I have really been short of time to continue my blog as I have been trying to work through my respiratory competencies (as I am due to go on call in September…). This post just gives a round up of the meetings I have attended for the CSP. The reports have got some relevant links to all Physiotherapists especially with the new exciting programme Physiotherapy Works (a great opportunity to spread the word of how great Physiotherapy is!!) and I have also included my report from the Industrial Relations Committee Meeting which hopefully will inform you of the current work ERUS and the CSP are doing for their members.
So firstly the East Midlands Regional Network Meeting. It was a great meeting with many enthusiastic physiotherapists meeting to discuss what is happening regionally but also to feed messages from CSP council locally. We also had Professor Sally Singh who came to talk to us about her work within Pulmonary Rehabilitation at University Hospitals Leicester so I have tried to document the keys points and I have added some links for your own interest.
East Midlands Regional Network Meeting 13th June 2014
Physiotherapy works is a new CSP programme to show how physiotherapy is the solution to many of the Health and Social care challenges we face. There are many ways in which physiotherapists can get involved see the CSP website.
Health and Social care is changing around us. There is a need for increased quality at reduced cost. We are living longer with 70% of people in hospital being over 70+ which is amounts to almost 70% of the NHS spend and alongside this people are working longer.
There is a current demand for:
- Rehab and reablement
- Managing long term conditions
- Fit for work
- Prevention and Health Promotion
As physiotherapists we need to be louder as Physio fits in all of the above.
The CSP is working to implement this strategy.
Influence H+S care decision makers. Promoting effective and cost effective solutions.
Call CSP members to spread the message to influence.
Influence of public and patients to spread the message.
Develop workforce planning models to meet the demand.
The CSP is planning to create bite size pieces of evidence that members can use to spread the message that Physiotherapy Works.
The CSP is also creating briefing documents to how we fit with different services. The first one has been Physiotherapy Works for Social Care.
This will be complimented by:
- Living Long- Living Well Advice Leaflet due to be published in October 2014.
- Physiotherapy UK 10-11 Oct 2014 2 days of World Class CPD, on the theme of “Living longer, living well”
- Commissioning Falls Services- Cost Survey.
What can you do?
- Spread the word
- Create local links
- Talk about the value of our services in and out of everyday practice.
- Get involved with patient groups and charities.
- Physiotherapy Works Road Shows
- Get involved
- Students giving out leaflets
- Register next month on the CSP website.
Friday 19th October “Physiotherapy Works Locally” Event. All day free event.
This is one of a series of Physiotherapy Works Locally events taking place across the UK. Look out for further publicity and for now please save the 19th September 2014 date. If you would like any further information please contact: Sebastien Baugh MCSP,Project Manager / Professional Adviser, Physiotherapy Works Programme Email: firstname.lastname@example.org. Tel No. 0207 306 6620.
As part of the Regional Meeting Sally Singh from University hospitals of Leicester NHS Trust came to speak to us about her Research at Leicester for Pulmonary Rehab. The guidelines discussed were:
- BTS Guidelines: https://www.brit-thoracic.org.uk/Portals/0/Guidelines/Pul%20Rehabilitation/Pulmonary_rehab_2013/pulmonary_rehab_final.pdf
- Impress Guidelines- value of rehab. Used for marketing your service. From early disease to severe disease, physical activity demonstrated the most value for COPD patients. http://www.impressresp.com/index.php?option=com_docman&task=doc_view&gid=41&Itemid=82
Some Key Points I took from the session:
- Rehab should be offered to all COPD patients.
- On a national scale we need to better at auditing our service to demonstrate value, clinical difference, patient experiences and use pre + post questionnaires.
- There is no evidence, that pulmonary rehab works in the home environment, this was taken from evidence based guidelines from a large study. This could be because of the environment, it is centred around an individual and it can be passive. However, we should still encourage physical activity if patients refuse pul rehab as there is a correlation between reduced quadriceps cross section and severe disease.
- We should pick clients with interstitial lung disease who are appropriate for pulmonary rehab.
- Post exacerbation rehab is cost effective, reduces hospital readmission, increases Qol and is best 1 month post discharge. Post exacerbation rehab should also be used to bridge the gap between pulmonary rehab if possible.
Outstanding areas of research:
- Uptake and adherence
- Responder analysis
- Sustainability and Maintenance
- Post-Acute Exac hospitalisation
- Nutrition/ Hormone Therapy
- Behaviour Change
- Optimum Length
The aim is to create evidence based guidelines which can be used to produce quality standards and ultimately accreditation.
Self-Management and COPD
This may include techniques and approaches such as:
- Motivational Interviewing
- Disease Education
- Physical Activity
- Breathing Control
- Plain English information
- Changes to QOL, Endurance, walking time.
An approach which is starting to be implemented is SPACE for COPD- which is delivered by trained clinicians. The programme is appropriate for patients who are computer literate (so they can do tasks such as their shopping or Banking online).
There is an online training package
– SPACE: looks at exacerbation management. Patients put in normal symptoms and have access to an expert to ask questions as well as a blog. See link: http://www.spaceforcopd.co.uk/
-A Contact day is available for clinicians wanting to be trained on the scheme I believe.
The aim is to conduct a study on self-management in the future.
The next meeting was also held in June for the Industrial Relations Committee Meeting at CSP head quarters. I am currently the newly qualified representative on the committee which has been a great experience to learn about the in’s and out’s of the CSP. More information about what the Industrial Relations Committee does can be found here: http://www.csp.org.uk/frontline/article/making-commitment
The key points from the June Meeting are below.
3 New Members
We welcomed – Eirian Jones representing H & S reps, Jonathan Harper representing student members, Pamela Simpson representing PhysioFirst to the meeting.
Future Sustainability of NHS
Our initial debate was on some of the crunch issues surrounding the future of the NHS, for feeding into future CSP thinking. The debate was not for formalising policy but for generating some discussion. NB All CSP members, and their patients and families, have a stake in the future of the NHS.
From the meetings arranged by stewards, preliminary soundings showing potential membership support for an overtime ban to try to secure a fairer 2014 pay deal. Immediate priority is around campaigning: successful day of action on 5th June to be followed by national lobbying of MPs on 1st July and local lobbying on 4th July. In addition, CSP survey to be launched to find out what’s happening on the ground on incremental progression.
Latest costings suggest that further contribution increases may be necessary. Government approach on pay, combined with down bandings, a major contributor to the problem.
NHS Financial Challenge
Comprehensive CSP strategy in place for supporting members and influencing future workforce planning. Case studies showing impact of cuts on patient care urgently needed. Prospects for new graduates improving and some indications of emerging shortages among experienced Physios in some areas.
Updates from across the UK discussed. Timely reminder of the legacy left by the troubles in NI disseminated. Importance of stewards encouraging members to take part in staff surveys and then pressing for action on the result flagged up. Implementation of recent agreement on NHS terms and conditions in Wales awaiting outcome of medics negotiations. CSP actively involved in Francis follow up work including on staffing levels and whistleblowing.
Oct 18th TUC Demo –
Theme of fair wages for all. Relevant to CSP members wherever they work. Important leadership role for IRC members in encouraging members to take part and to use social media to spread the message. CSP will be posting information about travel to the event. The event will be family friendly and it would be good to get as many people as possible to the event.
Organising strategy for 2014-15 drawn up. 5 priorities: ensuring good coverage of local reps; maximising attendance at training days; putting organising at the heart of all training; recruiting support workers; gaining Trade Union recognition in non-NHS employers. Separate but complementary review of the safety reps network also being progressed.
Initial responses to motions discussed and agreed, for feeding back to the CSP Council.
To IRC member Louise Wright on her election to the Wales TUC General Council, and W Mids steward Cliff Townsen on being re-elected to TUC Disability Committee.
My next post will aim to give a round up of my respiratory rotation and how I have progressed, we will soon find out where we are going next so I am looking forward to the next challenge.