THE VOICE OF PHYSIOTHERAPY 19 F

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Tomorrow’s physios

Reports from the student reps’ conference

Tackling COPD and fallsHow buddies can help 24

Student placementsA CPD opportunity 29

Safe staffi ng levelsRead our Q&A 16

Tackling COPD and fallsHow buddies can help

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

3

FOCUSESA Q&A on achieving safe sta� ng levels 16

The latest � ndings on stress incontinence 18

Can patients have NHS and private physio? 22

Why racist parties must be challenged 23

8NEWS

Exercise: ‘core treatment’ in osteoarthritis 8

Demonstrate against austerity on 8 March 10

Students speak out at annual CSP event 12

Reports on e� ect of vitamin D de� ciency 14

REGULARS

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

DIRECTORYCourses, conferences and member information 37

RECRUITMENTLook no further for your next positive career move 59

PROFILEPenny Agent on developments in cystic � brosis care 67

FEATURESUsing buddies to boost therapy options 24

Making the most of practice placements 29

Sign up for Workout at Work Day 2014 32

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19 February 2014

CONTENT

25

24 Respiratory

19 February 2014 Frontline – www.csp.org.uk

T he idea of recruiting former patients as

buddies to support patients through

physiotherapy-led falls and respiratory

rehabilitation programmes seems so simple

it is a wonder that it is not happening everywhere.

But, according to physios Pam Hancock and Kylie

Farbrace this appears not to be the case. The pair

respectively lead the pulmonary rehab and falls

multidisciplinary clinics of the Hope Street Specialist

Service, part of social enterprise the Care Plus Group,

in Grimsby. Their approach has won an armful of

national and regional awards, most recently the

Health Service Journal award for Primary Care and

Community Service Redesign last November.

With growing national acclaim and interest, they

are hoping to inspire others to follow their example.

The pulmonary rehab and falls prevention

services were overhauled and re-launched in

2005 with separate funding from initiatives to

improve the health of the local population. North

East Lincolnshire at the time was ranked the

ninth most deprived electoral ward in England.

In 2011, Grimsby’s East Marsh – where the Hope

Street Medical Centre is based – was named the

second most deprived area in the country.

It is well recognised that chronic obstructive

pulmonary disease (COPD) is linked to deprivation

and before the Hope Street service ‘there were

massive gaps in treatment for COPD patients in the

area’, says Ms Hancock. She was given a remit to

improve rehab services for respiratory patients.

As funding had been provided to develop a falls

collaborative, it was decided the services would form

a partnership that was truly based on local need. ‘We

saw that some of the problems relating to falls, such

as balance and muscle strength, could be linked with

some of the experiences of the COPD patients, such

as inactivity and social isolation. We could see that if

we pooled our resources we could develop a stronger

and more vibrant service,’ explains Ms Hancock.

Consulting patients

The revamped partnership was based on extensive

consultation with patients and carers on what they

wanted from a new service. The process highlighted the

psychological barriers to exercise and exertion for these

patient groups, such as shortness of breath and fear of

falling. Having an expert in situ was a key wish. But a one-

to-one sta� ratio was economically impossible. ‘We worked

out together that if we had expert patients who had been

through the programmes they could become role models

for patients and trained to help out,’ says Ms Hancock.

The result is a patient-centred one-stop shop for

people with chronic respiratory illnesses, such as COPD and

older people at risk of falls. It is based on a medical model

within a social context, o� ering individually tailored eight-

week treatment and six-week education programmes,

delivered by multidisciplinary teams. These also include,

occupational therapists, specialist nurses and a dietician,

supported by physio-trained volunteers called ‘buddies’.

The buddies work with patients on their exercises and

deliver the educational components of the programmes;

they also help with quality of life questionnaires and

patient-feedback forms. Kylie Farbrace, falls service

lead, says: ‘The buddies often get a more realistic

view of what’s going on with the patient, and they

can tell their stories and what di� erence it has made

to them.’ They also receive all the mandatory sta�

training, including, basic life support, patient consent

and con� dentially and moving and handling.

In total, the service has 93 buddies across the

clinics. Some specialise in working with patients with

Parkinson’s and dementia. ‘The buddies are just as much

a part of the team as the sta� . Some of them have

been with us for the full eight years,’ says Ms Hancock.

‘They are like gold dust to us,’ adds Ms Farbrace. >

A PHYSIO-LED FALLS AND

RESPIRATORY REHABILITATION

PROGRAMME IN A DEPRIVED CORNER

OF EASTERN ENGLAND IS WINNING

PLAUDITS FOR ITS BUDDYING

APPROACH. LOUISE HUNT REPORTSINSPIRING HOPEINSPIRING HOPEINSPIRING HOPESta� members (from the left): physio

Kylie Farbrace, technical instructor Claire

Stevens and physio Gemma Hopkin.

Buddies: Ann Hillyard, Elizabeth Reynolds,

Maralyn Fox and Ivor Reynolds

Phot

ogra

phy:

Dav

e M

oss/

Cat

ers

New

s A

genc

y

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Click on these icons wherever you see them on www.csp.org.uk to instantly share your views or recommend content to other members.

It’s a quick and easy way to have your say.

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thinkYOU ?

000984.indd 1 15/11/2013 08:06

This month saw one of the more exciting events in the busy CSP calendar: the annual student reps development weekend (see page 12). Exciting, not just because of the quality of debate and ideas (and from all accounts these were exceptional), but because it gives a

sense of where the physiotherapy profession is going.The pictures tell the story: a group of bright and attentive CSP members who are eager to

shape the future of their profession by being active members of their society.Do you remember the day you � rst started out as a student? How you wanted to make things

better for your patients? Hanging on to that vision can be hard on a day-to-day basis. But building peer support, as the student reps are doing, reinforces your beliefs and

helps you achieve your goals. You might not be able to make it to a conference this year, but you can still

keep in touch with your physio colleagues – and be inspired by their e� orts – through reading Frontline. As engaged and active CSP members, you can still

learn a lot from each other, even if your student days are long gone!

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 2014 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!

Face of the future

The next issue of Frontline is out on 5 March 2014

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 on or recommend Frontline articles 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 frontline@csp.org.uk 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. cspads@media-shed.co.uk0845 600 1394

Got an item for the Noticeboard? directory@csp.org.uk020 7306 6166

Contact the CSPFor general enquiriesenquiries@csp.org.uk020 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

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THE VOICE OF PHYSIOTHERAPY 19 F

ebru

ary

2014

VO

L 20

NO

4

Tomorrow’s physios

Reports from the student reps’ conference

Tackling COPD and fallsHow buddies can help 24

Student placementsA CPD opportunity 29

Safe staffi ng levelsRead our Q&A 16

Tackling COPD and fallsHow buddies can help

01_FL_19 Feb_ofcv2.indd 1 14/02/2014 09:05

5

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

05_FL_19 feb_Contact.indd 1 14/02/2014 14:03

19 February 2014

Recommend content www.csp.org.uk

Follow us @thecsp

Commentwww.csp.org.uk

6 Frontline

Talkback@cspsend your emails to talkback@csp.org.uk 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

Filling the gapA report on ‘Patients’ views on lung cancer care’ (page 34, 1 January) highlighted a ‘general lack of support and information’ being given to patients and carers.

At Guy’s and St Thomas’ NHS Foundation Trust we run a lung supportive care clinic alongside the medical lung cancer clinic. It contains a specialist physio, occupational therapist and a dietician. Patients are seen from diagnosis and supported throughout their treatment to end of life care. This ensures that lung cancer patents have access to cancer rehabilitation services, managing the effects of cancer treatment and supporting them with specialist interventions in a timely manner. This model allows for any questions and specific physiotherapy problems to be addressed rapidly at ward rounds or within lung clinics, resulting in optimal and a seamless care approach to patients.

We also offer a living well group programme; this is run with a clinical nurse specialist, physiotherapist, occupational therapist and a dietician. Tom Fynmore

i too was bulliedReading the report titled ‘Students feel the pain of bullying’ brought back memories of when I was bullied as a student (page 18, 1 January).

Students on placement are under a lot of pressure to perform; having to complete their coursework for both placement and degree, and also be a perfect all rounder at the same time. It’s critical that universities listen to their students’ views on bullying, with safeguards against any potential repercussions with grades. Training in communication techniques and mentoring skills should be considered a higher priority if future generations of students are to be able to work in a supportive, constructive placement environment.

Bullying shouldn’t be accepted or dismissed as part and parcel of being a student.Charmaine Lee

Jennifer Duthie, CSP professional adviser, responds: Bullying should not be tolerated in any circumstances. If you experience bullying, refer to relevant organisational guidelines and share your concerns with anyone (perhaps a manager, practice educator, university tutor or CSP rep) who can support you to take action to protect yourself. You will also find helpful resources on the CSP website. Visit: www.csp.org.uk and search for ‘bullying’.* See also page 29

blame it on rioThe daily realities of ‘going digital’ in the NHS are not quite as rosy as one might think from reading ‘Opportunity knocks’ (page 32, 22 January). As more of a digital naïf than a digital native, I found the transfer from paper to computer diary (RIo) traumatic.

The computing is not difficult. I have upskilled! However, it is so time consuming that our service is now much more focused on administration to the detriment of time with clients. Add to that, the fragility of the computers, smart cards and RIo itself and we struggle on a daily basis. On top of that come the system updates which lose appointments and the migration to a new OS and so on. We get seriously stressed!

Colleagues in an outpatient department report that they have lost control of their workload due to ‘choose and book’. Colleagues in the community report that writing paperless notes for a new client takes up to an hour.

If we want a paperless NHS we will have to choose between doing less with clients or increasing staffing levels. Going digital simply takes much longer. It is also much less flexible and adaptable. After two years with RIo, I cannot face paperless notes. Ready or not, I will retire.Helen Lawrence

CorreCtions and ClariFiCationsVicky Flanagan’s email address (page 67, 5 February) is: vicky.flanagan@pch-cic.nhs.uk

To find out more about the CSP Charitable Trust and funding opportunities, visit: www.csp.org.uk and search for ‘research fund 2014’ (page 16, 5 February).

Only 19% of adults in England aged from 65-74 meet the government’s recommended minimum level of exercise (not 75-74) (page 29, 22 January).

TopTweet@thecsp

#SRDW14 Communication, Problem Solving, Handling, Teaching, Knowledge. Key skills of a physio? Simple right? Believe in your own abilities! Go to www.twitter.com to open your own personal account, then follow @thecsp

06_07_FL_19 Feb_Talkback.indd 1 14/02/2014 09:05

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

‘Can my employer send me home from work sick?’An employer has a duty of care to provide a safe working environment. If you are clearly unwell and not fit for work then it is reasonable for them to send you home on sick leave for your own protection as well as the protection of others. This may also be the case if you have had contact with a notifiable (infectious) disease even if you have no symptoms. This absence should be classed as a ‘medical suspension’ and should not affect your pay or sickness absence records (check your local agreement). If you feel you have been treated unfairly regarding sickness absence, you should speak to your CSP steward or safety rep. If you do not have a rep, contact the CSP. Tel: 020 7306 6666

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

Downbanding of our professionNetwork: Extended scope Flavour: Concern, frustration and anger about an unwelcome trend in the NHS. Comments: 56 replies at 5 February Find: qqq385

Non-clinical time Network: Profession wideFlavour: A diverse range of current practice is highlighted in this exchange. Comments: 10 replies at 5 February Find: qqq386

Should phyios measure and fit TLSO and other braces?Network: OrthopaedicsFlavour: They can, as long as training is provided and the supplier is willing, but should they? Comments: 17 replies at 5 February Find: qqq387

Prevalence and treatment of persistent axillary web syndrome/cordingNetwork: Oncology and palliative care Flavour: Common ground among respondents in this discussion. Comments: 17 replies at 5 FebruaryFind: qqq388

The article on Karen Middleton in the last issue of Frontline brought the following comment: • As an associate member I have followed Karen’s career at DH with interest. I first met her at assistant conferences where she always gave motivational talks. She is always approachable and willing to listen. I am so pleased the CSP role came along before West Ham needed a manager!Angela Brett

A news item titled ‘CSP and Macmillan Cancer Support guide highlights cancer care issues for physiotherapists’ prompted two responses from members. Jemma1 said:

• I think this is incredibly well put together and very helpful. Thanks.

And Jane.Gow1 added: • Having worked in palliative care for nearly 28 years I find this an excellent piece of work and will be very useful to all non-specialist physios in cancer care.

On reading that a ‘Physio-led course helps sixth formers prepare for interviews for AHP university courses’, cmanning said:• It is a shame there has to be a fee for this, as students that are from more disadvantaged backgrounds may not be able to afford this and they may not get the same support from home or school.

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. View previous columns at: www.csp.org.uk/burningquestions

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 recommend articles to other members, Facebook ‘like’ Frontline or tweet articles. Comments posted online may be printed in shortened form in the Talkback section of Frontline .

You’ve ADDeD...

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

06_07_FL_19 Feb_Talkback.indd 2 14/02/2014 15:44

19 February 2014

People with osteoarthritis should be exercising to help reduce pain and improve mobility, according to the National Institute for Health and Care Excellence (NICE).

The advice is part of updated clinical guidelines titled Osteoarthritis: care and management in adults (CG177). These provide evidence-based recommendations on the most e� ective ways of diagnosing and managing osteoarthritis in England and Wales.

The recommendations include:• advising patients to participate

in exercise as a ‘core treatment’• o� ering weight loss

interventions for patients who are obese or overweight

• providing holistic assessments

CSP chief executive Karen Middleton said the guidelines should help challenge the commonly held perception that ‘nothing can be done’ about osteoarthritis.

‘Physiotherapists provide e� ective treatment for the symptoms of osteoarthritis and deliver expert advice on physical activity and weight-management strategies,’ said Ms Middleton.

‘NICE has recognised how important this is for the day-to-day management of the condition

and the positive impact it has on patients’ quality of life.

‘We can do better for people with this condition. It is now important that NHS commissioners provide access to the right services to make that happen.’

The updated NICE guidelines recommend that acupuncture should not be o� ered for the management of osteoarthritis.

However, the Acupuncture Association of Chartered Physiotherapists (AACP) says many of its 6,000 members are already providing osteoarthritis patients with acupuncture within the NHS.

Vivienne Dascanio, chair of the

AACP, said: ‘The AACP is concerned that patients will be denied this treatment and forced to consider other options for pain relief such as drugs or surgery, which may be less e� ective and more expensive.

‘We will continue to collaborate with NICE to provide arguments and evidence in favour of acupuncture as input into future guidelines.’

Ms Middleton added that the recommendation on acupuncture was ‘disappointing’, but the CSP would continue to work with NICE to understand how research studies into the practice can be better designed.Robert Millett

8 Frontline

About 80 people joined an online chat between the physio community and the Health and Care Professions Council (HCPC) on 3 February. The topic was the organisation’s re-registration process.

How to record continuing professional development (CPD) and when physios learn if they have been selected for an audit in connection for re-registration by the HCPC were among the topics covered in a physiotalk discussion on Twitter.

Physiotherapist Janet Thomas, who tweets at @physiotalk, said her main interest was how to use an e-portfolio.

‘The answer was that “we do have a project in the pipeline to show registrants how to submit their pro� les electronically in future”,’ she said.

‘My response was that it would be great if I could create a pro� le on PebblePad and then submit via a gateway.’

Ms Thomas said she found it ‘really

positive’ that the HCPC wanted to engage with physiotherapists through social media.

According to Naomi McVey, physiotherapist and @physiotalk tweeter, there was a lot of interest in the CSP’s CPD postcards, designed to help them record re� ections on learning activities.

The participants also focused on the role of Twitter in CPD and participants tweeted about how useful they found it to access and discuss research papers.

The topic for the next physiotalk chat on 17 March is dementia. For physios interested in following future chats, physiotalk recommends TweetDeck: ‘It makes it much easier to follow the conversation’. Another option is HootSuite.Gill Hitchcock

Exercise is ‘core treatment’ for osteoarthritis

80 physios join re-registration Twitter chat

ARC ONLINE VOTING BIG HITTERSCSP members took part in an online poll leading up to debates at the annual representative conference in Cardi� from 3 to 4 March. Motions on band 5 rotation, incremental pay progression, safe sta  ng levels, and the menopause all got more than 300 votes before polls closed on 20 February.

REGISTRATION GLITCHAnn Moore, professor of physiotherapy at the University of Brighton, received an apology from the HCPC over an error which prevented her from registering online, and recorded her date of birth incorrectly.‘The system was saying I registered in 1900, so that would make me about 140 years old!’ she said.

8_9_FL_19_Feb_news.indd 1 14/02/2014 13:55

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

news 9

People in Northern Ireland living with long-term pain want better access to regular physiotherapy, according to a report published on 11 February.

The CSP welcomed the publication of The Painful Truth: 2,500 people who live with chronic pain tell their story and the concerns it raises about access to services.

Produced by the Patient Client Council in Northern Ireland, the report outlines the experiences of more than 2,500 people. Most completed questionnaires, but 61 people took part in focus group discussions and � ve had one-to-

one interviews. The respondents outlined their

views on health and social care services and their experiences of receiving a diagnosis, information, treatment and care. They also made suggestions about how support could be improved.

It emerged that they wanted easier access to services and treatments, especially regular, long-term physiotherapy, rather than the short, one-o� sessions currently on o� er.

Tom Sullivan, CSP policy o� cer for Northern Ireland, said: ‘Physiotherapy is proven to be an e� ective treatment for chronic

pain that enables people to live full and active lives. However, variations in the time taken to access physiotherapy and other pain services across Northern Ireland need to be addressed.’

He also backed a call for the development of a strategic framework for pain services in Northern Ireland that should result in a ‘responsive, innovative and multidisciplinary pain service’. Robert Millett

Visit: www.patientclientcouncil and click on ‘reports’ and then download a copy of The Painful Truth.

Exercise is ‘core treatment’ for osteoarthritis

Report reveals ‘painful truth‘ of patients

The CSP has moved fast to reassure members covered by its professional and public liability insurance (PLI) scheme that they will continue to be indemni� ed.

It was responding to a 4 February announcement by the Royal College of Nursing that it would withdraw PLI cover from its employed members from 1 July.

The CSP has no plans to withdraw PLI bene� ts, professional adviser Pip White said.

‘It is business as usual. This isn’t a concern, our members get a great deal.’

The CSP PLI scheme provides eligible individual CSP members with £5 million of medical malpractice and professional indemnity cover as standard.

Members wishing to have £10 million of cover can arrange this by being a member of PhysioFirst or the Acupuncture Association of Chartered Physiotherapists, or by individual arrangement with Graybrooks, the CSP’s insurance brokers.

The CSP scheme also o� ers comprehensive public liability cover, Ms White said.

The scheme is designed to cover individual members working in the UK, but also provides temporary overseas cover (with certain territorial restrictions) for up to 180 days. Members are advised to read the full policy terms and conditions in order to understand their cover. Gary Henson

www.csp.org.uk/professional-union/practice/insurance

Business as usual for CSP as RCN set to end indemnity cover for employed nurses

The Painful Truth: 2,500 people who live with chronic pain tell their storyFebruary 2014

Frontline – www.csp.org.ukFrontline – www.csp.org.ukFrontline

8_9_FL_19_Feb_news.indd 2 14/02/2014 13:55

19 February 2014

A service intended to get employees back to work more quickly could open up new job opportunities for many physiotherapists, according to o� cials at the Department for Work and Pensions.

The Health and Work Service is due to be launched in England and Wales later this year. It was   agged up by the media earlier this month as the latest government ­ gures revealed high rates of long-term sickness absence. As many as 960,000 employees in England were on sick leave for a month or more each year on average from October 2010 to September 2013.

The service will help employees who

have been absent through sickness for four weeks to return to work and support employers to manage sickness absence in their workforces more e� ectively. Both GPs and employers will be able to refer employees to the service.

A tendering process for the contract is due to be announced shortly, which will include opportunities for physiotherapists.

Karen Middleton, CSP chief executive, welcomed the plan. She said: ‘This new service has the potential to stop minor conditions from becoming long-term problems by providing early access to treatment.’

10 Frontline

The CSP is encouraging members to join the ‘BetterWay’ demonstration to protest against the government’s austerity policies and promote better ways to grow the economy and protect society.

The TUC-coordinated event is being held in York on Saturday 8 March at 11am to coincide with the start of the 2014 Liberal Democrat spring conference. CSP regional steward Joanne Bleasdale is encouraging members to join because, she says, the coalition’s policies are having ‘a far reaching impact’ across all sectors, including health and workers’ rights’.

‘We have a choice – we can sit back and watch the breakdown of our health service or we can stand up, support the march and try to make a di� erence,’ said Ms Bleasdale.

‘Let’s not leave things to chance. The day will be fun and the more people who are present the bigger the impact. So please bring family and friends and support the march.’• For more information email CSP senior negotiating o� cer Ian Taylor at taylori@csp.org.uk Better Way demo: http://abetterway demo.org/

New health and work service will off er physio opportunitiesNew health and work service

LOTTERY

WINNER

Sue Newman

of London has won

February’s £500

CSP lottery draw

Physiotherapi sts ‘vital’ to diagnosis, says health minister for Wales

The day will be fun and the more people who are present the bigger the impact. So please bring family and friends and support the march.’• For more information email CSP senior negotiating o� cer Ian Taylor at taylori@csp.org.uk Better Way demo: http://abetterway demo.org/

WAYBETTERdemo at tHe Lib dem Spring ConferenCe

Saturday 8 March, York

Calling for an End To AusTERiTY and for a

BETTER WAY foRWARd, prioritising:

JoBs And pAY

TAx JusTicE

indusTRiAl gRoWTh

hEAlTh, puBlic sERvicEs

And sociAl sEcuRiTY

Young pEoplE And

invEsTing in ThE fuTuRE

11.00am Assemble Clifford’s Tower, Tower Street, York YO1 9SA

11.30am March begins

12.15pm Rally and speeches outside Clifford’s Tower

Coaches St George’s Field coach park, YO10 4AB

Twitter @yorkprotest8mar

facebook search ‘demonstration Lib Dem’ or go to

http://on.fb.me/LPdN9X

Web www.abetterwaydemo.org

contact y&hregsec@tuc.org.uk for further info and details

of the static protest for people with disabilities

t

Join us at the

8 MA

Rc

h

inTERnATionAl

WoMEn’s dAY

Exposing ThE

iMpAcT of

AusTERiTY on

WoMEn

March for a ‘BetterWay’ in York

10_11_FL_19_Feb_news.indd 1 14/02/2014 11:59

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

news xx

Princess Anne has praised the dedication and hard work of physiotherapy students.

The Princess Royal was speaking to students and staff at an annual end of course conference at Leeds Metropolitan University on 14 January.

Addressing students preparing to register for MSc courses in physiotherapy and occupational therapy, and said:

‘I hope all of you are here because you feel that this is a caring role, a role very particular to

occupational therapists and physiotherapists. This course is allowing you to pursue that as well as you possibly can and to grow your own natural enthusiasm and understanding of what that means.’

She added that the students’ forthcoming work placements would ‘make a real difference in terms of your ability to understand what you’ll be doing next’.Robert Millett

New health and work service will offer physio opportunities

Therapists and health scientists play a ‘vital role’ in preventing, diagnosing and treating many medical conditions, according to Mark Drakeford, health minister for Wales.

‘Around 80 per cent of diagnosis of medical conditions is attributed to their work,’ said Mr Drakeford at a conference hosted by Aneurin Bevan University Health Board on 6 February.

After listening to the speech, Samantha Haworth Booth, senior physiotherapy manager at Aneurin Bevan,

said: ‘It was a recognition of the important part that we play, and which is very often under-represented.’

Ms Haworth Booth said Mr Drakeford emphasised the importance of helping patients to self-manage their healthcare through a healthy lifestyle. This was in line with his call for ‘prudent healthcare’ in which clinicians should focus on doing the minimum necessary to benefit the patient.

‘He wanted to get across that we should empower our patients to do the most to

manage their conditions,’ she said.

Mr Drakeford told delegates: ‘Our focus needs to be on co-production and therapies, in particular, are particularly well placed to deliver this with the focus on wellness services and independent living.

‘Co-production is about people living their lives and us supporting them to do so as partners. What we want to see is solutions designed by users and treatments chosen in a fully informed way.’Gill Hitchcock

Physiotherapi sts ‘vital’ to diagnosis, says health minister for Wales

But she added: ‘If someone is unable to work, forcing them back before they are ready will only cause their condition to worsen and require a longer period of absence.’

Léonie Dawson, CSP professional adviser, said the society welcomed the proposal for physiotherapists to play a key role key in the assessment and advice service.

‘We are keen to support appropriate, identified training needs to make the service a success,’ she said.Lynn Eaton

(Left to right) MSc physiotherapy students

Dave Burnett, Lizzie Brooks, Arjun Suresh and

Amy Dawson with the Princess Royal and course

leader James Milligan

Leeds Metropolitan University

Royal praises caring role of physiotherapy students

10_11_FL_19_Feb_news.indd 2 14/02/2014 11:59

A scheme which uses teddy bears and a comic book ‘super hero’ to involve child cystic � brosis patients in their care won the Dragon’s Den-style Big Idea competition.

Students from the South West and Wales region got their Big Idea from a placement at a paediatric physio unit where they found that children and their parents needed a better understanding of treatment.

Dave Progl, a student at the University of Southampton and Gary Whiting, who is studying at Bournemouth University, came up with Teddies for Toddlers, where a small child has a teddy and a comic which gives them options about how they can care for their bear.

The students said that through learning to care for the bear the children can learn about their own care. Parents would be provided with corresponding literature.

‘Research shows that it’s important for a child to have some say and choose what they would like to do in their care,’ they told delegates. ‘So we would give the initial comic to the child and they would choose their treatment plan from that.’

The theme was developed for children aged 6-10 through a ‘super hero’ comic book character and games consoles that enabled feedback.

Dr Helena Johnson, honorary student president, told the winning team: ‘We liked the concept of needing to incorporate fun into physiotherapy to promote self-management. It was thoroughly investigated and you then went on to fully develop the product with your comic book and characters.’

Other concepts included extending the scope of physiotherapy in mental health; falls prevention for people with dementia; Botox for stroke rehabilitation; and student-led exercise for older people.

19 February 2014

Speakers don’t come much more

inspirational than Leda Cox, a former professional cyclist

and second year physiotherapy student at St George’s,

University of London, who told students not to limit their ambitions.

‘Everybody has a di� erent way of reaching their potential, no one way is the right way. We are all unique so you should never ever make comparisons,’ she said.

Ms Cox told students a little of her life history through a troubled childhood to when her passion for cycling and determination took

her � rst past the � nishing line as a professional cyclist.

Her cycling career was cut short by a crash in the 2009 Tour du Grande Montreal, which left her

with a severe spinal injury. Despite warnings from

doctors and with help from physiotherapists, Ms Cox learned to walk again. Indeed, she worked as a massage therapist at last year’s World Triathlon Championships in London’s Hyde Park.

‘Other people will always have an eternal perception of what your potential is, but don’t ever let that limit your ceiling of potential,’ she said. ‘We all have the ability to reach and go further. You just have to believe it.’

Speakers don’t come much more

inspirational than Leda Cox, a former professional cyclist

and second year physiotherapy student at St George’s,

12 Student Reps Weekend

Physios of the futurePhysios of the futureMAKING A POSTIVE IMPACT WAS A KEY THEME AT THE STUDENT REPRESENTATIVES DEVELOPMENT WEEKEND, HELD IN LEEDS ON 8-9 FEBRUARY. GILL HITCHCOCK REPORTS

Students from the South West and Wales region got their Big Idea from a placement at a paediatric physio unit

Ashley Sumbhoolaul

‘Super hero’ wins the Big Idea

‘Don’t let others limit your potential’

‘You just have to believe it’

Phot

os: G

abrie

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Former pro-cyclist Leda Cox spoke of overcoming obstacles

12_13_FL_Feb 19_Students.indd 1 14/02/2014 11:29

Physiotherapists are far too modest about their attributes and consequently do not ‘punch high enough within the system’, physiotherapist and new CSP chief executive Karen Middleton told delegates.

Ms Middleton said that physiotherapy is in a ‘prime position’ to make a dramatic impact on the sustainability of the NHS, with its focus on prevention, health and wellbeing. Through promoting physical activity, getting people to be as independent as possible, enabling patients to be discharged more quickly and preventing people going to their GP or A&E, physios could make their mark.

‘It‘s about positioning our profession and developing you all as leaders,’ Ms Middleton said. ‘It

always strikes me how other clinical professionals have no problem commenting – whether it’s on Twitter, Facebook or in journals – about anything and everything. ‘But as physios we only ever

comment on things we know about or have the evidence on. So we have got to start feeling con� dent and contributing to the debate outside of physio so that they know about us.’

Ms Middleton called on physios to be more vocal about the di� erence they

make. Physios should also be at conferences for other health professions, such as GPs, talking about physiotherapy.

‘It’s a big challenge, but I am completely optimistic and positive that we are in a good place and there are plenty of people who want to move us on to that next stage,’ she said.

Broadcast the benefits of physio, students told

Students get social media tips

Karen Middleton,CEO at CSP

Chris MurphyAshley

SumbhoolaulChris Martey

Think about how social media can help you to engage with special interest groups and how you can help others to engage.

That was the message from Gerard Green, senior lecturer in physiotherapy at Coventry University and private practitioner.

Mr Green recommended LinkedIn as a good way of networking and pointed out that universities like LinkedIn and use it to post jobs.

‘It’s a nice toe in the water,’ he said. ‘It’s 100 per cent professional, you don’t post photos and general chit chat. My brother is a solicitor and he hates social media, but he’s on LinkedIn.’

InteractiveCSP, the society’s member networking website, is a ‘really valuable’ communication tool, particularly for newly quali� ed physios who can use it to get involved in their regional network, the student network and clinical networks and accessing resources.

‘When people post things on there you know they are going to be there in two years time,’ he said.

Twitter is good because it’s very current and it’s good for meeting people who you would not otherwise meet, he said.

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

13

12_13_FL_Feb 19_Students.indd 2 14/02/2014 11:30

19 February 2014

The widespread use of vitamin D supplements has the potential to reduce the risk of people developing Multiple Sclerosis (MS).

This was the message from Ruth Dobson, a researcher at St. Bartholomew’s Hospital in London and the London School of Medicine and Dentistry.

Dr Dobson explained that MS currently a  ects one in 200 people in the UK, and there appears to be a correlation between the risk of developing MS and low levels of vitamin D.

‘MS appears to be related to latitude and exposure to ultraviolet (UV) light, and pathologically low levels of

vitamin D may increase the risk,’ she said.

‘Studies of the geographical distribution of the disease worldwide show that the further from the equator people live the higher the risk they have of developing it.’

In England data shows MS hospital admissions are closely predicted by regional UV levels, with more admissions in the north than in the south.

This pattern is repeated in most other European countries, with the exception of Norway, where rates of admissions do not increase with higher latitude.

Dr Dobson explained this

may be because people living in northern Norway have a diet very rich in fresh, oily � sh, a source of vitamin D.

Dr Dobson added that direct evidence for a causation

between vitamin D de� ciency and an increased MS risk is currently lacking, however the ‘circumstantial evidence from population level studies is strong’.

14 Frontline

Rickets is on the rise among children in the UK and low levels of vitamin D are to blame.

That was the message from Zulf Mughal, a consultant in paediatric bone disorders at Royal Manchester Children’s Hospital, who gave an overview of rickets, and the importance of vitamin D for growth.

‘Rickets is no longer a Dickensian-era disease, it is a current concern,’ warned Dr Mughal.

‘It was rampant in the 19th century when industrialisation started and children worked in dark factories and highly polluted cities. But there has been a recent resurgence and there are now an estimated 700 to 800 cases of vitamin D-related rickets in the UK every year.’

Dr Mughal explained that rickets is ‘a disease of the growing child’ that typically a� ects toddlers and adolescents.

It is primarily caused by vitamin D de� ciency, but can also be due to a low dietary intake of calcium, which is required to absorb vitamin D.

Symptoms can include bowed legs and locked knees, limb pains, lower limb and pelvic deformities, dental enamel hypostasis and hyperglycaemic � ts. Muscle function can also be impaired.

‘The most important source of vitamin D is that produced by UV radiation acting on the skin. Only ten per cent can be obtained through our diet, via food such as oily � sh or eggs.’

Lack of vitamin D may increase MS risk

Rickets on the rise in UK

DO LEVELS OF THE ‘SUNSHINE’ VITAMIN D MAKE A DIFFERENCE? YES, SAID A PANEL OF EXPERTS AT A RECENT CONFERENCE. FRONTLINE’s ROBERT MILLETT REPORTS

BIRTHDAY LOTTERY Delegates heard that a person’s month and place of birth can predict their risk of developing MS.

‘Babies born in the spring months of April and May have a higher risk than those born in winter months of October and November,’ said Dr Dobson.

‘This is reversed in southern

hemispheres, such as Australia, where the seasons are reversed. And the e� ect is seen more at high latitudes.’

Dr Dobson explained that this ‘birthday lottery’ could be due to the levels of vitamin D accumulated by pregnant mothers during their second and third trimester.

14_15_FL_19 Feb_news.indd 1 13/02/2014 10:29

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

Ronaldo’s ‘sunshine cure’ may have worked

news 15

Football hero Cristiano Ronaldo may have been ‘on to something’ when he was pictured sunbathing after an injury a few years ago, according to Graeme Close, a reader in applied physiology and nutrition at Liverpool John Moore’s University.

Dr Close said there is growing concern among athletes about their vitamin D status and its potential impact on skeletal muscle strength and regeneration.

‘Levels of vitamin D can a� ect muscle regeneration, cardiac function and immune function, and – in cases of severe de� ciencies – muscle function,’ he said.

Delegates heard that many athletes are prone to vitamin D de� ciency, due to over use of sunscreen, a tendency to train indoors and because some sports people – such as jockeys – are always heavily covered.

Lack of vitamin D may increase MS riskThe National Institute for Health and Care Excellence (NICE) has released a new brie� ng for local authorities, advising them to use lower body mass index (BMI) thresholds for ethnic minority groups.

The guidance is designed to make council sta� aware that black, Asian and other ethnic minority people are at greater risk than white people of developing diabetes and cardiovascular conditions at a lower BMI.

The brie� ng advises councillors and local government o� cers to use a BMI reading of 23 kg/m2 as a threshold for all people from an ethnic minority background.

This � gure is lower than the previously used reading of 25kg/m2, which is still deemed a suitable threshold for white European adults.

NICE says BMI readings of 23kg/m2 or above should now signify that a person from an ethnic minority requires lifestyle interventions in order to avoid ill health.

The NICE brie� ng sets out a series of suggestions for local authorities, which are designed to help prevent and tackle long-term conditions in their diverse populations. The recommendations include: • raising awareness among decision makers,

practitioners and people from minority ethnic backgrounds about the importance of intervening at a lower BMI

• commissioning prevention services that include a plan to target people from ethnic minorities who are aged 25-39

• providing training for sta� on how to encourage people to have a risk assessment and promote a healthy lifestyle

Robert Millett

• For further information visit: http://guidance.nice.org.uk/PHG/Published and click on ‘Local Government Public Health Brie� ngs’. Then select ‘LGB 13’

NICE recommends lower BMI measure for ethnic minorities

• In 2012, CSP members called on the Scottish TUC for better advice on vitamin D intake and access to supplements for people at risk of de� ciency. See www.csp.org.uk/news/vitamind

Sun-loving Ronaldo may have been on to something

Ronaldo’s ‘sunshine cure’ may have worked

SOMETHING TO ADD?...

FilmMagic/Getty Images

14_15_FL_19 Feb_news.indd 2 13/02/2014 10:29

16Newsfocus

19 February 2014

and

What kind of staffing levels

Would ensure patients receive

safe and effective care? sally gosling,

csp assistant director of practice

and development, ansWers some key questions on this

topical issue

‘Why is there such a focus on safe and effective staffing levels now?’Memberswillbeawareoftheincreasingfocusondefiningandenactingsafeandeffectivestaffinglevelsinhealthandsocialcare.

Theattentionbeinggiventothisissueisevidentatbothapolicyandservicelevel,throughcommissioningandworkforceplanningdecisions,andinthepopularmedia.

The2013Francisreport(onfailingsatthemid-StaffordshireNHSTrust)broughttotheforetheroleofstaffinglevels(especiallyinnursing)inupholdingpatientsafety,achievingconsistentlygoodcare,andensuringtimeforcarethatisdeliveredwithcompassionandwithrespectforindividuals’dignity.

Afreshemphasisonthefundamentalsofcareandqualitycomesatatimewhenservicesfacesignificantfinancialpressures.Staff:patientratioshavere-surfacedasakeycomponentinachievinggoodquality,compassionatecarewhileensuringservicesareaffordable.

Anewfocusonpatient:staffratiosisapparentinrecentreportsonpatientsafety.TheNationalInstituteforHealthandCareExcellence(NICE)has

beenaskedtotoreviewtheavailableevidenceandtoproduce‘definitiveguidanceonsafeandefficientstaffinglevelsinarangeofNHSsettings’byAugust2014.

StaffinglevelsalsohaveUK-widerelevanceandresonance,withrelatedpolicydevelopmentsineachofthecountries.

‘What about other aspects of service delivery and workforce design?’Staffinglevelscannotbelookedatinisolationfromotherfactorsthataffectthequalityofcarethatpatientsreceive,theefficiencyandeffective-nessofservicedeliveryandhowservicesarecom-missionedandplanned.Seebelowforasummaryofthese:• servicedeliverymodels• skillmixandroledevelopment• learninganddevelopmentopportunities• clinicalleadershipandpeerreview• teamworking• datacollection• standardsimplementation• integrationofservices• serviceevaluationandre-design

• supportedstaffengagementinserviceimprovementandre-design

• qualityemployment

Anarrowfocusonstaffinglevelsrisksasuperficialapproach.Concernsinclude:• targetsbeingoverlyfocusedoncost,caseload

managementandpatientthroughput• anarrowfocusonservicesandpartsofthe

workforceforwhichitisrelativelyeasytospecifystaffinglevels

• attentionto‘frontline’staffingneedsandaneglectofthestaffcapacityrequiredtosustainservicesandmakequalityimprovements

• assumptionsthatasingleformulacanbeappliedtoservicesinuniformways

• afocusonfulfillingshort-termneedsandaneglectofhowservicescanmeetneedsinmoreclinically-andcost-effectiveways(includingtominimisehospital(re)admissionsandreducethelengthofhospitalstays)

• aspecificationofminimum staffinglevelsthatencouragecutstostaffresources,andcompromisepatientsafetyandqualityofcare.

?

16_17_FL_19_Feb_staffing.indd 2 13/02/2014 15:27

xx

Frontline – www.csp.org.uk

xx

‘What does this mean for physiotherapy?’Withastrongfocusonstaffinglevels,itismoreimportantthanevertomakethecaseforthevalueandimpactofphysiotherapy’scontributiontofulfillingpatientneeds,expectationsandoutcomes.Thereisarealriskthatattentiononstaffinglevelsbecomesfocusednarrowlyonmaintainingandenhancingpatient:nurseratiosandinacutecaresettings.Thecaseneedstobemadeforphysiotherapy’sroleinmeetingpatientgoalsandachievinglong-termbenefitsandcost-savings,aswellasupholdingpatientsafetyandthequalityofcare.

‘How is the CSP responding?’TheCSPrecognisestheurgentneedtoadvocateforphysiotherapystaffinglevelsandtosupportmembersinactivityatalocallevel.LastDecember,CSPCouncilapprovedastatementonthistopicandthedevelopmentofinterimsupportformembers.Moredetailedprojectworkwillbecommissionedtostrengthenhowsafeandeffectivephysiotherapystaffinglevelsare

articulated.Afringesessionatnextmonth’sCSPAnnualRepresentativeConferencewillalsohaveastrongemphasisonstaffinglevelsandstrengtheningmembersupportinthisarea.

NewworkwillbuildonexistingCSPresourcesandreports.Itwillbecommissionedoverthecomingmonths.Stagedreportingpointsandoutputswillhelptoensurethatyoureceivethesupportyouneedasquicklyaspossibleonthiskeyissue,whiletakingaccountofanynewpolicyinitiativesandguidance(includingthatfromNICE)..

Thenewmaterialswillbepracticalandsimpletouse,andwilltakearoundedapproachtostaffinglevelissues,.Keyimperativesare:• theyneedtofocusonoptimisingpatients’

experiencesandoutcomesofcaresdifferentspecialties,settings,servicesandteamconfigurations

•theyneedtoreflectservicevariables,includingthecomplexityofcaseload,managingpotentialriskstopatientandstaffsafety,andthepositionofserviceswithinbroaderprovisionandpatientpathwaysthatimpactonpatternsofpatients’admissiontocare,experienceof

careandcaretransfer• theyneedtoreflectallstaffroleswithinteams,

includingthescopeforroledevelopmentandskillmixreview

•theyneedtosustainservicequality,supportingteammembers’continuingprofessionaldevelopment,research-relatedactivities,clinicalleadershipandpeerreview

• theyneedtoreflecttheimpactofservicere-modellingonstaffingneeds,includingmovestoseven-dayservicesandtheincreasingintegrationofhealthandsocialcare. fl

UsefUl linksCSP statements and resourcesVisit: www.csp.org.uk and search for ‘Francis staffing’ and ‘physiotherapy crucial’.

Policy documents/announcementswww.gov.uk - Search for ‘Berwick’ www.nice.org.uk - search for ‘safe staffing’.www.healthcareimprovement scotland.org - search for ‘scrutiny 2014-15’www.walesonline.co.uk – search for ‘6459950’www.nuffieldtrust.org.uk – search for The Francis Report one year on

sOMeTHinG TO ADD?...email us at talkback@csp.org.uk

16_17_FL_19_Feb_staffing.indd 3 13/02/2014 10:33

z

Electricity aids stress incontinence

18 Physio findings 19

19 February 2014

IN OUR REGULAR ROUND-UP OF RESEARCH THAT’SRELEVANT TO PHYSIOTHERAPY STAFF, JANET WRIGHT LOOKS AT THE LATEST CLINICAL FINDINGS

Women with stress incontinence make more progress when mild electrical stimulation is added to their exercise programme, say researchers. Yet urge incontinence doesn’t respond so well.

A team of physiotherapists studied 64 women with either stress incontinence (in which leakage is triggered by a sudden movement such as a sneeze) or urge incontinence (a sudden need to

urinate at once). All the women carried out an

eight-week programme of pelvic-� oor and abdominal exercises. Women with each condition were randomly allocated to do either exercise only, or exercise with added electrical stimulation.

The study’s outcome measures were quality of life, pelvic muscle strength, leaks and frequency of urination.

All the exercisers improved, while a control group of women who didn’t exercise got worse. Exercisers with stress incontinence improved even more when they also had electrical stimulation. But it didn’t help those with urge incontinence – those who just exercised did better than those who also had electrical stimulation.

‘The addition of electrical stimulation appears most useful for muscle reeducation in women with

weak pelvic � oor muscles,’ say the authors.Firra J et al. Paradoxical Findings in the Treatment of Predominant Stress and Urge Incontinence: A Pilot Study With Exercise and Electrical Stimulation. Journal of Women’s Health Physical Therapy 2013; http://dx.doi.org/10.1097/JWH.0000000000000003

Physios need training to combat chronic illness

Physiotherapists are well placed to help patients avoid lifestyle-related diseases, say researchers - but they

need more professional support and relevant education.

The team surveyed 163 primary-care physiotherapists

in Ireland about how they assessed their patients’ risks, and what action they took to

manage them.Small lifestyle changes can

signi� cantly a� ect the risk of developing conditions such as cancer, diabetes, ischaemic heart

disease, chronic lung disease, hypertension and stroke, they note.

The commonest risk factor the physios assessed was lack of physical activity, identi� ed and

followed up by 78 per cent of

those surveyed. Unhealthy diet was picked up by 55 per cent.But the physios said they had little time to talk to patients

about other high-risk behaviour such as smoking or drinking, and they doubted their expertise in that area. Assessment and management of risk factors were only carried out intermittently.

‘The � ndings highlight an untapped potential in relation to physiotherapists addressing lifestyle-related risk factors,’ say the authors, from University College Dublin, Dublin City University and the Steno Diabetes Centre in Denmark.

They stress the need to develop practice standards, clinical competencies and a relevant professional education curriculum to help prevent and manage chronic disease. O’Donoghue G et al. Assessment and management of risk factors for the prevention of lifestyle-related disease: A cross-sectional survey of current activities, barriers and perceived training needs of primary care physiotherapists in the Republic of Ireland. Physiotherapy 2014; http://dx.doi.org/10.1016/j.physio.2013.10.004

combat chronic illness Physiotherapists are well placed to help patients avoid

lifestyle-related diseases, say researchers - but they need more professional support and relevant

education. The team surveyed 163 primary-care physiotherapists

manage them.Small lifestyle changes can

signi� cantly a� ect the risk of developing conditions such as cancer, diabetes, ischaemic heart

disease, chronic lung disease, hypertension and stroke, they note.

The commonest risk factor the physios assessed was lack of physical activity, identi� ed and

followed up by 78 per cent of

PUBLIC HEALTH

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WOMEN’S HEALTH

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18 Physio findings 19

Physios need training to combat chronic illness

Exercise training can increase health-related quality of life for older men with heart failure, a systematic review has shown.

The 530 men who took part in seven studies also signi� cantly improved their ability to walk briskly for six minutes. But the researchers found that exercise had no e� ect on other measures including deaths, hospital admissions, or aerobic � tness as measured by oxygen uptake.

‘The long-term e� cacy and safety of exercise training in elderly heart failure patients require further study based on large and rational-designed controlled clinical trials,’ say the authors.Chen YM & Li Y. Safety and e� cacy of exercise training in elderly heart failure patients: a systematic review and meta-analysis. International Journal of Clinical Practice 2013; http://dx.doi.org/10.1111/ijcp.12210

Comments & Conclusions • Obese men who followed a 12-week health-lifestyle course run by their favourite football clubs lost nearly 5kg more, on average, than men who didn’t take part, a randomised controlled trial shows. The Football Fans in Training programme has run for three seasons at Scottish Professional Football League clubs. Hunt K et al. Lancet 2014; http://dx.doi.org/10.1016/S0140-6736(13)62420-4  • Virtual reality games can improve motor function in children with developmental coordination disorder, a small study suggests. Ashkenazi T et al. Pediatric Physical Therapy 2013; http://dx.doi.org/10.1097/PEP.0b013e3182a74398  • A study of 21 couples, aged 18 to 35, disproved the myth that sex burns o� more calories than a workout – but noted that participants � nd it a lot less strenuous than 30 minutes on a treadmill. Frappier J et al. PLOS One 2013; http://dx.doi.org/10.1371/journal.pone.0079342  • Women with the best chance of uncomplicated pregnancy are those in paid employment, of normal weight and blood pressure, who ate plenty of fruit before conception and don’t misuse alcohol or other drugs. Chappell LC et al. BMJ 2013; http://dx.doi.org/10.1136/bmj.f6398  • Researchers reviewed 44 studies of work-related upper-limb disorders, covering 6,580 participants, but found little high-quality evidence about the e� ects of exercise, ergonomic adjustments or behavioural interventions. ‘Studies are needed that include more participants, that are clear about the diagnosis of work-relatedness and that report � ndings according to current guidelines,’ they concluded. Verhagen AP et al. Cochrane Database of Systematic Reviews 2013; http://dx.doi.org/10.1002/14651858.CD008742.pub2 • A study of non-smokers in sedentary jobs found that those who were most active and � t were also the least likely to have moderate or severe gum disease. Eberhard J et al. Journal of Clinical Periodontology 2014; http://dx.doi.org/10.1111/jcpe.12183

Exercise o� ers hope even for failing hearts

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18_19_FL_19_Feb_Physio findings.indd 7 13/02/2014 10:34

Physiotherapy

This year’s conference theme is ‘Living Longer, Living Well’ in relation to older people. The CSP Scientific Committee is now inviting abstract submissions for platform and poster presentations which relate to this year’s four programme themes:

Call for abstracts

• Learning and Development

• Community Rehabilitation

• Neurology

• Musculoskeletal

Physiotherapy UK 2014 will showcase the latest research findings

and best practice, educational and professional developments in physiotherapy.

The programme brings together the work of a number of CSP professional networks,

offering physiotherapy staff from a wide range of backgrounds the opportunity to

hear top speakers, access new evidence to support their practice and to learn, debate

and share knowledge and experiences in the pursuit of excellent patient care.

0010

01

001001first.indd 1 12/02/2014 14:24

10 & 11 OCTOBER

PhysiotherapyCall for abstracts

• Neurology

• Musculoskeletal

• Abstracts should be submitted online at www.physiotherapyuk.org.uk

• For more information and detailed guidance on the submission of abstracts go to www.physiotherapyuk.org.uk

• Deadline for entries: 13th March.

‘Living Longer, Living Well’

001001first.indd 2 12/02/2014 14:24

19 February 2014

Working in the trade union function of the CSP means I come into contact with a wide range of campaigns and issues. Some are directly concerned with CSP members, their terms and conditions in the workplace and how they are being treated or mistreated. However our membership of the TUC means

that some campaigns are focused on

issues and groups of people both

outside of physiotherapy and abroad.

The CSP is a� liated to a number of diverse campaigning organisations including Baby Milk Action, Stonewall and the Cuba Solidarity Campaign – many of these have no direct link with physiotherapy at all. Occasionally, this can lead members to ask why we are spending our time on issues like this. Wouldn’t it be better to concentrate solely on the challenges facing CSP members in the UK right now?

I would have to answer this with a resounding no! The work of a trade union is based on upholding

fundamental principles of fairness, dignity and protection from exploitation. The CSP as an organisation of more than 50,000 members has a powerful voice to ensure that these rights are recognised, not just for CSP members, but for other groups su� ering oppression and mistreatment. Put simply, workers’ rights are human rights.

The power of an individual should not be underestimated either. Recently when I was feeling fed up and overwhelmed I voiced a nagging doubt in my head to a colleague. What right did I have to campaign on issues that didn’t really a� ect

Act today!

22 Frontline

VIEWS & OPINIONSin perspective

Patients who choose to be treated privately are entitled to NHS services on exactly the same basis of clinical need as any other patient. They should not have NHS treatment withdrawn or refused because they also have private care. This applies to all four UK countries.

Concurrent physiotherapy treatment often raises questions and concerns. While each situation should be assessed on its merits, physios need to be mindful of a number of issues.

Private and NHS care should be kept as clearly separate as possible; the patient should be in no doubt which aspects of their care is NHS and which are privately funded. Both providers of care should carry appropriate and separate insurance.

All physios have a duty to share information with others providing care and treatment for their patients. This includes NHS physios providing information to private ones or other regulated practitioners and vice versa. In rare circumstances a con� ict in approach may be di� cult to resolve. The practitioners involved should � rst try to resolve this through good communication. If this can’t be resolved, however, the patient should be invited to choose.

When a patient does wish to continue with both therapists, then both physiotherapists will need to decide how best to resolve the situation, which may indeed require one therapist to take the lead. In this situation, it is important that regular communication is maintained and treatment plans and goals are openly discussed, so

advice line

Individual voices can make a di� erence when pe ople’s rights are being trodden on, says Jess Belmonte

Communication is key What should you do if a patient is receiving care from the NHS and the private sector? Ruth ten Hove responds

22_23_FL_19 Feb_Views&Ops.indd 22 13/02/2014 10:35

Frontline – www.csp.org.uk

23

VIEWS & OPINIONSGOT SOMETHING TO SAY?We encourage members to contribute to these pages. For information see the guidelines at: www.csp.org.uk/frontlineideas or email: eatonl@csp.org.ukThe views expressed here are not necessarily those of the CSP

Unite Against Fascism (UAF) is currently mobilising for a Europe-wide day of action against racism which will take place on 22 March, in the build-up to the European elections in May. The CSP, along with other trade unions, is a long-time supporter of the UAF.

The demonstrations mark the weekend of the UN’s International Day for the Elimination of Racial Discrimination. In the UK the call for a London demonstration has been backed by Labour and Green politicians, as well as trade union leaders. The CSP, via director Lesley Mercer, has agreed support for this demonstration.

Already in most European countries parties of the right, centre and even the traditional left are allowing the terrain of the European elections to be dominated by racism, xenophobia and the scapegoating of minorities – Muslims, Jews, immigrants, Roma, and black and Asian communities. There is a real threat that openly racist parties may make gains in the 2014 Euro elections in some countries, for example Greece, Hungary, the Netherlands and France. The threat of openly racist parties gaining ground in this year’s elections is made all the more real by the launch late last year of a pan-European alliance of far-right parties, led by the French National Front and the Dutch Freedom party headed by Geert Wilders.

In Britain the far right British National Party is � elding candidates. Some mainstream political parties are making concessions to an anti-foreigner and anti-Europe agenda, for example hostility is already being whipped up across the political spectrum against Romanian and Bulgarian migrant workers.

While there is a real threat that openly racist parties may gain seats in the 2014 Euro elections, this can be prevented by the coming together of all those opposed to racism and fascism.

UAF is calling on people to join the demonstration to help halt the rise of racism, to show that migrants are welcome and demonstrate con� dence in a future free of scapegoating and hatred. There will be a CSP presence on this march. For details, email: keatings@csp.org.uk

A rally and demonstration marking UN Anti-Racism Day will be held in London on 22 March. Visit: www.uaf.org.uk

Saraka Keating is a CSP national o� cer (equalities)

me? Wasn’t it a bit patronising to campaign on behalf of low paid casual workers when I was lucky enough to have a secure job? And what di­ erence would it make anyway?

I’m glad to say that recent campaigning success meant I started 2014 feeling much more positive. Cambodian housing campaigner Yorm Bopha was released from prison in last November following an Amnesty International petition signed by more than 85,000 individuals. Hovis was forced to reduce zero hour contracts and create new jobs in Wigan after union action that involved the whole community.

There’s so much you can do right now to speak up for those who are su­ ering exploitation and mistreatment both in the UK and abroad. Some things only take a second such as sending a Tweet or signing a petition. If you have a bit more time to spare why not join us in York on 8 March to rally against the damaging and destructive austerity policies of the Coalition government and in particular the impact on northern communities?

Whatever you can do, do it today!

Jess Belmonte is a CSP national o� cer, employment relations and union service

With the European elections looming, Saraka Keating warns that openly-racist parties must be challenged

Standing strongIndividual voices can make a di� erence when pe ople’s rights are being trodden on, says Jess Belmonte

viewpoint

that all parties are aware of, and are happy with, the agreed management plan.

When a patient chooses the private sector, the NHS physiotherapist should explain to the patient that they can, if necessary, re-start NHS treatment following completion of their therapy with the private sector practitioner. The patient should be given details as to how to refer themselves back to the NHS service should they wish to re-start.

For more guidance, visit: www.csp.org.uk and search for ‘concurrent’.

Ruth ten Hove is a CSP professional adviser

What should you do if a patient is receiving care from the NHS and the private sector? Ruth ten Hove responds

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24 Respiratory

19 February 2014

INSPIRING HOPEINSPIRING HOPEINSPIRING HOPESta� members (from the left): physio Kylie Farbrace, technical instructor Claire Stevens and physio Gemma Hopkin. Buddies: Ann Hillyard, Elizabeth Reynolds, Maralyn Fox and Ivor Reynolds

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25

Frontline – www.csp.org.uk

T he idea of recruiting former patients as buddies to support patients through physiotherapy-led falls and respiratory rehabilitation programmes seems so simple

it is a wonder that it is not happening everywhere. But, according to physios Pam Hancock and Kylie

Farbrace this appears not to be the case. The pair respectively lead the pulmonary rehab and falls multidisciplinary clinics of the Hope Street Specialist Service, part of social enterprise the Care Plus Group, in Grimsby. Their approach has won an armful of national and regional awards, most recently the Health Service Journal award for Primary Care and Community Service Redesign last November.

With growing national acclaim and interest, they are hoping to inspire others to follow their example.

The pulmonary rehab and falls prevention services were overhauled and re-launched in 2005 with separate funding from initiatives to improve the health of the local population. North East Lincolnshire at the time was ranked the ninth most deprived electoral ward in England. In 2011, Grimsby’s East Marsh – where the Hope Street Medical Centre is based – was named the second most deprived area in the country.

It is well recognised that chronic obstructive pulmonary disease (COPD) is linked to deprivation and before the Hope Street service ‘there were massive gaps in treatment for COPD patients in the area’, says Ms Hancock. She was given a remit to improve rehab services for respiratory patients.

As funding had been provided to develop a falls collaborative, it was decided the services would form a partnership that was truly based on local need. ‘We saw that some of the problems relating to falls, such as balance and muscle strength, could be linked with some of the experiences of the COPD patients, such as inactivity and social isolation. We could see that if

we pooled our resources we could develop a stronger and more vibrant service,’ explains Ms Hancock.

Consulting patientsThe revamped partnership was based on extensive consultation with patients and carers on what they wanted from a new service. The process highlighted the psychological barriers to exercise and exertion for these patient groups, such as shortness of breath and fear of falling. Having an expert in situ was a key wish. But a one-to-one sta� ratio was economically impossible. ‘We worked out together that if we had expert patients who had been through the programmes they could become role models for patients and trained to help out,’ says Ms Hancock.

The result is a patient-centred one-stop shop for people with chronic respiratory illnesses, such as COPD and older people at risk of falls. It is based on a medical model within a social context, o� ering individually tailored eight-week treatment and six-week education programmes, delivered by multidisciplinary teams. These also include, occupational therapists, specialist nurses and a dietician, supported by physio-trained volunteers called ‘buddies’.

The buddies work with patients on their exercises and deliver the educational components of the programmes; they also help with quality of life questionnaires and patient-feedback forms. Kylie Farbrace, falls service lead, says: ‘The buddies often get a more realistic view of what’s going on with the patient, and they can tell their stories and what di� erence it has made to them.’ They also receive all the mandatory sta� training, including, basic life support, patient consent and con� dentially and moving and handling.

In total, the service has 93 buddies across the clinics. Some specialise in working with patients with Parkinson’s and dementia. ‘The buddies are just as much a part of the team as the sta� . Some of them have been with us for the full eight years,’ says Ms Hancock. ‘They are like gold dust to us,’ adds Ms Farbrace. >

A PHYSIO-LED FALLS AND RESPIRATORY REHABILITATION PROGRAMME IN A DEPRIVED CORNER OF EASTERN ENGLAND IS WINNING PLAUDITS FOR ITS BUDDYING APPROACH. LOUISE HUNT REPORTSINSPIRING HOPEINSPIRING HOPEINSPIRING HOPE

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26 Respiratory

19 February 2014

Having the buddies on board has enabled the service to increase patient capacity. ‘Last year the falls service had 540 new patients. In the year before the volunteers it was 260, although we have had a sta� increase as well. Just over 1,000 patients a year now come through Hope Street Specialist Services,’ says Ms Farbrace.

The service places a strong emphasis on incorporating activities into the rehab programmes, and the buddies serve to create a rehab community outside of the clinic, helping to forge social networks for patients. Some are involved in delivering activities such as Tai Chi, � shing and bowling. Says Ms Hancock: ‘Buddies allow us to do things we wouldn’t have thought about. They act as a conduit for ideas from patients that we try to facilitate. For example, the buddies recently set up a singing group.’

She adds: ‘People go downhill because they are too scared or debilitated to go out and may have lost their social networks. If we didn’t provide any of these activities they may go back to being housebound.’

Ms Hancock believes the reassurance buddies can give patients means they respond earlier to treatment than they might have otherwise, and drop-out rates are low. ‘We’ve seen a massive improvement in both the falls and respiratory patients,’ she says.

Outcomes data for the pulmonary rehab programme shows that, on average, there is a saving of one hospital admission per patient through the course. In the incremental shuttle walk test the average distance completed has increased from 181 metres in pre-testing to 256 metres, while the endurance shuttle walk test has shown an average improvement from 314 to 707 metres.

The falls programme also demonstrated clinically signi� cant improvements, including a 100 per cent improvement in the six-minute walk test, with an average increase from 80 to 160 metres, and a signi� cant reduction in fear of falling.

A buddy-led smoking cessation service, launched three years ago, is

also achieving good results, with a 50 per cent success rate in getting people to stop smoking. The national average for smoking cessation services is 20 per cent.

Another facet of volunteer involvement with the service is to go into the community and identify where problems may lie for the patient groups, creating links with statutory and other services to resolve them. For example, volunteers worked with local bus company Stagecoach on how to avoid falls on buses. People at risk of falls now carry a card notifying drivers that they should not drive o� until the person is seated. The volunteers also run awareness events in the community to help drive up referrals, and Hope Street has established good relationships with GP practices and clinical commissioning groups.

‘There are other services that use buddies and volunteers, but I’m not aware of others with the level of integration that we’ve got,’ says Ms Hancock.

‘They are an absolutely untapped resource,’ reiterates Ms Farbrace.Not surprisingly, such a reliance on unquali� ed team members was

met with some resistance among clinical sta� at the beginning. ‘There was some scepticism and nervousness about handing over some of the clinical jobs,’ says Ms Farbrace. ‘But I sold it to them that this was all low level health promotion stu� that we don’t have time to do.’ Checking all the walking aids in residential homes is a prime example, she adds, ‘this is something that our volunteers can do, but we are mindful that they are not replacing sta� .’

More than just volunteersIntroducing the buddy system was a steep learning curve, Ms Farbrace admits. ‘The biggest mistake we made early on was treating them as volunteers,’ she says, explaining there was a tendency to handle them with kid gloves, rather than expect the same performance

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27

Frontline – www.csp.org.uk

Far left: student physio Abbie Pearse checks Philipa Malcolm’s progress. Centre: rehab assistant Kamal Russell and physio Jennifer Ajala � ank Maisie Bell. Right: physio Gemma Hopkin with Jean Hewson

Far left: student physio Abbie Pearse checks Philipa Malcolm’s progress. Centre: rehab assistant Kamal Russell and physio Jennifer Ajala � ank Maisie Bell.

SOMETHING TO ADD?...email us at frontline@csp.org.uk

standards as of sta� . ‘It took us a while to realise that it is about quality of service – that we need to be clear about our expectations of them. Now there is a voluntary board governor. We do take it seriously.’

On the � ipside, it requires a lot of energy from sta� to keep people committed. ‘They like to see the boss and feel appreciated. It’s about giving up your time and building a personal relationship with the volunteer, knowing what their grandkids are called.

‘From a personal point of view it’s been a massive journey. It’s an equal partnership and we think we’ve cracked what they mean by building community capacity, which is probably why we’ve won so many awards.’

Hope Street Specialist Service became part of social enterprise Care Plus Group a couple of years ago and Ms Farbrace believes the move provided an opportunity to in� uence the organisation as a whole. ‘I think being part of a social enterprise does make it easier to spread the word about the usefulness of volunteers and it has de� nitely helped in getting other services in our organisation to work the way we do.’

That more physio-led rehabilitation services haven’t taken a similar approach is ‘slightly disappointing’, remarks Ms Hancock. ‘Even the Department of Health has said it is really surprised that not everyone is following our example. We’ve been doing this for so long, but I don’t think services are changing as fast as they could. I think it’s fear of the unknown, and it [the buddy approach] is quite di� cult to run and maintain. It is about working together, not diluting your knowledge, but increasing your capacity.’

The service is working with allied health professionals across north east Lincolnshire to share information on its approach, she adds.

Ms Farbrace, who is in the running for a NHS Leadership Recognition Award, also believes the approach could be replicated further a� eld. ‘It could work for any condition in any area. You can’t bottle what we’ve got because it’s about working within a community and mapping a service to deliver it together.’ fl

Dave Towers recently became a buddy with the pulmonary rehab service after his wife died. ‘She was a buddy for � ve years, so I’m doing it for personal reasons,’ he says. Having attended the COPD clinic for six years as a patient, Mr Towers was familiar with the service and sta­ knew he had much to o­ er in experience and empathy.

‘Initially, people go to the sessions on their own; they might have just been diagnosed and can be quite frightened. But we show them there are breathing techniques and exercises they can do to help prevent the condition getting worse. That’s what you can tell them when they start. It is rewarding to help somebody to feel relaxed and not frightened,’ he adds.

Mr Towers, who was a retired prison services medical o� cer, says having ‘a bit of a medical background’ is helpful. ‘As a buddy you really learn about the exercises and how to work with the patients. There is quite a lot involved in getting it right. You can’t just walk in and do what you want. It has to be controlled and informed,’ he says.

Along with the pulmonary rehab clinic, Mr Towers has been a volunteer with the weekly smoking cessation service for more than a year. ‘I put my heart and soul into smoking cessation. Personally, I feel that if I can help anybody to stop smoking then I will give my time to do that. I try to be there for them. I tell them my story about how smoking a­ ected me. They listen because I’ve been through a rough time. The biggest part is having someone who’s gone through it themselves.’

Mr Towers’ commitment as a volunteer comes from a strong connection to the service. ‘Hope Street is on its own in what it does. I could never walk away from the place. It’s done so much for me and my wife. You get out of Hope Street what you put into it, and the more you put in the more positive the results are.’

CASE STUDY: DAVE TOWERS

‘WE WORKED OUT TOGETHER THAT IF WE HAD EXPERT PATIENTS WHO HAD BEEN THROUGH THE PROGRAMMES THEY COULD BECOME ROLE MODELS FOR PATIENTS AND TRAINED TO HELP OUT’Pam Hancock

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Frontline – www.csp.org.uk

Student Practice Education (SPE) o� ers a rich array of learning experiences for the band of practice educators, higher education

institution (HEI) practice placement tutors and coordinators, students, support workers and other professionals involved. SPE provides opportunities for all those involved to: • learn new knowledge and skills• develop existing knowledge and skills• take on and achieve new challenges• help and support others (patients, carers

and other learners)• exhibit high standards of professionalism

However, for some learners, the joy of discovery can be diminished by concerns about, for example, getting on with others,

the assessment process or work pressures pulling in di� erent directions. Although such anxieties may be natural and can never be entirely removed, they may be lessened if those involved take a more proactive approach towards student practice placements as learning opportunities.Seeing SPE as an activity that can enhance the practice setting learning environment as well as solely for student learning and development can be bene­ cial to all parties, including (as appropriate) administrative sta� , support workers, porters, ward sta� , community sta� , other students and colleagues.

For example, a physiotherapy department could bene­ t from students on placement reviewing how service users are greeted or how patient pathways are explained. Those learning

Practice makesPERFECT

IN THE FIRST OF A TWO-PART CPD SERIES TO

SUPPORT PEOPLE WHO PARTICIPATE IN STUDENT

PRACTICE EDUCATION, CSP ADVISER JENNIFER DUTHIE

EXPLAINS HOW TO MAKE THE MOST OF POTENTIAL

LEARNING OPPORTUNITIES

✁ CPD 29

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19 February 201419 February 201419 February 201419 February 201419 February 201419 February 201419 February 201419 February 2014

from such a project could include the student, practice educator, departmental receptionist, support workers, other physios and other professionals.

If you are reading this and you do not currently participate in SPE, why not o� er your support? Individuals working in physiotherapy all have their own role to play to make sure that they and everyone else get as much as possible out of SPE. All levels of physiotherapy sta� and students will � nd advice and tips on making the most of practice education for themselves and others in the new CSP Practice Education Information Support and Guidance.

Visit: www.csp.org.uk/eportfolioSome actions, that may help you take a

proactive approach to getting the most out of SPE, are outlined below for you to consider.

How to make the most of SPEPre-placement: prepare• provide or gain as much information as

you can about the placement; such as the services provided, client group, recommended background reading, equipment required (such as notebook, measuring tape, goniometer, stethoscope, appropriate uniform and footwear) geographical location, travel and accommodation requirements

• make sure that you are familiar with the assessment process

• make contact with your student or practice educator; an introduction pre-placement is always useful. Share any requirements or expectations regarding levels of support

• share any concerns or queries as appropriate with the HEI placement coordinator. They may help you to prepare for and plan the placement

• seek help and advice where necessary – don’t wait until the placement has started to involve others and to ask for assistance or

guidance from them• plan to start day one of the placement

prepared, enthusiastic and ready to learn new things!

During placement: make the most of it• provide or attend a student induction in the

workplace. Discuss and clarify mutual hopes and expectations for the placement

• � nd out who could support learning – seek, include and learn from a range of others

• work on your communication with your student or practice educator and others. Poor communication often results in misunderstandings and problems. However, timely, candid conversations can prevent or solve many challenges. Even the most experienced sta� can run into problems by not considering communication carefully. Be prepared to learn from the good, and not so helpful, communication skills of others

• try to problem solve independently as much as you can. It may help for you to use tools such as re� ection (see resources to aid re� ection in the CSP e-portfolio or SWOT analysis (strengths, weakness, opportunities and threats) to work through challenges

• if you encounter any challenges that you cannot sort out on your own, it is important to seek advice orsupport from an appropriate source (practice educator or university practice placement coordinator, for example) as soon as possible. The ability to problem solve and know when to seek help is a strength that will stand all physiotherapists and students in good stead in the future

• remember, students are on placement to learn, not to show that they can do it all. There is always more to learn for everyone concerned. It may be useful to re� ect on, for example, how people (from all parties) react to mistakes

• try to access and recognise a wide range of

learning opportunities. As well as developing your skills, think about other opportunities. These might include overcoming challenges, working and learning with others, enabling others, seeing patients in di� erent environments, discussing working with carers, service evaluation, discussing the meaning and enactment of care and compassion, for example

• remember, you may never have the same learning opportunities again – don’t miss any!

Post-placement: re� ect• no matter how busy you are – take the

time to re� ect on your achievements and challenges from SPE– there will be many and some you won’t even be conscious of. It is important for you to realise your learning and monitor your professional progress. It would be useful for you to refer to the CSP Physiotherapy Framework to help you with this. You can access the CSP Physiotherapy Framework (and an entry-level graduate workbook, based on the framework, designed to support your personal and professional development), in the CSP e-portfolio or in the Professional and Union section of the CSP website under career development. Visit: www.csp.org.uk and search for ‘physiotherapy framework’.

• learning always leads to more learning! Make a record of your learning needs that have arisen as a result of participating in SPE. These may be addressed before or during SPE experiences in the future.

• The second and � nal article in this series will appear in the next edition of Frontline. The article encourages practice educators, students and others to recognise practice education as ‘co-learning’.

SOMETHING TO ADD?...email us at frontline@csp.org.uk

HOW TO USE THIS ARTICLE FOR YOUR CPDIf you have already participated in student practice education (SPE) and engaged in the activities above, make sure you insert your post-placement re� ections into your CPD portfolio. If you haven’t yet participated in SPE, write an individualised plan, recognising your own strengths and weaknesses, to help you to gain the most from the experience. Make a note of your learning as you go along. One way of doing this would be to keep a practice placement diary.

To � nd out more about the new CSP Practice Education Information Support and Guidance, visit: www.csp.org.uk/publications/practice-education This resource reinforces the view that practice education is very much part of continuing professional development (CPD) throughout the careers of all those working in the � eld of physiotherapy.

30 CPD

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

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xx eyebrow32 Work out at work

19 Februrary 2014

STANDFIRST NAME IN YELLOW

L ast summer hundreds of successful, health promoting events were held to mark CSP’s ‘Work out at Work Day’

(W@WD), and with your help this year’s campaign could be even better.

A record number of members turned out in 2013, hosting simultaneous events at sites across all four nations and generating widespread publicity.

Calculations from the CSP press o� ce reveal that media coverage of W@WD reached an audience of over 68 million people, with more than 180 news items featuring coverage of various events.

The campaign was reported on ITV, ITV Wales, BBC radio and more than 35 local radio stations. Articles also appeared in The Daily Telegraph, Daily Express and numerous local newspapers, as well as on websites such as AOL.

More than 860 physiotherapy sta� and more than 120 NHS trusts, boards and hospitals were involved, along with many independent hospitals, such as Nu� eld Health and BMI Health.

In total more than 300 separate events were

credit

Get ready for

THE CSP IS URGING MEMBERS TO REGISTER

NOW AND START PLANNING FOR 6 JUNE:

ROBERT MILLETT REPORTS

Survey results After last year’s event the society conducted a survey to evaluate how successful W@WD had been in raising the pro� le of physiotherapy and encouraging healthier habits.

The resulting feedback revealed that 89 per cent of members thought participants had enjoyed W@WD ‘extremely or very much’. In addition, 91 per cent of members felt that the events had raised the pro� le of physiotherapy; with feedback comments describing it as ‘a great initiative for the profession’ and reporting that it had ‘inspired sta� about workplace exercise opportunities’.

An overwhelming majority of participants in W@WD events said it had increased their knowledge of and understanding of the importance of exercise (89 per cent). And more than half of those surveyed said they were ‘very or extremely likely’ to build more activity into their daily lives as a result. The event also proved to be a valuable way of raising awareness of the profession, with 90 per cent of participants reporting that they found W@WD ‘extremely or very useful’ for gaining an understanding of what physiotherapists do.

LL ast summer hundreds of successful, health promoting events were held to mark

Get ready forGet ready for

THE CSP IS URGING MEMBERS TO REGISTER

NOW AND START PLANNING FOR 6 JUNE:

ROBERT MILLETT REPORTSROBERT MILLETT REPORTSROBERT MILLETT

Survey results After last year’s event the society conducted a survey to evaluate how successful W@WD had been in raising the pro� le

Friday 6 June 2014STANDFIRST NAME IN YELLOW

Friday 6 June 2014Friday 6 June 2014Friday 6 June 2014Friday 6 June 2014Friday 6 June 2014workout@workdayworkout day

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Frontline – www.csp.org.uk

STANDFIRST NAME IN YELLOW

held across the UK, with activities ranging from brisk lunchtime walks, cycle challenges, Zumba, Tai Chi and Pilates classes, desk-based stretch sessions and health quizzes.

Members engaged directly with the general public, NHS sta� , and employees from well known companies such as John Lewis, Sainsbury’s and EDF Energy.

Politicians got involved with the campaign. In Northern Ireland Jim Wells, vice chair of the Assembly health committee, met with a physiotherapist to perform some simple desk-based

exercises.And in Wales CSP sta� were joined

by Assembly Members Ken Skates, Lesley Gri� ths and Mark Drakeford for a walk from the Senedd to Cardi� Bay Barrage.

Raising awarenessNow, in its fourth year, the society is hoping members will help to build on last year’s success by getting involved with

W@WD 2014.As with previous years one of

the goals of the campaign is to encourage employees to take breaks and become more active, both during the working day and outside of work.

It’s also chance for every member to help

raise awareness of the important role that physiotherapy plays

in both the prevention and treatment of work related ill-health.

Rachel Newton, CSP public a� airs and policy o� cer, said day o� ers members scope to forge

new links with key decison-makers.

ScotlandLast year NHS Lothian’s sta� physiotherapy service marked W@WD by hosting a series of fun and active

events, including Zumba, Tai Chi and workstation workouts.Amanda Jones, occupational health physiotherapy manager

for Lothian occupational health and safety services, told Frontline: ‘The results were really positive and we will be doing the same again this year. But this time we will also be targeting speci� c groups, which are more prone to being sedentary – such as our telecoms department, where people tend to be sitting all day long.’

Physios will be encouraging NHS Lothian sta� to engage in 10- minute workstation workouts, which combine health education with stretching and toning exercises and the option of a rapid � tness test.

‘The � tness test takes less than 30 seconds,’ said Ms Jones. ‘We put a chair up against the wall and we time them while they

sit and stand as fast as they can 10 times. Then we compare it with normative values for men and women of di� erent ages. It’s good fun, takes seconds to do and acts as a bit of a wake-up call for some people.’

workout@workdayworkout dayevents, including Zumba, Tai Chi and workstation workouts.

Amanda Jones, occupational health physiotherapy manager

SOMETHING TO ADD?...email us at talkback@csp.org.uk

‘W@WD IS A GREAT OPPORTUNITY TO MAKE LINKS WITH THE PEOPLE MAKING IMPORTANT DECISIONS ABOUT HEALTH SERVICES IN YOUR AREA’Rachel Newton

raise awareness of the important role that physiotherapy plays

in both the prevention and

new links with key decison-makers.

More than

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Ken Skates, Lesley Gri� ths and Mark

year’s success by getting involved with W@WD 2014.

every member to help

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FL_19_Feb_wowd.indd 3 13/02/2014 10:42

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‘All CSP members know physiotherapy produces good health outcomes and is cost e� ective, but people making decisions about health in your area may not. W@WD is a great opportunity to make links with the people making important decisions about health services in your area.’

Long-term effectsIn 2013 Richard Morford, head of a private physio practice in Norwich, organised a W@WD event at Group Lotus, in Norfolk.

He invited Olympic boxer Anthony Ogogo to visit the company and encourage sta� to run, walk and roller-blade around the company’s race track.

The event was a huge success at the time, but it has also had a lasting e� ect.

‘Since our event last year there has been a reduction in time o� work and an improved emphasis on self-management reinforced by the occupational health team at Group Lotus,’ said Mr Morford.

‘A monthly session has continued, allowing employees to walk, run or cycle round the race track. This has stopped over the winter but it will start again in March once the weather improves.’

Mr Morford is currently consulting with Lotus about staging a similar event this year. He has also been approached by the John Innes Centre, a large research facility in Norwich, to run an event that he says would help ‘improve the health and well being of hundreds of scientists and researchers’ who work at the site. �

WalesIn 2013 physiotherapy sta� at Cardi� and Vale

University Health Board staged a series of successful

W@WD events.These included early morning and

lunchtime exercise sessions, Pilates, circuits and walking groups at the board’s main hospital sites.

This year they plan to encourage sta� to exercise in their work environment, minimising disruption to their working day, and to demonstrate how they can incorporate postural management and modi� ed exercises into their daily routines.

‘We will also be leading desk-based workouts and teaching sta� how to use micro-pauses, as well as regular breaks away from the computer,’ said Gill Pratt, a senior occupational health physiotherapist at the health board.

‘This could mean changing small things, like taking the stairs, parking 5 minutes further away and using everyday activities to increase the frequency and intensity of their daily physical activity.’

University Health Board

Get involvedThis year W@WD takes place on Friday 6 June. Registration is open from 19 February and anyone who is interested should � ll out the form at: www.csp.org.uk/w@wd

The application form can be completed now and updated at a later stage with details about the event you intend to organise.

Once registered members will receive a newly updated resource pack and, prior to holding their event, a set of the CSP’s public information lea� ets (Fit for Work, Fit for Active Work, Easy Exercise Guide), the Fitness Pro� ts booklet and also a t-shirt.

For more information, contact the CSP press o� ce. Tel: 020 7306 6628 or email: presso� ce@csp.org.uk

workout@workdayworkout day

34 Work out at work

19 Februrary 2014

‘SINCE OUR EVENT LAST YEAR THERE HAS BEEN A REDUCTION IN TIME OFF WORK AND AN IMPROVED EMPHASIS ON SELF-MANAGEMENT REINFORCED BY THE OCCUPATIONAL HEALTH TEAM AT GROUP LOTUS’ Richard Morford

FL_19_Feb_wowd.indd 4 13/02/2014 15:29

Physiotherapy Research Foundation

Research Awards2014

The CSP Charitable Trust is an independent charitable organisation that supports the advancement of physiotherapy education and research.

CSP Charitable TrustRegistered Charity No. 279882

The CSP Charitable Trust is pleased to announce The Physiotherapy Research

Foundation (PRF) award schemes this year. The trust is now accepting research applications

for funding in 2014:

The deadline for PRF Scheme A & B outline applications is 12noon, Friday 14 March 2014

The deadline for PRF for Scheme B: Paediatric Research Funding 2014 is 12noon, Friday 14 March 2014

Guidance notes and outline application forms for each scheme can be found at: www.csp.org.uk/prf

✹ Scheme A for experienced researchers Up to £110,000 available for one research project

✹ Scheme B for novice researchers Up to £20,000 available for research projects

✹ Scheme B: Paediatric Research Funding 2014 for novice researchers Up to £20,000 of funding in the area of paediatric non-acquired brain injury and paediatric cerebral palsy

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Physiotherapy Research Foundation

Special Award2014

The CSP Charitable Trust is an independent charitable organisation that supports the advancement of physiotherapy education and research.

CSP Charitable TrustRegistered Charity No. 279882

The CSP Charitable Trust is offering a Special Award to members in 2014,

which focuses on the topics of Cardio Respiratory and Medical Rehabilition and

Mental and Physical Health and Wellbeing from the CSP Research Priorities.

The deadline for outline applications is 12noon, Monday 14 April 2014

Further details on this call are available at: www.csp.org.uk/specialawards

✹ £300,000 Call for a research project to investigate: ‘The effectiveness of physiotherapy in the care of older people to maintain/ improve mental and physical health and well being and/or independence’

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if an advert is cancelled later than 4 weeks preceding the date of issue of Frontline.

PUBLICATION DATES

Issue Bookingdate deadline

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Courses and Conferences 52Noticeboard 38

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NOTICEBOARD:This section covers CSP’s work at region and country level and also o  ers you the opportunity to advertise your CSP recognised Professional Network event free of charge. Reunions, info exchange and obituaries are also permitted within this section. Send the information you wish to include to: directory@csp.org.uk

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.

DIRECTORYF

DIRECTORY

To advertise your course call 0845 600 1394 or email: cspads@media-shed.co.uk

You and Frontline go together so well -it’s another classic combo!

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Get involved!See March Forum dates for each region below.

What’s in it for you?1. Keep up-to-date – with important developments in physiotherapy2. Network – with colleagues, CSP sta� and in� uential individuals3. Empower yourself – ­ nd out what’s happening 4. Build your pro­ le – share your experiences and ideas with colleagues5. Access great CPD – learn, re� ect, and practice new skills at each forum, develop your communication and leadership skills.

What’s in it for your service?1. Bring new knowledge and ideas to your service2. Share intelligence from your region with your service3. Understand the opportunities available to

develop your service4. See how your service can be part of the solution to health and care challenges5. Develop your understanding of professionalism and how it applies to your service

Physiotherapy works: give your local decision makers the evidenceLocal clinical commissioning groups (CCGs) need to know that ‘Physiotherapy works for patients’ as they are ­ nalising their plans for the coming year.

Sue Browning, CSP deputy chief executive, has written to all CCGs in England to encourage them to consider physiotherapy as part of their service mix for the coming years www.csp.org.uk/news/2014/02/03/physiotherapy-works-give-your-local-decision-makers-evidence

You can help by talking with local commissioning GPs, and by giving them copies of the CSP’s Physiotherapy Works brie­ ngs www.csp.org.uk/professional-union/practice/your-business/evidence-base/physiotherapy-works

Sue Browning

East of EnglandMarch Regional Forum with AGM – your chance to get involvedDate: Saturday 15 MarchTime: 11am – 4pm including lunch

Place: Rosery County House Hotel, Exning, Newmarket, Su� olk, CB8 7EHContact: Please tell your chair, Carl Hancock, that you will attend eastofenglandchair@csp.org.uk

East MidlandsMarch Regional Forum with AGM – your chance to get involvedDate: Tuesday 18 MarchTime: 3pm– 6pmPlace: Conference Room 2, Nottinghamshire Healthcare NHS Trust, Duncan Macmillan House, Porchester Road, Nottingham NG3 6AAContact: Please tell your chair, Keri Barsby, that you will attend eastmidlandschair@csp.org.uk

LondonMarch Regional Forum with AGM – your chance to get involvedDate: Monday 24 MarchTime: 4pm – 6pm Place: Old Red Lion, 72 High Holborn www.thegoodpubguide.co.uk/pub/view/Old-Red-Lion-WC1V-6LSContact: Please tell your chair, Carole McCarthy, that you will attend londonchair@csp.org.uk North EastMarch Regional Forum with AGM – your chance to get involvedDate: Tuesday 18 MarchTime: 1pm (business) 2pm – 5pm Place: Durham County Cricket Club, County Ground Riverside, Chester-le-Street, County Durham , DH3 3QRContact: Please tell your chair, Jill Kent, that you will attend northeastchair@csp.org.uk

North WestMarch Regional Forum – your chance to get involvedDate: Monday 17 MarchTime: 6pm – 8pm Place: Chorley Hospital, Preston Road, Chorley, PR7 1PP

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English networks news

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Contact: Please tell your chair, Jo Lishman, that you will attend northwestchair@csp.org.uk

Cumbria Branch CPD eventCPD with a demonstration of pebble pad:Date: Saturday 8 MarchTime: 9.30am – 11.30amPlace: Penrith Hospital Cost: £3 to cover refreshmentsContact: Book your place with Branch secretary mornamcdowell@cumbria.nhs.uk

Future Cumbria Branch events are:• 22 March – day neuro course at Cumberland Infirmary, Carlisle • 14 May – talk by Anne Marie Grady, CCG commissioner, planned for Keswick.

South CentralMarch Regional Forum with AGM – your chance to get involvedDate: Wednesday 19 MarchTime: 12.30pm – 4.30pmPlace: Board Room A & B, Solent NHS Trust, Adelaide Health Centre, William Macleod Way, Southampton SO16 4XEContact: Please tell your chair, Kim Brown, that you will attend southcentralchair@csp.org.uk

South East CoastMarch Regional Forum with AGM – your chance to get involvedDate: Thursday 13 MarchTime: 10.30am – 1pmPlace: Room 112, Aldro Building, University of Brighton, Darley Road, Eastbourne BN20 7URContact: Please tell your chair, Helen Balcombe, that you will attend southeastcoastchair@csp.org.uk

South WestMarch Regional Forum with AGM – your chance to get involvedDate: Wednesday 19 MarchTime: 1pm (lunch) – 5pmPlace: Exeter Court Hotel, Kennford,

Exeter, EX6 7UX Contact: Please tell your chair, Nikki Parfitt, that you will attend southwestchair@csp.org.uk

Regional meeting in Exeter on 4 December

Above: left to right, Nikki Parfitt, Heather Hunter, Hannah Willoughby – some of the regional leads

Above left to right – Ralph Hammond, Rosie Yarnall and Andy Ballard

Above: Andy Ballard with Heather Hunter

This began with some general notices and discussion:• In 2014 meetings will run across the region with a range of guest speakers• Congratulations to the new CSP fellows in the region, Jennifer Freeman and Fiona Cramp, to Frances Hunt on her leadership award and to Claire Harding on her distinguished service award • Heather Hunter is now on two CSP

committees, education and industrial relations• The University of the West of England will run an independent prescribing course from January 2014 and Plymouth University plans a course later in the year• The region has 3 active Branches, Swindon, Gloucester and Bath - all link with the Regional Network• There was worry that if AHPs are required to be support workers prior to enrolling that this will disrupt the support worker career structure.

Key industrial relations issuesSome points from Andy Ballard, CSP senior negotiating officer:• The South West pay cartel has collapsed, after sustained pressure, now it’s vital that the union and employers work in partnership• The blanket cessation of pay progression for sickness absence, disciplinary or capability issues remains an issue; we are working hard to achieve fair and individual treatment• As we see more ‘zero hours’ contracts, we ask is employment in the NHS increasingly being casualised? For some this may be positive but others may be disadvantaged by spending many months on a temporary contract• Despite lobbying, with CSP support, a neuro rehabilitation unit in Bath was closed, it was a tragedy for those involved and their expertise was lost.

A proportion of Andy’s casework involves CSP members working in the private sector and in Guernsey some contractual concessions were recently won.

Andy works hard to support South West stewards so that they can support CSP members. He said that active members are crucial to support stewards. For example somebody in the team might follow the CCG Twitter feed and share. Knowing the CCG’s opinions mean that it’s easier to influence decisions.

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Andy said delegates could also get information, to help make the case for physiotherapy from http://nhsforsale.info/

The Peninsula Trauma Network and rehabilitation servicesSome main points from Rosie YarnallRosie sees huge opportunities for physiotherapy, working with CCGs, to provide rehabilitation for trauma patients. The focus has always been on acute care but increasingly rehabilitation, vital for restoring quality of life, is seen as crucial.

The Trauma Audit Research Network (TARN) gives each patient an injury severity score but currently the score stops before rehabilitation. One challenge is to capture the rehabilitation journey on TARN. In trauma standard pathways are not possible; there are many pathways. For example, an older person might fall and suffer a major head injury; another person may be in a road accident and have an amputation.

The cost of a patient leaving the NHS not fully rehabilitated is hard to calculate especially as informal carers pick up much of the work. Post-trauma people can live significant lives. The need for rehabilitation is being recognised. We used to have vocational rehabilitation; it’s needed but has been lost. The challenge is to deliver the right rehabilitation, at the right time, in the right place with the right outcome.

What does it mean to be a physiotherapist?Points from Dr Ralph Hammond’s talk about his doctoral researchRalph began his research began by seeking a definition of physiotherapy. He didn’t find a shared definition but found conflicting challenges:• clinical governance and the need for service improvement• listening and responding to patients• cuts and rationing, the need to provide more with less.

He asked how physiotherapists come to be the physiotherapists they are?His theoretical background was social constructivism, Habermas’ theory of communication and a pro-feminist attitude. He collected qualitative data from physiotherapists through regular meetings, writing, memories and group discussion. Detailed analysis included turning the data into poems, asking questions, and looking at moral dilemmas.

Ralph concluded that physiotherapists work on their identity as an ongoing process. Professional values, motivations, attitudes and beliefs change over time. He suggested that in the current changing climate it’s important that we talk about our values and approaches to patient care. West MidlandsMarch Regional Forum with AGM – your chance to get involvedDate: Monday 24 MarchTime: 10am – 1pmPlace: Room 121, Muirhead Tower, Birmingham University, Edgebaston, Birmingham B15 2TTContact: Please tell your chair, Janet Davies, that you will attend westmidlandschair@csp.org.uk

Yorkshire and the HumberAGM and planning meeting – your chance to get involvedDate: Monday 24 FebruaryTime: 4pm – 6pmPlace: Park Inn Doncaster, Decoy Bank South, White Rose Way, DN4 5PDContact: Please tell your chair, Jean Heseltine, that you will attend yorksandhumberchair@csp.org.uk

Future important dates • 13 – 24 March – quarterly regional forums • 25 March – Development Event and English Network Forum • 26 March – CSP Council meeting.

Association of Chartered Physiotherapist in Neurology (ACPIN) - SussexSussex ACPIN presents:Pilates Practice in NeurologyA Regional Study Day and AGMDate: 26 April 2014Time: 9.30am - 4.30pmPlace: Worthing Physiotherapy Gym, Worthing Hospital, Lyndhurst Road, Worthing.Tutor: Jo Ferris, specialist neurological physiotherapist and classical Pilates instructorCost: ACPIN members £35, Non members £60This one-day interactive study day has a large practical element and the tutor expects everyone to participate in the exercises. Contact: To request an application form, or

Word limit for Professional Network noticesWith 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.

professional networks notices

News from the CSP English Regional Networks, branches and Country BoardsYou can access more information at www.csp.org.uk/nations-regions

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for more information please contact course organiser: diana.drawbridge@wsht.nhs.uk

Association of Chartered Physiotherapist in Neurology (ACPIN)- Yorkshire ACPIN and North East SSNPStudy Day: How to do Constraint Inducted Movement Therapy (CIMT)Speaker: Susanna Robinson, occupational therapistDate: Monday 17 March 2014Time: 8:30am - 4.30pmPlace: Airedale General HospitalCost: £160 to ACPIN/SSNP members; £185 non-ACPIN/SSNP members (lunch not included).CIMT is a form of rehabilitation therapy that improves upper extremity function in stroke and other central nervous system damage victims by increasing the use of their affected upper limb. Recent NICE guidelines (2013) recommend considering its use for people with a stroke. The day will provide an excellent opportunity to learn about this therapy and includes course manuals, treatment programme templates as well as being a valuable addition to your CPD skills.Places are limited to 20 and will be allocated on receipt of payment. Please note, due to limited places, cancellations with less than one week notice will be charged. Contact: Heidi Thomas on tel: 07984 491260, email: yorkshire@acpin.net

Association of Chartered Physiotherapist in Neurology (ACPIN)- Yorkshire ACPINAGM 2014Date: Saturday 8 March 2014Place: Oakwell Lecture Theatre, Dewsbury Hospital WF13 4HSTime: 9am - 4.30pmCost: free, lunch included.The day will include talks on:• Introduction to the commissioning process by Loiuse Rogerson,(neurophysiotherapist)

MCSP Director of Service Development, Intelesant .• Motivation by Dr Philomena Commons MCSP PhD MSC Grad.Dip.Phys. DipMDT• The successes and struggles of setting up a community stroke service by Vicky Makin neurophysiotherapist BSc (Hons); PG Dip; MCSP; HCPC and Pam Bagot Principle Physiotherapist, MSc, BSc, MCSP• AGM Yorkshire Committee Chair Christine Robbins• The new law reforms and how they affect therapists working as an expert or in private practice by Irwin Mitchell solicitors.Contact: For further information contact Jade Donnelly 07446038825 or email yorkshire@acpin.net

Association of Chartered Physiotherapist in Neurology (ACPIN) - KentStudy day and AGMPusher Behaviour in Stroke: A physiotherapy updateDate: Saturday 5 April 2014Time: 10am - 4pm with AGM: 4pm - 5pm Speaker: Gemma Alder MSc BSc MCSP, specialist neurophysiotherapistPlace: The Post Graduate Centre, Kent and Canterbury Hospital, CanterburyCourse information: This course is designed for participants seeking to develop their understanding of Pusher Behaviour in light of the most up to date research. It will provide opportunities for participants’ to reflect on previous clinical exposure to this complex presentation and to work through clinical case studies. Cost: ACPIN members £50: Non-members £75 Refreshments, Lunch and Course Materials ProvidedContact: For further information or to reserve your place please email: kent@acpin.net A map and programme for the day will be sent on receipt of cheque/ or BACs payment. Closing date: 28 March 2014.

Association of Chartered Physiotherapists n Energy Medicine (ACPEM)ACPEM Spring Conference 2014Early bird rate extended to 28 FebruaryTheme - Light and Sound Date: 11-14 April 2014An opportunity to explore the subtle effects of light and sound in our daily lives and in our therapeutic relationships over a great value weekend inclusive of accommodation and meals - three days and nights at the beautiful, tranquil Ammerdown Centre near Bath. .This conference features:• a very practical day on cranio-sacral therapy • inter-active workshops on; the Alexander technique, the synthesis of NLP and CBT, music, voice work, language and visualisations.Join a non-judgemental group of like-minded professionals to take your CPD and your experience of the art of physiotherapy in a ‘whole’ new direction.Cost: Full conference with accommodation and meals: Early bird £345 members / £375 non- members. Day rate from £110Contact: For more details see the ACPEM website www.energymedphysio.org

Association of Chartered Physiotherapists in Orthopaedic Medicine and Injection Therapy(ACPOMIT)Conference 2014 in Birmingham Our annual conference will this year take place in Birmingham on Saturday 14 June at the Aston University conference centre. Confirmed speakers to date include keynote speaker Anju Jaggi, Pip White, John Leddy and Dr Ben Dean. The day will be mix of lectures and practical break out sessions with topics including: Shoulder Instability, Medicines and Prescribing, Ultrasound Guided Injections and the latest research on the effect of corticosteroid on soft tissues.

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The full programme and booking details will be available soon at: www.acpomit.co.uk As usual ACPOMIT members will be offered a discounted rate of attendance.

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: pritchard.julie@gmail.comIf you have any queries regarding this please contact: emmajames@nhs.net

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: sec@aacp.uk.comDates: 7/8/9 March and 18/19/20 AprilPlace: AberdeenDates: 8/9/22/23 March and 3/4 MayPlace: AshbourneAACP GrantsAACP have a number of grants available for AACP members. For more information please contact Mindy Cairns (AACP Research Advisor) at: research@aacp.uk.com or see the AACP website: www.aacp.org.uk AACP CPD Courses: Contact: Sarah Brand on tel: 01733 390044 or email: sec@aacp.uk.comRefresher UpdateDate: 12 July 2014Place: Stoke on TrentCost: £99 members, £125 non-membersTutor: Jon HobbsCPD Regional EventDate: 21 February 2014Place: London, EC2Y 9AECost: £95 members, £110 non-membersTutors: Richard O’Hara, Jon Hobbs, Kevin Young and Lesley Pattenden.

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 - 2014Manual Handling Train the Trainer and Risk AssessmentDate: 21-22 March 2014Place: HampshireCost: £250 Lunch includedOffice WorkStation Ergonomics (DSE) Level 1Date: 21-22 March 2014Place: GuildfordCost: £240 Lunch NOT includedAssessing Fitness for Work and FunctionDate: 28-29 March 2014Place: BournemouthCost: £250 Lunch includedOccupational Rehabilitation and Work HardeningDate: 5-6 April 2014Place: London Leisure CollegeCost: £250 Lunch includedACPOHE Conference 2014 ‘Building confidence in your competence’Date: 16-17 May 2014Place: Birmingham Cost: Early Bird offer for Members before 6 April 2014Office WorkStation Ergonomics (DSE) Level 1Date: 13-14 June 2014Place: GuildfordCost: £240 Lunch NOT includedWRULDDate: Saturday 12 July 2014Place: Midlands (exact location to be confirmed)Cost: £125 Lunch includedOffice WorkStation Ergonomics (DSE) Level 2Date: 18-19 September 2014Place: Haywards HeathCost: £240 Lunch NOT includedAn Introduction to Occupational HealthDate: 24/25/26 September 2014Place: EdinburghCost: £455 including lunchContact: For course information and to book online: http://www.acpohe.org.uk/events

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: angela.slade-smith@wlmht.nhs.uk An application form and agenda will also be available on iCSP.

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.

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Dates for each region: 1. 15February2014–AGILE(Wales)-Chepstow.Organiser/contactRuthBuckleyat:ruth.buckley2@wales.nhs.uk2. 22March2014-AGILE(East)-Colchester.Organiser/contactSophieStubbingsat:sophiestubbings@yahoo.co.uk3. 12July2014–AGILE(North)-ManchesterRoyalInfirmary,Manchester.Organiser/contactLynnSutcliffeat:lynnsutcliffe@hotmail.com4. 14March2015-AGILE(N.Ireland)-Belfast.Organiser/contactGailMcMillanat:gail.mcmillan@belfasttrust.hscni.net5. 11April2015–AGILE(West)-StMartin’sHospital,Bath.Organiser/contactRuthSampsonat:ruth.sampson@sirona-cic.org.uk6. 13June2015–AGILE(Scotland)-NinewellsinDundee.Organiser/contactFionaMacLeodat:fiona.a.macLeod@nhslothian.scot.nhs.ukNote: Pleasecontacttheorganiseroftheregionnearestyouforanapplicationformandfurtherinformation,orvisittheAGILEwebsiteontheeventspageforvenuedetails:http://agile.csp.org.uk/network-eventsCost:£60AGILEmembers–placesarelimitedsoapplicationswillinitiallyonlybeconsideredforcurrentAGILEmembers.

Medico-Legal Association of Chartered Physiotherapists (MLACP)Paediatric and adult neurology - the role of the physiotherapist as an expert witnessThistwo-daycourseisaimedatphysiotherapistsworkinginpaediatricandadultneurologywhoareinterestedin/orhavesomeexperienceinpreparingreportsformedico-legalpurposes.Dates:Tuesday29April2014andWednesday30April2014Place:CSP,14BedfordRow,LondonWC1R4EDCourse leaders:EileenKinleyMSCPandWillWinterbothamMCSPCost: £300MLACPmembers,£335nonMLACPmembersSpeakers include:Solicitorsfrombothclaimantanddefendantfirms,DrFionaJonesMCSP,DrLewisRosenbloom,paediatricneurologistandChristineHenson,barrister.FullprogrammedetailsontheMLACPwebsite:www.mlacp.org.ukContact:Forfurtherinformationcontact:EileenKinleyemail:eileen@83waterloo.co.ukortel:07712185422.WillWinterbothamemail:willwinterbotham@virginmedia.comortel:07962142656.

Physio First Are you...In private practice? Thinking of starting? Looking to grow your business? Concerned about market changes?Ifyouhaveansweredyestoanyoftheabove,youshouldbeamemberofPhysioFirst.PhysioFirstistheprofessionalnetworkthathasrepresentedmembersinPrivatePracticeforover60years.TheCSPrecommendthatallprivatepractitionersbecomemembers.Memberbenefitsinclude:• Supportandadvicespecificallyon physiotherapybusinessmatters• Cuttingedgeclinicalandbusiness courseswithmemberdiscounts• Accesstoprofessionalbusinessandlegal expertise• Discountsonpracticeandexercise software• Discountsonclinicequipment,servicing andconsumables• Freeadvertisingopportunities.Wecanhelpsteeryouthrougheachstageofyourbusiness,fromsettingup,developingandmarketingrightthroughtosellingyourbusinessandretiring.

JoinPhysioFirstnowatreducedratesfortheremainderofthemembershipyearDon’t miss this fantastic offer! Callourmembershipteamtodayontel:01604684960andaskfordetailsofallourdealsorapplyonlineat:www.physiofirst.org.uk

The Association of Chartered Physiotherapists Interested in Vestibular Rehabilitation (ACPIVR) Study day and AGM:Cervicogenic dizzinessSpeakers:ProfessorRogerKerry,DrEva-MajMalmströmThelectureswillcoverthefollowingtopics: -Overviewofcervicalanatomy -Overviewofcervicalartery insufficiencyanddiagnosis -Cervicogenicdizziness,whatisit? -Physiotherapyassessmentand rehabilitationfordizzinessinpatients withdizzinessofsuspectedcervical origin -Caseexamples.Pleasenote:thisisanintermediatestudyday.Refreshmentsandlunchprovided

Date:Saturday10May2014Place:BasementLectureTheatre,TheClinicalNeuroscienceCentre,TheNationalHospitalforNeurologyandNeurosurgery,33QueensSquare,LondonWC1N3BGCost: £90ACPIVRmembers,£130non-membersContact: AmandaMale,email:amandajmale@hotmail.comClosingdateforapplication:29April2014.

Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM)Clinical Reasoning in Exercise and Performance Rehabilitation Date: Partone–8and9February2014Parttwo–5and6April2014Place:UniversityofBristol,SportsMedicineClinic,TyndallAvenue,Clifton,BristolThe course:Willbeheldovertwoweekendsandpaymentcanbemadeintwoinstalments.Pleasenote–asthisisapostgraduatelevelcourseitisNOTopentostudents.Tutors:PhilGlasgow,LynnBoothandNicolaPhillipsCost:£200perweekendACPSEMmembers–totalcourse£400.£260perweekendnon-members–totalcourse£520Contact:Forsecureonlinebookingvisitwww.physiosinsport.org/coursesoremail:info@physiosinsport.orgACPSEM Bristol Study Day - ‘Let’s get physical’Date:Saturday29March2014UniversityofWestofEngland,BristolProgramme:•TheFemaleAthlete-DrPippaBennettSEMPhysician.•Planningrehabilitationandexerciseprogrammesforathletes:DrNicolaPhillipsPhD,MSc,FCSP.•Optionsonmanagingovertrainingsyndrome:DrRodJacquesFFSEM,MRCGP,FISM.•Thebenefitsandchallengesofpromotingphysicalactivityinpatients:DrMarkTullyPGCHETPhD.•Cervicalspinesensorimotorrehabilitation:clinicalapproachestoproprioception,oculomotorcontrolandposturalstability:ChrisWorsfoldMScPGDipManPhysMSCP.•Howdoesrunningstyleaffectinjuryriskandperformance?:DrMPollyMcGuigan.•Pelvicfloordysfunctioninexerciserelatedpelvicpain:DrRuthJonesPhDMSCPContact:Forsecureonlinebookingvisitwww.physiosinsport.org/coursesoremail:info@physiosinsport.org

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FrontlineCurrent Concepts in Sports MassageLocation: University of Essex, ColchesterTutor: Julie SparrowDate: Part one - 26 and 27 April 2014Part two - 7 and 8 June 2014Cost: £200 per weekend physios in sport members - total course £400. £260 per weekend non-members - total course £520Part one covers indications for massage, contraindications, planning massage applications, techniques including effleurage, pettrisage, tapotement and compression techniques. Attendees are expected to practise the techniques covered on part one before part two commences and attendees have to produce a written case study to be used during part two. Part two reviews techniques from part one, covers neuromuscular techniques including MET, positional release, trigger pointing and develops attendees clinical reasoning skills in relation to the use of massage in different settings and environments. Please note - this is a postgraduate level course it is NOT open students.Contact: For secure online booking visit www.physiosinsport.org/courses or email: info@physiosinsport.org

Chartered Physiotherapists In Massage and Soft Tissue Therapy (CPMaSTT) Fundamentals of Massage and Soft Tissue TherapyA practical CPD Course which will • Revise and develop expertise in Massage and Soft Tissue Therapy• Build on the fundamentals of massage, current research, clinical effectiveness and evidence-based practice• Learn adaptations for specific effect including release of myofascia and trigger points• Develop expertise in manual therapy.Course dates: Place: ColchesterDate: 22/23 February 2014Place: WiganDate: 29/30 March 2014 Place: EdinburghDate: 7/8 June 2014Place: StockportDate: 21/22 June 2014Cost: £200 (£160 Students and U/E)Contact: Bob Bramah, email: cpmasttcourse@googlemail.com Tel: 07968 307717.

Association of Chartered Physiotherapists in Women’s Health (ACPWH) Understanding pelvic organ prolapse – assessment and conservative managementDate: 26 April 2014Place: Southport Hospital, Merseyside Cost: £100 ACPWH member/affiliate, £130 non-memberDetails: A new ACPWH study day, developed for physiotherapists who wish to deepen their understanding and improve their management of women with pelvic organ prolapse. Physiotherapy assessment and management of pregnancy-related musculoskeletal conditionsDate: 28-30 March 2014Place: Leighton Hospital, Crewe, CheshireDate: 16-18 May *Please note: new date*Place: Chippenham Community Hospital, WiltshireDate: 6-8 June 2014Place: Physiotherapy Solutions, Crystal Palace, LondonDate: 20-22 June 2014Place: Musselburgh Primary Care Centre, near Edinburgh Cost: £275 ACPWH member/affiliate; £345 non-memberPhysiotherapy assessment and management of female urinary dysfunctionDate: 13-15 June 2014Place: Dewsbury District Hospital, West Yorkshire PR8 6PN Cost: £350 ACPWH member/affiliate; £420 non-memberContact: To request a copy of the information pack for any of the above courses please email: info@acpwhworkshops.co.uk For further details the complete ACPWH short course programme please visit the ACPWH website at: acpwh.csp.org.uk/workshops

Physiotherapy Pain Association (PPA) Cognitive Behavioural Approach in Physical Therapy to the Management of PainDate: 15-16 March 2014Place: BUPA, Basinghall Street, Greater London EC2V 5BQContent: Two day course introducing physiotherapists to theory and practice of the cognitive behavioural approachTutors: Dr Pete Gladwell and Emma Knaggs

Cost: PPA members £180 and non members £200Contact: ptecourses@gmail.com Website: http://ppa.csp.org.uk

Association of Chartered Physiotherapists in Oncology and Palliative Care (ACPOPC)ACPOPC Spring Study Day ‘Cognitive and Functional Aspects of Rehabilitation’Date: 12 MarchPlace: Harrogate International CentreAn exciting day open for all AHPs to discuss aspects of rehab such as resilience, communication, non-pharmacetical management of pain. For further information including objectives, programme and an application form please visit the ACPOPC website: www.acpopc.org.uk or contact Kath Malhotra, Study Day Liaison Officer, at email: katharine.malhotra@rmh.nhs.uk tel: 020 7808 2903.

Chartered Physiotherapists in International Health and Development (ADAPT)Introduction to Working AbroadDate: Saturday 29 March 2014Place: LeedsAimed at physiotherapy, OT and SLT professionals and students interested working in low income countries.Multidisciplinary team of expert speakers.Cost: £45 for waged, £35 for non-waged. Includes buffet lunch, resource pack and membership to relevant professional network.Contact: For further info or to book a place, contact lesleygillon@hotmail.com or visit http://adapt.csp.org.ukRun by ADAPT.

Physiotherapy Research Society (PRS)The 33rd Scientific Meeting of the Physiotherapy Research Society will be held on 14 May at the University of East Anglia in Norwich. Key note lectures will explore the design of clinical trials and recent advances in stroke rehabilitation. The conference is an excellent opportunity to catch-up with research conducted across many fields of physiotherapy. Key note speakers will include Professor Valerie Pomeroy, Professor Cath Sackley and Professor Fiona Poland. Further details are available on our webpage http://prs.csp.org.uk/

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Chartered Physiotherapists Working as Extended Scope Practitioners (ESP)AGM and Study DayDate: Thursday 15 May 2014 Place: St Catherine’s College, Oxford OX1 3UJAn excellent opportunity for physiotherapist and other health care professionals working in extended scope and advanced practitioner roles to hear current concepts in� uencing patient care and clinical decision making. The � ve speakers of the day come from a broad range of clinical and professional backgrounds and will provide new and stimulating perspectives for your current practice.Advance NoticeExtended Scope Practitioners AGM and study day incorporating speakers from a broad range of specialities, advanced practice research presentations, and poster exhibition.Cost: ESP members: £95, non-members: £130 Cost includes co� ee breaks and three course lunchContact: admin@esp-physio.co.uk

BME, Disabled member and LGBT networksJoint Equality Network Meeting (BME, Disabled member and LGBT networks)Date: 27 March 2014Time: 10.30am – 4pmPlace: CSP 14 Bedford Row, London WC1R 4EDThe Black Minority Ethnic (BME), Disabled Members, and Lesbian Gay, Bisexual and Transgender (LGBT) network groups are hosting a joint equality event 27 March 2014, in the Council Room. The theme for the morning is “Advanced diversity skills and Creating Positive Workplaces, and will consist of an interactive training session led by CSP Equality O� cer Saraka Keating.

In the afternoon, the three network groups will meet separately. The Disabled members meeting will have a guest speaker from the TUC Disability Committee speaking about the impact of the austerity agenda on disabled people. The meeting will also be attended by Joanne Opie, Senior Lecturer in Physiotherapy at Coventry University, who is conducting research into how accessible

the physiotherapy profession is to disabled applicants.

Arrival and co� ee is from 10.30am and the meeting will start promptly at 11am. Lunch will be provided. All CSP BME, disabled and LGBT members, INCLUDING STUDENTS, are welcome.

Please log on to the ICSP network to register for the meeting and to access the Trainline code for booking your travel. Please register by 21 March at the latest.Contact: Email: feldmang@csp.org.uk or call tel: 020 7306 6682.

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 was 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: kerstine.herbert@ntlworld.com so that I can send you the linkYour input is greatly appreciated! I look forward to hearing your views. Thank You.

Did you know what to expect when you quali� ed?Are you a band 5 physiotherapist (or equivalent)? Have you been working for 0-1 years? If so, are you interested in taking part in qualitative research to discuss your experiences in your � rst job?

Interviews and focus groups will take part in the London area so if you are living here, or are willing to travel, and � t the criteria above, please contact us via our project supervisor Jacqueline Potter, email: j.potter@uel.ac.uk Information will be provided on receipt.

A pilot RCT to investigate the e� ects of a dynamic elastomeric fabric orthosis (shorts) in athletes with pelvic/groin pain, across selected clinical and performance measuresA PhD study (ethical approval from Plymouth University) is looking to recruit athletes with pelvic /groin pain, to evaluate the e� ect of a customised orthosis (in the form of Lycra® shorts) on measures including the ASLR, squeeze test, multiple single-leg hop-stabilisation test, and broad jump. The orthosis was developed from the results of an athletic pelvic belt study, and has been evaluated as a series of single case studies (n = 8). A pilot RCT will commence in January

other group news

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

CSP Equality and Diversity Networks

www.csp.org.uk/ equalitynetworks

JOIN UP!

info exchange

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Frontline2014 to build upon the patient pro� le of those who respond best, and to ascertain e� ects upon power and athletic balance.For further information on becoming involved and/or requesting a participant information pack please contact the investigator: Leanne Sawle (chartered physiotherapist), email: l/sawle@dmorthotics.com Tel: 07801 332355.

Chartered Society of Physiotherapy Retirement Association (CSPRA)Lunch in the New Year?Calling all physiotherapists in East Anglia between 55 and 100 years old. Let’s get in touch! Please phone on: 01638 720284.

Yorkshire and The Humber Retirement GroupHappy New Year to you allOur next Group Meeting will be held on Thursday 27 March 2014. Meet at 11.30am at York Rail Station Starbucks to be followed by lunch at Pizza Express at 12pm. Following your request we will then go to the Theatre Royal to see ‘Birdsong’ for the 2pm matinee.

As I need to book the theatre tickets well in advance please let me know by Monday 3 February if you wish to attend. At the same time please send a cheque for £17 payable to JM SAUNDERS to my home address:17 Heslington Croft, Fulford, York YO10 4NB.

This will be a popular performance for school parties hence the requirement for an early booking! I look forward to seeing you all in March.Judith Saunders

Chartered Society of Physiotherapy Retirement Association (CSPRA)Wanted! The CSPRA spring newsletter is due to be published. Would you like to write an article and send it to Lyn Ankcorn at email: ankcornl@csp.org.uk If you are retiring/approaching retirement why don’t you join the retirement association? Please contact the CSP enquiry handling unit: enquiries@csp.org.uk or for more information contact Catherine Smith at the CSP on email: smithc@csp.org.uk 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: chris@nagdragon.eclipse.co.uk or Lyn Ankcorn, secretary, email: ankcornl@csp.org.uk would be pleased to hear from you.

retirement groups news

If so, there’s a reduced-price membership package for you

Retiring? Having a baby? Moving to practise overseas? Or perhaps facing a period of

unemployment?

To find out more call us on 020 7306 6666 or visit www.csp.org.uk/membership

Why pay full fees if you don’t need to?

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Bethel Webb née Hunter, Canberra, Australia seeks the whereabouts of Hilary Butler née Scottwith whom she worked at Vancouver General Hospital in 1965. Hilary married Michael Butler about 1967. They lived firstly at Crowthorne, Berkshire and then at Sandhurst, Surrey. Hilary’s father was in charge of laying the Transatlantic Cable for which he received an honour at Buckingham Palace in August 1965. Mobile phone: +61408002787. Email: kenthel@d2.net.au

Bradford School of Physiotherapy year 1981-84It’s been 30 years since we all went our separate ways. We should get together while we can still remember each others’ names! Anyone that would like to meet up contact Steve Derrick at email: cps_derrick@hotmail.co.uk

Cardiff School of Physiotherapy, CTI, 1991 - 1994It’s 20 years this year since we qualified and we have arranged a ball in Cardiff in June, but we still need to find some people: Rachel Harrington, Julie Sayce, Tara Hadden and Sharon Cunningham (went to Australia). Please contact Karen Belward (nee Rees) for more info on karenandpeterb@sky.com or find me on Facebook. It’s going to be a great party, lots of people are coming already and we would love to see you there.

West London School of PhysiotherapyJohn M.B. Long would like to hear from ex-students who were there in the 1950’s. Email: jmblongahotmail.com

Royal London Hospital Physiotherapy Old Students Association The next annual meeting of RLHPOSA will be on Saturday 12 April 2014 in the Old Library of the Medical College. Members should have received details in the January Newsletter. Anyone who trained or worked at RLH, NELP, PEL or UEL is welcome. This year we will be hearing about how physiotherapy is delivered in the East End

with all the organisational changes. There will be an opportunity to visit the current treatment area. As usual we meet up for coffee and a brief business meeting. A sandwich lunch is provided. Booking is essential and must be completed by Thursday 3 April. If you do not receive our newsletter, please see our website: www.rlhposa.org.uk for information and contact details or telephone Angela McKee on 020 8777 2055. Come and meet old friends and colleagues and see and hear about the changing face of Whitechapel.

Queen Elizabeth School of Physiotherapy 1981 – 84 It is 30 years since we qualified. Jo Wooler (nee Middleton), Lorraine Baker (nee Godfrey), Cathy Mingay (nee Towers) and Hazel Horobin were wondering if anyone fancied meeting up this summer to celebrate? Or maybe you would just like to catch up with everyone? Either way please contact Hazel Horobin at: h.e.horobin@shu.ac.uk.

The London Hospital School of Physiotherapy/NELP 1985 - 1989Can you believe it’s almost 25 years since we qualified?! Louise Elphick (nee Morgan) and Sarah Dixon (nee Linacre) would love to arrange a reunion this summer.

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 as many of the year together.

Email: louise.elphick1@btinternet.com or: sarah.dixon@virgin.net

We are planning for a lunch time meal on Saturday 28 June 2014, venue to be arranged but it should be in our old stomping ground in the East London area!

Look forward to hearing from everyone, as soon as possible please.

Newcastle Polytechnic 1978-1981It is a very, very long time since we qualified at Newcastle Polytechnic in 1981 (32 years)! Before we all decide to retire how about meeting up? If you are interested contact Sally Wilson (nee Gillespie) via email: sally.wilson@ntw.nhs.uk

Bath School of Physiotherapy (BSOP) Reunion Ex-students and members of staff of the former BSOP are invited to join our closed

Facebook Group, where a reunion is being organised, together with memories and photographs being shared.

Physiotherapy AssociationWere you a member of the Physiotherapists Association which merged with the CSP back in 1972?Its former secretary and chairman, CSP Fellow Peter Fitchett, now 87, is retiring from private practice due to ill health. Mr Fitchett worked at the Commonwealth Hospital in Japan during the Korean War and at Dartford Hospital, Kent, from 1953-60. He would be interested in hearing from others who were members of the association. Contact him on tel: 01539 36060 or at: Sturdys Farm, Wood Broughton, Cartmel, Grange over Sands, Cumbria LA11 7SJ.

St Mary’s Hospital set B 1981-84How time flies - it will be 30 years next year since we qualified and 10 years since our last gathering. So how about another get together in London in October 2014? Kathy, Tracey and I would love to see as many of you as possible to share a few drinks, a delicious meal and shared memories. Let me know if you would like to come, or want to share some news, by emailing: helenmee@nhs.net

University of East London (UEL)10 Year Reunion - Class of 2004Come and celebrate being 10 years qualified! We are organising a get together for the UEL class of 2004 on Saturday 21 June 2014. Please get in touch by email: uelreunion2004@live.co.uk so that you can receive further information about the venue and timings

Leeds Metropolitan University 1991-1994Physiotherapy reunionIs anybody out there?! It will be 20 years next year since we were all together (I still remember those OSPE exams when I hear a whistle blow!). It would be great to catch up with those who fancy meeting next June in Leeds (venue tba) or even just want to exchange emails. Please contact Louise McCahery at: lmccahery@icloud.com

reunions

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rd FrontlineRoyal Orthopaedic Hospital. Set 48, 1976-79 We are planning our � rst reunion! Please join us at ‘The Country Girl’, Raddlebarn Road, Selly Oak on Saturday 1 March, 1pm. Please contact Ali (Hook) if you would like to join us. Email: alison@alisoneaton-physiotherapist.co.uk

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: janeheyer@rocketmail.com

Western In� rmary, 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: judith.corcoran@sky.com or tel: 01294 466942.

Oswestry ‘Set 50’ 1988 - 1991 I am hoping to form a group email conversation with all our set that left Oswestry School of Physiotherapy in 1991. Maybe we could meet up for our 25th anniversary soon to come round? - but � rst we need to get the contacts together. If you are interested in knowing what we have all been up to and would like to join in a group conversation, we would love to hear from you. Please contact me on my email: helenbalcombe@hotmail.co.uk

The London Hospital/NELP 1984-1988To celebrate our 25 years in practice we are holding a reunion on Saturday 8 March, lunchtime, at Dishoom Restaurant, in Shoreditch.

If you are planning on coming or want more details, the please get back to Ruth

Emanuel on tel: 07523425340 or email: ruthemanuel14@gmail .com

Teesside Polytechnic 1985-88It’s 25 years since we quali� ed. If you are interested in meeting up to celebrate contact Christine McGlone (nee Wallace) on tel: 0191 3875804, or email: christine_mcglone@sky.com. Look forward to hearing from everyone.

Bristol School of Physiotherapy/Avon College of Health 1990-93Can’t believe it’s 20 years since we quali� ed. Abi was wondering if anyone fancied catching up this summer. Let me know at: absfabslee@aol.com

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: vjowers@hotmail.com

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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obituaryEdinburgh Royal In� rmary 1963-66Anyone out there still working? Fancy meeting up? Email me on: madelinesg14@tiscali.co.uk or tel: 01992 586659.

Belfast 50th Anniversary Reunion

All physiotherapists who commenced training at the Northern Ireland School of Physiotherapy during the year 1964, please take note.

Believe it or not it is now 50 years since we became physiotherapy students and we are planning a reunion of the two sets of physiotherapy students this summer.

We hope to have a dinner party celebration in the Crawfordsburn Hotel Co Down, in late Summer or early Autumn. We will decide on a date to suit as many

people as possible. Please pass this information on to anyone

else you know who may wish to attend. Partners and friends are very welcome as

some people will have to travel from abroad and may wish to make it a celebration trip.

If you are interested in attending please contact Jenny Archer at email address: jarcherphysio@aol.com or telephone 02891270932 for further information.

Sally Arnold (nee Thompson).Sally died in Wheat� elds Hospice in Leeds on 5 January 2014, � ve years after being diagnosed with breast cancer. Her funeral was held in Bradford Cathedral on 16 January.

She trained at The London Hospital in Whitechapel between 1983 – 1988 and then worked in Bradford and Leeds Hospitals as a physio. She notably worked at the LAMB hospital in Bangladesh from December 1998 to 2001 where she set up a community rehabilitation unit, which continues to thrive to this day.

She received a BSc in Cross Cultural Studies from All Nations Christian College and in the midst of receiving treatment for her cancer completed an MA from St John’s College Nottingham in 2012 with a dissertation on ‘Lament’.

Her strong Christian faith in� uenced all of her life, and she felt privileged to have lived so fully.

She will be sadly missed by Phil, her two young children Ben and Daisy as well as her wider family and friends who appreciated her quiet but directive friendship.

Thinking of having a reunion?

Need to contact old friends via the Noticeboard?

Email: directory@csp.org.uk

Don’t forget... after your reunion has taken place, send Frontline a photo and tell us about it!

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 suffi cient to establish personal competence in a new area, while members are responsible for undertaking CPD to maintain their competence in all areas of their current practice.

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

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

A course being advertised in Frontline does not necessarily mean that it is relevant to all members, has gone through a quality assurance process

(courses advertised in the magazine are not formally recognised by the CSP unless explicitly stated), or that its topic area falls within the scope of UK physiotherapy. In addition to issues of competence, including an area within personal and collective scope of practice depends on the context in which it is practised, how it is integrated into physiotherapy activity, how it is promoted as a service delivered by a physiotherapist and how its physiotherapeutic value is demonstrated.

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

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

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MEN INBLACK

IT COMES IN YOUR COLOUR

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CSP Funding for Members in 2014The CSP Charitable Trust is pleased to announce its continued support for members’ professional development in 2014.

The Educational Awards give members the opportunity to apply for help towards funding academically accredited courses, the dissemination of post registration Masters’ dissertations, conference presentations, research visits to overseas centres of excellence, international development projects as well as elective placements for student members.

Re-launched and streamlined in 2013 the Educational Awards now better represent members’ needs and also give members the chance to gain increased award amounts.

Open to student, associate and qualified members, the two award categories available for application to the 1 March 2014 deadline are:

Academically Accredited Courses Award (excluding physiotherapy qualifying degrees)

Education and Development Placements Award (this includes elective placements for student members)

The Conference and Presentation Award has a deadline of 1 September 2014 and will be open for applications in July 2014.

The remaining award category, the CSP Research Priorities Masters Dissemination Award has a deadline of 1 November 2014 and will be open for application in Summer 2014. If you are already studying for a master’s degree and would like to find out more about this award please email: researchpriorities@csp.org.uk

Applications to all award categories are assessed, on a competitive basis, by an elected Panel of members who have a wide range of expertise and experience.

Applications to the Educational Awards Panel are now prepared, submitted and assessed through the CSP ePortfolio, a personal interactive on-line space specifically designed to support your continuing professional development (CPD). The CSP ePortfolio will be open for applications to the 1 March deadline by early January 2014 and a link taking you to the relevant ePortfolio workspace will be added to the website nearer the time. To find out more, and become familiar with, this exciting resource in advance of your application please visit www.csp.org.uk/eportfolio

For more information on the awards and how to apply please visit: www.csp.org.uk/charitabletrust

For queries about the awards email: edawards@csp.org.uk

Supporting the advancement of physiotherapy education and research

The CSP Charitable Trust

52

19 February 2014

complementary therapy

advertise your course

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ACPEM SPring ConfErEnCE APril 11th -14th 2014light And SoundAn opportunity to explore the subtle effects of light and sound in our daily lives and in our therapeutic relationships at the beautiful, tranquil Ammerdown Centre near Bath. This conference features:• a very practical day on cranio-sacral therapy • inter-active workshops on; the Alexander technique, the synthesis of NLP and CBT, music, voice work, language and visualisations.Join a non-judgemental group of like minded professionals to take your CPD and your experience of the art of physiotherapy in a ‘whole’ new direction.Great value @ £395 (EB £375) all inclusive; ACPEM members £365 (EB £345)EARLY BIRD RATE EXTENDED TO THE END OF FEBRUARY Further information and application forms available on the ACPEM website www.energymedphysio.org.uk or contact marilyn@marilyngodfrey.com

Acupuncture for pAin relief - leeds, Yorkshire(10 CPD-hours)• Small class with plenty of

practice & supervision• Fine-tune point location &

needling techniques• Electro-acupuncture• Explain TCM jargonsTutors are university lecturers & experienced acupuncturists.6 March 13 March (specialist course: headaches)1 May£125contact teresa 0113 267 2067 or info@sageclinic.co.uk

ADAPTED TAI CHI EXERCISES1 day course for Physiotherapists, Occupational Therapists, Assistants, Technical Instructors and students. Tutor: Rosalind Smith MCSP, Tai Chi InstructorThe course covers the demonstration and use of effective, relaxing exercises suitable for chronic pain, falls, arthritis, rheumatology, neurological, palliative care, mental health, pulmonary and cardiac rehab clients including a discussion of specific case studies.Fee: (including course notes) £901st Mar Leeds29th Mar Bristol 10th May Reading11th Oct ManchesterFor details/application forms, or information on hosting a course please contact: Ros Smith. Tel: 01900 829545 Email: taichiexercises@gmail.com www.taichiexercises.co.uk

Email Media Shed: cspads@media-shed.co.uk

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Vestibular rehabilitation for older PeoPle with dizziness/unsteadiness/fallsCrystal Palace, london: 5th April 201420th September 2014 11th Octoberwolverhampton: 27th September 201425th October 2014Tutor: Samy Selvanayagam MSc PT, MCSPVestibular Rehabilitation SpecialistFor enquiries and application dizzycareclinic@gmail.com or visit www.dizzycareclinic.co.uk

The AdvAnced BAlAnce course 21-23 MAy 2014new venue: Sunningdale Park, AscotVestibular assessment and rehabilitationExcellent international faculty – focus on practical skillsOne, three and four day options, residential or non-residentialFor full course details please contact fiona.barker@windsor-ent.co.uk or see www.advancedbalancecourse.co.uk

Laser Therapy Training 2014Theory, dosage, safety, contraindications, regulations, hands on training.Edinburgh, 15 Mar; Glasgow, 16 Mar; London, 23 Mar; Manchester, 13 Apr;Bristol, 14 Apr; Birmingham, 11 May.Cost: £200. Course Leader: James Carroll FRSM. 01494 797100, www.thorlaser.comRegister online - Early Bird Discounts available

Modified chiropractic & osteopathic thrust techniques for physiotherapists•Graduate certificate in manipulative therapy. Full spine & SI J•Fee £700 early bird•London Dates: March 201415th,16th, 22nd, 23rd & 29th•Contact Robbie on 07541838651robphysio-osteopath@hotmail.co.ukwww.robbiegoodrum.com

Modified chiropractic & osteopathic thrust techniques for physiotherapists•Graduate Diploma in manipulative therapy (Advanced) DISC techniques.•Master class•Fee £700 early bird •Essex Dates: 5th-9th April•Contact Robbie on 07541838651robphysio-osteopath@hotmail.co.ukwww.robbiegoodrum.com

Modified chiropractic & osteopathic thrust techniques for physiotherapists•Graduate Diploma in manipulative therapy (Advanced) DISC techniques.•Master class•Fee £700 early bird •London Dates April 201412th,13th,19th,20th & 26th•Contact Robbie on 07541838651robphysio-osteopath@hotmail.co.ukwww.robbiegoodrum.com

Prof Peter o’Sullivan’S uK CliniCal WorKShoPS11th – 15th april 2014 LondonOnly opportunity in 2014 to attend 2 courses by world-leading clinician to present his Classification-based Cognitive Functional Therapy for persistent and sporting low back pain patients. His approach challenges existing beliefs and concepts and will inspire you to make an immediate difference and revolutionise your current treatment approach for fantastic results.Info go to www.jamesdavisphysio.co.uk/pos/2014 and www.pain-ed.com

THE SHOULDER: THEORY & PRACTICE (9TH EDITIOn)Dr Jeremy Lewis FCSPFeedback: ‘Before this course the world was flat’, ‘Inspirational’, ‘Best course in 20 years of practice’Dates: Only London courses in 2014, 28-29 June / 15-16 November (Royal Free). Scotland 21-22 February 2015Full information and booking: www.LondonShoulderClinic.com

INTRODUCTION TO MYOFASCIAL RELEASE PART 1Worcester (22nd-23rd Mar)Surrey (26th-27th Apr)Warwick (17th-18th May)Surrey (19th-20th July)Part 1 with John Annan. See www.physiouk.co.uk/john2 or call 0208-787-5963

DRAMATICALLY REDUCE PAIN AND INSTANTLY INCREASE MOVEMENT AND FUNCTION - FFTStaffordshire (15th-16th March)Manchester (18th March)Surrey (21st March)Functional Fascial Taping with Ron Alexander. See www.physiouk.co.uk/ron6 or call 0208-787-5963

MULLIGAN CONCEPT MOBILISATIONS WITH MOVEMENT - LEVEL 1Bath (29th-30th Mar)Livingston (5th-6th April)Staffordshire (26th-27th April)Limited Spaces: See www.physiouk.co.uk/mull3 or call 0208-787-5963

EARN FREE COURSE SPACES BY HOSTING!See the benefits of hosting a PhysioUK course at your workplace by visiting www.physiouk.co.uk/host1 or calling 0208-787-5963

FASCIAL MOVEMENT TAPING: “REFRESHINGLY NEW STUFF…”Staffordshire (29th-30th March)London (26th-27th April)Reduce Pain // Enhance Performance: See www.physiouk.co.uk/fmt or call 0208-787-5963

www.csp.org.uk

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Lumbar spine and peLvis mobiLisation and manipuLation2 day course with Claire Slater (Chartered Physiotherapist, Registered Osteopath and experienced Manual Therapy Lecturer)Flexible payment instalmentsmilton Keynes 15-16 MarchCarmarthen 03-04 MayGuildford 24-25 Mayhttp://www.premier-cpd.co.uk/ 07786581916

Tool AssisTed MAssAge (iAsTM)Ove Indergaard14th March 2014Manchesterwww.rocktape.net/educationwww.toolassistedmassage.co.uk

Laser Therapy Training 2014Please refer to advert in Electrotherapy section

INTRODUCTION TO NORDIC WALKING FOR HEALTH PROFESSIONALSDate: 29th March 2014 9am – 1pm Venue: Matlock, DerbyshireCost: £55Contact: heather@ designed2move.co.ukTel: 07866368531http://designed2move.co.uk/intro-nw-healthprofessionals/

Discover Tomorrow’s Youwith our physiotherapy courses Find out more and register for our study fair at www.shu.ac.uk/studyfair

UK Radiology EdUcation pREsEnt:X-ray interpretation for Physiotherapists.This 1 day course introduces plain radiograph pattern recognition. The study day will concentrate on trauma and degenerative change. By the end of the day the delegate should be able to assess a plain radiograph of the upper limb, lower limb, pelvis and spine. Special consideration will be given to the shoulder, hip and knee joints whilst basic prosthetic imaging will be discussed. Chest x-ray interpretation will be included and many pathologies including COPD, emphysema, collapse, consolidation, and bullous disease will be covered. Normal radiographic anatomy and physiology will be discussed whilst normal variants and common pitfalls will be considered. Cost: £50 to include lunch and refreshments.Date: Saturday 29th March, 2014 at The Hilton Hotel, Leeds.To book and see detailed course content, visit www.ukradiologyeducation.co.ukEnquiries to enquiries@ukradiologyeducation.co.uk

The AdvAnced BAlAnce course 21-23 MAy 2014new venue: Sunningdale Park, AscotVestibular assessment and rehabilitationExcellent international faculty – focus on practical skillsOne, three and four day options, residential or non-residentialFor full course details please contact fiona.barker@windsor-ent.co.uk or see www.advancedbalancecourse.co.uk

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The searchableJob Escalator

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PhysiotheraPy ManageMent of Patients with sPinal Cord injury29-30 april 2014 at the Duke of Cornwall Spinal Treatment Centre, Salisbury£175A theoretical and practical 2 day course covering physiotherapy management, from the acute stage to discharge for patients with complete and incomplete spinal cord lesions. Including: respiratory care, acute management, rehabilitation, spasticity management, posture and seating considerations, and discharge planning. Lunch and refreshments included.For more details and application form contact Rachael Coulson at The Duke of Cornwall Spinal Treatment Centre on 01722 336262 ext 2455, or email rachael.coulson@salisbury.nhs.uk

neurology orthopaedic and rheumatology

“Functional neurological SymptomS”An introduction to understanding the diagnosis and treatment approachesDate: 3-4 april 2014organised by: therapy Services, national Hospital for neurology and neurosurgery, uclHVenue: Lecture Theatre, 33 Queen Square, London WC1N 3BGThis course provides an overview for therapists and nurses of functional neurological disorders (also known as psychogenic or conversion disorder) along with treatment approaches and key management issues. A broad perspective on this disorder is presented by medical professionals with a special interest in this field including a neurologist, neuro-psychiatrists, specialist nurse, cognitive behavioural therapist, occupational therapist and physiotherapist.This course aims to combine theoretical knowledge with practical application using video case studies and workshops to help consolidate learning.Fee: £250 (includes lunch both days)For application form and further details please contact: Christine Stephens-Volante, Tel: 020 3448 3476Email: therapy.courses@uclh.nhs.ukPay online at website: http://www.uclhcharitycourses.com

AdvAnced MAnAgeMent of the Stiff Shoulder‘the Shoulder uncuffed’ roadshowEvening Lecture: tuesday 11 March 2014hartlepool (north east) Tutor-femke nauschutz MSc McSP Cost- £25Contact www.finestphysio.co.uk for details or Email: finest.physio@googlemail.comor Call: 07930604637

Musculoskeletal IMagIng RefeRRal guIdance study daysThese events will provide valuable insight and learning regarding the fundamentals of safe and appropriate referring for imaging tests such as MRI and Ultrasound. Topics will include the role of MSK imaging in patient pathways, methods of pattern and pathology recognition, cross sectional imaging anatomy, image reporting and acting on the imaging results. Delivery by MSK imaging specialists and radiographers, these days will feature interactive lectures together with multidisciplinary workshops. next courses : 28th March. Bolton. 16th May. EdinburghFurther dates and locations available. Please visit www.imaginginnovated.co.uk to register and for further details or contact us at enquiries@imaginginnovated.co.uk

RNOH THeRapies BiaNNual ReHaBiliTaTiON updaTeprimary and Revision Hip arthroplastyThe aim of this day is to provide up-to-date evidence regarding the management of primary and complex revision surgery from pre-admission, surgery and to their later rehabilitation phase.19th May 2014 - stanmorephysiocourses@rnoh.nhs.ukhttp://www.rnoh.nhs.uk/health-professionals/courses-conferences(Next Course November 2014 RNOH Shoulder & Elbow Update)

advertise your course:0845 600 1394

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“GREAT COURSE, FANTASTIC TOOL, AMAZING RESULTS. TAPING REALLY WORKS.”Bedford (26th-27th April)Elastic Therapeutic Taping in Paediatrics with Esther de Ru. Visit www.physiouk.co.uk/bedford1 or call 0208-787-5963

paediatrics

80 Hour Foundation acupuncture course, Msc points availableRoyal Alexandra Hospital, Corsebar Road, Paisley, Scotland PA2 9PN31/05/14 – 02/06/14 and05/07/14 – 07/07/14Cost: £495Contact: Gillian.lavery@ggc.scot.nhs.ukGillian_lavery@ymail.com 07889921212

Laser Therapy Training 2014Please refer to advert in Electrotherapy section

CliniCal BikeFit leVel One:Whether you are treating the daily commuter or professional cyclist come and learn how to adapt their bike to stop the pain their having or prevent the pain they may get!March 22/23rd London: Road Clinical Bikefit.Cost: £750Contact: info@cyclingposition.com or 07864296143www.cyclingposition.com or www.bikefit.com

DRAMATICALLY REDUCE PAIN AND INSTANTLY INCREASE MOVEMENT AND FUNCTION - FFTStaffordshire (15th-16th March)Manchester (18th March)Surrey (21st March)Functional Fascial Taping with Ron Alexander. See www.physiouk.co.uk/ron7 or call 0208-787-5963

FASCIAL MOVEMENT TAPING: “REFRESHINGLY NEW STUFF…”Staffordshire (29th-30th March)London (26th-27th April)Reduce Pain // Enhance Performance: See www.physiouk.co.uk/fmt1 or call 0208-787-5963

No NoNseNse KiNesiology TapiNg from roCKTape UKFascial Movement TapingVenues throughout the UKwww.rocktape.net

Laser Therapy Training 2014Please refer to advert in Electrotherapy section

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RECRUITMENT ADVERT RATES DISPLAY/SEMI-DISPLAY Single column CM rate £44.50Extras Setting charge 10% gross of the ad (minimum charge £50)

Spot colourAll SCC rates include spot colour as standardFull colour £350 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 £1.55Members £1.15Extras Shading £15 extraBoxed £15 extraBoxed & Shading £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

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(equivaleNt Nhs baNd 6)37.5 hrs pwPosts located at: birmingham, Northampton, york.

In this exciting post, you will be a member of the Christchurch Group Multi-disciplinary Therapy Service based at one of our centres in Northampton, Bedford, Birmingham and York. We have a longstanding history of providing neurorehabilitation for clients with an acquired brain injury, and specialise in cognitive-behavioural impairments and community reintegration, severe and complex physical disability, and mental health and challenging behaviour.

We are looking for enthusiastic physiotherapists who have skills in managing the physical impairments and functional deficits arising from Acquired Brain Injury and other neurological conditions. You will need to be proficient at providing evidence based assessment, client centred, goal-based treatment programmes and evaluating outcomes.

You will also have ability to work well within a team, be able to provide support and training to rehabilitation assistants and activity co-ordinators. You will be expected to work as an accountable and autonomous practitioner, holding responsibility for managing and prioritising your own caseload.

You will receive on-going clinical supervision and will have access to the support provided by the experienced multi-disciplinary clinical team, in addition to the range of internal and external Continuing Professional Development programmes that Christchurch Group offers.

For further information relating to these posts, please contact Christchurch Therapy Lead, Michelle Kudhail on (0121) 777 9343 or email michelle.kudhail@huntersmoor.com

For an application pack please contact Cherry beardmore on (0121) 777 9343 or email cherry.beardmore@huntersmoor.com

Chartered statusfor qualified physiotherapistsIt gives me the best advantage in theprofessional marketplace.

it’s good to belongwith so many membership benefits and services

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advertise in Frontline... 0845 600 1394cspads@media-shed.co.uk

Children’s Physiotherapy Service Team LeaderBand 8a (Full-time) Location: The Crystal Centre for Children’s Services, West CroydonAre you an experienced Paediatric Physiotherapist looking for a new challenge? We are looking to appoint an experienced Children’s Physiotherapist to lead our team. The community and hospital Paediatric Physiotherapy teams have recently integrated and provide a service for children across Croydon in a variety of settings, including special schools, mainstream schools, homes, musculoskeletal outpatients and paediatric wards.You will provide professional leadership and operational management of the service whilst maintaining clinical skills & expertise through management of your own caseload. If you are interested in this post and feel that you have the qualities, knowledge and experience we are looking for, we would be delighted to hear from you.For further information please contact Ann Harvey, Lead for Children’s Therapies on 020 8714 2594 or email Monica.Harvey@croydonhealth.nhs.uk Or Alison Markwell, General Manager, Family Services on 020 8274 6301 or email Alison.Markwell@croydonhealth.nhs.ukTo apply, please go to www.jobs.nhs.ukClosing date: 4 March 2014. This advert may close early if sufficient applications are received.“Excellent integrated care for you and your family when and where you need it”.

Croydon Health Services

www.croydonhealthservices.nhs.uk

Guernsey PhysiotheraPy GrouPBand 6 Physiotherapist F/t: Musculo- skeletal out patients starting salary: £37,325 p.aWe are looking for an enthusiastic and motivated physiotherapist to join our dynamic team. We believe in intensive, patient centred rehabilitation, aiming to achieve the best possible outcomes facilitated by skilled staff.We are interested in hearing from clinicians who have at least two years post graduate experience, including six months of musculoskeletal experience. We employ experienced clinicians who can support your development.Guernsey Physiotherapy Group is a private physiotherapy practice contracted by the States of Guernsey to provide physiotherapy services within primary and secondary health care.Guernsey is part of the Channel Islands, offering a wealth of outdoor activities, good connections to UK and Europe and low taxation.For an information and application pack, please contact: Sara RougetGuernsey Physiotherapy Group Princess Elizabeth Hospital, Le Vauquiedor, St Andrews, Guernsey GY4 6UUTel: 01481 725241 ext. 4040Email: SRouget@hssd.gov.ggClosing Date for Applications: 21st March 2014

Vranch house, exeterchildren’s PhysiotheraPist Band 5Full time PermanentVranch House is a large charity jointly commissioned by the local CCG and Devon County Council, and held in high esteem by them, to provide quality children’s therapy services across Eastern and Northern Devon and to provide schooling in Exeter for children with complex physical disabilities. We require a highly motivated, enthusiastic physiotherapist to join our friendly, supportive and innovative multi-disciplinary team. This post is based in the school and will have a mixed outpatient caseload. Mentoring from within the experienced team will be provided. The postholder will have proven clinical and communication skills and a desire to provide the very best for children and families.closing date: 16th Marchinterviews: week beginning 24th MarchRing/email Kate Moss, Head of Therapies, for more information on 01392 468558 or kate.moss@vranchhouse.org For application form, JD and person specification go to www.vranchhouse.org

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Bridge College is a Specialist Further Education Day College for students aged 16 to 25 with learning difficulties and disabilities including complex medical conditions. Bridge College employs a multidisciplinary staff team including a range of therapists to support students’ educational development. The College is in a purpose built site in Openshaw, Manchester with specialist facilities including a rebound therapy facility, fitness suite and a multisensory hydrotherapy pool.

We are looking for innovative and enthusiastic physiotherapists to make up our physiotherapy team. The successful candidates will have a good range of general clinical skills with knowledge and experience of manual handling assessment and hydrotherapy. Experience of working with people with learning difficulties and disabilities is essential for these roles. To be successful, you will need to be enthusiastic, flexible and interested in a holistic person centred approach in a vibrant college environment.

We have the following vacancies within the College;

Lead Physiotherapist (Band 7) £28,937 - £38,149 (TT scale for Therapists pt 26 – 34) 40 hours per week, 43 weeks per year 2013/126

Specialist Physiotherapist (Band 6) £24,252 - £32,480 (TT scale for Therapists pt 21 – 29) 40 hours per week, 43 weeks per year 2013/127

Physiotherapist (Band 5) £20,117 - £27,047 (TT scale for Therapists pt 16 – 23) 40 hours per week, 43 weeks per year 2013/128

For further information on each role and for an application pack please:

• visit www.togethertrust.org.uk/vacancies

Closing date: 28 February 2014 Interview dates: 5, 6, 7 March 2014

The Together Trust is an equal opportunities employer.

We are committed to safeguarding and promoting the welfare of children, young people and vulnerable adults and expect all its staff and volunteers to share that commitment. We require an enhanced DBS disclosure for the successful applicants.

Young Epilepsy is the leading national charity, which exists to improve the livesof children and young people with epilepsy and related neurologicalconditions. Our aim is to be the voice of childhood epilepsy through excellentinformation, awareness and support programmes and campaigns, which willenable children and young people to fulfill their potential and ensure they havethe best quality of life. With over 100 years of experience, our uniqueHeadquarters offers world-class services which include the provision ofResidential Services, Education and Health Care to children and young peoplein the UK and nationally.

Part-Time PhysiotherapistBand 6 (depending on skills and experience)

28 hours per week, permanent (all-year working)

Based in Lingfield, Surrey

This is a great opportunity for an experienced Physiotherapist to bean integral part of a small, friendly and enthusiastic multi-disciplinaryteam (therapy, medical, educational and residential).

With the ability to assess, plan, implement and monitor ongoingtreatment, and manage a caseload, you will assess, treat andmanage individuals with epilepsy, learning disabilities, autism orphysical disability, including injuries and rehabilitation followingsurgery. You will also be responsible for delivering training sessionsand advising staff on the implementation of therapy programmes andguidelines. Support is available from senior colleagues.

You will have a Degree, or equivalent, in Physiotherapy and will be aregistered member of the Chartered Society of Physiotherapy (MCSP),along with Health and Care Professions Council registration (HCPC).Proven post-qualifying experience of working with children andyoung people is essential, as is a strong team ethic and the ability towork well with young people with a wide range of complex learningand physical difficulties. (Ref: PT-P-08-13)

For a further discussion or to arrange an informal visit, please contactLinda Edwards, Therapy Manager, on 01342 831270.

For further details of this and other vacancies, ourcompetitive benefits package, or to download anapplication pack, please visit our websiteyoungepilepsy.org.uk. Alternatively, you can emailrecruitment@youngepilepsy.org.uk or telephone 01342 831234.

Closing date: 19 March 2014.

We welcome applications from all sections of the community and guarantee to interview allapplicants with a disability who meet the minimum criteria. We are committed tosafeguarding and promoting the welfare of children and young people. An enhancedDisclosure and Barring Service check (formerly CRB) will be required.

Better futures for younglives with epilepsy

Charity No. 311877

youngepilepsy.org.uk

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HealtH and Fitness solutions require a dynamic and enthusiastic full-time musculoskeletal physiotherapist to join our highly experienced and forward thinking company at our Harley Street clinic. The candidate must have strong manual and injury rehab skills and be open to being clinically challenged. In-house CPD plus budget for external courses. Also intensive initial mentoring with senior clinicians in order to cover our extensive clinical manual. We have strong links with consultants as well as GPs. Please contact Greg Ryan on tel: 0844 264 0334 or email: greg.ryan@hfs-clinics.co.uk

lincolnsHire based Musculoskeletal Practice is looking for apart time possibly leading to full-time self-employed physiotherapist some flexibility unemployment status with more than three years experience and relevant CPD. Manual therapy, rehabilitation and Pilates competencies would be helpful. We offer varying caseload – private patients, NHS, sports injuries and rehabilitation including hydrotherapy. Happy to learn, proactive and energetic physiotherapist please apply. Email CV to: roger@wppt.co.uk

nortH bristol Self-employed physio with two+ years musculoskeletal experience needed for approx eight hours per week to cover maternity leave (February-August) and possibly beyond. Excellent interpersonal, communication and admin skills needed. Based in a busy gym. CVs to: jemma@thephysioplace.com

neurological PHysios required in liverPool Liverpool Neuro Physio are expanding. We are looking to grow our team by adding three full-time staff. We require Band 5, Band 6 and Band 7 physiotherapists to join our neurological rehabilitation team. We are a private company specialising in providing high quality neurological rehabilitation services. We offer excellent training opportunities, career progression and competitive salary plus bonus. For job descriptions and personal specifications please visit: www.liverpoolneurophysio.co.uk/careers, email: careers@liverpoolneurophysio.co.uk or call 0151 558 0188 and ask for Ria.

Full-tiMe PHysiotHeraPist Position available in dartFord and broMley/MottingHaM Physiotherapy Solutions is an award winning physiotherapy provider. It is one of the largest and fastest growing physiotherapy companies in the UK. The position is based in Dartford and Bromley/Mottingham. Fantastic opportunity for enthusiastic and ambitious physio with musculoskeletal outpatients experience. Candidates must be good at communication, building relationships, team work, and committed to excellence in clinical standards and customer service. The role is varied and experience in sports (gymnastics, rugby) and/or occupational health is favourable, but not essential. We will provide you with a comprehensive professional and personal development program (CPD), in a positive, fun, stable and friendly work environment. Please see our company website: www.cpsic.co.uk Come and join us! Start date: April 2014. Send your CV and covering letter through our recruitment portal: http://vacancies.cpsic.co.uk/

advance PHysiotHeraPy in nottingHaM are seeking a full-time senior level physiotherapist to work 35 hours per week. A minimum of four years outpatient experience, HCPC and CSP registration essential. Acupuncture, Grade 5 manipulative skills desirable. Also looking for self-employed evening therapists. Job description online at: www.advance-physiotherapy.com. Apply with CV by 28 February 2014. More information available via email from: reception@advance-physiotherapy.com or tel: 0115 9455232.

radlett, HertFordsHire Part-time physiotherapist required to cover six months maternity leave. Mainly neurological domiciliary but occasional in-house as well. Musculoskeletal experience would be useful. Please send a CV and covering letter to: julie@radlettphysiotherapy.co.uk

Pilates instructor- wanted for Saturday morning classes at Orchard Clinic, St Albans. Busy clinic with well structured Pilates programme. Has three classes requiring regular instructor. Good remuneration and close for Hertfordshire, Bedfordshire and North London commute. Please contact: orchardclinic@btconnect.com for further details.

Musculoskeletal PHysio - kent Locations including Sidcup, Maidstone and Headcorn. Experienced musculoskeletal physios required to join busy practices for Saturday, weekday and evening clinics. Good rates of pay; varied case load including sports injuries. Must be HPC/ CSP registered, team player and dynamic. Please contact Vicki on: vicki@physiofitkent.co.uk

Musculoskeletal PHysio wincHester New private physio clinic opening March 2014 in Winchester is looking for part-time, self-employed staff (could lead to full-time employment). Position offers great opportunities for experience in fitness/sporting environment. Private/insurance clients including LBP, mechanical and acute injury.Response Physiotherapy is a well-established physiotherapy practice with great reputation for personal treatment. We have multiple clinics, great support staff and innovative and thorough CPD/training. CV and covering letter to: gmeeks@responsephysio.com

greater MancHester/lancasHire Susan Pattison Therapy Services. We are looking to recruit a community physio with a passion for neurological rehabilitation to join our growing practice in an employed position. You will have experience in working with adults or children, will have a ‘hands on’ approach and relish the challenges of complex conditions. You will be confident and competent to work independently and as a part of a team, and motivated to manage your own diary. We offer flexible working on a part or full-time basis, CPD opportunities and constant support from our friendly management team.For information please contact Susan Pattison on tel: 07961 352182. For an application form please visit our webpage: www.neurologicalphysio.co.uk

colcHester - Part-tiMe Musculoskeletal PHysiotHeraPist Due to continued expansion, self-employed, part time enthusiastic physiotherapist required for busy private practice. Initially two to three days per week with possibility to increase over time. Our clients are primarily insurance companies and private patients. Key Requirements: • Strong diagnostic and manual therapy skills • MCSP and HCPC registered • Able to work independently • Acupuncture desirable • Computer literate (Excel).

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

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equipment wanted

Due to requirements of our client base, minimum three years experience required. Please send CV to: admin@arleth-health.co.uk Arleth Health - www.arleth-health.co.uk

Sheffield Seeking three self-employed physiotherapist to work in busy and well-established musculoskeletal private clinics.Opportunity for enthusiastic and motivated physiotherapist. Might have to cover Birmingham area as well. Interested candidates:please send your CV to: physicalrehabs@gmail.com or call on tel: 07939 193002.

downpatrick, n. ireland Part-time work available in busy private practice. Previous musculoskeletal experience essential, acupuncture an advantage. Please forward CVs to: info@downphysiotherapyclinic.co.uk

Bradford, pilateS inStrUctor Required due to business growth. Minimum APPI matwork level 2 with desire to further Pilates training. Previous experience of working privately preferred but not essential. Daytime and evening hours available. Please send covering letter with availability and CV to: info@innerbalancepilates.co.uk

phySio with appi (or Similar) pilateS qUalification reqUired to take on small clinical classes on some evenings and some Saturday mornings (termly rota) in Cranleigh, Surrey. Good environment with full reception cover in friendly practice. Possibility of some musculoskeletal clinical hours if desired. Patients are waiting for you! Please contact: wendyanne@cranfoldphysio.co.uk with your CV or for more information.

GUiSBoroUGh, north yorkShire GP contract and private practice vacancy from 24 March 2014, permanent, two days per week, with option to increase. Experienced musculoskeletal physiotherapist with holistic approach needed to join our small team Please contact Jane Sutton on tel: 01287 201006 or email: physioplusguis@hotmail.co.uk

plymoUth neUrophySio Exciting opportunity for an experienced neurological physiotherapist to join our expanding team to work on a part-time, self-employed basis. Mixture of community work (within 20-30 miles of Plymouth), clinic based work and hydrotherapy. Please telephone Becky Isserlis on tel: 01752 349797 for more information or forward CV to: becky@plymouthneurophysio.com

mancheSter – new GradUateS mancheSter Physio require a newly qualified physio to work as an assistant physiotherapist. Initially office based with the potential to progress to clinical hours. To find out more and apply visit: www.manchesterphysio.co.uk/careers

we are cUrrently lookinG for self-employed junior musculoskeletal physiotherapists for part time work nationwide. If you are interested in this position please send your CV to: enquiry@londonphysiotherapy.com

SoUth BedfordShire clinic requires full-time self-employed musculoskeletal physiotherapist to work as part of a multidisciplinary team. Dry needling skills beneficial but not essential. CVs to: info@woodsideclinic.co.uk

experienced Self-employed, part-time chartered phySiotherapiSt reqUired to work on Saturdays to treat varied musculoskeletal caseload. Must be able to work independently, have excellent manual skills and preferably acupuncture. Please contact Natalie Simpkin on tel: 020 7226 6406.

phySiotherapy eqUipment for Sale 3 Section Electric Plinth, Rehab products and various other items. For full list and price please email: rgphysio@me.com

Secondhand and new UltraSoUndS, electrotherapy, laSerS, coUcheS etc With warranty. Please call Trimbio on tel: 01403 261564 www.trimbio.co.uk

phySiotherapy eqUipment for Sale 3 Section Electric Plinth, Rehab products and various other items. For full list and price please email: rgphysio@me.com

Akron Electronic Tilt Table. Divided leg design, adjustable footboards, accessory table, harnesses. Chester location. £1100. Tel: 07850646329.

pilateS and Gyrotonic eqUipment for Sale This equipment would suit someone starting a Pilates studio or wanting to extend on their existing equipment offering. Most of this is in near mint condition. 1 x Stott Rehab reformer with brand new springs (not yet attached), also the vertical frame at the end and conversion insert. Also a jump board for it.1 x Brand new Balanced Body ladder barrel 1 x Stott half barrel 1 x Balanced Body split/leg wundachair1 x Gyrotonic Leg extension unit.1 x Stott spine supporter My price is approx. 50% off the RRP. Items are almost new except the covering on the reformer. Everything included £4,500. Will also separate the Gyrotonic Leg Extension Unit for £1500. Email: performancephysio@gmail.com

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: richard@rwrservices.co.ukWeb: www.rwrservices.co.uk

former ShrewSBUry medical enGineerOffering repairs and servicing of your electrotherapy equipment. Call RWR services on tel: 0845 257 8925. Email: richard@rwrservices.co.uk Web: www.rwrservices.co.uk

rec19Feb.indd 64 13/02/2014 08:16

www.csp.org.uk

65L

ina

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business opportunity

practice for sale

rooms to let

SERVICE AND REPAIR FOR ALL ELECTROTHERAPY AND PHYSIOTHERAPY PRODUCTS Contact Trimbio on tel: 01403 261564 www.trimbio.co.uk

SOUTHERN-EAST SUSSEX PHYSIOTHERAPY FOR SALE Established 1988. Current owner 16 years. Self and PMI referrals. Selling due to relocation. Please call tel: 07770 775 761.

WITNEY, OXFORDSHIRE Part-time practice for sale. Very a� ordable price. Excellent growth potential. Email: info@windrushphysio.co.uk

FURNISHED TREATMENT ROOM IN EASTLEIGH HAMPSHIRE Close to M27 and M3. Part of thriving osteopathic clinic established over 30 years. Large car park, sta� ed reception, all in £25.00 per half day session. Contact Caroline Pritchard on tel: 02380 612166 info@eastleighosteopaths.co.uk

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

ROOM PLUS STUDIO/SHARED OFFICE New pool complex. Bexley. Plans www.bodyandsoulclinic.org.uk Tel: 07936 446334.

GREAT OPPORTUNITY to take on and further develop a web based therapy related business, combined therapy clinic listings service and course listings directory - available as separate options or together. Well established name and reputation with excellent development potential for someone interested in programming with therapy experience. Genuine enquiries only please to: mail@therapyadvertising.com

Associateand

www.grahamegardner.co.uk/cspTel:01162556326

proudwith official

CSP uniformswww.grahamegardner.co.uk/cspTel:Tel: 0116 255 6326

rec19Feb.indd 65 13/02/2014 08:17

Paediatric Research Funding2014

The CSP Charitable Trust is an independent charitable organisation that supports the advancement of physiotherapy education and research.

CSP Charitable TrustRegistered Charity No. 279882

The CSP Charitable Trust in conjunction with Action Medical

Research are offering a new paediatric research funding award for experienced

researchers in 2014 to:

The deadline for outline applications is 5pm, Thursday 27 March 2014

Further details on this call are available at: http://www.csp.org.uk/professional-union/research/funding/paediatric-research-funding-2014

✹ Paediatric Research Funding for experienced researchers Up to £250,000 for a research project to support research into paediatric non-acquired brain injury and paediatric cerebral palsy

001013paediatric.indd 6 30/01/2014 11:32

67

Standard bearerAS THE HEAD OF A REHABILITATION TEAM AT A PRESTIGIOUS LONDON HOSPITAL, PENNY AGENT SETS HIGH TARGETS. ROBERT MILLETT REPORTS

Frontline – www.csp.org.uk

Profile

Despite living in Gloucestershire, physio Penny Agent commutes to London � ve days a week, where she works for Royal Brompton and

Hare� eld NHS Foundation Trust.She is the deputy director of rehabilitation

and therapies for the trust and a professional lead for physiotherapy. Her directorate has about 100 sta� members and includes an adult cystic � brosis team. Based at the Royal Brompton Hospital in west London, the multidisciplinary team includes nurses, dieticians and six specialist physiotherapists.

‘I manage therapy services across the trust, but I’ve always maintained a particular clinical interest in cystic � brosis,’ says Mrs Agent

The hospital hosts the largest cystic � brosis centre in Europe, caring for about 650 adults.

As a result Mrs Agent is keenly aware of clinical developments in the � eld and encourages the centre to try new things. With her backing the team has pioneered the use of innovative treatment options for cystic � brosis, in particular with regards to inhalation therapy.

‘I always set myself and my sta� high standards and strive to deliver the best service possible,’ says Mrs Agent.

‘That means staying at the forefront of developments and working to deliver the best and most up to date clinical care.’

Thanks to this progressive stance, the Royal Brompton was one of the � rst cystic � brosis centres in the UK to make a dry powder inhalator, known as the TOBI Podhaler, available to patients.

Mrs Agent explains that inhaled drugs are commonly used in cystic � brosis because they reach the airways swiftly. They were traditionally delivered through nebulisers, which produce a � ne mist of droplets. However, administering medicine using a dry powder inhalator has certain advantages.

The breath activated, hand-held device works by delivering a dry powder dose of the antibiotic tobramycin sodium. This drug helps to inhibit the growth of a harmful bacterium which can cause lung infections among patients with cystic � brosis.

‘Nebulisers are commonplace in cystic � brosis but they take a relatively long time to

use, and need lots of cleaning – and patients don’t tend to be great at that,’ says Mrs Agent.

Introducing the dry powder inhalator at the centre brought numerous bene� t for both patients and sta� , she notes.

Specialist physiotherapists in the team provide patients with airway clearance programmes, musculoskeletal care and exercise advice. They also provide instructions on how to use equipment, such as nebulisers and the TOBI Podhaler.

Previously, most patients requiring long-term antibiotics could only take them in a nebulised form. This required lots of equipment, a longer set up and inhalation

time, and regular cleaning and drying of the nebulisers after each use. Additionally, many of the medications required refrigeration.

In comparison the new technology is quick and simple, both to explain and to use. It also requires minimal cleaning and is proving to be as e� ective as the nebulised form of antibiotic.

As well as embracing new treatments, Mrs Agent has also acted as a clinical expert for the National Institute for Health and

Clinical Excellence (NICE). In that role, Mrs Agent helped to develop guidance for new cystic � brosis treatments.

In 2012 she was invited to comment on Mannitol, a drug that augments airway clearance, after

she was involved in clinical research into the treatment.

The four-month process required her to study draft proposals and attend a formal meeting to answer questions from members of the NICE panel.

‘I would really recommend other physios to get involved as clinical experts, because it allows you to see the bigger picture and learn how guidelines are produced,’ says Mrs Agent. �

• For further information about the Royal Brompton ’s cystic brosis centre, visit: www.rbht.nhs.uk/cystic-� brosis

traditionally delivered through nebulisers,

‘I ALWAYS SET MYSELF AND MY STAFF HIGH STANDARDS AND STRIVE TO

DELIVER THE BEST SERVICE POSSIBLE’

67_FL_19 Feb_Profile.indd 6 13/02/2014 10:42