T H E P H Y S I OT H E R A P Y M AG A Z I N E FO R C S P M E M B E R S

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Inside: Courses • CPD • Jobs • 3 minutes

How new technology is shaping care

Nice learner

Tips on funding your education

Page 32

Stroke tsar

A physio takes the lead

Page 22

Happy 70th NHS

Celebrate but keep campaigning

Page 16

Let’s get digital

70th NHSStroke tsar

A physio takes

01_FL_4_jul_ofc.indd 1 29/06/2018 12:59

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ContentsFrontline • 4 July 2018 3

Frontline is the physios’ magazine from the CSP, sent direct to every member 21 times a year

News News in pictures 6

Consultation on NHS pay in Scotland 8

NICE updates guidance on dementia 10

Emergency physios prepare for disasters 12

Physio study of non-invasive ventilation 13

Video-link clinic: Glasgow and Stornoway 14

FeaturesCelebrating success: the NHS turns 70 16

Making the most of the digital revolution 24

Reshaping services: Scotland’s new strategy 28

How to apply for an education award 32

PRINTED BY WARNERS 01778 395111

published by

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32RegularsComment: your emails and views 4

Physio fi ndings: academics need to involve critical care physios 20

Views and opinions: NI stroke services, student self-care 22

In Person: physio and self-management in remote places 37

Networks & networking: what’s going on locally and at CSP-linked professional groups 39

Courses & conferences: your guide to better practice 56

Recruitment: latest jobs 60

3 minutes: staff engagement manager, Laura Palmer 66

03_FL_4_jul_cont.indd 1 29/06/2018 13:47

It might be slightly careworn, frayed around the edges, overworked and underfunded in places, but I am sure you will join me in

wishing the NHS – still one of the wonders of the modern world – a happy 70th birthday.

I have the great pleasure of being in the Frontline editor’s chair for the next few months. I have been writing about health and social care for, gulp, three decades. While there was never a time that the newspapers and TV were not full of ‘new hopes’ or ‘fresh fears’ stories, the 24-hour rolling news/social media leviathan of 2018 now has a grip on the Bevan-Beveridge baby like a croc at a waterhole.

And that constant drip of negative headlines about shortages, waiting lists and untoward deaths affects patients and staff – believe me

I know your pain – my wife has been an NHS nurse for over 25 years.

But away from the media maelstrom, this issue celebrates 70 years of the health service and the great strides physiotherapy has made as a profession (Page 16). It also looks to the future and how emerging, cutting edge, technologies will reshape the care physiotherapists provide (page24).

The anniversary has also brought into sharp focus the importance of the Windrush

generation, and their spiritual heirs, who contribute so much to the success of the NHS. Seventy years on from its genesis, the NHS is a truly international organisation of like-minded souls from around the world. And that can only be a cause for celebration.

Mark Gould Acting editor Frontline editor@csp.org.uk

A powerful impact on palliative careI was delighted to see the article on working in palliative care (Frontline 6 June). I worked for Marie Curie Cancer Care in Devon for 15 years, in their hospice and their community palliative care team. I was often asked ‘What is a physio doing in palliative care – what can you do there?’ The answer is a great deal.

You do need a wide knowledge and

never to be afraid to contact colleagues working in specialism and pick their brains! Having been a respiratory physio at the London Chest Hospital, I often had mine picked.■ Vivien Fishwick, Wellington, Somerset

Get in touch with functional neurological disordersI was an exhibitor at the ACPIN conference and a delegate suggested I get in contact

Happy 70th Birthday?

Write to usemail your letters tofrontline@csp.org.ukComment

You’ve added...Frontline’s news story CSP consults on new standards for hip fracture (csp.org.uk/node/1162041) had several comments, including from Kerry Ansell■ I welcome these standards to enable consistency in provision and not a potcode lottery. I am part of

a multidisciplinary orthopaedic early discharge team. Once patients are discharged within 21 days post op, we visit for rehab and wound care. Mostly, we only discharge the patient when they have reached the point where they are becoming more confi dent,

independent and can progress their own mobility. If this happens in a matter of a few weeks fi ne, if a few months this is also acceptable. If necessary, and it is rare, we refer on to community physiotherapy and they have our contact numbers for reference, or return visit.

Early CSP badge?I recently visited Compton Verney, Warwickshire, to see an exhibition of British soldier art from the Crimean war up to today. I was interested to see on a Queen Alexandra’s imperial military nursing service’s cape, an early badge of the Chartered Society of Massage and Medical Gymnastics. One wonders how it came to have been sewn onto this nurse’s cape, and the story behind this. Your readers may also be curious and interested in this badge and its history, as I was.■ Alison Leighton

‘The 24-hour rolling news/social media leviathan has a grip on the Bevan-Beveridge

baby like a croc at a waterhole’

The anniversary has also brought into sharp focus the importance of the Windrush

generation, and their spiritual heirs, who contribute so much to the success of the NHS. Seventy years on from its genesis, the NHS is a truly international organisation of like-minded souls from around the world. And that can only be a cause for celebration.

Mark GouldActing editor

editor@csp.org.uk

04_05_FL_4_jul_comment.indd 4 29/06/2018 11:37

with Frontline about the work of FND (Functional Neurological Disorders) Dimensions. We are charity with two main aims: to promote and to protect the physical and mental health of people with FND, and to educate the public about FND.

I spoke delegates at the event, all of whom said they wanted to do more to support the increasing

number of FND patients they were seeing, but were unsure of how to do so. They felt FND Dimensions was fi lling a much needed gap and said many patients wanted to meet others in the same position.■ Steve Webster, founder of FND Dimensions. www.fnddimensions.org @FNDDimensions

Surgery a last resortI cannot believe that anyone opts for major (hip) surgery without exhausting all other possibilities. What concerns me is that I discern an increasing level of blame put on patients who have not ‘tried hard enough’ – not only in this area, but also in others.■ Karen Elsworth

Frontline • 4 July 2018 5

Top Tweets

@TobyOSmith Functional (physical) status of older people appears to be improving over past 10 years. Really encouraging data from Sweden. bit.ly/2KiPX5f

@NIHR_DC Fran Hallam is a falls specialist physiotherapist working in a variety of community settings, including patients’ homes, care homes and primary care centre. She’s selected three signals that stood out to her for our #MySignals physiotherapy collection. buff.ly/2t72mCx

@NatJCollins Do you manage people with patellofemoral pain? Get the latest update on exercise therapy and physical interventions in the 2018 patellofemoral pain consensus statement. Now available online fi rst @BJSM_BMJ bit.ly/2lvuOd9

@natbeswetherick Another great story of AHPs returning to their profession. Everyone is needed by our ageing population @thecsp welcomes you. bit.ly/2K9hXvW

Lung function measurementA member has identifi ed the urgent issue of being unable to measure the lung function of children with complex health needs and would like to discuss this issue.Comments: 18Network: Respiratory care www.csp.org.uk/node/1159836

Staffi ng levels in acute hospitalA member seeks ideas, strategies and advice to ensure staff maintain their workplace morale.Comments: 9Network: Managementwww.csp.org.uk/node/1162287

Bloods requesting, learning and competenciesMembers request learning resources and competencies they could use to sign off request bloods. Comments: 8Network: Advanced practice physiotherapistwww.csp.org.uk/node/1149421

Pain management exercisesMembers discuss the changes they have made to their exercise programmes for people with chronic painComments: 6Network: Pain Managementwww.csp.org.uk/node/1156390

icsptalkInterested in recent topical discussion? If so, read our selection below.

iCSP is our peer-led knowledge sharing area of the website – view all our popular discussions www.csp.org.uk/popular

Follow uson Twitter at @thecsp

Write to usemail your letters tofrontline@csp.org.uk

Commentjoin the debate online at www.csp.org.uk

Follow us on Twitter at @thecsp

And from anonymous commentators■ Please could you consider including an individualised tailored exercise programme with suggested progressions, as a specifi c standard, prior to leaving hospital? A copy of this exercise programme then needs to sit with the patient and carers throughout the rehab journey.

■ We have to be mindful that another pathway for one particular condition does not pull services away from other just as needy patients to reach targets. A patient should leave acute care with the right tools, including exercises, dos and don’ts and information about their condition and rehab to allow them to process logically.

Got something to say?Write to us or comment on articles from the latest issue of Frontline online. Log in at: www.csp.org.uk/frontline and then go to the current issue section. You will also fi nd icons to like on Facebook or tweet articles. Comments posted online may be edited for print.

04_05_FL_4_jul_comment.indd 5 29/06/2018 11:38

4 Research by the Functional

Orthopaedic Research Centre of Excellence Lab at Oregon State University in the US, suggests that cushioned running shoes raise the risk of plantar fasciitis or tiny fractures in the tibia. Source: Daily Mail https://dailym.ai/2KeQ8m4

5An insulin pill may be on the horizon for diabetics,

cutting compliance problems associated with injections. Source: Guardian https://bit.ly/2Kgm21H

6Analysis of milk thistle and echinacea supplements

sold across the counter in the UK revealed that up to 40 per did not contain the active ingredient as described on the label. Source: Telegraph https://bit.ly/2KtcUmp

1 2

4

1 Scientists in the UK and the US have identifed ten

drugs in common use for other conditions which may also stop sepsis, after they examined how children responded to the deadly infection. Source: Times https://bit.ly/2KoTleQ

2 While a mini-heatwave cooked the UK in late

June there were differing opinions on how hot it should be before British workers are sent home. Source: Independent https://ind.pn/2yPyEYc

3 A team of scientists in Plymouth are using ‘sea

sponges’ and other elements of the marine ecosystem to develop antimicrobial, cancer and wound healing drugs. Source: Plymouth Herald https://bit.ly/2yPuT4Q

We showcase some of the best health-related

items in the news For the stories behind the images just follow

the shortcut codes

NewsinPictures

6_7_FL_4_jul_nip.indd 6 29/06/2018 11:38

Frontline • 4 July 2018 7

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Got a news story or idea for Frontline?

See www.csp.org.uk/ideasforfrontline for details of how to contribute, email frontline@csp.org.uk with a short summary and your phone number or call the news desk on 020 7306 6665

Want to send us a photo? Use our datasend photo service. For details see ‘photographs’ at: www.csp.org.uk/ideasforfrontline

Want to place an advert? Reach 57,000 CSP members with your product, course or recruitment ad. cspads@media-shed.co.uk 0845 600 1394

Got an item for Networks & networking? networkads@csp.org.uk

Contact the CSP enquiries@csp.org.uk 020 7306 6666 14 Bedford Row London WC1R 4ED Members have access to the CSP’s journal, Physiotherapy. www.csp.org.uk/journal

Frontline teamActing editors Mark Gould and Daniel AllenNews editor Gary Henson Staff writers Robert Millett and Gill HitchcockDesigner Allyson Usher Corporate publications and production officer Tim MorseCreative head Nicky ForbesCorporate design Tristan Reignier

Frontline

ISSN 2045-4910©Copyright 2018 CSP. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means electronic, mechanical, photocopying, recording or otherwise, without prior permission of the Chartered Society of Physiotherapy or a licence permitting restricted copying issued by the Copyright Licensing Agency. This publication may not be lent, resold, hired out or otherwise disposed of by way of trade in any form of binding or cover other than that in which it is published, without the prior consent of the publisher.

6_7_FL_4_jul_nip.indd 7 29/06/2018 11:13

NewsDigest£1.5 million funding available for children’s sports prosthetics Children with missing limbs could benefi t from new government funding, which aims to provide sports and activity prosthetics. The Department of Health and Social Care is making £1.5 million of funding available to help children with limb defi ciencies to engage in physical activity and sports. Funding is available to children and young people under 18 and living in England, and NHS disablement service centres are required to process requests. Visit: bit.ly/2jEdi42

Workplace meetings are taking place all over Scotland as CSP staff consult with members in the NHS over details of a pay offer which includes at least a nine per cent pay rise.

The offer from the Scottish government, negotiated with health unions including the CSP, is made up of a number of parts.

It includes structural reform of Agenda for Change and a pay rise of at least nine per cent over the next three years for most members, with bigger rises for those still

progressing through the pay system.Employees currently earning up to

£80,000 will receive the uplift, and those earning £80,000 and over will receive a fl at rate increase of £1,600 a year.

The CSP’s member-led working group on pay has voted to recommend accepting the offer.

It will now be put to members through a full consultation including an online survey.

Claire Sullivan, CSP director of employment relations and union services,

Northern Ireland loses chance to host major international sporting eventBelfast has lost its right to host the 2021 Commonwealth Youth Games due to the political hiatus in the region.

The Commonwealth Games Federation announced on 22 June it had stripped Belfast of the Games when the event failed to secure funding from the Northern Ireland government.

It has invited other Commonwealth cities to submit alternative bids over the next six months.

Belfast’s bid was originally discussed with stakeholders in 2014 and received unanimous cross-party

support during two Assembly debates before the Games were awarded to the city in 2016.

Northern Ireland Civil Service (NICS) head David Sterling said that the business case developed by civil servants did not represent ‘value for money’.

But the Northern Ireland Commonwealth Games Council (NICGC) said the decision was a ‘slap in the face for our young people’.

The Games would have brought 2,000 of the world’s fi nest young athletes to compete in more than 20 sports, a NICGC statement said.

‘A legacy plan involving sport,

Full consultation underway on Scotland NHS pay offer

Joy when Belfast was awarded the Games two years ago

NICG

C

08_09_FL_4_jul_news.indd 1 29/06/2018 14:29

Something to add?email Frontline atfrontline@csp.org.uk

NewsDigestFrontline • 4 July 2018 9

Physiotherapists are the fitness specialists, but it is not every day they dress up as fairy tale characters and pound the streets pushing a decommissioned hospital bed.

This summer, physiotherapists Mike Perry, Chris Smith, Andy Pratt and Oliver Williams, from Cardiff and Vale University Health Board – donned Red Riding Hood outfits – and did just that.

They were taking part in a ‘bed push’ race to celebrate the NHS’s 70th birthday and raise money for the Cardiff and Vale Health Charity, which supports a range of health-related initiatives.

Physiotherapist Sophie Sharratt told Frontline that the event, near Cardiff Bay Barrage, had raised £10,000 for the charity.

• See p16 for more on the NHS70.

Northern Ireland loses chance to host major international sporting event

Full consultation underway on Scotland NHS pay offer

Cardiff physios in NHS 70th birthday ‘bed push’volunteering, culture, integration,

social cohesion, education and health has been discarded.’

CSP Northern Ireland policy manager Tom Sullivan said: ‘This is bad news for Northern Ireland sport at a time when the CSP is trying to get more people active.

‘Beside the net health impact of hosting this event, opportunities for the economy, civic pride and enhanced engagement in cultural events has been lost.’

At the recent Irish Congress of Trade Unions, the CSP led calls for the urgent the restoration of

devolved government.‘We cannot continue to

operate in this vacuum,’ Mr Sullivan said. ‘We need the NI Assembly to be up and running as soon as possible in order to deliver for all of the people here.’

NICGC operations manager Conal Heatley told Frontline: ‘There’s a lot of anger still. It’s a matter of missed opportunities. For physiotherapists, opportunities around sporting events are phenomenal, especially for young physios coming through, with mentoring.’n Gary Henson

said: ‘We welcome the approach in Scotland where NHS pay has been ahead of the rest of the UK for a number of years.

‘We believe this offer represents a welcome recognition of the skill, passion and dedication displayed by NHS staff day in, day out.’

Meanwhile, the CSP has been engaged in discussions with ministers and employers over NHS pay in Wales and members should check the CSP website for updates.

n Gary Henson

More informationPay calculator: www.nhspayinscotland.org/pay-calculator-for-scotlandSee www.csp.org.uk/nhspayscotland for more details on the offer along with the date of a webinar expected in the third week of July

08_09_FL_4_jul_news.indd 2 29/06/2018 14:30

NewsDigest

Love Activity, Hate Exercise? goes publicThe CSP’s Love Activity, Hate Exercise? campaign will be launched to the public on 6 July. More than 2,000 members have signed up to receive a resource pack from the campaign. Online, the CSP has unveiled practical advice on how to overcome the most common barriers to activity identifi ed by the public, along with condition-specifi c blog posts and inspiring case studies. See: www.csp.org.uk/activity

Include people with dementia i n decision-making about their care, says NICE

Physiotherapists, and other health professionals, should actively involve people with dementia in decisions about their care and offer them a range of activities to promote their wellbeing.

This is according to updated clinical guidance from the National Institute for Health and Care Excellence (NICE), published on 20 June.

The guidance, which covers the assessment, management and support of people living with dementia and their carers, suggests that clinicians should■ encourage and enable people with

dementia to share their own views and opinions about their care

■ consider using a structured tool to assess their likes and dislikes, routines and personal history

■ use this information to offer individually tailored activities to promote their wellbeing

NHS leaders say that general practice requires teams of healthcare professionals working collaboratively to meet the signifi cant challenges faced by the sector and deliver cost-effective high-quality care in the future.

Speaking at the King’s Fund’s conference on ‘Reimagining general practice’ on 19 June, the chair of the Royal College of GPs, Helen Stokes-Lampard, spoke about delivering holistic care in partnership with other healthcare professionals.

‘General practice is the greatest team sport in medicine,’ she said. ‘Never more so than going forward more widely with allied health care professionals.

‘Those who don’t like it, I am sorry, but this steam train is coming. It has picked up many people and it will mow you over, if you’re not there already.’

Speaking about her recent visit to general practices in Northern Ireland, Dr Stokes Lampard said: ‘They only have practice nurses in their system, haven’t

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Allied health professi onals are key to sustainable gen eral practice

10_11_FL_4_jul_news.indd 1 29/06/2018 13:29

Something to add?email Frontline atfrontline@csp.org.ukNewsDigest

Frontline • 4 July 2018 11

Include people with dementia i n decision-making about their care, says NICE

Physiotherapist Laura Cook, quality improvement manager for the London region of NHS England’s dementia clinical network, said: ‘This guideline highlights the need to involve people living with dementia in their care; psychoeducation and skills training for carers, care planning and care coordination and staff training in person-centred care.

‘All of which physiotherapists are ideally placed to support as part of a multidisciplinary team.’

She added that physiotherapists working in falls prevention should also take into account the additional support that people living with dementia may need to participate.■ Robert Millett

More informationNICE guideline [NG97] Dementia: assessment, management and support for people living with dementia and their carers bit.ly/2K0ReNU

NHS Digital programme will integrate private and health service dataData on privately-funded hospital care will be integrated into NHS systems and standards for the fi rst time, NHS Digital has announced.

The aim is to address concerns about a lack of visibility of quality in private care and to complete patient records across NHS and private services, it said.

Leading the programme are NHS Digital and the Private Healthcare Information Network (PHIN), which collects data about private providers. The programme, announced on 26 June, will align this data with those captured by the NHS.

Pam Simpson, chair of Physio First, the CSP professional network for private practitioners, said:

’Wherever data is collected and analysed to demonstrate quality in physiotherapy treatment, that can only be a good thing for the whole profession.

‘If a complete patient record helps to ensure quality across NHS and private boundaries, then that would be a positive step too.’

Health secretary Jeremy Hunt said the programme would be an important, practical step toward better safety in the independent sector.

Meanwhile, Physio First is developing its own programme to fi nd ways of collecting data using validation tools to show musculoskeletal physiotherapy outcomes. See: www.csp.org.uk/node/1135811■ Gill Hitchcock

yet adapted and moved with it. They fi nd it quite scary.’ She warned, however, that to deliver general practice in the future, there was no alternative to working with allied health professionals.

‘And these guys do it brilliantly, they do it absolutely brilliantly, so long as we set them the right roles,’ she said. The one-day conference heard examples of innovative ways to deliver primary care that help reduce demand and workload pressures.■ Gill Hitchcock

Allied health professi onals are key to sustainable gen eral practice

for private practitioners, said: outcomes. See: www.csp.org.uk/node/1135811■ Gill Hitchcock

absolutely brilliantly, so long as we set them the

key to sustainable gen eral practice

10_11_FL_4_jul_news.indd 2 29/06/2018 13:30

NewsDigest

Exercise helps people with bone cancer, says MacmillanThere is growing evidence to show that exercise improves outcomes for people with cancer of the bone and other areas, says Macmillan Cancer Support guidance. Endorsed by the CSP and the Association of Chartered Physiotherapists in Oncology and Palliative Care, the guidance makes recommendations for all health professionals treating metastatic bone cancer. Read the guidance at bit.ly/2HHB4Mr

Two NHS physiotherapists were part of a multi-national team of emergency responders who took part in what is thought to be the world’s largest humanitarian disaster simulation exercise.

More than 3,000 people including professional actors, students, children, and emergency personnel were involved in the three-day Simex 2018, in Portsmouth in May, which simulated a cyclone followed by a landslide, fi res and mass casualties.

Claire Purcell, an extended scope physiotherapist at Stockport NHS Trust, and Zoe Clift, a clinical specialist physiotherapist at Manchester University NHS Trust, dealt with a range of patients working in triage with the wider medical team, and in rehabilitation

following assessment. They are members of the UK

Emergency Medical Team (UK EMT) which is funded by the Department for International Development, and is a consortium including government, international humanitarian support organisations Humanity and Inclusion and UK-Med, and the fi re and rescue service.

Ms Purcell said: ‘It gave us the chance to test what we had learned in theory, troubleshoot potential problems, fi nd what works and where there are diffi culties. It also raises the importance of having rehabilitation services in place when the emergency teams are gone.’

Ms Clift said they were seeing 150 patients a day. ‘We were up at 6am and didn’t get a debrief until 10pm, then it was food and bed.’

A physio-led project has inspired a Scottish hospital to introduce brightly coloured, dementia-friendly walking frames to its wards, in place of the usual grey or silver models.

David MacKenzie, a specialist inpatient physiotherapist at Forth Valley Royal Hospital in Larbert, developed the idea after completing a dementia champion course.

He told Frontline: ‘Following the course, I was particularly taken by the importance of vision and colour for patients with dementia.

‘The hospital environment can be challenging for dementia patients due to lack of contrast between walls, fl oors and equipment.

‘I’d witnessed patients using their table to move around, and realised this was because it was the biggest block of colour in their rooms. Evidence has shown that using a coloured tumbler for patients with cognitive or sensory impairments, increases fl uid consumption by 84 per cent and I thought, why not have coloured walking frames too?’

Physios Claire Purcell and Zoe Clift met with international development secretary Penny Mordaunt (centre) at Simex and talked about the importance of rehab in emergencies

Cyclone relief exercise gives physi os a taste of caring for patients in disas ter zone

Forth Valley physio leads use of red dementia-friendly walking frames

12_13_FL_4_jul_news.indd 12 29/06/2018 11:03

Frontline • 4 July 2018 13

A study by physiotherapists shows that how well a patient initially adapts to using non-invasive ventilation can have a signifi cant impact on their continued use of this technology.

Karen Ward, a consultant physiotherapist at Aintree Hospital NHS Trust and lead author of the study, said it had identifi ed the value of clinicians providing early extra support to ventilation patients who need it.

’It was a small study, but showed a strong association between the successful use of ventilators in the fi rst two weeks and their use at three months,’ she said.

The study looked at 90 patients between November 2015 and July 2017. They had an average age of 61 and conditions including chronic obstructive pulmonary disease, obesity hypoventilation syndrome and obstructive sleep apnoea.

The patients were treated with ResMed’s Lumis 150 ventilators and were telemonitored at home using the equipment’s wireless facility.

‘About 18 months ago, we introduced the Lumis 150 for patients,’ said Ms Ward.

‘The device can be adjusted wirelessly. Aintree’s physiotherapy ventilation team can check on the patients and change their treatment without them travelling to the hospital.’

Ms Ward went to San Diego, California, to present the fi ndings

to a conference of the American Thoracic Society on 20 May.

‘I hope the results of this study will help to enable any of us who work with ventilation to focus our support on those who need it the most,’ she said.■ Gill Hitchcock

Physios’ study shows support for ventilation patients can be crucial

Cyclone relief exercise gives physi os a taste of caring for patients in disas ter zone

The exercise placed the emphasis on realism with participants sleeping in tents, eating army rations, and using the most basic of toilet and washing facilities.

‘It was very challenging from the start,’ Ms Clift said: ‘Our “landing” was played out as if immigration offi cials were hostile. We then had to set up a fi eld hospital, which was seeing patients before it was fully set up.

‘In the middle of the night, the local militia invaded the camp and we were evacuated to a safe place.’■ Mark Gould and Lynn Eaton

More informationUK Emergency Medical Team bit.ly/2sPbKdg

Specialist inpatient physio David MacKenzie with some of the hospital’s new red walking frames

Mr MacKenzie conducted a short quality improvement project at the hospital to investigate the possible benefi ts.

Data collection took place once a week over a ten-week period, with fi ve patients who were identifi ed as suitable participants.

‘They were observed for three-hour periods with grey frames and compliance was monitored and, then they were provided with red frames and observed for a further three-hour period,’ said

Mr MacKenzie.Results showed that four out of the fi ve

patients were signifi cantly more mobile when using the red frames; with their compliance increasing from 18 per cent while using grey frames, to 61 per cent while using red frames.

The hospital has now received a further 80 red walking frames, which they are making available to patients.■ Robert Millett

Forth Valley physio leads use of red dementia-friendly walking frames

Karen Ward presented the fi ndings to the American Thoracic Society in California

12_13_FL_4_jul_news.indd 13 29/06/2018 11:04

NewsDigest

A physiotherapist is collaborating with a hand surgeon to offer video conferencing clinics to people in the Outer Hebrides of Scotland.

Innes Morton, an extended scope practitioner at the Western Isles Hospital in Stornoway, on the Isle of Lewis, has teamed up with Glasgow-based consultant orthopaedic surgeon Grzegorz Sianos.

They are providing a service that allows patients in the Western Isles to receive their initial assessments via video – preventing unnecessary travel to mainland Scotland.

Previously, patients on the island who had specialised /complex hand problems had no other option except to travel to Glasgow.

‘That meant a return fl ight, sometimes with an escort to help the person travel, to attend an assessment and then a return fl ight plus overnight stays for the procedure to be done,’ Mr Morton explained.

During the fi rst clinic, held in April, they saw 11 patients. Seven of whom subsequently required surgery.

‘This saved over £3,000 in travel expenses for one clinic and pleased a few people who do not particularly enjoy the fl ight on and off the island,’ said Mr Morton.

‘Verbal feedback has been excellent and patients are delighted to save a long journey of two fl ights, plus taxis, to see a consultant.’■ Robert Millett

Video conferencing clinic cuts air miles for patients in Western Isles

People with cystic fi brosis should have the results of their assessments reviewed annually by a specialist multidisciplinary team, which includes a physiotherapist.

This is one of the best practice statements in a new quality standard from the National Institute for Health and Care Excellence.

The quality standard, published in May, covers the diagnosis and management of cystic fi brosis in children and adults and describes high-quality care and areas for improvement.

Lisa Morrison, chair of the Association of Chartered Physiotherapists in Cystic Fibrosis (ACPCF), said it was a welcome opportunity

to improve care and enhance the quality of life for people with the condition.

She said: ‘This publication identifi es key points that ensure the comprehensive management of people with cystic fi brosis.

‘Through the delivery of optimal care and communication it supports ongoing improvement and the best possible health outcomes, for example the optimisation of modern therapies and ensuring that there is equal access to these.

‘As physiotherapists it offers robust support for our own standards of care and good clinical practice for the management of cystic fi brosis, creating opportunities to

benchmark our services on recognised standards and monitor service improvements.’

■ Robert Millett

More informationThe Standards of Care and Good Practice for the Physiotherapy Management of Cystic Fibrosis www.cysticfi brosis.org.uk/the-work-we-do/clinical-care/consensus-documentsNICE Cystic fi brosis quality standard [QS168] www.nice.org.uk/guidance/QS168

Give people with cystic fi brosis annual reviews with physio input, says NICE

Extended scope practitioner Innes Morton (right) runs the clinics with Grzegorz Sianos (pictured on screen)

14_FL_4_July_news.indd 14 29/06/2018 10:49

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NewsFocus

Tom Gill says the 70th anniversary of the NHS is a time to celebrate – and to demand action on funding

The NHS at 70The CSP will be joining the nation in

celebrating the 70th birthday of the NHS on July 5. The NHS remains Britain’s most cherished institution and studies show it is world-class. Its founding

principles as a universal service, available to all and free at the point of need, continue to inspire health leaders globally and are a key motivator for its million-plus workforce.

Signifi cantly for CSP members, without the NHS, physiotherapy wouldn’t have grown as a profession and developed into the global leader it is today, in terms of scope of practice, breadth of access and the cost-effectiveness it delivers to the health system and wider economy, as a new CSP briefi ng argues.

‘The collaborative culture, investment in the workforce and research and development, and opportunities for advanced roles have been a boon,’ says Steve Tolan, CSP head of practice. ‘The promise of increasingly integrated services, with services delivered closer to home, suggest strongly that within the NHS system this upwards curve will continue.’

That trajectory will endure, he argues, provided the CSP and its members continue, as they have done so effectively since the NHS was founded in 1948, to seize opportunities, infl uence decision-makers and provide them with evidence of the value of the profession.

Then, as Jim Fahie, CSP assistant director, points out, there’s the positive social partnership arrangements that deliver a strong staff voice and underpin quality employment standards.

For many, the 70th anniversary, as well as being a time to celebrate, will also be a moment to demonstrate and to demand action to ensure the NHS is properly funded. In recent years, the fi nances

16_18_fl_4_jul_nhs.indd 16 29/06/2018 10:40

Frontline • 4 July 2018 17

The NHS at 70have not matched rapidly rising demand, as CSP members know too well from their everyday experiences of work in the NHS. The costs of this widening gap between the system’s resources and need has been borne by staff – stress, unpaid overtime, lack of equipment and inadequate staffi ng levels – and patients – lengthening waiting lists, shorter appointments and, ultimately, poorer quality of care.

Days before this article was drafted, the prime minister announced the government would increase NHS funding by £20 billion by 2023, an average of 3.4 per cent annually, up from the 2 per cent it has received in recent years (see box, over).

This followed years of campaigning by unions, and the CSP, and has been welcomed. But the consensus is that the proposals fall short of what is needed and lack clarity, as the CSP put it. Rob Yeldham, CSP director of policy, strategy and engagement, said: ‘We can afford to fund the NHS and care if we choose to. We don’t spend the same proportion of our wealth on health as comparable economies.’

Pride, tempered by concernWhen Frontline talked to members at a training event for London stewards and safety reps at CSP headquarters, the pride they all feel in working for the NHS was palpable – but so were the concerns that it is badly short of funds.

Shelley, one of the physios at the training day, said: ‘The NHS is a world-leading service which has played its part in eradicating infectious diseases and

Timeline: physiotherapy and the NHS

1948The NHS is founded. Universal healthcare – including physiotherapy – is now free.

1949Physiotherapy services are expanded to include regional/local and domiciliary provision but there is a shortage of physios estimated at around 5,000

1950sA series of major polio epidemics boost the profi le of physiotherapy and leads to developments in the delivery of respiratory care by physiotherapists. These early years in the NHS also give physiotherapists valuable experience in rehabilitation as they treat a wider section of society.

1954Physiotherapy staff numbers rise to 4,310, an increase of more than 20 per cent on 1949.

1960The Professions Supplementary to Medicine Act – most recently amended as the National Health Service (Professions Supplementary to Medicine) Amendment Regulations 2000 – establishes the Council for the Professions Supplementary to Medicine to regulate the initial training, fi tness to practice, and the conduct of physiotherapy and other allied health professionals.

1969The requirement for students in receipt of government grants to work for at least two years in the NHS after qualifi cation, introduced in 1961, is abolished in 1969. CSP council nevertheless urges students to take up NHS posts to fulfi l a ‘moral obligation and to obtain experience’. At the end of 1969, 2,819 students are in training in 38 schools.

1970-71A ‘helper’ grade is established in the NHS to address the shortfall of physios for ‘non-professional’ aspects of physiotherapy such as dressing and maintenance exercises.

1977The Department of Health memorandum HC(77)33 establishes professional autonomy for physiotherapists.

1981Fred Frazer is the fi rst member to gain a PhD for his work on ‘Domiciliary physiotherapy: cost and benefi t’, at Aston University.

1988The National Health Service Training Agency undertakes a project to survey the work done by support workers and develop new training systems.

continues overleaf

NHS fundingwill increase by

£20 billion

by 2023

16_18_fl_4_jul_nhs.indd 17 29/06/2018 10:43

NewsFocuspioneering new treatments. It has come a long way in 70 years. To have access to healthcare without having to pay through the nose for it is excellent and life-changing for many. This should be celebrated. I am incredibly proud to work for our NHS. We need to keep supporting it.’

She added: ‘Scientifi c advances and the fact that people live longer mean our NHS is needed more than ever. Staff work so hard to provide quality care and it is so frustrating when we don’t have the resources to do more.’

Belinda, a community physiotherapist, said: ‘The NHS is special because of the concept that healthcare is free at the fi rst point of contact and not based on whether you can afford it. It is still a service which puts patients fi rst. It needs more funding to ensure the quality of patient care is maintained. Services cannot continue to be delivered by overworked, stressed, unhappy staff.’

Sophie, another attendee, added: ‘Our population is growing and we don’t have enough staff, facilities or services. Patients are having to wait longer for treatment.’

And, of course, CSP members and their families are also users of the service. Sophie fi nds it ‘essential for my health and well-being. I feel supported and safe knowing I can access care.’

Chris, also at the event, added: ‘The NHS has cared for my family and myself on numerous occasions and has probably saved our lives.’.FL

NHS funding

The extra funding announced by the prime minister in mid-June has been widely seen as insuffi cient for the NHS system to stabilise (that would require 4-5 per cent a year), let alone deliver the kind of transformation to new, more responsive and effective care the CSP has been championing.

Furthermore, concerns have been widely expressed that key areas like social care – where massive underfunding has placed an enormous burden on the NHS – public health and health education would be excluded or indeed cut further. In addition, if what the CSP has described as ‘unrealistic savings’ targets run in parallel to

any new money for ‘already one of the most productive parts of the economy’, this would further diminish the real levels of new investment in the NHS.

The suggestion by the prime minister that the NHS budget would be partially funded by money clawed back from the European Union post-Brexit has added to uncertainty about the government’s commitment.

Download NHS70 – CSP briefi ng, and watch a video of two CSP members talking about experiences working in the NHS and why they believe the NHS needs to be properly funded at www.csp.org.uk/nhs70

1998NHS physio staff are represented by the CSP in the tripartite Social Partnership Forum established in England, which brings together government, employers and health unions to advance quality employment in the NHS.

2002The fi rst physiotherapy consultant, Paul Watson, is appointed honorary consultant physiotherapist at University Hospitals of Leicester NHS Trust.

2003The CSP endorses a professional doctorate for the fi rst time, enhancing physiotherapy research that is largely conducted thanks to NHS and other public funding.

2004Agenda for Change is agreed with the NHS unions, including the CSP. Replacing the decades-old Whitley Council-based NHS pay system, it introduces simplifi ed national pay ‘spines’ covering different staff groups, a national job evaluation scheme and a competency-based career framework.

2005Supplementary prescribing rights are extended to physiotherapists by the Department of Health and the Medicines and Healthcare Products Regulatory Agency.

2006The National Institute for Health Research (NIHR) is created to support, promote and develop the ‘best research for best health’ and within the fi rst 10 years of the NIHR’s existence, all NHS trusts have registered as conducting research. The NIHR goes on to support a growing number of physiotherapy research projects nationwide.

2013UK physiotherapists are the fi rst in the world to independently prescribe medication. Statutory Instrument No 1855 Medicines: The Human Medicines (Amendment) Regulations 2013 enables physiotherapists and podiatrists to prescribe, after suitable training, without supervision by a doctor.

2018A critical point is reached across the UK in the ongoing development of advanced practice physio roles to provide initial MSK consultation and assessment instead of GPs within primary care

The Department of Health in Northern Ireland announces a package of investment to establish fi rst contact physios in two large pilot sites, to cover 200,000 of the population.

The number of physiotherapy staff employed by the NHS UK-wide reaches a record number of just under 28,000, an eight-fold increase since the founding of the NHS.

16_18_fl_4_jul_nhs.indd 18 29/06/2018 13:02

Find out how you can do more of what you love at:

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Physiotherapy to ease arm and shoulder problems following treatment for breast cancer is beneficial for both mind and body, but insufficient

healthcare professional support and limited

patient awareness are hindering its wider use, qualitative research suggests.

Around 58,000 women are diagnosed with breast cancer annually in the UK and arm/shoulder

complications caused by treatment are thought to persist in about half of patients six years after surgery. These include restricted or altered mobility; pain; weakness; swelling; and impaired lymph drainage.

There is little research on the use of physiotherapy for these complications. To tease out some of the prevailing issues and inform the direction of future research, the authors carried out structured interviews with six physiotherapists

PhysioFindings

Critical care physios are keen to get involved in academic research and can bring a wealth of experience and skills to any project. But all too often a lack of suitable opportunities and access to relevant training are getting in the way, the results of a UK-wide survey reveal.

Critical care is a complex specialty, which requires the input of a range of different professionals who are capable of planning and carrying out research with the ultimate aim of improving patient care, say the study authors.

To try to find out what helps and hinders the involvement of critical care physiotherapists in research, the researchers drew up an online survey, open to all practitioners in the specialty regardless of clinical grade or previous experience.

Some 268 responses were eligible for inclusion in the analysis, including 133 respondents based in hospitals affiliated to a university and 111 who worked in a district general hospital.

Most respondents were of a senior clinical grade and well qualified: nearly two-thirds (163) had postgraduate qualifications at master’s level

or above; seven had a doctorate. Many had some research experience, primarily audit (144) and protocol development (119).

Of those not currently involved in research (195, just under 73 per cent), most (167, 85.5 per cent) were keen to have the opportunity.

But the responses indicated the need for further training in research methodology, critical appraisal, protocol development and statistical analysis, all of which were cited by more than half the respondents.

Several other major obstacles that hamper greater involvement in the academic research agenda came to light. These included a lack of protected time, cited by 220 (82 per cent); followed by inadequate funding, cited by two-thirds of respondents (117, 66 per cent); and insufficient experience, which over half (151, just over 56 per cent) reported.

Key factors identified as ‘enablers’ to greater involvement focused on better information about the available opportunities for clinical research, access to appropriate training to enable them to contribute effectively,

secondment roles and professional networks. These could be achieved through the local and national research infrastructure, and by encouraging links to be made between existing professional organisations to combine resources and promote funding and training opportunities, the authors suggest.

The findings from the survey prompt them to conclude that critical care physios are well equipped to take a much more active role in clinical research than at present, but often find themselves precluded from doing so, to the detriment of patient care.

It would be worth harnessing ‘the unique skills of this profession to enhance the quality, quantity and scope of critical care clinical research to maximise patient benefit, within a multiprofessional national [clinical research network],’ the researchers write.Connolly B, et al. Characterising the research profile of the critical care physiotherapy workforce and engagement with critical care research: a UK national survey. BMJ Open 2018 doi 10.1136/bmjopen-2017-020350

Caroline White on the latest physio research

Involvement in research blocked b y lack of opportunity

Patients missing out on helpful physio

20_21_FL_4 Jul_physio findings.indd 20 29/06/2018 10:38

Something to add?email Frontline atfrontline@csp.org.uk

Frontline • 4 July 2018 21

Involvement in research blocked b y lack of opportunity

working in the NHS or employed in the independent sector.

Four key themes emerged: lack of confi dence around various aspects of practice, prompted by limited evidence to guide treatment, fear of causing harm and working in a less well-established area of physiotherapy; increasing confi dence gained with experience, which reinforced perceptions of the benefi ts of physiotherapy; the ability of physiotherapy to help patients regain their sense of self and quality of life; and the feeling that provision of this type of care comes up against many obstacles.

Women who have, or have had, breast cancer are losing out, the authors conclude. This is because poor awareness on the part of healthcare professionals and patients of the role of physiotherapy in managing arm and shoulder problems, following breast cancer treatment, means it is not routinely included in breast cancer care pathways.Kenyon K, et al. Physiotherapists’ experiences of managing upper limb movement impairments due to breast cancer treatment. Physiotherapy Theory and Practice 2018 doi.org/10.1080/09593985.2018.14800771

Comments and conclusions

■ Vigorous exercise in early adulthood is linked to a signifi cantly lower – up to 40 per cent – risk of death in childhood cancer survivors, after taking account of long-term conditions and duration of treatment, indicates a study of 15,450 people who had cancer as children. JAMA Oncology 2018 doi:10.1001/jamaoncol.2018.2254

■ In a study of 165 athletes (predominantly footballers) with an acute hamstring injury, intramuscular tendon injury was not associated with a higher rate of re-injury within 12 months of returning to play. British Journal of Sports Medicine 2018 doi: 10.1136/bjsports-2017-098725

■ Poor sleep quality may curb the amount of physical activity people with, or at risk of, knee osteoarthritis do, a study of 300 patients reveals. Those who reported restless sleep on three to four, or fi ve to seven, nights of the week totted up 11.9 per cent and 23.7 per cent fewer weekly minutes of moderate to vigorous physical activity, respectively, than those reporting restless sleep on less than one night of a week. Arthritis Care & Research 2018 doi.org/10.1002/acr.23581

Patients missing out on helpful physio

20_21_FL_4 Jul_physio findings.indd 21 29/06/2018 10:38

All physiotherapy staff are well placed to raise the profi le of the

profession. They also have the power to infl uence. It’s vitally important that CSP members are taking action to do this. In fact, the future of physiotherapy depends on it.

Infl uencing is all about changing views, attitudes or beliefs in a positive way. More decision-makers, patients and the public need to understand the value of physiotherapy and

what it can achieve for the health of the local population. Understanding equals investment.

No special training is required to infl uence. It’s often about being brave and stepping out of your comfort zone to push yourself and your profession forward.

I’m not a physiotherapist and am often taken aback by the exceptional skills and expertise of physio staff. But I’m also taken aback by their

modesty. You achieve great – and life-changing – results every day. It may not come naturally to boast but in this case you need to shout about what you do, and not just to other physiotherapists.

I speak to a handful of CSP members every month who create and seize opportunities to enhance the profi le of the profession by talking about the value of physiotherapy with local decision-makers. Examples include members visiting their

MP’s surgery seeking backing for community rehabilitation; organising events to celebrate a CSP campaign with decision-makers in the audience; and giving a presentation on the power of physiotherapy in falls prevention at a clinical commissioning group event or GP education evening.

All of these examples are great but I’d love to speak to more of you.

These conversations are often peppered with trepidation, but

T he Health and Social Care Board in Northern Ireland is developing

plans for public consultation over the coming months on a reconfi guration of stroke units. It is hoped that reshaping stroke services across the entire pathway will help save lives and reduce lifelong disabilities.

Over the next year, around £2.5 million will be invested in

stroke thrombectomy and community services

to prepare the way for a stroke service in

Northern Ireland that is truly fi t for the future.

This is the context for the new and exciting work I am now undertaking, and here’s how I came to be appointed to the role.

With the backing of South Eastern Trust, I was recently supported in undertaking a master’s degree at Queen’s University Belfast.

As a result, I was encouraged to apply for leadership roles, mainly for the experience of going through the interview process.

But I was delighted to be offered a post in the Health and Social Care Board’s commissioning department to set up a stroke clinical

network in Northern Ireland. Soon after, and while applying

the physiotherapy skills of analysis and problem-solving, and from evaluating evidence from reforms to stroke care in London, it became clear that services in Northern Ireland were not confi gured in the most effective way.

In collaboration with clinical colleagues across trusts and in the Public Health Agency, together we developed a compelling case for change.

This culminated in stroke reform featuring in a key transformation document published by the Northern

Views&Opinions

Catherine Chappell urges CSP members to help boost the profi le of the profession

My chance to shape the future

Don’t be shy

A physiotherapist in Northern Ireland is helping lead service transformation in stroke services

22_23_FL_4_July_Views&Ops.indd 22 29/06/2018 10:04

Frontline • 4 July 2018 23

Something to add?email Frontline atfrontline@csp.org.ukViews&Opinions

AdvicelineCiara Younge suggests ways student physios can maintain their wellbeing during their studies and while on placement

Ireland Department of Health and titled Health and Wellbeing 2026 – Delivering Together.

Almost daily, someone asks whether I miss physiotherapy. ‘Don’t you miss clinical care?’ they say. And it’s true that I miss some aspects.

Looking back on my decision to leave a clinical post to go and work exclusively on service improvement and transformation – a role that was not particularly related to physiotherapy – I remember how challenging it was at fi rst.

But I soon realised that I just

needed to keep doing what I enjoyed doing as a physio – solving problems and analysing information, communicating with people, thinking about the

patients throughout, and dealing with people

with integrity. The role I am

in now may not have such an immediate impact on

individuals but I am motivated

by my belief that what I am doing

has the potential to change many people’s lives.

Emer Hopkins is co-ordinator, Northern Ireland Stroke Network

Physiotherapy is concerned with identifying and maximising quality of life, which encompasses physical, psychological, emotional and social wellbeing. Your own wellbeing and mental health is central to delivering this for your patients, as you cannot pour from an empty cup.

Your placement is not only the perfect opportunity for you to practise your clinical skills, but also to develop your own self-care strategies.

Self-care is a set of tools or strategies we use to look after our emotional wellbeing. Such strategies should reduce your risk of fatigue and burnout in the healthcare setting, and assist you to manage stress and work challenges throughout your career and personal life.

This is the central theme of the CSP Pinpoint the Pressure campaign, so that rather than struggling alone, there is an environment of peer support. While this is a workplace campaign, it does not mean that student physiotherapists cannot benefi t from the same support structures as support workers and registered physiotherapists, especially while on clinical placement.

It is easy to get caught up in the pressures of placement and to bury yourself in work and studyto ‘get through‘. But it is important to remain connected socially and have time for those small conversations – and a cup of tea. As you would check in with a patient, you should also check in with yourself and with other students on placement with you. As the Love Activity, Hate Exercise? campaign shows, there is power in having a conversation.

We are always mindful of our physical wellbeing – if you noticed a cough while on placement you would check it out. We should always follow the same approach with our mental wellbeing. It is always okay not to be okay. Your university is keenly aware of this and has services to support students’ wellbeing.

Remember, it is not what happens that is important, but how you respond to what happens. Look after yourself in order to look after your patients – and always be self-care aware.    

Ciara Younge is CSP student offi cer

help and support is at hand. The campaigns and regional engagement team welcomes contact from members. Email us at cre@csp.org.uk and introduce yourself. Tell us where you’re from and describe your idea. We’re here to help all CSP members to promote physio.

Imagine what could be achieved for the profession if all 57,000-plus members were able to spare a few minutes each day.

You really could be a force to be reckoned with.

Catherine Chappell is CSP campaigns and regional engagement offi cer@CChappellCSP

My chance to shape the future

Don’t be shy

‘Don’t you miss clinical care?’ they say. And

and transformation

patients throughout, and dealing with people

with integrity.

I am motivated by my belief that

what I am doing has the potential to

Next year

£2.5mwill be invested in

stroke thrombectomy and community

services

22_23_FL_4_July_Views&Ops.indd 23 29/06/2018 10:06

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TechRevolution

How to use digital

opportunities

24_27_FL_4_jul_digital opportunities.indd 24 29/06/2018 09:56

Frontline • 4 July 2018 25

Digital transformation relies on local innovation and people with bright ideas. Gill Hitchcock reports on the projects, connections and

knowledge that make physiotherapists part of the revolution

How to use digital

opportunities

24_27_FL_4_jul_digital opportunities.indd 25 29/06/2018 09:56

and printing out stuff costs little, whereas a licence for this type of product is expensive,’ he says. ‘The advertised price is £10 a month per clinician. If we have 50 clinicians and 20 don’t use it, you are throwing away £200 a month.

‘One of our biggest challenges has been getting people out of their normal behaviours and using technology to assist them. If people have been drawing stick figures for years, it’s quite difficult to tell them there’s a better way.’

St George’s is also looking at the getUbetter app to help people self-manage back pain. This app has the potential to provide people with appropriate, evidence-based information early. And as Mr Wanless says, if an individual can manage their own back pain, they don’t need a physiotherapist.

‘We started looking at this about 18 months ago as a solution to a problem, which was that we had 26,000 referrals and not enough capacity,’ he says. ‘Wandsworth clinical commissioning group has committed to buying 3,500 licences as part of the pilot phase and we are ready to start implementing it in a GP practice.’

Digital driversWhen it comes to wholescale digital transformation, is it always driven from the top? After all, directors hold the purse strings. The Nuffield Trust has found that strategic decisions about technology, and associated investment, are often a footnote to NHS board discussions.

Even at trusts where digital is centre stage, AHPs face a particular problem.

‘We are almost fourth division when it comes to engagement,’ says Mike Folan, NHS England’s informatics lead for AHPs.

‘At local and national level, we struggle to get data out of systems because there are no AHP data requirements or obligations in any of the national strategy data sets.

‘Physiotherapists and other AHPs still have to write out discharge summaries, or type out information, whereas we know that in other parts of the system tools have been developed that will automate that.’

Mr Folan says there are core objectives in NHS England’s Five Year Forward View that digital systems improve patient safety, clinical outcomes, patient or staff experience and the sustainability of the health service. The good news is that he is on a mission to make sure physiotherapists achieve ‘digital maturity’.

His first objective is to make sure that digitisation does not occur for its own sake, but is directed to support care and other purposes, such as research. The second is to ensure that all AHP requirements are captured in one or more national data sets. Good data means the value of

TechRevolution

P hysiotherapists are loath to move too far away from pen and paper because it is what we have always used, says Euan McComiskie, CSP professional adviser for health informatics. But he believes it is

essential for the profession to shift: ‘The main reason is to provide a good service for our patients. They expect digital because of the advantages in other areas, such as banking or travel. Another reason is money. It costs a lot to run an inefficient service.’

Although these are significant drivers, around the world healthcare is at least a decade behind other sectors, according to the Nuffield Trust. Its findings show that this gap is highly visible in the NHS. While 88 per cent of adults in the UK use the internet, only two per cent report a digitally-enabled transaction with the health service.

Although the use of IT in primary care is well established, acute and community sectors lag behind. Even here the scene looks set to change. Most acute trusts have the technology to support mobile working, e-rostering, patient flow software and e-health records, the Nuffield Trust has found.

NHS Choices stands out as a major health service success. The website, with comprehensive advice on conditions and services, gets more than 1.5 million visits each day, or more than 550 million through the year.

There are examples of physiotherapy-specific digital systems capable of successfully supporting patients and services, too. One of these is Physitrack, an online system of video-based exercise programmes which tracks patient outcomes in real time.

Making the changeSt George’s University Hospital NHS Trust in London, where Ben Wanless is a consultant physiotherapist and the digital and innovation lead for allied health professions (AHPs), uses Physitrack. ‘We used to give people exercises by drawing them on paper,’ he says. ‘The next evolution was a programme called PhysioTools, a database of exercises and we printed out the exercises we wanted. Now we go online, choose exercises from the videos and email them to the patient.

‘For the patient, it is much better. They can go home, watch the videos and engage with the website, and the app, if they want to. We can update that any time without the patient having to come in.’

While Physitrack is used widely in private practice, the company has struggled to break into the NHS. The reason is cost, Mr Wanless explains. ‘Drawing pictures

Only

2% of adults in the UK use digital health

care services

24_27_FL_4_jul_digital opportunities.indd 26 29/06/2018 09:57

physiotherapy can be demonstrated. This is already happening in the fi rst contact

practitioner pilots, launched in England in June. ‘We and the CSP have done the work to identify how the physiotherapists can capture data at the point of care. This data will support agendas about reducing demand on general practice, about the socio-economic factors around work and sickness, and how patients can be managed appropriately.’

With the NHS under growing pressure, most effi ciency gains will continue to be delivered locally through specifi c opportunities. The Nuffi eld Trust predicts that the most signifi cant improvements in productivity over the next few years are likely to come from the combined impact of a large number of small changes and extracting the full benefi t from technologies.

‘If you can identify processes within your service or day-to-day job that can be made more effi cient with technology, then think about the practicalities of actually embedding them,’ Mr Wanless says. He recognises, however, that this may not be easy.

Sharing knowledgeMr Folan thinks individual physiotherapists could infl uence digital improvements, by knowing the right people – a chief technology offi cer or chief information offi cer – and familiarising themselves with some of the

Frontline • 4 July 2018 27

terminology they use. Understanding the broader health and care system is also important.

‘Having that knowledge will allow you to work collaboratively with colleagues and use language that allows you to articulate clearly to the people designing the system how to take your requirements on board,’ he says. There are other opportunities too. Physiotherapists can get involved at local level in the Global Digital Exemplar programme, which promotes the best digital technologies and the sharing of learning with the aim of spreading innovation across trusts.

Use the CSP’s networkSome physiotherapists are already part of the NHS Digital Academy, a virtual organisation to develop a new generation of digital leaders who can drive information and technology transformation in the NHS. ‘There is a programme of work to develop a faculty of clinical informatics,’ says Mr Folan. It will provide a professional home for clinicians and develop competencies that are expected of all clinicians in a digital age.’

Mr McComiskie believes it is important for physiotherapists to share good practice, as well as challenges. He says the iCSP information management network is a good way to do this. ‘We need to be cooperative because I bet the problems and challenges faced in south London are almost identical to those in Glasgow or Belfast.’

He wants digital education to spread beyond physiotherapy undergraduates to those in practice. He thinks the profession should be exploiting social media to sell the physiotherapy message. And he argues that the profession should stop thinking of system suppliers as ‘the big bad IT men’ and understand how it can structure what it asks of vendors.

‘Rather than seeing digital transformation as an instruction from the government, I think we should be seeing it as an opportunity and a call to arms to deliver more effi cient services. We should be saying, here are some of the ways we can do it,’ he says. FL

‘Obviously for the patient, it is much better. They can go home, watch the videos and engage with the website and the app, if they want to. We can update that any time without the patient having to come in’Ben Wanless

Something to add?email Frontline atfrontline@csp.org.uk

Physitrack bit.ly/2JIqeWT getUbetter www.getubetter.com NHS Choices www.nhs.uk/pages/home

24_27_FL_4_jul_digital opportunities.indd 27 29/06/2018 09:57

TechRevolution

Making connections

28_30_fl_4_jul_scot.indd 28 29/06/2018 09:28

Frontline • 20 June 2018 29Frontline • 20 June 2018 29Frontline • 4 July 2018 29

Scotland’s digital health and care strategy could be a once in a lifetime chance to reshape physiotherapy services. And it’s crucial that members are involved in the plans. Gill Hitchcock reports

together, they can sit in the workplace and access all sorts of stuff and learn together.’

She says that a podiatry service in Glasgow with 900 staff no longer has face-to-face consultations after 3pm. Instead, the service has phone or video consultations with patients, who may then be invited to clinics, or to continue their care remotely over the phone, via Skype or FaceTime.

‘What this means is that throughput is much improved, the service can see far more people and in a way that they want to be seen.’

National data platformAfter the WannaCry ransomware attack on NHS services in May 2017, it is no surprise that the Scottish government takes cyber security seriously. It wants a national approach to information security. Of course, patients expect their personal information to be safe and secure. But this approach also seeks to eliminate inconsistencies in regulations, or misunderstandings about them, which impede new ways of working.

‘We have approaches which are not proportionate to risk and prevent some of our physios and other staff from really getting engaged with technology,’ says Ms Holdsworth.

‘Data protection and security have been devolved to local boards, who then make their own interpretations. Some services are allowed to email patients, others are not. But under this strategy we will have national standards for those kinds of things.

‘If physios want to maintain an email correspondence to see how patients are progressing, or with the parents of children they are treating, it will be straightforward.’

A national data platform, giving physiotherapists real-time access to decision-critical information in electronic patient records, is a priority. Ms Holdsworth describes one problem the platform will overcome: ‘Many physio services are not linked into GP systems. If you see a patient, you cannot see their medical history

Something to add?email Frontline atfrontline@csp.org.uk

Scotland’s physiotherapy staff can expect a seismic shift in service delivery. They will experience it as part of the Scottish government’s digital health and care strategy. Published this summer, the

strategy promises that digital technologies will be at the heart of everything physio staff do. Over the next decade, digital will become not only the fi rst point of

contact physiotherapy services for many people, but also how they choose to engage with those services.

‘It is aimed at opening ourselves up to engaging with patients in a way that they want,’ says Lesley Holdsworth, physiotherapist and the Scottish government’s clinical lead for digital health and care.

She believes it makes economic sense too, arguing that the health and care workforce cannot meet the rising demand it faces. But digital transformation means services can do far more with existing resources.

Given the troubled history of NHS IT, this is an ambitious strategy. It also recognises that success will depend on developing the digital skills of physiotherapists and others. Equally, it includes an awareness that physiotherapists must be fully digitally connected wherever they are working.

Ms Holdsworth points out that some services are already innovating. ‘There are physiotherapists who conduct team meetings or continuing professional development activities via videoconferencing platforms like Zoom.

‘Instead of having to travel long distances to come

Making connections

28_30_fl_4_jul_scot.indd 29 29/06/2018 09:30

TechRevolutionand are relying on what someone has written on a piece of paper or included in a referral.

‘The idea is that everyone will have access to whatever they need, including lab results and scans. But within the platform will be a patient portal and patients will be able to go in and look at their appointments, results or medication.’

An app in actionEmpowering citizens to manage their own health and wellbeing is key to the strategy. By allowing people to access their own health records, the government aims to enable them to be more actively engaged in their own care.

Self-management will not replace physiotherapy, Ms Holdsworth points out. But physiotherapy staff will use technology to enhance their services.

One example is Scotland’s NHS 24 MSK Help app, which was developed with the help of physiotherapists, doctors and patients. Available to download through Google Play or the App Store, it provides people with a way to self-manage common muscle, back and joint problems. It includes exercises and video clips, and helps people to keep a note of their progress.

‘The idea is that everyone will have access to whatever they need, including lab results and scans. But within the platform will be a patient portal and patients will be able to go in and look at their appointments, results or medication’ Lesley Holdsworth

An obstacle to digital improvement has been the NHS’s reliance on a small number of technology suppliers and an abundance of closed, disparate systems. The government recognises that there needs to be a ‘more open and fl exible approach’.

To make this a reality, the strategy promises ‘local co-designed service transformation’. This means building on the knowledge and skills within local NHS physiotherapy services to support and deliver key digital developments. For physiotherapy staff, there will be opportunities to play a part in the remote monitoring of long-term conditions, the use of video consultations with people at home and more.

Making all this happen is part of Ms Holdsworth’s challenging remit. One of the mechanisms she uses is to engage with physiotherapists through Scotland’s national network for allied health professionals, nurses and midwives. Hundreds of physiotherapists are already involved in this way, she says.

‘What I say to physiotherapists is that the strategy is an open door. Be involved. Be vocal. If you are not part of it, join our network. That way you will get your voice heard, and when you hear about innovation in other places you can see the implications for your own services.’ FL

More informationScotland’s digital health and care strategybit.ly/2Hzzl7C

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Formal learning events such as courses and conferences are traditionally the mainstay of continuing professional development at the CSP. In this fi nancial climate, it can be diffi cult

to fi nd funding to fi nance these opportunities. This article is the fi rst of two in which we will look at learning from such events and the process of applying for an award to fund formal learning.

Charitable Trust awardsThe CSP Charitable Trust (CSPCT) actively supports members’ learning and development by offering a number of education awards. There are three main awards on offer: the Academically Accredited Courses award; the Conference and Presentation award; and the Education and Development Placements award (www.csp.org.uk/node/156).

These awards are open to all CSP members and the call for applications opens twice each year – in January and June. The awards are managed on behalf of the CSPCT by the Education Awards Panel (EAP) (www.csp.org.uk/node/158). The panel is made up of nine CSP members and is currently chaired by consultant physiotherapist Chris Mercer (see box).

Applying for a grantSubmitting an application might seem daunting but it is a straightforward process. Feedback from members confi rms that the benefi ts outweigh the energy it takes – as respiratory team lead Hannah Goddard explains (see box).

Applications for an education award are submitted and processed through the CSP’s

CPDAwards

How to fund your LEARNING

In the fi rst of two articles on formal learning events, CSP professional adviser Gwyn Owen explains how to apply for an education award

Last year, I played a pivotal role in a joint service development project with David McWilliams, clinical specialist physiotherapist at Birmingham University NHS Trust. The project encouraged staff on the intensive care unit (ICU) at South Warwickshire Foundation Trust to transfer ventilated patients out of bed much earlier than usual.

I have been a member of the Education Awards Panel for the last two years and recently took over as chair. The committee is made up of CSP members from different backgrounds, including people who work in academia, research, management and clinical practice. This diversity gives us a dynamic committee and plenty of interesting discussion.

We have recently recruited new members to the committee and hope to be joined by a lay member soon. I’m excited to be working with a very experienced new group.

The bulk of our role is to review and score applications – usually 50 to 60 applications in each round – and then to agree on which will be funded. We also work on developing new awards and opportunities for members. Watch this space for future developments.

The quality and number of applications we receive is increasing signifi cantly and we look forward to seeing your submissions in the years ahead.Chris Mercer, chair, CSP Charitable Trust Education Awards Panel

Learning Hub. The online application asks for a 500-word justifi cation statement that explains how learning from participating in an accredited course, a conference or overseas placement/project:■ relates to your current and future practice■ relates to patient/population and service needs■ contributes to the development of physiotherapy■ will be disseminated

Applications are anonymised and marked by the EAP against a set of criteria.

Learning from the application processThe process of submitting an application for an education award is a learning opportunity in itself. The form provides applicants with a space for

32_33_FL_4_jul_cpd.indd 32 29/06/2018 09:15

Frontline • 4 July 2018 33

critical refl ection, while the guidance and marking criteria will help you to build and communicate a reasoned argument to back up your case. If your application is successful, you will be required to submit a feedback form to the EAP. The act of setting down your thoughts in this way will help you to refl ect on the impact of the award on your development.

Your next stepsIf you have found a learning opportunity that fi ts the criteria, log into the CSP’s Learning Hub (www.csp.org.uk/node/796) and subscribe to an education award eBite. Use the content to draft your application. The next article will offer guidance on how learning from a formal event can meet the needs of you and your service. FL

How to submit a successful application

■ Check the award specifi cations to make sure it meets your needs and that you are eligible.

■ Study the application form, guidance notes and criteria used by the EAP to assess applications. These will help you think about the information, evidence and energy you will need to prepare your application.

■ Once you understand the process and expectations, draw up a realistic action plan. You will fi nd an action plan template in your CSP ePortfolio account (log in at www.csp.org.uk/node/796).

■ Use your action plan to create a timeline. Keep it in your diary to remind you what needs to be done and when.

■ Allow more time than you think you need so that you can attend to any unexpected delays or competing demands on your time – and still meet the deadline.

■ Use the guidance and evaluation criteria to draft and refi ne your application.

■ Ask a critical friend for feedback on your application before submission.

■ Do not exceed the word count, and be sure that you have completed all sections of the form and uploaded the supporting evidence in the right format before clicking ‘submit’.

■ Keep a copy of your application with your plans, notes, feedback and refl ections generated through the process in your CPD portfolio. Once you know the outcome, this information will help you critique your practice and evidence your learning from the application process.

The project was challenging, but worked to promote multidisciplinary working and a shift towards a culture of rehabilitation among ICU staff.

We worked together to prepare a paper that was accepted for presentation at the European Society of Intensive Care Medicine conference 2017 in Vienna.

I applied for a CSPCT Conference and

Presentation award to support my visit to Vienna and was absolutely delighted to receive funding. The whole experience was signifi cant as I had little experience of research or of participating in an international conference. I am extremely thankful to the CSPCT for allowing me that opportunity.Hannah Goddard, respiratory team lead, South Warwickshire NHS Foundation Trust

Something to add?email Frontline atfrontline@csp.org.uk

32_33_FL_4_jul_cpd.indd 33 29/06/2018 09:16

* Full CSP members only. Price £129 from 1st August. Other rates apply for other membership groups, and non-members.

Full programme launches 18th July100s of poster presenters and ‘Ra pid 5’ presentations to be added.

19-20 OCTOBER 2018ICC BIRMINGHAM

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001525_PUK 2018_FL DPS_Full Progr._4th July.indd 1 29/06/2018 13:24

Physiotherapy2018CSP CONFERENCE & TRADE EXHIBIT ION

www.physiotherapyuk.org.ukThe flagship event for your profession.

* Full CSP members only. Price £129 from 1st August. Other rates apply for other membership groups, and non-members.

Full programme launches 18th July100s of poster presenters and ‘Ra pid 5’ presentations to be added.

19-20 OCTOBER 2018

Book by 31st July

100s of poster presenters and ‘Ra pid 5’ presentations to be added.

st July

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001525_PUK 2018_FL DPS_Full Progr._4th July.indd 2 29/06/2018 13:24

The CSP Charitable Trust Registered Charity No. 279882 Supporting the advancement of physiotherapy education and research.Action Medical Research is a registered charity: England and Wales No.208701; Scotland No. SC039284action.org.uk

Children’s charity Action Medical Research has been funding vital research for 65 years. Our objective is to prevent disease and disability and to alleviate physical disability with an emphasis on clinical research or research at the clinical/basic science interface. Our support is focused on child health including problems affecting pregnancy, childbirth, babies, children and young people.

We welcome applications from medical graduates, bioengineers, research nurses, physiotherapists and allied health professionals who wish to train in research techniques and methodology applied to subjects relevant to the aims of the charity. The awards provide two to three years funding (salary and consumables). This round we hope to award up to three fellowships.

This year’s open competition Research Training Fellowship round includes the following joint funding opportunity for members of the Chartered Society of Physiotherapy:

Action Medical Research and the Chartered Society of Physiotherapy Charitable Trust (CSPCT) are teaming up to fund a fellowship to help children with brain damage or other mental or physical disability at birth in particular through research into effective physiotherapy treatments

and the dissemination of the results to the public. Full members of the Chartered Society of Physiotherapy can apply. The Action CSPCT fellowship could fund research as part of a PhD, Prof Doc and Post Doc activity (so long as the post doc activity contained suffi cient new training and project work). Masters level activity will not be funded.

Am I eligible to apply?Please visit the Action Medical Research website to check if you are eligible to apply: www.action.org.uk/rtf and check the guidelines). You should discuss your research training programme with your intended supervisor before applying.

How do I apply?Please complete the Research Training Fellowship outline proposal form available from the Action Medical Research website. The closing date for outline applications is Wednesday 5 September 2018 by 5pm. Outlines can also be submitted before this date. If your outline is accepted, full application details will be emailed to you. Successful candidates can take up their awards from March 2019.

Chartered Society of Physiotherapy Charitable Trust Research Training Fellowship

action medical research

001540_Action Medical Research.indd 1 29/06/2018 13:49

Ihave just returned from an island visit to members in Shetland and Orkney. I visited the Western Isles in 2016 and, once again, this trip was very instructive. However, this time I went with a more open mind, having

admitted to some preconceptions when I visited Lewis and Harris two years ago.

First, I learned that although the travel guides lump Shetland and Orkney together, they are very different in terms of landscape, culture and healthcare. The islanders don’t consider themselves any more similar to each other than they do to the rest of the UK. Many people I met in Shetland have a greater affi nity to Norway than the UK.

How often do we inadvertently lump people together like this and then lose sight of the value of difference? How often might we disengage people by not being aware of sensitivities? I am certainly grateful for the briefi ng I was given by my staff before I left because I could easily have disengaged members through my own ignorance of differences.

Once again I saw great practice and, in particular, autonomy in practice. The island life, geography, demographics and workforce issues necessitate this, and the issue of ‘integration’ was hardly mentioned as it happens as a matter of course. You do what needs to be done; and there appears to be much less concern about what is and isn’t one’s job.

Self-management was a feature of what I saw and is essential where accessing healthcare on the islands may require long drives and several ferries. Once again I saw how the shift in focus towards prevention and self-management required across the UK is the modus operandi on these islands.

There are challenges, though, and these can be instructive. Confi dentiality is tested almost every day in a place where everyone knows everyone else. Retaining the patient-clinician boundary can be tricky when a simple supermarket shop can turn into a consultation.

Workforce is also a challenge, as the islands are remote and life there is not for everyone. Succession-planning is a problem and every job vacancy brings a debate about how to recruit differently, how to use the vacancy to innovate and make changes, and how to market the whole package of island life. I wonder how many of us on the mainland, in a rush to fi ll a post, take time to look at a vacant role differently and creatively.

Another thing I noticed was how much partnership working there was between the NHS and the private and charitable sectors to create and deliver services. I sensed a real spirit of ‘this is our island health and we’ll all pitch in to make it better’, which seemed to engage everyone to pool their efforts, talents and money. This reminded me of the CSP message about organising, and what can be achieved if you get organised and what 57,000 members can achieve by pulling in the same direction.

Continuing professional development has been a challenge in the past when access was traditionally through attendance at courses and in-person training. Much use is made of webinars, supervision via Skype calls and Twitter – another lesson for

the rest of us, perhaps.The challenge of travel was interesting,

particularly for me as a Londoner.

Travel within the isles of Shetland and Orkney is as

tricky as travel between the two

groups of islands and relies on the

weather. The mist came down one day, disrupting my journey, but I saw how relaxed and adaptable the physiotherapists were about juggling their plans for the day.

The overwhelming feeling I had when I left the islands was how fl exible staff were and had to be because of the weather,

the workforce challenges or the digital technology, which wasn’t always as good as it could be.

This fl exibility is an attribute we all need as the pace of change increases. We talk about workforce planning and training the workforce for the future but I believe the best we can do is to train a more fl exible

workforce with an agile mindset, ready to respond and adapt.

While I take no commission from any tourist board, the islands were stunning

and well worth a visit. And maybe, just maybe, you might consider a job there. FL

Contact Karen: middletonk@csp.org.uk

Frontline • 4 July 2018 37

Island life

InPerson

Recently back from Shetland and Orkney, CSP chief executive Karen Middleton refl ects on the reality of providing physiotherapy in isolated places

37_FL_4_jul_KM.indd 37 28/06/2018 13:48

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

Academically Accredited Courses Award • Up to £300 for 20 credit course• Up to £1200 for 180 credit course (MSc)• Up to £1500 for a PhD

Courses supported in previous years include:– Research Design & Research Management– Independent and Supplementary Prescribing for Nurses, Midwives and AHP– PG Certifi cate in Advanced Lymphoedema Management– MSc Global Health and Development– MSc Musculoskeletal Medicine– PhD in Sports, Exercise & Rehabilitation

Conference and Presentations AwardThis award is for members who have been invited to lecture or demonstrate at national and international physiotherapy related conferences in the UK and overseas (with the exception of WCPT).

It also supports attendance at:• National conferences or meetings relevant to, but outside the domain of physiotherapy• Physiotherapy or interdisciplinary international conferences in the UK.

Awards of up to £1000 are available.

Submit your application via the CSP Learning Hub.Deadline 4 September 2018Find out more, including conditions of the awards, at: www.csp.org.uk/charitabletrust

CSP Charitable Trust Fundingfor Qualifi ed, Student andAssociate Members Autumn 2018

0015

09

001509_autumn2018.indd 1 13/06/2018 08:38

Frontline • 4 July 2018 39

Recruitment

Courses&conferences

Networks&networkingp40

Catch up with news and announcements regarding the CSPs work at region and country level and also courses and events from CSP recognised professional networks. All recognised networks may list their events free of charge in this section to a limit of 180 words. Reach out to members, previous colleagues and classmates through the info exchange, retirement groups, or reunions sections. Send the information you wish to include to: networkads@csp.org.uk

Advertise your course or conference by contacting our advertising agents, Media Shed, tel: 0845 600 1394 or email: cspads@media-shed.co.uk Send your text and have your linage advertisement typeset by Media Shed to our magazine house style. Add a box or shading to make your advert stand out on the page. Alternatively you can choose to send your completed display artwork to Media Shed. Call to discuss rates.

Online Create your course advert online by using our easy to use website. Go to: www.csp.org.uk/courseadverts

Please note The courses and conferences advertised in this section have not been subject to the CSPs formal recognition processes unless explicitly stated. Frontline accepts advertisements in good faith and is not responsible for the content of advertised events (except those delivered by the CSP itself). In the event of queries or comments relating to a specific course or conference, please contact the relevant organiser directly. Please see additional Guidance for Members in this section on broader issues relating to CPD, competence and scope of practice.

Advertise your vacancy, agency or service in Frontline, or online at www.jobescalator.com by contacting our advertising agents, Media Shed, on tel: 0845 600 1394 or email: cspads@media-shed.co.uk

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

Frontline schedule Issue date Booking deadline

18 Jul 2 Jul

8 Aug 23Jul

5 Sep 20 Aug19 Sep 3 Sep

3 Oct 17 Sep 17 Oct 1 Oct

p56

p60

Networks4July.indd 39 22/06/2018 12:51

Want to help promote physiotherapy?The CSP has made it as simple as possible for members to help raise the profile of physiotherapy. This list gives a few ideas of how you can support CSP campaigns. For more information and support on promoting physiotherapy in your region contact the CSPs campaigns and regional engagement team (CRE) at: cre@csp.org.uk

Love activity, Hate exercise?csp.org.uk/activity – Sign-up to the CSPs new campaign designed in consultation with members to help patients, including those with long term conditions, to lead an active lifestyle. Help raise the profile of physiotherapy and help tackle many of the key barriers to physical activity in the UK. Rehab Matterscsp.org.uk/rehabmatters – Share this film about the impact that rehab has on patients, with the public and decision-makers. On Twitter use #RehabMattersFalls prevention and exercise advice for older peoplecsp.org.uk/opd – encourage your local GP to show the falls prevention animation on their waiting room screens. Present on falls prevention to patients and decision-makers using bespoke powerpoint presentations developed with help from AGILE. Share the falls animation on your social media profilesBackpain Mythbusterscsp.org.uk/yourback – share the back pain

animation with the public and decision-makers and on your social media profile. Hand out the ’10 things you need to know about your back’ leaflet to patients and patient groups. Think Physio for Primary CareInfluencing GPs and practice managers at a local level to run first contact physio is a key priority for 2018. The ‘Think Physio for Primary Care’ document is a great tool to help with influencing. To order a hard copy contact the CSP enquiries team or view it online at: http://bit.ly/2jfVqAQ

North WestCSP North West ERN professional forumDate: Monday 17 SeptemberTime: 5.30pm food followed by meeting 6pm-8pmCost: MMU, Brooks Building – Room number TBCCost: Free to membersContact: To confirm your attendance and for enquiries contact Nena Mitchell, North West ERN secretary, email: anenuk@hotmail.co.uk

CSP North West ERN professional forumDate: Tuesday 4 DecemberTime: 5.30pm food followed by meeting 6pm-8pmPlace: Education Centre, Chorley HospitalCost: Free to membersContact: To confirm your attendance and for enquiries contact Nena Mitchell, North West ERN secretary, email: anenuk@hotmail.co.uk

To keep up to date with your region visit: www.csp.org.uk/nations-regions/north-westFollow us on Twitter: @northwestcspFor Cumbria branch please email: cspcumbriabranch.secretary@gmail.com and follow on Twitter: @CumbriaPhysioand: @northwestcsp

North EastSave the date for the next CSP North East regional network event On Wednesday, 14 November the network will be delivering a daytime event themed on putting evidence into practice. It will take place at Teesside University, Middlesbrough.

To hear more information please keep reading Frontline and update your preferences at: www.csp.org.uk so that you are opted in to receive news from the North East via email.

To keep up to date with your region visit: www.csp.org.uk/nations-regions/north-eastFollow us on Twitter: @CSPNortheastLike us on Facebook: @CSPNortheast

Yorkshire and HumberSave the date Save the date for the next CSP Yorkshire and Humber regional network event which is taking place on Friday, 14 September at The Principal Hotel, York.

Keeping reading Frontline and follow @CSPYorksHumber to be the first to hear news about the event and reserve your place.

To keep up to date with your region visit: www.csp.org.uk/nations-regions/yorkshire-humber

West MidlandsIf you are interested in helping to promote physiotherapy in the West Midlands and would be keen to support the network with events in the region please email Helen Owen and Phil Hulse, joint-chairs of the network, at: westmidlandschair@csp.org.uk

Our next meeting will be a teleconference based meeting (date TBC) and announced on our home page and social media feeds. Our next study day will be in September, focssing on recruitment and employability (date TBC).

To keep up to date with your region visit: www.csp.org.uk/nations-regions/west-midlands Follow us on Twitter: @WestMidlandsCSPLike us on Facebook: @WestMidlandsCSP

East MidlandsFollow us on Twitter: @CSPEastMidlandsLike us on Facebook: @CSPEMRN

To keep up to date with your region visit: www.csp.org.uk/nations-regions/east-midlands

East of EnglandCSP East of England needs you! The CSP East of England regional network is actively recruiting more members to join the core team. If you want the opportunity to help promote physiotherapy in your area and get some fantastic CPD then please contact: chappellc@csp.org.uk to find out more about what’s involved and express an interest.

The CSP East of England regional network has secured two opportunities in September

English networks news

English regional networksNews from the CSP English regional networks, branches and country boards.

Find out more atwww.csp.org.uk/nations-regions

Networks&networking

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to promote the role of physio in primary care to large audiences of GPs. If you’re based in the Cambridgeshire or Essex areas and would like to get active and promote your profession please contact the campaigns and regional engagement team at: cre@csp.org.uk to find out more and step up to get involved.

To keep up to date with your region visit: www.csp.org.uk/nations-regions/east-englandFollow us on Twitter: @CSP_EoE #PhysioEastLike us on Facebook: @CSPEastofEnglandregionalnetwork

South WestSouth West joint stewards event report

The CSP South West regional network hosted an afternoon session for members at a stewards training event in Exeter last month. Local SNO James Allen talked to members about what to do if involved in an HCPC enquiry. It highlighted some typical issues that can be picked up by HCPC as well as how the CSP supports members in such scenarios.

CSP council member Barbara Sharp ran a session giving members a behind the scenes look at all the ways the CSP supports members. She also encouraged them to think about ways they can better link with other physios across the region and fly the flag for physiotherapy locally.

South West joint-chair Angie Logan ran a session with core team member Jane Clarke on how members can work together locally to raise the profile of physio and engage with the CSP and one another.

Joint-chair Jane Mitchell gave a presentation on Love Activity Hate Exercise? and showed off her activity of weight-lifting! Jane also talked about the NHS 70th birthday and highlighted how far the profession has progressed over the decades.

CSP South West ERN Conference Date: Wednesday 3 October Time: 9.30am-5pm (approximate)

Place: Oaktree Arena, Bristol Road, Edithmead, Highbridge TA9 4HACost: Free to membersBooking: Will be possible via Eventbrite later this year. More details will be published online and in Frontline.

If you would like to get involved with South West member activity and events please email: southwestchair@csp.org.uk

To keep up to date with your region visit: www.csp.org.uk/nations-regions/south-westFollow us on Twitter: @CSPsouthwest

South East CoastDates for your diary in South East Coast 2018:Physios don’t sleepwalk into obscurity – An evening with CSP chief executive Karen MiddletonDate: Thursday 12 July Theme: An opportunity for South East Coast members to hear from Karen Middleton about the future of the profession and what we, as members, need to do now to secure a prosperous future for physiotherapists and patients.

We have come a long way since Karen gave her founders lecture in 2014. Physiotherapy’s degree of autonomy continues to build - achieving endorsement by the BMA and RCGP for physiotherapists as first contact practitioners across England, through to government-backed approval for physios to issue fit notes.

But does the profession need a SWOT analysis to ensure progress in the right direction? Are we in danger of losing our autonomy?

This special evening event will give you the chance to hear the viewpoint of the CSPs CEO on our direction of travel as a profession as well as provide the opportunity to ask questions in a dedicated Q&A session with Karen Middleton.

All members who register their attendance at the event will have the opportunity to submit a question to Karen in advance of the evening. We will then ask Karen to review the questions and pick the one that particularly captures her attention. The member who posed the question selected will then have the chance to sit next to Karen on the evening. All questions submitted will be answered on the night!Time: 6pm-10.30pmPlace: Holiday Inn Gatwick, Povey Cross Road,

Gatwick RH6 0BACost: £15 per ticketBooking: Book your place by emailing: cre@csp.org.uk (spaces are limited so book early to avoid disappointment)

CSP South East Coast regional conference Date: Monday 29 October Time: 10am-4pmPlace: Holiday Inn Gatwick, Povey Cross Road, Gatwick RH6 0BACost: Free to membersBooking: Will be possible via Eventbrite later this year. More details will be published online and in Frontline.

If you would like to get more involved in the South East Coast network and help with activities and campaigning please contact: southeastcoastchair@csp.org.uk

For news, events and updates from your visit: www.csp.org.uk/nations-regions/south-east-coast Follow us on Twitter: @CSPSouthEast

South CentralTo help with plans for the region going forward, members in South Central who are interested in joining the core team and becoming an active member in the region, are invited to join network chair Hayley Clarke and vice-chair Emma Ryan for a planning session at the CSP on Friday 13 July from 11am until 4pm. The meeting will include a tour of the CSP and a meeting with Karen Middleton. If you are interested in joining the core team and attending the meeting, please email: cre@csp.org.uk. Places are strictly limited so please book your place quickly.

To keep up to date with your region visit: www.csp.org.uk/nations-regions/south-central Follow us on Twitter: @CSPsouthcentralLike us on Facebook, email: southcentralchair@csp.org.uk for the link.To contact the network email: physioguernsey@csp.org.uk view the network page on iCSP at: http://www.csp.org.uk/icsp/guernsey-support

London Follow us on Twitter: @CSPLondonTo keep up to date with your region visit: www.csp.org.uk/nations-regions/london

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Association of Chartered Physiotherapists in Neurology (ACPIN) – SussexAquatic physiotherapy for neurological conditions training courseSpeaker: Jacqueline PattmanDate: 11-12 AugustPlace: Eastbourne District General Hospital, Kings Drive BN21 2UDCost: ACPIN member £180, non-ACPIN member £230. Place secured when payment received. Only eight spaces available.Contact: Email: turveyjane@gmail.comAquatic physiotherapy for neurological conditions training courseDate: 11-12 AugustPlace: Eastbourne District General HospitalCourse tutor: Jacqueline Pattman Cost: £180 ACPIN members, £230 non ACPIN members. Only eight spaces availableContact: Email: turveyjane@gmail.com

Association of Chartered Physiotherapists in Neurology (ACPIN) – WessexMasterclass in neuro technology MINTDate: 10-11 OctoberPlace: Holiday Inn, Winchester SO21 1HZSuccessful integration of neuro rehabilitation:Technology into clinical practice lead by experienced clinicians who will facilitate masterclasses with patients. A hands-on approach which will link clinical reasoning to optimise the use and potential benefits of neuro technology. This event is suitable for

practitioners, providers, case managers and other professionals working in the field of neuro rehabilitation.

The event will include: current research and development; overcoming the challenges; exploration of current technologies including FES, robotics, VR and sensor based devices; clinical workshopsContact: Email: courses@hobbsrehabilitation.co.uk for an application form to register interest.

Association of Trauma and Orthopaedic Chartered Physiotherapists (ATOCP)The ATOCP has opened more local branches and now runs several education evenings in the following areas: Scotland, North West, South Wales, Oxford, South and London. If you require any further information please email: atocpchair@gmail.comATOCP Annual conference 2018The ATOCP are delighted to announce links with the British Orthopaedic Association (BOA). For 2018 the ATOCP annual conference will be run out of the British Orthopaedic Association Congress (http://congress.boa.ac.uk/) which is taking place 25-28 September at the ICC in Birmingham.

For the tremendous rate of £70, ATOCP members will be able to obtain associate BOA membership, including attendance at all four days of BOA congress. The ATOCP annual conference will run on the Wednesday with invited speakers and a scientific abstract session for physiotherapy research. We will also hold our AGM on the day. This is a great opportunity to demonstrate the quality of physiotherapy work to our trauma and orthopaedic peers multidisciplinary team.

This fantastic offer is only available to ATOCP members, so now is a great time to join if you are not already a member. To do so, visit: http://atocp.csp.org.uk/join-us

Association of Chartered Physiotherapists For People With Learning Disabilities (ACPPLD)Annual learning eventDate: Thursday 13 September and Friday 14 SeptemberPlace: Unity Kitchen Timber Lodge Café E20 1DYCost: (Two days without accommodation): £180 members, £210 non-members.

The South East region is excited to be hosting this year’s ACPPLD annual learning event. The venue will be the Unity Kitchen Timber Lodge Café which is situated in the

stunning natural landscape of the Olympic Park and includes a lovely garden and terrace area.

We have speakers on a range of topics including postural care, complex respiratory management, pressure care, delegation and aquatic therapy. Contact: See: www.acppld.csp.org.uk for a full programme, attendance and accommodation options with costs and an application form.

Pelvic, Obstetric, Gynaecological Physiotherapy (POGP) Paediatric incontinence and pelvic floor dysfunctionTutor: Dawn SandalcidiDate: 13-14 JulyPlace: AscotCost: £300 POGP member/affiliate, £350 non-memberPhysiotherapy assessment and management of lower bowel dysfunctionDate: 7-9 SeptemberPlace: Larbert, FalkirkCost: £325 POGP member/affiliate, £395 non-memberPhysiotherapy assessment and management of pregnancy related musculoskeletal conditions – Part 1Date: 28-30 SeptemberPlace: DoncasterCost: £275 POGP member/affiliate, £345 non-memberAdvanced pelvic floor course: In-depth assessment, differential diagnosis and advanced treatment techniques for complex female pelvic pain and pelvic floor muscle dysfunctions Date: 14-16 SeptemberPlace: Chertsey, SurreyCost: £325 POGP member/affiliate, £395 non-memberAdvancing your skills into men’s healthPart 1: Physiotherapy assessment and management of lower urinary tract symptomsDate: 29 SeptemberPlace: Milton KeynesCost: £125 POGP member/affiliate, £160 non-memberUnderstanding pelvic organ prolapse – assessment and conservative management Date: 13 OctoberPlace: LeedsCost: £125 POGP member/affiliate, £160 non-memberPhysiotherapy assessment and management of pregnancy related musculoskeletal

Professional networksCourses and events from CSP recognised professional networks. Share your events here free of charge.

Send an email to networkads@csp.org.uk

Professional networks news

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conditions – Part 2Date: 10 NovemberPlace: CambridgeCost: £125 POGP member/affi liate, £160 non-memberPhysiotherapy assessment and management of female urinary dysfunction Date: 23-25 NovemberPlace: SwindonCost: £350 POGP member/affi liate, £420 non-memberPhysiotherapy assessment and management of lower bowel dysfunctionDate: 1-3 March 2019Place: BradfordCost: £325 POGP member/affi liate, £395 non-memberContact: For further details of the POGP short course programme or to download an information pack for any of the above courses, please visit the POGP website at: http://pogp.csp.org.uk/courses-events Email our course administrator at: pogpcourses@yahoo.com Follow us on Twitter: @ThePOGP Check out: pogp.csp.org.uk for information on bursaries and funding opportunities.

British Association of Chartered Physiotherapists in Amputee Rehabilitation (BACPAR)The 2018 BACPAR Conference and AGM Details and delegate registration forms are available at: http://bacpar.csp.org.uk/bacpar-2018-conference-agm?networkid=36 Contact: Any questions, email Louise Tisdale at: bacpar2018conference@gmail.com

Medico-legal Association of Chartered Physiotherapists (MLACP)MLACP Introduction to medico-legal workThis course will be of interest to any physiotherapist who wishes to be involved in medico-legal work. This introductory day will involve legal systems, civil and criminal, difference between Causation and Liability and Quantum, Part 35 of CPR and legal aspects of physiotherapy report writing such as ‘The role of an expert in the context of access to justice’ and ‘Being a medico-legal expert’. There will also be specifi c lectures on how to how to write a catastrophic injury quantum report and musculoskeletal quantum and causation and liability reportsDate: Thursday 13 September

Place: Anthony Gold Solicitors, The Counting House, 53 Tooley Street, London SE1 2QNCourse leader: Lorna StybelskaCost: £95 members; £145 non-members(maximum 25 delegates)Speakers: Sana Bibi, partner, Anthony Gold Solicitors; Esther Maclachlan, barrister, 9 Gough Square; Will Winterbotham, physiotherapist; Rob Swire, physiotherapist; Sarah Daniel, physiotherapistContact: For programme details and an application form please go to: http://www.mlacp.org.uk

Association of Chartered Physiotherapists in Occupational Health and Ergonomics (ACPOHE) Registered members of ACPOHE are physiotherapists who have demonstrated specialist competency in the fi elds of occupational health or ergonomics.Advanced offi ce workstation ergonomics (DSE) level 2Date: 12-13 JulyPlace: Guildford Cost: £320 members, £380 non-membersIntroduction to applied ergonomics >

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ICC BIRMINGHAM

www.physiotherapyuk.org.uk

#physio18

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Date: 14-15 SeptemberPlace: Islington, London Cost: £300 members, £360 non-membersUpper limb disorders in the workplace – Risk assessment and management Place: London SE10Date: 12 OctoberCost: £160 members, £220 non-membersOffice workstation ergonomics (DSE) level 1Date: 20-21 October Place: LeedsCost: £300 members, £360 non-membersManual handling trainingDate: 10 NovemberPlace: Bury St EdmundsCost: £150 members, £210 non-membersContact: Tracy Long, administrator, on tel: 01284 748202 or email: acpohe@buryphysio.co.uk

Acupuncture Association of Chartered Physiotherapists (AACP)AACP 2018 Leeds conferenceDate: 13 OctoberPlace: Principal Met Hotel, LeedsScotland study day Date: 3 November Place: The Queen Margaret University, MusselburghBOOKING NOW OPEN!Upcoming CPD courses Women’s healthDate: 14 JulyPlace: SouthamptonTwo-day acupuncture refresher courseDate: 6 AugustPlace: Leamington SpaEffecting the affect courseDate: 14 SeptemberPlace: PeterboroughAACP Basic acupuncture foundation coursesExpand your skillset and increase patient choice by training in acupuncture with the AACP. Our foundation courses have been designed to offer you a level of knowledge, skill and understanding that will allow you to practise acupuncture in a safe and appropriate manner, in a clinical setting.Dates: 21 and 22 July, 11 and 12 August and 29 and 30 SeptemberPlace: NorfolkDates: 28 and 29 July, 4 and 5 August and 15 and 16 SeptemberPlace: RochdaleDates: 28, 29 and 30 August and 15, 16 and 17 October Place: Leamington Spa

Cost: £495 – Including one year’s full membership of the AACP with many benefitsContact: To book, visit: www.aacp.org.uk > Training and Conferences > Foundation Courses or CPD CoursesTel: 01733 390007 #3Email: claire@aacp.org.uk AACP GrantsAACP have a number of grants available for AACP members. For more information please contact Mindy Cairns, AACP research advisor, at: research@aacp.uk.com or see the AACP website: www.aacp.org.uk

Musculoskeletal Association of Chartered Physiotherapists (MACP)Integrating imaging into musculoskeletal practiceTime: 9am-4.30pm (Registration 8.45am)Facilitators and dates: Day one: 15 September – Shoulder with Cathy Barrett, specialist physiotherapist, Shoulder Academy, Central Health Physiotherapy. Previously lead extended scope practitioner, Imperial College Healthcare TrustDay two: 29 September – Lumbar Spine with John Coppin, advanced physiotherapy practitioner, MSK clinical team lead for SCFT and CASE accredited sonographerDay three: 13 October – Knee with Jessica Gent, clinical physiotherapy specialist (lower limb), advanced physiotherapy practitionerPlace: Physiotherapy Department: Melksham Community Hospital, Spa road, Melksham, Wiltshire SN12 7NZCost: One day: £120 MACP members; £130 non-members; two days: £240 MACP members; £260 non-members; three days discounted: £330 MACP members; £360 non-membersContact: Book at: www.macpweb.org or contact Terry Smith at: admin@macpweb.org or tel: 01202 706161.An introduction to motivational interviewing Facilitator: Robert Shannon BSc, MSc, CPsychol. Lecturer at University of Southampton.Place: Meeting Room, Wigmore Lane Health Centre, Wigmore Lane, Luton LU2 8BGDate: Saturday 1 September. Registration: 8.30am-9am, course close 5pmCost: £110 MACP members, £120 non-members Contact: Book at: www.macpweb.org or contact Terry Smith at: admin@macpweb.org or tel: 01202 706161.

Spinal masqueraders: ExpandedFacilitators: Laura Finucane, consultant musculoskeletal physiotherapist, East Surrey Hospital; Christopher Mercer, consultant musculoskeletal physiotherapist,Western Sussex Hospitals; Sue Greenhalgh, consultant musculoskeletal physiotherapist, Bolton Primary Care Trust.Place: Manchester Metropolitan University, Brooks Building, Birley Campus, 53 Bonsell Street, Manchester M15 6GXDate: 8 September Time: 9am to 4.30pm (registration 8.30am)Cost: £110 MACP members, £130 non-membersBook at: www.macpweb.org or contact Terry Smith at: admin@macpweb.org or tel: 01202 706161.Advanced practice: The knee – Putting the puzzle togetherThis one day interactive course covers the more and less common knee conditions seen in advanced practice roles. It is designed for new advanced musculoskeletal practitioners wanting to build their competencies and expand their knowledge and existing specialists who want to consolidate knowledge with an opportunity for case and evidence-based peer review. Facilitators: Jessica Gent MSc MMACP BSc (HONS) and Isabella Muscat MSc BSc(HONS) MCSPPlace: Therapy Services Unit 1, ground floor, Manchester Royal InfirmaryDate: Saturday 6 October Time: 9am-5pm (registration 8.45am)Cost: £120 MACP members - £140 non-membersBook at: www.macpweb.org or contact Terry Smith at: admin@macpweb.org or tel: 01202 706161Pain: Translating neuroscience into clinical practiceThis workshop will deepen clinicians’ understanding of pain neuroscience in order to clarify more complex patient presentations and facilitate refinement of clinical assessments, and application of more appropriate and effective interventions. Facilitators: Dr Niamh Moloney is a musculoskeletal physiotherapist who combines almost 20 years of clinical and academic experience. Dr Martin Rabey is a specialist musculoskeletal physiotherapist and fellow of the Australian College of Physiotherapists.Date: Saturday 15 SeptemberPlace: The Royal London Hospital,

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Whitechapel Road, London E1 1BBRegistration: 8.30am-9am, course close 5pmDate: Saturday 20 OctoberPlace: Seminar Room, Physiotherapy Department, Mitre Rehabilitation Unit, Musgrave Park Hospital, Stockman’s Lane, Belfast BT9 7JBRegistration: 8.30am-9am, course close 5pmCost: £120 MACP members, £140 non-membersContact: Book at: www.macpweb.org or contact Terry Smith at: admin@macpweb.org or tel: 01202 706161.Athletic screening and programme design – Reducing injury risk and aiding performanceThis workshop provides the opportunity for clinicians to develop the knowledge and skills required to undertake a screening of an individual or squad, analyse the results and create specifi c treatment or exercise programs. Current screening methods will be discussed and critiqued with the aim of clustering specifi c, evidence based assessments together. This will give the clinician the tools to perform a screening that assess multiple physical attributes, enabling them to link them together to produce a comprehensive injury prevention programme.Facilitator: Simon Noad MSc, MMACP, MCSP, NASC CSCS, AACPDate: Saturday 22 September, 9am-4pmPlace: Conquest Hospital, Physiotherapy Dept, Level 3, The Ridge, St Leonards-On-Sea, East Sussex TN37 7RDDate: Friday 9 November, 9am-9.15am, course close 4pmPlace: Arrowe Park Hospital, Arrowe Park Road, Upton, Wirral, Merseyside CH49 5PECost: £110 MACP member £120 non-membersContact: Book at: www.macpweb.org or contact Terry Smith at: admin@macpweb.org or tel: 01202 706161.Spinal MasqueradersThe MACP present the highly regarded spinal masqueraders study dayThis one-day interactive course is designed to enhance awareness and clinical reasoning in the management of the fi ve most common spinal masqueraders seen in physiotherapy practice. The day is designed for those working in extended scope roles, or those interested in progression into this fi eld.Facilitators: Laura Finucane, consultant musculoskeletal physiotherapist, East Surrey Hospital; Christopher Mercer, consultant musculoskeletal physiotherapist, Western

Sussex Hospitals; Sue Greenhalgh, consultant musculoskeletal physiotherapist, Bolton Primary Care TrustPlace: Physiotherapy Department, Singleton Hospital, Sketty Lane, Swansea SA2 8QADate: 8 DecemberTime: 9am-4.30pm (registration 8.45am)Cost: £110 MACP members, £130 non-membersContact: Book at: www.macpweb.org or contact: admin@macpweb.org or tel: 01202 706161.

British Association of Hand Therapists (BAHT)Optimising soft tissue repairDate: 21-23 SeptemberPlace: Mount Vernon Hospital, NorthwoodContact: Nikki Burr/Ella Donnison, email: handtherapy@sky.com Tel: 07766554787Surgery and therapy management of fl exor/extensor tendon injuries to the handDate: SeptemberPlace: Queen Elizabeth Hospital, BirminghamContact: Suzanne Beale, email: suzanne.beale@uhb.nhs.uk Tel: 0121 3713488Radiographic imaging of the handDate: 3-5 OctoberPlace: University of Derby Enterprise CentreContact: Ella Donnison, email: linda.tozer1@nhs.net Tel: 01332 786964PIPJ (NES)Date: 6-8 DecemberPlace: Queen Alexandra Hospital, PortsmouthContact: Gemma Willis at: gemma.willis@porthospi.nhs.uk See: www.neshands.co.ukTel: 02392 286130/02392 286899Burn injuries of the hand and upper limbDate: TBCPlace: Park Inn Hotel, NottinghamContact: Nicole Glassey, email: n.glassey@ntlworld.com Tel: 07901500713

The Association of Paediatric Chartered Physiotherapists (APCP)The sensory world of the infant – Joint annual study day for professionals in neonatal care5th Annual study day for neonatal physiotherapists, occupational therapists, speech and language therapists and others working in NICU and early intervention.

An exciting day bringing together prominent speakers from across medical, nursing and therapy professions to present and discuss research and best practice in line with this year's theme.Date: Thursday, 27 September >

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46 Networks&networking

Place: Holiday Inn, London-BloomsburyCost: £95Contact: For further information/to book your place, visit: apcp.csp.org.uk/courses-events or contact: courses@apcp.org.ukAPCP Annual conference and trade exhibition An opportunity to network with paediatric physiotherapists from around the UK to share practice and expertise. Varied programme with topics including Ponseti, SDR, EHCPs and gait abnormalities plus a study stream on neuromuscular disorders on Friday and a stream on cerebral palsy integrated pathway (CPIP) on Saturday. Date: 2-3 NovemberPlace: Emirates Old Trafford, ManchesterCost: From £215 for two days; residential packages availableContact: For further information/to book your place, visit: apcp.csp.org.uk/courses-events or contact: courses@apcp.org.ukCPIP-UK Annual meeting 2018 – Sharing experiences of implementing CPIP and its impact on practiceA one-day event for paediatric physiotherapists, paediatricians and orthopaedic surgeons involved in the management of children and young people with cerebral palsy with speakers from the UK, Scotland and Denmark will share their experiences of implementing the cerebral palsy integrated pathway and its impact upon their practice.Date: Saturday, 3 NovemberPlace: Emirates Old Trafford, ManchesterContact: For further information/to book your place for all events, visit: apcp.csp.org.uk/courses-events or contact: courses@apcp.org.uk

The Physiotherapy Pain Association (PPA)Introductory course: Psychologically informed approaches to physiotherapy assessment and management of painDate: Saturday 3 and Sunday 4 NovemberPlace: City Hospital, Dudley Road, Birmingham, West Midlands B18 7QHTutor: Dr Pete GladwellCost: £200 for PPA members and £220 for non-membersContact: Kate McAllister at: ptecourses@gmail.com or pay online at: http://ppa.csp.org.uk/coursesSleep and painDate: Saturday 24 NovemberPlace: The Walton Centre NHS Trust, Sid Watkins Building, Pain Management Programme, Liverpool L9 7BBTutors: Andrew Green and Pete Gladwell

Cost: £98 for PPA members and £108 for non-membersContact: Kate McAllister at: ptecourses@gmail.com or pay online at: http://ppa.csp.org.uk/courses

Association of Chartered Physiotherapists in Temporomandibular Disorders (ACPTMD)Physiotherapy management of temporomandibular disorders (TMD)Tutor: Phil BatemanDate: Saturday, 22 SeptemberPlace: Back in Motion, Windmill Surgery, London Road, Wymondham, Norfolk NR18 0AFCost: £149 (early bird discount of £129 if booked by 20 August)One day course reviews:• relevant clinical anatomy• physiotherapy assessment of the masticatory system• classifi cation of common TMDs• theoretical and practical aspects of physiotherapy management• case studies and clinical reasoning.Contact: Cathy Gordon at: cathy.gordon@stockport.nhs.uk for further information and an application form.

Chartered Physiotherapists in Therapeutic Riding and Hippotherapy (CPTRH)CPTRH Hippotherapy course now accredited at MSc level with Robert Gordon University AberdeenFor chartered physiotherapists wishing to use the horse within physiotherapy treatment.Course dates and Structure 2019Two sequential modules both four days long:Equine Module – Assessment and selection of equines for hippotherapyDate: Friday January 25 to Monday 28 January 2019Hippotherapy Module – Delivery of best practice in hippotherapy Date: Friday October 25 to Monday 28 October 2019Place: Venue for both modules: Clwyd Special Riding Centre, Llanfynydd, Wrexham, Clwyd LL11 5HNCost: £1300 including non-refundable registration fee of £200. This includes £300 fee to RGU.Closing date for applications: 30 SeptemberPrerequisites:• Chartered Society of Physiotherapy membership• HCPC registration• CPTRH membership

welcome members of the CSP who are disabled, from black minority ethnic (BME) groups, or are lesbian, gay, bisexual or transgender (LGBT+)

CSP Equality and Diversity Networks

For more details go to: www.csp.org.uk/ diversityor email: gills@csp.org.uk

JOIN UP!

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Frontline • 4 July 2018 47

Other groups news• one year postgraduate clinical experience• submission of the CPTRH Equine Skills Record • required to register for the complete course. Horse riding experience: CPTRH recommend applicants have basic horse riding skills in addition to general equine experience. Assessment: Continuous formative assessment of practical skills. Extensive written assignments following each module. Summative assessment of practice in hippotherapy module.Contact: Application requests and enquiries to course coordinator, Fiona Hainsworth, email afhains@btinternet.com or send to: The Coach House, Rodley Lane, Calverley, Leeds LS28 5QH

Chartered Physiotherapists Working With Older People (AGILE)AGILE Regional study days 2018 Backward chaining – Approaches, and evidence-based exercise programmes to reduce falls with later life Speaker: Bex Townley, an exercise specialist, director and tutor of Late Life Training; and Kate Bennett, clinical lead physiotherapist, AGILE chair.

An interactive study day of lectures and practical workshops to build knowledge of backward chaining (part of the evidence base for FaME) and exercise training to reduce falls within our populations. Kate Bennett will be supporting Bex from a physiotherapy perspective. Pre-course reading will be supplied for participants. This interactive study day will use lectures and practical workshops to:• enable participants to consider if backward chaining should be included in rehabilitation programmes for frail older people at risk of falls• provide participants an opportunity to build their knowledge of backward chaining• provide participants with practical knowledge of implementation, analysis and progression of backward chaining• provide participants with an insight/refresh of FaME exercise program and exercise training principles.Place: North regionDate: 1 SeptemberContact: Email: agilenorthrep@gmail.comPlace: West regionDate: 29 SeptemberContact: Email: agile.rep.west@gmail.comPlace: IrelandDate: 6 October

Contact: Email: agile.northernireland@gmail.comFor venues please refer to website: http://agile.csp.org.uk/network-eventsCost: 40th anniversary concessionary price for AGILE members of two current previous consecutive years: £5, AGILE members: £50, non-members: £75For more details see AGILE website: http://agile.csp.org.uk/network-eventsConference: Bridging the gap between theory and practiseDate: 10-11 NovemberPlace: Glasgow Caledonian UniversitySpeakers to include: Prof Lorna Paul, Ann Murray, Seb Chastin, Meggan Lowry, Krishna Gundapundi, Melissa McConaghy, Louise KellichanCost: For two-day conference – *Early bird AGILE member: £100, AGILE member: £120, non-member: £150. Cost for two-day conference plus three course conference dinner/dance on Saturday night – *Early bird AGILE member: £125, AGILE member: £145, non-member: £175Contact: Applications are through Eventbrite at: https://bit.ly/2rFumg5

Physio FirstPhysio First offers five core unique benefits only available to members1. Unique member marketplace information Up-to-date information gleaned from discussions with marketplace holders.2. Practice benchmarking reports An anonymous and safe crowd sourced evidence for us to learn 'best private business practice' together.3. Private trusted LinkedIn Forum A unique colleague to colleague, safe and trusted forum where we can ask and answer more specific and searching questions than it is possible for any organisation to answer centrally.4. Data for Impact Quality demonstrated by our 'evidenced-based cost effectiveness'. It delivers marketplace evidence for us to use as individuals, and as clinics to prove our quality based on our outcomes. It is also the engine to drive benefit number 5. 5. Quality Assured Practitioner schemeSign up to our Data for Impact project and represent our response to the changing healthcare marketplace and above all, represent a change in our mindset. Contact: To join or for further information see our website: www.physiofirst.org.uk

CSP Diversity NetworksThe CSP diversity networks are for any members who self-identify as disabled, are from black or minority ethnic (BME) groups or are lesbian, gay, bisexual or transgender (LGBT+). Please come along to network meetings for discussion, peer support, CPD and a warm welcome.Upcoming meetings:Joint diversity dayDate: 10 JulyBME NetworkDate: 25 SeptemberDisabled members networkDate: 9 OctoberLGBT+ members networkDate: 13 NovemberPlace: All meetings are held at the CSP in LondonContact: Please contact Susannah Gill at: gills@csp.org.uk with any queries.

Grant opportunityPhysiotherapists who completed their training at the former St Thomas’ Hospital School of Physiotherapy are invited to apply for a grant from the Physiotherapy Education and Welfare fund.

This fund comprises the former St Thomas’ Hospital Physiotherapy Trust funds and the Mennell-Randell and Bauwens-Carlisle fund which, with the consent of the Charity Commission, has been transferred to Guy’s and St Thomas’ Charity.

Applications may be made for training, professional development, conference attendance or welfare related costs (retrospective costs will not be considered).

The deadline for applications is 11 July 2018. For full details and application form, please contact: Ruth Bishop, Funding Manager at Guy’s and St Thomas’ Charity, Francis House, 9 King’s Head Yard, London SE1 1NATel: 020 7089 4558 Email: ruth.bishop@gsttcharity.org.uk

The Margie Polden Memorial Fund and BursaryMargie Polden, FCSP, who died in 1998, worked at the Hammersmith Hospital in London, where she initiated and developed physiotherapy in obstetrics and gynaecology, and within ACPOG – now POGP – made an >

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48 Networks&networking

enormous contribution to the education of physiotherapists and other professionals.

Never afraid to be combative, she vigorously and knowledgeably debated and discussed with clinical colleagues, lectured, and wrote for professional publications. She also had the ability to reach out to the public, with witty, pertinent and informative articles and talks on women's health issues. In doing so she furthered the cause and raised the profi le of physiotherapy in obstetrics and gynaecology and made a real impact on the lives of countless women.

Through her work and books, Margie, a loved and respected member of POGP infl uenced and educated numerous physiotherapy students.

Within our own professional network many members of POGP wished to honour Margie and this was made possible through the generosity of Margie's family. This has enabled the creation of the Margie Polden Memorial Fund, which supports the Margie Polden Memorial Lecture and the Margie Polden Bursary.

The Margie Polden BursaryA bursary was set up in memory of Margie, thanks to the generosity of her husband, to fund a place at the POGP conference for a student or newly-qualifi ed physiotherapist. This bursary will be awarded annually to an applicant who is able to demonstrate an interest in the fi eld of pelvic, obstetric, and gynaecological physiotherapy and is keen to develop that interest further.

The applicant should be a pre-registration physiotherapy student, or have qualifi ed during the same year as the conference. He/she must also be a member or student member of the Chartered Society of Physiotherapy.

The bursary funds both the conference fee and accommodation costs, however it does not fund the travel costs for the recipient.

Applicants must: Complete the application form and provide a personal statement as requested on the application form.

An application form can be found on the POGP website at: http://pogp.csp.org.uk/pogp-bursaries-awards and should be returned by

email to the chairman by 1 July.If you know of anyone who would be

a suitable recipient of this award, please encourage them to apply.

Three peaks group effort by health and wellbeing company’s staffOn the weekend of 9-10 June, a team of 25 (some perhaps not fully aware of what lay ahead) set off from the IPRS Health headquarters in Ipswich at 6.30am and made our way for our fi rst target, Ben Nevis. With two mini-buses in convoy, the 500 mile drive began. Thankfully we knew if we had any injuries, we should be ok with so many physiotherapists on the bus!

The IPRS Group selects one or two charities each year and we look to fund raise in several ways. This was the largest we have ever attempted, and I am pleased to say the most we have raised in money terms from

Charity news / events

Make your training budget count.

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2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 222222222222222222222222222222222222222222222222 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 2 days 22222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222222

19 -20 OCTOBER 2018ICC BIRMINGHAM

www.physiotherapyuk.org.uk

#physio18

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Frontline • 4 July 2018 49

CSP Retirement Association

Info exchange

a single event. I am always looking to push myself with physical and mental challenges such as this or marathons. In inviting all at the IPRS Group, we were amazed at how many wanted the same challenge. Some began from a low level of fitness and it’s so pleasing to see people work and change their lifestyle due to something like this.

At the time of writing, we had raised over £8,000 from our three peaks challenge. We are raising for Great Ormond Street Hospital which has touched a number of staff and their friends and family so there are quite a few people who really have a close bond with the hospital. I personally am linked to them having spent five weeks there as a five year old when I needed a touch of brain surgery to reverse a left side hemiplegia.

The three peaks are the three highest points in Scotland, England and Wales. Ben Nevis at 1,345m is the highest and was the first of the three, and to add an extra challenge, we were coming down in the dark with our head torches on. Thankfully we had a supply of snacks and our walking poles to help us. Scafell Pike in the Lake District was the second destination and was the most picturesque. It comes in at 978m. It really was an incredible place. The third and final peak was Snowdon which is 1,085m high. This is not a challenge for the faint hearted. We had a very large group of various levels,

but the great thing is that everyone mixed in and we had a real group ethos. That still didn’t stop some of the group getting lost on the way down from Snowdon!

In total we drove a distance of 1,494 miles over a 48 hour period. Many cups of coffee were drunk on this trip with minimal sleep and a few of us had an interesting gait pattern on Monday morning but that is what its all about. Some Frontline readers would have had a field day watching us walk. We wanted to push ourselves and in doing so, we wanted people to know the level to which we were taking our bodies and minds to. If we expect to be sponsored, we had to work for it!

Our JustGiving page is at: www.justgiving.com/fundraising/iprschosencharity2018 and to make it even easier, you can donate by texting IPRS99 £X to 70070 (where X is an amount eg IPRS99 £5 is a £5 donation). For anyone who does sponsor our challenge, thank you so much on behalf of the 25 of us, all at the IPRS Group and at the GOSH charity. Ben Beckwith

Survey of upper limb therapy after stroke – SUPPLES UKAre you a physiotherapist currently working clinically with people after stroke in the UK? If so, we need your help.

We are a group of occupational and physio-therapy stroke researchers based at the University of Central Lancashire. We want to understand more about the treatments you use for the upper-limb after stroke and so would like you to complete a brief survey which can be found here: https://uclan.onlinesurveys.ac.uk/supples-uk-v10

We hope to get as many therapists as possible to tell us about their practice so we can comprehensively describe which treatments you use, and don’t use, and for whom. It’s your chance to tell us about what you do and contribute to a better understanding of current clinical practice in the UK. The survey is completely anonymous, takes about 15 minutes to complete but will close at the end of July so please complete it as soon as you can. More details, including an information sheet and team contact details, can be found on the survey home page. Thank you for your help!

A snapshot of a modern day MSK physiotherapy serviceRecently a group of my retired physio friends were reflecting on our outpatient department days back in the 60s and 70s. So much has changed and progressed, so to find out more I asked my goddaughter, an MSK specialist physio and coordinator, about a modern day service. I asked the following questions:

Waiting times? Within one to two weeks from referral, patients referred with back or shoulder pain are asked to attend an education group specific to that part of the body. This is a one hour session where patients gain an understanding of anatomy, posture, pain management, key pathologies, medication advice and a simple exercise programme. These groups are for noncomplex patients whose symptoms may resolve with appropriate self-management tools. After four weeks, if they have any remaining symptoms, they are asked to ring back to book an individual face to face appointment for a full assessment etc.

Urgent referrals? These come from GPs or consultants and will have an individual face to face appointment within two weeks.

Patients not responding to therapy? These patients are referred on by the physiotherapist to MSK ESPs working in triage for further assessment and management which may include: advice, investigations (eg: xray, MRI, USS), injection therapy and possible referral on for consultant advice (eg: pain rehabilitation, orthopaedics, pain >

CSP Retirement AssociationNews and information from the CSPRA. Upcoming meetings, events and also details of get-togethers in your area.

Contact Sue Russell at:news4sue@keleus.com

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50 Networks&networking

management, rheumatology) NHS England are proposing a move towards all patients to go from GP to MSK triage rather than GP to consultant.

How long is face to face session for physiotherapy? New patients have 40 minutes with a 20 minute follow up. Patients continue treatment until progress has plateaued. Staff are actively encouraged to discuss patient care with senior staff to ensure that all assessment and treatment options have been explored and that an appropriate discharge plan has been put in place, such as back to GP for care, onward referral to MSK triage etc.

Is 'hands on' still important? It is actively encouraged that all MSK staff are 'hands on' and mobilisation skills used where indicated from assessment. Skilled staff use acupuncture and all exercise programmes must be fully explained to ensure the patient can perform them safely, effectively and reduce the risk of post exercise flare up pain.

Any challenges which may not have been present before? A very broad mix of patients come from different ethnic backgrounds (requiring frequent use of interpreters) whom have experienced displacement, war and torture.

So what has gone? We no longer use traction, slings and springs, short wave diathermy, interferential, ultra violet, faradism and many more modalities we used in days gone by! To my joy wax baths for the rheumatoid hands has stayed and still benefits the patients.

I feel confident and happy that our profession is continuing to evolve and that the young physios are embracing change with the same dedication and energy that we all did years ago.Judith Saunders, chair, CSPRA

Retired physiotherapists South West of England group You, your partner and friends are warmly invited to a summer outing to Killerton, on Wednesday 11 July. Meet at 12 noon at the entrance for a 12.30pm lunch.

After a buy-your-own lunch in the restaurant, there will be time to see the house and gardens and buy afternoon tea, if required, before you leave.

Entry cost £11.60 per head for non-National Trust members, free for members.

There is an interesting new exhibition

about the family and the suffrage movement. There were family members active on both sides of the cause.

Someone will talk to us at lunch time about the highlights of the house and garden, so that after lunch we can see as much or as little as we wish. Or you could just find a quiet spot and just sit in the sun.

Directions: From the north: From the M5 leave at J28. Go through Cullompton on B3181, follow brown tourism signs for Killerton on B3181 heading towards Broadclyst.

From the South: Leave M5 at J30, follow signs for the B3181Pinhoe/ Broadclyst. Killerton is signposted in brown tourism signs. Go through Pinhoe then Broadclyst on the B3181, Killerton is shortly after leaving the village of Broadclyst, a turning on the left.

Parking is 280 yards follow the signs to the main visitor parking (not up the main driveway to the house) NT members park for free otherwise it is £2 for 2 hours, £4 all day.

For more information please call Elaine Curtis on tel: 01548 521391.

Liverpool set 1975-1978 We are planning our 40 year reunion. Hoping to meet up at Thornton Hall on the Wirral on 12 August 12 afternoon tea. Please contact Sara Rydings (nee Prendergast) if interested at: sararydings@hotmail.com

Set 5 ReunionWere you a 'set 5' student in 1975 in Lancaster Crescent, Glasgow/SGH? We are wondering if any of our former colleagues would like to have a student reunion. If so can you email me, Liz (Morrison) Mclean at: emmjcm@gmail.com

Combined Training Institute Cardiff 1980-1983

Calling at physios who trained in the Combined Training Institute Cardiff from 1980 to 1983. Do you recognise yourself in the photo? Its about time we had a reunion as in September it will be 38 years since we first met. There were only 24 of us so it cant be that difficult to get back together. I am in touch with Liz Pickard (Williams), Nikki Cornish (Stretch) and Sue Uncles (Hardy) so please email them or me and we will sort out something for the autumn of this year. Ruth Jones, email: ruthjones2@hotmail.com

Bradford School of Physiotherapy 1980-83. 35 year reunion.Well as we all had such a good time at our 30 year reunion, it was decided that every 10 years was way too long a gap, so we will be holding our 35 year reunion on Saturday 22 September 2018 in Skipton, venue/s to be confirmed.

We have had a really good response to the Facebook group Bradford physios 83 that has been set up. So far we have made contact with 20 of our number, and would love it if we could get all 23 of us together. If you would like to attend, or even if you can’t but just want to be included and find out what our plans for the weekend are, please can you email your email address and mobile phone number to: gillian_weir@btinternet.com We are hoping to set up a What's App chat group for those not on FB. Looking forward to hearing from you all.

West London Physiotherapy Reunion 2018 25 years! 1990-1993Well as we managed 20 years shall we try for 25? Suggested meet in London for lunch on Saturday 6 October. Facebook page West London physiotherapy reunion 2018 25 years! 1990-1993 Where you can join us to discuss the venue. Contact: sue@flutefamily.me.uk

Reunions

Thinking of having a reunion?Need to contact old friends?Send an email to networkads@csp.org.ukDon’t forget... after your reunion has taken place, send Frontline a photo and tell us about it!

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Frontline • 4 July 2018 51

Middlesex Hospital School of Physiotherapy, 1985-88Let’s have a big reunion, as it is 30 years since we qualifi ed. We are planning a lunch in central London on Saturday 8 September. Please contact Caroline (Jolly) at: carolinewright11@gmail.com or Fiona (Murdoch) at: karlandfi ona@btinternet.com so we can arrange somewhere suitable, there are about 10 of us already confi rmed. Please pass the word on to anyone you keep in touch with. We can’t wait to hear from you all and see you in September, there is so much to catch up on.

Sheffi eld City Polytechnic 1986-1989 setNext year we will have been qualifi ed for 30 years (how did that happen!) We are thinking it would be great to catch up with everyone, and are proposing to meet up in Sheffi eld some time in 2019. If you are interested in meeting up we would love to hear from you. Please contact: heatherofthorntree@blueyonder.co.uk or: claire-miller@btconnect.com by end of June this year.

Normanby College School of Physiotherapy, Kings College Hospital 1985-1988, 30-year reunionWe cannot believe that it is 30 years since we all qualifi ed and are planning a reunion this summer to celebrate! So far we have about 15 confi rmed via Facebook with Alison coming from USA, Sarah from NZ and Vicky from SA.

At 1pm on Saturday 21 July we are meeting at one of our old haunts – The Crown and Greyhound (The Dog!) in Dulwich Village. Buffet lunch has been booked in the Billiards Room.

Please contact Zoe Spencer (nee Walker) for more details at: zjspencer@hotmail.co.uk and spread the word to anyone you are in touch with. Look forward to hearing from you.

Oswestry and North Staffordshire School of Physiotherapy Set 40 1978 -1981This year we will be celebrating 40 years since we all met to train at the Robert Jones and Agnes Hunt Hospital, Oswestry. August bank holiday weekend; a time to meet each other,

see how the hospital has changed (or not) and celebrate. Contact Jane Weston (nee Shapter) at: jane.e.weston@btinternet.com or tel: 07832 165285.

University of West of England, Bristol School of Physiotherapy and School of Radiography, 1995-1998Hello all, it is 20 years this year since we qualifi ed! It would be lovely to see as many of you as possible back in Bristol on the weekend of 28 July. Venue etc to be confi rmed. We have a Facebook page where there has already been some chat about getting together. If you would like more information, please contact Sarah Clifford (nee Sarah E Evans) at: bristolclassof98@gmail.com for more details.

Prince of Wales' School of Physiotherapy 1975-1978Did you attend the Prince of Wales' School of Physiotherapy between 1975 and 1978? This year it will be 40 years since we qualifi ed >

You could be taking a career break, looking to practise overseas, heading

on maternity or parental leave or considering retirement.

Whatever your circumstances, stay up to date and connected,

at a reduced fee, using your CSP membership.

Are your circumstances

changing?

at a reduced fee, using your CSP membership.

www.csp.org.uk/membership

Contact the Enquiries Team

020 7306 6666

Networks4July.indd 51 22/06/2018 12:52

52 Networks&networking

and a reunion is in order! It will probably be in the summer and in London so if you would like to attend or if you are in touch with any other members of that set then please contact Maggie Lewis (nee Robinson) at: maggielewis56@gmail.com

Middlesex Hospital 1990-1993 A 25-year reunion is happening this summer on Saturday 14 July, venue still to be arranged (around Goodge St). Please contact Nancy (Evans) for details, at: nancyblake@hotmail.com

Guy's Hospital School of Physiotherapy 1969-1972 D SetNine of the D set are in touch with each other, but we have lost contact with several others. Are you out there, or does anyone know the whereabouts of any of these members? Bridget King (Booth), Ginny Humphries (Sykes), Heather Bright (Strange), Liz Pote and Tessa Hamblin.

We would love to hear from you, and you might even like to join us at a Guy's reunion in 2019! Please contact: pataste@hotmail.co.uk

Combined Training Institute, Cardiff School of Physiotherapy, 1985-1988Yes – this year, the class members of 1988 will be 30 years qualified, and we (Gwyn, Saskia and I) reckon it provides us all a great reason to meet and do some serious catching up.

We are proposing to meet over the weekend of 12-14 October back in Cardiff, with one main event on Saturday 13th. Please contact me at: physiotherapy.thirdage@gmail.com not only to confirm your ability to join in, but with ideas and contact details of any people you know who were in our class so we can get the message out to all. Looking forward to the clogging of my inbox with your enthusiasm. Bhanu

St Thomas’s School of Physiotherapy 1985-88This year marks 30 years since we qualified, and we wondered if we could really try to get the whole set together? Morag and Derrick are joining us from Australia and USA respectively, and we hope to find everyone else.

We are planning to meet for the weekend of 30 June in Edinburgh. We will have a big night out on the Saturday but are planning to do something during the day on Saturday – any ideas gratefully received. Please mail

Emily at: goodlads2@yahoo.co.uk or Nicci at: nicci@thecaswells.uk or Selina at: selinacollinson@btinternet.com to confirm you can join us and who you are in touch with to spread the word.

Guy’s Hospital C and D sets 30 years We have 11 of us so far planning to meet on 30 November this year in London, close to Guy's, venue and time to be confirmed. If you are interested in attending and receiving more information please email Nicola Ellis (nee Montgomerie) at: nicky@hobbsrehabilitation.co.uk Hope you can come – please let people you are in contact with know too.

Guy's Hospital School of Physiotherapy 1975-1978. B and C SetsLet's have a 40-year reunion. Ali, Beth, Maggie, Mary, Sally and Sue Rogers are in touch with each other and we would like to meet up with the rest of our two sets this year. Please get in touch and then we can arrange a convenient date and venue. Contact: maggieboase@hotmail.co.uk

Royal Liverpool Hospital College 1978-1981 reunion

Nine of us met in Liverpool on 1 June for what turned out to be a wonderful reunion. We had such a lovely relaxed time that we're planning to meet again in late November and hopefully swell our numbers! Please contact me via email at: lesley.walters@hotmail.co.uk if you would like to join us. Pictured above are a couple of photos of our evening.

BETTS On 21 April 2018 Elizabeth Ann Betts MCSP nee Church. Qualified St Thomas’s Hospital School of Physiotherapy. FENN CLARK On 25 May 2018 Penelope Ann Fenn Clark MCSP GradDipPhys. Qualified King’s College Hospital London.

ROSS On 30 January Mrs Gillian Rosemary Ross MCSP. Qualified Middlesex Hospital School of Physiotherapy. LOCKHART On 2 January 2018 Mrs Margaret Drysdale Lockhart MCSP. Qualified Faculty School of Physiotherapy.

WHITLOW On 24 April 2018 Leonard Whitlow MCSP. Qualified Salford Hospital School of Physiotherapy.

ROWE-JONES In 2017 Miss Kathryn-Ann Claire Rowe-Jones MCSP GradDipPhys. Qualified King’s College Hospital London.

FIRTH In February 2018 Elizabeth Mary Firth MCSP GradDipPhys nee Haines. Qualified Middlesex Hospital School of Physiotherapy.

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Frontline • 4 July 2018 53

Members have a responsibility to limit their practice to those areas in which they have established and maintained their competence. Completing a course may not be suffi cient to establish personal competence in a new area, while members are responsible for undertaking CPD to maintain their competence in all areas of their current practice.

Members should explore individual courses’ suitability and value (including their quality, intended outcomes and whether they include formal assessment of learning) for meeting and demonstrating fulfi lment of their personal learning needs. Members should also think about the broader ways in which they can address their learning needs. These include day-to-day practice, self-directed and mentored learning, and professional networking and peer review.

It is important that members evidence their learning: maintaining a record of CPD is a regulatory requirement of the Health and Care Professions Council (HCPC), while recording the education and training undertaken to support progression into a new area of personal practice is a condition of CSP professional liability insurance (PLI) cover.

A course being advertised in Frontline does not necessarily mean that it is relevant to all members, has gone through a quality assurance process (courses advertised in the magazine are not formally recognised by the CSP unless explicitly stated), or that its topic area falls within the scope of UK

physiotherapy. In addition to issues of competence, including an area within personal and collective scope of practice depends on the context in which it is practised, how it is integrated into physiotherapy activity, how it is promoted as a service delivered by a physiotherapist and how its physiotherapeutic value is demonstrated.

Some areas ordinarily sit outside the scope of UK physiotherapy. However, they may be undertaken by CSP members as part of extended activity. Members should ensure that this is with the agreement of their employer and/or explicitly as a service delivered outside their activity as a physiotherapist; is supported by appropriate education and training; and is covered by insurance from a source other than the CSP. Courses advertised in Frontline may be relevant to members extending their activity in this way.

Further guidance and support:• CSP ePortfolio: www.csp.org.uk/ePortfolio• CSP Code of Professional Values and Behaviour: www.csp.org.uk/code• Frontline CPD series (published in each issue)• HCPC CPD requirements: www.hpc-uk.org/ aboutregistration/ standards/cpd

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Homecover

Networks4July.indd 53 22/06/2018 12:53

Rehab Matters

‘My life - starting over’ – Jane, 45

‘I'm out and about again’ – Parim, 72

‘Back playing with my grandkids!’ – Mae, 68

NO-ONE SHOULD MISS OUT

PRESENTING

A TRIUMPH OVER ADVERSITY INCREDIBLE RESULTS WITH

PERSEVERANCE GIVES HOPE IT'SA MISSION: PO SSIBLE FOR

THE BEST YOU THE FUTURE REIMAGINED PRODUCED

BY POSITIVE ATTITUDE DIRECTEDBY YOUR PHYSIO

"IF YOU LIKED SLIDING DOORS, YOU'LL LOVE THIS!"

001483_Rehab matters_Frontline DPS_Final_18Oct.indd 1 13/10/2017 06:32

Rehab Matters

‘Returned to work - stronger than ever’ – Mia, 28

‘Back playing with my grandkids!’ – Mae, 68

NO-ONE SHOULD MISS OUT

PRESENTING

A TRIUMPH OVER ADVERSITY INCREDIBLE RESULTS WITH

PERSEVERANCE GIVES HOPE IT'SA MISSION: PO SSIBLE FOR

THE BEST YOU THE FUTURE REIMAGINED PRODUCED

BY POSITIVE ATTITUDE DIRECTEDBY YOUR PHYSIO

primary care

"IF YOU LIKED SLIDING DOORS, YOU'LL LOVE THIS!"

www.csp.org.uk/rehabmatters

BROUGHT TO YOU IN:

001483_Rehab matters_Frontline DPS_Final_18Oct.indd 2 13/10/2017 06:32

56 Courses&conferences

MiscellaneousComplementary therapy

Complementary therapy

Cardiorespiratory

Courses&conferences

Teaching ButeykoButeyko Breathing Teacher Training Courses for Healthcare Professionals

Adult & Child Module 4th-6th October 2018, Cambridge

Fee: £625

CLOSING DATE FOR BOOKINGS 10TH AUGUST 2018

For details go to: www.teachingbuteyko.com or email: teachingbuteyko@mail.com

CPD for PhysiotherapistsFor additional course dates / venues

see the website

www.heseminars.com 01202 568898 info@heseminars.com

July 14/15 Spinal Manipulation: Facilitating Rehabilitation Dr Neil Langridge StockportJuly 14 Paediatric & Adolescent MSK Disorders Tom Quantrell Reading, BerksJuly 14/15 Assessment of the Foot in Relation to Gait Dysfunction & Injury Paul Harradine LondonJuly 14/15 The Neck: Clinical Rehabilitation Chris Worsfold Guildford, SurreyJuly 21 Modern Exercise Prescription for Therapists Nick Grantham Lymington, HantsJuly 21/22 Know Pain – a practical guide to persistent pain therapy Mike Stewart LondonJuly 21 Athletic Screening & Exercise Prescription Simon Noad Bolton, LancsJuly 21/22 Unravelling Strength & Conditioning Bradford, for Therapists Andrew McCauley W.YorksJuly 28/29 The Neck: Clinical Rehabilitation Chris Worsfold Cheltenham, GlosJuly 28/29 TheAthleticShoulder–identificationof specificrehabilitationstrategies Dr Ian Horsley EdinburghJuly 28 Elite Sports Taping – evidence & experience from professional sport Ashley James LondonSept 1/2 Sporting Hip & Groin James Moore OswestrySept 1 Paediatric & Adolescent MSK Disorders Tom Quantrell LondonSept 8/9 Combined Approach to the Sacroiliac Joint Howard Turner Salisbury, WiltsSept 8/9 Sporting Hand, Wrist & Elbow Ian Gatt NottinghamSept 8 Dizziness - Vestibular Assessment & Rehabilitation Level 1 Alan Sealy GloucesterSept 9 Challenging Dizziness - Advanced Level Vestibular Assessment & Rehabilitation Alan Sealy GloucesterSept 13 Evening Lecture: Muscle Fatigue - current concepts for Knee Rehab & Conditioning Claire Minshull NottinghamSept 15/16 The Neck: Clinical Rehabilitation Chris Worsfold ScotlandSept 15 Paediatric & Adolescent MSK Disorders Tom Quantrell LoughboroughSept 22 Elite Sports Taping – evidence & experience from professional sport Ashley James LondonSept 22/23 Unravelling Strength & Conditioning Chippenham, for Therapists Andrew McCauley WiltsSept 22/23 Assessment of the foot in relation to Gait Salisbury, Dysfunction & Injury Paul Harradine Wiltshire

HE Seminars FP.indd 1 19/06/2018 15:00

Instructors: Manual Concepts team including: Kim Robinson, Dr Toby Hall, Prof Peter O’Sullivan, Vaidas Stalioraitis, Michael Monaghan, A/Prof Helen Slater, A/Prof Ben Wand, Dr Tim Mitchell and Mark Oliver.

Investment: AUD 2,200

Certificate in Orthopaedic Manual Therapy Twice yearly intense 4-week evidence based program. Can lead to higher qualifications at Curtin University including a Masters.

DUBLIN 21 July 2018 LONDON 27 October 2018Instructors: Manual Concepts Team of Specialist Musculoskeletal Physiotherapists

Investment: AUD 6,450

Manual ConceptsManual Therapy courses

Spinal Manual Therapy Course Intensive 8-day spinal course to increase expertise in evidence-based management including manual therapy.

Register online at www.manualconcepts.comor email info@manualconcepts.comcom

REGISTER NOW!

Courses fi ll early

PERTH, AUSTRALIA ALGARVE, PORTUGAL

Instructors: Manual Concepts team including: Kim Robinson, Dr Toby Hall, Prof Peter O’Sullivan, Vaidas Stalioraitis, Michael Monaghan, A/Prof Helen Slater, A/Prof Ben Wand, & Dr Tim Mitchell

Everyday deals & discounts

For members only

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cspads@media-shed.co.uk

Networks4July.indd 56 22/06/2018 12:53

Frontline • 4 July 2018 57CPD for PhysiotherapistsFor additional course dates / venues

see the website

www.heseminars.com 01202 568898 info@heseminars.com

July 14/15 Spinal Manipulation: Facilitating Rehabilitation Dr Neil Langridge StockportJuly 14 Paediatric & Adolescent MSK Disorders Tom Quantrell Reading, BerksJuly 14/15 Assessment of the Foot in Relation to Gait Dysfunction & Injury Paul Harradine LondonJuly 14/15 The Neck: Clinical Rehabilitation Chris Worsfold Guildford, SurreyJuly 21 Modern Exercise Prescription for Therapists Nick Grantham Lymington, HantsJuly 21/22 Know Pain – a practical guide to persistent pain therapy Mike Stewart LondonJuly 21 Athletic Screening & Exercise Prescription Simon Noad Bolton, LancsJuly 21/22 Unravelling Strength & Conditioning Bradford, for Therapists Andrew McCauley W.YorksJuly 28/29 The Neck: Clinical Rehabilitation Chris Worsfold Cheltenham, GlosJuly 28/29 TheAthleticShoulder–identificationof specificrehabilitationstrategies Dr Ian Horsley EdinburghJuly 28 Elite Sports Taping – evidence & experience from professional sport Ashley James LondonSept 1/2 Sporting Hip & Groin James Moore OswestrySept 1 Paediatric & Adolescent MSK Disorders Tom Quantrell LondonSept 8/9 Combined Approach to the Sacroiliac Joint Howard Turner Salisbury, WiltsSept 8/9 Sporting Hand, Wrist & Elbow Ian Gatt NottinghamSept 8 Dizziness - Vestibular Assessment & Rehabilitation Level 1 Alan Sealy GloucesterSept 9 Challenging Dizziness - Advanced Level Vestibular Assessment & Rehabilitation Alan Sealy GloucesterSept 13 Evening Lecture: Muscle Fatigue - current concepts for Knee Rehab & Conditioning Claire Minshull NottinghamSept 15/16 The Neck: Clinical Rehabilitation Chris Worsfold ScotlandSept 15 Paediatric & Adolescent MSK Disorders Tom Quantrell LoughboroughSept 22 Elite Sports Taping – evidence & experience from professional sport Ashley James LondonSept 22/23 Unravelling Strength & Conditioning Chippenham, for Therapists Andrew McCauley WiltsSept 22/23 Assessment of the foot in relation to Gait Salisbury, Dysfunction & Injury Paul Harradine Wiltshire

HE Seminars FP.indd 1 19/06/2018 15:00

Networks4July.indd 57 22/06/2018 13:09

58 Courses&conferences

Miscellaneous Musculoskeletal

Advertise in FrontlineGet in touch with Media Shed

cspads@media-shed.co.uk

Advertise in FrontlineGet in touch with Media Shedcspads@media-shed.co.uk 0845 600 1394

Networks4July.indd 58 22/06/2018 12:53

Frontline • 4 July 2018 59

Women’s healthNeurologyMusculoskeletal

MLACP Introduction to Medico-Legal WorkWhen: Thursday 13th September 2018

Where: Anthony Gold Solicitors, The Counting House, 53 Tooley Street, London, SE1 2QN

£95 MLACP Members / £145 non-members (Max 25 delegates)

Contact: For further details email info@mlacp.org.uk or visit www.mlacp.org.uk

Advertise in FrontlineGet in touch with Media Shed

cspads@media-shed.co.uk

Advertise in Frontline

Get in touch with Media Shed

cspads@ media-shed.co.uk

Networks4July.indd 59 22/06/2018 12:53

60 Recruitment

Recruitment

PAEDIATRIC PHYSIOTHERAPIST Location: Brainwave South East Centre, Beechen House, Rear of 16 Newland Street, Witham, CM8 2AQSalary: £22,000 to £28,000 per annum

Contract: Permanent, Full Time

Hours of work: 37.5 hours per week (Monday to Friday) Will involve working in our London satellite clinics 4 times in a year including Saturdays

Closing Date: Sunday, 5 August 2018

Registration: HCPC and CSP

Brainwave is a long-established national charity providing therapy to children predominantly aged between 6 months to 12 years. The children we work with have a range of conditions and diagnoses including Cerebral Palsy, Developmental Delay, Autism, Brain Injury, Down’s syndrome, along with other genetic conditions and children with no formal diagnosis.

The South East Centre has an integrated team of Physiotherapist, Speech and Language Therapist and Occupational Therapists, who deliver joint assessments and treatment programmes for babies, children and teenagers. We typically see children and their families over the 1-2-day period so that a joint MDT approach can be achieved.

We are seeking a Physiotherapist with a minimum of 1 - 2 years post-graduate paediatric experience to join our team who will receive supervision from a senior Physiotherapist and get the opportunity to work directly with experienced multidisciplinary team members.

At Brainwave we actively encourage continuing professional development and therefore you will have the opportunity to attend and participate in local special interest groups, inhouse and external training courses.

For more information or to apply, please visit our website at: https://www.brainwave.org.uk/south-east-centre-opportunities or for an informal discussion and to arrange an informal visit please contact Sri Murugesan, Centre Manager email: srimurugesan@brainwave.org.uk or Tel: 01376 505290.

www.norfolkcommunityhealthandcare.nhs.uk

Rotational Physiotherapist

Ref: 839-3253SSPermanentBand 537.5 hours per week

Norfolk Community Health and Care NHS Trust is seeking to recruit physiotherapy staff to join our Band 5 Physiotherapy rotation. This is an ideal opportunity for newly registered Physiotherapists to gain experience in working in a variety of settings within the Trust including inpatient and a variety of community environments supporting both planned and unplanned care. NCH&C rotations are in a number of geographical locations throughout Norfolk.

We offer exciting rotations, of six months duration in:-

• Community rehabilitation including long term conditions

• Specialist inpatient neurological rehabilitation

• Stroke rehabilitation

• Musculo-skeletal

• General inpatient rehabilitation (NCH&C Community Hospitals)

We are committed to the ongoing learning and development of our staff which is achieved by internal peer and supervisor led training during each rotation, a Band 5 training programme which is in partnership with the Norfolk and Norwich University Hospital and access to other CPD postgraduate courses. Close links with the University of East Anglia and other higher educational institutions bring excellent postgraduate learning opportunities. There is a preceptorship programme for newly qualifi ed staff, supported by the Trust.

For informal enquiries please contact Nina Melville on 01603 255754.

Alternatively, to learn more about this position and apply, please visit www.jobs.nhs.uk and insert the above reference number.

Closing date: 22nd July 2018.

For members only

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Networks4July.indd 60 22/06/2018 12:53

The World Confederation for Physical Therapy (WCPT) International Congress will take place in Geneva, Switzerland from 10-13 May 2019.

The Robert Williams International Award (RWA), funded by the CSP Charitable Trust, provides fi nancial assistance to help members of the CSP to present papers at the Congress. A total of £15,000 for up to 10 awards is available for allocation and awards will be offered on the basis of the quality of abstracts submitted.

Applicants for the Robert Williams Award must submit an abstract for presentation to the World Congress. The closing date for abstract submission to WCPT is 6 September 2018.

Details of the application procedure for the Robert Williams Award are available from the CSP website: www.csp.org.uk/charitabletrust (follow the link to the RWA page).

The closing date for applications for the Robert Williams Award is noon on 5 October 2018.

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

Robert WilliamsInternational Award

001281_2018.indd 1 13/06/2018 08:38

62 Recruitment

WOODSTOCK, OXFORD Pilates instructor required for Tuesday evening classes, September start. Good rates of pay. APPI qualification preferred but others accepted, some further training can be offered to appropriate candidate. Email: physio@chippingnortonphysio.com for more information or send CV to apply.

EXETER/NEWTON ABBOT, DEVON BarefootPhysio is looking for self-employed part-time musculoskeletal physiotherapists, which could lead to full-time if desired. One position based in our brand-new clinic in Exeter; one position based in Newton Abbot. The ideal candidates will have a minimum of two musculoskeletal years’ experience, HCPC and CSP membership, be capable of working alone with their own client base. Full and ongoing CPD support and training provided. CV to: info@thebarefootphysio.com Website: www.thebarefootphysio.com

PART-TIME, RAMSGATE – MUSCULOSKELETAL IN THE WORKPLACE Back in Action UK is seeking a part-time physiotherapist to join our team delivering evidence based musculoskeletal solutions in on-site workplace environments in Ramsgate. You will be addressing the musculoskeletal health of the working population, including manual and sedentary workers and treating both work and non-work related injuries. You will take a holistic approach, addressing biopsychosocial factors, as well as contributing to injury prevention strategy and fostering broader positive health behaviours. Clinic is based at Ramsgate with two four-hour weekly shifts. We are looking for an enthusiastic, self-motivated physiotherapist with exceptional communication skills and strong musculoskeletal experience. Experience in a work based/occupational health will be viewed favourably. Please send your CV and brief covering letter to: jobs@backinactionuk.com for further information on this unique role.

PRIVATE MUSCULOSKELETAL PHYSIOTHERAPIST Flexible hours, full or part-time available, self-employed and employed roles Want to have control over the direction of your career? Want to actively participate in developing a clinically and

technologically advanced department? We are looking for an innovative, self-motivated individual who is seeking an opportunity to sculpt their career in line with their special interests. Total Therapy’s clinics are spread across the picturesque coast of East Dorset – all of which are within a 30 minute drive of one another. Interested? Please send your CV and cover letter to Dani Cocking, at: dani@totaltherapy.co.uk Suitable applicants will be invited to interview.

EAST READING, BERKSHIRE Band 5/6 musculoskeletal physiotherapist, part/full-time. We are recruiting for a physio with one to two years’ musculoskeletal experience, or returning from a career break, to join our friendly team. You will have the opportunity to assess and treat both private and NHS patients as part of our multidisciplinary team operating within two GP surgeries and with on-site senior physio support available. We have a structured CPD programme, a budget for external courses and actively support the development of specialisms, with existing staff demonstrating expertise in Pilates, acupuncture and work-related conditions, to name a few. Exciting changes to the delivery of local NHS musculoskeletal patient pathways will allow for our physio’s to be the first point of contact for Musculoskeletal conditions. Excellent remuneration is offered in either an employed or self-employed position. For further information or to apply email your CV to: jennycollis@fitandable.co.uk or call tel: 0118 934 0926.

NEURO PHYSIO – BERKHAMSTED, HERTFORDSHIRE We are looking for a specialist neurological physiotherapist and a rehabilitation assistant to join a busy domiciliary neurological rehab team. Please contact Claire on tel: 07909 982569 or at: physio@neurophysioberkhamsted.co.uk for more information.

PARKS THERAPY CENTRE: ST NEOTS (PE19 1BG) Exciting and rare opportunity to join our expanding team on a part-time or full-time basis as an musculoskeletal outpatient physiotherapist in our St Neots and Bedford clinics on a weekday and/or St Neots on a Saturday morning. Both employed (PAYE) and self-employed terms considered. Newly-qualified welcome. Hours negotiable. Competitive rates of pay in line with experience. IST, course budget allocation, free parking, pension options. Please contact: ivanthrush@parksphysiotherapy.co.uk

PART-TIME COMMUNITY WORK, LONDON Looking for self-employed physiotherapists to join our team. All specialities required: elderly, paediatric, neurological, orthopaedic, and musculoskeletal physiotherapists. Good pay and flexibility – suitable for NHS and private physiotherapists looking for additional work. CVs to: info@londonhp.com Website: www.londonhomephysio.co.uk

WE HAVE AN EXCITING OPPORTUNITY for a positive, highly skilled, self-employed physiotherapist to join our great team. The role is between 16 to 20 hours per week. 10 hours of which will be based at a local private school assisting with match day events and sports injury clinic. We are a well-established practice based in Ealing Broadway, London. The ideal candidate will have at least five years of neuromusculoskeletal experience, sports trauma and excellent skills in the assessment, diagnosis and treatment of all conditions. The candidate will be highly self-motivated, enthusiastic, positive and want to work as part of a successful team to build their caseload and relationships with existing referrers. A UK driving licence and own vehicle is essential. The successful candidate will receive clinical support, fortnightly structured CPD and in-service training. External CPD courses and training will be paid for in keeping with the candidates learning objectives. Tel: 020 8997 1555.

ABERDEEN Energetic and experienced physiotherapist sought to become an integral part of our dynamic clinical team, to assist in managing the Wallace Practice towards delivery of their business plan, including the opening of a rehab gym and wellbeing centre in new premises in the West End. Candidates should be comfortable taking responsibility, be experienced in the delivery of a variety of gym based programmes, strength and conditioning and have an advanced clinical skill repertoire to treat and manage a variety of musculoskeletal presentations. Flexibility in working hours is essential. Salary to be agreed based on experience but circa £35,000. Job share applications are welcome. If you are looking for your next challenge and have a passion for delivering excellent patient care, we would like to hear from you. Please contact Jeff Wallace MCSP, at: email: jeffwallacebusiness@gmail.com with your CV.

Private work available

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Frontline • 4 July 2018 63

>

PRIVATE MUSCULOSKELETAL PHYSIOTHERAPIST – BRISTOL We are seeking enthusiastic and dynamic physiotherapists to join our team in Westbury on Trym clinic. You will be responsible for independently managing a varied caseload of musculoskeletal complaints, including assessment and treatment. You will need to demonstrate exceptional clinical and interpersonal skills and have experience in private practice as you will be taking over an existing patient base. Essential requirements: BSc Physiotherapy, HCPC and CSP registration, three years’ experience. Desirable: MSc Physiotherapy, Experience of working in private practice, Dry needling/acupuncture. Role 1 – full-time, £30k-£36k per annum. Role 2 – part-time, percentage-based. Tel: 0117 428 1382 Email: hr@themedical.co.uk

WE ARE LOOKING FOR A DYNAMIC, ENTHUSIASTIC, passionate musculoskeletal physiotherapist to work in a well-established, friendly and busy private clinic on the edge of the beautiful Lake District. Applicants would preferably have two years experience, but forward thinking new graduates, and return to work physiotherapists would also be considered. Terms and conditions are negotiable, with the potential of equity in the business to the right candidate. Send CV and introductory letter to: kerriee2000@aol.com

LINCS/LEICS BORDER. PRIVATE PRACTICE This is an exciting part-time self-employed position, two days a week leading to three, for an experienced chartered physiotherapist. A high level of communication and manual therapy skills will be required. A Pilates background is strongly preferred, but not essential. The caseload includes musculoskeletal, rehabilitation, sports injuries and elderly care. An absolute minimum of two years experience is required as the successful applicant will be taking over from of a very experienced physiotherapist. One-to-one mentoring and supervision available. Very competitive salary. Start: early October. For more information call tel: 01476 590845 or email: castlegateosteos@btinternet.com Website: www.granthamosteopath.co.uk

SOUTH WALES Full and part-time hours available for musculoskeletal physiotherapists. Go Physio Ltd is a busy private practice with a friendly and

supportive team, working across multiple clinic venues. We offer competitive pay and a varied caseload with flexible daytime/evening hours. Please send your CV/enquiries to: nicky@go-physio.com

EXETER AND TORQUAY Are you the motivated and dynamic physio we are looking for? You have a thirst for knowledge, a can-do attitude. You are fun, ambitious and motivated. We are committed to supporting you reach your goals in a caring and fun environment. For more than just a job, see: www.amsphysio.co.uk/careers

CAPITAL PHYSIO are looking for a full or part-time ambitious physiotherapist to join our established team in London. As an expanding company, we are looking for experienced physiotherapists who have an interest and passion for musculoskeletal physio. This role comes with a great CPD package and key benefits. To apply please visit: https://www.capitalphysio.com/physio-jobs/

CAPITAL PHYSIO are looking for a full or part-time ambitious physiotherapist to join our established team in Cambridge. As an expanding company, we are looking for experienced physiotherapists who have an interest and passion for musculoskeletal physio. This role comes with a great CPD package and key benefits. To apply please visit: https://www.capitalphysio.com/physio-jobs/

CAPITAL PHYSIO are looking for a full-time ambitious physiotherapist to join our established team in Brigg and Barton Upon Humber, North Lincolnshire. As an expanding company, we are looking for experienced physiotherapists who have an interest and passion for musculoskeletal. To apply please visit: https://www.capitalphysio.com/physio-jobs/

SPC PHYSIOTHERAPY – REDDITCH, WORCESTERSHIRE We are looking for experienced musculoskeletal physiotherapists to join our friendly, busy and expanding private physiotherapy clinic with NHS contract on a self-employed basis. Predominantly treating and assessing NHS patients with some private practice, this is an excellent opportunity to join a long established and professional clinic working alongside our highly skilled team. You must possess excellent communication skills with the ability to assess, treat and clinically reason a variety

Night out

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The scheme provides discounts and offers

on lifestyle and professional

products and services.

Everyday deals &

discounts

For members only

Networks4July.indd 63 22/06/2018 12:54

64 Recruitment

Equipment for sale

Practice for saleEquipment wanted

Service and repair

Business opportunity

Web services

of musculoskeletal conditions. In service training/CPD opportunities offered. Hours can be flexible to suit. Please email CV and covering letter to: info@spc-physio.com Website: www.spc-physio.com

ALL TYPES OF SECONDHAND AND NEW ULTRASOUNDS, ELECTROTHERAPY, LASERS, COUCHES ETC With warranty. View at: www.trimbio.co.uk or call Trimbio on tel: 01403 597597.

ALL TYPES OF ULTRASOUNDS, ELECTROTHERAPY, LASERS, COUCHES ETC BOUGHT FOR CASH Call Trimbio on tel: 01403 597597. www.trimbio.co.uk

SECONDHAND ELECTROTHERAPY BOUGHT AND SOLD Ultrasounds Interferential Combinations etc. Call RWR services on tel: 03452 578925. Email: richard@rwrservices.co.uk Website: www.rwrservices.co.uk

ALL TYPES OF ELECTROTHERAPY, COUCHES AND PHYSIOTHERAPY PRODUCTS SERVICED AND REPAIRED Call Trimbio on tel: 01403 597597. www.trimbio.co.uk

FORMER SHREWSBURY MEDICAL ENGINEER Offering repairs and servicing of your electrotherapy equipment. Call RWR services on tel: 03452 578925. Email: richard@rwrservices.co.uk Website: www.rwrservices.co.uk

DEVON Great little clinic seeking buyer, partners retiring. For more information, email: newtonabbotphysio@outlook.com or call tel: 01626 361559.

STYLISH WEBSITES FOR PHYSIOTHERAPISTS I'm Simon, a marketing professional. My wife has a successful private therapy practice. I'll

create you a gorgeous, modern website like hers, plus free set-up and marketing advice for only £395.00. Email for examples: physiowebsites@outlook.com

BEAUTIFUL EXERCISE PLANS for your patients available in under one minute. +450 advice sheets and 2000+ HD exercises. From £11.42 per month. Used in 7 NHS trusts. Start your free 14-day trial now. www.rehabmypatient.com

Themes this year • Musculoskeletal • Primary Care & Workforce Transformation • Rehab Matters

19 -20 OCTOBER 2018ICC BIRMINGHAM

Themes this yearThemes this year Just

£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99£99www.physiotherapyuk.org.uk

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What does a staff engagement manager do? Norfolk Community Health and Care NHS Trust recognised that staff did not always feel involved or valued. Our staff engagement score was below average for a community trust and our engagement sessions, led by the chief executive, were poorly attended.

The trust wanted to change that. So it created the role of staff engagement manager to lead the development of a positive staff engagement culture, and to drive staff involvement and commitment to our online platform, Your Voice Our Future. This platform enables management to communicate

with staff at every level and gather views on important issues. I ensure all staff – especially those in the ‘hard to reach’ sectors of the trust – have a voice and are listened to and communicated with on a regular basis.

I put it bluntly to staff: I want to fi nd out about the good, the bad and the ugly. Then I can support them, and our leadership and management teams, on the improvements and developments needed. I aim to make Norfolk Community Health and Care NHS Trust an even better place to work.

Why did you want to change roles?I really enjoyed my clinical work, but I’m always up for a challenge. At times, I found there wasn’t an obvious way forward or a specifi c person I could go to and discuss my ideas for progressing service development, or trust-wide change. I was very excited to see my trust recognise that if staff engagement wasn’t addressed, patient outcomes could be compromised.

I was also interested in being part of shaping the organisation’s future, especially the ongoing work on the sustainability and transformation partnership. This will lead to many changes which staff should be a part of. I wanted to champion effective communication with our workforce, building on the skills I developed as a clinician. And I wanted everyone to feel empowered and part of changes and new projects.

What are the most daunting aspects of the job?

Our chief executive wanted my role – that is, me! – to be the best-known

person in the trust, which was quite a responsibility. Also, we were

gathering so much valuable information from staff about

the broad range of challenges they face. It was diffi cult, not only to prioritise, but also to fi nd and implement realistic solutions.

What rewards does the role bring?The biggest rewards are empowering staff by giving them a voice on matters that affect them professionally and personally; working with senior leadership to ensure positive change actually happens and continuing to help leadership and management teams to enhance engagement for the benefi t of everyone. I feel that if we have happy staff, we will have happy patients.

You encourage diversity and equality of opportunity – how?Through meeting and working closely with different members of staff and teams nearly every day. By building rapport, I am able to hear at fi rst hand where equality and diversity is being advocated. I am then able to feed back to the staff engagement committee, made up of operational colleagues, representatives from corporate functions and union representatives. Using their knowledge and skills helps to ensure improvements are made.

Will you go back to practising as a physio?The joy of my job is that I am still able to practise clinically. This has tremendous benefi ts. I fi nd that by working alongside staff, I get a better understanding of their roles and the challenges they face, personally fi nding out the potential barriers to staff engagement. It also enhances my knowledge of best practice in all areas, which I can cascade across the organisation. FL

Laura Palmer is staff engagement manager at Norfolk Community Health and Care NHS Trust

ThreeMinutes

Engagement championLaura Palmer has swapped clinical work at a Norfolk trust for a brand new role – her mission is to uncover ‘the good, the bad and the ugly’ as the trust’s staff engagement lead

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