Workplace rights

Recent changes explained 16

THE VOICE OF PHYSIOTHERAPY 5 M

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Gold standard

Lymphoedema care

Mentoring

Physios from overseas 32

Mental health

Why everyone’s involved 22

Mentoring

Physios from overseas

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

3

FOCUSESEmployment rights come under attack 16

Physio � ndings: exercise and dementia 18

Celebrating international women’s day 22

Physiotherapy’s role in mental illness 22

NEWS

Watchdog warns on disability payments 8

First independent prescribers � nish course 10

Trust cuts physio waits by nine weeks 12

Pain pioneer Louis Gi� ord dies 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

PROFILEJeelna Ruparelia boosts Farsi-speaking clinics 66

FEATURESLymphoedema care – a gold standard 24

CPD: Practice education opportunities 29

Moving to the UK – a mentoring approach 32

24

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29

5 March 2014

CONTENT

16 Q&A

5 March 2014 Fron l ne – www csp org uk

FROM APRIL, T WILL BE EVEN HARDER TO COMBAT DISCRIMINATION IN THE WORKPLACE

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

Whether you work n the

NHS or elsewhere your

work ights continue to

come under a tack Among

the det imental changes

h s year are a roll back

of p ov sions that help

� ght discr mination n the

workplace Another s the

revised TUPE egulat ons

These underm ne

ex sting protect ons of your

employment ights shou d

you be t ansfer ed out

of the NHS or to another

employer if you wo k in the

pr vate or voluntary sector

A small shaft of l ght is

an extens on to the r ght to

request   exible working

The Q&As explain how

your rights are a� ected by

the changes Contact your

CSP steward or telephone

the CSP’s enquiry handling

un t f you need urgent

adv ce or suppo t Tel 020 7306 6666

Q The government was consu ting on TUPE last

year what’s happened?

A TUPE (T ansfer of Underta ing – prote t on of Employment)

igh s p otect your pay terms nd cond t ons f your emp oyer

changes The planned changes to TUPE came nto for e earl er than

expected on 31 January They onta n a number of amendmen s

hat are det imental to employees Changes o he egulat ons mean

hat many of your r ghts have tt e or no pro ect on a year af er the

rans er n add t on your workp ace an now egi imate y be changed

by your new employer and your r ght o be consu ted over potent al

redundan ies is s gni� can ly redu ed

Q What impact have employment tr bunal fees

had?

A S nce 29 uly 2013 ees have been pa able f ou wi h o ake

your ase o n emplo ment t i unal Fees or submi t ng a

c a m range f om £160 o £250 wi h a fu ther £250 to £950 cha ge

depend ng on the type of ca e

H gh eve s of fees such as this w l inev tab y dis ourage employe s

par icu ar y low- aid wo ke s f om pu suing cases where they have

been rea ed un ai ly or as ing for sma l amounts of money th t is owed

o hem O� c al � gures f om the Min st y of Jus i e show that t ibun l

c aims ell rom a ound 4 000 a month pr or to uly to a low f 1 117 n

Sep ember 2013

Q But what if I need to cla m?

Can the CSP help?

A Yes The CSP s determined that membe s wi l re ain

access to ust ce where hey have been t eated un air y

egardle s of the r ab ity to pay When an emp oyment case

has good pro pe ts of suc e s as asse sed by CSP sol c tors

Thompsons) hen the CSP w ll pay the issue fee and if

approp iate he hear ng ee n the form of a loan to he

member n the event hat the case is succes ful then his

money w ll be recouped rom the damages awa ded

From 6 Apri 2014 t w ll be a egal requ rement

hat employees mu t on act the Adv sory Conc l ation and

Arb tra ion Se vice for ear y onci ia ion (a ype of med at on)

pr or o submi ting a c aim o an emp oyment tr bunal The

CSP can advise and ass st members through this process

Q Surely in 2014 our r ghts a ound equal ty

must be improving?

A Un or unate y not The coa i ion gove nment appea s to

v ew equa ty leg s at on s mere red tape and h s aken

ste s o d smant e mport nt r ghts for work rs L st October CSP

members ost any leg l pro ect on if th y a e ha assed by a thi d

par y su h as a pat ent

The Equa ity Act was on y mp emented n 2011 but

rom April 2014 members w ll no longer be able to use a

s atutory questionna re o ga n in ormation rela ing o a

d scr m na ion cla m from the r employer Th s w ll make t

even ha der o combat d scr m nation in the workpla e

Wi h the Pub ic Sector Equal ty Duty under eview and

the Equa ity and Human R ghts Comm ssion budget s ashed

from £74 m l on to £17 mi ion 2014 is look ng b eak w th

egard o equal ty

Q Any good news?

A Yes f om the 6 Apr l he Ch ld en and Fami ies B ll

w ll ex end he ight to re uest � xib e work ng to all

emp oyees w th 26 weeks se vi e

Q I work in Northern Ireland

are my work r ghts also threatened?

A Nor hern I eland s he only reg on of he UK whe e

emp oyment law is devo ved La t year the e was a

consu ta ion about pro osed hanges o ome el ments of

emp oyment law One hing not be ng onside ed is cha ging for

ak ng a case to the ndust ial r bunal We are s i l waiting for t e

ou come of he c nsul at on and as soon as mo e s known we

wi l ensu e we keep members n Nor hern I el nd up to- ate

wi h he chang s

• Find out mo e about your emp oyment r ghts at

www csp org uk/wo k ights

• F nd out about n a te nat ve or fa rness in the workp ace t

www tuc org uk/campaignplan

CSP MEMBERS NO LONGER HAVE ANY LEGAL

PROTECTION IF HARASSED BY A PATIENT

THE CSP IS DETERM NED TH AT MEMBERS ACCESS

JUSTICE WHERE THEY HAVE BEEN TREATED UNFAIRLY

Gety

mag

s

YOUR RIGHTS TO BE CONSULTED OVER POTENTIAL

REDUNDANCIES ARE NOW SIGNIFICANTLY REDUCED

HAVE YOUR SAYn our ampa gning and in� uenc ng the CSP is keen to re� ect the v ews of members

a¥ ec ed by the cont nuing at acks on emp oyment ights We are seek ng volun eers for

a panel compr s ng membe s employed in a l sec ors who re have a smal amount of

t me to prov de us w th heir v ews and exper ences There w ll be no mee ings and all

commun cat ons w l be by ema l Contact Tom G l Ema l gillt@ sp org uk

you be t ansfer ed out Tel 020 7306 6666

igh s p otect your pay terms nd cond t ons f your emp oyer

rans er n add t on your workp ace an now egi imate y be changed

18

32

10

03_ L_5 Mar cont indd 6 28/02/2014 13 06

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.

What do

thinkYOU ?

000984 indd 1 15/11/2013 08 06

It’s � tting, with the CSP holding its annual representative conference in Cardi� this month, our cover feature – on an award-winning lymphoedema clinic – is based in a hospital in Wales (see page 24). What more positive news could you want than to read about Melanie Thomas, whose

‘can do’ approach, along with that of her multi-disciplinary team, helped drive a clinic’s success?Sadly, less positive news comes from the National Audit O� ce about personal independence

payments (page 8).That people with disabilities are being forced to wait so long for their payments must be a concern to all CSP members – including those working so hard to carry out

the assessments on time.The sad news? That’s the death of a much-loved CSP fellow, Louis Gi� ord. From

reading about his life (page 14), he seems to have been someone who quietly got on, making the most out of opportunities, whatever fate threw him.

In uncertain times, it may seem hard to be positive. But by highlighting the work of CSP members like Louis, or Melanie, in Frontline we aim to inspire you to

provide the very best, high-quality service for your patients.

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!

Good, bad and sad news

The next issue of Frontline is out on 19 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

published by

PRINTED BY WARNERS 01778 395111

Wo kplace righ s

Re en ch ng s e p a n d 16

THE VOICE OF PHYS OTHERAPY 5 M

ah

014

VO

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O

5

Gold standard

Lymphoedema care

Mentoring

Ph s os om o e se s 32

Mental hea th

W y ev r o e s nv l ed 22

Mentoring

Ph s os om o e se s

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_ L_5 Mar_Contact indd 1 28/02/2014 15 18

5 March 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

euroscepticI was interested to read about the Europe-wide day of action against racism (page 23, 19 February). This was a commendable contribution, but is Frontline the correct publication for members to promulgate their political views, especially when there is no clear relationship to these and physiotherapy?

Today the profession faces urgent issues. It is more germane to physiotherapy to be kept up-to-date with the progress that the CSP is making on these matters; rather than preoccupy ourselves with the political machinations of Eurocrats.Sigismund Solly

The CSP responds: We have a wider role to play in supporting external campaigns and adhere to the principles of working for global equality, justice and fairness. This outlook is reflected in the range of motions that CSP members have put to Annual Representative Conferences in recent years – from human rights abuses in Fiji to the environmental damage caused by oil companies. Visit: www.csp.org.uk and search for ‘IP61’.

life and soulA further comment on older therapists (letters, 5 February). I am in the private sector with shared ownership of a therapy centre offering multiple therapies.

I will be 67 in June and work a 36-hour programme, plus book-keeping, planning and study time at home. I am lucky to have trained in craniosacral therapy, which is very gentle on my body, and for 12 years have taught Pilates classes which take about half of my work volume. I have gradually found other teachers to continue my classes and work three and a half days a week.

Over the years I have always been active – I am now left with cycling and walking and doing the opening sequences and demonstrations for 14 groups a week. This means that, despite spinal and shoulder injuries and a pretty worn out body on scans, including a complete rotator cuff tear, I can adapt my musculoskeletal work to cope with some loss of power through my right arm.

I need my two days free as my energy gets drained. Hopefully, I will continue another couple of years and am currently preparing to learn to be a Tai Chi for arthritis teacher.Pam Jolliffe

design flawI spent my day off yesterday in A&E with my mother-in-law who fell while using her three-wheeled walker.

She fell into the frame (from which she removes the basket and tray so that she can fold the walker). As she fell she hooked the triceps of her left arm on to the basket hook and then lay suspended by her arm, until eventually the skin ripped and she ended up

with a three-inch hole in the skin through which the triceps and subcutaneous fat bulged.

We have now covered these hooks. I will be keeping an eye out for any of my patients that I see with the same design of walker.Liz Ball

pooling ideasI enjoyed reading about the work of the physiotherapy critical care team at the Queen Elizabeth Hospital Birmingham and am also lucky enough to work in a critical care unit where early mobilisation is common practice (page 25, 1 January).

As a neurophysiotherapist, I am well aware of the importance of early mobilisation following neurological impairment, and this is no different on the intensive care unit where we begin to assist people out of bed as soon as they are medically stable. This may mean using the tilt table, hoisting to a chair or walking while on a ventilator.

Indeed, where there are no contra-indications, we frequently take critical care patients, including those who have a tracheostomy, who may or may not be ventilated, into the hydrotherapy pool.

Although taking high-risk patients into the hydrotherapy pool required a lengthy process of completing risk assessments and ensuring that all staff had appropriate competencies to ensure patient safety, the patients demonstrated clear physical and psychological benefits and now the physiotherapy team are often asked by the doctors and nurses if they can take the patients to the pool before they have had the chance to suggest it themselves.Paula Dimarco

TopTweet@thecsp

John gates (@GatesPhysio)Walking All round good exercise. @everybodywalk @thecsp pic.twitter.com/qtNb020qM3Go to www.twitter.com to open your own personal account, then follow @thecsp

06_07_ L_5 mar_ alkback indd 1 28/02/2014 13 08

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 I accept gifts from a service user?’It very much depends on your employer’s local policy. Some employers allow the acceptance of gifts up to a certain monetary value, others have tighter restrictions. In general, token gifts of a very low value or gifts that can be shared with colleagues, such as biscuits or chocolate, are acceptable. Receiving gifts from service users should in no way affect the care they receive from you. Accepting bribes or excessive hospitality in return for preferential treatment is in breach of the Health and Care Professions Council Standards of Conduct, Performance and Ethics and registrants have been struck off for this reason.

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

What are we really doing with hands-on therapy?Network: Profession-wideFlavour: A repeat outing to mark the first anniversary of this fascinating discussion. With thanks to all contributors.Comments: 315 replies at 20 FebruaryFind: qqq311

Intermittent BPPVNetwork: Vestibular rehabilitationFlavour: Detailed exchanges between participants and original contributor in this challenging clinical case.Comments: 15 replies at 20 FebruaryFind: qqq389

Recurrent anterior hip pain in football teamNetwork: Sports and exercise medicineFlavour: Valuable suggestions for a physio trying to help a Ghanian football team with a common problem.Comments: 7 replies at 20 FebruaryFind: qqq390

Pulmonary rehab: supervision Network: Respiratory careFlavour: Views shared on staff to patient ratios for exercise groups with these patients.Comments: 8 replies at 20 FebruaryFind: qqq391

The news item titled ‘New health and work service will offer physio opportunities’ prompted mitchellp to respond: • This is fantastic to see another area where physiotherapists can use their skills.

And an anonymous member added:• This will be a very good service and we can make more and more savings to the NHS and then we can use this savings for good purpose in the hospital or develop good service for patients or we can employ more staff to relief from high caseload.

In response to the news item about a ‘super hero’ winning a Big Idea competition at the student representatives development weekend, Rhys Hughes commented:

• So unbelievably proud of our region! Well done guys! Great pic as well!

The news item titled ‘Updated NICE guidelines say exercise should be a ‘core treatment’ for osteoarthritis’ led to a flurry of comments. Stephen Bathe noted: • Why is three quarters of this piece about acupuncture!?! I am left with the feeling that the CSP are sad that acupuncture is withheld as a treatment rather than being happy that exercise is evidence based proven to help?

And Jacqueline Wright added: • The NICE recommendations on acupuncture are unfortunate. Yes acupuncture on its own may not be very effective; but surely cannot acupuncture together with the right sort of exercise be only to the good? Is not acupuncture a good alternative to pain relieving drugs? Does not acupuncture help with muscle weakness by overcoming reflex inhibition? The guidelines on exercise are also somewhat unspecific and unsatisfactory. They tell us little to nothing on what exercises are beneficial.

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_ L_5 mar_ alkback indd 2 28/02/2014 13 08

5 March 2014

People with disabilities face the prospect of lengthy and distressing waits for bene� ts caused by a backlog in assessments for personal independence payments (PIP), the National Audit O  ce has found.

In a report published on 27 February the � nance watchdog says delayed payments may leave vulnerable people struggling to meet the costs of care, housing and other daily living expenses.

It also says that the Department for Work and Pensions (DWP), which began a gradual introduction of PIPs in April 2013 to replace

Disability Living Allowance, is not able to tell applicants how long they are likely to wait.

The CSP is warning that delays in PIPs may have an adverse e� ect on claimants’ health.

Karen Middleton, CSP chief executive, said: ‘It‘s a concern that people are waiting so long for an assessment and then for the result of their claim.

She said that the CSP has been working with the DWP and its contractors to ensure that PIP assessments are ‘an improvement on those used in the past for other bene� ts.’

‘The CSP will continue to engage with all parties to ensure the overall system is as fair and e� ective as possible for everyone involved,’ she added.

The CSP has produced a PIP Question and Answer web page for members. See www.csp.org.uk/professional-union/practice/personal-independence-payments-pips

Personal Independence Payment: early progress: www.nao.org.uk/report/personal-independence-payments-pipRobert Millett

8 Frontline

Television presenter Davina McCall has praised the physiotherapy she received during a fundraising challenge which saw her run, cycle and swim 500 miles.

The former Big Brother host completed the seven-day journey from Edinburgh to London on 14 February.

After crossing the � nishing line Ms McCall thanked her support team, which she said had ‘carried her through’ the challenge.

Among the team was Mark Perkins , a musculoskeletal physiotherapist from the Ministry of Defence’s St Athan base in the Vale of Glamorgan.

Mr Perkins told Frontline he was on hand to treat a range of physical issues, including knee and neck pain; discomfort from compression garments; contracted chest muscles and tibialis

Watchdog warns over delay to PIP assessments

Davina McCall than NHS Scotland has reduced the ‘post-code lottery’ for hip replacement surgery by expanding its services over the last ten years, according to research published in the Journal of the Royal Society of Medicine.

Researchers from the Centre for Primary Care and Public Health at Queen Mary University of London conducted the study, along with colleagues from the University of Edinburgh and Lothian University Hospitals NHS Trust.

They were able to establish that access to hip replacement surgery in

Scotland has increased since 2003, when NHS Scotland introduced waiting time initiatives.

The study also found there had been a reduction in geographically related

inequality, across all Scottish health boards, in the same time frame.

The researchers concluded that one key factor for the change was the Scottish government’s decision to buy the privately-owned Golden Jubilee National Hospital in Clydebank. The hospital is now run as a major NHS centre for orthopaedics and is dedicated to reducing waiting times in key elective specialties.

Abstract of article: jrs.sagepub.com/content/early/2014/02/12/ 0141076814523950Robert Millet

Hip replacement ‘lottery’ is cut

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

news 9

The international organisation for physical therapy has re-elected CSP vice-president Sarah Bazin as chair of its European Region.

Speaking to Frontline about her new four-year term in o� ce, Ms Bazin said: ‘I’m thrilled and honoured to be re-elected unopposed as chair of the European Region of the World Confederation for Physical Therapy (ER-WCPT).

‘The Region is proactive in representing the value of physiotherapy in o� ering solutions to the health problems created by demographic change within the region and supporting member organisations.’

Ms Bazin has been a member of the executive committee of the ER-WCPT for the last six years, during which she has chaired the professional issues working group and, for the past four years, also chaired the executive committee. Her re-election is due to be rati� ed at a meeting in Copenhagen in May.

As part of her role with the organisation, in 2013 Ms Bazin met the European health commissioner in Brussels to discuss issues a� ecting physiotherapists in providing better care for patients and in promoting activity and � tness.

The WCPT is a non-pro� t

organisation which represents more than 350,000 physical therapists through its 106 member organisations, including the CSP.

Its European region covers

36 countries and more than 163,000 physiotherapists.

‘The region is looking forward to the fourth regional education congress which is taking place in November 2016 in Liverpool, Ms Bazin said.

The congress, hosted by the CSP, will run instead of the society’s annual conference.

‘The event will have a broad basis, looking at all aspects of learning and professional development supporting clinical practice.’ Ms Bazin said.

European Region of the World Confederation for Physical Therapy: www.physio-europe.org/Gill Hitchcock

Bazin ‘honoured’ to be re-elected Euro chair

anks physiotherapist after Sport Relief challenge

BEDS APPEAL FOR GLASGOW GAMES VOLUNTEERSBig-hearted Scots are being asked to consider o� ering accommodation to a CSP member volunteering at the Glasgow Commonweath Games this summer. Up to 400 members will be volunteering at the Games, from 13July to 6 August. A noticeboard has been set up on the Scotland area of the CSP website at www.csp.org.uk/scotland

Ale

x W

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r

anterior problems.‘I was also there at

every pit stop to address any problems, provide massage, give her ice baths and make sure she was taking enough � uid on board,’ he said.

The event was in aid of Sport Relief and to date Ms McCall has raised more than £760,000 for the UK charity.

This year’s Sport Relief takes place from 21 to 23 March. www.sportrelief.comRobert Millett

BEDS APPEAL FOR GLASGOW GAMES VOLUNTEERSBig-hearted Scots are being asked to consider o� ering accommodation to a CSP

website at

– www.csp.org.uk

nks physiotherapist after Sport Relief challengeanterior problems.

‘I was also there at every pit stop to address any problems, provide massage, give her ice baths and make sure she was taking enough � uid on

The event was in aid of Sport Relief and to date Ms McCall has

£760,000 for the UK

This year’s Sport Relief takes place from 21 to 23 March.www.sportrelief.

Gett

y Im

ages

Physiotherapist Mark Perkins attends to Davina McCall

8_9_ L_5_Mar_news indd 2 28/02/2014 14 59

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

news 9

The international organisation for physical therapy has re-elected CSP vice-president Sarah Bazin as chair of its European Region.

Speaking to Frontline about her new four-year term in o� ce, Ms Bazin said: ‘I’m thrilled and honoured to be re-elected unopposed as chair of the European Region of the World Confederation for Physical Therapy (ER-WCPT).

‘The Region is proactive in representing the value of physiotherapy in o� ering solutions to the health problems created by demographic change within the region and supporting member organisations.’

Ms Bazin has been a member of the executive committee of the ER-WCPT for the last six years, during which she has chaired the professional issues working group and, for the past four years, also chaired the executive committee. Her re-election is due to be rati� ed at a meeting in Copenhagen in May.

As part of her role with the organisation, in 2013 Ms Bazin met the European health commissioner in Brussels to discuss issues a� ecting physiotherapists in providing better care for patients and in promoting activity and � tness.

The WCPT is a non-pro� t

organisation which represents more than 350,000 physical therapists through its 106 member organisations, including the CSP.

Its European region covers

36 countries and more than 163,000 physiotherapists.

‘The region is looking forward to the fourth regional education congress which is taking place in November 2016 in Liverpool, Ms Bazin said.

The congress, hosted by the CSP, will run instead of the society’s annual conference.

‘The event will have a broad basis, looking at all aspects of learning and professional development supporting clinical practice.’ Ms Bazin said.

European Region of the World Confederation for Physical Therapy: www.physio-europe.org/Gill Hitchcock

Bazin ‘honoured’ to be re-elected Euro chair

anks physiotherapist after Sport Relief challenge

BEDS APPEAL FOR GLASGOW GAMES VOLUNTEERSBig-hearted Scots are being asked to consider o� ering accommodation to a CSP member volunteering at the Glasgow Commonweath Games this summer. Up to 400 members will be volunteering at the Games, from 13 July to 6 August. A noticeboard has been set up on the Scotland area of the CSP website at www.csp.org.uk/scotland

Ale

x W

alke

r

anterior problems.‘I was also there at

every pit stop to address any problems, provide massage, give her ice baths and make sure she was taking enough � uid on board,’ he said.

The event was in aid of Sport Relief and to date Ms McCall has raised more than £760,000 for the UK charity.

This year’s Sport Relief takes place from 21 to 23 March. www.sportrelief.comRobert Millett

BEDS APPEAL FOR GLASGOW GAMES VOLUNTEERSBig-hearted Scots are being asked to consider o� ering accommodation to a CSP

website at

– www.csp.org.uk

nks physiotherapist after Sport Relief challengeanterior problems.

‘I was also there at every pit stop to address any problems, provide massage, give her ice baths and make sure she was taking enough � uid on

The event was in aid of Sport Relief and to date Ms McCall has

£760,000 for the UK

This year’s Sport Relief takes place from 21 to 23 March.www.sportrelief.

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Physiotherapist Mark Perkins attends to Davina McCall

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5 March 2014

A physiotherapy-led community service in Lancashire could be expanded after an independent review found it was saving nearly £250,000 a year by reducing orthopaedic outpatient � rst attendances.

The musculoskeletal (MSK) triage service is based at Blackpool Teaching Hospital Foundation Trust and works with communities in Blackpool, Lytham and Fleetwood.

It was evaluated as part of a review of MSK services by Fylde and Wyre Clinical

Commissioning Group (CCG). Clinical lead physiotherapist Michael

Bryant told Frontline: ‘We had a very favourable review that highlighted that we are cost e� ective and saving money.

‘It also showed that we are currently performing above the best practice services we were benchmarked against.’

Mr Bryant explained that best practice clinical ssessment services are expected to de� ect about 50 per cent of all further referrals. However, the review showed that the community MSK service had exceeded

10 Frontline

Physio-led service saves £250,000

SCOTLAND STUDENT AWARD OPENSCash prizes totalling £300 are o� ered to students in Scotland who can show their achievements in promoting the physiotherapy profession. Closing date is 30 April and applications will be assessed by the CSP’s Scottish board. Find out more about the student achievement awards 2014 at www.csp.org.uk/scotland/student-achievement

First wave of physios set to qualify as independent prescribersEight CSP members have completed one of England’s � rst independent prescribing courses for physiotherapists.

The physios were among the � rst intake of students on a conversion course for practitioners who were supplementary prescribers. It was held at London South Bank University (LSBU).

As independent prescribers, the physios can prescribe medicines for their patients without a doctor’s counter-signature.

One of them, Rosalie Barrett, clinical lead physiotherapist at Hounslow and Richmond Community

Healthcare NHS Trust, said: ‘This is a really exciting time for physiotherapy and a huge milestone for the profession.

‘It’s the conclusion of a long campaign to allow physiotherapists the autonomy to prescribe independently within their specialised � elds.’

CSP professional adviser Pip White said the � rst wave of physios to qualify as independent prescribers represented a ‘signi� cant landmark’ for the physiotherapy profession.

‘It’s great to see the � rst physiotherapists taking up the opportunities of independent

prescribing,’ said Ms White.‘We now need to show how physio

independent prescribing enhances the rehabilitation that our members provide for their patients.’

The LSBU course ended in February and the attendees will be able to use their new skills in April, once their quali� cations have been recognised by the Health and Care Professions Council (HCPC).

The HCPC website includes a list of institutions that provide approved independent prescribing programmes. Visit: www.hcpc-uk.org/education/programmes/registerRobert Millett

Left to right: Extended scope practitioners Mark Cooney, Stuart

Edmondson, Linda Vernon and Andrew Gardner, consultant physiotherapist and clinical team lead Michael Bryant and Dr Steve Parr-Burman

orthopaedic outpatient � rst attendances.The musculoskeletal (MSK) triage

service is based at Blackpool Teaching Hospital Foundation

communities in Blackpool,

are cost e� ective and saving money. clinical assessment services are expected to de� ect about 50 per cent of all further referrals. However, the review showed that the community MSK service had exceeded

Left to right: Extended scope practitioners Mark Cooney, Stuart

Edmondson, Linda Vernon and Andrew Gardner, consultant physiotherapist and clinical team lead Michael Bryant and Dr Steve Parr-Burman

rontlineSCOTLAND STUDENT AWARD OPENSCash prizes totalling £300 are o� ered to students in Scotland who can show their achievements in promoting the physiotherapy profession. Closing date is 30 April and applications will be assessed by the

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

news 11

Physiotherapists are being encouraged to join a three-year project that aims to ensure people with neuromuscular conditions get the specialised services they need.

‘Bridging the Gap’ was launched by UK charity Muscular Dystrophy Campaign in spring 2013, with a grant of nearly £600,000 from the Department of Health.

Sarah Williams, a CSP member and the charity’s neuromuscular outreach and engagement o� cer, said the project should provide continuing professional development opportunities for physiotherapists.

It o� ers an online physiotherapy training resource, a peer-to-peer forum and events for community and acute-based physiotherapists.

‘This project provides physios with an opportunity to highlight the important role that physiotherapy plays with neuromuscular patients in all age groups,’ said Ms Williams.

Rebecca Johnson, neuromuscular outreach

and support o� cer at the Muscular Dystrophy Campaign, said that physiotherapy is a vital intervention for people with neuromuscular conditions.

‘We have heard directly from patients at our � rst forums what a di� erence physiotherapy can make,’ said Ms Johnson.

One man said he had worked out an arrangement with a local physio so he received treatment several times a month.

‘He said that it had kept him walking a lot longer than he would have done without that intervention. Even now he is a full-time wheelchair user, he feels like he got the support he needed and it made a di� erence to his quality of life,’ Ms Johnson said.

The next events will be held on 10 March in Nottingham and 2 May in Newmarket, Su� olk. Email Rebecca Johnson at: r.johnson@muscular-dystrophy.orgGill Hitchcock 0 a year

Call for physios to join neuromuscular project

this � gure, and reached 63 per cent.The review also shows that the service

prevents approximately 2,800 referrals to secondary care each year. At a cost of £87 per appointment, the CCG estimated the total saved to be £243,000 per annum.

Mr Bryant said that an expansion of the service would be an opportunity to cut costs for the NHS, as well as improving patient experience.

‘Based on the outcome of the review, we are currently in discussion with the CCG to increase service provision throughout the whole Blackpool Fylde and Wyre region,’ he said.Robert Millett

‘Bridging the Gap’ aims to help physios

to treat people with neuromuscular

conditions

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5 March 2014

University Hospital of North Sta� ordshire (UHNS) NHS Trust is looking to fund an additional place on its technical instructor apprenticeship programme, according to Caroline Brown, principal physiotherapist at the trust.

The programme, run jointly by UHNS and Stoke on Trent College, began in March 2013. It currently has three apprentice technical instructors who spend one day a week on release at the college and work at the trust alongside physios and occupational

therapists (OTs) on other days. ‘The idea came about after

restructuring and the loss of some of our assistant roles,’ said Ms Brown. ’We also have quite high youth unemployment in Stoke and we were thinking about what we could do to address that.’

While Julie Collins, CSP senior negotiating o� cer, welcomed the initiative as it helped unemployed people, she stressed it was vital that they obtained jobs with Agenda for Change pay once the apprenticeships had ended.

‘This apprenticeship comes as

12 Frontline

Physiotherapists should make the case locally for patients with dementia to access physiotherapy services immediately after their initial diagnosis, said the CSP’s head of practice and development, Steve Tolan.

He was responding to the initial � ndings of research into the e� ects of exercise on early onset dementia by a team at the University of Pittsburgh led by neuroscientist Kirk Erickson.

At the annual general meeting of the American Association for the Advancement of Science, Professor

Erickson revealed the results of studies conducted on men and women aged from 60 to 80 over the course of a year. The � ndings showed that a short walk three times a week increased the size of brain regions linked to planning and memory, according to a report in The Guardian on 17 February.

Mr Tolan said: ‘This research shows that simple exercise advice and support could delay the early progress of the disease. Physiotherapists are, of course, well placed to provide support to patients at the earliest stages of dementia.’

Apprentices f

Walking wards o�

Waiting times for women’s health physiotherapy appointments have been cut from an average of 12 to three weeks at University College London Hospitals (UCLH) NHS Foundation Trust.

A trust spokesperson told Frontline that this had been achieved through the trust’s Productive outpatients programme, which was launched in 2011. It uses ‘lean’ methodology to redesign outpatient pathways.

Emma Tailby, women’s health physiotherapy team lead at UCLH, said that sta� wanted to take a fresh look at the way they delivered care. They reviewed procedures and ways of working with a focus on e� ciency.

‘We redesigned our referral system, reorganised our outpatient diaries and have been able to expand our service,’ Ms Tailby said.

Under Productive outpatients a midwife or consultant books physiotherapy appointments for patients. Previously, a referral had to be made, triaged by a physiotherapist and sent to a call centre for an appointment to be arranged.

The spokesperson said the new approach saved time for a range of clinicians and administrative sta� , and eliminated postage costs.

‘Since taking part in Productive outpatients, the women’s health physiotherapy service is better able to meet the demands of patients and sta� experience has improved,’ he said.

Helen Mellersh, women’s health physiotherapist at the trust, said: ‘It was helpful to have an external mentor to look at our team and highlight areas of waste. It helped us

to step back and maximise our potential.’Gill Hitchcock

London trust cuts wait for physio by nine weeks

UCLH took a fresh look at service delivery, says Emma Tailby (pictured left with Helen Mellersh)

to step back and maximise our potential.’Gill Hitchcock

UCLH took a fresh look at service delivery, says Emma Tailby (pictured left with Helen Mellersh)

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

news 13

ired up by career pathway

� dementia, study shows

SCOTTISH STEWARDS TALK BETTER REPRESENTATION WITH MSPsCSP stewards in Scotland met members of the Scottish Parliament on 19 February. They discussed integration of health and social care, community facilities and communicating with elected representatives. Pictured (left to right): CSP senior negotiating o� cer Claire Ronald, MSP Richard Simpson, CSP Council member Katie Wilkie and regional steward Fiona MacKellar.

physiotherapy posts at the trust have been cut or downbanded, as part of cost improvement plans,’ she noted.

‘We are working to ensure apprentices get a reasonable wage for such training posts – at Agenda for Change rates. They should not be used to replace established, higher-banded assistant posts,’ added Ms Collins.

Ms Brown said the apprentices receive enhanced rates of pay if they work at weekends: ‘They are being supported on a course, so it’s

about development and future opportunities.’

Apprentices are recruited by the college and undergo an induction period at UHNS before starting their training.

According to Ms Brown, existing physios and OTs

need to spend time supporting the apprentices, but have the satisfaction of seeing them develop.

Leila Hirji started on the apprenticeship scheme when it was � rst launched. Since January she has been a

permanent therapy technical instructor at UHNS.

A psychology graduate who worked in administrative roles before joining the programme, Ms Hirji said that it had opened up a new career path.

‘At the time I applied I was struggling as to what I wanted to do and it guided me into something I’m now enjoying,’ she said.

‘It taught me a lot about physiotherapy and OT and I’m thinking about OT as a career.’Gill Hitchcock

Meanwhile, Jessica Smith, research o� cer at the Alzheimer’s Society, said the � ndings are a further illustration that regular exercise, at any age, is bene� cial.

She added: ‘It’s important to note that this announcement is only an abstract presented at a conference, but it will be interesting to see the � ndings of this study in more detail when it is released in full.’ Gill Hitchcock

• See Physio � ndings on page 18-19

‘AT THE TIME I APPLIED I WAS STRUGGLING AS TO WHAT I WANTED TO DO AND IT GUIDED ME INTO SOMETHING I’M NOW ENJOYING’Leila Hirji

Early progress of dementia could be delayed by exercise

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5 March 2014SOMETHING TO ADD?...go to www.csp.org.uk/icsp

It is with great sadness that Frontline reports the death of eminent physiotherapist Louis

Gifford , whose pioneering teaching on pain science and its management has influenced a generation of physiotherapists and continues to do so.

Born in 1953, he died on 9 February. He is survived by his wife Philippa Tindle and sons Ralph and Jake. Louis had been diagnosed with prostate cancer seven years ago and outlived his prognosis. ‘His prognosis was pretty poor so living this long has been a real bonus. Louis just got on with life and lived with cancer, he definitely wasn’t a victim or sufferer – this time last year we were snowboarding in Colorado,’ Philippa told Frontline.

To his friends and patients in Falmouth, Cornwall, where he lived, he was the local physiotherapist. ‘He was very humble’, says Philippa, but to the world of pain science he was ‘one of the most influential British physiotherapists of his generation’, says Mick Thacker, a close friend who taught with Mr Gifford for 15 years.

Dr Thacker, who lectures in pain neuro-science at King’s College London and is a consultant physiotherapist at Guy’s and St Thomas’ Hospital, explains how Louis’ Mature Organism Model has

contributed to today’s understanding of pain management.

Having begun a career as a zoologist, Louis later became a physiotherapist and trained with the visionary manual therapy trainer Geoffrey Maitland in Australia. ‘While there he started to understand that the traditional approaches in manual therapy weren’t helping people with chronic pain,’ says Dr Thacker.

Over seven years and a masters degree Louis developed the Mature Organism Model, which first saw light in 1998 as a paper in Physiotherapy. Louis went on to publish many research papers, including the well-respected Topical Issues in Pain series, which was re-launched in November 2013.

Understanding pain‘The model is a way of communicating the science of pain to both clinicians and patients,’ says Dr Thacker. ‘Previously, there was a dualistic view of pain being either physical or emotional. His was one of the first models to overcome this understanding. It still stands up today and is used by thousands of educators in the world of pain management in the UK and abroad.’

Louis’ thinking evolved into the understanding that pain is not only what is happening in a patient’s

tissue but that there are multiple factors in an individual’s life that can exacerbate pain, for example, stress. ‘We now know that stress hormones can make pain worse and that by addressing the stress we can target the mechanism of pain. Previously,

that pain would have been thought of as psychological,’ says Dr Thacker.

This led onto awareness of maladaptive pain, where pain may reside in the nervous system, despite tissue having healed, which ‘demands a very different treatment approach’, says Dr Thacker.

Louis’ recognition of pain as a physical and psychological phenomenon and argument against the use of single modality reasoning and therapy models for pain management and treatment have profoundly influenced practice today.

Dr Thacker believes this influence manifests in clinicians listening to patients more and taking better histories, and understanding the underlying mechanisms of pain, not just treating the symptoms. ‘For the previous 40-50 years, treatment was based on symptomatic relief, so his is a major change in physiotherapy practice,’ he says.

Louis was awarded a CSP fellowship in 2001 for his work and education in pain management. He was also a founder member of the Physiotherapy Pain Association, a professional network that is part of the wider Arthritis and Musculoskeletal Alliance.

Lasting influencePaul Watson, professor of pain

management and rehabilitation at the University of Leicester, told Frontline that Louis was ‘one of the best and most unique communicators’ in physiotherapy education.

‘He had an incredible ability to read and assimilate complex information and put it into a form more easily attainable by others,’ said Professor Watson.

‘He was able to integrate research into physiotherapy theory and make it accessible to clinicians in a form which made sense to clinical practice, and he changed physiotherapists’ clinical practice, which can be said of very few of us.’

Professor Watson described the Topical Issues in Pain books as classics of physiotherapy literature which had, and continue to still have, an influence ‘far beyond their intended audience’ as they are keenly read by all the professions involved in the management of pain.

‘On a personal level Louis was one of the most charming, affable and generous people I have met in my professional life,’ said Professor Watson.

‘The profession has lost a true great. He enriched the lives of many; friends, colleagues and patients; he will be greatly missed.’

Natalie Beswetherick, CSP director of practice and development, says she remembers presenting the award to Louis. ‘He was so self-effacing. He didn’t think he had done anything great. His view was “I’m just a simple guy exploring some issues”.’

She adds that at the time the

Pain pione

14

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news 15

e er dies from cancer

L

Physical activity should be part of a package of treatment for people with psychosis or schizophrenia, according to updated guidance from the National Institute for Health and Care Excellence (NICE).

Psychosis and schizophrenia in adults: treatment and management (NICE clinical guideline 178) updates and replaces the organisation’s previous guideline on schizophrenia (CG82).It applies to England and Wales and covers the treatment and management of psychosis, schizophrenia and related disorders in adults, which has started before someone reaches 60.

Its recommendations include ensuring the mental healthcare provider o� ers a combined healthy eating and physical activity programme, helps with smoking cessation and has appropriate interventions if the person experiences excessive weight gain.

The guideline also advocates the use of individual cognitive behavioural therapy for people at risk of developing psychosis.

Catherine Pope, president of the CSP’s Chartered Physiotherapists in Mental Health network, said: ‘It is really positive that NICE has recognised the poorer physical health su� ered by people with mental health problems.’Robert Millett

NICE clinical guideline 178: see www.nice.org.uk

NICE recommends exercise for schizophrenia

Simply increase blood circulation and reduce oedema

www.gekodevices.com

physio@firstkindmedical.com

t: 0845 2222 921MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065MADALPHY0065

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• Manages recurring swelling

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Adverisement

challenge by Louis and his colleagues of passive modalities was highly contentious, but a decade on recognition that pain is a much more complex phenomenon is part of basic undergraduate teaching. ‘He is part of the history of the profession’s changing scope of practice. He was a great chap,’ she says.

His profound in� uence on

members is evident in the many tributes posted on interactiveCSP, the society’s member networking website.

One member comments: ‘Louis was a great inspiration. His passion, dedication, knowledge and compassion was outstanding. He was truly a tour de force in our profession coupled with his great

ability to put complicated concepts into simple language for us mere mortals.’

Another says: ‘I would say he was a hero of our profession. He gave physiotherapy the strength and purpose to grab pain by the collar and engage at the frontline of care and research. He will remain so.’

Louis’ spirit and teaching will

live on in a new series of four books Gi� ord’s Aches and Pains, which he was writing over the past year. ‘They are based on his lecture courses over the last 20 years and are expanded versions of his narrative. Louis jumps out from every page,’ adds Philippa, who hopes they will be published next month. Louise Hunt

MATURE ORGANISM MODELTo read Louis’ original article on the Mature Organism Model, in Physiotherapy, you can access the publisher’s searchable online archive via the CSP website: www.csp.org.uk/physiotherapyjournal. Click on the blue ‘Start reading Physiotherapy journal’ button In the ‘Search for’ � eld type in Gi� ord, then in the second � eld choose ‘Authors’ and click on Go.

news 15

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16 Q&A

5 March 2014

Whether you work in the NHS or elsewhere, your work rights continue to come under attack. Among the detrimental changes this year are a roll back of provisions that help � ght discrimination in the workplace. Another is the revised TUPE regulations.

These undermine existing protections of your employment rights should you be transferred out

of the NHS, or to another employer if you work in the private or voluntary sector.

A small shaft of light is an extension to the right to request   exible working.

The Q&As explain how your rights are a� ected by the changes. Contact your CSP steward, or telephone the CSP’s enquiry handling unit if you need urgent advice or support.

Tel: 020 7306 6666.

Q The government was consulting on TUPE last year – what’s happened?

A TUPE (Transfer of Undertaking – protection of Employment) rights protect your pay, terms and conditions if your employer

changes. The planned changes to TUPE came into force earlier than expected on 31 January. They contain a number of amendments that are detrimental to employees. Changes to the regulations mean that many of your rights have little or no protection a year after the transfer. In addition, your workplace can now legitimately be changed by your new employer and your right to be consulted over potential redundancies is signi� cantly reduced.

Q What impact have employment tribunal fees had?

A Since 29 July 2013 fees have been payable if you wish to take your case to an employment tribunal. Fees for submitting a

claim range from £160 to £250, with a further £250 to £950 charge depending on the type of case.

High levels of fees such as this will inevitably discourage employees, particularly low-paid workers, from pursuing cases where they have been treated unfairly or asking for small amounts of money that is owed to them. O� cial � gures from the Ministry of Justice show that tribunal claims fell from around 4,000 a month prior to July to a low of 1,117 in September 2013.

Q But what if I need to claim? Can the CSP help?

A Yes. The CSP is determined that members will retain access to justice where they have been treated unfairly,

regardless of their ability to pay. When an employment case has good prospects of success (as assessed by CSP solicitors Thompsons) then the CSP will pay the issue fee and, if appropriate, the hearing fee in the form of a loan to the member. In the event that the case is successful then this money will be recouped from the damages awarded.

From 6 April 2014 it will be a legal requirement that employees must contact the Advisory, Conciliation and

‘CSP MEMBERS NO LONGER HAVE ANY LEGAL PROTECTION IF HARASSED BY A PATIENT’

‘THE CSP IS DETERMINED TH A JUSTICE WHERE THEY HAVE B

you be transferred out Tel: 020 7306 6666.

rights protect your pay, terms and conditions if your employer

transfer. In addition, your workplace can now legitimately be changed

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Frontline – www.csp.org.uk

‘FROM APRIL, IT WILL BE EVEN HARDER TO COMBAT DISCRIMINATION IN THE WORKPLACE’

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

Arbitration Service for early conciliation (a type of mediation) prior to submitting a claim to an employment tribunal. The CSP can advise and assist members through this process.

Q Surely, in 2014, our rights around equality must be improving?

A Unfortunately not. The coalition government appears to view equality legislation as mere ‘red tape’ and has taken

steps to dismantle important rights for workers. Last October CSP members lost any legal protection if they are harassed by a third party such as a patient.

The Equality Act was only implemented in 2011 but from April 2014 members will no longer be able to use a statutory questionnaire to gain information relating to a discrimination claim from their employer. This will make it even harder to combat discrimination in the workplace.

With the Public Sector Equality Duty under review and the Equality and Human Rights Commission budget slashed from £74 million to £17 million, 2014 is looking bleak with regard to equality.

Q Any good news?

A Yes, from the 6 April the Children and Families Bill will extend the right to request � exible working to all

employees with 26 weeks’ service.

Q I work in Northern Ireland – are my work rights also threatened?

A Northern Ireland is the only region of the UK where employment law is devolved. Last year there was a

consultation about proposed changes to some elements of employment law. One thing not being considered is charging for taking a case to the industrial tribunal. We are still waiting for the outcome of the consultation and as soon as more is known we will ensure we keep members in Northern Ireland up-to-date with the changes.

• Find out more about your employment rights at: www.csp.org.uk/workrights • Find out about an alternative for fairness in the workplace at: www.tuc.org.uk/campaignplan

H AT MEMBERS ACCESS E BEEN TREATED UNFAIRLY’

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‘YOUR RIGHTS TO BE CONSULTED OVER POTENTIAL REDUNDANCIES ARE NOW SIGNIFICANTLY REDUCED’

HAVE YOUR SAYIn our campaigning and in� uencing, the CSP is keen to re� ect the views of members a� ected by the continuing attacks on employment rights. We are seeking volunteers for a panel comprising members, employed in all sectors, who are have a small amount of time to provide us with their views and experiences. There will be no meetings and all communications will be by email. Contact Tom Gill. Email: gillt@csp.org.uk

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Exercise can help older people with dementia

18 Physio findings

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

Exercise can ease some of the symptoms of dementia, according to a Cochrane review of 16 randomised controlled trials with a total of 937 participants.

‘There was promising evidence that exercise programmes can signi� cantly improve the cognitive functioning of people with dementia and their ability to perform daily activities,’ say Dorothy Forbes and colleagues.

Exercise might even delay the need for a patient to go into a care home.

Dorothy Forbes and

colleagues were looking at the impact of dementia on healthcare services and on family members who were carers, as well as on the patients themselves.

One study showed that the pressure on family carers might be reduced if they supervised their relative in an exercise programme.

‘Healthcare providers who work with people with dementia and their caregivers should feel con� dent in promoting exercise among this population, as decreasing the progression of cognitive decline

and dependence … will have signi� cant bene� ts for people with dementia and their family caregivers’ quality of life,’ the authors conclude.

They warn, however, that there was a lot of variation among results of the trials.Forbes D et al. Exercise programmes for people with dementia. Cochrane Database of Systematic Reviews 2013; http://dx.doi.org/10. 1002/ 14651858.CD006489.pub3

Researchers puzzle Confused about vitamin D? During the past few years de� ciency in this ‘sunshine vitamin’ has been linked with numerous health problems including heart disease, cancers and infections. Yet many questions remain about the nature of the link and about the role of supplements.

Our bodies make vitamin D naturally from the e� ect of sunshine on our skin, and use it to build strong bones. But fear of skin cancer has made people cover up more in recent years, and those of us living far from the Equator may not get enough during the winter anyway.

Researchers are still discovering its bene� ts. Children whose mothers had higher levels of vitamin D during

pregnancy have a stronger grip at the age of four, according to a study from the Southampton Women’s Survey. The authors are still investigating whether supplementation is required.

Supplements can be prescribed to people who have, or are at risk of, a speci� c condition. But they are not for everyone. Recent reports suggest that supplements are not required for general health or even to keep bones strong.

Mark Bolland and colleagues did a meta-analysis of published studies into vitamin D supplements’ e� ects on cardiovascular disease, cancers and fractures. They found little clear evidence of bene� t, except that vitamin D plus

PUBLIC HEALTH

DEMENTIA

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19

over vitamin D

• Giving brief advice in primary care is a cost-e ective means of increasing adults’ physical activity, researchers report.Anokye NK et al. British Journal of Sports Medicine 2014, http://dx.doi.org/10.1136/bjsports-2013-092897This appears in a special issue devoted to exercise, February 2014, volume 2, issue 3: http://bjsm.bmj.com/content/48/3.toc

• Middle-aged men who were � t in their teens are less

likely than others to have a heart attack, a study of nearly 750,000 men has found. But � t teenagers who were overweight had a

higher risk, despite their � tness, than those who were thin even ifun� t. Högström G et al. European Heart Journal 2014; http://dx.doi.org/10.1093/eurheartj/eht527

• Some 85 per cent of patients diagnosed with chronic obstructive pulmonary disease could have had an earlier diagnosis if their symptoms hadn’t been missed during an earlier visit to a doctor or clinic. Jones RCM et al. Lancet 2014; http://dx.doi.org/10.1016/ S2213-

2600(14)70008-6

calcium reduced hip fractures among elderly women in care homes.

‘In view of our � ndings, there is little justi� cation for prescribing vitamin D supplements to prevent myocardial infarction or ischaemic heart disease, stroke or cerebrovascular disease, cancer, or fractures, or to reduce the risk of death in unselected community-dwelling individuals,’ the authors report.

Some research suggests that rather than causing disease, vitamin D de� ciency might actually be caused by the in� ammatory processes involved in diseases.

This ‘would explain why low vitamin D status is reported in a wide range of disorders,’ say Philippe Autier and

colleagues. ‘In elderly people, restoration of vitamin D de� cits due to ageing and lifestyle changes induced by ill health could explain why low-dose supplementation leads to slight gains in survival.’

Supplementation could even be risky. Commenting in the Lancet, orthopaedic specialist Karl Michaëlsson concludes that ‘vitamin D supplementation might actually cause net harm’ when taken by people who don’t need it.Harvey NC et al. Maternal antenatal vitamin D status and o� spring muscle development: � ndings from the Southampton Women’s Survey. Journal of Clinical Endocrinology

& Metabolism 2014; http://dx.doi.org/10.1210/jc.2013-3241Bolland MJ et al. The e� ect of vitamin D supplementation on skeletal, vascular, or cancer outcomes: a trial sequential meta-analysis. Lancet Diabetes & Endocrinology 2014; http://dx.doi.org/10.1016/S2213-8587(13)70212-2Michaëlsson K. The puzzling world of vitamin D insu� ciency. Lancet Diabetes & Endocrinology 2014; http://dx.doi.org/10.1016/S2213-8587(14)70008-7Autier P et al. Vitamin D status and ill health: a systematic review. Lancet Diabetes & Endocrinology 2014; http://dx.doi.org/10.1016/S2213-8587(13)70165-7

Comments & Conclusions

Frontline www.csp.org.uk

British Journal http://

This appears in a special issue devoted to exercise, February

org/10.1093/eurheartj/eht527

• Some 85 per cent of patients diagnosed with chronic obstructive pulmonary disease could have had an earlier diagnosis if their symptoms hadn’t been missed during an earlier visit to a doctor or clinic. Jones RCM et al. al. al Lancet 2014;Lancet 2014;Lancet http://dx.doi.org/10.1016/ S2213-

2600(14)70008-6

B Boissonnet/BSIP/Science Photo Library

18_19_ L_5_Mar_Physio indings indd 7 26/02/2014 13 32

Physiothe

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:

Final 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

001001 irst indd 1 25/02/2014 08 25

10 & 11 OCTOBER

erapy s

• 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’ For more information and detailed guidance on the submission

of abstracts go to www.physiotherapyuk.org.uk

Deadline for entries: 13th March.

001001 irst indd 2 25/02/2014 08 25

5 March 2014

One in four of us will experience a mental health problem at some point in our lives, whether it is

depression, an addiction or a serious mental illness, such as schizophrenia. Mental illness often has a signi� cant impact on an individual’s health, creating signi� cant

levels of morbidity and mortality. Last autumn the

charity Rethink published a report titled Lethal

discrimination: Why people with mental illness are dying needlessly and what needs to change. This states that individuals with mental illness typically die about 20 years prematurely (Visit: www.rethink.org and search for ‘lethal’).

In response to growing concerns, the Department of Health recently released a pledge stating that mental health services must have parity with physical healthcare. This elevated mortality level is largely attributable to the high prevalence of physical health problems (particularly cardiovascular disease and obesity) among people with a mental health condition. However, treatment is available and our research has identi� ed

that physiotherapists are key in addressing the physical health needs of these individuals.

In non-mental health settings, physios are widely acknowledged as leading the way in addressing these physical health problems. However, the consideration of our role in academic literature and o� cial reports in reducing such common comorbidities in people with mental illness is scarce, and unjustly so. The reality is that physios have successfully worked in mental health settings for many decades but research has only recently started to ‘prove’ the extensive bene� ts we bring. For example, a recent review by Davy Vancampfort and colleagues found

Mental health and you

22 Frontline

VIEWS & OPINIONSin perspective

Harassment constitutes one of the main forms of unlawful discrimination under the Equality Act 2010. (This applies to England, Scotland and Wales; Northern Ireland has its own equality legislation). Three grounds constitute sexual harassment under the Act:• subjecting an individual to unwanted conduct relating to their sex

that has the purpose or e� ect of violating their dignity or creating an intimidating, hostile, degrading, humiliating or o� ensive environment

• engaging in unwanted verbal, non-verbal or physical conduct of a sexual nature that has the purpose or e� ect of violating someone’s dignity or creating an intimidating, hostile, degrading, humiliating or o� ensive environment

• treating someone less favourably because he or she rejected the unwanted conduct

Examples of harassing behaviour include unwanted physical touching or sexual comments, personal comments about a someone’s appearance, and non-verbal harassment, such as unwanted gestures of displays of pornographic pictures. A single incident can constitute harassment if it is of su� cient seriousness.

Women are more l kely to be at the receiving end of sexual harassment in the workplace. Some negative workplace cultures are characterised by a high level of ‘banter’, which, if it is of a sexist or sexual nature, can cause o� ence.

advice line

Sexual harassmentSaraka Keating unravels what is meant by the term sexual harassment and what you c

Jed Jones

22_23_ L_5 mar_Views&Ops indd 22 26/02/2014 13 33

Frontline – www.csp.org.uk

23

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

This Saturday is International Women’s Day. It’s an occasion for looking back on past struggles and accomplishments. More importantly, it is a chance to look ahead at the untapped potential and opportunities that await future generations of women.

As I think about this potential I look at how unrepresented women are in the very professional � elds in which we dominate.

The Equality and Human Rights Commission’s 2011 Sex and Power report tells us that women make up 51 per cent of the British population and girls are routinely outperforming boys at both school and university. Though well-quali� ed women are entering the labour market in increasing numbers, as well as populating the ranks of middle management, these changes are not yet re� ected in the senior ranks. Within the NHS only one health trust chief executive in three is a woman. While this rate might seem reasonably high, you have to remember that, according to the King’s Fund, 80 per cent of the non-medical workforce is female.

Norway imposed a 40 per cent quota for women on corporate boards as the result of studies that showed that the more women there are at the top of a company the better its � nancial performance (http://dtcormier.com/wp-content/uploads/2010/10/2006BusinessStrategies.pdf). Would the NHS bene� t from a similar scheme?

And as we look beyond the UK the problems encountered by women become starker and more frightening. Women make up more than 50 per cent of the global population, but � ll less than 20 per cent of all parliamentary seats. Is that why we see women accounting for 70 per cent of the population living in absolute poverty (on less than $1 (US dollar) a day). And why globally girls are less likely to reach adulthood because of gender discrimination. Tens of millions of girls have been aborted, killed, undernourished, or terribly neglected due to their gender.

Hopefully, this column will encourage you to re� ect and � nd out what’s happening in your area to celebrate the Day.

For more information, visit: www.internationalwomensday.com/esearch.asp?country=221

Clare Ronald is a CSP senior negotiating o� cer

that physiotherapy interventions lead to a reduction in psychiatric symptoms and psychological distress, and improves quality of life in individuals with schizophrenia. Other research has shown that physios can identify important barriers and avenues to physical activity. Encouraging higher levels of physical activity is an essential component in tackling many of these physical health conditions.

Some colleagues and I are building on this research and de­ ning our role in mental health by drawing on the experience of members of the International Organisation of Physical Therapists in Mental Health (a sub-group of the World Confederation for Physical Therapy). This work shows that physios have a diverse role and act

as a key bridge between physical and mental health while being integral in health promotion e� orts. The research also emphasised that working with people with mental illness is a task for all – not just those in mental health settings. It is likely that this month, regardless of the setting in which you work, you will come across a person with a mental illness. The reality is that physiotherapy has much to o� er people with mental illness and we can all play a central role in improving the health of people with mental illness.

Visit: www.researchgate.net/pro� le/Brendon_Stubbs/?ev=hdr_xprf

Brendon Stubbs, physio and PhD candidate, University of Greenwich

International Women’s Day falls on 8 March. Claire Ronald explains why it’s so important

Women’s Day Brendon Stubbs says physio sta� can play a key in improving the overall health of those with mental illness

While it’s important to enjoy work and share a joke with colleagues, you need to think about how others may perceive what you are saying. When deciding if there has been harassment, whether someone intended to cause o� ence when they told the joke is less important than how it’s likely to be perceived, particularly by the person it was aimed at.

Don’t expect them always to say when they’ve been o� ended either – victims of harassment often don’t feel con� dent enough to challenge it, especially when there’s a big group of people laughing along, so they may pretend to share the joke as a way of coping. Cases should be reported: your manager must ensure that sta� are treated equally and not subjected to discrimination or harassment.

Visit: www.csp.org.uk/publications/harassment-workplace

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

u can do to counter it

viewpoint

22_23_ L_5 mar_Views&Ops indd 23 26/02/2014 13 33

24Lymphoedema

The AberTAwe bro MorgAnnwg lyMphoedeMA TeAM wAs nAMed overAll winner AT lAsT yeAr’s Csp AwArds. TeAM

leAd MelAnie ThoMAs Tells gill hiTChCoCk AbouT iTs ApproACh

Raising the gold

sTAndArd

WhatifanNHSteamtreatedindividualswithlong-termanddebilitatingillnesssuccessfullyandtaughtthemtoself-managetheirconditionforjust69paday?Andwhatisahospitalteamdelivereda100percentreturnon

investmentfortheNHS?MelanieThomassaysthatbyenablingpatientsto‘seethe

rightperson,attherighttimeandwiththerightinformation’,thelymphoedemateamatAbertaweBroMorgannwg(ABM)UniversityHealthBoardisdeliveringthesefinancialbenefitsforNHSWales.

Lymphoedema,achronicswellingduetolymphaticsystemfailure,affectsfivepeopleinevery2,000inWales,andthebenefitscanbesignificantforthemtoo,maintainsMrsThomas,theleadMacmillanlymphoedemaphysiotherapistspecialistatABM.

ShemanagesaSwansea-basedteamoffourphysios,threenurses,anoccupationaltherapist(OT)andaradiographer.Theservicetheyprovidemeanspatientscanavoidaprotractedroundofreferralstodisparateservices,delayingtreatment,prolongingsuffering,whilecoststothehealthservicerise.

OneexampleisamanwhofirstarrivedatMrsThomas’cliniclastJune2013withgrossgenitalswellingcausedbyrepeatedcellulitis,acommonresultoflymphoedema.AfternumerousvisitstohisGP,hewas

referredtoadermatologist,who,inturn,referredhimtoaurologist.MrsThomastaughthimaboutskincareandensuredhereceivedthecorrectantibiotics.Asaresult,theswellingrapidlysubsidedandtheinfectioncleared.

‘Fromaqualityoflifeperspective,thatgentlemanisnowbacklivinganormallife,whereaspreviouslyhewasinandoutofhospital,workwasaffectedandhewasadrainontheNHSbecausehehadanuntreatedproblem,’shesays.

‘Butaftertreatmentatourclinic,hewasbackatworkstraightaway,abletogoswimmingandrunningagainandhe’swell.Andfromasexualitypointofview,everythingisfine.’

Theservicehascomealongwaysinceitsearlydays2001whenMrsThomasstruggledtogetfunding.In2013itwonthreeawards:inNovembertheCSP’sawardsfor‘deliveringqualityanddemonstratingimpact’and‘physiotherapyserviceoftheyear’awards;andthepreviousmonthitwasnamedMacmillanCancerSupport‘teamoftheyear’.

‘It’srecognisedasagoldstandardservice’saysMrsThomas,whosecapacitytoevangeliseaboutABM’sapproachwasenhancedin2011whenshetookonanadditionalroleaslymphoedemanationalclinicalleadfortheWelshGovernmentanda£1millionbudgettoshake-upservices.

5 March 2014Want to apply for the 2014 Csp Awards? Look at for the launch on 4 April

24_27_ L_5_Mar_swansea indd 2 26/02/2014 13 35

‘IT’S ALL ABOUT RAISING AWARENESS OF LYMPHOEDEMA. THE MORE PEOPLE WE CAN GET TALKING ABOUT LYMPHOEDEMA, THE BETTER’Melanie Thomas

Phot

os: S

imon

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24_27_ L_5_Mar_swansea indd 3 26/02/2014 13 35

Two years earlier, in 2009, Mrs Thomas had produced a strategy document for the government, at a time when there were huge variations in the organisation and delivery of lymphoedema services in Wales. While some local health boards were providing full services, others only treated cancer patients. Clinics ranged from lone practitioners to small teams; waiting and treatment times varied.

Prevention better than cureThe Welsh Government recognised that this diversity resulted from a lack of patient-centred care, and the poor level of knowledge about the disease among health professionals and the public alike. Many people with lymphoedema were going without a diagnosis and treatment for long periods.

The strategy sets out that each local health board must establish or improve dedicated lymphoedema services. Specialist lymphoedema services must be placed within hospitals with community clinics or hospitals providing management and monitoring of this chronic condition.

Each local health board must have a nominated lead lymphoedema professional who will ensure protocols, care pathways and standards of lymphoedema are being met, it sets out.

The document proved to be a catalyst and by 2012 all seven health boards had a lymphoedema team. Wales now leads the UK by o� ering patients the chance to have assessments and full intensive treatment, as well as preventive care.

‘We see all patients with breast cancer, penile carcinomas, gynae cancers, melanomas, head and neck cancers even before they have their operation now. We can tell them what they should and shouldn’t be doing, and we follow them up for a year,’ she says.

‘And it’s that year that’s vital. Of those who get lymphoedema, 80 per cent will develop it within that � rst year. Ultimately, prevention is better than cure. If we can pick these people up when they have only very mild swelling, then they are not going to develop these elephantitic limbs that used to be the case.’

At rehabilitation classes, typically held in local leisure centres, Welsh lymphoedema services encourage patients to exercise and eat healthily. As Mrs Thomas explains: ‘Patients can blame their obesity

on lymphoedema, when their weight problem is actually causing the lymphoedema.’

Health professionals from elsewhere in the UK and countries including New Zealand, the US, Spain and Germany are looking to ABM for advice. ‘In our services we promote self-management, but when you look at services where people pay for their care through insurance, it’s more about getting the care, rather than doing the care themselves.’

Self-management and multidisciplinary working are central to the success of the ABM team: ‘We will ask patients “How do you wash your legs?” The physios will get the patients to do it themselves, the nurses will go on their knees and wash the legs for the patient and the OT will give them an aid to wash their legs. So we have the full spectrum.

‘But as a physios we try and promote as much movement and functional ability as possible and get patients to realise and understand what they can do for themselves. Things like manual lymphatic drainage, a massage technique, and putting on compression garments, we get them to do it themselves.’

Patient support groupAnother key component is the monthly patient support group, which was established in 2001. Up to 20 patients attend and team members often deliver 30-minute ‘ask the expert’ sessions.

How does the Welsh Government evaluate the service? Mrs Thomas explains that a management software system, Lymcalc, records most aspects of the services across Wales: ‘If you wanted me to tell you how many lower limb patients or upper limb patients we have, I could do that; how many new patients are seen, whether they are cancer or non-cancer, home visits, intensive treatments – anything you could wanted to know, we capture it.

The multi-disciplinary lymphoedema team members includes physios, a secretary, specialist nurses, assistants,

an occupational therapist and a radiographer. Some posts are Macmillan funded. From the left: Sian Clement; Beverley Morgan;

Kaja Hopper; Jodie Denniss; Melanie Thomas; Kelly Chislett; Elizabeth Coveney; Rebecca Darby; and Patricia Roberts

5 March 2014

24_27_ L_5_Mar_swansea indd 4 26/02/2014 13 36

www.csp o g ukwww.csp o g uk

‘We also look at how each of the health boards is performing and it enables us to do quite a lot of performance management.’

The software was behind the introduction of a mobile lymphoedema unit, after it showed that a high number of patients from the Bridgend area failed to attend appointments at the clinic in Swansea, a return journey of about 70 miles.

‘So we put a mobile unit Bridgend’s McArthur Glen shopping village and we have an average of 28 patients a week. This unit then, on di� erent days of the week, goes to di� erent health boards, so it’s shared across the whole of Wales,’ Mrs Thomas explains.

But funding for the mobile unit, with its � ve clinical rooms, comes from Cardi� -based cancer charity, Tenovus. Without three years of � nancial backing from Macmillan Cancer Care and the Big Lottery Fund the Swansea team is unlikely to have developed its exemplary services.

Asked whether she has concerns about this reliance on charity and the lottery, Mrs Thomas responds: ‘If it wasn’t for Macmillan we wouldn’t be where we are today in lymphoedema services in Wales.

‘And because of Macmillan and getting posts in place because of its funding, we were able to show how much we saved and how much bene� t for patients it was.’

Key role for band 4 assistants Since the service started in 2001, the charity has pump primed four band 7 posts with about £400,000, while the service gets more than £520,000 a year from the local health board.

Despite the service improvements, lymphoedema patients in Wales may still have to wait 18 weeks for treatment, which seems like a long time. ‘It does,’ Mrs Thomas agrees. ‘Ideally patients should be seen within six weeks,’ she says.

‘We have got so many patients, and what we are � nding now is that our capacity is really high and the only way we can control it is by making sure we have waiting lists.’ Patients classi� ed as ‘urgent’ are seen within four weeks, those needing palliative care within 10 days and ‘routine’ patients are seen within 18 weeks, Mrs Thomas explains.

The Welsh Government aims to cut that wait to 12 weeks by 2016. Mrs Thomas believes this will be achieved by using the right skill mix, with highly experienced sta� dealing with complex cases, while band 4 assistants take on mild to moderate cases.

She thinks there should be more collaboration with primary care, so that GPs and other primary care sta� know more about lymphoedema and are willing to work collaboratively with specialist teams.

For Ria Lewis, a Macmillan specialist physio with the ABM team, lymphoedema is a fascinating area. ‘It was probably outside my comfort zone originally. I had only really worked on wards or in musculoskeletal outpatient-type environment. But I had worked in oncology and it was really nice not only to be able to see the acute side of treatment, but also the long-term management of oncology patients,’ she says.

Her colleague and fellow Macmillan specialist physio Sian Clement enthuses: ‘I just love working in this team, it’s a second family to me and everybody I work with is very close to my heart.’

At least in part, this must be down to the leadership of Mrs Thomas, who was awarded an MBE in June 2013 for her Wales-wide work on lymphoedema.

‘Last year was an amazing one for accolades,’ she says. ‘But it’s all about raising awareness of lymphoedema. That’s my big thing. The more people we can get talking about lymphoedema, the better.’ �

27Physiotherapist Sian Clement, works with Kathryn, a patient at the unit (surname withheld)

24_27_ L_5_Mar_swansea indd 5 26/02/2014 13 37

Therapy for your wallet

RUNNING OUT OF ENERGY OPTIONS? Fuel prices are at record highs. So let CSP plus fi nd you the best energy deal.

RUNNING OUTRUNNING OUT

Go to www.csp.org.uk and login to the members’ area.

Union Energy’s free 100% impartial energy price comparison service for all CSP members will � nd the most competitively priced gas and electricity providers in your area to help keep your home energy bills as low as possible. And if you register for our Ongoing Monitoring Programme we’ll contact you again when energy prices change to ensure that you continue to save money in the long-term. It only takes a couple of minutes to � nd out how much you could save. Average member saving is currently £205.65 on dual fuel.

Terms and conditions apply. See website for details. Available in Mainland England Scotland and Wales only. Includes every tari� available on the switching market.

000985_New Union Energy Matches Ad_V3 indd 1 25/02/2014 08 33

Frontline – www.csp.org.uk

Student practice education (SPE) is a core activity for everyone involved in physiotherapy. Whether you work in a higher education institution

(HEI) or a practice setting, you have a role to play. Non-physio colleagues can also help to ensure that graduates are equipped for practice.

As student practice placements extend into less traditional settings, such as charitable organisations, care homes and workplaces, we must ­ nd new partners to support student learning. The CSP’s guidance is available at the ‘practice educator’ section of the new CSP Practice Education Information,Support and

Guidance resource. Visit: www.csp.org.uk/publications/practice-education

In these times of continuous change in education and health and social care, physiotherapy educators and students are learning how to adapt, meet new challenges and work in di� erent ways. ‘Co-learning’ between previously more distinguishable educator and learner, although already part of SPE (explicitly or tacitly), may therefore become more prominent. While a dual role of learner and educator may be challenging for some, all parties transparently assuming the role of co-learner can bring great bene­ ts to a practice environment.

These may include reinforcing the need

for continuing professional development (CPD), strengthening learning cultures, establishing the availability of learner peer support, recognising more activities as learning and expanding leadership opportunities.

SPE should therefore incorporate co-learning for CSP members at all levels as new ways of working are explored together across pre-existing seen or unseen boundaries. It is important for learning associated with this to be recognised and promoted – to raise awareness, build con­ dence in adapting to change and inform further learning to ensure that physiotherapy continues to be ­ t for purpose in the future.

IN THE SECOND OF A TWO-PART CPD SERIES TO SUPPORT PEOPLE INVOLVED IN STUDENT PRACTICE EDUCATION, CSP ADVISER JENNIFER DUTHIE EXPLAINS

HOW LEARNING OPPORTUNITIES CAN BE EXPLOITED BY EVERYONE

All forONE

✁ CPD 29

29_30_ L _5_Mar_CPD indd 1 26/02/2014 13 37

Students, practice educators and others have many opportunities to learn together, and from each another. Co-learning can be a stimulating and rewarding experience for all. Establishing co-learning as ‘normal’ practice helps to promote service settings as rewarding learning environments. Are you making the most of SPE by recognising and promoting co-learning opportunities?

* See Frontline, 19 February, for � rst article in this series.

EXAMPLE OF HOW SPE CAN PROVIDE CO-LEARNING OPPORTUNITY: STAND UP FOR CARE AND COMPASSION

HOW TO USE THIS ARTICLE FOR YOUR CPDPractice educators (and others): Include examples of co-learning when you are re� ecting on your professional development related to SPE. You may wish to make notes of how you need to learn and work with others if you plan to change how you deliver SPE in response to contemporary service demands

Students (and others): Consider broadening the documented outcomes of your learning from SPE.

Include learning from helping others in co-learning situations.

You might � nd it useful to refer to the ‘student’ section of the new CSP Practice Education

Information, Support and Guidance web folio. Visit: www.csp.org.uk/publications/practice-education

Scenario Student learning and development

Practice educator’s (and others) learning and development

In a multi-professional community care case conference, another health worker refuses to accede to a patient request. Mrs Smith asked not to seen on Mondays when a family member visits. Your colleague says she is lucky to be seen at all. ‘We can’t have patients dictating when we can and can’t see them,’ she says.

Self-re� ecting on values and behaviours.

Participating in a team discussion about individual patients’ needs and rights and scope for � exibility in a strained system

Observing how this situation is dealt with (or not) by the multi-professional team.

Raising concerns and questions with practice educator

Self-re� ecting on values and behaviours

Participating in a team discussion around a patient’s needs and rights and possibilities for � exibility within a strained system

Debating issues and challenges with student, linking discussion to CSP Code of Members’ Professional Values and Behaviour. Visit: www.csp.org.uk and search for ‘code members’.

For HCPC standards of conduct performance and ethics, visit: www.hpc-uk.org/publications/standards/index.asp?id=38

The patient is aged 90 and has limited social contact, only being visited by her son on Mondays.

Raising awareness of expected service standards and policies (whistleblowing, for example) Contemplating how to deal with similar situations in the future

Challenging and supporting other team members to re� ect on their beliefs, attitudes and behaviours to promote the delivery of services, incorporating care, compassion and person-centredness

Re� ecting on how similar situations may be addressed in the future

EXAMPLE 2: STUDENT PLACEMENT IN A DAY CENTRE

Activity Student learning opportunities

Practice educator’s learning opportunities

Supporting a student in an area where a physio doesn’t normally work full-time (stroke charity day care)

Placement split between ward and day centre

Long-arm supervision used to support the student while working in the day centre

Gaining an understanding of:• daily challenges

encountered by people living with stroke

• community services • communication issues • mobility issues • general e� ects of brain

damage or injury• value of physiotherapy in

day care

Developing the following skills:• communicating with stroke

patients, carers, support workers and professionals

• working independently• movement analysis• helping others cope with

long-term conditions• learning from a range of

people and sources as CPD

Gaining a better understanding of:• collaborating with new

partners • sharing respons bility

for student learning and welfare

• ‘long-arm’ student supervision

• facilitating student independence within their scope of practice

• helping others take a holistic, person-centred physiotherapy approach

• local services • roles of the voluntary sector • how stroke patients’ needs

can change • value of physiotherapy in

stroke day care• learning from a range of

people and sources as CPD

30 CPD

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

29_30_ L _5_Mar_CPD indd 2 26/02/2014 13 38

We are the UK’s only professional, trade union and educational body for people working in physiotherapy

Join today!

Are you a Support Worker*?The CSP can give you all the support you need, including:• Specialist union representation• Career development• Professional guidance

More details at: www.csp.org.uk/membership

To request a pack call us on: 020 7306 6666 or email: enquiries@csp.org.uk

*With some physiotherapy duties

The CSP can give you all the support you need, including:• Specialist union representation• Career development• Professional guidance

www.csp.org.uk/membership

020 7306 6666enquiries@csp.org.uk

000341KH indd 1 06/02/2012 14 50

5 March 2014

32 Mentoring

There are currently about 3,000 overseas quali� ed members of the society. Many have been in the UK for many years and are fully settled, but there is an increasing number of new arrivals.

Every year about 500 new overseas quali� ed physiotherapists apply to the Health and Care Professions Council (HCPC) to obtain legal registration to practise here.

On arrival, they face a number of challenges. Meeting the HCPC’s requirements can be a lengthy and demanding task, and applicants often volunteer to gain work experience before they are able to secure paid employment.

In addition, many have to negotiate subtle cultural di� erences; master an understanding of the complicated structure of the NHS and adjust to the way physiotherapy operates in the UK.

To support people in this situation the society has launched a new mentoring scheme, which is designed to help overseas quali� ed members adapt to professional life in the UK.

Birgit Mueller-Winkler, the CSP’s professional adviser for international development, says the scheme will provide an easy way for members to learn from each other.

‘We are o� ering members an opportunity to get in touch and share experiences which might be helpful,’ says Mrs Mueller-Winkler.

‘It will allow individuals who are fairly new to the UK to bene� t from the advice, insight and knowledge gained by members who have been here much longer.’

The CSP can put newcomers in touch with a mentor who quali� ed in their country or in a similar geographical region.

All the mentors are volunteers. Mrs Mueller-Winkler explains that each mentoring session will be conducted in an informal manner, and in a style that suits each individual.

‘The mentors will set the scene and decide how they want to communicate,’ says Ms Mueller-Winkler.

‘It could be by email, by telephone or by meeting-up in person. And it is up to each mentor to decide how much time they want to dedicate. It could be a one-o� or a regular occurrence.’

The content of mentoring sessions will also vary, but Mrs Mueller-Winkler says the advice will not concentrate on subjects such as techniques or physiotherapy standards. Rather it will focus on topics such as cultural and social di� erences, promoting e� ective communication with colleagues and patients, dealing with commonly encountered problems and raising self-con� dence.

The mentors are also set to bene� t from the scheme, says Mrs Mueller-Winkler, as it will o� er a good continuing professional development opportunity.

‘For the volunteers it provides some experience of managing people, understanding their concerns and giving guidance. It also allows them to re� ect on their own history and assess their own experiences.’

For more information on the scheme, or to volunteer as a mentor, contact CSP professional adviser Birgit Mueller-Winkler. Email: international@csp.org.ukVisit: www.csp.org.uk/membership/overseas-quali ed

AS THE CSP LAUNCHES A MENTORING SCHEME FOR OVERSEAS QUALIFIED MEMBERS WHO ARE NEW TO THE UK, ROBERT MILLETT SPEAKS TO FOUR PHYSIOS WHO HAVE ALREADY MADE THE MOVE

Guiding the 32_34_ L_5_Mar_overseas indd 2 26/02/2014 13 46

Frontline – www.csp.org.uk

33

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

way

MYLESS MWANZA Myless Mwanza works for Whittington Health NHS Trust in London, where she is an outreach lead therapist in intermediate care.

Originally from Lusaka, Zambia, she has worked in the capital since 1995.

‘I always wanted to specialise in neurological rehabilitation and complex needs and working in the UK

gives you the � exibility to practise your speciality,’ says Mrs Mwanza.

‘But it was hard work at � rst to adapt. The environment, the culture and the structure

were all very di� erent.’In light of her own experience Mrs

Mwanza believes the mentor scheme is a good idea. She recently participated

in an induction day for overseas-trained physiotherapists, and she has already volunteered to be a mentor on the scheme.

‘Britain has a lot of cultural diversity so it is important that we develop and acquire a broad skills mix,’ says Mrs Mwanza.

‘Physiotherapists everywhere follow the same practices. Knowledge, skills, standards and ethics are the same in most countries, but what sometimes di� ers is the workload, and the attitude of patients and the general public.

What would her ‘take home’ message be? ‘My advice is to practise as a professional. Respect each patient’s values and national culture and treat each person as an individual.’

MYLESS MWANZA Myless Mwanza works for Whittington Health NHS Trust in London, where she is an outreach lead therapist in intermediate care.

Originally from Lusaka, Zambia, she has worked in the capital since 1995.

‘I always wanted to specialise in neurological rehabilitation and complex needs and working in the UK

gives you the � exibility to practise your speciality,’ says Mrs Mwanza.

‘But it was hard work at � rst to adapt. The environment, the culture and the structure

were all very di� erent.’In light of her own experience Mrs In light of her own experience Mrs

Mwanza believes the mentor scheme is Mwanza believes the mentor scheme is a good idea. She recently participated

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DANIJELA JOKSIMOVIC Danijela Joksimovic hails from the town of Užice in Serbia but now works in London as a bank physiotherapist at Guy’s and St Thomas’ NHS Foundation Trust.

After graduating in 2007 she worked in Serbia for a year before deciding to move to the UK. However, becoming recognised and registered as a physiotherapist proved to be a di� cult process.

‘Unlike in most other European countries physiotherapists in the UK are autonomous practitioners, so I wanted to develop my career here – plus I fell in love with London,’ says Miss Joksimovic.

‘But it took me almost � ve years to gain my HCPC registration and � nally start working as a physiotherapist.’

While waiting for her registration she worked as a physio rehab assistant at the Royal Marsden NHS Foundation Trust. She says it was a di� cult, yet simultaneously rewarding, time and credits the support of her physiotherapy leads – along with guidance she received from the CSP – for helping her through the process.

Miss Joksimovic says the mentoring scheme is ‘a brilliant idea’ and believes it will make the transition process for overseas quali� ed members much easier.

‘Dealing with a di� erent language, a di� erent culture and lots of cultural diversity makes everything much more interesting.’ She adds: ‘It is, however, very challenging.’

MARGIT HANSSENMargit Hanssen comes from the city of Aarhus, Denmark, but now lives in Swansea.

She works as a band 5 physiotherapist for Abertawe Bro Morgannwg University Health Board.

After graduating in January 2011, Ms Hanssen initially worked in Denmark as a physiotherapist on a hyper-acute stroke unit, before moving to the UK to be with her partner.

Like many overseas-quali� ed members she started o� working as a volunteer, in her case on an NHS rehabilitation ward. She soon found there were lots of di� erences in our health system, and these took time to get used to. One example is the banding scale, which does not exist in Denmark. As Ms Hanssen explains,

physiotherapists in her country are generally ‘all regarded the same way’ regardless of their experience.

But the greatest challenge she faced was securing a job. ‘The whole process of writing applications and going to interviews is very di� erent here, so that took a very long time to learn and adjust to,’ she says.

In this context Ms Hanssen is very enthusiastic about the potential bene� ts of the mentoring scheme.

‘I think it’s a great idea and I have already volunteered to be a mentor. Hopefully it will help with the type of cultural di� erences that I met when writing applications and attending interviews.’

CHIRAG PATEL Chirag Patel is originally from the Himatnagar, Gujarat, India, but he has lived and worked in London for the last eight years.

After graduating in India in 2003 he spent two years working as a junior physiotherapist before he came to the UK, seeking to expand his knowledge. He is now the clinical lead physiotherapist for the adult therapy and intermediate care team at Lewisham and Greenwich NHS Trust, but he says � nding a job was no easy task.

‘I got 18 refusals from interviews while looking for my � rst job,’ he says.

‘But I didn’t lose courage and just kept applying.’ Mr Patel is an active member of the CSP’s overseas-quali� ed

physiotherapist iCSP network and he thinks the mentoring scheme is needed, because overseas-quali� ed physiotherapists face a lot of challenges.

‘The UK has a very di� erent healthcare system,’ says Mr Patel.

‘There is a lot of emphasis on multidisciplinary team working, the social model of care and detailed documentation. There are also communication and cultural di� erences and variations in patients’ expectations.

‘You have to overcome all these by learning from others, on the job observations and learning by doing.’

‘I GOT 18 REFUSALS FROM INTERVIEWS WHILE LOOKING FOR MY FIRST JOB, BUT I DIDN’T LOSE COURAGE AND JUST KEPT APPLYING’ Chirag Patel

34 Mentoring

But the greatest challenge she faced was securing a job. ‘The whole process of writing applications and going to interviews is very di� erent here, so that took a very

In this context Ms Hanssen is very enthusiastic

‘The UK has a very di� erent healthcare system,’

‘There is a lot of emphasis on multidisciplinary team working, the social model of care and detailed documentation. There are also communication and cultural di� erences and variations in patients’ expectations.

‘You have to overcome all these by learning from others, on the job observations

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

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YELLOWYELLOWROCKROCK

IT COMES IN YOUR COLOUR

www.grahamegardner.co.uk/cspImage does not represent actual colours. See website for full range and options.

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Panel members include experienced researchers, service users, a statistician and a health economist.

The Panel reviews research proposals for funding to the CSP Charitable Trust on an annual basis. The Panel in particular administers the funds of the Physiotherapy Research Foundation, Robert Williams Award and Special Awards.

In particular we are looking for:• An experienced researcher

What does Panel membership involve?• The term of offi ce is four years• Two meetings are held at the Chartered Society of Physiotherapy each year in May and November. The November meeting is held over two days• Preparation for meetings is expected i.e. reading and assessing the following: outline proposals, main research proposals, and reports• Travelling and subsistence expenses are paid for attendance at meetings.

What is required?To join the Panel you will need to provide evidence of:• Research experience either in clinical practice or in a university• A three year (minimum) publication record• Success in obtaining research grants/awards

• Supervising research projects either staff or post-graduate students• Committee work.

With expertise in either:• Qualitative research methods• Paediatric expertise• Neurology expertise• Older people expertise• Respiratory expertise.

To apply please submit:• A 300 word statement including why you are interested in becoming a member of the Scientifi c Panel and your personal experience of research• A copy of your CV.

Applications should be sent via email to: prfaward@csp.org.uk

The closing date for applications is: 5pm, Friday 28 March 2014

The CSP Charitable Trust

Scientifi c Panelis now recruiting for members

The Scientifi c Panel is now recruiting for members. This is an invaluable opportunity for members to work with

the CSP in promoting and developing physiotherapy research, ensuring that the highest quality research proposals are funded.

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

CSP Charitable TrustRegistered Charity No. 279882

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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

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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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5 March 2014

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Get involved! Meet the following central CSP representatives at your March forums. Hear the CSP messages and tell them what’s important to you: • Rachel Newton, public a� airs and policy o  cer – North East and South West• Catherine Smith, associate member o  cer – East of England and South Central• Sarah Bazin, vice president – East Midlands• Anne Jackson, English networks programme manager – Yorkshire and the Humber, South East Coast, East of England, North East, South Central and London.

Catherine Smith encourages associate members to get involved and would like to talk to anybody interested. Students are encouraged to attend where they can.The Forums are generally well attended by

managers, practitioners (including private) and educators.

Make sure somebody from your workplace attends and keeps you in touch. There is particular a call for members in Northamptonshire, Lincolnshire, Bedfordshire, Hertfordshire, Cornwall, and Sta� ordshire to get involved.

Informed and proactive colleagues are good for your service or business. Most attendees, (96 per cent) at the December forums, felt inspired to actively promote physiotherapy to clinical commissioning groups (CCGs), patient opinion groups, public health, local authorities and others.

Grant Group encourages bids for innovative regional activityAt each yearend the Regional Networks, along with the Country Boards, report on their activity and bid for funds for the year ahead. CSP Grant Group met on 13 February and awarded funds based on the reports and plans.

There is a second funding round in July 2014 and Grant Group encourages Regional Networks to be innovative in their bids. If you have ideas, for example, on how to share good practice or how to spread the message that Physiotherapy Works please take them to your March forum or contact your chair directly.

The Grant Group is Tony Cox, vice president (chair), Liz Hancock, Scottish Board chair, Philip Hulse, English Network Forum chair and Sue Browning, deputy chief executive.

Tony Cox

East of EnglandMarch Regional Forum with AGM – your chance to get involvedDate: Saturday 15 MarchTime: 11am – 4pm including lunchPlace: Rosery County House Hotel, 15 Church Street, 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

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English networks news

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North WestMarch Regional Forum – your chance to get involvedDate: Monday 17 MarchTime: 6pm – 8pm Place: Lancashire Teaching Hospitals NHS FT, Chorley Hospital, Preston Road, Chorley, PR7 1PPContact: Please tell your chair, Jo Lishman, that you will attend northwestchair@csp.org.uk

Physiotherapy and return to work – a video presentationThe North West project on regional MSK services began with a survey of how clinicians integrated return to work into their practice. This was compared with evidence based guidelines and the challenges for practitioners identified.

To help physiotherapists overcome these challenges identified, lead researcher, Nick Clode, has made a video. It covers issues such as confidentiality and the AHP fit note.

Look at the video and say what you think. Is it useful to you as, for example, a student, practitioner or educator? http://www.csp.org.uk/returntowork

Please note that the video is entirely Nick’s work, the Regional Network is not responsible for its content. Nick thanks contributors and all in the North West who responded to the survey.

Nick Clode

MSK physiotherapy service improvement projectThis delivered sustainable reductions in waiting times and DNA rates in a diversity of MSK services.

It began with North West MSK physiotherapy service leads comprehensively benchmarking potential areas of service improvement: • service eligibility and standard care pathways• waiting times/DNA rates• new to follow-up ratios• locations• length of appointments• access to diagnostics• skill mix• clinical outcomes.Read the report at http://www.csp.org.uk/publications/north-west-region-musculoskeletal-physiotherapy--service-improvement-project

Regional meeting in Manchester on 2 December

At the meeting

Rachel Newton

General discussion included:• Reflection on the success of the autumn study day with 59 attendees and excellent feedback • Discussion of key CSP Council papers• Macclesfield and Cumbria branch reports • Restructuring and the challenges that this brings • Our proposed ARC motion on the difficulties that ‘return to practice’ physiotherapists face in finding placements.

Influencing the new NHS structuresRachel Newton, public affairs and policy officerRachel demonstrated the presentation on the new NHS structures http://www.csp.org.uk/professional-union/nhs-changes/england/get-grips-englands-new-health-system

She said that decision makers in the new structures don’t necessarily know what physiotherapy does and it’s important to tell them. She said ‘centrally the CSP can help with advice and materials but you have the local contacts. To get physiotherapy’s message heard we need you to be involved.

Rachel said that Regional Networks have an important role to play in encouraging member activity and inviting key decision makers to forums and events.

Rachel’s job involves writing policy responses and noted that CCG’s annual plans go out for comment. She said, ‘if you decide to respond to your CCG’s annual plan contact me and I can help with some template paragraphs that you can adapt’.

Rachel spoke about some of the local structures that are involved in decision making and need to hear about physiotherapy: • CCGs – commission most services but not primary care • Local Education and Training Boards – plan and commission education• Clinical senates – provide clinical expertise• Academic health science networks – get research into practice

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• CommissioningSupportUnits–support thecommissioners• Localauthorities–haveincreasing opportunitiesforphysiotherapy• Publichealth–focusedonhealth lifestylesandreducinginequality• HealthScrutinycommittee–oflocal councillors,mustbeconsultedonservice reorganisation• LocalHealthwatch–advocatesfor patientsandthepublic.

Is there anybody that you already have contact with or may be able to contact? Could you share this at your local forum? Findoutmoreabouthowyoucanmakeadifferenceathttp://www.csp.org.uk/publications/get-grips-englands-new-health-system

Rachelsaid‘ItwaslovelytogetanopportunitytocometoManchesterandmeetyou.ItwasreallygoodfunandIwassoimpressedyourpracticalactivism.Ilookforwardtoanothervisit!’

Cumbria Branch eventsMotor re-learning a problem solving approach with Gemma AlderDate: Saturday22MarchTime:FulldayPlace:CumberlandInfirmary,CarlisleCost:£40.Chequesto‘CSPCumbriaBranch’.Contact:Branchsecretarymornamcdowell@cumbria.nhs.uktobookaplace

South CentralMarch Regional Forum with AGM – your chance to get involvedDate: Wednesday19MarchTime: 12.30pm–4.30pmPlace: BoardRoomA&B,SolentNHSTrust,AdelaideHealthCentre,WilliamMacleodWay,SouthamptonSO164XEContact:Pleasetellyourchair,KimBrown,thatyouwillattendsouthcentralchair@csp.org.uk

South East CoastMarch Regional Forum with AGM – your chance to get involvedDate: Thursday13MarchTime: 10.30am–1pmPlace:Room112,AldroBuilding,UniversityofBrighton,RobertDoddBuilding,DarleyRoad,EastbourneBN207URContact: Pleasetellyourchair,HelenBalcombe,thatyouwillattendsoutheastcoastchair@csp.org.uk

South WestMarch Regional Forum with AGM – your chance to get involvedDate: Wednesday19MarchTime:1pm(lunch)–5pmPlace:ExeterCourtHotel,Kennford,Exeter,EX67UXContact:Pleasetellyourchair,NikkiParfitt,thatyouwillattendsouthwestchair@csp.org.uk

West MidlandsMarch Regional Forum with AGM – your chance to get involvedDate: Monday24MarchTime:10am–1pmPlace:Room121,MuirheadTower,BirminghamUniversity,Edgebsaton,BirminghamB152TTContact: Pleasetellyourchair,JanetDavies,thatyouwillattendwestmidlandschair@csp.org.uk

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

Association of Chartered Physiotherapist in Neurology (ACPIN) - SussexSussex ACPIN presents:Pilates Practice in NeurologyA Regional Study Day and AGMDate: 26April2014Time:9.30am-4.30pmPlace:WorthingPhysiotherapyGym,WorthingHospital,LyndhurstRoad,Worthing.

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

NewsfromtheCSPEnglishRegionalNetworks,branchesandCountryBoardsYou can access more information at www.csp.org.uk/nations-regions

Send Frontlineyour Professional Network notice directory@csp.org.uk

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

Association of Chartered Physiotherapist in Neurology (ACPIN) - SussexWeekend course: An introduction to the Bobath Concept. Module 1: What is normal movement?Dates: Saturday 31 May 8.45am - 5pm) and Sunday 1 June 9am - 1.30pmPlace: Firwood House, Brassey Avenue, Eastbourne, East Sussex, BN22 9QLTutor: Ann HollandCost: ACPIN members £65, non-ACPIN £90Contact: marikastevens@googlemail.com

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 Louise 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

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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 & Prescribing, Ultrasound Guided Injections and the latest research on the effect of corticosteroid on soft tissues.

Break out sessions include practical skills in shoulder and foot/ankle injection techniques and all delegates will be given time to practice with diagnostic ultrasound machines. Date: Saturday 14 June 2014Place: Aston University Conference Centre, BirminghamTime: 8.30am - 5pmCost: ACPOMIT members £105, non members £140Contact: To book your place or join ACPOMIT visit our website: www.acpomit.co.uk

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: 5/6/12/13 April and 24/25 MayPlace: Sittingbourne, KentDates: 23/24/25 May and 4/5/6 AprilPlace: BuckdenAACP 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.comTreatment and Exploration of the Neck and Upper Body using CadaversDate: 10 JunePlace: LondonTutor: Paul BlackerAACP Conference 2014 Date: 17/18 MayPlace: CoventrySpeakers: Helene Langevin, Jeremy Lewis, Carole Paley, Helen Elden, Martin Heskier, Sung xuan Ke, Caroline McGuire, Lesley Pattenden and Vivienne Dascanio.

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 - 2014Occupational Rehabilitation and Work HardeningDate: 5-6 AprilPlace: London Leisure CollegeCost: £250 Lunch includedACPOHE Conference 2014 ‘Building confidence in your competence’Date: 16-17 MayPlace: Birmingham Cost: Early Bird offer for members before 6 April 2014Introduction to Applied ErgonomicsDate: 1-2 MayPlace: Spondon, DerbyCost: £230 members, £290 non members Lunch NOT includedOffice WorkStation Ergonomics (DSE)

Level 1Date: 13-14 JunePlace: GuildfordCost: £240 Lunch NOT includedWRULDDate: Saturday 12 JulyPlace: Midlands (exact location to be confirmed)Cost: £180 members, £240 non members Lunch includedOffice WorkStation Ergonomics (DSE) Level 2Date: 18-19 SeptemberPlace: Haywards HeathCost: £240 Lunch NOT includedAn Introduction to Occupational HealthDate: 24/25/26 SeptemberPlace: EdinburghCost: £455 inc 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.

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Medico-Legal Association of Chartered Physiotherapists (MLACP)Paediatric and adult neurology - the role of the physiotherapist as an expert witnessThis two-day course is aimed at physiotherapists working in paediatric and adult neurology who are interested in/or have some experience in preparing reports for medico-legal purposes.Dates: Tuesday 29 April 2014 and Wednesday 30 April 2014Place: CSP, 14 Bedford Row, London WC1R 4EDCourse leaders: Eileen Kinley MSCP and Will Winterbotham MCSP Cost: £300 MLACP members, £335 non MLACP members Speakers include: Solicitors from both claimant and defendant firms, Dr Fiona Jones MCSP, Dr Lewis Rosenbloom, paediatric neurologist and Christine Henson, barrister. Full programme details on the MLACP website: www.mlacp.org.ukContact: For further information contact: Eileen Kinley email: eileen@83waterloo.co.uk or tel: 07712 185422. Will Winterbotham email: willwinterbotham@virginmedia.comor tel: 0796 2142656.

Chartered Physiotherapists Working With Older People (AGILE)Regional Study Days for 2014/2015Soft-touch trigger point treatment with the older personSpeaker: Ed Wilson BA (Hons) MCSP, HCPC Registered, MCTA, CMPContent: These one-day interactive study days provided through both lectures and practical sessions are designed to: • Enhance a physiotherapist’s understanding of pain management, with the use of trigger points to relieve pain in the older person. • Enable the physiotherapist to develop clinical reasoning through interactive discussions using case examples and a problem solving approach with multi- pathology and in frail older people.• Provides an excellent alternative technique for needle-phobic patients presenting with trigger points, plus no aggressive techniques are used.Dates for each region: 2. 22 March 2014 - AGILE (East) - Colchester. Organiser/contact Sophie Stubbings at:

sophiestubbings@yahoo.co.uk 3. 12 July 2014 – AGILE (North) - Manchester Royal Infirmary, Manchester. Organiser/contact Lynn Sutcliffe at: lynnsutcliffe@hotmail.com 4. 14 March 2015 - AGILE (N. Ireland) - Belfast. Organiser/contact Gail McMillan at: gail.mcmillan@belfasttrust.hscni.net5. 11 April 2015 – AGILE (West) - St Martin’s Hospital, Bath. Organiser/contact Ruth Sampson at: ruth.sampson@sirona-cic.org.uk 6. 13 June 2015 – AGILE (Scotland) - Ninewells in Dundee. Organiser/contact Fiona MacLeod at: fiona.a.macLeod@nhslothian.scot.nhs.ukNote: Please contact the organiser of the region nearest you for an application form and further information, or visit the AGILE website on the events page for venue details: http://agile.csp.org.uk/network-events Cost: £60 AGILE members – places are limited so applications will initially only be considered for current AGILE members.

Physio First Physio First – The Business CaseAs both NHS and private practitioners will agree, the physiotherapy “marketplace” is changing. Physio First members have been able to benefit from the specific and informed business support available through regular e-alerts and newsletter updates plus;

Business Education Courses – Setting Up in Private Practice and Practice Promotion, have become increasingly more popular over recent years. The reviews have been excellent too, with course delegates being impressed by the specificity of the courses to our marketplace.

Debt Collection Assistance - Our members benefit from a straightforward procedure for collection of debts, which Physio First has put in place for them to use.

Insurance Support – We provide members with tailored insurance policies that fit in with their individual needs. Public and Employer’s Liability Insurance come at reduced rates for members through our broker.

Legal Support – Employment contracts at up to 50 per cent off normal rates are available through Physio First, providing members with watertight contracts of employment for self-employed associates. Extra legal support is also available to members through our General Secretary.Contact: To join Physio First visit: www.physiofirst.org.uk or call tel: 01604 684960.

The Association of Chartered Physiotherapists Interested in Vestibular Rehabilitation (ACPIVR) Study day and AGM:Cervicogenic dizzinessSpeakers: Professor Roger Kerry, Dr Eva-Maj Malmström The lectures will cover the following topics: -Overview of cervical anatomy -Overview of cervical artery insufficiency and diagnosis -Cervicogenic dizziness, what is it? -Physiotherapy assessment and rehabilitation for dizziness in patients with dizziness of suspected cervical origin - Case examples.Please note: this is an intermediate study day. Refreshments and lunch providedDate: Saturday 10 May 2014Place: Basement Lecture Theatre, The Clinical Neuroscience Centre, The National Hospital for Neurology and Neurosurgery, 33 Queens Square, London WC1N 3BGCost: £90 ACPIVR members, £130 non-membersContact: Amanda Male, email: amandajmale@hotmail.comClosing date for application: 29 April 2014.

Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM)Clinical Reasoning in Exercise and Performance Rehabilitation Date: Part one – 8 and 9 February 2014Part two – 5 and 6 April 2014Place: University of Bristol, Sports Medicine Clinic, Tyndall Avenue, Clifton, BristolThe course: Will be held over two weekends and payment can be made in two instalments. Please note – as this is a postgraduate level course it is NOT open to students.Tutors: Phil Glasgow, Lynn Booth and Nicola PhillipsCost: £200 per weekend ACPSEM members – total course £400. £260 per weekend non-members – total course £520Contact: For secure online booking visit www.physiosinsport.org/courses or email: info@physiosinsport.org

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ACPSEM Bristol Study Day - ‘Let’s get physical’Date: Saturday 29 March 2014University of West of England, Bristol Programme: • The Female Athlete - Dr Pippa Bennett SEM Physician. • Planning rehabilitation and exercise programmes for athletes: Dr Nicola Phillips PhD, MSc, FCSP. • Options on managing overtraining syndrome: Dr Rod Jacques FFSEM, MRCGP, FISM. • The benefits and challenges of promoting physical activity in patients: Dr Mark Tully PGCHET PhD. • Cervical spine sensorimotor rehabilitation: clinical approaches to proprioception, oculomotor control and postural stability: Chris Worsfold MSc PGDipManPhys MSCP. • How does running style affect injury risk and performance?: Dr M Polly McGuigan. • Pelvic floor dysfunction in exercise related pelvic pain: Dr Ruth Jones PhD MSCPContact: For secure online booking visit www.physiosinsport.org/courses or email: info@physiosinsport.orgCurrent 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: 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 KnaggsCost: 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.

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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 bu� et 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 Scienti� c 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 � elds 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/

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

The Aquatic Therapy Association of Chartered Physiotherapists (ATACP) Spring Study Day and AGMDate: 29 March 2014Place: Royal Hospital for Neuro-disability, Putney SW15 3SWSpeakers/Topics: Steve Tolan, Practice and Development, CSP, Health Informatics - Michelle Wood and Mike Maynard, ATACP Committee, The Role of the Physiotherapy Assistant in Aquatic Therapy. Sarah Wratten, ATACP Committee, A functional or task speci� c approach to Aquatic Exercise.Cost: ATACP members £26, student members £16, non members £41, student non members £26.Contact: Email: sarahmckeown78@me.com or visit iCSP - Aquatic Therapy network. Spaces will be limited, apply now to avoid disappointment.

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.

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!

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How do we currently manage � rst time ankle sprains?Are you a musculoskeletal physiotherapist working in either the NHS/private practice/professional sport? Do you have experience of treating ankle sprains? If so I would be very grateful if you would consider completing an online survey. This should take no longer than 10 minutes of your time and all responses will be anonymous.

This is a Masters research study, with ethical approval from The University of She� eld School of Health and Related Research ( ScHARR). It is hoped information from this survey will provide valuable information on UK physiotherapists current practice for managing � rst time ankle sprains and help direct future research in this area.

Please contact Cheryl Grindell at: cagrindell1@shef.ac.uk or tweet @CherylGrindell for the survey link or for further information.

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-

info exchange

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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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 2014 to build upon the patient profile of those who respond best, and to ascertain effects 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.

Association of Chartered Physiotherapist in Reflex Therapy (ACPIRT)Celebrating retirements

At their AGM and conference, held at Eynsham Hall in Oxfordshire 1/2 February, the Association of Chartered Physiotherapist in Reflex Therapy (ACPIRT) showed its appreciation for the work of three long standing committee members, who were retiring from their posts.

Christen Herbert has been the Honorary Secretary for 18 years, having worked tirelessly for the group, keeping meticulous records of all the groups activities. In the early days of her role she was also the main organiser of the annual conference, searching out suitable venues, often travelling some miles to find the right place.

Hermione Evans has also served on the committee for many years, and was a founding member of ACPIRT. As Education Officer, she has been involved in the designing, organising and securing CSP

accreditation of ACPIRT’s new Reflextherapy Foundation course, which is currently approaching the end of its second run.

Gunnel Berry, member since 1994, has undertaken the role of Research Officer over the last few years, collating information regarding Reflextherapy research as well as running her own research projects. She has recently collaborated on a successful trial into the use of Adapted Reflextherapy (AdRx) in Spinal Pain.

All three were thanked for their work, and presented with gifts in appreciation of their efforts and time.

CSPRA Manchester groupMeeting for lunch Date: Thursday 4 April at 1pmPlace: Pizza Express, 56 Peter Street, Manchester M2 3NQContact: Please contact Ruth Hogan tel: 07790 527211. All retired members welcome, and look forward to meeting with you!

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. 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.

Royal Orthopaedic Hospital,Set 58, 1986-1989It’s now 25 years since we graduated! I am already organising a large party/fundraiser on Saturday 7 June in Abingdon, Oxfordshire and was hoping everyone could come along and join the fun! Please get in touch and let me know your thoughts: Julie Kelly (Case) tel: 0770 485 7055 or email: julie.kelly14@btinternet.com

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

retirement news / events

reunions

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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 co� ee 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 quali� ed. 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 quali� ed?! 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.netWe 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 quali� ed 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 sta� 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.

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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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 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

Royal Orthopaedic Hospital. Set 48, 1976-79 We are planning our first 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 Infirmary, Glasgow - class of 1973 It seems to be 40 years since we started out on our physiotherapy life, and I wonder if anyone fancies a wee get-

together - maybe next spring? I was thinking of meeting at Oran Mor, Byres Road for lunch on a Saturday. If interested please get in touch and also contact those who may not get Frontline. Please contact Judith Corcoran (Farrer) at: 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 first 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 qualified. 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 qualified. 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

Edinburgh Royal Infirmary 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

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!

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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.

Reunion St Thomas’ Hospital 1985-1988

We had a fantastic day in London starting with lunch at Coq D’Argent. We then had a trip to the top of The Shard and refreshments in the bar afterwards. Lots of stories were exchanged, as well as memories and photographs shared by all. Our 30 year reunion was informally planned and put in our diaries - September 2018 in Edinburgh.Nicci and Emily

SUMMERBELL On 3 January 2014. John Summerbell, MCSP. Trained London Hospital School of Physiotherapy.

FOULSHAM On 8 December 2013. Betty Mary Foulsham, MCSP. Trained King’s College Hospital London.

5 March 2014

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

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

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

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

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

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

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

Courses – Guidance for members

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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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CRANIO-SACRAL THERAPYCCST is the most established college of Cranio-Sacral Therapy in Europe, offering a comprehensive professional training, leading to a Diploma, accredited by the Cranio-Sacral Therapy Association. Introductory Days: Saturday 5th April, Saturday 5th July 2014Introductory Course: 19th – 24th July 2014One Year Course (London): starts July 2014Two year Course (weekend format): starts October 2014College of Cranio-Sacral Therapy, 9 St. George’s Mews, London NW1 8XETel: 020 7483 0120e-mail: info@ccst.co.uk website: www.ccst.co.uk

TherapeuTic Yoga for Back painThis very popular course is clinically relevant leading to excellent patient satisfaction/compliance outcomes.Practical content with modifications for use with all levels of ability.Tutor: Lynn Cheung MSc MCSP Certified Yoga teacherfee: £90.Dates: 12th April 2014contact: lynn@albahealthcarecpd.co.uk Tel: 07824818885. More dates and course formats available.

LYNN PEARCE ACUPUNCTURE CPD 2014All these courses are highly practical and geared towards achieving clinically relevant and useful skills, with small groups of 9 only.ACUPUNCTURE, THE HEAD, NECK AND HEADACHES March 14th EAR ACUPUNCTURE – a stand alone modality March 26th SPINAL REVISION, CUPPING AND GUA SHA May 9th FASCIAL, ANATOMY TRAINS AND TENDION-MUSCULAR MERIDIANS – CLINICAL CONNECTIONS May 12th TRIGGR POINTS AND ACUPUNCTURE IN MSK June 6thACUPUNCTURE, THE HEAD, NECK AND HEADACHES June 20th ELECTROACUPUNCTURE AND WESTERN SEGMENTAL ACUPUNCTURE July 11thTutor: Lynn Pearce BA MCSP LicAc Cert Med Ed Venue: Buckden, CambsDownload full details and application forms from website www.LynnPearce.co.ukor contact Admin@LynnPearce.co.uk

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

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

ATACP ACCrediTed AquATiC PhysioTherAPy FoundATion Course12 &13 April 2014, Cost £200. Aquatic Physiotherapy intermediate Musculoskeletal study days31st May & 1st June 2014 Cost £200.Aquatic Physiotherapy intermediate neurology study days17th & 18th May 2014 Cost £200.Course Tutor: Jacqueline Pattman, ATACP MCSPVenue: holy Cross hospital, haslemere. Gu27 1nqContact: r.meeran@holycross.org.uk, 01428 647649

MANUAL THERAPY FOR THE ABDOMINAL VISCERA; ASSESSMENT, PALPATION AND CLINICAL APPLICATIONSMarty Ryan (USA)Watford, London (15-18 May)www.club-physio.net; 07748 333 372; Craig@club-physio.net

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

No more waiting for the latest papers, no more storage issues and no more wastage

Find out more:csp.org.uk/journal

Physiotherapy journal is nowonline onlyN mor w iti r

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MSc oSteopathy (pre-Registration)Course specifically designed for practising physiotherapists. • 2 year full-time course • 45 weeks per academic cycle• £9,000 UK/EU per year • £10,200 Overseas per yearwww.bso.ac.uk/msc(pre-registration)

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

Kinetic control – trigger PointTrainer Mark Comerford1-2 May, 2014Venue: Derby Cost £290The participant will learn the biology of the Myofascial Trigger Point, to identify active or pain producing MTP’s and how to treat them, and much more for full details www.ncore.org.uk

Kinetic control – necK and ShoulderTrainer Sarah Mottram24-27 June, 2014Venue: Derby Cost £490Learn how to test for uncontrolled movement in the neck and how to prioritise the specific retraining options that will change symptoms and dysfunction quickest. Full Details www.ncore.org.uk

MAKING SENSE OF THE HIP AND GROIN: ‘CLINICAL GOLDEN NUGGETS’ EVENINGLondon (20th March)Dr Jerry Gilmore and Guest Speakers. See www.physiouk.co.uk/sense or call 0208-787-5963

INTRODUCTION TO MYOFASCIAL RELEASE (PART 1) WITH JOHN ANNANSurrey (26th-27th Apr)Warwick (17th-18th May)Surrey (19th-20th July)For full details visit www.physiouk.co.uk/intro or call 0208-787-5963

FUNCTIONAL FASCIAL TAPING: DRAMATICALLY REDUCE PAIN, INSTANTLY INCREASE MOVEMENT & FUNCTIONStaffordshire (15th-16th March)Manchester (18th March)Surrey (21st March)Surrey (22nd-23rd March)With Ron Alexander. See www.physiouk.co.uk/ron8 or call 0208-787-5963

NAGS’S / SNAG’S: 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/snag or call 0208-787-5963

“REFRESHINGLY NEW STUFF ON FUNCTIONAL MOVEMENT AND TAPING”Staffordshire (29th-30th March)London (26th-27th April)Livingston (17th-18th May)Find out more at www.physiouk.co.uk/fmtaping or call 0208-787-5963

10 HOURS ACUPUNCTURE CPD IN 1 DAY!London (8th March)Surrey (27th September)Norwich (25th October)Up to 50 of the most useful points revised. See www.physiouk.co.uk/tencpd or call 0208-787-5963

BE ACTIVATED TECHNIQUES - LEVEL 1: “MIND BLOWING COURSE!”Manchester (26th-27th April)Surrey (3rd-4th May)With Doug Heel. See www.physiouk.co.uk/dougheel6 or call 0208-787-5963

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

Laser Therapy Training 2014Please refer to advert in Electrotherapy section

SPINAL COURSESLow Back: 16 May 2014Neck & Upper Back: 27 June 2014Lyndhurst, New Forest£80 each course10 participantsImprove / refresh practical assessment & treatment skills related to palpation, posture & movement dysfunctionTutor: Dr Dean Phillips PhD MScPGDipManipTher MMACP01425 281000dean@timberlandphysio.co.uk

www.csp.org.uk

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THE SOCIETY OF MUSCULOSKELETAL MEDICINE ANNUAL CONFERENCEPAIN: OUR ULTIMATE CHALLENGE – FIRST CLASS INSIGHTS FROM THE EXPERTS

DR HANNE ALBERT Antibiotic treatment in patients with chronic low back pain and Modic changes

PROFESSOR CATHY SPEED Understanding pain in osteoarthritis

DR MICK THACKER Key Concepts of Neuropathic Pain

PROFESSOR MIKE HURLEY Exercise rehabilitation for knee and back pain

GAIL SOWDEN What is the purpose of treatment?

SURESH SUDULA MSK Ultrasound: The new stethoscope for Musculoskeletal and Sports Medicine.Demonstration of shoulder scanning and hands on practice

DR MICK THACKER Assessing Sensitisation in the Clinic

GAIL SOWDEN Shifting the agenda from pain control to meaningful living

SPEAKERS

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The APPI curriculum is designed by Physiotherapists specifically for those working in the field of rehabilitation, therefore pain, pathology and function is considered in relation to each exercise.

Anatomy Trains Level One Learn about the myofascial tissue and its role in the body, see it in context and how it is interdependent with the other body systems.

19/05/14 – 20/05/14 (Mon/Tues) London

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05/04/14 – 06/04/14 London

12/04/14 – 13/04/14 Nuneaton

17/05/14 – 18/05/14 Manchester

31/05/14 – 01/06/14 Northern Ireland

Matwork Level Two – Class Instructor

14/06/14 – 15/06/14 Falkirk, Scotland

21/06/14 – 22/06/14 London

12/07/14 – 13/07/14 Nuneaton

02/08/14 – 03/08/14 Manchester

Matwork Level Three – Intermediate/Advanced

28/06/14 – 29/06/14 London

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19/07/14 – 20/07/14 Manchester

06/09/14 – 07/09/14 Falkirk, Scotland

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Anatomy Trains Level Two Learn to see and correct the myofascial patterns of the body. By building on the BodyReading skills developed in ‘Anatomy Trains’ you will learn to interpret movement and postural patterns.

06/10/14 – 08/10/14 (Mon – Wed) London

Facial Release For Structural Balance – Arches & Legs Understand the forces coming from the leg muscles and create strategies to help maintain better mechanics by dealing with myofascial restrictions and imbalances.

NMSK ASSESSMENT REFRESHER COURSESDesigned to reacquaint you with the assessment of spinal and peripheral joints. Suitable for all students, new graduates and rotational staff.Dates:Saturday 29th March 2014- Lower LimbSaturday 5th April 2014- Upper LimbSaturday 3rd May 2014- Spinal AssessmentCost: £80 (lunch and refreshments provided)Discounts available for multiple bookings.Venue: Ayelsford Priory, KentVisit: www.theory2therapy.com or email info@theory2therapy.com

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

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The NaTioNal SpiNal iNjurieS CeNTre, SToke MaNdeville hoSpiTal preSeNTS:‘posture, seating and wheelchair skills course for adults with spinal cord injury’May 16-17Also coming up: ‘Bridging the Gap – Physiotherapy management of adults with complete spinal cord injury’ acute Module: September 22 - 24 rehabilitation Module: October 20 - 22 For further information on this and all other training opportunities at the NSIC, please contact: Niki.henderson@buckshealthcare.nhs.uk or visit www.buckshealthcare.nhs.uk/NSiC

AdvAnced course - MAnAgeMent of PArkinson’s diseAseFor all grades of AHP who have some experience of treating people with Parkinson’s. Learn how to manage the 4 stages, Diagnosis, Maintenance, Complex and Palliative, emphasising on the latter 2 stages.venue: Derby£130 12.5.14Full Details www.ncore.org.uk

BoBath Module 1This course introduces participants to the concept of movement analysis in the assessment and treatment of adults with neurological or neuromuscular dysfunction.Including an evidence based theoretical introduction to movement analysis, practical sessions, and patient demonstration.Venue: DerbyCost £2105-6 June, 2014Full Details: www.ncore.org.uk

BBTA AN INTRODUCTION TO THE BOBATH CONCEPT COURSES2nd/3rd May 2014 – Module 130th/31st May 2014 – Module 24th/5th July 2014 – Module 3These BBTA modules are designed to introduce participants to the assessment and treatment of adults with hemiplegia and allied neurological conditions. These modules consist of theoretical and practical sessions and patient demonstrations. Fee per module = £190 or for all 3 modules = £520All courses include a restaurant lunch and refreshments. Please contact Jenny Goodwin at the Neurological Teaching Centre (Manchester Neurotherapy Centre), 466 Bolton Road, Pendlebury, Manchester, M27 8UR, Tel/Fax: 0161 793 0003, Email: jenny@mncweb.co.uk

ImprovIng FunctIonal WalkIng – 14th and 15th June 2014Tutor – Jenny Williams – Bobath TutorThis course will focus on developing clinical reasoning skills to assist patients to achieve more efficient functional walkingThe practical sessions will focus on gaining a better understanding of selective movement components required as well as improving skills of facilitation. There will be a key note lecture covering the neurophysiological control of walking as well as workshops to improve the building of hypothesis generation as a way of guiding focused intervention.Fee = £190All courses include a restaurant lunch and refreshments. Please contact Jenny Goodwin at the Neurological Teaching Centre (Manchester Neurotherapy Centre), 466 Bolton Road, Pendlebury, Manchester, M27 8UR, Tel/Fax: 0161 793 0003, Email: jenny@mncweb.co.uk

The role of The head and Thorax wiThin posTural conTrol – 26Th and 27Th July 2014Tutors: Clare Fraser – Bobath TutorProblem Solving Workshop which is designed to advance the clinical skills of physiotherapists and occupational therapists, applying the evidence base and developing functional rehabilitation for neurological patients. The workshop consists of theoretical, practical and patient demonstration sessions with the focus on postural control recovery of the head and thorax.Fee = £190All courses include a restaurant lunch and refreshments. Please contact Jenny Goodwin at the Neurological Teaching Centre (Manchester Neurotherapy Centre), 466 Bolton Road, Pendlebury, Manchester, M27 8UR, Tel/Fax: 0161 793 0003, Email: jenny@mncweb.co.uk

Current neurosCienCe in Motor Learning – 20th and 21st septeMber 2014Speaker – Nigel LawesNTC is very excited to welcome back one of our favourite speakers Nigel Lawes to speak on Current Neuroscience of Motor LearningNigel has been teaching in this field for many years and is an excellent speaker who has a deep understanding of the subject and particularly making the theory very clinically relevant for therapists. Nigel will focus on brain areas contributing to motor learning, as opposed to techniques of inducing motor learning.Nigel is teaching very few courses at the moment so any therapists working in neurological rehabilitation who have not been fortunate enough to hear him should not miss this opportunity.Fee = £190All courses include a restaurant lunch and refreshments. Please contact Jenny Goodwin at the Neurological Teaching Centre (Manchester Neurotherapy Centre), 466 Bolton Road, Pendlebury, Manchester, M27 8UR, Tel/Fax: 0161 793 0003, Email: jenny@mncweb.co.uk

The european SocieTy for Shoulder & elbow rehabiliTaTion (euSSer)are proud to present:A one-day INTERNATIONAL SHOULDER & ELBOW SYMPOSIUM `it’s a fine balance’‘Speakers include: Mr Peter Brownson, Prof Ann Cools, Mr Marco Conti, Prof Lennard Funk, Mr Olivier Gagey, Jo Gibson, Anju Jaggi, Val Jones, Mr David Stanley, Sat 18th october 2014The British Library Conference Centre EustonContact: Welbeing CPD team: 01375 893820 or email enquiries@welbeing-cpd.co.ukBook on-line @ www.welbeing-cpd.co.uk

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pain management 57sports medicine

advertise your course Email: cspads@media-shed.co.uk

orthopaedic and rheumatology

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. Edinburgh. 4th July. Coventry.Further 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)

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

FUNCTIONAL FASCIAL TAPING: DRAMATICALLY REDUCE PAIN, INSTANTLY INCREASE MOVEMENT & FUNCTIONStaffordshire (15th-16th March)Manchester (18th March)Surrey (21st March)Surrey (22nd-23rd March)With Ron Alexander. See www.physiouk.co.uk/ron9 or call 0208-787-5963

“REFRESHINGLY NEW STUFF ON FUNCTIONAL MOVEMENT AND TAPING”Staffordshire (29th-30th March)London (26th-27th April)Livingston (17th-18th May)Find out more at www.physiouk.co.uk/fmtaping1 or call 0208-787-5963

MAKING SENSE OF THE HIP AND GROIN: ‘CLINICAL GOLDEN NUGGETS’ EVENINGLondon (20th March)Dr Jerry Gilmore and Guest Speakers. See www.physiouk.co.uk/nugget or call 0208-787-5963

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

FOR YOUR DIARY“FROM PAIN TO PERFORMANCE 2014”TM

A ONE DAY INTERNATIONAL SPORT & EXERCISE MEDICINE SYMPOSIUM ON THE UPPER QUADRANTSATURDAY 10th MAY 2014LONDON HEATHROW MARRIOTT HOTELPROGRAMME & SPEAKERS• Hand & Wrist Injuries in Sport – A Fresh PerspectiveMr Mike Hayton• Hypermobility in Sport – Identifying and Managing the ProblemAlison Middleditch• Current Injury and Rehabilitation Concepts in the Throwing AthleteSteve Scher• From the Throwing Shoulder to the Weight Bearing Shoulder – An Approach to Treatment and RehabilitationWendy Braybon• PRP for Elbow Tendinopathy – Panacea or Placebo?Mr Adam Watts• Challenges in the Sporting Upper Limb – The Missing Link?Jo Gibson• Upper Body Performance Requirements of Elite AthletesDr Calvin MorrissRegistration Fees:£ 99 (before 30th April 2014)£130 (after 30th April 2014)For further details log onto:www.sports-rehab-and-education.co.ukSports Rehab & Education16 Royal TerraceGlasgow, G3 7NYTel: 0844 800 3417 Fax: 0141 332 5335Email: admin@sports-rehab-and-education.co.uk

Laser Therapy Training 2014Please refer to advert in Electrotherapy section

Psychology & sexology of the Pelvic floor: integrating mind and body in Pelvic floor PhysiotheraPySunday 11th MayOtley, West Yorkshirehttp://bobbrook.wix.com/otley-physio-event or email gill.brook@lineone.net for details

women’s health

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GREEN CARDCARD

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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

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Temporary & permanentPhysio recruitment specialist

London Procurement Partnership

London Road • North Cheam • Surrey • SM3 9DWwww.stanthonys.org.uk

Musculoskeletal Outpatients & Orthopaedic Rehabilitation

Full time senior physiotherapist (salary dependent on experience)

St Anthony’s is seeking a dynamic and experienced physiotherapist to join our high quality service in this modern, well-equipped, independent hospital. We are a small enthusiastic team of experienced physiotherapists, with an excellent local reputation. The department also incorporates a podiatry service and a therapeutic massage service.

The caseload, is a good mix of musculoskeletal out-patients; and post op orthopaedic rehabilitation.

Salary negotiable, depending on experience, private medical insurance offered after one year and a generous pension scheme. Good support for CPD and in-service.

St Anthony’s is an independent hospital providing acute medical and surgical services, with an excellent reputation for quality of care.

VACANCIES ALSO EXIST FOR WEEKEND IN PATIENT BANK STAFF AND MSK BANK STAFF FOR EVENING CLINICS

For further details contact Debbie Singleton, Physiotherapy Manager on 0208 335 4589 or email physio@stanthonys.org.uk Closing date 28th March 2014

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LOUGHBOROUGH We have a part-time opportunity for an enthusiastic, experienced musculoskeletal physiotherapist to work in our growing friendly team. Ideally you will be acupuncture qualified and have sports injury/rehabilitation experience and you will need a minimum of three years postgraduate experience. We are a well established multi-professional musculoskeletal practice and welcome applications from suitably qualified candidates exploring part-time opportunities in the private sector. Interested candidates should send a CV FTAO Judith Pitt-Brooke at: enquiries@empc.co.uk in the first instance.

PHysiOtHeRaPist ReqUiRed for busy Fareham, Hampshire private practice. We are looking to recruit an experienced physiotherapist as part of our expanding practice. All enquiries to LBhealthcare on tel: 01489 569888 and see: www.lbhealthcare.co.uk Email: susan.bell@lbheatlhcare.co.uk

sOUtHaMPtON Experienced, part-time, self-employed musculoskeletal physiotherapist required to join a busy, expanding multidisciplinary clinic in Southampton. You will be replacing our current named BUPA lead clinician and therefore you will have a minimum of five years’ experience alongside HPC and CSP registration. An ability to lead small in house rehabilitation/training groups is desirable. Exact hours by negotiation. Contact: susan@lowfordclinic.co.uk

sOUtH BRistOL, CLevedON We have a part-time opportunity, 20 hours per week, for the right independent manual therapist who has a positive and enthusiastic approach to treatment. Full details at: www.amsphysio.co.uk/careers or call tel: 01934 823084 for more information.

exeteR aNd sOUtH devON We have two part-time opportunities, due to clinic expansions, for the right independent manual therapists who have a positive and enthusiastic approach to treatment. Full details at: www.amsphysio.co.uk/careers or call tel: 01392 412515 for more information.

MUsCULOskeLetaL PHysiOtHeRaPists – BRadfORd OR Leeds Jamie Bell Physiotherapy Ltd is an innovative company with an established track record of providing high quality physiotherapy services to the public and private sector. We are currently looking for enthusiastic physiotherapists to join our growing team at our high street clinics. Role: musculoskeletal physiotherapy for a range of clients (private, occupational health and medico-legal). Full and Part-time hours available. Package: £28,000 - £40,000 dependent on experience. In-house CPD and clinical support structure in place. Please email expression of interest to Dr. Jamie Bell: admin@jbphysio.com

MUsCULOskeLetaL PHysiOtHeRaPists – HULL OR GRiMsBy Jamie Bell Physiotherapy Ltd is an innovative company with an established track record of providing high quality physiotherapy services to the public and private sector. We are currently looking for enthusiastic physiotherapists to join our growing team. Role: musculoskeletal physiotherapy for a range of clients. Full and Part-time hours available. Package: £28,000 - £40,000 dependent on experience. In House CPD and clinical support structure in place. Please email expression of interest to Dr. Jamie Bell: admin@jbphysio.com

OLdHaM/ROCHdaLe We have a fantastic opportunity for a part-time musculoskeletal physiotherapist to join our thriving practice. Experience working in musculoskeletal, sport, private practice and medicolegal work desirable but not necessarily essential. Flexible evening and weekend hours available, with potential full-time work in future. Email CV and cover letter to: admin@sportsphysiouk.co.uk

seLf-eMPLOyed PHysiOtHeRaPist - musculoskeletal experience required full-time in Southampton clinic with. Tuesday to Saturday. Please apply to: kevin.k.aurora@gmail.com

ReadiNG, BeRksHiRe Berkshire Physiotherapy is looking for an experienced musculoskeletal physio with good manual skills for two evenings a

week plus occasional Saturdays. You will be joining a team of experienced, enthusiastic professionals with great communication skills. Pilates trained would be an advantage. If interested please send you CV to: carol@bphc.wanadoo.co.uk or check out our website: www.berkshirephysio.co.uk

PaRt-tiMe PHysiO ReqUiRed for busy multi-disciplinary practice in Hove. Five years+ experience, ideally qualified in Pilates and acupuncture. Email: elle@studio57clinic.co.uk for more info.

fRiNtON ON sea, essex Part-time musculoskeletal physiotherapist required for busy, established and friendly private practice on a self employed basis. Minimum five years post graduate experience. Hours flexible/negotiable. Acupuncture desirable. Please send CV to: connaughtclinic@mjhinternet.co.uk

LONdON – GReeNwiCH Vanbrugh Physio is looking for exceptional self-employed physios to join the team at its Greenwich clinic. Full/ part-time opportunities available. You should be a highly experienced and self-motivated musculoskeletal physiotherapist, with excellent communication and manual therapy skills. Private practice experience essential. Vanbrugh Physiotherapy is committed to providing its clients with first class physiotherapy care. In house CPD training and external CPD financed. Excellent remuneration package to successful candidate. Contact Darren Higgins, practice principal, on: darren@vphysio.co.uk Website: www.vphysio.co.uk

CHeLMsfORd, essex Experienced musculoskeletal physiotherapist required to join expanding practice. Part-time evening and weekend work available. The successful applicant will need to have excellent communication and people skills, be enthusiastic, able to work independently and in a team, and have high level of manual therapy skills. Knowledge of sports injuries, acupuncture and previous private practice experience preferable. Email: info@farrellphysiotherapy.co.uk or call tel: 01245 615051.

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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Ravenshead/Mansfield Musculoskeletal physio required to work part-time during the day at either or both clinics for approximately two days a week. The hours are flexible. This is an established practice based in both health club and village centre locations. Please contact Barbara on tel: 01623 794466 or: 07793 452589 or: barbara@physio-plus.co.uk

Bolton/Whitefield Part-time physiotherapist required at private physiotherapy clinic for five to 10 hours per week working across both locations. The successful candidate will have at least three years postgraduate experience and offer a professional yet friendly approach to treatment. You must have excellent musculoskeletal skills and experience in acupuncture is desirable, above all you will be committed to providing first class physiotherapy treatment and patient care. Apply to: info@activeclinics.com

G4 PhYsiotheRaPY and fitness - didsBURY, ManChesteR Full and part-time experienced and competent physiotherapists required at our highly reputable physiotherapy, sports injury, Pilates and fitness clinic. Please email your interest and CV to: glyn@g4physio.co.uk

the White RooMs are looking for an experienced physiotherapist to work part-time in our busy Lymm practice. Please send your CV or contact Beverley Deakin on tel: 01925 752333 Email: appointments@thewhiterooms.uk.com www.thewhiterooms.uk.com

neURolink PhYsiotheRaPY liMited is currently looking for a full-time physiotherapy assistant and a part-time or full-time neurophysiotherapist to work for an established private specialist neuro physiotherapy practice based in Wimbledon Village. The position is to start from mid-March 2014 for the right candidates with an excellent rate of pay per hour. Postgraduate neuro rehabilitation experience especially traumatic brain injury and spinal cord injury rehab is preferred. Interviews will take place on the 18 and 19 March 2014. Please forward CVs to: info@neurolinkphysio.co.uk

the PhYsiotheRaPY aCadeMY, soUthend require a part-time physiotherapist, evenings and weekends essential, with musculoskeletal experience to join our team. Our well-established practice offers a variety of referral sources and have links with a number of sports teams. Please send CVs to: info@physioacademy.co.uk by 28 March 2014.

GUildfoRd and West BYfleet Experienced, self-employed physiotherapist required for part-time work due to clinic expansion. Well-respected and recognised clinic. Hours and days negotiable. Hands on skills and manual therapy essential with acupuncture preferable. Please send CV to: info@varnsphysio.co.uk. Tel: 07817 545948.

a BUsY MUlti-disCiPlinaRY sPoRts injURY and PhYsiotheRaPY CliniC has an exciting part-time self-employed position for a dynamic and enthusiastic chartered physiotherapist. HCPC and CSP registration is required with five years experience. Immediate start. Email: heather.achillesheel@gmail.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 tel: 0151 558 0188 and ask for Ria.

siX PhYsio Wants YoU! An enthusiastic and experienced physio needed for both manual and rehabilitation positions at Six Physio! Applicant must have been working for a minimum of five years in a musculoskeletal, outpatients, sports or orthopaedics setting. Email CV to: physiojobs@sixphysio.com

daRlinGton Private sports injury clinic requires a motivated self-employed musculoskeletal physio for two to three days a week, to include some evenings/Saturday. There will be the opportunity to expand the hours. Email CV to: andreaphysio@talktalk.net

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

oPtisPine requires a Grade 5 junior physiotherapist for our newly established back and joint centre in Birmingham’s Jewellery Quarter. Part-time hours including evenings and Saturdays. Excellent rates of pay, support and career development opportunities. Email: info@optispine.co.uk or call tel: 01902 898256 for further details.

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.

foR a CoMPlete RanGe of neW and seCond hand PhYsiotheRaPY eqUiPMent Please contact Phoenix Healthcare Products Limited on tel: 0115 965 6634. www.phoenix-healthcare.co.uk

seCondhand and neW UltRasoUnds, eleCtRotheRaPY, laseRs, CoUChes etC With warranty. Please call Trimbio on tel: 01403 261564 www.trimbio.co.uk

Chison 8300 diGital UltRasoUnd sYsteM foR sale Virtually never used, as new, £2000.Please called Rich Bricknell, Bristol Physiotherapy, on tel: 07974 266459.

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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

FOR ALL YOUR SERVICING AND REPAIR REQUIREMENTS Contact Phoenix Healthcare Products Limited on tel: 0115 965 6634 www.phoenix-healthcare.co.uk We are the largest specialist physiotherapy service company o� ering a nationwide service at competitive prices.

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

FORMER SHREWSBURY MEDICAL ENGINEER O� ering 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

BANBURY PHYSIOTHERAPY PRACTICE FOR SALE Excellent opportunity to buy busy practice in thriving market town. Good turnover, with potential to expand. Genuine reason for sale. Serious enquiries only please. New reduced price. For more details call tel: 07976 848867. Email: rhianpirotte@hotmail.com

PRACTICE FOR SALE HARROGATE, NORTH YORKSHIRE Established over 15 years. Seven day availability, free car parking, two fully-equipped

treatment rooms. Based in busy sports centre Leeds side of town. Low cost premises. For information email: vickycarswell@gmail.com or call Vicky on tel: 07811 388523.

SUFFOLK COAST This highly respected physio practice has been established for over 20 years. I work with associate physios and we carry out 3000 treatments each year in a three treatment room practice with referrals, local contracts, lots of repeat patients and personal recommendations. The good turnover and pro� t is not reliant on me as the owner so the purchaser can expect to be pro� table immediately. The practice is located in a prime location well-positioned for local awareness and has an excellent local and professional reputation. Administrative sta� and patient management systems are in place. This represents a unique opportunity to buy and run your own practice and I will help to ensure a successful transition. This would suit a newcomer to private practice or someone wishing to expand. The sale of the business comes with a new lease or freehold purchase. If interested please email: su� olkcoastphysioforsale@gmail.com

SOUTHERN-EAST SUSSEX PHYSIOTHERAPY FOR SALE Established 1988. Current owner 16 years. Self and PMI referrals. Selling due to relocation. Please call tel: 07770 775761.

TREATMENT ROOM AVAILABLE TO RENT within a well-established private practice in Stony Stratford, Milton Keynes. Enquiries to Amie Gillespie at: amie@devonparadeclinic.co.uk Tel: 01908 262220.

PHYSIOTHERAPY WEBSITES Do you want your website to be at the top of Google? Physio123 specialise in creating and marketing physiotherapy websites. Free trials available. Visit: www.physio123.co.uk

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Group dynamicsBY TREATING FARSI-SPEAKING PATIENTS IN GROUPS JEELNA RUPARELIA BOOSTED ATTENDANCE RATES, GILL HITCHCOCK FINDS

Profile

For the past 12 months musculoskeletal (MSK) physiotherapist Jeelna Ruparelia has combined her clinical role at

Central London Community Healthcare Trust with work on a project to shake-up MSK services in Barnet and Westminster.

As Barnet’s physiotherapy transformation lead on the ongoing project, she is helping shape proposals for how the two north London boroughs can collaborate to achieve more cost e� ective and higher quality care.

‘We are thinking about the skill mix needed to meet the demands of the service e� ectively, introducing � exible working and extended hours for better patient access; and using patient-reported experience measures and patient stories as a key driver to change,’ she says.

Ms Ruparelia has been with the trust as a band 6 MSK physiotherapist for two years. After graduating from Brunel University as a physio in 2009, she worked at Whipps Cross University Hospital in east London for two years.

But her experience helping to initiate group physiotherapy classes with a translation service for Farsi-speaking patients at Edgware Community Hospital should be particularly valuable for a future item on the project team’s agenda – the e� ective delivery of group therapy.

Since 2012 the hospital’s group therapy sessions have provided exercise and self-management techniques for Farsi-speaking service users with long-term pain.

She says that the group’s work with up to 10 patients, plus one physio and an interpreter, have cut costs by 58 per cent, compared to conventional one-to-one

treatment and an interpreter. ‘A physiotherapy assessment costs

the NHS about £49 per patient and £35 per follow up. Interpreters typically charge £35 an hour. So a missed appointment with an interpreter booked wastes approximately £84 per individual session,’ she reveals.

In addition ‘did not attend’ rates have fallen since the sessions were introduced. Ms Ruparelia explains: ‘With one to one sessions, patient understanding of physiotherapy was not there.

‘Patients felt like they did not have much time. They might come for their

assessment and not come afterwards. In the class there is much more education, and they actually enjoy the exercise element within a gym, which is part of the two-hour class.’

Farsi speakers, many of whom hail from Iran and Afghanistan, make up about 40 per cent of the demand for interpreter services at Edgware’s MSK physiotherapy department. The groups are part of the trust’s Promoting Access to Health programme, intended to encourage innovative practices with a cash reward to be spent on service development.

Asked about the most challenging aspects of delivering the classes, Ms Ruparelia’s response is swift: ‘paperwork’. She explains that class ‘outcome’

forms are all in English so the translator has to read the questionnaire to the patients at the start and end of each block of sessions and then helps them complete the forms. Preparation of a Farsi version of the forms is under way, however.

The most rewarding aspect of delivering the service is the high level of patient satisfaction and getting people back to work. One patient who had been out of work for many years, for example, was able to start a job after completing the block of six classes.

‘We have had great feedback from

patients,’ she says. ‘They felt they were given more time to express their pain, and enjoyed the education topics on chronic pain to gain a better understanding of their condition. They said they found the supported environment for exercise useful to build on con¢ dence, and the relaxation techniques helped to bring a sense of wellbeing.’

Ms Ruparelia’s advice for those considering setting up a similar service is that classes will always be more cost e� ective, but says that the referral criteria need to be clear.

‘And you need clear outcome measures and interpreters who have the skills to engage in and be part of the service, rather than just being a voice.’ fl

forms are all in

‘[PATIENTS] FELT THEY WERE GIVEN MORE TIME TO EXPRESS THEIR PAIN, AND GAINED A BETTER UNDERSTANDING OF THEIR CONDITION’

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