Leadership lessons - The Chartered Society of Physiotherapy

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THE VOICE OF PHYSIOTHERAPY 6 November 2013 VOL 19 NO9 Leadership lessons Going beyond your comfort zone Global goals Rehab worldwide 16 Take a seat Postural care skills 24 Qualified overseas? Help is at hand 22

Transcript of Leadership lessons - The Chartered Society of Physiotherapy

THE VOICE OF PHYSIOTHERAPY 6 N

ovem

ber 2

013

VO

L 19

NO

9

LeadershiplessonsGoing beyond your comfort zone

Global goals Rehab worldwide 16

Take a seatPostural care skills 24

Qualifi ed overseas?Help is at hand 22

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CONTENT

HOW GREEN IS YOUR FRONTLINE?● FSC certi� ed text and cover paper ● Recyclable polywrap

3

FOCUSESPromoting physiotherapy across the globe 16

Physio � ndings: ending shoulder pain 18

CSP support for overseas quali� ed physios 22

12

NEWS

Lifesaving physio gets An� eld award 8

Physio role in whiplash cases recognised 10

Zero hours contracts and workplace rights 12

Sports conference: reports from Glasgow 14

Older prisoners need physios too 15

REGULARS

TALKBACK@CSP Have your say – catch up with the latest debates 6

DIRECTORYCourses, conferences and member information 39

RECRUITMENTLook no further for your next positive career move 57

PROFILELaura Brown is Mexico-bound 67

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FOCUSESPromoting physiotherapy across the globe

Physio � ndings: ending shoulder pain

CSP support for overseas quali� ed physios

24

FEATURESPhysios who target poor posture 24

CPD: lessons from leadership 29

Mobile working and hospice physios 32

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becauseyou care

Click, share

Spread the word!Click on these icons where you see them on the CSP website to instantly share content through your Twitter or Facebook account. Click, share. It’s a quick and easy way to promote physiotherapy.

There’s an international theme running in this issue of Frontline. One article looks at the work of a physio providing rehabilitiation in countries

which are far less well o� than ours (page 16). Another discusses the challenges for physios who trained overseas and are now seeking recognition in the UK (page 22).

For anyone who has taken the decision to work outside their own country, it’s pretty likely – whether by choice or by necessity – they have moved outside their ‘comfort zone’.

But you can do that close to home too, as Lesley Mercer, CSP director of employment relations and union services, discusses in her continuing professional development

article on lessons from her year as TUC president (page 30).Stretching yourself beyond your normal boundaries can be a

challenge, and yes, sometimes you’ll trip up. But – as you tell your patients – ‘no pain, no gain’. Sometimes pushing the boundaries really can make a di� erence. We hope this issue of Frontline will, as ever, inspire you to do just that!

ISSN 2045-4910When the magazine relaunched on 21 April 2010 (Vol 16 No.7) its title changed from Physiotherapy Frontline (ISSN 1356 9791) to Frontline. It has been assigned a new ISSN number.

©Copyright 2013 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.

5 Frontline

Lynn Eaton managing editor Frontline and head of CSP member communications

Frontline is your magazine. Make the most of it!

Beyond your comfort zone

The next issue of Frontline is out on 20 November

Until then, you can keep abreast of the CSP work and physio-related news:• Log in to get the most out of our website, with all you need to know about physio-related issues, including latest news: www.csp.org.uk • Look out for interactive CSP (iCSP) a member-only networking site giving access to closed clinical forums, where you can exchange views with your peers. www.csp.org.uk/icsp• Check out the weekly Physiotherapy News emailed direct to you. For more details see www.csp.org.uk/physiotherapynews• Follow us on Twitter and retweet CSP messages to your followers @thecsp • Like us on Facebook by going to www.facebook.com/charteredphysios• Comment online on the current issue of Frontline at www.csp.org.uk/frontline

Published 21 times a year, Frontline is your way of keeping in touch with the Chartered Society of Physiotherapy and physio-related news, views and features. It also o� ers you an opportunity to have your say about the issues that matter most to you. We welcome your letters, emails and ideas for issues you’d like to see covered.

Got a news story or idea for Frontline?Go to www.csp.org.uk/ideasforfrontline for details of how to contribute, or drop an email to [email protected] with a short summary and your phone number. Alternatively call the news desk on 020 7306 6665

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

Want to place an advert? Reach a 50,000-plus physiotherapy audience with your product, course or recruitment ad. [email protected] 600 1394

Got an item for the Noticeboard? [email protected] 7306 6166

Contact the CSPFor general [email protected] 7306 6666 14 Bedford Row London WC1R 4ED

Members have access to the CSP’s quarterly peer reviewed journal, Physiotherapy. www.csp.org.uk/journal

Your Frontline team Managing editor Lynn EatonDeputy editor Ian A McMillanNews editor Gary Henson Sta� writer Robert MillettSta� writer Gill HitchcockDesigner Allyson Usher Corporate publications and production o� icer Tim MorsePublications manager Nicky ForbesCorporate designer Tristan Reignier

KEEP IN TOUCH

published by

THE VO CE OF PHYSIOTHERAPY 6

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LeadershiplessonsGoing beyond your comfo t zone

G obal goals Reh b wo l wi e 16

Take a seatP s u al a e s i s 24

Qual fi ed overseas?He p i at h nd 22

PRINTED BY WARNERS 01778 395111

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is your magazine. Make the most of it! is your way of keeping in touch

with the Chartered Society of Physiotherapy and physio-related news, views and features. It also o� ers you an opportunity to have your say about the issues that matter most to you. We welcome

KEEP IN TOUCH

6 November 2013

Join the debatewww.csp.org.uk/icsp

Follow us @thecsp

Commentwww.csp.org.uk

6 Frontline

Talkback@cspsend your emails to [email protected] or letters to the Editor, Frontline, csp, 14 bedford Row, london Wc1R 4ED. We reserve the right to edit contributions. please include your name and a daytime phone number.

Like uscharteredphysios

A Question of bAlAnce We read, with interest, the article about the vestibular service at Liverpool’s Aintree University Hospital NHS Foundation Trust in Frontline (18 September).

York Balance Centre was set up in 1996 and, in 2001, became one of three national pilot sites of the Action on ENT project run by the NHS Modernisation Agency aimed at developing new models for the delivery of balance services and improved patient access. We provide a specialist, multidisciplinary service for the assessment and management of patients with dizziness or balance problems.

New patients are initially seen in a two-hour, one-stop clinic for structured, comprehensive and in-depth assessment by a specialist physiotherapist and audiologist. A management plan is then discussed and a full report sent to the GP or other referring clinician. In addition, vestibular rehabilitation clinics are run each week by the two physiotherapists providing customised exercise programmes for those patients with vest bular hypofunction, benign paroxysmal positional vertigo and others who might benefit.

The service at Aintree is not pioneering or unique but it is excellent to hear of the success of this new development.Elizabeth Beckerlegge and Sally Winterburn, ESP physiotherapists, York Teaching Hospital NHS Foundation Trust

PRAise foR csP eventI would like to say a big thank you to the Physiotherapy 2013 conference team, for providing a very thought-provoking event.

I have attended many of these annual events, however the innovation, themes and eye-widening information from the speakers this year was truly inspiring.

To hear such people as Karen Middleton, Lesley Mercer and Emma Stokes was an opportunity I am glad I took up.

These are people in and around our profession and professional body who have so much insight into the direction the profession should be taking and who have helped to shape the professional ethics and morals I am so proud to be associated with.

One highlight was Catherine Pope, vice chair of Council, speaking about our place in the professions’ areas of expertise. She said: ‘Physios are experts in resilience and prevention.’

Look for opportunities. Volunteer into the profession or external clinical groups.

See: www.csp.org.uk/news-events/physiotherapy-uk

There is a greater need than ever to share our skills with non-physio staff to enable a more sustainable way of ‘spreading the clinical word and skills’.

To understand the drivers behind the changes we see, become familiar with health and social epidemiology and its impact on public health.

See: www.csp.org.uk/wilkinsonAttending a conference where you are also

able to gain insight into areas of clinical and professional expertise that are not your own, is so much more valuable than you think.

I came away inspired invigorated and ready to make some changes in my career.

Needless to say, I will be attending again next year.Paula Manning

MoRe on MAlAlAWe had a lot of lovely feedback from patients and staff about the coverage of the treatment of Malala Yousafzai at Queen Elizabeth Hospital Birmingham (‘Malala praises the work of facial rehabilitation therapists’, page 10, 23 October).

Even the new patients in the facial palsy clinic had seen Suzi Allen and me on BBC news.

The clinic involves Richard Irving, ear, nose and throat consultant surgeon, Demetrius Evriviades, consultant plastic surgeon, Suzi and me.

We all assess in a room together so we can offer opinions of diagnosis physical therapy which is all conducted at Queen Elizabeth Hospital Birmingham.

One of our patients travels 10 hours to get to Queen Elizabeth Hospital Birmingham and some also fly in from Ireland.

If a patient is beyond physiotherapy then we can help restore facial symmetry via surgical techniques. These can be dynamic, in the form of reanimation surgery, or instead static, where the affected side of the face is lifted with fascia.

I hope this sheds a little more light on the facial palsy clinic.Sally Glover

TopTweet@thecsp

@physiosinsport great conf/use of social media to bring the wider PT community into it, @thecsp G

Go to www.twitter.com to open your own personal account, then follow @thecsp

www.csp.org.uk

7

iCSP offers a number of opportunities for you to contribute to discussions within your network. Go to www.csp.org.uk/icsp to sign up for ones that interest you. To follow these debates enter the ‘find’ code.

Burning Question

‘I’m self-employed. Why should I pay for union services (and the Labour Party!) through my CSP subscription?’The CSP works hard to ensure the strongest possible service to all members. Although some of the trade union services provided are only relevant for members who are employed, we offer free legal services and full representation at the Health and Care Professions Council (HCPC) for self-employed members. Self-employed practitioners make up more than half of the CSP’s HCPC cases. Sixteen trade unions are affiliated to the Labour Party, each with a legally-constituted political fund which members can ‘opt out’ of. The CSP is not one of these unions and does not donate money to any political party.

This is intended as general information only and does not replace individual advice

Physiotherapy: a degree or vocational?Network: Effective practice Flavour: A student physiotherapist asks for the pros and cons and generates an interesting debate.15 replies at 21 OctoberFind: qqq363

Indications for lower limb neurological testingNetwork: NeurologyFlavour: Many helpful suggestions offered in this discussion.13 replies at 21 October Find: qqq364

Cerebral palsy: orthopaedic interventionNetwork: PaediatricsFlavour: Good support for a clinician facing constrained treatment options with a nine-year-old patient.11 replies at 21 OctoberFind: qqq365

On call physiotherapy kit bagNetwork: Respiratory careFlavour: Good support for this idea but one person warns of obstacles.5 replies at 21 OctoberFind: qqq366

Forgot your CSP login?Go to www.csp.org.uk/password and tell us your email. We’ll immediately email your details to you

Two members commented on a report from the AHP International conference, titled ‘Patients with COPD the winners in physio-led telehealth programme’.• It is an interesting idea but unsure how it would actually work. Would like to find out more about it before commenting further.Puja Trivedi

• In the early months of the 21st century motivation for a community pulmonary rehabilitation service in Cambridge was commenced, one of the first in the country. In 2003 it was set up and recruited a physiotherapist from Papworth, who had experience in an acute setting.

It has gone on to be highly effective and having personal experience of this service 2005 to 2007 I would have every confidence that long distance rehabilitation would be successful as it has been in other countries.

It is personalised exercise sessions and mentoring, together with peer support and group exercises at the start, followed by education from a multidisciplinary team which time and again achieved high outcomes and above all personal pride and confidence to take on new life skills and goals.

The main direction and teaching would be set by the lead therapist with local support and correction on an individual basis by trained health workers. M A Coles

A report on Emma Coles’ Founders’ lecture at Physiotherapy 2013, in which she urged physios to think creatively, prompted the following comment: • I wholeheartedly agree – if an opportunity presents itself, grab it and work out the details later ... the future is then surprising rather than predictable.Angela Dainton

CSP experts give you regular updates on employment-related issues. Got an issue you’re worried about? Ask your steward/student rep or, if you don’t have one, contact the CSP.

iCSP

You can comment on articles from this issue of Frontline online. CSP members can log in at: www.csp.org.uk/frontline and then go to the ‘current issue’ section. You’ll also find icons to Facebook ‘like’ Frontline or tweet articles. Comments posted online may be printed in shortened form in the Talkback section of Frontline .

You’ve ADDeD...

6 November 2013

The number of patients waiting more than 24 hours for a physiotherapy assessment at Ulster Hospital, Dundonald, Northern Ireland, has been dramatically cut by an award-winning ‘seven-day working’ pilot.

The pilot project saw the amount of patients waiting more than a day fall from 22 per cent to seven per cent.

The scheme, which ran from

December 2012 to March 2013, is being reintroduced as a full service.

It won the multidisciplinary working award at the inaugural Northern Ireland Allied Health Professionals conference on 23 October.

According to Jane Davidson, clinical lead for physiotherapy services at the hospital, seven-day working by an interdisciplinary team on the

medical wards bene� ted both patients and sta� .

‘A big bene� t was our ability to respond to weekend admissions, rather than people coming in late Friday and having to wait until Monday for their � rst assessment,’ said Ms Davidson.

‘So there was no pile of new referrals on a Monday and I think it created a less stressful working life for sta� .’

The pilot was supervised by

Emer Hopkins, physiotherapy team lead, who supported sta� and liaised with clinicians on the medical wards.

It reduced the average length of time patients stayed in rehabilitation and medical beds from 48 to 38 days and improved communication between sta� and carers.

‘I honestly feel that all services should be seven days for patients,’ said Bridie McKeating,

8 Frontline

A physiotherapist has won an award for helping to save the life of a football fan who had a cardiac arrest at the end of a Premier League match.

Specialist neurophysiotherapist Karen Hull spotted that a spectator had collapsed after the referee blew the � nal whistle at Liverpool’s home game with Tottenham Hotspur in March.

A Spurs supporter from Hebden Bridge, West Yorkshire, Mrs Hull told Frontline that she teamed up with An� eld Stadium steward Dominic Monaghan to give 62-year-old Colin Albin cardiopulmonary resuscitation (CPR).

They continued giving CPR until the arrival of Liverpool’s medical team, who applied � ve shocks on Mr Albin using a de� brillator before his heart re-started.

Mr Albin was then transferred to

the Royal Liverpool University Hospital, where he remained in a coma for two days before regaining consciousness.

At a ceremony at An� eld last month, Mrs Hull and Mr Monaghan were given resuscitation certi� cates by the Liverpool Shipwreck and Humane Society.

The charitable society dates back to 1839. Its awards recognise acts of heroism related to saving, or attempting to save, human life.

Mr Albin, who also attended the awards presentation, said: ‘It was great to meet up with the people who saved my life and thank them for what they did.

‘I’ve made a good recovery since leaving hospital, but without early CPR I could have had permanent brain damage.’Robert Millett

Win-win for patients and sta� in seven

Physiotherapist handed award for helping to save football fan’s life

(left to right) Ground steward Dominic Monaghan with Colin

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6 November 2013

to 1839. Its awards recognise acts of heroism related to saving, or attempting

Mr Albin, who also attended the awards presentation, said: ‘It was great to meet up with the people who saved my life and thank them for what they did.

‘I’ve made a good recovery since leaving hospital, but without early CPR I could have had permanent brain

Frontline ww csp.org.uk SOMETHING TO ADD?...go to www.csp.org.uk/icsp

news 9

The CSP has welcomed Paul Gray’s appointment as director general of health and social care and chief executive of NHS Scotland.

Currently the Scottish Government’s director general for governance and communities, Mr Gray takes up his posts next month. He replaces Derek Feeley, who left the Scottish Government in July.

Mr Gray said: ‘I’m looking forward to working with a range of people across the public sector and beyond in tackling Scotland’s public health challenges, with a particular focus on tackling health inequalities.

‘It is a crucial time as we drive forward greater health and social care integration, and improvements to the quality of care, while maintaining high standards of performance and delivery.’

Kenryck Lloyd-Jones, CSP policy o� cer for Scotland, said: ‘The NHS in Scotland faces a number of real challenges in the

coming years, not least the task of reducing hospital admissions, increasing prevention and delivering safe e� ective and person centred care closer to where it is needed. In addition there is the policy to better integrate health and social care provision and to meet the national outcomes.

‘Physiotherapists are a very large part of the solution to these demands and we look forward to working with Mr Gray to deliver

the priorities for patients and service users.’

-day assessment

CSP sets out wish list to new Scottish health chief

PHYSIO MAKES WAVES WITH INJURED TROOPSSomerset physiotherapist Anna Chesterman set sail aboard a tall ship on 27 October when she aims to support two fellow sailors. Both are British Army ri� emen severely injured in action. Speaking about her 10 day trip along the coast of New Zealand from Auckland to Wellington, she said: ‘This is an exciting opportunity to help these guys achieve their potential on this voyage.’

Physiotherapists took centre stage at the Nursing Times Awards ceremony at the Grosvenor Hotel in central London on 30 October.

The ‘Team of the Year’ award went to the Olympic and Paralympic Games 2012 medical services team, part of the London Organising Committee of the Olympic and Paralympic Games (LOGOG).

The judges declared that the team – including CSP member Lynn Booth – played a crucial role in ensuring the Games were safe and well run, and by doing so had ‘demonstrated how fantastic the NHS and healthcare is in the UK’.

Meanwhile specialist physiotherapist Helen Je� ord won the respiratory category at the prestigious annual nursing event.

Mrs Je� ord works for an Oxleas NHS Foundation Trust community chronic obstructive pulmonary disease team and helped develop and run an educational and exercise programme for inmates at Maidstone Prison in Kent who had respiratory problems.

The pilot project was run by Mrs Je� ord and prison healthcare nurse Nina Turner, (pictured to Mrs Je� ord’s right). Prison � tness instructor Ian Watson, who also worked on the programme, stands to Mrs Je� ord’s left. She paid tribute to Miss Turner’s e� orts in ‘driving forward’ the programme and said she had been described as a ‘rising star in the nursing world’ on the night.

physiotherapy lead for the trust.‘There was a huge impact

on relatives, in that they had an opportunity to speak with sta� – and sta� had an opportunity to speak with carers.’

Ms McKeating added that it is important to use resources e� ectively, to enhance treatment for patients and promote early discharges.

CSP senior negotiating o� cer Claire Ronald said:

‘We’re really pleased to see physiotherapy winning this award. However, it is important when seven day or extended working is being proposed that there is full and appropriate engagement with sta� and the union and that these developments are appropriately resourced.’

See: www.csp.org.uk/publications/sevendayGill Hitchcock

Physiotherapy in the spotlight at major nursing awards event

Frontline ww csp.org.ukFrontline ww csp.org.ukFrontline

in Scotland faces a number of real challenges in the coming years, not least the task of reducing hospital

admissions, increasing prevention and delivering safe e� ective and person centred care closer to where it is needed. In addition there is the policy to better integrate health and social care provision and to meet the national outcomes.

‘Physiotherapists are a very large part of the solution to these demands and we look forward to working with Mr Gray to deliver

the priorities for patients and service users.’

New NHS Scotland chief, Paul Gray

Big night out for award winning physio Helen Je� ord (centre)

6 November 2013

Physiotherapists have a vital role to play in preventing the UK’s high rate of osteoporosis-related fractures, which are highlighted in a National Osteoporosis Society campaign about bone health.

Launching the Stop at One campaign last month, the charity said three million people in the UK have osteoporosis and there are approximately 300,000 bone fragility fractures each year.

Steve Tolan, a CSP professional adviser, said: ‘People in the UK aged over 50 have high rates of disability and mortality as a result of falls.

‘But physiotherapists have a key role in preventing fractures related to bone fragility by promoting exercise, particularly weight bearing activity.’

Research by the National Osteoporosis Society shows the UK cost of hospital and social care for osteoporosis-related hip

fractures alone amounts to £6 million a day.According to the charity’s � ndings, one in

� ve women do not receive an osteoporosis diagnosis until after three or more bones have been fractured.

Additionally, after � rst experiencing a fracture, one in eight of those a� ected with osteoporosis will go on to break another bone within a year.

Claire Severgnini, chief executive of the

10 Frontline

Physiotherapists could be on new independent medical panels for whiplash- related insurance claims, according to a new government report.

The Ministry of Justice has announced a package of measures designed to tackle fraudulent whiplash claims and reduce the cost of motor insurance in England and Wales.

These include the introduction of independent medical panels which will ‘support better diagnosis of possible whiplash injuries’ and provide objective, impartial advice to courts. Medical practitioners will be accredited to sit on these panels as assessors.

The report, which is a response to a consultation held earlier this year and the

transport select committee’s inquiry into the issue, stipulates that:

‘Accreditation should be open to all suitable practitioners.’

It also states: ‘We have no plans to limit accreditation to doctors.’

CSP head of public a� airs and policy Donna Castle said: ‘This is a great result for the CSP and physiotherapy.

Physios are given go-ahead on whipl

Physiotherapists should be commissioned to examine patients involved in whiplash compensation cases, and not GPs, an orthopaedic surgeon told a whiplash seminar organised by the Medico Legal Association of Chartered Physiotherapists.

Andrew Quaile, a director of Beacon Independent Medical Examiners, said physiotherapists are the best healthcare professionals to provide medico-legal reports in whiplash cases because they

have the appropriate training and experience.

GPs get ‘four weeks training at medical school’ in musculoskeletal injuries, whereas physiotherapists are trained speci� cally in this � eld, he said.

‘Physiotherapists should do examinations, not GPs, because we need to get the report right and get it done quickly,’ he said.

Barrister Andrew Ritchie, who is also vice chairman of the Personal Injuries Bar Association, told the seminar last

month in London that physios providing medico-legal reports should acknowledge that other healthcare professionals may not share their views.

‘Experts will always have a range of opinions and it is good to say from the outset, both to insurance companies and to the courts, that there is a range of opinion and this is where your opinion sits,’ he said.

‘That way you set yourself up as impartial.’Graham Clews

Seminar supports physio role in whiplash cases

Physios key to preventing 300,000 annual osteoporosis

Frontline – www.csp.org.uk

news 11

The CSP has welcomed the Treasury’s revised Fair Deal guidance giving health service sta� the right to remain in the NHS pension scheme if they are transferred to private providers delivering NHS services.

The guidance, published last month, sets out standard practices which the NHS will follow. It is needed because the Transfer of Undertakings (Protection of Employment) Regulations 2006 (TUPE) do not apply to occupational pensions.

Caran Chamberlain, a CSP senior negotiating o� cer, said the guidance would not have been possible without industrial action taken by CSP and other health union members in November 2011, as well as the support of the TUC in negotiations.

‘We have been working hard with other

health unions to secure the new Fair Deal for pensions,’ she said.

Before the latest guidance, physiotherapists and other NHS sta� transferring into social enterprise companies delivering NHS services could stay in the NHS scheme only if the company applied for permission from the NHS pensions agency.

Independent providers had to o� er TUPE-transferred sta� a broadly comparable pension, while their NHS pensions were frozen.

‘This is an important advance for CSP members anxious about the impact on their pension of being transferred out of the NHS,’ said Ms Chamberlain.

The guidance applies not only to the NHS, but to central government departments, agencies, some maintained schools and other parts of the public sector where sta� are eligible to join a public service pension scheme.

Gary Delder� eld, head of public sector pensions at law � rm Eversheds, said that another major change is that private sector contractors will be able to participate in the NHS and civil service pension schemes for the � rst time.

‘Everyone is now waiting to � nd out the terms on which contractors will participate in

these schemes, as these have not yet been published,’ he said.

‘These terms will cover important issues such as

The CSP expects the NHS to issue its pensions guidance shortly and will

NHS pensions rights for outsourced sta� secured

‘CALM CHOICE’ WINS HEALTHCARE AWARDA stress management programme designed by physiotherapists has triumphed at the Laing and Buisson 2013 Independent Healthcare Awards. The Calm Choice has been run at Holly House Hospital in Essex since September 2012. It was developed by Anna Young, Robyn Silverton and Helen Cairney and won in the ‘Health Outcomes’ category. www.hollyhouse-hospital.co.uk

ash claims

‘The report clearly states that the medical assessment panels will not be restricted to doctors, leaving the door wide open for physiotherapists to get involved.’

The society submitted evidence to the Ministry of Justice’s initial consultation and gave written and oral evidence to the transport select committee, calling for increased physiotherapy involvement with whiplash cases.

The society has written to justice secretary Chris Grayling to urge him to ensure that physiotherapists are involved in the design and implementation of the new panels.

The proposals are due to be introduced in 2014. To view the report Reducing the number

and costs of whiplash claims: A Government response to consultation on arrangements concerning whiplash injuries in England and Wales, visit: https://consult.justice.gov.uk/digital-communications/reducing-number-cost-whiplash

To view the society’s clinical guidelines for the physiotherapy management of whiplash-associated disorder go to: www.csp.org.uk/publications/whiplashguidelinesRobert Millett

National Osteoporosis Society, said ‘The Stop at One campaign will encourage women to take a proactive approach by getting more information online and having the con� dence to speak to their doctor about a bone check.

‘When people are aware they have the condition, more steps can be taken to reduce unnecessary fractures.’ Gill Hitchcock

related breaks

– www.csp.org.uk

‘We have been working hard with other but to central government departments, agencies, some maintained schools and other parts of the public sector where sta� are eligible to join a public service pension scheme.

Gary Delder� eld, head of public sector pensions at law � rm Eversheds, said that another major change is that private sector contractors will be able to participate in the NHS and civil service pension schemes for the � rst time.

‘Everyone is now waiting to � nd out the terms on which contractors will participate in

these schemes, as these have not yet been published,’ he said.

‘These terms will cover important issues such as

contributions, exit debts and the need for security such as

bonds or guarantees. As ever, the devil will be in the detail.’

alert members when this is published. Gill Hitchcock

concerning whiplash injuries in England and https://consult.justice.gov.uk/

digital-communications/reducing-number-

To view the society’s clinical guidelines for the physiotherapy management of whiplash-associated disorder go

www.csp.org.uk/publications/

National Osteoporosis Society, said ‘The Stop at One campaign will encourage women to take a proactive approach by getting more information online and having the con� dence to speak to their doctor about a bone check.

‘When people are aware they have the condition, more steps can be taken to reduce

related breaks

SOMETHING TO ADD?...go to www.csp.org.uk/icsp

6 November 2013

An iPhone app designed for women who want to learn about pelvic � oor exercises has been downloaded more than 300 times since its launch on 21 September, according to Myra Robson, a physio

specialising in women’s health at Lewisham and Greenwich NHS Trust.

Known as Squeezy, the app was developed by the south east London trust in conjunction with digital innovations company Propagator and costs £2.99. It is available on Apple devices, although Ms Robson said the trust intends to

develop an Android version.The app contains advice

and information on how and when to exercise, plus links to relevant websites and details on how to access physiotherapy.

It has been designed especially for women who are being treated by a women’s health physiotherapist, and includes sections to enable women to con� gure the app to match their own exercise schedule

and reminders of when to exercise.

There is also an audiovisual guide to support women while exercising and a page to record which exercises they have completed, so that physios can monitor compliance at treatment sessions.

‘I really believe this app will support women and physiotherapists with the management of pelvic � oor dysfunction as well as

Squeezy aims to aid women with exercises prescribed by physios

An iPhone app designed for women who want to learn about pelvic � oor exercises has been downloaded more than 300 times since its launch on 21 September, according to Myra Robson, a physio

Squeezy aims to aid women with exercises prescribed by physios

An iPhone app designed for women who want to learn about pelvic � oor exercises has been downloaded more than 300 times since its launch on 21 September, according to Myra Robson, a physio

The CSP opposes the use of zero hours contracts when they allow employers to exploit sta� and avoid issuing them with permanent contracts.

The society was responding to a Department for Business, Innovation and Skills (BIS) consultation exercise,.

The CSP said that high-quality patient care depended on having committed, motivated sta� who felt secure in their jobs and had appropriate workplace rights.

It argued that the continued use of bank contracts was likely to drive some people out of the NHS.

The use of zero hours contracts by household-name � rms attracted widespread media coverage earlier this year, prompting

the BIS to launch its consultation.The CSP accepted that there was a long

tradition of NHS sta� taking on bank work to earn extra money,.

However, the society voiced concern that bank contracts were increasingly being used as the ‘standard way of starting employment within physiotherapy’.

Its response was in� uenced by members’ views on zero hours contracts and bank work, which they expressed by using a dedicated email box.

Members who had done bank work said they were denied support, appraisal and training; worked when sick; did not have holiday or time o� ; and found it hard to make � nancial plans.

On the positive side, some said bank work gave them greater � exibility, eased childcare issues and gave them a chance to gain physiotherapy experience.

The society told the BIS that it accepted that zero hours contracts suited some people.

Having bank sta� can be useful in some circumstances, such as short-term sta� absences or an unpredictable increase in workload, it noted.

But the CSP argued that when the government talks of zero hours work practices o� ering ‘� exibility’, the advantages for the employer vastly outweigh any bene� ts for the employee.Graham Clews

12 Frontline

Zero hours contracts must not erode workplace rights

OLYMPIC ROWER SPEAKS ABOUT BRAIN INJURYDouble Olympic rowing gold medallist James Cracknell will speak at the UK Acquired

Brain Injury Forum’s annual conference in London on 21 November. Mr Cracknell and his wife Beverley Turner, a broadcaster and journalist, will discuss the repercussions

of the brain injury Mr Cracknell received while cycling in the US in 2011.They will also present the forum’s awards for innovation and inspiration. www.ukabif.org.uk

OLYMPIC ROWER SPEAKS ABOUT BRAIN INJURYDouble Olympic rowing gold medallist James Cracknell will speak at the UK Acquired

Brain Injury Forum’s annual conference in London on 21 November. Mr Cracknell and his wife Beverley Turner, a broadcaster and journalist, will discuss the repercussions

of the brain injury Mr Cracknell received while cycling in the US in 2011.They will also www.ukabif.org.uk

NHS trust to develop Android version of pelvic exercise

12 Frontline

Zero hours contracts must not erode workplace rights

Frontline – www.csp.org.uk SOMETHING TO ADD?...go to www.csp.org.uk/icsp

news 13

Simon Stevens, former health adviser to Tony Blair, has been appointed as the next chief executive of NHS England.

He will take over from Sir David Nicholson on 1 April 2014.

Mr Stevens, 47, is currently working as the president of global health for American private healthcare � rm UnitedHealth.

He was an NHS manager before becoming a health adviser to the Labour government until 2004, during which time he was

instrumental in designing the NHS reforms set out in the NHS Plan.

The plan, launched in 2000, is credited with kick-starting a massive and sustained increase in NHS funding and in reducing

waiting times for treatment. Mr Stevens is returning to the

NHS at a very di� erent time. On taking on the mantle of NHS boss, he said: ‘The next � ve years are going to be extremely challenging for the NHS, but compassionate high quality care for all is as vital

as ever. It will be a privilege to lead NHS England – at a time when the stakes have never been higher – because I believe in the NHS, and because I believe that a broad new partnership of patients, carers, sta� and the public can together chart a successful future for our health service.’

Responding to the announcement, CSP chair of Council Sue Rees, said: ‘We are very much looking forward to working with Simon Stevens and promoting the role of physiotherapy and that we are well placed and familiar with delivering innovative practice.’Louise Hunt

Simon Stevens is new NHS England boss

Arthritis Research UK has awarded £850,000 to a team of physiotherapists and surgeons in Scotland in a bid to improve satisfaction rates among people who have had knee replacement surgery.

The team is led by Hamish Simpson, a professor of orthopaedics and trauma at the University of Edinburgh and an orthopaedic surgeon at Edinburgh Royal In� rmary. Professor Simpson’s team will conduct research into the bene� ts of providing intensive post-operative physiotherapy to people who are predicted to bene� t the most from it, according to Arthritis Research UK.

The study will attempt to highlight which patients are less likely to thrive following knee replacement surgery.

‘Sadly, a colossal 15,000 patients every year are not fully satis� ed a year after their operation, so there’s a great

need to identify these patients and determine what can be done to improve their outcome,’ said Professor Simpson.

‘Currently outpatient physiotherapy is not routine; often patients are given a home exercise package, but there isn’t usually any supervised physiotherapy provided on the NHS. We think if targeted intensive physiotherapy is shown to work, then it is deliverable on the NHS and could help a lot of people.’

Natalie Beswetherick, the CSP’s director of practice and development, welcomed the study. She said: ‘A key measure of success for a knee replacement relates to the patient’s improved quality of life. These studies will leave an important legacy if they identify new ways for the NHS to provide appropriate post-op rehabilitation.’Gill Hitchcock

Physios play part in £850,000 bid to improve outcomes after surgery

encouraging women to seek treatment,’ said Ms Robson.

Meanwhile, the CSP and the Royal College of Midwives have launched a joint project around pelvic � oor muscle exercises to reduce the incidence of incontinence following pregnancy and child birth.

The project aims to provide midwives with learning resources about pelvic � oor exercises and improve their knowledge and skills.Gill Hitchcock

15,000 UK patients each year have problems after knee replacement surgery A

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6 November 2013

The rules of anatomy should be rewritten to take into account actual experience of how the body functions, according to a leading anatomy specialist.

Quentin Fogg, the University of Glasgow’s William Hunter senior lecturer in anatomy, said that ‘known’ anatomy as taught for generations did not apply in practice.

Dr Fogg said physiotherapists knew what they found when they

were treating musculoskeletal problems, but this did not ‘match’ with traditional anatomy texts.

‘If you’re trying to make it   t, it’s like trying to jam a square peg into a round hole,’ he said.

Dr Fogg said, for example, that while traditional anatomy texts say that muscles attach to the bone, lots will attach to other tissues. In practice, he said, surgeons and physiotherapists knew this, but

would struggle to   t what they see with the tradition view.

Instead of trying to   t what we   nd into what is ‘known’, we should use what is found in practice to build an evidence-based anatomy that is both reproducible (in laboratory models, for example) and quanti  able.

Physiotherapists could help this process by telling anatomists about what they found in practice so that

a fuller picture could be drawn up, Dr Fogg added.

‘We need a new anatomy – a better road map of anatomy,’ he said.

Earlier the conference heard from Antonio Stecco, an expert in soft tissue at the University of Padua. Dr Stecco warned against assuming that the site of pain was the origin of the problem, and said the super  cial and deep fascia could be implicated in di� erent ways.

14 Frontline

Rewrite anatomy rules, delegates told

A leading sports and exercise specialist has poured cold water on the idea that some ethnic groups are genetically disadvantaged when it comes to running.

Yannis Pitsalidis, profes sor of sport and exercise science at the University of Brighton, said there was no evidence that genes accounted for the superior performance of runners from Jamaica and east African nations.

Professor Pitsalidis acknowledged that

Jamaicans in particular had a phenomenal record as world-beating runners, from Herb McKenley in the 1950s, to Usain Bolt today.

‘Although some genes have been discovered which have an e� ect on athletic performance, in practice there is no association between presence or absence of the genetic variation in top athletes,’ he said.

He suggested that other factors, such as environment and belief, could be at play.

US sports coach: look at everything afresh Physiotherapists and coaches must keep looking at everything afresh, rather than allowing ‘con  rmation bias’ to mislead them.

That’s the view of Vern Gambetta, a veteran US coach who is considered the ‘founding father’ of functional sports training.

The former coach of the Chicago White Sox baseball team, who has also coached a host of Olympic and world-class athletes, quoted the late baseball star Yogi Berra, who said ‘You can see a lot by watching’.

‘There’s a strong con  rmation bias in everything we do,’ Mr Gambetta said. ‘We miss what we don’t see. Sometimes it’s as simple as watching someone from all sides.’

He called on physiotherapists to help people with sport injuries by considering the whole body, and the brain, rather than just the site of the injury.

‘If it hurts, we look for where it hurts, and we rehab the hell out of that and leave the rest of it,’ he said.

‘You should rehab the body, not the injury.’He also said that coaches and physiotherapists

should put trust in the body to know what it’s doing in healing itself.

‘The body is smart – you should give it space,’ he said.

THE ASSOCIATION OF CHARTERED PHYSIOTHERAPISTS IN SPORTS AND EXERCISE MEDICINE CONFERENCE DREW BIG NAME SPEAKERS FOR AN EVENT IN GLASGOW LAST MONTH. JENNIFER TRUELAND REPORTS

A leading sports and exercise specialist has poured cold water on the idea that some

Jamaicans in particular had a phenomenal record as world-beating runners, from Herb

Belief makes Olympians, not genes

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SOMETHING TO ADD?...email us at [email protected]

Prison health 15

Frontline – www.csp.org.uk

Too few older prisoners are being assessed by physiotherapists, according to Janet Thomas, who chairs Agile, the CSP-endorsed professional network

for physios working with older people.She was commenting on Older prisoners, a

report published in September by MPs on the all-party justice committee. It points out that older prisoners are the fastest growing group in the prison population, with those aged over 60 growing by 120 per cent from 2002 to 2013. During the same period the number aged from 50 to 59 rose by 100 per cent.

‘Older prisoners should be able to access the same level of healthcare as older adults, but the report makes it plain that this access is at best patchy,’ said Ms Thomas.

‘It is worrying that access to medication may be limited. Some conditions, such as Parkinson’s, require careful timing of medications throughout the day - without this, symptoms may be signi� cantly worse.’

Ms Thomas welcomed the report’s acknowledgement that some prisoners appear to be receiving a physiotherapy assessment of their mobility needs.

‘It would appear that this often may not be the case even for quite frail older adults,’ she noted.

‘The recommendation that older prisoners should be assessed for their needs prior to allocation to prison is a commonsense idea. It would at least ensure that prisoners with the most access and mobility needs are not sent to older prisons which appear to be totally unsuitable for someone with a disability.

‘Similarly, the recommendation regarding assessment for health and social care needs is welcome, but the report is not clear about who would do this assessment and if this would require the skills of a physiotherapist or any other allied health professional.’

Stressing that the health and social care needs of older prisoners are not all the same, the MPs’ report notes: ‘It is broadly recognised that many prisoners have the biological characteristics of those who are 10 years older than them; they may have chronic health and mental health disorders as well as disabilities which, in the community, would be typical among those who are signi� cantly older. This is not the case amongst all older prisoners and there are many people who remain active and involved in the prison regime well into old age.’

Ms Thomas said a Frontline article had described how innovative programmes can help prisoners with long-term conditions, such as chronic obstructive pulmonary disease (‘No bar to treatment’, 19 June).

‘Perhaps this report highlights the need for this type of service to be mirrored to the older prison population with frailty and mobility problems. As with any older adult, regular physical activity is important for healthy ageing – a particular problem in a prison setting where access to engage in exercise and physical activity may be limited.

Ms Thomas added: ‘Physios are ideally placed to advise and create exercise programmes for individuals that can be carried on within a prison environment that targets one of the root causes of this accelerated ageing.’Ian A McMillan

More informationTo � nd out more about Agile, visit: http://agile.csp.org.ukTo download the report, visit: www.publications.parliament.uk/pa/cm201314/cmselect/cmjust/89/89.pdf

OLDER PRISONERS MAY BE MISSING OUT ON PHYSIOTHERAPY ASSESSMENTS

6 November 2013

It’s a long way from Birmingham to Kandahar in Afghanistan, but that is just one of the remarkable journeys Yorkshireman Antony Duttine has taken during his physiotherapy

career. Mr Duttine is currently a technical adviser in

global health for Handicap International, based in Washington – DC not Tyne and Wear - which is also a long way from his home town of Ilkley.

After graduating in physiotherapy from the University of Southampton, he practised at Birmingham’s Moseley Hall Hospital’s brain injury rehabilitation centre.

So why the wanderlust? ‘I had travelled, as a lot of people do in gap years or backpacking. I enjoyed overseas culture, but I wanted to be part of a new culture and community, not just visit,’ he responds.

His first step was an application to Voluntary Services Overseas (VSO). With his physio

background and five years’ experience with an NHS community rehabilitation team in Cheltenham behind him, Mr Duttine was accepted and in 2006 VSO posted him more than 7,000 miles away in Namibia.

The British physio spent the following two years working for the southern African republic’s ministry of health in areas heavily affected by HIV, AIDS, tuberculosis and malaria. Facing very different healthcare challenges from those in the NHS, it was a steep learning curve, Mr Duttine recalls.

‘There was quite a lot of adapting and I realised quite quickly that, although I’d spent five years building up and polishing my skills in a UK health system, it’s quite different from the skills you need in a much less-resourced setting with very different health challenges,’ he says.

‘I realised that I needed to do a lot of learning,

call on a lot of support. You are thinking on your feet a lot more, and using a lot of more or your clinical reasoning skills.’

In a well-resourced health service such as the NHS, he explains, a patient with an extremely arthritic knee could be a candidate for replacement knee surgery. But in Namibia that option was rare and he focused on helping patients to manage their chronic condition.

One year into his Namibian life, Mr Duttine knew how much he enjoyed the challenge of learning about a different cultures and languages, and opted to follow an Open University masters course in development management.

‘I realised that while I had the skills in physiotherapy, I really had limited knowledge about international development and development

Putting physiotherapy o

16 rehabilitation

Antony Duttine tells Gill HitcHcock wHy He’s DetermineD to rAise tHe profile of reHAb in His work witH An internAtionAl AGency

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Frontline – www.csp.org.uk

management,’ he reveals.Joining Handicap International (HI) in 2008 was a

‘natural step’ for Mr Duttine, and over the next two years he worked on its extensive rehabilitation programme in war-torn Afghanistan.

‘I started out looking at rehabilitation, by that I mean physiotherapy work but also work in prosthetics and orthotics in Herat and Kandahar,’ he explains.

‘But during my time there I became the broader technical coordinator for our programme, which meant stepping away from rehab a little bit and also doing things like programmes in inclusive education, disability rights and land mine risk education.

‘So that was a big learning experience as well, seeing where rehab fits into a much broader social construct that disability is.’

Since joining HI’s Washington DC office in February 2012, Mr Duttine has focused on raising the profile of rehabilitation and long-term care, often seen as unaffordable luxuries.

A key part of Mr Duttine’s role is to join aid networks and raise awareness about the power of rehabilitation.

When HI delivered rehabilitation services in Haiti after

the 2010 earthquake, for example, it found the people coming forward were not only victims of the disaster, but patients with stroke and children with cerebral palsy. He notes that many of those people need long-term physiotherapy, and not just a service established for the duration of an emergency.

Indeed, Mr Duttine emphasised this point at last month’s international allied health professions event in Edinburgh (‘‘Seize the moment’ and press for rehab services, speaker urges’, Frontline, page 17, 23 October).

Asked for advice for British physios with a yen to work internationally, Mr Duttine recommends the CSP’s ADAPT (Chartered Physiotherapists in International Health and Development) network as a first port of call.

‘ADAPT can help to identify organisations looking to do voluntary work overseas, or building up your portfolio and getting experience. The next step is VSO and potentially HI, although it tends to take people who already have international experience.’

Mr Duttine’s current ‘big push’ is trying to influence the UN’s post-Millennium Development Goals: ‘The challenge is showing how rehabilitation can improve quality of life and is a cost effective strategy,’ he adds. fl

Handicap international

Handicap International is a non-governmental organisation that was set up in 1982 to provide help in refugee camps in Cambodia and Thailand.

It works alongside people with disabilities and vulnerable populations in situations of poverty and exclusion, conflict and disaster.

The charity aims to take action and raise awareness in response to essential needs; improve living conditions and promote respect for dignity and fundamental rights.

Nobel Peace PrizeIn 1997 Handicap International was a co-recipient of the Nobel Peace Prize, as a founding member of the International Campaign to Ban Landmines. FundingThe charity relies on two main sources of funding: donations, private solidarity sponsorship, legacies and sales of craft, fair trade and co-branded products; and grants from public bodies, including the EU and UN and private bodies, such as foundations and companies.

Further InformationTo find out more about ADAPT, visit: http://adapt.csp.org.uk

To find out more about HI, visit: www.handicap-international.org.uk

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18 Physio findings

PHYSIO FINDINGS...email [email protected] 6 November 2013

IN OUR REGULAR COLUMN ON RESEARCH THAT’S RELEVANT TO PHYSIOTHERAPISTS, JANET WRIGHT LOOKS AT THE LATEST CLINICAL FINDINGS

Looking at the di� erent factors associated with shoulder pain that clears up or comes back could reduce patients’ risk of long-term pain, say Australian researchers.

The team used data from 2,337 participants in the North West Adelaide Health Study, who took part in telephone interviews, had clinical assessments and � lled in questionnaires.

The 14.6 per cent who had experienced shoulder pain in the past few years were likely to do more heavy work than average, and to have pain in other joints.

Knowing if a patient is likely to need a walking aid after hip replacement could help physios tailor their rehabilitation programmes.

Japanese researchers set out to see if patients’ walking ability could be predicted, and have reported their � ndings in the journal Physiotherapy.

They assessed 88 patients, 51 of whom could walk unaided six months after their hip replacement while 37 walked with the help of a stick. The patients ranged in age from 35 to 80 years old, with an average of about 60.

Six months after surgery, the team found that older patients were more likely to need a walking aid. But a bigger factor turned out to be lack of strength in the leg muscles, as measured by tests showing speci� c cut-o� points.

‘This information may allow patients to set appropriate goals for their rehabilitation,’ say the authors, who suggest that a programme of gradual loading training could be helpful.

They noted that other factors may also play a role, such as use of walking aids before the operation,

other health conditions, postural stability and strength in the patient’s other side. More research is needed, they conclude. Nankaku M et al. Factors associated with ambulatory status 6 months after total hip arthroplasty Physiotherapy 2013; doi:10.1016/j.physio.2013.06.004

CSP members can access Physiotherapy free via www.csp.org.uk/journal

What makes shoulde

Tests predict who may need help with walking

ORTHOPAEDIC

High intensity helps

19

NEUROLOGY

Incomplete spinal-cord injury, in which the spine is damaged but not broken, leaves people with varying levels of feeling and mobility.

Carrying out muscle-contracting exercises at maximum intensity can lead to temporary increases in patients’ strength.

A research team led by physiotherapist Arun Jayaraman focused on   ve people who had been living with incomplete spinal-cord injury for at least a year.

The volunteers each completed two four-week programmes: one of progressive and one of maximal-intensity resistance training.

Tests taken after the high-intensity programme showed that

the volunteers had gained in leg strength, balance and walking ability.

No such improvements were seen after the progressive resistance training, however.

The Chicago-based research team concluded that a simple short-term maximal-intensity training programme could help patients make rapid progress.Jayaraman A et al. Short-term maximal-intensity resistance training increases volitional function and strength in chronic incomplete spinal cord injury: A pilot study Journal of Neurologic Physical Therapy 2013; 37: 112-117, doi:10.1097/NPT.0b013e31828390a1

Pain in other joints was also associated with recurrent shoulder pain, reported by 8.8 per cent of participants. This group was also was more likely to smoke, and to have decreased movement and depressive symptoms.

The 8.7 per cent of respondents who said their shoulder pain had cleared up also had decreased shoulder movement and pain in other joints. They were also more likely to be female and have a stronger grip.

‘Consideration of all of these factors may assist in the prevention and management of shoulder pain and the possible identi  cation of those at risk of long-term shoulder problems,’ say the authors.Gill TK et al. Shoulder pain in the community. An examination of associative factors using a longitudinal cohort study Arthritis Care & Research 2013; doi:10.1002/acr.22082

Frontline www.csp.org.uk

r pain go or return?

Comments & Conclusions • New guidelines for controlling blood pressure include a greater emphasis on healthy lifestyle and increasing use of home monitoring, along with advice for doctors. Mancia G et al. European Heart Journal 2013; 34: 2159-2219, doi: 10.1093/eurheartj/eht151 • Smokers are less likely than average, and obese patients are more l kely, to have hip or knee replacement surgery, analysis of 54,288 Australians’ records has shown. Mnatzaganian G et al. BMC Musculoskeletal Disorders 2013; 14: 262, doi:10.1186/1471-2474-14-262 • Ethnic di� erences in healthy heart shape mean that 10 times more black than white athletes are likely to be misdiagnosed with a heart condition and may be mistakenly warned to give up sport, say researchers. Zaidi A et al. Circulation 2013; 127: 1783-1792, doi:10.1161/CIRCULATIONAHA.112.000270 • Sitting for four hours a day increases the risk of cardiovascular disease and diabetes among men and women of all races. The e� ects are especially clear among poorer people and those taking no exercise, say researchers who studied the health records of 4,560 adults. Staiano AE et al. British Journal of Sports Medicine 2013; doi:10.1136/bjsports-2012-091896

Comments & Conclusions

European Heart 2013; 34: 2159-2219, doi: 10.1093/

Smokers are less likely than average, and obese patients are more l kely, to have hip or knee

CSP

P• Has your steward gone the extra mile for you and other CSP members?• Has your safety rep made your work environment a safer place? • Has your rep supported you with a problem at work or university?

There are prizes in the following categories:

• Steward of the Year • Safety Rep of the Year • Student Rep of the Year

PPPP•• Has your•• Has your•• Has your

There are prizes in the following categories:

•• Steward of the YearSteward of the Year•• Safety Rep of the YearSafety Rep of the Year•• Student Rep of the YearStudent Rep of the Year

YearRep

of theDoes your rep deserve special recognition? Why not nominate them in the Rep of the Year Awards?

Complete the nomination form online at www.csp.org.uk/repoftheyear where you can fi nd the full terms and conditions.

It’s never been more important to have a voice at work! Nominate your rep today and they could win a £100 prize in a special ceremony at the 2014 Annual Representatives Conference. But be quick: nom nations are open only until 26 November 2013.

6 November 2013

Education is the global ke

22 Frontline

VIEWS & OPINIONSin perspective

Help at handPhysiotherapists who quali� ed overseas face an uphill battle to � nd work in the NHS or other settings in the UK. Although many UK-quali� ed physios face their own struggles, the situation for the overseas quali� ed is exacerbated by the fact that they may have to undergo a period of adaptation required for Health and Care Professions Council registration and many jobs require applicants to have prior experience of the NHS.

Despite this, there are sources of support for overseas-quali� ed members. A recent CSP Black and Minority Ethnic (BME) Network event for overseas-quali� ed physios provided a setting whereby creative solutions to the current squeeze on jobs were discussed in depth by more than 40 physios who quali� ed in a range of African, Asian, South American and European countries.

The CSP’s resources include two information papers titled Working in the UK and Survival guide in obtaining your rst physiotherapy post. It also o� ers professional advice on topics related to the profession, access to professional networks (for physios working in palliative care and older people, for example). Other networking opportunities include the iCSP network, regional networks and Physiotherapy UK, access to the jobs escalator on the CSP website and the Continuing Professional Development ePortfolio tool, Pebble Pad 3.

Both the BME Network and the Overseas-Quali� ed member iCSP Network support members. the latter includes access to an online discussion forum holding information for overseas-quali� ed physios.

I urge all overseas-quali� ed members to join these networks.

advice line

All physios know, in whatever country they work, that education

s at the core of our professional reputation and achievement. But how do we reconcile that with the fact that, globally, our education is quite diverse? Any physiotherapist who has looked for work abroad knows that just because you are quali� ed to practise in one country, doesn’t mean you are quali� ed to do so in another.

In the UK, the requirement is a phy iotherapy degree (three- or four-year for

undergraduates) o� ered by a British university. It’s not necessarily the same elsewhere. While most European countries have similar requirements, some, such as Bulgaria, the Czech Republic, Estonia and Serbia, have a three- or four-year diploma.

Australia, Canada, New Zealand and the United States are among the countries that, like the UK, have three to four-year degree courses (in the US it leads to a doctor of physical therapy quali� cation). But there are signi� cant variations. In Asia, for example, Indonesia and Malaysia have diplomas, whereas South Korea and Taiwan have four-year degrees. In South America, Chile and Venezuela have three- to

four-year diplomas, whereas Uruguay has a � ve-year degree.

And in Africa, there is a diploma in Kenya, a four-year degree in Ghana and a four-year degree plus one-year internship in Nigeria.

These variations are not simply random. This is because the profession practises according to the speci� c circumstances of that country, and the educational system and regulatory systems evolve in a national environment. It is unrealistic to say that the means of quali� cation of any one country should apply everywhere.

What we can do, however, is ensure that there are educational standards for all systems of quali� cation to aspire

Pramod Selkar outlines some of the guidan support that the CSP o ers to physios who

All physios know, in whatever country they work, that education

s at the core of our professional reputation and achievement. But how do we reconcile that with the fact that, globally, our education is quite diverse? Any physiotherapist who has looked for work abroad knows that just because you are quali� ed to practise in one country, doesn’t mean you are quali� ed to do so in another.

In the UK, the requirement is a physiotherapy degree (three- or four-year for

frontline – www.csp.org.uk

y

23

Got somethinG to say?We encourage members to contribute to these pages. For information see the guidelines at: www.csp.org.uk/frontlineideas or email: [email protected] views expressed here are not necessarily those of the CSP

Each year about 650,000 people turn 65 and the number of people aged 60-plus is projected to rise by nearly 50 per cent in the next 25 years. The fact that people are living longer is a cause for real celebration but also brings new challenges. Age UK is working tirelessly to improve later life for everyone in all sorts of ways. Our range of services supports and empowers people to stay independent, keep well and make informed choices to help them lead fulfilling lives.

Older people face many barriers as they age: societal attitudes and presumed frailty to name a couple. True, older people are more at risk as they age – especially of falls. But falls aren’t an inevitable part of getting older. National Institute for Health and Care Excellence guidelines indicate what should be done to help prevent falls but the national audits tell us that the interventions are not delivering the expected results.

Age UK is running a three-year falls prevention exercise programme called ‘Get up and Go’. The programme aims to demonstrate the resources required to run effective falls prevention exercise services in community, gym-based and care home settings. It promotes the benefits of these services to older people, organisations and institutions. The lessons learned through implementing these new approaches will be widely shared. ‘Get up and Go’ offers at least 50 hours of evidence-based strength and balance exercise delivered by qualified instructors to older people who are either at risk of falling or who have suffered a fall. Working in partnership with Professor Dawn Skelton, funded by the Headley and Mulberry trusts, we have clear evidence that older people are benefiting from the programme.

‘Get up and Go’ and Age UK’s annual Falls Awareness Week in June are practical examples of how the third sector can make a real difference, extending services into the community and working in collaboration with falls teams. For more information about Age UK’s falls prevention work, email: [email protected] or visit the professional section of the Age UK website at: www.ageuk.org.uk

David Richardson is programme manager, Age UK See also ‘Are you sitting comfortably’, page 24

Having qualified in India, I know what it’s like to start out as a new band 6 in the NHS. I have now progressed to being a physiotherapy service manager with responsibility for 100 staff. Networking with colleagues in other professions is crucial, I believe.

The CSP is setting up a mentoring scheme so that experienced overseas-qualified physios can advise and support newly-qualified overseas members. Contact CSP professional adviser Birgit Mueller-Winkler. Email: [email protected]

Pramod selkar is co-convenor, CSP BME Network, and MSK physiotherapy service manager, Kent Community Health NHS Trust

to and work towards, wherever they are in the world. That is exactly what the World Confederation for Physical Therapy (WCPT) has done. In 2007, for the first time, we issued a new set of guidelines designed to help assure the quality of physical therapy education worldwide. They expressed general expectations about standards for the award of qualifications at a given level and articulated attributes and capabilities that those possessing such qualifications should be able to demonstrate.

These guidelines, which are consistent with standards in the UK, have been updated and added

to (www.wcpt.org/education). They are in constant demand. As a result of their widespread use, there has been growing adherence to an internationally accepted standard, and we hope that this process will accelerate. The result will be a profession with more global coherence and authority.

The goal of achieving common standards and expectations in education all around the world is achievable. We can have international coherence while allowing diversity.

tracy Bury is director of professional policy, WCPT

David Richardson outlines how Age UK is helping to support the growing number of older people in the country

Get up and go

ce and sources of qualified overseas

Though physical therapists’ education is not uniform, Tracy Bury argues that setting internationally-accepted standards is still possible

viewpoint

24 Postural care

6 November 2013

Are you sitting comfortably?

ROBERT MILLETT MEETS A GROUP OF PHYSIOTHERAPISTS WHO ARE DETERMINED TO IMPROVE WORKERS’ POSTURAL CARE SKILLS

Mich

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Frontline – www.csp.org.uk

25

P

hysiotherapists often witness the detrimental e� ects on older or relatively immobile patients who have been poorly moved or badly positioned.

The cause is not usually neglect, but rather a lack of adequate knowledge. Healthcare assistants usually do their best to move and position people safely and securely – but they frequently lack awareness of the importance of postural care.

With this in mind a group of volunteers, known as the Physiotherapists Care Skills Group, is seeking to improve the skills of carers.

The group consists of 17 physiotherapists from the Leeds and West Yorkshire area. They come from a variety of physiotherapy backgrounds, with members including a university professor, a specialist in learning disabilities and a superintendent physio.

The common strand is that all of them have witnessed examples of poor postural care. Additionally, they share a belief that there are viable ways to improve carers’ skills and so boost the wellbeing of service users.

For the past two years the group has met every month in Leeds, at the private practice of Jill Fisher, a specialist neurophysiotherapist who founded and now chairs the group.

The group started after Mrs Fisher gave a ta k to Yorkshire members of the Association of Chartered Physiotherapists in Neurology.

‘We formed because, as physiotherapists, we know how a lack of appropriate care can lead to reduced health, wellbeing and independence,’ says Mrs Fisher.

The members also bonded, she notes, over their shared desire to promote dignity and person-centred care, and by doing so improve patients’ activity and independence.

Together they have been working to develop an educational resource for nursing and care sta� , with the aim of ensuring that postural and movement opportunities are improved.

‘We thought we would put together a training package that would make it easier for physios to increase awareness among the sta� and managers of care services,’ says Mrs Fisher.

‘We want to help them realise how important it is to carefully consider people’s postural management and how they can promote activity,’ Mrs Fisher explains.

As a result some members of the group have quali� ed as trainers in the adult education sector.

Others, meanwhile, have been conducting research and liaising with experts in the � eld. The group has also bene� ted from having various guests at their meetings, included an occupational therapist, a Care Quality Commission inspector and a local authority o� cer. >

26 Postural careFEEDBACK FROM THE PILOT COURSEComments from participants, who were interviewed within four weeks of completing the course, included:

‘It’s good because it’s more comfortable for them [the residents] and we’re explaining what we’re going to do and we’re suggesting that we help them so we’re not just like taking over.‘(Talking about how a particular resident had bene� ted)

‘I’ve tried to encourage the sta� to try and sit him up even if it’s just a bit but now he sits up straight up in bed and he eats and he doesn’t choke anymore ... he enjoys his meals a lot better now.‘

‘The way I was moving people I was constantly in pain ... but I haven’t been in pain since, it’s really helped.’

‘For me the awareness brings a responsibility ... I have a responsi-bility to these people to make sure they are in the best position they should be each night.’

imply blame or focus on past mistakes.‘The training aims to build and develop around what

works rather than focusing on gaps and inadequacies,’ says Mrs Fisher.

‘It’s also important to respect their knowledge base. So we are not just lecturing and saying “this is what you do”. Instead we are giving background information and drawing out ideas from them about the best way to do things – and then reinforcing that.’

The course has been structured to develop improved handling skills and e� ectively communicate the principles of person-centred care.

Practical techniques are combined with interpersonal skills, designed to encourage a sense of collaboration between care sta� and their clients.

‘For example, very typically when someone is turned over in bed the carers will do a log roll – just keeping the person in a straight line and pulling them over,’ says Mrs Fisher.

‘But if they know how to assist them to bend their legs, rotate them from their lower body, and just say “can I help you turn over?” then the person will join in.’

‘The way I was moving people I was constantly in pain ... but I haven’t been in pain since, it’s really helped.’

‘For me the awareness brings a responsibility ... I have a responsi-bility to these people to make sure they are in the best position they should be each night.’

‘The training aims to build and develop around what works rather than focusing on gaps and inadequacies,’

‘It’s also important to respect their knowledge base. So we are not just lecturing and saying “this is what you do”. Instead we are giving background information and drawing out ideas from them about the best way to do

The course has been structured to develop improved handling skills and e� ectively communicate the principles

Practical techniques are combined with interpersonal skills, designed to encourage a sense of collaboration

‘For example, very typically when someone is turned over in bed the carers will do a log roll – just keeping the person in a straight line and pulling them over,’ says Mrs

‘But if they know how to assist them to bend their legs, rotate them from their lower body, and just say “can I help you turn over?” then the person will join in.’

Drivers for changeMrs Fisher explains that poor sitting and bad positioning can potentially lead to discomfort, restricted function, tight muscles, choking and respiratory problems. But awareness of these associated health problems is not common among care sta� .

‘People without disabilities often slouch or sit awkwardly in chairs,’ says Mrs Fisher.

‘So it’s not immediately apparent to carers that someone who can’t move or re-position themselves may su� er damage.’

The fact that postural care is so often overlooked is highlighted by the fact that many chairs in nursing homes are unsuitable. Mrs Fisher points out that many nursing homes look very neat, with matching chairs of equal sizes. But the uniformity of the furniture betrays a lack of postural awareness, as people are all di� erent and a ‘one size � ts all’ approach inevitably leads to some residents experiencing problems.

Karen Hull, a specialist neurophysiotherapist and a key member of the group, has developed a poster presentation about the group and their work, which she presented at last month’s Physiotherapy UK conference.

Mrs Hull recently attended a Department of Health consultation event on improving care for vulnerable older people, and she says the aims of the group are well aligned with the current priorities of policymakers.

‘The work we are doing really feeds into a preventive healthcare agenda, and patients in care homes are some of the most vulnerable in society,’ says Mrs Hull.

Mrs Fisher agrees and points out that there is an opportunity in the current health and political climate, post-Francis report and with frequent media coverage of healthcare inadequacies, to promote the bene� ts of improving the skills of healthcare assistants.

She says these include potential cost bene� ts, because carers with appropriate skills help the people they support to become more independent, and they therefore require less help. Costly medical problems, such as bed sores, could also be avoided.

‘Often I think care homes live up to their name, in that the carers and sta� really do want to care for the people, ‘says Mrs Fisher.

‘But we need to change that ethos to one where they want to enable people to be as active and independent as they would like to be – and really promote those opportunities for them.’

Promoting wellbeing The group’s training package will be available as a multimedia resource, for any interested physiotherapists to deliver.

It will include PowerPoint presentations, video clips, guidance notes and references to research supporting the evidence base.

‘We plan to make the training material freely available to therapists throughout the UK via the society’s member networking website iCSP,’ says Mrs Fisher.

The group hopes that physios will be able to take the package and adapt it to the particular needs of any group they wish to train.

The training is designed to be highly practical and involves demonstrations, role-plays and practice sessions in small groups.

Care has also been taken to ensure that the syllabus does not

6 November 2013

27

able to position people better in bed, and others noted that their clients were no longer crying out when they moved them.

‘The feedback we’ve got from people who did the course is absolutely tremendous,’ says Mrs Fisher.

‘They really appreciated it and now they feel they can do a better job for their clients.’

Sta� also commented that they had gained a better understanding of how to position tight, contracted limbs and that fewer of their clients were experiencing choking or swallowing problems.

Collectively, they also felt they had gained an increased awareness of how to appropriately encourage activity.

Mrs Hull says the follow-up evaluations clearly indicated that the training had succeeded in changing the working practices of the sta� involved.

‘Over the three weeks their con� dence grew and by the end of the course they were working with one another to improve the sitting positions of their clients,’ says Mrs Hull.

‘If this was mirrored in nursing homes across the UK, I’m con� dent that we would see a huge improvement in the lives of older people.’

Raising awarenessThe group is currently researching potential sources of funding, with the hope that the training might one day be commissioned by primary care trusts or social services.

They also hope they will be ble to increase both public and professional awareness of the need to improve postural care and implement good physical management.

n the � rst instance they aim to achieve this by attending care conferences, forging links with service managers, and

gaining publicity. There are also plans to liaise with carers and relatives, and groups of care home residents.

‘Hopefully we will be able to roll it out nationally – as it could equally apply to people in a hospital environment, or those who work in the communi y or within intermediate care,’ says Mrs Fisher.

‘Anyone who isn’t able to move themselves around is subject to these types of issue, and they should be managed by

people who understand how to position and move them well.’The group is currently writing up the results of

their pilot training course and will be making the results available, by request, in the next few months. �

SOMETHING TO ADD?...email us at [email protected]

The essential di� erence, Mrs Fisher says, is that the techniques taught on the course empower people to make choices and to have an opportunity, even if limited, ‘to do whatever they can do for themselves’.

‘This type of training is rarely provided for carers,’ she notes.‘It’s mandatory for healthcare sta� to receive some moving and

handling training, but that is mainly about keeping themselves safe rather than about how best to improve residents’ wellbeing.’

The group has recently delivered a seven-and-a-half hour pilot course of the training. This was taught in three separate sessions at Moor� eld Care Home in Leeds.

The training was provided free of charge and delivered on a weekly basis to 10 care sta� employed by the home.

After the course all the participants were invited to take part in interviews, conducted a few weeks after the training.

The results revealed that the sta� felt the course had enabled them to make people feel more comfortable. Participants reported that they were

improve the sitting positions of their clients,’ says Mrs Hull.‘If this was mirrored in nursing homes across the UK, I’m con� dent

that we would see a huge improvement in the lives of older people.’

Raising awarenessThe group is currently researching potential sources of funding, with the hope that the training might one day be commissioned by primary care trusts or social services.

They also hope they will be able to increase both public and professional awareness of the need to improve postural care and implement good physical management.

n the � rst instance they aim to achieve this by attending care conferences, forging links with service managers, and

gaining publicity. There are also plans to liaise with carers and relatives, and groups of care home residents.

‘Hopefully we will be able to roll it out nationally – as it could equally apply to people in a hospital environment, or those who work in the community or within intermediate care,’ says Mrs Fisher.

‘Anyone who isn’t able to move themselves around is subject to these types of issue, and they should be managed by

people who understand how to position and move them well.’The group is currently writing up the results of

their pilot training course and will be making the results available, by request, in the next few months.

SOMETHING TO ADD?...email us at

comfortable. Participants reported that they were

Practice makes perfect: care sta at a training session

FOR FURTHER INFORMATIONEmail: [email protected]

To � nd out more about the Association of Chartered Physiotherapists in Neurology, visit: www.csp.org.uk/professional-networks/acpin

www.csp.org.uk

A d v e r t i s e m e n t

Fire your stickmen!

Try Something New!(0)2032 [email protected] www.physiotec.co.uk

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it suits me.

When � rst asked to re� ect on the past 12 months as TUC president, to draw out the learning points for me personally and for the CSP, my � rst response was to think

‘hang on’. Wasn’t the whole point to contribute to the trade union movement, not to derive personal or organisational bene� ts?

Mulling it over, however, I changed tack. Yes, the nature of the role was clearly not a transactional one but that didn’t mean that there weren’t bene� ts – beyond the obvious ones of using opportunities to promote physiotherapy and the CSP, and to raise awareness about where the NHS seemed to be heading.

For example, on a personal level I would never have singled out chairing as one of my particular skills. One year on I feel I am up to anything on this score having chaired umpteen meetings and other events, big and

CPD 29

CSP DIRECTOR LESLEY MERCER REFLECTS ON HER YEAR AS TUC PRESIDENT, WHILE GWYN OWEN SUGGESTS HOW CSP MEMBERS MIGHT LEARN FROM LESLEY’S EXPERIENCE

>

When � rst asked to re� ect on the past 12 months as TUC president, to draw out the learning points for me personally and for the CSP, my � rst response was to think

‘hang on’. Wasn’t the whole point to contribute to the trade union movement, not to derive personal or organisational bene� ts?

Mulling it over, however, I changed tack. Yes, the nature of the role was clearly not a transactional one but that didn’t mean that there weren’t bene� ts – beyond the obvious ones of using opportunities to promote physiotherapy and the CSP, and to raise awareness about where the NHS seemed to be heading.

For example, on a personal level I would never have singled out chairing as one of my particular skills. One year on I feel I am up to anything on this score having chaired umpteen meetings and other events, big and

CSP DIRECTOR REFLECTS ON HER YEAR AS TUC PRESIDENT, WHILE GWYN OWEN SUGGESTS HOW CSP MEMBERS MIGHT LEARN FROM LESLEY’S EXPERIENCE

6 November 2913

small, as well as the four-day annual TUC congress. I have learnt how to go with the � ow of a meeting and keep calm if the discussions don’t go to plan. I understand better the role of a chair in setting the tone, trying to lighten the mood if it is descending into gloom and subtly getting it back on track if things are getting too informal. I also have more insight into how to how to show support for senior o� cers, an important job for a chair, without compromising my independence or losing the respect of others present.

The ‘imposter syndrome’Like many women taking on a new and demanding role, voluntary or paid, I’ve had to quell feelings of ‘imposter syndrome’ – the inner voice that says, deep down, we are ‘not really up to it’. My technique has been to acknowledge the feeling and then tell myself sternly that I am quali� ed for the job and I will do it well, in my own way. Even if it means putting in a bit more preparation time to give me extra con� dence. The positive feedback I have received from CSP members, work colleagues and other unions has really helped too. It may be part of the job and training, but physiotherapy sta� are great at giving encouragement. And it rubs o� . Having been on the receiving end so often, I know I now take more time to give positive feedback to others.

One thing you cannot avoid: taking on a signi� cant additional role generally means working more hours, less personal time, and more juggling between the two. I have had

the support of both the CSP and my partner to help me with my TUC role. But an unexpected bonus has been that far from feeling more tired, I’ve mostly found I’ve had more energy. I think this stems from the challenge of a new role and being taken out of your own personal comfort zone, but for me it’s also been down to the feeling that I was making an extra di� erence – on top of the ‘day job’.

Public speaking holds few terrors for me now, whatever the setting. Hecklers complete with megaphones? No problem. Although I still get anxious, I think all the best speakers are nervous and there is something rather dodgy about people who aren’t. Having coached others in public speaking, I believe it’s a skill everyone can develop, providing they have a real story to tell that’s worth listening to.

A � nal learning point for me personally has been the need to see the wider picture. It’s a point I stressed when I delivered a lecture on ‘in� uencing’ at last month’s CSP’s Physiotherapy UK conference. It’s very human and all too easy to get into the habit of concentrating so hard on your own piece of the jigsaw that you forget about the picture as a whole.

Back in September 2012 when I was � rst elected, I thought I was reasonably up-to-speed with what was going on in the wider world of economics, social a� airs and industrial relations. I was soon disabused. I realised I had much more reading and thinking to do if I was going to hold my own and be seen as a serious player. So I tried to do this and also to pass the bene� t back to CSP members through my regular

30 CPD

‘PUBLIC SPEAKING HOLDS FEW TERRORS

FOR ME NOW, WHATEVER THE SETTING. HECKLERS

COMPLETE WITH MEGAPHONES? NO

PROBLEM‘

Lesley Mercer takes the stage

at a rally in Trafalgar Square

Stefano Cagnoni

Frontline – www.csp.org.uk

SOMETHING TO ADD?...email us at [email protected]

CSP professional adviser for continuing professional development Gwyn Owen comments:

What strikes me about this piece is Lesley’s passion for other people and her capacity for change. Her re� ections show how a willingness to give and value the contribution of others, combined with a vision of what’s possible, produce positive change and development for others, and for the individual concerned.

The process of helping others to change and develop creates opportunities for personal/professional change and

development. Lesley’s article shows how by being willing to take a chance and get involved – whether at the end of a megaphone, or through snatched conversations in corridors, not only do we help change others, but we can also learn through the process.

So, as Professor Emma Stokes told us at conference last month, seize the opportunity and ‘just say yes’!

Rather than waiting to be asked, why not look out for opportunities to get involved? For example, you could take a job-share to � ll that vacant CSP steward’s

role in your workplace, or buddy up with a peer to become a CSP learning champion.

If you’re keen to support change and development beyond your workplace, consider opportunities within the CSP’s English regional networks or country boards, and other CSP networks.

Whatever you do to get involved and make a di� erence, be sure to keep a log. Not only will that be evidence of your personal CPD, but it will also give you something that you could share with others – to help them learn from your experience.

blogs on the website. As with all blogs, they have re� ected my personal take on things around me and I have found it useful as a means of sifting through information and events as well as recording some of the highlights of my year in o� ce.

Nowadays blogging is just one way of passing on personal insight, and everyone has to � nd what works best for them. The important thing I feel is not keeping a good thought or learning experience to yourself but to make it available, as a choice, to others.

So if all this and more has been my personal learning curve, what about any learning for the CSP and members? Well, I believe much of what I have described above is transferable and I hope it at least some of it strikes a chord.

The voice of physiotherapyIn my view, physiotherapy voices need to be heard more and a key way of achieving this is by members taking on wider roles within both the health world and outside. Physiotherapists are lucky to have the starting skills and experience for doing this through their work, but the CSP has a responsibility to help too. For example by doing more to publicise what kind of roles are out there, building on existing training resources to equip members with the ‘softer’ skills of public speaking and in� uencing, extending our current networks of peers and mentors, and ensuring that members have the big picture information they need to be con� dent.

Championing the need for engagementWith people taking an increasingly individualised approach to life, I think society needs lots of citizens who can see their

lives and their jobs in a wider context and are prepared to chip in more to make things work better. Whether you are talking about the CSP, TUC, the World Confederation for Physical Therapy, or your local authority or health structure, the most successful organisations and societies are those with high levels of individual engagement. I believe the CSP and CSP members can and should be championing this cause.

Physiotherapy needs to celebrate is many successes. I have been struck as I have crisscrossed the UK speaking on behalf of the TUC just how many unsung good stories and heroes and heroines there are out there, in history as well as the present.

I feel each of us can do more to gather and harness these good stories to spread the learning and the inspiration they bring. For example, did you know that the infrastructure for the 2012 Olympic Games didn’t just deliver on time, but it did so without a single worker fatality and with the London living wage paid throughout? This is a tribute to e� ective joint working between the organisers, employers, the TUC and individual trade unions.

What about my own future, post-TUC presidency? As well as my job as CSP employment relations director, I have a year as TUC vice-president to complete. I plan to continue doing some guest blogging now that my personal blog has come to an end.

And I am sure there will be plenty of new challenges coming my way on top! Lesley Mercer is director of the CSP’s employment relations and union services

31

CPD: WHAT CAN YOU LEARN FROM LESLEY’S ARTICLE?

6 November 2013

32Newtechnologies

Birmingham’sJohnTaylorHospiceisa100-year-oldinstitution,butitsadoptionofmobileworkingtechnologyputsitatthe

cuttingedgeofhealthcaredeliveryandaheadofhealthsecretaryJeremyHunt’svisionforapaperlessNHSby2018.

Thehospice,sitedinErdington,caresforabout600patientswithlife-limitingillnessinthecommunity.Itintroducedmobileworkingin2010aspartoftheDepartmentofHealth’s(DH)NationalMobileHealthWorkerProject.

Aspartoftheproject,theDHequippedthehospice’scommunitycareteam–includingitsphysiotherapists–withPanasonicToughbook‘ruggedised’laptops;whilethehospiceagreedacontractwithBTforNHSN3networkconnectivityandsupport.

MobileworkingisnowanintegralpartofworkinglifeforJohnTaylor’scommunitycare

team,includingRamasamyVisweswaran,aclinicalphysiotherapistwhospecialisesinoncologyandpalliativecare.

Hebelievesmobileworkinghasparticularbenefitsforphysiosandthatoneofthebiggestispatienteducation,enablinghimtouseclinicalinformationreadilyavailableonline.‘Forexample,youmaybeexplainingtopatientswithspinalcordcompressionandotherconditionsbecauseofcancer,whytheyaregettingtinglingandnumbness,whichtheyhavenotfullyunderstood.

‘ThenyoucangotoGoogle,getimagesandshowthemtheanatomicalstructureofthespine,thatcanhelppatientstounderstandexactlywhytheyaregettingthepain,whatiscausingit.

OrImaybeseeingapatientwithlungcancer,andbecausethecancerhasspreaditstartstopressthebrachial

plexusandcausepain.Butthepatienthasn’tacluewhysheisgettingapaininherarmwhentheproblemisinthelung.

Anotherbenefit,accordingtoMrVisweswaran,isbeingabletoorderequipmentforpatientsattheirhomeandbeingabletoshowthemanimageoftheitem.

‘Ifeelthisisimportantwithpalliativecarepatients,’hemaintains.‘Forinstance,ifIseeapatientwhoisquitepoorlyandstrugglingalot,andtheyhavenoequipmentathome...Icanordertheequipmentwithoutanyunnecessarydelayanditcanbedeliveredperhapsonthesameday.’

Switch to electronic recordsThefinalreportontheDHproject,publishedinJanuary2013,foundsignificantincreasesinthetimespentwithpatientsfollowingthedeploymentofmobiledevices(upto

Ahead theMobile working yields benefits

for physios And their pAtients At A pioneering hospice in the west MidlAnds. gill hitchcock reports

Frontline – www.csp.org.uk

33

104percent);lesstimespenttravelling(upto33percent);andthatdataduplicationcouldbereducedsignificantly,freeingupclinicaltime(upto92percent).

CheSimon,informationmanagerandtechnologyofficeratJohnTaylor,saysthefirstphaseofmobileworkingenabledstafftousethedevicesforadministrativetasks,suchasloggingintoaclinicalinformationsystemandcheckingemails.

ButasignificantshiftcameinJanuary2012whenthehospiceswitchedfrompapertoelectronicpatientrecords.

ThisenablesMrVisweswaranandhiscolleaguestoaccessandupdatepatientrecordsinreal-timeandwithouthavingtotravelbacktoanoffice.

Hesaysthatheisabletoseethelatestversionofapatient’srecord,includingadditionsaboutdrugtherapiesentered

bypharmacists.MobileworkingalsomeansthatMr

Visweswarannolongerhastotakeinsecurepapernotesoutwithhimintothecommunity.

ThisisanexampleofthetypeofinitiativesupportingplansforapaperlessNHS.

AllmembersofthecommunitycareteamreceivedtrainingtousetheToughbooksandfamiliarisethemselveswithitssecurityfeatures.

Theseincludedusingapinnumberandremoteaccessdevices,similartosystemsusedbybanks.

Sharing information with patientsHowdidstaffreactinitiallytothenewtechnology?MrSimonsays:‘Ittookawhiletobedin,butoncepeoplebegantorealisethebenefits,therewasamuchbiggeruptake,particularlywithpeople

of game

John Taylor Hospicewas founded in 1910 and was ‘gifted’ to the NHS in 1948. In 2011 John Taylor cut its ties with the NHS and was the first hospice in the UK to become a social enterprise. Offering both residential care, based at The Grange, and community-based care, the hospice is also a community interest company.

‘IF I SEE A PATIENT WHO IS QUITE POORLY AND STRUGGLING A LOT, AND THEY HAVE NO EQUIPMENT AT HOME... I CAN ORDER THE EQUIPMENT WITHOUT ANY UNNECESSARY DELAY’RamasamyVisweswaran

>

34 New technologies

6 November 2013

More informationTo access the National Mobile Health Worker Project: Final report, visit:

www.gov.uk and search for ‘mobile working � nal report’. John Taylor Hospice: www.johntaylorhospice.org.uk

More informationTo access theWorker Project: Final report,

www.gov.uk‘mobile working � nal report’. John Taylor Hospice: johntaylorhospice.org.uk

SOMETHING TO ADD?...email us at [email protected]

like the physiotherapists because of the resources and information that are useful to show and share with patients.’

One aspect of the service that Mr Visweswaran would like to see improved is connectivity.

He explains: ‘There are some issues with connectivity, but it has improved since the start of the mobile working and it much less problematic ... And sometimes we experience poor signal strength and we have to wait for ages to download pages on the patient record.’

Mr Simon says that many of the connectivity problems were recti� ed as part of the pilot and a software upgrade will improve ‘session persistence’, so that if the signal fails the mobile device will automatically reconnect.

Another improvement Mr Visweswaran wants is greater integration between the hospice’s electronic patient records and those in NHS primary and secondary care.

If he is waiting for test results, such as an MRI scan, he would be able to see this immediately it was available.

‘Now I have to ring and speak to the GP or the consultant’s secretary to get the report, which takes time and until you have the outcome you can’t plan anything with the patient,’ he explains.

Hospices should be part of revampMr Visweswaran may get his wish to see more integration. En route to the 2018 goal, the health secretary wants digital information to be fully available across NHS and social care services, with the exception of any individual patients who opt out, by April that year.

Mr Hunt also intends to put clear plans in place so that those records follow patients, with their consent, to any part of the NHS or social care system.

‘I hope that the move to integration will include the hospice sector,’ says Mr Visweswaran.

‘It will be a boost for people who work in palliative care not to have to wait for information to be faxed or passed on by a consultant or a GP.’ fl

Time to chat at John Taylor Hospice

Ramasamy Visweswaran and communications intern

Jess Woollard-Hughescatch up on

developments

4th Congress on Physiotherapy Education

of the European Region of the World Confederation

for Physical Therapy (ER-WCPT)

hosted by the Chartered Society of Physiotherapy (CSP) in collaboration with the European Network of Physiotherapy in Higher Education (ENPHE)

11 - 12 November 2016, LiverpoolApplications to serve on the ER-WCPT Education Congress Scientifi c and Organising Committee from 2014 to spring 2017 are now invited and will be reviewed by the CSP in close collaboration with ER-WCPT.

Scientifi c Committee applications are welcomed from members*:• From a research/educational or research/clinical background, with relevant international experience and/or experience of presenting at international conferences• With experience in scientifi c programme planning at international or national level• With a peer reviewed presentations and publications track record• With e-learning experience.

Organising Committee applications are welcomed from members*:• With expertise in national/international conference development and delivery• With e-learning experience.

Commitment to attend quarterly meetings (video conferencing facilities available) and to undertake activities as required is necessary. Both committees will be supported by CSP staff. Costs incurred to attend meetings will be reimbursed.

The deadline for applications is 15 November 2013. Outcomes will be announced in January 2014.

For full details of how to apply including terms of reference visit www.csp.org.uk/erwcpt2016 or email [email protected]

* Only individuals who are members of a WCPT member organisation are eligible to be appointed. Applicants need to have the ability to work effectively in English. A supporting letter from the respective WCPT member organisation is required.

CallforScientific and

Organising Committee

Frontline

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PUBLICATION DATES

Issue Bookingdate deadline

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Courses and Conferences 54Noticeboard 40

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39

NOTICEBOARD:This section is exclusively to advertise your board, branch or CSP recognised Professional Network event free of charge. Reunions and info exchange are also permitted within this section. Send the information you wish to include to: [email protected]

PLEASE NOTE: Professional Network notices are limited to 180 words

Please note The courses and conferences advertised in this section have not gone through 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 speci� c 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.

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6 November 2013

40

Association of Chartered Physiotherapists in Neurology (ACPIN) - WessexThe Management of the Minimally Conscious Patient Speakers: Dr Derick Wade, consultant and Professor in neurological rehabilitation; Samantha Hemingway, expert neurological physiotherapy lead; Hannah Benwell, speech and language therapist Date: 9 November 2013 Place: Queen Alexandra Hospital, Cosham, Portsmouth Cost: £20 for ACPIN members, £30 for non ACPIN membersContact: To book a place or for further information please contact: [email protected]

Association of Chartered Physiotherapists in Neurology (ACPIN) - West MidlandsSymposium on Functional DisordersSpeakers: Dr Mark Edwards (consultant neurologist), Glenn Nielson (physiotherapist) and Dr Hugh Rickards (consultant psychiatrist)Date: Wednesday 20 November 2013 12:30pm - 4.30pm

Place: Queen Elizabeth Hospital, Birmingham, Lecture Room 3 Education CentreCost: £5 per person. All profits will be donated to N.E.A.D CharityContact: To book a place/for further information, please contact Nicola Cartwright, email: [email protected]

Association of Chartered Physiotherapists in Neurology (ACPIN) - KentCan Vestibular Stimulation Help Individuals with Acquired Brain Injury?Date: Thursday 5 December 2013Time: 7pm - 9pm to include lecture, mince pies, tea and coffee.Speaker: Dr David Wilkinson - Reader in Psychology, University of KentPlace: The Harvey Hall,The Education Centre, Kent and Canterbury Hospital, Canterbury CT1 3NGCost: £5 for ACPIN members and £10 for non-members. Contact: Email: [email protected] for more information or to book your place.

Association of Chartered Physiotherapists in Neurology (ACPIN) - OxfordAtaxia: BBTA Problem Solving WorkshopSpeaker: Sue Armstrong, Bobath TutorDate: Friday 8 and Saturday 9 November 2013Place: Oxford Centre for Enablement, Headington, OxfordCost: £120 members, £150 non-membersContact: for more information and an application form email: [email protected] talk: Imaging in Neurology, plus a tour of the scannersSpeaker: Dr Corkill, Consultant Neuro-RadiologistDate: Wednesday 30 OctoberPlace: Neuroradiology Department, Level 1, West Wing, John Radcliffe Hospital, OxfordTime: 7.15pm - please meet in the lift lobby on level 1Cost: £1 members, £3 non-members, students free, no need to bookContact: for more information email [email protected] or visit www.ouh.nhs.uk for directions and parking

Acupuncture Association of Chartered Physiotherapists (AACP)AACP Basic Acupuncture Foundation CoursesThis course is designed to offer participants with a level of knowledge, skill and understanding that will allow them to practise acupuncture in a safe and appropriate manner, in a clinical setting.Cost: £495 – One year’s full membership of the AACP with many benefits!To book: Contact Sarah Brand on tel: 01733 390044 or email: [email protected]: 14/15/16 February and 28/29/30 March 2014Place: HamiltonDates: 4/5/11/12 January and 22/23 FebruaryPlace: Redhill, SurreyAACP GrantsAACP have a number of grants available for AACP members. For more information please contact Mindy Cairns (AACP Research Advisor) at: [email protected] or see the AACP website: www.aacp.org.uk AACP CPD Courses: Contact: Sarah Brand on tel: 01733 390044 or email: [email protected] Wave AcupunctureDate: 30 November/1 December 2013Place: LondonCost: £199 members, £249 non-members Tutor: Amos ZivTui NaDate: 23-24 November 2013Place: WrexhamCost: £180 members, £225 non-membersTutor: Kevin Young.

Association of Chartered Physiotherapists in Occupational Health and Ergonomics (ACPOHE) ACPOHE is the CSP professional network for physiotherapists working in Occupational Health and Ergonomics. Join ACPOHE on: www.acpohe.org.uk Annual membership £50 for UK and Ireland and £65 for overseas.Current available Courses Upper Limb Disorders in the Workplace – Risk Assessment and ManagementDate: 9 November 2013Place: EdinburghCost: £120 Lunch not includedOffice Workstation Ergonomics (DSE) Level 2Date: 15-16 November 2013Place: Haywards HeathCost: £240 Lunch not included

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professional networks notices

Word limit With the increasing pressure on space within Frontline, it is necessary to restrict the length of entries in the Noticeboard section, therefore submissions will be limited to 180 words (not including name).

Notices should be supplied not exceeding this amount.

If your Professional Network has regional groups (such as ACPIN) the word count will apply to each separate area.

The editor will make the final decision on what appears if copy needs to be cut.

www.csp.org.uk

41

Manual Handling Train the Trainer and Risk AssessmentDate: 22-23 November 2013Place: HampshireCost: £250 Lunch includedIntroduction to Occupational HealthDate: 15-16-17 January 2014Place: Crystal Palace National Sports CentreCost: £455 Lunch includedUp coming courses for 2014Occupational Rehabilitation and Work Hardening Date: 5-6 April 2014Place: Southampton (venue TBC)Contact: For course information and to book online: http://www.acpohe.org.uk/events

Association of Chartered Physiotherapists in Reflex Therapy(ACPIRT)Reflex Therapy Foundation CourseDates: 19/20 October, 16/17 November,7/8 December 2013, 8/9 March 2014 - four weekends over six months.Place: Kingsfield Centre for Physiotherapyand Complementary Therapies, Oxhey near Watford.Cost: £995 – includes handouts, lunch and refreshments. Main tutors: Hermione Evans, Jo Smith Oliver, Description: An exciting opportunity for physiotherapists and healthcare professionals to be inspired! A course that will change how you treat your patients. Learn to treat the body through reflex points on the feet with a modality of treatment akin to reflexology. Reflex therapy can be used for a wide variety of patients and integrated within your own healthcare setting. A comprehensive training led by experienced tutors providing skills for safe and effective practice which is endorsed with the CSP quality mark. Contact: For further information please email: [email protected]

Association of Paediatric Chartered Physiotherapy (APCP)APCP Annual Conference 2013 – ‘Extending Minds and Practice’Summary – A packed two-day programme with a parallel neonatal programme entitled ‘Baby Brains – Research and Outcomes’ on the Friday, organised by the APCP Neonatal Group. An opportunity to network with paediatric physiotherapists from around the UK to share practice and expertise

Dates: 8 and 9 November 2013Place: The Holiday Inn, Filton Road, Bristol, BS16 1QX Costs: Residential bookings from £200. Day delegate bookings from £70.Contact: [email protected] information can be found at: http://www.apcp.org.uk

Association of Paediatric Chartered Physiotherapy (APCP) - South East RegionStudy evening and AGMDate: Tuesday 26 November 2013AGM and refreshments followed byMedical Management of Children with Cerebral Palsy Speaker: Charlie Fairhurst, Consultant Neuropaediatrician, Evelina London Children’s HospitalTime: 5.30pm registration, 6.15pm AGM, 6.30pm talk, 7.30pm finishPlace: Phoenix Childrens Resource Centre, 40 Masons Hill, Bromley BR2 9JG. Parking availableCost: APCP members £5. Non-members £10.Contact: Application via [email protected]

Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM)Biennial Conference Date: 25 and 26 October 2013 Place: Glasgow UniversityTheme: Not everything in sport is black and white: Challenge your beliefs! #addsomecolourTopics including: anthropology of injury, barefoot and minimalist running, fascia revealed, the shoulder in athletes, and the ‘Best of British’: going for gold!Speakers include: Karim Khan, Yannis Pitsiladis, Quentin Fogg, Phil Burt, James Moore and Antonio SteccoFurther info: www.acpsm.org or: www.physiosinsport.org http://bit.ly/PiSoct2013 or contact [email protected] Bird offer ends 19 AugustSport Massage CourseDates: Part one - 21 and 22 September 2013. Part two - 9 and 10 November 2013Place: The Teaching Room at St Mary’s Leisure Centre, SouthamptonCost: £200 per weekend physios in sport members - total course £400.£260 per weekend non-members - total

course £520Contact: For further details contactSandra Barley on tel: 0770 220 8533 or email: [email protected] to Sports Physiotherapy Date: Saturday 9 November 2013Place: University of East LondonThe course: The content of this course has been mapped to the International Federation of Sports Physical Therapists (IFSPT) competencies and concentrates on the practical skills and challenges involved in working as a sports physiotherapistTutor: Rosie MewCost: Members £40, non members £100, course and membership offer £80 full, £60 studentContact: For further details contact Sandra Barley on tel: 0770 220 8533, email: [email protected]

Chartered Physiotherapists Working With Older People (AGILE)Regional Study Days for 2014/2015Soft-touch trigger point treatment with the older personSpeaker: Ed Wilson BA (Hons) MCSP, HCPC Registered, MCTA, CMPContent: These one-day interactive study days provided through both lectures and practical sessions are designed to: • Enhance a physiotherapist’s understanding of pain management, with the use of trigger points to relieve pain in the older person. • Enable the physiotherapist to develop clinical reasoning through interactive discussions using case examples and a problem solving approach with multi-pathology and in frail older people.• Provides an excellent alternative technique for needle-phobic patients presenting with trigger points, plus no aggressive techniques are used.Dates for each region: 1. 15 February 2014 – AGILE (Wales) - Chepstow. Organiser/contact Ruth Buckley at: [email protected]. 22 March 2014 - AGILE (East) - Colchester. Organiser/contact Sophie Stubbings at: [email protected] 3. 12 July 2014 – AGILE (North) - Manchester Royal Infirmary, Manchester. Organiser/contact Lynn Sutcliffe at: [email protected] 4. 14 March 2015 - AGILE (N. Ireland) - Belfast. Organiser/contact Gail McMillan at: [email protected]. 11 April 2015 – AGILE (West) - St Martin’s

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Manual Handling Train the Trainer and Risk AssessmentDate: 22-23 November 2013Place: HampshireCost: £250 Lunch includedIntroduction to Occupational HealthDate: 15-16-17 January 2014Place: Crystal Palace National Sports CentreCost: £455 Lunch includedUp coming courses for 2014Occupational Rehabilitation and Work Hardening Date: 5-6 April 2014Place: Southampton (venue TBC)Contact: For course information and to book online: http://www.acpohe.org.uk/events

Association of Chartered Physiotherapists in Reflex Therapy(ACPIRT)Reflex Therapy Foundation CourseDates: 19/20 October, 16/17 November,7/8 December 2013, 8/9 March 2014 - four weekends over six months.Place: Kingsfield Centre for Physiotherapyand Complementary Therapies, Oxhey near Watford.Cost: £995 – includes handouts, lunch and refreshments. Main tutors: Hermione Evans, Jo Smith Oliver, Description: An exciting opportunity for physiotherapists and healthcare professionals to be inspired! A course that will change how you treat your patients. Learn to treat the body through reflex points on the feet with a modality of treatment akin to reflexology. Reflex therapy can be used for a wide variety of patients and integrated within your own healthcare setting. A comprehensive training led by experienced tutors providing skills for safe and effective practice which is endorsed with the CSP quality mark. Contact: For further information please email: [email protected]

Association of Paediatric Chartered Physiotherapy (APCP)APCP Annual Conference 2013 – ‘Extending Minds and Practice’Summary – A packed two-day programme with a parallel neonatal programme entitled ‘Baby Brains – Research and Outcomes’ on the Friday, organised by the APCP Neonatal Group. An opportunity to network with paediatric physiotherapists from around the UK to share practice and expertise

Dates: 8 and 9 November 2013Place: The Holiday Inn, Filton Road, Bristol, BS16 1QX Costs: Residential bookings from £200. Day delegate bookings from £70.Contact: [email protected] information can be found at: http://www.apcp.org.uk

Association of Paediatric Chartered Physiotherapy (APCP) - South East RegionStudy evening and AGMDate: Tuesday 26 November 2013AGM and refreshments followed byMedical Management of Children with Cerebral Palsy Speaker: Charlie Fairhurst, Consultant Neuropaediatrician, Evelina London Children’s HospitalTime: 5.30pm registration, 6.15pm AGM, 6.30pm talk, 7.30pm finishPlace: Phoenix Childrens Resource Centre, 40 Masons Hill, Bromley BR2 9JG. Parking availableCost: APCP members £5. Non-members £10.Contact: Further information can be found at: http://www.apcp.org.uk

Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM)Biennial Conference Date: 25 and 26 October 2013 Place: Glasgow UniversityTheme: Not everything in sport is black and white: Challenge your beliefs! #addsomecolourTopics including: anthropology of injury, barefoot and minimalist running, fascia revealed, the shoulder in athletes, and the ‘Best of British’: going for gold!Speakers include: Karim Khan, Yannis Pitsiladis, Quentin Fogg, Phil Burt, James Moore and Antonio SteccoFurther info: www.acpsm.org or: www.physiosinsport.org http://bit.ly/PiSoct2013 or contact [email protected] Bird offer ends 19 AugustSport Massage CourseDates: Part one - 21 and 22 September 2013. Part two - 9 and 10 November 2013Place: The Teaching Room at St Mary’s Leisure Centre, SouthamptonCost: £200 per weekend physios in sport members - total course £400.£260 per weekend non-members - total

course £520Contact: For further details contactSandra Barley on tel: 0770 220 8533 or email: [email protected] to Sports Physiotherapy Date: Saturday 9 November 2013Place: University of East LondonThe course: The content of this course has been mapped to the International Federation of Sports Physical Therapists (IFSPT) competencies and concentrates on the practical skills and challenges involved in working as a sports physiotherapistTutor: Rosie MewCost: Members £40, non members £100, course and membership offer £80 full, £60 studentContact: For further details contact Sandra Barley on tel: 0770 220 8533, email: [email protected]

Chartered Physiotherapists Working With Older People (AGILE)Regional Study Days for 2014/2015Soft-touch trigger point treatment with the older personSpeaker: Ed Wilson BA (Hons) MCSP, HCPC Registered, MCTA, CMPContent: These one-day interactive study days provided through both lectures and practical sessions are designed to: • Enhance a physiotherapist’s understanding of pain management, with the use of trigger points to relieve pain in the older person. • Enable the physiotherapist to develop clinical reasoning through interactive discussions using case examples and a problem solving approach with multi-pathology and in frail older people.• Provides an excellent alternative technique for needle-phobic patients presenting with trigger points, plus no aggressive techniques are used.Dates for each region: 1. 15 February 2014 – AGILE (Wales) - Chepstow. Organiser/contact Ruth Buckley at: [email protected]. 22 March 2014 - AGILE (East) - Colchester. Organiser/contact Sophie Stubbings at: [email protected] 3. 12 July 2014 – AGILE (North) - Manchester Royal Infirmary, Manchester. Organiser/contact Lynn Sutcliffe at: [email protected] 4. 14 March 2015 - AGILE (N. Ireland) - Belfast. Organiser/contact Gail McMillan at: [email protected]. 11 April 2015 – AGILE (West) - St Martin’s

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FrontlineHospital, Bath. Organiser/contact Ruth Sampson at: [email protected] 6. 13 June 2015 – AGILE (Scotland) - Ninewells in Dundee. Organiser/contact Fiona MacLeod at: [email protected]: Please contact the organiser of the region nearest you for an application form and further information, or visit the AGILE website on the Events page for venue details: http://agile.csp.org.uk/network-events Cost: £60 AGILE members – places are limited so applications will initially only be considered for current AGILE members.

Association of Orthopaedic Chartered Physiotherapists (AOCP)We are updating the AOCP membership details we currently hold.To ensure our magazine and other information is sent to you electronically, please email our administrator at: [email protected] you have any queries regarding this please contact: [email protected]

Association of Chartered Physiotherapists in Women’s Health (ACPWH) Physiotherapy assessment and management of ano-rectal dysfunctionDate: 22-24 November 2013Place: John Radcliffe Hospital, Oxford OX3 9DUCost: £325 ACPWH member/affiliate £395 non-memberContact: To request a copy of the information pack for any of the above workshops please email: [email protected] rest of the 2013 programme is fully booked. The 2014 programme will be announced later this autumn.For details of any of the above events or other ACPWH short courses please visit the ACPWH website at: acpwh.csp.org.uk/workshops

Association of Chartered Physiotherapists in Therapeutic Riding (ACPTR)ACPTR Hippotherapy CourseFor chartered physiotherapists wishing to use the horse within physiotherapy treatment.Course dates and Structure 2014Two sequential modules both four days long:Equine Module: 31 January to 3 February 2014 - Assessment and selection of Equines for HippotherapyHippotherapy Module: 31 October to 3 November 2014 - Delivery of best practice in

hippotherapyVenue for both modules: Clwyd Special Riding Centre, Llanfynydd, Wrexham, Clwyd LL11 5HNCost: £1200 including non-refundable registration fee of £50.Closing date for applications: 13 DecemberPrerequisites:- Chartered Society of Physiotherapy membership- Health and Care Professions Council registration- ACPTR membership- One year postgraduate clinical experience- Submission of the ACPTR Equine Skills Record - Required to register for the complete course. Horse riding experience:ACPTR recommend applicants have basic horse riding skills in addition to general equine experience. Assessment: Continuous formative assessment of practical skills. Extensive written assignments following each module. Summative assessment of practice in hippotherapy module.Contact: Application requests and enquiries to course coordinator Dr. Valerie Cooper, email: [email protected] or to: 27 Abbotshall Road, Cults, Aberdeen AB15 9JX.

Medico-Legal Association of Chartered Physiotherapists (MLACP)MLACP Winter Conference: Learning from LitigationThe 2013 annual conference of the Medico Legal Association of Physiotherapists incorporating the AGM will aim to look at the role of litigation in patient care.

We will discuss whether patient care influenced by the litigation process and do patients benefit from the medico-legal sector? We intend to look at what roles do Physiotherapists have within litigation and do we really know what we have been asked to do when we receive an instruction?

The conference is an ideal opportunity to meet others involved in medico-legal work and, following the success of last year, the day will, once again, close with a drinks reception to which all the delegates are warmly invited.Date: Friday 15 November 2013Place: CSP, 14 Bedford Row, London WC1R 4ED

Course chair: Sue FilsonCost: £50 MLACP members, £85 non MLACP membersSpeakers: Rob Thomas, New Law, Amanda Stevens, Irwin Mitchell. Other speakers to be confirmedContact: If you have any queries please email: [email protected] For programme details and an application form please go to the MLACP website: http://mlacp.org.ukPaediatric and adult neurology - the role of the physiotherapist as an expert witnessThis two day course is aimed at physiotherapists working in paediatric and adult neurology who are interested in / or have some experience in preparing reports for medico-legal purposes.Dates: Tuesday 29 April 2014 and Wednesday 30 April 2014Place: CSP, 14 Bedford Row, London WC1R 4EDCourse leaders: Eileen Kinley MSCP and Will Winterbotham MCSP Cost: £300 MLACP members, £335 non MLACP members Speakers include: Solicitors from both Claimant and Defendant firms, Dr Fiona Jones MCSP, Dr Lewis Rosenbloom, Paediatric Neurologist and Christine Henson, Barrister. Full programme details on the MLACP website: www.mlacp.org.ukContact: For further information contact: Eileen Kinley email: [email protected] or tel: 07712 185422. Will Winterbotham email: [email protected] or tel: 0796 2142656. Association of Chartered Physiotherapists in Oncology and Palliative CareACPOPC Autumn Conference ‘Cancer the whole journey: Managing symptoms from diagnosis to end of life’An exciting two days open for all AHPs to discuss and help understand and tackle the symptoms associated with cancer and its treatment. For further information including objectives, programme and an application form please visit the ACPOPC website: www.acpopc.org.uk or contact Nicola Gingell, Study Day Liaison Officer, email: [email protected] tel: 020 3299 9000 ext 4665.

British Association of Chartered Physiotherapists in Amputee Rehabilitation (BACPAR)BACPAR will soon be holding its 20th Anniversary Conference. There should be something to interest everyone involved in amputee rehab at what ever stage, day one is more acute and service based and day two is more prosthetic and sport orientated.Date: 14-15 November 2013Place: Wolverhampton Science ParkSpecial rates for members and early bird bookingsTopics include: Hypoglycaemic control during rehab, oblique abdominal training pre and post op, Roehampton stump score – assessing the perfect stump, Reconsidering evidence based practice, How can we engage with NICE? Posture & movement control, Outcome measures for amputees, Self-management and living with a long term condition, Legacy of the Paralympics,

Amputees and recreational running, Amputee Football, Leisure pursuits following lower limb amputation – the reality, Getting into Sport – Parasport.Contact: Please see http://bacpar.csp.org.uk/study-days for more details

Electrophysical Agents and Diagnostic Ultrasound Professional Network (EPADU)Ultrasound Guided TherapyA study day looking at Ultrasound Guided Therapy –the evidence (and alternatives)Place: The Council Room, Chartered Society of Physiotherapy, 14 Bedford Row, London WCIR 4EDDate: Tuesday, 26 November 2013 – Registration 9.30am - 10amCost: £20 for members of Professional Network/£45 for non-members/£50 for non-CSP members, to include refreshments. Speakers: Mark Maybury, John Leddy and

Prof Tim Watson will be presenting the evidence base, and several exhibitors are expected to be in attendance.Contact: To express your interest in attending this day, and for further information please contact: Sue Finley on email: susan.� [email protected]

McKenzie Institute Mechanical Diagnosis and Therapy Practitioners (MIMDTP)Annual Conference - ‘New Directions in the Extremities: A focus on the Knee and Shoulder’Date: 23 November 2013Place: Birmingham City HospitalCost: Early bird entry before 31 August 2013: £45 for members and £70 for non-membersContact: Further details and application forms available via: http://mckenzieinstitute.co.uk/mimdtp/

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a d v e r t i s e m e n t

Terms and conditions apply See website for further information Correct at time of print Two months free cover is refunded by cheque when your policy has been live for 12 months The two months refund is the sum equivalent to 2 monthly payments at the point you take out your initial policy Life insurance advice is provided by LifeSearch Limited, an Appointed Representative of Baigrie Davies and Company Limited, who are authorised and regulated by the Financial Services Authority You can check this out on the Financial Services register by visiting www fca org uk, under register number 225058, or by phoning the FCA on 0800 111 6768 CSP Plus is managed on behalf of CSP by Parliament Hill Ltd CSP is an Introducer Appointed Representative of Parliament Hill Ltd of 3rd Floor, 127 Cheapside, London, EC2V 6BT, FCA Register number 308448 who are authorised for non-investment insurance mediation only Neither Parliament Hill Ltd nor CSP are part of the same group as any provider

CSP Plus have teamed up with LifeSearch, the UK’s leading life insurance adviser, to provide you with all the help, guidance and advice you need to make sure you are properly protected in the event that you may no longer be around or are unable to earn a living due to long term disability.

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Association of Chartered Physiotherapists in Orthopaedic Medicine and Injection Therapy(ACPOMIT)Anatomy Evening Seminar - lower limb and lumbar spine (Nottingham)Date: Tuesday 3 December 6pm - 9pmBack by popular demand, ACPOMIT are pleased to offer this unique opportunity for clinicians to refresh their anatomy knowledge using cadaveric specimens. Place: Dissection Rooms (Room E143), E floor, Medical School, University of Nottingham, QMC Campus, Derby RoadNottingham NG7 2UHCost: Member £25, non-member £45If you are not an ACPOMIT member and plan to attend this seminar, why not join ACPOMIT for £36 and make further savings on your course in addition to gaining all the benefits of full membership.Contact: To book your place visit www.acpomit.co.uk

Association of Chartered Physiotherapists in Vestibular Rehabilitation (ACPIVR) - Scottish RegionManagement of the older adult with DizzinessDate: Friday 22 November 2013Place: The New Victoria Hospital, GlasgowCost: £50 members, £75 non membersSummary: A one day conference looking at the multidisciplinary approach to the management of the older adult with dizziness symptoms.Contact: Email: [email protected] or: [email protected] Tel: 0141 347 8685 to book a place or for more information.

Aquatic Therapy Association of Chartered Physiotherapists (ATACP) Autumn Study Day 2013 - Maximising Treatment Potential in the PoolTopics include Back to Basics, utilising the properties of water and The Burdenko MethodDate: Saturday 16 November, 9.15am - 4.15pmSpeakers: Mike Maynard and Lynda KeanePlace: Royal National Orthopaedic Hospital, Birmingham, B31 2APCost: Members £26, (students £16), non-members £41, (students £26)Contact: Email: [email protected]

for an application form or more information or go to iCSP Aquatic Therapy network.NB Last Chance - Pool Design Award closing date Friday 11 October. See iCSP for more information or contact: [email protected]

Physiotherapy Pain Association (PPA)Cognitive Behavioural Approach to Physical Therapy in the Management of PainDate: 29 - 30 NovemberPlace: Cossham Memorial Hospital, BristolContent: Two day course introducing Physiotherapists to theory and practice of the cognitive behavioural approachTutors: Pete Gladwell and Emma KnaggsCost: PPA members £180 and non members £200Contact: Email: [email protected]: http://www.csp.org.uk/network-events/cognitive-behavioural-approach-physical-therap-management-pain-29th-30th-november-briCall for Editor in Chief of Journal of Pain and Rehabilitation - Journal of the PPAThe journal is a well respected and peer reviewed journal and is published biannually. There is now an exciting opportunity PPA are looking for a new Editor in Chief to continue to develop the journal into an internationally respected journal. The main aspects of the role include delivering two issues per year, communicating with publisher, development of the online presence of the journal and attracting high quality article submissions. If interested please contact the current editor, Dr. Cormac Ryan Ph.D, email: [email protected] for further details.

Chartered Physiotherapists in Mental Healthcare (CPMH)Introduction to Mental Health for Physiotherapy StaffDate: 14 March 2014The CPMH London Branch is pleased to announce a one day introductory course for physiotherapists working in mental health (MH) aimed at new physiotherapy assistants, Technical Instructors, B5/6 physiotherapists and related staff who are interested in the field of MH.

The aim of the course is to provide insight into the particular types of patients that you will be working with and type of MH systems that are in place, focusing on care/

provision of physiotherapy in the community. The intention will be to enable you to manage your work with this particular client group, prioritise your work load and help you develop your skills to work confidently in this highly complex environment. Cost: The cost for the one day course is:• £55 for non CPMH members - fee includes membership of CPMH up to 31 December 2014• £45 for CPMH members • £35 for students and retired members of CSP. Place: The day will be held at West London Mental Health Trust, London UB1 3EUContact: If you would like additional information, please email: [email protected] An application form and agenda will also be available on iCSP.

Chartered Physiotherapists Promoting Continence (CPPC)Contemporary Acupuncture in Women’s HealthThis two day specialised course is for physiotherapists working within the area of women’s health wishing to update and improve their acupuncture skills for the management of pelvic floor dysfunction and women’s health related dysfunction. Date: 7-8 December 2013Place: Progress - the Cambridge Centre for Health and Performance, Conqueror House, Chivers Way, Histon CB24 9ZRCost: CPPC members £200, non-members £225. Early bird booking prior to Friday 18 October 2013: CPPC members £175, non-members £200Tutor: Jennie Longbottom FCSPContact: For further details, please contact Jane Dixon at: [email protected]

Physio First AGM 2014East Midlands Conference Centre The Annual General Meeting, open to all Members of Physio First will take place in Nottingham on Saturday 5 April 2014 at 4.05pm. Physio First members are invited to submit motions for inclusion on the Agenda of the AGM. These must be proposed and seconded and reach the Physio First office by Friday 24 January 2014. Please address your submissions for the attention of Margaret Revie, Honorary Secretary and

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send to: Physio First, Minerva House, Tithe Barn Way, Swan Valley, Northampton, Northamptonshire NN4 9BA or email: minerva@physio� rst.org.ukPrivate Physiotherapy Education Foundation (PPEF) AGM 2014The AGM of the PPEF will take place on Saturday 5 April 2014 at 1pm, at the East Midlands Conference Centre, Nottingham.

Association of Chartered Physiotherapists in Animal Therapy (ACPAT)Annual Seminar:Treatment Techniques – A Fresh LookDate: 22 – 23 February 2014Place: Dunchurch Park Hotel and Conference Centre, Dunchurch,Speakers: Prof Tim Watson, James Grierson, Dr Tracy Crook, and moreThis is a great opportunity to meet practicing veterinary physiotherapists and hear lecturers from both the physiotherapy and veterinary world. Join us for a social on the Saturday evening; an excellent meal and great entertainment as well as the convenience of on-site accommodation. Non-members very welcome.Contact: For more details visit www.acpat.co.uk

The Association of Chartered Physiotherapists Interested in Vestibular Rehabilitation (ACPIVR) Study day and AGM:Cervicogenic dizzinessSpeakers: Professor Roger Kerry, Dr Eva-Maj Malmström The lectures will cover the following topics: -Overview of cervical anatomy -Overview of cervical artery insu� ciency and diagnosis -Cervicogenic dizziness, what is it? -Physiotherapy assessment and rehabilitation for dizziness in patients with dizziness of suspected cervical origin - Case examples.Please Note: this is an intermediate study day. Refreshments and lunch providedDate: Saturday 10 May 2014Place: Basement Lecture Theatre, The Clinical Neuroscience Centre, The National Hospital for Neurology and Neurosurgery, 33 Queens Square, London WC1N 3BG

Cost: £90 ACPIVR members, £130 non-membersContact: Amanda Male, email: [email protected] date for application: 29 April 2014.

Access your Regional Network web pages at www.csp.org.uk/nations-regions

Age UK Project – the CSP surveyFindings from our recent survey with Age UK suggest an appetite to proactively engage with Age UK locally to help keep older people � t. This includes o¤ ering to talk to local Age UK groups. It also gives evidence of interest from CSP members not involved speci� cally with older people’s services. The survey closed on 12 October. Further details will follow.

Cycling is one way for people of all ages to keep � t as they get older

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www.csp.org.uk

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Just say yesEmma Stokes’ lecture at the CSP conference gave hope and inspiration. Emma encouraged us to ‘think differently, be open and creative’. One way of doing this is to get involved in your regional network. See more at www.csp.org.uk/news/2013/10/11/physio13-founders-lecture-calls-physios-think-creatively

‘The lecture pointed to the way that opportunity is round everybody’s corner and we all have the possibility to make a difference’ said Sarah Bazin, CSP vice president. Look further and beyond where you are now by building your personal network, sharing ideas with colleagues across your region and learning new skills. Start now with your Regional Network www.csp.org.uk/nations-regions

Don’t wait for others – find out what you can do!Log onto the CSP web site to see what’s happening in your region. The English Regional Network meetings outlined below are open to all CSP members, students and associates. HCPC re-registration is coming in 2014 and all involvement, whether on the web page or at meetings, is great CPD.

And it’ll help you provide what works best for your patients. Always ensure your chair knows that you will attend and check final details on the web.

East of EnglandNext meeting open to all CSP members students and associatesDate: Monday 9 December Time: 2pm – 5pmPlace: Rosery County House Hotel, 15 Church Street, Exning, Newmarket CB8 7EHContact: [email protected]: www.csp.org.uk/nations-regions/east-england

Norfolk BranchFinal chance to stay open All welcome to the next meeting where we will elect officers. If there’s insufficient interest then we’ll formally merge with the East of England Regional Network. Date: Monday 2 December Time: 6pmPlace: 21 Beaumont Road, Costessey, Norwich NR5 0HQ Contact: [email protected]

East MidlandsCongratulations to Catherine Pope, East Midlands Council representative, now vice chair of CSP Council.

Next meeting with study day is open to all CSP members students and associatesThe title is ‘Workforce Planning Study Day’Date: Thursday 5 December Time: 9.30am – 4.30pmPlace: Yew Lodge Hotel, 33 Packington Hill, Kegworth, Derby DE74 2DF Contact: [email protected] to book your placeWebsite: www.csp.org.uk/nations-regions/east-midlands

No charge to CSP members and lunch included. Find out about service design to meet patient need which is important to everybody. Pippa Hodgson MCSP, independent consultant in organisation and people development will lead the event.

LondonCongratulations to Matthew Wyatt who was re-elected as the region’s Council representative.

Next open meeting open to all CSP members students and associatesIf you live or work or study in London come along and find out what’s going on.Date: Thursday 5 DecemberTime: 4pm – 8.30pm

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Place: Kings College London - Room G.73, Franklin-Wilkins Building, Stamford Street, London SE1 8WAContact: [email protected]: www.csp.org.uk/nations-regions/london Programme includes general meeting, refreshments and presentation on customer satisfaction called, ‘If Disney ran my Physiotherapy department’.

North EastNext open meeting open to all CSP members students and associatesDate: Tuesday 3 DecemberTime: 2pm – 5pmPlace: Durham County Cricket Club, County Ground Riverside, Chester-le-Street, County Durham DH3 3QR. Room tbc.Contact: [email protected]: www.csp.org.uk/nations-regions/north-east Find out about the practical ways that you can speak up for physiotherapy to benefit yourself and your patients with Rachel Newton, CSP policy officer.

North WestCongratulations to Geraldine Chitty who was re-elected as a CSP vice president. Geraldine has done a lot for CSP members in the North West including supporting the Cumbria Branch and working with the North East team. Congratulations to Naomi McVey who was also elected to Council.

Next open meeting open to all CSP members students and associatesDate: Monday 2 DecemberTime: 6pm – 8.30pmPlace: New Teaching Room, Elizabeth Gaskell Campus , Manchester Metropolitan University Department of Physioyherapy, Hathersage Road, Manchester, M13Contact: [email protected]: www.csp.org.uk/nations-regions/north-west Find out about the practical ways that you can speak up for physiotherapy to benefit yourself and your patients with Rachel Newton, CSP policy officer.

At Physiotherapy UK – the CSP conferenceMembers of the North West regional team were well represented at the CSP conference. Daphne Dawson presented her PhD findings on the career paths of mature

physiotherapy graduates in changing times. Naomi McVey, NICE commissioning adviser, spoke about implementing the NICE stroke rehabilitation guidelines.

Geraldine Chitty said, ‘there was a very good atmosphere amongst all the delegates I spoke to at conference. Despite serious concerns around jobs and NHS changes the feeling was that the CSP is in touch with its members. It is all credit to the professionals at Bedford Row who are consistently improving and distributing information UK wide’.

Left to right Daphne Dawson, Anne Jackson, Geraldine Chitty, Karen Willcock, Naomi McVey

Macclesfield Branch lecture on 9 October - reportOur speaker was Karen Redvers-Chubb, ESP in wrist and hand at Wythenshawe Hospital. This, her second lecture, was well attended by local NHS and private practitioners. Karen focused on special tests, differential diagnosis and interesting case histories. We revised our surface anatomy, palpation skills and special diagnostic tests. A big thanks to Karen for her stimulating lecture. Report by Judy Dawkins.

South CentralCongratulations to Cate Leighton who was re-elected as the region’s Council representative.

Next open meeting open to all CSP members students and associatesThis is your chance to meet and hear from Sue Browning, CSP deputy CEO. Our focus is CPD, in preparation for the HCPC audit in 2014 and we are please that Jo Ethrington of the Championing CPD project will be with us. Date: Wednesday 4 DecemberTime: 1pm – 4.30pmPlace: Rooms 1 and 2, West Berkshire Community Hospital, Thatcham RG18 3ASContact: [email protected] Website: www.csp.org.uk/nations-regions/south-central

South East CoastCongratulation to Jane Laidlaw who was elected as the region’s Council representative.

Next open meeting open to all CSP members students and associatesDate: Wednesday 4 DecemberTime: 10am – 1pm (with data collection meeting to follow)Place: University of Brighton (Eastbourne Campus), School of Health Professions, 49 Darly Road, Eastbourne BN20 7URContact: [email protected] Website: www.csp.org.uk/nations-regions/south-east-coast

South WestCongratulations to Heather who was elected as the region’s Council representative. Also to Tony Cox who becomes a CSP vice president. Nikki Parfitt is the region’s new chair.

Next open meeting open to all CSP members students and associatesDate: Wednesday 4 DecemberTime: 1.30pm – 4pm (lunch from 1pm)Place: Seminar Room, Physiotherapy Department, Royal Devon and Exeter Hospital (Heavitree), Gladstone Road, Exeter EX1 2EDContact: [email protected] Website: www.csp.org.uk/nations-regions/south-west

West MidlandsCongratulations to Mel Stewart who has been elected as a CSP vice president.

Next open meeting open to all CSP members students and associatesDate: Monday 9 DecemberTime: 10am – 1pm Place: Birmingham University, Room E204, 2nd Floor, 52 Pritchatts Road, Edgbaston, Birmingham B15 2TTContact: [email protected] Website: www.csp.org.uk/nations-regions/west-midlands

‘Are you ready for 2014?’ – Study Day on 16 September - reportJanet Davies, chair, thanked everyone who contributed to the day which was a huge success with excellent feedback from attendees and great speakers. There

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Our exciting day started with a brief Regional Network meeting which included workplace reports and a summary of CSP Council papers. This set the scene in terms of important issues for CSP members.

Sue Browning, CSP deputy CEO, gave the CSP key messages and a talk called ‘Moving into the driving seat – how Physiotherapy can bene� t from this climate’. Sue was inspirational in encouraging everyone to think di� erently.

Jane Toms, our regional communications lead, presented her personal experience of providing her CPD evidence to the HCPC in 2012. This was thought provoking and dispelled many myths for us.

Sue England, our regional secretary, talked about ‘Professionalism in today’s regulatory climate’, her talk that was linked to the Francis and Keogh reports. The content was a valuable as a reminder of the crucial messages for us all.

We invited Sophie Wickens, of the CSP Learning Champions project, back following her CPD talk earlier in the year. Sophie

discussed ‘Achieving CPD excellence’ and also encouraged us to try the CSP website e-portfolio tool which is improved this year.

Naomi McVey, commissioning advisor for NICE, gave us the ‘Top 10 things to know about NICE’. We were shown how to navigate the website and best use the documents produced by NICE. We recognised the need to use the website more to enhance our clinical practice.

Feedback from delegates included:• An excellent programme – all the speakers were good and inspired me • Excellent speakers – wealth of knowledge, well presented, will really help me in regaining HCPC status after a prolonged break from practise• I feel much more relaxed now about HCPC CPD audit• A very comprehensive and all- encompassing approach to CPD professional development• All presentations very useful and felt they all tied in well together• Looking forward to being active in the Regional Network

• Good opportunity to meet and discuss with other physio’s• Increased awareness of CSP resources.

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Call us on 020 7306 6666 to find out more visit www.csp.org.uk/membership

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Pictured above: At the West Midlands Study Day

(Report by Sue Moody and photographs by Daniel Jackson. Sue and Daniel support the region’s communications lead, Jane Toms).

Yorkshire and the HumberCongratulations to Helena Johnson from York St John’s University for a very successful term as chair of CSP Council. Helena is now CSP treasurer. She has supported both the Yorkshire and the Humber and the North East Regional Networks in the last few years.

Rehabilitation and reablement – in all its shapes and sizes – day conferenceRehabilitation is what we do and now it’s central in the health and social care debate. This is a great opportunity to develop yourself and find out more.Date: Saturday 9 November Time: 9am – 4pmPlace: Doncaster Rugby Football Club (DRFC), DN2 5QBCost: £10Contact: [email protected]

Next open meeting open to all CSP members students and associatesOur speaker is Rachel Newton from central CSP who will talk about ‘Getting to grips with the New Health and Social Care System’ and the CSP resources available to helpDate: Friday 6 DecemberTime: 1pm – 4pm Place: Sheffield Hallam University, Collegiate Road, SheffieldContact: [email protected] Website: www.csp.org.uk/nations-regions/yorkshire-humber

Find out about the practical ways that you can speak up for physiotherapy to benefit yourself and your patients. Meet Rachel Newton, CSP policy officer, and bring your questions.

Future important dates • 2 – 9 December – quarterly meetings • 10 December – English Network Forum • 11 December – CSP Council meeting.

Proprioceptive Neuromuscular FacilitationDo you use it clinically? What are your views and beliefs on this form of treatment?

Are you a CSP registered physiotherapist currently working clinically? If so we would greatly appreciate hearing your views.

In 2005 a small urban hospital team were surveyed about PNF. It found that although clinicians were using PNF many felt they had not received adequate training in the techniques and could not always justify their use of the techniques. This current project is being undertaken as part of the award for BSc Hons Physiotherapy. The study aims to investigate nationally the current attitudes and beliefs of physiotherapists towards the use of PNF and its use in the clinical setting.

If you are interested in taking part in the anonymous study I would be grateful if you could contact me on: [email protected] so that I can send you the link Your input is greatly appreciated! I look forward to hearing your views. Thank You.

ACL reconstruction rehabilitation; what is common in patient practice?Have you treated an ACL reconstruction as an in patient in the past year? Yes? Then we need your help.

We are undertaking an online survey of the in-patient physiotherapy management following anterior cruciate ligament reconstruction. As part of the undergraduate educational programme for the award of BSc Hon Physiotherapy, the study aims to investigate current clinical practice in order to help inform the development of in-patient guidelines. The survey is online and will take no longer than 20 minutes to complete.To take part please email: [email protected] for a link to the survey.

The survey will be live until the 30 November 2013. Your input is greatly appreciated! Sarah Westwater-Wood, The University of Nottingham.

Falls Patient Rehabilitation: Are Shoes Superior, or is Barefoot Best?Do you work with patients who fall? If so, we need your help.

Although barefoot rehabilitation may enhance existing falls prevention strategies through developing proprioception, there are numerous safety reasons for the use of shoes. It is not currently known whether clinicians incorporate barefoot exercises into rehabilitation, or what factors clinicians focus on when advising on footwear during the session.

We are undertaking an online survey to gather clinician’s views and practices regarding the use of bare feet in falls rehabilitation. This is intended to inform future research and best practice.

To contribute please email Kathryn Priest at: [email protected] for a link to the survey.

The survey will be available from 6 November 2013 until 31 December 2013. Your input is greatly appreciated!Marjan Blackburn, Kathryn PriestThe University of Nottingham

Physios support Macmillan coffee morningStaff at St George’s Hospital in London have helped raise £1800 for Macmillan cancer research.

The money was collected thanks to the sale of coffee and cakes at a Macmillan coffee morning, organised by oncology nurses at the hospital, which is part of St George’s Healthcare NHS Trust.

charity news and events

info exchange

6 November 2013

retirement groups and news

reunions

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was supported by the trust’s respiratory physiotherapy team and other members of staff at the hospital.

It was also attended by local politician Sadiq Khan, Labour MP for Tooting, South London.

Commenting on the event Rachael Moses, a principal physiotherapist for ICU, medicine, surgery, cardiothoracic and oncology, said:

‘Our respiratory physiotherapists support this event every year and we recommend that all physiotherapists make an effort to get involved.’

All proceeds from the annual Macmillan coffee morning go directly to Macmillan Cancer Support.

For further information, visit: www.macmillan.org.uk

Chartered Society of Physiotherapy Retirement Association (CSPRA)Oral History ProjectThe Oral History project, supported by the CSP Charitable Trust, is intending to provide a collection of interviews of physiotherapist’s experiences that reflect the changes in the CSP over the last 40 years – in practice, education, research, management, trades union etc. These will be added to a set of interviews made at the time of the Centenary Celebration in 1993 and will be accessible through the British Library and the CSP library. If you would like to suggest yourself or anyone else to be interviewed please contact Barbara Richardson on email: [email protected] or c/o Catherine Smith at the CSP. We should also be pleased to hear from you if you would like to be an interviewer.

Chartered Society of Physiotherapy Retirement Association (CSPRA)Wanted! The CSPRA Autumn newsletter is due to be published. Would you like to write an article and send it to Lyn Ankcorn (editor)? Email: [email protected] you are retiring/approaching retirement why don’t you join the retirement association? Please contact the CSP enquiry handling unit: [email protected] or for more information contact Catherine Smith at

the CSP on email: [email protected] or tel: 020 7314 7843 with your name, address, CSP registration number and contact details. Should you wish to discuss this first with a committee member, the chair of the association, Chris Foster, email: [email protected] or Lyn Ankcorn, secretary, email: [email protected] would be pleased to hear from you.

Royal Orthopaedic Hospital. Set 48, 1976-79 Is there anyone out there? Ali (Hook) and Liz (Powell) would like to catch up with our year group. Time and venue TBC depending on the response. Email: [email protected] or Liz at: [email protected]

Western Infirmary, Glasgow - class of 1973 It seems to be 40 years since we started out on our Physiotherapy life, and I wonder if anyone fancies a wee get-together - maybe next Spring? I was thinking of meeting at Oran Mor, Byres Road for lunch on a Saturday. If interested please get in touch and also contact those who may not get Frontline. Please contact Judith Corcoran (Farrer) at: [email protected] or tel: 01294 466942.

Salford School of Physiotherapy, Hope Hospital 1974-77It’s a long time since we left Salford...If you are interested in a reunion or just a catch up by email, please get in touch with Jane Heyer at: [email protected]

The London Hospital/NELP 1984-1988 Can you believe its 25 years since we qualified! Wouldn’t it be great to get together to share old photos, and new experiences. Gwyneth Richards (nee Jones) and Ruth Emanuel (nee Truesdale) would love to hear from you. Maybe we could organise something for later in the year, venue and location to be decided depending on where people are. Get in touch with either via email: [email protected] or search Facebook for Gwyneth Richards.

Teeside Polytechnic 1985-88It’s 25 years since we qualified. If you are interested in meeting up to celebrate contact

Christine McGlone (nee Wallace) on tel: 0191 3875804, or email: [email protected]. Look forward to hearing from everyone.

The MIddlesex Hospital 1963-66 We are still looking for the whereabouts of Jill Grant (nee Hatchett) or Jacquie Clarke (nee Irvine) for our 50-year reunion in October 2013. We would love to hear from you. Please contact Liz Weatherly on email: [email protected]

Bradford Hospitals School of Physiotherapy 50 year Reunion (1963 - 1966 set)It is 50 years since we started our training in Bradford under the watchful eye of Margaret Hollis OBE. Christine Horner (nee Summers) and Judith Saunders (nee Pollard) are planning to arrange a reunion lunch to be held in Leeds on Thursday 23 January 2014. It would be great to get as many of us together as possible so please email either of us if you are interested. Email: [email protected] or: [email protected]

Bristol School of Physiotherapy/Avon College of Health 1990-93Can’t believe it’s 20 years since we qualified. Abi was wondering if anyone fancied catching up this summer. Let me know at: [email protected]

West Middlesex Hospital School of Physiotherapy 1967-70It is a long time since we left Isleworth. Some of us have met up some of you have never been heard of since we parted. If you are interested in a reunion or just a catch up by email please get in touch with Vicki Owers formerly Wilson née Parker at: [email protected]

Edinburgh Royal Infirmary 1963-66Anyone out there still working? Fancy meeting up? Email me on: [email protected] or tel: 01992 586659.

Bristol Royal Infirmary 1980-83This year, it will be 30 years since we qualified. Libby, Louise and Gaynor would love to arrange a reunion sometime this year, venue to be discussed. If anyone is interested, please contact Gaynor on: [email protected]

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obituarySt Thomas’s Hospital 1985-1988It will be 25 years since we qualified, and Emily Goodlad (nee Muir) and Nicci Caswell (nee Thompson) would love to arrange a reunion next year. Please could you contact either of us if you would like to join us, and let us know who else you are still in touch with so we can get in contact with as many of the year as possible. Email: [email protected] or: [email protected] We will plan a venue and date once we have an idea of numbers and we can hopefully get most of the year together.

Middlesex Hospital 1970-1973

Here is a photo from our recent reunion of the Middlesex Hospital 1970-1973 (April entry). We had a wonderful time, and no-one had changed at all!

Sue Botfield (Rollason)2 August 1946 – 12 September 2013

Sue Botfield passed away on 12 September after a 31-year battle with cancer, which was very bravely and uncomplainingly fought. Although she was born in England her family moved to India when she was a child.

Sue returned to England and qualified as an orthopaedic nurse at the Royal Orthopaedic Hospital (ROH), Northfield, Birmingham, and then went on to train as a chartered physiotherapist qualifying in 1969. Her first post was as junior member of staff at the Woodlands (ROH). She moved to Selly Oak Hospital and was asked by Fred Fraser to set up the South Birmingham Community Physiotherapy Service, where she became a superintendent, and was a founder member and secretary of the Birmingham and District Association of Community Physiotherapists (BDACP), which brought managers across Birmingham together for support and networking.

During her long NHS career Sue developed the physiotherapy service across South Birmingham and also worked in a nursing home in Harborne

as a physiotherapist (and later as a volunteer). She was very supportive of her staff and was well respected by staff, managers and her peers.

Following extensive surgery Sue used her experiences to give talks to consultants about living with spinal cord compression.

As well as her role as a physiotherapist Sue had been a school governor in Handsworth, was an avid collector of AA car badges and we believe she was the first woman to ‘pull a pint’ at Moseley Rugby Football Club. She loved animals and travelling and very much enjoyed visiting her sister in Australia.

She was married to David for fourteen years.

Sue was always the ‘life and soul of the party’, she told jokes and was unable to finish them because she was laughing at them so much herself; it was so funny watching her as she always had everyone laughing contagiously. Sue very caring, and sensitive to others’ needs. She will be sorely missed by everyone who had the pleasure of knowing her.

Sarah Bazin, Sue Roberts and Rosie Plackowski.

Courses – Guidance for membersMembers 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

Are you helping your colleagues to learn and develop?Become a Learning Champion to get support from the CSP for what you do*

Visit www.csp.org.uk/championing-cpd and follow the ‘Become a champion’ link for more information

*All new Champions receive a welcome pack and automatically join our online community to share ideas and resources.

Passionate about CPD?

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manual therapy

electrotherapy manual therapycomplementary therapy

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Western Medical acupuncture and dry needlingCobham Surrey 24-26 January 2014 plus pre-course reading Tutor: Lynn Cheung MSc HPC Lic Ac Cert MedEd Fee £240Evidence-based safe effective introductory course for MSk conditions.Full details email [email protected]. call 01932 450280

Acupuncture for pAin relief – leeds (Yorkshire)(10 CPD-hours)Small class size, hands-on with plenty of practice & supervisionFine-tune point location & needling techniquesNew skills on moxa & electro-acupunctureExplain TCM jargonsTutors are university lecturers & experienced acupuncturists.dates:21 November 2013, Leeds28 November, Peterborough (AACP)6 March 2014, Leeds13 March, Leeds (specialist course: Headaches)fees: £125Contact Teresa 0113 267 2067 or [email protected]

AACP APProved foundAtion in ACuPunCture CourseNottingham, 6 days over 2 weekends, combining both western and traditional Chinese medicine. Dates: 21-23rd Feb 2014 and 25-27th April 2014. Tutor: Steve Bailey, Cost: £525, Contact: 0115 9835780, [email protected], www.sobsart.com

Laser Therapy Training 2013/14Theory, dosage, safety, contraindications, regulations, hands on training.Manchester, 30 Nov; Edinburgh, 1 Dec; London, 14 Dec; Oxford, 18 Jan;Cambridge, 19 Jan.Cost: £200. Course Leader: James Carroll FRSM. 01494 797100, www.thorlaser.comRegister online - Early Bird Discounts available

THE SHOULDER:THEORY & PRACTICENew and updated 9th editionDr Jeremy Lewis FCSPFor course dates, venues, Lewis Shoulder Fixation Belts, other courses run by Jeremy Lewis, free downloads. www.LondonShoulderClinic.com

MODIFIED CHIROPRACTIC & OSTEOPATHIC TECHNIQUES FOR PHYSIOTHERAPIST•Graduate certificate in Manipulative therapy. full Spine, SI J & coccyx•Techniques easily incorporated into everyday Physiotherapy practice•The course is 90% hands on, giving you the practical skills & clinical competence needed.•Dates: March 2014 Weekends 15th,16th,22nd, 23rd & 29th•Venue Harley st London 96 PTR Clinic•Fee £800.Early bird £700 before Dec 31st•Course limited to 10 Attendees •Tutor Robbie Goodrum DO.ND.PTOsteopath,Physiotherapist and Sports Therapist (UK Registered)www.robbiegoodrum.comContact Robbie on 07541838651or [email protected] Papaphotis technique& seminars

SPORTING HIP & GROINTutor: James Moore BSc (Hons) MCSP, CSCS, Nov 16th/17th - Wolverhampton, Nov 30th/Dec 1st - Gateshead, Dec 14th/15th - Crystal Palace, Jan 4th/5th - Surrey, Jan 11th/12th - Gloucester, Feb 8th/9th - Nuneaton, Feb 15th/16th - Manchester, March 15th/16th - Hereford, March 22nd/23rd - Northampton, email: [email protected], Tel: 01202 568898

THE COMBINED APPROACH TO THE SIJTutor: Howard Turner, Nov 23rd/24th - London, Jan 18th/19th - Goole, East Yorkshire, email: [email protected], Tel: 01202 568898

COMBINED MOVEMENTSTutor: Chris McCarthy PhD MMACP, January 18th/19th (Cx) - London, email: [email protected], Tel: 01202 568898

NAGS & SNAGS: MULLIGAN CONCEPTTutor: Ed Wilson BA (Hons) MCSP, MCTA, CMP, January 25th/26th - London, Feb 22nd/23rd - host venue to be found, March 15th/16th - Liverpool, June 14th/15th - Lymington, email: [email protected], Tel: 01202 568898.

ANTERIOR KNEE PAIN: DIFFERENTIAL DIAGNOSIS & TREATMENTTutor: Lee Herrington PhD MCSP, February 1st - Loughborough, March 1st - Wigan, email: [email protected], Tel: 01202 568898.

ACL REHAB UPDATETutor: Lee Herrington PhD MCSP, February 2nd - Loughborough, March 2nd - Wigan, email: [email protected], Tel: 01202 568898.

PAIN & PHARMACOLOGY: OPTIMIZING PATIENTS ANALGESIATutor: David Baker MCSP ESP & non-medical Prescriber, December 14th - London, March 1st - Edinburgh, email: [email protected], Tel: 01202 568898

EVENING LECTURE: THE SPORTING FOOT & ANKLESpeaker: Fraser McKinney MSc MCSP Head Physiotherapist - Great Britain Basketball, November 27th - London, email: [email protected], Tel: 01202 568898

INTRODUCTION TO MUSCULOSKELETAL ULTRASOUNDTutors: Robert Mast BSc Physiotherapy HCPC, MCSP, PgCert Musculoskeletal Sonography, David Baker MCSP, ESP, MSK Sonographer & Non-medical Prescriber & Stuart Wildman MSc, BSc (Hons) Physiotherapy, HCPC, MCSP, MMACP, PG Dip, March 29th/30th - London, email: [email protected], Tel: 01202 568898

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SIMPLIFY THE FOOT AND ANKLE IN A DAY!Peterborough (30th Nov)Clinical gems from Chris Murphy. See www.physiouk.co.uk/ankle or call 0208-787-5963

THORACIC OUTLET SYNDROME – ASSESS, TREAT AND DIAGNOSE (1 DAY)London (7th Dec)Golden nuggets from Teri Bayford. See www.physiouk.co.uk/tos1 or call 0208-787-5963

CLINICAL WHIPLASH AND NECK PAIN (EVENING)Southampton (13th Nov)Birmingham (20th Nov)London (27th Nov)Proven treatment approaches designed to help your patients achieve maximum recovery! See www.physiouk.co.uk/whiplash1 or call 0208-787-5963

MYOFASCIAL RELEASE: GET ‘HANDS-ON’INSPIRING, ENJOYABLE, DIVERTING…Bath (30th Nov-1st Dec)London (14th-15th Dec)Manchester (8th-9th Feb)Camberley (8th-9th Mar)Worcester (22nd-23rd Mar)Surrey (26th-27th Apr)Part 1 courses with John Annan. See www.physiouk.co.uk/johnpart1 or call 0208-787-5963

SIMPLES… SIMPLIFY THE SHOULDER WITH MARTIN SCOTTHarrogate (16th-17th Nov)Staffordshire (7th-8th Dec)London (11th-12th Jan)Manchester (22nd-23rd Mar)For full details, visit www.physiouk.co.uk/simples1 or call 0208-787-5963

MSc MuSculoSkeletal MedicineYou’ve completed your course in musculoskeletal medicine and passed your examination (well done) and have let a few months or years slide by, maybe with a few other courses added to your CV. But now you’re starting to need a fresh challenge and could do with a nudge in the right direction. If that is you – look no further than the SOMM’s own MSc Musculoskeletal Medicine!

The programme is a collaboration between the Society of Musculoskeletal Medicine and Middlesex University and is specially

designed to be flexible to suit you. It is also open to anyone who has successfully completed a course in musculoskeletal medicine with any one of our affiliated organizations: The Cyriax Foundation, European Teaching Group of Orthopaedic Medicine (ETGOM), Irish Society of Orthopaedic Medicine (ISOM), Orthopaedic Medicine International (OMI UK), Orthopaedic Medicine International (OMI Europe) and Orthopaedic Medicine Seminars (OMS). Once you’ve registered on the programme, at the Postgraduate Diploma level, your next 60 credits will be made up by attending the 20 credit research methods module plus two other 20 credit

option modules – ‘Theory and Practice of Injection Therapy’, Advanced Clinical Practice in Orthopaedic Medicine’, the ‘Practice Based Proposition module’ or ‘Special Tests in Musculoskeletal Examination’. And – good news – if you’ve already done any of those they can be carried forward into the programme. Then just the 60 credit dissertation to do and you’re there! Almost 80 dissertations completed so far and you’re very welcome to see the list for inspiration. The programme is designed to provide a flexible framework within which you can construct a postgraduate programme, which meets your personal, professional and academic needs, whilst also incorporating the needs of your clients and the organisation within which you work.

For further information contact the SOMM officeon 0151 237 3970,email [email protected] visit our website atwww.sommcourses.org

miscellaneous

NMSK ASSESSMENT REFRESHER COURSESDesigned to reacquaint you with the assessment of spinal and peripheral joints. Suitable for students, new graduates, and rotational staff.Dates:Saturday 30th November 2013 – Spinal AssessmentSaturday 14th December 2013 – Upper Limb AssessmentLower Limb Assessment course TBCCost: £80 (lunch and refreshments provided)Discounts available for multiple bookings.Venue: Aylesford Priory, Kent.Visit www.theory2therapy.com or email info@ theory2therapy.com.

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neurology

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MDT conferenceon ‘Recent advances in the diagnosis, assessment and multidisciplinary management of people with Disorders of Consciousness (Vegetative and Minimally Conscious states)’12th & 13th June 2014Venue: old Thorns Manor Hotel, Liphook, HampshireContact: [email protected] or Rasheed Meeran on 01428 647649

Optimising efficiency Of mOvement tO imprOve functiOnal walking in the adult neurOlOgical patient25th and 26th January 2014Tutors:Lynne Fletcher- Advanced Bobath Tutor BBTA/IBITALinzi Meadows-Advanced Bobath Tutor BBTA/IBITAThis course will focus on developing advanced clinical reasoning skills. The course will include:Practical sessions focusing on movement analysis and handling skills essential to the development of functional walking. Patient demonstration sessions focusing on clinical reasoning linked to an understanding of the neurophysiology underpinning recovery of functional walking.Theoretical introduction to the theme.Course participants should have completed a 3 week Basic Bobath course.Fee = £190The course includes a restaurant lunch and refreshments. Please contact Jenny Charlton at the Neurological Teaching Centre (Manchester Neurotherapy Centre), 466 Bolton Road, Pendlebury, Manchester, M27 8UR, Tel/Fax: 0161 793 0003, Email: [email protected] 4

Neuro-physiotherapy assessmeNt aNd maNagemeNt:Oxford Centre for Enablement, Nuffield Orthopaedic Centre,Oxford University Hospital NHS TrustWindmill Road, Headington, Oxfordmonday 3rd February 2014 (1 day) Cost: £85Suitable for new-Graduates, band 5 physiotherapists and return to workersThis course will provide the delegate with the knowledge and practical skills required for the completion of a neuro-physiotherapy assessment including the use of outcome measures and the compilation of a treatment plan. Problem solving and evidence based practise will be the basis underpinning the course.For more information, please contact Lorraine Maggi, course co-ordinatorTel: 01865 227879Fax: 01865 227294Email: [email protected]

ANTERIOR KNEE PAIN: DIFFERENTIAL DIAGNOSIS & TREATMENTTutor: Lee Herrington PhD MCSP, February 1st - Loughborough, March 1st - Wigan, email: [email protected], Tel: 01202 568898.

ACL REHAB UPDATETutor: Lee Herrington PhD MCSP, February 2nd - Loughborough, March 2nd - Wigan, email: [email protected], Tel: 01202 568898.

SPORTING HIP & GROINTutor: James Moore BSc (Hons) MCSP, CSCS, Nov 16th/17th - Wolverhampton, Nov 30th/Dec 1st - Gateshead, Dec 14th/15th - Crystal Palace, Jan 4th/5th - Surrey, Jan 11th/12th - Gloucester, Feb 8th/9th - Nuneaton, Feb 15th/16th - Manchester, March 15th/16th - Hereford, March 22nd/23rd - Northampton, email: [email protected], Tel: 01202 568898

SPORTS MASSAGE MASTERCLASSTutor: Julian Berriman BSc (Hons) Ost, December 11th - Leicester, email: [email protected], Tel: 01202 568898.

SPORTS FIRST AID (InTRODucTORy level)Tutor: Tony Bennison, november 16th - london, February 15th - Southampton, March 1st - london. email: [email protected], Tel: 01202 568898.

NATIONAL SPORTS FIRST AID (INTeRmeDIATe LeveL)Tutor: Tony Bennison, February 15th/16th - Southampton, march 1st/2nd - London. email: [email protected], Tel: 01202 568898.

REHABILITATION FOR RUNNERSTutor: Mike Antoniades (rehabilitation specialist), November 30th - London, email: [email protected], Tel: 01202 568898

UniqUe AntenAtAl & PostnAtAl trAining CoUrses!FitBack & Bumps provide unique training courses aimed at increasing your knowledge and confidence in treating pregnant and postnatal patients. Are you looking for a new challenge? Our exciting Instructor Training Course will enable you to run ante and postnatal exercise classes in your local area. It`s a real “ Business in a box” Treatment & Exercise In The Childbearing Year 7th DecTreatment & Management of Diastasis of Recti 8th DecInstructor Training Course 1st/2nd Feb 2014 (All @ London Tower Hill) Please see www.fitbackandbumps.co.uk/courses for further details.

sports medicine

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features and jobs delivered direct to me in Frontline magazine,plus a weekly e-news bulletin and a suite of specialist newsletters.

It keeps me in touch.

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RECRUITMENT ADVERT RATES DISPLAY/SEMI-DISPLAY Single column CM rate £43Extras Setting charge 10% gross of the ad (minimum charge £50)

Spot colourAll SCC rates include spot colour as standardFull colour £500 extra3-column surcharge 10% gross of the ad Bleed or special position 15% gross of the ad

LINAGE Private practices only (cost per word)

Non-members £1.50Members £1.10Over 150 words (per word) £2.20Extras Shading £25 extraBoxed £25 extraAll advertising rates subject to VAT

RECRUITMENT ADVERT SIZES COLUMN WIDTHS Single column 42mmTwo columns 89mmThree columns 136mm*Four columns 183mm* 15% surcharge applies

FULL PAGE W X H Bleed area 221 x 288Trim size 213 x 280Type area 183 x 245

ARTWORK Display Artwork to be supplied as high resolution PDF � les.

Semi-displayCopy should be sent by email. 10% typesetting fee, minimum charge £50.

ADVERTISING DEADLINES ALL DEADLINES 12 NOON Issue Bookingdate deadline

Nov 20 Nov 4 Dec 4 Nov 18

Deadlines for artwork are Wednesday 12 noon after booking deadline.

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ADVERTISE IN FRONTLINE...simply call

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PHYSIOTHERAPIST (MATERnITY COvER)Salary: £28,000 - £30,000 (Pro rated)Hours: 37.5 hours per week

We are currently looking for an enthusiastic, pro-active and patient focused Physiotherapist to join a friendly and small physiotherapy unit in order to cover for maternity leave.

Due to the nature of our work, the successful candidate will either hold a degree in physiotherapy or hold a diploma together with solid physiotherapy experience. Demonstrable experience in musculoskeletal outpatients and orthopaedic inpatients with some experience in basic respiratory physiotherapy. Mat work Pilates experience will be an added advantage.

A methodical approach to work is an essential requisite along with attention to detail. The candidate needs to hold a high level of emotional intelligence in order to treat patients with diplomacy, empathy and tact.

The fixed term contract will start in December 2013 and is expected to continue until June 2014.

Staff benefits include defined contribution pension plan, child care vouchers, free parking, a free minibus system with various pick up points in the local area and from nearby rail links, free membership to benenden health, performance related pay and a generous annual leave allowance. We are a friendly and supportive employer with an Investor in People Bronze Award.

If you would l ke to take advantage of this opportunity, please visit the Careers page at www.benendehospital.org.uk where you can find the full job description and application details.

For an informal discussion please contact Shinu Varghese, Physiotherapy Manager on 01580 242521

Closing date: 15th november

DEFENCE MEDICALREHABILITATIONCENTREHEADLEY COURT

BAND 7 PHYSIOTHERAPIST Ref: 1349272

DMRC Headley Court off ers an exciting opportunity to work within a rehabilitation setting, supported by experienced professionals.

You will play an integral role for the Offi cer Commanding the Centre of Lower Limbs Rehabilitation, both within the Multidisciplinary Injury Assessment Clinic and with Inpatient Course provision. You will be responsible for the expert assessment, diagnosis and planning of care of personnel referred from across the military. Working closely with a Consultant Lead and the Offi cer Commanding, you will be responsible for service development projects, as well as supervision of Band 6 and junior Military Physiotherapists. You will also be expected to liaise eff ectively with senior clinicians in both Primary and Secondary Care environments. You will require relevant post graduate Masters Level qualifi cations or equivalent to apply for this post.

Applications must be made on www.civilianjobs.mod.uk and be supported by a full CV.

Closing date: 27th November 2013.The MOD is an Equal Opportunities employer and seeks to refl ect thediverse community it serves. Applications are welcome from anyonewho meets the stated requirements.

A Force for Good.www.civilianjobs.mod.uk

Physiotherapists – Band 6In Berkshire we’re radically re-shaping the way we work in children’s therapies – giving you more room to get creative, together with a bigger say in what we do. Featuring a single point of entry and a triage system, our new Children and Young People’s Integrated Therapies (CYPIT) service is already changing lives by working collaboratively around each family’s needs. Now we want to add your ideas and experience to an expanding operation created through extensive consultation with existing staff. Here’s your chance to start looking at therapy in an entirely new way. We are also seeking bank staff. For further information call: 07919 148241 or email: [email protected]

Piecing therapy together

Applications must be made online at www.jobs.nhs.uk where you can view full specifi cations. Please quote reference 371-WAM165 in all correspondence.

For all other enquiries please contact the Recruitment Department on 0118 982 2936.Closing date: 22/11/13. Interview date: 29/11/13.

We are an equal opportunities employer committed to safeguarding children and vulnerable adults.

Healthcare from the heart ofyour community

www.csp.org.uk

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JOIN A FORWARD THINKING HOSPITAL

Are you a highly skilled and experienced paediatric physiotherapist looking for a new challenge?

We are an international hospital committed to providing the highest quality healthcare for our patients and are looking for a Senior Paediatric Physiotherapist to join our friendly and committed team.

You will be experienced in providing a client-centred and evidence-based service to paediatric in and outpatients. Your caseload will include children with complex and varied needs including diagnoses of an orthopaedic, musculoskeletal, developmental, respiratory and neurological nature.

You will also be HPC registered with a degree in physiotherapy and have on-call experience.

Find out more at www/bupacromwellhospital.com/careers

Paediatric Physiotherapists £21,000 - £27,000

Clinical Lead £30,000 - £35,000

Craig Y Parc School, near Cardiff

Scope exists to make this country a better place for disabled people and their families. We do this by running a range of services, raising awareness of the issues that disabled people face and influencing change across society. At our Craig Y Parc School, our ethos shines through. It’s a place for pupils to come to learn, live and get the most out of life. Joining our fast-paced and supportive Therapy Department, you ll help the school build on its reputation as a Centre of Excellence.

One role is a clinical lead/manager and the other a physiotherapist delivering physiotherapy. In either of these roles, you’ll manage and support a highly specialist caseload of students with complex learning, physical, emotional and sensory needs and/or challenging behaviour. You’ll work with colleagues and external agencies alike to make sure they get the support and treatment they need. We ll look to you to lead and train junior colleagues too. As such, a relevant degree and a wealth of experience in the specialist area of children and young adults with complex physical and sensory needs are both vital.

We are committed to equal opportunities and particularly welcome applications from disabled people and guarantee interviews to suitably qualified disabled applicants. Successful applicants will be subject to an enhanced DBS check for regulated activity.

For more information and to apply please visit www.scope.org.uk/jobs

Closing date: 22 November 2013.

Scope is a registered charity, number 208231

Spire Harpenden HospitalAmbrose Lane, Harpenden, Hertfordshire AL5 4BP

Senior Musculoskeletal PhysiotherapistFull-time – Outpatients • 12 month fixed-term contract (Maternity Cover) • Job Ref: 528035

We have a 12 month fixed term contract available for an experienced, confident and competent clinician in our busy outpatients department.Working 37.5 hours per week, you may be required to cover evenings, and Saturday mornings.The case load is busy and varied including acute injuries, post-operative rehabilitation and sports injuries. We have excellent facilities including hydrotherapy, isokinetics and gait scanning technology.You will have current HCPC registration and be a CSP member and be able show current evidence of continuing professional education. You should have a minimum of 5 years clinical experience including relevant musculoskeletal experience.

Physiotherapist – BankIn-patients - Weekend cover • Job Ref: 527655

We require experienced physiotherapists with current registration with the HCPC and a member of the CSP, to join our in-patient team. You will need to provide high quality assessment and post-operative treatment i.e. mainly orthopaedic caseload.

www.spirehealthcare.com

To apply, click on the Job section of our website and search for the reference

number under Advanced Search.To find out more about opportunities at

Spire, please visit our website.All roles are subject to enhanced

level disclosure from the Criminal Records Bureau.

6 November 2013

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PHYSIOTHERAPISTSFull and Part Time Opportunities

Salary: £25,783 to £34,530 Location: Aldeburgh, Suffolk

If you want to enhance your quality of life as well as your career come to North East Suffolk where you can be part of a dynamic and developing Community Team whilst also enjoying the many cultural and sporting opportunities our stunning countryside and heritage coast provide.

Our patient-centred multidisciplinary team works within patients’ own homes and our twenty bedded in-patient facility providing services for a very varied adult caseload including those with long term conditions and those at risk of falling. We aim to promote and facilitate independence, often preventing admission and supporting early discharge.

Applications are invited from established Band 6 Therapists, and also from Band 5 Therapists seeking a development post. The successful candidates will have substantial community experience and be good communicators who are highly motivated team players.

Professional development is actively encouraged with dedicated CPD time, training, supervision and peer support. Relocation expenses can be negotiated.

For more information contact Christine Gale, North East Community Healthcare Team Lead on 07534904480.

To apply please go to www.serco.com/careers quoting job reference 43627 (Community Physiotherapist – Aldeburgh Band 6)

Closing Date: 1 December 2013

A Physiotherapy Role Like No OtherAre you a qualified physiotherapist seeking a fresh challenge that fully utilises all your skills and experience, influences professional development across the whole of the Chartered Society and enhances your own career aspirations? Then look no further because here’s a role that can fulfil all your ambitions.

Professional Adviser – Practice and Development£41,971 per annum (Inclusive of London Weighting)Full-time permanent and fixed term opportunities availableBased in: London WC1

This is a totally different role, where you will use your professional knowledge to help physiotherapists by providing them with advice and support on all aspects of practice, service delivery and professional development. Working with fellow advisers, you will also enjoy the added benefit, support and interaction of a team environment.

Essentially, as part of several corporate teams, you will be providing leadership to many physiotherapists throughout the country, developing resources, publications, lobbying and influencing press and media activities, all of which will facilitate and empower members to improve and demonstrate the impact of their services, securing services fit for the future.

And it doesn’t stop there. In collaboration with external stakeholders, you will also play an active role in identifying and influencing developing policy that will enhance service provision and help improve patient outcomes and experience.

So, if you are looking for an exceptionally rewarding and challenging role, would enjoy working in a team environment and seeing the difference your input makes, find out more about this exciting opportunity.

For an informal chat, call Steve Tolan on 020 7306 6663.

For full details and to apply online, visit: www.csp.org.uk/about-csp/working-us. CVs will not be accepted.

Closing date: 12 Noon, Monday 11 November 2013Interview date: Thursday 14 November 2013

We offer an excellent benefits package, including 27 days annual leave, final salary pension scheme, childcare vouchers and corporate gym membership.

We regret that only short-listed candidates will be contacted.

The CSP is committed to equality of opportunity and welcomes applications from all sections of the community

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care4healthRecruiting health & social care locums into the private & public sectors

[email protected]

A fresh approach for a professional, supportiveservice

Supplier to

We are a National Framework

Agreement Agency and a

Preferred Supplier for

the Midlands, London,

the South East, South West

and North East of England

01905 642500

Contact Us:++44 (0)845 130 [email protected]

Follow us online:facebook.com/theplacementgrouptwitter.com/JustPhysiolinkedin.com/company/justphysio

Statistics speaklouder than words

90%90%were happy with our

ease of contact

8 %were happy

with ourknowledge

89%88%

89%were happy

with ourefficiency

93%93%WERE HAPPY

WITH OUR

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WERE IMPRESSEDBY OUR RESPONSIVENESS

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Each year we strive to be the best physiotherapy recruitment agency possible, which is why we routinely canvas all our candidates.

Thankfully 2012 saw a great response to our satisfaction survey and we’re delighted with the results. We’ll keep working hard to raise the bar further in 2013.

Phys

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t: 020 7292 0730e: [email protected]

www.piersmeadows.co.uk

PreferredSupplier for

over 150 NHSTrusts [email protected]

Call: 020 7833 3208

www.pslrecruitmentservices.co.uk

Time for a change?

Nationwide solutions forall your career needs

Temporary & permanentPhysio recruitment specialist

London Procurement Partnership

6 November 2013

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Musculoskeletal PhysiotheraPists 23,000GBP to 34,000GBP Connect Physical Health (North East). Full details on: www.jobescalator.com

Virginia Water, surrey Musculoskeletal physio, part or full-time needed. Good manual skills essential. Excellent remuneration. Contact Sophie at: [email protected]

sheffield Musculoskeletal clinic require full and part time physiotherapists with minimum two years musculoskeletal experience. Applicants should be at least three years post-graduation with an interest in developing out patient clinical skills. Initial applications by CV to: [email protected]

full-tiMe PhysiotheraPist needed for growing multidisciplinary clinic. Do you want to make provincial NZ your home; just 45 minutes from Auckland? For more information: http://www.totalphysiotherapy.co.nz/vacancies.html

PeWsey, MarlBorough, Wiltshire A part-time physiotherapist is required to join a small but expanding clinic located within a busy dental practice. We are looking for a musculoskeletal Physio with good manual and communication skills. Must be reliable and enthusiastic, on self employed or employee basis with a view to expanding. For more details email: [email protected] or call tel: 07772 160833 and ask for Jonathan.

surrey Based Ms theraPy centre requires a part-time self-employed physiotherapist to join our friendly team. We are a well-established charity providing both individual and class work sessions for our motivated clients. We offer good rates of pay, training and a great working atmosphere. It’s different, but why not phone Brenda on tel: 020 8660 1181 or: [email protected] and find out more?

leeds and Wakefield An exciting opportunity has arisen at Sano Physiotherapy Ltd for an enthusiastic and dedicated physiotherapist to join our team. We have work available for between 10 and 20 hours per week on a flexible basis, with

the option of additional overtime at our clinics in Pudsey and Wakefield. Your caseload will be split between carrying out in-house disability assessments for the DWP alongside assessing and treating self-referring, occupational health and insurance clients, with hours to include one evening shift per week and the possibility of some weekend work. The successful candidates must have two years post-qualification experience and commencing remuneration will be circa £23,000-28,000 pro-rata, depending on experience. For further information, please email your interest to: [email protected] or contact Matt Taylor on tel: 0113 257 8594 for further information.

great oPPortunity Part-time work including Saturdays for musculoskeletal physiotherapist in north London N14 possibly developing into full-time hours. Suit local person with excellent clinical and interpersonal skills, committed to high professional standards and ideally with acupuncture, sports massage and Pilates training. The post is within a friendly multi--disciplinary clinic. Please email CV stating availability. Email: [email protected]

guernsey PhysiotheraPy grouP require a full time, temporary musculoskeletal outpatient physiotherapist. Applicants must have a minimum of three years post-qualification and experience in spinal/musculoskeletal/sports injury assessment and rehabilitation. Good rates of pay benefitted by low taxation rates. Start: December 2013 Email: [email protected] for further information.

the PhysiotheraPy clinic - rochdale is looking for an additional physiotherapist and APPI instructor to join us. An experienced, friendly, motivated physiotherapist is required part time, to deliver musculoskeletal physiotherapy treatment to a wide range of clients and teach matworkpilates. You should have completed APPI Matwork 1 and 2 and preferably fully certified. A basic acupuncture qualification is also desirable.If you would like to join our team, please email your CV to: [email protected]

PhysiotheraPy solutions requires an enthusiastic senior physiotherapist to work across two clinics in the London area. The successful candidate will be required to manage

a musculoskeletal caseload in both sports injury and occupational health settings, each with a strong, evidence-based focus. We are looking for a confident, candidate with experience in both occupational health and sports physiotherapy. The candidate should be able to demonstrate strong communication skills, experience working with elite athletes (gymnastics physiotherapy experience desirable), and proven ability to mentor junior therapists. The successful applicant should have a diverse musculoskeletal background with extensive and relevant CPD, including acupuncture, McKenzie credentials and manipulative physiotherapy. Start date March 2014. Hours: 37.5 hours per week. Location: London. Pay: £28-31,000. Closing date: 20 November 2013.

Part-tiMe exPerienced Musculoskeletal PhysiotheraPist Wanted for busy, expanding clinic situated in Shifnal Shropshire. Preferably late afternoon and early evening hours, possibility of some weekend. For More details contact Steven Briggs on tel: 01952 462330 or: 07788 725487, email: [email protected]

BroMyard, herefordshire - elderly care: Experienced physiotherapist required, one afternoon per week to work in local nursing home. Enquiries to: [email protected] or tel: 07906 810832.

Physicare require chartered PhysiotheraPists for our private practices throughout Lanarkshire. Variety of hours and shifts available. Experience in occupational health preferable but not essential as training will be provided and all physios are supported by our head of physiotherapy and excellent admin team. Applicants should have comprehensive post grad experience together with a portfolio that demonstrates continued professional development in the fields of musculoskeletal/manual therapy. Email your CV to: [email protected] or call operations manager Sharon McArdle on tel: 01555 678530.

oPtiMuM, a groWing PhysiotheraPy ProVider, now have full-time employed positions in our Bucks, Northants and Beds clinics. The caseload will include occupational health,

guidelines for recruitMent adVertising in this section The linage recruitment section of Frontline is for the use of small private practices only. The definition of a small private practice for these purposes is: CSP-member-owned, operating from a single privately-owned premises and employing no more than two physiotherapists (or 2 FTE). We regret that we are unable to accept linage advertising for posts within private or NHS hospitals. WORD LIMITS – Linage advertisements up to 75 words will be charged at the current cost per word, as stated in our rate card. Words above that maximum will be charged at £1.50 each plus VAT.

private work available

www.csp.org.uk

63Recru

itmen

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rooms to let

service and repair

equipment wanted

equipment for sale

business opportunity

DWP, medico-legal and private referrals. To apply for these positions please email: [email protected] or call tel: 0844 736 1806.

Pain ManageMent SolutionS is an independent sector provider of chronic pain clinics to the NHS. We currently have several posts (part-time and full-time) across Lincolnshire, West and South Yorkshire for experienced physiotherapists with an interest in chronic pain management. Successful candidates will work as part of a multi-disciplinary team in the community setting from a number of primary care centres, GP practices and local gymnasia to deliver our outpatient clinics and pain management programmes. You will be involved with patient assessment, care planning and care plan review as well as the delivery of evidence-based programmes of education and training for patients suffering with long-term benign pain. Experience is not essential as training will be given but it is a distinct advantage. Salary negotiable dependent upon experience. Please send your CV with a covering letter to: [email protected] or contact Jen Bramwell on tel: 0800 0340406 for further details.

our exPanding teaM needS a full-tiMe and Part-tiMe senior physiotherapist for clinics in Wandsworth and Chiswick. Candidate must be experienced, motivated and proactive. Shifts include some evening and weekend work. Acupuncture/needling essential, and pilates a bonus. CV/enquiries to: [email protected]

Part-tiMe Self eMPloyed PhySiotheraPiSt with musculoskeletal experience required for new and expanding physio clinic in East Cambridgeshire. For the right candidate possibility of partnership in business and increased hours. Please contact Jacqui with expressions of interest to: [email protected]

CheSter/liVerPool Liverpool Physio have a private full-time musculoskeletal position which is split between Chester and Speke. Both sites involve hands on musculoskeletal Rx and lots of rehabilitation opportunities. At least two years of musculoskeletal experience required. Salary is band 6 equivalent .To find out more information and apply visit: www.liverpoolphysio.co.uk/careers or call tel: 0151 558 0077.

godalMing, Surrey Senior musculoskeletal physio required for busy physiotherapy clinic. Physio 1 to 1 is an integrated physiotherapy and Pilates clinic with a reputation of excellence in the area based on our high quality, targeted treatment and rehabilitation. Pilates training and an interest in sports rehabilitation are desirable but not essential. Please call Sophie Sherman, our practice manager for further details on tel: 01483 424470 or send your CV to: [email protected] Website: www.physio1to1.co.uk

outgoing Self-eMPloyed MuSCuloSkeletal PhySiotheraPiSt required to join friendly practice in Havant. Three years post-qualified. Acupuncture and sports injuries experience desirable. Part-time post, potential for full-time. Please email CV to: [email protected]

SouthaMPton At goPhysio we take care of our team, who take care of our patients who in turn take care of our business. If you’re looking to be part of a valued, trusted, growing team in an innovative healthcare business, email your interest to: [email protected] We have full-time, employed, band 6 physiotherapist positions available for seriously motivated individuals.

ultraSound, eleCtrotheraPy, laSer, CouCheS etC bought for CaSh Contact Trimbio on tel: 01403 261564 or visit: www.trimbio.co.uk

SeCondhand eleCtrotheraPy bought and Sold Ultrasounds Interferential Combinations etc. Call RWR services on tel: 0845 257 8925. Email: [email protected]: www.rwrservices.co.uk

SeCondhand and new ultraSoundS, eleCtrotheraPy, laSerS, CouCheS etC With warranty. Please call Trimbio on tel: 01403 261564. www.trimbio.co.uk

SerViCe and rePair for all eleCtrotheraPy and PhySiotheraPy ProduCtS Contact Trimbio on tel: 01403 261564 www.trimbio.co.uk

forMer ShrewSbury MediCal engineerOffering repairs and servicing of your electrotherapy equipment. Call RWR services on tel: 0845 257 8925. Email: [email protected] Web: www.rwrservices.co.uk

PhySiotheraPy rooMS to let, bollington, CheShire Two physiotherapy treatment rooms available to let. Both with shared reception area. Room one: 5m x 4m, treatment plinth and office furniture (large enough for small groups/Pilates), £150 per week plus utilities. Room two: 3m x 2m, treatment couch, office furniture and sink, £100 per week plus utilities. Call tel: 07581 230571 or email: [email protected] for more information.

due to retireMent an there iS an oPPortunity to buy an eStabliShed liMited CoMPany CliniC with equipment, good contacts and referrals from medical intermediaries. With a web site and logo set up, good will and existing clients and contracts. Opportunity to continue existing lease in 5* business premises with full disabled access and good road links in a beautiful country house parkland setting convenient for Ripon, Harrogate and Boroughbridge, or to run with home visits or re-locate locally. Contact Sue on tel: 01423 326792 or email: [email protected]

PhySiotheraPy webSiteS Do you want your website to be at the top of Google? Physio123 specialise in creating and marketing physiotherapy websites. Free trials available. Visit: www.physio123.co.uk

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67In brief

Mexico-boundLAURA BROWN IS DETERMINED TO IMPROVE THE LOT OF DISABLED CHILDREN IN MEXICO. ROBERT MILLETT REPORTS

Frontline – www.csp.org.uk

Profile

F or the last three years, Laura Brown has been leading a double life. She has been dividing her time between working in the Midlands and volunteering in Mexico.

Originally from Worcester, Ms Brown studied physiotherapy at Birmingham University. After graduating in 2006, she went to work for Mid Sta� ordshire NHS Foundation Trust.

Then, in 2009, she decided to volunteer for a project in Mexico organised by Outreach International, an agency which places skilled professionals and workers in initiatives around the world.

Ms Brown travelled to the Paci� c coast city of Puerto Vallarta and spent four months working with adults and children with disabilities and musculoskeletal problems. The project was an eye-opening experience and left her feeling both inspired and frustrated.

‘Mexico is a country that has minimal state funding for therapy or equipment for disabled children, and no national health service,’ explains Ms Brown.

‘Families with a disabled child usually have to struggle and fend for themselves, often with terrible consequences for the child.’

Ms Brown was deeply touched by her time on the project, but felt there was more that could be done. So much so that on her return to the UK she decided to set up Therapies Unite – an independent, non-pro� t organisation that would provide on-going educational support and assistance to disabled people in Mexico.

She knew that many existing organisations already sent skilled volunteers to the country, but Ms Brown had noted that the projects tended to focus on short-term input rather than long-term participation.

‘My main objective was to change this,

by not charging volunteers to come out and complete projects, but instead by � nding skilled volunteers and funding them to come to Mexico,’ she explains.

‘The idea was to provide education, training and equipment for local healthcare professionals so that they could develop existing rehabilitation services.’

To make her vision a reality Ms Brown set up salsa dancing events and started to contact local businesses, organisations and individuals for sponsorship. She gained support from the Rotary clubs of Cannock and Burntwood, UK charity MeDiCT – the Mexican Disabled Children’s Trust – and saved for her own airfare by doing locum work.

Before long she returned to Puerto Vallarta and was soon putting her plans into practice, helping the disabled community and individuals by providing free specialist therapeutic skills and expertise.

Since then Ms Brown has visited Mexico three more times, spending half a year volunteering in the country on each occasion. She funds her long stays by returning to work in the NHS, for six month stints, allowing her to cover her living expenses while abroad.

‘I have very little help and do most of the organisation, administration and volunteer work myself,’ says Ms Brown. ‘But I’m really passionate about this work and I manage to juggle a double life as a result.’

Her hard work and passion are certainly

last three years Therapies Unite has managed to arrange two Halliwick hydrotherapy courses in Mexico – funding the instructors’ travel and accommodation and training 26 local therapists, doctors, psychologists, parents and volunteers in the techniques.

The organisation has also funded the installation of solar panels at a local pool and set up two hydrotherapy groups for children and adults. The groups are free to access and provide therapy for up to 70 children a week.

Plans are now underway for the organisation to open a postural management centre in Puerto Vallarta that will provide free clinics for the

communities in the area.To support the initiative, Therapies Unite has

already secured a 40-foot container of redundant NHS equipment and donations from healthcare equipment specialists, but Ms Brown says more is needed.

‘We are still collecting equipment to send out so if any departments have any old or spare paediatric equipment we will happily collect it,’ adds Ms Brown.

‘And we are always looking for physios with specialist skills to come and help us.

‘So if anyone is interested, please don’t hesitate to get in touch.’ �

• For more information, visit: www.therapiesunite.com

paying o� . In the

‘WE ARE STILL COLLECTING EQUIPMENT TO SEND OUT SO IF ANY DEPARTMENTS HAVE ANY OLD OR SPARE PAEDIATRIC EQUIPMENT WE WILL HAPPILY COLLECT IT’

Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). MAC14445_13_PF

You might already be aware of Macmillan’s excellent palliative care services. But did you know our team can complement the expert care and support you provide?

We’re here for people affected by cancer at diagnosis, during treatment and increasingly, on the way back to health.

For example, we provide expert information booklets for people affected by cancer, their families and carers, which are certified by the Information Standard.

‘ I thought Macmillan were just for end of life. But my nurse Claire helped me understand there’s a whole team doing so much more.’

Cathy, living with cancer

Scan with your mobile phone using a QR code scanner to learn more.

We do mORe than excellent palliatIve care

And remember, if the people you support have any questions or need to talk in between appointments, they can call our free Macmillan Support Line on 0808 808 00 00 (Monday to Friday, 9am–8pm)

Order free information booklets and find out more atbe.macmillan.org.uk/patientsupport