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CSP Yorkshire and Humber
Regional Network Development Day
Physiotherapy: Fit for the future
#Physiofit4thefuture
Welcome and introductions
Chair of the CSP Yorkshire and
Humber Regional Network
Follow us
@CSPYorksHumber
Tweet us
#Physiofit4thefuture
Morning Programme:
• 10.20 – 10:30 Welcome & Introduction. Claire Arditto – CSP Y&H Regional Network Chair
• 10.30 – 11.15 Role of the Advanced Clinical Practitioner. Sarah Henry – Advance Clinical Practitioner. Harrogate & District NHS Foundation Trust
• 11.15 - 12.45 Physical Activity Clinical Champion. Anna Lowe -Ph.D Researcher, Health & Wellbeing Institute - Sheffield Hallam University Physical Activity Clinical Champion – Public Health England
• 12.45 – 13.30 Lunch
Afternoon Programme:
• 13.30 - 14.15 Digital Technology – using technology to enhance Physiotherapy Practice. Simon Ball Senior Physiotherapist and Product Manager Health ADI Health
• 14.15 – 14.45 CSP Strategy – Transform, Empower, Influence. CSP Y&H Regional Network Core Team
• 14.45 – 15.00 Q/A session
There are many ways to get involved
in the Network:
• Follow us on Twitter @CSPYorksHumber
• Log onto the Yorks and Humber iCSP pages and keep up to date with local news and events www.csp.org.uk/nations-regions/yorkshire-humber
• Share interesting case studies and examples of physio transforming lives in the region
• Play an active role by attending events and getting involved in a campaign in 2017 and beyond
The Role of the Advanced Clinical Practitioner
Sarah HenryAdvanced Clinical Practitioner
Acute Medicine, HDFTSeptember 2017
Overview
• About Me
• What is an Advanced Clinical Practitioner (ACP)?
• Implementation of ACP Role
• What does an ACP do?
• Trainee ACP to Qualified ACP
About Me….
Introduction
• What is an Advanced Clinical Practitioner (ACP)?
• “An ACP is a professional who has acquired the expert knowledge base, complex decision making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice. A Masters degree is essential for entry level.”
Why do we need ACP’s?
• Service drivers for change:
• Five Year Forward View
• New Care Models
• 7 Day Working
• Urgent & Emergency Care Service Development
• Sustainability and Transformation Plans
:
What does an ACP do?
• Complementary to the traditional medical workforce • Impact on patient experience: Holistic assessment, continuity of
care patients feel that they receive a more personalised service• Bridges the gap between nursing (!!), therapies and medicine • Impact on outcomes and patient safety: recognising omissions or
shortfalls in care, increased recognition and management of deteriorating patients, organisational knowledge and skills
• Impact on staff: improved communication and team working, nurses and junior Drs see them as a source of knowledge and approachable.
• Impact on length of stay and discharge: implementing care early, understanding organisational barriers and how to work round them, completing discharge paperwork timely.
Interview
• Math's Test
• Written Paper
• OSCE
• Panel Interview
Education
• MSc in Advanced Practice
• Independent non medical prescribing
• Work based Training:
• 2 Years of work based training within AMU/CAT/CATT
• Designated Medical Consultant supervisor
• Robust standardised assessment FY1/FY2 portfolio of competencies
Pillars of Advanced Practice
• Clinical Skills
• Education
• Research
• Leadership and collaborative working
Skills
• Clinical Examination
• ALS
• Venapuncture
• Cannulation
• Male Catheterisation
• Verification of Death
• CPAP
• Independent non- medical prescribing
• Requesting diagnostics
• Formulating clinical management plans
• Advanced radiology requesting
• Diagnostic interpretation
• Teaching
• Lumbar puncture
• ++++++++++
• NOT on Junior doctors rota
• Medical Registrar ‘in hours’
• Patient assessment
• Patient Triage
• Sick patient assessment
• Core clinical Skills
• Facilitate education and learning
• Research
Challenges
• Crossing boundaries• Learning curve• Training/studying/working/living• Cost to NHS• Lack of a consistent understanding of Advanced
Practice roles, and how standardised are educational requirements, competencies and job descriptions?
• Governance of such roles right to ensure safe and effective patient care
Highlights
For Debate
• What is Advanced Practice and what isn’t
• Advanced roles vs. extended roles
• Extended scope practitioners / ACCP’s
• Need standardisation of titles, roles and training
• CSP / NHS England currently working on this
• NMC have specialist group why doesn’t CSP?
Any Questions?
Lunch#Physiofit4thefuture
Digital Technology – using technology to
enhance Physiotherapy Practice
Simon Ball
www.adi-uk.com
About Me!
10 Years in Leeds Community Healthcare/PCT in MSK and Pain
Management Services
Worked privately across orthopaedics, MSK and OH
Product Manager for Advanced Digital Innovation (UK)
Currently Clinical Specialist in a community pain service in Leeds
ESP work in Sheffield
www.adi-uk.com
My digital journey!
• Local go-to IT guy!
• S1 lead and website content manager
• Clinical Field Testing
• Product development and design with the Pain Toolkit and Pain
Management Plan applications
• Commercial aspects
www.adi-uk.com
Digital Higher or Lower!!
• What % of the adult population have a smartphone in the UK? a) 68% b) 71% c) 78% d) 81%
• What % of adults use the internet?
• % of 19-24 that check their phone in the middle of the night?
• % of Smartphone users who look at their phone within 15minutes of waking?
• % of smartphone users make NO traditional voice calls in a week
• % of people who have monitored their own health with technology
• % of people have had digital access with the NHS?
Average number of app downloads per month?
What % of GP’s have digital health records?
% of people with digital access to their health records?
Imison C, Castle-Clarke S, Watson R and Edwards N (2016) Delivering the benefits of digital health care.
Nuffield Trust
There's no place like phone | Global Mobile Consumer Survey 2016: UK Cut – Deloitte
2017 Future Health Index Report
www.adi-uk.com
Why is digital here?
• Accessibility
• Knowledge
• Time
• Convenience
• Automated Procedures/Processes
• Feedback
www.adi-uk.com
Digital in our daily lives
• Television
• Music
• Banking
• Shopping/food
• Communicating with Friends and Family
• Sports/Activity
• Knowledge!
www.adi-uk.com
NHS Digital
NHS Digital Vision
Our vision for 2020 for data and information is for:
… a health and care system that has all the data and information that it needs, provided in an
accessible and timely way, to enable it to provide the best possible services and to achieve world
class health outcomes.
www.adi-uk.com
What is the value of digital to our patients?
• Communication
• Knowledge and Skills
• Monitoring
• Self-Efficacy
• Holistic intervention
• Shared decision making
• Better connected care
• Ownership of their own care/health
www.adi-uk.com
What is the value of digital to clinicians?
• Communication
• Automation of procedures
• Data capture/collection
• Time Saving
• Reducing DNA’s/cancellations
• Cost saving
• Remote monitoring
• Shared decision making
• Record keeping
• MDT working/information
www.adi-uk.com
The Pain Toolkit and Pain Mangement Plan
www.adi-uk.com
www.adi-uk.com
Learning/Challenges
• GP’s did not have enough time/inclination to discuss self-management (better
with more recent graduates)
• Clinicians wanted the ability to send patient specific resources/information
• Patients liked the app and found it easy to use and intuitive
• Clinicians liked the integration into their current clinical system
• Patients liked being able to see their progress on a chart (Dolo)
• Outcome capture an important part for the services and AQP
www.adi-uk.com
Patients
CliniciansCCG’s and
Management
www.adi-uk.com
MyPathway
MyPathway Patient View Resources Clinical portal
Personal Health Record Platform
www.adi-uk.com
Early Data
Costs:
80% cost reduction in printing & postage
Efficiencies
80% reduction in time to process patient
45% reduction in SPoA staff
PROMs
<2% PROMs completion before MyPathway introduced, around 40% completed digitally for those
registered on MyPathway
www.adi-uk.com
Development Principles
Transformation first – changed pathways – clinical and administrative
Changed culture – training programmes, learning from the innovators
User led design – patients, clinicians and administrators
Analytics enabled – built in reporting of activity and outcomes
Prototyping – innovation led design processes
Interoperability – EMIS, SYSTMOne integration with a platform to enable wider
integration
Strong IG – N3, approved provider of SCR
Taken from Nuffield Trust/KPMG Digital Health Research 17th February 2016
www.adi-uk.com
Barriers to Adoption/Innovation
• Attitudes
• Interoperability
• Funding/Costs
• Digital literacy
• Lack of trust/worries about security
• Corporate strategy does not align with the service vision
• Time
www.adi-uk.com
Digital Tech and Physiotherapy
Examples –
FizzYo - It puts a wireless sensor into the mouthpiece of a conventional airway clearance device. As the user
exhales, the sensor sends electronic signals that control computer games.
Cheshire Care Record – decreased number of orthopaedic appointments from 6-5 – increasing capacity
Virtual Clinics – Brighton and Hove #clinic £250,000 per year,
The CAREN (Computer Assisted Rehabilitation Environment) - puts people at the helm of a life-
size video game and forces them to use atrophied muscles and teaches the basic skills necessary to recover
quicker from a brain and spinal injuries.
DorsaVi – Movement sensors objectively measure movement
Online CBT Courses – wide ranging, multi-platform
Decision Support Tools – Paediatric app for meds administration/calculator
Predictive Analytical Systems – Flag deterioration/changes in symptoms – only as good as the data
www.adi-uk.com
1 - Innovation in specialist care – expensive integrated tech solutions
2 - Solutions to enhance standard practice and improve outcomes –
communication, education and holistic care
www.adi-uk.com
Where to start?
• Identify the pain point/problem/service need
• Break the problem/need down - collect evidence/data to back up your
problem
• Research what is out there already and what problem does your solution
solve?
• Who can fund it? Business/University/Charity/ Government/Private
investors
• What is the business model – sales, income generation etc.
www.adi-uk.com
Implementing technology is an ongoing programme of transformational
change.
Several cycles of development are required to get to a point where the solution
starts to show benefit – patience is needed
Digital technologies will not deliver improvements in productivity, outcomes,
patient care on their own.
www.adi-uk.com
Digital Transformation aims to
enable and enhance care and not
replace face to face care!
CSP Governance Review
CSP English Regional Networks
August 2017
Previous key Council Decisions
– Purpose of Council – “The purpose of Council is to provide leadership of the physiotherapy profession and governance of the CSP”; and
– Leadership representation – Council members are representatives of the CSP membership, elected to lead the profession. They will consider all members’ needs and work in the best interests of the profession as whole.
Key Decisions made at December and March meetings
including Council’s preferred governance model
Small Council (c. 12 members)
The purpose of Council is to provide leadership of the physiotherapy profession and governance of the CSP
• Short-life working groups to deal with time-limited issue as required.
• Drawing expertise to inform decision-making as required (ERNs,
Country Boards, professional networks & TU groups)
Finance, Risk &
Audit
Employment Professional
What will Council do?
• Seek advice
• Invite members to contribute
• Delegate work
• Tailor engagement
• Support members & networks & groups
• Listen and explain
• Be held to account
What does all this mean for ERNs?Council –
• All Council members will be representatives of the CSP membership, elected to lead the profession.
• They will consider all members’ needs and work in the best interests of the profession as whole.
English Regional Networks –
• Draw your membership from a wide range of members in your region.
• Key contacts between Council, its committees and the membership for your area.
What can we do?
• Get elected
• Encourage others to stand
• Vote for preferred candidate(s)
• Get involved through established routes:
− Project, programme or working groups e.g. Hip Fracture Steering Group
− Workshops and roundtable events e.g. practice-based learning webinars
− Peer review and research activity e.g. abstract reviewing activity (for Physiotherapy UK and ER-WCPT congress)
− Networks and representative structures e.g. National Group of Regional Stewards
Agreed Council transitional
arrangements (subject to AGM)
• Council elections postponed until after the
AGM
• Interim Council to serve from the AGM
until spring 2018
• Elections in early 2018
• New Council take office in spring 2018
AGM - VOTE on the Governance Review changes
When: 12.30pm 11 November
Where: PUK, BIC Birmingham
or
by Proxy www.csp.org.uk/agm/proxy(closes 12.30pm 6 Nov 2017)
More details & information
Can be found on the Governance Review
webpages
http://www.csp.org.uk/governance-review
Q&A#Physiofit4thefuture
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