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 • Your CPD • Jobs • 3 minutes

A CSP tool to assess need

Staffing levels

CSP’s new campaign

Find out more inside

Page 18

What’s the deal?

The NHS pay offer

Page 26

Award winners

Members’ successes

Page 14

ContentsFrontline • 11 April 2018 3

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

News News in pictures 6

CSP fights student loans paybacks 8

Equipment recycling looks set to save NHS cash 8

Staff survey shows bullying is rife in the NHS 10

Welsh-speaking students given boost in Cardiff 12

CSP members pick up local and national awards 14

FeaturesLove activity, hate exercise? CSP’s campaign 18

What’s in the NHS pay deal for you? 26

Under pressure? The CPD solution: part 2 28

CSP launches safe staffing levels tool 30

published by

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28RegularsComment: your emails and views 4

Physio findings: back pain; pedometer use 22

Views and opinions: student loans, keep in touch with the CSP 24

In review: motivational interviewing techniquest 35

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

Courses & conferences: your guide to better practice 54

Recruitment: latest jobs 60

3 minutes: Sandra Harding, who audits physio processes 66

SIZESOLUTION

SUPPORT

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CV, to network and to make a name for yourself. If you feel passionate about ensuring the student voice is heard, this is the perfect opportunity. Committee members can influence the council to consider the needs of future physios seriously.

If you are struggling to write your application, contact CSP student officer Ciara Younge,

who can put you in touch with some experienced physios. Email youngec@csp.org.uk Visit www.csp.org.uk/node/1139606 n Matt Hughes, member ARC agenda committee

Pain gainReaders of the article on pain in children (page 22, 21 March) might also be interested in this

guideline, Management of Chronic Pain in Children and Young People. It is published by the Scottish government. To download it, visit www.gov.scot/Publications/2018/03/8609

I was one of the collaborators on this document.n Dr Paul Cameron, national lead clinician, chronic pain, Scottish government

No one chooses to work in the NHS to make their fortune. But as physio staff – along with nurses and other allied health

professionals – you have always wanted respect and recognition for the work you do. One element of that is your pay. You’ll go beyond the call of duty to ensure the very best for your patients. That level of commitment is hard to put a price tag on.

This year’s pay negotiations have been complicated and far from easy. The resulting offer, currently for staff in England but potentially UK-wide, is complex (see pages 26/7). It offers better starting salaries at all levels, which should improve recruitment and therefore staffing levels. It also offers the prospect of getting to the top of the pay scale more quickly.

For those already at the top of their band, the offer is lower. A 3 per cent rise this year, then 1.7 per cent in both 2019 and 2020, plus a one-off

1.1 per cent lump sum payment in April next year. It equates to 6.5 per cent over three years. It’s an increase, but it won’t redress the real terms drop in pay that people have experienced as a result of the government’s public sector pay cap.

The CSP, along with the other health unions, will be engaging members in discussion over the coming weeks, prior to a consultative vote, to ensure all your voices are heard. There’ll be a combination of workplace meetings, webinars and – as many of you have already noticed – the chance to engage

online with other members via Frontline.It’s not an ideal world and the offer is not a

perfect solution. Everyone will gain but some will gain more than others. This is due to the structural changes to pay bands. The good

news is that this is extra money and will not come out of NHS trusts’ existing budgets.Keep abreast at www.csp.org.uk/nhspay

Lynn Eaton managing editor Frontline and head of CSP member communications

No boundaries for studentsThe deadline for applying to become a CSP committee member is 16 April. This is a fantastic opportunity for all CSP members to engage with the new governance structure. As a physiotherapy student at the University of Birmingham, I would encourage all student members to consider applying.

The term ‘student’ has many connotations, some of which lead to

self-imposed limitations, but within the CSP there are no boundaries for students. Under the new governance structure, we have the opportunity to secure more seats than ever. With 28 seats available this time, we no longer have to fight over one seat on each committee.

Whether you are a student rep or not, I urge you to apply. Being involved with the CSP opens so many doors – giving opportunities to develop your

Frontline • 11 April 2018 5

Top Tweets

@TobyOSmith Telephone-delivered physiotherapy intervention for knee osteoarthritis – new insights from Australian qual study, bit.ly/2GWoCHm

@NICEcomms We recommend men undergoing treatment for prostate cancer receive supervised resistance and aerobic exercise twice a week for 12 weeks (pg25), bit.ly/2Idrz3d #NICEchat

@AbilityNet Sign up for our upcoming webinar on #Autism and #Accessibility, specifically the design challenges and solutions, bit.ly/2GSegpz

@JeremyLewisPT Injections for rotator cuff-related shoulder pain: if you are considering one, recommending one to someone else or about to do one, have a read of bit.ly/2ikhPfG and bit.ly/2E5eHK3

@OfficialNIHR Opportunity to get support on funding applications for any researchers in the south-east, bit.ly/2HRjDEP

General Data Protection Regulation: 25 May Members discuss the potential impact of the GDPR legislation.Comments: 10Network: Profession-widewww.csp.org.uk/node/1140835

Referral pathways for those with MSK problemsRead members’ comments about what triggers a decision to refer patients to an advanced practitioner.Comments: 6Network: Advanced practice physiotherapistDiscussion:www.csp.org.uk/node/1132529

Frailty competenciesAdvice sought on creating a competency document for therapists in A&E and acute medical units.Comments: 6Network: Older peoplewww.csp.org.uk/node/1133503

Breathlessness in muscular dystrophyA member seeks recommendations on a challenging case.Comments: 15Network: Respiratory care www.csp.org.uk/node/1143030

icsptalkEngage on pay Interested 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.ukComment

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been static for too long. It is a realistic way to say to the government: we are worth more, but we understand that this will take time. Meanwhile, Claire Sullivan, the CSP’s director of employment relations and union services, responded in the following way:

n The offer is not everything that people deserve after eight years of pay freezes and caps. It is a start to pay recovery and significantly better than in other areas of the public sector. It does raise starting salaries in each band significantly ... and it is funded by new money.

You’ve added...An unprecedentedly high number of members commented on the news item about the proposed NHS pay deal (www.csp.org.uk/node/1144278).Gillespy19 posted:n I don’t believe that’s an offer that comes close to demands of

service, sacrifices and near a decade without a pay rise.

But hmaund noted:n Whilst the deal is not perfect it’s a start and we have to be realistic as to what the alternative is if we do not accept this deal.

Anon-223462 stated:n I just don’t trust this government. While it might look like a good offer to many, there will be a sting in the tail. And amydolling posted: n This three-year deal is a good start in addressing the fact that our pay has

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 find icons to like on Facebook or tweet articles. Comments posted online may be edited for print.

Friendly invitationIt’s Dementia Action Week from 21-27 May and we want to highlight the Alzheimer’s Society’s Dementia Friends initiative. The aim is to transform the way the nation thinks, acts and talks about the condition. Even if they don’t work in elderly care, most physio staff will come into contact with people living with dementia as a patient, relative or in daily life. We found that attending a Dementia Friends session was a useful way to gain an understanding of dementia and highlighted the importance of feelings and emotional memory.

Physios are champions for patient care and we ask you to encourage everyone in your service to become a Dementia Friend – not forgetting members of the wider support team, such as cleaners, porters and receptionists.

We are both Dementia Friends champions, which means we can run face-to-face sessions. We also support the exciting aim for London to become the first ‘dementia friendly’ city and so ask services based in the capital to help us in this work.For details, visit www.dementiafriends.org.uk n Angela Clayton-Turner, retired physiotherapist and honorary president of Agile, the CSP professional network for physiotherapists working with older people, and Laura Cook, chair, Agile East

‘The CSP will engage members in discussion over the coming weeks to

ensure all your voices are heard’

Correction

Due to an editing error, an item in Physio findings feature in the 7 March issue about the UKUFF Rotator Cuff Trial incorrectly gave the word as ‘Rotatoro’ in the headline.

Agile East chair Laura Cook and president Angela Clayton-Turner

4 GP visits to care homes

in east London reduced hospital admissions by nearly 40 per cent, health thinktank the Nuffield Trust has found. Source: Guardian bit.ly/2GwuWGe

5 People who don’t eat red meat are less likely

to develop cancer in the part of the colon where faeces are stored, researchers at the University of Leeds have discovered. Source: Daily Mail dailym.ai/2q6c1al

6Hospital admissions where obesity is a factor

have more than doubled in England during the last four years, new figures from NHS Digital suggest. Source: BBC bbc.in/2GwHYzv

Frontline • 11 April 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 teamManaging editor Lynn EatonDeputy editor Ian A McMillanNews 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.

1The drug Siponimod reduced the risk of disability

progression and is likely to be a useful treatment for advanced multiple sclerosis, says a study funded by its manufacturer. Source: The Lancet bit.ly/2G2iOsh

2 Stopping all forms of vigorous physical activity

can cause an individual to develop depressive symptoms, a study by researchers at the University of Adelaide concludes. Source: Independent ind.pn/2IsNioc

3 The UK’s first high-energy proton beam therapy

centre for the treatment of life-threatening cancers is due to open at a private clinic in Newport, south east Wales. Source: BBC bbc.in/2GTPub3

We showcase some of the best health-related

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

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CSP chief executive Karen Middleton has written to the Student Loans Company (SLC) expressing strong concerns about an ‘unacceptable’ overpayment error that should be written off.

The blunder affects hundreds of physio BSc pre-registration students at 10 universities. Most study at English universities, but English students at Cardiff University and Queen Margaret University, Edinburgh, are also affected.

A CSP survey has discovered that the amounts range from £600-£8,300.

‘We believe the errors happened because second and third-year students with the NHS bursary were treated under the same payment conditions as first-year students without the NHS bursary, leading to overpayments,’ explained CSP student officer Ciara Younge.

for reuse, and help reduce waste and save money.

‘The money we save from refurbishing equipment and recycling goes directly back into patient care.’

A health board spokesperson said that it launched a campaign on social media to publicise the initiative.

In addition, local newspapers reported it and GP practices have placed posters in waiting areas.

The aids are being refurbished by offenders serving community sentences.

Cardiff and Vale’s physiotherapy walking aids technician Robert Skellett said it

was important to identify that equipment was good enough to be refurbished.

The next step is infection control: ‘We clean our equipment with a solution called Actichlor plus,’ said Mr Skellett.

‘This is a chlorine based cleaning agent that comes in tablet form.

Worn ferrules are replaced and safety checks are completed to ensure equipment is safe to use.’

Once this process is complete, physiotherapy staff give the aids a final check before they go out to patients.n Gill Hitchcock

CSP urges Student Loans Company to ‘write off’ overpayments

NHS in England to make all first referrals to physiotherapy outpatients digital GPs in England will have to make all first outpatient referrals electronically later this year in a move to reduce the number of missed physiotherapy and other appointments.

In 2016/17, there were almost eight million outpatient appointments that patients didn’t attend, the equivalent of 6.7 per cent of the total number of appointments in England, according to NHS Digital.

The switch to electronic-only referrals will mean doctors and patients will be able to see in advance which services are available and how quickly the patient can be seen, said NHS Digital.

Some GPs think the situation is not so straightforward, however.

In an interview for PublicTechnology.net, Paul Cundy, the chair and IT policy lead for the British Medical Association’s committee of GPs, said:

‘What the trusts disclose onto this system is up to them, and there is no policing of that.

‘If trusts are running low on referrals, they chuck up a whole load of clinics which will never actually take place.

‘And if they are running low on capacity, they reduce the number of appointments displaying on the e-referral service, so we can’t book.

‘Basically, they game it. Once a patient is in the system, it’s more difficult to get them out and put them onto another hospital.’n Gill Hitchcock

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

NewsDigestFrontline • 11 April 2018 9

Prize draw winnerJoseph Baker of Swindon won £250 worth of John Lewis vouchers for completing a recent CSP member survey. ‘We’d like to thank members for giving us their feedback,’ said CSP membership marketing manager Asha Isram. ‘By telling us how we’re doing and helping us to better understand your needs, we can make informed decisions about how we support you and the profession.’

A Welsh health board is calling for local residents to return walking aids they no longer use in a bid to save thousands of pounds.

Cardiff and Vale University Health Board said it issued more than 10,000 walking aids each year.

If only one in three were returned, and one in four were refurbished and re-issued to a new user, it could save the board nearly £20,000 a year.

Sue Rees, deputy head of physiotherapy services for Cardiff and Vale, said: ‘Working together with the public we can refurbish more equipment

Cardiff and Vale aims to save £20,000 a year by reusing walking aids

CSP student reps in February

Money saved will go back into patient care

Students queried the amounts the SLC gave them at the start of the academic year last September and they were wrongly assured they had received the correct amounts. However, the errors have only come to light recently as the SLC started contacting students individually about the overpayments, Ms Younge said.‘There’s a lot of stress because of these errors and students are being forced in to further debt. Some are now in so much debt they are considering dropping out,’ Ms Younge said.

The CSP is working with other health unions and professional bodies as other allied health professional and nursing and midwifery students are also affected by the errors.

A SLC statement said: ‘We are investigating the sequence of events that led to a number of

NHS-funded students incorrectly receiving too much funding in the academic year 2017-18.

‘Our priority is to support those affected and, for students who find themselves in hardship as a result of the error, we will defer the overpayments collection until after the end of the academic year or the end of their course.’n Gary Henson

More informationAre you affected? Please fill in the CSP’s survey www.surveymonkey.co.uk/r/5JKDCWH

• See page 24 for one student’s experience

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Frontline • 11 April 2018 11

More informationIf you feel you are being bullied or harassed at work, contact your local CSP steward. If you do not have a steward, contact the CSP’s enquiries handling team at csp.org.uk/about-csp/contact-us/enquiries-teamSuffering from overwork? Get involved in our Pinpoint the Pressure campaign www.csp.org.uk/pressure CSP resources and advice on bullying and harassment www.csp.org.uk/node/268376 NHS staff survey 2017 bit.ly/2HNU1IN

CSP analysis of the latest NHS staff survey shows a worrying proportion of physiotherapists experienced harassment, bullying or abuse from staff and patients in the last 12 months.

Almost 13,000 physiotherapists in England’s health service responded to the 2017 NHS staff survey, an important indicator of staff experience.

Of these, 26 per cent said they had experienced bullying, harassment or abuse by patients. In addition, 23 per cent had been bullied, harassed or abused by staff.

Less than half of physiotherapists (46 per cent) said they had reported

the most recent incidents, however.A significant minority of

physiotherapists (12 per cent) said they had experienced physical violence from patients, relatives or the public. The better news is that more than 71 per cent of these physiotherapists reported what had happened.

The CSP’s analysis reveals poor levels of communication between physiotherapists and senior managers. Only 35 per cent of the physiotherapists who responded to the survey said they experienced good communication between senior management and staff.

Meanwhile, 73 per cent reported

Staff survey shows bullying is rife in NHS

Bolton NHS Trust’s intermediate care team has reduced patients’ average length of stay by 4.45 days since it launched NHS Improvement’s Red2Green campaign in October 2017.

Physiotherapist Jennifer Sharples leads the multidisciplinary team that introduced Red2Green, a system to identify wasted time on a patient’s journey through hospital.

Red2Green aims to reduce the number of ‘red days’ which fail to contribute to a patient’s discharge, and increase the number of ‘green days’ when a patient receives interventions which support their care and discharge into the best setting for their needs.

Therapy team lead Ms Sharples said that Red2Green has had a positive impact on admissions too. Across three intermediate care units, the number of admissions have increased by an average of seven patients each month because of the earlier discharge of patients

back home or to other care settings.She said the programme had resulted in greater

collaboration between the members of her team, which has six physiotherapists, plus occupational therapists and therapy assistants.

‘Red2Green has not affected the amount, nor the quality of the therapy patients are getting,’ said Ms Sharples. ‘But it has affected the way our therapists prioritise patients.

‘It has helped the physiotherapists to make sure that the right patients are getting the right intensity of therapy and at the right time in their journey. ‘n Gill Hitchcock

More informationNHS Improvement: Red2Green campaignbit.ly/2nXHI5A

Physio pay gap: women earn 15.8% more than menWomen are paid an average of 15.8 per cent more than men across full and part-time physiotherapy posts. The statistic comes from UK institute the Office for National Statistics. Kate Moran, the CSP’s head of employment research, said: ‘Historically, physiotherapy has been very much a female-dominated profession, but this is slowly changing. It may account for the pay discrepancy because the profession has more women in senior positions.’Visit bit.ly/2ItlHTK

Physio leads therapy team in campaign which cut 4.45 unnecessary intermediate care bed days

Bolton NHS Trust intermediate care team’s therapy lead Jennifer Sharples (second from left) with other members of the team

working additional hours, both paid and unpaid. A significant proportion, 38 per cent, said they had felt unwell because of work-related stress.

But the survey found that physiotherapists were overwhelmingly positive about their roles. More than 90 per cent agreed that their role made a difference to patients.

Asked to rate, from one up to a top score of five, whether they would recommend their organisation as a place to work or be treated the average score was 3.75. The average rating for satisfaction with the quality of work and care they were able to deliver was higher at 3.86.

n Gill Hitchcock

Grenfell Tower tragedy reveals vital role of physiotherapistsPhysiotherapists at King’s College Hospital NHS Trust found that uniting their different specialisms was vital to the care of smoke inhalation patients following the Grenfell Tower fire.

Unusually for them, paediatric respiratory physiotherapist Sian Evans and critical care respiratory physiotherapist Kirsty Jerrard worked side-by-side in June 2017. The event was so rare that they reviewed what had happened as a learning experience, to help them deal with anything similar in future.

‘We hadn’t come across this degree of smoke inhalation within our scope of practice before,’ said Ms Jerrard. ‘And we wanted to make sure our treatment was appropriate and evidence based.’

Over 14 days, they treated six patients – four children and two adults – who all had respiratory complications because of smoke inhalation. They contributed to the prevention of respiratory complications, such as infections, and a reduction in the number of days of intubation.

They achieved this through specialist respiratory assessments and treatment, including positioning of patients, sputum management and early rehabilitation. Physiotherapy interventions were tailored to the specific needs of individuals.

In addition, they reallocated services so that the six patients had physiotherapy day and night, and routine physiotherapy clinics were open as usual. ‘This was quite a fine balancing act,’ said Ms Evans.

In total, the patients had nearly 100 physiotherapy interventions. Ms Jerrard said it was key to make sure that all therapists were aware of the respiratory complications they might encounter. It had been important to make sure physiotherapy was delivered without delay too, she said.n Gill Hitchcock

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NHS Digital awards £1.4m to improve transfers of careNHS Digital has awarded £1.4 million to projects to ease delayed transfers of care. The local authority and NHS partnerships that will share the money to help digitise their assessment, discharge and withdrawal notices – ditching faxes and post – are in Dorset, Hackney, Lancashire, Wirral, Worcestershire, Hertfordshire and Rotherham.

Frontline • 11 April 2018 13

Two Cardiff University physiotherapy lecturers have been asked to ensure that 40 credits each year – equivalent to 400

hours of learning time – are available to students in Welsh.

In addition to teaching, Gwyneth Richards and Natalie

John are developing the delivery and evaluation of physiotherapy modules and programmes through the medium of Welsh.

The lecturers are part of a wider community of academic staff in Wales who are working towards the Welsh government’s Mwy na Geiriau strategy for Welsh language services to be available in health, social services and social care.

Ms Richards said: ‘This is about our communication with patients and giving them a choice. There is also the element of employability for Welsh-speaking physiotherapists.

‘It’s about raising the profile of the Welsh language in healthcare generally. It’s also about people feeling empowered and that there

is an added value to some of the cultural and educational benefits of the Welsh language.’

Increasing the number of students who want to use Welsh in their studies could be a challenge. Of the 2017 intake of approximately 150 physiotherapy students, only five have opted to do this.

Ms John said: ‘This is a long-term programme, mainly because the number of Welsh-speaking children and Welsh language school places is going up and there will be more of a demand for services in Welsh.’n Gill Hitchcock

More informationSiarad Cymraeg www.csp.org.uk/node/1141102

The Portuguese cardiorespiratory physiotherapy community is sharing a CSP-developed tool with its members after they translated it, demonstrating the international influence of UK physio resources.

The Inspire cardiorespiratory tool collates guidelines from the National Institute for Health and Care Excellence (NICE) for all physios working with patients with cardiorespiratory problems.

Carley King, working as a CSP professional adviser, developed the tool as part of a NICE scholarship.

Cristina Jácome, a researcher and respiratory specialist physiotherapist of the Portuguese Association of Physiotherapists, said she had found the resource online. ‘We wanted to improve the connection between cardiorespiratory physiotherapy and

science to bring more people into the specialism.’

She added: ‘We are used to using NICE guidelines, but we found this CSP guideline much more simple to follow, so we asked if we could

translate it for our members.’ Ms Jácome said the eager support from the CSP made all the difference in being able to get the tool swiftly translated and disseminated to members earlier this year.

The Portuguese cardio-respiratory physiotherapy network said it would seek feedback from members on the usefulness of the tool and whether translation would be necessary in the future.

The cardio-respiratory physiotherapy network added that sharing the work of different countries was ‘better for everyone’.

CSP head of practice and development Natalie Beswetherick, agreed: ‘This is fabulous. It demonstrates the international impact of our work.’n Louise Hunt

More informationInspire: respiratory guidelines www.csp.org.uk/node/956782

Aquatic physiotherapy specialists have collaborated with Swim England to produce the UK’s first qualification for fitness instructors that focuses on aquatic activity for health.

Swim England, the national governing body for swimming, approached the Aquatic Therapy Association of Chartered Physiotherapists (ATACP) for input on the qualification. This followed research by Swim England that found there were gaps in knowledge among fitness instructors about how to safely support people with health conditions in water. As a result, many people were not using community pools for health activity.

Simon Stevens, of Swim England, said: ‘Not only is this one of the first examples of a sport governing body working so closely with a health

professional body to develop a fitness qualification, it is also unique in that some of these people will be course tutors as well.’

ATACP member Sarah Cox, who, along with another physio, is among four tutors selected to deliver the training from this summer, said: ‘We saw this collaboration with Swim England as a way to help patients when they finish aquatic physiotherapy to have a safe and effective intervention on the pathway to continue aquatic activity for health.’

Ms Cox added that the aquatic activity sessions will be open to the general public, as well as referrals from health professionals. ‘As physios, we want to make sure fitness instructors know what’s safe and understand the physiological changes that happen in the water. They will not

be providing one-to-one or specific aquatic physiotherapy but will be more knowledgeable about their scope of practice and when they need to refer back to health,’ she said.

The aquatic activity for health sessions will be piloted at two sites and a physiotherapy researcher will analyse the qualification boosts the confidence of local physios to refer people to the trained fitness instructors. If successful, the sessions will be implemented nationally. n Louise Hunt

More informationAquatic Therapy Association of Chartered Physiotherapists (ATACP) atacp.csp.org.uk

Physios and Swim England pool training resources

Gwyneth Richards (left) and Natalie John at a CSP Welsh Board meeting in Cardiff

Members of the Portuguese Association of Physiotherapists

CSP influences international physiotherapy practice in field of respiratory care

Cardiff University sets target to deliver physio credits in Welsh

Swim England

Lesley Holdsworth wins award for pioneering digital leadership in ScotlandPhysiotherapist Lesley Holdsworth has won a new award for her role in driving

leadership and service innovation in the digital agenda.

Dr Holdsworth is Scottish government clinical lead for digital health and care, representing allied health professionals (AHPs), nurses and midwives.

She received the Scottish

Digital Impact of the Year Award in February at the 1st Annual Scottish Digital Health and Care Awards, in partnership with the Scottish Government.

The award was open to all health professionals, and Dr Holdsworth said she was ‘pleasantly surprised’ to receive the award, considering she was up against ‘a lot of influential medics’.

‘For me it’s recognition that physios and AHPs are making a significant contribution to the digital agenda. The judging panel obviously recognised that AHPs are doing something right,’ she said.

In her role, Dr Holdsworth has established a national network of AHPs, nurses and midwives interested in digital solutions in healthcare, along with developing national leadership programmes around the digital agenda.

Physiotherapy staff, in particular, are playing a prominent role in driving the digital agenda in Scotland, she said.

‘We have an executive steering group and physios form the backbone of this group. We also now have 19 physios working at health board level who are influencing strategic direction by looking at how we can improve services through digital solutions.’

She added that it is important that AHPs have a strong voice in the digital agenda ‘to reflect the reality of service delivery and what’s right for patients’.

More informationNurses, Midwives and Allied Health Professionals Networkwww.ehealth.nhs.scot/groups/nmahps

AHP Suffolk picks up health and wellbeing awardPhysiotherapy staff at social enterprise Allied Health Professionals Suffolk helped their organisation to win in the health and wellbeing category of local

Physio lecturer wins London Borough of Newham award for community workshopsA senior physiotherapy lecturer who dedicates time away from academia to run workshops for people with chronic pain has won a London Borough of Newham ‘community builders’ award.

Patricia Smith from the University of East London said the award, designed to recognise someone who connects people and builds communities in Newham, meant a lot: ‘I wasn’t expecting it. That this work was noticed and appreciated made me think that it was all worthwhile.’

She qualified as a physiotherapist and completed a PhD in Jamaica. Since 2001 she has lectured at the university in one of the capital’s most multicultural boroughs. Throughout all this, her main interest has been applying physiotherapy practice to benefit local communities.

‘I worked as a community physiotherapist for about 10 years,’ she said. ‘My heart has always been in the community.’

Dr Smith’s idea for the workshops stemmed from this personal commitment and data, which revealed that musculoskeletal pain was a significant problem among Newham residents.

Her first step was to approach the manager of a local library in Stratford about arranging facilities for her to run sessions on managing arthritis. Fortunately, the response was

positive and supportive. Once the workshops were under way, feedback from participants was positive too.

The groups, however, were not entirely as expected. People came with a much wider range of problems than arthritis.

‘It started off with arthritis, but it became more general,’ said Dr Smith. ‘Some of it might have been an old injury, or because of being immobile in front of a computer, or

because of housework or a sports injury.’

The workshops, advertised in a local paper and on social media, draw people from a wide range of backgrounds and ages.

Typically, each session has between eight and 10 members. Dr Smith described this as a ‘comfortable number’, which allowed her to provide individual

advice, as well as support during the physical exercises she takes people through.

For Dr Smith, the workshops are hugely enjoyable and an opportunity to use her teaching skills in a voluntary capacity

outside the university. And there is an added benefit: ‘This helps to keep me current. What I teach the students is based on my own practical and personal experience of offering these workshops.’

At Newham’s town hall on 13 February, Dr Smith received her award from mayor Robin Wales. But the celebratory event could herald a new beginning, because she is planning an extended programme of workshops across Newham’s 11 public libraries.

Dr Smith is looking for other physiotherapists to volunteer and help create a self-sustaining scheme, which will benefit the local population.

‘As physios, there is a lot that we can do to help people,’ she said. ‘So if other physiotherapists have ideas, skills and information they are willing to share, I would encourage them to do it because there are a lot of people in the community who need our help.’

She believes other boroughs could replicate the model and that it could be adapted to meet the particular needs of each area.

Have you received an award?tell Frontline about itfrontline@csp.org.ukAwardsRoundup

Frontline • 11 April 2018 15

Patricia Smith pictured with Newham mayor Robin Wales who presented

her ‘community builders’ award

Physio and Churchill Fellow Kathy Birch

‘My heart has always been in the community’ Patricia Smith

A physiotherapist has received a prestigious fellowship from the Winston Churchill Memorial Trust which will allow her to gain an international perspective of palliative care.

Kathy Birch is programme lead for day services at Princess Alice Hospice in Esher, Surrey.

The fellowships enable successful applicants to investigate inspiring practice in other countries and return with innovative ideas that could benefit people in the UK.

Mrs Birch applied in the health and wellbeing category with a proposal to extend the scope and reach of palliative day services.

She told Frontline: ‘I will be travelling to Singapore, Australia and New Zealand for six weeks and set out on 8 May. My itinerary features a number of different locations where physiotherapists are supporting people living with life-limiting illnesses.

‘A Churchill fellowship is for

Palliative physio receives Churchill Memorial Trust fellowshiplife and I have a responsibility to implement new initiatives and measure the impact of these on my return, as well as supporting future fellows.

‘The motto of the Winston Churchill Memorial Trust is “Travel to learn, return to inspire” and I hope to do both of those.’

She added that she had applied for the fellowship after seeing a CSP e-bulletin

about it last year and she would encourage other physios to consider applying.

More informationApplications open this year on 27 April. Visit https://bit.ly/2q0XY6LMrs Birch is blogging about her fellowship kathybirchblog.wordpress.com

Robbie Pearson, chief executive of Healthcare Improvement Scotland, Lesley Holdsworth, Scottish government clinical

lead for digital health and awards presenter Stephen Jardine

business awards.Matt Peck, clinical lead

physiotherapist and operational manager in Ipswich and Hadleigh for Allied Health Professionals Suffolk, joined members of his team for the award ceremony on 15 March at Milsoms Hotel, Kesgrave.

The Suffolk Coastal Business and Community Awards’ health and wellbeing prize recognises an organisation’s support for employee or customer health and wellbeing, and understanding of health issues in their local community.

Mr Peck said: ‘It was a team achievement and lovely for our work to be recognised in our local community.

‘As a community interest company, we are bound to reinvest surplus resources into the local community. We are always looking for opportunities to improve the health and wellbeing of our patients and the wider population.

‘One way of doing this is to run community gyms, which are open Monday to Friday. They

provide an environment in which people can exercise in a safe, encouraging environment.

‘Another activity we run for free is a walking programme, which is open to everyone. Each Wednesday lunchtime a walking party leaves our Riverside Clinic in Ipswich on a 30-40 minute walk.’

More informationThe newsletter is available online at bit.ly/2pGZqu4

Awards recognise the excellence of Powys physiosPowys Teaching Health Board’s staff excellence awards for innovation and for young employee of 2018 went to two CSP members – Anna Belotti and Alys Reynolds, respectively.

Community physiotherapist Anna Belotti won in the ‘innovation and leading the way’ category at the Welsh board’s annual awards, held on 9 March at the Royal Welsh Showground, Llanelwedd. She had been nominated by head of therapies Vic Deakins.

Claire Preece, professional head of physiotherapy at Powys, described Ms Belotti as caring, respectful, kind and someone who always went the extra mile for patients and delivered a seamless service.

The winner of the young employee award, rotational physiotherapist Ms Reynolds, was nominated by Ms Preece, respiratory specialist physiotherapist Helen Hathaway and team lead Jennifer Ellis.

‘Alys was nominated for embracing the opportunity to develop her own skills,’ said Ms Preece.

Physiotherapists were well

represented among this year’s almost 200 nominations. They included Ellen Davies, Marian Morris, Andrew Colwill, Helen Hathaway and Jennifer Ellis, and all physiotherapy support staff as a group, for ‘making a difference’.

Jennifer Ellis, Heather Maling and the Welshpool Rehabilitation Team were nominated for the health and wellbeing award.

Claire Preece, Barbara Gamman, Ruth Walker, Mohottige Somadasa and Teresa Tite were nominated in the ‘supportive colleague’ category.

Katelyn Falvey and Lyn Doherty were nominated for an innovation and leading the way award.

Three physiotherapy teams – from Machynlleth, Llanidloes and Ystradgynlais hospitals – were in the running for the team of the year award.

Ms Preece said the large number of nominations reflected the great work, not only of individual physios, but of teams pulling together to deliver the best service possible for patients.

AwardsRoundup

Enjoying their win (left to right) physio Daniel Thomas, administrator Katie Vass, physio Sophie Dale, physio Chris Cook, physio Matt

Peck, rehab instructor Will Edwards, physio Frankie Wythe, rehab instructor Zoe Moore, physio Joe Russell and physio Grace Lander

Reflective of great work: physiotherapists Anna Belotti and Alys Reynolds with their awards

With over 12,500 online exercise videos and more than 100 added every month, it’s no wonder we are the Number 1 ally of physiotherapists around the world.

We are Physiotec and we help over 3 million patients lead a healthier, more normal life.

12,706THERE ARE

WAYS TO BENEFIT FROM PHYSIOTEC

physiotec.co.uk+44 02 032 865 865

Untitled-2 1 04/04/2018 08:51

Novice or early career researchers – there is still time to apply for a Public Health Research award. The Council for Allied Health Professions Research will be on hand with advice and support for applicants. In 2017, two CSP members –

Esther Clift and Laran Chetty – were among the winners and presented posters during an all-expenses-paid trip to Public Health England’s conference. Interested? Applications are open until 30 April and you can find out more at cahpr.csp.org.uk

Public Health Research awards – still time to apply

HATE EXERCISE? – a member led campaign to tackle thisIn place of the CSP’s Workout@Work campaign, which ran for several years previously, members set out to create something new and relevant. Something that would give every CSP member a chance to promote the profession and put physiotherapy in the public spotlight. Feedback from members involved in Workout@Work helped us to generate this new campaign that tackles many of the key challenges to physical inactivity across the UK.

Members wanted a campaign that would fit into their work schedule: something that would establish the unique offer physiotherapy makes to public health. They asked us to make it fun, simple and in a format that can be customised locally and in a way that showcases to managers how physio contributes to the bigger health picture.

Our research with members and patients revealed that the success of this campaign will depend on showing empathy for how patients really feel. Physios specifically warned us how negatively the word ‘exercise’ was received by many of their patients.

A new approach designed by members for patientsThis campaign will draw attention to the profession in a way that resonates with people with long-term conditions. We believe that its message will be well received by decision makers, not least by highlighting the important contribution the profession can make to improve whole population health.

To give members the resources they need to get key messages across, we have reviewed our most popular leaflets and will print new items that fit with this campaign. New animations, videos, printed give aways, customised posters, badges and a host of other items are currently planned. We will continue to talk with and listen to members, our partners and patients every step of the way. fl

Activist members said the campign should be:

CSPCampaignFrontline • 11 April 2018 19

For further informationcheck out our new animation, The power of a conversation, at www.csp.org.uk/activity

new CSP campaign to promote the role of physiotherapy is heading for its launch. Love activity, hate exercise? has been designed by members and patients to break ground about the unique role of physiotherapy.

Crucially, it is all based on research from people with long-term conditions, who told us about their emotional and physical barriers to becoming more active.

The title, Love activity, hate exercise? reflects the conflicting feelings about physical activity many people experience, especially those with long-term conditions. The question mark next to

‘exercise’ in the campaign title is very important – it makes it a topic for discussion, rather than a statement. Unlike campaigns that are often aimed at the general public, this will aim to reach the people who can be – or are already being – helped by physiotherapy advice. It aims to take an empathetic approach and builds on the trust that the public has for the profession.

LOVE ACTIVITY – what patients needThe research we did with patients and physiotherapists to help plan the campaign was crucial to help get the right messages across. This included more than10 focus groups, each

with up to10 participants and took place face to face, online and by phone, in different parts of the UK. The research confirmed that patients see physios as reassurers, referrers, advisors and pain relievers. What they haven’t always been associated with is physical activity.

It was often through talking about their love of these activities, such as dancing or walking, they realised that their patients did not actually hate exercise.

What they hated was the pain and fatigue they feel and the fear associated with how they might be viewed by others if they took part in exercise.

The public agreed physios are:

We learned some important things

patients fall into three categories:

We asked CSP members about the unique role of physios in public health and physical activity

Members said about our unique physical activity offer

‘This is a brilliant opportunity to engage physiotherapy teams and to equip them with the knowledge, skills and confidence to talk to patients about physical activity.’ ANNA LOWE physical activity clinical champion at Public Health England

A vital physiotherapy campaign will help empower professionals to promote the activities people love and improve health.

CSP assistant director Sara Hazzard heralds this summer’s launch of Love activity, hate exercise?

WHEN CAN YOU EXPECT TO HEAR MORE? Love activity, hate exercise? will be launched to members on 17 May and to the public in early July. In mid-May, we will be contacting all of you with an invitation to register with the campaign. And look out for further information in Frontline too.

KEY DATES11 April: campaign reveal – members can express interest by emailing cre@csp.org.uk

17 May: formal sign up opens at www.csp.org.uk/activity5 July: public/patient launch

‘This campaign will provide physiotherapists with further confidence and encouragement to use the skills we have to make the biggest difference for our patients. It should help us to feel empowered to make recommendations on physical activity and improve the overall health benefits to their patients.’ TOBY SMITH senior researcher in rehabilitation, University of Oxford

‘I am so excited about the Love activity, hate exercise? campaign because it is truly ‘holistic’. Evidence has suggested that even mild activity has positive effects on both anxiety and depression, as well as the many other physical benefits. Given the alarming statistics about both mental and physical health, this campaign will not only aim to improve the overall wellbeing of our population, but it will highlight just how pro-active we are as a profession.’MOBEEN JANJUA physiotherapist, East Lancashire Hospitals NHS Trust

MEMBER VIEW MEMBER VIEW

MEMBER VIEW

www.physiotherapyuk.org.ukMore speakers to follow. Check the website for the latest details:

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

Dr Helen BevanChief Transformation Officer, NHS Horizons

Prof David OliverClinical vice-president, Royal College of Physicians

Jonathon KrugerCEO, World Confederation for Physical Therapy

Dr Annina Schmid Associate Professor, Nuffield Department of Clinical

Neurosciences, University of Oxford

Big names. Small price.

200+ speakers and poster presenters, at physiotherapy’s flagship event. Join us, for just £99*.

19-20 OCTOBER 2018ICC BIRMINGHAM

Book by 31st July

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

Frontline • 11 April 2018 23

Comments and conclusions

prevention are exercise combined with education, and exercise alone.

Professor Foster highlights a number of unnecessary interventions used globally, including:nlumbar imaging, which means

exposure to radiationnliberal use of imaging, which triggers

additional medical care including specialist referral, surgery, interventional procedures and potential absence from work

She adds that the growing use of complex fusion procedures in patients older than 60 years, who are undergoing decompressive surgery for spinal stenosis, is concerning.

‘These fusion operations are three times more expensive than decompression alone,’ she says.

Responding to the papers, Steve Tolan, head of practice at the CSP, said:

‘This landmark series of articles must prompt some serious reflection among professionals and decision-makers to ensure that when people seek help, what they receive is effective, proportionate and above all, empowering.

‘The CSP’s mythbusting initiative (www.csp.org.uk/mythbusters) sought to debunk misconceptions and deliver information that people can use to rationalise and manage the pain that so many of us will experience at some point in our lives.’Nadine E Foster et al Prevention and treatment of low back pain: evidence, challenges, and promising directions Lancet online 2018http://www.thelancet.com/series/low-back-pain

Research highlights gaps in knowledge of effectiveness of b ack pain techniquesHealth experts need to find cost-effective and context-specific strategies for managing low back pain if they are to reduce the future burden of the disease, according to three papers published by The Lancet.

The papers, written on behalf of The Lancet Low Back Pain Series Working Group, look at the impact of this leading cause of disability worldwide. This international group includes CSP member Nadine Foster from Keele University, one of the papers’ lead authors.

Professor Foster suggests there is limited use of recommended first-line treatments and inappropriately high use of imaging, rest, opioids, spinal injections, and surgery.

She also looks at what evidence

there is to show how effective various interventions are, globally, for preventing and treating low back pain and the recommendations from best practice guidelines.

‘In many countries, painkillers that have limited positive effect are routinely prescribed for low back pain, with very little emphasis on interventions that are evidence based such as exercises,’ said Professor Foster.

‘As lower-income countries respond to this rapidly rising cause of disability, it is critical that they avoid the waste that these misguided practices entail.’

She concludes that there is little research into the effectiveness of prevention. The only interventions shown to be effective for secondary

Professional advice on how best to use a pedometer to boost daily step count seems to help sustain physical activity levels over the longer term, suggest two studies of middle aged and older adults.

The researchers tracked the subsequent physical activity levels of participants from two completed 12 month trials (PACE-UP and PACE-Lift) to see whether an increased step count was sustainable

over the longer term.For PACE-UP, 1,023 inactive

45 to 75-year-olds were all given a pedometer and an activity diary and randomly assigned to one of three groups: advice sessions with a nurse to help them walk more; an information leaflet on pedometer use; no guidance at all.

PACE-lift involved 298 60 to 75 year olds, half of whom were given advice by a nurse

on how to be more active.Three years later, those in

the PACE-UP trial who had been given written or verbal advice, were still clocking up an extra 600 daily steps and 24 more minutes of moderate-to-vigorous physical activity every week than those who had not been given any guidance.

Similarly, four years later, PACE-Lift participants in receipt of professional advice

were still doing 400 more steps a day and 33 more minutes of moderate-to-vigorous exercise a week than those who had not been told how to boost their step count.

‘To get

nTai chi is as good if not better than aerobic exercise for relieving the chronic pain of fibromyalgia, indicates a comparative trial of 226 people with the condition. Although standard treatment for fibromyalgia, many patients find exercise difficult. The researchers call for a rethink on the most effecive exercise. The BMJ 2018 www.bmj.com/content/360/bmj.k851

nWeight loss surgery may be linked to a near doubling in risk of developing inflammatory bowel disease, suggests a study of nearly 9,000 cases and more than 43,000 controls. The procedure may prompt changes in gut microbes added to which weight loss surgery patients tend to have higher rates of vitamin D and bile salt deficiencies.Alimentary Pharmacology & Therapeutics 2018 https://onlinelibrary.wiley.com/doi/full/10.1111/apt.14569

nA US study has found that moderate-to-vigorous physical activity levels are just as low among older adults without osteoarthritis or knee pain, as they are among those with painful knee osteoarthritis. The findings should act as a ‘wake-up call’, say the researchers. Arthritis Care & Research 2018 https://onlinelibrary.wiley.com/doi/abs/10.1002/acr.23511

Caroline White and Lynn Eaton on the latest physio research

any of the health benefits linked to being

more active, such as a lowered risk

of heart disease, stroke and

type 2 diabetes, people need to be more

active in the long term,’

explains lead study author Professor Christina Victor of Brunel University, London.

‘Here we have new evidence that shows short, simple advice about regularly using a pedometer, whether that means getting leaflets through the post, or speaking to a nurse, can increase physical activity three to four years later.’

Harris T et al. Physical activity levels in adults and older adults 3–4 years after pedometer-based walking interventions: Long-term follow-up of participants from two randomised controlled trials in UK primary care Plos Medicine 2017 http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002526

Advice on using a pedometer can boost step count over the long term

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

Frontline • 11 April 2018 25

AdvicelineMake sure you’ve given the CSP the right to contact you, says Rob Ledger

summer before beginning full-time qualified work are cancelled, while in the present time this clawback has put severe restrictions on what I am able to afford socially.

Key to all of this, though, are my academic commitments. I’m in my final year of study, completing my research project and dissertation alongside other assessments and placements.

If I had known earlier in the year that I had been overpaid, I would have been better able to plan my finances and would be in a less compromising position than I’m currently left in.

I don’t have the time currently to hold down a job, so there isn’t an opportunity for me to generate a bit of income.

The reality is, I’m going to be forced into using my overdraft facility over the coming months, even after careful financial planning over the past two and a half years.

My situation is not as bad as that of others.

I would advise students who have been contacted by SLC regarding overpayment, or who believe they have been overpaid but haven’t yet heard from SLC, to contact their student union and university money advice service.

They should also notify their CSP rep as the CSP will be measuring the impact on physiotherapy students nationally.

Luke Tobin is chair of the CSP’s student executive committee

You should have received an email from the CSP recently asking for permission before 25 May to keep mailing you.

I suspect for many members, our email will have quickly been swamped by a stream of rival ones vying for your attention.

If your inbox is anything like mine, it’s bulging with emails at the moment from companies and organisations who you’ve given your address to at some point, asking you to buy something new from them.

The incoming General Data Protection Regulations (GDPR) should bring some relief to those of us whose mailboxes are over-filled with promotional emails. It requires companies to get active and specific permission from everyone they want to mail, and to keep that consent current.

For the CSP, this means we need you to confirm that you still want to receive mailings from us, at least the ones that fall outside of the management and delivery of your core membership package. To continue receiving the majority of our emails beyond 25 May, you’ll need to log in and give us your consent. It takes no more than a couple of minutes.

While it might be tempting to put this off for a while, our surveys tell us that informed and active members get significantly higher value from their CSP subscription than those who have a more passive relationship.

To confirm that you still want to receive CSP emails, and choose which ones you want to receive, log in to your website account (www.csp.org.uk/profile) and select ‘email subscriptions’.

You’ll see a range of options based on your existing preferences, any of which you can change. The most important bit is to confirm your consent at the bottom of the page.

If you’ve forgotten your password, don’t worry. You can request a link allowing you to update it from the log in screen.

Keeping on top of your emails should become a bit easier after 25 May. Just make sure you’re receiving the useful ones.

Rob Ledger is a CSP assistant director, strategic communications

est Suffolk NHS Trust , receives great support

from members of the local community.

At West Suffolk Hospital, Bury St Edmunds, and Newmarket Community Hospital, more than 400 volunteers from the local community offer their time to help support patients and staff.

Our volunteers support us

throughout the week, including on evenings and weekends. They do a variety of roles, from helping on the wards to gardening. Some volunteers plan activities for our patients with dementia. Others support specialist areas across the hospital such as our operating theatres, the eye treatment centre, and our chaplaincy.

HelpForce is the new organisation

set up by lawyer and philanthropist Sir Tom Hughes-Hallett to accelerate and improve the involvement of volunteers in the NHS. It, has chosen our trust as one of 12 acute NHS trusts set to develop new volunteer roles and create a best practice model for volunteering in hospitals and other patient settings.

In 2017 our trust joined an alliance to run NHS community health services within the West Suffolk area, delivering joined up services across acute and community providers. In line with

this integration, our voluntary services department is also hoping to develop new community-based volunteer roles. We want to begin supporting those outside the hospital and patients when they return home.

It’s important to point out that volunteers are never a substitute for paid NHS staff. Our volunteers choose to give their time to support their local services and add to patient care. Although many of our volunteers are retired, or former patients who want to give back, we

also have a popular student volunteer programme so young people can get involved too.

Volunteering doesn’t just benefit our patients and the community we live in; it also has a positive impact on the volunteers themselves.

More InformationVisit www.helpforce.community and www.wsh.nhs.uk To contact the West Suffolk team email: voluntary.services@wsh.nhs.uk

When the going gets r eally tough

A Suffolk trust is to be a test site for developing existing volunteer roles, writes Michelle Boor

Luke Tobin, one of the physio students affected by a claw back of the student loan overpayment, on what it means for him

Iheard that I had been overpaid by the Student Loans Company (SLC)

earlier this year, much to my surprise and dismay.

I applied as normal, stating that I was an NHS tuition fees funded student, with access to the NHS bursary for some of

my living costs. I was told that I had been

overpaid by around £600 this year, and that I wasn’t to receive another payment from SLC this year.

I have the option of paying this excess payment back now, although I am by no means in the position to do so financially. This means I will accrue interest on the overpayment in the same way that I pay interest on the rest of the money borrowed from SLC. This is not the situation for everyone, as I have heard of some students being asked to pay back with more immediate effect.

Either way, I feel that we are being penalised for something that is the fault of

the SLC, not us as students.Up until Christmas, I had

been working as a part-time self-employed cycle courier to help subsidise my living costs, but due to the increase in academic commitments this year, I have had to cease doing so. This leaves me in a better position than some. Yes, I have a small amount of money saved that will enable me to continue to pay rent in my current house, but this has effectively reduced my disposable income to close to nil. Any plans to holiday this

HelpForce – the new volunteer frontier

Michelle Boor is the community volunteers coordinator at West Suffolk NHS Trust

NHSPayOfferFrontline • 11 April 2018 27

What’s the big deal

Something to add on the pay offer?go to www.csp.org.uk/paydeal

n offer worth £4.2 billion has been made to NHS staff in England giving a rise of 6.5 per cent over

three years. The proposals also include changes to the Agenda for Change (AfC) pay structure that mean many staff will reach the top of

their bands more quickly. The new pay structure introduces a national living wage for lower paid staff, raises starting salaries significantly and ‘equality-proofs’ AfC.

Crucially, the offer, which arises from months of negotiations between health unions, employers and the Department of Health, will protect funding of patient services, as it will be separately financed by the Treasury. Those in the talks believe it should also start to address acute staff shortages by making the NHS a more attractive place to work, as pay rates for new recruits will receive a strong uplift, thereby taking some pressure off existing staff.

‘Some members appear to do better from these proposals than others in the short term, but everyone receives the pay rise element of the deal,’ said Alex MacKenzie, vice chair of the CSP’s industrial relations committee.

‘The other part of the offer is about modernising the pay scales. The top of a pay band is the rate for the job. We have long argued that it does not take nine years to reach proficiency at band 6, for example. Shortening the pay scale has been a long-term goal. This offer must be considered in the political environment we are in. At a time when NHS resources are so stretched, the fact that the proposals are fully-funded, and so will not come out of existing NHS funds, is really important.’

Members decide The CSP is now in the process of consulting members. The society, along with a majority of health unions, is recommending the proposals to members.

CSP chief executive Karen Middleton said: ‘Elected CSP members on the industrial relations committee and CSP Council are recommending the proposals; now members across the country will decide whether to accept it.

‘You are in control of this decision and that’s why we are so committed to getting into workplaces for face-to-face meetings, holding webinars for those who can’t attend those and undertaking an online vote to ensure everyone can have their say.’

Five reasons why the CSP is recommending these pay proposals1. The rises break decisively through the one per cent pay

ceiling experienced by CSP members since 2010 and they are considerably better than any other pay deal in the public sector for many years.

2. Unlike elsewhere, these pay proposals are separately funded – they will not be financed from existing NHS budgets and therefore will not come at the expense of patient services.

3. They will provide a big uplift in starting salaries and faster progression to the top of each pay band.

4. The deal removes band overlaps, ensuring promotion comes with a proper pay rise.

The proposals to around a million NHS AfC staff in England include:n increasing pay by at least 6.5 per cent

by April 2020 for everyone n removing overlaps in pay bands by

getting rid of the lowest pay points, while keeping the top ones

n reducing the number of points significantly in pay bands 2-7 so that it

takes fewer years to get to the top n higher starting salaries should assist

with recruitment and maintain better staffing levels

n supporting the lowest paid NHS staff by introducing the national living wage

n protecting unsocial hours payments n retaining current levels of annual leave

??The offer – in a nutshell

5. These changes should make working in the NHS more attractive, boosting recruitment, and so start to alleviate the load on existing staff. fl

More informationVisit www.nhspay.org and www.csp.org.uk/nhspay

What about the other UK countries? We are hopeful that similar offers will be made to NHS staff in Northern Ireland, Scotland and Wales. We will keep members regularly updated on progress in each country.

Will every member benefit equally? No. The value of the overall package depends on your position in the AfC pay scales. All AfC staff will get the same 6.5 per cent ‘pay uplift’. Those already at the top of their band will also receive an additional 1.1 per cent lump sum in April 2019. Staff currently lower down in bands will receive bigger rises as the result of the changes to increments (shorter bands with bigger jumps). The same group

would have been getting their increments and therefore more than those at the top under the current system too. But every member will get a boost to pay packets that is bigger than anything seen in recent years

Why couldn’t the £4.2bn just have been used to give the same rise to all staff? The proposals for AfC staff have different elements as explained above but come as a package and the funding is based on the whole package being implemented, not just one element of it.

What if the offer is rejected by NHS staff?It is likely that the pay review body would resume its usual role and make

a recommendation on basic pay to government. However, the £4.2bn funding is based on the whole package of the offer being accepted. If any PRB/government award was rejected by NHS staff, we would then be in a dispute that could involve a number of elements, including industrial action.

How do I have my say? The CSP is organising around 100 workplace meetings in every region of England, a number of webinars open to all members who cannot attend a workplace meeting, and an online consultative survey. Look out for further details from your CSP steward and the CSP nationally.Fa

st Q

&A

CPD:WorkPressureFrontline • 11 April 2018 29

T his article focuses on Amanda Fraser-Gray, a rotational band 6 physiotherapist and CSP steward based at Royal Lancaster Infirmary. Here is Amanda’s account of what

she and fellow steward Victoria Eden, along with safety reps Elizabeth Barber and Alex Bush, did with their colleagues to pinpoint the pressure, and what she’s learnt from the experience.

Pinpointing the pressureAs part of the CSP campaign, we surveyed members at the end of 2016. That was an exceptionally busy time of the year due to the demands of ‘winter pressures’. We were aware that there were some vacancies in the department, but I don’t think we realised at the time how stretched the department was.

Our ‘Pinpoint the pressure’ survey was based on a template prepared by CSP. We loaded this into Survey Monkey. Responses were anonymous which I think is one reason we got a much higher response rate (73 per cent) than the trust gets to its annual NHS staff survey.

The first question asked ‘do you feel stressed at work?’ Knowing that every respondent answered ‘yes’ meant we had a responsibility as CSP reps to take action with and on behalf of staff. The survey data led us to look in more detail at workload and whether we had enough staff to meet demand.

Our review uncovered a shortfall in staffing. We found a number of unfilled vacancies and posts where the post-holder was on leave with no back-fill. We also saw that some posts had evolved so that staff in them had less time available for hands-on clinical work. Members also raised concerns about a lack of training opportunities available at that time.

We shared our findings with staff, and with their agreement approached management to raise our concerns. We approached the therapies manager but got no response. We knew that she was involved in a service reorganisation and was under considerable pressure at that time. So rather than adding to that pressure, we took advice and approached the managers in the next layer up and got an immediate response.

Meetings were set up for us to discuss the

evidence we had collected and what could be done to address the staffing issues we uncovered. Our trust has a set of behavioural standards and values in place that informed our communication with management. We took care to ensure that our presentation of the evidence did not become a “finger-pointing exercise” and emphasised our commitment to working together to find solutions.

Having that direct channel of communication with management made a real difference – ‘if information is not filtering up you don’t get actions cascading back down’. Our trust has since emphasised its commitment to partnership working with staff side.

Making the case for changeThe combination of information from the survey and data about staffing levels allowed us to be objective. The timing helped management recognise how addressing physiotherapy staffing levels would help the trust meet the demands of winter pressures. Management agreed to increase our staffing levels. Locums were employed to plug the staffing gap while we negotiated the number

and scope of posts needed. We agreed to work with members to collect capacity and demand data that supported management in making the case to over-recruit. That outcome confirmed that management heard and recognised our concerns.

The trust recruited a cluster of new band 5 posts and a band 6 post, as well as a band 7 post in paediatrics that had been vacant and uncovered for a considerable time. Management were able to make the case for the band 7 post by showing that we needed someone to lead the delivery of in-patient physiotherapy services for children, and support staff training and development in this specialised area of practice.

It’s still too early to know how the changes have impacted on the service. Now that staffing levels are more closely aligned with service demands, the sense of the department ‘being all at sea’ is fading - staff feel that their voices have been heard and acted on by management. The process of plugging the gaps has changed the balance of activity for colleagues who are involved with training and development of new staff and students in the short-term. We’ve re-introduced the work-based

continuing professional development sessions that were lost to create time to meet the winter pressure targets. That’s also having a positive impact on morale and confidence in our practice.

We’ve shared the outcomes and learning from our action with colleagues on staff side and hope that other unions will undertake similar anonymised surveys of their members. We plan to repeat the member survey over the next few months – it will be interesting to see how that data compares with where we were at the end of 2016.

ReflectionsThe campaign has been an empowering experience. Conversations with colleagues through the campaign has helped me recognise how our work and how it is organised impacts on how we feel – about ourselves and our practice. I’ve learnt how to manage two different ‘hats’ (CSP steward and band 6 physiotherapist) and how to modify my practice to fit with the ‘hat’ I’m wearing. The campaign has increased the visibility of workplace reps – members have been able to see first-hand what their membership achieves. I’ve come to see

the CSP as an enabler – a body that offers guidance and direction that allows workplace reps and staff to work together to pinpoint an issue and take action to change practice. And I’ve also learnt how to use Survey Monkey! fl

The first article in the series (21 March 2018) invited you to take time out to pinpoint the pressure in your practice by describing the issue and what was causing it. (See www.csp.org.uk/node/1144107) Use your notes from that activity and the insights shared by Amanda to develop an action plan to address the pressure you highlighted in your practice. For more information on the campaign see www.csp.org.uk/pressure

CPD activity

Finding solutions together(Part 2)

In the second article in a two-part series, CSP professional adviser Gwyn Owen looks what some members achieved as part of the CSP’s Pinpoint the pressure workplace campaign

W hat does an appropriate, and safe, staffing level look like? That question has been uppermost in managers’ – and professional

bodies’ – minds since the Mid-Staffordshire inquiry. The Francis inquiry findings, published in 2013, highlighted the problem of having ‘inadequately trained staff who were too few in number’.

While the focus was initally on safe nursing levels, the review threw the spotlight on staffing levels across the board. And the CSP was keen to ensure it offered members – and managers – guidance on what levels of physiotherapy staffing were appropriate, not just nursing ones.

What is the safe and effective staffing levels support tool?The CSP’s new safe and effective staffing levels (SESL) tool is designed to support and inform how members appraise their staffing levels to deliver a safe and effective service. It has been shortened to ‘SESL’ – pronounced ‘Cecil’ for ease – and places staffing levels firmly in the context of patient need and outcomes and the service delivery model, rather than looking at staffing levels in isolation.

It is not just a simplistic number-crunching device. The tool takes account of – and respects – members’ professional insight and understanding in making judgements about the staffing resource required for their service delivery to patients.

At the same time, the tool helps members to evaluate and think critically about the complex factors relating to staff resources and deployment.

StaffingLevelsFrontline • 11 April 2018 31

A new tool from the CSP – designed to help members decide appropriate staffing levels – is due to be launched soon. Shan Aguilar Stone outlines what it’s about

Give us a tool for optimum staffing levels

It also supports members in making a robust case for the staffing resources required to deliver a safe, effective service.

Why is the CSP releasing this tool now?For some time, there has been a strong focus on staffing levels as part of assuring the quality of patient care. This sits within the context of the findings of the Francis inquiry, increasing financial constraint, rising expectations and demand on services. It is also about achieving the correct approaches to deploying the workforce so that staffing is responsive to changing patient needs. This is achieved through different approaches to skill mix, role development, and multidisciplinary team working, as well as staff numbers.

Across the UK, there are different approaches to deciding what are appropriate staffing levels. The Scottish government is expected to progress legislation on safe staffing levels this year, while Wales progressed legislation on nurse staffing levels in 2016.

Of central importance is being able to assure patients, their relatives and carers that care is of a consistently good quality. It should not compromise individuals’ safety or dignity, and should be delivered with compassion, regardless of sector or setting, and in spite of financial constraint at a time of increasing demand. Recent winter pressures on services, with an unprecedented demand for A&E services, along with increased demand to discharge patients early from hospital into the community, have highlighted the significance of these issues. Im

ageZ

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nstandards implementationnintegration of servicesnachieving sustainable service deliverynservice evaluation and redesignnlearning and development opportunitiesnsupporting staff engagement in service

improvement/re-design

The tool can be used to review existing staffing levels, or proactively to consider issues relating to changing staffing needs (for example, arising from responding to changing patient needs, or shifting service delivery model – including to a seven-day service). For either purpose, it can help to make a robust case for staffing resources.

The tool does not do the following nmake the decision for the user about the staffing

levels required to deliver a specific servicenformulate a specific number relating to the staffing

resource required to deliver a service

StaffingLevelsFrontline • 11 April 2018 33

While staffing levels are a significant element in providing this assurance to patients and their families, they cannot be addressed in isolation from other factors that impact on the quality and outcomes of patient care. In addition, they cannot be calculated using prescriptive approaches to staffing resources that assume workforce needs are the same across settings and service delivery models.

What the tool can – and can’t – doFor all these reasons, the SESL tool allows the user to consider a range of factors that contribute to ensuring safe, effective, patient-centred, timely and compassionate care. These factors include: nservice delivery modelnpatient acuity and dependency, caseload

management and risk stratificationnskill-mix review and role developmentnclinical leadership and peer review nteam-working

ngenerate a gap analysis between the existing physiotherapy staffing level and a safe and effective level

nprescribe a specific skill mix for a service or team

Why doesn’t the tool generate a number?The tool won’t calculate how many staff are needed because the safety and effectiveness of services and patient care is influenced by far more than staffing numbers alone.

There are disadvantages to defining, for example, the minimum or maximum number of staff required to run a service. Providing a minimum number could suggest that this number is sufficient to run a safe and effective physiotherapy service. It is also presumes that changes to patient need, service delivery model and skill mix have no impact on the staffing required.

A focus on a staffing number also detracts from the importance of a focus on the quality of patient

outcomes, including the impact of a service further along a patient pathway (for example, in reducing hospital admissions, re-admission, or length of stay).

Evidence is not available to suggest specific physiotherapy staffing numbers for service delivery. There is also an increasing recognition in healthcare that staff-patient ratios might not be helpful, or that they are grounded in available evidence (see footnote*).

The SESL tool helps members to identify and articulate the physiotherapy staffing resources required to deliver a particular service to uphold and enhance the quality of patient care, while demonstrating cost effectiveness. It can also help in considering staffing resources where multidisciplinary team working is central to the service delivery model and patient needs.

Who is the decision support tool for? The tool is designed to be used primarily by physiotherapy mangers and team leads. However, it is available for all CSP members in all sectors and settings, including workplace stewards.

Why use the decision support tool?The SESL tool aims to facilitate members’ understanding and engagement in an issue of high priority, complexity and urgency within service delivery and policy. It is designed to help members to define and advocate the staffing resources required to meet patient needs. It also supports members’ professional learning and development.

The tool supports members to look at the future sustainability of their services as part of their decision-making process. On this basis, they can make an informed case for the staffing and professional activity needed to underpin the development and delivery of high-quality patient care. This includes access to continuing professional development, peer review and clinical leadership, and contributing to the education of

future members of the profession. Such areas can be side-lined in some approaches to staffing levels,

under-estimating staff resource. fl

Shan Aguilar Stone is a CSP professional adviser

*‘There is no evidence base to support a specific ratio; instead staffing requirements should be decided using patient acuity and dependency data alongside throughput, and the skills and experience of the wider multi-professional team.’ [National Quality Board 2017 Safe, Sustainable and Productive Staffing: An improvement resource for urgent and emergency care]

The SESL decision support tool at a glance

The tool consists of two self-assessment questionnaires: nStage 1 focuses on understanding

service-specific factors relating to patient need, service delivery model and workforce capacity that are relevant to delivering safe and effective care

nStage 2 focuses on confidence in actual service-specific staffing levels.

Each stage focuses on three areas: patient need; service delivery; and workforce capacity. Each area focuses on three statements against which users are invited to rate their understanding or confidence.

Stage 1 helps the user to understand a wide range of factors relevant to delivering safe and effective care. This includes patient needs, service delivery and workforce capacity. The questions offer suggestions about issues to be considered and are designed to nsupport critical thinkingnoffer an approach to recording and

capturing key data and issuesnencourage the user to consider a range of

factors that may impact on staffing needs.

The tool signposts members to various e-Bite learning activities within the CSP Learning Hub. These e-learning resources have been developed to aid members in capturing their thoughts, and allow for reflection on issues relating to their access, use and confidence in data on patient needs, service delivery and workforce capacity.

It is possible to partially complete a stage and return to it later, as can the e-Bite learning materials.

The tool output is a repeatable dashboard of findings, using a red, amber and green scoring system, with feedback and suggested actions. For example, it will review and interpret the interaction of factors that contribute towards SESL.

Because it sits in the CSP Learning Hub, the tool offers secure storage to users, enabling repeat/review use. It also enables the CSP to collect anonymised user trend data.

Where can I access the tool?The SESL decision support tool is accessible via the CSP Learning Hub. Members need to log onto the CSP website and access the Learning Hub via the e portfolio.

For information on how to log on to the Learning Hub, see https://vimeo.com/257116977

A five-minute video explains how to access the tool, along with how to navigate use of the tool https://vimeo.com/257116977

How long will it take to complete? This will vary, depending on the amount of detailed thinking time the user wishes to allocate to the tasks. Remember, it is possible to partially complete the stages and return to them later.

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

Will the CSP have access to SESL data? The CSP will analyse general trends in members’ use of the tool through aggregated and anonymised data. This will be helpful to pick up on trends. Individual users’ information will not be shared.

We will also regularly seek feedback from members on the value of the tool and how its functionality can be improved.

More information To view the tool, go to www.csp.org.uk/staffinglevels

InReviewFrontline • 11 April 2018 35

Why Does Inequality Matter?T M ScanlonOxford University PressISBN 9780198812692Inequality is widely regarded as morally objectionable. T M Scanlon investigates why it matters to us. Demands for greater equality can seem puzzling. It can be unclear why people object to what others have, as opposed simply to wanting to be better off themselves.

Motivational interviewing and CBT: Combining Strategies for Maximum EffectivenessSylvie Naar and Steven A SafrenGuilford PressISBN 9781462531547This is a therapy manual written for therapists who already perhaps have a good grasp of cognitive behaviour therapy (CBT). The motivational interviewing (MI) model that the authors add to the CBT model is an attempt to draw out the valuable motivational and relationship building facets from the MI model and link them to the core concepts of CBT.

A lot of what I thought was good about this book lay in some of the tasks within the chapters. I particularly liked the worksheets that made issues more visual. It made them feel more accessible to both my thinking and the patient (particularly the focusing map, commitment scaling and change plans). I particularly liked the ‘MI spirit in the evaluation’ section that shines a light on where the therapist thinks

they are in sessions (‘wrestling/working against each other vs. dancing/working in partnership vs. standing/being in the room not much happening). It really helped me to think about the working partnership. The worksheets and therapist practice sections really did augment my understanding between ‘why’ to ‘how’. Reading this text has brought an enhanced sense of collaboration between my CBT/acceptance and commitment therapy/mindfulness sessions.

I am unsure my physiotherapist colleagues would naturally be able to use this book in its fullest sense but could see that some of the inherent messages and worksheets contained within could be very useful. I often work in sessions with physios and have seen how they can get stuck with the ‘why’ (focusing upon why the patient continues to experience their symptoms) and perhaps this book could help with shifting towards the ‘how’ (that the patient can live with their symptoms and live their life well). It could offer physiotherapists some skills to move focus from a medical/’fix-it’ model to how to begin making changes towards a more

meaningful life alongside health issues.

Dr Susan Childs is a consultant clinical psychologist at Chelsea and Westminster Hospital NHS Trust

Featured book

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Mitochondria in Health and DiseaseRay GriffithsSinging DragonISBN 9781848193321As the body’s energy suppliers, mitochondria have a serious impact on our health. This guide explains the potential consequences of mitochondrial dysfunction, and how personalised nutrition can aid mitochondrial health and help with chronic disease.

Thoughtful Health Care: Ethical awareness and reflective practiceDavid SeedhouseSageISBN 9781473953833David Seedhouse explains how simplistic labelling, mindless targets and empty slogans have created a delusion of control and efficiency in health care, obscuring actual patient and carer realities.

Qualitative Methods for Health Research (4th edition)Judith Green and Nicki ThorogoodSage ISBN 9781473997110This book explains the theory of qualitative health research and explains how to approach, start, maintain, and disseminate your own research.

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36 Networks&networking Frontline • 11 April 2018 37

Recruitment

Courses&conferences

Networks&networkingp38

Catch up with news and announcements regarding the CSP’s 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 CSP’s 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.

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Want to help promote physiotherapy in 2018?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

Rehab Matters – csp.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 people – csp.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 profiles.Backpain Mythbusters – csp.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 Care – Influencing 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

Want to be involved in our new public health campaign launching later this year?We are launching a campaign this year based on direct input from members across the profession to make it easy for physio staff to help get patients and the public more active. Be a part of the action. If you want to get involved in the campaign, register your early interest by emailing the CRE team at: cre@csp.org.uk

London Do you know about first contact physiotherapists in primary care? Join other CSP London regional network members at the June forum to learn more about how this initiative is evolving.

Save the date for the next free CSP London regional network member event on Monday 4 June, from 3pm-7.15pm, at the CSP offices in Bedford Row, London.

The event will include an update from the CSP on work to promote development of the initiative in primary care and London regional network members will share their experiences establishing, delivering and evidencing first contact services. Time for networking with other London regional network members will be included on the programme too.

Tickets are free of charge and open to all CSP members including associates, students, retired and full members. Details on how to register for the event will be in the next issue of Frontline which will hit your doorstep on Wednesday, 2 May.

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

East MidlandsWant to network with the physio workforce in the East Midlands?A new Facebook CSP East Midlands regional networking group has been launched this spring with the intention to quickly and easily communicate news of physio networking nights with East Midlands based CSP members. More than 100 CSP members have joined the group in a short space of time.

Why not join today and start networking by visiting: www.facebook.com/groups/334352780415082/ The next networking night will be take place in Derby. To be the first to hear more news join the new Facebook group or follow the network on Twitter: @CSPEastMidlands.

To keep up to date with your region visit: www.csp.org.uk/nations-regions/east-midlandsFollow us on Twitter: @CSPEastMidlandsLike us on Facebook: @CSPEMRN

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 Mindy Daubeny, CSP campaigns and regional engagement officer, at: daubenym@csp.org.uk

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

South CentralCSP South Central needs you!We are actively recruiting more members to join our core team. If you want the opportunity to help promote physiotherapy in your area and get some fantastic CPD then please contact Mandy Pike or Marie-Clare Wadley, CSP South Central joint chairs, by emailing: southcentralchair@csp.org.uk

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 Guernsey network email: physioguernsey@csp.org.uk and view the network page on iCSP at: http://www.csp.org.uk/icsp/guernsey-support

South East CoastIf 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

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

>

Dates for your diary in South East Coast 2018:An evening with CSP chief executive Karen Middleton – CSP South East Coast regional eventDate: Thursday 12 July Time: 6pm-10.30pmPlace: Holiday Inn Gatwick, Povey Cross Road, Gatwick RH6 0BACost: TBCBooking: Will be possible via Eventbrite later this year. More details will be published online and in Frontline.

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.

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

North EastInnovation in Exercise in the North East 16 May – SOLD OUTTickets for the next CSP North East event are now fully booked. In response to exceptional demand the event will be streamed live on Wednesday 16 May from the network’s Twitter account: @CSPNorthEast from 1.30pm-5.30pm. Follow hashtag #cspnortheastexercise on the day to enjoy the live presentations or you can watch at your leisure after the event as the footage will remain on the network’s Twitter homepage. The event programme will feature: • Kenny Butler from UK active speaking on how physiotherapy can lead the change to embed physical activity into management of long-term conditions• Edward Kunonga, director of public health, Middlesbrough Council, speaking on innovations in tackling physical inactivity across the population• Sean Ledger, teaching fellow in physiotherapy and rehabilitation science, Keele University, speaking on cystic fibrosis and exercise interventions• Sarah Moore, Newcastle University, speaking on exercise following stroke• Rebecca Shea, South Tees Hospital, speaking

on a water-based approach to COPD• Rob Tyer, Connect Health, speaking on strength and musculoskeletal conditioning• Plus an introduction to the new CSP campaign, Love Activity, Hate Exercise?, designed to make it easy for physio staff to help get patients and the public more active.

If you have a query about the event please email the CSP CRE team at: cre@csp.org.uk who will be happy to assist you.

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

East of EnglandThe East of England AGM looks to the future The CSP East of England regional network’s AGM was held on Wednesday, 21 March. The event attracted more than 40 CSP members and featured additional sessions on the physiotherapy apprenticeship agenda and HCPC audit as well an overview of the Network’s achievements over the last 12 months.

The AGM saw the honorary chair, Tracey Burge, step-down from the role with Becca Knowles taking over as chair. Dorothy Toyn also stepped down from volunteering on the network’s core group after 25 years of involvement in the network.

The event was well received by members from across the region. Delegates came from a variety of backgrounds, including students, qualified clinical staff and those with a managerial role.

Becca Knowles, CSP East of England regional network chair, said: 'The core team members and I want to thank Tracey and Dorothy for their hard work and commitment to running the network over many years. We also would like to thank Sally Gosling and Ellen Hellard for leading the breakout sessions which stimulated great discussion.

'Watch this space for news on the region’s autumn conference. We are working hard to engage with members in the region and provide free CPD events for members to access locally. We look forward to meeting you soon.'

If you would like more information about upcoming events, or how to become more involved in work of the regional network, please email: eastofenglandchair@csp.org.uk or Tweet us at: @CSP_EoE

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Contact: To confirm your attendance and for enquiries, contact Nena Mitchell, North West ERN secretary at 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 at 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 the Cumbria branch at: cspcumbriabranch.secretary@gmail.com and follow on Twitter: @CumbriaPhysio

Wales

CSP Welsh board met in Cardiff for their AGM and quarterly meeting on 15 MarchWelsh board were delighted to welcome Gwyneth Richards and Natalie John, newly appointed to Cardiff University, developing the Welsh language within physiotherapy.

During the AGM, elections for executive members took place with Non Griffiths being re-elected as chair of Welsh board, Catherine Chin to continue as vice chair and Julia Clayton, North Wales representative to board nominated as Welsh board's new secretary.

Welsh board currently has a vacancy for

South East Wales so, if you work in this area and would like to be involved in shaping the direction of the physiotherapy profession please contact Non Griffiths at: non.griffiths@wales.nhs.uk

The board meeting (pictured above) progressed to breakout sessions in workshop groups to discuss the National Assembly for Wales Parliamentary Review and the Future Parliament for Wales consultation. Discussions were had by members to consider the new proposals for the characteristics of the future Assembly and members gave their responses to Pip Ford to feed back on behalf of CSP in Wales. www.futuresenedd.wales. Board also looked into the 10 recommendations within the parliamentary review and discussed

Your chance to shape the CSP East of England regional networkA message from the new CSP East of England regional network honorary chair, Rebecca Knowles

I’m writing to introduce myself as the new honorary chair of the CSP East of England regional network.

It’s an honour to have taken on the role of honorary chair and I am keen to plan activities that East of England CSP members want and need.

To do this I need your insight to help find out how the network can best serve you.

Please visit: www.menti.com and enter code 37 90 69 to answer some short questions on what you would like the network to focus on, this should take no longer than a few minutes.

I am keen that East of England based CSP members can draw on the support of a greater number of members who are active in their professional community through the regional network. I look forward to working with you and continuing to promote our profession, to ensure more people can gain the benefits that physiotherapy can provide.

Please contact me at: eastofenglandchair@csp.org.uk or Tweet us at: @CSP_EoE if you would like to discuss anything or have any ideas that you would like to share.Follow us on Twitter: @CSP_EoE

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 WestWho gives a Physio? Turns out quite a few across the South West if participation in the #Physiotalk Tweetchat in March was anything to go by!

Pictured above: South West ERN Twitter team – Jane Mitchell and Angie Logan, joint chairs of the South West ERN with Heather Hunter (centre) running the Tweetchat

Thanks to everyone who joined us on 26 March for a #Physiotalk tweetchat about how the CSP can engage more with members locally. Overall 39 people took part averaging 10 tweets each so the South West ERN core team running the Tweetchat had trouble keeping up with the typing! In total the chat generated 390 tweets. To view a full transcript of the conversation please visit: https://bit.ly/2Gfn1gv or search in Twitter: @cspsouthwest and #physiotalk

More events coming up in the South West:CSP South West ERN Joint event with stewardsDate: Tuesday 19 June Time: TBCPlace: Exeter Court Hotel, Kennford, Exeter EX6 7UXCost: Free to membersBooking: Will be possible via Eventbrite later this year. More details will be published online and in Frontline.

CSP South West ERN Conference Date: Wednesday 3 October Time: TBCPlace: TBCCost: 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 Twitter: @CSPsouthwest

Yorkshire and HumberWhat next for Yorkshire and Humber? On Friday, 14 September the regional network will be hosting the second regional event of 2018 which will take place in York and focus on the role of physiotherapy in public health. Details will be shared online and in Frontline later this year. If you want to share your ideas for the event or get involved in assisting with the delivery please email your chair, Claire Arditto, at: yorkshumberchair@csp.org.uk for an initial conversation.

Would you like to bring the student and professional physiotherapy community closer together? The Leeds Beckett Student Physiotherapy Society is keen to build a strong connection between the student and professional physiotherapy community in the Yorkshire and Humber region.

Rory Mcintyre, president of the Physiotherapy Society, is keen to hear the opinion of qualified physios and see whether this idea is appealing.

If you think that networking, socialising, CPD opportunities and collaboration on promotion of physiotherapy is something you would like to take up please have your say today by visiting: www.menti.com and inserting code 42 82 90 to answer three quick and easy questions on this topic.

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

North WestCSP North West ERN Professional forumDate: Tuesday 12 JuneTime: 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 at email: anenuk@hotmail.co.uk

CSP North West ERN Professional forumDate: Monday 17 SeptemberTime: 5.30pm food followed by meeting 6pm-8pmPlace: MMU, Brooks Building – Room TBCCost: Free to members

>

Call for abstracts > Submit your abstracts by 20th April and you could be a part of the UK’s most important physiotherapy event.

19 -20 OCTOBER 2018ICC BIRMINGHAM

www.physiotherapyuk.org.uk

#physio18

Stay up-to-date www.csp.org.uk/ nations-regions

CSP board news

Frontline • 11 April 2018 4342 Networks&networking

opportunities and challenges for these and how Welsh board can contribute to the ‘Revolution’ in Wales.

With the new CSP council structure and newly elected CSP council members now in position, Welsh members are encouraged to put themselves forward to be part of an exciting opportunity to be members on the three new committees; employment relations, finance, risk and audit and professional committees. Applications open on 16 March and close on 16 April. How to apply and further details can be found at: http://www.csp.org.uk/about-csp/our-structure/governance/council/council-committees.

Board discussed how they would aim to communicate with the new CSP council and highlight Wales’ matters. How the CSP are going to communicate with the wider membership and increase engagement was also a popular topic.Other items from the board meeting: • Professional advisor for Wales, Gwyn Owen has created an informative and interactive PowerPoint with useful links to resources. Well worth a read at: http://www.csp.org. uk/documents/promoting-physiotherapy- practice-development-new-resources- opportunities?networkid=446 • Physiotherapy UK 2018: 19 and 20 October. This year a reduced rate at £99 for 2 days with early bird tickets.• Peter Finch presented CSPs new campaign around physiotherapy’s influence in public health and physical activity. http://www. csp.org.uk/professional-union/practice/ public-health-physical-activity • ‘Making Choices Together’ a new movement to encourage open conversations with clinicians and patients will be providing training and guidance to clinicians and the public on how to have ‘better conversations’ http://www.makingchoicestogether.wales. nhs.uk/home • Pay update: currently stated for England: http://www.csp.org.uk/news/2018/03/21/ csp-recommends-nhs-pay-offer-members

Gwyneth Richards and Natalie John (pictured below) from Cardiff University then spoke to Welsh board about their new roles with promoting the Welsh language within the physiotherapy education system in Wales. This encompasses recruitment, supporting Welsh speakers within learning and placements, linking in with educators and inspiring more Welsh speakers into the profession.

Gwyneth and Natalie have asked that clinical educators that speak Welsh contact them to enable them to start to build a profile for placements within Wales. Email to: johnn8@cardiff.ac.uk

Finally, Welsh board will be loosing two valued members. Sue Rees being about to finish her term as vice president for CSP and therefore her time on Welsh board and Peter Finch who will be retiring. Great thanks was given to Sue and Pete for their inspirational work and commitment to the physiotherapy profession and Wales. They will be very much missed.Rosemary SpreullCommunications officer for CSP Welsh board

Picture above: Sue Rees and Pip Ford

Picture above: Peter Finch and Non Griffiths

Association of Chartered Physiotherapists in Neurology (ACPIN) – Surrey and BordersStudy day: A multidisciplinary approach to the management of acute facial paralysis Date: Saturday 9 JuneConfirmed speakers: Catriona Neville, extended scope practitioner in facial palsy; and Venessa Venables, principal speech and language therapist Place: Royal Surrey County Hospital, Physiotherapy Dept.Note: a light lunch will be provided.Cost: ACPIN members £80, Non members £100.Contact: Email: surrey@acpin.net

Association of Chartered Physiotherapists in Neurology (ACPIN) – SussexACPIN Evening lecture:Making lives better – Merits beyond function: different perspectives on botulinum toxinDate: Tuesday 15 MayTime: 6.30pm-8.30pm Speaker: Karen Poole, consultant therapist in rehabilitation, Sussex Trauma Network director of rehabilitationPlace: Firwood House, Brassey Ave, Eastbourne BN22 9QJCost: ACPIN members £2, non-ACPIN members £5 (payable on the day).This event is being subsidized for all by Sussex ACPIN: promoting CPD in the field of neurophysiotherapy.Audience: Physiotherapists/OTs/other

therapists and medical staff. Aims: An update of current practices in the use of botulinum toxin and its role in rehabilitation of the complex patientClosing date: Friday 11 MayContact: Debbie Soave at: d.soave@nhs.net

Association of Chartered Physiotherapists in Neurology (ACPIN) West Midlands invites you to a practical day course: Observational gait analysis for neurological patients – An interactive course based on movement science principlesObjectives: Describe the kinematics and kinetics of normal gait, identify deviations from normal gait, interpret the results of your gait analysis and hypothesise causes of the gait dysfunction, formulate a focused neurological assessment to confirm your hypotheses and treatment plans to address dysfunctionsDate: Saturday 19 May, 9am-4pmSpeaker: Ben EllisPlace: Solihull Hospital Gym, Lode Lane B91 2JL.Cost: £40 for ACPIN members, £75 for non-membersContact: Email: wmidlands@acpin.net

Association of Trauma and Orthopaedic Chartered Physiotherapists (ATOCP)ATOCP AwardsThe 2017 ATOCP Awards are now open for entries. Please see website: http://atocp.csp.org.uk for more information. Categories include doctorate, MSc, professional (eg: audit) and undergraduate. Prizes of £250.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, 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

Pelvic, Obstetric, Gynaecological Physiotherapy (POGP) Advancing your skills into men’s health –Part 1: Physiotherapy assessment and management of lower urinary tract symptomsDate: 21 AprilPlace: Wishaw, GlasgowCost: £125 POGP member/affiliate, £160 non-memberPhysiotherapy assessment and management of pregnancy related musculoskeletal conditions – Part 1Date: 11-13 MayPlace: Wishaw, GlasgowCost: £275 POGP member/affiliate, £345 non-memberPhysiotherapy assessment and management of pregnancy related musculoskeletal conditions – Part 1Date: 18-20 MayPlace: CardiffCost: £275 POGP member/affiliate, £345 non-memberUnderstanding pelvic organ prolapse – assessment and conservative management Date: 19 MayPlace: Milngavie, GlasgowCost: £125 POGP member/affiliate, £160 non-memberPhysiotherapy assessment and management of lower bowel dysfunctionDate: 15-17 JunePlace: LondonCost: £325 POGP member/affiliate, £395 non-memberPhysiotherapy assessment and management of pregnancy related musculoskeletal conditions – Part 2Date: 23 JunePlace: ChichesterCost: £125 POGP member/affiliate, £160 non-memberPhysiotherapy assessment and management of female urinary dysfunction: Limited places leftDate: 6-8 July >

Professional networks news

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

Send an email to networkads@csp.org.uk

44 Networks&networking Frontline • 11 April 2018 45

Place: HorshamCost: £350 POGP member/affiliate, £420 non-memberPaediatric 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-member

Advanced 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-member

Physiotherapy assessment and management of pregnancy related musculoskeletal conditions – Part 2Date: 10 NovemberPlace: CambridgeCost: £125 POGP member/affiliate, £160 non-memberPhysiotherapy assessment and management of female urinary dysfunction Date: 23-25 NovemberPlace: SwindonCost: £350 POGP member/affiliate, £420 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.

Association of Chartered Physiotherapists in Occupational Health and Ergonomics (ACPOHE) ACPOHE is the CSP professional network for physiotherapists working in occupational health and ergonomics. Registered members of ACPOHE are physiotherapists who have demonstrated specialist competency in the fields of occupational health or ergonomics.ACPOHE Study day: The expert role of OH physiotherapy – The consequences of your decisionDate: 27 AprilPlace: Glasgow Caledonian UniversityCost: £75An introduction to occupational healthDate: 23-24-25 MayPlace: BirminghamCost: £455 members, £515 non-membersOffice workstation ergonomics (DSE) level 1Date: 8-9 JunePlace: TBC most likely to be Guildford, SurreyCost: £300 members, £360 non-membersOffice workstation ergonomics (DSE) level 1Date: 5-6 JulyPlace: Venue TBC – Kings Cross, LondonCost: £300 members, £360 non-membersAdvanced office workstation ergonomics (DSE) level 2Date: 12-13 JulyPlace: GuildfordCost: £320 members, £380 non-membersIntroduction to applied ergonomicsDate: 14-15 SeptemberPlace: Islington, LondonCost: £300 Members, £360 non-membersUpper limb disorders in the workplace – Risk assessment and managementPlace: 12 OctoberCost: £160 members, £220 non-membersOffice workstation ergonomics (DSE) level 1Date: 20-21 October Place: LeedsCost: £300 members, £360 non-membersContact: Tracy Long, administrator, on tel: 01284 748202 or email: acpohe@buryphysio.co.uk

Acupuncture Association of Chartered Physiotherapists (AACP)AACP 2018 Annual acupuncture conference –Booking closing soonDate: 19 MayPlace: The Hilton, Reading Upcoming CPD courses Anatomy of acupuncture

Date: 12 MayPlace: Keele University, StaffordshireTwo-day acupuncture refresherDate: 12 MayPlace: LondonTwo-day acupuncture sports injuries courseDate: 12 JunePlace: 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: 27, 28 and 29 April and 15, 16 and 17 JunePlace: Dunoon, ScotlandDates: 27, 28 and 29 April and 11, 12 and 13 MayPlace: Newtownabbey, Northern IrelandDates: 28 and 29 April, 12 and 13 May, 23 and 24 JunePlace: Bingley, YorkshireCost: £495 – Including one year’s full membership of the AACP with many benefitsTo book: Visit www.aacp.org.uk > Training and Conferences > Foundation Courses or CPD Courses Tel: 01733 390007 #3Email: claire@aacp.org.ukAACP 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 practiceAn interactive three-day course aimed at senior physiotherapists and new APPs with limited or no radiology background, wanting to learn more about requesting and basics of interpreting musculoskeletal imaging and how to utilise for better patient care in practice. You can choose to attend one, two or all three days. Day 1: lumbar spine, Day 2: shoulder, Day 3: knee.Each day includes:Requesting and looking at X-rays – Requesting and looking at MRIs – Case study based- teaching, orientation, normal, normal variants, pathological images, evidence base on >

Public Health Research AwardsCall for abstractsHave your contribution to improving public health recognised by applying for a CAHPR Public Health Research Award.

Winners will receive an expenses paid trip to the Public Health England Conference, September 2018 and the opportunity to display their work.

Deadline for submission is 30 April 2018. For more information and an application form please visit http://cahpr.csp.org.uk or email: cahpr@csp.org.uk

Council for Allied Health

Professions Research

cahprexclus ive to C SP members

Keep connectedwww.csp.org.uk/icsp

Peer knowledge and know-how

46 Networks&networking Frontline • 11 April 2018 47

imaging and how to utilise it enhance your existing clinical reasoning and patient careFacilitators and dates: • Day 1: 9 June; lumbar spine with Christopher Mercer, consultant musculoskeletal physiotherapist • Day 2: 14 July; knee with Jessica Gent, clinical physiotherapy specialist (lower limb), advanced physiotherapy practitioner• Day 3: 21 July; shoulder with Sharon Morgans, specialist physiotherapist, Shoulder Academy, Central Health Physiotherapy. Previously lead extended scope practitioner, Imperial College Healthcare TrustPlace: Buckinghamshire Musculoskeletal Integrated Care Service, Unit 2 The Merlin Centre, Cressex Business Park, Lancaster Road, High Wycombe, Buckinghamshire HP12 3QLTime: 9am-4.30pm. (Registration 8.45am)Cost: 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.Spinal masqueraders: ExpandedFollowing on from the highly-regarded spinal masqueraders study day, the MACP have developed a further stand-alone course designed to enhance awareness and clinical reasoning in the management of non-musculoskeletal causes of back and radiating leg pain. Spinal masqueraders: Expanded covers new issues not covered on the original study day. Developed from delegate feedback and evolving evidence, attendance on the original masqueraders study day is not a prerequisite to this course. Knowledge and skills gained from the first course will however be further enhanced and new skills accrued. This course covers in depth the topics of cauda equina syndrome, visceral masqueraders, vascular masqueraders and pelvic masqueraders.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 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.

Medico Legal Association of Chartered Physiotherapists (MLACP)Paediatric and adult neurology: The role of the physiotherapist as an expert witnessDate: Wednesday 25 April and Thursday 26 AprilPlace: CSP, 14 Bedford Row, London WC1R 4EDCost: £300 MLACP members, £350 non-members Contact: For further details email: info@mlacp.org.uk or email: ww@eamedicolegal.com or visit: www.mlacp.org.uk

British Association of Hand Therapists (BAHT)Level 1 coursesDate: 16-18 MayPlace: Mount Vernon Hospital, MiddlesexContact: Juliette Bray on tel: 020 7317 7703email: juliette.bray@nhs.netDate: 12-14 SeptemberPlace: LondonContact: See: www.neshands.co.ukDate: 28-30 NovemberPlace: Enterprise Centre, DerbyContact: Linda Tozer on tel: 01332 787491email: linda.tozer1@nhs.netLevel 2 coursesWrist (NES)Date: 25-27 AprilPlace: Chesterfield Royal HospitalContact: Sarah Barnard at: sarahbarnard1@nhs.net See: www.neshands.co.uk Tel: 01246 512177Splinting: A clinical reasoning approachDate: 24-26 JunePlace: Chelmsford, EssexContact: Debbie Miles at: hand-ed@outlook.comOptimising soft tissue repairDate: 21-23 SeptemberPlace: Mount Vernon Hospital, NorthwoodContact: Nikki Burr/Ella Donnison, email: handtherapy@sky.com Tel: 07766554787Surgery and therapy management of flexor/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 hand

Date: 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

Association of Chartered Physiotherapists Interested in Vestibular Rehabilitation (ACPIVR)ACPIVR AGM and study day 2018 with Susan HerdmanDate: 19 MayPlace: Lecture theatre, 33 Queen Square, National Hospital for Neurology and Neurosurgery WC1N 3BGTopic: Vestibular treatmentSpeakers: Professor Susan Herdman, Emory University, USA; Dr Dara Meldrum, Dublin, Ireland; Dr Edward Roberts, Imperial College London, UK; Dr Marco Mandalà, Siena University Hospital, ItalyDescription: Join us for this exciting study day and AGM with the world renowned Professor Susan Herdman and other international speakers. It is for clinicians of all levels of experience looking to increase their knowledge and understanding of vestibular rehabilitation. Contact: Programme and registration: https://acpivr2018.eventbrite.co.uk

Advanced Practice Physiotherapy Network (APPN)Making the most of the consultation –Practical management of MSK conditions for advanced practice physiotherapistsDate: 27 AprilPlace: Holiday Inn, CoventryThis day aims to promote and update advanced critical thinking skills underpinning best practice across a range of complex musculoskeletal pathologies.

To enable delegates to critically reflect on all aspects of the consultation/assessment process within their area of practice.

Attendees will hear from medical and physiotherapy consultants, physiotherapy advanced practitioners and researchers who

are all experts in their field.Cost: £60 members, £90 non-membersContact: Online bookings only at: www.esp-physio.co.uk

Physio FirstPhysio First reminders• Subscriptions – Our 2018/19 membership started on 1 April, our fees are:– full member £228– affiliate member £208You can pay your membership renewal over the phone on the number below, please have your membership number to hand.• HCPC renewal – Your HCPC registration is up for renewal from 1 February and you must re-register by 30 April, to remain a physiotherapist, CSP member and Physio First member. The registration fee to be paid is £180 for two years.• General Data Protection Regulation (GDPR) – We shared some information in our latest edition of The Core, February 2018, about GDPR and how we identified four ways to help our members, please see here: http://bit.ly/2nNYm7q

Contact: For more information about Physio First please call us on tel: 01604 684960 alternatively, you can email us at: minerva@physiofirst.org.uk

Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM)Current taping techniques for sportDate: 28-29 AprilPlace: The Royal London Hospital, LondonCost: From £175Contact: www.physiosinsport.org/courses.html

Association of Chartered Physiotherapists in Temporomandibular Disorders (ACPTMD)Physiotherapy management of Temporomandibular Disorders (TMD)Tutor: Phil BatemanDate: Saturday, 2 JunePlace: Community Room, Tesco Superstore, Knocknagoney Road, Belfast, BT4, Northern IrelandCost: £149 (early bird discount of £129 if booked by 1 May)This one day course reviews:

• relevant clinical anatomy• physiotherapy assessment of the masticatory system• classification of common TMD's• 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.

British Association of Chartered Physiotherapists in Amputee Rehabilitation (BACPAR)In conjunction with Ossur, BACPAR will be holding the following study day:Predict, measure and improve: management of expectations and optimising outcomes in amputee rehabilitationDate: Monday 21 MayPlace: Wolverhampton Science Park, WV10 9RUContact: For further information contact Louise Tisdale at: bacparossurmay2018@gmail.com >

CSP Committee Member applications

DEADLINE APPROACHING

ACT NOW IF YOU WANT TO SUPPORT THE NEW COUNCILIf you want to make a difference to the profession and contribute to the work of the CSP, now is the time to apply to join one of the new Council’s new committees.

The new CSP Council is looking for members to serve on its three new strategic Committees:

• Employment Committee• Finance, Risk and Audit Committee• Professional Committee

To apply, visit: www.csp.org/committees

APPLICATION DEADLINE: NOON ON MONDAY 16 APRIL.

48 Networks&networking Frontline • 11 April 2018 49

ReunionsThe Association of Paediatric Chartered Physiotherapists (APCP)APCP Introduction to paediatric physiotherapyThis three-day course is for physiotherapists who are new to working with children and young people, including newly qualified physiotherapists, those changing from another speciality, or those returning to practice and wishing to work in paediatrics. The course may also be suitable for experienced support workers and other AHP's who work within paediatrics - however, this will be at the discretion of their managers when considering learning needs. Date: 14-16 JunePlace: Jury's Inn Newcastle, Scotswood Road, Newcastle NE1 4ADCost: £225 APCP members / £275 non-membersContact: For further information / to book you place, visit: apcp.csp.org.uk/courses-events or contact: office@apcp.org.uk

Chartered Physiotherapists in Therapeutic Riding and Hippotherapy (CPTRH)Introduction to therapeutic riding for therapistsTwo study days for physiotherapists and occupational therapists who are interested in assisting disabled riders and RDA groups, or who wish to gain an insight into the benefits of therapeutic riding.Date: Sunday 6 May Place: Diamond Centre, Carshalton, Surrey SM5 4DTCost: CPTRH members £30, non-members £50Contact: Elspeth O'Donnell at email: elspethodonnell@gmail.com for application form, or from: www.cptrh.csp.org.ukDate: Saturday 12 MayPlace: New Barn Farm, Chelford Road, Ollerton, Knutsford, Cheshire WA16 8SZCost: CPTRH members £30, non-members £50Contact: Jane Guildford at email: janeguil@sky.com for application form, or from: www.cptrh.csp.org.ukNotice of AGM and study day – more details to followDate: Monday 11 JunePlace: CSP, Bedford Row, LondonContact: Elspeth O'Donnell at email: elspethodonnell@gmail.com

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:BME 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.

CSPRA Day trip 2018 – There is still time to join usThe visit to the Gordon Museum of Pathology on the Guy’s campus at King’s College will take place on Wednesday 18 April.

We will meet and have lunch at the George Inn, on Borough High St. A room has been booked for 25 people at 12 noon.

Currently, there are selections of sandwiches available for about £5 and hot meals from £12.

It is situated just across the road from Borough Market and is a short walk from the underground. For further details, contact Heather at: heatherphysio.27@gmail.com

South West of England Group You are warmly invited to a spring outingOtter Garden Centre, on Thursday 19 April, meeting at 12 noon for 12.30pm at The restaurant.

A buy-your-own lunch will be followed by time to sit and chat or to look at the huge variety of things for sale or hopefully enjoy the large selection of plants in the sunshine.

This can be followed by afternoon tea in the restaurant.

As some of us are now dependent on partners for mobility and we enjoy their company, we have therefore decided partners are now very welcome to all of our meetings.

Directions: From Junction 29 on the M5 take the A30 towards Honiton. After 10.1miles, Otter Nursery is on your right in 1.1miles.

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

Lunch at Carriages in November was well attended in spite of the terrible weather and sickness. We enjoyed a good lunch and lots of chat catching up with old friends and welcoming new members.

We are proposing to go to Killerton House and gardens for our summer outing on Wednesday 11 July. It is hoped that with plenty of notice you will all be able to come and join us.

East Kent Retirement groupFour of us recently met for lunch and decided to extend an invitation to all retired or about to retire physios in East Kent to join us for a social gathering.

Our next planned meeting is a visit to Turner Contemporary in Margate to see the summer exhibition 'Animals and us' on Friday 15 June.

The mixed media works explore our relationship with animals, and artists, amongst others, include JMW Turner and Andy Warhol. We will meet near the main door (in or out will depend on the weather) at 11am and join the free highlight tour before looking around by ourselves and then going off to find lunch - fish and chips on the beach is one suggestion.

For more information and to let us know you are planning to join us please contact either Jose Gibbs at: gibbszzz@btinternet.com or Philippa Davies at: philippajunedavies@gmail.com

Very much looking forward to seeing a good number of you there.Jose Gibbs

>CSP Retirement Association

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

Sheffield City Polytechnic 1986-1989 setNext year we will have been qualified 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 Sheffield 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 2018.

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

1pm on Saturday 21 July 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.

The Royal London Hospital Physiotherapy Old Students AssociationThe next annual meeting of RLHPOSA will be on Saturday 14 April in the Old Library of the medical college. Members should have received details in the January newsletter. Anyone who trained or worked at RLH, NELP, PEL or UEL is welcome. This year our speaker will be our treasurer, Dorothy Toyn, with a talk entitled 'From Flanders to the Mall – 100 years of the Members Benevolent Fund.'

As usual we meet up for coffee and a brief business meeting. A sandwich lunch is provided. Booking is essential and must be completed by Friday, 6 April. If you do not receive our newsletter, please see our website: www.rlhposa.org.uk for information and contact details or email: info@rlhposa.org.uk

Come and celebrate with us and meet up with old friends and colleagues.

Oswestry and North Staffordshire School of Physiotherapy Set 40 1978 -1981In 2018 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 2018; 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 qualified! 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 confirmed. We have a Facebook page where there has already been some chat about getting together. If you would like more information,

Other groups news / events

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The Members Benevolent Fund is seeking Trustees to join its boardThe MBF has some vacancies to fill and is seeking:• 2 Trustees from amongst the CSP membership• 2 Lay Trustees (Please note we are not seeking a physiotherapist/CSP member for this role)The MBF is looking for people who will become full, voting members of the CSP Members Benevolent Fund, for an initial term of four years, with a chance to seek re-election for a further term of four years.

Meetings are held in London four to five times a year and travel expenses are reimbursed

The applicant must ensure compliance with Charity Law, requirements of the Charity Commission, the rules, charitable purpose and objects of the MBF and must act with integrity, and avoiding any conflicts of interest. Further information about being a Trustee in general is available from the Charity Commission website: https://www.gov.uk/government/publications/the-essential-trustee-what-you-need-to-know-cc3

The MBF is an independent chairty (Charity No: 219568) working closely with the CSP to assist our colleagues experiencing financial difficulties and hardship through misfortune. We recently began working in partnership with Auriga Services to provide an enhanced service to our colleagues in need.

The CSP MBF currently has 12 Trustees – up to nine CSP members, and up to four lay members who have experience and skills to compliment the work of the MBF.

Apply NowIf you are interested in becoming a Trustee, and / or would like to provide details of the Lay Trustee Vacancies to a colleague, then please visit the MBF webpage to access the application forms at: www.csp.org.uk/mbf and applications must be in by Thursday 26 April.

Shortlisted candidate will be invited to interviews in May. Further information from Dorothy Toyn, MBF chair, at: toynd@csp.org.uk

50 Networks&networking

please contact Sarah Clifford (nee Sarah E Evans) at: bristolclassof98@gmail.com for more details.

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

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 qualified 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

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

Guy’s Hospital C and D sets 30 years qualified reunionWe 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.

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.

Royal Liverpool Hospital College 1978-1981This year marks 40 years since we started our training, and I wondered if any of my

fellow students would be interested in a reunion in Liverpool next summer? I would love to catch up with you. If you are interested, email me at: lesley.walters@hotmail.co.uk or visit my Facebook page (Lesley Walters), or the FB page I have set up called Royal Liverpool Hospital College School of Physiotherapy 78-81. Lesley Walters (nee Pritchard).

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

Jane Jordan (nee Duffy/Bell)

Jane trained at Coventry University from 1989-1992. She spent most of her career at the George Eliot Hospital in Nuneaton, where she specialised in cardiac and respiratory physiotherapy.

After a brief spell working on the community in Coventry she returned to the George Eliot, and was instrumental in developing the pulmonary rehabilitation programme. Jane spent many years as the CSP union rep before meeting Matt and having her two children Hannah and Megan.

Jane was a keen runner and gardener, had many friends and lived life to the full. She will be greatly missed, and remembered for her resolute caring nature and commitment to the hospital, her patients and other members of staff. Our love and thoughts are with her family and friends.Alex Bunyard, Karen Stewart and Sarah Connolly

Mary Jackson 18/2/1929-25/2/2018

Mary died in a tragic accident when crossing the road towards a favourite walk of hers. Mary was a long serving district physiotherapist, who was much loved and respected. She was based at Leeds General Infirmary (LGI) until she retired in 1989.

Mary trained at Leeds School of Physiotherapy and her first post was at Scarborough hospital. Returning to Leeds, Mary first worked in St James’s University Hospital before becoming superintendent physiotherapist at Killingbeck Hospital. Mary was then appointed to the district physiotherapists role based at the LGI.

In addition to managerial duties Mary continued her clinical practice in the physiotherapy outpatient department all the time she was district physiotherapist. Mary showed great respect for her physiotherapy staff and took immense pride in their work. In return her staff felt extremely well supported and did their best not only for their patients but also for Mary.

Friends and colleagues hold very fond memories of Mary; she was kind and caring to everyone she met. Colleagues remember how Mary enjoyed completing crossword puzzles during her lunchtimes at work, as well as reading newspapers, having a keen interest in current affairs, which she maintained throughout her retirement. Mary’s great wisdom will be missed, she was the person many physios turned to for advice about general life issues as well as physiotherapy service issues.

Mary's contribution to physiotherapy continued to the present day where she had a voluntary role on the steering group for a Leeds University nursing home research project. Mary provided advice based on her professional background and because of her experience in visiting many care home residents.

Mary gave regular voluntary service as a Justice of the Peace before and after her retirement. She had an active retirement filled with giving support to others. Years of formal volunteering included being a driver for MAECare, a local elderly care organisation and a lot of back office work for St Gemmas hospice. Even just before her death much of Mary’s time was spent visiting people with disabilities in their own homes and in nursing homes.

On a personal note, I will very much miss my beloved friend including the bridge evenings we have shared and enjoyed. Mary was an inspirational person who had a great impact on the lives of many people, family friends patients and colleagues.Jill Fisher

In memory of S Ravindran, physiotherapist,18/11/1948 -14 02 2018

Ravi moved from Sri Lanka to the UK in 1977 to start working at Orsett Hospital.

I got to know Ravi in December 1988, when he was interviewing me. He was going to be my first boss here and he turned out to be the best boss I ever had. Being fresh from Holland I struggled with his name and he joked: 'just think of ravioli.' That broke the ice and we've been friends ever since.

Everyone in our departments, both physio and OT and many people from other parts of the hospital, remembers him with great fondness. He was such a gentle soul, so supportive and helpful, always putting others first. He was totally dedicated to his patients and a master at treating stroke patients, especially those with shoulder problems. He really had magical fingers and never ceased to amaze us with his handling

skills. Tirelessly and very patiently he explained and demonstrated over and over again how to mobilise the shoulder, resulting in better movement and less pain.

He could be impatient too however: he had little time for paperwork and bureaucracy and it frustrated him having to spend time at the desk, doing statistics: for him the welfare of his patients and staff was the only thing that mattered.

He helped design the stroke unit at Basildon Hospital, and met Princess Anne when she came to open the unit. He was presented with a much deserved award for Thurrock PCT's Best Clinician of the Year in 2006. He retired in 2010.

When I would visit him in Brentwood, we reminisced about the good old days on the wards, as he kept a keen interest in what was happening and he always wanted to know how everybody was getting on. He often told me how much he missed work and that he still dreamed of his patients on the stroke unit.

The following words are from Irene, a colleague from those early days:

'Working with Ravi I immediately knew that he stood apart as someone special. He was such an inspiration to everybody and always had time to give advice to others. He was the most understanding, caring, tender hearted and tolerant person that I have ever had the privilege of knowing. But he also was a lot of fun: I remember his love of cricket and the banter he would have with patients when test matches were on. He used to say to me: "You carry on with the patients, Irene" and he would slip off to a ward where the TV was on so he could watch the match!'Ravi passed away following a brief illness.

That he was very much loved and respected was reflected in the large number of friends and ex-colleagues who joined the family at his funeral at Upminster crematorium on 20 February. Lovely, moving tributes were read by family members.

Our thoughts are with his devoted wife Hamsini who until recently worked in the imaging department at Basildon Hospital and his two children, of whom he was immensely proud, both in the medical profession, one a doctor, the other a dentist.

We will all miss him very much.Ankie Postma

Frontline • 11 April 2018 51

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52 Courses&conferences

Frontline • 11 April 2018 53

Courses&conferences

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 sufficient 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 fulfilment 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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PR

IMARY CARE

PU

BLIC COMMUN

ITYHEALTH 16-17 May 2018 NEC Birmingham, UK

Celebrating its 28th successful year

Register today for the UK’s leading free of charge eventfor physiotherapists and other health care professionalsworking in community and primary care.

Dedicated two day conference for PhysiotherapistsSessions include pain management, ACL management and rehabilitation, pelvic pain, hip arthroscopy and impingement, back pain, cervicogenic headaches and migraine, balance, fibromyalgia and psoriatic arthritis.

Check out all of the programmes atwww.primarycarehealth.co.uk

Organised by Sterling Events

Supported by

Primary Care andPublic Health

Free of Charge

@PrimaryCareShow

CPD Approved

Front Line_Layout 1 16/03/2018 12:38 Page 1

Untitled-3 1 04/04/2018 11:19

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

Now recruiting...Are you a CSP member with a passion for promoting quality learning and development, and physiotherapy practice?

The CSP Charitable Trust Education Awards Panel is seeking Panel MembersThe CSP Charitable Trust Education Awards Panel has six Panel Member vacancies to fi ll. These roles are open to all CSP members and offer a great opportunity for personal and professional development.

Successful applicants will be appointed for an initial term of four years. Panel meetings are held in central London twice a year, and require a half-day attendance (in person or via video-conference). Travel expenses are reimbursed.

Apply NowIf you are interested in becoming a Panel Member then please visit the CSPCT Education Awards Panel webpage in order to access the recruitment pack: http://www.csp.org.uk/about-csp/what-we-do/charitable-trust/education-awards-panel

The deadline for return of completed applications is midday on Monday 23 April.

Please email your completed application form and supporting CV to Fatiha Miah, Charitable Trust Awards Administrator at: edawards@csp.org.uk with subject heading ‘EAP Member Recruitment’.

001528.indd 1 20/03/2018 15:39

54 Courses&conferences

Frontline • 11 April 2018 55

Miscellaneous

Complementary therapyCardiorespiratory

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Courses&conferences

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today !

Leading the World in Physiotherapy and Pilates Teacher Training Courses.

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Contact us for further dates, courses & locationsinfo@appihealthgroup.com | 0345 370 2774

Unique courses designed by Physiotherapists specifically for those

in the field of rehabilitation.

MATWORK LEVEL 1 The Foundation

14 & 15 Apr Manchester / Bristol

28 & 29 Apr Devon

12 & 13 May Reading

19 & 20 May London

21 & 22 May Derby

MATWORK LEVEL 2 Class Instructor

21 & 22 Apr Falkirk

28 & 29 Apr Nuneaton

12 & 13 May Liverpool

14 & 15 May London

19 & 20 May Manchester / Dublin

MATWORK LEVEL 3 Inter/Advanced

14 & 15 Apr London

12 & 13 May Manchester

04 & 05 Jun London

04 & 05 Aug Manchester

11 & 12 Aug Nuneaton

PilatesInstructor with APPI

A two day course in Evaluation and Treatment of patients with Dizziness and Balance Disorders: A Comprehensive Approach through Vestibular Rehabilitation Therapy.Contents Vestibular System- Structure, function, postural control Assessment: BPPV, Hypofunction, Central and non-vestibular dysfunction Treatment principles: Epley, adaptation, habituation & substitution etc.

Case studies

When: 30/6/2018 & 1/7/2018

Where: Crystal Palace Physiotherapy Clinic, Crystal Palace, London

Tutor: Dr.Saravanan Chockalingam PT, DPT, (USA)

(International speaker on Vestibular Rehabilitation)

President, FYZICAL THERAPY, MI, USA

Fees: £250

Contact: vestibularcpduk@gmail.com

www.dizzycareclinic.co.uk

For members only

Everyday deals & discountsLog-on to to see how much you could save www.csp.org.uk/cspplus www.grahamegardner.co.uk/csp

Tel: 0116 255 6326

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Frontline • 11 April 2018 5756 Courses&conferences

NeurologyMusculoskeletal

Musculoskeletal

The 2nd Manchester Cystic Fibrosis Conference: Facing the Challenges of todayWhen: Thursday 26th April 2018

Where: Stoller Hall, Chetham’s School of Music, Manchester, M3 1DA

Contact: education.events@christie.nhs.uk

This is the second CF Conference hosted by the internationally recognised Manchester Adult Cystic Fibrosis Centre. The focus of this year’s conference is on implementing change in CF centres today to improve care for all people with CF. Some of the most pressing issues in CF care will be discussed; dealing with increasing numbers of patients in adult care and what we can learn from CF. The conference has been developed for all members of the multi-disciplinary team.

Free to attend, please circulate this information to all of your MDT.

Website: https://www.manchester-cf-conference.com/

MSc Advanced PhysiotherapyMSc Advanced Physiotherapy (Neuromusculoskeletal) with eligibility for MACP membershipThese well established Master’s courses are designed to enhance your knowledge and understanding and give you opportunities to challenge and critically evaluate your professional practice.Upcoming study days and short courses include: • Managing Back Pain in the Community• Rotator Cuff Related Shoulder Pain: Assessment

and Management• An Introduction to Diagnostic MSK Ultrasound around

the Shoulder Girdle• Assessment and Management of Vestibular Dysfunction• Psychological Therapies for Patients with Pain

(15 credit short course)

Interested in advancing your practice?

For further details, please call us on 01707 284956 or visit go.herts.ac.uk/cpdhealth

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58 Courses&conferences Frontline • 11 April 2018 59

Pain management

Pain management

Sports medicine

Women’s health

SPLINTING IN NEUROLOGY COURSENATIONAL HOSPITAL FOR NEUROLOGY & NEUROSURGERY

Friday 20th & Sat 21st July 2018

This 2 day course will cover the theoretical and practical application of splinting using softcast and scotchcast materials. The course is open to Physiotherapists and Occupational Therapists working in Neurology.

Fee £300.00 -- includes costs of materials used in practical sessions.

Course Tutor: Katrina Buchanan

For further details and application form contact:

Course Co-ordinator: Alkida Domi, Tel: 020 3448 3476, (fax: 020 3448 3711)

Email: a.domi@nhs.net

Also visit our website http://www.uclhcharitycourses.com

Intelligent Rehabilitation – Relating Brain to Muscle to FunctionWhen: Saturday 12th May 2018

Where: Royal National Orthopaedic Hospital, Stanmore

Contact: RNOH Education Team, 0208 909 5326 or rnoh.courses@nhs.net

The course is targeted to physiotherapists and other rehabilitation specialists to develop their musculoskeletal knowledge, incorporating an understanding of neurological control and acknowledging other external factors such as mood, behaviour can have on patient outcome.

The course will have a practical focus in the afternoon using case studies to allow delegates to understand why, how and what interventions are appropriate to optimise movement strategy and function.

Aims/Objectives:

1) Review the components of motor control systems

2) To understand how the disorganisation of neurological control influences Musculoskeletal disorders

3) Using cases studies to develop treatment plans and interventions

The Faculty for this course will include:

• Anju Jaggi, Consultant Physiotherapist

• Sue Paddison, Clinical Specialist Lead Physiotherapist

• Susanne Selvadurai, Consultant Physiotherapist

• Katie Monnington, Clinical Specialist Physiotherapist

• Benita Hexter, Clinical Specialist and Lead Physiotherapist

• Dr Helen Cohen, Consultant Rheumatologist

• Chloe Kitto, Specialised Occupational Therapist

Orthopaedics and rheumatology

Spasticity Management – A Multidisciplinary Approach17th and 18th of May 2018 - 9am – 4.45pm

Clinical Neurosciences Centre, 33 Queen Square, London, WC1N 3BG

This two day course delivered by experts in the field will provide clinicians with an in depth understanding of spasticity, the many interventions available to manage it and current research. The course will be of broad reaching interest – for all doctors, nurses and allied health professionals who regularly meet patients with spasticity. The course aims to assist clinicians with practical translation of the evidence into high quality clinical care for the individual. We will address assessment, physical and pharmacological management, botulinum toxin, intrathecal therapies and the importance of education and self-management. We will feature sessions regarding management of the acutely ill patient and what the future may hold in treating this complex symptom.

Fee: £190 including lunch and comprehensive delegate pack, drinks on Thursday after talks for further information please contact:

Alkida Domi, 02034483476, email: a.domi@nhs.net

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Lower Back Pain: Bringing the Biopsychosocial together.When: 23rd & 24th June 2018

Where: Chelsea & Westminster Hospital, London.

Pain train offer a Multidisciplinary workshop exploring the importance of multi-dimensional assessment and how this leads to patient centred treatment plans.

Contact: enquiries@pain-train.co.uk

Frontline • 11 April 2018 61

60 Recruitment

Recruitment

Recruiting physiotherapists

Attractive salary and benefits package

Full time positions

To find out more or to send your CV please email careers@healthcare-rm.com

healthcare rm provide integrated health solutions to a range of B2B clients including major multinational corporates and health services to private customers. Based in Tewkesbury, Gloucestershire off Junction 9 of the M5

Would suit someone with interest in occupational and musculoskeletal health

healthcare rm

www.norfolkcommunityhealthandcare.nhs.uk

Community Physiotherapist

Ref: 839-3784TMPermanentSalary: Band 6 - £26,565 - £35,57737.5 hours per week

We have an opportunity, to recruit a full time Community Physiotherapist to the Community nursing and therapy team, to provide a high level of skills in Physiotherapy assessment and rehabilitation. This is an ideal opportunity for an applicant looking to gain and build on experience in a community setting.

The successful applicant will provide interventions in service users’ own home, inpatient units and residential and nursing homes. The post holder will support functions including the Falls Pathway, long term condition management, progressive neurology management, prevention of admission and early supported discharge from hospital.

Clinical support will be provided by the Physiotherapy Clinical Lead, along with attendance at and contribution to in-service training. There is also support and development through regular appraisals, a personal development plan and regular formal supervision. The applicant will supervise and support staff working at other levels.

The post holder will have evidence of relevant broad post graduate experience preferably, but not necessarily, including community work.

For informal enquiries please contact Ruth O’Regan on 07919 535123 or Sarah Goddard on 07795 427350.

To learn more about the Trust, please see our website at www.norfolkcommunityhealthandcare.nhs.uk

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

Closing date: 30th April 2018.

Are you a highly motivated, experienced and enthusiastic Physiotherapist looking to work in a prestigious private hospital based in the Harley Street area? We have two positions available to join a friendly and lively department that welcomes change and promotes excellence.

For an informal discussion/visit, please contact the recruitment teamStaff benefi ts include a contributory pension scheme, a private healthcare plan, life assurance and an interest-free season ticket loan. For an application form and job description, please visit our website at www.thelondonclinic.co.uk, email recruitmentteam@thelondonclinic.co.ukTh e London Clinic values our diverse workforce

Band 7 Specialist Physiotherapist in Head & Neck Cancer Grade: Band 7 Competitive salary • Hours: 37.5 hours per weekWe require an experienced and motivated Band 7 Physiotherapist with a proven interest in service development and clinical skills within oncology and surgery. Experience in the medical and surgical management of patients with head and neck cancer and in assessing and treating patients with altered airways is essential.

Band 6 Rotational Physiotherapist in Inpatients Grade: Band 6 Competitive salary • Hours: 37.5 hours per week Th e band 6 rotations are 6 monthly across the following areas: orthopaedics, intensive care/ surgery, oncology, aquatic therapy/ pre-admission clinic

Th e successful candidates will be pro-active, fl exible and diplomatic and form close working links with all members of the multi-disciplinary team. We treat a varied caseload of patients including those from overseas covering a wide range of specialist areas.

We welcome applications from candidates meeting the following requirements:

Degree in Physiotherapy

HCPC registration

Member of the CSP

Th e Clinic has an excellent Clinical Training and Practice Development department and strongly supports continuing professional development and education.

SPECIALIST PAEDIATRIC PHYSIOTHERAPIST - BRIDGWATER SOMERSETLocation: The Brainwave Centre Ltd, Marsh Lane, Huntworth Gate, Bridgwater, Somerset, TA6 6LQSalary: £22,000 to £26,000 per annum

Contract: Permanent, Full Time

Hours of work: 37.5 hours per week

Closing Date: Sunday 13 May 2018

Brainwave are looking to recruit an enthusiastic paediatric physiotherapist to join our integrated therapy team based at the South West Brainwave Centre in Bridgwater, Somerset.

The South West therapy team is an integrated Physiotherapy, Speech and Language Therapy and Educational Therapy department, who work closely to provide a hands on approach for babies, children and teenagers covering a wide geographical area.

This is a great opportunity to assess and treat children with a variety of complex backgrounds, but with the luxury of time. We typically see clients over the 1-2 day period so that a joint MDT approach can be achieved.

We have an onsite hydrotherapy pool and you will be expected to lead daily hydrotherapy sessions.

You will receive supervision and get the opportunity to work directly with experienced multidisciplinary team members.

At Brainwave we actively encourage personal development and therefore you will have the opportunity to attend local special interest groups and external training courses.

For more information or to apply, please visit our website at: https://www.brainwave.org.uk/south-west-centre-opportunities or for an informal discussion and to arrange an informal visit please contact Carl Puzey. email: carlpuzey@brainwave.org.uk or Tel: 01278 429089

@Care4HealthJobs @Care_4_Health

01905 642500

care4health­­­­­­­

We are giving away an Amazon Echo Dot every month! For yourchance to WIN, just like our Facebook page, share our posts, or tagthe AHP Professional you are referring.

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Frontline • 11 April 2018 6362 Recruitment

>

CHINGFORD (AND LOUGHTON) EAST LONDON Our friendly, well-established musculoskeletal practice is expanding and our diary is choc-a-block! We need a confident musculoskeletal physiotherapist (or two) to start asap. Happy to consider various shift patterns and employment terms. This would suit those already comfortable in private practice but we are also happy to support and train anyone wishing to transition from the public sector. You must have been qualified at least two years and be able to demonstrate musculoskeletal focus in your career so far. Please email: manager@bouncebackphysiotherapy.com with your CV and any questions or call tel: 07515 932960.

ARE YOU THE MOTIVATED AND DYNAMIC EXETER PHYSIO WE ARE LOOKING FOR? You have a thirst for knowledge, a can-do attitude, always looking to develop your clinical knowledge and skills. You are fun, personable, ambitious and motivated, outgoing with a desire to excel in private practice. We are committed to helping all our team to reach their potential professionally and personally, providing the support necessary for you to reach your goals in a caring, fun and supportive environment. For the career you deserve rather than just a job visit: amsphysio.co.uk/careers or call tel: 03300 102215.

London – Full-Time Musculoskeletal Band 6 Do you want to work with motivated private patients? Do you love using manual therapy and exercise rehab? Want structured CPD and career and business development? Boost Physio has a full-time employed opportunity to join our five private clinics across NW London. Pay range £32-40k per annum. See: www.boostphysio.com Email CV and covering letter to: steven@boostphysio.com or call Steve to chat on tel: 07939 015081.

THE PHYSIO COMPANY CLAYGATE, SURREY Saturday morning hours available for experienced musculoskeletal physio in busy established private practice. Minimum five years musculoskeletal and private practice experience. Regular in house CPD with our other clinics. Self-employed. Please email CV to: amanda@thephysiocompany.co.uk or call tel: 01372 464968.

SOUTH WALES Performance Physiotherapy Ltd have a full-time vacancy available for a suitably qualified musculoskeletal physiotherapist, varied caseload, flexible working hours. Minimum five years postgraduate experience required. Salary 30-35k per annum dependent on experience. Part time role also considered. For further details please email CV to: info@performance-physiotherapy.co.uk

WARWICK SPORTS PHYSIOTHERAPY CLINIC Location: Coventry and Warwickshire. The University of Warwick is investing over £40 million in a new sport and wellness hub and associated campus facilities which will open in the 2018/19 academic year. As part of this investment the University also has a vision of becoming 'the most physically active campus community in the UK by 2020'. As part of this vision Warwick Sport is now looking for additional physiotherapists to join our expanding therapy team. Deadline: Sunday 29 April. Interview dates: week commencing 14 May. How to apply, email: n.bedford@warwick.ac.uk For more details please call Natasha on tel: 07384 231338.

FULL-TIME PHYSIOTHERAPIST AND PILATES INSTRUCTOR APPI Physiotherapy and Pilates Centres. An exciting opportunity has arisen at our Wimbledon and Hampstead clinic with an imminent start. You will be post five years qualified, have good experience in the private sector, be a strong manual therapist and qualified Pilates teacher. Qualification in barre and yoga desirable. A mixed caseload of musculoskeletal, Pilates rehab, 1:1 and classes available. Our clinic has recently expanded and our centre is now home to two brand new state of the art studios. This will allow for a greater variety of reformer, mat, yoga and barre classes. APPI is a world leader in its field and this post will allow the successful candidate to be part of an award winning team with a thriving atmosphere and excellent career potential. If this sounds like the right post for you please email your CV to our clinic manager at: helen.feeney@appihealthgroup.com

FULL-TIME/PART-TIME MUSCULOSKELETAL PHYSIOTHERAPIST – NORTHERN IRELAND The North West Independent Hospital based in Ballykelly, Northern Ireland is looking for

a dynamic and motivated musculoskeletal physiotherapist to join our team. Please contact Stacey Mullan on tel: 028 777 23510 or via email: staceylynch@nwih.co.uk for further information. Closing date will be 4pm Monday 30 April.

PEOPLE MOVING AND HANDLING INSTRUCTOR REQUIRED to join our growing training team We are looking for a physiotherapist to deliver client handling and manual handling training services. Must have excellent verbal and written communication skills and enjoy direct contact with clients. The position requires a base in the Midlands or North of England. Travel will be required. Ideally you will be available two to three days per week. Previous experience necessary. £200 per day, depending on experience. See: www.ofi.co.uk Please email CV to: melanie@ofi.co.uk

PART-TIME PHYSIO REQUIRED FOR BUSY MULTI-DISCIPLINARY PRACTICE IN HOVE Three years plus musculoskeletal experience required, HCPC registered. We also require two physiotherapists with hydrotherapy experience. Contact: elle@studio57clinic.co.uk

CORNWALL PHYSIO REQUIRES A PART-TIME MUSCULOSKELETAL PHYSIOTHERAPIST The ideal candidate will have at least four years clinical experience, enthusiasm for treating sports and running injuries and a broad CPD background. We pride ourselves on our exceptional reputation for treating sports and running injuries and are one of the first UK physio clinics to provide 3D gait analysis. We require an individual committed to providing a high quality service for our clients. Great learning opportunities included, plus the opportunity for increased hours. Email: info@cornwallphysio.co.uk for more information.

COMMUNITY NEURO PHYSIO NEEDED We are looking to recruit a community physio with neuro experience to work with us across North Essex. Will consider full time or part time hours. Must have own car, salary negotiable. Full training in NMES and Saebo will be provided. Please visit: www.yourphysioathome.co.uk for more information on our services, or contact: info@yourphysioathome.co.uk or tel: 01206 396789.

Private work available PHYSIOCARE, BERKSHIRE We are looking for an experienced and passionate musculoskeletal physiotherapist to join our friendly, enthusiastic and established practice. We are looking for clinicians with a passion for providing expert musculoskeletal care, with excellent communication skills and a genuine interest in people and clinical practise. An ability to teach Pilates an advantage though not essential. We aim to achieve the highest standards of musculoskeletal practise with a strong emphasis on CPD and peer support, so a wish to work as part of a team is essential. We would consider applicants for either full or part time positions, to include some evening work and a commitment to a Saturday morning clinic rota. Please send CV with accompanying letter to Elizabeth Jones via email at: elizabeth@physiocare.co.uk

WEYBRIDGE/STAINES SURREY A well-established clinic is looking for a self-employed part-time musculoskeletal Physiotherapist for two-three days per week. The ideal candidate will have at least four years postgraduate experience, excellent clinical reasoning and manual therapy skills. The clinic runs within a modern sophisticated gym, which requires integrated team approach and excellent communication skills. Must be proficient with IT as all notes are completed using TM3 platform. You will have access to CPD training along with gym membership. Rate is dependent on experience. An enhanced DBS check will be requested upon successful application. Please end CV with cover note to: david@cobhamandweybridgephysio.com

PARKS THERAPY CENTRE: ST NEOTS (PE19 1BG) Exciting and rare opportunity to join our expanding team on a part-time basis as an musculoskeletal outpatient physiotherapist in our St Neots clinic 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

ESSEX, CHELMSFORD AND SURROUNDING AREAS Exciting opportunity for a motivated and enthusiastic part-time self-employed musculoskeletal physiotherapist. We are in the process of expanding our clinics and require a physio to work, both in our busy existing clinic and emerging clinic. Excellent scope of hours available choosing from seven days per week, 6am to 10pm. Early morning sessions; daytime sessions; evening sessions; weekend sessions. Applicant needs to have at least three years specialising in musculoskeletal work, strong manual therapy skills and communication skills, and the ability to work in a team and individually. Please send CVs to: bwsfarrell@gmail.com or call tel: 07980 898212 for further information.

MIKE VARNEY PHYSIOTHERAPY ARE LOOKING TO EMPLOY A FULL-TIME MUSCULOSKELETAL PHYSIOTHERAPIST to work at our premier private clinic in Harlow Essex. Originally the lead physiotherapist with Tottenham Hotspur FC, Mike founded Mike Varney Physiotherapy over 40 years ago. You can benefit from Mike’s amazing experience, our mentor programme, our extensive patient list, our gold standard technology, extensive in-house training, CPD opportunities and more. We promote career development and progression, with weekly meetings, in-house training sessions, mentor programme, appraisals and objectives. Developing our physiotherapists is at the forefront of our clinic. NHS experience is not necessary. Requirements: chartered physiotherapist, MCSP and HCPC registered, evenings and once-monthly Saturday availability, High standard of communication and interpersonal skills. Preferable: musculoskeletal experience, two years qualified, acupuncture qualified. Salary: competitive salary dependant on experience Have you got what it takes to join our team? Email a CV and cover letter to: info@mikevarneyphysio.co.uk

WE ARE LOOKING FOR AN ENTHUSIASTIC PHYSIO with a keen interest in musculoskeletal and sports injuries to join our practice here in Muswell Hill, North London. We have a strong emphasis on biomechanics, hands on treatment and exercise prescription, and getting to the cause of people's injuries. You must be keen to learn and build on the knowledge you already have, be great with people and have a sense of humour. Previous experience in outpatients/musculoskeletal is essential. This role may suit someone looking to get started in private practice and will be a great learning opportunity with regular CPD and supervision. The post will begin as two evening shifts and Saturday mornings however we will be looking to build the role further this year. For further information or to apply please send CV and cover letter to: info@absolutephysio.com

FANTASTIC OPPORTUNITY for a permanent part-time musculoskeletal physiotherapist to join our multi-disciplinary health and wellbeing team in the City of London, EC3 (lloydswellbeingcentre.co.uk). Flexible, part-time (five to 20 hours). Prefer applicants with experience working within similar clinical environment, must be minimum three years qualified. Email CV to: shelley@healthresponse.co.uk

THE FORTUNE CENTRE OF RIDING THERAPY Staff vacancy: Chartered physiotherapist. The FCRT has a vacancy for a chartered physiotherapist with two years’ postgraduate experience. This is a part-time vacancy working alongside a colleague (physiotherapist/hippotherapist) to assess, plan and implement a range of therapeutic interventions for our students, using the horse as the therapeutic medium. The hours required are four hours over two days, a total of eight per week, over 40 weeks per annum (term time only). Salary circa £5252.45 gross per annum. We particularly invite applications from candidates who have equine knowledge and experience and with a real interest and enthusiasm to become a qualified ‘hippotherapist’. For further information, visit: www.fortunecentre.org Please send your CV and covering letter to: Head of Personnel, The Fortune Centre of Riding Therapy, Avon Tyrrell, Bransgore, Dorset BH23 8EE. Closing date: 13 April. Interviews: during week commencing 16 April.

64 Recruitment

Advertise in FrontlineGet in touch with Media Shed

cspads@ media-shed.co.uk 0845 600 1394

Advertise in FrontlineGet in touch with Media Shed

cspads@ media-shed.co.uk 0845 600 1394

Practice for sale

Equipment for sale

Equipment wanted

Service and repair

Website design

Frontline • 11 April 2018 65

LEEDS/YORK Tadcaster Physio has a vacancy for an experienced musculo-skeletal physio to join our small team. A variety of hours are available but ideally to include Saturday morning. We are looking for a patient centred therapist skilled in manual therapy techniques with a strong emphasis on rehab and self-management. Remuneration is on a cost share basis. Please contact: dave@tadcasterphysio.co.uk or call tel: 07972 068959.

HAMPSHIRE – NOT ALL PRIVATE PRACTICES ARE THE SAME! If you are not sure about a career move, come along and visit our clinic to see how we work, our amazing space and what opportunities we have for employed musculoskeletal physiotherapists and Pilates instructors. Our well-established practice is continuing to grow and offers lots of opportunity for committed and motivated individuals to join our positive, supportive team. If you are looking for an exciting musculoskeletal position, where you can develop a range of skills, we would love to hear from you. Email: fiona@gophysiotherapy.co.uk

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

ALL TYPES OF ULTRASOUNDS, ELECTROTHERAPY, LASERS, COUCHES ETC BOUGHT FOR CASH Call Trimbio 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 Web: www.rwrservices.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 Web: www.rwrservices.co.uk

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

HUDDERSFIELD WEST YORKSHIRE, ESTABLISHED 39 YEARS Rare opportunity to acquire an existing consistently busy practice. Six treatment rooms, fully staffed office, located in large Victorian semi, on site car parking. Currently one associate but huge potential for expansion and diversification. Principal willing to continue part-time to facilitate the transition. Option to buy or lease premises. Email: edgertonman@hotmail.co.uk or call tel: 07710 509975.

PRACTICE FOR SALE IN THE WEST MIDLANDS Successful physiotherapy practice established 26 years. New and repeat patient referrals from GPs, consultants, sports clubs and self-referrals. Fully-equipped and furnished with reception and two treatment rooms. Sale due to retirement. No time wasters please. Enquiries to email: linchell@icloud.com

STYLISH WEBSITES FOR PHYSIOTHERAPISTS I'm Simon, a marketing professional. My wife has a successful private therapy practice. I will create you a gorgeous, modern website like hers, plus free set-up and marketing advice for only £395. Email for examples: physiowebsites@outlook.com

PRESCRIBE REHAB EXERCISE PROGRAMMES for your patients. Used by five NHS trusts, and hundreds of private practices. Improve client satisfaction. Very easy and quick to use, and popular with physios and patients, check out: www.rehabmypatient.com

OPPORTUNITY: CAPITAL PHYSIO are looking for a full-time ambitious physiotherapists 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/

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What motivates you? Put simply, it’s the desire to educate and to prove how beneficial physiotherapy can be to the widest possible audience. In the words of Sir Bruce Keogh, cardiac surgeon and medical director of NHS England, ‘Rehabilitation is central to the way that we deliver our health services.’ I truly believe this. I am driven by the desire to be part of a movement illustrating that we are a service that can evidence both our outcomes and processes; one that can reassure the public that when they see a physiotherapist they are in safe hands.

Why are regulations and standards important? They highlight areas that need clear process and evidence. By stating the expectations of the regulatory body/stakeholder/contractor and making the process transparent and clear for all users, regulations should help to mitigate risk, enable cross comparisons and assist in benchmarking services. It is very important that the service we deliver is fit for purpose and that those involved are aware of their professional and legal obligations.

How did you ensure BMI Healthcare physios passed muster? In managing the physiotherapy service for BMI Healthcare, we developed a governance structure involving every member of the team, one that encouraged collaboration and learning between 59 sites and more than 750 physio staff.

We standardised processes to enhance this. Training was provided to support and develop staff. Audits of departments and staff against internal and external requirements were mandatory for managers and they were all supported through the process. New managers had experienced ‘buddies’ to help them. Regular regional and national meetings and calls were

held to discuss any issues and an open culture existed with departments encouraged to share and learn from each other’s experiences. I resigned from BMI, finishing at the end of April 2017, as I was ready for a new challenge and was leaving a service that was well-structured and highly respected.

Give us three tips To develop a service to meet standards and regulations initially you need to 1 Be self-aware. There are many ways to get

people to understand why regulations and standards are important. Understand

their motivation and be aware that delivery of the message is crucial.

2 Listen to, and understand, people’s concerns – you need to engage your team so they want to do this, rather than seeing it as ‘I have to do this’. 3 Be passionate and desire

your service to be the best it can be. If you don’t feel it and believe

it, and want to be able to evidence it, how can you expect others to do so?

What’s your new role? I’m doing consultancy work in the clinical operational sector while I’ve been creating a new business. Research showed me, and a former colleague that the physiotherapy service often evidences clinical outcomes (front of house), but the focus on process excellence (back of house) is often less robust.

Sarah Tribe, my business partner, and I love physiotherapy and have each spent 30-plus years in it. We realise it needs more process evidence so we set up PAL (Physiotherapy Audit Limited), a business that supports services to do this.

We use our electronic tool to audit

physiotherapy processes, then produce an action plan and a task manager. This reminds the service to gather evidence to meet any gaps. We provide bespoke support throughout, then re-audit and produce another report. These become a portfolio of process evidence to illustrate your service for tenders, inspections, membership requests and so on.

Physiotherapy has provided us with fantastic careers. This is our way of helping others to promote their service – and it’s us giving our experience back.

How do you relax? I look after our menagerie, cook and have great family time. I consider myself very lucky.

Sandra Harding can be contacted on sandra@physioadvisors.com

ThreeMinutesSetting the gold standard Sandra Harding used to manage a large private healthcare physio team. Now she audits physiotherapy processes to make sure they are the best

Collaboration

involved 59 sites and more than

750 staff

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