Embed Size (px)
Citation preview
Members wishing to use the ACPOPC logo should seek committee permission by contacting the PRO: [email protected]
In TouchSpring 2010Number: 78
© ACPOPC CommitteeDo not copy content without permission
2
Deadline for next newsletter:
4th June 2010
Send content to:
DISCLAIMER
Views expressed in this Newsletter are the viewsof the author and are not necessarily endorsed bythe Editor or the Executive Committee. Whilstevery care has been taken in the preparation ofthis Newsletter, no legal responsibility can be acceptedfor inaccuracies.
ContentsThe Committee .................................................................................................................4Regional Representatives ................................................................................................5Bulletin Board ....................................................................................................................6
Nomination Form ...........................................................................................................8Courses / Events .............................................................................................................11
Living longer or dying longer?.......................................................................................11CONNECTIVE TISSUE COURSES:.............................................................................12“Its role in the management of Complaints after Head & Neck Cancer Treatment”: . . .12“Its role in the management of Complaints after Breast Cancer Treatment”:...............12Breast Cancer Rehabilitation.........................................................................................13Chartered Physiotherapists in Massage and Soft Tissue Therapies............................14Physiotherapy Task Force EAPC..................................................................................16St Christopher's Courses..............................................................................................17
Feedback ........................................................................................................................20Measure, measure, measure- How to review quality and productivity was the subject or the CIG review meeting held on 30th November 2009. ...........................................20
Articles ............................................................................................................................22A Personal Perspective on Managerial Development...................................................22
3
The Committee
Chairperson
Jane Rankin
The Belvoir Park SuiteCancer CentreBelfast City Hospital, HSC TrustBelfast, BT9 7AB
Tel: 028 90699430; Fax: 02890 699430email: [email protected]
Honorary Secretary
Siobhan O'Mahony
Physio. DepartmentMarymount Hospice, St Patrick's HospitalWellington Road, Cork, Ireland
Tel: 00353 21 4501201 ext 269; Fax: 0035321 501619email: [email protected]
Membership Secretary
Petrea Fagan
Physiotherapy DepartmentBox 185, Addenbrooks NHS TrustHills Road, Cambridge, CB2 0QQ
Tel: 01223 274404email: [email protected]
Treasurer
Kate Cobley
Physiotherapy DepartmentVelindre Cancer CentreWhitchurch, Cardiff, CF14 2TL
Tel: 029 20615888 ext 6340email: [email protected]
Study Day Liaison
Carolyn Moore
Physiotherapy DepartmentRoyal Marsden HospitalDowns Road, Sutton, SurreySM2 5PT
Tel: 020 8661 3098Fax: 020 8661 3798email: [email protected]
Study Day LiaisonNicola Gingell
The Royal Marsden HospitalFulham Road, London, SW3 6JJ
Tel: 020 7808 2821email: [email protected]
PRO
Chiara DeBiase
Macmillan Information and Support Centre, King’s College Hospital, Denmark Hill, London SE5 9RS
Tel: 0207 601 8247Fax: email: [email protected]
Newsletter Editor
Valerie Young
Physio. DepartmentSouthampton General HospitalSouthampton SO16 6YD
Tel: 023 8077 7222 Ext 6459 Bl 1131Fax: 02380 794756email: [email protected]
CIG Liaison Ofvice
Mary Gardiner
Physiotherapy DepartmentCountess Mountbatten House,Southampton, SO30 3JB
Tel: 023 8047 5276email: [email protected]
Education and Research OfficerAileen McCartney
Wisdom HospiceHigh Bank, St Williams WayRochester, Kent, ME1 2NU
Tel: 01634 830456Fax: email: [email protected]
Diversity Officer
Joan Outram
Rehabilitation UnitChristie NHS Trust, Wilmslow RoadManchester, M20 4BX
Tel: 0161 446 3795Fax: 0161 446 8151email: [email protected]
Member Without Portfolio
Alison Allsopp
St Giles HospiceFisherwick Road, WhittingtonLichfield, Staffs, WS14 9LH
Tel: 01543 432517Fax: 01543 433346email: [email protected]
Member Without Portfolio
Lucie Hughes
Macmillan Rehab TeamPrincess Royal Community Health Centre, Greenhead RoadHuddersfield, HD1 4EW
Tel: 01484 344290Fax: email: [email protected]
4
Regional Representatives
Northern Ireland
Diane Stronge
Physiotherapy DeptBelvoir Park Suite, Cancer Centre, Belfast, BT9 7AB
Tel: 07798577265email: [email protected]
South
Margy Budden
Physiotherapy DepartmentSouthampton General Hospital, Southampton, SO16 6YD
Tel: 023 8077 7222 Ext 6459 Bl 1131Fax: 02380 794756email: [email protected]
Scotland
Susan Nuttall
c/o Physiotherapy Department, Raigmore Hospital, Inverness, IV2 3UJ
Tel: 01463 705580 page 1184Fax: 01463 711322email: [email protected]
Yorks & Lincs
Gillian Smith
Physiotherapy DepartmentWakefield Hospice, WakefieldWest Yorkshire, WF1 4TS
Tel: 01924 213900Fax: 01924 362769email: [email protected]
North Midlands
Sally Jennings
Physiotherapy DepartmentLOROS Hospice, Groby Road, Leicester, LE3 9QE
Tel: 0116 2318417Fax: 0116 2320312email: [email protected]
East Anglia (vacant) Unavailable Unavailable
North East
Valerie Beedle
Marie Curie Cancer CareMarie Curie HospiceNewcastle upon Tyne, NE4 6SS
Tel: 0191 219 1030Fax: 0191 219 1099email: [email protected]
North West
Jackie Barr
Physiotherapy DepartmentSt Anns Hospice, Little Hulton, Worsley, Manchester, M28 0FE
Tel: 0161 702 5432email: [email protected]
West Midlands
Susan Horne
Shakespeare HospiceShottery, WarwickshireCV37 9UL
Tel: 01789 266852Fax: 01789 415081email: [email protected]
London
Jillian Pemberton
Marie Curie Hospice Hampstead11 Lyndhurst GardensLondon, NW3 5NS
Tel: 0161 446 3795email: [email protected]
South East
Diana Braithwaite
Hospice in the WealdMaidstone Road, PemburyTunbridge Wells, Kent, TN2 4TA
Tel: 01883 723300Fax: email: [email protected]
North East Thames
Ann Bryan
Isabel HospiceHowlandsWelwyn Garden CityHerts
Tel: 01707 373356Fax: email: [email protected]
South West
Louise Ballagher
Physiotherapy DepartmentRoyal Devon and Exeter HospitalBarrack RoadExeter, Devon
Tel: 01392 402436Fax: email: [email protected];[email protected]
West
Gillian Burgess
Physiotherapy DepartmentBristol Royal InfirmaryMarlborough Street, Bristol, BS2 8HW
Tel: 0117 9282066Fax: email: [email protected]
South Wales
Sharon Thomas
Y Bwthyn NewyddPrincess of Wales HospitalBridgend, South Wales, CF31 1RQ
Tel: 01656 752003email: [email protected]
5
Bulletin Board
IMPORTANT NOTICE AGM ALERT
This is a reminder that the ACPOPC Annual General Meeting (AGM) will be held on Monday 19th April in the research centre, University of Ulster at Jordanstown, Belfast at 16.00 (immediately after the end of the study day, to facilitate attendance). Due to the fact that we require a quorum to hold an AGM, we would appreciate your presence if possible. If you will not be attending the study day, you may register your vote by proxy. The form for this is at the end of the Bulletin Board Section or it can be downloaded from the ACPOPC website. Proxy forms must be printed off, signed and posted or faxed to the Chair of ACPOPC (details are provided on the form.)
Self Referral UpdateI recently came across this website: http://selfreferralphysioinfo.com/It is a fabulous resource as includes a little about what self-referral is, how you go about setting up a service, provides publications and presentations, details national and international research and also an anticipated referral calculator tool. The website also details the following book which can be purchased:
'Patient Self Referral For Therapists: A Practical Guide'The website and book have been written by Dr Lesley Holdsworth and Dr Valerie Webster. Their contact details are provided on the site. The website details the following description of the book:“This practical and comprehensive guide contains all the information you need to set up a self referral service successfully, including answers to frequently asked questions, sample referral forms, a sample poster, datasets, guides for consistency, an anticipated referral calculator tool and a complete glossary of terms”. I have purchased this book and in due course will leave some feedback. Please do continue to inform us of your self-referral initiatives either via email or via joining the strand on the i-csp.Thanks again Lucie Hughes [email protected]
Please use the nomination form at the end of the bulletin section if you wish to nominate someone or join the committee yourself at the April AGM. Completed forms to be sent to:[email protected]
6
Move for Health Campaign The CSP's Move for Health*
ACPOPC would like to hear whether you have already signed up for, or would consider becoming, a Move for Health Champion! The CSP is keen for everybody to play a part in their exercise campaign and are keen to learn what is on offer locally. This is an excellent opportunity for us who are working in the fields of palliative care and oncology not only to promote what we do to the public in terms of exercise, but also to demonstrate to our fellow colleagues the huge variety of exercise forms we offer to our patients.
SO…..don’t just sit on this, but get active and join the campaign!
For further details on the MFH campaign and/or how to become a champion either visit the CSP homepage and follow the link, email [email protected] or alternatively drop me a line at [email protected]
In this newsletter we learn of the inspiring work of Linda Davidson in her project to get breast cancer patients in Scotland moving for health. We want to hear your examples of exercise initiatives no matter how big or small.
On a personal level, perhaps this campaign can encourage you to get yourself, family and friends moving more. There is so much going on both locally, nationally and internationally. Macmillan is one of many charities that are hosting physical activity events in:
● Biking ● Big sports day
● Swimming ● Golf
● Running
● Walking
Best way to advocate is to lead by example!
ACPOPC Website links: www.acpopc.org.ukArticles:National Cancer Survivorship Initiative Vision
NHS National Cancer Action Team “Rehabilitation: Where is the Evidence?”Courses:The Royal Marsden School of Cancer Nursing and Rehabilitation – Prospectus
7
"BREAST FOOT FORWARD"Breast foot forward is the place to be,there's music and there's laughter, exercise with fun!Step up lively now, move those arms and legs, shake off the blues and enjoy time spent on just me.Who would have thought that bouncing balls, stepping up and peddle power would be my path ahead!Time to look to the future and move it up a gear, bought the gym ball and the weights, the new me is here!It's good to feel alive again and know that I am back.Breast Foot Forward has put me back on track!LM June '09This poem was written by a lady who attended an exercise class run by physiotherapist Linda Davidson in Dumfries in South West Scotland . This was a 6 month pilot project funded by Macmillan Cancer Support to set up, run and evaluate a post breast cancer exercise class away from the hospital setting in a local authority leisure centre. The main aim was a holistic patient-centred class focusing on well-being instead of illness and enabling ladies to move on with their lives by supported self management.There were 2 sets of classes running twice a week for 8 weeks, working towards a fitness goal - the first class 'Breast Foot Forward' went Dragon Boat Racing in Cumbria with the Paddlers For Life team. This is an ancient Chinese sport of paddling large canoe type boats, which promote healing of both physical and emotional effects of cancer and treatment side effects. We are now in the process of setting up the first Dragon Boat Team in Scotland. The second group 'Hooked on Exercise' went fly fishing which again has shown good effects on improving fitness and a sense of well-being.The project showed general fitness and function improved in all participants. The real benefits of the class were shown by comments not measured assessment :'I don't know where to start to thank you for all your hard work at the 'Hooked on Exercise' classes. You have given me back so much. My legs and arms do not feel like lead weights. I am more flexible and supple; I am gaining confidence, self-esteem and starting to like myself again. Prior to the classes I was heading down the slippery slope to depression, low self-esteem and feeling like an old women. Now I am 'Hooked on Exercise'Linda [email protected] 241827
Nomination Form
8
9
THE ASSOCIATION OF CHARTERED PHYSIOTHERAPISTS IN ONCOLOGY AND PALLIATIVE CARE (ACPOPC) PROXY FORM
Appointment of Proxy for the Annual General Meeting to be held on Monday 19th April 2010 at 16.00 in the Research Centre, University of Ulster at Jordanstown,
Belfast.I, BEING THE MEMBER NAMED BELOW, (Please write your name, address and ACPOPC membership number below in BLOCK LETTERS. This form will be invalid if any information is omitted.)
Name:
Address:
ACPOPC Membership Number:
HEREBY APPOINT AS MY PROXY, THE CHAIR OF ACPOPC. I INSTRUCT MY PROXY TO VOTE AS FOLLOWS (if no instructions are given, the proxy may use their own discretion)
MOTION FOR AGAINST
To approve the Annual Reports for 2009
To approve the accounts for the year ended 2009
To adopt the proposed auditor
To elect the proposed committee (en bloc)
To approve the proposed amendments to the ACPOPC constitution
Signature ………………………………………… Date ……………………….This form is invalid unles s you have si gned it. The completed form must be received by the Chair of ACPOP C, M s Jane R ankin, Physiotherapy Dept, The C ancer Centre, Belfa st City Ho spital, Li sburn Rd, Belfa st, BT9 7A B, no later
than 16.00pm on M onday 12th April 2010, by post or fax +44 028 90699459. Plea se do NOT use this form if you intend to vote in person at the AG M.
10
Courses / Events
Living longer or dying longer?
11
CONNECTIVE TISSUE COURSES:An integrated approach – understanding our connective tissue
“Its role in the management of Complaints after Head & Neck Cancer Treatment”:
London: Level 1: September 28th/29th, 2010 The Royal Marsden NHS Foundation Trust: Kate Jones, Physiotherapy Department, The Royal Marsden NHS Foundation Trust, Fulham Road, London SW3 6 JJ.
Tel: 0207 808 2821. e-mail: [email protected].
“Its role in the management of Complaints after Breast Cancer Treatment”:
Manchester: Level 1: October 9th/10th, 2010
Level 2: October 11th, 2010The Christie NHS Foundation Trust: Lena Richards / Karen Goodwin, Rehabilitation Unit, The Christie NHS Foundation Trust, Wilmslow Road, Withington, Manchester M20 4BX.
Tel: 0161 446 3795 / 446 8150, e-mail: [email protected], [email protected]
Course Programme: Our course goal will be to share with you how normal day-to-day function is changed by interference with the fascial and connective tissue anatomy. By understanding how various systems interlink to determine function, we can explore new and integrated treatment strategies as a tool to relieve the post surgical and radiotherapy trauma following breast and head & neck surgery.
This workshop will be a good mix of practical and academic work, and the number of participants will therefore be limited. Suitable for Physiotherapists / Therapists working with breast and head & neck cancer patients, e.g. Oncology / Women’s Health, Primary Care and Musculoskeletal settings.
∞∞∞∞∞∞∞
Course Tutor: Willie Fourie, Johannesburg, South Africa
Cost: Two day course: £225, One day course: £110 (to include course notes, tea and coffee)
Applications: Please telephone, e-mail or write to the above course organisers for an application form.
12
Breast Cancer Rehabilitation
Letterkenny, Co. Donegal, IrelandJune 5 - 6, 2010
Space is limited—contact us now to reserve your spot.
303-245-0333 or [email protected]
Course Description: This two day course is designed to provide essential knowledge of outpatient therapeutic approaches in breast cancer care. A comprehensive review of current diagnostic, surgical, radiation, and medical oncologic management for breast cancer is included. Special attention is given to the evaluation and treatment of axillary web syndrome/cording, postural and scapular dysfunction as well as upper quarter soft tissue changes following breast cancer surgery and radiation therapy. Each day will be divided into two sections: theoretical and hands-on application.
Course Highlights:
• Learn and practice soft tissue mobilization with movement to facilitate improved range of motion and lymphatic drainage of the upper quadrant
• Understand the stages of wound healing to better treat all post-surgical patients
• Improve hands-on skills
• And much more!
Location Details: Letterkenny General Hospital, Physiotherapy Department, Letterkenny, Co. Donegal, Ireland. For more information on course location and local accommodations, please visit www.klosetraining.com
Continuing Ed Credits: 17 contact hours, CEU’s available for PTs, OTs, and MTs. Contact hours are approved for LANA re-certification.
Tuition: $450. INCLUDE a copy of this email with your registration for $25 discount!*
*Discount must be identified at time of registration and will not be applied retro-actively. This discount cannot be combined with any other discounts. Please feel free to share this email and discount offer with your colleagues.
Pre-requisites: The following professions are accepted for training: Medical Doctors, Physical Therapists, Physical Therapist Assistants, Occupational Therapists, Occupational Therapist Assistants, Nurse Practitioners, Massage Therapists*.
*There are some modalities taught in this course that are out of the scope of practice for massage therapists.
Registration: Print a registration form from our website www.klosetraining.com
Complete and submit the Registration Form along with a copy of your current professional license and payment to Klose Training & Consulting. For further assistance, please call 303-245-0333 or email [email protected]
More Breast Cancer Rehabilitation Courses from Klose Training:April 24 – 25, 2010 Boulder, Colorado (3 spots left in this course!)June 5 – 6, 2010 County Donegal, Ireland October 1 – 2, 2010 Columbus, OhioNovember 13 – 14, 2010 Boulder, Colorado
13
CPMaSTT
Chartered Physiotherapists in Massage and Soft Tissue Therapies‘Promoting effective soft tissue therapy in Physiotherapy’
A Clinical Interest Group recognised by the CSP.
AROMATHERAPY COURSE FLYER
Course Title:- ‘Aromatic interventions for Pain and Inflammation’Course Venue :- University of Winchester – St. Edburga’s Room, Sparkford Road, WinchesterDates :- Sat.5th and Sun.6th June 2010 Times :- 9am till 5pmCost :- £200 to include Lunches and Refreshments (see Terms and Conditions)Course participants must hold an Aromatherapy and Physiotherapy qualification.COURSE OUTLINE.This class is geared for physiotherapists and physical therapists wishing to explore and/or extend their use of essential oils for a range of musculoskeletal (including tendon and ligament) pathologies that have pain and inflammation as key features.Taking an evidence-based approach the class will detail key essential oils with proven effectiveness in painful and inflammatory states and provide safe, effective guidelines as to their formulation and application. Detailed documentation will be provided.Key aspects of the class include:-Anti-inflammatory essential oils – mechanisms of action and key guidelinesThe role of essential oils in pain management – psycho-physiological mechanisms of action and key guidelinesFormulating skills : combining essential oils with the appropriate delivery medium for maximum effectivenessThe role of essential oils in sport preparation and recoveryDetails on appropriate dose, safe practice and limitations for practice.Course Tutor :- Rhainnon Harris is an experienced therapist and educator, having worked in the field of essential oils for the past 20 years. As editor of the International Journal of Clinical Aromatherapy she is dedicated to promoting the safe, effective use of essential oils in a range of health settings. Based in France, she travels widely to teach, as well as hosting intensive study programmes in the mountains of Provence.
14
CPMaSTTChartered Physiotherapists in Massage and Soft Tissue Therapies
‘Promoting effective soft tissue therapy in Physiotherapy’A Clinical Interest Group recognised by the CSP.
Course Application Form
Course:- ‘Aromatic Interventions for Pain and Inflammation’Venue:- St. Edburga’s Room, University of Winchester, Winchester, Hants.Dates:- Sat.5th and Sun 6th June 2010Cost:- £200 to include lunches and refreshments (am/pm) Course Tutor:- Rhiannon HarrisCourse Fascilitator:- Tessa CampbellContact details:- [email protected] or Tel. No. 01962 8610009 Woodfield Drive, Winchester, Hants SO22 5PY Name of Applicant..................................................Address............................................................................................................................................................................................................Postcode......................Email.................................................................Daytime Tel. No..........................................Evening Tel No............................................ CSP No.........................Aromatherapy Qualification........................................ Dietary Requirements (if applicable)....................................Access Requirements (if applicable).....................................Do you require Accommodation List? Yes / No Please make cheques payable to CPMaSTTAll applications accepted subject to the Terms and Conditions included.Please return form, enclosing cheque, to Tessa Campbell. (details above)
15
Physiotherapy Task Force EAPCWe can now update you on the progress of the Task Force position paper submission to the European Association of Palliative Care (EAPC) following the Physiotherapy Pre-Meeting in Vienna, May 2009 which took place prior to the 11th EAPC Congress. The Advisory board has accepted the paper and we now have an official Task force with objectives and project milestones in place. These can be viewed on: http://www.eapcnet.org/projects/Physiotherapy.html Addressing end-of-life issues as physiotherapists varies from country to country, and is often both shaped by, and dependent on, training, resources, culture and tradition. Broadening our views to embrace other approaches is not only challenging but encourages reflection and re-evaluation. The biggest ‘buzz’ to emerge from my time in Vienna, was the real enthusiasm we shared in the possibility of coming together as practitioners throughout Europe and further afield to share ideas, clinical expertise and best practice. We have decided to start this relationship with our colleagues in Europe and beyond by inviting delegates to a 2-day conference at St. Christopher’s Hospice on October 25/26 2010. The keynote lecture will be delivered by Prof. Friedemann Nauck, (Germany) Chair of the Scientific Committee of the last EAPC conference, who has been strongly supportive of establishing the physiotherapy EAPC Task Force in Europe. Other speakers come from the UK, Germany, Austria and Sweden, and include Dr. Adrian Tookman (on rehabilitation) Dr. Nigel Sykes (neurological challenges) and Elisabeth Gruenberger (ethical issues in dementia). A comprehensive choice of workshops will include topics such as: goal setting, exercise and patient groups, dealing with anger, breathlessness and anxiety, spirituality (the interface between function and meaning) , treatment approaches in dementia, and networking strategies with organisations to develop professionally. Workshop leaders include Karen Robb, Gail Eva, Ylva Dahlin,(Sweden) and Peter Nieland (Germany)An exciting aspect of the 2 day event is that we plan to include a special physiotherapy student programme at reduced cost, running simultaneously with part of the second day’s programme. This will be on site in their own dedicated space with a video link to the main lecture theatre in order to access the same speakers. There will also be the unique experience of hearing patients’ stories of their rehabilitation journey in palliative care, moderated by Nigel Hartley, and an opportunity to tour the newly opened Anniversary Centre, a new social space, created by extensive refurbishment of the ground floor. A fully equipped rehabilitation gym forms part of the new facilities comprising clinic rooms, internet access area, café, bathing suite and information area, all of which offer a modern, up-to-date service delivery. For further details of this innovative conference access the conference website www.stchristophers.org.uk/physioeurope Considerable interest is expected in this conference, so early booking is advised. Jenny Taylor, Senior Physiotherapist, St. Christopher's Hospice Email: [email protected]
16
St Christopher's CoursesChallenging Conversations at End of Life7-8 April and 16-17 September 2010, 9.30-16.30 Cost: £180This is a two day communication skills course which is aimed at qualified professionals who regularly contribute to the management of care of people approaching the end of life.
Cognitive Behavioural Therapy: Introductory Day13 April 2010 9.30-16.00 Cost:£90This course is designed for clinicians involved in delivering end of life care whatever the setting, who are involved in providing general emotional support for patients and carers. These practitioners manage significant levels of emotional distress and will already have experience of using basic communication skills in order to establish supportive relationships with patients/carers.
Getting Competent and Feeling Confident: Skills development for activity co-ordinators21 April, 30 June and 17 November 2010, 10.00-13.00 £35 each or £90 if you book all 3.These three linked sessions aim to offer support, explore ideas and to continuously develop the competencies needed in order to use a range of the arts including painting, creative writing, music, photography and craftwork with people facing life-limiting conditions including the elderly and those living with terminal illness, including dementia.
Motor Neurone Disease: Finding strategies that work in research and care
6 May 2010, 9.30-16.30 £100 (hosted at King's College Hospital) The aim of this year's MND conference is to review key findings from current research and explore how they can inform effective and individual care planning. We will discuss critically, acknowledging that a one size fits all approach is not appropriate for the care of people with this complex disease. This one day conference is a collaboration between St Christopher's Hospice and the MND Care and Research Centre at King's College Hospital.
Cancer and Palliative Care for Complementary Therapists3 June 2010, 9.30-16.00 £60This study day is aimed at qualified therapists (aromatherapy, massage, reflexology, etc) who have an interest in, or are new to, this specialist area. Topics covered will include: cancer and the cancer journey; current orthodox treatments; impact upon the person; why me? and communication issues; adaptation of complementary therapies and self-care for the therapist.
Cross-Cultural Pratice with Families in end of Life Care (part of the 2010 Cicely Saunders Series)10 June 2010, 9.30-16.00 £100This study day will address some of the dilemmas, conflicts and practical difficulties encountered when working with families whose outlook on end of life and death is based on a cultural heritage that poses challenges for the western model of end of life care.
Education News
End of Life Care CompetenciesSt Christopher's has produced a new practice development resource for those delivering end of life care in non-specialist care settings. Designed for nurse and social care managers, the 50 page competency workbook comes with a CD that allows you to adapt and use selected elements to fit their own training and development needs. To make an order email Denise Brady at [email protected]
17
ACCOMMODATION INFORMATION
Exercise and Lifestyle in Rehabilitation and Cancer Survivorship 19th, 20th and 21st April 2009
University of Ulster Jordanstown Campus
Many thanks for your enquiry regarding accommodation during the conference. Please find below information for your convenience. The “Go To Belfast” website is also a useful source of local information www.gotobelfast.com Hotels Jurys Inn Belfast Fisherwick Place, Great Victoria Street, Belfast, Northern Ireland Tel: (+44 28) 90533500 Fax: (+ 44 28) 9053 3511 Jurys Inn Belfast is an excellent 3-star budget hotel located in the heart of Belfast city. Jurys Inn is offering a special rate to our delegates of £65 B&B for a single room per night. Please note a free shuttle bus has been arranged from Jury’s Inn to the University of Ulster for each day of the conference. Hilton Hotel Belfast (5*)4 Lanyon Place, Belfast, BT1 3LP Tel: 44-28-90277000 Fax: 44-28-90277277 Also close to the pick up point are the new Ibis Hotel and Days Inn.Local B&Bs We have contacted some local B&Bs and they currently have availability but this will be on a first come first served basis. When contacting the B&Bs please state that you are part of the Exercise & Lifestyle Conference at the University of Ulster. Beechgrove Farm 412 Upper Road Trooperslane Carrickfergus Contact: 028 93363304 £25 pppn 30 min journey by car/taxi
18
Parklands Farmhouse 320 Upper Road Carrickfergus Co Antrim BT38 8PN Contact: 028 93362528 Website: www.parklamdsfarmhouse.co.uk £30 pppn 30 min journey by car/taxi If you have any further queries regarding your travel or accommodation needs please contact: Mrs Suzanne Hewitt UU Health Limited Tel. No. +44 2890 368377 Fax No. +44 2890 368307 Email [email protected]
Flight DetailsGeorge Best Belfast City Airport (close to city centre – taxi journey):
Airline Route Flybe www.flybe.com Tel: 0871 700 2000
Aberdeen, Birmingham, Cardiff, Edinburgh, Exeter, Glasgow, Inverenss, Jersey, Leeds/ Bradford, London Gatwick, Manchester, Newcastle, Rennes, Robin Hood Doncaster Sheffield, Southampton.
bmi www.flybmi.com 0870 6070 555 London Heathrow
Ryanair www.ryanair.com 00353 1249 7791 London Stansted, Liverpool, Glasgow (Prestwick), East Midlands, Bristol
Aer Arann www.aerarann.com 08005872324 Cork
MANX2 www.manx2.com 087 0242 2226 Isle of Man
Belfast International Airport (outside city – bus (£7.50 return) or taxi (up to £30 each way))Airline Route Aer Lingus www.aerlingus.com 0870 876 5000
London Heathrow
Bmibaby www.bmibaby.com 0911 154 5454
Birmingham, Cardiff, Manchester, Nottingham, East Midlands
Easyjet www.easyjet.com 0905 821 0905
Bristol, Edinburgh, Glasgow, Liverpool, London Gatwick, London Luton, London Stansted, Newcastle
Jet2.com www.jet2.com 0871 226 1737
Blackpool, Chambery, Leeds Bradford.
Manx2.com www.manx2.com 0871 200 0440
Isle of Man
19
Feedback
Measure, measure, measure- How to review quality and productivity was the subject or the CIG review meeting held on 30 th November 2009.
Summary by Alison Allsopp ACPOPC committee
The day consisted of a number of talks with significant focus on the quality agenda. The development of a strong evidence base being essential to demonstrate the value of our therapy interventions. The importance of the CIG groups working in partnership with the CSP to support members to and drive and influence practice was stressed.
During the introduction, it was commented that the CIG groups are the CSP’s most VITAL ASSET and that following consultation there will be a decision in June 2010 as to the future CIG structure. There would be no support for CIG’s losing their own focus.
Lisa Hughes (Dietician), the Allied Health Professions Officer at the Department of health spoke of ‘Quality at the heart of your NHS’
Emphasis on maintaining quality in the light of difficult financial times ie the NHS needs to save 15-20 billion by 2011. They do not want the ‘slash and burn’ ethos of the 90’s (which incidentally only saved 8 billion) as they now recognise the role of maintaining quality!
We are all urged to read the operational framework of the NHS 2010-2011- this is the rulebook from which all flows. In order to influence at strategic level we must ‘hang hook’s’ on to this.
AHP’s need to SELL what they do eg managing risks in safe environments- falls prevention. AHP’s undervalue themselves and their skills.
How do AHP’s prove what we do in the most efficient way? Eg self referral schemes.If AHP’s cannot measure then who can? BUT we must write down measurements and SHARE them.
At the moment not one measure of AHP services is collected Nationally ie NOTHING.
NICE is in the process of pulling together centralised information on measurements into one forum, also the NHS evidence web site is gathering evidence which will be kite marked for quality.
You must ask yourself- Can I write and evidence case for what I do?, and if you cannot, should you be doing your job?
AHP’s need to think about the top few outcomes which should be collected.
You should also find out what is being published about physiotherapy in your own workplace. Ask yourself- How do they reflect the quality of my service in their quality accounts?
Physiotherapists should be offering solutions and answers ie this is how I can help you meet your requirements. Look at investing a small amount of money and if you do this can you guarantee
20
large savings ie self care management.
Physiotherapists need to get on quality Boards of SHA in order to have a voice.
Take a look at the NHS web site on productive leadership- evidence based behaviours which reduce your workload by 20%. and use these to your advantage.
The quality of your input needs to be proven even if you can’t prove the quality of your output, also when youre saving is someone else’s don’t forget to make that case and get the credit for it, otherwise YOU will be missing out.
Lisa Hughes can be contacted by e mail [email protected]
Mairead O’Soichru is a pysiotherapist who is now employed at the Learning and Development Institute at the RCN in a quality assurance and enhancement role. She spoke on ‘Quality across the UK’
When assessing your service there are seven dimensions of performance, key domains.
These are safety, effectiveness, efficiency, timeliness, equity, co-ordination and patient centeredness. Do you offer what patients really want?What UK values and approaches are there?
• England- market and technical policy• Scotland-collaboration and collectivism• Wales-communication and collectivism• Ireland-democratic participation, neutrality and public health
Ensure that you know the domains /themes for your country• Identify what this means to your practice• What do you currently measure that you could use within the relevant framework?• What sources of information around quality are available to you? Eg NICE/SIGN/NSF• What could you measure that might help you demonstrate quality against these
frameworks?Professor Anne Moore physiotherapist who is now Director of Clinical Research for Health Professions at the University of Brighton spoke on ‘Measuring Quality’ The clinical governance framework was introduced in 1998.
Whose business is quality?Who is interested in your quality service and what standards have they got available to you?Who sets the standards?- ensure that you are engaging with all standard setters ie network or get familiar with the literatureThink about the priority domains for your country, and what the domains mean to you. What standards are available that will enable you to ‘sell’ your service?All the evidence that we produce can contribute to standard setting.
Linda Beckett, childhood obesity specialist tower hamlets spoke about the success of setting up ACTIV8 groups to manage and reduce childhood obesity.
Lastly, Ann McCarthy clinical lead MSK physiotherapist spoke about their unsuccessful bid to tender for services at the Royal Free even though they made every effort to win the tender. One of the key outcomes of which was that in her opinion physiotherapists in general do not have the skills to tender and should either arm themselves with these skills or petition trusts to do so.
21
Articles
A Personal Perspective on Managerial Development I joined the physiotherapy team at St Margaret’s Somerset Hospice 14 years ago, having developed a broad range of experience in a variety of physiotherapy roles since my qualification 15 years earlier. I discovered that I loved the speciality of Oncology and Palliative Care and through appropriate training and experience achieved the role of Physiotherapy Clinical Specialist in this area.
Following a re-structuring in the organisation an opportunity arose to move into a more managerial role as Assistant Director of Day Care & Therapies with responsibility for a broad range of services including Chaplaincy, Bereavement, Social Work, Complementary Therapy, Diversional Therapy and Day Care alongside my own area of Physiotherapy.
I quickly found that my physiotherapy training with its emphasis on the use of a problem solving approach provided a strong basis for developing the appropriate range of people management skills and the broader perspective required to be able to effectively manage the variety of issues that resulted from being responsible for a wide range of services.
As part of my ongoing development in the role I was required me to undertake a post graduate management qualification and after comparative research I considered that the two primary options available were:
1. Attend my local college one afternoon/evening a week for 18months, undertaking the qualification as a taught course of 9 modules submitting assignments to meet the assessment criteria of each unit.
2. To take the course using blended learning. In this case the course material would be issued as a study pack which I could work through at my own speed. This would then be supported by a timetable of group tutorials covering the assessment criteria for each unit studied.
As the hospice was prepared to facilitate my weekly attendance at college I decided to undertake option 1, enrolling on a BTEC Level 7 course in Advanced Professional Management. This had the dual advantage that it was locally based and also provided progression to the MBA dissertation year with Plymouth University.
However, where employers are less supportive I would recommend the blended learning approach which facilitates work based learning and also has access to the MBA dissertation year.
Both access routes to the qualification cost approximately £6,000 over three years which compares very favourably with other MBA programmes.
As physiotherapists we are taught to analyse, diagnose and evaluate strategies and I found that senior management issues require a very similar approach. The academic underpinning provided through the management qualification training supplied an endless amount of theory which needed to be applied in a range of contexts. The difficulty was applying the right theoretical concepts to a given context. Again, I could rationalise this process by comparing it to the problem solving approach which supports the application of appropriate physiotherapy strategies to relevant clinical situations. I therefore felt that my physiotherapy background both helped me understand the dilemmas faced by senior management and provided me with an effective problem solving approach that supported the selection of appropriate solutions.
22
Work/Life/Study Balance
During my period of study I moved into a new role, as Deputy Director Clinical Services with responsibility for all clinical and nursing services within a 16-bed in-patient unit and associated community services.
This enabled me to focus a significant number of assignments around both previous and new roles and projects being undertaken at the hospice. This I believe was a key area for focusing and structuring my learning and supported efficient time management of course work. I was able to agree with the course tutors that I could submit assignments based on work issues/projects I was undertaking within my role, linking practice to theory in order to reflect the academic nature of the course outcomes.
The college tutors and my university supervisor were very helpful in supporting a work based approach to achieving both the BTEC course outcomes and MBA dissertation research. As a result of which I found the period of study hard work but was able to maintain an acceptable work/life/study balance.
I believe that physiotherapists need to demonstrate their ability to manage a broad spectrum of professions. At present there is a significant focus on nurse led programmes, which limits the opportunities available for physiotherapists to demonstrate their abilities in a wider context. One way to overcome this problem is for physiotherapists to use their analytical skills in a management context. By achieving management qualifications alongside their pre-existing clinical qualifications physiotherapists provide potential employers with well-equipped candidates for senior management posts; candidates who are able to engage in strategic discussions that offer a broader perspective on current managerial issues.
In April 2010 I will be undertaking a new role at a different hospice having recently been appointed as Director of Clinical Services - a role which has traditionally been filled in hospices by managers with a nursing background. My experience shows that as physiotherapists we have skill sets that are highly effective in the management of complex issues; by linking these skill sets to appropriate management training the profession is well placed to overcome what currently appears to be a limited appreciation of its managerial potential and for physiotherapists to help set the direction of healthcare development by attaining senior management positions in the healthcare environment
Helen Booth MBA, MCSP, SRP
An analysis of the psychological contract within a medical charity environmentMBA Master of Business Administration: DissertationAbstractThe purpose of this study is to critically analyse the condition of the psychological contract at St Margaret’s Somerset Hospice, providing a benchmark that will enable future monitoring of the psychological contract and help identify potential barriers to the development of a business ethos within the organisation. This has been achieved by completing the specific objectives of:
• Exploring the theoretical underpinning to the psychological contract• Undertaking primary research to analyse the condition of the psychological contract at St
Margaret’s Somerset Hospice (SMSH)• Establishing a benchmark for monitoring future development• Identifying key factors that affect the psychological contract within SMSH
The study used a phenomenological, case study approach and research data was interrogated
23
through the quantitative analysis of staff survey responses which was then validated by semi-structured interviews and a Focus Group discussion.
Results from the study show that the condition of the psychological contract within St Margaret’s aligns well with existing Chartered Institute of Personnel and Development (CIPD) research across both private and public sector organisations. However, the research data also identified a number of challenges for management due to the strong ethos of palliative care and a staff perception of poor procedural justice within the organisation. The resulting high levels of job engagement with poor organisational engagement have resulted in an “engagement gap” which represents a potential barrier to organisational development of a more commercially aware “healthcare business” ethos. Therefore, the study concludes with recommendations that aim to improve the overall condition of the psychological contract, by reducing the engagement gap and facilitating trust and a shared sense of purpose between management and staff.
Helen Booth MBA, MCSP, SRP
Developing rehabilitation services for cancer survivors in North East London
Project lead: Dr Karen Robb, Consultant Physiotherapist Oncology, Bart’s Hospital.Feasibility project managed by: Ruth Atkinson, Clinical Specialist Occupational Therapist, Bart’s HospitalBackgroundThe National Cancer Survivorship Initiative (NCSI), a joint Department of Health and Macmillan Cancer Support initiative, was established in response to the recognition that services to support people who have survived cancer are inadequate. There were 2 million cancer survivors in the UK at the end of 2008 and this number is increasing by 3.2% every year. The NCSI seeks to address:a) a lack of consistent assessment and care planning to identify needb) a lack of information and support pathways c) gaps in services providing supportive and rehabilitative interventionsThe NCSI has highlighted the need for 5 shifts in the approach to the care and support for people living with and beyond cancer. These shifts are:
1. A cultural shift in the approach to care and support for people affected by cancer; a greater focus on recovery, health and well-being after cancer treatment.
2. A shift towards assessment, information provision and personalised care planning. 3. A shift towards support for self-management; this is based on individual needs and
preferences with appropriate clinical assessment, support and management. 4. A shift from a single model of clinical follow up to tailored support that enables
early recognition of and preparation for the consequences of treatment as well as early recognition of signs and symptoms of further disease.
24
5. A shift from an emphasis on measuring clinical activity to a new emphasis on measuring experience and outcomes for cancer survivors through routine usage of patient reported outcome measures in aftercare services.
In relation to the above 5 shifts the NCSI has developed 7 work-streams which establish principles and models of improved care and support for those living with and beyond cancer. The NCSI 7 work-streams are as follows:
Assessment, care-planning and immediate post treatment approaches to care.
Managing active and advanced disease. Late effects (consequences of treatment). Children and young people. Self-care and self-management. Work and finance. Research.
The Tower Hamlets Cancer Survivorship Rehabilitation Project was initiated as a response to problems of unmet need in terms of support and rehabilitation. These needs include but are not limited to:v Nutritional advicev Breathlessness managementv Fatigue managementv Relaxation skillsv Vocational rehabilitationv Disability counselling v Carer support and trainingv Physical re-conditioningv Cognitive rehabilitation
A multidisciplinary steering group was set up to oversee the project deliverables for a feasibility project as carried out by the project manager (Ruth Atkinson). This steering group was chaired by the Network AHP Lead and comprised of service providers and commissioners as well as the Macmillan development manger for London. The development of the rehabilitation project was aided by a feasibility study and scoping exercise over a four month period which involved the following tasks:
Completion of interviews and focus groups to ascertain the needs and wishes of the local community and workforce around survivorship.
Joint working with the Cancer Services MDT around pathway mapping in order that rehabilitation services might be delivered within the context of a comprehensive survivorship pathway.
Scoping of potential sites to house the rehabilitation service, including potential outreach sites to aid better community access by patients.
Investigation of options for joint funding and service delivery within Inner East
25
London Continued liaison with CNS and medical colleagues around opportunities for
Assessment and Care Planning tools.
In addition to the above local scoping, the Project Manager (Ruth Atkinson) and Project Lead (Dr Karen Robb) were successful in a bid for the Millennium Bursary of the Curriers Livery Company to fund a scoping exercise in the United States. Significant phone consultation was carried out with Survivorship leads in the USA and Canada to determine the most progressive sites to visit. Based on the results of the feasibility study and scoping exercise, a full report was completed as well as business cases for the recommended services.1) The need for an educational facilitator was identified, to offer a ‘Cancer Transition’s’ programme to Tower Hamlets cancer survivors.Cancer Transitions: Moving Beyond Treatment is a six-week, community-based programme for cancer survivors in the USA which includes education and support on medical issues, exercise, nutrition and emotional needs that patients face after treatment. It has been piloted at 10 institutions across the United States in 2007 (phase I) and 2008 (phase II).In the UK there is now a pilot programme at ‘The Maggies Centre’, a patient support centre in South West London. Encouraged by the USA findings, the Oncology Therapies team at Bart’s Hospital have written a job description for a post-holder to set-up, implement and evaluate a Cancer Transitions: Moving Beyond Treatment programme in Tower Hamlets. This programme will be adapted to suit the diverse needs of the local population but will maintain the core components of the USA model. In summary the aim of the proposed programme is to improve health-related quality of life, physical functioning and dietary behaviour in cancer survivors living in the borough. The programme is hopefully set out to start in the next few months once the post holder has been selected and relevant training and other administrative tasks have been completed.2) A full business case was outlined for a comprehensive multi-disciplinary service. Included in the business plan were costs covering consumables for the programme to run smoothly, administrative and technical equipment ie: laptop, projector, printer etc, marketing costs and location cots etc. In addition, potential savings as a result of the cancer transitions programme were outlined in the business case. These savings included:
• Costs of A&E visits for patients with anxiety over recurrence.
• Cost of treating a patient who has suffered medical problems as a result of poor self management.
Finally, within the business case, certain benefits to the Trust were described:• Compliance with NICE levels 1-2 rehabilitation interventions
• Cancer education and training for generic rehab providers
• Improved patient experience
• Continuity of care via in-reach into tertiary settings including survivorship
26
clinics and the patient support centre
• Promotion of self management strategies, lifestyle change, and increased independence thereby reducing reliance on health and social care
• Improve health (e.g. exercise tolerance, quality of life, anxiety and depression, strength, improve disease control) leading to reduced uptake of health appointments
• Improved access to psychological support
• Improved readiness to engage actively in return to work programsThis project is still in the developmental stages and current work is aimed at securing funding to pilot the full service. Article written by:Marnin Romm, MSc Pain, BSc (Hons) Physiotherapy, BA (Hons) Clinical PsychologyTemporary Project manager for implementation of Cancer Transitions On behalf of Dr Karen Robb, Consultant Physiotherapist Oncology, Bart’s Hospital.
Footnote: The project Lead, Dr Karen Robb has recently been appointed to the Macmillan/NCSI “Community of Influence”, a group of non-medical post-doctoral researchers working together on the Consequences of Cancer Treatment.
27
