be part of our PDS Physiotherapy Team. This post will be Aberdeen has a very buoyant economy and offers all the attractions of any graduate training including injection therapy and independent working alongside other Physiotherapy Staff treating PDS patients within major city. Aberdeenshire boasts many picturesque towns and villages You’ll need considerable experience within the musculoskeletal prescribing, and the successful applicant would also be welcome to an outpatient setting and will also support senior staff in Aberdeenshire within easy commuting distance and provides access to a large range of outpatients with proven post-graduate development in this area as apply for this develop opportunity. and Moray. The successful applicant will provide a PDS physiotherapy outdoor pursuits including skiing. There are excellent transport links with well as experience of managing other staff and students. Strong service in Aberdeen and work alongside other staff in Grampian to deliver Glasgow and Edinburgh easily accessed by train and Aberdeen airport There’s plenty of scope for career progression and you’ll be interpersonal and communication skills will be required as well as the correct pathway of care for patients with PDS, JCC and Women’s Health has multiple flights to London daily and other destinations across Europe. assisted to develop your skills and fast track into more senior the ability to lead a team. complaints as well as being part of a dynamic Physiotherapy service in the Assistance with relocation may be available. positions; regular in-service training is provided and there will be The service is based across three sites in Mid Essex; Chelmsford; City. This post holder may be required to travel to other bases in Grampian opportunities to attend external courses that are funded. Provide a thriving and upcoming city with excellent transport links to to support staff in training and specialty clinics on an infrequent basis as To obtain a copy of the job description and person specification please click is a successful Social Enterprise; you’ll be actively encouraged to London, Braintree, a market town located just 15 min drive from part of training and support to the patient group. The post holder will gain the following link - JM19076 - Advanced Practitioner Physiotherapist.docx develop new ways of working and to continually develop the service. Stansted Airport and has easy access to major road networks such experience of working in clinic settings working alongside Consultants Provide Physiotherapy department delivers NHS contracted as the M11, M25 and A12 and Maldon; a picturesque market town in urology, gynae and pain departments and be involved with research For further information or to arrange an informal visit please contact: musculoskeletal outpatient physiotherapy to service users in and providing the benefit of rural countryside and outdoor activities. projects with staff at RGU. This post holder will also be part of the MDT that Catriona Cameron, Lead Physiotherapist, Aberdeen. (01224 655716) around Mid Essex. The type of clients/conditions are varied and Informal visits and enquiries welcome, please contact Scott Baker meet to discuss complex patients in Grampian on a fortnightly basis. include both GP and consultant referrals from young children on 07580 911179. To apply, visit www.jobs.nhs.uk and search The closing date for applications is Wednesday 28th February 2018. to adults. under Job Ref: 828-Provide780. Closing Date: 4 March 2018 NHS Grampian physiotherapy teams cover the North East of Scotland serving a region from the cairngorms to the North Sea including coastal moray. The hospital site houses all clinical specialties with the exception of organ transplant and paediatric ITU. NHS Grampian provides healthcare for a population of 540,000 with around 40% living within Aberdeen and the remaining 60% in Aberdeenshire and Moray. PHYSIOTHERAPISTS Experienced Band 5/6 Join our team... for more information: www.nhsgrampian.org/jobs Full time / Part Time

Starting salary from £28,200 - £31,200 North and West Operational Unit Student Working in a modern, well equipped, multidisciplinary East Sutherland Integrated Health & environment for people of working age with complex care, Social Care Team rehabilitation and/or life limiting physical conditions. Lawson Memorial Hospital, Golspie Studentand This would suit someone who has experience of medical/ Physiotherapist – Band 6 respiratory and/or neuro-rehabilitation. Must have current CSP and HCPC registration. Must be flexible to meet the £26,830 - £35,933 and Are you interested in being part of the East Sutherland Integrated Health & Social Care Team? changing needs of the service, working 5 days over 6. An exciting opportunity has arisen for a motivated and enthusiastic individual who wishes to lead proud our inpatient rehabilitation physiotherapy service and to contribute to community rehabilitation and enablement services providing support to patients in their own homes. • Five weeks annual leave + BH The successful applicant will work as part of the multidisciplinary team and willStudent provide specialistproud with official physiotherapy assessment, treatment and management of both older and younger adults with • Excellent training and professional support complex needs, dealing with a range of medical, neurological and orthopaedic conditions and CSP uniforms Falls Prevention. The main focus will be on providing ward based rehabilitation andas well as with official • HCPC fees paid intensive short-term intervention in patients own homes, maximising independence and promoting self management. The successful applicant will be required to hold a degree/honours www.grahamegardner.co.uk/csp Te l: 0116 255 6326 • Childcare vouchers degree in physiotherapy or equivalent and have relevant post graduation experience in CSP uniforms neurological and elderly rehabilitation. • Contributory Pension In return for your enthusiasm and commitment, we provide a supportive working environmentwww.grahamegardner.co.uk/csp proud and Te l: 0116 255 6326 access to further training and development opportunities. • Free Uniforms and parking A driving licence is essential and a pool car will be available, however, applicants should have access to their own vehicle for work purposes, if required. This is a permanent full-time post of with official 37.5 hours per week. Working as part of the Therapy team of Physiotherapists, Informal enquiries would be welcomed by Heather Taylor, Integrated Team Leader, CSP uniforms Tel: (01408) 664016. Occupational Therapists and Therapy Assistants that provide Application forms/full information packs are available (quoting job ref: 059/17.18-ES2www.grahamegardner.co.uk/csp from Te l: 0116 255 6326 Employment Services, Caithness General Hospital, Wick, KW1 5NS, Tel: (01955) 880403, or by emailing: [email protected] long and short term rehabilitation services as well as medical Closing date for applications: 12 noon, 28th February 2018. and respiratory treatments.

www.nhshighland.scot.nhs.uk Tel: 01623 836639 www.pathfinders-care.co.uk www.grahamegardner.co.uk/csp Tel: 0116 255 6326 62 Recruitment Frontline • 7 February 2018 63

Private work available experience essential. All enquiries welcome PHYSIOTHERAPIST – WE ARE LOOKING FOR A NEWCASTLE PILATES/GOSFORTH and career development opportunities. to tel: 01932 341114 Email CV to: contact@ MUSCULOSKELETAL St Joseph’s Hospital PHYSIOTHERAPIST TO JOIN OUR PHYSIOTHERAPY The North East’s Applications from all levels of experience are westbyfleetphysiotherapy.co.uk Ltd is a major provider of first-class and TEAM Our current MDT consists of No1 physio-led Pilates studio are looking welcome to join our amazing and supportive MUSCULOSKELETAL innovative healthcare in Wales. We are orthotists, physiotherapists an occupational for Pilates trained physiotherapists to team. If this sounds like the job for you please PHYSIOTHERAPIST, NORTHERN WE ARE LOOKING FOR A PART-TIME committed to delivering excellence in therapist and a biomedical engineer. We teach Pilates classes. Pilates classes email: [email protected] or look at IRELAND, BELFAST Arches EMPLOYED PHYSIOTHERAPIST (25 private healthcare and our physiotherapy are looking to recruit a physiotherapist from rehab-elite. Evenings/daytime/ our full advert at www.hattclinic.co.uk Physiotherapy Clinic has an exciting HOURS) Are you able to provide an team plays a vital role in contributing to around the North London/Luton area, to weekend. Excellent rates of pay. In-house opportunity for a dynamic and motivated exceptional high-quality experience the five star experience that our patients work as an autonomous practitioner in training given. Please contact Julie at: ACTIV8REHAB, CHERTSEY, SURREY physiotherapist to join us in our busy but for your patients – or are you willing expect. The role involves managing a varied providing a specialist treatment modality to [email protected] A thriving well established multidiscipline friendly private clinic. Excellent working to learn! Your ability and desire to do musculoskeletal case load within the centre a wide variety of patients and also provide or tel: 0191 284 9111. Website: www. clinic are looking for a self-employed environment and equipment including the job is in fact more important than with access to individual treatment rooms; training to fellow AHPs on our products. newcastle-pilates.co.uk part-time musculoskeletal physiotherapist gym facilities. Part-time working hours your experience. We offer internal and a gym/rehabilitation area and our purpose- The clinician will be both a confident lone for two to three days per week. The ideal (initially) and times are negotiable. external CPD and clinical supervision. We built hydrotherapy centre. You will be practitioner and an integral part of a PHYSIOIMPULSE – CENTRAL BATH Full or candidate will have plus three years Please send CV to: info@archesphysio. have administrative support which will supported with a comprehensive mentoring dynamic, highly-motivated team. There part-time physiotherapist required to work postgraduate experience, excellent com enable you to develop your role within programme from senior specialist clinicians is also an opportunity for the clinician to within our established and supportive team. clinical reasoning and manual therapy the clinic. The role is well reimbursed that ensures personal and professional progress to join our export team, managing A passion for musculoskeletal work and a skills with experience in end stage FASCIA RELEASE THERAPIST WANTED (£20,800-24,700K) and involves both development and promotes high quality contracts and training AHPs throughout desire to enhance your skills is essential. rehab/S+C due to the high volume of Looking for a therapist that practises clinical and development roles. As a treatment within a biopsychosocial Europe and beyond. We are seeking a Competitive rates of pay and negotiable orthopaedic referrals. The clinic runs myofascial release. Referral opportunities, clinic specialising in the provision of framework. Part of the role will include clinician who has worked with our products hours to address a varied caseload. More an integrated multidisciplinary team based in a private personal training/ manual therapy, psychotherapy, patient supporting inpatient care for predominantly and also someone who has a basic information at: http://www.physioimpulse. approach which will require excellent rehabilitation facility, above a medical education and empowerment – we would orthopaedic cases on our wards as service knowledge of FES and an interest in the co.uk/vacancies.html send CV to: matt. communication skills. Previous private centre in the heart of Alderley Edge, love to meet someone likeminded in their need demands and includes being part of management of scoliosis. The candidate [email protected] practice experience would be an Cheshire. Please call tel: 07540 736561 dedication to clients and look forward a weekend ward rota. The position is full- would have been qualified for minimum of advantage as would Pilates training. You or email: [email protected] for more to hearing how you could fulfil a role in time (37.5 hours) and a flexible working four years. Contact Patricia McCotter on tel: SOUTH WALES Performance will have access to diagnostic testing information. our clinic. Flexible days and hours. Please pattern that meets service demands will be 07850 199308. Physiotherapy Ltd currently has vacancies equipment (training will be given) – email: [email protected] for more supported. Please contact Troy Wilson on tel: for part time/evening/Saturday morning isokinetic unit, RTUSS, video gait analysis NEWCASTLE UPON TYNE Full/part-time information. 01633 820321. clinic work available for chartered as well as a rehab gym. Regular in-house musculoskeletal physiotherapists required TEESSIDE, NORTH EAST ENGLAND – physiotherapists with a minimum three CPD/in-service training. Hourly rate for busy private clinic. Minimum two STOURBRIDGE, WEST MIDLANDS PELVIC HEALTH PHYSIOTHERAPIST St BODY2FIT LTD Applications are welcome years post graduate experience. A mix dependent on experience. An Enhanced year postgraduate experience. Excellent Part-time self-employed Pilates trained Joseph’s Hospital Ltd is a major provider from physiotherapists with at least three of private clinic/occupational health DBS check will be requested on successful manual therapy skills. Acupuncture/ musculoskeletal physiotherapist wanted. of first-class and innovative healthcare years postgraduate experience interested roles are available, with flexible working application. Please send CV with cover dry needling/Pilates desirable. Must be Evening/weekend hours for musculoskeletal in Wales. We are committed to delivering in working in a private physiotherapy hours and the possibility of full time/ letter to: [email protected] friendly, caring, dynamic professional caseload and mat classes. Training in excellence in private healthcare and our and Pilates clinic. We are a vibrant, busy permanent work in the long term. A great who will go that extra mile. MSc level. equipment Pilates provided. Email: info@ physiotherapy team plays a vital role in private practice with a varied caseload opportunity to join an ever-expanding PART-TIME COMMUNITY WORK, IST in-house. Competitive rates of pay macphysio-pilates.co.uk contributing to the five star experience including sports, private, occupational team! For more information please LONDON Looking for self-employed plus bonuses. CV to: practicemanager@ that our patients expect. We are currently health, insurance work and clinical Pilates. email a CV and covering letter to: info@ physiotherapists to join our team. gosforthphysio.co.uk SEEKING SESSIONAL TRAINERS recruiting for a confident and highly Part-time musculoskeletal physiotherapists performance-physiotherapy.co.uk All specialities required: paediatric, TO DELIVER THE ESCAPE-PAIN professional individual to join our dynamic required – day, evening and weekend hours neurological, orthopaedic, and LEONARD, CHESHIRE Disability FACILITATOR TRAINING Pay: £18.84 per Physiotherapy team. We provide an available. An interest/training in Pilates is MUSCULOSKELETAL PHYSIOTHERAPIST musculoskeletal physiotherapists. Good pay Llanhennock Lodge is a residential home hour (initial training to be held in London integrated inpatient and outpatient pelvic desirable but not essential. Salary based – WILTSHIRE AND SOMERSET Passionate and flexibility – suitable for NHS and private with 34 residents with physical disabilities. with travel reimbursement). Hours: sessional/ health physiotherapy service to those on experience. Please forward CV to: joy. and positive musculoskeletal physiotherapist physiotherapists looking for additional work. We have a vacancy for a physiotherapist, ad-hoc (Monday to Friday). Locations: across referred by our nine Gynaecologists and [email protected] required. Benefits include, excellent CVs to: [email protected] £16 per hour, 18 hours per week. You will the UK. Desired: HCPC registration. Closing Urologists consulting at St Joseph’s Hospital, remuneration, structured training programme Website: www.londonhomephysio.co.uk > be responsible for supporting and enabling date: 7 March. We are looking to recruit from our private GP service and to our all residents with physiotherapy. You must experienced trainers across the UK to deliver self-referred clients. This is a part time role be qualified and registered as a practicing the ESCAPE-pain facilitator training within working up to three days per week, however, physiotherapist with the Health and Care their local region. The training (one day scope does exist to develop this role in the Professions Council (HCPC), being able to face to face training) will be delivered to future with increased hours. The role will also work as an autonomous practitioner as clinicians and exercise instructors who will encompass treatment of musculoskeletal a full member of the Chartered Society then go on to implement the programme conditions within your clinical case load, of Physiotherapy. Able to work flexibly in in their locality. The post holder(s) will be with full mentoring support from senior For members only accordance with the needs of the service. expected to travel to the training venue and clinicians. Please contact Troy Wilson on tel: To apply, please go to: https://careers. assist with set up prior to the course and 01633 820321. leonardcheshire.org/jobs and search for available at the end of the day to answer ref: 1371 or call Harinder on tel: 01902 any remaining questions from participants. HERTFORDSHIRE Looking for a part 7920690. Please view the full job brief including time, self-employed, musculoskeletal desirable qualifications here: http://www. physiotherapist to join our team. Saturday WEST BYFLEET PHYSIOTHERAPY escape-pain.org/ Please send your CV and mornings available at Therapy4all in & CLINIC, SURREY Evening and Saturday expression of interest to Fay Sibley at: fay. Welwyn Garden City and evenings available Everyday deals discounts morning hours available for musculoskeletal [email protected] at Knebworth physiotherapy clinic. Please specialist, self-employed, HCPC registered email CV to: [email protected] Log-on to to see how much you could save www.csp.org.uk/cspplus physiotherapist. Extensive postgraduate 64 Recruitment Physiotherapy Frontline • 7 February 2018 65

SUDBURY, SUFFOLK Physiotherapist ALL TYPES OF ULTRASOUNDS, wanted for well-established multi- ELECTROTHERAPY, LASERS, COUCHES Research Foundation disciplinary clinic, in the delightful town ETC BOUGHT FOR CASH Call Trimbio on of Long Melford, which is 20 minutes tel: 01403 597597. www.trimbio.co.uk from Bury St Edmunds and 30 minutes from Colchester. Applicants must be experienced in musculoskeletal work and have a minimum of three years Service and repair experience. Initially two days a week 2018 are available, with potential to extend Research Awards to full-time as the caseload builds. FORMER SHREWSBURY MEDICAL The is pleased to announce the There is also potential for buying into ENGINEER Offering repairs and servicing CSP Charitable Trust Physiotherapy the partnership for the right candidate. of your electrotherapy equipment. Call Research Foundation (PRF) award scheme this year. The trust is CPD is encouraged both internally and RWR services on tel: 03452 578925. Email: Advertise in external courses. The Iveson Clinic is [email protected] Web: www. now accepting research applications for funding in 2018. supported by an established team of rwrservices.co.uk Frontline administrative staff, who deal with all insurance company invoicing, reports etc. ALL TYPES OF ELECTROTHERAPY, Get in touch Please email your CV to: theivesonclinic@ COUCHES AND PHYSIOTHERAPY Scheme A Scheme B talktalk.net For further information, PRODUCTS SERVICED AND REPAIRED with Media Shed contact Julie Iveson on tel: 01787 Call Trimbio on tel: 01403 597597. 374964. www.trimbio.co.uk for experienced for novice researchers cspads@ NORTH WEST LONDON – PART-TIME funded in collaboration with PHYSIOTHERAPIST REQUIRED In- researchers Practice for sale media-shed.co.uk the Private Physiotherapy house and domiciliary work. Seeking self-employed physiotherapists who have Up to £150,000 Educational Foundation (PPEF) minimum of five years postgraduate DEVON Great little clinic seeking buyer. 0845 600 1394 qualifications. Musculoskeletal, ortho, Partners retiring. For more information, neuro, vestibular, women’s health email: [email protected] or available for specialities needed. Excellent rates of call tel: 01626 361559. pay. Please forward CVs with a covering research letter to: [email protected] projects Up to £25,000 available Associate for research projects Equipment for sale

ALL TYPES OF SECONDHAND and AND NEW ULTRASOUNDS, Scheme B ELECTROTHERAPY, LASERS, COUCHES ETC With warranty. View at www.trimbio. proud Paediatric research The deadline for outline applications is co.uk or call Trimbio on tel: 01403 597597. funding for novice 12 noon, Friday 9 March FOR SALE Two three-section electric couches with nose hole, about 20 years old, with Guidance notes and outline application in good condition. £300 each. Tel: Mansfield researchers 01623 626842. official forms for each scheme can be found at: CSP Up to £25,000 www.csp.org.uk/prf Equipment wanted uniforms of funding in the area of paediatric non-acquired brain SECONDHAND ELECTROTHERAPY injury and paediatric cerebral BOUGHT AND SOLD Ultrasounds interferential combinations etc. Call RWR palsy, available for one services on tel: 03452 578925. research project Email: [email protected] The CSP Charitable Trust Web: www.rwrservices.co.uk www.grahamegardner.co.uk/csp Registered Charity No. 279882 Te l: 0116 255 6326 Supporting the advancement of physiotherapy education and research

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ThreeMinutes

A part of the solution Leah Carey believes her physiotherapy background left her ideally suited to step away from clinical practice for an exciting role in a clinical commissioning group

Why did you switch to a the interview, and sometimes more than one. moved into non-clinical roles to support non-clinical role? I occasionally miss working with people but service development and STP plans. It is ’ I was working in the intensive therapy unit reassure myself that I am now influencing lots something we are very proud of and it also and in cardiothoracics at the Royal Brompton of people, not just the patient in front of me. means we are sitting at the right table to offer Hospital in London. I was lucky enough to be solutions to problems. We also have several involved in quality improvement projects and How are you involved in STP work? key projects where physiotherapists are at the writing consensus statements and national I am programme lead for respiratory services, forefront of delivering new models of care – guidelines, which I really enjoyed. Then I a priority area within Gloucestershire for example, advanced practitioner moved to south west England and applied for sustainability and transformation partnership physiotherapists in primary care for first point a job as service redesign and improvement (STP). My programme covers transforming of access in musculoskeletal care. In the manager with Gloucestershire Clinical all respiratory services and involves leading and respiratory world, we are in the process of Commissiong Group. I didn’t really expect managing projects, and working with integrating acute and community to get it but it transpired that my physio stakeholders across the STP. specialist teams. As part of this, we career had prepared me well. I had a real-life We report to one of the key There are are exploring having AHPs and example and answer for every question at enabling STP boards: the clinical nurses as the first point of access, programmes board, chaired by the 5 rather than consultants. Students: get acute trust’s chief executive. I also physios working sit on Gloucestershire STP’s rehab at Leah’s CCG Has your physio steering group, which brings background helped? months together allied health professionals A clinical background is a huge bonus in (AHPs) from all organisations. the transformation world. My experience gives me an insight and understanding that those How can physios get involved without it don’t have. It also means I really with their STP? understand clinicians’ opinions and stances on First, find out what the STP priorities are in certain topics. I’m also the first person to ask free your area. Get hold of the STP plan and try for the evidence when we are discussing new to understand where the focus and need for solutions and models of care. My ability to change is. Often these have evolved from critique research is helpful. In terms of project membership external benchmarking exercises. Once you and programme management, physios have know how your area is performing you can problem-solving abilities that are second to (and MCSP after your name!) start thinking about what needs to be reviewed none. We can look holistically at a problem and how physios could help with solutions. and create or drive solutions. I would encourage meeting up with people already involved in STPs to find out about Do you have support in the role? To apply or for more info: their role and their analysis of what is I have several mentors. One is a clinical happening. AHPs are good problem-solvers contact, another is more operational. My www.csp.org.uk/membership and there are lots of AHP-based solutions to mentors enable me to reflect on situations some current healthcare issues. We have and really help my critical thinking. I also work struggled to recruit new medical staff, for in a very supportive team. We are all trying to instance, so are exploring AHP and advanced do the right thing for the local population – nurse practitioner-led services. which includes most of us and our loved ones.

Any other examples? Leah Carey is STP transformation lead, In Gloucestershire, several physios have Gloucestershire Clinical Commissioning Group 000628