Clinical Are you HCPC Data law update ready? changes Tracheostomy What you need Update on GDPR to know 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.